1. Background Oral health is a determinant factor for quality of life, essential for well-being, and an integral part of general health. According to the Council of European Chief Dental Officers, in the EU, the socio-economic burden of oral diseases is considerable: they affect the majority of school-aged children and adults and account for 5% of public health spending. Costs of traditional curative treatment have risen from €54bn in 2000 to €79bn in 2012 and are expected to rise up to €93bn by 2020. The expansion of the EU has resulted in major oral health gaps between countries. Western European countries enjoy better oral health and longer life expectancy than the less wealthy countries of Central and Eastern Europe. As choices are expanded in the European health society, this dental health gap becomes increasingly obvious throughout the region. The EU has, as one of its goals, the achievement of an equitable health status across Member States. But health gaps within EU Member States exist as well. 2. Needs Dental hygienist education is at the centre of any strategy to increase access to oral health care. Dental hygienists are able to provide preventive services outside of dentists’ offices or creating advanced-provider models that involve training hygienists to perform with an expanded scope of practice and less supervision. Currently, the curriculum and the education for dental hygienist are different among EU-countries. Consequently, there is a need for concerted action to be undertaken across Europe to harmonize the knowledge and skills of dental hygienist for improving the health status of population. Innovative programs are showing that increased use of dental hygienists can promote access to oral health care, particularly for underserved populations, including children. Such access can reduce the incidence of serious tooth decay and other dental disease in vulnerable populations, which suffer disproportionally from untreated dental problems. There is evidence indicating that these practices can be both safe and effective. There is also clear evidence that in countries with dental hygienist profession the general dental health is considerable better than in countries lacking this profession. 3. Project Objectives • Harmonizing the professional knowledge and skills of dental hygienists in EU-countries • Demonstrating the importance and role of dental hygienists in society in order to introduce the education and profession of dental hygienists in EU countries lacking it. • Strengthen the position of dental hygienist by encouraging the entrepreneurship activities. • Promoting communication and mobility among the dental hygienist from various EU-nations. • Implementing an efficient community-based learning model to enhance the health literacy of population and to demonstrate how the implementation of the model can help improve oral health of population, especially from socioeconomically deprived groups. 4. Participants The partners combine their broad knowledge and expertise in education and oral health care for tackling the common challenges for creating an efficient ETP model. The participants represents 5 EU- member states and 3 oral health models, Nordic model, Sweden, South European model, Spain, Portugal and Greece, and Eastern European model, Romania. In addition countries with and without dental hygienists are represented in the project. Three levels are participating at the project: (1) European level – EDHF, National levels – four public universities, regional level – PTJ and AFRA. Activities The activities in EuHyDens are distributed in eight work packages: WP1 – Inventory of needs and reference data WP2 – Development of VET curriculum and training material WP3 – ETP model integration WP4 – Mobility and training activities WP5 – Entrepreneurship for dental hygienists WP6 – Dissemination and exploitation WP7 – Quality assurance WP8 – project management Methodology The ETP methodology follows the development of the three components of the ETP model: (1) Workforce monitoring and correlation of skills and knowledge to the public oral health status (2) VET material development including OER platform. (3) Public education and community involvment. Results The project outcomes are generated in form of outputs, multiplier events and training activities. The main outputs of the project are the ETP-database, ETP-VET, ETP-OER and ETP guidelines. Impact • Harmonization and recognition of dental hygienist skills and kmowledge • Increase mobility at national and transnational level • Improving the oral health literacy of the population in all age groups • Increase community participation The EuHyDens potential longer term benefit is the radical improvement of the population oral health in Europe for all population groups including people coming from disadvantaged groups.