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The Keys to a Successful Hygiene Patient Appointment: A Team Approach

By: Debbie Seidel-Bittke, RDH, BS

October 9, 2023

A successful dental hygiene appointment is more than just a routine check-up; it’s the result of a well-coordinated effort that includes the patient, the dental hygienist, the dentist, and the entire team.

Each clinician plays a unique role, in ensuring that oral health concerns, such as gingivitis and periodontitis, etc, are effectively addressed.

This blog delves into the distinct contributions of each dental professional in your dental office, emphasizing the importance of their collaboration in fostering patient acceptance of care and maintaining optimal oral health.

Let’s make dental hygiene appointments patient-centered, enjoyable for the patients and the entire team.

Read on!

The Role of the Dental Hygienist:

The dental hygienist, often the first point of contact for patients, holds a crucial role in setting the tone for the hygiene appointment. We must begin by creating a comfortable environment, easing patient anxieties, and taking various oral and systemic health assessments. Initial rapport, at the beginning of dental appointments helps build trust between the patient and the dental team.

During the hygiene appointment, dental hygienists’ complete various assessments to identify the patient’s total health, identify areas of concern and any abnormalities.

Dental hygienists are preventive care specialists and not just a tooth cleaner! The main goal during dental hygiene appointments is to assess oral conditions and educate patients about the risks for oral inflammation. Our goal is to halt oral inflammation.

Our overarching message to patients should be, “Optimal oral health is key to helping you live a longer, healthier life.”

Dental hygienists must strive to provide a partnership with their patients. When we collaborate with patients rather than tell them what we find, we are more likely to have patients who “Take ownership of their disease” and “want what they need.”

Collaboration is key to case acceptance.

The Dentist’s Role:

Dentists play a pivotal role in the success of the hygiene patient appointment. During the hygiene patient exam, dental hygienists have a perfect opportunity to bring the doctor into the loop on exactly what has been discussed and what they have identified with the patient up to this point.

It’s helpful to provide positive feedback to the dentist during the hygiene exam; not always talking about “what’s wrong with the patient’s oral condition.” Remember to compliment patients when they have improved their oral health, positive outcomes, great oral health, etc.

When hygienists become a partner with the dentist during the hygiene patient exam, it’s much easier for the patient to accept all necessary dental care. The partnership between hygienist and dentist combined with patient collaboration, will create a higher level of case acceptance.

Since the hygienist has been looking around the patient’s mouth for the past thirty plus minutes, they have a great opportunity to support the patient in making the best decisions after dentist has made a diagnosis.

When the dentist arrives to complete the hygiene patient exam it is beneficial to have x-rays and intra-oral images available for the doctor to quickly review and confirm any diagnosis.

During the treatment planning phase of the hygiene appointment (See above image), hygienists must take time to review with their patient what they see happening in the patient’s oral cavity. This is where the patient and hygienist collaboration begin. This makes case acceptance much easier for the patient.

“Seeing is believing!”

This treatment planning phase is vital for creating a positive response for patients to accept proper care. Refer to the above diagram for timing of the various phases during the hygiene preventive care appointment.

Dental Assistants Role:

Dental Assistants play an important role in supporting the hygiene appointment. Imagine the dental assistants as the air-traffic controllers in a dental office.

There is no need for a dentist to wait until the end of a hygiene appointment to complete the hygiene patient exam. About half-way through a dental hygiene appointment, the hygienist should have completed the assessments and taken time to discuss treatment with the patient.

The dental assistants must be aware of which hygiene patients need an exam. While the dental assistants are with the dentist, and when they know the dentist can take a break from working on their patient, the dental assistant will request the dentist goes to the hygiene room and complete the hygiene patient exam.

*See the above Time Management image to support this process during hygiene preventive care appointments.

Examples of opportunities for doctor to complete a hygiene patient exam:

Waiting for local anesthesia
Waiting for an impression
Dental Assistants can scan the patient while doctor completes the hygiene patient exam
What else can you add to this list?

Since the hygienist has taken time to review any abnormal oral conditions (gingivitis, periodontitis, cracked or worn out fillings, crowns, abfractions, occlusal wear, etc, etc) and/or discussed unscheduled restorative care, the hygiene patient exam should not take longer than seven minutes.

Waiting until the end of a hygiene appointment can mean waiting for the dentist to take time away from their patient to complete the hygiene patient exam. Waiting for the doctor leaves the hygiene patient waiting and hygienists will run behind for their next patient.

Collaboration is key during the hygiene patient exam and therefore, hygienists play a valuable role in sharing with their doctor what has been discussed with the patient during the hygiene appointment.

Effective Communication:

During the hygiene patient exam, the hygienist will report on the following:

Personal updates, rapport
Medical history update
Oral abnormality (Soft and hard tissue screening)
Comprehensive Periodontal Evaluation (Annual). 1
TMD: Occlusal wear, abractions, etc.
Sleep Apena (report on tonsils, tongue, lack of sleep, snoring, etc)
Restorative Unscheduled and any new cracks, leaky fillings, crowns and/or open margins
Gingival health, BOP, gingivitis, periodontitis, localized inflammation, etc.
What you have completed today: preventive care, polish, gingivitis, gross debridement, LBR (soft-tissue laser), fluoride treatment, etc.
When will the patient return? Example: 4-6 weeks re-evaluation for gingivitis or starting gum treatment ASAP, etc.

Every clinician must use the same words and phrases when speaking with the patient. Break down the words and phrases into words the patient can easily understand.

Use words that are descriptive such as: bleeding, infection, inflammation, hole in the tooth or discoloration, etc. Stop telling patients they will have their teeth cleaned. Dental hygiene appointments are about the prevention of disease not about cleaning teeth. 2

Collaboration Between Clinicians:

The synergy between the dental hygienist, the assistants, and the dentist, are vital in providing the patient with a well-rounded and effective treatment plan. Their collaboration allows for a thorough assessment and diagnosis, ensuring that no oral health issues are overlooked.

This teamwork fosters trust and confidence in the patient, knowing that their dental care is in capable hands. When the dental assistants guide the dentist through their day, it makes the day run more smoothly.

Consider a ten-minute team huddle before your day begins so all the clinicians know where they must be and when they must be there. The front office team should also know this information to prevent bottlenecks at the front office as well as who will need to make payment and other valuable information for a successful day.

The front office is also part of this collaboration.

Once the patient has completed their hygiene appointment it’s imperative for the patient to be personally walked up to the front desk.

If there is a hygiene assistant they can schedule the patients next hygiene appointment and walk them to the front desk where the hygiene assistant will share the important information about what occured during the patients appointment, if they have a next hygiene appointment and what they must be scheduled for if there is restorative treatment needed.

When there is a financial arrangement to be made the front office must have a private area to discuss flexible financial options, personal information.

Case Acceptance:

Clinicians must present a united front when discussing treatment and future appointments. Enthusiasm and expressing urgency when there is necessary care are very important pieces to case acceptance. When patients understand how well the team works together for their well-being, and how much their healthcare providers care about their total health, patients are more likely to comply with recommended treatment and maintain consistent preventive care.

Hygienists should know what type of care the dentist will most likely recommend for the patient and be able to discuss the various types of treatment; risks and benefits. If hygienists are not able to properly speak with patients about the type of treatment doctor completes such as implants, veneers, etc., it’s time to schedule an in-service with doctor and the hygienist(s) so everyone is on the same page.

You may want to consider bringing in an expert to help train the hygienists and the doctor so everyone can speak about optimal oral care options with patients. It is imperative that the entire team understands how to effectively communicate the types of dental services available.

There are experts who can guide doctors, hygienists, and the entire team so your dental practice achieves 75% or higher case acceptance each month.

Conclusion:

During a successful hygiene patient appointment, each clinician’s role is distinct and equally crucial. The dental hygienist’s skill treating disease, utilizing preventive care modalities and technology, communicating restorative and cosmetic care options, educating patients about optimal oral health benefits, coupled with the dentist’s expertise in diagnosis and treatment planning, creates a harmonious hygiene team.

