A Tale of Two Hygienists Podcast

Latest Episodes:

Fast Facts: Perio Edition "Non-Dental Biofilm Induced Gingivitis - Fungal Origin" Aug 16, 2021

Show notes

On this week's episode of Fast Facts - Perio Edition with your host, Katrina Sanders, RDH there's a fungus among us, we're looking at patients that present with some type of an inflammatory condition due to fungal origin.

Quotes:

"Histoplasmosis is actually an interesting infection that's acquired via the lungs via the respiratory tract due to inhalation of infected bat droppings."

"Now, what we're starting to find is that patients that present with linear gingiva erythema may have this associated with an HIV infection, but even more so, we're starting to see a resolution of linear gingival erythema not only associated with being placed on an antiretroviral if an HIV diagnosis is found, but also placing the patient on an antifungal for high level therapy."

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/

Sources:

Chapple ILC, MealeyBL, et al. Periodontal health and gingival diseases and conditions on anintact and a reduced periodontium: Consensus report of workgroup 1 of the 2017 WorldWorkshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions.JPeriodontol.2018;89 (Suppl 1): S74-S84

TIPisode One Waterline Maintenance Protocol To Rule Them All Aug 13, 2021

Show notes

This week on A Tale of Two Hygienists TIPisode we are joined by Andrew Nobilini and Mike Rust from ProEdge Dental Water Labs! Andrew and Mike talk to us about the ONE waterline maintenance protocol to rule them all. Our hosts cut through the confusion and give you the information you need to know to do what is best for your practice and patients!

Episode Highlights

3 Simple Steps to Passing Waterlines
What is Shocking?
Treating Daily
Testing

Quotes

"Think of your dental unit lines like you think of your shower… it takes a nasty chemical to clean your shower, well it takes a nasty chemical to clean your dental unit waterlines as well."

"Bugs come back."

"Shocking works, but it only lasts a week unless you use a tablet or a straw."

"We equate shocking to a professional cleaning, you still need to brush and floss daily and we equate that to treating."

"Peace of mind, if you monitor your protocol you will know it is effective, when you document it you are protecting your practice, your reputation and your business."

"When inspectors come knocking one of the first things they ask for are your dental unit waterline test results."

"If you can do these three things you can absolutely have safe water in your office."

Links:

How to Shock Video Tutorial: https://proedgedental.com/howtoshock

How to Shock PDF and Blog: https://proedgedental.com/shock

Safe Water Webinar: https://proedgedental.com/webinar

292 If Audited Would Your Chart Notes Survive? With Duane Tinker "The Toothcop" Aug 11, 2021

Show notes

Please Leave a Review!

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

Go here to take the test and get your free CE Credit!

Duane Tinker returns to the podcast today to join Andrew and Michelle for a discussion about patient records and charts in the dental field. Listeners may remember that Duane is a former law enforcement officer who is currently the CEO of Dental Compliance Specialists, a company that works with dental practices across the United States to ensure staff are well-trained in infection control and are working with the best and safest equipment. Known as "The Tooth Cop", courtesy of his previous line of work in Texas law enforcement, he's also the host of the 'Talking with the Tooth Cop' podcast. Today he discusses the importance of charting and why auditing is necessary.

In this episode, Duane discusses the importance of documentation in patient records, how cases where notes are inconclusive can pose legal and billing issues, what is needed in a document when signing electronically, and why shorthand should be kept to a minimum for easy communication. He goes on to review the pros and cons of using templates, the importance of reviewing and tweaking them whenever using them, and finishes off with a discussion about the auditing process, including how it is done, and why it should be done on a regular basis.

EPISODE HIGHLIGHTS:

Interview starts: 12:36

- Duane Tinker talks about living the dream in his RV

- The challenges that come with the nomad life

- The importance of documentation in patient records

- What to include when signing electronically

- Should shorthand be allowed?

- The pros and cons of using templates

- The key components of a template note

- Handling the conversation when correction in notes is needed

- The American Dental Hygiene Association standard

- Why Perio charting?

- Why do dentists need to train their assistants on documentation procedures?

- Documenting x-rays and intraoral pictures

- What is the auditing process?

