A Tale of Two Hygienists Podcast

On this episode of A Tale of Two Hygienists we are joined by Dr. Ellie Campbell to discuss Long Covid and the risks for patients that contracted Covid-19 and now face prolonged symptomology. Dr. Campbell outlines what symptoms to look out for, and treatment guidelines for patients with Long Covid. Special thank you to our return guest co-host who is an amazing dental hygienist, connector and friend, Machell Hudson, RDH. This episode has FREE CE! Be sure to view your state guidelines to ensure this CE is applicable in your State. You can view all episodes with Free CE here. Take the CE course for this episode HERE Episode Highlights Covid Pandemic to Endemic Long Covid Symptoms Inflammatory Panel Nitric Oxide Covid and Periodontal Inflammation: A two way street Mouth and Kidneys - Kidney Stress Treatments Fundamentals of wellness Three R's: Remove, Replace, Repair Quotes "Sadly covid is not over, it is the gift that keeps giving." "Covid will be endemic, which means it will always be with us." "I got over Covid, but for the next year I am at risk for dropping dead." "Only 20% of these post Covid deaths are respiratory in nature." "Covid was both a respiratory and a blood vessel disease." "Every hygienist needs to know about Nitric Oxide." "Nitric Oxide is our best friend, it regulates everything." "I've had patients with a-symptomatic infected bone who had their wisdom teeth removed 30 years ago." "Besides my lungs, my kidneys got very stressed. I dropped from healthy kidney function to stage three chronic kidney disease." Links AAOSH: https://www.aaosh.org/ Campbellfamilymedicine on Instagram www.campbellfamilymedicine.com [email protected]

On this week's episode of Fast Facts - Perio Edition, Katrina Sanders, begins the conversation in deep diving around how we now classify diseases of the periodontium associated with dental implants this week talking about whether we should, or should not be probing dental implants! Quotes: "For the first time, dental implants have been located in the mouth long enough to actually develop disease around them." "The vast majority of us were taught in dental and dental hygiene school to be very careful around dental implants." "When probing a dental implant, about 50% of the PSI or pressure that is typically used around a tooth structure should be applied to identify the base around a pocket affiliated with a dental implant." 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/ Renvert, Stefan, G. Rutger Persson, Flavia Q. Pirih, and Paulo M. Camargo. "Peri‐implant health, peri‐implant mucositis, and peri‐implantitis: Case definitions and diagnostic considerations." Journal of clinical periodontology 45 (2018): S278-S285.

This week on A Tale of Two Hygienists TIPisode we are joined by Stephanie Botts, RDH who is a clinical hygienist and ergonomic specialist. Today Stephanie talks to us about maintaining neutral posture while working on your patients! Links https://www.posturepros.net/ https://www.instagram.com/steph.posturepros/ https://www.facebook.com/stephanie.botts.rdh/ https://www.linkedin.com/in/posturepros/

On this episode of A Tale of Two Hygienists we sit down for a roundtable to talk about social media! Love it or hate it, our guests Tameka Lee, Sarah Lawrence and Bethany Montoya share their thoughts about using social media both personally and professionally. Episode Highlights Journey through Social Media The Good Hard Lessons Learned Is social media fake? Upkeep Expectations Advice for New Grads Quotes "It's almost too much work to maintain a professional and personal page." "I got into groups when I was going through a period of burnout." "Once you start posting consistently, there are expectations of you." "I am taking this time to put myself first." "Some things that I posted ended a job relationship for me." "The expectation to stay relevant on social media is very taxing." "I choose to surround myself with people online who are not positive all the time, people who are real." "If you are genuine and continue to share your story, the numbers will come." "Find the people you respect, and observe them and how they operate." Links Bethany's Info: [email protected] @humanrdh on Instagram Sarah's Info: [email protected] Sarah_dentalhygienist on Instagram Tameka's Info: [email protected] Empowerrdh and Tameka.rdh on Instagram

On this week's episode of Fast Facts - Perio Edition, Katrina Sanders, wraps up the series on Periodontitis as a Manifestation of Systemic Disease, finishing by educating us on hematologic disorders! Quotes: "Now, we know hematologic diseases are disorders of the blood or can be disorders of blood forming organs and this affects millions of Americans." "When we take a look at some of these different types of diseases, we are looking at things like blood cell cancers, hematologic diseases, including rare genetic disorders, anemias, conditions that can be related to HIV, sickle cell disease, or even in some cases, complications affiliated with chemotherapy or transfusions." "Recent studies that have demonstrated that bacteria like Porphomonas gingivalis does govern aspects of osteoclast differentiation, meaning that the way that our own cells, our own bone cells, are able to break down bone is readily influenced by the presence of this Gram Negative anaerobic 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/ Papapanou, P. N., Sanz, M., Buduneli, N., Dietrich, T., Feres, M., Fine, D. H., ... & Tonetti, M. S. (2018). Jepsen S, Caton JG, Albandar JM, Bissada NF, Bouchard P, Cortellini P, Demirel K, de Sanctis M, Ercoli C, Fan J, Geurs NC, Hughes FJ, Jin L, Kantarci A, Lalla E, Madianos PN, Matthews D, McGuire MK, Mills MP, Preshaw PM, Reynolds MA, Sculean A, Susin C, West NX, Yamazaki K. Periodontal manifestations of systemic diseases and developmental and acquired conditions: Consensus report of workgroup 3 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. J Periodontol. 2018 Jun;89 Suppl 1:S237-S248. doi: 10.1002/JPER.17-0733. PMID: 29926943. Botelho, J., Machado, V. & Mendes, J.J. Periodontal Health and Blood Disorders. Curr Oral Health Rep 8, 107–116 (2021). https://doi.org/10.1007/s40496-021-00301-w

Welcome to a special episode of A Tale of Two Hygienists where Andrew recaps his recent trip to the Philippines with his wife Allison, Brittany Duncan, AToTH's Director of Sales and Marketing and her husband, Johnson Duncan. Andrew is also joined by return guest, and favorite non-dental guest, Daniel Hulbert who spend two years in the Philippines with Andrew 20 years ago! If you've been a listener for long, you know that returning to the Philippines has been a goal and dream of Andrews ever since he left. If you love travel, learning about new cultures and hearing about delicious filipino meals, this episode is for you!

