A Tale of Two Hygienists Podcast

Claire Jeong is the founder of StudentRDH.com, dentaltoaster.com, smarterDA.com and now https://wakeupmemory.com/ This week, Claire helps us to remember toothpaste ingredients. We could all use tricks and tips to keep the ingredients straight, and Claire gives us some great memory techniques! Check out her website, dentaltoaster.com, for more info and other great CE courses, including one by Michelle!

This week's A Tale of Two Hygienists is a heavier episode dealing with personal loss and worldwide turmoil, but it also offers a glimpse into a very necessary side of dentistry and examines a major issue affecting our world today. Sakher Alqahtani is a forensic and pediatric dentist who works at King Saud University in Saudi Arabia. He is also an honorary professor at the University of Queensland in Brisbane, Australia, where Andrew and Michelle got to speak with him. Sakher developed a new method of age estimation and lectures on that subject and human rights around the world. In this episode, Sakher discusses the important applications of forensic dentistry, breaks down the current refugee crisis and resultant human trafficking, and explains what you can do to get involved. EPISODE HIGHLIGHTS: Interview starts: 6:45 - Why forensic dentistry is relying less on dental records these days and more on social media like Instagram. - Sakher discusses one particularly tragic case where forensic dentistry played a role in identifying victims. - What is "Srebrenica syndrome" and how it applies to Sakher's forensic dentistry work. - Sakher breaks down the global refugee crisis, how age plays a major role in determining whether or not refugees can claim asylum, and where forensic dentistry figures into that. - Exploring the outrageous costs of detaining refugees at the border compared to giving them basic social assistance as their paperwork is processed. - How our modern concept of borders is creating an unnecessary crisis and hurts our growth as a society. - What you can do to get yourself informed about the refugee crisis and how dental professionals can assist patients who may be affected by human trafficking. - How you can get involved in forensic dentistry! QUOTES: "So when we do the identification it's for the living, because they cannot live a normal life otherwise." "The younger the person is, the more accurate age estimation is." "You have to protect that individual and people around them by applying the best method and by giving the best answer for that question." "You as taxpayers pay twenty times more for a person to be detained at the borders than if you let them in and give them money from social services... while their papers are processed." "This construct of borders and these harsh laws regarding people's movement is a new concept." "Diversity always enriches a society." LINKS: Sakher on Twitter - https://twitter.com/sakheralqahtani The London Atlas of Tooth Development and Eruption - https://www.researchgate.net/publication/227847876_The_London_Atlas_of_Human_Tooth_Development_and_Eruption American Society of Forensic Odontology - https://asfo.org/ American Academy of Forensic Sciences - https://www.aafs.org/ British Association for Forensic Odontologists - https://www.bafo.org.uk/ Australian Society of Forensic Odontology - http://www.ausfo.org.au/ Thank you to Paradise Dental Technologies aka PDT for providing sponsorship for this episode! THIS EPISODE COUNTS FOR CE! - but read the disclaimer below as it might not count for your state. Go here to take the test and get your CE credit! Be sure to thank the sponsor for this episode by heading over to www.PDTDental.com and picking up a new instrument or telling them thank you in person at one of the conferences! A Tale of Two Hygienists homepage - https://ataleoftwohygienists.com/ AToTH on Facebook - https://www.facebook.com/aTaleOfTwoHygienists/ AToTH on Instagram - https://www.instagram.com/ataleoftwohygienists AToTH on LinkedIn - https://www.linkedin.com/company/atoth/?originalSubdomain=ca

This week's TIPisode is with Andre Shirdan and he talks to us about utilizing our software. Are you having a hard time working with your particular software program? Do you get frustrated each time you look at the radiographs or enter your perio charting? Andre may have some suggestions to make life easier! Andre is an author, inspirational/motivational speaker, certified software and CAD/CAM trainer. He is a co-creator of the non-surgical periodontal protocol Stat-Ck and imaging protocol Array. For more than 25 years Andre has worked with thousands of practices helping to create systems for treatment planning, staff training, goal attainment, internal and external marketing, and computer systems integration. He has spoken internationally to hundreds of audiences and through his workshops and seminars, he has enlightened and entertained audiences. He's been interviewed and published in magazines, Podcasts and has interacted with thousands of dental professionals. Website: www.thecrewprocess.com Email: [email protected]

October is Breast Cancer Awareness Month, so to start it off in stride we're using this roundtable episode as an opportunity to speak with two hygienists who have had to live with breast cancer—and persevered. Mary Jensen has worked as a registered dental hygienist for nearly four decades. She works with the HyLife Oral Health Alliance, providing older populations with oral health care. Kris Potts has worked in dental hygiene for over forty years. While she no longer practices clinically, she does speak and write on the subject of oral care for oncology patients. In this episode, Mary and Kris discuss their personal experiences with breast cancer, tell you which faux pas to avoid when discussing cancer with those who struggle with it, and explain how they have stayed strong and vital even with cancer. EPISODE HIGHLIGHTS: Interview starts: 5:37 - Mary and Kris discuss their own breast cancer diagnoses and how they went about treating and coping with their conditions. - How frequently should you get a mammogram, and what are the risk factors? - Who did they turn to in their family and social circles after learning of their diagnosis? - The do's and don'ts of speaking to people living with cancer. - Why Mary greatly appreciated the support of the Breast Nurse Navigator. - Why it's vital to ditch the pity party and keep on top of your nutrition and fitness following diagnosis. - Looking at the genetic factors that can significantly increase your chances of developing breast cancer. QUOTES: "A lot of times you have to advocate for yourself when you know something's wrong." "It does all move on. There is the other side." "For anybody out there, just go take the nap." "Don't look at it as being selfish—you are taking care of yourself." LINKS: Mary's email: [email protected] Oral Health Promotion Strategies, LLC - http://krispottsrdh.com/Default.aspx Kris' email: [email protected] Thank you to Paradise Dental Technologies aka PDT for providing sponsorship for this episode! Be sure to thank the sponsor for this episode by heading over to www.PDTDental.com and picking up a new instrument or telling them thank you in person at one of the conferences! A Tale of Two Hygienists homepage - https://ataleoftwohygienists.com/ AToTH on Facebook - https://www.facebook.com/aTaleOfTwoHygienists/ AToTH on Instagram - https://www.instagram.com/ataleoftwohygienists AToTH on LinkedIn - https://www.linkedin.com/company/atoth/?originalSubdomain=ca

Consultants.... does that word send shivers down your spine? We have all heard the horror stories about consultants taking over practices, and Teresa gives us some great tips and explains that they aren't all so bad. Teresa Duncan, MS is such a wealth of knowledge. Please visit her website and enjoy her awesome resources! For more info from Teresa, see below! Teresa Duncan: Speaker on insurance and management, Podcaster, Author of a book and contributes to several magazines and the ADA's publications! Book : http://odysseymgmt.corecommerce.com/Book/ use code TALE for $3 courtesy (offsets shipping) Site:OdysseyMgmt.com Podcast: http://nobodytoldmethat.libsyn.com

A Tale of Two Hygienists' student roundtable series is taking a different approach this week, aimed entirely at students who've only recently started hygiene school—though stick around if you're a senior. You'll still learn something important. Andrew and Michelle had the honor of attending RDH Under One Roof, which took place July 31 through August 2nd this year in Grapevine, Texas. At RDH Under One Roof, members of the dental hygiene profession gather en masse to learn from top experts and keynote speakers, as well as check out the latest in dental hygiene tech. While they were there, our two hosts recorded an informal yet very informative roundtable episode featuring nearly 40 GUESTS. In this jam-packed episode, our numerous guests dish out their most vital advice for new hygiene students, discuss their own histories in the field, and reveal some of their favorite memories from hygiene school. EPISODE HIGHLIGHTS: Interview starts: 3:52 - Don't be afraid to take on any challenges that come your way while in school. At the very least they provide ample learning opportunities. - Make sure to find the time to relax and find a social life for yourself outside of class. - While you're learning how to take care of other people's mouths, keep an eye on your own body and stay healthy. - Never burn bridges; you can never predict if you'll end up working someone you were rude or inconsiderate to. - Thanks to biofilm research, it's never been a more exciting time to enter the dental hygiene field. - Network whenever you can; the connections you make in school can shape your career for years to come. - Proper ergonomics when holding instruments will absolutely pay off in the long run. - Last but certainly not least: never give up. QUOTES: "Be open to any challenges or opportunities that lie your way." "Just follow your passions and you will do it. "Your patient is not a chart. Your patient is not a number. Your patient is a human being." "Really learn to advocate for your patients." "Your education does not end. It just began with hygiene school and the day that you graduated." "If you want something bad enough, go get it." "You can't clearly study if your mind is foggy. You'll get more clear when you do something nice for yourself." LINKS: RDH Under One Roof homepage - https://www.rdhunderoneroof.com Ann Marie DePalma's email: [email protected] Smiles at Sea homepage - https://www.smilesatsea.com/ Thank you to Paradise Dental Technologies aka PDT for providing sponsorship for this episode! Be sure to thank the sponsor for this episode by heading over to www.PDTDental.com and picking up a new instrument or telling them thank you in person at one of the conferences! A Tale of Two Hygienists homepage - https://ataleoftwohygienists.com/ AToTH on Facebook - https://www.facebook.com/aTaleOfTwoHygienists/ AToTH on Instagram - https://www.instagram.com/ataleoftwohygienists AToTH on LinkedIn - https://www.linkedin.com/company/atoth/?originalSubdomain=ca

This week Dr. Odiatu is talking about a work-life balance. We all struggle to find that balance, but Dr. Odiatu has some great suggestions to help navigate that journey! Dr. Odiatu is a practicing dentist, certified trainer, author, speaker, and repeat AToTH guest. He always brings us content that we can use to make us and our patients happy and healthy. Be sure to check out the many episodes with Dr. Uche and head over to our YouTube channel and watch the videos Dr. Uche and Michelle did to help you stretch and take care of your body! Contact him! http://www.druche.com/ www.facebook.com/odiatu [email protected] Instagram: @fitspeakers Book: The Miracle of Health

It's come to this: the final installment in A Tale of Two Hygienists' infection control series. To close things off, we've brought on a former law enforcement officer who can speak with authority about both the safety and legal ramifications of an unsanitary dental office. Duane Tinker is the CEO of Dental Compliance Specialists, which works with dental practices across the United States to ensure staff are well-trained in infection control and are working with the best and safest equipment. Known as "The Tooth Cop," courtesy of his previous line of work in Texas law enforcement, he's also the host of the Talking with the Tooth Cop podcast. In this episode, Duane discusses how his work as a state police officer crossed over into the dental profession, explains why complacency is a major factor in the spread of infection, and explores how poor infection control can cost dental practices. EPISODE HIGHLIGHTS: Interview starts: 6:11 - Duane relates his past investigating unlawful dental practice as a Texas Ranger and what he learned about oral health along the way. - Going over how Duane ensures practices are complying with infection control protocols—and how his training saved a life in the long run. - Why waterline safety is one of the more pressing issues Duane deals with in his compliance work. - What Duane thinks the major reason is why even very competent dental professionals can make hazardous infection control errors. - Looking at the infection risks posed by aerosol disinfectants as opposed to other methods of administration. - What's the monetary and reputational cost of poor infection control? And how Duane thinks the dental industry has improved overtime. QUOTES: "Before you can be a doer you have to be a dreamer." "There's so much marketing going on out there, you've gotta rise above the noise." "It's not any one person's fault but the reality is if there's a failure, it's everybody's fault." "You come to work safe, you owe it to your families to stay safe, and you owe it to your families to go home without bringing the funk with you." "Ultimately, where you draw the line is where the line is." LINKS: Dental Compliance Specialists - https://dentalcompliance.com/ Talking with the Tooth Cop Podcast - https://dentalcompliance.com/category/podcast/ Dental Compliance Specialists on Twitter - https://twitter.com/ddscompliance OSAP homepage - https://www.osap.org/ Thank you to Paradise Dental Technologies aka PDT for providing sponsorship for this episode! THIS EPISODE COUNTS FOR CE! - but read the disclaimer below as it might not count for your state. Go here to take the test and get your CE credit! Be sure to thank the sponsor for this episode by heading over to www.PDTDental.com and picking up a new instrument or telling them thank you in person at one of the conferences! A Tale of Two Hygienists homepage - https://ataleoftwohygienists.com/ AToTH on Facebook - https://www.facebook.com/aTaleOfTwoHygienists/ AToTH on Instagram - https://www.instagram.com/ataleoftwohygienists AToTH on LinkedIn - https://www.linkedin.com/company/atoth/?originalSubdomain=ca

