Dental Hygiene Coaching | 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!

Let’s get your dental practice set up for highest level of success in the next 12 months!

BOOK YOUR CALL HERE.

Transforming Dental Practices With A Dental Hygiene Department Consultant

By: Debbie Seidel-Bittke, RDH, BS

November 6, 2023

Efficiency is the bedrock of a thriving dental practice. Dental hygiene department consultants, also known as dental practice management consultants, serve as vital assets in streamlining dental clinics’ operations, elevating patient care, and boosting overall productivity.

In this blog, we’ll explore the invaluable role of these consultants in reshaping dental practices for success.

Navigating the Dental Landscape with a Consultant’s Expertise

Dental practices are complex entities with various moving parts. Managing patient appointments, updating current hygiene services and technology, compliance with the dental hygiene process of care, sequencing and billing of specific dental hygiene treatment and delivering high-quality patient care are just a few of the many challenges that dental professionals face.

This is where dental hygiene department consultants step in with their specialized expertise.

Optimizing Operational Efficiency

One of the primary responsibilities of a dental hygiene department consultant is to optimize the hygiene patient appointment. Dental hygienists in today’s world do more than clean teeth.

How can dental hygienists do it all?! This is where a dental hygiene coach and consultant can become a valuable resource.

Dental hygiene department consultants assess the current workflow, identify bottlenecks, and propose strategies to streamline processes. This can lead to significant time and cost savings for the entire dental practice. Consultants may suggest improvements in appointment scheduling, hygienist- clinician – patient verbiage, and the adoption of various technologies to enhance efficiency. The hygiene department is your main artery to keep patients on the schedule and increase case acceptance.

Think of the dental hygienist as an associate to the dentist. They do a lot more than just clean teeth! The dental hygienist can and should drive productivity over to the doctors schedule. What happens during the dental hygiene appointment will make or break patients rescheduling and actually showing up for (at the very least) preventive care appointments.

Elevating Patient Care

Providing exceptional patient-centered care must be a cornerstone of every dental practice. An effective dental hygiene consultant works closely with the entire team to improve patient care protocols and ensures that each patient receives individualized, quality care.

It’s important the entire team knows what is happening in the hygiene department. Every team member must work in harmony. Just like an orchestra plays in harmony, the dental employees must all work well together; supporting one another.

Dental hygiene consultants provide training on the latest dental hygiene services, including clinical instrumentation, patient communication skills to improve case acceptance, and properly sequencing the various hygiene patient appointments. They should also be able to advise how to bill correctly for patient the hygiene services and they know what “should” and “must” be billed for private pay and insurance reimbursement.

By doing so, they help enhance the overall patient experience, leading to increased practice production, creating efficiencies, improving patient satisfaction and loyalty. You will also keep loyal employees a long time when you have a well-oiled system!

Boosting Team Morale and Productivity

A harmonious and motivated team is essential for a successful dental practice. Dental hygiene department consultants also focus on team dynamics and morale. They can provide guidance with team-building activities, and professional development opportunities. By fostering a positive work environment, consultants help improve employee retention rates and overall productivity. Think working smarter, not so hard. Hygiene consultants understand how to get more done with less time!

Navigating Regulatory Compliance

Staying abreast of ever-evolving healthcare regulations and compliance standards is a daunting task. Dental hygiene consultants are well-versed in the latest regulations for dental hygienists and help dental practices navigate this complex landscape. Their expertise ensures that the practice adheres to all legal requirements, minimizing the risk of regulatory violations and potential legal issues.

Implementing Technology Solutions

In today’s digital age, technology plays a pivotal role in the efficiency of dental practices. Consultants often recommend and help implement technology solutions, such as electronic health records (EHR) systems, supporting dental hygienists to use digital scanners and even the latest AI Dental Smile apps.

These technological advancements not only improve efficiency but also enhance data security and accuracy.

Measuring Success and Ongoing Support

Dental hygiene department consultants don’t just provide recommendations and disappear; they are committed to the long-term success of the dental practice. The best choice for a dental hygiene consultant is one who will measure the office (team members, hygiene department, appointments scheduled and cancelled, etc), performance through various metrics to measure the impact of their strategies and provide ongoing support and guidance to address emerging challenges.

The numbers do matter.

