Dental Hygiene Appointment | Dental Practice Solutions

The Dental Hygienists Role in Boosting Case Acceptance

By: Debbie Seidel-Bittke, RDH, BS

November 14, 2023

In the world of dentistry, case acceptance is not just about presenting treatment options and persuading patients to say “yes.” It’s a multifaceted process that involves building strong relationships with patients and providing a personalized experience that resonates.

A crucial player in this dynamic is the dental hygienist. What happens during the hygiene appointment sets the stage for patients to accept care and keep returning to their dental office.

In this blog, we’ll explore how hygienists contribute to case acceptance and why building strong patient relationships is pivotal for any dental practice’s success.

Understanding the Dental Hygienist’s Role

Dental hygienists are often the unsung heroes of the dental office. While their primary responsibility is to perform routine preventive care their role extends far beyond that. A skilled and empathetic hygienist can make a world of difference in a patient’s experience, setting the stage for trust, case acceptance, and long-term patient loyalty.

Trust and Comfort: Patients often find dental appointments to be anxiety-inducing. Hygienists have the unique ability to put patients at ease. They can create a comfortable environment by explaining procedures, addressing concerns, and offering reassurance. When patients feel comfortable, they are more likely to trust the entire dental team, including the dentist, and consider recommended treatments.
Educators and Advisors: Hygienists are well-versed in oral health and hygiene. During their appointments, they can educate patients about the importance of proper dental care and hygiene practices. By offering personalized tips and advice, they not only help patients maintain good oral health but also prepare them for necessary oral care needs, making them more receptive to the dentist’s recommendations.
Early Detection and Prevention: Hygienists play a critical role in early detection of oral disease and abnormalities. Through routine visual examinations, they can identify problems in their early stages, such as gum disease or a hole in the patients tooth. When patients understand that their hygienist is actively looking out for their best interest, they are more likely to appreciate the value of preventive care and want to pay for what they need.
Building Relationships: Dental hygienists see patients regularly, which provides ample opportunities to build strong relationships. They can get to know their patients on a personal level, remember their patients preferences, and inquire about their well-being. These small acts of caring create a sense of belonging and trust that extends beyond the dental chair.

Personalized Patient Experience

One of the key elements of consultative selling in dentistry is offering a personalized patient experience. Hygienists excel at this because they (should) have undivided quality time and the patient’s undivided attention during their hygiene appointments.

Listening and Empathy: Hygienists listen to patients’ concerns and fears. They empathize with their patients discomfort and ensure that the treatment experience is as painless and stress-free as possible. When patients feel heard and valued, they are more likely to trust the entire dental team.
Tailored Recommendations: Building relationships allows dental hygienists to understand their patients’ unique needs and concerns. This insight enables them to tailor their treatment recommendations to align with the patient’s goals and preferences. When patients perceive that the treatment plan is designed specifically for them, they are more inclined to accept it.

Benefits of Focusing on Relationships

The benefits of focusing on building relationships through consultative selling are clear:

Increased Case Acceptance: When patients trust the dental team and feel that their needs are understood, they are most likely to accept the recommended and necessary dental care.
Increased Patient Satisfaction: A positive patient experience, characterized by trust, empathy, and personalization, leads to higher patient satisfaction and more referrals to friends and family.
Increased Practice Profitability: As case acceptance rates rise, so does practice profitability. Satisfied patients are more likely to return for their routine preventive care..

Bottom Line

Patients are more likely to trust your expertise when they feel heard, valued, and understood. Dental hygienists are instrumental in creating this environment of trust and empathy, which, in turn, paves the way for increased case acceptance and stronger patient relationships.

By recognizing the vital role dental hygienists play in patient care and fostering these relationships, dental practices will thrive and provide optimal care for their patients.

It’s important for patients to understand that the dental hygienist is doing more than just cleaning your teeth. Dental hygienists are setting the stage for a healthy and enduring patient-dentist relationship. We are in the business of helping our patients live a longer and healthier life!

What is your current percentage of case acceptance?
Does the hygienists set the stage for patients to accept the diagnosed treatment and even ask for cosmetic services outside of what doctor has treatment planned?

If your case acceptance is NOT 80% consider booking a no-cost call with Debbie!

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Holistic Patient Care and Case Acceptance in the Dental Hygiene Department.

By: Debbie Seidel-Bittke, RDH, BS

October 30, 2023

In the ever-evolving realm of dentistry, the dental hygiene department stands as a pivotal force in transforming patient care.

