A Tale of Two Hygienists Podcast

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.

This week on A Tale of Two Hygienists TIPisode we are joined by Michelle and Andrew! Your hosts are talking about comments made by Lobbyist Dave Marsh for the Illinois State Dental Society. The comment that got Michelle, Andrew and should get you fired up: "I just don't feel anybody with a two-year associate degree is medically qualified to correct your health, they're trained to clean teeth. They take a sharp little instrument and scrape your teeth. That's what they do. That's all they do." - Dave Marsh lobbyist for the Illinois dental society If you have feelings about this statement made by Mr. Marsh and you would like to email him, his email is: [email protected] Episode Highlights The Comment The Inaccuracy Be a Smart Dentist Privilege of Not Being Involved in Politics Call your Senator and State Legislators Quotes "We are not trying to be dentists, we are trying to be preventive care specialists." "What a slap in the face to your constituents!" "It was abhorrent and wrong, factually wrong." "Remind me, are some associate degrees nursing degrees?" "If you are a smart dentist you will create as many feeder outlets into your practice as you can." "They are missing the role of what we do." "By not being involved in politics it is our community and profession that is going to take the hit." Links Article: In a battle reflecting turf wars around the country, Illinois dentists helped defeat bills that would have allowed hygienists to practice in nursing homes and prisons AToTH Episodes For FREE CE AToTH Instagram AToTH Facebook AToTH Website

Please Leave a Review! On this episode of A Tale of Two Hygienists we have a Hygiene Edge takeover! Join Jessica, Melia and Shelley and the mighty M's: Mandy Gibbs, Melissa Calhoun and Megen Elliott to talk about becoming an educator! 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: 02:42.575 Episode Highlights Our guests backgrounds as educators Is going back to school right for you? Different educator experiences Different educator programs ADHA Components Education is not a break from clinical practice Quotes "I stuck around and I asked a lot, letting them know I was interested in dental hygiene education." "I feel like getting my Masters was easier than getting my hygiene degree." "There is only one thing harder than being a dental hygiene student, and that is being a dental hygiene educator." "I think it is important to evaluate what you are interested in, and what you want to be learning about." "We are in need of dental hygiene educators." "Squeaky wheel gets the grease." "It's not what you know, it is who you know." "Share your ambitions with others." "Once you catch that vision it is hard to shake." "Even if education is not where you want to go, continue your education." Links 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, RDH discusses the AAP grades of periodontitis. Quotes: " Grading allows us the opportunity to take a look at what we understand with regards to various types of recognized risk factors and how those risk factors play a role in the complexity of this disease process. "We can also predictably measure a response to standard therapy, and if a patient is considered an advanced grade of the disease process, we may predict that these patients that are in advanced grade may not respond as favorably to the disease treatment." 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 joined by Steve Pardue from Elevate Oral Care to talk about antiseptic and antimicrobial agents in dentistry highlighting Povidone-iodine and its properties that fight decay. Episode Highlights Antiseptic Agents Povidone-iodine Povi•OneTM Quotes "Hygienists are in the unique position to prevent decay rather than repair it after the damage is already done." "Hygienists spend the most time with patients in the dental office, this is valuable time where you can offer guidance for patients to manage their own oral care." "These agents are broad spectrum and also kill the good bacteria." "Povidone-iodine reduces glucan production significantly which in turn reduces the ability to create polysaccharides and therefore makes plaque less sticky." Links www.elevateoralcare.com/elevatingcare Schedule AGD CE Accredited Staff Meeting 877-866-9113 or email [email protected] Patient Centered Communication Video Series: http://www.elevateoralcare.com/elevatingcare Elevate Oral Care Website: http://www.elevateoralcare.com Elevate Oral Care Facebook: https://www.facebook.com/elevateoralcare Elevate Oral Care Instagram: https://www.instagram.com/elevate_oral_care/ More TIPisodes: https://www.ataleoftwohygienists.com/tipisodes/ AToTH Website: https://www.ataleoftwohygienists.com

