A Tale of Two Hygienists Podcast

Latest Episodes:

159 Minimally Invasive Dentistry with Dr. John Comisi! Feb 21, 2019

Show notes

This week's guest isn't just satisfied with scraping teeth. A master of "practical management," he aims for such a thorough treatment that his patients won't need to come back as often.

John Comisi, DDS, MAGD, is a South Carolina-based dentist and assistant professor at the James B. Edwards College of Dental Medicine. Along with being the founder of Dental Care with a Difference and CEO/President of Sleep Focused Solutions, Inc., John takes a very comprehensive approach to his practice, believing that good baseline dentistry is much more than just cleaning.

In this episode, John touts the benefits of minimally invasive dentistry, impresses the importance of teaching these methods to both professionals and patients, and explains how this practice can adapt to lower income patients.EPISODE HIGHLIGHTS:Interview begins:- John discusses his journey, his passions, and why he ended up focusing on teaching.

- What does "practical management" mean and why John thinks it's far too neglected.

- Breaking down the practices and benefits of minimally invasive dentistry and how it can form better relationships with patients.

- When critical thinking needs to take priority in diagnosis over technology.

- Teaching students and professionals the skills and knowledge needed to fully comprehend these new technologies.

- Why we need to involve the patients themselves in this learning process as well.

- Adapting these techniques to each patients economic ability.

- How John's brand of dentistry is far more than just teeth cleaning.QUOTES:"We're just trying to make a difference in the world of our patients and the world of our students as their next generation is being created."

"You have to be able to take all the science and all of the understanding and break it down to what's really gonna work with that particular patient."

"Do we really need to invade that tooth?"

"Everything that we do causes an effect on the overall ability of that structure to tolerate the next thing that we do to it."

"If you don't teach them to take care of the gum garden before you go gum gardening, you're going to have a mess!"

"The most critical thing we can do is understanding the needs of the patient."LINKS:John's homepage - www.jcomisi.com

Professional email - jcomisi@jcomisi.com

Educational email - comisi@muse.edu Thank you to Paradise Dental Technologies aka PDT for providing sponsorship for this episodes CE credits!THIS EPISODE COUNTS FOR CE! - but read the disclaimer below as it might not count for your state.Go here to take the test and get your CE Credit! https://www.cezoom.com/events/?test=yes&courseid=3135&testid=1286

Approved Pace Program Provider FAGD/MAGD Credit Approval Does Not Imply Acceptance By A State Or Provincial Board of Dentistry Or AGD Endorsement. 1/1/18- 12/31/19 Provider #373236

Be sure to thank the sponsor for CE for this episode by heading over to www.PDTDental.com and picking up a new instrument or telling them thank you in person at one of the conferences!

158 Closing the Gap Between What We Know and What We Do with Josefine Wolfe PhD, RDH Feb 18, 2019

Show notes

Dr. Josefine Ortiz Wolfe is a registered dental hygienist who writes and educates online and in person as The Informed Hygienist. She was kind to drop by on her way to a lecture in New York, and in this interview she stresses the importance of closing the gap between what professionals know and how that knowledge is actually put to work, connecting up-to-date dental research to clinical practice.

In this bonus episode sponsored by Crest+Oral-B, Josefine discusses how even well-trained dentists and hygienists can fall behind current research, lists some resources you can use to keep on top of the latest knowledge, and suggests we fight back against the urge to pull a tooth rather than treat it.

EPISODE HIGHLIGHTS:

Interview begins: 1:27

- Josephine's goal for her latest lecture and how she hopes it will benefit both practitioners and patients.

- How the current standard of dental training means new practitioners unfortunately remain behind the times.

- The tricky way our brain confuses what we instinctively know about dentistry with what we think we know.

- Weeding out the unconscious biases that get in the way of accurate diagnoses and treatments.

- Some strategies and resources for keeping up to date with the latest research and policies.

- What to do when a patient pushes back against newer ideas with what they think is traditional and accepted.

- Dealing with difference in opinion and suggested treatment between disparate medical fields.

- The responsibility those in the dental field and related professions to provide the most accurate, up-to-date information to both clients and untrained staff.

- Alternatives to tooth removal and why we shouldn't go right for the pliers.

- Why treating the result of a disease isn't the same as treating the problem itself.

- Not allowing an insurance policy get in the way of the most ethical, responsible treatment.

