A Tale of Two Hygienists Podcast

Please Leave a Review! On this episode of A Tale of Two Hygienists repeat guest, Dr. Matt Allen joins us to talk about patient vs parent focused approaches to communication in the op and how to use your motivational interviewing techniques with both pediatric patients, and their parents. This episode has FREE CE! Be sure to view your state guidelines to ensure this CE is applicable in your State. You can view all episodes with Free CE here. Take the CE course for this episode HERE Interview Starts: 07:14.560 Episode Highlights We Love Reviews! Hinman Live Podcasting! Dr. Matt Allen Background Patient Centered Approach Respect Patient and Parent Autonomy Ages Communicating with Parents Dealing with the Difficult Parent Present Options Quotes "I often get asked what age it makes sense to start talking to the patient themselves." "Until that child is an adult, you are going to need to have a conversation with the parent, that isn't to say that you can't involve the patient in conversations about their oral health." "Teaching kids that they have a voice in their healthcare as they get older is important." "If you can have that conversation with the child, have that conversation, it does something for the child, and for the parent." "People tend to be pretty thoughtful from an early age, we need to give them credit for that." "I don't want to drive a wedge between the patient and the parent either." "It's really important to offer parents options, even if the other option is to do nothing." "When we are presented with options we tend to want to choose the option that is best for us." "It saves me so much time in the long run to have those meaningful conversations, and builds up my own personal satisfaction and fights burnout in my job." Links M David MI homepage differentkind homepage Motivational Interviewing Network of Trainers (MINT) Book "How to Talk so Kids Will Listen...And Listen So Kids Will Talk": https://www.amazon.com/How-Talk-Kids-Will-Listen/dp/0743525086 Find Dr. Allen on previous episode: 270 A Tale of Two Hygienists Podcast A Tale of Two Hygienists homepage AToTH on Facebook AToTH on Instagram AToTH on LinkedIn

On this week's episode of Fast Facts - Perio Edition, Katrina Sanders, we are continuing the conversation around periodontitis as a manifestation of systemic disease discussing patients that present with Infantile genetic agranulocytosis. Quotes: "You see, an individual who has Infantile genetic agranulocytosis is an individual who is born, present at birth with this congenital or genetic disorder. We also, by the way, can have individuals who experience acquired agranulocytosis." "We understand, of course, that these neutrophils, these white blood cells, are a really important component of the immune system because they aid in the fighting of infection. So if an individual has infantile genetic agranulocytosis, these are individuals who absolutely are going to be prone to infection." Resources: DentistRX: https://www.dentistrx.com More Fast Facts: https://www.ataleoftwohygienists.com/fast-facts/ Katrina Sanders Website: https://www.katrinasanders.com Katrina Sanders Instagram: https://www.instagram.com/thedentalwinegenist/ Papapanou, P. N., Sanz, M., Buduneli, N., Dietrich, T., Feres, M., Fine, D. H., ... & Tonetti, M. S. (2018). Jepsen S, Caton JG, Albandar JM, Bissada NF, Bouchard P, Cortellini P, Demirel K, de Sanctis M, Ercoli C, Fan J, Geurs NC, Hughes FJ, Jin L, Kantarci A, Lalla E, Madianos PN, Matthews D, McGuire MK, Mills MP, Preshaw PM, Reynolds MA, Sculean A, Susin C, West NX, Yamazaki K. Periodontal manifestations of systemic diseases and developmental and acquired conditions: Consensus report of workgroup 3 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. J Periodontol. 2018 Jun;89 Suppl 1:S237-S248. doi: 10.1002/JPER.17-0733. PMID: 29926943.

Please Leave a Review! On this bonus episode we are joined by one of Andrew's favorite people working for one of his favorite dental companies. Welcome Liz Nies, RDH who works for Perio Protect. Liz and Andrew discuss a Facebook question focused on Perio Protect that got a lot of attention in the dental community (200+ positive comments!!!!). Liz explains what Perio Protect is, how it works, how your office and your patients benefit and Andrew speaks to his experience with Perio Protect, and why he loves it so much! Episode Highlights The Facebook Question The Comments - Perio Protect isn't a scam What is Perio Protect? How does Perio Protect work? Maintaining healthy biofilm Smilersaver Tray Cleaner Andrew's Personal Experience Free 15 Minute Consult: www.perioprotect.com/atoth Annual Meeting - Oct 7th and 8th Quotes "They feel more like a science company that has dental products." "If you are a skeptic, go read the Google Reviews." "The most rewarding position in my career is the one I have now." "240 Comments, 240 pro-Perio Protect." "We have over 1900 reviews on our website of patients who are happy they made the investment." "You need to get off the rollercoaster of unhealthy, healthy, unhealthy, with Perio Protect you are maintaining the healthy biofilm daily." "This is non-invasive treatment, it doesn't hurt, and patients see results." "Once you see the difference in your patients you won't believe it, and your patients will be thrilled." "People show up to your practices everyday because they want to keep their teeth, we need to remember that and offer them the comprehensive treatment plan that will work, and they will find a way to pay for it because they want it, and they will thank you 10 fold." Links Perio Protect Annual meeting - https://providers.perioprotect.com/product/2022/ www.perioprotect.com/atoth Call Perio Protect: 314-256-0772 Liz: ext 132 A Tale of Two Hygienists Podcast A Tale of Two Hygienists homepage AToTH on Facebook AToTH on Instagram AToTH on LinkedIn

This week on A Tale of Two Hygienists TIPisode we are joined by James Younger, DDS practicing dentist and Founder/CEO of TempStars. Dr. Younger talks to us about the current state of the dental job market, and how best to navigate it! Episode Highlights: State of the dental job market How to navigate the dental job market Interviewing Quotes: "Dental offices are not only competing with other offices for great talent, we are competing with other industries." "It takes thoughtful consideration to navigate a job market when you are in high demand." "Consider the whole picture of what your work life looks like, the grass isn't always greener on the other side." "When you interview there may be some embellishment, and you have to realize the offices are doing the same thing." "All job markets are cyclical and regional." "Sometimes there is room for self reflection, ask yourself how you are in your office and how you contribute to the team." Links: www.tempstars.com

Please Leave a Review! On this episode of A Tale of Two Hygienists repeat guest, therapist, speaker, mentor, and entrepreneur Sarah Hornsby, RDH joins us in honor of Children's Dental Health Month to talk about myofunctional intervention in our pediatric patients! This episode has FREE CE! Be sure to view your state guidelines to ensure this CE is applicable in your State. You can view all episodes with Free CE here. Take the CE course for this episode HERE Interview Starts: 06:45.985 Episode Highlights In the media Kotlow's free-tongue measurement grading scale Tongue range of motion ratio Communicating with parents Lifelong childhood conversations Therapy options You've identified a tongue tie: next steps Quotes "How many of us have had an opportunity to teach the next generation and promote the profession?" "Sometimes kids don't have obvious signs." "If weight gain is the only qualifier you are looking at, a lot of babies are going to be 'fine'." "Two tongue tied parents will also likely lead to a tongue tied baby." "The parent has to resonate with it or they are not going to do the work." "As an individual goes through all stages of growth and development there is a chance for relapse." "When you are mouth breathing your body is in a state of fight or flight." "Suturing is the modern way to do tongue tie surgery." "Suturing is critical to success." "What other part of your body would you do surgery on and not close the wound?" "Everything we see in kids we see in adults, but they are at the age we can make changes." "Baby teeth should all have primate spacing, you should be able to fit a dime or nickel between every tooth and we hardly see that anymore." Links Instagram: https://www.instagram.com/sarah_k_hornsby/ Websites: www.myfaceology.com www.myomentor.com www.sarahkhornsby.com Breathe Institute: https://www.thebreatheinstitute.com/ Find Sarah on our other episodes! 209, 210, 211, 212 and 258 A Tale of Two Hygienists Podcast A Tale of Two Hygienists homepage AToTH on Facebook AToTH on Instagram AToTH on LinkedIn