Please Leave a Review! On this episode of A Tale of Two Hygienists your hosts, Michelle Strange and Andrew Johnston are joined by Jasmin Haley, RDH, MSDH, CDA, Eden Ivie, BSDH, RDH, PHDHP, Dr. Joy Void-Holmes, RDH, BSDH, MHSc, AADH and India Chance, BSDH, RDH to continue the conversation around the TRUTH of what it is like to be a KOL. Special thank you to Paradise Dental Technologies for sponsoring the CE portion of this podcast so that we can provide you with FREE CE! This particular episode does not qualify for CE however you can view episodes that do here. Interview Starts: 02:42.200 Episode Highlights How our guests started their speaking careers Mentorship Mean Girl Mentality Scarcity Mindset Intellectual Property Quotes "She said don't quit your day job, and mind you that was true… but did I need to hear that?" "There is enough to go around, there really is." "We are stepping in the right direction and we are here to make the change." "I choose to surround myself with those with an abundance mindset." "Your Intellectual property, your beautiful brain is worth way more than you can realize." "You need to know how to leverage relationships so that it benefits you." "I didn't have a starting point when I first started, and that was so frustrating." "It isn't just the time while you are on the stage, it is your preparation time, your travel time, all the time spent at the event." "If people give pushback, please know there will be other opportunities." Links www.jasminhaley.com www.learn2prevent.com [email protected] www.drjoyrdh.com/ A Tale of Two Hygienists Podcast A Tale of Two Hygienists homepage AToTH on Facebook AToTH on Instagram AToTH on LinkedIn

Please Leave a Review! On this episode of A Tale of Two Hygienists your hosts, Michelle Strange and Andrew Johnston are joined by Jasmin Haley, RDH, MSDH, CDA and Eden Ivie, BSDH, RDH, PHDHP to talk about the TRUTH of what it is like to be a KOL, the good, the not so good, and the areas of the industry that straight up need to change. Special thank you to Paradise Dental Technologies for sponsoring the CE portion of this podcast so that we can provide you with FREE CE! This particular episode does not qualify for CE however you can view episodes that do here. Interview Starts: 10:41.253 Episode Highlights Why our guests became speakers Diversity of thought Inclusion Compensation Value Company models to emulate Mentorship vs. Coaching Quotes "This conversation is going to hold peoples feet to the fire and make them see that we can do better." "It was worth getting over my stage fright to teach people how to use this technology and understand it." "It was a big red flag for me that there was no diversity of thought." "It doesn't matter what industry you are in, all of us women deal with the same ways of thinking." "We need to take a stand collectively." "We are all suffering in silence." "If you give them too much change you are chastised." "Ask for that value, and add tax." "RDH's are not seen as having the buying power or intellectual abilities to be able to share from the stage and therefore our compensation is peanuts." "She left RDH off of her name because she needed people to listen to her, and that RDH is a permission to dismiss." "If we are not valued as a whole, how are we going to see any change." "Noone that is successful in this industry has done it without a coach." "Don't expect that knowledge for free, it doesn't come from a mentor, it comes from a coach." "I want to see you rise, but not with my content, that is intellectual property." Links http://www.jasminhaley.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, RDH wrap up the breakdown of the AAP 2017 Classification System highlighting state 4. Quotes: "These are patients in which there is complex management required in order to stabilize the patient's existence of this disease." "It is imperative to understand that this adequate rehabilitation is being done in order to preserve the remaining dentition." 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.

Please Leave a Review! This week on A Tale of Two Hygienists TIPisode we are joined by return guest, Dr. Brian Novy. Dr. Novy is the Chief Dental Officer at the Alliance Dental Center. In this TIPisode Dr. Novy talks to us about sealants, and what the evidence tells us about them! Episode Highlights Dr. Novy's Background Glass Ionomer Sealants Quotes "When I am not practicing dentistry, I am talking about dentistry, specifically how to manage dental decay." "When it comes to anything we do in dentistry there is nothing more evidence based than sealants." "When you see a Glass Ionomer Sealant that is not in the tooth, that is actually a good thing, it means it did exactly what it was supposed to do." "If that child is not developing any kind of calculus they need sealants, it means their mouth is so acidic that calculus isn't forming." Links http://www.gcamerica.com https://www.gcamerica.com/products/operatory/GIRestoratives.php http://www.whollymolar.net/

