Dental Practice Solutions

Optimize your dental hygiene department by taking an integrated, team approach

  • Do you feel like you are working hard and your production is not increasing?
  • Do you feel like your hygiene department is under performing?
  • Is your hygiene department producing 25-30% of your total production?
  • Are hygienists in your office treating bloody prophys?
  • Does your hygiene department help enroll implant cases and high-end treatment?
  • Do you have one or more holes in your schedule daily?

I am so happy that you are here because we have answers and solutions to your challenges.

Dental Practice Solutions - Debbie Bittke

Can we alternate our Perio Maintenance Appointments with a Prophy Appointment?

By: Debbie Seidel-Bittke, RDH, BS

November 5, 2015


I get this question at least every month so I want to address this publicly.

The question is ” Can we alternate our Perio Maintenance appointments with a Prophy Appointment?”

The answer to this question is going to be “No.”[video_player type=”embed” width=”560″ height=”315″ align=”center” margin_top=”0″ margin_bottom=”20″]PGlmcmFtZSB3aWR0aD0iNTYwIiBoZWlnaHQ9IjMxNSIgc3JjPSJodHRwczovL3d3dy55b3V0dWJlLmNvbS9lbWJlZC9KLVg2dGlDVkJ4VSIgZnJhbWVib3JkZXI9IjAiIGFsbG93ZnVsbHNjcmVlbj0iIj48L2lmcmFtZT4=[/video_player]

You may ask “WHY?”

Here is Why:

  • Periodontal disease is episodic and although your patient may seem healthy there will be times when the disease will return to an active phase.
  • There are several insurance companies (and this is constantly changing) who will never cover perio procedures once you revert to billing for a prophy appointment

When you perio patients returns about every ninety days, you have an opportunity to re-evaluate the total health of your patients and if their periodontal condition becomes active again, you can now intervene with the appropriate care.

In the above video I explain how my parents had high cholesterol (They are no longer alive so I put this into past tense.  And no, they did not die from this disease but other systemic diseases. More on this later.), and every three months they saw their physician to re-evaluate if this disease was status-quo or needed more medications, etc.

Our family also stopped eating eggs because at this point in time, they thought “eggs” were part of this cause for high cholesterol.

What we did not address with regard to these “inflammatory” diseases is to “treat” the inflammation. We have since, learned that oral inflammation will contribute to systemic inflammation.

Bottom line. A healthy mouth means less chance of systemic diseases such as high cholesterol.

The high cholesterol as I previously stated did not cause the death of my parents however, my mother died from endocarditis which occurred after a tooth abscess and extraction. This led to the a hemorrhagic stroke, her kidneys failed and ultimately she lost her life.

My father on the other hand died of Acute Mylocytic Leukemia.

May God Rest their sole.

Our message as Dental Professionals?!

“We are in the business of helping our patients live a longer and healthier life.”

Introduction Video 3Part Series

Do you want to take your hygiene department to the next level of success? Do you find it challenging to enroll patients into perio therapy when they have been coming into your office for years as a Prophy Patient? You are not alone and Debbie Created a Program to answer these challenges and much more. Enroll in the introductory Video Series to get more answers. You receive a 3-Part Video Series and Webinar Plus More. Enroll by clicking here



In 1984 Debbie Graduated from the University of Southern California with a bachelor’s degree in dental hygiene.

She is also a former clinical assistant from the University of Southern California and co-taught the senior dental students Practice Management course until the school went to a PBL learning format.

In 2000, she founded Dental Practice Solutions and works with dental practices world-wide to:

  • create profitable and sustainable dental hygiene departments
  • known for reactivating and retaining patients for dental practices world-wide
  • organically grow new patient numbers

Dental Practice Solutions creates:

  • sustainable dental hygiene departments throughout the world
  • a “team-driven” practice, where the employees feel like leaders vs. employees

o   This means doctor can come to the office to do their job as Dentist not manage people

In 2007, Debbie wrote the accreditation for a dental hygiene program in Portland, Oregon and spear-headed the build-out of the college, wrote the curriculum, hired the team of professor’s and purchased all equipment, etc., etc.

For the last ten years she has been named “One of Dentistry’s Top Leaders in Consulting” by Dentistry Today.