A Tale of Two Hygienists Podcast

Latest Episodes:

324 Value Based Dentistry with Dr. Hendrik Lai Mar 23, 2022

Show notes

On this episode of A Tale of Two Hygienists Andrew talks with Dr. Hendrik Lai about achieving value based dentistry. Dr. Lai explains that the model of dentistry has changed, and we need to adapt with the change. Highlights of this episode include a conversation about access to care, the role of the mid level provider and a look at metrics, focusing on value factors, net promoter scores and loss ratios!

This episode has FREE CE! Be sure to view your state guidelines to ensure this CE is applicable in your State. You can view all episodes with Free CE here. Take the CE course for this episode HERE

Interview Starts: 04:55.989

Episode Highlights

Dr. Lai's Background
Access to care
Mid Level Providers
Dental Therapists
Data Collection
Net Promoter Score
Value factors
Changes in dentistry
Insurance Loss Ratio

Quotes

"The idea was to have oral care no more than 2 hours away from any Australian citizen."

"What mid level providers do is create a credible substitute."

"In Australia Dental Therapists only see children."

"On mass, people are more likely to recommend their insurance company than their dental office."

"The net promoter score is one of the best indicators of repeat purchases."

"A patient doesn't know a good filling from a bad filling, all they know is if you were nice to them, or if you hurt them."

"In the 90's and early 2000's you could be a horrible dentist, and still make money hand over foot."

"We are seeing some of the barriers to entry drop."

"Not for profit, doesn't mean not profitable."

"No money means no mission."

"The average dental loss ratio is roughly 76%."

"We need to partner with everyone in our industry, we can't keep going it alone."

"I help the dreamers and the doers do it better."

Links

www.sagedentalconsulting.com

hendrik@sagedentalconsulting.com

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"D4381" Fast Facts: Coding Edition Mar 21, 2022

Show notes

On this week's episode of Fast Facts – Coding Edition with Teresa Duncan, MS Teresa gives us a breakdown of code D4381. Teresa highlights the definition, communicating its use with patients and some limitations associated with the code.

Quotes:

"4381 though if you are talking with a patient and perhaps this is previous to doing any active therapy, you can let them know that this is something that you anticipate having to use."

"The patient shouldn't get two, three, four teeth free just because they have insurance they should have some out of pocket."

"You also want to have noted the stage of the patient when they presented and what the current grade is for them and of course if your documentation is up to speed with the AAP guidelines you'll already have that templated.

Links:

DentistRX: https://www.dentistrx.com

More Fast Facts: https://www.ataleoftwohygienists.com/fast-facts/

Teresa Duncan Website: https://www.katrinasanders.com

Nobody Told Me That Podcast: https://nobodytoldmethat.libsyn.com/

Chew On This Podcast: https://chewonthisdentalpodcast.libsyn.com/

Whitening Without Sensitivity with Crest Emulsions featuring Dr. Stephanie Kaplan **Bonus** Mar 20, 2022

Show notes

On this A Tale of Two Hygienists bonus episode powered by Crest Oral-B we are joined by guest co-host Lacy Walker, RDH and guest Dr. Stephanie Kaplan to discuss the topic that is mentioned by almost every patient, whitening. Dr. Kaplan talks about the game changer to whitening that is Crest Emulsions. This product solves one of the major issues patients have with whitening, sensitivity and offers such a pleasant user experience.

Episode Highlights:

Dr. Kaplan's background
Evolution of whitening
Emulsions technology
What causes sensitivity
Makeup of Emulsions
Application process
Ideal patient
Professional exclusive
Texture/favor
Purchasing

Quotes:

"You no longer had to match your god given color, you could change and enhance the color."

"You are not going to bleach your clothes every time you wash them because you want to preserve your clothes, the same goes for your teeth and whitening."

"What if I told you could whiten your teeth with no sensivity."

"This doesn't dehydrate the teeth."

"There are a lot of myths associated with lights."

"You need to apply the light at the right time, for the right amount of time."

"We get up to 30-50% more efficacy if we apply the light at the right time."

"This is safe for patients over 12 years of age."

"You can whiten up 4 times per day safely with Emulsions."

Resources and Links:

kaplan.sl@pg.com

Article by Lacy Walker

Whitening Science: Removing The Smoke And Mirrors With Paul Sagel - Bonus Episode - A Tale of Two Hygienists

Crest Oral-B Pro shop

Crest Oral-B Emulsions

Crest Oral-B Whitening

TIPisode Dental Pain Erased with Jen Rothenberg BS, RDH, PHDH Mar 18, 2022

Show notes

This week on A Tale of Two Hygienists TIPisode we are joined by Jen Rothenburg, BS, RDH, PHDH Lacy Walker, RDH and Tom Viola, R.Ph., C.C.P. to talk to us about a new product on the market that is redefining the patient experience. Enter Synapse which uses pulsewave technology to alleviate dental pain. Learn more on this episode!