Please Leave a Review! On this Student Focused Roundtable Michelle is joined by Crystal Spring, RDH and Janet Crosswhite, RDH to talk about public health vs. private practice. Both Janet and Crystal work in the public health realm and share their experiences from working in public health and private practice over their careers. Interview Starts: 10:25 Episode Highlights Crystal's Background Janet's Background Private Practice vs. Public Health Standard of Care Ideal Public Health Hygienist Patient Complications in Public Health Highs and Lows Quotes "I have huge issues with people thinking public health is sub standard care." "Even in private practice, you choose how you provide care for your patients." "We do not provide sub standard care, we go above and beyond." "You can create the job you want whether it is in private practice or public health." "Once you are in public health I dare you to go back, it becomes where your heart is, you become really passionate about public health." "You have to have thick skin and be committed to bringing the best care to your patients." "You want to take care of your patients with better care than you would treat your family." "No-one on the team can be lazy in public health." "I leave stain and I leave calculous, I'm going to put my focus on biofilm management and homecare." Links www.heavenlysmilesmobiledental.com [email protected] Smilesacrossmontana.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 week's episode of Fast Facts - Perio Edition, Katrina Sanders, RDH continues the breakdown of the AAP 2017 Classification System Stage three. Quotes: "Now, for dental hygienists that are typically working blindly and by blindly I mean, we're using feel more than we are our own eyeballs." "Meaning in most scenarios, the only time that we can see radiologic bone loss on a patient is once they have moved into stage three periodontitis." 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 CariFree. We are joined by our very own Michelle Strange to talk to you about pH regulation for your patients. Episode Highlights: pH Saliva pH neutralizing products Quotes: "We all know the value of good healthy saliva." "When we eat, the pH can drop rapidly." "Targeted pH neutralizing dental products used daily can greatly support a bacterial shift in their biofilm." "Prevent the negative shift." "You can get a free copy of "why me" by visiting the link below." Links: Free Book for Listeners: https://carifree.com/tipisode/ CariFree: https://carifree.com/

Please Leave a Review! On this milestone episode of A Tale of Two Hygienists your hosts, Michelle Strange and Andrew Johnston are joined by several of their fellow RCC Influencers to talk about everything from mentorship, and what they believe made them successful, to how prepared they are financially for retirement! You will recognize many of the names of the guests included on this episode, be sure to tune in through the end to soak up the abundance of knowledge shared with us by Martelle Coke, Britt Glauz, Rafael Rondon, Carrie Ibbetson, Claire Jeong, Angie Stone, Sonya Dunbar and Tameka Lee. Special thank you to Paradise Dental Technologies for sponsoring the CE portion of this podcast so that we can provide you with FREE CE! Read the disclaimers as it might not count for your state. Go here to take the test and get your free CE Credit! Interview Starts: 15:15.624 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, RDH continues the breakdown of the AAP 2017 Classification System Stage two. Quotes: "Maximum probing depth anywhere in the mouth will be 5 mm." "The idea being that if this is a 5mm pocket not due to hyperplasia, tissue overgrowth or fibrosis, but actually due to apical migration of the junctional epithelium, the clinician will observe anywhere between 3mm to 4mm of interdental clinical attachment loss." 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 Zirc Dental. We are joined by Tina Punton, who talks to us about the cost of disorganization and what it means for your office. Zirc has solutions for your practice that will decrease your disorganization, stress and that are beautiful for your patients to look at! Tina attended Minnesota State University-Mankato to receive her degree in Dental Hygiene. Prior to joining the Zirc team, she spent 23 years practicing dental hygiene in various sectors of dentistry. She specializes in working with special market accounts and helping group practices implement scalable systems to help teams get organized and make each day moving forward a happier one! Quotes: "Let's face it, dental offices can be hectic and stressful." "We've all had the days where the stress of the daily tasks adds up." "Color method is the process of managing dental instruments and materials by assigning procedures with a color." "We've got 16 different colors to choose from." "Think of the sterilization room as the hub of your practice." "Patients are more aware of their surroundings now and they will appreciate the look of a color coded office." "There is no guessing or wasting money." Links: Learn more about Zirc Dental Products: Zirc Dental Products | Innovative Color Coding and Efficiency Products to Save You Time www.zirc.com/zobe Email Tina: [email protected] or call her at 763-251-3039 Follow Zirc on Instagram: https://www.instagram.com/zircdentalproducts/