This collaboration promotes higher case acceptance and contributes to maintaining the patient’s oral health. Optimal oral health will lead to a longer, healthier life.

By understanding the unique contributions of each clinician and working together as a cohesive unit, dental professionals can ensure that patients receive the highest level of care and support. This approach not only addresses immediate oral health concerns but also promotes a lifelong commitment to prevention of disease and overall well-being.

Do you want to learn about the un-tapped potential in your dental hygiene department?

I have a few open spots for a quick overview of your hygiene department.

Book your complimentary hygiene productivity call here.

References.

Comprehensive Periodontal Evaluation. https://tinyurl.com/23atrxm2 Accessed October 1, 2023.
Motivational Interviewing. https://tinyurl.com/yappeexh Accessed October 9, 2023.

A Dental Hygienists Guide to Treating Oral Inflammation

By: Debbie Seidel-Bittke, RDH, BS

September 26, 2023

Periodontal disease is a prevalent oral health issue that affects millions of people worldwide. If left untreated, it can lead to tooth loss and other systemic health problems.

In the battle to conquer this disease process, dental professionals employ various techniques and tools to provide effective treatment. One service that has revolutionized treatment of oral inflammation and one that has a significant result in our total health and well being is use of the soft tissue diode laser.

In this blog, we will explore how diode lasers are used in the treatment of periodontal disease, their effectiveness in targeting aerobic cells, and the ability to boost cellular mitochondria.

This blog will also explain the hygienist’s responsibility to determine health or disease in the oral cavity, how to sequence appointments when a patient has various levels of gingival inflammation and you will learn about the benefits of using soft tissue diode lasers.

At the end of reading this blog you will have information to help your patients better understand the importance of optimal oral health and how this will help them live a longer, healthier life!

Diagnosis of Gingivitis and Periodontitis:

The journey towards treating periodontal disease begins with a comprehensive examination of the oral cavity and a diagnosis. When your patient is seated in the chair for a dental hygiene preventive care appointment it’s imperative for the dental hygienist to evaluate for any abnormalities.

An annual comprehensive periodontal examination (CPE) must be performed at the beginning of a dental hygiene appointment to determine if the patient has active periodontal (“gum”) disease: Gingivitis or Periodontitis. Our goal is to determine optimal oral health.

When the dental hygienist recognizes generalized moderate to severe gingival inflammation, with or without radiographic bone loss, the hygienist and dentist will make a diagnosis for treatment of gingivitis or periodontitis.

When there is a diagnosis of generalized moderate to severe gingivitis or periodontitis, the clinician will properly plan a sequence of appointments to treat the disease which will also include scheduling a 4-6 week re-evaluation, to determine an end-point of the disease.

At the time of a diagnosis and when the patient has active gum disease, a sequence of appointments to treat the disease will be scheduled.

Periodontal Disease Etiology:

Bacterial plaque is the primary etiologic factor associated with periodontitis, yet there are several other variables that may place an individual at risk for developing disease. Two of these variables are clearly defined risk factors: tobacco smoking and diabetes.

Periodontitis is considered the sixth complication of diabetes. Periodontitis and diabetes (DM) have a two-way relationship. DM increases the risk of periodontitis, and severe periodontitis coexists with severe DM.

It’s mandatory for diabetic patients to receive adequate treatment for periodontitis.

The basic treatment modality for periodontitis is scaling and root planing. The conventional periodontal procedure includes scaling and root planing (SRP), which consists of debridement of contaminated root surfaces as well as the elimination of bacteria and their endotoxins from the cementum and from the adjacent periodontal tissues.

Scaling, root planing and curettage procedure creates a long junctional epithelium with no connective tissue attachment.

During the InitialAppointment, the Dental Hygienist Will:

Conduct a comprehensive oral health assessment with comprehensive periodontal evaluation (CPE). CPE includes measuring pocket depths, assessing bleeding upon probing, recording recession, mucogingival involvement, furcation, occlusal disease, etc.
Recent full mouth x-rays are used to determine the extent of disease.
Identify any contributing factors such as tobacco use, medical conditions such as diabetes, high blood pressure, RA, Crohn’s disease, etc, and/or poor oral hygiene habits.
Formulate an individualized treatment plan tailored to the patients specific needs.

The Role of Soft Tissue Diode Laser

Soft tissue diode lasers have become indispensable in modern dentistry, particularly in treating gingivitis and periodontal disease. Diode lasers emit specific wavelengths of light that are absorbed by pigmented bacteria and inflamed tissues, making them highly effective in eradicating bad cells and promoting healing.

Soft Tissue Diode Laser Therapy

Let’s delve into how the soft tissue diode laser becomes a crucial component in the treatment of oral inflammation. Use of the diode laser targets the bacteria and inflamed tissues in the periodontal pockets.

Reduction of Inflammation: Diode lasers also promote the reduction of inflamed tissues, creating a more conducive environment for healing.
Stimulation of Mitochondria: Research suggests that diode laser therapy may stimulate the mitochondria of cells, enhancing their energy production and overall cellular health.

Practice Management/Communication Tip: “What happens inside the mouth transfers through the saliva and blood stream and eventually happens inside the body. Year after year of bleeding gums year after year, can create various systemic diseases such as: heart attack, stroke, high cholesterol, Crohn’s Disease, Parkinson’s Disease, Low Birth Weight Babies, and even Alzheimer’s Disease, etc.”

The enhanced reduction of inflammation induced by laser therapy is also due to the effective bacterial reduction property of diode lasers. In previous research it was demonstrated that diode laser light at 805 nm eliminated Aggregatibacter actinomycetumcomitans and Porphyromonas gingivalis in periodontal pockets.

Lin et al, demonstrated that subgingival treatment with the diode laser effectively inhibited recolonization of A. actinomycetumcomitans for up to 28 days than in root planing.

Note. Read below about the end-point and re-evaluation appointment for more information on the importance of this 4-6 weeks re-evaluation appointment.

Pick et al. showed that diode laser light not only eliminates bacteria but also inactivates bacterial toxins diffused within root cementum. A study by Moritz et al. showed that Gram-negative species showed immediate structural damage when exposed to the laser. Diode laser at 810 nm causes bacterial damage without injury to periodontal tissues.

Soft Tissue Diode Laser Therapy Advantages:

Minimally invasive: It requires no incisions, minimizing patient discomfort and reducing the need for sutures.
Precision: The laser can precisely target infected areas, leaving healthy tissues unaffected.
Reduced healing time: Patients typically experience faster recovery compared to traditional methods.
Improved outcomes: Laser therapy can lead to better results and long-term periodontal health.

Re-Evaluation, Periodontal Maintenance, and End-Point

The final phase of Phase I therapy involves 4-6 weeks re-evaluation. This is also known as (in the case of using a CDT code) the patient’s 1st periodontal maintenance appointment.

This appointment is essential for long-term success in managing periodontal disease. The 4-6 week re-evaluation is very important because we must identify an end-point of the disease process.

When we see a physician for treatment of a disease there is always a re-evaluation appointment to be certain the disease process has ended.

In terms of treating dental patients, we will have the same sequence of appointments: re-evaluate to determine an end to the disease process. Only when you have a patient return after treatment of active disease can you can clearly determine the next interval for preventive care (Periodontal Maintenance).

Never do we treat disease and hope for a positive outcome. We must always have patients return for an evaluation to determine the state of the disease.

Our goal is to halt bleeding gums and gingival inflammation. Only when we know there is an end point to active gingival disease can we truly help our patients live a longer, healthier life!

