A Tale of Two Hygienists Podcast

Please Leave a Review! Jessica Atkinson, MEd, BSDH, RDH., Melia Lewis, MEd, BSDH, RDH., and Shelley Brown, MEd, BSDH, RDH., of 'Hygiene Edge' host the podcast this week. They have invited their students Angie, Blair, and Courtney to discuss challenges they faced in dental hygiene education and ways hygiene educators can set up students for success. Angie is about to start her final year at Dixie State University, Blair is a recent graduate from the Texas Woman's University, and Courtney is about to graduate. In this episode, Angie, Blair, and Courtney each describe the challenges they faced as new students of dental hygiene, including the effects of the pandemic and the changes that came with going online for learning. They also discuss how instructors have been helpful with resources, why good communication is important between instructors and students, the importance of mentors, and then round off the episode by giving advice to dental hygiene educators from their perspective as students. EPISODE HIGHLIGHTS: Interview starts: 2:30 - What was overwhelming to Angie as a new hygiene student - Blair explains feeling out of place as a new student - How a year break from school made Courtney anxious about going back - Transitioning online during the pandemic - How do educators assist students with resources? - Why good communication is important - Face-to-face communication versus online - The importance of constructive pep talks - The benefits of having different instructors - Why there is a need for mentors - How instructors help with the workload - Advice from a student's perspective - How personal is too personal? - 3 tips for dental hygiene educators QUOTES: "The biggest thing I remember, especially on my first day, the first summer classes, was just feeling so alone in the fact that I felt kind of unworthy to be there." "I just remember being so excited that it was finally here. I've been set on being a dental hygienist since I was in junior high." "Don't be nervous to ask for specifics." "It's all about teamwork and getting through with our classmates." "I just really value face to face communication when it's possible" "It's interesting how education has changed. When I was a student, I would always just go directly to the office, I don't feel like we communicated via email a whole lot." "So every time someone would stop and ask me for my reasoning, that is what helped me more." "I think I hesitate too long oftentimes in clinic to ask for help or for an instructor to kind of give me guidance on things." "There is always a point in school that feels like you can't do it anymore. It's too much, but you can always just hang on." "Everybody teaches differently, everybody learns differently." "You're there to learn and grow from each other's experiences, there to learn and grow from the experiences of your instructors, and to really become the best hygienists possible." "When I can connect with an instructor I feel so much more comfortable asking them for help." "The only thing harder than being a dental hygiene student is being a dental hygiene educator." LINKS: A Tale of Two Hygienists Podcast A Tale of Two Hygienists homepage AToTH on Facebook AToTH on Instagram AToTH on LinkedIn PDT Homepage HYGIENE EDGE homepage

On this week's episode of Fast Facts - Perio Edition your host, Katrina Sanders, RDH continues the conversation about patients that can present with an oral inflammatory condition not associated with dental biofilm. This week we are looking at patients that present with Mucocutaneous disorders. Quotes: "This is going to be a lot of pathology talk. For those of you who hated pathology in hygiene school, buckle up because we're doing it." "So the opportunity for us, if we begin to see desquamative gingivitis or some type of a vestigial or lesion in the free or attached gingiva that is not resolved by our periodontal therapy, by our debriding therapy, that sending this patient in for testing could help diagnose this autoimmune disorder before it begins to involve the skin." 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's TIPisode is delivered by our very own Andrew Johnston, RDH! He focuses the discussion on what a restorative hygienist does and tells us about his decision tree for selecting a restorative material. He also breaks down the restorative hygienist model for increased production and retention! It's a good episode for the whole team! Links http://www.gcamerica.com/ce/alleducation.php http://www.gcamerica.com http://www.gcamerica.com/products/operatory/EQUIA_Forte/ http://www.gcamerica.com/products/operatory/EQUIA-Forte-HT/

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! Andrea Hight, Area Sales Manager for Software/Technology at Henry Schein One, joins Michelle today for a discussion about the critical role of the hygienist in improving overall health outcomes. With a dental career that boasts a strong focus on public, community health, and DSO dental models, Andrea also serves as a member of the board of directors for the National Network for Oral Health Access, Healthy Smiles for Kids, and the American Institute for Public Health Dentistry. Today, she shares her PowerPoint presentation regarding the importance of hygienists and the standardization of procedures in dental practices. In this episode, Andrea starts the conversation by discussing the various roles she has taken on in the dental space, and then begins her presentation by looking at the triple aim of healthcare and how hygienists connect better with, and are less intimidating to, patients. She goes on to review the positive impact dental assistants bring to clinics and practices by saving time and bringing about increased revenues, and finishes off with a discussion about the importance of standardization and inventory management. EPISODE HIGHLIGHTS: Interview starts: 8:48 - Andrea's dental career - What is the triple aim of healthcare? - The important role of the hygienist in connecting with patients - How dental assistants bring increased revenue to practices - Comparing the single column schedules with and without dental assistants - How to manage the work environment to boost productivity - The global treatment paradigm - 5 benefits of standardization - Why you need an actual patient flow - The importance of inventory management QUOTES: "I'm simply very passionate about the importance of oral health as part of overall health." "We're looking at making the patient experience more meaningful, making doing so cost-effective, and helping the patients become healthier at exactly the same time." "You've got great skills, why squander those skills when you can really enhance the impact you can have?" "Patients often find the hygienists to be less intimidating than the dentist, which supports more open communication, relationship building, and divulging of important health information." "DryShields do not replace dental assistants." "The end result of good planning with workflow in a dental assistant is you get to see more patients, you get to give them focused care, and the practice or program benefits with increased revenue, which more than offsets the cost of giving you a dental assistant." "Chronic little frustrations can be as hard on your system as a big stressor. In fact, chronic little stresses can be harder on you than a big stressor." "My first recommendation is that all rooms should be usable for everything. This enables you to adapt." "Be intentional about how the patient is from the moment the patient walks through the door into the clinic, through the clinic." "Applying evidence-based research and best practices are really valuable when you're determining materials." "It's amazing how many instructors are actually not training students to use the product according to the manufacturer's instructions." LINKS: A Tale of Two Hygienists Podcast A Tale of Two Hygienists homepage AToTH on Facebook AToTH on Instagram AToTH on LinkedIn Andrea's LinkedIn Page PowerPoint Link

On this week's episode of Fast Facts - Perio Edition with your host, Katrina Sanders, RDH there's a fungus among us, we're looking at patients that present with some type of an inflammatory condition due to fungal origin. Quotes: "Histoplasmosis is actually an interesting infection that's acquired via the lungs via the respiratory tract due to inhalation of infected bat droppings." "Now, what we're starting to find is that patients that present with linear gingiva erythema may have this associated with an HIV infection, but even more so, we're starting to see a resolution of linear gingival erythema not only associated with being placed on an antiretroviral if an HIV diagnosis is found, but also placing the patient on an antifungal for high level therapy." 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 Andrew Nobilini and Mike Rust from ProEdge Dental Water Labs! Andrew and Mike talk to us about the ONE waterline maintenance protocol to rule them all. Our hosts cut through the confusion and give you the information you need to know to do what is best for your practice and patients! Episode Highlights 3 Simple Steps to Passing Waterlines What is Shocking? Treating Daily Testing Quotes "Think of your dental unit lines like you think of your shower… it takes a nasty chemical to clean your shower, well it takes a nasty chemical to clean your dental unit waterlines as well." "Bugs come back." "Shocking works, but it only lasts a week unless you use a tablet or a straw." "We equate shocking to a professional cleaning, you still need to brush and floss daily and we equate that to treating." "Peace of mind, if you monitor your protocol you will know it is effective, when you document it you are protecting your practice, your reputation and your business." "When inspectors come knocking one of the first things they ask for are your dental unit waterline test results." "If you can do these three things you can absolutely have safe water in your office." Links: How to Shock Video Tutorial: https://proedgedental.com/howtoshock How to Shock PDF and Blog: https://proedgedental.com/shock Safe Water Webinar: https://proedgedental.com/webinar

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! Duane Tinker returns to the podcast today to join Andrew and Michelle for a discussion about patient records and charts in the dental field. Listeners may remember that Duane is a former law enforcement officer who is currently the CEO of Dental Compliance Specialists, a company that works with dental practices across the United States to ensure staff are well-trained in infection control and are working with the best and safest equipment. Known as "The Tooth Cop", courtesy of his previous line of work in Texas law enforcement, he's also the host of the 'Talking with the Tooth Cop' podcast. Today he discusses the importance of charting and why auditing is necessary. In this episode, Duane discusses the importance of documentation in patient records, how cases where notes are inconclusive can pose legal and billing issues, what is needed in a document when signing electronically, and why shorthand should be kept to a minimum for easy communication. He goes on to review the pros and cons of using templates, the importance of reviewing and tweaking them whenever using them, and finishes off with a discussion about the auditing process, including how it is done, and why it should be done on a regular basis. EPISODE HIGHLIGHTS: Interview starts: 12:36 - Duane Tinker talks about living the dream in his RV - The challenges that come with the nomad life - The importance of documentation in patient records - What to include when signing electronically - Should shorthand be allowed? - The pros and cons of using templates - The key components of a template note - Handling the conversation when correction in notes is needed - The American Dental Hygiene Association standard - Why Perio charting? - Why do dentists need to train their assistants on documentation procedures? - Documenting x-rays and intraoral pictures - What is the auditing process? QUOTES: "One of the most beautiful things about being a business owner is being able to have a vision and create that vision and then execute." "The number one most common problem is no clinical note." "Every time that you see a patient, there's a story that unfolds there and you know, it's your job, whether you're the dental assistant, the dentist, or the hygienist to tell their story." "Communication is key and in an effort to not be misunderstood, let's just use plain English." "Your whole goal with your note is to paint a picture." "It takes a real talented person to be able to point out the positives and focus on the positives because you know, you have to give a little reward, give a little sugar, with medicine." "The only perfect template is the one that you've reviewed and tweaked, modified to suit your needs." "Your dentistry is only as good as your documentation. If you don't care enough to do that half the job, then why bother to show up and do the other half?" "It's important to document objective information with things that you can see, feel, touch...observe with your five senses, okay." LINKS: A Tale of Two Hygienists Podcast A Tale of Two Hygienists homepage AToTH on Facebook AToTH on Instagram AToTH on LinkedIn Dental Compliance Homepage Talking with the Toothcop podcast