This week's TIPisode is with Noel Brandon-Kelsch. Closed containers-- how important are they and what do you need to consider when finding the best product for your practice-- that is what this TIPisode is all about! Send in your infection control questions! Noel would love to answer them for you. Medicom sponsors this episode. Head over to their website and learn more about their products to keep you and your patient protected https://www.medicom.com/en Noel Brandon-Kelsch is an international speaker, writer, Registered Dental Hygienist in Alternative Practice and Director of Cabrillo College Dental Hygiene Program. She is passionate about oral health and has the uncanny ability to motivate and enlighten audiences through her unique humor and cutting edge information. She takes the tough subject matter and presents it in such an exciting way that it becomes thought-provoking even to those not involved in her industry. Noel is an infection control guru and is going to bring us tips that can make use more informed clinicians! Check out her webpage noelkelsch.com

As Andrew and Michelle continue their infection control series, they really want to focus on bloodborne pathogens—basically any disease or infection that can be transmitted via blood and other bodily fluids. Since hygienists and dentists work in VERY close proximity to their patients' saliva, it's helpful to know the best techniques and methods for preventing the spread of these pathogens throughout the office. Kim Laudenslager has been a dental hygienist for the last four decades(!). Based in Lone Tree, Colorado, Kim was an associate clinical professor at the University of Colorado's School of Dental Medicine for over 30 years, and currently works with the Office Sterilization & Asepsis Procedures Research Foundation. In addition, she puts on OSHA infection prevention seminars for many professionals in the dental industry. In this episode, Kim breaks down the differences between various disease-control organizations and what their jurisdictions are, as well as explains how nurses were critical in establishing a standard for dealing with bloodborne pathogens. EPISODE HIGHLIGHTS: Interview starts: 7:48 - Kim highlights the differences between bloodborne pathogen regulation at state and federal levels and who has jurisdiction over what. - Debunking some of the misconceptions about the CDC's "recommendations" and just how optional they are. - How nurses in the 1980s played a crucial role in driving OSHA's Bloodborne Pathogen Standard. - What constitutes OSHA's annual bloodborne pathogen training? - Examining the two primary routes of bloodborne pathogen exposure. - Kim breaks takes a close look at several bloodborne diseases and even quizzes Andrew and Michelle on their knowledge. - What does it mean to be a "responder" or "non-responder"? - Did Freddie Mercury's extra incisors give him greater vocal range? - What are "practice controls" and "engineering controls," and why are professionals are at a much lower risk of contracting bloodborne pathogens than they were 20 years ago? QUOTES: "It doesn't matter what state you live in, everybody has to comply with what we're gonna talk about today." "Don't get hung up on that word 'recommendation' cuz trust me, it's mandatory." "When the CDC recommends it, it's mandatory." "We never alter our infection control based on a patient's health history." "It is our personal obligation to keep up on our own vaccines and keep ourselves healthy." "My goal is to keep all offices out of trouble." LINKS: Kim's homepage - https://kimlaudenslager.com/ Kim's email: [email protected] Beyond the Operatory - http://beyondtheoperatory.weebly.com/ TriviaDent - https://www.triviadent.com/ Thank you to Paradise Dental Technologies aka PDT for providing sponsorship for this episode! THIS EPISODE COUNTS FOR CE! - but read the disclaimer below as it might not count for your state. Go here to take the test and get your CE credit! Be sure to thank the sponsor for this episode by heading over to www.PDTDental.com and picking up a new instrument or telling them thank you in person at one of the conferences! A Tale of Two Hygienists homepage - https://ataleoftwohygienists.com/ AToTH on Facebook - https://www.facebook.com/aTaleOfTwoHygienists/ AToTH on Instagram - https://www.instagram.com/ataleoftwohygienists AToTH on LinkedIn - https://www.linkedin.com/company/atoth/?originalSubdomain=ca

Claire Jeong is the founder of StudentRDH.com, dentaltoaster.com, smarterDA.com and now https://wakeupmemory.com/ This week, Claire helps us to remember the important details we need to know when treating patients with diabetes. Check out her website, dentaltoaster.com for more info and other great CE courses, including one by Michelle!

Andrew and Michelle recently discussed infection and contagion control at length with their last trio of roundtable guests, one of who was kind enough to return and chat further about an organization that makes patient safety in the office a top priority. Michelle Lee is the executive director of the Organization for Safety, Asepsis and Prevention (OSAP), a body that advocates for safe and clean oral healthcare. Michelle and OSAP work with dental professionals to ensure that patients receiving oral and orthodontic treatment have little to no risk of catching infections or anything contagious. In this episode, Michelle breaks down the differences between OSAP, OSHA and the CDC, explains OSAP's surprising relationship with the armed forces, and takes a close look at the various risks infection poses to all areas of dentistry. EPISODE HIGHLIGHTS: Interview starts: - What is OSAP, what role does Michelle play in the organization, and how does it differ from OSHA? - What kinds of organizations and people make up OSAP's rank and file? - Michelle discusses some of the issues OSAP is focusing on right now and what kinds of events they arrange. - The reason there's a surprisingly high presence of military members at OSAP's boot camps. - Michelle explains the Dental Assistant National Board (DANB) and how they've recently partnered with OSAP. - How you can keep updated with OSAP via social media and where you can go to ask any questions you may have. - The extra challenges posed by mobile dental units for infection control. QUOTES: "There's a lot more to infection control than just employee safety." "We don't want to be exclusive; we want that message out there to all dental professionals." "We can all work together and help build up each other's associations." "We want to make patients realize we're there to take care of them and make their lives better." LINKS: OSAP homepage - https://www.osap.org/ Michelle's email: [email protected] Thank you to Paradise Dental Technologies aka PDT for providing sponsorship for this episode! THIS EPISODE COUNTS FOR CE! - but read the disclaimer below as it might not count for your state. Go here to take the test and get your CE credit! Be sure to thank the sponsor for this episode by heading over to www.PDTDental.com and picking up a new instrument or telling them thank you in person at one of the conferences! A Tale of Two Hygienists homepage - https://ataleoftwohygienists.com/ AToTH on Facebook - https://www.facebook.com/aTaleOfTwoHygienists/ AToTH on Instagram - https://www.instagram.com/ataleoftwohygienists AToTH on LinkedIn - https://www.linkedin.com/company/atoth/?originalSubdomain=ca

Dr. Tom Viola has been on the podcast before and in this TIPisode he highlights some great points about vaping. This is a hot topic these days and we need to be armed with as much info as possible to best educate our patients. With over 30 years' experience as a pharmacist, educator, speaker and author, Tom Viola, R.Ph., C.C.P. has earned his reputation as the go-to specialist for delivering quality continuing education content through his informative engaging presentations. Tom's sellout programs provide an overview of the most prevalent oral and systemic diseases and the most frequently prescribed drugs used in their treatment. Special emphasis is given to dental considerations and strategies for effective patient care planning. Tom's homepage - http://www.tomviola.com/ Pharmacology Declassified - http://www.tomviola.com/welcome-to-the-pharmacology-declassified-blog/ A Tale of Two Hygienists homepage - https://ataleoftwohygienists.com/ AToTH on Facebook - https://www.facebook.com/aTaleOfTwoHygienists/ AToTH on Instagram - https://www.instagram.com/ataleoftwohygienists AToTH on LinkedIn - https://www.linkedin.com/company/atoth/?originalSubdomain=ca

When your job requires you to get right up close and personal to a patient's mouth, you need to really get on top of your cleanliness game—especially before you graduate and start your career as a hygienist. So, to that end, we've brought on three veterans of the dental industry who specialize in keeping the hygienist's workspace as healthy as possible for patient and professional alike. Emily Boge, RDH, is the dental administrative chair at Hawkeye Community College and a product innovator with American Eagle Instruments. Joy Void-Holmes is also a dental hygienist and serves part-time on the faculty of Fortis College. Michelle Lee is the executive director of the Organization for Safety, Asepsis and Prevention (OSAP), a body that advocates for safe and clean oral healthcare. In this episode, our guests discuss which bad sanitary habits you need to ditch before entering the workforce, explain how you can become certified in infection control, and examine what holds dental offices back from maintaining good sanitation. EPISODE HIGHLIGHTS: Interview starts: 3:02 - What our guests feel is the most important lessons dental hygiene students learn from the get-go. - Their advice for which bad habits students absolutely need to get rid of and why they need to get on top of their mask game. - Why Michelle believes social media is playing an important role in educating everybody about infection control. - What steps you can take to get yourself certified in infection prevention. - The reason students and newly employed hygienists might be reluctant to speak up about infection control issues, even if they have the proper knowledge. - The importance of fostering a more honest environment in a dental office where people with sanitation concerns can speak up without fear of reprisal. - Why you'll need to sacrifice some of your personal style if you wish to keep your office free from infection. - What questions you should ask about infection control, and what you should be on the lookout for, when job hunting. QUOTES: "If you're working in a high-aerosol environment with a Level One mask, you're not getting the adequate protection you need." "This is how we practice safe dentistry in our office, and you need to go through this training." "Unfortunately sometimes we have to require things for them to get done." "They think they're saving money, but what they're really gonna end up being is sick." "These folks that are very, very infection control-conscious, they get kind of a bad rap in the office and that makes me sad." "We're protecting ourselves and the patient, and no job is worth your safety and security." "If you want your students to behave a certain way then you have to emulate that behavior." LINKS: Emily's email: [email protected] Joy on Facebook - https://www.facebook.com/drjoyrdh/ Joy on Instagram - https://www.instagram.com/drjoyrdh/ Joy on Twitter - https://twitter.com/DrJoyRDH Joy's email: [email protected] OSAP homepage - https://www.osap.org/ Michelle's email: [email protected] Thank you to Paradise Dental Technologies aka PDT for providing sponsorship for this episode! Be sure to thank the sponsor for this episode by heading over to www.PDTDental.com and picking up a new instrument or telling them thank you in person at one of the conferences! A Tale of Two Hygienists homepage - https://ataleoftwohygienists.com/ AToTH on Facebook - https://www.facebook.com/aTaleOfTwoHygienists/ AToTH on Instagram - https://www.instagram.com/ataleoftwohygienists AToTH on LinkedIn - https://www.linkedin.com/company/atoth/?originalSubdomain=ca

We have an extra Friday this month so we thought we would bring you something different! Andrew has been on the Crest Smile Council for a few years now and invited his friends Sarah Thiel, Rafael Rondon, and Deborah Carrier on the podcast! They give a few quick tips for students and new grads! We hope you enjoy this week's TIPisode! We would love for you to subscribe to our monthly newsletter! Sign up at ataleoftwohygienists.com Keep sharing your favorite episodes and tell your colleagues how they can stay up-to-date with A Tale of Two Hygienists podcast.

