A Tale of Two Hygienists Podcast

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/

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! Matt Crespin, MPH, RDH, 2020-2021 Immediate Past President of the American Dental Hygienists' Association (ADHA), and Associate Director of Children's Health Alliance of Wisconsin, co-hosts with Andrew today, and together they are both extremely excited as they welcome Dr. Bill Busch to the podcast. Dr. Busch has been practicing dentistry and helping people in the Kansas City area for nearly twenty years, and is the co-founder and creator of TeamSmile, a nonprofit dental organization providing underserved children with life-changing dental care. Among his many, many other accomplishments, he has also been serving as the Kansas City Chiefs official team dentist since 2012, rendering him the perfect guest for today's discussion about sports dentistry. In today's episode, Dr. Busch discusses his journey to sports dentistry, his work with the Chiefs and other sports teams, the most prominent issues or conditions he deals with in this work, the technological and digital advancements that he both uses now and anticipates for the future, concluding by detailing the positively inspirational work that TeamSmile accomplishes. EPISODE HIGHLIGHTS: Interview starts: 10:50 Dr. Busch's journey to sports dentistry The Academy for Sports Dentistry His work with the sports teams The amount of medical-dental integration and respect in his work The level of technological and digital involvement in his practice Virtual visits Common issues/conditions/requests involved in his sports dentistry work TeamSmile and how to get involved The TeamSmile Virtual Experience QUOTES: "One of the biggest things that you can do is get involved with your high school sports team initially." "I always promise every patient that we have the technology to produce an experience that's going to be the least amount of visits for them, and that really sets the stage for a great experience and a great flow from there." "I'm just waiting for the software practice management systems to get on board." "I think there's a great deal of respect there." "Sleep apnea is the biggest trend in dentistry but also in sports dentistry." "A lot of players are so thankful that we get their snoring stopped and they feel better and they're performing better and they're not going off-sides." "We've broken a few chairs before." "The fabric of every community is their sports team…so if we can get them on board with dentistry we might have something." "If you, for the most part, do good things in your life, good things usually happen. When you do bad things, bad things usually happen." "It's a great way to drive people to a needed service." "I don't want to hear any more of these bad dental jokes anymore." "I feel safe here." "We're finding dental homes for these kids that is done pro bono." "It's fun to see the cities really come together and it gives you goosebumps." 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 Academy for Sports Dentistry TeamSmile North Kansas City Dental

On this week's episode of Fast Facts - Perio Edition your host, Katrina Sanders, RDH talks to us about another difference between the 1999 and 2019 AAP Classification Systems. Quotes: "it's important for us to acknowledge that patients can absolutely have systemic conditions where they will experience periodontal challenges." "However, with optimal oral health status, optimum nutrition and controlling said chronic disease, the patient may actually be able to control their risk of perio. " "The AAP classified a new classification component called other conditions affecting the periodontium, specifically systemic diseases or conditions affecting the periodontal supporting tissues." 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: Tonetti, M. S., Greenwell, H., & Kornman, K. S. (2018). Staging and grading of periodontitis: Framework and proposal of a new classification and case definition. Journal of periodontology, 89, S159-S172.

This week on A Tale of Two Hygienists TIPisode we are joined by Dr. Uche Odiatu. Dr. Odiatu highlights facts about exercise to make your patients think! Episode Highlights Uche's tips about exercise Quotes "I firmly believe in getting vaccinated." "85% of our patients have no regular physical activity." "Exercise duplicates a fever by heating up the body." "Anytime you can strengthen a gut lining, you are increasing your immune system." Links A Tale of Two Hygienists Website: www.ataleoftwohygienists.com Dr. Uche Odiatu: http://www.druche.com/ Uche Instagram: @fitspeakers