On this episode of A Tale of Two Hygienists we are joined by Dr. Priya Mistry to talk about TMJ complications specifically, TMD and TMJD highlighting symptoms to look out for, treatment options and what our patients can do to achieve relief from these disorders. Big thank you to our guest co-host Stephanie Botts, RDH for joining us on this episode! If you want to hear more from Stephanie be sure to check out her TIPisodes with us. Interview Start: 06:00.462 Ad: 17:19.980 This episode has FREE CE! Be sure to view your state guidelines to ensure this CE is applicable in your State. You can view all episodes with Free CE here. Take the CE course for this episode HERE Episode Highlights Dr. Mistry's Background Symptoms of TMD/TMJD Forward Head Posture and Secondary Factors How to Assess When to Refer Muscle Release Exercises Caffeine and TMD Disorders Quotes " To say I have TMJ is like saying I have knee or I have elbow, the correct terminology is I have TMD or TMJD." "It isn't usually just the forward head posture, it is usually something else along with it." "You should check their range of motion on opening, and right and left and you will have a good idea if they have a healthy range of motion or not." "A normal range of opening is 45-50mm and right/left is 10-12mm." "You should be able to but 3-5lbs of pressure on all these muscles without it hurting but a lot of patients are through the roof in discomfort." "I have my patients in treatment for 4-6 months to make sure they get the full results." "It doesn't always work, I have a 90% success rate for the jaws that are locked closed." "Caffeine is fine, but I would limit it to less than 2 cups normal sized of coffee a day." "Hydrating the muscles is so important." Links Dr. Mistry YouTube channel: https://www.youtube.com/channel/UCGffgqSANd7heXGN974yv_Q Dr. Mistry Office Website: https://tmjdentaldoc.com/ Dr. Mistry Instagram & TikTok: @the_tmj_doc Dr. Mistry Email: [email protected]

On this Fast Facts: Pharmacology Edition Tom Viola, R. Ph., C.C.P. talks to us about selenium and QA products used in dentistry. Tom highlights a line of products from Elevate Oral Care, the DenteShield line! These products incorporate the element Selenium, specifically formulated for restorative and preventive materials as an additive called Seldox. Learn more about how selenium works in these products by joining Tom for this episode! This series is sponsored by our friends at Elevate Oral Care! @elevateoralcare creates innovative and proven prevention-focused oral care products, learn more by visiting www.elevateoralcare.com and schedule your free CE staff-meeting today. See more from Tom at www.tomviola.com @pharmacologydeclassified #pharmacology #dentalpharmacology #rdh #dental #dentalhygiene #studentrdh #dentalhygienist #rdhlife #futurerdh

This week on A Tale of Two Hygienists TIPisode we are joined by Stephanie Botts, RDH who is a clinical hygienist and ergonomic specialist. Today Stephanie talks to us about getting your patient into a supine position. Episode Highlights Patient Positioning Fear Element Use Cushions Pre-Recline Patient Chair Quotes "I often see patients positioned much too high in the chair." "If we can support their cervical spine they are much more likely to allow us to lean them all the way back." "If we use cushions they can be a great ergonomic tool for us as well." "I use cushions for most of my patients, especially my geriatric patients." "Pre-Recline the patient chair to 30 degrees or so before you bring the patient back." Links https://www.posturepros.net/ https://www.instagram.com/steph.posturepros/ https://www.facebook.com/stephanie.botts.rdh/ https://www.linkedin.com/in/posturepros/

On this episode of A Tale of Two Hygienists we record live at Hinman dental meeting with Mr. RDH AKA Rafael Rondon, RDH and Janet Hagerman. Our guests talk with Andrew about treatment plan presentations and getting your patients to want the treatment that they need. This episode has FREE CE! Be sure to view your state guidelines to ensure this CE is applicable in your State. You can view all episodes with Free CE here. Take the CE course for this episode HERE Interview Starts: 04:24 Episode Highlights Janet's background Treatment Plan Presentation: preparation Screening for Periodontal Disease and preparing the patient Talk in your patients language Pauses in the conversation and feel, felt, found Common misconceptions Team Effort Quotes " Working at a DSO is interesting because you have a laboratory to test your ideas." "Give me 5 hours to chop down a tree and I'll spend 4 hours sharpening the ax." "We talk too much, and our patients get that glazed look." "Over 50% of the people in this country have some form of periodontal disease." "Once you get them engaged and they are curious, now you have their permission to have an educational conversation." "We get nervous when there's a quiet space in conversation, but those pregnant pauses can be very powerful." "The first time I heard feel, felt, found was at my first Hinman conference." "I spend a lot of time training my team and talking about mindset." "If you think dentistry is expensive, that is going to come through to the patient." "Our job is to get our patients to want what they need." "Can you be an introverted leader? Absolutely." "The more options you can give your patients the better." "Get the CareCredit rep in your office 4 times per year and find out about their latest options." "I think you are doing yourself a disservice to not take advantage of all of the complimentary services your vendors offer." "I would prefer to see your hygienists do what your hygienists do best, treatment." "Set your mind to 'how many patients can I help today'." "If it works don't fix it." Links Selling Dentistry – Ethically, Elegantly, Effectively: Janet Hagerman Send Janet an email with the title "Hinman Free Book" for a free E-copy of her book! For free assessment have your doctor email Janet with the subject line "Hinman Assessment" Janethagerman.com [email protected]

On this week's episode of Fast Facts - Perio Edition, Katrina Sanders, talks to us about another condition that aligns with the classification system, Periodontitis as a Manifestation of Systemic Disease, Hypophosphatasia. Quotes: "Individuals who experience Hypophosphatasia are oftentimes individuals who experience impaired mineralization or an impaired calcification, particularly of the bones and the teeth." "From an oral component, the most frequent dental signs that we do see is seen in premature loss of primary teeth." "There is treatment readily available. There is a medication that is oftentimes delivered via injection. However, one of the challenges associated with utilizing this type of an injection is that you can oftentimes see increase in calcium or calcium deposits as noted in the corners of the eyes on your 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/ Plagmann HC, Kocher T, Kuhrau N, Caliebe A. Periodontal manifestation of hypophosphatasia. A family case report. J Clin Periodontol. 1994 Nov;21(10):710-6. doi: 10.1111/j.1600-051x.1994.tb00791.x. PMID: 7852617.