Please Leave a Review! THIS EPISODE COUNTS FOR CE! - but read the disclaimers it might not count for your state. Go here to take the test and get your free CE Credit! Joining Michelle today on the show is Dr. John Molinari to discuss the importance of vaccinations and immunizations. Dr. Molinari is a microbiologist who was awarded Professor Emeritus at the University of Detroit Mercy, where he served for 32 years as Professor and Chairman of the Department of Biomedical Sciences and Director of Infection Control. He was later Infection Control Director for THE DENTAL ADVISOR in Ann Arbor, Michigan from 2009-2018, has published over 500 scientific articles, text chapters, and abstracts in the areas of microbiology and immunology, and lectures nationally and internationally on topics dealing with infectious diseases and infection control. Dr. Molinari is also a founder and Past-President of OSAP, and co-author of the text Cottone's Practical Infection Control in Dentistry. This week's episode explores the impacts of vaccines as a topic under infection control, with Dr. Molinari delving into the history of vaccines for diseases such as polio, smallpox, and many others. He goes on to talk about the ideal properties of vaccines and the need for them to be safe, and herd immunity including the risks associated with it and how it is achieved by infection and vaccination. The episode rounds off with Dr. Molinari reviewing the need for boosters, the typical side effects of vaccines, and why vaccine hesitancy exists. EPISODE HIGHLIGHTS: Interview starts: 9:28 - Dr. Molinari's journey in infection control in the dental industry - The successful impacts of vaccines- a brief history - What are the ideal vaccine properties? - The six phases of vaccine development - Why a vaccine is not 100% - Herd immunity: What is it? - How does herd immunity work? - 2 ways to accomplish herd immunity - The problems with herd immunity - The effects of new variants on the success of the vaccines - Is there a need for boosters? - Vaccine hesitancy and refusal- is it new? - Typical vaccine side effects - Why dental care providers should have immunizations QUOTES: "Vaccines were one of the greatest public health achievements of the 21st century" "Back in my day, when these vaccines came out, like the polio vaccine, it was a personal family responsibility, but also people looked at it as a public health responsibility to get vaccinated." "You protect yourself, your family, but also others that you've come in contact with." "First and foremost, vaccines have to be safe. A vaccine has to be safe." "The benefits have to far outweigh the potential risks." "No vaccine is 100% foolproof." "Not everybody responds to vaccines...your immune response is different from mine." "Herd immunity basically says that the larger the percentage of the population that is immune against the disease, the greater the protection because you have less susceptible hosts for that virus or bacteria to spread in the population." "The more you allow the virus to spread between individuals, the better the chance it has to mutate to other variants which may retard the effectiveness of the vaccine." "I'm really okay not having any diseases, please and thank you." "The more the viruses replicate, the more they're able to spread, the better the chance for natural mutations." "It always comes down to the same thing - get vaccinated, give yourself the best level of protection that you possibly can." LINKS: A Tale of Two Hygienists Podcast A Tale of Two Hygienists homepage AToTH on Facebook AToTH on Instagram AToTH on LinkedIn Dr. Molinari's Gmail

On this week's episode of Fast Facts - Perio Edition Katrina Sanders, RDH dives into AAP staging and grading, opening the conversation by covering stage one periodontitis and how we classify patients that are standing on that border land between gingivitis and periodontitis. Quotes: "So typically, when these patients present with clinical attachment loss, I want to be very clear, the AAP in their framework indicates a patient with stage one periodontitis as a patient who has a pocket depth maximum anywhere in the mouth of 4mm." "I want to conclude by sharing that this patient has not lost any teeth due to the periodontal disease process and our Academy indicates that stage one periodontally diseased patients have an opportunity for early intervention and monitoring" 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 joined by Brooke Crouch, RDH from Elevate Oral Care to talk to us about dry mouth and using Allday Dry Mouth Spray to treat your patients. Episode Highlights Causes of Dry Mouth Allday Dry Mouth Spray Xylitol Quotes "Dry mouth is a subject I have become all too familiar with." "It isn't just our elderly patients that suffer from dry mouth." "That article said about 27% of people are suffering from dry mouth." "Recommending the right dry mouth product can not only alleviate their pain and discomfort but can also benefit their oral health." "Not all dry mouth sufferers are the same." Links Allday Dry Mouth Spray Schedule AGD CE Accredited Staff Meeting 877-866-9113 or email [email protected] Patient Centered Communication Video Series: http://www.elevateoralcare.com/elevatingcare Elevate Oral Care Website: http://www.elevateoralcare.com Elevate Oral Care Facebook: https://www.facebook.com/elevateoralcare Elevate Oral Care Instagram: https://www.instagram.com/elevate_oral_care/ More TIPisodes: https://www.ataleoftwohygienists.com/tipisodes/ AToTH Website: https://www.ataleoftwohygienists.com