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, in response to an email question from a long time listener, Michelle and Andrew speak with a trio of hygienists about valuable associations, groups, and resources for hygienists, particularly recent graduates, to access. Amber Auger, RDH, MPH, is a practicing dental hygienist and clinical innovations implementation specialist with over 15 years of experience in the dental industry. She is the 2019 Award of Distinction recipient, a certified laser trainer, a monthly contributor to RDH Magazine, and a featured author for DentistryIQ. She is also the editor of RDH Graduate Newsletter, and leader of the 'Thrive in the Op' course. Amanda Hill, RDH, is an industry educator, key opinion leader, speaker, writer, blogger, 'Your Dental Top 5' podcast host, and lifelong learner. She has just started a new column for DentistryIQ called 'Dear Patient'. Tina Clarke, RDH, MEd, has 20 years of dental hygiene experience and over 14 years of educating future and current dental hygienists. She is a community college faculty member in Oregon, the Student Relations Director for the Oregon Dental Hygienists Association, and a frequent speaker on the topic of anesthesia. In this episode, our guests offer their take on top networking associations, resources available for further education, the pro's and con's of learning through social media, building confidence and patient trust, and good advice for all hygienists, particularly those who are recent graduates. EPISODE HIGHLIGHTS: Interview starts: 7:18 - Amber, Amanda, and Tina's professional roles - Their top networking organizations for new graduates - Working for the State - Further educational resources - The pro's and con's of learning through social media - Finding study clubs - Association newsletters - Building confidence and patient trust - Joining associations - Words of advice for new and experienced graduates QUOTES: "The only reason why I knew about that position and was able to get into this arena was because of the connections that I had made with all the different individuals within that association involvement." "You never know when somebody that crosses your path is going to help you take that step into your future." "Try to find a local study group if you can." "Try to find an office that's going to really mentor you, sit down with you, review case studies, and teach you more than just cleaning teeth." "Big extrovert me can turn into quite the wallflower, but it's important to get uncomfortable to find those relationships." "As a new grad or as someone who is looking to develop further in their skill set, you need to go into a place where there is opportunity to learn and grow from other people." "Always understand that we are always learners." "That conference changed my life." "If you have an opportunity to connect with another clinician that's close to you and just sit, have coffee, a glass of wine, and just talk - it's amazing what can happen." "Take everything from social media that you read with some critical thinking involved." "There's so many things in dental that we can continue to put in our tool belt that'll inspire us to progress forward." "You really want to be able to show up hungry to learn while also being confident in what you've learned." "Don't feel like you have to know all the things, but always continue to stay present within our profession so that you're aware of the everchanging sort of evolution of it all." "For those hygienists that have been doing it for a while, keep your eyes open for the newbies…and mentor them, and help them, guide them, and be that person that they need to have." "I think the biggest thing is each and every time you go in and you get uncomfortable, you're growing, so don't be afraid of that feeling of being uncomfortable. Be afraid of staying stagnant." 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 https://www.q-optics.com/ Amber's homepage: https://www.amberauger.com/ Amber's Socials: @amberaugerrdh Thrive in the Op: https://amberaugerrdh.thinkific.com/courses/thrive-in-the-operatory Amanda's homepage: http://www.amandahillrdh.com/ Amanda's Socials: @amandahillrdh Dental Top 5: https://www.ataleoftwohygienists.com/dentaltop5/ Not Just a Dental Cleaning: https://www.dentistryiq.com/personal-wellness/article/14202041/this-is-not-just-a-dental-cleaning RDH Magazine: https://www.rdhmag.com/ Tina's homepage: https://www.teachertinardh.com/ Tina's Socials: @teachertinardh

On this week's episode of Fast Facts - Perio Edition your host, Katrina Sanders, RDH talks to us about Periodontal diagnostics systems that have been used, and the current system in place highlighting the 1999 classification of "aggressive perio". Quotes: "I think we can all agree that in 1999 things were a bit different, remember, everybody was wearing Tamagotchi's and wearing jelly shoes and slap bracelets and scrunchies. Now we know better." " It was believed that this patient had high quantities of a bacteria called Aggregatibacter actinomycetemcomitans. And so because of that, we basically said, you've got aggressive perio." "The AAP published in 2018 that as of right now, there's no evidence of specific pathophysiology, which is just a fancy term for we can't really say patients that have this aggressive rapid rate onset of disease is a patient who has high quantities of a specific type of bacteria. " 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: Tonetti, M. S., Greenwell, H., & Kornman, K. S. (2018). Staging and grading of periodontitis: Framework and proposal of a new classification and case definition.Journal of periodontology,89, S159-S172.

