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    Health & Fitness

    A Tale of Two Hygienists Podcast

    We created A Tale of Two Hygienists in 2015 because we are passionate about helping our fellow clinicians be the best version of themselves, both professionally and personally. We Interview experts in their fields to provide better care for our patients while promoting the joys of being a dental hygienist.

    Advertise

    Copyright: ©2023 - Be cool, don't steal our stuff

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    Latest Episodes:
    Fast Facts: Perio Edition "WEIRD Facts on Prophylaxis Code Distribution" Apr 12, 2021
    Show notes

    On this week's episode of Fast Facts - Perio Edition your host, Katrina Sanders, RDH talks to us about weird facts, highlighting the prophylaxis code distribution.

    Quotes:

    "However, as you may suspect in this age category, 95.4% of those individuals were treated with a D-1110 prophylaxis procedural code, meaning the remaining 4.6% of individuals were treated with any other procedural code."

    "My hope is that in sharing facts like this that it creates a greater awareness for the dental clinician about the responsibility we have to identifying disease, educating our patients on it and treating it while it is in its earlier stages. While, it is cheaper, easier, more pain free for us to treat."

    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

    Cassandra Yarbrough, M. P. P., Vujicic, M., Krishna Aravamudhan, B. D. S., & Blatz, A. (2016). An Analysis of Dental Spending Among Adults with Private Dental Benefits.


    TIPisode: A Tellisode with Andrew and Michelle Apr 09, 2021
    Show notes Please Rate this Podcast! This week on A Tale of Two Hygienists we are changing our TIPisode to a Tellisode! Andrew is going to tell us about his experience sitting for the Florida exam. Episode Highlights
    • Mannequin Exam
    • Andrew Passes!
    • Minimal Competency
    • Michelle is Buying the ADA
    Quotes " Our system is broken, busted and DUMB." "The mannequin is a plastic toothed son of a gun that I hated." "I'm going to spend almost 4k dollars to get a license in 2 states." "You had to manually close the mandible to make the suction work, it was bizarre." "The Boards are there for minimal competency, and surprisingly they still catch 2-3% that fail." "Don't talk about it, be about it." "Put me in power so I can create the change." Links More TIPisodes

    274 Student Focused Presents: The Importance Of Oral Cancer And HPV Conversations With Patients Apr 07, 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!

    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.

    With April being Oral Cancer Awareness Month, it is only fitting that they have invited three powerhouses in this field to the roundtable today. Susan Cotton is a passionate, speaker, consultant, author, and subject matter expert on HPV, oral and oropharyngeal cancer, and screening, who is also the founder of Oral Cancer Consulting, and the originator of the 'Cotton Method'. Maria Perdo Goldie is a noted researcher, author, and speaker, whose many, many achievements include being a Past President of ADHA and the International Federation of Dental Hygienists, a ten year member of the Smoking Cessation Centre, and presenting seminars nationally and internationally on many topics including Cancers and Oral Care for the Cancer Patient and Oral Cancer. Jill Meyer-Lippert is the founder of Side Effect Support LLC, has been published in several print and online dental and oncology resources, is a 2014 recipient of the Sunstar Americas/RDH Award of Distinction and is also the Community Relations Manager with Custom Dental Solutions. All three guests are members of the Registered Dental Hygienist Advisory Board for the Oral Cancer Foundation.

    In this very special episode, these three experts share their perspective on a number of pertinent issues such as the current level of emphasis upon oral cancer and HPV screening, increasing risk factors, the HPV vaccine, building screening into the rhythm of appointments, and next steps to follow when something suspicious is detected. Woven throughout the episode are sage words of advice and a wealth of resource recommendations from our guests. As Michelle notes, Susan, Maria, and Jill are absolute treasures in the industry who use their vast amount of knowledge and experience to educate and empower clinicians in their ultimate mission to save lives. That is precisely what they do here today – listen in to be both informed and inspired.