The Dental Hygienist Will:

1. Complete the CPE

2. Determine if there is a halt of the disease process or if the patients will need referral to a periodontist, etc,

3. If periodontal disease is no longer in an active stage the hygienist will:

Complete LBR full mouth
Scale any new calculus
Polish
Re-cap mouth-body connection, perio process (episodic and cyclic, etc.), review homecare and
schedule regular follow-up preventive care appointments, typically every 3-4 months, to monitor periodontal (“gum”) health.

Conclusion

Periodontal disease is a chronic gingival disease in populations around the world. Treatment of this disease requires meticulous care and attention.

Soft tissue diode lasers have emerged as powerful tools in the battle against gingivitis and periodontal disease, offering precision, reduced invasiveness, and the potential to stimulate cellular mitochondria.

By following a comprehensive treatment plan that includes diagnosis, gross debridement, soft tissue diode laser therapy, scaling and root planing, end-point re-evaluation and ongoing maintenance, patients can achieve optimal total health.

Our overarching message to patients is that optimal oral health will help us live a longer, healthier life.

Do you have questions about this?

Would you like to learn more about treating gingivitis and periodontitis patients?

I have opened my calendar for 30 minute complimentary coaching sessions. Book yours today. Doctors and hygienists must be present for this un-interrupted 30 minutes!

BOOK HERE

Resources.

Löe H. Periodontal disease. The sixth complication of diabetes mellitus. Diabetes Care. 1993;16:329–34. Accessed September 21, 2023.
Preshaw PM, Alba AL, Herrera D, Jepsen S, Konstantinidis A, Makrilakis K, et al. Periodontitis and diabetes: A two-way relationship. Diabetologia. 2012;55:21–31. Accessed September 21, 2023.
Adriaens PA, Edwards CA, De Boever JA, Loesche WJ. Ultrastructural observations on bacterial invasion in cementum and radicular dentin of periodontally diseased human teeth. J Periodontol. 1988;59:493–503. Accessed September 21, 2023.
J Pharm Bioallied Sci2015 Aug; 7(Suppl 2): S636–S642. doi https://tinyurl.com/LBRPTRDIODE . Accessed September 21, 2023.
Laser curettage as adjunct to SRP, compared to SRP alone, in patients with periodontitis and controlled type 2 diabetes mellitus: A comparative clinical study. Accessed September 21, 2023.

Updates For Treating Oral Inflammation

By: Debbie Seidel-Bittke, RDH, BS

September 18, 2023

Periodontal disease, comprising gingivitis and periodontitis, is a common oral health issue affecting millions of people worldwide.1

As dental professionals, we play a vital role in managing and preventing this disease condition.

Our overarching reason for treating patients with oral inflammation, active gum disease, is because when we put a halt to oral inflammation and gingival diseases we can help our patients live a longer, healthier life.

This blog post will explore the latest research findings, treatment options, and effective prevention strategies for periodontal disease, including innovative approaches like Guided Biofilm Therapy and BioGaia ProBiotics.

This blog will also include sequencing of various appointments when treating oral inflammation.

Understanding Periodontal Disease:

Gum disease encompasses various conditions affecting the supporting tissues of the teeth, including gums, periodontal ligaments, and alveolar bone.

The two primary forms are:

Gingivitis:

Gingivitis, a milder form of gum disease, features inflamed, red, and bleeding gums and no alveolar bone loss.
Accumulation of dental plaque, a biofilm of bacteria, and is often the cause of early gum disease.
This early sign of gum disease can also be associated with various systemic diseases as outlined below.
Gingivitis is often reversible with regular dental hygiene preventive care appointments, and proper home care routines.

Periodontitis:

Periodontitis, a more severe form of gum disease includes alveolar bone loss.
Often this begins with gingivitis and can be associated with other systemic diseases such as: diabetes, high blood pressure, heart attack, stroke, high cholesterol, various cancers, Crohns’ disease and even Alzheimer’s Disease.
The most common risk factor is tobacco use.
It involves more severe inflammation, gum recession, and radiographic bone loss.
Recent research suggests potential systemic health links, such as diabetes, stroke heart disease, etc. See the list of systemic diseases and research website link outlined below.

Latest Research on Periodontal Disease:

Recent studies have uncovered crucial insights into periodontal disease, offering a deeper understanding of its etiology, progression, and systemic connections:

- Microbiome and Dysbiosis: Research has highlighted the role of the oral microbiome in gum disease development. Understanding specific bacteria involved can inform targeted treatments.
- Inflammation and Systemic Health: Emerging evidence suggests the inflammation associated with periodontal disease may contribute to systemic health issues.
- Dental professionals must consider the systemic links to gingival diseases during patient assessments and share this important message to help patients “live a longer, healthier life with optimal oral health.”

Treatment Options for Oral Inflammation:

Dentists and dental hygienists employ various approaches to treat gingival and periodontal diseases, tailored to its severity such as:

Gingivitis Treatment: Indicated for patients with generalized moderate to severe inflammation in the absence of radiographic bone loss.

Scaling and Root Planing: Indicated for patients with radiographic bone loss, and moderate to severe gingival inflammation.

Guided Biofilm Therapy (GBT): GBT focuses not only on prevention and maintenance of gingival, periodontal and peri-implant diseases in adults but is also the only proven protocol to manage biofilm around orthodontics and in non-surgical periodontal treatment. 2

This therapy utilizes an E.M.S. Electro Medical System.

1.Diode Laser:

Can reduce bacterial load without the side effects of antibiotics. There are clinical advantages for use of the diode laser therapy in the reduction of subgingival bacteria—the etiology of periodontitis. Evidence suggests that lasers can be bactericidal to subgingival pathogens. 3

2. Antibiotics: Dentists may prescribe antibiotics like doxycycline. Dental hyginists may use sub-dose microspheres of Arestin® (minocycline HCl), subgingivally, and/or antimicrobial mouth rinses during home care to manage inflammation and infection.

3. End-Point Therapy/Re-Evaluation:

Every patient who is treated for generalized moderate to severe inflammation, with or without radiographic bone loss will also have a follow-up appointment to re-evaluate the condition of this inflammation.

At the re-evaluation you will complete a comprehensive periodontal exam (CPE). This must include pocket depths, recession, bleeding, mucogingival involvement, furcations, etc.

You will use diode laser, ultrasonics, GBT, scale, polish (No need to polish when GBT is initiated), review of oral-systemic link & perio process ending with an update or continuation of homecare. When there is a halt of the disease process and no active gum disease is present you will determine the interval your patient will return for preventive care.

If your patient returns and active gum disease exists, you will refer to step 1 of this sequence of care.

For a gingivitis patient, you will refer the patient to their PCP for a full blood panel to rule out any systemic diseases; most common may be diabetes, high-cholesterol, or high blood pressure.

The patient will be scheduled to return for re-evaluation in 6 weeks and repeat the above listed protocol. See the above 1st step in treating gingivitis.

In the case of your periodontal patient, who returns with active disease, you will, 1. Re-treat these affected areas (see step 1 of the treatment plan) of active disease and according to each individual’s risk factors and perio status, you will refer to a periodontist for evaluation.

The purpose of this re-evaluation- (Purpose of an “end point” assessment is to be certain there is a halt of the gingival inflammation.

After therapy If we schedule a patient for three or six months without six weeks re-evaluation to check the “endpoint” of the disease, it’s possible that when the patient does return in three months of six months, active disease will progress to a more serious condition which will ultimately affect the patient’s total health and well-being. 4

End point therapy is considered the end of Phase I therapy.

Innovative Treatment Approaches:

Guided Biofilm Therapy (GBT):

GBT is a cutting-edge approach that uses advanced technology and devices to target and remove dental biofilm more effectively.
It utilizes air-polishing devices to dislodge biofilm from tooth surfaces and below the gumline, improving treatment outcomes.
This therapy is non-invasive, a great way to show patients where they are missing with their toothbrush and floss. You can also disclose to show acidic plaque, etc. Pain Free enamel-safe, plaque removal and a great way to inspire patients to “own their disease.”