QUOTES:

"Our best interest—our only interest—is the best interest of the patient."

No"If we're not able to actually get our research into the hands of clinicians, our research is pretty much mute."

"I'm not gonna remember something I learned ten years ago if I don't constantly refresh my mind with it."

"The last thing you ever want to say is 'Well, what I learned in school was...'"

"As far as the patient is concerned, we are their #1 advocate."

LINKS:

The Informed Hygienist on Facebook - https://www.facebook.com/theinformedhygienist/The Informed Hygienist on Twitter - https://twitter.com/JosefineWolfeThe American Academy of Pediatric Dentistry - http://www.aapd.org/ American Academy of Periodontology - https://www.perio.org/THIS EPISODE COUNTS FOR CE! - but read the disclaimer below as it might not count for your state.Go here to take the test and get your CE Credit! https://www.cezoom.com/taketest/?courseid=3100&testid=1285 Approved Pace Program Provider FAGD/MAGD Credit Approval Does Not Imply Acceptance By A State Or Provincial Board of Dentistry Or AGD Endorsement. 1/1/18- 12/31/19 Provider #373236

TIPisode with Claire Jeong, February 2019 Feb 15, 2019

Show notes

Tip 2 Claire This week's TIPisode is brought to you by Claire Jeong, RDH. Learn wake-up memory techniques for remembering hypertension drugs. Find more info at dentaltoaster.com and StudentRDH.com Be sure to follow ATOTH on Instagram, Facebook, and head over to Ataleoftwohygienists.com to subscribe to our newsletter. Email us at Ataleoftwohygienists@gmail.com

157 What You Thought You Knew About Adjunctive Therapy with Dr Ryan Nolan, DMD Feb 14, 2019

Show notes

We get to really nerd out this week as we invite on Ryan Nolan, DMD. Ryan is a practitioner, commentator, and creator of the amazing podcast The Biofilm Factor — where he discusses biofilm management and diet with other dental professionals. He is also a co-founder of Elementa Silver, which specializes in nano silver-driven oral cleaning solutions. His work in dentistry and oral health care is guided by his previous education in chemical engineering, and he approaches the field with an eye for results-based research.In this episode, Ryan discusses why he switched from chemical engineering to dentistry (and how the former has guided his work), lays out his case for nano silver as a dental cleaning product, and voices his concern at how many trendy dental products are not supported by science.

Listen to the end to hear how he really feels about Charcoal, Chx Rinse, Toothpaste companies and more!EPISODE HIGHLIGHTS:The interview begins: 3:11- How Ryan's product design work allows him to express his creativity within dental work.- Pinpointing areas within the dental profession that could still be vastly improved through new technology and treatments.- The "21st century gap" in dental care and treatment and how much catch-up the industry needs to do.- What are "preventative products" and why it's important to make a push for them.- The limitations of in vitro testing and some important factors that process can't account for.

-What are the pros and cons of Silver Diamine Fluoride- How silver, much like family trees, has several generations.- Are there benefits to using silver in toothbrush bristles?- Balancing treatment with price to do the absolute best by our patients.- The skeletons in chlorhexidine's closet that make it an inadvisable treatment.- Ryan dishes out the truth about Sensodyne and explains why he's skeptical of certain toothpaste trends.QUOTES:"I could never shake this idea that we couldn't do things better, and that's kind of where I'm at right now.""Dental innovation in prevention sectors is basically nonexistent.""It's like filling a house with balls, right? Eventually, it's gonna be more dense, if that makes sense.""The thing I love about nanosilver is that you don't need to be a genius to hit the broad side of a barn.""The human body has got so many defense systems in place to prevent a lot of these things from developing.""Anytime you put something through a heated process and it's plastic, there's gonna be some no-nos that come out of that.""Ortho patients need interdental brushes, 100%.""You can't deny data."LINKS:The Biofilm Factor - http://thebiofilmfactor.com/Elementa Silver - https://elementasilver.com/ Elementa Silver on Amazon - https://www.amazon.com/s/ref=bl_dp_s_web_0?ie=UTF8&search-alias=aps&field-keywords=Elementa+Silver Elementa Silver on Instagram (@elementaoralcare) - https://www.instagram.com/elementaoralcare/?hl=en Ryan on Instagram (@ryannolandnd) - https://www.instagram.com/ryannolandmd/?hl=enThank you to Paradise Dental Technologies aka PDT for providing sponsorship for this episodes CE credits!THIS EPISODE COUNTS FOR CE! - but read the disclaimer below as it might not count for your state.Go here to take the test and get your CE Credit! https://www.cezoom.com/taketest/?courseid=3085&testid=1283

Approved Pace Program Provider FAGD/MAGD Credit Approval Does Not Imply Acceptance By A State Or Provincial Board of Dentistry Or AGD Endorsement. 1/1/18- 12/31/19 Provider #373236

Be sure to thank the sponsor for CE for this episode by heading over to www.PDTDental.com and picking up a new instrument or telling them thank you in person at one of the conferences!