It’s important when hiring any consultant that you look at where you are today and evaluate your growth while you are working with the consultant. Numbers don’t change overnight but a well-thought out plan of action with the dentist- dental practice owner- and the hygiene department consultant will provide sustainable success.

Know that it’s what you commit to implementing day after day and month after month that will create a difference in your dental practice success.

In conclusion, dental hygiene department consultants are unsung heroes in the world of dental practice management. Their expertise in optimizing the dental hygiene department (and integrating the entire team during the process), elevating patient care, and ensuring compliance is invaluable for dental practices looking to thrive in today’s competitive healthcare landscape.

By harnessing the skills and guidance of the hygiene department consultant, dental practices will pave the way for a brighter and more efficient future.

Today is the best time to begin putting together your success strategy for 2024. How can we support your 2024 success strategy?

There is no one-size fits all!

Debbie Seidel Bittke, RDH, BS, founder and CEO of Dental Practice Solutions will host a group Dental Hygiene Department training starting Jan 3, 2024. This will run for 3 months during Q1 in 2024. Only 10 offices who will be accepted into the hygiene department training.

This training with 10 ONLY offices is by application only! Applications will be send out on November 20th. Book your Coffee Chat and if you are a fit, you will be admitted early (AND Pay Less money for the training when you are accepted early) into the dental hygiene dept training.

BOOK a coffee chat to find out more and discover if this is a fit for your dental practice.

Do you want to be considered?

If you don’t think a group coaching program is a good fit, plan to chat with Debbie a few minutes to discover what will work to optimize your dental hygiene department and achieve your highest potential in 2024! Now is the time.

BOOK a Coffee Chat HERE .

Take a few minutes to find out more.

Nothing ventured, nothing gained.

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.

Consider a No-Cost Discovery Call. BOOK HERE

It’s 30 minutes of time and you will walk away knowing what your true potential is with a roadmap to quickly arrive where your true potential awaits you.

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.

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.

Build A Thriving Cosmetic Dental Practice: Understanding Your Patient’s Desires

By: Debbie Seidel-Bittke, RDH, BS

July 25, 2023

A successful cosmetic dental practice goes beyond providing excellent services; it requires understanding what patients truly desire. People are more likely to invest in what they want rather than what they are told they need. By implementing a smile evaluation and asking open-ended questions, dental practices can discover what patients truly want, leading to increased patient satisfaction and the opportunity to grow the practice further.

Read this blog, and explore the importance of understanding patient desires. Learn how enrolling patients into a patient membership/loyalty program such as the Celebrity Smiles Club will significantly contribute to the success of a cosmetic dental practice.

Understand What Your Patient Desires

As cosmetic dentists, our primary goal is to enhance smiles and boost self-confidence in our patients. However, it is crucial to remember that each individual has unique desires and expectations. Using a smile evaluation and asking open-ended questions can help us uncover those desires effectively.

A smile evaluation is a comprehensive process that involves a thorough examination of a patient’s oral health, cosmetic concerns, and overall smile goals. Ask questions to understand what your patient wants. Make it fun when you’re asking your patient what they want their smile to look like.

One fun example. Background: We just had a multi-million dollar lottery.

Scenario: As you are seating your patient, while establishing rapport, getting caught up, with a smile on your face ask:

“Mr. Smith, when you win the lottery this week, what do you want your smile to look like?” Wink.

You are certain to get a smile from your patient when you make the questions fun.

By asking open-ended questions and actively listening to patients, we can delve deeper into their preferences and aspirations.

The Power of Open-Ended Questions

Open-ended questions invite patients to express themselves freely, giving us valuable insights into their desires. Instead of asking yes or no questions, we can inquire about their dream smile, the aspects they wish to improve, or the emotions they associate with their current dental condition.

This approach not only strengthens the dentist-patient relationship but also enables us to tailor personalized treatment plans that align with their wishes.

“People buy what they want, not what they need.”

Introducing the Patient Membership/Loyalty Plan: The Smile Club

One way to offer patients exactly what they desire is by introducing them to The Smile Club. This exclusive club offers cutting-edge teeth whitening solutions, ensuring patients achieve the radiant smile they’ve always dreamed of. Teeth whitening is one of the most sought-after cosmetic dental procedures, and by incorporating this into your services, you tap into a significant market demand.