This blog delves into the transformative role of dental hygienists within the dental hygiene department, focusing on their contribution to enhancing case acceptance and overall patient well-being. Continue reading and explore how dental hygienists play a central role in providing holistic care, identifying conditions like sleep apnea, TMD, empowering patients with knowledge about the mouth-body connection, fostering a strong patient-clinician partnership.

Discover how these strategic measures are shaping a new paradigm in dentistry, ultimately driving higher case acceptance rates and improving the quality of patient care.

Our overarching message must be, “Optimal Oral Health Leads to a Longer, Healthier Life.”

From early identification of conditions like sleep apnea to empowering patients with knowledge about oral inflammation and how it plays a key role in their total health, the contributions of the dental hygiene department are shaping a new paradigm shift in our dental profession.

Continue reading about the transformative impact of the dental hygienist department to in enhance patient care, improve patients total health, and boost case acceptance.

Dental hygienists in the twenty first century no longer JUST clean teeth! They are a partner with their patients in the early detection and treatment of oral inflammation, offering patients a holistic approach to oral care. They are like a mini-associate to the dentist helping to increase case acceptance.

First Line of Defense: “Creating a Longer, Healthier Life:”

Dental hygienists often serve as the patients’ initial point of contact during dental appointments. Their unique position allows for close interaction with patients, enabling them to gather vital information and conduct preliminary assessments.

This initial interaction is crucial for identifying potential abnormalities such as sleep apnea, oral inflammation that causes gingivitis, and periodontitis, etc. Dental hygienists are often the 1st person to learn about a patient’s cosmetic dental concerns.

Through meaningful conversations and motivational interviewing 1, dental hygienists can collect valuable information about symptoms like snoring, daytime fatigue, breathing difficulties, bleeding gums, localized mild to generalized severe gingivitis, periodontitis and even soft and hard tissue abnormalities; all of these which affect numerous oral conditions affecting patients overall health.

Visual Examinations:

Dental hygienists possess the ability to conduct visual examinations of patients’ oral health, which is a distinctive advantage for the dentist. In the context of sleep apnea, telltale signs such as a narrow airway, enlarged tonsils, etc, can often be observed during these examinations.

Dental hygienists have a legal and ethical responsibility to annually complete a Comprehensive Periodontal Exam (CPE) 2.

Moreover, dental hygienists are skilled at identifying dental issues that could lead to cosmetic concerns, such as malalignment of teeth, stained enamel, or missing teeth. They also detect oral inflammation, which includes, gingivitis and periodontitis. By fostering a patient partnership, they boost case acceptance for necessary and adjunctive treatment.

The dental hygiene department must be the mitochondria that supports patients overall well being and supports adjunctive (restorative and cosmetic) dental care for the dentist’s schedule.

The Dental Professional-Patient Partnership:

Dental hygienists have a unique opportunity to establish a partnership with their patients by involving them in the initial examination process. Utilizing intraoral cameras, cutting-edge scanners like Adite 3 as well as the latest dental AI app (See resources below), PrestoSmile 4, dental hygienists become a partner with their patient to review their oral conditions in real-time.

These technologies help the patient make a wise decision about their oral cavity and total health. Before the doctor completes the hygiene exam, the patients have seen potential smile capabilities they may never have thought possible.

While the dental hygienist has the patient in their chair, as they take a tour of the patient’s mouth. Dental hygienists are in a position to empower patients to own their disease and want specific care and adjunctive cosmetic services.

This active involvement motivates patients to take ownership of their oral health, it leads to increased engagement and patient compliance.The end result is higher case acceptance and patient loyalty to their dental office.

These technological advancements available today make it easier for dental professionals to convey the importance of required treatments.

They seeing is believing and today’s world of dental technology combined with dental AI, will help get more patients to accept our care. This is one easy way to get patients to “yes” more easily to high-end dental care such as veneers, implants, crowns, bridges, etc.

Patient Education:

Dental hygienists, in the initial appointment, diagnose oral inflammation, discuss cosmetic dentistry, and identify sleep apnea and TMD risks. They clarify complex concepts, enhancing patient understanding before the dentist examines them.

Dental hygienists have a responsibility to inform patients about the potential risks of untreated conditions, including active disease such as gingivitis, periodontitis, broken teeth and occlusal wear. They can also discuss the aesthetic and functional benefits of various treatment options, aiding patients to make informed decisions.

