2019

ADHA Code
of Ethics

ADOPTED:
JUNE 2019

AMERICAN DENTAL HYGIENISTS’ ASSOCIATION | 444 N. Michigan Ave. Suite 400, Chicago, IL
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CODE OF ETHICS FOR DENTAL HYGIENISTS
Preamble
As dental hygienists, we are a community of professionals devoted to the prevention of disease
and the promotion and improvement of the public’s health. We are preventive oral health
professionals who provide educational, clinical, and therapeutic services to the public. We
strive to live meaningful, productive, satisfying lives that simultaneously serve us, our
profession, our society, and the world. Our actions, behaviors, and attitudes are consistent
with our commitment to public service. We endorse and incorporate the Code into our daily
lives.

Purpose
The purpose of a professional code of ethics is to achieve high levels of ethical consciousness,
decision making, and practice by the members of the profession. Specific objectives of the
Dental Hygiene Code of Ethics are:
• to increase our professional and ethical consciousness and sense of ethical responsibility.
• to lead us to recognize ethical issues and choices and to guide us in making more
informed ethical decisions.
• to establish a standard for professional judgment and conduct.
• to provide a statement of the ethical behavior the public can expect from us.
The Dental Hygiene Code of Ethics is meant to influence us throughout our careers. It
stimulates our continuing study of ethical issues and challenges us to explore our ethical
responsibilities. The Code establishes concise standards of behavior to guide the public’s
expectations of our profession and supports dental hygiene practice, laws and regulations. By
holding ourselves accountable to meeting the standards stated in the Code, we enhance the
public’s trust on which our professional privilege and status are founded.

Key Concepts
Our beliefs, principles, values and ethics are concepts reflected in the Code. They are the
essential elements of our comprehensive and definitive code of ethics and are interrelated and
mutually dependent.

Basic Beliefs
We recognize the importance of the following beliefs that guide our practice and provide
context for our ethics:
• The services we provide contribute to the health and well being of society.
• Our education and licensure qualify us to serve the public by preventing and
treating oral disease and helping individuals achieve and maintain optimal health.

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CODE OF ETHICS FOR DENTAL HYGIENISTS
• Individuals have intrinsic worth, are responsible for their own health, and are
entitled to make choices regarding their health.
• Dental hygiene care is an essential component of overall health care and we
function interdependently with other health care providers.
• All people should have access to health care, including oral health care.
• We are individually responsible for our actions and the quality of care we
provide.
Fundamental Principles
These fundamental principles, universal concepts and general laws of conduct provide the
foundation for our ethics.

Universality
The principle of universality expects that, if one individual judges an action to be right or
wrong in a given situation, other people considering the same action in the same situation
would make the same judgment.

Complementarity
The principle of complementarity recognizes the existence of an obligation to justice and basic
human rights. In all relationships, it requires considering the values and perspectives of
others before making decisions or taking actions affecting them.

Ethics
Ethics are the general standards of right and wrong that guide behavior within society. As
generally accepted actions, they can be judged by determining the extent to which they
promote good and minimize harm. Ethics compel us to engage in health promotion/disease
prevention activities.

Community
This principle expresses our concern for the bond between individuals, the community, and
society in general. It leads us to preserve natural resources and inspires us to show concern
for the global environment.

Responsibility
Responsibility is central to our ethics. We recognize that there are guidelines for making
ethical choices and accept responsibility for knowing and applying them. We accept the
consequences of our actions or the failure to act and are willing to make ethical choices and
publicly affirm them.

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Core Values
We acknowledge these values as general for our choices and actions.

Individual autonomy and respect for human beings

People have the right to be treated with respect. They have the right to informed consent
prior to treatment, and they have the right to full disclosure of all relevant information so that
they can make informed choices about their care.

Confidentiality
We respect the confidentiality of client information and relationships as a demonstration of
the value we place on individual autonomy. We acknowledge our obligation to justify any
violation of a confidence.

Societal Trust
We value client trust and understand that public trust in our profession is based on our actions
and behavior.

Non-maleficence
We accept our fundamental obligation to provide services in a manner that protects all clients
and minimizes harm to them, and others involved in their treatment.

Beneficence
We have a primary role in promoting the well-being of individuals and the public by engaging
in health promotion/disease prevention activities.

Justice and Fairness

We value justice and support the fair and equitable distribution of health care resources. We
believe all people should have access to high-quality, affordable oral healthcare.

Veracity
We accept our obligation to tell the truth and expect that others will do the same. We value
self-knowledge and seek truth and honesty in all relationships.

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CODE OF ETHICS FOR DENTAL HYGIENISTS

Standards of Professions Responsibility

We are obligated to practice our profession in a manner that supports our purpose, beliefs,
and values in accordance with the fundamental principles that support our ethics. We
acknowledge the following responsibilities:
To Ourselves as Individuals...
• Avoid self-deception, and continually strive for knowledge and personal growth.
• Establish and maintain a lifestyle that supports optimal health.
• Create a safe work environment.
• Assert our own interests in ways that are fair and equitable.
• Seek the advice and counsel of others when challenged with ethical dilemmas.
• Have realistic expectations of ourselves and recognize our limitations.