Please Leave a Review! THIS EPISODE COUNTS FOR CE! - but read the disclaimers it might not count for your state. Go here to take the test and get your free CE Credit! Michelle and Andrew have invited Kimberly Grensavitch, MJ, BA, RDH, to the show today to discuss Instructions for Use (IFU) in the dental field. Kimberly is a skilled quality professional dedicated to Regulatory Compliance and Risk Management in the HealthCare industry with over 20 years clinical experience. She has a Bachelor's degree focused in Health/Health Care Administration/Management from Ottawa University-Wisconsin, and a Master's degree in Jurisprudence focused in Health Care Law from Loyola University School of Law. Kimberly brings her expertise to the podcast today, delving into IFU and its importance in the dental industry. Today's episode explores the disparities that occur in various IFU for equipment and how this can be confusing for dental experts. Kimberly and our hosts discuss ways to audit your setup and how purchase from the same manufacturer can assist with IFU consistency. At various times in the episode, they discuss instances of IFU inconsistency and ways to keep up with the changes in IFU, and conclude with a call to action to improve standardization by enumerating steps that can be followed. EPISODE HIGHLIGHTS: Interview starts: 12:17 - Kimberly's journey in the dental field - How Instructions for Use (IFU)can be confusing for an end-user - What are voluntary consensus standards? - Auditing your setup for IFU - Is it important to order setups from the same manufacturer for IFU consistency? - How to keep up with changes in IFU - Reprocessing your instruments - A call to improve standardization QUOTES: "You have to follow the manufacturer's instructions. We have to have them readily available, so if we choose to bypass those and do our own thing, we assume the same liability that the manufacturer would." "If you're in a practice where you've got more than one brand, how do you keep that straight? How long would it take you to do new team member orientation?" "You really do have to know every single piece of equipment so that you can be a team member and cross-trained properly." "You can't have 18 different instruments that are in one setup that then require five different ways of processing them. That is never going to work for a small practice." "We definitely want to do what's safe and make sure that our instruments are clean and disinfected and sterilized. So it becomes difficult if you don't have consistent manufacturer's instructions to be able to do that." LINKS: A Tale of Two Hygienists Podcast A Tale of Two Hygienists homepage AToTH on Facebook AToTH on Instagram AToTH on LinkedIn Kimberly's Thesis Kimberly's Email

On this week's episode of Fast Facts - Perio Edition Katrina Sanders, RDH gives us an overview of the AAP staging guidelines that we will give into over the next several weeks! Quotes: "Periodontitis is characterized by microbially associated host mediated inflammation that results in loss of periodontal attachment. This is detected as clinical attachment loss by circumferential assessment of the erupted dentition with a standardized periodontal probe with reference to the cemento enamel junction." "These we all of course understand are going to be single definitions in helping to identify if the patient is truly considered an active perio case." 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 our very own Andrew Johnston, RDH talks to us about lunch and learns, and provides tips to get the most out of yours! Episode Highlights Proper execution Block your schedule Distraction free Sample questions for your rep Post meeting action items Quotes " They do the job because they love helping people be healthier." "Extend that block across all of the columns, doctor, assistant, office managers, hygienists etc." "Put those phones in the front office on forward to voicemail." "If the front office isn't on the same page as the back office there is a real good chance the patient wont get the care they deserve." "I love being a little blunt about it." "She does whatever she can chairside with our clinicians so they understand the workflow of it." Links GC America Lunch and Learn