Congenital Muscular Dystrophy (CMD) is an inherited disease that atrophies skeletal muscles and results in poor development of motor skills and other modes of movement. While dental hygienists obviously don't treat CMD, they will nevertheless likely encounter patients who live with the disorder and consequently have special requirements in the dental chair. Matty Manley and Megan Meyer are the hosts of the Two Rare Mama Bears podcast, where they discuss CMD in all its forms, explore the difficulties faced by those who live with it, and speak to a variety of experts and policy-makers on the subject. Matty and Megan are themselves both mothers to children affected with congenital muscular dystrophy and also lead the CMD advocacy team. In this episode, Megan and Matty discuss their own highs and lows raising children who live with CMD, help us understand just how convoluted the diagnosis process can be, and explain how our offices and techniques should aim to accommodate for patients with CMD. EPISODE HIGHLIGHTS: Interview starts: 8:44 - How Megan and Matty found common ground and ended up launching the Two Rare Mama Bears podcast. - Their method for planning the podcast, coming up with episode ideas, and seeking out guests. - Defining muscular dystrophy and its effects on those who live with it. - What specialized difficulties do patients with CMD experience when receiving dental and/or orthodontic treatment? - Matty and Megan explain just how complicated and protracted a process it was for them to confirm their children's CMD diagnoses. - How Megan and her family had to become "medical refugees" to get better medical care. - Megan and Matty's experiences dealing with people insensitive to their children's conditions and what terminology dental professionals should use with regards to those affected by CMD. - What dental offices can do to be more accommodating to those living with CMD. - What are the different subtypes of muscular dystrophy? QUOTES: "'Failure is not an option' came from us saying 'Okay, we have no idea what we're doing, but we have to make it work'." "We had one of the shortest diagnostic journeys—and it took us two years." "Dental care might be further down on their priority list because they're literally trying to stay alive." LINKS: Cure CMD homepage - https://www.curecmd.org/ Two Rare Mama Bears podcast - https://www.curecmd.org/podcast Thank you to Paradise Dental Technologies aka PDT for providing sponsorship for this episode! THIS EPISODE COUNTS FOR CE! - but read the disclaimer below as it might not count for your state. Go here to take the test and get your CE credit! Be sure to thank the sponsor for this episode by heading over to www.PDTDental.com and picking up a new instrument or telling them thank you in person at one of the conferences! A Tale of Two Hygienists homepage - https://ataleoftwohygienists.com/ AToTH on Facebook - https://www.facebook.com/aTaleOfTwoHygienists/ AToTH on Instagram - https://www.instagram.com/ataleoftwohygienists AToTH on LinkedIn - https://www.linkedin.com/company/atoth/?originalSubdomain=ca

A refreshing departure from our normal episodes, we meet up with Leah and Kelsey while in Brisbane for the ISDH. We begin with some Aussie slang and then briefly talk some dental before getting back off-topic, which I guess would technically be on topic as the fact that there was no topic is, in fact, the topic. We veer into other nonsense before returning back to dental again. It was quite the roller coaster of emotions with some dental discussion thrown in. **EXPLICIT** I put that warning up because there are a few mild swear words that sometimes turn into a string of swearing. Our sensitive audience should be made fully aware of it! I will NEVER apologize for this episode! Yes its a bigger/longer/and at times foul-mouthed episode, but there is soooo much to take away from here. A link for Aussie slang - https://www.youtube.com/watch?v=wcAIr2-tCeg&fbclid=IwAR3a6_G_uOJuzSY2ePOcW5Ky2nFHyF3d8j6ZIUiVRfrHOnyF-U3bPR11ZEY A link to find all of Kelsey's things - https://espace.library.uq.edu.au/records/search?searchQueryParams[all]=Kelsey%20pateman&page=1&pageSize=20&sortBy=score&sortDirection=Desc&fbclid=IwAR36QaTsHJKGbU2mfab6OGUfknwxnf3_R_yFD_ySjs2jseSHSF5TCjef4Ns A link to their email - [email protected] A link for Michelle on how to say ampersand correctly https://en.wikipedia.org/wiki/Ampersand

This week's TIPisode is with Noel Brandon-Kelsch. Can you use low volume and high volume at the same time? Can you drape your suction on the light handle? Learn these details and more this week with Noel! Send in your infection control questions! Noel would love to answer them for you. Medicom sponsors this episode. Head over to their website and learn more about their products to keep you and your patient protected https://www.medicom.com/en Noel Brandon-Kelsch is an international speaker, writer, Registered Dental Hygienist in Alternative Practice and Director of Cabrillo College Dental Hygiene Program. She is passionate about oral health and has the uncanny ability to motivate and enlighten audiences through her unique humor and cutting edge information. She takes the tough subject matter and presents it in such an exciting way that it becomes thought-provoking even to those not involved in her industry. Noel is an infection control guru and is going to bring us tips that can make use more informed clinicians! Check out her webpage noelkelsch.com

Menopause, that inevitable middle-aged milestone, can actually negatively impact oral health, which is pertinent not only to our patients but to mental dental professionals as well. To this end, we've invited on Kelli Jaecks, a dental hygienist based in Oregon as well as a professional speaker and author, who specifically focuses on women's health issues. Kelli was somewhat of a professional late-bloomer, not starting college until she was 30, and she's proof that it's never too late to find your calling and pursue it. Apart from her education as a hygienist, Kelli also earned her master's in communication and adult education and briefly served as president of the American Dental Hygienists Association (ADHA). She is the author of Martinis & Menopause: Strategies, Science and Sips That Empower Women to Beat the Hormone Game. In this episode, Kelli emphasizes why health professionals should look after themselves as much as they do those in their care, explains what really happens when your body goes through menopause, and suggests ways you can improve your sleep habits. EPISODE HIGHLIGHTS: Interview starts: 14:03 - Kelli traces her late arrival to college and what drew her to dental work. - Why it's so vital for health providers and specialists to take care of themselves as well as their patients. - The little things you can do to keep on top of your own health. - Kelli relates her experiences working with the ADHA and what prompted her to write Martinis & Menopause. - Taking a closer look at the physiology of menopause and how it affects oral health. - Should hygienists be on the lookout for any oral symptoms caused by hormone replacement therapy in patients undergoing menopause? - What women undergoing menopause can do to make this phase a little less turbulent. - Kelli's tips for developing good "sleep hygiene." QUOTES: "It's never too late to start on a goal." "It's not selfish to make choices for yourself, because when you're at your best then you can serve more." "It's very much more difficult to make positive choices for your eating, for your health, any of it, when you're tired." "If you're working at a place that is just untenable and just absolutely so negative, well it's time to look somewhere else." LINKS: Kelli's homepage - https://www.kellijaecks.com/ Kelli's email: [email protected] Kelli's book: https://www.kellijaecks.com/best-selling-author-of-martinis-menopause Kelli's phone number: (503)881-5633 Thank you to Paradise Dental Technologies aka PDT for providing sponsorship for this episodes CE credits! THIS EPISODE COUNTS FOR CE! - but read the disclaimer below as it might not count for your state. Go here to take the test and get your CE credit! Approved Pace Program Provider FAGD/MAGD Credit Approval Does Not Imply Acceptance By A State Or Provincial Board of Dentistry Or AGD Endorsement. 1/1/18- 12/31/19 Provider #373236 Be sure to thank the sponsor for CE for this episode by heading over to www.PDTDental.com and picking up a new instrument or telling them thank you in person at one of the conferences! A Tale of Two Hygienists homepage - https://ataleoftwohygienists.com/ AToTH on Facebook - https://www.facebook.com/aTaleOfTwoHygienists/ AToTH on Instagram - https://www.instagram.com/ataleoftwohygienists AToTH on LinkedIn - https://www.linkedin.com/company/atoth/?originalSubdomain=ca

Nearly 30 million people across the United States are diagnosed with diabetes, and many of them will find themselves in your care as a dental professional. People struggling with diabetes are at higher risk for certain oral health issues such as tooth decay and gum disease, so it's important to know the essentials about this disease. Stacey Simms is the host of the podcast Diabetes Connections, where she interviews those affected by diabetes and people who work in the medical industry. Stacey has hands-on experience dealing with the challenges diabetes in all its forms has to offer—her son lives with Type 1 and her husband with Type 2. Formerly a radio host and television reporter,Stacey sees her podcast an opportunity to continue with her broadcasting work even after retiring from it. For this episode, Stacey distinguishes the two major types of diabetes (as well as an unofficial third form), debunks some common myths about the condition, and explains how you can sensitively bring up the subject to patients in your own office. EPISODE HIGHLIGHTS: Interview starts: 7:12 - Stacey recounts how diabetes became part of her life and how she and her family learned to cope with it. - The reason why Stacey took it upon herself to launch her own podcast about diabetes. - The most surprising thing Stacey realized when she began interviewing people about diabetes. - Breaking down the differences between Type 1 and Type 2 diabetes—as well as the less commonly known Type 1.5. - What is an A1C test and how dental professionals should best broach those results when talking with patients. - The trick of using sugar to treat low blood sugar while still avoiding cavities. - Don't make the mistake of reinforcing debunked myths about diabetes in front of your patients. - What you should have on hand in your office in case of a patient's diabetic emergency. - Why you should give patients a heads-up if you plan to use drugs with epinephrine in them. - Taking a look at how continuous glucose monitoring makes things easier on both those with diabetes and those who look after them. QUOTES: "We really run the gamut and try to get information and inspiration because there's a lot that goes into living with life." "Your idea of 'well-controlled' may not be my idea of 'well-controlled'." "I found that the more information I shared, quite often the more misinformation would be shared back at me." "[Diabetes] is not something to feel guilty about; it's a health condition." "If you're not an expert in Type 1 diabetes, you can't live well with it." LINKS: Diabetes Connections with Stacey Simms - https://diabetes-connections.com/ Stacey's email: [email protected] Thank you to Paradise Dental Technologies aka PDT for providing sponsorship for this episodes CE credits! THIS EPISODE COUNTS FOR CE! - but read the disclaimer below as it might not count for your state. Go here to take the test and get your CE Credit! Approved Pace Program Provider FAGD/MAGD Credit Approval Does Not Imply Acceptance By A State Or Provincial Board of Dentistry Or AGD Endorsement. 1/1/18- 12/31/19 Provider #373236 Be sure to thank the sponsor for CE for this episode by heading over to www.PDTDental.com and picking up a new instrument or telling them thank you in person at one of the conferences! A Tale of Two Hygienists homepage - https://ataleoftwohygienists.com/ AToTH on Facebook - https://www.facebook.com/aTaleOfTwoHygienists/ AToTH on Instagram - https://www.instagram.com/ataleoftwohygienists AToTH on LinkedIn - https://www.linkedin.com/company/atoth/?originalSubdomain=ca

Claire Jeong is the founder of StudentRDH.com, dentaltoaster.com, smarterDA.com and now https://wakeupmemory.com/ We are all struggling with information overload. With all the gadgets, notifications, and noises around us, our brain is on overload! Claire gives us some science and suggestions to help our little brains not be so overworked~! Check out her website, dentaltoaster.com for more info and other great CE courses, including one by Michelle!