QUOTES:

"One of the most beautiful things about being a business owner is being able to have a vision and create that vision and then execute."

"The number one most common problem is no clinical note."

"Every time that you see a patient, there's a story that unfolds there and you know, it's your job, whether you're the dental assistant, the dentist, or the hygienist to tell their story."

"Communication is key and in an effort to not be misunderstood, let's just use plain English."

"Your whole goal with your note is to paint a picture."

"It takes a real talented person to be able to point out the positives and focus on the positives because you know, you have to give a little reward, give a little sugar, with medicine."

"The only perfect template is the one that you've reviewed and tweaked, modified to suit your needs."

"Your dentistry is only as good as your documentation. If you don't care enough to do that half the job, then why bother to show up and do the other half?"

"It's important to document objective information with things that you can see, feel, touch...observe with your five senses, okay."

LINKS:

A Tale of Two Hygienists Podcast

A Tale of Two Hygienists homepage

AToTH on Facebook

AToTH on Instagram

AToTH on LinkedIn

Dental Compliance Homepage

Talking with the Toothcop podcast

Fast Facts: Perio Edition "Non-Dental Biofilm Induced Gingivitis - Viral Origin Aug 09, 2021

Show notes

On this week's episode of Fast Facts - Perio Edition your host, Katrina Sanders, RDH discusses patients that present with a gingival manifestation associated with viral origin.

Quotes:

"Speaking of fever, another very common viral condition that we can see in the oral cavity is primary herpetic gingivostomatitis."

"The latent form is a form of shingles or herpes zoster and this type of shingles observation, of course, we oftentimes see in an older patient population, oftentimes observed by a unilateral pain. We see this as well in the oral cavity."

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/

Sources:

Guided Biofilm Therapy: A Game Changer **bonus** Aug 07, 2021

Show notes

On this A Tale of Two Hygienists bonus episode Michelle is talking with repeat guest and friend of the podcast Dr. Pamela Maragliano-Muniz about guided biofilm therapy (GBT) and the use of AIRFLOW® Prophylaxis Master from EMS.

This episode is sponsored by EMS. For more information about Airflow visit www.ems-dental.com.

Episode Highlights

Long Term Outcomes
Biofilm Research
What's a Hygienist To Do?
Infection Control and GBT
GBT Supporting Technologies
The Power of Disclosing Gel
8 Parts to GBT

Quotes

"For me it took a pandemic to bring me 100% on board."

"It almost seems too good to be true, but it's true!"

"It was one of those things where I wanted to be better, I realized I can be better."

"GBT has been a practice changer."

"Biofilm research dates back to 1979, and it BLOWS MY MIND."

"If we really want to break this oral systemic link, and prioritize the patient's overall health we need something that is efficient, that works and something that isn't going to ruin our appointments and that is what this is such a great system."

"I don't know who was more excited when we started GBT after the pandemic, me or my patients."

"The patients are more engaged than ever, they love the technology."

"I love that EMS puts motivation at the top of the appointment."

"If you don't have the AIRFLOW® Prophylaxis Master, you can still practice some steps of GBT."

"Thank you EMS for making us do what we should have been doing forever."

"Chances are there is biofilm between those teeth and we are now placing our respiration in a cesspool."

"GBT is a treat for the patient and the clinician."

Links and Resources

GUIDED BIOFILM THERAPY

EMS Dental: Leader in dental prophylaxis and prevention

AIRFLOW PROPHYLAXIS MASTER

Airflow Max Hand Piece From EMS - Chairside Chat -

TIPisode Building Confident Students Aug 06, 2021

Show notes

This week on A Tale of Two Hygienists TIPisode we are speaking to all the clinical educators out there! We are joined by Shelley Brown, MEd, BSDH, RDH from Hygiene Edge to talk about helping students build confidence.

Episode Highlights

Let the student lead
Set them up for success
Show confidence in them
Have the student use confidence language
Give them compliments

Quotes

"Her lack of confidence in her skills caused me not to trust her with my health."

"If a patient can't trust us, it doesn't benefit either party."

"They need to feel the responsibility of a successful appointment."