Show patients what you see (Biofilm) because “seeing is believing!:”

BioGaia ProBiotics:

BioGaia ProBiotics are beneficial bacteria applied topically to the oral cavity to restore and maintain a healthy oral microbiome.
Research is ongoing, but preliminary studies suggest potential benefits in preventing and managing gum disease. 5

Effective Prevention Strategies:

Preventing periodontal disease is paramount, and as dental professionals we can guide patients using these preventive measures:

Oral Hygiene Education: Emphasize proper brushing, flossing, and the use of antimicrobial mouthwash.
Routine Dental Hygiene Appointments: Stress the importance of routine dental visits for professional preventive care and early detection of gum disease.
Lifestyle Adjustments: Educate and share information about tobacco cessation as necessary, maintain a balanced diet. Share information about systemic conditions, such as diabetes, heart disease and even Alzheimer’s Disease, which can exacerbate gum disease.

Conclusion:

Periodontal disease remains a significant oral health challenge, but ongoing research and evolving treatment modalities offer hope for improved patient outcomes. Dental professionals must stay informed about the latest developments to provide the best possible patient care.

Innovative approaches like Guided Biofilm Therapy and BioGaia ProBiotics show promise by enhancing treatment and prevention efforts. By working together, dental professionals and patients can effectively combat gum disease and our patients can live a longer, healthier life.

Our overarching message to patients is that optimal oral health leads to a longer-healthier life.

References.

Americans with Perio Disease. https://bit.ly/3PgUuI5 Accessed on September 15, 2015.
Guided Biofilm Therapy. https://www.ems-dental.com/en/guided-biofilm-therapy Accessed on September 18, 2023.
Effects of Diode Laser and mitochondria. https://bit.ly/LBRMitochondria Accessed September 18, 2023.
End Point Therapy. https://tinyurl.com/AAPEndPt See page 557. Accessed on September 18, 2023.
BioGaia ProBiotics. https://tinyurl.com/BIOGIA Accessed on September 18, 2023.

For more information about this consider a complimentary 30 minutes coaching session with Debbie Seidel Bittke, Founder and CEO of Dental Practice Solutions.

Click here to book your coaching session.

Effective Strategies for Dental Hygiene Patient Reactivation and Retention

By: Debbie Seidel-Bittke, RDH, BS

August 31, 2023

Maintaining a steady stream of patients is crucial for any dental practice’s success. One of the most valuable segments of your patient base is those seeking dental hygiene services.

This blog will guide you through effective strategies to reactivate and retain dental hygiene patients, ensuring the growth and profitability of your practice.

1. Segment Your Patient List: Start by segmenting your patient list into different categories, such as active, inactive, and overdue patients. This will help you find the best patients to contact first.
Personalized Communication: First begin with a personal phone call to the patients best contact phone number.

When patients don’t answer your phone call (Which happens often!) do leave a very brief message with your name and office phone number.
- Your message will sound something like this:
  - “Hello (Patient Name), This is Angie calling from ABC Smiles about your dental appointment, please give me a call back at (Your office #). Thank you and have a great day!
- Why this brief message?
  - Your goal is to get patients to return your call and #2 is HIPAA compliance. You don’t want to leave any personal information.
- Next is to text patients who have not answered their phone.
  - People are most likely to see a text message faster than listen to a voicemail message.
- Your text message will appear like this:
  - Hello (Patient Name), please contact our office at your earliest convenience. We miss you and hope to talk to you soon. Then sign your office information and include your office phone number.
When patients don’t respond to your text message do send an email. In your email you should send content that is valuable.
- It works well to send video content. Possibly a video created by the dental hygienist talking about why preventive care is important and then add a message to click a link and call to schedule their hygiene appointment.
- If you have patients who need to schedule for gum treatment find a video message (find this inside your patient engagement software) and add this to your email.
  - In the subject line be sure to add [Video] and a few more words that you believe add value to your patients so they will call and schedule their appointment.
- If you are open to having patients schedule online it will work well for hygiene preventive care appointments to click and schedule.
  - Be sure you have blocked out hygiene appointments that are specific to preventive care on your hygiene schedule.
If all else fails, send a letter to the patient with a place where they can check off why they are not scheduling and enclose a SASE so they can send back a reason why they are not scheduling. Inside your letter have them let you know (add a checklist so they can easily respond) they won’t be returning to your office.
- This has worked well for patients who are overdue by 18 months or more. Some patients will call your office immediately and let you know the exact reason they are not scheduling.
- Many patients will tell you they want their records transferred. This is a great way to eliminate patients in your database that won’t be coming back. Edit these patients and mark them as inactive.

Send Reminders and Offers: Utilize email and SMS reminders for upcoming dental hygiene appointments. Offer special discounts or promotions to incentivize patients to return. Limited-time offers can create a sense of urgency.

This one thing has worked very well to keep patients on your schedule. The entire system helps to add more new patients and will grow your cosmetic cases. To learn more about this, I have added a link at the end of this blog so you can learn more.

Social Media Engagement: Use your practice’s social media platforms to engage with patients. Share oral hygiene tips, success stories, and showcase your team. Share specific incentives here. Encourage patients to follow your accounts for updates and useful information.
Educational Content: Create blog posts or videos about the importance of regular dental hygiene – preventive care visits. Address common concerns and dispel myths. Educated patients are more likely to prioritize their oral health.
Loyalty Programs: Implement a loyalty program where patients earn rewards for consistent hygiene visits. Rewards can range from discounts on future visits to free dental products. Check that link at the end of this blog to learn more about this ONE THING,
Surveys for Feedback: Send out surveys to understand patient preferences and areas for improvement. Use their feedback to enhance the patient experience and show that you value their opinions. Ask patients to give you 5 Star Google Reviews. This will help you with SEO and more new patients will find your office.
Flexible Scheduling: Offer flexible appointment scheduling options, including evenings and weekends. This can accommodate patients with busy schedules, making it easier for them to commit to regular visits. If you’re a new office you will do well if you offer evening and weekend appointments.
Telehealth Consultations: Introduce virtual consultations for dental hygiene advice and quick check-ins. This can foster a sense of care and accessibility, encouraging patients to stay connected.

They say there is a big economic decline ahead of us. We don’t want to run business around fear but there are so many valuable ways to use Telehealth Consultations and in the One Thing (See link below) you can use this via Telehealth appointments.

Showcase Patient Results: With patient consent, share before-and-after photos showcasing the positive outcomes of regular dental hygiene visits. This visual evidence can motivate patients to maintain their oral health. Share these on your social media posts and also have a portfolio on a coffee table in your office to show off case studies and your awesome dentistry!
Stay Updated with Technology: Invest in dental technology that enhances the patient experience, such as digital records, online appointment booking, and chairside education tools. We recommend various apps such as Dental intel to track KPI’s and help the team drive your productivity.

We also recommend patient engagement videos to easily send emails with videos and sms messages. See our list of recommendations at the end of this blog.

Create a Referral Program: Encourage current patients to refer friends and family by offering referral rewards. Word-of-mouth recommendations can significantly boost patient acquisition.

Conclusion.

Reactivating and retaining dental hygiene patients requires a combination of personalized communication, engaging content, and strategic initiatives. By implementing these strategies, you can strengthen patient relationships, foster loyalty, and ensure the long-term profitability of your dental practice.

Remember, a healthy patient-dental practice relationship is built on trust, excellent care, and consistent communication.

Resources.

1.Dental Intel. #1 ranked KPI System. Please contact us here for a discount and One Free Month. In your message write: Dental Intel Info

2. Patient Engagement. Click here and find out more about this #1 rated system

3. Discover your hygiene departments true potential. Schedule Here

Maximizing Dental Hygiene Department Production: Key Strategies

By: Debbie Seidel-Bittke, RDH, BS

August 22, 2023

Maintaining a successful dental practice involves more than just delivering quality dental care; it also requires effective management and a keen understanding of the industry’s evolving trends. In today’s competitive healthcare landscape, dentists are constantly seeking ways to boost production and enhance various systems, and services especially in your dental hygiene department.