Teeth whitening is exploding since 2020! Never in our history have so many people sought-out whiter teeth. Unfortunately, patients are not buying their whitening products from their dentist. Let’s create a paradigm shift and tap into this simple, easy profit center.

A turn-key system is included when you use Celebrity Smiles Club whitening products. The system will grow your dental practice with more new patients and more patients will schedule cosmetic cases. The turn-key systems included with The Smile Club, when implemented, sustains high productivity in your dental practice for years to come.

No need to see more patients or increase your overhead when you implement The Smile Club web-portal of resources.

Benefits of Your Smile Club Patient Membership

Patient Loyalty!
- - Patients join The Smile Club and pay a nominal fee for a take home whitening kit.
  - No impressions, no trays to fabricate, no added patient chair time.
  - Patients agree to your “change of appointment procedure.” Last minute cancellations and no-shows become a distant memory.
  - Patients agree to pre-schedule and show up for their routine preventive care, dental hygiene appointments.
  - Patients buy more whitening products from your office at a reduced fee. buy and save.
  - You buy your teeth whitening products at wholesale and now you can afford to give away a whitening pen as a reward for pre-scheduling and keeping their appointments.
  - Patients buy and save. You passed along the savings and created more profitability with less overhead!
Quick and Effective Results: The Celebrity Smiles Club patient membership/loyalty plan, uses advanced teeth whitening techniques, delivering fast and impressive results.
Patient Reward
- Free whitening pens at routine hygiene appointments are the carrot used to grow your dental practice new patients, enroll more cosmetic cases and a lot more.
- The Smile Club keep patients returning to your dental office.
- You buy whitening products wholesale and pass the savings on to your patients. You give them a toothbrush and floss and what they really want are whiter teeth! Consider this a win-win.
Fast, effective, no-sensitivity
- Dental grade, no-sensitivity teeth whitening, is highly appealing to patients seeking immediate smile enhancements.
- Ten minutes to a whiter-brighter smile.
- Celebrity Smiles Club uses Carbamide Peroxide + Potassium Nitrate ingredients combined with Cool Light Technology Blue and Red LED Lights mouthpiece.
- * Red LED lights have evidence-based science stating they soothe, comfort and heal mouth sores, canker sores, etc. Great for post-op care! *
  - Think: Photobiomodulation.

** Teeth Whitening is projected to reach 11.6 Billion Dollars by 2030. **

Most people buy teeth whitening online or in a drugstore. What’s wrong with this picture?!

Let’s change this statistic and have our patients get their teeth whitening from their dental office. It’s easy money. No added time to your schedule or more patients in the chair.

Enroll for free and receive access to the resources, the system, included with The Smile Club. Discover how to create a $70,000+ net production profit center in your dental practice annually, and without more patient time or increased overhead when you tap into the sizzle of teeth whitening in North America!

Click the link at the end of this blog and implement the free resources.

Think: No impressions, no pouring models, no need to make whitening trays. No need for patients to return and pick up their whitening trays.

Increase This Simple Service & Profit Center: By offering a very popular and super simple service like teeth whitening using Celebrity Smiles Club whitening products, you will motivate and inspire more patients to consider cosmetic dentistry. Using the Smile evaluation opens the door to additional cosmetic services that both you and your patient may have initially overlooked.

Think: Teeth whitening simplified. More cosmetic cases: more veneers, Invisalign, implants, and crowns, etc.

Grow New Patient Numbers: Members of your patient rewards program, The Smile Club, are more likely to share their positive experiences with family and friends. This is a great way to attract new patients to your dental practice which will increase your reach within the community.
Market the Smile Club benefits everywhere possible: on your website, social media, and your monthly newsletter, etc.
- Use The Smile Club marketing images around your dental office and on your website.
Enhanced Patient Retention: Enrolling patients into the Smile Club establishes a long-term relationship with your patients. Patients are motivated to return for routine preventive care dental hygiene appointments because of The Smile Club benefits.
- When patients enroll they agree, they understand your procedure to change appointments.
- Patients prioritize their dental appointments.
Brand Loyalty: The Smile Club becomes synonymous with quality cosmetic dental care, fostering strong brand loyalty among your patients who enjoy its benefits.