Our monthly student roundtable discussion episodes are dedicated to help you navigate the at-times turbulent waters from graduation to internship to full employment in the hygienist industry. This month, we've invited on two hygienists who regularly go on mission trips to bring dental care to the less fortunate throughout the world. Mary Jensen (previously heard in ATOTH 78) works as a dental hygienist for HyLyfe, LLC in the Greater Chicago Area and is Alliance for Smiles' lead hygienist, mentoring the dental professionals and students who go on these mission trips. Dorothy Ferreira has been practising dental hygiene for over three decades and is a volunteer hygienist for Alliance for Smiles and has 17 mission trips under her belt, with her 18th coming up this fall. In this episode, Mary and Dorothy discuss their personal histories with charitable dentistry, explain how to best go about funding and preparing for these mission trips, and relate some of their favorite experiences. EPISODE HIGHLIGHTS: Interview starts: 3:07 - How Mary and Dorothy got involved in mission trip work and why Mary views dental hygiene techniques as "portable." - How dental hygienists on mission trips overcome the language barrier, and the touching bonds they form in the process. - Our guests' tips for vetting the different organizations that offer mission trip opportunities. - Why time zone can be a major factor in how well one may adjust to a mission trip. - The reason a little bit of dental hygiene education can go a long way in more remote communities. - What Dorothy and Mary think you should be sure to pack for a mission trip, and other helpful preparation tips. - How you can go about securing funding for your mission trips. QUOTES: "It's life-changing for the child, but it's life-changing for the volunteer as well." "Speaking to someone firsthand, I think, is way better than just looking at their website." "This individual has never been in the dental chair... You have to show, tell, do every step of the way." "In this day and age, people want to feel that they're going somewhere where there's care." "When I'm on a mission, I'm an ambassador for the organization, I'm an ambassador for the United States and I'm an ambassador for the dental hygienists of the world." LINKS: Mary's email: [email protected] Dorothy's email: [email protected] Thank you to Paradise Dental Technologies aka PDT for providing sponsorship for this episode! Be sure to thank the sponsor for this episode by heading over to www.PDTDental.com and picking up a new instrument or telling them thank you in person at one of the conferences! A Tale of Two Hygienists homepage - https://ataleoftwohygienists.com/ AToTH on Facebook - https://www.facebook.com/aTaleOfTwoHygienists/ AToTH on Instagram - https://www.instagram.com/ataleoftwohygienists AToTH on LinkedIn - https://www.linkedin.com/company/atoth/?originalSubdomain=ca

Kara Vavrosky (Kara, RDH) and Ben Buzbee return to the show to tell us about some exciting new updates going on including their new podcast! www.TodaysRDH.com https://www.todaysrdh.com/dental-hygiene-podcast/ Listen on any of your podcast apps!

These TIPisodes keep getting better and better! Teresa gives us another round of great advice and in this tip, she is talking PPOs Teresa Duncan, MS is such a wealth of knowledge. Please visit her website and enjoy her awesome resources! For more info from Teresa, see below! Teresa Duncan: Speaker on insurance and management, Podcaster, Author of a book and contributes to several magazines and the ADA's publications! Book : http://odysseymgmt.corecommerce.com/Book/ use code TALE for $3 courtesy (offsets shipping) Site:OdysseyMgmt.com Podcast: http://nobodytoldmethat.libsyn.com

Continuing our series on dental-adjacent issues, we're tackling a scenario that every dental hygienist should be prepared for, however unlikely it may be: your patient having a medical emergency under your care. It's easy to fret over the thought of seizure or allergic reaction happening in your own office, but with some knowledge and training you'll know how to handle any situation promptly and professionally. Susannah Trammell is a paramedic, flight medic, "all around badass," and one of Michelle's best friends to boot. She has hands-on experience with dealing with a wide variety of medical emergencies and in the course of her casual but educational chat with Michelle she explains how you can deal with any emergency without that may pop up when a patient is in your chair. For this episode, Susannah gives you the low down on what steps you need to take if a patient passes out under your care, discusses what should be in your dental office's medical emergency kit, and gives you a refresher on CPR. EPISODE HIGHLIGHTS: Interview starts: 11:41 - Susannah lays out her experience working as a medic in different capacities. - Looking back on the occasions when Michelle had to send patients to the hospital! - What information paramedics need when tending to patients in dental offices (and most places, for that matter). - Reviewing the ASA Physical Status Classification System. - What you should do if a patient passes out in your chair. - The different kinds of stimuli paramedics use to test alertness. - Distinguishing between allergic reactions and anaphylactic shock, and how to treat each. - What you should include in and how you should maintain a medical emergency kit. - Defining hypoglycemia and what we can do for the patients that have it. - The wrong way to administer oral glucose. - Why a wooden spoon should NOT be used when a patient goes into seizure. - What you can do to prevent or deal with airway collapse or obstruction. - Dealing with chest problems, strokes, and other serious ailments where you might need to administer medication. - A quick refresher on CPR basics for those worried that they might actually need to do it but have no recent practice. - Michelle's experience accidentally dropping an object down a patient's throat QUOTES: "If you don't feel a pulse and you don't see breathing just go ahead and start CPR." "You can have an allergic reaction but it not necessarily be anaphylaxis." "Definitely check their blood pressure before you give them another dose." "When there's an emergency going on, people love to be told what to do. They need a job, so give them a job." LINKS: American Dental Association - https://www.ada.org/en Thank you to Paradise Dental Technologies aka PDT for providing sponsorship for this episodes CE credits! THIS EPISODE COUNTS FOR CE! - but read the disclaimer below as it might not count for your state. Go here to take the test and get your CE credit! Approved Pace Program Provider FAGD/MAGD Credit Approval Does Not Imply Acceptance By A State Or Provincial Board of Dentistry Or AGD Endorsement. 1/1/18- 12/31/19 Provider #373236 Be sure to thank the sponsor for CE for this episode by heading over to www.PDTDental.com and picking up a new instrument or telling them thank you in person at one of the conferences! A Tale of Two Hygienists homepage - https://ataleoftwohygienists.com/ AToTH on Facebook - https://www.facebook.com/aTaleOfTwoHygienists/ AToTH on Instagram - https://www.instagram.com/ataleoftwohygienists AToTH on LinkedIn - https://www.linkedin.com/company/atoth/?originalSubdomain=ca

This week's TIPisode is with Noel Brandon-Kelsch. Do we need to really clean AND disinfect? Noel answers a listeners question on this week's episode. Medicom sponsors this episode. Head over to their website and learn more about their SafeMask to keep you and your patient protected https://www.medicom.com/en Noel Brandon-Kelsch is an international speaker, writer, Registered Dental Hygienist in Alternative Practice and Director of Cabrillo College Dental Hygiene Program. She is passionate about oral health and has the uncanny ability to motivate and enlighten audiences through her unique humor and cutting edge information. She takes the tough subject matter and presents it in such an exciting way that it becomes thought-provoking even to those not involved in her industry. Noel is an infection control guru and is going to bring us tips that can make use more informed clinicians! Check out her webpage noelkelsch.com

A Tale of Two Hygienists continues its series on dental-adjacent issues that can impact ourselves and our patients. This week, Andrew and Michelle have invited someone on the show, who has professional and personal experience with dealing with suicidal thoughts, and who can provide everyone in our industry with valuable knowledge that can save lives. Randi Jensen is a counsellor and educator specializing in suicidality—suicidal thoughts, suicidal planning, and the harmful act itself. Drawing from her own experience with traumatic and suicidal thoughts, she is the author of Just Because You're Suicidal Doesn't Mean You're Crazy: The Psychobiology of Suicide and teaches suicide prevention courses at Cascadia Training in Seattle. In this episode, Randi discusses her own struggles with depression and suicidal ideation, explains how dentists and dental hygienists get to know their patients better than some other professionals, and suggests ways you can reach out to troubled patients. EPISODE HIGHLIGHTS: Interview starts: 6:39 - How Randi dealt with darker thoughts during the more turbulent times in her life and came to realize she could help others as well. - The unique relationship dental professionals have with their patients that other medical specialists may not. - How a dentist's sympathy turned things around for one of Randi's patients. - Why a resistance to flossing and other methods of tooth maintenance may indicate troubling thoughts in a patient. - Defining "suicidality" and the three different types of suicide. - What signs and symptoms of suicidality dental hygienists can look for when treating patients. - Looking at the epidemic of suicide among the native American population and the "conspiracy of denial." - What you should NOT say to a suicidal patient and why it's important to catch up with those who've previously expressed those thoughts. - How many suicidal people adeptly hide their feelings and symptoms from public eye. - The little ways you can reach out to and comfort patients who have lost loved ones to suicide. - Why our approach to treating suicidal individuals needs to change and sooner rather than later. QUOTES: "I've had several careers in my life and the current career is probably my mission for the rest of my life." "You probably have more of a span of time with these individuals than anybody! "You have the input from people that other health care providers don't really have!" "Once you share your empathy and your compassion, you can't say the wrong thing after that." "Compassion can't make things worse." "You just need somebody who cares enough to say 'I care and I don't want you to do this'." LINKS: Jensen Suicide Prevention Peer Protocol - https://jsp3.org/ Thank you to Paradise Dental Technologies aka PDT for providing sponsorship for this episodes CE credits! THIS EPISODE COUNTS FOR CE! - but read the disclaimer below as it might not count for your state. Go here to take the test and get your CE Credit! Approved Pace Program Provider FAGD/MAGD Credit Approval Does Not Imply Acceptance By A State Or Provincial Board of Dentistry Or AGD Endorsement. 1/1/18- 12/31/19 Provider #373236 Be sure to thank the sponsor for CE for this episode by heading over to www.PDTDental.com and picking up a new instrument or telling them thank you in person at one of the conferences! A Tale of Two Hygienists homepage - https://ataleoftwohygienists.com/ AToTH on Facebook - https://www.facebook.com/aTaleOfTwoHygienists/ AToTH on Instagram - https://www.instagram.com/ataleoftwohygienists AToTH on LinkedIn - https://www.linkedin.com/company/atoth/?originalSubdomain=ca

This week Dr. Odiatu is talking about total body health and that our job is more than being concerned with P. gingivalis. Dr. Odiatu is a practicing dentist, certified trainer, author, speaker, and repeat AToTH guest. He always brings us content that we can use to make us and our patients happy and healthy. Be sure to check out the many episodes with Dr. Uche and head over to our YouTube channel and watch the videos Dr. Uche and Michelle did to help you stretch and take care of your body! Contact him! http://www.druche.com/ www.facebook.com/odiatu [email protected] Instagram: @fitspeakers Book: The Miracle of Health