"If they are not on the right path, ask them questions to guide them on the right path."

"We won't be there forever for the student to fall back on so they need to learn to troubleshoot and find the answer for themselves."

"My instructor will come and confirm my findings."

"When a student has confidence they relay competence to the patient."

Links

Hygiene Edge: https://www.hygieneedge.com

More TIPisodes: https://www.ataleoftwohygienists.com/tipisodes/

291 Student Focused Presents: Looking for a job? Recruiting with Pete and Theresa Aug 04, 2021

Show notes

Please Leave a Review!

It's A Tale of Two Hygienists' student roundtable episode, which means Andrew and Michelle have invited a roster of guests to educate student listeners on a chosen topic. Today, Michelle and Andrew have invited Teresa and Pete, two professionals with a vast amount of recruiting experience both within and beyond the dental field, to join them for this month's discussion regarding recruiting in the dental hygiene practice.

In this episode, Teresa and Pete begin by sharing how they got into recruiting, different niches in which they have worked, why they prefer to hire new graduates, and the importance of having both new graduates and established hygienists in an organization. They also discuss attributes which recruiters like to see in candidates, some recruitment practices, the impact of the pandemic on the dental hygiene space, and their advice on how to set up your resume for your next job application.

EPISODE HIGHLIGHTS:

Interview starts: 5:31

EPISODE HIGHLIGHTS:

- Teresa and Pete share some of their background

- New graduates vs established hygienists

- Why new graduates?

- The importance of having both new grads and established hygienists in an organization

- Having an open mind and willingness to learn

- Why flexibility is important

- Social media recruiting vs job sourcing sites

- Tips for setting up your information on job sourcing sites

- The effects of the pandemic on hygiene opportunities for dental practices

- Video interviews vs in-person interviews - benefits, pros and cons, and success rates

- Scrubs vs business attire

- Why you shouldn't put a headshot on your resume

- How important is your resume?

- CV vs resume for hygienists

QUOTES:

"The return on the investment was extremely positive because they were able to understand the business, understand what their role would be, and what they're actually going to school for."

"By starting with the new grads, you're, you're molding that hygienist the way you want them to be."

"The hard piece that we have, as recruiters, is level-setting them to reality, versus what the school is wanting them to try to find and accept, and then what they're looking for, especially."

"It really is about your attitude towards the profession, the attitude towards your patients. It's your willingness to learn, willingness to kind of just continue to evolve as a professional because it's not going to be static ever."

"The more flexible you are, the easier your professional development is going to be."

"That shows you the power of social media, but yet, we're not harnessing the power in the right direction."

"Since the pandemic, somebody just went in and just flipped the switch, and nobody wants to work."

"Everybody's nervous when they go to an interview, no matter what kind of interview it is."

LINKS:

A Tale of Two Hygienists Podcast

A Tale of Two Hygienists homepage

AToTH on Facebook

AToTH on Instagram

AToTH on LinkedIn

ATOTH's Linktree Page

Michelle's Facebook Page

Fast Facts: Perio Edition "Non-Dental Biofilm Induced Gingivitis - Bacterial Origin" Aug 02, 2021

Show notes

On this week's episode of Fast Facts - Perio Edition your host, Katrina Sanders, RDH discusses genetic or developmental disorders and infections that can affect a gingival lesion.

Quotes:

"Now, the main piece that I want you to know about this is that when a patient presents with necrotizing disease, necrotizing periodontal disease, absolutely there is an ideology of bacteria."

"This is kind of an interesting type of gingivitis because it's not associated with plaque. It's associated with an infiltration of high strains of streptococcus."

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/

Sources:

TIPisode Let's Talk Handpieces! Jul 30, 2021

Show notes

On this weeks TIPisode, brought to you by Young Dental we are joined by Whitney Howerton, MDH, RDH to discuss all things about handpieces, specifically cordless handpieces!

Highlights

Corded vs. Cordless Handpieces
Create your handpiece wishlist
Discover CDC recommendations for handpiece disinfection and sterilization
Create a safer polishing experience for the patient and clinician
Experience an innovative cordless handpiece

Quotes:

"I feel like I have better control of the RPMs with a foot pedal as opposed to applying more pressure or adjusting the speed via a pre-set speed setting much like an electric toothbrush."

