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Discover how compassion, communication, and individualized care can completely transform patient outcomes, straight from one of the most respected voices in dental hygiene, Michelle Strange. Michelle Strange was recently featured in Inside Dental Hygiene, where she shared powerful insights on the importance of truly understanding patients beyond just their clinical needs. Her perspective emphasizes kindness, individualized care, and moving away from provider-centered thinking toward a more patient-focused approach. One of the strongest messages from Michelle highlights the importance of seeing each patient as an individual. She reminds us that every patient brings different challenges to the chair, whether it is fear, financial concerns, time limitations, or uncertainty about treatment. Tailoring both care and communication to these realities creates stronger trust and better long-term results. Michelle also shared that adopting a patient-centered approach has significantly elevated her clinical outcomes, especially for patients who maintain good home care but still struggle with bleeding or periodontal issues. By focusing on individualized solutions rather than one-size-fits-all recommendations, she has seen measurable improvements in patient health and compliance. Throughout the feature, Michelle reinforces the need to move away from ego-centered or provider-centered dentistry and toward a model built on empathy, education, and partnership with patients. Her insights serve as a strong reminder that technical skill alone is not enough, true impact comes from understanding the person behind the patient. To see some of her highlighted quotes and observations, then read the full piece at the link . We’re grateful to the Inside Dental Hygiene team for the opportunity and proud to see Michelle’s dedication amplified .

https://www.groupdentistrynow.com/dso-group-blog/dental-infection-control/

Burnout is a prevalent issue in the dental industry, particularly among dental hygienists. The constant demands of clinical practice, coupled with the emotional and physical toll, can lead to a loss of passion and a sense of disillusionment. However, it's crucial to recognize that this challenge is not unique to dental hygienists and that there are strategies to overcome it. Understanding Dental Hygiene Burnout Dental hygiene is a demanding profession that requires a high level of attention to detail, physical dexterity, and emotional resilience. The repetitive nature of the work, the pressure to maintain productivity, and the constant exposure to patient needs can all contribute to burnout. Symptoms of burnout may include: Emotional exhaustion Depersonalization Reduced sense of personal accomplishment These factors can lead to a decline in job satisfaction, decreased patient care quality, and even a desire to leave the profession altogether. Exploring Alternative Paths While transitioning from clinical practice to alternative careers can be tempting, it's essential to approach this decision with caution. The stark contrast between the clinical setting and roles such as sales or consulting can present unexpected challenges. What may seem like a negative experience for one individual may not necessarily reflect the reality for everyone. It's crucial to recognize that each individual's journey is unique. Not everyone will excel in roles like consulting, sales, education, writing, or public speaking. Before contemplating an exit from clinical practice, it's vital to engage in self-reflection and identify one's strengths, passions, and lifestyle preferences. Rediscovering Passion within Dentistry Beyond the operatory, there are numerous opportunities for dental hygienists to find fulfillment and reinvigorate their passion. This may involve: Exploring specialized areas of dentistry, such as geriatric, pediatric, or cosmetic dentistry Pursuing advanced education or certifications to expand their skill set Engaging in research, teaching, or mentoring roles Advocating for the profession through professional organizations or community outreach Incorporating wellness practices and self-care strategies to maintain a healthy work-life balance By investing in self-reflection and professional growth, dental hygienists can pave the way toward a rewarding and fulfilling journey in dentistry. Burnout in dental hygiene is a complex issue, but it is not an insurmountable challenge. By recognizing the unique nature of each individual's journey, exploring alternative paths with discernment, and rediscovering passion within the dental field, dental hygienists can overcome burnout and find a renewed sense of purpose and fulfillment in their careers. Check out my friends who discuss burnout in the industry https://www.linkedin.com/posts/kari-carter-cherelus-rdh-da-65094b49_burnout-account-kari-carter-cherelus-dental-activity-7189293726429536257-CDQ0/