On this episode of A Tale of Two Hygienists Andrew talks with founder of Dental Entrepreneur Woman (DeW) about what it means to be a woman entrepreneur in this industry. Episode Highlights Happy Birthday DeW (Cheers to 5 wonderful years!) What is DeW Get out of the box DeWd Quotes "We are smart, and caring in dentistry." "It is a movement for women, who happen to be in dentistry." "This is about bringing love and kindness, and bringing out your strengths without a scarcity mindset." "Whether it is now or in the future we have done something to build our brand, or the brand of someone else." "I believe you should look for opportunities that build on your strengths." "The goal with my kinds was to have them work at something they love, and get paid for it." "Women are all spinning 5 plates, not letting them drop, and dancing backward in heels." "Our male hygienists are DeWds!." "I know so many women who hate the idea of going to work in the morning and that is so sad, my goal with DeW is to bring you in the career, keep you in the career and allow you to look back on your career and saw that was GREAT." "DeWs and DeWds never retire." "All of my mentors have been women." "Why can't a leader be a leader in how many hours a week that takes." www.DeW.life - Sign up for the newsletter

On this episode of A Tale of Two Hygienists Andrew interviews "Ketodontist" Dr. Matt Standridge about the Keto diet! Dr. Standridge highlights who keto is beneficial for, who it may not benefit, and the best ways to follow through with the diet. Interview Start: 04:00.057 This episode has FREE CE! Be sure to view your state guidelines to ensure this CE is applicable in your State. You can view all episodes with Free CE here. Take the CE course for this episode HERE Episode Highlights Keto Diet, A Tool in the Toolbox What is Keto? Moderation Carbohydrates: When they are needed Alcohol Weight loss Epilepsy Bonking: Hitting the wall Quotes " I don't live it 100% all the time but it is my baseline I go back to." "Ketones got a bad wrap because of uncontrolled diabetics." "Do you want to be a sugar burner or a fat burner?" "A food can be keto and not serve your body well." "Most of us are not Olympic athletes but are eating the amount of carbohydrates like we are." "There is no dietary need for carbohydrates." "Most diets require supplementation because our food and soil has been robbed of its nutrients." "Most people are getting their sodium from pre-packaged foods, when we eat a whole foods diet we often need to make sure we are getting enough electrolytes." "If your body isn't using it for energy, it is being stored as fat." "You don't have to be Keto to lose weight." "The reduction in inflammation transfers to the mouth as well." Links www.ketodontist.com [email protected]

On this week's episode of Fast Facts – Coding Edition with Teresa Duncan, MS Teresa gives us a breakdown of code D4355. Knowing how and when to use the debridement code is important! Please listen as Teresa explains the clinical conditions that we should be seeing and the administrative considerations to think about. Quotes: "If you are able to take good oral images before and after the debridement, those are great." "Make sure you have the patient's permission to use those images." "Full mouth debridement involves the preliminary removal of plaque and calculus that interferes with the ability of the dentist to perform a comprehensive oral evaluation. Not to be completed on the same day as D0150, D0160, or D0180." Links: DentistRX: https://www.dentistrx.com More Fast Facts: https://www.ataleoftwohygienists.com/fast-facts/ Teresa Duncan Website: https://www.katrinasanders.com Nobody Told Me That Podcast: https://nobodytoldmethat.libsyn.com/ Chew On This Podcast: https://chewonthisdentalpodcast.libsyn.com/

On this episode of A Tale of Two Hygienists we are joined by Gaylene Baker, RDH, BSDH, MBA and guest co-host Stephanie Botts, RDH to talk about the Monarch line from Air Techniques and the importance of infection prevention. Episode Highlights Not all hand sanitizers are the same (Andrews Favorite *Gel Sanitizer) Gaylene's Background Infection Prevention: The evolution Monarch: Infection Prevention The Importance of the Vacuum Functional Color Coded System OSAP: An amazing resource! Surface Sisters Cost Savings How to talk to the purchasing officer Quotes "We need to know why we are doing what we are doing, because when we understand the why, it makes it not a chore, but something we want to do because it is so necessary." "Monarch is a safer choice for clinicians that is still effective." "As a hygienist, I never realized how the vacuum system impacted my ability to perform safely when working on my patients." "We are a complete solution for your facility." "As a dental hygienist there is nothing more frustrating than not having proper suction power." "Green is for surfaces, yellow is for equipment maintenance, blue is for instrument care and pink is for our hand hygiene." "Even though it is just water it can have a lot of force behind it and cause damage." "Just because the product was a "One" in the label doesn't mean it's a 1 minute kill time." "As soon as it pits or cracks is when your upholstery needs to be replaced." "We had a study done on our upholstery cleaner and there was no damage caused by the disinfectant." "If you can't visible see debris, our wipes can be used as a one step." "No matter what you use, you have to know what you are using and how to use it." Links Monarch Line: https://www.airtechniques.com/en/product-category/north-america/merchandise/ CleanStream Vortex: https://www.airtechniques.com/en/product/monarch-cleanstream-evacuation-system-cleaner/ Surface Sisters: https://www.airtechniques.com/en/product/monarch-surface-disinfectant-spray/ Disinfectants Comparison Chart: https://www.airtechniques.com/wp-content/uploads/SurfaceDisinfectantComparison.pdf Hand Sanitizer Hand Hygiene: https://www.airtechniques.com/en/product/monarch-hydrating-instant-hand-sanitizer/ Hand Sanitizer pdf: https://www.airtechniques.com/wp-content/uploads/HandSaniSheet.pdf 4+ Instrument Enzymatic Cleaner: https://www.airtechniques.com/en/product/monarch-enzymatic-cleaner/

This week on A Tale of Two Hygienists TIPisode we are joined by James Younger, DDS practicing dentist and Founder/CEO of TempStars. Dr. Younger talks to us about his work in a mental health center and permission based care. Episode Highlights: Permission Based Care Quotes: "I don't have an agenda at all when the patient walks in." "I'm not telling the patient what I am going to do, I am explaining what I want to do and asking for permission." "Our only agenda is to connect with them and care for them." Links: www.tempstars.com