As our dental profession evolves, the dental hygiene department becomes more and more important to patient care and your dental practice growth. In this blog, we will delve into the topic that will elevate your dental hygiene department’s productivity and overall success.

The Digital Revolution in Dental Hygiene

The advent of digital technology has transformed many aspects of dentistry, and the dental hygiene department is no exception. Dentists are increasingly exploring digital tools such as iTero, etc., to streamline operations and improve patient care.

One of the key areas where digital innovation is making a significant impact is patient communication and education.

Incorporating interactive tools like digital scans, intra-oral cameras, and educational videos can empower patients to take charge of their oral health. Making the patient part of their treatment plan and the discovery about what is happening in their mouth makes case acceptance much easier.

Through technology and various tools you can educate patient you boost patient engagement and the ability to “want the care they need.” This will also help you get patients to continue returning to your office.

A high-level of patient engagement builds trust and trust means patients are more likely to accept your care and return for future appointments.

Telehealth and Virtual Consultations

Another emerging trend that dentists are exploring to enhance their dental hygiene department is tele-health consultations. This innovative approach allows dental hygienists to connect with patients remotely, providing consultations, answering questions, and offering guidance on oral health routines.

Tele-health can be a great way to meet potential new patients and hygienists can offer post-op care to their patients more easily.

Consider using tele-health to meet new patients, especially patients who may be fearful about going to a dental appointment. You can also do a dental exam to assess a patients smile, maybe assess their shade when patients are interested in teeth whitening services.

Check out the Smile Club which will allow you to virtually assess a patients shade and they can now come by your office, register for the Smile Club, hopefully feel more comfortable to schedule a new patient appointment. The Smile Club uses Celebrity Smiles teeth whitening and patients leave with their whitening kit that same day.

There are no impressions, trays to make, etc, etc. Your ROI can be huge when you use tele-health for cosmetic dentistry initial exams.

Tele-health allows you to reach a wider audience, ultimately boosting production by catering to different patient preferences.

Data-Driven Analytics

Data driven analytics is rapidly transforming our dental profession is no different. Dentists are recognizing the value of data-driven decision-making to optimize their dental hygiene department’s productivity. By harnessing the power of patient data, practices can gain insights into patient behaviors, treatment preferences, and patterns in oral health issues.

What matters to you will always get measured. Without looking at what is working and not working you can never assess you future success potential.

Ultimately, data-driven decision-making can enhance patient satisfaction, leading to higher retention rates and increased referrals.

Continuing Education and Dental Hygiene Department Training

As a dental professional you most likely understand that the expertise of the dental hygiene team directly impacts the success of the hygiene department. Investing in continuing education and training for dental hygienists is a strategy that dentists are actively pursuing to boost production.

Staying updated with the latest advancements in dental hygiene techniques, innovative tools, technologies and time saving systems, ensures that dental hygienists can provide the highest level of care to their patients.

Moreover, skilled and knowledgeable hygienists are more likely to spot early signs of dental disease and any abnormalities. They know how to more easily and effectively educate patients, performing more than just a cleaning.

All of the above contribute to improved patient outcomes and loyalty for patients to return to your dental office.

Collaboration and Workflow Optimization

Collaboration within the dental practice is essential for efficient operations and patient satisfaction. Dentists are recognizing that a streamlined workflow between the dental hygiene department and other areas of the dental practice, such as scheduling, billing, and treatment planning for improved case acceptance, can significantly impact overall productivity.

Implementing strategic and time-saving solutions facilitate seamless communication between the various areas of your dental practice.

Optimizing your current systems will eliminate bottlenecks, reduce last-minute cancellations, and enhance the patient experience. When different aspects of your dental practice work in harmony, this translates into more patient appointments, an optimized patient schedule, higher production without running on a treadmill and an overall positive impression of the practice.

Conclusion

Our dental industry is evolving at a rapid pace, and most dentists are proactively seeking strategies to boost production and enhance various departments. The dental hygiene department, in particular, plays a crucial role in patient care and practice growth.

By embracing the latest technology, incorporating tele-health, making data-driven decisions, investing in continuing education, and optimizing collaboration, dentists can elevate their dental hygiene department’s productivity and provide exceptional patient care.

Staying attuned to the latest trends and innovations in dentistry ensures that dentists remain competitive and capable of meeting the evolving needs of their patients. As the landscape continues to evolve, dental practices that embrace these strategies are well-positioned to thrive in the ever-changing world of oral healthcare.

If you found this blog valuable and if you are curious about how you can optimize your dental hygiene department and boost production more easily, schedule a complimentary discovery call. This will only cost you time. Time can be a valuable asset when you have a goal that becomes your next level of success.

Schedule your call here.

Can’t find a time on the calendar? Please send us a message here with a day and time that does work.

Mastering Hygiene Patient-Doctor Exams: 5 Steps to Boost Case Acceptance

By: Debbie Seidel-Bittke, RDH, BS

August 14, 2023

One dental practice goal is to provide comprehensive care to every patient. The dental hygiene patient-doctor exam is a crucial opportunity to assess your patient’s oral health, discuss treatment options, and foster a strong patient-dentist relationship.

Dental hygienists, you can boost case acceptance by building a strong foundation during the first part of each dental hygiene appointment.

In this blog, you will learn five steps to effectively complete the hygiene patient-doctor exam, ensuring your patients receive the utmost care and attention they deserve.

The bottom line is a boost in your case acceptance and keeping patients returning to your dental office.

Step 1: Review the patient’s clinical record.

Before seating patients, at the beginning of the day, it’s imperative to gather your team for a quick team huddle.

Before the team huddle begins, hygienists must thoroughly review notes in each patient’s clinical record and during the team huddle, they must communicate important patient information about patients being seen that day.

This does not mean flipping through patient charts or scanning the online schedule! *Preparation before the team huddle is imperative to make this an efficient huddle.

Every team member comes to the morning huddle prepared to communicate important information. Coming prepared means your huddle will take approximately ten minutes.

If you are not currently holding morning team huddles this will take practice. You must have a huddle strategy and you will create a quick huddle and the result is an amazing day! Think less stress and more productivity!

** Time Management Example

Example of huddle hygienist communication:

Any health issues the team should be aware of? Ex: pre-med? Etc.
Does the patient need X-rays today?
1. What type of x-rays do they need?
What type of exam is the patient scheduled for?
1. Comprehensive exam (more than a quick 5 mins exam)
2. Periodic exam
Does the patient have unscheduled restorative needs?
Etc.

Step 2: Seat and greet the patient:

This is a time for rapport and discovering what the patient wants their smile to look like.

Does the patient have any areas of concern?
If the patient has unscheduled treatment, this is a great time to use motivational interviewing to discover how you can get the patient to schedule for necessary care.

This is your time to review the medical history, ask about surgeries, new medications, etc. See the above image. During the first 15-20 minutes of the hygiene appointment, this is your time to collect all the important data.

Always explain to the patient what they can expect during their time in your chair.

Make your patient a part of the data collection and treatment process. This also alleviates any confusion around what they are seating in your chair for.

True story! Once I started teaching this one thing, patients were stating they thought they were coming to the office for “A” when they were scheduled for “Z”!

Examples of data collection: RMH, blood pressure screening, “cavity detecting x-rays”, “gum exam using a ruler to look for any abnormalities of the gums”, etc., etc.

Step 3: Treatment planning.

Show the patient any abnormalities you discover during the exam process. Use an intra-oral camera or an iTero scan to show patients what is happening in their mouth and with their total health. Collaborate with your patient. Make them part of the process.

Now is the time to communicate the risks and benefits for accepting your care. Explain if, and when your patient does have oral inflammation, that inflammation (“gingivitis and gum inflammation”) can cause other systemic diseases such as stroke, heart attack, high blood pressure, diabetes, and even Alzheimer’s disease.