A Thesis Submitted in Partial Fulfillment of the Requirements for the Degree of Master of Science in Dental Hygiene Education Bridgeport, Connecticut 2012. Abstract The goal of this study was to investigate the quality of oral care in hospitalized patients leading to the promotion of oral healthcare in the Charleston area. Oral care is a necessary procedure to maintain the patient’s oral health and to prevent infections. The importance for all professionals working within the two health professions to understand and to practice the discoveries from evidence-based research is crucial to improved patient care. By healthcare professionals controlling oral bacteria, the patient may exhibit fewer nosocomial infections, which can develop from aggressive types of bacteria that can be found in the mouth. It is the intention of this study to examine the oral care techniques performed by healthcare professionals and to what extent oral health education is being taught in nursing education programs, based on the standard of care stated by the American Association of Critical-Care Nurses (AACN). This study also may identify the need for positions for dental hygienists who are interested in branching out of private clinical practice and entering hospitals, nursing homes and assisted living facilities. Specifically, this research study examined: 1) the proportion of healthcare professionals at one local hospital’s ICU that are performing oral care practices that meet the standards of care recommended by the AACN, 2) if the documentation of one local hospital’s ICU policy and procedure manual meets the recommendations from the AACN and 3) if the three local nursing programs education criteria, specifically the syllabus and textbooks, follow the recommendations from the AACN. The University of Bridgeport’s Institutional Review Board granted permission for this research topic “Adequacy of oral care performed on critically-ill patients in the ICU’s.” This study used survey to obtain information on current oral healthcare practices and on attitudes regarding oral care from registered nurses and any healthcare professional at that care for critically-ill hospitalized patients in the ICU. The results were reported as descriptive statistics. Policy and procedures manuals for MUSC’s ICU’s with stated oral care protocol were obtained and compared to the standard of care stated by the AACN. Curricula, specifically syllabi and textbooks, incorporating oral care for critically ill patients and taught in nursing education programs were reviewed. Survey results found that health professionals at in the 6 ICU’s that were surveyed are mostly following the recommendations from the AACN. However, non-responder bias and the survey’s low return rate of 26% does not give a complete understanding of the adequacy of oral care procedures being performed on critically-ill patients. Other findings from the survey found that nurses do not feel a need to have a dental hygienist within their units. However, they also do not feel comfortable identifying abnormalities in the mouth and find the oral cavity at times difficult and unpleasant to clean. It is possible, due to fear of job security and a misunderstanding of the purpose for incorporating a dental hygienist into the ICU, participants answered with a negative opinion of bringing another health professional such as a dental hygienist into the hospital. The policy and procedure manual that was examined did follow the recommendations from the AACN very closely. It would be recommended, though, to further investigate when the oral care procedures within the policy and procedure manual are taught. If it is during the new hire’s orientation, then having a dental hygienist present to explain the connection of oral health to overall health in a critically-ill patient may be advantageous. Nursing education program’s syllabi were lacking regarding oral care procedures for critically-ill patients. Textbooks used to teach oral care procedures have minimal recommendations for critically-ill patients. Though, it is more difficult to have the most current evidence-based research in textbooks, the syllabus within programs could be updated more frequently. Also, because the syllabus and textbooks for each program were looked at and not the lectures or teachings during clinical rotations, further research to investigate if oral care is taught during these times would be beneficial. Though, educators were happy to help with providing the textbooks and syllabus for their programs for this research project, verbal discussions did not provide positive attitudes regarding incorporating a dental hygienist to help teach oral care procedures. Integrating interdisciplinary collaboration within the hospital setting and educational settings may prove to be more difficult and will need to have more research to show its benefits for the standard of care provided to critically-ill patients.

