A Tale of Two Hygienists Podcast

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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