    EPISODE HIGHLIGHTS:

    Interview starts: 7:28

    - An introduction to today's experts

    - Their opinions on the current amount of emphasis on oral cancer and

    HPV screening and detection

    - The increase in risk factors

    - checkyourmouth.org

    - The 'two week rule'

    - The Throat Scope

    - Advice for new dental hygienists around starting the screening and

    detection process

    - HPV vaccine update

    - Vaccines as a tool for prevention

    - Building screening into the rhythm of appointments

    - Having an oral cancer risk assessment

    - Using the fluorescence screening device properly

    - Educating yourself at the Oral Cancer Foundation website

    - The next steps when something suspicious is detected

    - Final words of advice from our experts

    - Susan's upcoming oral cancer screening video

    QUOTES:

    "I don't feel dentistry, as a whole, has placed the emphasis on oral cancer, HPV, and the importance of screening every patient every time."

    "We really need to take some responsibility to go that extra step for people."

    "HPV is a game changer."

    "If somebody does have something in their mouth that's unusual that lasts over two weeks, that is usually a sign that you do need to have that looked at."

    "I think if you're following a protocol, it doesn't feel quite so invasive."

    "What we know now…"

    "It's a cancer vaccine, and that's, I feel, the way we need to talk about it."

    "What we know in this world is not everybody gets to choose when their first sexual encounter is."

    "Well, now that you mention that, could you check this area for me?"

    "Thoroughly document in your treatment notes."

    "Sometimes, years they were watching and waiting something rather than have it biopsied or checked out further!"

    "Don't let the busy-ness of your day get in the way of doing this thorough and complete oral cancer evaluation and educate your patients…make it a priority for your patients and your colleagues."

    "Do not be bullied by anybody, including your boss."

    "Be proactive…be empathetic and understanding…and make sure that they are not feeling judged."

    "Refer them to a support group."

    "Get rid of that feeling that we're going to scare them – we're educating."

    LINKS:

    A Tale of Two Hygienists homepage - https://ataleoftwohygienists.com/

    AToTH on Facebook - https://www.facebook.com/aTaleOfTwoHygienists/

    AToTH on Instagram - https://www.instagram.com/ataleoftwohygienists

    AToTH on LinkedIn - https://www.linkedin.com/company/atoth/?originalSubdomain=ca

    Canadian Dental Association: https://www.cdha.ca/

    Canadian Journal of Dental Hygiene: https://www.cjdh.ca/

    FDI World Dental Federation: https://fdiworlddental.org/

    Oral Cancer Chairside Guide: https://preprod.fdiworlddental.org/sites/default/files/2020-11/fdi-oral_cancer-chairside_guide.pdf

    Oral Cancer Foundation: https://oralcancerfoundation.org/

    RDH Magazine Articles:

    https://www.rdhmag.com/pathology/oral-pathology/article/14173681/how-to-perform-a-head-and-neck-oral-oropharyngeal-cancer-screening

    https://www.rdhmag.com/pathology/oral-pathology/article/14173677/the-state-of-oral-and-oropharyngeal-cancer-screening-in-dental-hygiene

    Side Effect Support homepage: https://sideeffectsupport.com/

    Side Effect Support Facebook: https://www.facebook.com/SideEffectSupportLLC

    Side Effect Support Twitter: https://twitter.com/Support_Jill

    Oral Cancer Consulting: https://oralcancerconsulting.com/

    Susan Cotton Facebook: https://www.facebook.com/SusanCottenRDH/

    Susan Cotton LinkedIn:

    https://www.linkedin.com/in/susan-cotten-b74078a3

    Maria Perno Goldie email: mariardhms@gmail.com

    Maria Perno Goldie Facebook: https://m.facebook.com/profile.php?id=100045741334071


    Fast Facts: Perio Edition "Prevalence of Diseases of the Periodontium" Apr 05, 2021
    Show notes

    On this week's episode of Fast Facts - Perio Edition your host, Katrina Sanders, RDH talks to us about the Prevalence of Diseases of the Periodontium.

    Quotes:

    "Help me out, Dad. What is the percentage of individuals who have moderate to severe gingivitis? And that number is 27.6% of our patient population. That is according to my Midwest dad by the way."