Hygienists like me share a common goal: striving for excellence in our clinical work. We are dedicated to providing top-notch patient care, always seeking ways to enhance our skills and ensure results. However, what happens when our relentless pursuit of perfection causes us to overlook the needs and desires of those we care for? Reflecting on my journey over the ten years, I've realized how my focus on clinical perfection sometimes overshadowed the importance of patient-centered care. In the past, I would lose sleep over imperfections, such as a stain left on a patient's teeth. It wasn't until I embraced motivational interviewing (MI) principles that my approach to patient care shifted. Motivational interviewing goes beyond being a term; it is a valuable tool that empowers healthcare providers and patients. By transitioning from being authoritative to adopting a coaching style, I now customize my oral hygiene instructions based on each individual's needs. No longer do I resort to pressuring patients into flossing compliance through shame tactics. Instead, I engage them in conversations about their health routines and preferences. In my experience, I've found that focusing on educating and empowering patients has become a priority over striving for clinical perfection. Of obsessing over removing every stain, I now dedicate that time to teaching patients the right brushing techniques and suggesting customized oral hygiene products. Ultimately, our aim is not just to cure diseases but to prevent them altogether. I encourage my hygienists to explore the principles of motivational interviewing and integrate them into their work. By involving patients in conversations and respecting their choices, we can instill enthusiasm for health and encourage lasting changes in behavior. It all begins with a question; "Would you like some tips for home care?" We can establish trust and cooperation by recognizing and honoring the patient's readiness to receive advice. Let's together embrace an approach to care—one that places the patient at the heart of the journey towards excellent oral health. Check out some of my educational videos and my favorite products for improved oral health More videos on my website The Roaming Dental Hygienist

For nearly a year now, my social feeds have been inundated with ads for the purple HiSmile V34 Color Corrector, praising its miraculous teeth-whitening powers. But hold onto your hats, folks, because I’m about to reveal why this magic formula isn't all it's cracked up to be. Some months ago, I purchased the product and tested it after having a few glasses of red wine (anything for the cause!) to see first-hand if it lives up to the hype. Join me as I spill the tea on the V34 color corrector — this time, sober — and serve up some better alternatives straight from my Amazon store. What Is The HiSmile V34 Color Corrector Serum? HiSmile V34 is marketed as an instant, non-invasive teeth whitener that you can apply daily after your toothpaste. Described as the equivalent of a concealer for your teeth, this little tube of magic claims to work wonders by brightening your smile in just 30 seconds. Its secret? Color-correcting technology that aims to balance the warm and cool tones of your teeth, temporarily masking stains and enhancing their whiteness. It's also safe for use on dental work and peroxide-free, making it suitable for people with tooth sensitivities. The idea is to dab the serum onto your teeth — keeping in mind that only natural teeth can be color-corrected — focusing on areas that need some extra TLC. With purple neutralizing those pesky yellow tones, the HiSmile color corrector serum promises to be your go-to solution for a quick smile boost. So far, so good, right? However, with my many years of experience as a dental hygienist, I’ve learned to be skeptical about teeth whitening products that go out of their way to build up expectations. And most times, I’m right. Why The HiSmile V34 Color Corrector Is A Waste Of Time Let's get real here. HiSmile might have dazzled us with promises of instant teeth whitening, but is the V34 color corrector as effective as they claim? Having tested the product, here’s what I think: The instructions are unclear. The serum’s application process felt like a guessing game. The instructions on the box say to apply with a soft-bristle toothbrush for 30 seconds — per area, per tooth, who knows? However, I later discovered on the product page of my order info that it recommends a full 2-minute application with a cotton swab instead. It begs the question: If they've put so much effort into crafting a supposedly top-notch product, why wouldn't they prioritize clear and concise instructions for use? Didn’t