On this week's episode of Fast Facts - Perio Edition your host, Katrina Sanders, RDH discusses patients that present with a gingival manifestation associated with viral origin. Quotes: "Speaking of fever, another very common viral condition that we can see in the oral cavity is primary herpetic gingivostomatitis." "The latent form is a form of shingles or herpes zoster and this type of shingles observation, of course, we oftentimes see in an older patient population, oftentimes observed by a unilateral pain. We see this as well in the oral cavity." 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

On this A Tale of Two Hygienists bonus episode Michelle is talking with repeat guest and friend of the podcast Dr. Pamela Maragliano-Muniz about guided biofilm therapy (GBT) and the use of AIRFLOW® Prophylaxis Master from EMS. This episode is sponsored by EMS. For more information about Airflow visit www.ems-dental.com. Episode Highlights Long Term Outcomes Biofilm Research What's a Hygienist To Do? Infection Control and GBT GBT Supporting Technologies The Power of Disclosing Gel 8 Parts to GBT Quotes "For me it took a pandemic to bring me 100% on board." "It almost seems too good to be true, but it's true!" "It was one of those things where I wanted to be better, I realized I can be better." "GBT has been a practice changer." "Biofilm research dates back to 1979, and it BLOWS MY MIND." "If we really want to break this oral systemic link, and prioritize the patient's overall health we need something that is efficient, that works and something that isn't going to ruin our appointments and that is what this is such a great system." "I don't know who was more excited when we started GBT after the pandemic, me or my patients." "The patients are more engaged than ever, they love the technology." "I love that EMS puts motivation at the top of the appointment." "If you don't have the AIRFLOW® Prophylaxis Master, you can still practice some steps of GBT." "Thank you EMS for making us do what we should have been doing forever." "Chances are there is biofilm between those teeth and we are now placing our respiration in a cesspool." "GBT is a treat for the patient and the clinician." Links and Resources GUIDED BIOFILM THERAPY EMS Dental: Leader in dental prophylaxis and prevention AIRFLOW PROPHYLAXIS MASTER Airflow Max Hand Piece From EMS - Chairside Chat -

This week on A Tale of Two Hygienists TIPisode we are speaking to all the clinical educators out there! We are joined by Shelley Brown, MEd, BSDH, RDH from Hygiene Edge to talk about helping students build confidence. Episode Highlights Let the student lead Set them up for success Show confidence in them Have the student use confidence language Give them compliments Quotes "Her lack of confidence in her skills caused me not to trust her with my health." "If a patient can't trust us, it doesn't benefit either party." "They need to feel the responsibility of a successful appointment." "If they are not on the right path, ask them questions to guide them on the right path." "We won't be there forever for the student to fall back on so they need to learn to troubleshoot and find the answer for themselves." "My instructor will come and confirm my findings." "When a student has confidence they relay competence to the patient." Links Hygiene Edge: https://www.hygieneedge.com More TIPisodes: https://www.ataleoftwohygienists.com/tipisodes/

Please Leave a Review! It's A Tale of Two Hygienists' student roundtable episode, which means Andrew and Michelle have invited a roster of guests to educate student listeners on a chosen topic. Today, Michelle and Andrew have invited Teresa and Pete, two professionals with a vast amount of recruiting experience both within and beyond the dental field, to join them for this month's discussion regarding recruiting in the dental hygiene practice. In this episode, Teresa and Pete begin by sharing how they got into recruiting, different niches in which they have worked, why they prefer to hire new graduates, and the importance of having both new graduates and established hygienists in an organization. They also discuss attributes which recruiters like to see in candidates, some recruitment practices, the impact of the pandemic on the dental hygiene space, and their advice on how to set up your resume for your next job application. EPISODE HIGHLIGHTS: Interview starts: 5:31 EPISODE HIGHLIGHTS: - Teresa and Pete share some of their background - New graduates vs established hygienists - Why new graduates? - The importance of having both new grads and established hygienists in an organization - Having an open mind and willingness to learn - Why flexibility is important - Social media recruiting vs job sourcing sites - Tips for setting up your information on job sourcing sites - The effects of the pandemic on hygiene opportunities for dental practices - Video interviews vs in-person interviews - benefits, pros and cons, and success rates - Scrubs vs business attire - Why you shouldn't put a headshot on your resume - How important is your resume? - CV vs resume for hygienists QUOTES: "The return on the investment was extremely positive because they were able to understand the business, understand what their role would be, and what they're actually going to school for." "By starting with the new grads, you're, you're molding that hygienist the way you want them to be." "The hard piece that we have, as recruiters, is level-setting them to reality, versus what the school is wanting them to try to find and accept, and then what they're looking for, especially." "It really is about your attitude towards the profession, the attitude towards your patients. It's your willingness to learn, willingness to kind of just continue to evolve as a professional because it's not going to be static ever." "The more flexible you are, the easier your professional development is going to be." "That shows you the power of social media, but yet, we're not harnessing the power in the right direction." "Since the pandemic, somebody just went in and just flipped the switch, and nobody wants to work." "Everybody's nervous when they go to an interview, no matter what kind of interview it is." LINKS: A Tale of Two Hygienists Podcast A Tale of Two Hygienists homepage AToTH on Facebook AToTH on Instagram AToTH on LinkedIn ATOTH's Linktree Page Michelle's Facebook Page

On this week's episode of Fast Facts - Perio Edition your host, Katrina Sanders, RDH discusses genetic or developmental disorders and infections that can affect a gingival lesion. Quotes: "Now, the main piece that I want you to know about this is that when a patient presents with necrotizing disease, necrotizing periodontal disease, absolutely there is an ideology of bacteria." "This is kind of an interesting type of gingivitis because it's not associated with plaque. It's associated with an infiltration of high strains of streptococcus." 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

On this weeks TIPisode, brought to you by Young Dental we are joined by Whitney Howerton, MDH, RDH to discuss all things about handpieces, specifically cordless handpieces! Highlights Corded vs. Cordless Handpieces Create your handpiece wishlist Discover CDC recommendations for handpiece disinfection and sterilization Create a safer polishing experience for the patient and clinician Experience an innovative cordless handpiece Quotes: "I feel like I have better control of the RPMs with a foot pedal as opposed to applying more pressure or adjusting the speed via a pre-set speed setting much like an electric toothbrush." "In a cordless handpiece, I wanted a light weight, ergonomic design, the same power and torque as a corded handpiece and the ability to choose my own brand of prophy angles." "I want to introduce you to a handpiece where you have infinite possibilities." "The Infinity cordless handpiece by Young Dental offers an exceptional engineered design, weighing 4 ounces and has an extremely quiet operation." "4 ounces you guys, that is nothing!" "It is really for any dental professional that can legally use it!" "Clinicians can enjoy the flexibility of a cordless handpiece without sacrificing freedom of choice." "The Infinity paired with the Splatter Guard prophy angle is the most splatter reducing combination on the market." "It has killer and I mean KILLER battery life." Links Schedule an in-office demo Infinity Cordless Handpiece Info SPLATTER GUARD®

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 Andrew and Michelle on today's episode is Dr. Robert MacLean, DVM and Dr. Erin Ribka, DVM here to discuss animal oral health. Dr. Ribka is an owner and veterinarian at Veterinary Dental Specialties & Oral Surgery and Dr. MacLean is the senior veterinarian at the Audubon Nature Institute. They both graduated from the School of Veterinary Medicine at University of Wisconsin. Together, our hosts and guests discuss a variety of topics including the similarities in animal dentistry and human dentistry, dental issues in veterinary medicine, and pain management. In today's episode, we learn about our guests' backgrounds and how they know each other, the lack of training in dentistry for most veterinarians, the importance of feeding correctly to prevent dental issues, and the stories of various experiences they've had with their patients. The episode rounds off with a discussion about the similarities in instruments used in animal dentistry with those used in human dentistry, and the sterilization of instruments they use. EPISODE HIGHLIGHTS: Interview starts: 5:48 - The path to becoming a veterinarian - Dr. Ribka's interest in dentistry - How Dr. MacLean got into being a veterinarian for the zoo - Why do veterinarians need dentistry training? - The two tracks available in the American Veterinary dental college - Dental issues in veterinary medicine - Using Chlorhexidine for animal teeth - What animals regenerate teeth? - The importance of correct feeding for malocclusion prevention - Pain management in veterinary dental care - The etiology in wild animals vs companion pets - What are the similarities in instruments used for human teeth and animal teeth? - How to clean and sterilize instruments used in veterinary dentistry QUOTES: "Different veterinary specialties have different lengths, residencies, and different requirements." "We certainly recognize that in zoo medicine, that we these days, really try to rely on available experts to assist us so we make sure we get procedures done efficiently and correctly for the animals." "We have done, as veterinarians, not a very good job of training veterinarians in dentistry." "Dentistry is what got me into veterinary medicine." "Periodontal disease in small animal patients is the number one disease - more than obesity, more than anything else." "Most zoo veterinarians have at least some basic knowledge of extractions." "Tetracycline has also been used as a biomarker to age animals." "We got a couple of years more lifespan on these animals if we tried to periodically float their teeth and manage their dental arcades." "As soon as I passed that first exam, I forgot everything I had to know about rabbits." "Education is absolutely key and if people understand why I want to extract the tooth or why this tooth needs a root canal, then they're more accepting of the cost because it's not cheap." "Periodontal disease in companion pets has gotten much worse because of the way we breed them." "We see more dental issues in our older animals." "There are fewer than 200 veterinary dentists in the world." LINKS: Donate to Audubon Nature Institute Dr. MacLean's LinkedIn Dr. Ribka's LinkedIn Audubon Nature Institute Veterinary Dental Specialties & Oral Surgery A Tale of Two Hygienists Podcast A Tale of Two Hygienists homepage AToTH on Facebook AToTH on Instagram AToTH on LinkedIn ATOTH's Linktree Page Michelle's Facebook Page

