Dental Hygienists Abroad: A Global Perspective

Have you ever imagined what it would be like to live and work abroad as a dental hygienist?

The field of dental hygiene is not only essential worldwide, but it is also a highly portable career that allows professionals to bring their skills to different cultures, communities, and healthcare systems. While the idea of practicing abroad may seem daunting, many hygienists have embraced the challenge—expanding their professional reach and personal growth in ways they never imagined.

In this special interview series, we introduce you to remarkable Registered Dental Hygienists (RDHs) who have taken their expertise beyond borders. Their experiences offer a glimpse into the rewards, challenges, and opportunities that come with practicing dental hygiene in different parts of the world.

Meet Raquel Cofield, RDH, RN – Living and Working in Ghana

Today, we feature Raquel Cofield, RDH, RN, whose journey has taken her from the United States to Accra, Ghana. Raquel shares her inspiring story of transitioning to a new country, adjusting to a different healthcare environment, and finding fulfillment in both her personal and professional life.

From Student to Global Hygienist

Mary Jensen (MJ): Raquel, let’s start at the beginning. Where did you study dental hygiene, and what led you to this career?

Raquel Cofield (RC): I attended Old Dominion University in Norfolk, VA, and graduated in 1994. Interestingly, my high school had a two-year dental assistant vocational program, and I initially thought, Great! I get to be off campus! But as I progressed in the program, I became fascinated by dentistry.

During my second year, we visited ODU’s Dental Hygiene program, and that experience had a profound impact on me. I knew then that I wanted to pursue this field. Along the way, I also obtained a nursing degree from the University of Louisville in 2007—a decision that has broadened my understanding of patient care.

A New Opportunity in Ghana

MJ: What brought you to Ghana, and how did you discover this opportunity?

RC: Believe it or not, I wasn’t even looking for a job abroad! I saw a Facebook post from Angie Stone, RDH about a position in Ghana, and it caught my attention. I was happy in my role at a public health clinic in the U.S., but something about this opportunity intrigued me.

With the full support of my clinic, I decided to take the leap. It took a year of planning, but in August 2022, I officially relocated to Accra, Ghana, to work at Bethel Clinic as one of their first dental hygienists.

Challenges of Practicing Abroad

MJ: What were some of the biggest challenges when you first arrived?

RC: Adjusting to a new work environment, culture, and lifestyle was definitely an adventure!

• Navigating daily life: Simple tasks like paying my electric bill, setting up a bank account, and collecting mail were different from what I was used to.

• Driving: I had to obtain a Ghanaian driver’s license and was behind the wheel within a week of arriving—and let me tell you, Ghanaian traffic is intense!

• Building workplace relationships: The clinic staff came from Ghana, India, and the U.S., and many had never worked with a dental hygienist before. There was some initial resistance, so I introduced team-building activities to foster collaboration.

• Implementing new protocols: I worked to improve periodontal charting, X-ray procedures, and infection control. Change takes time, but patience and consistency paid off.

Now, I help new dental staff transition smoothly, ensuring they have more guidance than I did when I first arrived.

A Memorable Patient Story

MJ: Have you had any particularly impactful patient experiences?

RC: Yes! One patient that stands out was an 80-year-old retired pharmaceutical rep whose daughter brought him in. He had severe periodontal disease, requiring multiple treatments. Because of his discomfort, he needed frequent breaks during cleanings, making the process more complex.

Over time, he became more comfortable, and he deeply appreciated the kindness he received at the clinic. He was so grateful that he even tried to give me a cash gift! I politely declined, but he was insistent—he slipped the money into my scrub pocket before I could stop him!

One day, when he was scheduled for a filling instead of a hygiene appointment, he was visibly disappointed not to see me. That’s when I realized how much trust we had built. Moments like that reaffirm why I love what I do.

Embracing the Culture

MJ: Have you been adventurous with the local cuisine?

RC: Absolutely! At first, I stuck to familiar dishes like rice and fried plantains, but I’ve since expanded my palate. One of my favorite traditional dishes is Fufu—a mix of cassava and plantain, shaped into small balls and dipped into a rich soup with meat and vegetables.

My daughter, who is a diplomat, encouraged me to be more outgoing with food, and I’m so glad I did!

What Do You Miss from Home?

MJ: What do you miss the most about the U.S.?

RC: Definitely family, friends, and celebrating holidays together. And salads! A good burger is also hard to find here.

But on the flip side, I’ve gained so much—as an African-American woman living in Ghana, I feel a deep sense of belonging. I can wear my hair in braids and embrace my culture freely. Most importantly, I feel safe and valued in this community.

Advice for Hygienists Considering an International Career

MJ: What advice would you give to hygienists who are thinking about working abroad?

RC: Go for it! Don’t let fear hold you back. If you’re too comfortable, you’re not growing.

Key traits for success:
✔ Flexibility & Open-Mindedness – Be willing to adapt and embrace new ways of working.
✔ Self-Starter Mentality – You need to advocate for yourself and your role.
✔ Leadership & Communication – Set clear professional boundaries while maintaining respectful collaboration.

Fun Questions!

MJ: If you could travel anywhere, where would it be?
RC: Fiji or Bora Bora!

MJ: What’s the last book you read?
RC: Dare to Lead by Brené Brown.

MJ: Three words that describe you?
RC: Compassionate, Empathetic, Resilient.

Get in Touch!

If you have any questions for Raquel, feel free to reach out at: rfcofield21@gmail.com

This interview was conducted by Mary Jensen, RDH, MS—a dental hygienist with 44 years of experience, including three years in Switzerland. Passionate about travel and dental hygiene, Mary has practiced across five continents and 13 countries through her mission work.

Know a dental hygienist working abroad? Let’s share their story! Contact me at www.lifetimeoralcarellc.com.