On this week's episode of Fast Facts - Perio Edition, Katrina Sanders, we are continuing the conversation around periodontitis as a manifestation of systemic disease discussing patients that present with Glycogen Storage Disease. Quotes: "In individuals who have glycogen storage disease, these individuals are missing one particular type of an enzyme that will allow that breakdown of glycogen into glucose to occur." "By the way, there are ten different types of glycogen storage diseases classification zero all the way up to nine. But the vast majority of glycogen storage disease patients will fall in either type one, which is von Gierke's disease. Type three Cori disease can also be called Forbes disease or type four Andersen's disease." "The main piece of information to know with regards to individuals who have glycogen storage disease is that this is oftentimes seen early on in youth, it's hereditary, so it's passed down from the parents to the child through an abnormal gene mutation." Resources: DentistRX: https://www.dentistrx.com More Fast Facts: https://www.ataleoftwohygienists.com/fast-facts/ Katrina Sanders Website: https://www.katrinasanders.com Katrina Sanders Instagram: https://www.instagram.com/thedentalwinegenist/ Papapanou, P. N., Sanz, M., Buduneli, N., Dietrich, T., Feres, M., Fine, D. H., ... & Tonetti, M. S. (2018). Jepsen S, Caton JG, Albandar JM, Bissada NF, Bouchard P, Cortellini P, Demirel K, de Sanctis M, Ercoli C, Fan J, Geurs NC, Hughes FJ, Jin L, Kantarci A, Lalla E, Madianos PN, Matthews D, McGuire MK, Mills MP, Preshaw PM, Reynolds MA, Sculean A, Susin C, West NX, Yamazaki K. Periodontal manifestations of systemic diseases and developmental and acquired conditions: Consensus report of workgroup 3 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. J Periodontol. 2018 Jun;89 Suppl 1:S237-S248. doi: 10.1002/JPER.17-0733. PMID: 29926943.

This week on A Tale of Two Hygienists TIPisode we are joined by Spring Hatfield, RDH to talk to us about better managing our patients pH. Spring invites us on a 3 step challenge to help our patients tackle their low pH. Episode Highlights How to test your patients pH Consistently low pH Saliva Check Buffer Nutritional Counseling Baking Soda Mouth Rinse Be patient with your patients Adjunctive Options: Prescription paste and fluoride varnish Quotes "I like to test my patients pH because it's a learning experience for me and for them." "I test my patients at the beginning of the appointment so they are responsible for whatever that pH level is." "Knowing your pH is low is the first step in addressing it." "If you have a patient that is consistently low you need to look into that further." "I recommend that patients' mouth rinse with a water/baking soda mix after meals." "Patients are not going to come sit in your chair and be changed overnight." "Many RDHs believe prescription paste and fluoride varnish are a bandaid and I don't disagree with that. I do disagree with leaving patients vulnerable while they are making lifestyle changes, lifestyle changes are difficult." Links [email protected] Saliva Check BUFFER: https://www.gcamerica.com/products/preventive/Saliva_Check_BUFFER/ MI Varnish: https://www.gcamerica.com/products/preventive/MI_Varnish/

Please Leave a Review! On this episode of A Tale of Two Hygienists Kelley Quolas, BS, RDH, QOM and Tina Clarke, RDH aka Teacher Tina to discuss local anesthesia! Andrew pulled some questions he saw asked on Facebook *gasp!* and our experts, Kelley and Tina help Andrew provide some answers! This episode has FREE CE! Be sure to view your state guidelines to ensure this CE is applicable in your State. You can view all episodes with Free CE here. Take the CE course for this episode HERE Interview Starts: 05:25.799 Episode Highlights Georgia Update! Should you get your Board patient numb? Pedo vs. Adult Anesthesia Blocks vs. Infiltrations The Shakes When has anyone in the world used Prilocaine? Referral Quotes "You have to get your patient numb and have brand new or really sharp instruments." "You want them to be comfortable, but more importantly you want them to be safe." "A block means that you are giving the injection further away from the site that you want to have numb AND you are getting multiple structures numb at the same time. With an infiltration you are only getting one structure at a time." "Give yourself a kickstand so you don't feel like you're falling all over the place." "If you feel one with yourself, the patient and the syringe that will help the shakes." Links https://www.teachertinardh.com/ [email protected] https://mymyomyhealth.com/ [email protected] A Tale of Two Hygienists Podcast A Tale of Two Hygienists homepage AToTH on Facebook AToTH on Instagram AToTH on LinkedIn

On this Fast Facts: Pharmacology Edition Tom Viola, R. Ph., C.C.P. is talking about a new and exciting product from our sponsors over at Elevate Oral Care called Povi•One! This series is sponsored by our friends at Elevate Oral Care! Elevate Oral Care creates innovative and proven prevention-focused oral care products, learn more by visiting www.elevateoralcare.com and schedule your free CE staff-meeting today. See more from Tom at www.tomviola.com

On this special episode of A Tale of Two Hygienists we say farewell to Michelle Strange, RDH. Michelle and Andrew started AToTH back in 2015 and many of you listeners have been with us from the beginning (Thank you for your support!). Michelle has poured her heart and soul into AToTH for 7 years but the time has come for her to move onto a new chapter of life that does not include being co-host of AToTH. We will still see Michelle in many of her other ventures and she will continue to be a strong presence in the dental world. If you wish to reach Michelle outside of the podcast you can email her at: [email protected] https://michellestrangerdh.com/about-michelle.html @TheRoamingDentalHygienist on Instagram Level Up Infection Prevention: https://www.levelupip.com/

Please Leave a Review! On this episode of A Tale of Two Hygienists Andrew and guest co-host Amber Lovatos, RDH are joined by Matthew Standridge, DDS, FAGD to talk about orthodontics: what offices should be offering ortho, how clinicians should evaluate a patient and if TMJ arise because of ortho! This episode has FREE CE! Be sure to view your state guidelines to ensure this CE is applicable in your State. You can view all episodes with Free CE here. Take the CE course for this episode HERE. Interview Starts: 04:57.832 Episode Highlights Qualifiers of occlusion Fee structure Should all offices offer ortho Ortho and TMJ Cotton Roll detector Quotes "You expanded to the sub specialties out of necessity." "Mechanically I didn't mess up, diagnostically I messed up." "It's getting away from line item à la carte options." "If you confuse your patients and your team it will not become a solid aspect of your practice." "From a practicality standpoint all offices should offer ortho." "Specialists exist to do special things, creating a class 1 malocclusion is no longer a special thing." "I think if the patient comes back with TMJ after ortho something was missed on the front end diagnostically." "I've had TMJ get better with ortho or stay the same, but I've never had a patient get worse." "A standard cotton roll is 36mm in length." Links https://www.instagram.com/drmatthewstandridge/ [email protected] https://ketodontist.libsyn.com/ http://drstandridge.com/ [email protected] @Thelatinardh on Instagram and Facebook https://atothenespanol.libsyn.com/un-cuento-de-dos-higienistas A Tale of Two Hygienists Podcast A Tale of Two Hygienists homepage AToTH on Facebook AToTH on Instagram AToTH on LinkedIn

On this Fast Facts: Pharmacology Edition Tom Viola, R. Ph., C.C.P. talks to us about fluoride varnish highlighting the patient benefits, when it can be used, and which of your patients you can use it on! Tom recommends FluoriMax 2.5% Sodium Fluoride Varnish from Elevate Oral Care. Big Thank You to our amazing sponsor for this series, Elevate Oral Care! @elevateoralcare creates innovative and proven prevention-focused oral care products, learn more by visiting www.elevateoralcare.com and schedule your free CE staff-meeting today. See more from Tom at www.tomviola.com