Vaping is everywhere these days, to the point where it's difficult to go for a walk without spotting someone puffing from a vape pen of some kind. But while it's been touted as a healthier alternative to smoking, vaping still presents significant health risks that dental professionals should address with their patients. Edie Gibson, RDH, is the CEO and founder of EGibson Consulting, which trains dental teams across the country, as well as an author and international speaker. Edie began her dental career when she was 15, and since then has worked in just about every position a dental office has to offer—though hygienist remains her favorite role. She specializes in implant dentistry and has familiarized herself with the dental risks of smoking and vaping. In this episode, Edie breaks down the negative effects of vaping, reveals how pervasive the habit has become among the younger generation, and explains how dental professionals can impress the risks of vaping to their patients without coming off as judgmental. EPISODE HIGHLIGHTS: Interview starts: 6:02 - The correlation Edie has noticed between smoking cigarettes and harder drug use. - Looking at the various chemicals found within cigarettes that are toxic both in tandem and in and of themselves. - Examining how tobacco companies tried to reach people before it was widely known how dangerous cigarettes were. - How the levels of nicotine in modern vape pods equate to those in packs of cigarettes. - What is respiratory distress and how can vaping cause it? - The reason vaporizer devices themselves can pose a major dental risk. - How to open a conversation about vaping and its dangers to your patients, especially younger ones. - Why it's so essential that dental professionals not take a judgmental stance when discussing the risks of vaping with patients. - Modern kids' "Shawshank Redemption" approach to covertly vaping at school. - How you can determine if your patients have been vaping or smoking. - A list of resources you can use to educate yourself, your patients, and your children on drug abuse and misuse. QUOTES: "If you want to kill a bug, use nicotine from your cigarette." "They knew that nicotine was addictive and they knew that cigarettes caused cancer." "If you have a vape pod... the nicotine in that one pod is equivalent to one pack of Marlboro Reds." "There isn't enough science behind or studies behind vaping to make it truly safe." "If you see eight patients a day, you're going to average four to five of them are vaping, or have tried it, or use it regularly." "I don't think it's ever too early to have the conversation about drugs, because nicotine is a drug." LINKS: Edie's homepage - https://www.ediegibson.com/ Edie's email: [email protected] National Institute on Drug Abuse for Teens - https://teens.drugabuse.gov/ National Institutes of Health - https://www.nih.gov/ Substance Abuse and Mental Health Services Administration - https://www.samhsa.gov/ Thank you to Paradise Dental Technologies aka PDT for providing sponsorship for this episodes CE credits! THIS EPISODE COUNTS FOR CE! - but read the disclaimer below as it might not count for your state. Go here to take the test and get your CE Credit! Approved Pace Program Provider FAGD/MAGD Credit Approval Does Not Imply Acceptance By A State Or Provincial Board of Dentistry Or AGD Endorsement. 1/1/18- 12/31/19 Provider #373236 Be sure to thank the sponsor for CE for this episode by heading over to www.PDTDental.com and picking up a new instrument or telling them thank you in person at one of the conferences! A Tale of Two Hygienists homepage - https://ataleoftwohygienists.com/ AToTH on Facebook - https://www.facebook.com/aTaleOfTwoHygienists/ AToTH on Instagram - https://www.instagram.com/ataleoftwohygienists AToTH on LinkedIn - https://www.linkedin.com/company/atoth/?originalSubdomain=ca

Claire Jeong is the founder of StudentRDH.com, dentaltoaster.com, smarterDA.com and now https://wakeupmemory.com/ She has also created Wake Up Memory tips to help us remember the 3 drugs that cause gingival hyperplasia. We have all seen patients struggling with this, but sometimes remembering the exact drugs isn't so easy. Claire is here to help us. In this episode, Claire teaches us the 9 foods to help our brain and the Wake Up Memory technique to remember those brain foods. Check out her website, dentaltoaster.com for more info and other great CE courses, including one by Michelle!

This week on A Tale of Two Hygienists, we're digressing from our usual technical discussions to shine a light on an unpleasant but very important subject: the abuse and mistreatment some of our most vulnerable patients experience, and especially what hygienists can do to mitigate these situations. India Chance, RDH, is a consultant for and owner of Learn2Prevent, which provides dental professionals with continued education, and also works as a trainer for the nonprofit organization Mid-Atlantic P.A.N.D.A. (Prevent Abuse and Neglect through Dental Awareness). She has worked in dentistry for the past 23 years and spent a significant portion of her career focusing on public health. India is passionate about ensuring that underserved populations receive quality care, especially victims of parental and intimate abuse, as well as victims of the sex trafficking trade. In this episode, India discusses her role and the role of other dental professionals in identifying signs of abuse, explains how to distinguish intentionally harmful cases from accidental ones, and reveals what health care professionals do to reach out to victims of the sex trade. EPISODE HIGHLIGHTS: Interview starts: 8:01 - How India became involved in both public health initiatives and child abuse awareness. - What are Mid-Atlantic Panda's three R's, and why dental professionals play pivotal roles in identifying abuse. - The reason pediatric dental offices will regularly weigh young patients. - What it means to be a "mandatory reporter." - What happens if you report a potential abuse case and there doesn't turn out to be any evidence mistreatment? - How reporters distinguish between signs of abuse and what are most likely genuine accidents. - Some resources and training you can use to familiarize yourself with signs of abuse and reporting protocol. - Know that abuse and mistreatment can occur in any community regardless of how they fare socially or economically. - The particular difficulty in trying to aid an adult patient stuck ina an abusive relationship. - What are "shoe cards" and how they can be of assistance to victims of sex trafficking? - Knowing the difference between a child who show behavioral signs of abuse and one who just has a fear of going to the dentist. - Why a child having very poor teeth isn't necessarily a sign of neglect. - Some of India's upcoming courses to look out for. QUOTES: "Through this training, we try to educate and equip dental professionals to recognize signs of abuse." "I made the decision to move forward because this was somebody's family member and they needed to be safe." "You really have to look at the whole picture before you jump right to abuse." "[Abuse] knows no socioeconomic status." LINKS: Learn2Prevent homepage - https://www.learn2prevent.com/ Learn2Prevent on Facebook - https://www.facebook.com/Learn2Prevent/ Learn2Prevent on Instagram - https://www.instagram.com/learn2prevent/ Learn2Prevent email: [email protected] Mid-Atlantic Panda homepage - https://midatlanticpanda.org/ Thank you to Paradise Dental Technologies aka PDT for providing sponsorship for this episodes CE credits! THIS EPISODE COUNTS FOR CE! - but read the disclaimer below as it might not count for your state. Go here to take the test and get your CE Credit! Approved Pace Program Provider FAGD/MAGD Credit Approval Does Not Imply Acceptance By A State Or Provincial Board of Dentistry Or AGD Endorsement. 1/1/18- 12/31/19 Provider #373236 Be sure to thank the sponsor for CE for this episode by heading over to www.PDTDental.com and picking up a new instrument or telling them thank you in person at one of the conferences! A Tale of Two Hygienists homepage - https://ataleoftwohygienists.com/ AToTH on Facebook - https://www.facebook.com/aTaleOfTwoHygienists/ AToTH on Instagram - https://www.instagram.com/ataleoftwohygienists AToTH on LinkedIn - https://www.linkedin.com/company/atoth/?originalSubdomain=ca

This week's TIPisode is with Andre Shirdan and he talks to us about consistency. We have to be consistent with our findings and how each team member is documenting their observations. Listen now to see what he suggests to make us all consistent! Andre is an author, inspirational/motivational speaker, certified software and CAD/CAM trainer. He is a co-creator of the non-surgical periodontal protocol Stat-Ck and imaging protocol Array. For more than 25 years Andre has worked with thousands of practices helping to create systems for treatment planning, staff training, goal attainment, internal and external marketing, and computer systems integration. He has spoken internationally to hundreds of audiences and through his workshops and seminars, he has enlightened and entertained audiences. He's been interviewed and published in magazines, Podcasts and has interacted with thousands of dental professionals. Website: www.thecrewprocess.com Email: [email protected]

Our monthly student roundtable discussion episodes are dedicated to help you navigate the at-times turbulent waters from graduation to internship to full employment in the hygienist industry. For this installment, we're speaking with three hygienists who've actually innovated and invented products used throughout the industry. Lee Emmons has worked as a hygienist for 15 years, having migrated to the profession from aerospace engineering. He is the president and co-founder of Nu-Bird Design & Manufacturing, which released its patented suction mirror. Katie Melko has been a hygienist for the past decade. She works primarily in public health, instructs students at Goodwin College, and launched publishing house 12 Paws Publishing, through which she released her children's book Paw Elementary: Roxy's Adventure to the School Dentist. Debra Dencek has worked in every possible sector of dental hygiene from public, private, to corporate. She's more recently the inventor of CordEze, a line of ergonomic dental products. In this episode, Lee, Deb and Katie describe what moved them to invent, innovate and create, break down how they navigated the world of patents and publishing, and explain how dental hygiene innovators listening to this episode can get started making their ideas realities. EPISODE HIGHLIGHTS: - What led each of our guests to start their own companies and launch their products? - How they refused to let failure dictate their path and kept on pushing forward. - The first step a potential innovator or inventor in this industry should take. - Some of the obstacles they encountered getting their products to market and how they dealt with these obstacles. - Trade show etiquette: dos, don'ts, and PLEASE don'ts. - What it's like to go through the patent/trademark process and what kind of research you should do ahead of time. - The guests' final words of wisdom for those wanting to think outside the box and innovate within our profession. QUOTES: "The fear of the unknown is what led to me creating a book." "You're going to make mistakes, but just because you make a mistake doesn't necessarily mean that you failed." "I don't believe there are any failures, just lessons." "If you have the necessity the invention will follow. Your passion will drive you through into the business side of it." "If you have a great product, word of mouth is the best." "There are people looking for new, innovative products and people are out there to help you get your product out there and make people aware of it." "Use the outlets that are available to you for you to share your voice." LINKS: Nu-Bird homepage - https://nu-bird.com/ Cordeze homepage - https://cordeze.com/ Deb's email: [email protected] 12 Paws Publishing homepage - https://www.12pawspub.com/ Thank you to Paradise Dental Technologies aka PDT for providing sponsorship for this episode! Be sure to thank the sponsor for this episode by heading over to www.PDTDental.com and picking up a new instrument or telling them thank you in person at one of the conferences! A Tale of Two Hygienists homepage - https://ataleoftwohygienists.com/ AToTH on Facebook - https://www.facebook.com/aTaleOfTwoHygienists/ AToTH on Instagram - https://www.instagram.com/ataleoftwohygienists AToTH on LinkedIn - https://www.linkedin.com/company/atoth/?originalSubdomain=ca

This week's TIPisode is with Noel Brandon-Kelsch. Extracted teeth, what do we do with them? Can the patient take them home? Can we throw them in the trash? Learn the answers to these questions and more on this week's TIPisode! Medicom sponsors this episode. Head over to their website and learn more about their SafeMask to keep you and your patient protected https://www.medicom.com/en Noel Brandon-Kelsch is an international speaker, writer, Registered Dental Hygienist in Alternative Practice and Director of Cabrillo College Dental Hygiene Program. She is passionate about oral health and has the uncanny ability to motivate and enlighten audiences through her unique humor and cutting edge information. She takes the tough subject matter and presents it in such an exciting way that it becomes thought-provoking even to those not involved in her industry. Noel is an infection control guru and is going to bring us tips that can make use more informed clinicians! Check out her webpage noelkelsch.com