    "And to clarify even more, the population of true individuals, of individuals who are adults, who do not have irreversible bone loss at this point, that percentage is 3.2%. So 3.2% of our patients are considered truly healthy patients."

    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

    Eke, P. I., Zhang, X., Lu, H., Wei, L., Thornton-Evans, G., Greenlund, K. J., … Croft, J. B. (2016). Predicting Periodontitis at State and Local Levels in the United States. Journal of Dental Research, 95(5), 515–522. https://doi.org/10.1177/0022034516629112

    Li, Y., Lee, S., Hujoel, P., Su, M., Zhang, W., Kim, J., ... & De Vizio, W. (2010). Prevalence and severity of gingivitis in American adults. American journal of dentistry, 23(1), 9.


    TIPisode "The Jacks" with Dr. Joy D. Void-Holmes, RDH Apr 02, 2021
    Show notes

    This week on A Tale of Two Hygienists TIPisode we are joined by Dr. Joy D. Void-Holmes, RDH, BSDH, MHSc, AADH to discuss "The Jacks". Dr. Joy D. Void-Holmes, RDH, BSDH, MHSc, AADH is the founder Dr. Joy, RDH and the creator of the Dental Hygiene Student Planner. Episode Highlights

    • Sickle Scalers
    • What are the Jacks
    • What do the Jacks do
    Quotes "If you are a practicing clinician, chances are you have a Jack in your life." "The Jacks I will be talking about today are sickle scalers." "A portion of the anatomical crown is below the gingival margin in a healthy mouth, typically 1-2mm, more in a patient with gingival inflammation." "The use sickle scalers should be avoided on root surfaces, to prevent unintended gouging." "Many clinicians use these beauties improperly causing damage they cannot see." Links Follow Dr. Joy on Instagram Follow Dr. Joy on Facebook Visit Dr. Joy's website More TIPisodes

    273 Occupational Hearing Loss: A Deafening Silent Topic In Dentistry With Dr. Sam Shamardi Mar 31, 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!

    One of Andrew's favorite people in both dentistry and life, Dr. Joy Void-Holmes, joins the podcast today as a co-host for a fascinating interview with Dr. Sam Shamardi. The founder of Dental Innovations LLC, a company aimed at providing novel solutions to unaddressed issues within dentistry, Dr. Shamardi also lectures nationally and internationally on topics within periodontics and hearing loss in dentistry. He is also an author, is recognized as a dental entrepreneur for his revolutionary EarAid product, and possesses an overwhelming desire to help others which shines through brilliantly during the conversation here today.

    Dr. Shamardi begins by sharing a glimpse into his life story, and then proceeds to offer a masterclass on the subject of noise induced hearing loss, particularly in the world of dentistry. Along the way, he touches upon what's contributing to it, the ADA's actions regarding it, addressing it through dental professional education, its impact upon systemic health. He also delves into the frequency and decibels to look for in equipment, the difference between passive and active hearing protection, and how his device compares with other products. Dubbed 'dentistry's deafening silence', noise induced hearing loss is something that people do not even realize is happening to them, and yet can have a catastrophic impact upon their lives. Listen in today as Dr. Sam Shamardi shines a spotlight on this little publicized, and completely preventable, threat to our overall health, providing you with everything you need to know to protect yourself from it.

    EPISODE HIGHLIGHTS:

    Interview starts: 9:13

    • Dr. Shamardi's life story
    • The lack of attention to noise induced hearing loss in dentistry
    • How to know when you are losing your hearing
    • What's contributing to hearing loss in dentistry
    • Why it has not been addressed
    • The ADA's response to it
    • Addressing hearing and hearing loss in schools
    • Testing dental instrument sound levels
    • PPE for hearing
    • Systemic health effects
    • What frequency levels and decibels to look for in equipment
    • The difference between passive and active hearing protection
    • How Dr. Shamardi's device compares with other products
    • Dr. Shamardi's The Financial Survival Guide for Dentists

    QUOTES:

    "It's not something that you notice. It's not something that you even know is happening to you."

    "As dental professionals we are literally in the eye of the storm."