Use words that are descriptive and easy for the patient to understand what is happening in their mouth.

Examples of words to use: inflammation, infection, bleeding, pus, hole, bacteria, prevention, gum disease, etc.

Step 4: Timing of the hygiene patient-doctor exam

At about 30 minutes into a sixty-minute hygiene appointment, the hygienist should have completed all the patient assessments and reviewed a plan of care with the patient.

This is the perfect time for the hygiene patient-doctor exam. There is no need to wait until the end of a dental hygiene appointment to complete the patient exam.

Refer to step 1. The morning huddle is the best time to orchestrate which hygiene patients need an exam and the doctors assistant knows ahead of time when they will direct/lead the doctor in to the hygiene room for an exam.

The doctor’s assistants are responsible for guiding the doctor to be where they need to be, when they need to be there. Think about hygienists as the air traffic controllers.

Example: The doctor is prepping a crown and waits for an impression. The assistant will direct doctor to complete the hygiene patient exam while the assistant is finishing up the impressions.

Step 5: Doctor-hygiene patient exam process

Collaboration is one key to building trust and accomplishing patient engagement. When the doctor walks into the hygiene treatment room to complete the patient exam, it’s possible the hygienist is polishing or scaling the patient’s teeth.

At this point, the hygienist will move to the side of the patient and bring the doctor into the loop of what has been discussed, etc.

Example: What did the hygienist discover during the seat and greet with their patient? Maybe Mrs. Jones is going to Europe for vacation next week. This is all part of rapport. Personal connection builds trust and patient loyalty.

The hygienist will report to the doctor all that has been completed up to this point and what the patient will return for in the future.

Example when doctor enters to do the hygiene patient exam: “Hi Doctor Good Tooth, I just found out that Mrs. Jones is going to Europe for six weeks this summer!

Doctor can respond as they are washing their hands, putting on their gloves, etc.

We reviewed her medical history and there are no changes, no significant findings. I asked her about one thing she would like to improve about her smile and she said she wants to whiten her teeth!

Doctor can respond as they are looking around the patients mouth.

I told her about our new Smile Club and she would like to get started whitening today! We checked her blood pressure and it’s great! It was 120/70. I completed an oral abnormality screening and her hard and soft tissues look healthy. Next, we checked the health of her gums and we did talk about a few areas of inflammation and bleeding. I am going to review her floss technique and next time she returns I think these areas will be much healthier.

Doctor can respond as appropriate.

Next time she returns in six months for her preventive care with me, she will need a full series of the x-rays and I will have her see you for a comprehensive exam in six months. I think that everything else looks great!”

Doctor can now look at the patient and respond accordingly.

Do you see how this communication can be completed while the doctor is visually looking around the patient’s mouth?
The hygienist made this super simple for the doctor to sit down, look in the patient’s mouth, have a quick, run conversation about Mrs. Jones’ trip to Europe and then the doctor is gone!

No one is waiting for the hygiene patient exam to be completed. The doctor left in five minutes to return and complete that prep patient in their other room and the hygienist finished up the patient on time.

**See above image which shows an example of how the hygienist can facilitate ease of the doctor- hygiene patient exam to increase case acceptance.

Conclusion:

Effectively completing the hygiene patient-doctor exam requires a seamless transition from the dental hygienist’s initial assessment to the treatment discussion.

By following these five steps—pre-planning patient care at the beginning of each day (the team huddle), simple discovery sessions between the hygienist and patient, treatment planning using visual aids prior to the hygiene patient–doctor exam, breaking down the words into what the patient understands and then using those same words during the doctor-patient exam, means you will more efficiently and effectively engage your patients to ensure they receive the highest level of care.

Remember, this approach enhances patient satisfaction and contributes to a thriving dental practice built on trust. This will allow patients to be in charge of their care.

This is one important method to get patients to “want what they need.”

Breaking down the words you use when communicating with patients and having everyone on the team use the same words will build trust, and help patients understand the value for completing necessary care- even preventive care.

The bottom line is happy patients, a boost in case acceptance and patient retention in your dental practice.

If you would like to learn more about integrating this process or other systems to optimize your hygiene department schedule a complimentary discovery call here.

Dental Professionals: Are You Wearing the Correct Size Gloves?

By: admin

October 9, 2018

Doctors, Hygienists and Assistants, are you wearing the correct size gloves?

I imagine you are very comfortable in the size glove you wear currently but if you are experiencing carpel tunnel, trigger thumb or even neck pain, keep reading and view this video to see how you know if your glove is the correct size.

When I tell a clinician, they are wearing the wrong size glove they always tell me that the bigger size glove is too big for their fingers.

To hold an instrument or hand piece the most important part of your glove is not the finger fit, it is the palm of your hand.

A glove that allows the palm of your hand to move around freely is one that will never cause the above physical problems mentioned above. A correctly fitting glove will allow you to access a deep pocket, it allows you to angle your probe correctly and for the doctor, this becomes very important when you are prepping a crown and may make it much easier to extract a tooth.

When you wear a glove that fits correctly you will notice less tears, which means it is a lot safer for you, the clinician.

According to Donna Gaidamak, media relations manager for Cardinal Health, wearing a glove that is too small with cause hand fatigue, skin irritation and damage.

After reading this blog and viewing the video, I challenge you to return to your office and check to see, are you wearing the correct size glove?

are-you-using-the-right-size-gloves

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ABOUT THE AUTHOR

Debbie Seidel-Bittke, RDH, BS

Debbie is known as one of the top leaders in dental consulting. She speaks, and consults with clients all over the world. She is a well-known author, published in most of the dental journals for over 18 years.
Debbie has a unique way of engaging with doctor and the team, so they have patients who accept treatment, schedule and pay as well as, continue returning to your office indefinitely.

Do you or your team member(s) struggle with the “all saying the same thing to patients?” Do all your hygienists treatment plan and sequence perio and gingivitis the same way?” Not sure how to sequence treatment for gingivitis? We are here to help! Just give our office a call or email to schedule a call so we can explain how we will help you with this bump in the road. We will also provide AGD CE Credits with your training (in-office or web-based). Just ask us how it’s done: email or Call our office: 949-351-8741. You can also schedule your session to find out more about this here.

What Do We Say When a Routine Hygiene Patient Has Periodontal Disease Today? (Part Two)

By: admin

October 5, 2018

Part II

In Part I, we discussed what to say to this patient.

In Part II I will talk about what our American Academy of Periodontology and the research says about this. You will read about other publications and what the general public has access to regarding treatment of gingivitis and periodontal disease.

The intent of reading this information is to answer this question, “What Do We Say When a Routine Hygiene Patient Has Periodontal Disease Today?”

What Others Say:

The American Academy of Periodontology (AAP)addresses this situation on their website. As dental professionals we know to look at the AAP as the “gold standard” for treating and preventing periodontal disease.

You will see many of the messages about oral health and it’s role in total health in men and women’s magazines.

The National Institute of Health Library, has extensive research on the mouth body connection and how oral disease contributes to various systemic diseases and cancer.

Your Message

Many dental clinicians today still find it awkward to talk with routine prophy patients about a change in their oral health.

What we have discovered working with many dental offices around the world is that when clinicians have routine prophy patients return with bleeding gums and in many cases, undiagnosed periodontal disease (an ex-employee/clinician missed this diagnosis), the clinician feels uncomfortable delivering the message to their patient about gingivitis and/or periodontal disease.

Patient care in the dental office must be about the patients’ well-being, their total health. Patients are paying for your expertise and you must be open to sharing the true picture of their oral health and how it relates to their total health.

Not Only About the Tooth.

Before you begin assessing your patient, at the beginning of your hygiene appointment, it will be helpful if you tell your patient what you will be looking for. Begin by confirming the services you have planned to complete at the beginning of your appointment.