First, we want to thank Premier for sponsoring this mission trip and letting us use the AeroPro cordless handpiece. This was a first for both Michelle and Daniel. Offering the feeling of smooth, clean teeth is something many had not experienced, and we were grateful to be the ones who did that for them. You have heard Daniel Lopez on the podcast before. This marks their third trip and third country together! Daniel is a dental hygienist in NYC, and he and Michelle bring you a daily journal from their time in Costa Rica with One World Health. We hope you enjoy this recap! If you feel inspired to do a mission trip or any charitable dentistry, reach out to us! This episode does not qualify for CE Thank you to Zirc for another great promo! This week when you buy a 12 pack of Crystal HD mirrors, you get a FREE Mirror Magic trial kit! Use the promo code TALEMAGIC. Don't settle for fogged mirrors; use this code today! Thank you again to Premier. Learn more about their new Cordless handpiece at https://www.premierdentalco.com/product/hygienepreventative/cordless-handpieces/aerorpro-systems/aeropro-cordless-handpiece-system/

This week Dr. Odiatu discusses the healthy food paradox. How can food that is good for our body be bad for the mouth? Dr. Odiatu tells us why and how we can have those conversations with patients Dr. Odiatu is a practicing dentist, certified trainer, author, speaker, and repeat AToTH guest. He always brings us content that we can use to make us and our patients happy and healthy. Be sure to check out the many episodes with Dr. Uche and head over to our YouTube channel and watch the videos Dr. Uche and Michelle did to help you stretch and take care of your body! Contact him! http://www.druche.com/ www.facebook.com/odiatu [email protected] Instagram: @fitspeakers Book: The Miracle of Health

Andrew and Michelle are launching a new mini-series on specialty, this week is part 2 on orthodontics. At first glance, this topic doesn't seem to have a lot of apparent crossover with dental hygiene, but listeners will be surprised to learn how really does relate to the field. This is a must listen for dental teams and front office staff too! Bryan Green, DMD, is an orthodontist based out of Boiling Springs, SC. Bryan has been practicing orthodontics for the last decade, and prior to that worked in periodontology for three years. He believes that patient compliance is essential for braces to be effective and that hygienists are the first line of defense in treating orthodontic issues. In this episode, Bryan explains how his periodontology background has been a boon to his current orthodontic work, discusses why it's better to delay orthodontic treatment rather than start too early, and tells us if Invisalign is all it's cracked up to be. EPISODE HIGHLIGHTS: Interview starts: 4:15 - The added benefit Bryan believes a combined periodontology-orthodontic background brings to the table. - What kind of different residency programs are there for orthodontics and what can you learn from each? - The surprising longevity of orthodontics and why it's so important in dentistry. - Why wouldn't one pursue orthodontics? - The processes that cause tooth asymmetry and create a need for orthodontics. - How early should children be brought in to address orthodontic concerns? - The assessments Bryan makes during a patient's typical first orthodontic appointment. - The confusing that arises from dentists' and orthodontists' differing tooth numbering systems. - Why all the orthodontic treatment in the world won't matter if patients aren't willing to comply with your instructions. - The reason teenagers prove to be more difficult patients than children. - Weighing the merits and drawbacks of brackets vs. trays/aligners. - Do as-seen-on-TV aligners like Invisalign actually work? QUOTES: "I never understood why all dentists are not considered DDS's or DMDs... but at the end of the day it doesn't matter; you're all dentists." "Nobody ever died because of crooked teeth." "Hygienists are like our first line of defense." "I've never been sorry for waiting with treatment, but I've been sorry that I started too early." "If you want to be successful in orthodontics, you've got to have compliance." "The [kids] that are breaking brackets, they typically have poor hygiene." "Communication is the key." LINKS: Bryan's email: [email protected] Thank you to Paradise Dental Technologies aka PDT for providing sponsorship for this episodes CE credits! THIS EPISODE COUNTS FOR CE! - but read the disclaimer below as it might not count for your state. Go here to take the test and get your CE Credit! Approved Pace Program Provider FAGD/MAGD Credit Approval Does Not Imply Acceptance By A State Or Provincial Board of Dentistry Or AGD Endorsement. 1/1/18- 12/31/19 Provider #373236 Be sure to thank the sponsor for CE for this episode by heading over to www.PDTDental.com and picking up a new instrument or telling them thank you in person at one of the conferences! A Tale of Two Hygienists homepage - https://ataleoftwohygienists.com/ AToTH on Facebook - https://www.facebook.com/aTaleOfTwoHygienists/ AToTH on Instagram - https://www.instagram.com/ataleoftwohygienists AToTH on LinkedIn - https://www.linkedin.com/company/atoth/?originalSubdomain=ca

Claire Jeong is the founder of StudentRDH.com, dentaltoaster.com, smarterDA.com and now https://wakeupmemory.com/ She has also created Wake Up Memory tips to help us remember pathology, pharmacology, and so much more. In this episode, Claire teaches us the 9 foods to help our brain and the Wake Up Memory technique to remember those brain foods. Check out her website, dentaltoaster.com for more info and other great CE courses, including one by Michelle!

Andrew and Michelle are launching a new mini-series on dental specialty. For this first episode, they aim to give hygienists the knowledge they need to help patients understand the importance and procedures related to endodontics. . Theodore (T.R.) Ravenel, DMD, is an endodontist and the assistant director of the postgraduate endodontic program for the Medical University of South Carolina's College of Dental Medicine. Prior to taking up residence at MUSC, he worked for years in private practice. He's a self-described "jack of all trades" and also works with Michelle at Our Lady of Mercy's outreach program. In this episode, Dr. Ravenel gives us the detailed low-down on endodontic diagnosis, discusses how pulp inflammation occurs, and explains just exactly how a root canal is carried out. EPISODE HIGHLIGHTS: Interview starts: 9:00 -Dr. Ravenel breaks down his step-by-step procedure for diagnosing endodontic issues. - The right and wrong way to use percussion on a tooth. - What is a "tooth sleuth," and how do you use it? - The great degree of sensitivity with which patients are able to distinguish different kinds of pain. - The process for determining how inflammed a tooth's pulp is. - What are the different symptoms for a cracked tooth vs. irreversible pulpitis? - What a tooth that's sensitive only to heat and not cold can tell us about its pulp. - How to perform an electric pulp test (EPT), and how accurate is it? - What hygienists can do to help dentists speed up the endodontic diagnostic process. - The role bacteria plays in inflammation and endodontic issues. - Theodore describes how a typical root canal procedure is carried out. - Why would a root canal need to be retreated? - What hygienists should—and should NOT—say to a patient to prepare them for their root canal procedure. - Which other kinds of inflammation get confused for pulpitis? Thank you to our sponsor for this episode, and many of our episodes, Zirc! www.zirc.com Zirc believes in helping you work smarter, not harder through organization and tools that allow you to perform your job to the fullest! Listen for the promo at minute 5:11 of this episode! The special offer for this episode is: $7 OFF a 12pack of Crystal HD Mirrors TALEHD Zirc, Because Time is Everything. https://www.zirc.com/products/dental-mirrors QUOTES: "Lightly tap on those teeth; the worst thing you wanna do is send them jumping out of the chair." "The older an individual gets, the more prone they are to the wear and tear of teeth." "If someone comes in, on average, and says 'I've got heat sensitivity that's killing me when I drink something hot,' usually their tooth is for all intents and purposes dead." "If the electric test went all the way to the maximum value, well typically that means that something's not right." "If the root canal is done properly, your success rates are in the 90 to 90% range." "You CANNOT sterilize the inside of the tooth." "If you're hearing someone talk about doing a root canal on somebody's lower molars and they're only finding three canals every time that they do it, well odds are they're probably missing some." LINKS: Dr. Ravenel's email: [email protected] Thank you to Paradise Dental Technologies aka PDT for providing sponsorship for this episodes CE credits! THIS EPISODE COUNTS FOR CE! - but read the disclaimer below as it might not count for your state. Go here to take the test and get your CE Credit! Approved Pace Program Provider FAGD/MAGD Credit Approval Does Not Imply Acceptance By A State Or Provincial Board of Dentistry Or AGD Endorsement. 1/1/18- 12/31/19 Provider #373236 Be sure to thank the sponsor for CE for this episode by heading over to www.PDTDental.com and picking up a new instrument or telling them thank you in person at one of the conferences! A Tale of Two Hygienists homepage - https://ataleoftwohygienists.com/ AToTH on Facebook - https://www.facebook.com/aTaleOfTwoHygienists/ AToTH on Instagram - https://www.instagram.com/ataleoftwohygienists AToTH on LinkedIn - https://www.linkedin.com/company/atoth/?originalSubdomain=ca

For this bonus episode—powered by Crest+Oral B—we're happy to invite back on our show Josefine Ortiz Wolfe, who's continuing our latest series on public health initiatives in the dental profession. Josefine Ortiz Wolfe, Ph.D., RDH, is the director of oral health at the Texas Health Institute. She also writes and educates online and in person as The Informed Hygienist. Recently, she and her team at THI completed a long-term study examining the treatment of non-traumatic dental conditions throughout the state of Texas over a ten-year period. In this special episode, Josefine discusses in detail the study she conducted with her colleagues, emphasizes the importance of systemic change throughout our field, and explains why you should always go to a dentist's office before a hospital for any dental issue. EPISODE HIGHLIGHTS: Interview starts: 1:51 - Josefine dives into the longitudinal study she conducted at the Texas Health Institute. - What is a non-traumatic dental condition? - Why it can be very dangerous for a patient to admit themselves to the wrong kind of medical facility for their condition. - How Josefine and her team were able to collate the information for their study. - The system issue Josefine discovered after they finished reviewing the data. - The shocking rise in cost of admission over the course of a decade. - How many people have actually died due to dental issues in this ten year period? - The importance of "system change" as opposed to simply improving treatment of individual patients. - Why hospitals aren't really set up to treat dental issues. - Is the dental profession beginning to respond to the conclusions of Josefine's study? - What Josefine hopes her report will achieve in the long term, and what she and her team have planned in the future. - Why she sees this report as an opportunity to tell a story about Texas, and why students listening should consider going into public health. QUOTES: "We're actually talking about those patients that actually showed up and their dental condition was so severe that the medical professional felt it necessary to immediately admit them into the hospital." "13% of Texans over the age of 65 have no teeth at all, so we know that directly affects their ability to manage other chronic diseases." "The problem is not just localized to one particular population. This is truly a systemic issue." "The majority of the conditions that folks were going into an in-patient setting for could have been treated at a dental office for a lot less than $37,000." "We really need to be getting these stories out into the hands of the public." "Behind all of these numbers, there are stories." "We have the opportunity here to explain how a healthy mouth will impact and improve every aspect of our lives and save lives." "I always say statistics are stories with the tears wiped away. Let's bring those tears back." LINKS: Josefine's email: [email protected] Texas Health Institute - https://www.texashealthinstitute.org/ The Informed Hygienist on Facebook - https://www.facebook.com/theinformedhygienist/ The Informed Hygienist on Twitter - https://twitter.com/JosefineWolfe Thank you to Crest+Oral B for providing sponsorship for this episodes CE credits! THIS EPISODE COUNTS FOR CE! - but read the disclaimer below as it might not count for your state. Go here to take the test and get your CE Credit! Approved Pace Program Provider FAGD/MAGD Credit Approval Does Not Imply Acceptance By A State Or Provincial Board of Dentistry Or AGD Endorsement. 1/1/18- 12/31/19 Provider #373236 A Tale of Two Hygienists homepage - https://ataleoftwohygienists.com/ AToTH on Facebook - https://www.facebook.com/aTaleOfTwoHygienists/ AToTH on Instagram - https://www.instagram.com/ataleoftwohygienists AToTH on LinkedIn - https://www.linkedin.com/company/atoth/?originalSubdomain=ca