Episode Highlights

What is Synapse?
How does it work?
What does it do for the patient?
Home use
Insurance Coding (D9110, D9910, D9630, D7465)

Quotes:

"This technology has been in medical since the 1960's."

"It basically talks to your nerves and your brain telling both to leave the area alone."

"This does soft tissue and hard tissue."

"The device itself lasts 330 minutes, to do a full dentition takes 2 minutes and that's 32 teeth."

"All you are going to do is outline that canker sore and that pain will go away."

"This has been a long time coming, in dentistry we should have been using this."

"Just visualize painting a fence, that is what you are doing."

"When applied it lasts 24-48 hours."

"I'm going into an 8mm pocket with just this."

"This is better than some analgesics because it works so fast, and there are no side effects."

"This is FDA approved."

https://dentalpaineraser.com/

https://www.rdhmag.com/patient-care/article/14208370/chairside-impact-the-dental-pain-eraser-by-synapse

323 Becoming a Director of Hygiene with Trish Keena, RDH Mar 16, 2022

Show notes

TITLE: 323 Becoming a Director of Hygiene with Trish Keena, RDH

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On this episode of A Tale of Two Hygienists Andrew talks with Trish Keena, RDH about her *cheesy* journey in dental hygiene. In all seriousness, Trish has held a number of different positions through all walks of dentistry. Andrew often uses Trish as a sounding board due to her experience and steady mind. We can all take away a thing or two from this interview!

This episode has FREE CE! Be sure to view your state guidelines to ensure this CE is applicable in your State. You can view all episodes with Free CE here. Take the CE course for this episode HERE

Interview Starts: 07:24.318

Episode Highlights

Why Dental Hygiene
Filing Charts to Dental Hygiene
Product Representative - part time, full time
Director of Hygiene
Imposter Syndrome
Changing Culture
Metrics
Regional Leadership

Quotes

"My mom has been a dental assistant for over 25 years."

"It sold me immediately when I could help the patient feel more at ease."

"Because I didn't learn about it in school, and my teachers didn't have that clinical belief I assumed it couldn't be important."

"Director of Hygiene isn't for everyone, it's a big jump."

"I ignore job prerequisite descriptions. Apply for the job, and let them read your resume and decide if you are qualified."

"Start with the why."

"We are providers and we should be compensated as such."

Links

LinkedIn: https://www.linkedin.com/in/trish-keena-b1561932/

Trish Keena Cell: 773-682-5771

A Tale of Two Hygienists Podcast

A Tale of Two Hygienists homepage

AToTH on Facebook

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Fast Facts: Perio Edition "Periodontitis as a Manifestation of Systemic Disease - Ehlers-Danlos Syndrome" Mar 14, 2022

Show notes

On this week's episode of Fast Facts - Perio Edition, Katrina Sanders, we are continuing the conversation around periodontitis as a manifestation of systemic disease discussing patients that present with Ehlers-Danlos Syndrome. Katrina highlights cardinal signs to look for, and shares a personal experience with a patient at her practice.

Quotes:

"There are about 13 different kinds of different displays of Ehlers-Danlos."

"Ehlers-Danlos is oftentimes seen systemically, however, we can also see it intraorally."

"As you can imagine, if this is a disease that impacts the connective tissue or lamina propria, we are going to likely see some challenges in the mechanical protection of the periodontium."

Resources:

DentistRX: https://www.dentistrx.com

More Fast Facts: https://www.ataleoftwohygienists.com/fast-facts/

Katrina Sanders Website: https://www.katrinasanders.com

Katrina Sanders Instagram: https://www.instagram.com/thedentalwinegenist/

Papapanou, P. N., Sanz, M., Buduneli, N., Dietrich, T., Feres, M., Fine, D. H., ... & Tonetti, M. S. (2018). Jepsen S, Caton JG, Albandar JM, Bissada NF, Bouchard P, Cortellini P, Demirel K, de Sanctis M, Ercoli C, Fan J, Geurs NC, Hughes FJ, Jin L, Kantarci A, Lalla E, Madianos PN, Matthews D, McGuire MK, Mills MP, Preshaw PM, Reynolds MA, Sculean A, Susin C, West NX, Yamazaki K. Periodontal manifestations of systemic diseases and developmental and acquired conditions: Consensus report of workgroup 3 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. J Periodontol. 2018 Jun;89 Suppl 1:S237-S248. doi: 10.1002/JPER.17-0733. PMID: 29926943.