On this AToTH bonus episode Andrew learns how to use our new podcasting equipment and Michelle talks with Melissa Turner, Brooke Crouch and Sarah Crow about the Cellerant Best Of Class Hygiene Awards! Episode Highlights Cellerant Best of Class Hygiene Awards Virtual Award Program December - We select WINNERS! Debate (To the Death for Michelle) "We look at the technology and pick out the products that stand out amongst the crowd." "We sat down and said he HAVE TO extend this to dental hygiene." "Spirit has down grades only." "Pandemic man, there isn't even anything left to say about that." "Just because there is a category, doesn't mean there is a winner." "We all have our individual backgrounds." "We all have those couple of things we love." "This award is one of the most prestigious awards in dental hygiene." "This award is completely unbiased." "This award has integrity, it is about doing what is right when no one is watching." "The innovation is what dental hygiene has needed for a minute." "Are we going to have safe words, are we going to have a time out chair for Michelle?" "To the DEATH… who said that? Did I miss a memo?" "We are all talking about having a friendly debate and Michelle is to the death over here." The Cellerant Best of Class Hygiene panel members include: Melissa Turner, BASDH, RDHEP, EFDA- Chief Hygiene Officer, Cellerant Consulting; Editorial Advisory Board, RDH Magazine; Co-founder, National Mobile & Teledentistry Conference; Co-Founder, The Denobi Awards; Founder- I Heart Dentistry Network; Co-host, Dentistry Gone Wild; Co-creator, Oral Health United [email protected] Pamela Maragliano-Munez, RDH, DMD, FACP- Chief Development Officer, Cellerant Consulting; Editor In Chief, Dental Economics; Editorial Director, Dental Academy of Continuing Education; Associate clinical professor, Tufts University School of Dental Medicine [email protected] Andrew Johnston, RDH, BSBM- Director of Hygiene, Coast Dental; Co-host, A Tale of Two Hygienists [email protected] Amanda Hill, RDH, BSDH- Host, Your Dental Top 5; Editorial Advisory Board, RDH Magazine; Industry Educator, Dental Post; Certified Educator, OSAP-DALE Foundation [email protected] Brooke Crouch, RDH- Vice President, American Mobile & Teledentistry Alliance; Clinical Advisory Board Chair, Virginia Health Catalyst; Oral Health Action Team Chair, United Way of Roanoke Valley [email protected] Kristin Goodfellow, RDH, BA- Clinical Director, OraCare Oral Rinse; 2013 Recipient, Proctor & Gamble's Excellence in Patient Communication Award; Featured author, Dental Products Report & RDH Magazine [email protected] Michelle Strange, MSDH, RDH- Co-host, A Tale of Two Hygienists; Client Success Manager, MouthWatch; Co-founder, LevelUp Infection Prevention; Editorial Advisory Board, Dental Economics [email protected] Nancy Miller, RDH, BA- Founder, UltraConcepts; Clinical Advisor, Jameson Management; Adjunct Faculty & Clinical Instructor, Northeast Wisconsin Technical College; [email protected] Sarah Crow, RDH- President-elect, ADHA Massachusetts; Co-founder MDHA Mentor Liaison Team; Recipient, Massachusetts Dental Society Hygienist of the Year; Recipient, Middlesex Community College Member of the Year; Feature Writer, ADHA Access Magazine [email protected] Links Press Release: https://www.dentistrytoday.com/news/industrynews/item/8635-cellerant-best-of-class-hygiene-award-program-launches-for-2021 Learn about Cellerant www.cellerantconsulting.com

On this week's episode of Fast Facts - Perio Edition your host, Katrina Sanders, RDH discusses systemic or modifying factors for patients that present with dental biofilm induced gingivitis. Quotes: "What we're really talking about is the fact that in addition, these individuals present with a dramatic rise in their sex steroid hormone levels during puberty." "we look at patients that present with medication for contraception, namely patients that take over-the-counter birth control pills. These are going to be patients that will present with some type of a gingival inflammation in many cases due to the concentration of sex steroid hormones." 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 Steve Pardue from Elevate Oral Care to talk about xylitol, a tool to fight against acid producing bacteria! Episode Highlights Demineralization and Remineralization Xylitol Quantity of Xylitol Quotes "Everyday when we eat and drink our exposed teeth demineralize for a period of time." "Fluoride hardens the tooth surfaces but does little to effect the bacterial presence in the mouth." "Xylitol has no effect on the tooth but can starve out specific bacteria that are very acid producing." "You don't need to consume a bunch of xylitol, just rather just have small amounts throughout the day." "Here at Elevate we try to add xylitol to everything we can." 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

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 been a long time in the works, but Andrew and Michelle finally get to welcome someone to the show today that so many listeners have been requesting – the amazing Lisa Copeland, RDH, CSP, CVP. With a remarkably successful corporate healthcare speaking career under marketing, sales, and education spanning 30 years, Lisa is a veritable fountain of information, experience, and advice. Her current focus is on the generational communication aspect of dentistry, a critical component in practices these days, and she shares her IRONMAN principles regarding this communication with listeners here today. In this episode, Lisa shares some of her background and experience, explains generational communication, and walks through her IRONMAN principles of business communication. She also discusses teledentistry, one of COVID's silver linings, connecting communication and money, getting team members participating, and highlighting the positives about practices. She finishes up by promoting some ways to get IRONMAN started in practices and introducing her upcoming 'Dental Teams Unite' initiative. EPISODE HIGHLIGHTS: Interview starts: 13:10 - Lisa's background - Generational communication - Lisa's Iron Man experiences and training - The Iron Man principles of business communication - Teledentistry - One silver lining of COVID - Connecting communication and money - Getting team members to participate in communication strategies - Highlighting positives about your practice - Getting IRONMAN started in your practice - Dental Teams Unite QUOTES: "People are just little plague rats in my life, and I want to stay away from them." "I put a really heavy, heavy emphasis on generational communication now, because there's so much friction with four or even five generations working in the workforce." "The youngest generation coming to the workforce is Gen Z, and they are, you know, they've been bookended. They had the great recession, and now they're living through COVID." "People evaluate 11 things about you, in seven seconds." "Start just walking through your office as if you were a new patient coming into your practice." "Relationships are the cornerstone of every business." "If you're actively listening, you're listening with all of your senses, and you're really taking in what the person is trying to communicate to you, and not thinking about your answer immediately." "It's all teachable to people but some people are just naturally good at it. And some people have to really work at it." "We have to look at their wants first and then focus on their needs." "I would love to say that our hygienists are really good at including whatever their main concern is, or whatever the thing that they want. But it ends up being just an item on a treatment plan rather than a relationship." "Give people the opportunity to cross train, and also be leaders of different points." "Give them a call to action so they know what's next, what's coming up, and what's, you know, in their future." "You have to have processes and protocols in place for that seamless handoff and follow up." "Teledentistry has really closed the gap in a lot of the communication gaps that have occurred." "Are you telling me that we don't adopt research and evidence based practices in a timely manner?" "Once you get that team firing on all cylinders, it is such a beautiful thing." "I don't think we use the reception area, the waiting area, enough for acknowledgement and patient education." LINKS: A Tale of Two Hygienists Podcast A Tale of Two Hygienists homepage AToTH on Facebook AToTH on Instagram AToTH on LinkedIn ATOTH's Linktree Page Michelle's Facebook Page Volunteering: An Unexpected Way to Market Your Dental Practice PDT Homepage Communicate With Influence Dental Teams Unite Text Lisa @ (206)465-1637