EMERGENCY SESSION! Will DA's take over our scope of practice in WA? Feb 10, 2019

Show notes

In this episode, we have an emergency session about the scope of practice expansion for dental assistants proposed in the new bills presented in Washington State. We brought in two hygienists from Washington State and one Dental Assistant to discuss! Listen and feel free she share! Please be active in your state!

Key Takeaways -

You need to protect your profession.
DAs are NOT the enemy, they are just players being used by the dental association.
Standardization is important for everyone, work to get this done in your state!

Beverly Frye - BEVERLYFRYE@COMCAST.NET

Jennifer Zbaraschuk- RZBAR@OLYPEN.COM

Shannon Pace Brinker - SHANNONPACEBRINKER@GMAIL.COM

https://www.todaysrdh.com/hygienists-under-attack-oppose-washington-state-hb-1935-sb-5833/?fbclid=IwAR09Q2touYA1v91zVstun8iRBQYCiV9VdGERtyIKeGro16AfPYdJy8yr_9g

TIPisode Teresa Duncan #1 Feb 08, 2019

Show notes

Tip 1 Teresa Duncan

This week's TIPisode is brought to you by Teresa Duncan, MS- Speaker on insurance and management, Podcaster, Author, and contributes to several magazines and the ADA's publications

Book:

http://odysseymgmt.corecommerce.com/Book/ use code TALE for $3 courtesy (offsets shipping)

Site:

OdysseyMgmt.com

Podcast:

http://nobodytoldmethat.libsyn.com

Be sure to follow ATOTH on Instagram, Facebook, and head over to Ataleoftwohygienists.com to subscribe to our newsletter. Email us at Ataleoftwohygienists@gmail.com

156 Student Focused presents: "Expectations" Feb 06, 2019

Show notes

This podcast episode is specifically for students. You are gonna be working shoulder to shoulder with us soon enough, let us help get you ready for that! We brought together for you today a panel of dentists to discuss expectations - what should you expect going into your first day.

Q1 - What are your expectations for a new grad Q2 - When and how many questions should be asked Q3 - Who should they ask questions to? Q4 - Is your first office going to be your only office? Q5 - What to expect for a working interview Q6 - How can a newbie get better in their clinical skillset? Q7 - Should someone be a temp hygienist first? Q8 - Does it matter the degree or where you went to school? Q9 - Pay Structures Q10 - What metrics should the hygienists know?

Thank you to our Panelists Dr. Jason Lipscomb from the Dental Hacks Podcast, Dr. Sully Sullivan from The Millennial Dentist Podcast, and Dr. Richard Low from the Shared Practices Podcast. Check them out on social media and reach out to them if you have any other questions!

Be sure to thank the sponsor for this episode by heading over to www.PDTDental.com and picking up a new instrument or telling them thank you in person at one of the conferences!

155 Orthodontics and Airway with Dr. William Hang Feb 01, 2019

Show notes

Our guest this episode is William Hang, DDS, MSD. Both an orthodontist with Face Focused Orthodontics and lecturer on orthodontics and orthotropics, William has completely rethought his approach to working with patients in order to maximize their airway health and reduce craniofacial discomfort.

In this episode, Dr. Hang discusses how orthodontists can better diagnose facial pain in their patients and why there should be a push to extend jaws forward, and how hygienists can have a role in the discovery and referral processes.

EPISODE HIGHLIGHTS:

Interview begins: 3:14

- William lays out his history in the orthodontics field and why he's pursued CE.

- Impressing how orthodontics—jaw placement in particular—can affect the airway.

- Why waiting until adolescence for braces may not have as impactful a long-term effect as we think it does.

- The reason developing the face forward, rather than retracting, is key to clear and healthy airways."

- William's technique for expanding anterior/posterior.