This saves time for the dentist completing the hygiene patient exam. Imagine the dental hygienist and entire dental hygiene department as a mini-associate to the dentist. The dental hygiene department is the foundation to get patient to want what they need.

Seamless Transition of Hygiene Patient During Dental Exams:

Before the dentist arrives to complete the hygiene patient examination, dental hygienists have already laid a strong foundation about any oral abnormalities. At this point in the dental hygiene appointment the patient is well-informed about their oral health condition, potential concerns, and available treatment options.

This smooth transition ensures that the patient is prepared for a productive conversation with the doctor.

In this patient-doctor interaction, dental hygienists play a crucial role, providing information about the patient’s oral health, any medical changes, and the completion of oral abnormality screenings. They ensure that the dentist is aware of the patient’s concerns, the need for x-rays, unscheduled treatment, etc.

At this point in the dental hygiene appointment the patient has time to understand their oral condition and any future care needed. This takes away from the dentist spending a lot time during the exam to explain what is needed and how the procedure will be completed, etc.

Elevating Patient Consent and Compliance:

When patients have a clear understanding of their oral health conditions, they are more likely to accept the recommended care. This increased transparency significantly contributes to higher patient compliance rates, as patients recognize the importance of addressing sleep apnea, oral inflammation, and cosmetic dental concerns promptly.

Show patients what you see. Invite patient’s to participate in the discovery process and a plan for their total health.

Patient participation in the assessment and diagnosis process also enhances their commitment to treatment. Case acceptance will improve.

Holistic Patient-Centered Care:

The collaborative efforts of dental hygienists and dentists promote a patient-centered approach to overall wellness. Neglecting optimal oral health will affect a patient’s overall well-being. Addressing oral inflammation, cosmetic issues, airway abnormalities, and TMD enhances a patient’s quality of life and confidence.

The dental hygiene department and team are advancing dentistry through a patient-centered care with a holistic approach, providing comprehensive care beyond JUST cleaning teeth.

References.

Motivational interviewing. https://bit.ly/MotivationalInterviewRDH Accessed October 30. 2023.
Comprehensive Periodontal Evaluation (CPE). https://bit.ly/CPECkList Accessed October 30. 2023.
Adite Intra Oral Scanner. https://bit.ly/DigitalScannerAdite Accessed October 30. 2023.
PrestoSmile. Dental AI app. https://www.prestosmile.com/sneekpeak Accessed October 30. 2023.

Please note the author of this blog and founder of Dental Practice Solutions, Debbie Seidel Bittke, RDH, BS, is NOT financially affiliated with any of the above links or companies mentioned.

Do you feel like you are drowning in a sea of patients? Do you see too many holes in your schedule? Do you see mostly Prophy patients and/or, do you wish your hygiene department could “Set up” their patients to accept more cosmetic dentistry?

If you said “Yes,” to one or all of the above questions, we have answers to help you optimize your hygiene department without working harder or increasing your overhead.

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Celebrating National Dental Hygiene Month: The Evolution of Dental Hygienists and What Lies Ahead

By: Debbie Seidel-Bittke, RDH, BS

October 23, 2023

National Dental Hygiene Month, celebrated each October, serves as a significant reminder of the crucial role dental hygienists play in maintaining oral health. In recent years, the field of dental hygiene has witnessed a remarkable transformation.

This blog explores the evolution of dental hygienists, highlighting new techniques such as Guided Biofilm Therapy, innovative smile assessment apps, and the groundbreaking approval in Arizona for dental hygienists to administer injectables like BOTOX.

These changes are shaping the dental hygiene landscape and creating fresh opportunities for professionals in the field.

Guided Biofilm Therapy: A Game Changer

Guided Biofilm Therapy (GBT) is revolutionizing the world of dental hygiene. Traditionally, dental hygienists primarily focused on plaque and tartar removal. However, GBT goes beyond this by using advanced technology to visualize, and eliminate biofilm—the hidden layer of bacteria causing dental issues.

GBT incorporates specialized technology, piezo devices to remove biofilm. This makes it easier for hygienists to remove biofilm efficiently and it’s more comfortable for patients.

This technology-driven approach enhances patient outcomes, providing a more comprehensive hygiene appointment experience and optimizes patient education by showing patients the type of plaque and biofilm on their teeth. This can be a great motivational tool for patients to improve their home care and oral hygiene routine.

Embracing GBT promises to elevate the role of dental hygienists, making them even more vital in overall dental health.