Conclusion

Understanding what your patients truly want is at the heart of building a successful cosmetic dental practice. By completing smile evaluations and utilizing open-ended questions, you uncover your patients desires and craft personalized treatment plans to fulfill them.

The Celebrity Smiles Club plays a crucial role in achieving long-term dental practice success. This loyalty plan offers patients the opportunity to achieve a bright, white smile quickly and effectively. Enrolling patients into The Smile Club, will not only enhance the success of your cosmetic dental practice but also fosters patient loyalty. This is a system that will boost new patient numbers, creating a thriving and satisfying dental environment for everyone involved.

The Smile Club, when all its systems are thoroughly implemented, will not only grow your new patient numbers, but it will increase case acceptance for cosmetic cases and last-minute cancellations become a distant memory.

Enroll today to learn more about the Celebrity Smiles Club system. Start today and all the benefits created for your dental practice here.

There is no cost when you enroll today!

References.

* Photobiomodulation. Accessed July 1, 2023 here.
** Teeth Whitening projected to reach 11.6 Billion Dollars by 2030. Accessed on July 1, 2023 here.
Adjunctive Therapy with Blue LED Lights. Accessed July 1, 2023 here.

The Big Challenge Dentists Face with their Dental Hygiene Department

By: Debbie Seidel-Bittke, RDH, BS

July 19, 2023

Dental hygiene plays a crucial role in maintaining oral health and preventing various dental diseases. Dentists understand the importance of a well-functioning dental hygiene department, as it serves as the foundation for delivering quality dental care to patients.

However, amidst the daily demands of running a dental practice, dentists face a significant challenge in optimizing the efficiency and productivity of their dental hygiene department.

In this blog, we will explore this challenge and discuss potential solutions to overcome it.

The Challenge:

One of the major challenges that dentists encounter in managing their dental hygiene department is maintaining a balance between patient care and operational efficiency. Dental hygienists are responsible for performing a range of preventive and therapeutic procedures, including dental cleanings, fluoride treatments, and patient education.

However, the time-consuming nature of these procedures can lead to scheduling conflicts, prolonged patient wait times, and decreased overall productivity.

Furthermore, dentists often find it challenging to align the workload of their dental hygienists with the number of patients needing dental hygiene services.

*If you are up-to-date with treating oral inflammation, you will need to expand your number of appointments for hygiene patients. How can you fit in more appointments in a day? Hygienists are not plentiful these days and efficiency becomes imperative to meet the needs of treating the high number of gingivitis and perio patients.

Variations in patient flow, cancellations, and no-shows can disrupt the workflow and result in underutilization or overburdening of hygienists’ schedules. This can hinder optimal patient care and compromise the financial stability of your dental practice.

Solutions:

To address the challenges faced by dentists in their dental hygiene department, several strategies can be implemented:

Efficient Appointment Scheduling: Implementing an efficient appointment scheduling system can help optimize the utilization of dental hygienists’ time. By analyzing patient data and historical patterns, dentists can better anticipate demand and allocate appropriate time slots for dental hygiene procedures. Implementing electronic reminders and confirmations can also reduce no-shows and last-minute cancellations.
- Ask us how to simplify analyzing important data and how your team can have an important role in driving the productivity of your dental practice.
- What you measure, matters, and what matters creates your future success.
- Your team should look at the numbers just like they view the dashboard in their car before they arrive at the office each day!
The Celebrity Smiles Club, a patient rewards, loyalty program will reduce those costly last-minute cancellations. Ask us more about this in the link below or schedule a coffee chat below.
Delegating Tasks: Dentists can delegate certain tasks to dental assistants, allowing dental hygienists to focus on their core responsibilities.

For example: a dental hygiene assistant can seat patients, perform preliminary patient screenings, take radiographs, set up and breakdown treatment rooms, sterilize instruments and set-up the hygiene trays with instruments, etc.

By delegating these tasks, dental hygienists can maximize their time spent on direct patient care.

Technology Integration: The integration of advanced technologies within the dental hygiene department can significantly enhance efficiency.
- For example: Empower hygienists to use various digital imaging systems; digital scanners, to streamline the process of capturing and introducing abnormalities, potential treatment plans and diagnoses that will be made during the hygiene-patient- doctor exam.
  - Help patients see what is happening in the mouth. Bring them into a partnership early in the hygiene appointment.
  - Help the doctor with educating the patient and helping them own their disease before the doctor exam begins.