These TIPisodes keep getting better and better! Teresa gives us another round of great advice and in this tip, she tackles the new Perio Classifications! Teresa Duncan, MS is such a wealth of knowledge. Please visit her website and enjoy her awesome resources! For more info from Teresa, see below! Teresa Duncan: Speaker on insurance and management, Podcaster, Author of a book and contributes to several magazines and the ADA's publications! Book : http://odysseymgmt.corecommerce.com/Book/ use code TALE for $3 courtesy (offsets shipping) Site:OdysseyMgmt.com Podcast: http://nobodytoldmethat.libsyn.com

Our monthly student roundtable discussion episodes are dedicated to help you navigate the at-times turbulent waters from graduation to full employment in dental hygiene. For this installment, we're shining a light on hygienists who've devoted a significant part of their careers working in the public health and nonprofit sectors. Kyle Isaacs, who previously appeared in episode 87 of A Tale of Two Hygienists, has three decades' experience as a dental hygienist. She's spent the last five years working in the public health field as part of Miles 2 Smiles, which provides dental hygiene to patients who normally have difficulty accessing it. Amy Hazelwood has worked in dental hygiene for over 40 years and started the nonprofit Dr. Angie's Dental Health Exchange, which offers care to uninsured, unemployed and low-income patients. Jennifer Hasch graduated from her hygienist program six years ago and has worked both publicly and privately. Currently, she's the dental services manager for the Shawnee Christian Healthcare Centre in Louisville, KY, where she provides care to communities negatively impacted by segregation. In this episode, our enthusiastic roundtable guests discuss what drew them to professions in the public health sector, explain why public and nonprofit services are so vital, and make a case for why you should consider a career outside of private or corporate practice. EPISODE HIGHLIGHTS: Interview starts: 3:08 - What experiences and values motivated Kyle, Amy and Jennifer to work in public health. - How Amy's nonprofit uses community service to build credit for its dental care. - Are there any barriers preventing graduates from obtaining a position in public health services? - The hurdles Amy had to clear in order her own nonprofit, and the challenges graduates interested in nonprofit work should consider. - Jennifer defines what an F.Q.H.C. is, explains what services it provides and lays out the guidelines it must abide by. - Kyle relates her new role working in an integrative office and what she hopes to achieve there. - Which populations do each of their clinics specifically cater to? - The range of benefits graduates can expect from private, corporate and nonprofit practices. - Diving into the connections and experiences that volunteer work can provide. - Why you should give public health work genuine consideration as a career path. QUOTES: "When I graduated from hygiene school I went right away to that same place where I had gotten care as a child and volunteered." "I went into public health because of the need that I saw." "I was fortunate enough to go to the dentist every six months as a kid, so I didn't really connect that people could suffer from a lack of access to care." "It's kind of one-stop shop for health." "[F.Q.H.C.] gives folks a stake in their own health care, which I think is important." "It's gonna take just as much time to correct these issues as it did to create them but we're definitely committed for the long haul." "I feel like I'm very well paid for the work that I do and it's definitely a rewarding position." "Do not underestimate the potential of your impacts in this career." LINKS: Dr. Angie's Dental Health Exchange - https://www.drangies.com/ Dr. Angie's email: [email protected] Amy's personal email: [email protected] Miles 2 Smiles - http://milestwosmiles.com/ Kyle's email: [email protected] RDH On a Mission - https://rdhonamission.com/ Jennifer's email: [email protected] or jennifer.hasch Be sure to thank the sponsor for this episode by heading over to www.PDTDental.com and picking up a new instrument or telling them thank you in person at one of the conferences! A Tale of Two Hygienists homepage - https://ataleoftwohygienists.com/ AToTH on Facebook - https://www.facebook.com/aTaleOfTwoHygienists/ AToTH on Instagram - https://www.instagram.com/ataleoftwohygienists AToTH on LinkedIn - https://www.linkedin.com/company/atoth/?originalSubdomain=ca

This week's TIPisode is with Noel Brandon-Kelsch and is a great reminder about our surface disinfectants! Medicom sponsors this episode. Head over to their website and learn more about their SafeMask to keep you and your patient protected https://www.medicom.com/en Noel Brandon-Kelsch is an international speaker, writer, Registered Dental Hygienist in Alternative Practice and Director of Cabrillo College Dental Hygiene Program. She is passionate about oral health and has the uncanny ability to motivate and enlighten audiences through her unique humor and cutting edge information. She takes the tough subject matter and presents it in such an exciting way that it becomes thought-provoking even to those not involved in her industry. Noel is an infection control guru and is going to bring us tips that can make use more informed clinicians! Check out her webpage noelkelsch.com

It's the final installment of Andrew and Michelle's four-part cariology series! To cap off our journey with caries, we're stepping away from private practices to learn how dental professionals in the public health sector deal with all things related to tooth decay. Sharity Ludwig, RDH, is the Director of Clinical Innovations and the Director of Community Dental Programs for Advantage Dental, which provides dental care to Medicaid recipients throughout Oregon in partnership with DentaQuest. Sharity and her team work specifically with expecting mothers and parents of young infants to ensure dental health and caries prevention from a young age. She and her colleagues wish to debunk the idea that cavities are inevitable for young children. In this episode, Sharity discusses the differences between public and private dental practice, explains how she and her team perform community outreach, and reveals her technique for silver fluoride application. Mouthwatch is the official sponsor the Cariology Series this month. They are offering an extra 10% off every MouthWatch intraoral camera order using the code "ATOTH" You can save an additional 10% when you buy more than one! EVERY HYGIENIST SHOULD HAVE A CAMERA IN THEIR OPERATORY! Head over to their site to find out more!https://www.mouthwatch.com/ Offer heard at minute 7:40. EPISODE HIGHLIGHTS: Interview starts: 10:55 - How Sharity sought out segments of the patient population who weren't getting proper preventative caries treatment. - Sharity explains what an Expanded Practice Permit is, how to get one, and why you would want to. - Why Sharity's virtual setup allows for greater collaboration amongst dental professionals. - What's WIC, and how was Sharity able to improve their level of service? - How working in community dental care greatly differs from working in a private practice. - Sharity's specialized method for identifying—if not necessarily diagnosing—signs of caries. - The many ways Sharity and her team liaise with patients, resources and other professionals in the community. - The materials Sharity uses for temporary restorations. - Her team's experience with early adoption, how it's backfired for them, and how they've made better use of it for the future. - Sharity explains her "dry, apply and say 'bye'" approach to using silver fluoride. - The signs of success that Sharity and her team have started to see over the last couple years. - Sharity's big tooth decay prevention tips and tricks, and why circumstances can make these strategies more difficulty for some. - What students should research if they're contemplating working in the public health sector. QUOTES: "A lot of folks don't necessarily understand that connection between the bacteria and the nutritional components in addition to their oral health." "The one thing in dentistry we can agree on is that if you've had a cavity in the past, you're likely gonna have a cavity in the future." "You always need to at least see your dentist on an annual basis for follow up to care." "Each patient is handled on a case-by-case basis based off of what their level of disease is and what resources are available in the community." "We're trying to stabilize them until they can get back to a dentist to have more comprehensive care." "There's more research needed to know what's right." "The first thing that we do is try to establish a relationship and understand where they're coming from so we can give them tailored information and help them set self-management goals." "When you have your Why and your Passion as a hygienist and anything you do in life it will keep you on your path and help you go far." LINKS: Sharity's email: [email protected] Advantage Dental - https://www.advantagedental.com/ Advanced Dental Information Network (ADIN) - https://www.adinfonet.org/ Thank you to Paradise Dental Technologies aka PDT for providing sponsorship for this episodes CE credits! THIS EPISODE COUNTS FOR CE! - but read the disclaimer below as it might not count for your state. Go here to take the test and get your CE Credit! Approved Pace Program Provider FAGD/MAGD Credit Approval Does Not Imply Acceptance By A State Or Provincial Board of Dentistry Or AGD Endorsement. 1/1/18- 12/31/19 Provider #373236 Be sure to thank the sponsor for CE for this episode by heading over to www.PDTDental.com and picking up a new instrument or telling them thank you in person at one of the conferences! A Tale of Two Hygienists homepage - https://ataleoftwohygienists.com/ AToTH on Facebook - https://www.facebook.com/aTaleOfTwoHygienists/ AToTH on Instagram - https://www.instagram.com/ataleoftwohygienists AToTH on LinkedIn - https://www.linkedin.com/company/atoth/?originalSubdomain=ca

It's part three of four of Andrew and Michelle's cariology series! As we near the final stretch, this episode's specific focus is on the tools and methods used to figure out if that little recess is a cavity or something else. Paresh Shah, DMD, has been practicing privately in Winnipeg, Manitoba, for nearly three decades. Outside of his clinics, he's a prosthodontic instructor at the University of Manitoba Dental School and an editor for the Canadian Journal of Restorative Dentistry. Paresh's years running a clinic have taught him the importance of using the latest diagnostic tools and listening to the input of his seasoned hygienists. In this episode, Dr. Shah weighs the pros and cons of different caries diagnostic methods, reveals how he's learned to spot false positives, and explains why he takes a collective approach to his clinic staff. EPISODE HIGHLIGHTS: Interview starts: 12:00 - Dr. Shah explains how he fosters a collaborative environment in his practice and what lengths his team goes to in order to identify caries. - Some helpful tips for visually identifying caries during examination. - Why Dr. Shah and his team still stand by tactile exploration during caries diagnosis. - Newer clinical tools that get the patients themselves more invested in the diagnosis process. - How hygienists can more effectively 'hand off' patients to the dentist for caries diagnosis. - Why time and experience are the best experience for dealing with false positives. - The reason Dr. Shah will still swear on a caries dye after all these years. - The wide array of diagnostic tools Dr. Shah and his staff use at his clinic. - Why Dr. Shah values his hygienists' clinical judgment and encourages them to speak up. QUOTES: "A lot of hygienists can be more than tooth-scrapers." "Our traditional way of looking at caries is through visual inspection and tactile sense." "If it sticks, we're treating it. It's as simple as that." "If there's something I feel is not necessary to treat, I make sure I let the patient know the why of not wanting to treat it." "You have to stretch your mind and you have to work collaboratively." LINKS: Dr. Paresh Shah's homepage - https://www.drpareshshah.com/ Dr Shah on Instagram - https://www.instagram.com/drpareshshah/ Mouthwatch is the official sponsor the Cariology Series this month. They are offering an extra 10% off every MouthWatch intraoral camera order using the code "ATOTH" You can save an additional 10% when you buy more than one! EVERY HYGIENIST SHOULD HAVE A CAMERA IN THEIR OPERATORY! Head over to their site to find out more!https://www.mouthwatch.com/ Offer heard at minute 6:35. Thank you to our sponsor for this episode, and many of our episodes, Zirc! www.zirc.com Zirc believes in helping you work smarter, not harder through organization and tools that allow you to perform your job to the fullest! Listen for the promo at minute 9:50 of this episode! The special offer for this episode is: FREE MR. THIRSTY SAMPLE when you buy a 50 pack of Linguafix CODE: TALESAMPLE Zirc, Because Time is Everything. https://www.zirc.com/products/isolation/lingua-fix-50pk Thank you to Paradise Dental Technologies aka PDT for providing sponsorship for this episodes CE credits! THIS EPISODE COUNTS FOR CE! - but read the disclaimer below as it might not count for your state. Go here to take the test and get your CE Credit! Approved Pace Program Provider FAGD/MAGD Credit Approval Does Not Imply Acceptance By A State Or Provincial Board of Dentistry Or AGD Endorsement. 1/1/18- 12/31/19 Provider #373236 Be sure to thank the sponsor for CE for this episode by heading over to www.PDTDental.com and picking up a new instrument or telling them thank you in person at one of the conferences! A Tale of Two Hygienists homepage - https://ataleoftwohygienists.com/ AToTH on Facebook - https://www.facebook.com/aTaleOfTwoHygienists/ AToTH on Instagram - https://www.instagram.com/ataleoftwohygienists AToTH on LinkedIn - https://www.linkedin.com/company/atoth/?originalSubdomain=ca

