title: Improving oral health in Pakistan using dental hygienists.
abstract: This paper reviews the healthcare system, available dental care, and oral health status of people in Pakistan. Considering the enormous unmet oral health needs, the insufficient supply of dental professionals and the current unstructured dental hygiene curriculum in Pakistan, a mission, vision, and goals for professional dental hygiene in Pakistan is recommended. The authors offer recommendations for competency-based dental hygiene education and practice, professional credentialing, a practice act, and a dental hygiene scope of practice to promote the health, welfare, and quality of life of the Pakistani people. Specifically, the authors recommend increasing the number of quality dental hygiene programs, establishing the dental hygienist as a primary care provider of oral health services, enhancing current dental hygiene curriculum, and establishing a dental hygiene council with responsibility for educational requirements and regulation of dental hygienists in Pakistan.
authors.affiliation: VCU School of Dentistry, Division of Dental Hygiene, Richmond, VA 23298-0566, USA. mashah@vcu.edu
authors.forename: M A
authors.initials: MA
authors.lastname: Shah
authors.forename: M L
authors.initials: ML
authors.lastname: Darby
authors.forename: D B
authors.initials: DB
authors.lastname: Bauman
mesh_terms: D003729:Dental Care / Q000706:statistics & numerical data*; D003756:Dental Hygienists / Q000193:education / Q000706:statistics & numerical data / Q000600:supply & distribution; D004497:Education, Dental / Q000706:statistics & numerical data; D006293:Health Promotion; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D054625:Healthcare Disparities; D006801:Humans; D020380:Needs Assessment; D009909:Oral Health / Q000592:standards*; D010154:Pakistan