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Objectives: The purpose of the study is to investigate the opinion of dental hygienists toward school dental clinic operation. Methods: The study was carried out by telephone or e-mail to the dental hygienists in 415 elementary school dental clinics from September 1 to 30, 2014. The questionnaires were collected from 208 school dental clinics. Except incomplete answers, 148 data were analyzed using SPSS 18.0 program. The self-reported questionnaire consisted of general characteristics of the subjects(7 items), operation of school dental clinic(5 items), obstacle to school dental clinic(10 items), and effective operation of school dental clinic(5 items). Results: The school dental clinic operation accounted for 68.7% and 90.6% of the respondents answered that it was very effective for the oral health improvement. The dental hygienists answered that the clinic operation was very effective in oral disease prevention(37.1%), oral health knowledge and behavior(32.8%), oral health behavior habit(29.3%), and oral health improvement(0.9%). The change of the current operation into full time employee accounted for 79.7% and only 16.1% agreed to current operation of clinic visit by the community health center. The results showed that need for dentist was 3.69 by Likert 5 point scale. Conclusions: The oral health policy must be established to develop and implement the oral health programs for the school clinics.