On this weeks TIPisode, brought to you by Young Dental we are joined by Whitney Howerton, MDH, RDH to disuss the biofilm and stain removal process, highlighting the Young Splatter Guard Prophy Angles! Episode Highlights Hygiene Process of Care Polishing Young Dental - Splatter Guard Prophy Angle Word of the day - Innovation Quotes "We may not think about each step of the dental hygiene process of care, but we are completing it for every single patient." "Only 80% of patients have returned to practice." "Did you ever think you would need to decide whether or not to polish your patient?" "Many patients feel the polishing part of the appointment is the cleaning part." "Did you know the average turnover rate of patients is 20%?" "With the Young Splatter Guard Prophy Angle you don't have to worry about the splatter." "9/10 dental processionals reported a significant reduction or complete elimination of splatter." "I do not miss the frustration of the patients with facial hair that seems to be a magnet for prophy paste." Links Young SPLATTER GUARD® https://info.youngdental.com/splatterguard

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! Jessica Atkinson, MEd, BSDH, RDH, and Melia Lewis, MEd, BSDH, RDH of 'Hygiene Edge' co-host the podcast this week, and welcome Dr. Lisa Welch to discuss what steps Dental Hygiene Educators can take to increase cultural competency. Very much an expert in this field, Dr. Welch holds an Associates in Dental Hygiene from DSU Dixie state university, a BS Hons Applied Biology: Biochemistry from Lancashire Polytechnic UK, her Masters' in Dental Hygiene from Idaho State University, and her Doctorate in Education for Health Professions from A. T. Still University of Health Sciences. Dr. Welch brings her vast amount of expertise to the conversation today, delving into the minority health disparities which exist today, and looking at ways to bring about change in this area. Our hosts begin by sharing some startling statistics from the CDC and Dr. Welch's own research regarding these disparities, uncover her reasons for pursuing this research, and reviewing her Cultural Competency Assessment and its findings. Together with Dr. Welch, they go on to share ideas about bridging the gap between awareness and implementation of cultural competency through some valuable resources, core curriculum changes, clinic experiences, cultural assessments and behaviors, and, above all, making connections. Concluding with a summary of steps that can be implemented immediately, today's episode presents the perfect combination of a statistical, theoretical, and thoroughly practical analysis of this critical public health issue, providing listeners with both a foundation of understanding and a call to action. EPISODE HIGHLIGHTS: Interview starts: 2:45 Some CDC statistics regarding health disparities among minority populations Why Dr. Welch chose cultural competency for her doctorate degree Her research and statistics The Cultural Competency Assessment and its results Ideas on how to bridge the gap between awareness and implementation The Think Cultural Health website Building cultural competency into core curriculum Enhancing cultural competency through clinic experiences Examples of implementing cultural concept behaviors Melia's example of a cultural competence concern Cultural barriers High and low context culture Cultural assessments Building connections through culturally competent behaviors A summary of practical steps to begin taking immediately QUOTES: "You have to start by teaching the educators." "We just have to try and do the best we can and learn as much as we can about other people's backgrounds so we can associate and be empathetic and understand their challenges more." "We're not getting to the people who need us the most." "One of the ways that cultural competency is increasing is with experience." "As an educator, if you're not even aware for yourself you can't provide those experiences to your students." "If I never had these culture experiences before, the whole appointment could have just gone haywire." "One of the biggest areas we're going to face in the U. S. is a language barrier." "It's very important to understand that not everybody thinks and feels the same way as you do." "You can't speak every language, you can't know every nuance about every culture, but you need to be sensitive that there are differences and at least be aware and make an effort and know where the resources are. And that's the cultural behavior aspect." "Whatever language, if you just know a little bit it makes the biggest difference. If you can say 'Thank you' or 'I was happy to be with you', things like that make a huge difference." "I can't give you literature to say this has been done and it works because it's not out there." "Everyone in the world just needs to have a little bit more culture competency to our neighbors and our communities and our friends." 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 Investigation of the Cultural Competence of Dental Hygienists Practicing in a Region of Low Diversity Think Cultural Health Homepage

On this week's episode of Fast Facts - Perio Edition your host, Katrina Sanders, RDH talks to us about Periodontal diagnostics systems that have been used, and the current system in place! Quotes: "I think we can all acknowledge that throughout time the AAP has been making a lot of these changes and you guys, some of them have been for the better and some of them have just made things more confusing!" "What we did need to acknowledge, though, is that in 1999 what we did was we began to advise that perio isn't just one dimensional, it's not just slight, moderate or severe." 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/