On this episode of A Tale of Two Hygienists we are recording at Hinman Dental Conference with Dr. Emily Boge, Misty Mattingly, RDH and Rafael Rondon, RDH. Our guests discuss what is wrong with dentistry. This episode has FREE CE! Be sure to view your state guidelines to ensure this CE is applicable in your State. You can view all episodes with Free CE here. Take the CE course for this episode HERE Interview Starts: 08:29.717 Episode Highlights Rural vs. Urban Care Lack of communication with patients Labor shortage Solutions - Inform patients Social Media Quotes "The list is so much longer for what is wrong with dentistry than what is right." "We made profit but we were also very good and efficiently run." "Nobody wants to work anymore." "You think the shortage is bad now, wait 3 years." "It starts in the schools." "I would rather have a dentist stitch me up anyday, if you can suture in the mouth you can suture anywhere." "It is better to have no one, than the wrong person." "If you only do the minimum CE, don't expect to give your patients more than the minimum." "You can't spell overall health without oral health." Links [email protected] [email protected] [email protected] Upcoming Conferences: EuroPerio June 15-18 Copenhagen RDH Under One Roof July 21-23 Orlando, FL IFDH August 8-10 Dublin

"Oral Bacteria Linked to Hypertension: A Study" Fast Facts: Perio Edition On this week's episode of Fast Facts - Perio Edition, Katrina Sanders, Katrina brings to our attention a new study from the Journal of the American Heart Association that focuses on the link between oral bacteria and hypertension in postmenopausal women! The work we do is so much more than simply "cleaning teeth", tune in to this episode to hear why. Quotes: "There was an incredible study that was done, and this study is deeply relevant not only for cardiovascular disease, but for what we understand about periodontal disease." "Upon gathering oral plaque samples, there was an incredible link that was discovered between very specific bacteria of oral origin and subsequent elevated blood pressure" "We have come to better appreciate that health is influenced by more than just the traditional risk factors we know to be so important. This paper is a provocative reminder of the need to expand our understanding of additional health factors that may even be influenced by our environments and potentially impact our biology at the endothelial level. Inclusive research on hypertension must continue to be a priority to better understand and address this condition". 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/ Article: https://www.ahajournals.org/doi/full/10.1161/JAHA.121.021930 LaMonte, M. J., Gordon, J. H., Diaz‐Moreno, P., Andrews, C. A., Shimbo, D., Hovey, K. M., ... &Wactawski‐Wende, J. (2022). Oral Microbiome Is Associated WithIncident Hypertension AmongPostmenopausal Women.Journal of the American Heart Association, e021930

This week on A Tale of Two Hygienists TIPisode we are joined by practicing hygienist, international Speaker and creator of Thrive in the Op TM, Amber Auger, RDH. Amber talks to us about how to move the long term prophy patient into treatment for periodontal disease. Episode Highlights Fear Ownership in your own oral health pH assessment Salivary Diagnostic Testing Solutions to add to your protocol Tri Plaque ID Gel from GC America Example patient conversation Quotes "If the pH is acidic those periodontal pathogens are going to thrive." "For me personally I think it is time to revolutionize how we are treating our patients non surgically." "If we are not identifying the pathogens are we doing a great service for our patients? My opinion is no." "I want to identify it, and eliminate it." "This product timestamps it, it shows us, and the patient mature plaque, and acidic areas." "We want to eliminate any risk factor that raises a patient's risk of periodontal disease." Links https://www.gcamerica.com/products/preventive/GC_Tri_Plaque_ID/ http://www.gcamerica.com/ce/alleducation.php http://www.gcamerica.com Amber Auger: https://www.instagram.com/amberaugerrdh/

On this episode of A Tale of Two Hygienists we are recording at Hinman Dental Conference with Dr. Emily Boge and Misty Mattingly, RDH to talk about disrupting dentistry and fighting for change. This episode has FREE CE! Be sure to view your state guidelines to ensure this CE is applicable in your State. You can view all episodes with Free CE here. Take the CE course for this episode HERE Interview Starts: 04:16.713 Episode Highlights Misty's Background Board makeup Support your states The power of the Board vs. The power of ADHA License Portability Mouth Care Matters Preparing yourself to be a Board Member Quotes "If they are crazy enough to think that they can make the change, they usually do." "This bill allowed hygienists to go into nursing homes in our state." "What you put into the universe you get back." "I'm only the 5th hygienist ever to be on the GA Board of Dentistry." "I think I am much more outspoken than any other hygienists they have had." "Look at those states that are left and help support them." "I've never known a hygiene world where I couldn't give an injection." "We are double board certified." "Sometimes I feel like ADHA forgot about us." "You have the tenacity and you won't give up." "I fall down but I always get back and continue forward, because we have to." "I want to leave a legacy in my profession, not only here in GA but professionally." "I want to see our profession seen as a healthcare profession." "This isn't just about cleaning teeth, this is about healthcare and quality of life for patients." "Some of these patients in nursing homes are so sad." "There is a group that goes out and trains medical professionals how to care for their patients' oral care." "People are so fearful that change is going to take something away, when often change is going to give you something." "Not everyone needs to drive the schoolbus, but everyone needs to be on the bus." "I might not agree with everything my state association does, but I will pay my dues until I die." "When you step away, there are others that will step up." "Members of ADHA stay much more aware of where dentistry is going because you are more engaged. You are choosing to stay in tune with what is happening in the profession." "Be in your community, raise your voice. Be seen and heard and educate your legislatures on what hygienists do." "I would have a ketchup packet in my hand when I would shake GA legislators hands and would tell them that GA needed to catch up." "Small ripple turns into a giant wave." Links [email protected]

On this Fast Facts: Pharmacology Edition Tom Viola, R. Ph., C.C.P. talks to us about the benefits of xylitol, particularly on recently exposed root surfaces. He also highlights products that you can recommend to your patients to help them achieve simple applications of xylitol throughout the day. This series is sponsored by our friends at Elevate Oral Care! @elevateoralcare creates innovative and proven prevention-focused oral care products, learn more by visiting www.elevateoralcare.com and schedule your free CE staff-meeting today. See more from Tom at www.tomviola.com @pharmacologydeclassified #pharmacology