Before you pick up a probe to assess the health of the patients gums, explain about the “ruler” used to measure the space between their gum and tooth. Let your patient know what the numbers on this ruler mean.

It becomes very valuable to have another team member to chart your numbers in the perio chart or technology such as the “Florida probe” to call out the numbers and record. The hygienist or doctor will call out the numbers during a comprehensive periodontal exam and another person will chart the readings. If you have the Florida Probe (or another software to record the readings) you won’t need something to write the numbers.

In Part I, we shared how to inform your patient about the numbers. Examples of this will be, “ if you hear a 3 or less, your gums are healthy, a 4 means inflammation, 5 or higher means you have infection in your gums. If you hear a number 4 or higher, when I am finished with the exam, we will create a plan to get your gums healthy again.”

Ask your patient to listen for the numbers and at the end of the comprehensive perio exam ask them to tell you the highest and the lowest number they heard you call out.

After your patient hears the numbers, this is where you can begin the partnership and collaboration with your patient.

Engaging your patient in the exam process makes it easier for them to be a part of a treatment plan when you need to talk about something outside of healthy teeth and gums.

Use words that your patient will understand during each appointment and especially when you discover something abnormal such as gum disease.

When you say words like “Periodontal Disease,” you are more likely to see a glazed-over look in their eyes. People will tell you they understand but if you say words like “gum disease” your patients will be a lot more likely to understand what you are talking about.

Next Steps After You Assess

Once you are looking in your patients’ mouth, take pictures of what you see.

Once you have collected all of your information during your assessments, including your intra-oral pictures., sit the patient up-right in the chair to talk with them, knee-to-knee and eye-to-eye.

Now is the time to create a partnership with your patient and help them make the best decision to create a healthy body.

Once a patient has inflammation and infection in their mouth our role is to help the patient understand how this affects their overall health.

Showing your patient pictures about what is happening in their mouth paints a picture and is more descriptive than words can express.

Words You Want to Use:

-Preventive Care vs. Cleaning

-Hygiene Appointment vs. Cleaning

-Gum Treatment vs. Deep Cleaning

-Gum Therapy vs. Periodontal Therapy

-Gum Maintenance vs. Periodontal Maintenance

-Active Disease vs. Periodontal Disease

-Inflammation vs. Periodontal Disease

-Infection vs. Periodontal Disease

-Routine Care vs. Periodontal Maintenance or Cleaning

-Abnormalities vs. Cancer

-Ruler vs. Probe

Treatment Planning Phase

After your patient has heard the number’s you called out during the “assessment of their gums” when you do find abnormalities, inflammation, infection, active disease, etc., you need to seat your patient upright in the chair and show them what you see.

Since you have already explained what the numbers they will hear during the exam mean, they already understand if they have inflammation or infection and you won’t find yourself in a position of objections from your patient. They understood what to listen for and what the numbers mean, so a lot of your hard work explaining has been completed. You have also told your patient at the beginning that if they hear certain numbers you will create a plan for health.

This first conversation before you begin your assessment, ends up saving you time and a lot of effort explaining. Most patients , when they hear the 4, 5’s and higher, will tell you, “That did not sound too good!”

This type of communication makes it much easier to collaborate and create a treatment plan. It will get patients to want what they need, schedule and pay for treatment.

Our Responsibility

We have a legal and ethical responsibility to let our patients know when they need something different than what they are scheduled for.

If your patient is scheduled for a crown prep and the doctor discovers more decay than originally seen on radiographs or from a visual exam, that doctor will typically stop the planned treatment (Stop the drilling when they see the decay has gone too far into the nerve) and discuss with the patient what they see and how much more decay is in the area. The doctor will let the patient know the treatment plan is more extensive than originally planned.

When a patient comes to their prophy appointment and you discover this is going to be more than a prophy you must do the same thing. You will show the patient what you see and bring them into a partnership to own the disease in their mouth.

Our team runs into many objections from hygienists and dentists who are concerned about “what the patient will think if they are told something different (than planned) needs to be completed. Too many dental professionals are concerned about the patients having a negative response to knowing it is “more than a prophy appointment.”

We must tell our patients what is truly happening in their mouth and their body. The dental appointment must be patient centered and not about what “WE” the clinician thinks our patient can pay for or if they will be upset that we have discovered an abnormality and they need a different treatment plan.

How do you know if you are doing the proper treatment planning with your hygiene patients?

The American Academy of Periodontology estimtes (Back in 2012 was the last documentation) that 62 million American adults have periodontal disease. A typical percentage of adults we see being treated for periodontal disease is about 40% of their adult population over 30 years of age.

We have also noticed that if a hygienist sees eight patients a day they will have about one gingivitis patient each day.

What are your percentages of patients being treated for gingivitis and periodontitis?

We are happy to take a look and use our data collection formula to help you correctly assess and diagnose.

Is your office receiving payment for treating gingivitis patients? Please let us know how we can help you receive payment for treating gingivitis and periodontal patients. We enjoy helping offices like yours, understand how to correctly treatment plan, sequence treatment and then get patients to schedule, pay and return for preventative care.

We can help! Just give us a call or email us and we will share more with you.

About the Author: Debbie Seidel-Bittke, RDH, BS, is one of Dentistry Today’s top dental consultants. She is an international coach, speaker and author. Debbie is the CEO of Dental Practice Solutions.

Debbie is a world-class leader in creating profitable hygiene departments. She is a well-known as a former clinical assistant professor at USC in Los Angeles and a former hygiene department program director. Dentistry Today recognizes Debbie as a Leader in Dental Consulting.

Dental Consultant | The End of Year is Near. How to Get Dental Hygiene Patients to Return Now.

By: admin

August 8, 2018

The end of the year is near. In today’s blog you will read how to get your dental hygiene patients to return now.

Summer is coming to an end. The kids are going back to school. Parents are busy with work, back-to-school shopping and it seem there is not time to visit the dental office

Many of your dental patients haven’t scheduled necessary dental treatment for themselves or their family.

Most dental benefits will not roll over to the next year and that means you are wasting insurance benefits for your patients.

Now is the time to try and help your patients maximize their dental insurance coverage. Many of your patients are overdue for a routine hygiene appointment.

August is the best time to be looking over your list of overdue hygiene patients and also patients with outstanding treatment.

Every month of each year, plan a day to run a report of overdue hygiene patients. Mark your calendar to run this report the first week of each month.

At this point in the year, it is crucial to focus on contacting your overdue hygiene patients as well as get patients to return who have unscheduled treatment to complete.

How do you contact your patients?

It is important to contact your patients in a way that creates a quick response.

With today’s world of technology, you may notice that most people don’t pick up their phone (of not often), they don’t check their personal emails throughout the day and not many people go to their mailbox to pick up their mail each day.

We suggest that you have the ability to two-way text all of your patients.

To begin the two-way texting, you need to have the technology connected to your practice management software.

We recommend SolutionReach to our clients because not only does this company offer two-way texting, but you can add a link for your patients to click which will allow them to immediately schedule their appointment.

What does your text message say?

You will at the very least want to text all overdue patients with only a sentence that says, please call our office about your dental appointment.

We have found this works very well for patients to call your office and especially when they know they don’t have an appointment.

Once the patient does call they will most likely let you know, “I don’t have an appointment.”

Your response will sound like this:

“Mrs. Smith, please let me check your patient record to find out exactly what is happening here. May I put you on a brief hold? This will take me less than ten seconds to check.”

Most patients will be patient enough to wait a few seconds.

Here is the part that may be new to you.

The team of consultants at Dental Practice Solutions, teaches clients this acronym called, R2R.

What does R2R mean?

R2R means “Reason to Return.”

The R2R is a brief description each clinician writes on the last line of the patients record, each time the patient is seen in the office.

This means that the clinician has discussed, communicated, with their patient the reason why they need to return, and that reason will not only be a clinical reason but a benefit to the patient.