"In a cordless handpiece, I wanted a light weight, ergonomic design, the same power and torque as a corded handpiece and the ability to choose my own brand of prophy angles."

"I want to introduce you to a handpiece where you have infinite possibilities."

"The Infinity cordless handpiece by Young Dental offers an exceptional engineered design, weighing 4 ounces and has an extremely quiet operation."

"4 ounces you guys, that is nothing!"

"It is really for any dental professional that can legally use it!"

"Clinicians can enjoy the flexibility of a cordless handpiece without sacrificing freedom of choice."

"The Infinity paired with the Splatter Guard prophy angle is the most splatter reducing combination on the market."

"It has killer and I mean KILLER battery life."

Links

Schedule an in-office demo

Infinity Cordless Handpiece Info

SPLATTER GUARD®

290 Animal Oral Care with Dr. Robert MacLean, DVM And Dr. Erin Ribka, DVM Jul 28, 2021

Show notes

Please Leave a Review!

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

Go here to take the test and get your free CE Credit!

Joining Andrew and Michelle on today's episode is Dr. Robert MacLean, DVM and Dr. Erin Ribka, DVM here to discuss animal oral health. Dr. Ribka is an owner and veterinarian at Veterinary Dental Specialties & Oral Surgery and Dr. MacLean is the senior veterinarian at the Audubon Nature Institute. They both graduated from the School of Veterinary Medicine at University of Wisconsin. Together, our hosts and guests discuss a variety of topics including the similarities in animal dentistry and human dentistry, dental issues in veterinary medicine, and pain management.

In today's episode, we learn about our guests' backgrounds and how they know each other, the lack of training in dentistry for most veterinarians, the importance of feeding correctly to prevent dental issues, and the stories of various experiences they've had with their patients. The episode rounds off with a discussion about the similarities in instruments used in animal dentistry with those used in human dentistry, and the sterilization of instruments they use.

EPISODE HIGHLIGHTS:

Interview starts: 5:48

- The path to becoming a veterinarian

- Dr. Ribka's interest in dentistry

- How Dr. MacLean got into being a veterinarian for the zoo

- Why do veterinarians need dentistry training?

- The two tracks available in the American Veterinary dental college

- Dental issues in veterinary medicine

- Using Chlorhexidine for animal teeth

- What animals regenerate teeth?

- The importance of correct feeding for malocclusion prevention

- Pain management in veterinary dental care

- The etiology in wild animals vs companion pets

- What are the similarities in instruments used for human teeth and animal teeth?

- How to clean and sterilize instruments used in veterinary dentistry

QUOTES:

"Different veterinary specialties have different lengths, residencies, and different requirements."

"We certainly recognize that in zoo medicine, that we these days, really try to rely on available experts to assist us so we make sure we get procedures done efficiently and correctly for the animals."

"We have done, as veterinarians, not a very good job of training veterinarians in dentistry."

"Dentistry is what got me into veterinary medicine."

"Periodontal disease in small animal patients is the number one disease - more than obesity, more than anything else."

"Most zoo veterinarians have at least some basic knowledge of extractions."

"Tetracycline has also been used as a biomarker to age animals."

"We got a couple of years more lifespan on these animals if we tried to periodically float their teeth and manage their dental arcades."

"As soon as I passed that first exam, I forgot everything I had to know about rabbits."

"Education is absolutely key and if people understand why I want to extract the tooth or why this tooth needs a root canal, then they're more accepting of the cost because it's not cheap."

"Periodontal disease in companion pets has gotten much worse because of the way we breed them."

"We see more dental issues in our older animals."

"There are fewer than 200 veterinary dentists in the world."

LINKS:

Donate to Audubon Nature Institute

Dr. MacLean's LinkedIn

Dr. Ribka's LinkedIn

Audubon Nature Institute

Veterinary Dental Specialties & Oral Surgery

A Tale of Two Hygienists Podcast

A Tale of Two Hygienists homepage

AToTH on Facebook