On this week's episode of Fast Facts - Perio Edition your host, Katrina Sanders, RDH discusses predisposing factors to dental biofilm induced gingivitis. Quotes: "I want to be very clear, this is when biofilm levels have begun to build up. And if we do not see any disruption or removal of this dental plaque accumulation over days or weeks, we're going to begin to see what's called an incipient dysbiosis." "And so oftentimes from a treatment standpoint, yes, we are having the conversation about biofilm control. But in some of these arenas, controlling that inflammatory condition may also mean that we need to control the risk factor, meaning if a patient is reacting to a PFM margin perhaps biofilm control alone may not be the only way to address this challenge." 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 Pediatric Dentist, Dr.Jeannette MacLean to talk to us about the expanding MI Paste line from GC America. Episode Highlights What is MI Paste? Recaldent Using MI Paste in Your Practice Pediatric Patients Teen Patients MI Paste Plus Hypersensitivity MI Paste One MI Paste Kids Quotes "MI paste is actually a topical tooth cream that contains recaldent." "It's nice to have an alternative to offer parents who are leery of fluoride." "It tastes good, it's a mild flavor so compliance is good." "In the process of doing that you are going to hyper mineralize the outer surface of the enamel." "As it hyper mineralizes it can sometimes stain." "I have had success with this Etch MI Paste technique." "Switching to MI Paste there was a noticeable difference in my sensitivity." "You can clean and protect teeth with MI Paste One." "The cotton candy flavor tastes like real cotton candy." Links 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 Dr. MacLean Youtube Channel https://www.youtube.com/channel/UCuJ6qgHP6JxaIqmSe3HSLmQ Dr. MacLean Website https://kidsteethandbraces.com/ http://www.gcamerica.com/ce/alleducation.php http://www.gcamerica.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! Inspired by the book, What Happened To You?, by Bruce D. Perry and Oprah Winfrey, Michelle and Andrew have invited Jasmin Haley, RDH, MSDH, CDA to discuss Adverse Childhood Experiences (ACEs). The Founder and CEO of Beyond the Prophy and Co-Founder of the MOMgienist Community, Jasmin has extensive experience as a dental hygienist, national educator, and assistant, and is a 2018 recipient of the nationally recognized Sunstar/RDH Award of Distinction. Currently, she is also a speaker and a business growth strategist who helps entrepreneurs scale their business. In today's episode, our hosts and guest discuss ACEs, how they impact the lives of people, and the effects shown in individuals with high ACE scores. They also discuss how the brain works and how it embeds our experiences, the differences between PTSD and ACEs, and also how the gaps in education can prevent healthcare workers from realising how patient behavior can be a result of dealing with trauma. Jasmin concludes by recounting how she, despite having a high ACE score, was able to push through, and advising us all to look inwards and save ourselves by asking that most important question, "What happened to me?" EPISODE HIGHLIGHTS: Interview starts: 9:56 - Jasmin discusses her new journey as an entrepreneur and business growth strategist. - What Are Adverse Childhood Experiences (ACEs)? - The effects on ACEs - the number one public health threat. - Defining a traumatic event. - Types of ACEs and their impacts on a developing brain - PTSD vs ACEs - the differences - Kaiser Permanente's research on ACES - The education gaps healthcare workers have and how they affect patients. - Lessons from the book, What Happened To You?, By ‎Bruce D. Perry and Oprah Winfrey. - How the brain embeds our experiences. - Jasmin's struggles with ACEs as a child. - What is resiliency? - The importance of looking inwards to find out what happened to you. - The tree of regulation. - 3 ways to help patients dealing with traumas - How to bring up the subject of ACEs with people QUOTES: "The question should always be 'What happened to you?', regardless of what that person's problem is." "Every course that I've taught, I realized that there were gaps in our education." "To know that there is a whole other world of healthcare workers out there that are not trauma informed and could therefore be harming our patients more than doing good is scary." "How many times did I not give my patients the treatment that they needed because I was annoyed with their behavior that they might not have not even understood." "There's a huge component of resiliency that we all have but there are many of us that are left behind." "When we look at ACEs, it's almost like an oil spill, and it just spills over every single possible medical condition you can think of." "What if these children who had these experiences had that one person that just poured into them at that right moment?" "It starts with us, we've got to work on ourselves first." "It sounds like the majority of us are broken so we might not know how to save ourselves first." "We're meant to be in community. We are relational creatures." "How are we impacting every single person that we're meeting in a meaningful way?" "If we're not willing to give ourselves that same amount of compassion, how in the world are we going to do that for our patients?" LINKS: A Tale of Two Hygienists Podcast A Tale of Two Hygienists homepage AToTH on Facebook AToTH on Instagram AToTH on LinkedIn Jasmin Haley Homepage Nadine Burke Harris's TEDtalk

On this week's episode of Fast Facts - Perio Edition your host, Katrina Sanders, RDH discusses the two major categories of gingivitis as are defined by the 2017 AAP classification system. Quotes: "Gingivitis is a reversible disease process of the periodontium meaning the expectation now is for us as clinicians to see gingivitis as a disease process, albeit reversible." "We can also classify gingival diseases as being non dental biofilm induced, and this is the tough one for hygienists because we absolutely love the kind of inflammation in which our mechanized scalars or our hands scalars can get in there and clear out that inflammatory 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: 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

Welcome back everyone to a bonus episode where Andrew makes up the game as he goes along and awards points for great answers! On this episode he focuses on RDH Under One Roof and is joined by return guests Sandy Lee and Carlos Rodriguez and new "guest" Michelle Strange! Learn about what these guests are looking forward to at RDHUOR and how much they know about Indiana, and their own states! Listen until the end to find out who is the winner! Register for RDH Under One Roof: https://www.rdhunderoneroof.com/rdhuor2021/registration

This week on A Tale of Two Hygienists TIPisode we are joined by Jessica Atkinson, RDH, MEd from Hygiene Edge to talk about having a team mentality in clinical dental hygiene This TIPisode is sponsored by Orascoptic. Visit www.Orascoptic.com to learn more. Quotes "coming together is a beginning, keeping together is progress, working together is success." "You have to ask yourself, is that a habit that is beneficial for my students." "If you really think there is an issue, go to the clinic coordinator." "There is no room for back biting when you want a successful education environment for your students." Links Hygiene Edge: https://www.hygieneedge.com More TIPisodes: https://www.ataleoftwohygienists.com/tipisodes/

Please Leave a Review! It's A Tale of Two Hygienists' student roundtable episode, which means Andrew and Michelle have invited a roster of guests to educate student listeners on a chosen topic. Today, Melissa Obrotka, BA, RDH, and Nicole Fortune, MBA, RDH, join Andrew and Michelle to discuss implant dentistry and the differences between a natural tooth and an implant. In this episode, Melissa and Nicole begin by giving a brief summary of their journey as hygienists and how they got into implant dentistry. They go on to highlight the differences between assessing a tooth and an implant, the importance of doing medical checks and patient research before implanting, the methods and tools used to probe implants, and some homecare tips for implants. They round off with tips for students on how to delve into the world of implant dentistry - the key being not to be afraid and to ask questions. EPISODE HIGHLIGHTS: Interview starts: 2:19 Melissa talks about her journey as a hygienist and how she gives back to the profession by educating the next generation. Nicole delves into her experience with implant dentistry. The ever-changing nature of implant dentistry. The big differences between assessing a tooth and assessing an implant. What is an implant? Assessing the tissue around an implant. Why you should ask your patient questions surrounding their implants Probing an implant – the methods and tools necessary. The importance of checking for implant looseness and patients' reactions. Why you should pre-plan and assess necessary factors before implanting. What is all-on-four? The importance of bringing hygienists to the discussion table. Homecare tools for implants. Scalers and implants- managing biofilm around implants. 3 implant dentistry tips for students. QUOTES: "When I say that out loud, I can't believe it." "I love dental hygiene. I love how we can change patients' lives everyday and make people healthier, make sick people healthy, help improve their self esteem. I just love everything about what we do." "Good implant companies are kind of like car dealerships, there's like four or five, six big ones that you know, and then there's hundreds." "We kind of entered the Oprah stage of dental implants where you get an implant and you get an implant and you get an implant." "Our charge as dental hygienists is to keep ourselves informed." "Assessing the amount, the color, the consistency of that exudate is your next step." "There's actually science to back that." "How is the prosthetic retained? Is it screw retained? Is it cement retained?" "Don't probe them and don't scale them...unless you have a gold scaler." "It's not really all that scary. It's just a kind of a different way of approaching it." "We need to set these patients up for success." "There should be no Implantology without Periodontology." "You've got to earn this dentistry." "If it's not fun for me, it's certainly not fun for them." "It's like trying to do dental hygiene with a butter knife." LINKS: A Tale of Two Hygienists Podcast A Tale of Two Hygienists homepage AToTH on Facebook AToTH on Instagram AToTH on LinkedIn Nicole Fortune Rdh Homepage Nicole's email Melissa's Instagram Disrupting Dentistry Podcast Badass Hygiene Melissa's email

On this week's episode of Fast Facts - Perio Edition your host, Katrina Sanders, RDH discusses clinical gingival health as it is defined by the 2017 AAP classification systems. Quotes: "The key indicator here is that it is imperative for us as the treating clinician to identify, does our patient truly present with pristine health of the periodontium, where there's no clinical attachment loss whatsoever, or does the patient have a healthy gingival status? Yet we're seeing some attachment loss? " "The American Academy of Periodontology very much supports us as clinicians in understanding and identifying the various factors that can contribute to changes in our patients periodontal status." 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: Lang, N. P., & Bartold, P. M. (2018). Periodontal health.Journal of periodontology,89, S9-S16

This TIPisode is brought to you by Zirc Dental. We are joined by Tina Punton, who talks to us about the game changer that is Mr. Thirsty One-Step! 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: "Wait did I just hear her say they have a device that can give me an extra hand all while keeping my patient comfortable?" "Mr. Thirsty's adaptivity allows hygienists or doctors to work alone, and hygienists can easily control aerosols while performing ultrasonic procedures." "Mr. Thirsty has wide chambers in the middle of the device that allow that suction to occur." "It is disposable so no wasted time on maintenance, sterilization, or risk of cross contamination." "Mr. Thirsty One-Step is now available in three sizes!" "The variety pack includes 10 of each size of mouthpiece, that will allow you to get a feel for how Mr. Thirsty works!" Links: Learn more about Zirc Dental Products: https://www.zirc.com/ Mr. Thirsty One-Step: https://www.zirc.com/products/isolation Email Tina: [email protected] or call her at 763-251-3039 Follow Zirc on Instagram: https://www.instagram.com/zircdentalproducts/