do much for my (and countless other people’s) teeth. Like myself, thousands of other people who bought and used the HiSmile V34 Color Corrector agree that it’s a misleadingly advertised product that doesn’t live up to the hype. Despite HiSmile’s bold claims, the V34 color corrector falls short in the teeth-whitening department, with some users claiming it’s a full-on scam. After putting it to the test myself, I found it about as effective as brushing with water. The price point is too high. Three words keep repeating throughout the product’s highly mixed reviews: waste of money. With a nearly $30 price tag for a mere 30ml of serum, the HiSmile V34 Color Corrector doesn’t come cheap. Ask yourself: Would you pay that sum in the current financial landscape for something with dubious results? Trust me, there are far better ways to spend your hard-earned cash. Creates quite the mess. While your teeth might not see much of a difference, your sink definitely will! Just imagine cleaning that purple mess twice a day, every day — no, thank you! On top of that, the serum makes the gum line look kind of tinted and also dyes the tongue purple, which means more scrubbing! Not so much of a ‘quick smile boost’ with all the cleanup that follows. Can trigger tooth sensitivities. While I personally didn’t feel any discomfort when using the HiSmile V34 Color Corrector, people with sensitive teeth have reported pain similar to when eating something really cold. This is probably due to the peppermint oil listed in the ingredients. Other users describe a post-application sensation of eating sand for the rest of the day — yikes! Lots of fakes online. The flood of knockoff versions out there is another major red flag, especially since those fakes could be packed with who-knows-what harmful stuff. Moreover, customers are ringing the bell about changes to the original product itself. Whether it's a new formula or a fresh look, some folks say that the V34 Color Corrector doesn't quite match up to what they snagged straight from the HiSmile website before, making them question what they’re actually buying. Better Alternatives to HiSmile V34 Color Corrector. Now that we've brushed aside the hype surrounding the HiSmile V34 Color Corrector let's dive into some alternatives I swear by that actually deliver on their promises: Tepe Compact Tuft Toothbrush Saying goodbye to lackluster results and hello to a brighter smile starts with a good tuft toothbrush. This little wonder is my go-to for buffing away stains and preventing further yellowing. Both the TEPE and Curaprox tuft brushes are great options for teeth whitening. I recommend a slow scrubbing process (literally one tooth at a time) once weekly for effective stain removal. $7.60 on my Amazon store Crest Whitening Emulsions I find the Crest Whitening Emulsions particularly appealing due to the gel consistency, which ensures it remains precisely where I apply it. Unlike some tray-based gels prone to unwanted migration with saliva, this formulation stays put, sparing me the annoyance. Its gentleness also means I get no sensitivity issues, making for a truly comfortable whitening experience. $33 on my Amazon store GLO Science Teeth Whitening Device Kit This patented mouthpiece combines LED lights and heat for faster, more effective whitening — potentially brightening your smile by up to 10 shades in just 5 days. Heating the 6% hydrogen peroxide gel formula to an optimal temperature accelerates the whitening process, surpassing the efficiency of traditional LED treatments and whitening strips. Plus, it's gentle on teeth and gums, ensuring no irritation or sensitivity. $159 on my Amazon store Opalescence Go Teeth Whitening Trays If trays are your thing, Opalescence Go offers hassle-free teeth whitening backed by over 30 years of expertise, 50+ Teeth Whitening Awards, rigorous quality control, and a track record of brightening 100 million smiles. This simplified teeth whitening process uses trays prefilled with a gel formula and contains the strips inside. However, due to its 15% Hydrogen Peroxide content, it may not be the best option for people with tooth sensitivities. $83.98 on my Amazon store So, there you have it, folks. The HiSmile V34 Color Corrector might have caught your eye, but it's just not worth the hype. Instead, if you are searching for a gleaming smile, turn to tried-and-true alternatives like the ones I've shared here today. Your teeth will thank you, and so will your wallet. Remember, it pays to be informed when it comes to oral care. Head over to my Amazon store for a handpicked selection of oral health products that I personally use and recommend to all my patients. Here’s to a brighter future for your smile!