On this TIPisode Andrew is joined by The Latina RDH, Amber Lovatos, RDH and fellow host in the A Tale of Two Hygienists Family! Amber and Andrew join us from Voices of Dentistry to highlight a tip regarding our Spanish speaking students, patients, and children of our patients. Episode Highlights: Students are not your translators Children don't interpret for parents Gauging Understanding Quotes: "All patients deserve equal care." "If you don't understand the language, how are you truly measuring competency?" "Now I'm going to tell a child to interpret dentistry when adults don't understand dentistry." "Ask your patients open-ended questions." "Your Spanish doesn't have to be perfect to build rapport with your patients." Links: [email protected] @Thelatinardh on Instagram and Facebook https://atothenespanol.libsyn.com/un-cuento-de-dos-higienistas

Please Leave a Review! On this episode of A Tale of Two Hygienists Michelle is joined by Gary Severance, DDS to dive into the topic of air quality, highlighting what zones and equipment you need to focus on to keep yourself and your patients safe. Special thank you to Paradise Dental Technologies for sponsoring the CE portion of our podcast so that we can provide you with the FREE CE! Be sure to view your state guidelines to ensure this CE is applicable in your State. You can view all episodes with Free CE here. Get your CE for this episode HERE. Interview Starts: 08:45.587 Episode Highlights Locations in the office Home air purifiers Risks of poor air quality Zones Equipment on the market Quotes "I know many have not implemented proper air purification into their offices." "We think about airflow when the patient is in the chair, but they also sit in the waiting room with that same airflow." "Our PPE is great for biological hazards but people don't think about the chemical hazards." "Please for the love god test your vacuum pump." "It was a bad year for everyone but a good year of learning and improving." "A slightly dirty filter will catch more dirt." "You don't want air circled or kicked back in the breathing zone." "Air management is a combination." "We should not be assuming things are working just because we hear them." Links [email protected] A Tale of Two Hygienists Podcast A Tale of Two Hygienists homepage AToTH on Facebook AToTH on Instagram AToTH on LinkedIn

On this week's episode of Fast Facts - Coding Edition with Teresa Duncan, MS Teresa gives us a break down of codes D1110 and D4346 highlighting important information on each that you should be aware of! DentistRX: https://www.dentistrx.com More Fast Facts: https://www.ataleoftwohygienists.com/fast-facts/ Teresa Duncan Website: https://www.katrinasanders.com Nobody Told Me That Podcast: https://nobodytoldmethat.libsyn.com/ Chew On This Podcast: https://chewonthisdentalpodcast.libsyn.com/

Please Leave a Review! On this bonus episode we are joined by the founder of Xlear Nasal Spray, Nathan Jones. On this episode Nathan talks to us about the importance of nasal hygiene and how we as dental hygienists can also serve as nasal hygienists. Nathan provides examples of how we can educate our patients, and provide them resources for implementing xylitol into their oral and nasal care routines! Episode Highlights How Xlear got its start Dental/Medical community and xylitol Getting your patients to use xylitol is easy Replacements that contain xylitol Where xylitol comes from Quotes "If ear infections start in the nose, I'm going to put xylitol in the nose in a nasal spray since the kids are too young to have chewing gum." "Dr. Williams went back and wrote 8 pages about why people should be using xylitol to wash their nose." "The vast majority of individuals in the dental community don't promote the use of xylitol." "Just using fluoride is like using masonry to repair the walls of a castle in the middle of a battle." "Sorbitol feeds strep mutans." "You only need 3-4 exposures per day in order to get the benefits of xylitol." "You want to tell your patients 5 exposures because they will likely get to 3 or 4" "I would be happy if dental hygienists called themselves nasal hygienists as well." "In 3 minutes after using Xlear the airway volume of these individuals had improved by 20%." Links https://xlear.com/ Call Xlear at 801-492-2100 Studies https://xlear.com/science/ https://xlear.com/spryscience/ https://xlear.com/articles-studies/ A Tale of Two Hygienists Podcast A Tale of Two Hygienists homepage AToTH on Facebook AToTH on Instagram AToTH on LinkedIn

This week on A Tale of Two Hygienists TIPisode we are joined by Spring Hatfield, RDH to talk to us about saliva, salivary diagnosis as well solutions you can offer your patients to keep their oral health in check! Episode Highlights The Bigger Picture - Quality Saliva Components of Saliva Risk Factors Solutions - MI Varnish, MI Paste Believe in your products Quotes "I like to have these conversations with the patient at the beginning of the appointment." "Diet can alter saliva composition." "We need to discuss these risk factors, and saliva composition with our patients, do not skip this part of the appointment." "They believe the baby is stealing their calcium and that is not the case." "Offer your patients a fluoride varnish, it's quick and easy." "We have overwhelming evidence that fluoride varnish is beneficial for adults as well." "If you understand your products, and why you are recommending them you will not feel like you are selling anything." "You must believe in the recommendations you are making." Links [email protected] MI Varnish: https://www.gcamerica.com/products/preventive/MI_Varnish/ MI Paste Facebook Group: https://www.facebook.com/mi.paste/ MI Paste Family Products: https://www.gcamerica.com/products/preventive/MI_Paste_Plus/index.php

Please Leave a Review! On this episode of A Tale of Two Hygienists we are joined by Dr. Mia Geisinger to talk about Perio. Dr. Geisinger dives into the referral process highlighting when to treat, vs. when to refer to a specialist. Special thank you to Paradise Dental Technologies for sponsoring the CE portion of our podcast so that we can provide you with the FREE CE! Be sure to view your state guidelines to ensure this CE is applicable in your State. You can view all episodes with Free CE here. Take the CE quiz for this episode here and get your credit! Interview Starts: 07:01.969 Episode Highlights Referral and analyzing patient risk profiles Wound management Medical vs. Dental understanding of teeth When to refer Selecting a specialist Oral Systemic Different Patient Types We need good data Quotes "We need to be honest with ourselves and ask if we can provide specialist level care, and if we are not, we need to refer to a specialist." "Is it something you think you can do, or know you can do." "Healthy tissue should not bleed when you strike it." "Your teeth are a living organ." "I think something all of us under diagnose to some extent is gingival recession." "If we can't do it then it is insanity to expect our patients to do it." "Sometimes the most important tool I have is that 99 cent mirror." "The best way to pick a specialist is to ask another specialist who sees their work." "If we don't have our health there are very few other things in life that matter a whole heck of a lot." "You need some inflammation so that you heel but chronic inflammation is a problem." "If this individual were not a dentist, they would not have their teeth." "Patients informed that smoking impacts their oral health and are counseled to quit by their dentist are 3x more likely to quit than if they are told by their pulmonologist." "Removing teeth isn't an extraction, it's an amputation." "None of us are any good without good data coming in." Links [email protected] @miagdds on Instagram A Tale of Two Hygienists Podcast A Tale of Two Hygienists homepage AToTH on Facebook AToTH on Instagram AToTH on LinkedIn

On this week's episode of Fast Facts - Perio Edition, Katrina Sanders, we are continuing the conversation around periodontitis as a manifestation of systemic disease discussing patients that present with histiocytosis syndromes. Quotes: "These are patients that if they have any type of a syndrome of histiocytosis, they, for whatever reason, experience an abnormal increase in the amount of histiocytes within their body." "When patients experience systemic involvement, they may even experience lung problems, generalized lymphatic swelling, hormonal issues, or even enlargement of the spleen and liver or subsequent anemia." Resources: DentistRX: https://www.dentistrx.com More Fast Facts: https://www.ataleoftwohygienists.com/fast-facts/ Katrina Sanders Website: https://www.katrinasanders.com Katrina Sanders Instagram: https://www.instagram.com/thedentalwinegenist/