This week on A Tale of Two Hygienists TIPisode we are joined by Steve Pardue to talk about continuing education opportunities through Elevate Oral Care, highlighting the work they have done with CAMBRA! Episode Highlights Elevating Care (www.elevateoralcare.com/elevatingcare) New Content CAMBRA Quotes "The time has never been better to take advantage of these free CE courses." "As hygienists the time you spend with a patient is a valuable asset in determining periodontal involvement and caries risk levels." "The pandemic has given us a shift in our lives, and that just might allow us to branch out into new areas of dentistry and dental hygiene." Links www.elevateoralcare.com/elevatingcare Staff Meetings: http://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! This week, Andrew and Michelle welcome back one of their regular and much loved guests, Tom Viola, R.Ph., C.C.P., aka 'Mr. Pharmacology'. As many of you will already know, Tom has over 30 years' experience as a pharmacist, educator, speaker and author, who specializes in providing overviews and insights into the most prevalent oral and systemic diseases and the most frequently prescribed drugs used in their treatment. With April being National Cannabis Awareness Month, Tom joins our hosts for an in depth discussion regarding cannabis and the world of dentistry. They begin their discussion by sharing their differing perspectives on post-pandemic life, announcing Michelle's explosive life changing decision, and introducing a fascinating new project in which Tom is involved. From there, they take a deep dive into what cannabis is, where its active ingredients are found, the reasons for the lack of research and understanding about it, and, above all, the need for further exploration regarding its potential. Tom also explains the many aspects of dentistry which cannabis can and will impact, the importance of determining patient substance abuse concerns, and he finishes by offering his valuable advice regarding access to cannabis and exposure to vaping aerosol particles. Knowledgeable, articulate, and always entertaining, Tom has a lot to teach everyone on the role and impact of cannabis use in the dentistry world, and he shares so much of that with listeners here today. EPISODE HIGHLIGHTS: Interview starts: 15:50 Differing perspectives on post-pandemic life Michelle's big life change Getting to know Tom 'Medical History Mysteries' The need for more cannabis exploration The legal quagmire surrounding cannabis in the US and the resulting lack of research and 'big pharma' involvement with it What cannabis is and why it's a controlled substance The active ingredients in cannabis and extracting them Vaping, oral oils and their effects What cannabis does to you and the many aspects of dentistry it impacts Comparing cannabis and tobacco smoking Helping cannabis using patients protect themselves Determining patient substance abuse concerns Tom's advice regarding access to cannabis and exposure to vaping aerosol particles QUOTES: "If I never have to go into a grocery store again – done." "Cannabis needs more exploration…it holds so much potential." "Our patients are more expert on cannabis than we are." "The flowers are where everything's at." "It's that pseudo-science that's promoting cannabis and killing it at the same time." "It's a bunch of sexually frustrated female plants who are trying desperately to find pollen." "The majority of this industry is trading in the extracts." "That's a systemic dilemma, if you will." "I know a lot of people who do an edible before bedtime. That's their routine." "I think Tom just needs a better dealer, is what it sounds like." "A lot of people do pre-treat for their dental anxiety with cannabis." "We don't know a lot about cannabis and its effects." "A lot of people use cannabis to replace opioids." "Trust me, children have greater access to cannabis than they ever did." 'At the end of the day, vaping's not vapor. It's aerosol." 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 Medical History Mysteries Tom's homepage Tom's ATOTH Episodes "Bomb.wav" by jobro: https://freesound.org/people/jobro/sounds/76151/

On this week's episode of Fast Facts - Perio Edition your host, Katrina Sanders, RDH talks to us about an article in Hypertension, a journal issued by the American Heart Association in March of 2021 that discusses a causal link between periodontitis and hypertension. Quotes: "The study itself found that patients with severe perio, stage three and stage four gum disease were 2x more likely to have an elevated systolic blood pressure and 50% more likely to also have elevated diastolic blood pressures." "This elevated blood pressure, although usually asymptomatic, was occurring in individuals that were otherwise unaware that they were at an increased risk of cardiovascular complications." 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 Munoz, et al. Association Between Periodontitis and Blood Pressure Highlighted in Systemically Healthy Individuals. Hypertension. 2021. https://doi.org/10.1161/HPYERTENSIONAHA.120.16790 https://www.drbicuspid.com/index.aspx?sec=prtf&sub=def&pag=dis&itemId=328315&printpage=true&fsec=sup&fsub=hyg