Please Leave a Review! Jessica Atkinson, MEd, BSDH, RDH., Melia Lewis, MEd, BSDH, RDH., and Shelley Brown, MEd, BSDH, RDH., of 'Hygiene Edge' take over and host the podcast this week. Together, they discuss how they get ready for summer as dental hygiene educators. Offering valuable experience, insights, and advice along the way. In this episode, Jessica discusses her summer plans consisting of Continuing Education (CE) courses and the importance of these courses to improve as educators, even during the summer break. The panel explores the power of networking in improving teaching tactics and gaining knowledge in the dental space, and Melia goes on to highlight the world of online teaching. They round off with an admonition to dental students to make good use of their summer to hone their skills and to dental hygiene educators to prep, network, learn and grow, and, of course rest. EPISODE HIGHLIGHTS: Interview starts: 2:37 What dental hygiene educators do to get ready for this summer. Jessica talks about how she plans her summer and why she takes on Continuing Education (CE) courses during the summer. Why Melia loves attending dental conferences in summer and how it helps her as a hygienist and an educator. The need for networking as educators. Jessica talks about platforms that offer Continuing Education courses— Vicki Pizani's Educators Platform and Dr. Joy's Jell-Ed platform. Keeping your skills fresh with CE courses. Finding the balance between working and improving your courses during the summer. How networking exposes you to new aspects and techniques of teaching. Melia discusses the struggles of online teaching. Making use of summer to fill your cup with new education, networking, teaching improvements, and knowledge in the dental space. Melia speaks about the Facebook page she created for educators to connect and share their knowledge. Why dental students should hone their skills in summertime and find patients to alleviate the impending stress of dental hygiene school. Recharging in summertime in your personal way to alleviate stress. QUOTES: "Continuing Education is a necessary part of not only being an educator but being a professional." "It's really exciting to learn about new products. It's really exciting to learn the latest and greatest science, about the products that our students and ourselves can be using in practice." "The lifeblood of our profession— patient care." "This is where you can be more creative." "Education's kind of like laundry or the dishes that are never done, and there's more you can do." "You will always find something more that is very important to add into your course to make it more beneficial towards your students and to make better hygienists." "We should be talking as educators and connecting and learning and growing in a different way. Let's talk and work together and collaborate." "If every school gets better, that means we're going to have better hygienists in the field, patients are going to have better care, our profession is going to be better, respected, more well established." LINKS: A Tale of Two Hygienists Podcast A Tale of Two Hygienists homepage AToTH on Facebook AToTH on Instagram AToTH on LinkedIn PDT Homepage Hygiene Edge Homepage Educators Platform Jell-Ed

On this week's episode of Fast Facts - Perio Edition your host, Katrina Sanders, RDH begins dialog around the 2017 AAP classification systems by talking about the clinical spectrum of health and the first two of the major categories when it comes to diagnosing or identifying periodontal health as pristine periodontal health and a well maintained clinically periodontally healthy case. Quotes: "In 2017, the American Academy of Periodontology proposed that there were four distinctive levels of periodontal health, depending on the state of the periodontium itself." "...health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity." 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: Lang, N. P., & Bartold, P. M. (2018). Periodontal health.Journal of periodontology,89, S9-S16

Please Rate this Podcast! On this TIPisode we are joined by Stephanie Eddy, RDH BSDH to talk about motivational interviewing and tools to assist in your caries risk assessment! Episode Highlights: Motivational Interviewing Caries Risk Assessment Time barrier, and solution Quotes: "Patient centered communication is a simple conversational technique that will help to guide a conversation according to a patients values and expectations to elicit a change in behavior." "84.5% of patients are classified as having an increased risk of decay." "Can you imagine the difference we could make in our at risk patients of all ages if we properly identified their risk level and utilized patient centered communication to work together?" "Are you taking the time to identify patients in your office that are at risk for developing decay?" "43.2% reported rarely or never using caries risk assessment." "Elevates form has 5 simple close ended questions to use to identify an increased risk of decay, and 4 open ended questions to understand your patients goals and habits." Links: Elevate CRA Form Elevate CRA Meter Elevate Staff Meeting: https://www.elevateoralcare.com/Staff-Meetings 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! EPISODE HIGHLIGHTS: Inspired by an article in Dentistry IQ regarding a popular misconception about CPT codes, Michelle and Andrew have invited two experts in the coding field to the podcast today to set the record straight. Teresa Duncan is a speaker and writer with over 20 years experience in healthcare whose expertise includes proven accounts receivable and insurance methods, and helping doctors and managers establish solid management systems. A recipient of the Educator of the Year Award by the Association of Dental Implant Auxiliaries, Teresa is also an author and a frequent contributor to a variety of publications. She has been named one of the Top 25 Women in Dentistry by Dental Products Report Magazine, and is recognized yearly as a Leader in Consulting by Dentistry Today. Jamie Collins, RDH-EA,BS, is a clinical practicing hygienist who has been in the dental field for twenty years. In addition to clinical practice Jamie is also an educator, has contributed to multiple textbooks, curriculum development and creation, and contributes as a key opinion leader with multiple companies. She is an active member of the American Dental Hygienists Association, a member of the Dental Codeology Consortium Committee for dental coding, and a colleague of Michelle's at MouthWatch. In today's episode, our hosts and guests discuss CDT codes in general, where dentistry has gone wrong in coding, the ADA and carriers, and the new staging and grading and which codes may apply there. They also delve into diagnosis coding, internal/unspecified codes and tracking, outcomes based payments, code 4346 and 4355 usage, the importance of educating consumers, and some code suggestions from our experts for particular scenarios. They finish up by looking at developments in coding, our experts' takeaways for listeners, and the issue with assigning codes to products. Interview starts: 4:32 CDT codes Where dentistry has gone wrong in coding The ADA and carriers The new staging and grading and codes Diagnosis coding Internal/unspecified codes and tracking Outcomes based payment Code 4346 and 4355 usage Educating consumers Code suggestions for particular scenarios Developments in coding Takeaways for listeners regarding coding Assigning codes to products QUOTES: "There's so many offices that code for what they think that they're going to get reimbursed for, rather than coding for the procedures that are actually performed." "Dental offices don't want to lose patients, they still want the revenue so they're going to kind of give the customer what they want." "I think there are times that the ADA could have been a little bit stronger in their representation against the carriers." "You can't worry about the insurance, you just have to treat, diagnose treatment." "Here's the thing with insurance carriers is when a guideline gets put out, it usually takes them about a year or two to catch up to that." "They're going to look at redoing the CDT completely." "We don't have the data in order to sufficiently say, 'Hey, I need more money for this because I do a lot of it and it saves you money on this down the road.'" "If we're going to perio chart, we chart it all." "Are there guidelines for 4355 of how much crap we knock off people's teeth?" "You don't go into a doctor's office and dictate that they take out this tumor or not this tumor, you don't do that. So I just think we're very scared of patients, and I just don't get it." "There's this thought, 'well, it's not going to get paid, we really shouldn't even bill it.'" "I like to get paid for things." "The more you bill for it, you create that metric, they're seeing it coming down the road, the more apt they're going to be to cover it." "I really believe that clinicians should not be aware of a patient's insurance status when they're back there." "Just because it's a benefit doesn't mean that it's rooted in any kind of science." "Start saying you probably won't get paid for it, but you can do what you think is best clinically." "We need to code for what is needed, and what we need to do, not what the insurance will cover or won't cover for them." LINKS: A Tale of Two Hygienists homepage - https://ataleoftwohygienists.com/ AToTH on Facebook - https://www.facebook.com/aTaleOfTwoHygienists/ AToTH on Instagram - https://www.instagram.com/ataleoftwohygienists AToTH on LinkedIn - https://www.linkedin.com/company/atoth/?originalSubdomain=ca PDT Homepage American Academy of Periodontology Homepage Email Jamie My Dental Educator Homepage Odyssey Management Homepage Odyssey Management Newsletter Nobody Told Me That! Podcast Prepare Protect Prosper eBook

On this week's episode of Fast Facts - Perio Edition your host, Katrina Sanders, RDH gives us a brief overview of the 2017 AAP classification system! Quotes: " So know that when a patient sits down in your chair, the Academy expects you to identify, is this patient a periodontal healthy patient? Is this patient a gingivally healthy patient?" "Stay tuned, because if a patient is diagnosed with periodontitis, this is where we begin staging and grading the patient." 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: Caton J, Armitage G, Berglundh T, et al. A new classification scheme for periodontal and peri-implantdiseases and conditions–Introduction and key changes from the 1999 classification.JPeriodontol.2018;89 (Suppl 1): S1-S8