Please Leave a Review! On this bonus episode we are joined by Caitlyn Rastetter Founder and CEO of Dental Hygiene Nation! Caitlyn returns to the podcast to share some exciting updates that have recently happened at DHN! Follow along their journey and remember to be a drippy tooth, not a prim and proper tooth! Episode Highlights DHN background Outsourcing Hiring is like dating Social media DHN re-branding Quotes "4 years ago I was designing the shirts and hand pressing them myself." "I look back and I don't know how I had enough time in the day with our 3 man band." "It was a scary time when I realized I needed to let go of some things because the quality and mission was at risk." "Our mission was always to have a community, for people to come together." "The pond is a lot bigger than it used to be." "I look back at the old gold tooth and I feel like I don't know who that logo was." "We are more than just a prim and proper tooth." "We are not reinventing the wheel, we are just changing the look of it." Links DHN https://www.dentalhygienenation.com/ ​​https://www.instagram.com/dthynation/ A Tale of Two Hygienists Podcast A Tale of Two Hygienists homepage AToTH on Facebook AToTH on Instagram AToTH on LinkedIn

Andrew is joined by The Latina RDH, Amber Lovatos, RDH and fellow host in the A Tale of Two Hygienists Family! We are THRILLED to announce Un Cuento De Dos Higienistas (UCDDH), a spanglish version of your favorite podcast, AToTH! Episode Highlights: How UCDDH got its start Where UCDDH is going How to spread the word Quotes: "If you are someone who wants to learn spanish, this podcast is great." "When someone speaks to me in Spanish I automatically feel connected with them." "Try to support a fellow latina." Links: [email protected] Thelatinardh on Instagram and Facebook https://atothenespanol.libsyn.com/un-cuento-de-dos-higienistas

Please Leave a Review! On this student focused episode of A Tale of Two Hygienists we are joined by Tiffany Grant, BS, RDH to discuss her experience of being a hygienist in and her journey after departing the military. Special thank you to Paradise Dental Technologies for sponsoring the CE portion of our podcast so that we can provide you with the FREE CE! Be sure to view your state guidelines to ensure this CE is applicable in your State. You can view all episodes with Free CE here. Take the CE quiz for this episode here and get your credit! Interview Starts: 02:41.739 Episode Highlights Tiffany's Journey Levels Prev Dent Drivers of Decay Quotes "I found it hard when I got out of the Air Force to transition to private practice, public health was better for me." "I was a very confident student when I went to school, I felt very prepared." "A lot of our practice in the milirary is based on public health." "We were charged with monitoring a lot of prevention metrics as part of our job, especially the hygienists." "The military fluoridates its own water and we would work with bio to make sure the levels were correct." "If people were not taking care of their teeth you could call it damage to federal property." "Those ethos still keep me going in the things I do everyday, they are etched in me." "Passion will lead you to your happiness." "Understand your power as a hygienist, have your seat at the table and be present." Links A Tale of Two Hygienists Podcast A Tale of Two Hygienists homepage AToTH on Facebook AToTH on Instagram AToTH on LinkedIn

On this week's episode of Fast Facts - Perio Edition, Katrina Sanders, we are continuing the conversation around periodontitis as a manifestation of systemic disease discussing patients that present with Chediak-Higashi Syndrome. Quotes: "So these individuals who present with Chediak-Higashi will oftentimes experience the ramifications associated with having a declined immune system, which for these individuals is often times experienced in advanced signs, stages, or symptoms of periodontitis." "I want you to think about all of this like a super highway system where things are constantly moving around. The challenge is in an individual who has this relatively obscure congenital or inherited defect, these individuals have some type of an issue in which their abnormal gene affects those traffic patterns or the ways in which proteins will move throughout the body and into cells." Resources: DentistRX: https://www.dentistrx.com More Fast Facts: https://www.ataleoftwohygienists.com/fast-facts/ Katrina Sanders Website: https://www.katrinasanders.com Katrina Sanders Instagram: https://www.instagram.com/thedentalwinegenist/ Sources: Papapanou, P. N., Sanz, M., Buduneli, N., Dietrich, T., Feres, M., Fine, D. H., ... & Tonetti, M. S. (2018). Jepsen S, Caton JG, Albandar JM, Bissada NF, Bouchard P, Cortellini P, Demirel K, de Sanctis M, Ercoli C, Fan J, Geurs NC, Hughes FJ, Jin L, Kantarci A, Lalla E, Madianos PN, Matthews D, McGuire MK, Mills MP, Preshaw PM, Reynolds MA, Sculean A, Susin C, West NX, Yamazaki K. Periodontal manifestations of systemic diseases and developmental and acquired conditions: Consensus report of workgroup 3 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. J Periodontol. 2018 Jun;89 Suppl 1:S237-S248. doi: 10.1002/JPER.17-0733. PMID: 29926943.

On this weeks TIPisode we are joined by Amanda Hill, RDH in her new role as Clinical Education Manager at Young Innovations to talk about ways Young Innovations is here for us in 2022! Quotes: "We have learned more about how to learn virtually." "I am a terrible sharpener and I am so grateful for this technology so I don't have to sharpen." "Have you ever thought about presenting a CE course yourself?" "Nobody knows all the things." "Young really wants to help empower the dental hygienist and bring us to a new level." [email protected] Young: https://ydnt.com/ More TIPisodes: https://www.ataleoftwohygienists.com/tipisodes/

Please Leave a Review! On this episode of A Tale of Two Hygienists we are joined by your Hygiene-Educators from Hygiene Edge, and Teacher Tina! This week your hosts talk to us about the gift that is local anesthesia! Special thank you to Paradise Dental Technologies for sponsoring the CE portion of our podcast so that we can provide you with the FREE CE! Be sure to view your state guidelines to ensure this CE is applicable in your State. Take the quiz for this episode here! You can view all episodes with Free CE here. Interview Starts: 02:44.837 Episode Highlights Teacher Tina! Hit me with your best shot Practice Aids Gift of pain free procedure Habit Paresthesia Resources Quotes "You don't have to be the person standing on Capitol Hill but you do need to be involved." "Put your money where your mouth is." "Allow the student to have practice." "The way to give your patient your very best is to know they are comfortable and out of pain." "The lack of injection videos was a big motivator for us to start Hygiene Edge." "Don't just tell me what anesthetic you are going to use, tell me why you are going to use it." "The number one cause of paresthesia is the clinician." "You are responsible for what you give the patient, it's not the dentist, it's you." Links www.teachertinardh.com Hygiene Edge: https://www.hygieneedge.com/ A Tale of Two Hygienists Podcast A Tale of Two Hygienists homepage AToTH on Facebook AToTH on Instagram AToTH on LinkedIn

On this week's episode of Fast Facts - Perio Edition, Katrina Sanders, we are continuing the conversation around periodontitis as a manifestation of systemic disease discussing patients that present with Papillon-Lefèvre. Quotes: "Patients who present with Papillon-Lefèvre are oftentimes characterized by patients who have hyperkeratosis of their tissue. Most specifically, they present with hyperkeratosis of their palms and the bottoms of their feet." "These individuals can start to experience disease processes onset of periodontal disease that is frequent and recurring that oftentimes results in pus in the tissues and so with these individuals, we can oftentimes see that they are prematurely losing their teeth associated with the sequelae of periodontal disease." Resources: DentistRX: https://www.dentistrx.com More Fast Facts: https://www.ataleoftwohygienists.com/fast-facts/ Katrina Sanders Website: https://www.katrinasanders.com Katrina Sanders Instagram: https://www.instagram.com/thedentalwinegenist/ Sources: Papapanou, P. N., Sanz, M., Buduneli, N., Dietrich, T., Feres, M., Fine, D. H., ... & Tonetti, M. S. (2018). Jepsen S, Caton JG, Albandar JM, Bissada NF, Bouchard P, Cortellini P, Demirel K, de Sanctis M, Ercoli C, Fan J, Geurs NC, Hughes FJ, Jin L, Kantarci A, Lalla E, Madianos PN, Matthews D, McGuire MK, Mills MP, Preshaw PM, Reynolds MA, Sculean A, Susin C, West NX, Yamazaki K. Periodontal manifestations of systemic diseases and developmental and acquired conditions: Consensus report of workgroup 3 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. J Periodontol. 2018 Jun;89 Suppl 1:S237-S248. doi: 10.1002/JPER.17-0733. PMID: 29926943.