Innovative Smile Assessment Apps

In today’s digital age, innovative smile assessment apps are transforming the way dental hygienists evaluate oral health. These apps leverage “smile possibilities“ and artificial intelligence to provide a more comprehensive smile analysis.

Using a smartphone or tablet, dental hygienists can capture images of a patient’s teeth and swiftly assess various aspects of their smile, such as alignment, color, and symmetry, etc. These apps enable hygienists to support a more personalized treatment plan and visually demonstrate potential dental procedures, such as teeth whitening, Invisalign, implants, etc. This approach enhances patient engagement and empowers patients to make informed decisions regarding their oral health.

This new technology makes dental hygiene appointments more fun for the patient and clinicians.

Furthermore, these apps offer secure patient record storage, streamlining administrative tasks. This not only saves time but also ensures that patient data is readily accessible and up to date, contributing to improved patient care.

Many dental hygienists are also using digital scanners to show patients a tour of their month. The intra-oral scans and these AI apps are helpful to the dentists’ diagnosis and can save time during the hygiene-patient exam when the hygienist shows the patient what is happening in their mouth.

Dental hygienists have a great opportunity to get patients set up to accept necessary care. This will save time when doctor completes the hygiene-patient exam.

“Save time and everyone runs on time.”

Patients should not be left waiting for the dentist to complete the patient exam! There is an easier way to do life in your day as a dental hygienist and/or dental professional.

*See resources listed below for suggested Dental AI Apps and a new scanner that’s cost-effective for hygienists to use during appointments. Check out these options and plan to utilize this new technology for your hygiene patient exams. There is a much easer way to get patients to accept your care!

Injectable Approval in Arizona: Expanding Dental Hygienists’ Role

One of the most significant recent developments in the dental hygiene field is the approval for dental hygienists in Arizona to administer injectables like BOTOX. While this approval might appear unexpected, it underscores the evolving role of dental hygienists within the healthcare sector.

Check other states who will be approving this service administered by a registered dental hygienist.

Injectables, such as BOTOX, are not solely for cosmetic purposes; they also serve therapeutic needs like treating temporomandibular joint disorder (TMJ) and bruxism. By acquiring this additional skill, dental hygienists can provide a more comprehensive approach to oral health and improve overall wellness.

This expanded scope not only benefits patients by offering additional treatment options but also opens exciting career paths for dental hygienists.

Turning Burnout into Opportunity

The dental profession has historically faced challenges related to burnout, high-stress levels, and limited career growth opportunities. Nevertheless, the exciting changes mentioned above are shifting the narrative around dental burnout. Here’s how:

Enhanced Job Satisfaction: With the integration of Guided Biofilm Therapy and innovative smile assessment apps and scanners, dental hygienists can offer more advanced and personalized care. This leads to greater job satisfaction as dental hygienists witness the direct impact of their work on patient outcomes.
Career Diversification: The approval for dental hygienists to administer injectables like BOTOX opens new career pathways within the dental profession. Hygienists can explore cosmetic dentistry and therapeutic treatments, broadening their horizons and earning potential.
Technological Advancements: Embracing technology not only enhances patient care but also streamlines administrative tasks. Dental hygienists can focus more on patient interactions and less on paperwork, reducing stress and burnout.

Conclusion

As we celebrate National Dental Hygiene Month, it’s evident that exciting changes are on the horizon for dental hygienists. Guided Biofilm Therapy, innovative smile assessment apps, scanners, and an expanded scope of practice in states like Arizona are transforming the profession.

These developments are not only improving patient care but also reshaping the landscape of dental hygiene, offering new avenues for career growth and job satisfaction. It’s a thrilling time to be a dental hygienist, and these changes are turning burnout into a golden opportunity to work in the dental profession.

Resources.

Presto Smiles. Dental AI app. https://www.prestosmile.com/
Aidite Technology Cameo Elegant 3 Intraoral scanner. https://bit.ly/3FAVS3z

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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?

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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.

Unlock the Secrets to Higher Case Acceptance

By: Debbie Seidel-Bittke, RDH, BS

September 12, 2023

As a dentist, your primary goal is to provide exceptional oral health to your patients.

Even the most skilled and compassionate dental professionals may encounter challenges when it comes to getting their patients to accept recommended treatment plans.

Dental patient case acceptance is a critical aspect of your dental practice’s success, as it not only ensures your patients receive the care they need but also contributes to the financial health of your dental clinic.