Are you frustrated you can't get the cool prophy paste or the newest tools into your office? On this TIPisode Andrew talks to us about how you select your products, providing tips on how to evaluate, and get them into your office! Episode Highlights Steps to Evaluating Products Andrew Talks Money GC America, Supporting Hygienists Links: Andrew's TIPisode on sealants: https://www.ataleoftwohygienists.com/listen/tipisode-sealants-three-things-andrew-johnston-rdh-wants-you-to-know/ Fuji Triage: https://www.gcamerica.com/products/preventive/GC_Fuji_TRIAGE/ Fuji Triage EP: https://www.gcamerica.com/products/preventive/GC_Fuji_TRIAGE_EP/ Glass Ionomer Sealants https://www.gcamerica.com/products/operatory/GIRestoratives.php http://www.gcamerica.com/ce/alleducation.php http://www.gcamerica.com MI Paste Family Products: https://www.gcamerica.com/products/preventive/MI_Paste_Plus/index.php Tri Plaque ID Gel: https://www.gcamerica.com/products/preventive/GC_Tri_Plaque_ID/ http://www.gcamerica.com/ce/alleducation.php http://www.gcamerica.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! EPISODE HIGHLIGHTS: Survey results from the end of last year indicate that a fair number of 'A Tale of Two Hygienists' listeners want to hear more about laser use in their work, and today, Michelle is only too happy to oblige by inviting one of the Queens of laser education, Joy Raskie, RDH, to the podcast. The Director of Advanced Dental Hygiene, Joy is a practicing dental hygienist who lectures, conducts laser training courses and does in-office laser consulting as well. She is a member of the Academy of Laser Dentistry (ALD) where she obtained one of the highest degrees in laser dentistry, an Advanced Proficiency in dental lasers, and is among an elite group of 20 RDH's who holds this certification worldwide. Joy knows lasers and she is here today to answer all your questions. In this episode, Joy answers Michelle's many questions regarding laser use in dentistry including details about the basics of lasers, the importance of training and practice, initiated and uninitiated tips, curettage and non-curettage states, laser use protocols, and how to manage some potential scenarios. They also delve into ways to speak with patients about both laser use and associated fees, aftercare for patients, codes to use, and the quality educational opportunities which Joy provides. Interview starts: 7:50 Michelle and Andrew at ADHA 2021 Michelle's award Joy's background and how she got into working with lasers An introduction to lasers The importance of training and practice Initiated and uninitiated tips and curettage and non-curettage states Laser use protocol Some potential scenarios involving laser use Talking to patients about laser use and fees Aftercare for patients who receive laser treatment Codes for laser The educational opportunities that Joy provides QUOTES: "I'll be at the mouthwash booth if you want to see me have a mental breakdown." "Get whatever laser you want, you're going to be using it." "Is this, like, my lightsaber?" "My boss has been my mentor - a big shout out to Gary Hagen in Colorado." "Honestly, your cell phone probably has more harmful radiation than a laser." "Lasers are a form of light. And each laser is a specific wavelength." "If I take a laser into the mouth, it will only be attracted to the dark disease, but do nothing to the pink healthy tissue." "You can definitely use the laser in a wrong way." "You're decontaminating, you're not cutting the tissue, because you're using a super low setting." "If you see some bleeding coming out and you pull your tip out of the pocket and you don't see any of that granulation necrotic tissue on there, you know you're done." "You don't want to give people a laser sunburn." "You make sure that they're sitting up, you look them in the eye, and if you truly believe in what you're recommending, they'll do whatever." "The laser is going to help protect your mouth from having that bacteria attack between our visits." "There are ways to get coverages." "This is all motivational interviewing - give them the option, let them be the, you know, expert in their life." "I was about ready to, like, punch the chick in the face." "Look on my website, find a city. If you have at least six people, I will come to a city near you - just call me up." "Anybody who listens to a podcast about dental hygiene for an hour every week, and you've done that for years, like, you are changemakers." LINKS: A Tale of Two Hygienists homepage - https://ataleoftwohygienists.com/ AToTH on Facebook - https://www.facebook.com/aTaleOfTwoHygienists/ AToTH on Instagram - https://www.instagram.com/ataleoftwohygienists AToTH on LinkedIn - https://www.linkedin.com/company/atoth/?originalSubdomain=ca PDT Homepage Advanced Dental Hygiene Homepage Email Joy Joy's Courses Joy's Facebook Joy's LinkedIn

On this week's episode of Fast Facts - Perio Edition your host, Katrina Sanders, RDH talks to us about a study titled The Covid-19 Pathway which proposes the fact that there could be an alternative route of SARS-CoV-2 infection. Quotes: "We know that any breach to immune defenses of the mouth can permit various types of bacteria and viruses to enter our blood vessels, particularly if we notate that the cellular epithelium is ulcerated." "What that truly means for us is that we have all of these massive open portals or open doorways on the endothelial surface of our lung vessels that allow for the virus to latch on." 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: Lloyd-Jones, G., Molayem, S., Pontes, C. C., & Chapple, I. (2021). The COVID-19 Pathway: A Proposed Oral-Vascular-Pulmonary Route of SARS-CoV-2 Infection and the Importance of Oral Healthcare Measures. J Oral Med and Dent Res, 2(1), 1-25.

This week on A Tale of Two Hygienists TIPisode we are joined by Andrew Nobilini and Mike Rust from ProEdge Dental Water Labs! Andrew and Mike talk to us about not one, not two but THREE ways to save money on dental unit waterline testing! Be sure to listen to the end to get your free gift from ProEdge and jumpstart your dental unit waterline testing! Episode Highlights Why You Need To Test Your Water The Cost Pooled/Combined Samples QuickPass - In Office Testing Mixing and Matching (In Office and Mail In) Get Your FREE QuickPass Quotes "It protects your patients which you care about and your practice and reputation." "There is a huge increase of auditors going into offices and asking for their waterline testing documentation." "Pooling samples is a great way to save 50-75% right off the top." "After you hear this tip there is NO REASON why you shouldn't be testing your water!" "We would love to send you a free QuickPass and get you started." "You can't beat free." Links: Free QuickPass: https://proedgedental.com/free-qp Free Safe Water Webinar: https://proedgedental.com/safe-water-webinar Website: https://proedgedental.com/ Resources: http://proedgedental.com/youtube

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! Spring Hatfield, RDH, joins Michelle and Andrew on the podcast once again this week. As many of you will remember, Spring is a dental hygienist and co-founder of Masterminds, LLC, who is also a contributing author to RDH Magazine. She has returned today to engage in an examination of the recently published 'Sources of SARS-CoV-2 and Other Microorganisms in Dental Aerosols' study with our hosts. In today's episode, they review the use of etch in removing stains, Spring's diplomatic approach in her posts, and, of course, the results, conclusions, and takeaways from the study, along with some questions for its authors. They also explore the importance of testing water lines, the definition of HVE and its usage, some studies regarding mouth rinses, some podcast suggestions, Karen Daw's guidelines, and the continued use of face shields. EPISODE HIGHLIGHTS: Interview starts: 13:06 Etch use in removing stains Spring's perspective on getting tagged in posts and remaining diplomatic 'Sources of SARS-CoV-2 and Other Microorganisms in Dental Aerosols' study and a summary of its results The critical importance of testing water lines Two current dental lawsuits The study's conclusions HVE definition and use Questions for the study authors Studies regarding different mouth rinses Some podcast suggestions Michelle's takeaways from the study Karen Daw's guidelines Face shield usage QUOTES: "Spring's out there doing the Lord's work." "I make sure that I separate my science from my emotions…it's a learned skill to be able to not let your emotions get involved." "We did the right thing by shutting down and waiting for the research and knowing now what we know." "I think they are making the assumption, and probably being hopeful, that everybody followed the ethical recommendations from the ABA to shut down. And we are very aware that that was not the case." "This is a robust, good sound methods. Whatever goes after those methods, he says, is probably accurate and good evidence." "The point that I'm making with that information is how important it is that we're sterilizing our handpieces." "What an argument for testing your water lines!" "It disproved anybody's idea that COVID could be spread through dental aerosols." "It's really interesting that we were looking for one beast and found a completely different beast in our dental office, and that is testing and shocking and treating our water lines." "I don't think it's something that people do a lot of and I don't think it's talked about nearly as much as it should be." "They tested on the operator, the assistant, the patient and the environment…it's real world stuff." "Understanding the sources of microbial bio load in aerosols is the immediate urgency not only for infection control and dental operatories during Covid 19 pandemic, but also to inform best practices in aerosol reduction, mitigation, and abatement in the long term." "One surprising finding was the discovery of microorganisms in the implant irrigant, which was sterile saline." "In summary, we find sufficient evidence to reject our null hypothesis that saliva is a potential source of disease transmission during AGDPs. Instead, we identify for the first time that the irrigant used in dental equipment is the primary and major source of microorganisms during AGDPs." "We also demonstrate that high volume inter-oral evaluators are highly effective in reducing salivary contamination of the surrounding environment. And that preprocedural mouth rinses consistently reduced salivary microbial bio loads." " 'Within the limitations of the small sample side, we conclude that the risk of transmission of SARS-CoV-2 and other respiratory pathogens from aerosolized saliva in dental operatories is moderately low, and that current infection control practices are adequately robust to protect personnel and patients alike.' And I would just like to throw a caveat, too - that is when you actually do proper standard precautions." "We're not going to be a vector for disease in regards to COVID." "If we do follow all the aspects of standard precautions, and we reassess our hierarchy of controls, we are great. We are a very safe place to be." LINKS: A Tale of Two Hygienists homepage - https://ataleoftwohygienists.com/ AToTH on Facebook - https://www.facebook.com/aTaleOfTwoHygienists/ AToTH on Instagram - https://www.instagram.com/ataleoftwohygienists AToTH on LinkedIn - https://www.linkedin.com/company/atoth/?originalSubdomain=ca PDT Homepage Sources of SARS-CoV-2 and Other Microorganisms in Dental Aerosols Spring's Email

On this week's episode of Fast Facts - Perio Edition your host, Katrina Sanders, RDH takes a look at prophylactic antibiotics for the reduction of potential infective endocarditis. Quotes: "As we've continued to see research unpacking some of the risks associated with utilizing antibiotics before a dental procedure, we've actually found that there are incredible risks associated with overuse of antibiotics in our patient population." "In fact, the guidelines note that people who are at risk for infective endocarditis are actually regularly exposed to oral bacteria during activities like brushing or flossing. And so the statement remains." "New research from the American Heart Association is encouraging optimal oral health as a key component to reducing the risk of infective endocarditis and may play a more profound role than the concerns of bacterial seeding and subsequent utilization of antibiotics prophylactically before dental procedures." 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: Wilson W, Taubert KA, Gewitz M, et al. Prevention of infective endocarditis: guidelines from the American Heart Association: a guideline from the American Heart Association Rheumatic Fever, Endocarditis, and Kawasaki Disease Committee, Council on Cardiovascular Disease in the Young, and the Council on Clinical Cardiology, Council on Cardiovascular Surgery and Anesthesia, and the Quality of Care and Outcomes Research Interdisciplinary Working Group. Circulation 2007;116(15):1736-54. Wilson W, Taubert KA, Gewitz M, et al. Prevention of infective endocarditis: guidelines from the American Heart Association: a guideline from the American Heart Association Rheumatic Fever, Endocarditis and Kawasaki Disease Committee, Council on Cardiovascular Disease in the Young, and the Council on Clinical Cardiology, Council on Cardiovascular Surgery and Anesthesia, and the Quality of Care and Outcomes Research Interdisciplinary Working Group. J Am Dent Assoc 2008;139 Suppl:3S-24S. Nishimura RA, Otto CM, Bonow RO, et al. 2017 AHA/ACC Focused Update of the 2014 AHA/ACC Guideline for the Management of Patients With Valvular Heart Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Circulation 2017; 135: e1159-e1195. Accessed February 21, 2019. Wilson, W. R., Gewitz, M., Lockhart, P. B., Bolger, A. F., DeSimone, D. C., Kazi, D. S., ... & Baddour, L. M. (2021). Prevention of Viridans Group Streptococcal Infective Endocarditis: A Scientific Statement From the American Heart Association. Circulation, CIR-0000000000000969.