Please Leave a Review! On this weeks TIPisode Andrew gives us his thoughts on end of the year and new year preparations. Links: EuroPerio https://www.efp.org/europerio/ ISDH http://www.ifdh.org/isdh.html

Please Leave a Review! On this episode of A Tale of Two Hygienists Michelle talks with repeat guest and fan favorite, the amazing Dr. Uche Odiatu! Dr. Odiatu talks to us about setting intentions for 2022 and finishing out 2021 strong! This episode does not count for CE Credit but many of our others do. Special thank you to Paradise Dental Technologies for sponsoring the CE portion of our podcast so that we can provide you with the FREE CE! Be sure to view your state guidelines to ensure this CE is applicable in your State. You can view all episodes with Free CE here. Interview Starts: 12:17.563 Episode Highlights Raising expectations Tuning in Get out of your own head Master moderation Dedicate your real estate Progress not perfection Quotes "Only 1 in 6 people maintain weight loss after 6 months." "It's really hard to work against your expectation." "Grieving puts your body into fight or flight." "Physical health without acknowledging mental health, it can't be." "The body is a report card for your thoughts and feelings." "Nerves that fire together, wire together." "Dedicate space to wellness." "The more you cook your meals, the more you control the meals." "Perfection means you can never celebrate because it's never complete." "Done is better than perfect, just get started." Links @fitspeakers on Instagram www.druche.com A Tale of Two Hygienists Podcast A Tale of Two Hygienists homepage AToTH on Facebook AToTH on Instagram AToTH on LinkedIn

On this week's episode of Fast Facts - Perio Edition, Katrina Sanders, we are continuing the conversation that we started last week in discussing periodontitis as a manifestation of systemic disease highlighting patients that present with Leukocyte Adhesion Deficiency Syndrome. Quotes: "When we talk about patients who have Leukocyte Adhesion Deficiency Syndrome, there's a problem with the way these white blood cells actually adhere to that endothelium." "So if you see patients who are experiencing recurrent infection of periodontal disease, delayed wound healing, and sores in the area, it would behoove this patient to get testing done to identify if they've experienced any type of a genetic component or change in gene expression associated with Leukocyte Adhesion Deficiency Syndrome." Resources: DentistRX: https://www.dentistrx.com More Fast Facts: https://www.ataleoftwohygienists.com/fast-facts/ Katrina Sanders Website: https://www.katrinasanders.com Katrina Sanders Instagram: https://www.instagram.com/thedentalwinegenist/ Sources: Papapanou, P. N., Sanz, M., Buduneli, N., Dietrich, T., Feres, M., Fine, D. H., ... & Tonetti, M. S. (2018). Jepsen S, Caton JG, Albandar JM, Bissada NF, Bouchard P, Cortellini P, Demirel K, de Sanctis M, Ercoli C, Fan J, Geurs NC, Hughes FJ, Jin L, Kantarci A, Lalla E, Madianos PN, Matthews D, McGuire MK, Mills MP, Preshaw PM, Reynolds MA, Sculean A, Susin C, West NX, Yamazaki K. Periodontal manifestations of systemic diseases and developmental and acquired conditions: Consensus report of workgroup 3 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. J Periodontol. 2018 Jun;89 Suppl 1:S237-S248. doi: 10.1002/JPER.17-0733. PMID: 29926943.

Please Leave a Review! This week on A Tale of Two Hygienists TIPisode we are joined by Andrew Johnston, RDH to talk about reviewing products and building out your formulary so that it benefits patients, clinicians and practice owners alike. Quotes "It was a great starting point. But it is our responsibility to listen to the clinician's feedback on each of these products and make changes." "Sometimes we pay a little more for the name brand unit of something because the clinical experiences or studies on it have been solid for decades." "We have GC America in our formulary primarily because they check all the boxes we have." Links http://www.gcamerica.com [email protected]

Please Leave a Review! On this episode of A Tale of Two Hygienists your host, Michelle is joined by Nancy Dewhirst, RDH to tackle the basics of pathology and how as a team you can be calibrated to properly assess your patients and increase their awareness about their own oral health. Special thank you to Paradise Dental Technologies for sponsoring the CE portion of this podcast so that we can provide you with FREE CE! Take the CE Course HERE. Be sure to view your state guidelines to ensure this CE is applicable in your State. You can view all episodes with Free CE here. Interview Starts: 08:38.840 Episode Highlights Nancy's background Team calibration Commitment to early detection Oral Cancer stats Risk factors Assessment Oral vs. Oral Pharyngal Cancer ENT referral Identification tools HPV Screening steps Charting tips Quotes "We are as good as our team." "Oral cancer is 3x more common than cervical cancer with 2x the number of deaths." "Total success is where you educate your patients to the point that they come to you with what they think doesn't look or feel normal." "Oral cancer is twice as common in males." "Alcohol alone increases your risk 2x" "Smoking and drinking increases your risk 15x" "Every single patient should be assessed." "We need to be referring to ENT specialists as well." "50% of the college males tested positive and the highly expected the numbers are higher." "It's not just what you feel, it is what they feel too." Links Philips Oral Pathology Assessment http://www.philipscare.com/ [email protected] nancydewhirst.com A Tale of Two Hygienists Podcast A Tale of Two Hygienists homepage AToTH on Facebook AToTH on Instagram AToTH on LinkedIn

On this week's episode of Fast Facts - Perio Edition, Katrina Sanders, we are continuing the conversation that we started last week in discussing periodontitis as a manifestation of systemic disease discussing patients that present with Trisomy 21 also known as Downs Syndrome. Quotes: "In fact, in about 30% to 50% of Down Syndrome cases, these patients may experience cardiovascular disease to the point where they might actually be placed on a premedication prior to your dental visit. "So we believe that patients who present with Trisomy 21 present with a significant decrease in neutrophil activity due to that declined chemotaxis." Resources: DentistRX: https://www.dentistrx.com More Fast Facts: https://www.ataleoftwohygienists.com/fast-facts/ Katrina Sanders Website: https://www.katrinasanders.com Katrina Sanders Instagram: https://www.instagram.com/thedentalwinegenist/ Sources: Papapanou, P. N., Sanz, M., Buduneli, N., Dietrich, T., Feres, M., Fine, D. H., ... & Tonetti, M. S. (2018). Jepsen S, Caton JG, Albandar JM, Bissada NF, Bouchard P, Cortellini P, Demirel K, de Sanctis M, Ercoli C, Fan J, Geurs NC, Hughes FJ, Jin L, Kantarci A, Lalla E, Madianos PN, Matthews D, McGuire MK, Mills MP, Preshaw PM, Reynolds MA, Sculean A, Susin C, West NX, Yamazaki K. Periodontal manifestations of systemic diseases and developmental and acquired conditions: Consensus report of workgroup 3 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. J Periodontol. 2018 Jun;89 Suppl 1:S237-S248. doi: 10.1002/JPER.17-0733. PMID: 29926943.