In this blog, we’ll explore the importance of case acceptance and reveal the one thing that has proven to increase it.

Why is Dental Patient Case Acceptance Crucial?

Dental treatment plans often involve a range of dental procedures, from routine preventive care and fillings to more complex treatments like full mouth rehabilitation, Invisalign, veneers, and implants. Achieving case acceptance means patients are not only willing to schedule the recommended treatment but also follow through by paying and then keep their scheduled appointments.

Answers to The Above Question:

Improved Oral Health: Accepting and completing recommended treatment leads to better oral health outcomes for patients. Untreated dental issues potentially resulting in more extensive and expensive procedures down the road. Oral inflammation will lead to systemic inflammation.
- This cascading inflammatory response contributes to other systemic diseases such as heart attack, stroke, diabetes, Crohn’s Disease, and even Alzheimers Disease.
Practice Growth: A high case acceptance rate is essential for the financial viability of your dental practice.
- Your case acceptance rate should exceed 60%.
- This ensures a steady flow of revenue and enables you to invest in state-of-the-art equipment, continuing education, and providing the best possible care to your patients.
Patient Satisfaction: Patients who receive the care they want and need are more likely to be raving fans. Raving fans refer friends and family, contributing to the growth of your patient base.

IMPORTANT TO NOTE: Patients who pay a “reservation fee” at the time they schedule for high end treatment means they are committed to accepting your care.

Think: Less last minute cancellations and less changes in your schedule. Paying a reservation fee means you have a more committed patient!

Dental Case Acceptance Challenges:

Despite the importance of case acceptance, many dental practices do not achieve at least 60% case acceptance.

Common Barriers:

Financial Concerns: Dental treatment can be costly, and some patients may hesitate to proceed with treatment due to financial concerns, even if it’s essential for their oral health.
Fear and Anxiety: Dental anxiety is a common issue that can prevent patients from accepting treatment.
- Patients may delay or avoid necessary procedures due to fear of pain or discomfort.
Lack of Understanding: Patients may not fully comprehend the urgency or importance of recommended treatments, leading to delays or non-acceptance.

The one thing that Increases Case Acceptance year after year is when you understand what your patients want for their smile.

It’s not enough to simply diagnose and recommend treatment; you must also ensure that your patients understand and feel comfortable with the proposed plan. You must have patients “own their disease” and “want what they need.”

How to Initiate Higher Cosmetic Case Acceptance:

Build Trust: Establishing trust is the foundation of effective communication. Patients are more likely to accept treatment recommendations when they trust their dentist.

First ask your patients,”What do you want your smile to look like?” or ask, “What is one thing you would like to change about your smile?”

Switch up your questions about the patients smile desires and make it fun for you and your patients.

Notice how these are not “Yes” or “No” questions. They are open-ended questions that inspire your patients to “think.”

Always be empathetic, listen to the patient concerns, and address all questions and any fears. Learn motivational interviewing skills to more easily show empathy and compassion. *See resources below.

Create Raving Fans: Once you have established trust with your patients and to gain trust, you want to offer something of great value to your patients.

Asking what your patient wants is a great opening to gain patient trust and show that you are doing more than treating a tooth!

The one answer most patients respond with when asked what they want for their smile is, “Whiter teeth.” The 2nd most popular answer is “straight teeth.:”

The list of what patients want for their smile goes on but first learn what your patient wants. As you are seating patients ask what you can do to make the appointment and their smile the very best.

Let’s change the negative connotation around dental appointments into something our patients look forward to!

The Smile Club is a fun way to:

Give patients what they want (Whiter teeth) more easily (Same day)
Give patients what they want, costing them less money and something they want
Increase your cosmetic cases

Educate and Inform: Take the time to educate your patients about their oral health. Use visual aids like X-rays, intra-oral cameras, scanners, and/or dental models to show what’s happening in their mouth. Explain the consequences of not completing necessary treatment.

When patients leave without scheduling appointments always follow-up with a phone call and an email with a video that explains the risks and benefits of the specific treatment.

Offer Options: Whenever possible, provide patients with different treatment options.
- This not only gives them a sense of control over their care but also accommodates their budget and comfort level.
Clear Financial Discussions: Be transparent about the cost of treatment and discuss flexible payment options and/or insurance coverage.
- Patients are more likely to accept treatment when they understand the financial aspect of treating disease and abnormalities.
- Patients respond favorably when they have a plan in place.
Follow-Up: After presenting a treatment plan, follow up with your patients. Address any lingering questions or concerns and remind them of the importance of timely treatment.
- Call patients within 48 hours if they leave the office and don’t schedule for your care.
- Email videos explaining the necessary treatment needed.
  - In the subject line of this video write, [Video] because people are more likely to open and view a video.