This week on A Tale of Two Hygienists TIPisode we are joined by Stephanie Botts, RDH who is a clinical hygienist and ergonomic specialist. Today Stephanie talks to us about microbreaks, highlighting their importance and how to implement them into your routine. Episode Highlights Microbreaks Chairside trapezius stretch Forearm stretches Quotes "It is all the little things that we are doing in the op that add up at the end of the week, month or year." "84% of dentists report pain or discomfort while working and 86% of hygienists." "After work is what is really important to me." "A microbreak is a short 20-30 second stretch break that you take every 20 minutes." "Microbreaks have been shown to reduce pain and fatigue in dental professionals." Links https://www.posturepros.net/ https://www.instagram.com/steph.posturepros/ https://www.facebook.com/stephanie.botts.rdh/ https://www.linkedin.com/in/posturepros/

Please Leave a Review! On this episode of A Tale of Two Hygienists Andrew talks with Dr. Hendrik Lai about achieving value based dentistry. Dr. Lai explains that the model of dentistry has changed, and we need to adapt with the change. Highlights of this episode include a conversation about access to care, the role of the mid level provider and a look at metrics, focusing on value factors, net promoter scores and loss ratios! This episode has FREE CE! Be sure to view your state guidelines to ensure this CE is applicable in your State. You can view all episodes with Free CE here. Take the CE course for this episode HERE Interview Starts: 04:55.989 Episode Highlights Dr. Lai's Background Access to care Mid Level Providers Dental Therapists Data Collection Net Promoter Score Value factors Changes in dentistry Insurance Loss Ratio Quotes "The idea was to have oral care no more than 2 hours away from any Australian citizen." "What mid level providers do is create a credible substitute." "In Australia Dental Therapists only see children." "On mass, people are more likely to recommend their insurance company than their dental office." "The net promoter score is one of the best indicators of repeat purchases." "A patient doesn't know a good filling from a bad filling, all they know is if you were nice to them, or if you hurt them." "In the 90's and early 2000's you could be a horrible dentist, and still make money hand over foot." "We are seeing some of the barriers to entry drop." "Not for profit, doesn't mean not profitable." "No money means no mission." "The average dental loss ratio is roughly 76%." "We need to partner with everyone in our industry, we can't keep going it alone." "I help the dreamers and the doers do it better." Links www.sagedentalconsulting.com [email protected] A Tale of Two Hygienists Podcast A Tale of Two Hygienists homepage AToTH on Facebook AToTH on Instagram AToTH on LinkedIn

On this week's episode of Fast Facts – Coding Edition with Teresa Duncan, MS Teresa gives us a breakdown of code D4381. Teresa highlights the definition, communicating its use with patients and some limitations associated with the code. Quotes: "4381 though if you are talking with a patient and perhaps this is previous to doing any active therapy, you can let them know that this is something that you anticipate having to use." "The patient shouldn't get two, three, four teeth free just because they have insurance they should have some out of pocket." "You also want to have noted the stage of the patient when they presented and what the current grade is for them and of course if your documentation is up to speed with the AAP guidelines you'll already have that templated. Links: DentistRX: https://www.dentistrx.com More Fast Facts: https://www.ataleoftwohygienists.com/fast-facts/ Teresa Duncan Website: https://www.katrinasanders.com Nobody Told Me That Podcast: https://nobodytoldmethat.libsyn.com/ Chew On This Podcast: https://chewonthisdentalpodcast.libsyn.com/

On this A Tale of Two Hygienists bonus episode powered by Crest Oral-B we are joined by guest co-host Lacy Walker, RDH and guest Dr. Stephanie Kaplan to discuss the topic that is mentioned by almost every patient, whitening. Dr. Kaplan talks about the game changer to whitening that is Crest Emulsions. This product solves one of the major issues patients have with whitening, sensitivity and offers such a pleasant user experience. Episode Highlights: Dr. Kaplan's background Evolution of whitening Emulsions technology What causes sensitivity Makeup of Emulsions Application process Ideal patient Professional exclusive Texture/favor Purchasing Quotes: "You no longer had to match your god given color, you could change and enhance the color." "You are not going to bleach your clothes every time you wash them because you want to preserve your clothes, the same goes for your teeth and whitening." "What if I told you could whiten your teeth with no sensivity." "This doesn't dehydrate the teeth." "There are a lot of myths associated with lights." "You need to apply the light at the right time, for the right amount of time." "We get up to 30-50% more efficacy if we apply the light at the right time." "This is safe for patients over 12 years of age." "You can whiten up 4 times per day safely with Emulsions." Resources and Links: [email protected] Article by Lacy Walker Whitening Science: Removing The Smoke And Mirrors With Paul Sagel - Bonus Episode - A Tale of Two Hygienists 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 Jen Rothenburg, BS, RDH, PHDH Lacy Walker, RDH and Tom Viola, R.Ph., C.C.P. to talk to us about a new product on the market that is redefining the patient experience. Enter Synapse which uses pulsewave technology to alleviate dental pain. Learn more on this episode! Episode Highlights What is Synapse? How does it work? What does it do for the patient? Home use Insurance Coding (D9110, D9910, D9630, D7465) Quotes: "This technology has been in medical since the 1960's." "It basically talks to your nerves and your brain telling both to leave the area alone." "This does soft tissue and hard tissue." "The device itself lasts 330 minutes, to do a full dentition takes 2 minutes and that's 32 teeth." "All you are going to do is outline that canker sore and that pain will go away." "This has been a long time coming, in dentistry we should have been using this." "Just visualize painting a fence, that is what you are doing." "When applied it lasts 24-48 hours." "I'm going into an 8mm pocket with just this." "This is better than some analgesics because it works so fast, and there are no side effects." "This is FDA approved." https://dentalpaineraser.com/ https://www.rdhmag.com/patient-care/article/14208370/chairside-impact-the-dental-pain-eraser-by-synapse