This week Dr. Odiatu is joined by Mahsa Bakhshandeh, RDH. They chat about how we can enhance our chairside conversations and help our patients make better lifestyle choices! Dr. Odiatu is a practicing dentist, certified trainer, author, speaker, and repeat AToTH guest. He always brings us content that we can use to make us and our patients happy and healthy. Be sure to check out the many episodes with Dr. Uche and head over to our YouTube channel and watch the videos Dr. Uche and Michelle did to help you stretch and take care of your body! Contact him! http://www.druche.com/ www.facebook.com/odiatu [email protected] Instagram: @fitspeakers Book: The Miracle of Health

This week Michelle and Andrew continue their 4-part cariology series, where they consult with the experts on how to properly diagnose, treat and prevent cavities that makes up so much of our profession. Returning for part two is Pam Maragliano-Muniz, Editor-in-Chief of Inside Dental Hygiene, the owner of Salem Dental Arts, and an experienced prosthodontist/hygienists. In this episode, Pam breaks down how she categorizes and treats patients by risk, discusses the importance of documenting each patient, and explains the counterintuitive impact sealants have on caries. EPISODE HIGHLIGHTS: Interview starts: 8:07 - What signs to be on the lookout for when determining caries risk. - Why we need to encourage patients to take responsibility for any dental issues they may have. - The different kinds of relationships Pam forms with high-, moderate- and low-risk patients. - Why Pam recommends fluoride varnish for all of her patients and also thinks you should give its chlorhexidine counterpart a shot. - How patients can not only fail to notice xerostomia but unwittingly adapt to it as well. - Baking soda: the tried and true method for increasing oral pH. - Why clear, accessible documentation is key in tracking patient risk. - How the sealants we used to celebrate may have actually worsened some caries. QUOTES: "I can't express enough that we have to get patients to own their problems." "Whatever is something that is doable for you—every single patient, every single appointment—I say just do it." "If you are using arginine as part of your protocols and you're having amazing luck with, I say do it!" "If they're subconsciously drawn to beverages, snacks, foods, it's oftentimes the body seeking more salivary flow." "At the end of the day if the patient says 'no,' we really need to document that." LINKS: Pam's email: [email protected] Pam on Instagram: https://www.instagram.com/drpamela_maraglianomuniz/ Inside Dental Hygiene: https://idh.cdeworld.com/ IDH on Instagram: https://www.instagram.com/insidedentalhygiene/ Mouthwatch is the official sponsor the Cariology Series this month. They are offering an extra 10% off every MouthWatch intraoral camera order using the code "ATOTH" You can save an additional 10% when you buy more than one! EVERY HYGIENIST SHOULD HAVE A CAMERA IN THEIR OPERATORY! Head over to their site to find out more! https://www.mouthwatch.com/ Offer heard at minute 4:30. Thank you to Paradise Dental Technologies aka PDT for providing sponsorship for this episodes CE credits! THIS EPISODE COUNTS FOR CE! - but read the disclaimer below as it might not count for your state. Go here to take the test and get your CE Credit! Approved Pace Program Provider FAGD/MAGD Credit Approval Does Not Imply Acceptance By A State Or Provincial Board of Dentistry Or AGD Endorsement. 1/1/18- 12/31/19 Provider #373236 Be sure to thank the sponsor for CE for this episode by heading over to www.PDTDental.com and picking up a new instrument or telling them thank you in person at one of the conferences! A Tale of Two Hygienists homepage - https://ataleoftwohygienists.com/ AToTH on Facebook - https://www.facebook.com/aTaleOfTwoHygienists/ AToTH on Instagram - https://www.instagram.com/ataleoftwohygienists AToTH on LinkedIn - https://www.linkedin.com/company/atoth/?originalSubdomain=ca

For this bonus episode—powered by Crest+Oral B—we're happy to invite back Tom Viola, R.Ph who appeared in another bonus episode earlier this January. Tom Viola is a speaker, writer, consultant, and expert in the field of dental pharmacology. When it comes to the anesthetics that keep dental patients from feeling pain during even the most invasive procedures, Tom is THE go-to guy. From Benzocaine to Xylocaine to good old fashioned (if out of fashion) Novocaine, he has the word on dosage, acidity, and side-effects. In this special episode, Tom discusses the wide variety of anesthetics used in dentistry, the simple tool you can use to prevent complications, and why everything changes the moment your patient is a child. EPISODE HIGHLIGHTS: Interview starts: 1:50 - Tom explains why Novocaine fell out of use as a standard anesthetic in dentistry. - A breakdown of some of the most commonly used topical anesthetics. - How do you choose which anesthetic you use with each patient? - The hazards of mixing anesthetics with acids. - Which is the best topical compound? - Figuring out which type of local anesthetic you should use for a given situation. - Sulphur, sulfa and sulfite: don't confuse the three, especially when it comes to allergic reactions. - Why needle trauma can play as much of a role in paresthesia as anesthetic does. - Basically everything we know about anesthetics changes when administering to children. - What can go wrong when administering anesthesia and how can we prepare for it? QUOTES: "We're applying a highly acidic gel to the patient's already inflamed and potentially infected mucosa. What kind of sadist would do that? Well it would be the entire profession of dentistry." "We can do a lot to allay that discomfort by just using a different topical if they're truly feeling that benzocaine burn." "I believe patients get more epinephrine sitting in a traffic jam, waiting to get to the office than they get in the office." "If there was an anesthetic that dared to be different it would be Carbocaine." LINKS: Tom's homepage - http://www.tomviola.com/ Pharmacology Declassified - http://www.tomviola.com/welcome-to-the-pharmacology-declassified-blog/ Thank you to Crest+Oral B for providing sponsorship for this episodes CE credits! THIS EPISODE COUNTS FOR CE! - but read the disclaimer below as it might not count for your state. Go here to take the test and get your CE Credit! https://www.cezoom.com/taketest/?courseid=3705&testid=1315 Approved Pace Program Provider FAGD/MAGD Credit Approval Does Not Imply Acceptance By A State Or Provincial Board of Dentistry Or AGD Endorsement. 1/1/18- 12/31/19 Provider #373236 A Tale of Two Hygienists homepage - https://ataleoftwohygienists.com/ AToTH on Facebook - https://www.facebook.com/aTaleOfTwoHygienists/ AToTH on Instagram - https://www.instagram.com/ataleoftwohygienists AToTH on LinkedIn - https://www.linkedin.com/company/atoth/?originalSubdomain=ca

Claire Jeong is the founder of StudentRDH.com, dentaltoaster.com, and smarterDA.com She has also created Wake Up Memory tips to help us remember pathology, pharmacology, and so much more. In this episode, Claire helps us to remember the MRD or maximum recommended dose, for local anesthetic cartridges. Check out her website, dentaltoaster.com for more info and other great CE courses, including one by Michelle!

Interview starts minute 7:55 Cariology Series Part ONE Be sure to buckle up because the next few weeks of A Tale of Two Hygienists Podcast are going to be a rollercoaster of knowledge. This is the first episode in our new cariology series. Dental caries are among the most pervasive oral ailments and their treatment is core to dentistry and dental hygiene, so we've invited a few seasoned professionals who have insight into how they come to be and how we can best treat them. Our first guest in this series is Pam Maragliano-Muniz. Pam is the Editor-in-Chief of Inside Dental Hygiene, the owner of Salem Dental Arts, an experienced prosthodontist and a hygienist even before that. We also previously had on for Episode 92! Her years in the dental field have honed her insight into the natural and unnatural ways teeth break down. In this episode, Pam discusses the primary risk factors leading to dental caries, explains how hygienists themselves can cause lesions by accident, and breaks down saliva's important contribution to keeping gums, teeth and tongues in good shape. EPISODE HIGHLIGHTS: Interview starts: - How exactly dental caries occur? What are the three major risk factors? - Why orthodontics and prosthodontics play a role in the proliferation of tooth decay. - The reason why patients with even partial dentures should make more frequent hygiene appointments. - Why hygienists should stock up on articulating paper for their offices. - How improperly contoured teeth can cause lesions in the long term. - Saliva's essential role in maintaining oral health and what happens when its effects are neutered. - Weed may be legal where you live, but it still impacts your oral health. - Exploring different categories of higher-risk patients. - Which tools are effective at clearly communicating tooth plaque to layperson patients. QUOTES: "If I don't really understand what's going on here, how am I seriously going to be able to help this patient prevent recurrence of disease?" "We really need to think about the environment in which these teeth live." "Saliva really does it all!" "The role of the hygienist when it comes to preventing tooth decay is so important." LINKS: Pam's email: [email protected] 8:54 Pam on Instagram: https://www.instagram.com/drpamela_maraglianomuniz/ Inside Dental Hygiene: https://idh.cdeworld.com/ IDH on Instagram: https://www.instagram.com/insidedentalhygiene/ Mouthwatch is the official sponsor the Cariology Series this month. They are offering an extra 10% off every MouthWatch intraoral camera order using the code "ATOTH" You can save an additional 10% when you buy more than one! EVERY HYGIENIST SHOULD HAVE A CAMERA IN THEIR OPERATORY! Head over to their site to find out more! https://www.mouthwatch.com/ Offer heard at minute 3:00 Thank you to our sponsor for this episode, and many of our episodes, Zirc! www.zirc.com Zirc believes in helping you work smarter, not harder through organization and tools that allow you to perform your job to the fullest! Listen for the promo at minute 5:10 of this episode! The special offer for this episode is: $7 off of a 50 pack (normally $50) CODE: TALE7 Zirc, Because Time is Everything. https://www.zirc.com/products/isolation/lingua-fix-50pk Thank you to Paradise Dental Technologies aka PDT for providing sponsorship for this episodes CE credits! THIS EPISODE COUNTS FOR CE! - but read the disclaimer below as it might not count for your state. Go here to take the test and get your CE Credit! Approved Pace Program Provider FAGD/MAGD Credit Approval Does Not Imply Acceptance By A State Or Provincial Board of Dentistry Or AGD Endorsement. 1/1/18- 12/31/19 Provider #373236 Be sure to thank the sponsor for CE for this episode by heading over to www.PDTDental.com and picking up a new instrument or telling them thank you in person at one of the conferences! A Tale of Two Hygienists homepage - https://ataleoftwohygienists.com/ AToTH on Facebook - https://www.facebook.com/aTaleOfTwoHygienists/ AToTH on Instagram - https://www.instagram.com/ataleoftwohygienists AToTH on LinkedIn - https://www.linkedin.com/company/atoth/?originalSubdomain=ca