Communicate this important message:

“Prevention saves money. Treating disease costs a lot of money.”

In conclusion, dental patient case acceptance is a critical aspect of every successful dental practice. To increase case acceptance, focus on effective communication. Great communication begins with listening and understanding your patients desires.

Building trust through motivational communication, educating patients, offering options, and addressing financial concerns are all part of this process.

Begin by asking how your patient wants their smile to appear. Listen to the answers they provide you.

By listening to understand your patients desires, you ensure that your patients not only receive the care they need but also feel confident and comfortable in their decisions regarding their oral health.

Remember, the one thing that has proven to increase case acceptance is The Smile Club patient loyalty system. The Smile Club begins by understanding what each individual patient wants.

Grab your Free Case Acceptance eBook HERE.

*Resources.

Motivational Interviewing. https://bit.ly/MotivationalInterview12 Accessed September 12, 2023.
Prima Health Credit. https://bit.ly/3RiT2ri
More about The Smile Club: https://bit.ly/PtRewards

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

Elevate Dental Practice Success: Unleash the Power of a Smile Evaluation

By: Debbie Seidel-Bittke, RDH, BS

August 9, 2023

In the fast-evolving world of dentistry, staying ahead of the curve is crucial for maintaining a successful dental practice. One area that holds immense potential for boosting production and patient satisfaction is smile evaluations. By incorporating a smile evaluation for every dental patient you actively engage patients to understand their desired smile.

This increases the dentist’s opportunity to transform more patient smiles by doing veneers, implants, crowns, bridges, and even replacing old composites. It may be as simple as your patient asking to have whiter brighter teeth.

Today’s blog will share tips about understanding your patient’s desires for their smile and how to more easily move patients from routine services into high-end cosmetic care.

You will also discover how to enhance patient loyalty and increase the overall value of each patient long term.

The Power of a Smile Evaluation

A smile evaluation is more than just a clinical assessment; it’s a personalized journey that allows dentists to understand their patients’ unique desires and goals. The process involves a comprehensive analysis of a patient’s dental structure, facial features, and aesthetic preferences.

Your smile evaluation can be as simple as a brief questionnaire that asks patients to answer simple questions and tell you how they feel about their smile. You can also complete a smile evaluation by asking every patient as you are seating them in the treatment room,

“What is one thing we can do today that will leave you feeling better than ever about your smile?”

Notice this is an open ended question and not a yes or no answer from your patient.

If you have the technology available cutting-edge technology like digital imaging and 3D modeling, allow hygienists to use this and during the doctor-hygiene exam the dentist can visually demonstrate the potential outcomes of various treatments, empowering patients to make informed decisions about their dental care.

Engage Patients During The Smile Transformation

One of the keys to increase your value per patients is to engage your patient in their dental experience. Asking patients what they want their smile to look like not only fosters a sense of partnership but also allows dentists to tailor treatment plans to meet their patients’ specific aesthetic preferences. This collaborative approach enhances patient satisfaction, as individuals feel heard and valued throughout their dental journey.

Actively involving patients in the decision-making process leads to greater acceptance of comprehensive treatment plans. Patients who have a clear vision of their desired smile are more likely to commit to multiple procedures, contributing to increased production for the dental office.

Understanding Patient Dynamics

It’s important to acknowledge that the landscape of dental patient loyalty is changing. Current data reveals that patients typically don’t remain with a dental office for more than 10 years. This dynamic highlights the importance of consistently delivering exceptional patient experiences and demonstrating the value of long-term care.

While a patient’s tenure may be limited, the potential value they bring to a dental practice over a decade is substantial. With an average expenditure of $10,000 over 10 years, each patient represents a significant revenue stream. This is why maximizing the value of each patient is crucial for long-term practice success.

Increasing the Value of Production Per Patient

Now, let’s address the pivotal question: How can a dental office increase the value of production for each patient?

- Personalized Treatment Plans: Taylor treatment plans to address patients’ specific needs and desires not only improves patient satisfaction but also encourages them to pursue comprehensive procedures that lead to higher production value.