On this A Tale of Two Hygienists bonus episode powered by Crest Oral-B we are joined by Paul Sagel. Paul is a top innovator at Procter & Gamble, inventor of Crest Whitestrips, Crest HD and a new innovation, Crest Whitening Emulsions. Paul joins us to talk about all things whitening. Spoiler alert, both Michelle and Andrew learned things about the whitening process they didn't know and this episode broke down and explained some whitening myths! Episode Highlights: Paul's background Development What makes whitening "tick" Product design and stability Sensitivity Whitening actives Contact time and concentration Crest Whitening Emulsions LED light Patient conversations Whitening your teeth improves your oral health Quotes: "I look at people's teeth and think that is so easy to fix." "There is an interesting thing with the symmetry of your face, particularly if your eyes and teeth are drastically different colors." "You really don't need a very thick layer of peroxide on the tooth's surface to whiten." "I put some of the composition on the plastic food wrap and I said this is it!" "When we started doing this there was virtually no research out there to show that bleaching was safe." "As we take up concentrations we make the layers thinner and thinner to make sure the soft tissue tolerability is acceptable." "Dehydration of the teeth amplifies tooth sensitivity." "These chlorine based bleaches are pretty strong, they do have the ability at sufficient concentrations to cause some structural problems." "There are a lot of smoke and mirrors in the whitening industry." "The only thing that will generate the intensity required is LEDs and you need to have the right current going through them, and they need to be eye safe." "Products that lack efficacy really hurt the category." "Whitening is one of the best things you can do for your smile and your confidence." "Emulsions hit the mountain peaks, and the valleys." Resources and Links: Crest Oral-B Pro shop Crest Oral-B Emulsions Crest Oral-B Whitening

This week on A Tale of Two Hygienists TIPisode we are joined by Sherri Lukes, RDH, MS, FAADH who has been a dental hygienist for 40 years! Sherri talks to us today about products from GC America that have multiple benefits for your patients. Episode Highlights MI Paste Line CPP/ACP Multi-Benefit Products Topical Application Sealants Quotes "CPP binds to oral surfaces such as teeth, dentin, oral mucosa, biofilm." "Calcium and phosphate ions we know are the building blocks of healthy teeth." "MI Paste One eliminates a step, it is a toothpaste so it is all one step." "Patients want easy, the one step product is a plus for many patients." "The MI Paste family is the only natural treatment of their kind that results in decreased white spots." "What works for one may not work for another patient." "We in dentistry are more than picker-flickers, driller-fillers!." "You can't have total health, without good oral health." 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 Glass Ionomer Sealants https://www.gcamerica.com/products/operatory/GIRestoratives.php 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! In honor of National Minority Health Month, Andrew and Michelle welcome two passionate experts in the field to the podcast today. Daniel Lopez, RDH, a dental hygienist practicing in a Federally Qualified Health Center in New York City, makes a return visit, while Alicia Murria, RDH, MS(C), and Founder and CEO of Hygienists for Humanity, is making her first appearance here. Together with our hosts, they examine the fundamentals of minority health and what that looks like in dentistry today, and offer their recommendations for the future. They begin by sharing differing perspectives on politics and minority health, exploring public health and private practice treatment, and offer a glimpse of DentaQuest's Preventistry. Our panel then delves into the need for an outcomes-based health model, the barriers to quality focused care on minority groups, and the many avenues which could lead to overcoming these barriers. Alicia and Daniel conclude the interview by stressing the most important components to address in minority health, and by offering their sage advice for listeners interested in 'really making a dent in this problem'. Drawing greatly upon Alicia and Daniel's immense expertise and experience, today's conversation marks one more step in bringing crucial awareness to this decidedly sensitive and extremely important topic. EPISODE HIGHLIGHTS: Interview starts: 8:08 Guest introductions Politics and minority health Public health and private practice treatment DentaQuest's Preventistry New York State's move toward an outcomes based health model Barriers to quality focused care on minority groups Learning about cultural differences and making connections Expanding the role of the hygienist, meeting patients where they are, developing trust, and offering consistency Underserved and neglected populations What we can be doing in our communities Motivational interviewing The importance of listening to all patients and educating them Learning from each other in the hygienist community Daniel and Alicia's parting advice QUOTES: "You don't go into this profession with a political mindset. You go into this profession with a heart." "Health insurance is, unfortunately, a political issue." "I think, in public health, we're offering fish sandwiches every single day, and we're not teaching enough people to fish." "If I feel like I didn't give them what they needed, and I didn't serve them well, I bring them back at no cost to them." "And also, private practice grows if they have disease." "Why on Earth are we the only health care modality centered around prevention, and no one pays attention to what we have to say?" "What does it look like if your insurance is paying out more for prevention than for restoration?" "There's this endless cycle of new providers. The most at-risk and the most underserved are constantly being seen by people who are just learning the ropes." "The dentist population does not reflect the general population." "Dental providers and medical providers are less empathetic to the black population than they are to white." "You have to be able to see color in dentistry." "There are so many different avenues that you need to go down to actually get to a point where you're really making a dent in this problem." "I've literally had people say they would rather die than go somewhere else." "You have to start with yourself…be a resource, be a friend, let them know that you're an ally in their community." "Be willing and be open to getting it wrong." "These patients that we are servicing need prevention more than anything else." "Don't be afraid to speak up!" 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 MINORITY ORAL HEALTH IN AMERICA: DESPITE PROGRESS, DISPARITIES PERSIST Disparities in Oral Health The Persistence of Oral Health Disparities for African American Children: A Scoping Review Alicia's Instagram Alicia's Facebook Hygienists for Humanity Email Daniel

