Straight Up With Steph
Straight Up With Steph
Stephanie Botts
The Legal Reality of OPAs, Dental Hygiene Autonomy & The Future of Dentistry
1 hour 15 minutes Posted Jul 31, 2026 at 4:00 pm.
hygienist becoming a lawyer, malpractice
dentists governing hygienists, antitrust
OPA, scaling assistants, false claims act, legal issues with OPA
how to find and keep hygienists, hourly vs production pay
being a hygienist in different parts of the country, demeaning hygienists, prophy mills
sexism in dentistry, autonomy, independent hygiene, hygiene diagnosis
dentists governing hygienists, antitrust
hygienists becoming lawyers, OPA vs dental therapist, assistants giving local anesthesia
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Show notes
Could the solution to the hygiene shortage actually create new legal problems for dental practices? In this episode of Straight Up With Steph®, I'm joined by Dr. Derik Sven for one of the most thought-provoking conversations we've had on the podcast. We dive into the legal, ethical, and regulatory issues surrounding Oral Preventive Assistants (OPAs), but the conversation quickly expands into something much bigger—the future of dental hygiene and why autonomy matters. One of my biggest t...