Communication and Education: Effective communication is the cornerstone of patient engagement. Explaining treatment options, procedures, and potential outcomes in clear, jargon-free language helps patients make informed decisions, fostering trust and loyalty.
Break it down into words your patient easily understands.

Use words and phrases such as: infection, inflammation, bleeding, hole, pus, etc, etc.

- Technology Integration: Embrace technology like digital smile simulations and intraoral cameras empowers patients to visualize their potential transformations. This interactive experience creates excitement and encourages patients to explore a range of treatments.
- Long-Term Relationship Building: While dental patients may not remain in the same dental office for decades, building strong relationships during their time with your dental practice can lead to referrals and positive online reviews. These factors contribute to new patient acquisition and increased production.
- Membership Plans and Preventive Care: Offering membership plans that include preventive care services can incentivize patients to stay committed to their dental health. The Smile Club can be included as an add-on or upgrade to your current patient membership plans.
- These plans can result in consistent revenue streams while reducing the need for reactive, costly dental care.

Patient Education Materials: Providing patients with educational materials, both in-person and digitally, ensures they have the information needed to maintain their oral health between visits. Empowered patients are more likely to invest in their dental well-being.
Continuing Education for the Dental Team: Equip the dental team with the latest knowledge and communication skills to ensure a consistent and exceptional patient experience. Well-informed team members can effectively explain specific dental treatment and the value of ongoing care.

Make sure every team member can speak easily about the benefits of prevention and how this does cost a little money but treating disease is very expensive. Today’s dental profession is all about creating optimal oral health. Optimal oral health leads to a longer, healthier life.

Every team member must be able to share this important message. This message leaves patients with a feeling of kindness and caring about them as a human not pursestrings!

In conclusion, integrating smile evaluations and actively involving patients in their smile transformations can significantly enhance production and patient loyalty.

By adapting to changing patient dynamics, providing personalized experiences, and leveraging technology, dental practices can increase the value of each patient over the long term. Remember, a patient’s smile journey is not just about dental procedures—it’s about creating a positive impact that resonates for years to come.

Dental Practice Solutions has a dental patient reward loyalty system that uses teeth whitening as a “carrot.” Patients are screened with a smile evaluation and given an opportunity to express what they want their smile to look like. 70% of your adult patients, when asked what they want their smile to look like, will respond they want “Whiter teeth!”

You now enroll your patients into The Smile Club which has a nominal fee. Once enrolled, patients understand they must pre-schedule all routine hygiene appointments and call at least 48 hours in advance when they need to change an appointment. When patients are enrolled in the Smile Club and follow the guidelines, at their routine hygiene appointments, they receive one complimentary whitening pen.

At the initial enrollment they leave with a teeth whitening kit. This is an LED blue and red light Cool Light technology mouthpiece with shade guide and a whitening pen. You buy dental grade professional whitening products at wholesale. These products were created by Dental Practice Solutions founder, Debbie Seidel-Bittke. You save an pass along the savings to your patients.

*Teeth whitening is a 6 BILLION Dollar industry but most people are buying their teeth whitening online or in a retail store. Why not ride the wave and tap into this huge profit center in your dental practice?

Ask me how to create a 100k annual net profit center around teeth whitening plust the turn-key system will grow your new patient numbers, increase cosmetic dental services and reduces those last minute cancellations.

Currently, the web portal of information about implementing this patient loyalty-rewards system is no-cost when you click the link here.

Reference.

* Teeth Whitening Market Outlook: https://bit.ly/10BILby2026

Improving Dental Hygiene Patient Compliance: Strategies and Benefits

By: Debbie Seidel-Bittke, RDH, BS

August 2, 2023

As dental professionals, we understand the significance of maintaining optimal oral health. A well-maintained dental hygiene department not only ensures patient satisfaction but also contributes to the overall success of a dental practice. One crucial aspect that directly impacts patient outcomes is patient compliance with oral hygiene and treatment recommendations.

In this blog, we will delve into effective strategies to improve dental hygiene patient compliance, leading to enhanced productivity and patient loyalty. By implementing these techniques, you can create a thriving dental hygiene department in your practice and, ultimately, ensure the best possible oral health for your patients.

The Importance of Patient Compliance

Patient compliance refers to the extent where patients adhere to prescribed oral care routines and follow recommended dental hygiene practices. Unfortunately, despite the best efforts of dental professionals, many patients struggle with maintaining consistent oral hygiene habits. What we say goes in one ear and out the other.