    "Once you've reached the stage where you, yourself, actually notice that you feel like you're not hearing things as well anymore, by that point you've actually entered what's called 'Stage 3' of hearing loss."

    "The number you want to keep in mind is 85 decibels."

    "For us as dental professionals, it's the combination of, we already are in that environment where the equipment that we use is well above the limit of what causes hearing damage. And then, the second part is we are in that environment for a very long period of time."

    "They don't realize that…it's something that's completely preventable."

    "It should start with the schools, right?"

    "The actual noise is adding to our stress."

    "Noise is now playing a factor, not just in what it's doing to our ears, but it's also playing a direct factor in what is also contributing to our overall…health."

    "Moderate or severe noise induced hearing loss were also associated with increased cardiovascular death."

    "The chronic effects of being exposed to these noises carry with you even after retirement."

    "It's the 85 or above that we have to worry about."

    "That circuitry is actually able to instantaneously identify, isolate, and then lower the sound of anything that is in the decibel or frequency range which will actually cause the hearing damage."

    "The goal at the end of the day: try and help people out, educate everybody on things that are important and, you know, things that we should frankly know more about but don't."

    LINKS:

    A Tale of Two Hygienists homepage - https://ataleoftwohygienists.com/

    AToTH on Facebook - https://www.facebook.com/aTaleOfTwoHygienists/

    AToTH on Instagram - https://www.instagram.com/ataleoftwohygienists

    AToTH on LinkedIn - https://www.linkedin.com/company/atoth/?originalSubdomain=ca

    PDT homepage

    Forward Science EarAID

    Financial Survival Guide for Dentists


    Fast Facts: Perio Edition "Physiologic Observation of the Periodontium" Mar 29, 2021
    Show notes

    On this week's episode of Fast Facts - Perio Edition your host, Katrina Sanders, RDH talks to us about the physiologic observation of the periodontium.

    Quotes:

    "We know that the blood supply is extremely important because it delivers immuno components and nutritional components and helps to support the periodontium in health."

    "he nerves that supply the periodontium are primarily the trigeminal, the fifth cranial nerve, and we know that those nerves will also follow alongside the blood vessels that supply blood to our 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/


    Don't Let Dry Mouth Get Your Patients Down Mar 26, 2021
    Show notes Please Rate this Podcast! This week on A Tale of Two Hygienists TIPisode we are joined by Connie Simmons, RDH to talk about dry mouth, and solutions for your patients! Episode Highlights
    • Remineralization
    • Locate the cause of dry mouth
    • FluoriMax5000
    • Allday Dry Mouth Spray
    Quotes "Do the products really fix dry mouth, or just alleviate some of the symptoms?" "Loosing any amount of saliva can have a great impact of oral health." "Sometimes you can hear it when a patient has dry mouth." "Think of calcium and phosphate as the building blocks of your teeth and think of the fluoride as the mortar that holds them together." "Allday Dry Mouth Spray is 44% Xylitol." Links Info@elevateoralcare.com Elevate Oral Care Website: http://www.elevateoralcare.com Elevate Oral Care Facebook: https://www.facebook.com/elevateoralcare Elevate Oral Care Instagram: https://www.instagram.com/elevate_oral_care/ More TIPisodes: https://www.ataleoftwohygienists.com/tipisodes/ AToTH Website: https://www.ataleoftwohygienists.com

    272 Inter-Professional Collaboration with Casey Hein, RDH Mar 24, 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!

    This week, Casey Hein brings the vast amount of knowledge and wisdom she has amassed through her 50 years in dentistry to the podcast. Casey's many roles include dental hygienist, consultant, writer, speaker, founder of the first publication on Oral-Systemic Medicine, and pioneer of Periodontal-Systemic Science in patient care, medical-dental collaboration, and point-of-care medical testing. She has also served as an Assistant Clinical Professor in the Department of Periodontics, and Director of Education of the International Centre for Oral-Systemic Health, at the University of Manitoba in Canada. Truly an expert in her field, Casey shares her experience and her passion with listeners here today.