Please Leave a Review! On this episode of A Tale of Two Hygienists Michelle and guest co-host, Amber Riley, RDH chat with Dr. Clark about treating our pregnant patients. Dr. Clark clears up some common misconceptions about treatment for these patients and offers guidance you can use in the op! Special thank you to Paradise Dental Technologies for sponsoring the CE portion of this podcast so that we can provide you with FREE CE! Take the CE Course HERE. Be sure to view your state guidelines to ensure this CE is applicable in your State. You can view all episodes with Free CE here. Interview Starts: 06:18.233 Episode Highlights Changes to the patient during pregnancy Check before pregnancy Motivating the patient Safe dental visits for the pregnant patient Preventative Management Inflammation and Infection Medicatations Quotes "The pregnancy was a tipping scale for her and she ended up losing her teeth." "There is no reason to say 'now I am pregnant, I need to wait 9 months to see the dentist'." "The consequences of having a severe infection and being in severe pain are so much greater." "We can really get ahead of it for our patients." "Use the lowest dose to have effective coverage of lidocaine." "Having X-rays through your pregnancy is safe as long as there is proper shielding of the abdomen and thyroid." "Yes there is a fetus, but we also have a pregnant patient that needs care. If we don't have a healthy individual we don't have a healthy fetus." "Any kind of Inflammation and infection that goes untreated or undiagnosed can lead to adverse pregnancy outcomes, and that includes in the mouth." "We have to stop being so close minded as a profession and let other people in." Links [email protected] [email protected] www.DeCoEducation.com A Tale of Two Hygienists Podcast A Tale of Two Hygienists homepage AToTH on Facebook AToTH on Instagram AToTH on LinkedIn

On this week's episode of Fast Facts - Perio Edition, Katrina Sanders, we are continuing the conversation that we started last week in discussing periodontitis as a manifestation of systemic disease highlighting familial and cyclic neutropenia! Quotes: "These are individuals who experienced episodes of abnormally low white blood cells." "It's important for us to understand that when patients present to our chairs, there is a possibility that these individuals may not know that they have this disease process." Resources: DentistRX: https://www.dentistrx.com More Fast Facts: https://www.ataleoftwohygienists.com/fast-facts/ Katrina Sanders Website: https://www.katrinasanders.com Katrina Sanders Instagram: https://www.instagram.com/thedentalwinegenist/ Sources: Papapanou, P. N., Sanz, M., Buduneli, N., Dietrich, T., Feres, M., Fine, D. H., ... & Tonetti, M. S. (2018). Jepsen S, Caton JG, Albandar JM, Bissada NF, Bouchard P, Cortellini P, Demirel K, de Sanctis M, Ercoli C, Fan J, Geurs NC, Hughes FJ, Jin L, Kantarci A, Lalla E, Madianos PN, Matthews D, McGuire MK, Mills MP, Preshaw PM, Reynolds MA, Sculean A, Susin C, West NX, Yamazaki K. Periodontal manifestations of systemic diseases and developmental and acquired conditions: Consensus report of workgroup 3 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. J Periodontol. 2018 Jun;89 Suppl 1:S237-S248. doi: 10.1002/JPER.17-0733. PMID: 29926943.

This week on A Tale of Two Hygienists TIPisode we are joined by Dr. Joy D. Void-Holmes, RDH, BSDH, MHSc, AADH to discuss the importance of incorporating a variety of ultrasonic tips into your armamentarium. Dr. Joy is the founder of Dr. Joy, RDH and the creator of the Dental Hygiene Student Planner. Episode Highlights Let's talk tips Types of tips Anatomy of a tip Choosing the right tip Quotes "You should start with the tips that will remove the most tenacious deposit down to light deposit." "Angulation and adaptation are critical to maintain tooth structure." "Thin tips are not to be confused with slim tips." "With these tips and these patients is it necessary to pick up a hand instrument?" "Be sure to use short 1-2 mm strokes." "As a tip wears over time the loss of tip length equates to loss of efficiency." "Be sure your ultrasonic armamentarium is just as diverse as your hand instrument armamentarium." Links Follow Dr. Joy on Instagram Follow Dr. Joy on Facebook Visit Dr. Joy's website More TIPisodes

Please Leave a Review! On this episode of A Tale of Two Hygienists we have another Student Focused Roundtable, this week all about teledentistry! We are joined by Amber Lovatos, RDH also known as The Latina RDH and Staci Stout, RDH! Join our guests as they discuss the various ways they use teledentistry in their careers. Special thank you to Paradise Dental Technologies for sponsoring the CE portion of this podcast so that we can provide you with FREE CE! Take the CE Course HERE. Be sure to view your state guidelines to ensure this CE is applicable in your State. You can view all episodes with Free CE here. Interview Starts: 10:17.894 Episode Highlights Staci's Background Amber's Background Ways to use teledentistry Accessibility to care Interprofessional collaboration Getting into Teledentistry Quotes "It is nice if it is shiny and works but if you can't clean it between every patient, that isn't going to work." "Dentistry is expensive." "We wanted to equip the school nurses with intra oral cameras." "Teledentistry is not just exams, teledentistry is all virtual communication." "By keeping your instruments you already have a start to be able to go out into other locations after school." "I would have to wait 3 months to see if they understood and comprehended my homecare instructions, with teledentistry we can monitor along the way." "My hope is that oneday we will be like the medical community and have interprofessional collaboration." "When we have a picture we know what we need to do to move forward." Links Amber Lovatos [email protected] Staci Stout [email protected] A Tale of Two Hygienists Podcast A Tale of Two Hygienists homepage AToTH on Facebook AToTH on Instagram AToTH on LinkedIn

On this week's episode of Fast Facts - Perio Edition, Katrina Sanders, RDH starts a new conversation around Periodontitis as a Manifestation of Systemic Disease. These patients go beyond your diabetic patients, your cancer patients or your patients with cardiovascular disease. Tune in over the next few weeks as Katrina unpacks Periodontitis as a Manifestation of Systemic Disease. Quotes: "These are patients in which the disease process that they're presenting with whatever that disease may be, that particular disease is a causative agent that the patient will experience periodontal disease." "These systemic diseases that, although rare, play a significant role in the course of periodontitis, have a negative impact on our periodontal supporting tissues, and ultimately, if an individual presents with any one of these types of systemic diseases, the likelihood that they will experience periodontal disease is extremely high." Resources: DentistRX: https://www.dentistrx.com More Fast Facts: https://www.ataleoftwohygienists.com/fast-facts/ Katrina Sanders Website: https://www.katrinasanders.com Katrina Sanders Instagram: https://www.instagram.com/thedentalwinegenist/ Sources: Papapanou, P. N., Sanz, M., Buduneli, N., Dietrich, T., Feres, M., Fine, D. H., ... & Tonetti, M. S. (2018). Jepsen S, Caton JG, Albandar JM, Bissada NF, Bouchard P, Cortellini P, Demirel K, de Sanctis M, Ercoli C, Fan J, Geurs NC, Hughes FJ, Jin L, Kantarci A, Lalla E, Madianos PN, Matthews D, McGuire MK, Mills MP, Preshaw PM, Reynolds MA, Sculean A, Susin C, West NX, Yamazaki K. Periodontal manifestations of systemic diseases and developmental and acquired conditions: Consensus report of workgroup 3 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. J Periodontol. 2018 Jun;89 Suppl 1:S237-S248. doi: 10.1002/JPER.17-0733. PMID: 29926943.