This lack of compliance can lead to various oral health issues, including cavities, gum disease, tooth loss, and numerous systemic conditions such as heart attack, stroke, diabetes, high blood pressure, Alzheimers, etc, etc. As a dental professional, addressing and improving patient compliance is a pivotal step in promoting preventive dentistry and long-term overall health.

Effective Communication

Clear and concise communication with patients plays a crucial role in improving compliance. Dentists and dental hygienists must take the time to educate patients about the importance of good oral hygiene and how it directly affects their total health. Utilizing visual aids such as charts, diagrams, and videos can enhance patient understanding and make oral health recommendations more relatable.

Encourage patients to ask questions and address any concerns they might have regarding their oral care routine. Use motivational interviewing which is an effective way to talk with patients. This is an evidence-based approach to help your patients accept the care they need. *See the reference below in references for more information about Motivational Interviewing.

Personalized Care Plans

Every patient’s dental needs are unique. Tailoring dental hygiene plans to each individual patient can greatly enhance patient compliance. Conduct thorough assessments of their oral health, including systemic risk factors and previous dental history, to create personalized treatment plans. Engaging patients in the process and discussing their specific needs fosters a sense of ownership and responsibility for their oral health, increasing the likelihood of compliance.

Let patients know what exams and assessments you are completing. Always make them a part of your assessments. Collaboration is key if you want your patients to “own their disease.”

**See above image for time management strategies to help the dental hygienist “Complete it all!”

Establishing Realistic Goals

Setting achievable oral health goals is vital in maintaining patient motivation and compliance. Collaborate with patients to set specific, measurable, and realistic objectives that align with their oral health needs. Understand where they are in their world and help them determine what they will commit to implementing outside your treatment room. Break down the goals into smaller milestones and celebrate their achievements, reinforcing positive behavior and commitment to their dental hygiene routine.

Utilizing Technology

Incorporating technology into your daily schedule can significantly improve patient compliance. Implement reminder systems through emails, text messages, or automated calls to prompt patients about upcoming appointments, follow-ups, and oral care routines. Discover fun ways to track your patients oral hygiene progress, and make this interactive for your patients.

It’s important to monitor your patients oral and total health. Show patients their progress. Congratulate them. Find ways to make oral hygiene changes feel good for your patient and create positive experiences.

Talking about technology, does your dental practice offer patients full-mouth scans, soft-tissue diode lasers and guided biofilm therapy options?

These are leading-edge technologies that will greatly benefit your patients oral health, reducing inflammation and will become great practice builders. Stay on top of the latest technologies that can assist in creating total wellness for your patients.

Emphasize Preventive Dentistry

Promoting preventive dentistry is key to reducing oral inflammation. Oral inflammation triggers numerous systemic diseases.

Encourage routine dental hygiene appointments, as preventive care allows for early detection of disease and timely intervention. Educate patients about the long-term cost-saving benefits of preventive measures compared to extensive treatments for neglected oral health issues.

Enhancing patient compliance offers numerous benefits, not only for the patients but also for your dental practice:

Better Oral Health Outcomes: Improved compliance leads to better oral health, reducing the risk of dental problems and enhancing overall patient satisfaction. Optimal oral health supports total health.
Enhanced Patient Loyalty: Patients who feel cared for and supported in their oral health journey are more likely to remain loyal to your practice. They will become your raving fans!
Increased Productivity: A proactive dental hygiene department that prioritizes patient compliance can lead to increased productivity, improved patient flow, and higher revenue.
Positive Word-of-Mouth: Satisfied patients are more likely to refer friends and family to your practice, further boosting your reputation and patient base. Every team member needs to ask for positive patient reviews!
Professional Fulfillment: Witnessing the positive impact of improved patient compliance can provide a sense of fulfillment and motivation for the entire dental team. Share the success of patient outcomes and always remember to celebrate your successes.

Conclusion

Improving dental hygiene patient compliance is a pivotal step to enhancing productivity and success within your dental hygiene department. When you adopt effective communication strategies, personalized care plans, and emphasize preventive dentistry, you can foster patient compliance and achieve total health outcomes.

Remember, patient compliance is a collaborative effort, and by supporting your patients in their total health journey, you can cultivate loyal and satisfied patients who are more likely to refer others to your practice. So, let’s work together to build a thriving dental hygiene department and ensure the best possible health for all our patients.

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Reference.

* Motivational Interviewing. Read More Here