On this week's episode of Fast Facts - Perio Edition your host, Katrina Sanders, RDH talks to us about weird facts, highlighting the prophylaxis code distribution. Quotes: "However, as you may suspect in this age category, 95.4% of those individuals were treated with a D-1110 prophylaxis procedural code, meaning the remaining 4.6% of individuals were treated with any other procedural code." "My hope is that in sharing facts like this that it creates a greater awareness for the dental clinician about the responsibility we have to identifying disease, educating our patients on it and treating it while it is in its earlier stages. While, it is cheaper, easier, more pain free for us to treat." 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 Cassandra Yarbrough, M. P. P., Vujicic, M., Krishna Aravamudhan, B. D. S., & Blatz, A. (2016). An Analysis of Dental Spending Among Adults with Private Dental Benefits.

Please Rate this Podcast! This week on A Tale of Two Hygienists we are changing our TIPisode to a Tellisode! Andrew is going to tell us about his experience sitting for the Florida exam. Episode Highlights Mannequin Exam Andrew Passes! Minimal Competency Michelle is Buying the ADA Quotes " Our system is broken, busted and DUMB." "The mannequin is a plastic toothed son of a gun that I hated." "I'm going to spend almost 4k dollars to get a license in 2 states." "You had to manually close the mandible to make the suction work, it was bizarre." "The Boards are there for minimal competency, and surprisingly they still catch 2-3% that fail." "Don't talk about it, be about it." "Put me in power so I can create the change." Links More TIPisodes