TITLE: 323 Becoming a Director of Hygiene with Trish Keena, RDH Please Leave a Review! On this episode of A Tale of Two Hygienists Andrew talks with Trish Keena, RDH about her *cheesy* journey in dental hygiene. In all seriousness, Trish has held a number of different positions through all walks of dentistry. Andrew often uses Trish as a sounding board due to her experience and steady mind. We can all take away a thing or two from this interview! This episode has FREE CE! Be sure to view your state guidelines to ensure this CE is applicable in your State. You can view all episodes with Free CE here. Take the CE course for this episode HERE Interview Starts: 07:24.318 Episode Highlights Why Dental Hygiene Filing Charts to Dental Hygiene Product Representative - part time, full time Director of Hygiene Imposter Syndrome Changing Culture Metrics Regional Leadership Quotes "My mom has been a dental assistant for over 25 years." "It sold me immediately when I could help the patient feel more at ease." "Because I didn't learn about it in school, and my teachers didn't have that clinical belief I assumed it couldn't be important." "Director of Hygiene isn't for everyone, it's a big jump." "I ignore job prerequisite descriptions. Apply for the job, and let them read your resume and decide if you are qualified." "Start with the why." "We are providers and we should be compensated as such." Links LinkedIn: https://www.linkedin.com/in/trish-keena-b1561932/ Trish Keena Cell: 773-682-5771 A Tale of Two Hygienists Podcast A Tale of Two Hygienists homepage AToTH on Facebook AToTH on Instagram AToTH on LinkedIn

On this week's episode of Fast Facts - Perio Edition, Katrina Sanders, we are continuing the conversation around periodontitis as a manifestation of systemic disease discussing patients that present with Ehlers-Danlos Syndrome. Katrina highlights cardinal signs to look for, and shares a personal experience with a patient at her practice. Quotes: "There are about 13 different kinds of different displays of Ehlers-Danlos." "Ehlers-Danlos is oftentimes seen systemically, however, we can also see it intraorally." "As you can imagine, if this is a disease that impacts the connective tissue or lamina propria, we are going to likely see some challenges in the mechanical protection of the 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/ Papapanou, P. N., Sanz, M., Buduneli, N., Dietrich, T., Feres, M., Fine, D. H., ... & Tonetti, M. S. (2018). Jepsen S, Caton JG, Albandar JM, Bissada NF, Bouchard P, Cortellini P, Demirel K, de Sanctis M, Ercoli C, Fan J, Geurs NC, Hughes FJ, Jin L, Kantarci A, Lalla E, Madianos PN, Matthews D, McGuire MK, Mills MP, Preshaw PM, Reynolds MA, Sculean A, Susin C, West NX, Yamazaki K. Periodontal manifestations of systemic diseases and developmental and acquired conditions: Consensus report of workgroup 3 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. J Periodontol. 2018 Jun;89 Suppl 1:S237-S248. doi: 10.1002/JPER.17-0733. PMID: 29926943.

This week on A Tale of Two Hygienists TIPisode we are joined by James Younger, DDS practicing dentist and Founder/CEO of TempStars. Dr. Younger talks to us about a conversation he had with the BC Dental Association about how to request a raise! Episode Highlights: Discussing Higher Hourly Rate When you don't love your office When you do love your office Look at "Value" Set up a plan Quotes: "You need to consider the whole picture of your work life." "I would caution anyone against chasing that next dollar." "Think of it as a process, not a this or that." "Let them know you don't need an answer right away." "Typically we exchange money for value, but all of us value things differently." "Ask if you can set a plan that as you start hitting production levels and things balance in the office again, you are compensated appropriately." "Be prepared for the conversation, but be prepared for the process." Links: www.tempstars.com

Please Leave a Review! On this episode of A Tale of Two Hygienists Andrew, and guest co-host Amber Lovatos, RDH talk with Brandon Evert who is a D4 student, and Host of Extracting Wisdom Podcast. Brandon talks about his journey, his choice to join the dental field, and what lead him to pursue a career in the military once he graduates. This episode has FREE CE! Be sure to view your state guidelines to ensure this CE is applicable in your State. You can view all episodes with Free CE here. Take the CE course for this episode HERE Interview Starts: 07:03.645 Episode Highlights Brandon's Journey Medicine vs. Dentistry Being a Dentist in the Military Internship with Dr. Moody Digital Protocol Equipment Military Placement Quotes "I'm very lucky to have this scholarship and to know I have a 4 year job after school." "Me being the dental nerd that I am, I searched for dental podcasts." "This digital stuff is not new, but at a dental school it is often unheard of." "Squeaky wheel gets the grease." "This is the best scholarship you will find, you will not find another that will cover 100% of your school and give you a stipend." "My husband is a dentist and that student loan debt is huge." "I like doing SRPs, IF I have the right equipment." "The only reason you are 'soft' is because your instruments are so dull you are not doing anything." "The newer generation of dentistry is more inclusive." "I wish we had more of a team approach, because that is real life." "It is the blind leading the blind sometimes." Links https://www.instagram.com/brandonevertdmdstudent/ https://extractingwisdom.libsyn.com/website [email protected] @Thelatinardh on Instagram and Facebook https://atothenespanol.libsyn.com/un-cuento-de-dos-higienistas A Tale of Two Hygienists Podcast A Tale of Two Hygienists homepage AToTH on Facebook AToTH on Instagram AToTH on LinkedIn

On this week's episode of Fast Facts - Perio Edition, Katrina Sanders, we are continuing the conversation around periodontitis as a manifestation of systemic disease discussing patients that present with Cohen Syndrome. Katrina highlights cardinal signs to look for, and complications associated with this syndrome. Quotes: "One of the key Cardinal signs of Cohen Syndrome that we really do get concerned about is that these individuals as a component of their disorder will have low white blood cell levels or neutropenia." "Oftentimes when we see individuals who have that shortened filtrum and then prominent and central incisors, these individuals will also have a resting open mouth position. And so because of that, we can absolutely see some challenges associated with dry mouth, etcetera." "Oftentimes we will see that family members within this patient's circle will also have one, a few, several or maybe all of the characterizations of Cohen Syndrome." Resources: DentistRX: https://www.dentistrx.com More Fast Facts: https://www.ataleoftwohygienists.com/fast-facts/ Katrina Sanders Website: https://www.katrinasanders.com Katrina Sanders Instagram: https://www.instagram.com/thedentalwinegenist/ Papapanou, P. N., Sanz, M., Buduneli, N., Dietrich, T., Feres, M., Fine, D. H., ... & Tonetti, M. S. (2018). Jepsen S, Caton JG, Albandar JM, Bissada NF, Bouchard P, Cortellini P, Demirel K, de Sanctis M, Ercoli C, Fan J, Geurs NC, Hughes FJ, Jin L, Kantarci A, Lalla E, Madianos PN, Matthews D, McGuire MK, Mills MP, Preshaw PM, Reynolds MA, Sculean A, Susin C, West NX, Yamazaki K. Periodontal manifestations of systemic diseases and developmental and acquired conditions: Consensus report of workgroup 3 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. J Periodontol. 2018 Jun;89 Suppl 1:S237-S248. doi: 10.1002/JPER.17-0733. PMID: 29926943.