For this A Tale of Two Hygienists bonus episode Andrew is joined by Sandy Lee and Carlos Rodriguez, and Amanda Hill. Andrew plays a game with his guests, where they answer his questions around the ADHA conference and points are awarded based on what Andrew feels is the best answer. Spoiler alert Andrew is not a fan of ass-less chaps, fanny packs nor twerking. Episode Highlights Who are Sandy, Carlos and Amanda The Conference Gameshow Q1: Why should you participate in conferences Q2: Feelings about Phoenix, AZ Q3: ADHA session schedule review Q4: Stargazing & Boots a Blazing Event Q5: Closing Event: Quotes "My official title is A Tale of Two Hygienists #1 fan!." "The more people that you know in the feel you are working the more you sill feel like you have allies." "You have to pack an extra bag for all the stuff that you get people." "I don't think there is another number one way to network outside of conferences." "You leave a conference with action items on what you are going to do to practice better dental hygiene." "Of course there is a right answer, this my gameshow, I can do what I want." "This is a dictatorship of a podcast." "Negative 30 for owning chaps." Links Off Your Flosser Podcast: https://www.offyourflosser.com/ Your Dental Top 5 Podcast: https://wavve.link/YourDentalTop5

This week on A Tale of Two Hygienists TIPisode we are joined by Dr. Joy D. Void-Holmes, RDH, BSDH, MHSc, AADH to discuss protecting your investment in your dental hygiene instruments with the use of cassettes. Dr. Joy D. Void-Holmes, RDH, BSDH, MHSc, AADH is the founder Dr. Joy, RDH and the creator of the Dental Hygiene Student Planner. Episode Highlights Protecting your investment Saving Time "Time is Money" Quotes "The unthinkable happens, half the tips are broken." "What could you have done, or used to save 2 minutes on your patient." "If you use cassettes you can save 5-7 min per patient." "There was a needle on the tray that accidentally found a home in the dental reps foot." "Cassettes make things easy to find, and assist with instrument management." "Buying instruments without a cassette is a lot like buying red bottoms without a bag, you need to protect your investment." Links Follow Dr. Joy on Instagram Follow Dr. Joy on Facebook Visit Dr. Joy's website More TIPisodes

Please Leave a Review! It's A Tale of Two Hygienists' monthly student roundtable episode, which means Andrew and Michelle have invited a roster of guests to educate student listeners on a chosen topic. This month, guest co-host Claire Jeong, MS, RDH, joins Andrew and Michelle in welcoming some recent dental hygiene graduates to the podcast. Alyssa Todora, Bonny Harris, Keyla Lee, and Katie Sinclair are the four stellar graduates whose instructors have recommended them as excellent candidates to share their observations regarding both their education and transition to working in the profession here today. In this episode, Claire shares details about her new podcast, and our graduates offer their perspective on the professional positions they have chosen to accept, the highs and lows of dental hygiene school, their areas of confidence and nervousness regarding their new positions, and the rotations in which they were able to participate. Together, the panel discusses dental hygiene school curriculum, the understanding that dentists have of the work of which hygienists are capable, a valuable Facebook group, and their 'do's and don'ts' advice for current students. EPISODE HIGHLIGHTS: Interview starts: 3:14 - Claire's new podcast, 'RDHBites' - Our graduates and the schools from which they are graduating - How they chose the jobs they have lined up - The Dental Implants Uncovered Facebook group - The highs and lows of dental hygiene school - Areas of confidence and nervousness as they enter the profession - The rotations in which they were able to participate - Dental hygiene school curriculum - Dentists' understanding of hygienists' capabilities - 'Do's and don'ts' advice for current students QUOTES: "For me, personally, I wanted to be able to experience different offices, I wanted to see what I liked." "I think the hardest part was, you kind of always were criticized in dental hygiene school - kind of felt like everything you did was wrong." "I definitely made some really great relationships - I think lifelong friends." "Now that I'm graduated, I kind of just feel super empowered." "I'm also super hard on myself." "So I'm super grateful for the faculty that I was able to run into." "There are names of people that I know from my instructors that I feel like I could email or reach out to for support or for ideas. And so I think, you know, that's pretty cool." "My first day on the job, I died already inside!" "I don't know what I should be nervous about or what I don't know." "I had one of my worst experiences in my rotation." "I don't really know what to expect, but I am excited, and I'm having a very positive mindset about it. And I'm just ready to take whatever comes at me, and I'm just going to have to roll with it." "Even on those days where I'm not, like, deep scaling, I'm working my butt off and talking about sleep, and I'm talking about my functional therapy and education." "You are more than a scaler." "A dental hygienist is an advocate and an educator." "Definitely don't procrastinate. It just causes more stress….don't try to be perfect." "Don't compare yourself to other students in your cohort." "Ask questions to your faculty. Ask questions to even the students with your cohort, and just stay on top of everything." "I actually, like, injured my wrist doing online school." "Be nice to yourself." "Keep learning." "Just know that you are coming into an amazing profession." LINKS: A Tale of Two Hygienists homepage - https://ataleoftwohygienists.com/ AToTH on Facebook - https://www.facebook.com/aTaleOfTwoHygienists/ AToTH on Instagram - https://www.instagram.com/ataleoftwohygienists AToTH on LinkedIn - https://www.linkedin.com/company/atoth/?originalSubdomain=ca Q-Optics RDHBites Podcast Dental Implants Uncovered Facebook Group

On this week's episode of Fast Facts - Perio Edition your host, Katrina Sanders, RDH talks to us about premedication guidelines as they relate to the medically compromised patient. Quotes: "It is worth it to note that some patients, for example, beyond artificial joint replacement, may also require premedication." "JADA notated in their 2017 article that patients that are medically compromised or present with immunocompromising diseases may in fact require premedication, particularly if they have a prosthetic joint." "Additionally, the National Institute of Dental and Craniofacial Research recommends that in patients receiving chemotherapy in which there is a central venous catheter, that consultation should be performed with the treating oncologist about the need for antibiotic prophylaxis prior to proceeding with any dental procedures." 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: Rethman MP, Watters W, 3rd, Abt E, et al. The American Academy of Orthopaedic Surgeons and the American Dental Association clinical practice guideline on the prevention of orthopaedic implant infection in patients undergoing dental procedures. J Bone Joint Surg Am 2013;95(8):745-7. Stoopler ET, Sia YW, Kuperstein AS. Do patients with solid organ transplants or breast implants require antibiotic prophylaxis before dental treatment? J Can Dent Assoc 2012;78:c5. Holland B, Kohler T. Minimizing Penile Implant Infection: A Literature Review of Patient and Surgical Factors. Curr Urol Rep 2015;16(12):81. National Institute of Dental and Craniofacial Research. Dental Provider's Oncology Pocket Guide. Department of Health and Human Services 2009. Accessed February 21, 2019.

Michelle and Andrew have a love for travel so they are excited for this casual podcast (which they haven't done in a while) where they can share some of the dreamiest places to travel. In this special bonus episode Andrew and Michelle are joined by Spring Hatfield, RDH to talk about the "Your Shot To Fly Sweepstakes" through United Airlines, highlighting where they would travel if they won the grand prize of 26 roundtrip flights! In this episode Andrew and Michelle also play a rapid fire round of 20 questions with Spring! Where would you travel? Enter below: United Your Shot To Fly Sweepstakes https://www.united.com/ual/en/us/fly/travel/your-shot-to-fly-sweepstakes.html

This week on A Tale of Two Hygienists TIPisode we are joined by Hayley Buckner, RDH. Hayley talks to us about the pitfalls of relying on your pharmacy for prescription strength toothpaste. Episode Highlights Pitfalls of pharmacy prescription toothpaste Compliance is key Health Warehouse Quotes "We are not just talking about kids, adults need these therapies too." "The majority of offices don't have products on hand, and rely on pharmacies." "Many of the brands available in pharmacies do not include abrasives." "Dispense if you can." Links This TIPisode is sponsored by Elevate Oral Care, For more information visit: 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! It's Mental Health Awareness Month and so Michelle has invited two experts in this area to join her for a discussion regarding managing your mind with patients and co-workers. Machele Galloway is a certified time and mind management coach who has appeared on the podcast before and is the founder of Lifeleap Coaching, LLC. In her work, Machele helps clients, including Michelle, with such aspects of their lives as time management and identifying unhealthy thought patterns so that they can create lives with which they are obsessed. New to the podcast is Kandice Swarthout, MS, RDH, LPC, a dental hygienist and Licensed Professional Counselor who delivers live continuing education courses. She has spoken at multiple Texas Dental Hygiene Association component continuing education events, Southwest Dental Conference, Last Friday CE for Professional Counselors, and various study clubs. Kandice is a faculty member at Collin College, and a contributing author to RDH Magazine among other publications. In today's episode, Michelle and her guests review their own therapy experiences, and look at such topics as projection and personal responsibility, asking for support, stress management, and the need for hygienists to advocate for themselves. They also discuss potential 'deal breakers' in working conditions, managing your mind and soul, motivational interviewing, our 'stories' and our '12 year old selves', and conclude by offering tips for listeners and ideas on how to navigate social media forums. EPISODE HIGHLIGHTS: Interview starts: 16:09 Michelle, Machele, and Kandice's own therapy experiences Projection and personal responsibility Our 'stories' and our '12 year old self' Asking for support Stress management Hygienists advocating for themselves 'Deal breakers' Amber Auger's 'Thrive in the Op' program Managing our minds and our souls 'Check yourself before you wreck yourself' breaks Motivational interviewing Moving past our 'stories' to better understand the reality of situations Tips regarding managing your mind for both beginners and more experienced listeners Navigating social media forums in a healthy way Taking ownership QUOTES: "Don't trust a therapist that doesn't have a therapist." "I was a hot mess in my 20's." "We talk a lot about bringing our child self into adult relationships." "We're doing adult things on the outside, but are we doing adult things on the inside?" "Is this a fact or is this your story? And 95% of your pain comes from your story." "There's got to be that balance outside, if you're going to take on and choose to stay in a very, very busy or really, honestly, unreasonable situation like that." "You're not going to destroy me mentally and physically for the sake of your practice building." "This is not personal." "Ground, feel, breath." "I won't take that on, I'll just meet them where they are." "It shifts that responsibility off of you." "We always assume someone else's action is taken because of their thoughts about us." "The shit goes bad real fast." "If you don't have a healthy mind, you don't have a healthy body in a lot of ways." "A lot of times we're wrong about all of the thoughts we have that are causing us pain." "Be patient with yourself." "I really protect my energy." "Is the tax you're paying worth the return you're getting?" "You really can piss a lot of your life away waiting for other people to change." "You have to make the step and it's not always easy." LINKS: A Tale of Two Hygienists homepage - https://ataleoftwohygienists.com/ AToTH on Facebook - https://www.facebook.com/aTaleOfTwoHygienists/ AToTH on Instagram - https://www.instagram.com/ataleoftwohygienists AToTH on LinkedIn - https://www.linkedin.com/company/atoth/?originalSubdomain=ca PDT Homepage LifeLeap Coaching Kandice's Homepage Amber Auger's Thrive in the Op Michelle's Photos:

