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Can Dental Hygienists work without a dentist?

In 2007, the laws in Ontario were changed enabling Ontario residents easier access to dental hygiene services. With this change, Registered Dental Hygienists can provide dental hygiene services in alternate settings. Dental Hygienists can open their own dental hygiene offices and/or offer mobile dental hygiene services.​ Regardless of the type of setting, dental hygienist's must adhere to the CDHO Code of Ethics, College Standards of Practice, Dental Hygiene Act, 1991 and the Regulated Health Professions Act, 1991. They must also participate in annual continuing education programs as well as hold a current CPR certification.​​​

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What are the educational requirements for independent dental hygienists?

Dental Hygienist's in Canada must be a graduate from a recognized dental hygiene program, pass the National board exam and also be registered with the College of Dental Hygienists of Ontario. Dental Hygienists who run their own Dental Hygiene practices must receive approval from the CDHO, this ensures that every client receives skilled, safe and ethical dental hygiene care.

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Why should you choose Smiles4Miles Onsite Hygiene for your care?


In Ontario everyone has the option of choosing which Registered Dental Hygienist or Dentist they would like to see, regardless of where they are located. The services that a Registered Dental Hygienist provides in an independent setting are the exact same services that are provided in a traditional dental office. Maintaining good oral health is important, as it helps to prevent systemic problems, however those who need dental hygiene care the most, are often unable to access it in a traditional setting. Smiles4Miles goal is to provide quality service in the environment of your choice, making the whole process uncomplicated for you. You no longer have to take precious time out of your busy schedule to travel with loved ones to their dental appointments. We do dental differently, by reinventing your dental hygiene experience. Smiles4Miles makes it easy for you to have your teeth cleaned, when and where you want.

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How do our mobile services work?

Smiles4Miles requires a minimum space of 8’x8’ and a close electrical power source. Upon arrival we will unpack our equipment, setting it up in your designated space. It only takes approx. 20 minutes to assemble our equipment, which consists of a comfortable chair, instruments dental polisher, and our mobile compressor unit. When your service is completed, we can submit your dental claim directly to your insurance provider, Power of Attorney, or provide you with a copy of your invoice for payment. We adhere to a strict infection control process, all our single/disposable use goods are safely discarded following every visit, and instruments are later sterilized using the infection Control Protocols set by Public Health, CDHO and the RCDSO.

Do I still need to see a dentist at least once a year?

Yes, it is recommended that you see a dentist at least every 12-18 months. We focus on preventing disease, not restoring it. Dental hygiene examinations are performed at every appointment, and if we see any concerns these will be reviewed with you. We use a collaborate approach, providing referrals to local dentists when it is necessary. If you have a dentist you trust, please keep seeing them for dental exams and x-rays on the schedule they have recommended for you. 

Do you direct bill my insurance company?

Absolutely, and any dental coverage you have for care in a traditional office, can be used for Independent Dental Hygiene services. We direct bill to most insurance carriers, although there are still a few companies that do not accept electronic billing. In this case, the client pays the complete cost of their dental treatment up-front, then submits their dental claim to their insurance company. If you are not sure what dental services your insurance company covers, we can contact them for you. Due to privacy regulations in Canada, insurance companies often only provide policy details to the insured, but we will do what we can to help you. Smiles4Miles follows the suggested fees in the Ontario Dental Hygienists’ Association Fee Guide.

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Should some people have their teeth cleaned more frequently than others?

Yes, some get more buildup on their teeth than others, which can lead to gum disease and possible tooth loss. In this case it is important to have professional cleanings done more frequently. Some clients reach their oral health goals with just two-yearly visits, while others require more treatment to reach a state of optimum health. Our affordable prices make it easier to see us on a regular basis, helping to maintain maximum oral health.

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Do you offer seniors discounts? How much are your services?

Yes we do offer senior discounts, Smiles4Miles will develop a plan with you, meeting both your needs and budget. 

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