Does every practice have a hygienist?

Not all practices have a hygienist or therapist. However, more of them now offer this as part of the service to patients. They can see patients under the prescription of a dentist, see them as part of a separate treatment plan or can see them independently as part of their own practice. If your practice does not have a hygienist or therapist, your dentist may refer you to one or you can contact them directly.