If the patient you just took a call from, has a clinical R2R note that states, Pt has bleeding gums, infection around all the back molars and heavy tartar build-up in lower front teeth. Pt has diabetes and I explained that treating gum disease will put a halt to the life-altering challenges of diabetes that can be prevented when their mouth is healthy.

Using the R2R. What to say to the patient.

Once your team of clinicians begin to use the R2R the person answering the phone call will always put a patient who calls about an appointment on a short hold while they check the R2R.

Now that your patient is on the phone, let them know that doctor (and you can include the hygienists’ who last saw the patient) is concerned about their health. Explain that last time they saw doctor and hygienist they had infection in their gums and this can make their diabetes worse which causes other serious health problems. Let the patient know it is extremely important to complete the gum treatment because now we know this will help improve their diabetes.

What do we do if we have not used the R2R?

If you are reading about the R2R for the first time, when you look at a patients’ record, there will not be an R2R and I suggest that you have each of your team members learn about this.

Please contact our office and a dental consultant on our team will be happy to provide a training for your team. We can offer AGD CE Credits if you like.

Steps to reactivate overdue hygiene patients:

Step 1. Run your reports

1. Run an overdue hygiene patient report for the past 6 or 12 months.
  1. If you don’t usually run this report monthly you will want to go back at least 12 months when you begin running this report.

Step 2. Send a text message

Use your patient engagement software (Ex. SolutionReach) to contact overdue hygiene patients
Your first text message should only say “Please call our office today about your dental appointment.”

Step 3. In one week for the patients who have not responded to your text message, send them an email.

In your email you can now include your scheduling link, so these patients can easily click the link to schedule their hygiene appointment.
Your email message can be customized with each patients’ name, but the same email goes out to every patient who needs a dental hygiene appointment.
As a dental consultant I have learned that people respond more favorably to this email when you offer them an incentive to return for their appointment.

We know that free tray whitening works well when attempting to get overdue hygiene patients back to your office.

1. 1. You can also use other special offers to motivate patients to return such as money of Invisalign.

Step 3. Understand the specific type of appointment needed.

When you do have patients calling to schedule their appointment, be sure to look at their patient record to understand what type of appointment they need.

Step 4. Begin using the R2R.

1. All clinicians must make this part of their patient record.
2. When a patient calls to schedule or change an appointment, the front office person answering the patient call, will look up the R2R so they know exactly what the patient needs to schedule for (Ex. Prophy, x-rays and doctor exam, etc.) can speak to the patient about the necessary service and value/benefits for scheduling.
3. This R2R can and should be used every time a patient calls to change a dental appointment. Use the value and benefit to the patient to get them to keep their appointment not change it.

The number 1 focus this month needs to be contacting all patients who need to return this year for a hygiene appointment.

Need help implementing the R2R or any other systems?

We are here to help you! Call us to find out how to get training virtually or in-office. We are here to help! Your team will receive AGD CE Credits with any training we complete for you. Contact us today. Email: admin@dentalpracticesolutions.com or call our office: 949-351-8741

Next week I will return with information to contact patients with outstanding treatment. I will also write about how overcome this big challenge of patients leaving without scheduling their important restorative care.

ABOUT DEBBIE SEIDEL-BITTKE, RDH, BS

Debbie Seidel-Bittke is the CEO of Dental Practice Solutions and has over 15 years of business and consulting experience, as well as 30 plus years of working knowledge as a dental professional.

Having the unique ability to understand dentists’ need, Debbie can help each dental practice grow to be efficient and profitable. The growth occurs by optimizing your dental hygiene department. She has a team of experts that will work in the other areas of your dental practice as necessary. Debbie’s insight allows her to effectively communicate and implement success strategies while strategically addressing productivity challenges in the dental practice.

As a dental hygiene business coach, a former clinician and educator, she is adept at collaborating with dentists and their team to incorporate her expertise to see a dental practice grow to levels beyond their imagination. Debbie and her team of experts will increase the profitability of each dental practice. This year, 2018, no client of Dental Practice Solutions will increase production less than $125,000 and without working more days in the office. Ask us how you can be next to do this!

Call or email our office to schedule for your Free Profit Boosting Session:

Email: admin@dentalpracticesolutions.com or call our office: 949-351-8741

How Do You Deliver Your Practice Culture to Your Patients?

By: admin

June 21, 2018

Written by: Debbie Seidel-Bittke, RDH, BS

A CRUCIAL ELEMENT of every successful dental practice is your culture.

What type of patients do you want to serve?
How do you want your patients to feel when they are in your office?

One of the first tasks we have our clients complete is to write down the type of culture they want for their dental office. We have a short template the doctors fill in the blanks, so we can “nail” their delivery of culture. We want to help our clients attract and retain their best patients. It also helps enjoy your day when your schedule is filled with patients who enjoy you and you enjoy having them in your chair.

The next step we take with our clients is to support the doctor; our client, to attract their ideal patient. What the office culture represents must be a part of everything the patients see, feel, hear, etc., etc. This must appeal to all of your patients’ senses. This feeling is the real reason why your patients will choose to return to your office.

Patients don’t truly know how great your clinical skills are. All they know is if you made them feel good or bad. And yes, they will remember if you hurt them.

If you want to be a family friendly office, how does your practice reflect this message?

If you want your office to feel like the Ritz Carlton, how do you deliver this message to your patients?

Make Your Culture Delivery A Priority for Your Practice

Many of our clients want to have a family friendly office and if this sounds like an example of what you want in your dental office here are a few suggestions to make your office feel family friendly.

You can also take these suggestions and tweak them to match your office culture:

1. Show off your family by inviting your employees to have pictures of their family around the office.

One of the doctors I worked for many years ago wanted to have a family friendly office. He also enjoyed photography. You can probably imagine what I am going to tell you about this doctor’s office. Yes, you guessed it! This doctor had a lot of beautiful pictures of his family throughout the walls of his office.

2. Make sure you invite the employees to have pictures of their family around the office. For example, in their operatory invite your employees to have pictures of their family, their pets, etc.

3. What type of reading materials do you have in your reception area?

Make sure you have family friendly reading materials for family members of every age.

4. What is playing on your tv if you have one in your reception area and in the operatories?

Make the viewing on your electronics: tv and music, family friendly. No obscenities or inappropriate language in the lyrics or messages/pictures on your TVs.

5. What are you giving patients as a “thank you for choosing our office?”

If this is a child or teenager, what do you hand out to them as a thank you? It is not only the parent you want to provide a “wow” experience for but the child or adolescent as well.

6. Be sure your schedule is blocked for those smaller children who need an early morning appointment and for school-aged children who need afterschool appointments.

We’re Here for You and Your Team!
We’re committed to providing you with almost everything you need to achieve your practice goals, whether you’re working to create a family-friendly environment for your patients or maybe you want to upgrade your hygiene department. If you have any questions about what more you could do in your practice, let us know in the comments below!

If we don’t provide something you need for success, we can direct you to the best expert.

We are here to serve you. Our team is growing so we can cover more of what your practice needs to be successful. Just ask us how we can support you and your dental practice. We can’t wait to hear from you!

Thank you for placing your trust in hiring us!

About the Author: Debbie Seidel-Bittke, RDH, BS

CEO: Dental Practice Solutions
DENTISTRY TODAY considers Debbie a top dental consultant for the past 18 yrs.
The focus of Dental Practice Solutions is to create healthier, longer lives for your patients while supporting the practice to optimize their hygiene department. The team at Dental Practice Solutions, takes an integrative approach with your team to create an increase in your production and collections without working harder.

When you continue to use the systems implemented, your dental practice will sustain growth for years to come.

Schedule a no-cost profit boosting call today and discover how you can be your best in 2018: Email to schedule a call with Debbie: admin@dentalpracticesolutions.com or Call our office to schedule this today: 949-351-8741.