- How sticking to arbitrary standards of beauty and appearance can have a negative effect on orthodontics.

- Signs to look for in a patient's face and posture to see if they're in pain.

- What you can expect from William's upcoming Las Vegas seminar on March 22nd and 23rd.

QUOTES:

"Sleep and poor breathing are just the flip side of the TMJ pain coin."

"Putting braces on a teenager is pretty much nothing more than rearranging the deck chairs on the Titanic."

"I happen to believe that dentistry is literally at the center of health care."

"Everyone says 'expand, expand, expand,' but the reality is that's not where the progress is gonna be made."

"Why have we made these artificial limitations to what we do just because we're dentists?"

LINKS:

Facefocused.com

hang@facefocused.com

Thank you to Paradise Dental Technologies aka PDT for providing sponsorship for this episodes CE credits!

THIS EPISODE COUNTS FOR CE! - but read the disclaimer below as it might not count for your state.

Go here to take the test and get your CE Credit! https://www.cezoom.com/events/?test=yes&courseid=2986&testid=1282

Approved Pace Program Provider FAGD/MAGD Credit Approval Does Not Imply Acceptance By A State Or Provincial Board of Dentistry Or AGD Endorsement. 1/1/18- 12/31/19 Provider #373236

Be sure to thank the sponsor for CE for this episode by heading over to www.PDTDental.com and picking up a new instrument or telling them thank you in person at one of the conferences!

154 Getting Started with Airway part 4 of 4 Jan 26, 2019

Show notes

For this episode, we wrap up our four-part airway series with Cyndee Johnson and Julia Worrall. We focus on how to get people to get their airways checked, what terms you should and shouldn't use with patients, and making the case for CPAP and oral appliances.

EPISODE HIGHLIGHTS:

Interview begins: 7:01

- Michelle's less than hygienic experiences with fellow gym-goers.

- Have you ever spoken to anyone about your airway? It's an important first step.

- Why an intraoral camera comes in handy.

- Using simple, non-scientific terminology to help your patient to understand as clearly as possible.

- Avoiding the word "mild" when describing airway issues to patients.

- Working with patients who are averse to a CPAP or oral appliances.

- Keeping an eye on gag reflex issues.

QUOTES:

"You're gonna see huge differences as that face comes alive."

"If they can program [sleep] into our computer we should be able to manage ourselves a little better."

"Anything that we provide in health care, we can find a way to make it positive."

LINKS:

cyndee@scaler2schedule.com

Julia.worrall@airwayhealth.org

Thank you to Paradise Dental Technologies aka PDT for providing sponsorship for this episodes CE credits!

THIS EPISODE COUNTS FOR CE! - but read the disclaimer below as it might not count for your state.

Go here to take the test and get your CE Credit! https://www.cezoom.com/taketest/?courseid=2957&testid=1281

Approved Pace Program Provider FAGD/MAGD Credit Approval Does Not Imply Acceptance By A State Or Provincial Board of Dentistry Or AGD Endorsement. 1/1/18- 12/31/19 Provider #373236

Be sure to thank the sponsor for CE for this episode by heading over to www.PDTDental.com and picking up a new instrument or telling them thank you in person at one of the conferences!

153 Airway: The Clinician's Masterful Mindset pt 3 of 4 Jan 19, 2019

Show notes

Episode 153

Interview Begins: 5:50

In this episode Cyndee takes the lead to teach us how to implement everything we have learned so far in this series into our practice.

How can our dental teams begin the conversation with airway?

What is the Beginner's Mind?

How do we calibrate ourselves to excellence?

Why do we do what we do?

cyndee@scaler2schedule.com

Julia.worrall@airwayhealth.org

Thank you to Paradise Dental Technologies aka PDT for providing sponsorship for this episodes CE credits!

THIS EPISODE COUNTS FOR CE! - but read the disclaimer below as it might not count for your state.

Go here to take the test and get your CE Credit! https://www.cezoom.com/events/?test=yes&courseid=2945&testid=1279

Approved Pace Program Provider FAGD/MAGD Credit Approval Does Not Imply Acceptance By A State Or Provincial Board of Dentistry Or AGD Endorsement. 1/1/18- 12/31/19 Provider #373236

Be sure to thank the sponsor for CE for this episode by heading over to www.PDTDental.com and picking up a new instrument or telling them thank you in person at one of the conferences!

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