Please Leave a Review! On this bonus episode we are joined by Dr. Mark Cannon. Dr. Cannon talks to Andrew, and guest co-host Machell Hudson about Xylitol and its use as a prebiotic. We have heard some of the benefits of xylitol in the past but Dr. Cannon opens our eyes to just how many ways xylitol can be used to improve our health. Big thank you to Xlear, makers of the amazing Spry Dental Defense System line of products for making this interview with Dr. Cannon possible! Dr. Cannon is the Research Coordinator of the Dental Division of Ann and Robert Lurie Children's Hospital and is actively involved in the development of new biomaterials, with a special emphasis on bioactivity of materials in the pediatric patient. Episode Highlights Xylitol is a prebiotic Cruise ship analogy Xylitol - The first step Xylitol and cancer research Xylitol and nasal health Xylitol and skin health Dr. Cannons close call in his Dodge Charger Xylitol in an IV Fluoride+Xylitol study (Bad research) Early childhood caries The triad Getting good (research backed) Xylitol Quotes "Prebiotic are part of your diet, your intake that affects all of your bacteria." "Now our body produces 15 grams of xylitol per day through 3 major pathways. "Vitamin C becomes xylitol." "Xylitol is a first step of energy production for mitochondria." "Xylitol is so important right now in cancer research, we are looking at how it modulates, we know that it inhibits all cancer cell lines." "I hope in 2 or 3 years we will see xylitol in all cancer treatments." "Xylitol is beautiful, it blocks the growth of many of the bad bacteria, period." "A shocking fact, the skin is part of the body, just like we learned the mouth is part of the body." "Alzheimer's starts in your 20's because of periodontal disease." "How do you get those little tiny brushes inside the cells?" "In a lot of countries they have xylitol IV solutions." "It was the fluoride that didn't work in the group." "When you see a child with early childhood caries they are already marked for a life full of issues." "In the children with early childhood caries, you need to work on airway, then diet, then fight the dysbiosis and hit them with lots of xylitol." "We are better because of Dr. Mark Cannon." "Not any xylitol will work, you need to use products that are researched." "In the mouth you want 10-20% xylitol, on the skin 1-5% is fine." "We use Spry products in my office." Links https://www.drmarklcannon.com/ https://xlear.com/ Call Xlear at 801-492-2100 ​​https://xlear.com/spry-dental-defense-system-products Studies https://xlear.com/science/ https://xlear.com/spryscience/ https://xlear.com/articles-studies/ A Tale of Two Hygienists Podcast A Tale of Two Hygienists homepage AToTH on Facebook AToTH on Instagram AToTH on LinkedIn

This week on A Tale of Two Hygienists TIPisode we are joined by Spring Hatfield, RDH to talk to us about 3 steps to take to improve patient compliance. Episode Highlights Article: 10 Tips to Improve Patient Compliance Listen Build Rapport Motivate your patient Aids Quotes "Far too often we listen to respond, and we don't listen to hear." "If you can listen it is a building block to building trust with your patient." "Try to find the common ground with your patient, there is something you can find common ground on and build from there." "If rapport is lacking, you likely will not be able to build the trust you need." "Nothing will motivate your patient more than seeing what is going on in their own mouth." "Disclosing Gel has been a game changer for me." "GC Tri Plaque ID gel has 3 colors, when you put it on a patient's mouth they are dumbfounded to see all the colors, and then mortified when they learn what the colors mean, and see the areas they consistently miss." "I love that it is a gel and not a liquid, using it is a totally different experience." "Disclosing gel makes me a better clinician because it shows me exactly where all the biofilm is that I need to disrupt." Links [email protected] GC Tri Plaque ID Gel™ https://www.gcamerica.com/products/preventive/GC_Tri_Plaque_ID/ 10 Top Tips for Improving Patient Compliance https://www.nature.com/articles/bdjteam2015165

Please Leave a Review! On this episode of A Tale of Two Hygienists Kelley Quolas, BS, RDH, QOM and Tina Clarke, RDH aka Teacher Tina continue the discussion around local anesthesia questions! This episode has FREE CE! Be sure to view your state guidelines to ensure this CE is applicable in your State. You can view all episodes with Free CE here. Take the CE course for this episode HERE Interview Starts: 13:01.964 Episode Highlights Oraqix vs. Local Anesthesia for SRP When to refer Are you using D9215? What you can do if its been a hot minute since you gave local Sitting or standing, which is best? Intake of Children vs. Adults Anesthesia Board Experience Quotes "My practice in Washington vs. Florida was very different out of necessity." "Perio therapy is a medical procedure, what other medical wound debridement doesn't get numbed?" "Patients won't come back if they are not comfortable." "Its mindset, put yourself in the mindset 100%." "Can you imagine how much kickback we would get if we tried to weigh our adult patients, we pushback trying to take their blood pressure for crying out loud." Links https://www.teachertinardh.com/ [email protected] https://mymyomyhealth.com/ [email protected] A Tale of Two Hygienists Podcast A Tale of Two Hygienists homepage AToTH on Facebook AToTH on Instagram AToTH on LinkedIn

On this Facts Facts: Pharmacology Edition Tom Viola, R. Ph., C.C.P. is talking about the benefits of sodium fluoride and the different products on the market! We especially love those from Elevate Oral Care. They have thought out the best ways to deliver fluoride that encourage patient compliance! After all a product is only as good as a patients willingness to use it! This series is sponsored by our friends at Elevate Oral Care! Elevate Oral Care creates innovative and proven prevention-focused oral care products, learn more by visiting www.elevateoralcare.com and schedule your free CE staff-meeting today. See more from Tom at www.tomviola.com