    She begins by reviewing her remarkable journey in the dental profession, and then provides an in-depth analysis of the need for, and steps to follow, in implementing a medical-dental integration, and an 'entry to wellness at point of care' model. As part of this discussion, she delves into such topics as mind lines, transdisciplinary care, the 'rising risk populations', and the need to establish proof of concept. Casey finishes up by sharing some upcoming initiatives and events with which she will be involved to help move us all closer to these models. Casey has a vision of where dentistry needs to head in the future, and is more than prepared to collaborate with all shareholders to help shape and ultimately achieve that vision. Listen in today to be inspired by her passion and respond to her call to action.

    EPISODE HIGHLIGHTS:

    Interview starts: 8:26

    - Casey's journey in the dental profession

    - The varying levels of understanding among physicians, nurses, and dental professionals regarding oral-systemic interrelationships

    - Medical-dental integration and attitudes toward it

    - The Non-physician Primary Care Model and how to get there

    - Mind lines

    - The challenge of implementing the evidence of oral-systemic interrelationships

    - The perfect model for medical-dental integration

    - Transdisciplinary care

    - The 'entry to wellness at the point of care' model and Casey's plans for educating others in its implementation

    - Screening people for risk factors of various conditions

    - The 'rising risk populations'

    - Casey's 'proof of concept' protocols and getting insurance companies and practices on board

    - Casey's 'Mini Messages'

    - Some of Casey's upcoming initiatives/events

    QUOTES:

    "I've been around for about 100 years."

    "Basically, what we've seen…is that physicians and nurses have really stepped up now to do a lot of things in the oral cavity. They get it."

    "Plaque doesn't tell the whole story."

    "It is the first time that we have guidelines that incorporate factors outside the oral cavity."

    "It's about erasing and relearning a lot of what we learned."

    "The way we are doing it now in dentistry, it is completely obsolete."

    "It is monumental to try to change the way people are educated."

    "There is this junction between medicine and dentistry, and, the truth of the matter is, we will share responsibility and accountability for patient outcomes."

    "It's about entering healthcare wherever that patient could be, and we need to be part of that."

    "We're not diagnosing, we're screening."

    "We just need to get comfortable and not be afraid to talk to medical providers. Jump in!"

    "Please, we want to collaborate with you."

    "The early adopters are…the practices that stand the most to gain."

    "This is truly holistic health."

    "Everybody's talking about it, but nobody's doing it!"

    "What an easy proof of concept – just start coding it what it is."

    "We are such an integral part of healthcare, and…we've got to take these little baby steps and just get started. Just do something."

    LINKS:

    A Tale of Two Hygienists homepage - https://ataleoftwohygienists.com/

    AToTH on Facebook - https://www.facebook.com/aTaleOfTwoHygienists/

    AToTH on Instagram - https://www.instagram.com/ataleoftwohygienists

    AToTH on LinkedIn - https://www.linkedin.com/company/atoth/?originalSubdomain=ca

    PDT homepage

    Casey's homepage

    Casey's Mini-Messages

    Great Expectations: Our Future as Essential Members of the Primary Healthcare Team

    Survey re: medical testing in dentistry

    Casey's talk at Dr. Cooper's international conference on the integration of primary care into dental practice - November 3rd and 4th, 2021.


    Fast Facts: Perio Edition "Alveolar Bone Crest" Mar 22, 2021
    Show notes

    On this week's episode of Fast Facts - Perio Edition your host, Katrina Sanders, RDH talks to us about the Alveolar Bone Crust!

    Quotes:

    "For most of us we're utilizing dental radiographs to evaluate our approximate what that bone level looks like. So know that when we're looking at the shape of that bony crust, we're looking at several influential factors, things like what is the width of the interdental space? Do we have a close contact? Do we have a diastema or do we have a completely open contact?"

    "Now, from a composition standpoint, the alveolar process itself really is a dense collagenous fiber and it's important for us to understand that. These collagen fibers provide that ground substance or that ground matrix and then we have inorganic salts of bone, primarily calcium and phosphate, that permit the remineralization or mineralization itself of the bone within the bone itself."

    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/


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