On this week's episode of Fast Facts - Perio Edition your host, Katrina Sanders, RDH talks to us about Prosthetic Joint Infections & Antibiotics. Highlighting a Mayo Clinic study that provides information about premedication guidelines relating to our profession! Quotes: "This study took 339 patients that experienced a prosthetic joint infection and compared those patients to 339 patients who did have a prosthetic joint but were uninfected." "60 percent of nosocomial infections occur by drug resistant microorganisms." "Approximately 13.5% of joint infection cases were associated with bacterial flora of oral or dental origin." 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: Sollecito TP, et al. The use of prophylactic antibiotics prior to dental procedures in patients with prosthetic joints: Evidence-based clinical practice guideline for dental practitioners – a report of the American Dental Association Council on Scientific Affairs. JADA 2015; 146(1): 11-16. On this week's episode of Fast Facts - Perio Edition your host, Katrina Sanders, RDH talks to us about Prosthetic Joint Infections & Antibiotics. Highlighting a Mayo Clinic study that provides information about premedication guidelines relating to our profession! Quotes: "This study took 339 patients that experienced a prosthetic joint infection and compared those patients to 339 patients who did have a prosthetic joint but were uninfected." "60 percent of nosocomial infections occur by drug resistant microorganisms." "Approximately 13.5% of joint infection cases were associated with bacterial flora of oral or dental origin." 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: Prosthetic Joint Infections & Antibiotics Sollecito TP, et al. The use of prophylactic antibiotics prior to dental procedures in patients with prosthetic joints: Evidence-based clinical practice guideline for dental practitioners – a report of the American Dental Association Council on Scientific Affairs. JADA 2015; 146(1): 11-16.

This week on A Tale of Two Hygienists TIPisode we are joined by Carrie Ibbetson, RDH to talk about win-win solutions for your patients and operatory from GC America. Episode Highlights Susan Wingrove's TIPisode Dr. Pamela Maragliano-Muniz's TIPisode Amber Auger's TIPisode Michelle Strange's TIPisode MI Products Quotes "I am a firm believer of disclosing every patient." "That blue is a game changer for your patients, it creates an amazing visual" "Milk based proteins are structural similar to the proteins in nature." "Im going to assume that they have had changes, I'm not asking 'if' they have had changes." "It shows them how much control they have over the disease process." Links 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 Tri Plaque ID Gel: https://www.gcamerica.com/products/preventive/GC_Tri_Plaque_ID/ http://www.gcamerica.com/ce/alleducation.php http://www.gcamerica.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! With May being Women's Health Month, Michelle and today's co-host Machell Hudson, RDH, from the 'Reflection Health' podcast, welcome a guest with an abundance of experience in the field. Dr. Barbara Steinberg, DDS, is a clinical professor of surgery at Drexel University College of Medicine, as well as an adjunct associate professor of oral medicine at the University of Pennsylvania School of Dental Medicine. She is a Diplomate of the American Board of Oral Medicine, and an internationally invited lecturer in the areas of dental treatment of the medically compromised patient and women's health. She has also authored numerous articles and contributed to major textbooks on these subjects, and Dentistry Today has recognized her as one of its Leaders in Continuing Education since 2002. In today's episode, Dr. Steinberg discusses the importance of, and the impact of the pandemic upon, many crucial areas affecting women's health, specifically: nutrition, exercise, stress, support systems, attitudes, routine screenings, eating disorders, intimate partner violence, and heart disease. She concludes by offering her very best advice for all listeners based upon her many years of experience and extensive knowledge and insight. EPISODE HIGHLIGHTS: Interview starts: 2:44 Dr. Steinberg's professional history The impact of the pandemic on women's health Nutrition Exercise Sleep and practicing good sleep hygiene Stress Support systems Positive attitudes and sense of humor Routine screenings Eating disorders and the role hygienists can play in helping to diagnose it Intimate partner violence (IPV) Heart disease Dr. Steinberg's very best advice QUOTES: "The average weight gain during the lockdown was about two pounds per month." "One of the very best forms of exercise is walking." "If you don't make time for exercise, you'll probably have to make time for illness." "Sleep deprivation can be one of the risk factors for coronary artery disease, anxiety, depression, migraines, decreased function of our immune system, increased sensitivity to pain, insulin resistance." "Stress just really affects our eating pattern, our sleeping pattern, our ability to concentrate. Stress is also now a risk factor for heart disease." "Even a minute a day of meditation will carry you through the day." "They say that people that have sex regularly, at least once every two weeks, responded better to stressful situations, and their blood pressure elevated less than those who didn't." "Encourage your patients to please keep up with not only their dental appointments, but also all their medical screenings that are germane for their particular age group." "People with eating disorders did absolutely terrible during this pandemic." "In this time of great uncertainty and disturbance, we face the added danger that isolation brings to those that are struggling with an eating disorder." "You'll have a lot of telltale signs in the…orofacial head-neck region that may be a telltale sign that they have an eating disorder that they don't want you to know about." "The bottom line is you need to get these people help." "If their health is in real jeopardy, I'm going to get the parents involved and the pediatrician." "Of the victims of intimate partner violence with physical abuse, 75% will have head and neck orofacial findings." "Make sure that before we dismiss them, they feel safe in going home. And if not, you have a responsibility to call up whatever resources you have in your area where you practice…you need to get them there safely." "But women also do not believe that some of the symptoms they're having could be cardiac in origin." "There are two signs that could be cardiac in origin that most women tend to say, "Oh, it's stress" - insomnia, and extreme, extreme fatigue." "Too many women are just not making it because they don't act on symptoms that they've had because they don't believe it…could be their heart." "If any of you are pregnant or, contemplating pregnancy or breastfeeding, it is safe to get the vaccine." LINKS: Dr. Steingerg email: [email protected] A Tale of Two Hygienists homepage - https://ataleoftwohygienists.com/ AToTH on Facebook - https://www.facebook.com/aTaleOfTwoHygienists/ AToTH on Instagram - https://www.instagram.com/ataleoftwohygienists AToTH on LinkedIn - https://www.linkedin.com/company/atoth/?originalSubdomain=ca PDT Homepage National Eating Disorders Association National Eating Disorders Helpline Homepage National eating disorder helpline 800-931-2237 SCOFF Screening Tool

On this week's episode of Fast Facts - Perio Edition your host, Katrina Sanders, RDH talks to us about the latest information about COVID-19 and a link between SARS-CoV-2 and the mouth, researched by the National Institute of Health. Quotes: "The scientists within the NIH actually gathered samples of the cells, of the mouths of individuals who lost their life to SARS-CoV-2 of course, they found that SARS-CoV-2 was in the lungs or even potentially in the digestive system, but what they found was in a bulk majority of these individuals, SARS-CoV-2 was detected in the salivary tissue." "Researchers are indicating and suggesting that the mouth via infected oral cells actually plays a bigger role in the subsequent infection of SARS-CoV-2 than previously thought." 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: https://www.nih.gov/news-events/news-releases/scientists-find-evidence-novel-coronavirus-infects-mouths-cells#:~:text=March%2025%2C%202021-,Scientists%20find%20evidence%20that%20novel%20coronavirus%20infects%20the%20mouth's%20cells,SARS%2DCoV%2D2%20transmission.&text=An%20international%20team%20of%20scientists,infects%20cells%20in%20the%20mouth

This week on A Tale of Two Hygienists TIPisode we are joined by Melia Lewis, RDH, BSDH from Hygiene Edge to talk about having a great online presence with your online classroom! This TIPisode is sponsored by Orascoptic. Visit www.Orascoptic.com to learn more. Episode Highlights Online Education Connection Mindset Quotes "I feel like we can improve form what we learned this year, and be better educators because of it." "A teachers mindset or a leaders is infectious." "50-75% of how employees perceive their organization and the culture can be traced to the leadership... education is no different." "Never call out a student publicly." Links Hygiene Edge: https://www.hygieneedge.com More TIPisodes: https://www.ataleoftwohygienists.com/tipisodes/