As dental professionals, we are always seeking effective ways to support our patients' oral health and address common issues they face. One ingredient that has shown promising therapeutic benefits is arginine - an amino acid with unique properties that can positively impact various aspects of oral health. Arginine Supplementation for Dry Mouth and High Decay Rates For patients suffering from xerostomia (dry mouth), arginine-containing products can be particularly beneficial. Research has suggested the following dosages of arginine supplements: - For dry mouth relief: 3-4 grams of arginine per day, either in the form of a rinse, spray, or lozenge[3] - For patients at high risk of dental caries: 6-9 grams of arginine per day, often in combination with fluoride[1] The rationale behind these dosages is that arginine can help neutralize the acidic oral environment, promote enamel remineralization, and inhibit the growth of cariogenic bacteria - all of which are crucial for patients with reduced salivary flow and high susceptibility to cavities. Potential Risks of Arginine Supplements While arginine is generally well-tolerated, there are some potential risks to consider when recommending arginine supplements for oral health: 1. Gastrointestinal side effects: Arginine supplements, especially in high doses (>9 grams per day), may cause side effects such as nausea, diarrhea, bloating, and abdominal pain[2][4]. 2. Interactions with medications: Arginine may interact with certain medications, including blood pressure-lowering drugs and sildenafil (Viagra) [4]. Patients on these medications should consult their dentist and physician before starting arginine supplements. 3. Caution in certain medical conditions: Individuals with asthma, cirrhosis, kidney disease, or guanidinoacetate methyltransferase deficiency should avoid or use arginine supplements with caution due to the potential for adverse effects[2]. Check out my videos to help those who may not have access to oral health information. You can also find my favorite products, including candy with arginine! Clinical Evidence for Arginine's Effectiveness Several studies have demonstrated the benefits of arginine for oral health: 1. Plaque Metabolism Studies: Arginine has been shown to neutralize acid and promote a more favorable oral pH, which can inhibit the growth of cariogenic bacteria and reduce plaque formation[1]. 2. Microbiome Studies: Arginine supplementation can help maintain a healthy oral microbiome by supporting the growth of beneficial, alkali-producing bacteria while inhibiting the proliferation of acidogenic, cariogenic species[1]. 3. In Situ Intraoral Studies: Clinical trials have found that arginine-containing products, when used in combination with fluoride, can provide additive or synergistic effects in reducing enamel demineralization and promoting remineralization[1]. 4. Caries Assessments: Long-term clinical studies have demonstrated that the use of arginine-based products, either alone or in combination with fluoride, can significantly reduce the incidence of dental caries compared to the use of fluoride alone[1]. By understanding the mechanisms of action and the clinical evidence supporting the use of arginine for oral health conditions, we can leverage this versatile amino acid to better serve our patients, particularly those with dry mouth and high risk of dental caries. Citations: [1] Clinical Perspective: Arginine as an Anticaries Agent [2] L-arginine: Benefits, Dosage, Side Effects, and More [3] Dry mouth issues: Getting to the root of the problem [4] The benefits and side effects of L-arginine [5] Arginine (L-Arginine)

As a dental hygienist, I have always been passionate about providing my patients with the best care. However, over the years, I've realized that the traditional methods of dental hygiene, while effective, were not always the most comfortable or comprehensive solution for my patients. That's why I decided to transition my practice to the Guided Biofilm Therapy (GBT) protocol, with the AIRFLOW Prophylaxis Master as the centerpiece of my approach. Prioritizing Patient Comfort and Experience One of the main reasons I continue to use the AIRFLOW system is the overwhelmingly positive feedback I receive from my patients. Traditional scaling and polishing techniques can be quite uncomfortable-- for many, not all, but many, often leading to increased dental anxiety and a reluctance to seek regular preventive care or periodontal treatment. On the other hand, the AIRFLOW Prophylaxis Master uses a gentle, powder-based cleaning process that is virtually painless for the patient. The system removes dental biofilm without the need for aggressive scraping or abrasion, ensuring a comfortable and relaxing experience for my patients. Moreover, I've noticed a significant reduction in post-treatment sensitivity and discomfort, which has been a game-changer regarding patient satisfaction and willingness to return for regular cleanings. Biofilm Removal for Long-Term Oral Health While patient comfort is a crucial factor, the true power of the AIRFLOW Prophylaxis Master lies in its ability to effectively and comprehensively remove dental biofilm, the primary culprit behind many oral health issues. Traditional scaling and polishing methods often leave residual