To Ourselves as Professionals...

• Enhance professional competencies through continuous learning in order to practice

according to high standards of care.
• Support dental hygiene peer-review systems and quality-assurance measures.
• Develop collaborative professional relationships and exchange knowledge to enhance
our own lifelong professional development.

To Family and Friends...

• Support the efforts of others to establish and maintain healthy lifestyles and respect
the rights of friends and family.

To Clients...

• Provide oral health care utilizing high levels of professional knowledge, judgment,
and skill.
• Maintain a work environment that minimizes the risk of harm.
• Serve all clients without discrimination and avoid action toward any individual or
group that may be interpreted as discriminatory.
• Hold professional client relationships confidential.
• Communicate with clients in a respectful manner.
• Promote ethical behavior and high standards of care by all dental hygienists.
• Serve as an advocate for the welfare of clients.
• Provide clients with the information necessary to make informed decisions about
their oral health and encourage their full participation in treatment decisions and
goals.
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CODE OF ETHICS FOR DENTAL HYGIENISTS
• Refer clients to other healthcare providers when their needs are beyond our
ability or scope of practice.
• Educate clients about high-quality oral health care.
• Recognize that cultural beliefs influence client decisions.

To Colleagues...
• conduct professional activities and programs, and develop relationships in ways
that are honest, responsible, and appropriately open and candid.
• Encourage a work environment that promotes individual professional growth and
development.
• Collaborate with others to create a work environment that minimizes risk to the
personal health and safety of our colleagues.
• Manage conflicts constructively.
• Support the efforts of other dental hygienists to communicate the dental hygiene
philosophy and preventive oral care.
• Inform other health care professionals about the relationship between general
and oral health.
• Promote human relationships that are mutually beneficial, including those with
other health care professionals.

To Employees and Employers...

• Conduct professional activities and programs, and develop relationships in ways
that are honest, responsible, open, and candid.
• Manage conflicts constructively.
• Support the right of our employees and employers to work in an environment
that promotes wellness.
• Respect the employment rights of our employers and employees.

To the Dental Hygiene Profession...

• Participate in the development and advancement of our profession.
• Avoid conflicts of interest and declare them when they occur.
• Seek opportunities to increase public awareness and understanding of oral health
practices.
• Act in ways that bring credit to our profession while demonstrating appropriate
respect for colleagues in other professions.
• Contribute time, talent, and financial resources to support and promote our
profession.
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CODE OF ETHICS FOR DENTAL HYGIENISTS
• Promote a positive image for our profession.
• Promote a framework for professional education that develops dental hygiene
competencies to meet the oral and overall health needs of the public.

To the Community and Society...

• Recognize and uphold the laws and regulations governing our profession.
• Document and report inappropriate, inadequate, or substandard care and/or
illegal activities by a health care provider, to the responsible authorities.
• Use peer review as a mechanism for identifying inappropriate, inadequate, or
substandard care provided by dental hygienists.
• Comply with local, state, and federal statutes that promote public health and
safety.
• Develop support systems and quality-assurance programs in the workplace to
assist dental hygienists in providing the appropriate standard of care.
• Promote access to dental hygiene services for all, supporting justice and fairness
in the distribution of healthcare resources.
• Act consistently with the ethics of the global scientific community of which our
profession is a part.
• Create a healthful workplace ecosystem to support a healthy environment.
• Recognize and uphold our obligation to provide pro bono service.

To Scientific Investigation...
We accept responsibility for conducting research according to the fundamental principles
underlying our ethical beliefs in compliance with universal codes, governmental standards,
and professional guidelines for the care and management of experimental subjects. We
acknowledge our ethical obligations to the scientific community:
• Conduct research that contributes knowledge that is valid and useful to our
clients and society.
• Use research methods that meet accepted scientific standards.
• Use research resources appropriately.
• Systematically review and justify research in progress to insure the most
favorable benefit-to-risk ratio to research subjects.
• Submit all proposals involving human subjects to an appropriate human subject
review committee.
• Secure appropriate institutional committee approval for the conduct of research
involving animals.
• Obtain informed consent from human subjects participating in research that is
based on specification published in Title 21 Code of Federal Regulations Part 46.
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CODE OF ETHICS FOR DENTAL HYGIENISTS
• Respect the confidentiality and privacy of data.
• Seek opportunities to advance dental hygiene knowledge through research by
providing financial, human, and technical resources whenever possible.
• Report research results in a timely manner.
• Report research findings completely and honestly, drawing only those
conclusions that are supported by the data presented.
• Report the names of investigators fairly and accurately.
• Interpret the research and the research of others accurately and objectively,
drawing conclusions that are supported by the data presented and seeking clarity
when uncertain.
• Critically evaluate research methods and results before applying new theory and
technology in practice.
• Be knowledgeable concerning currently accepted preventive and therapeutic
methods, products, and technology and their application to our practice.