On this special bonus episode we are joined by Tyler Ornstein who is the founder of Tyler's Coffee, the world's first acid-free coffee! We bring this episode to you during GERD awareness week. For your patients who want or need to be on an acid free, or low acid diet but still want to enjoy their coffee, Tyler's Coffee is for them! Episode Highlights History of Tyler's Coffee Z-Roasting Process Caffeine Content Swiss Water Seal Decaffeinated Coffee Your Water Makes A Difference Iced-Coffee the Right Way Liftted Coffee Antioxidants Quotes "You can drink this coffee without a straw." "I can give up X,Y and Z but if you take away my coffee someone will die." "Each individual bean is roasted." "We are single-sourced USDA Organic, we've been going to the same single farm for 10 years." "Because we don't over-roast our coffee it yields a naturally higher caffeine content." "A lot of other brands will powder coat their coffee with synthesized artificial caffeine." "With Tyler's you have more caffeine, over a longer period of time." "The study said 50 million Americans suffer from stomach related modalities." "The difference between eating healthy, and eating cheap is sad." Links Promo Code Coming Soon: Follow us on Instagram for the code https://tylerscoffees.com/ Tyler's Coffee 855-554-3833

On this TIPisode we are joined by Laurel Gans, DDS to talk about non clinical opportunities for dental professionals. Episode Highlights: What is a Broker Commission 3 Opportunities Quotes: "If your experience was anything like mine it was in a non clinical lab in a dark dingy basement." "At times dentistry can be very challenging and stressful." "I would spend the entire weekend trying to heal just to injure myself again Monday morning." "Brokers help dentists and specialists sell their dental practice." "Everything you can be trained on, as long as you have an interest in the dental world and are outgoing." Links: www.udba.biz [email protected]

Please Leave a Review! On this episode of A Tale of Two Hygienists Michelle talks to returning guest Tyler Kuhk, NP about COPD. Did you know that November is COPD awareness month? This could be a great lead in for you to talk to your patients about COPD and a reminder for your team to look for the signs of COPD which Tyler outlines in this episode! Special thank you to Paradise Dental Technologies for sponsoring the CE portion of this podcast so that we can provide you with FREE CE! Take the CE Course HERE. Be sure to view your state guidelines to ensure this CE is applicable in your State. You can view all episodes with Free CE here. Interview Starts: 11:34.377 Episode Highlights Who is That Sassy NP Basics of COPD Patient Conversations Inhaled Therapy Xylitol Based Exacerbation or Flare Covid-19 Patients Quotes "They estimate that there are roughly 13 million that are diagnosed but there are likely another 13 million that are undiagnosed." "COPD is an umbrella term." "COPD is the third leading cause of death." "Once you hit your mid 20's you start to lose lung function." "The goal in COPD is to open the airways." "Bedside nurses are running around with our heads cut off, we want to do well, but we need the tools." "Your airways are an organ besides your skin that is exposed to the outside environment 24 hours a day." "It's not fun not being able to breathe." Links Thatsassynp on TikTok and Instagram Dying from Dirty Teeth [email protected] 2021 GOLD COPT Pocket Guide A Tale of Two Hygienists Podcast A Tale of Two Hygienists homepage AToTH on Facebook AToTH on Instagram AToTH on LinkedIn

On this week's episode of Fast Facts - Perio Edition, Katrina Sanders, RDH discusses the current AAP current grading parameters and how we identify Grade C for a patient. Quotes: "Anytime that a patient is diagnosed with active periodontitis, we are going to grade the patient as grade A,B,C based on the progression of their disease process." "The idea here being that these patients who present with rapid rate progression of the disease process are patients who may not respond favorably to standard therapeutic modalities and may subsequently require more aggressive monitoring in order to stabilize or arrest their disease process." Resources: DentistRX: https://www.dentistrx.com More Fast Facts: https://www.ataleoftwohygienists.com/fast-facts/ Katrina Sanders Website: https://www.katrinasanders.com Katrina Sanders Instagram: https://www.instagram.com/thedentalwinegenist/ Sources: Papapanou, P. N., Sanz, M., Buduneli, N., Dietrich, T., Feres, M., Fine, D. H., ... & Tonetti, M. S. (2018). Periodontitis: Consensus report of workgroup 2 of the 2017 World Workshop on the Classification of Periodontal and Peri‐Implant Diseases and Conditions. Journal of periodontology, 89, S173-S182.

This TIPisode is brought to you by GC America! Michelle is joined by Dr. Brian Novy to talk about changing the conversations you are having with your patients and how disclosing can assist those conversations! Episode Highlights: No patient shaming Disclosing and pose the question Tri Plaque ID Gel MI Paste products Quotes: "You have no idea how different my practice is from that model of shaming. Shaming doesn't work." "Let's be honest, the mouth is supposed to have plaque." "We can encourage behavior change with educational components." "When someone is blaming you, you immediately want to stop listening to that individual." "Ask permission to share with your patients." "Disclose one or two teeth so they can see the difference." "These products work on the plaque that is in the mouth." "When you don't remove everything it isn't the end of the world because you are using a product that will neutralize what is left behind, it is a safety net." "If we take away anything from the pandemic, it is that we can take the time to provide appropriate healthcare. Do it well, and do it right." Links GC Tri Plaque ID Gel - Dental Plaque Disclosing Gel https://www.gcamerica.com/products/preventive/MI_Paste_Plus/index.php http://www.gcamerica.com/ce/alleducation.php http://www.gcamerica.com

Please Leave a Review! On this episode of A Tale of Two Hygienists Michelle and Andrew bring on Dr. David Rice, Teresa Duncan, MS and Ronda Holman, DA to talk about the value of the Team Huddle. Our guests highlight each of their perspectives from office management, to the dentist, to the point of view of hygienists and dental assistants and share what makes the team huddle work for each team member and how when done well it can improve the day for the whole office! Special thank you to Paradise Dental Technologies for sponsoring the CE portion of this podcast so that we can provide you with FREE CE! The CE Course for this episode is coming soon! Be sure to view your state guidelines to ensure this CE is applicable in your State. You can view all episodes with Free CE here. Interview Starts: 16:13.410 Episode Highlights Preparation Lift up your team Approaching your dentist What the team huddle isn't for Ask about the team huddle in your interview Track your progress Quotes "We have no clinical conversation in our team huddles." "Good is the enemy of great." "Status quo is status quo until someone rocks the boat a little bit." "If I'm coming through the door and I'm not a 10/10 my job is to say it." "When you get to a point that there are a lot of voices, you need structure." "Your dentist probably hasn't taken any more leadership courses than you, and probably needs help." "If your doctor isn't willing to do the huddle in the morning, you have then trapped mid-day and that is the time for your meeting." "The worst time of the day to have it is at the end of the day, no one's heart is in it." "The reality is that 80% of dental practices don't have a team huddle, or they have a bad one." "Find those people that don't have access to this information and promote it." "You become the 5 people you spend the most time with." Links The Dental Assistant Podcast (@da_rockstars_podcast) • Instagram photos and videos [email protected] www.odysseymgmt.com [email protected] www.ignitedds.com https://www.instagram.com/ignitedds/ A Tale of Two Hygienists Podcast A Tale of Two Hygienists homepage AToTH on Facebook AToTH on Instagram AToTH on LinkedIn

On this week's episode of Fast Facts - Perio Edition, Katrina Sanders, RDH discusses the current AAP current grading parameters and how we identify Grade B for a patient. Quotes: "We should start by placing all patients into grade B, and if there are modifiers that move the patient into grade A because of direct evidence, indirect evidence, risk factors, or systemic burden for example, then we move the patient down into a grade A or we move the patient up into a grade C in some instances." "I want to be very clear with these patients, you are going to take whichever identifier or modifier would move the patient into the higher grade, and that is going to be the weight that you will use to identify the patient's grade." Resources: DentistRX: https://www.dentistrx.com More Fast Facts: https://www.ataleoftwohygienists.com/fast-facts/ Katrina Sanders Website: https://www.katrinasanders.com Katrina Sanders Instagram: https://www.instagram.com/thedentalwinegenist/ Sources: Papapanou, P. N., Sanz, M., Buduneli, N., Dietrich, T., Feres, M., Fine, D. H., ... & Tonetti, M. S. (2018). Periodontitis: Consensus report of workgroup 2 of the 2017 World Workshop on the Classification of Periodontal and Peri‐Implant Diseases and Conditions. Journal of periodontology, 89, S173-S182.