Please Leave a Review! THIS EPISODE COUNTS FOR CE! - but read the disclaimers it might not count for your state. Go here to take the test and get your free CE Credit! It's National Suicide Prevention month and Michelle has invited Kimberly Johnson, Ph.D., LMHC, a licensed mental health counselor with 25 years in practice, to discuss The Emotional PPE Project which was created to assist frontline healthcare workers who were taking on an emotional toll due to the COVID-19 crisis. In this episode, Kimberly starts the conversation by discussing her career as a mental health clinician and how volunteering for the Emotional PPE Project was a decision that stemmed from a personal decision to be supportive. Kimberly and Michelle discuss the emotional stress faced by frontline healthcare workers and how to tell when they are struggling, ways to help these workers when they feel overwhelmed, and how important it is to detox from social media and news outlets and also practice self-care. They round off with a discussion on the resources that can help those who are struggling during these times. EPISODE HIGHLIGHTS: Interview starts: 5:13 - Kimberly discusses her career as a mental health clinician - Volunteering in the Emotional PPE Project - The start of the Emotional PPE Project in dire times - Comparing the emotional stress of the pandemic to that of 9/11 - What defines a first responder? - Emotional struggles during different waves of the pandemic - How can dental hygienists guide healthcare frontline workers concerning their oral health? - Tell-tale signs for when healthcare frontline workers are struggling - 3 ways to help those who are overwhelmed - Embracing the divide - Why healthcare workers should practice self-care - When does venting on social media become toxic? - Resources that can help those struggling QUOTES: "I wanted a way to be involved, I wanted a way to give back, to be supportive." "The environment's changed. The stories have changed." "The impact of moral injury, of not being able to help, especially when you're a caregiver, you're a helper, it's about helping, and when you don't have the tools to make somebody better or to bring somebody back to a better place, it's problematic." "Sometimes people just need to be heard and validated and acknowledged" "Initially, when we're confronted with a lot of these kinds of stressors, some of our initial coping strategies that help us survive over the long term do not help us to thrive. They start to actually interfere with our ability to maintain our resiliency and keep going." "Instead of saying 'How was your day?', say, 'Tell me one good thing that happened today.'" "The reality is that life is a very gray area." "We can rebuild ourselves, rebuild our resiliency, find a little patience and our own sense of hope and our own sense of compassion, and that gets built back at times when we're practicing self-care, and not kind of just living constantly in that high stress." "When I think about Emotional PPE or I think about the oxygen mask analogy, we have to put on our own oxygen mask first before we can help others." "Hit that doorknob, take those breaths, ground yourself before you keep going, but it also means getting some water, taking those moments to be able to step outside and take some breaths of real air" "We have, through social media, really done ourselves a disservice on one hand in that we really have just permitted it to become this kind of angry place at times." "That which gives light must endure a burning" "There's a lot of people hurting out there. There's a lot of people that are dealing with a lot of emotional pain through this time." LINKS: A Tale of Two Hygienists Podcast A Tale of Two Hygienists homepage AToTH on Facebook AToTH on Instagram AToTH on LinkedIn Emotional PPE.Org

On this week's episode of Fast Facts - Perio Edition your host, Katrina Sanders, RDH talks to us about periodontitis and its "makeover". Quotes: "It's important for us to understand what this definition means, because within the scaffolding of this definition, we understand that primary features of periodontal disease can include loss of periodontal tissue support as seen in clinical attachment loss and or radiographically assessed movement of alveolar bone levels, as well as the presence of advanced periodontal pocketing and gingival bleeding." "We're seeing an imbalance where now the highest concentration of bacteria discovered in the biofilm itself is pathogenic bacteria, bacteria that is disease producing or onset of 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: 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 joined by Dr. Joy D. Void-Holmes, RDH, BSDH, MHSc, AADH to discuss Silver Diamine Fluoride and why you should think outside the box and incorporate a new product into your operatory. Dr. Joy is the founder of Dr. Joy, RDH and the creator of the Dental Hygiene Student Planner. Episode Highlights Silver Diamine Fluoride Think outside of the box Timeline of SDF Safety Benefits for Patients Off label uses Who is this for Quotes "Why would someone want to purposely blacken teeth?" "In 2016 SDF received the Breakthrough Therapy designation by the Food and Drug Administration because of its ability to arrest decay." "This is the first oral health therapy to receive this designation." "That is 2x more fluoride than is found in fluoride varnish." "It's worth the extra step in my opinion for the patient to maintain a cosmetically pleasing smile." "⅓ patients suffer from dentinal hypersensitivity." "Approximately 50% of older adults suffer from root caries." "Early Childhood Caries is still the number one childhood disease in the world." "My math may not be exact but chances are ½ of the patients you see on a daily basis could benefit from Silver Diamine Fluoride." "My patients are worth it, and your patients should be too." Links Follow Dr. Joy on Instagram Follow Dr. Joy on Facebook Visit Dr. Joy's website More TIPisodes