The hygienist has the ability to take annual digital scans and/or an intra-oral video of the patients mouth. Hygienists’ will give the patient a tour of their mouth and show them what is happening in their mouth.

All data collection and patient communication about potential oral abnormalities should be introduced to each patient by the dental hygienist, and always prior to the hygiene-patient-doctor exam. This saves time with the doctor exam and builds trust with the patient.

The hygienist has a great opportunity to help patients “own their disease.” Patients who see what is happening in their mouth vs. being “told” what they need are 75% more likely to schedule and pay for your care.

“People buy what they want, not what they need.”

Continuing Education and Training: Encourage ongoing professional development and training for dental hygienists. This is vital to stay updated on the latest advancements in dental hygiene techniques.

Note: There are a lot of new advancements and technologies which will enhance patient care and dental hygiene appointment efficiency. Dentists must support their hygienists to attend workshops, conferences, and online courses so they stay at the forefront of their field.

Performance Monitoring and Feedback: Regular 360 performance evaluations and feedback sessions can help identify areas for improvement within the dental hygiene department. Dentists should provide constructive feedback, recognize achievements, and set realistic goals to motivate their hygienists and enhance their performance.

Allow the employees to offer their feedback and suggestions for improvement. 360 degree employee evaluations allow employees to be heard. Empower each employee to become a leader in a specific area of the dental practice.

Conclusion:

The dental hygiene department is a critical component of a dental practice. Optimizing the hygiene department efficiency and productivity is an ongoing challenge for dentists.

By implementing efficient appointment scheduling, delegating tasks, integrating technology, investing in continuing education, and providing performance feedback, dentists can overcome many of their challenges and ensure the highest quality of patient care while maintaining a thriving practice.

Dentists do not need to manage but when they delegate they now inspect, what they expect of their employees. Many employees report that they don’t understand what the dentist expects from them.

Finding the right balance between patient care and operational efficiency in the dental hygiene department is an ongoing journey, but one that is essential for the long-term success and growth of a dental practice.

Dentists and dental hygienists should not feel as if they live on an island. Dental Practice Solutions has various solutions to optimize your hygiene department, streamline systems and grow your dental practice.

Consider a quick coffee chat and discover how you can quickly achieve your next level of success.

Click and schedule here.

Or feel free to contact us here and discover how to upgrade your hygiene department and empower your team.

* Reference. Percent of Adults with Oral Inflammation: https://bit.ly/47percentgumdisease Accessed July 19, 2023.

When is the Best Time to Call a Hygiene Department Coach / Consultant?

By: Debbie Seidel-Bittke, RDH, BS

March 28, 2023

How do you know when it’s time to call in a hygiene department coach and how do you know who to call?

Here are 10 reasons when calling on a hygiene department coach makes sense for your team.

As you read below, make note of anything that may resonate with your dental practice:

Most of the hygiene appointments are Prophy appointments. Approximately 50% of American adults 30 years of age and older have some level of periodontal disease.¹
You have multiple hygienist’s and the patients have a different experience depending upon which hygienist they see.
Several times a week you have holes in your hygiene schedule.
You want your hygienists to play an active role in presenting patient treatment plans. Show patients what you see as you working their mouth. Take intraoral pictures or hand them a mirror to show them what you see.
You have new employees and even after previous coaching you want and need to re-calibrate and update your current systems.
You have looked a your KPI’s (Key Performance Indicators) and see a lot of perio patients and restorative care patients who have unscheduled appointments.
You recently acquired this dental practice, possibly you had a lot of employee turnover and need a plan to support your philosophy of patient care.
You’re thinking about selling your dental practice and know that the hygiene department is the easiest & fastest way to increase your practice profitability.
Each month you paid your bills, but there was no money left for yourself. Maybe you want to earn more money or give team bonuses, etc. Optimizing the hygiene department will increase doctor’s income, the employees can now get a bonus, etc.
You have employees who are willing and excited to learn!

References.

https://bit.ly/CDCPerio2023 Accessed on March 21, 2023

To schedule a complimentary Discovery Session / Coffee Chat to learn more about the potential of your hygiene department, click here, call us at 888-816-1511, or email us at Debbie@dentalpracticesolutions.com