This week on A Tale of Two Hygienists TIPisode we are speaking to all the clinical educators out there! We are joined by Jessica Atkinson, RDH, MEd from Hygiene Edge to talk about being an effective follower. Episode Highlights Rise Conference for Clinical Coordinators Follower Types Being an Effective Follower Quotes "We really want our students to be successful in becoming professionals." "Effective followers generally hold a higher standard than the workplace requires." "See what our leaders might not be seeing and have the courage to share that." Links In praise of followership Article: https://hbr.org/1988/11/in-praise-of-followers Hygiene Edge: https://www.hygieneedge.com More TIPisodes: https://www.ataleoftwohygienists.com/tipisodes/

Please Leave a Review! On this episode of A Tale of Two Hygienists Michelle and Andrew bring on Jennifer Fijor, ARNP to talk about the medical dental connection specifically as it relates to gut heath. Jennifer dives into the details about Crohn's Disease, Ulcerative Colitis, Inflammatory Bowel Disease and more. Special thank you to Paradise Dental Technologies for sponsoring the CE portion of this podcast so that we can provide you with FREE CE! Take the CE quiz for this episode here. Be sure to view your state guidelines to ensure this CE is applicable in your State. You can view all episodes with Free CE here. Interview Starts: 06:41.426 Episode Highlights Symptoms Diet Periodontitis/IBD Overlap Oral Lesions Treatment Journey Patient Conversations Quotes "You can be the first line defense in detecting some of this stuff." "They can go to the bathroom anywhere from a few times a day, to 20 times a day with urgent diarrhea." "Diet plays a role but it is not the only thing that is involved." "Gut bacteria starts in the mouth." "If you are someone with poor oral health you might be someone with poor gut health as well." "It is so hard to live a normal life with some of these auto-immune disorders." Links Jennifer on Instagram/TikTok: Gutgalz Inflammatory bowel disease and oral health | BDJ Team Could the Cure for IBD Be Inside Your Mouth? Inflammatory bowel disease and oral health: systematic review and a meta-analysis A Tale of Two Hygienists Podcast A Tale of Two Hygienists homepage AToTH on Facebook AToTH on Instagram AToTH on LinkedIn

On this week's episode of Fast Facts - Perio Edition, Katrina Sanders, RDH discusses the current AAP current grading parameters and how we identify Grade A for a patient. Quotes: "Some clinicians do get in the habit of grading all patients. That is not necessarily a requirement from the AAP, but some of our colleagues have started to integrate grading our patients that have gingivitis based on other overt risk factors that may elevate the propensity that the patient may experience gingivitis moving into periodontitis in a faster progression." "When patients present with heavy biofilm, but low destruction. It indicates that from a risk factor standpoint, we may not necessarily experience a very quick or very overt reaction of the body to the presence of biofilm." Resources: DentistRX: https://www.dentistrx.com More Fast Facts: https://www.ataleoftwohygienists.com/fast-facts/ Katrina Sanders Website: https://www.katrinasanders.com Katrina Sanders Instagram: https://www.instagram.com/thedentalwinegenist/ Sources: Papapanou, P. N., Sanz, M., Buduneli, N., Dietrich, T., Feres, M., Fine, D. H., ... & Tonetti, M. S. (2018). Periodontitis: Consensus report of workgroup 2 of the 2017 World Workshop on the Classification of Periodontal and Peri‐Implant Diseases and Conditions. Journal of periodontology, 89, S173-S182.

This TIPisode is brought to you by LivFresh! Michelle is joined by Dr. Brian Novy to talk about Livfresh and where it has come since it was called Livionex and why both Dr. Novy and Michelle are big fans! We know you are going to want to try Livfresh after hearing this TIPisode. Use code: TIP10 for 10% off & Free Shipping on your first order through www.getlivfresh.com. Episode Highlights: Dr. Novy Sceptic Turned Advocate Daily Use Plaque Removal 3 Versions of Livfresh Quotes: "From a caries standpoint we don't want to remove calcium from a high risk patient." "Those of us that were skeptics, they satisfied our skepticism, which is different from the tact that a lot of companies would take." "They came back with the safety studies and I said ' oh wow you are really on to something'." "This is a game changer for us." "Patients come back seeing a difference." Livfresh blew that toothpaste out of the water when it came to plaque removal and that was in the Journal of Periodontology." "Plaque removal is sexy, what is more sexy than clean teeth?" "A recent double-blind study showed that patients who brushed with LivFresh saw 2.5 times less gum inflammation and 1.9 times less gum bleeding as compared to the control." " 80% of diseased pockets experienced improvement with LivFresh." Links: www.getlivfresh.com https://www.instagram.com/getlivfresh/ https://www.facebook.com/getlivfresh/

Please Leave a Review! On this episode of A Tale of Two Hygienists we have our student focused roundtable we are joined by Stephanie Botts, BSDH, RDH, CEAS and Dr. Brett Kessler, DDS about Substance Use Disorder and working with our patients who have struggled with this disorder, or are currently struggling. Special thank you to Paradise Dental Technologies for sponsoring the CE portion of this podcast so that we can provide you with FREE CE! Take the CE quiz for this episode here. Be sure to view your state guidelines to ensure this CE is applicable in your State. You can view all episodes with Free CE here. Interview Starts: 08:25.181 Episode Highlights Our Guests Backgrounds Stigmatizing Language Proactive Conversations Recognizing the Signs Do's and Don't Interacting with Patients Quotes "Today is actually my 23rd anniversary of getting sober." "Dentistry is often the gateway, the first time use of opiates." "Fear is a big trigger of relapse." "Pain pales in comparison to the pain of opening up an addiction again." "From October 2020 - October 2021 the very most amount of people died from opiate overdoses." "Alcohol is one of the leading causes of oral cancer." "I've never regretted asking a patient if something is wrong, and if I can help them." "We've had interventions and helped patients get into treatment." "The best way to quit is keep trying to quit." "If you can get patients to floss on a regular basis you can have this conversation about substance abuse." "I share because recovery is the best thing that has ever happened to me." "You can't fix your broken brain with your own broken brain." "You can't do it alone, that is when people die, and that isn't right." Links Dr. Kessler Email: [email protected] Dr. Kessler Phone Number: 720-989-7960 Stephanie's Email: [email protected] Stephanie's Phone Number: 907-229-4989 Stephanie's Facebook: Stephanie.Botts.rdh Stephanie's Instagram: @steph.posturepros A Tale of Two Hygienists Podcast A Tale of Two Hygienists homepage AToTH on Facebook AToTH on Instagram AToTH on LinkedIn

On this week's episode of Fast Facts - Perio Edition, Katrina Sanders, RDH discusses some of the parameters that we use currently, when we're looking at grading guidelines. Quotes: "We all know that if new patient shows up in the practice without their previous charting or radiographs, or if we simply don't have quality images or Pario charting, we can't necessarily lean on that." "However, we're also looking at other emerging risk factors that may be added things like obesity, genetic factors, physical activity, or nutrition." Resources: DentistRX: https://www.dentistrx.com More Fast Facts: https://www.ataleoftwohygienists.com/fast-facts/ Katrina Sanders Website: https://www.katrinasanders.com Katrina Sanders Instagram: https://www.instagram.com/thedentalwinegenist/ Sources: Papapanou, P. N., Sanz, M., Buduneli, N., Dietrich, T., Feres, M., Fine, D. H., ... & Tonetti, M. S. (2018). Periodontitis: Consensus report of workgroup 2 of the 2017 World Workshop on the Classification of Periodontal and Peri‐Implant Diseases and Conditions. Journal of periodontology, 89, S173-S182.