Please Leave a Review! THIS EPISODE COUNTS FOR CE! - but read the disclaimers it might not count for your state. Go here to take the test and get your free CE Credit! It's A Tale of Two Hygienists' student roundtable episode, which means Andrew and Michelle have invited a roster of guests to educate student listeners on a chosen topic. With April being Oral Cancer Awareness Month, it is only fitting that they have invited three powerhouses in this field to the roundtable today. Susan Cotton is a passionate, speaker, consultant, author, and subject matter expert on HPV, oral and oropharyngeal cancer, and screening, who is also the founder of Oral Cancer Consulting, and the originator of the 'Cotton Method'. Maria Perdo Goldie is a noted researcher, author, and speaker, whose many, many achievements include being a Past President of ADHA and the International Federation of Dental Hygienists, a ten year member of the Smoking Cessation Centre, and presenting seminars nationally and internationally on many topics including Cancers and Oral Care for the Cancer Patient and Oral Cancer. Jill Meyer-Lippert is the founder of Side Effect Support LLC, has been published in several print and online dental and oncology resources, is a 2014 recipient of the Sunstar Americas/RDH Award of Distinction and is also the Community Relations Manager with Custom Dental Solutions. All three guests are members of the Registered Dental Hygienist Advisory Board for the Oral Cancer Foundation. In this very special episode, these three experts share their perspective on a number of pertinent issues such as the current level of emphasis upon oral cancer and HPV screening, increasing risk factors, the HPV vaccine, building screening into the rhythm of appointments, and next steps to follow when something suspicious is detected. Woven throughout the episode are sage words of advice and a wealth of resource recommendations from our guests. As Michelle notes, Susan, Maria, and Jill are absolute treasures in the industry who use their vast amount of knowledge and experience to educate and empower clinicians in their ultimate mission to save lives. That is precisely what they do here today – listen in to be both informed and inspired. EPISODE HIGHLIGHTS: Interview starts: 7:28 - An introduction to today's experts - Their opinions on the current amount of emphasis on oral cancer and HPV screening and detection - The increase in risk factors - checkyourmouth.org - The 'two week rule' - The Throat Scope - Advice for new dental hygienists around starting the screening and detection process - HPV vaccine update - Vaccines as a tool for prevention - Building screening into the rhythm of appointments - Having an oral cancer risk assessment - Using the fluorescence screening device properly - Educating yourself at the Oral Cancer Foundation website - The next steps when something suspicious is detected - Final words of advice from our experts - Susan's upcoming oral cancer screening video QUOTES: "I don't feel dentistry, as a whole, has placed the emphasis on oral cancer, HPV, and the importance of screening every patient every time." "We really need to take some responsibility to go that extra step for people." "HPV is a game changer." "If somebody does have something in their mouth that's unusual that lasts over two weeks, that is usually a sign that you do need to have that looked at." "I think if you're following a protocol, it doesn't feel quite so invasive." "What we know now…" "It's a cancer vaccine, and that's, I feel, the way we need to talk about it." "What we know in this world is not everybody gets to choose when their first sexual encounter is." "Well, now that you mention that, could you check this area for me?" "Thoroughly document in your treatment notes." "Sometimes, years they were watching and waiting something rather than have it biopsied or checked out further!" "Don't let the busy-ness of your day get in the way of doing this thorough and complete oral cancer evaluation and educate your patients…make it a priority for your patients and your colleagues." "Do not be bullied by anybody, including your boss." "Be proactive…be empathetic and understanding…and make sure that they are not feeling judged." "Refer them to a support group." "Get rid of that feeling that we're going to scare them – we're educating." 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 Canadian Dental Association: https://www.cdha.ca/ Canadian Journal of Dental Hygiene: https://www.cjdh.ca/ FDI World Dental Federation: https://fdiworlddental.org/ Oral Cancer Chairside Guide: https://preprod.fdiworlddental.org/sites/default/files/2020-11/fdi-oral_cancer-chairside_guide.pdf Oral Cancer Foundation: https://oralcancerfoundatio

On this week's episode of Fast Facts - Perio Edition your host, Katrina Sanders, RDH talks to us about the Prevalence of Diseases of the Periodontium. Quotes: "Help me out, Dad. What is the percentage of individuals who have moderate to severe gingivitis? And that number is 27.6% of our patient population. That is according to my Midwest dad by the way." "And to clarify even more, the population of true individuals, of individuals who are adults, who do not have irreversible bone loss at this point, that percentage is 3.2%. So 3.2% of our patients are considered truly healthy patients." 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 Eke, P. I., Zhang, X., Lu, H., Wei, L., Thornton-Evans, G., Greenlund, K. J., … Croft, J. B. (2016). Predicting Periodontitis at State and Local Levels in the United States. Journal of Dental Research, 95(5), 515–522. https://doi.org/10.1177/0022034516629112 Li, Y., Lee, S., Hujoel, P., Su, M., Zhang, W., Kim, J., ... & De Vizio, W. (2010). Prevalence and severity of gingivitis in American adults. American journal of dentistry, 23(1), 9.

