As a dentist, what matters most to me is that a dental hygienist is ethical, professional and well trained. Where this training takes place is of lesser importance. It seems to me that if CODA, the same organization that sets the standards of education and training for American dental hygiene graduates, recognizes, trusts and approves the accreditation of Canadian dental hygiene colleges, then the state of Virginia should do the same. 

Oxana Arkhitko, DDS