Please Leave a Review! THIS EPISODE COUNTS FOR CE! - but read the disclaimers it might not count for your state. Go here to take the test and get your free CE Credit! It's A Tale of Two Hygienists', roundtable edition, which means Andrew and Michelle have invited multiple guests on the podcast. This week: Carrie Ibbetson, RDH, returns to the show, alongside Jennifer Stanley, RDH, to discuss infection control and prevention in dental practices. Carrie has worked as a dental assistant, front office coordinator, and a dental hygienist, temping in many offices, and Jennifer is a dental hygienist also with temping experiences. They join Michelle today to share the experiences they have had with infection control breaches. In this episode, Jennifer and Carrie discuss their journey as dental hygienists and their experiences working as temps in various practices. They discuss the importance of infection control and standardization in the dental industry and the challenges they face as temps when trying to bring up these safety issues. They further discuss various experiences they have had in different practices where safety was breached. The episode rounds off with advice on how to advocate for your own safety without burning bridges. EPISODE HIGHLIGHTS: Interview starts: 4:02 - Jennifer and Carrie discuss their careers and how they got into infection control - Infection control and prevention in the dental industry - The importance of standardization - Jennifer and Carrie discuss long term temping - The challenge of bringing up infection control issues as a temp - Challenging the lack of safety practices in the industry - Instances where practices have neglected infection prevention - Why you should learn infection control as a team - How to be your own advocate for safety - Where to find resources QUOTES: "I can't go back and change any of that but moving forward, I can be part of the change." "It's almost like when you're a hygienist and you're like, 'I hate the office, but I love my patients.'" "You love your patients so much, so why do you want them to be put in a disgusting situation?" "There are so many breaches of infection control that happen all the time, day in and day out." "The great thing about temping is, I can go anywhere, I can pick up and as long as I'm licensed in that state, I can have a job next week. I never have ever once worried about where my next paycheck is coming from." "Just like our brain, we move into habit loops with our infection control." "If you are somebody who is out there challenging anything, they will talk about you." "Once you start actually taking classes that you really need to be taking, and you delve deeper, and you decide to take your head out of the sand, it is not easy because you can't unsee it, you can't unlearn it." "No one should go to a clean facility and leave with a healthcare-associated infection." "Another really good point is to get on your local social media channels and start advocating for questions that the patients should be asking when they're coming in." LINKS: A Tale of Two Hygienists Podcast A Tale of Two Hygienists homepage AToTH on Facebook AToTH on Instagram AToTH on LinkedIn Carrieibbetson.com Stanley Dental

On this week's episode of Fast Facts - Perio Edition your host, Katrina Sanders, RDH talks to us about necrotizing periodontal diseases. Quotes: "If any of you have ever treated a patient that has a necrotizing periodontal disease, you'll never forget it. In fact, the smell of that disease process alone is probably ingrained into your nose hairs, if you know what I'm talking about." "This can also be observed with patients that have an odor, the patients are absolutely experiencing severe inflammation, and I hate to say it, one of my favorite parts about necrotizing disease is that it's oftentimes accompanied by pain, which I think oftentimes is a massive driver." 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: Herrera, D., Retamal‐Valdes, B., Alonso, B., & Feres, M. (2018). Acute periodontal lesions (periodontal abscesses and necrotizing periodontal diseases) and endo‐periodontal lesions. Journal of clinical periodontology, 45, S78-S94.