On this episode Andrew and CE extraordinaire Lacy Walker, RDH interview Dr. James Younger about the right way to temp. We are going to let you in on the (not so secret) secret that not all temping agencies are the same. Dr. Younger created TempStars to solve the problem he as a dental professional was seeing with the temping market, and brought solutions to the table with his platform that benefit dental professionals, and practices alike. In this episode you will hear Dr. Younger's passion for the betterment of the profession and learn what he has, and is continually doing to help the process. Episode Highlights: Dr.Youngers Background The Problem: 4am Text Message Cancellations The Process: Failure is a part of success The Solution: TempStars Situation Pain Point Solution Pain Point Modifying features for timely needs Office self-reflection and bettering the system Elite Status - Based on reviews, not career length Mentorship Program Quotes: "We have over 14,000 dental hygienists and assistants that use our services." "We saw the solution and needed to figure out how to build a business around it." "Failure is a part of success." "We don't place dentists on a temporary basis but we have a system to place them on a permanent basis." "I care about the dental profession, and dental assistants." "This business started because we wanted dental professionals be happier at work." "We are always listening and responding to the situations we hear about." "The bread is never baked, it is always dough." "If you say 'unhappy' you don't see posts from that office anymore." "We remove offices that are not providing a good templing experience because we don't care about the temping fee more than the satisfaction of our hygienists." "Does your office deserve to have great people working there?" "80% of our time is spent building a community for dental hygienists." Links https://www.tempstars.com/ https://www.facebook.com/TempStars/ https://www.instagram.com/tempstars/ [email protected] (Ask them your questions, they are happy to answer!)

The RDH's Value and Team Mentality with Dr. Mona Patel Please Leave a Review! On this episode of A Tale of Two Hygienists Andrew records live from Voices of Dentistry with Dr. Mona Patel, DDS and guest co-host The Latina RDH, Amber Lovatos, RDH. Dr. Patel shares with us how she runs her practice with a team mentality, and value around the skills that dental hygienists provide. Dr. Patel truly understands the value of continued education and growth and how encouraging growth in your team members ultimately makes for the best patient experience. This episode has FREE CE! Be sure to view your state guidelines to ensure this CE is applicable in your State. You can view all episodes with Free CE here. Take the CE course for this episode HERE Interview Starts: 08:37.032 Episode Highlights Dr. Patel Background Digital Workflow CDOCS/CEREC Team = Family Empower your RDHs KPIs Give your patient options Degrees are a baseline of knowledge Quotes "Rising tides raise all ships." "I couldn't do what I do without my team, I have the best team." "CDOCS is basically the Peloton of dentistry." "The day you get your degree, it does not make you an expert in your field, we have to keep learning everyday." "To have 14 people that trust you and wear their brand on their scrubs is not something I take lightly." "Hire for attitude, you can always train skill." "Hygienists are strong willed but they also want a leader that shares their values." "Hygienists are not a support staff member, they are a provider." "When you have a second set of eyes co-diagnosing it is better for the patient, and hopefully more doctors are recognizing that their hygienists are not just there to clean teeth and do prophys." "Our goals are numbers driven but 100% trumped by only if the patient needs it." "We treat the patient, we don't treat the insurance company." "Our degree is the baseline of what we need to know, we should absolutely be learning beyond that." "Board exams test for minimal competency." "People don't leave a job, they leave management." "I would sooner sell my car than have to furlow my team." "Our failures teach us more than our successes." "I think in under 2.5 minutes you can scan the full mouth." Links Savannah Guthrie Dental Visit: https://www.hellomagazine.com/healthandbeauty/health-and-fitness/20220215133219/today-show-savannah-guthrie-details-health-concern-dentist/ Dr. Mona Patel on Instagram (https://www.instagram.com/monapateldds/) https://bayshoredds.com/ [email protected] @Thelatinardh on Instagram and Facebook https://atothenespanol.libsyn.com/un-cuento-de-dos-higienistas A Tale of Two Hygienists Podcast A Tale of Two Hygienists homepage AToTH on Facebook AToTH on Instagram AToTH on LinkedIn

On this week's episode of Fast Facts – Coding Edition with Teresa Duncan, MS Teresa gives us a breakdown of codes D4910 & D4341 vs. D4342. Teresa highlights what factors need to be present in order to use these codes and some of the common mistakes she sees that lead to unpaid claims. Quotes: "So when I talk about the scaling and root planing codes, I'm really talking about those two codes, and it does depend on how many teeth that you have involved in the procedure." "One thing that I'd like to point out is we do talk about the tissue being contaminated with toxins and microorganisms, and I'm just going to challenge you. Is that something that you discuss with your patients? And if not, why not?" "A good rule of thumb is to make sure that your probing and your radiographs are all within one year and that way you should have really current information and that just helps you also with your conversations with the patient." Links: DentistRX: https://www.dentistrx.com More Fast Facts: https://www.ataleoftwohygienists.com/fast-facts/ Teresa Duncan Website: https://www.katrinasanders.com Nobody Told Me That Podcast: https://nobodytoldmethat.libsyn.com/ Chew On This Podcast: https://chewonthisdentalpodcast.libsyn.com/

Please Rate this Podcast! This week on A Tale of Two Hygienists TIPisode we are joined by Teresa Duncan, MS. Teresa talks to us about grace, specifically how to leave your job with grace. Teresa is a speaker and writer with over 20 years of experience in healthcare. Her areas of expertise include 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 – a component of the International Congress of Oral Implantologists, she understands the importance of continuing education. Episode Highlights Don't Burn Bridges Check Your Contract Craft Your Message It Pays to be Professional Change is Good Quotes "Sometimes we need to leave a position for reasons that have nothing to do with the office" "You may need to take another job for higher pay… and that is okay" "For mental health I think you need to go to the place that makes you happy" "It is a very small industry, whoever you are working with today, you might work with down the road at a different office" "Taking patient information with you is a HIPAA violation" "When you leave an office, you leave the patients, not just the office" "Change is good, it is difficult, but change is ultimately good" Links A Tale of Two Hygienists Website: www.ataleoftwohygienists.com Contact Teresa: http://www.odysseymgmt.com/contact Teresa Website:http://www.odysseymgmt.com Teresa's Book: http://odysseymgmt.corecommerce.com/Book/ use code TALE for $3 courtesy Nobody Told Me That Podcast: http://nobodytoldmethat.libsyn.com Chew on This Podcast: https://chewonthisdentalpodcast.libsyn.com

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

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

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

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

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

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

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

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

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

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

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