This week on A Tale of Two Hygienists TIPisode we are joined by Dr. Joy D. Void-Holmes, RDH, BSDH, MHSc, AADH to discuss "The Jacks". 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 Sickle Scalers What are the Jacks What do the Jacks do Quotes "If you are a practicing clinician, chances are you have a Jack in your life." "The Jacks I will be talking about today are sickle scalers." "A portion of the anatomical crown is below the gingival margin in a healthy mouth, typically 1-2mm, more in a patient with gingival inflammation." "The use sickle scalers should be avoided on root surfaces, to prevent unintended gouging." "Many clinicians use these beauties improperly causing damage they cannot see." Links Follow Dr. Joy on Instagram Follow Dr. Joy on Facebook Visit Dr. Joy's website More TIPisodes

Please Leave a Review! THIS EPISODE COUNTS FOR CE! - but read the disclaimers it might not count for your state. Go here to take the test and get your free CE Credit! One of Andrew's favorite people in both dentistry and life, Dr. Joy Void-Holmes, joins the podcast today as a co-host for a fascinating interview with Dr. Sam Shamardi. The founder of Dental Innovations LLC, a company aimed at providing novel solutions to unaddressed issues within dentistry, Dr. Shamardi also lectures nationally and internationally on topics within periodontics and hearing loss in dentistry. He is also an author, is recognized as a dental entrepreneur for his revolutionary EarAid product, and possesses an overwhelming desire to help others which shines through brilliantly during the conversation here today. Dr. Shamardi begins by sharing a glimpse into his life story, and then proceeds to offer a masterclass on the subject of noise induced hearing loss, particularly in the world of dentistry. Along the way, he touches upon what's contributing to it, the ADA's actions regarding it, addressing it through dental professional education, its impact upon systemic health. He also delves into the frequency and decibels to look for in equipment, the difference between passive and active hearing protection, and how his device compares with other products. Dubbed 'dentistry's deafening silence', noise induced hearing loss is something that people do not even realize is happening to them, and yet can have a catastrophic impact upon their lives. Listen in today as Dr. Sam Shamardi shines a spotlight on this little publicized, and completely preventable, threat to our overall health, providing you with everything you need to know to protect yourself from it. EPISODE HIGHLIGHTS: Interview starts: 9:13 Dr. Shamardi's life story The lack of attention to noise induced hearing loss in dentistry How to know when you are losing your hearing What's contributing to hearing loss in dentistry Why it has not been addressed The ADA's response to it Addressing hearing and hearing loss in schools Testing dental instrument sound levels PPE for hearing Systemic health effects What frequency levels and decibels to look for in equipment The difference between passive and active hearing protection How Dr. Shamardi's device compares with other products Dr. Shamardi's The Financial Survival Guide for Dentists QUOTES: "It's not something that you notice. It's not something that you even know is happening to you." "As dental professionals we are literally in the eye of the storm." "Once you've reached the stage where you, yourself, actually notice that you feel like you're not hearing things as well anymore, by that point you've actually entered what's called 'Stage 3' of hearing loss." "The number you want to keep in mind is 85 decibels." "For us as dental professionals, it's the combination of, we already are in that environment where the equipment that we use is well above the limit of what causes hearing damage. And then, the second part is we are in that environment for a very long period of time." "They don't realize that…it's something that's completely preventable." "It should start with the schools, right?" "The actual noise is adding to our stress." "Noise is now playing a factor, not just in what it's doing to our ears, but it's also playing a direct factor in what is also contributing to our overall…health." "Moderate or severe noise induced hearing loss were also associated with increased cardiovascular death." "The chronic effects of being exposed to these noises carry with you even after retirement." "It's the 85 or above that we have to worry about." "That circuitry is actually able to instantaneously identify, isolate, and then lower the sound of anything that is in the decibel or frequency range which will actually cause the hearing damage." "The goal at the end of the day: try and help people out, educate everybody on things that are important and, you know, things that we should frankly know more about but don't." 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 Forward Science EarAID Financial Survival Guide for Dentists

On this week's episode of Fast Facts - Perio Edition your host, Katrina Sanders, RDH talks to us about the physiologic observation of the periodontium. Quotes: "We know that the blood supply is extremely important because it delivers immuno components and nutritional components and helps to support the periodontium in health." "he nerves that supply the periodontium are primarily the trigeminal, the fifth cranial nerve, and we know that those nerves will also follow alongside the blood vessels that supply blood to our periodontium." 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/