This week on A Tale of Two Hygienists TIPisode we are joined by Michelle and Andrew! Your hosts are giving you the tips on all the ways to learn and thrive with A Tale of Two Hygienists! Episode Highlights The Podcast - Get your CE (IT IS FREE) TIPisodes Fast Facts: Perio Edition Fact Facts: Pharmacology Edition Social Media AToTH Library - Website Newsletter - Subscribe HERE. Support us by subscribing and reviewing AToTH Quotes "I wish I had done a better job of keeping my CE tracked." "Use it, you never know when you might need more CE." "A lot of our growth has been through social media, so thank you for sharing, liking and following." "We've only been around for 3 years, why do we need a website?" "We are setting a standard of high quality information coming out through social media." "If you are a social media person you can get content there, if you are an audio person get content through the podcast, and if you are a written content or video person check out our website." Links AToTH Survey - Complete by Sept 10th, 2021 AToTH Episodes For FREE CE AToTH Instagram AToTH Facebook AToTH Website

Please Leave a Review! In this episode, Andrew Johnston, RDH is joined by Machell Hudson, RDH and Neil Hoover. On this episode our guests and Andrew dive into what it is like when you enter your first practice and how you can go about getting the equipment you need to be the best clinician possible. Machell is a repeat guest of A Tale of Two Hygienists and a clinical hygienist, speaker, coach and lover of all things Oral Systemic Health! Niel works in the DSO space with Dentsply Sirona and manages a team that manages the largest 150 dental support organizations in the industry. EPISODE HIGHLIGHTS: - New Grads - Hygiene School vs. Practice - Formularies - Budget - Lunch & Learn Interview starts: 2:33 QUOTES: "I was told in college we are the smartest we are ever going to be." "I am really so grateful that I temped at first because I got to experience different practices and methods." "Not a single practice was like what clinic was in college." "If you've seen one DSO, you have seen one DSO, they are all different." "There is no way any single individual out there can know every product on the market." "Budget is not a bad term." "The dental organization wants the best optimal clinical care done, no matter what." "Go slow, to go fast." "Lean on your doctor when you get out, they seem a little scary when you first get out but they are not." LINKS: [email protected] Dentsply Sirona - Preventive 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 your host, Katrina Sanders, RDH looks at patients specifically who present with non dental biofilm induced gingivitis associated with traumatic lesions or hypersensitivity reactions. Quotes: "These are going to be patients that may have some type of a reaction due to dental restorative materials. These could be patients that are reacting to their toothpaste, their mouthwash, some type of a food, and most oftentimes these are patients that are presenting with a type 4 delayed contact, hypersensitivity reaction." "These are changes in which we begin to see shifts or movement of the soft tissue, again, not necessarily due to the presence of biofilm, but rather the presence of clinical disorders or allergic reactions." 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: Chapple ILC, MealeyBL, et al. Periodontal health and gingival diseases and conditions on anintact and a reduced periodontium: Consensus report of workgroup 1 of the 2017 WorldWorkshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions.JPeriodontol.2018;89 (Suppl 1): S74-S84

This week on A Tale of Two Hygienists TIPisode we are joined by Andrea Wiseman, RDH from Elevate Oral Care to talk to us about prevention in restoration materials. Episode Highlights Planing the tooth Restorations Glass Ionomer SELDOX Quotes "Bacteria loves these areas with rough edges." "Restorations have an expected lifespan." "With modern chemistry we are finding ways to prevent bacterial adhesion at these sites and help make permanent restorations more realistic." "If the resin chips or fractures even the new exposed material is protected." "If it's too late for prevention at least now we can include prevention in the restoration to avoid secondary decay." Links Schedule AGD CE Accredited Staff Meeting 877-866-9113 or email [email protected] Patient Centered Communication Video Series: http://www.elevateoralcare.com/elevatingcare Elevate Oral Care Website: http://www.elevateoralcare.com Elevate Oral Care Facebook: https://www.facebook.com/elevateoralcare Elevate Oral Care Instagram: https://www.instagram.com/elevate_oral_care/ More TIPisodes: https://www.ataleoftwohygienists.com/tipisodes/ AToTH Website: https://www.ataleoftwohygienists.com