TIPisode: Requesting a Raise with Dr. Younger Mar 11, 2022

Show notes

This week on A Tale of Two Hygienists TIPisode we are joined by James Younger, DDS practicing dentist and Founder/CEO of TempStars. Dr. Younger talks to us about a conversation he had with the BC Dental Association about how to request a raise!

Episode Highlights:

Discussing Higher Hourly Rate
- When you don't love your office
- When you do love your office

Look at "Value"
Set up a plan

Quotes:

"You need to consider the whole picture of your work life."

"I would caution anyone against chasing that next dollar."

"Think of it as a process, not a this or that."

"Let them know you don't need an answer right away."

"Typically we exchange money for value, but all of us value things differently."

"Ask if you can set a plan that as you start hitting production levels and things balance in the office again, you are compensated appropriately."

"Be prepared for the conversation, but be prepared for the process."

Links:

www.tempstars.com

322 Military Paid Degree Pathway with Future Doctor, Brandon Evert Mar 09, 2022

Show notes

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On this episode of A Tale of Two Hygienists Andrew, and guest co-host Amber Lovatos, RDH talk with Brandon Evert who is a D4 student, and Host of Extracting Wisdom Podcast. Brandon talks about his journey, his choice to join the dental field, and what lead him to pursue a career in the military once he graduates.

This episode has FREE CE! Be sure to view your state guidelines to ensure this CE is applicable in your State. You can view all episodes with Free CE here. Take the CE course for this episode HERE

Interview Starts: 07:03.645

Episode Highlights

Brandon's Journey
Medicine vs. Dentistry
Being a Dentist in the Military
Internship with Dr. Moody
Digital Protocol
Equipment
Military Placement

Quotes

"I'm very lucky to have this scholarship and to know I have a 4 year job after school."

"Me being the dental nerd that I am, I searched for dental podcasts."

"This digital stuff is not new, but at a dental school it is often unheard of."

"Squeaky wheel gets the grease."

"This is the best scholarship you will find, you will not find another that will cover 100% of your school and give you a stipend."

"My husband is a dentist and that student loan debt is huge."

"I like doing SRPs, IF I have the right equipment."

"The only reason you are 'soft' is because your instruments are so dull you are not doing anything."

"The newer generation of dentistry is more inclusive."

"I wish we had more of a team approach, because that is real life."

"It is the blind leading the blind sometimes."

Links

https://www.instagram.com/brandonevertdmdstudent/

https://extractingwisdom.libsyn.com/website

amlovatos@gmail.com

@Thelatinardh on Instagram and Facebook

https://atothenespanol.libsyn.com/un-cuento-de-dos-higienistas

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AToTH on Facebook

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AToTH on LinkedIn

Fast Facts: Perio Edition "Periodontitis as a Manifestation of Systemic Disease - Cohen Syndrome" Mar 07, 2022

Show notes

On this week's episode of Fast Facts - Perio Edition, Katrina Sanders, we are continuing the conversation around periodontitis as a manifestation of systemic disease discussing patients that present with Cohen Syndrome. Katrina highlights cardinal signs to look for, and complications associated with this syndrome.

Quotes:

"One of the key Cardinal signs of Cohen Syndrome that we really do get concerned about is that these individuals as a component of their disorder will have low white blood cell levels or neutropenia."

"Oftentimes when we see individuals who have that shortened filtrum and then prominent and central incisors, these individuals will also have a resting open mouth position. And so because of that, we can absolutely see some challenges associated with dry mouth, etcetera."

"Oftentimes we will see that family members within this patient's circle will also have one, a few, several or maybe all of the characterizations of Cohen Syndrome."

Resources:

DentistRX: https://www.dentistrx.com

More Fast Facts: https://www.ataleoftwohygienists.com/fast-facts/

Katrina Sanders Website: https://www.katrinasanders.com

Katrina Sanders Instagram: https://www.instagram.com/thedentalwinegenist/

Xylitol: A Prebiotic with Dr. Mark Cannon **Bonus** Mar 05, 2022

Show notes

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On this bonus episode we are joined by Dr. Mark Cannon. Dr. Cannon talks to Andrew, and guest co-host Machell Hudson about Xylitol and its use as a prebiotic. We have heard some of the benefits of xylitol in the past but Dr. Cannon opens our eyes to just how many ways xylitol can be used to improve our health. Big thank you to Xlear, makers of the amazing Spry Dental Defense System line of products for making this interview with Dr. Cannon possible!

Dr. Cannon is the Research Coordinator of the Dental Division of Ann and Robert Lurie Children's Hospital and is actively involved in the development of new biomaterials, with a special emphasis on bioactivity of materials in the pediatric patient.

Episode Highlights