biofilm, especially in hard-to-reach areas like furcations, lingual tooth surfaces, and sulcus. This can lead to the continued buildup of biofilm and the development of more serious conditions, such as periodontal disease. The AIRFLOW system, however, is designed to reach and clean even the most inaccessible areas of the dentition, ensuring that no biofilm is left behind. This comprehensive approach to biofilm removal is a key tenet of the GBT protocol, and it has allowed me to take a more proactive and preventive approach to my patient's oral health. Improved Aesthetics and Stain Reduction Another unexpected benefit of the AIRFLOW Prophylaxis Master has been the noticeable improvement in my patients' tooth appearance and stain reduction between appointments. The AIRFLOW system's gentle, powder-based cleaning process does not create the same surface roughness that can occur with traditional scaling and polishing. This means that the tooth enamel remains smooth and polished, making it more resistant to accumulating extrinsic stains. My patients have consistently reported a brighter, more vibrant smile after their AIRFLOW treatments, and I've noticed a significant reduction in the amount of staining between appointments. This enhances the aesthetic appeal of their smiles and contributes to their overall confidence and well-being. Empowering Patients for Improved Oral Health In addition to the clinical benefits of the AIRFLOW Prophylaxis Master, the GBT protocol also places a strong emphasis on patient education and engagement. By using a disclosing agent to demonstrate the presence of dental biofilm visually, I am able to help my patients understand the importance of this invisible enemy and the critical role they play in its ongoing management. This heightened awareness and understanding can be a powerful motivator for patients to take a more active role in their oral hygiene routines, leading to improved long-term outcomes and a reduced need for invasive dental treatments. Embracing the Future of Dental Hygiene As I reflect on my decision to transition to the GBT protocol and the AIRFLOW Prophylaxis Master, I am confident that I have made the right choice for both my practice and my patients. By prioritizing patient comfort, comprehensive biofilm removal, and long-term oral health, I am not only elevating the standard of care but also empowering my patients to take a more active role in their own dental well-being. The future of dental hygiene is bright, and I am proud to be at the forefront of this exciting and transformative era. By embracing the power of the AIRFLOW Prophylaxis Master and the GBT protocol, I am confident that I can continue to provide my patients with the highest quality of care and the best possible outcomes for their oral health.

Since embarking on my roaming journey, I've encountered the perplexing challenges and bureaucratic maze surrounding state licensure. The lack of dental hygienist license portability has become a cumbersome hurdle, especially for those of us with a nomadic spirit. One baffling question lingers — why is getting a new state license so hard when we, as dental professionals, stand ready to offer a solution to the glaring issue of limited dental healthcare in numerous communities across the United States? As a nomad and humanitarian at heart, it feels like my desire to share my oral health knowledge and skills with people everywhere clashes with the system's attempt to pin me down. Instead of facilitating the free flow of expertise, the current barriers hinder our potential impact on improving oral health outcomes and addressing the pressing dental care needs of various communities. Let’s take a closer look at how things stand now and how they could be improved to make getting a dental hygienist license in a new state easier and, potentially, cheaper. Scope of Practice: Defining Dental Borders The scope of practice defines our ability to deliver clinical care in various settings under varying levels of supervision. Scopes of practice for dental professionals have continuously evolved over the years, adapting to emerging technological advancements, scientific insights regarding disease treatment, and ever-changing societal demands. However, the challenge lies in the fact that dentistry in the U.S. isn’t overseen on a national level but on a state one. This means each state has its own set of laws and regulations governing what a dental hygienist can or cannot do. Despite the dynamic progression in our field, this branching of regulations among states is a substantial barrier to the seamless portability of dental hygienist licenses. While our profession strives to stay at the forefront of innovation and adaptability, the persisting incompatibility in regulatory frameworks makes it hard for dental hygienists to share their expertise across state borders, ultimately impeding the desired fluidity in our profession. State Do’s and Don’ts: Navigating Diverse Regulations Dental hygiene scopes of practice vary widely among states and get updated every so often. In certain states, they’ve expanded to include nitrous oxide administration, application of silver diamine fluoride, neuromodulator injections, lasers, as well as dental hygiene diagnosis and treatment planning. Sadly, something like my anesthesia certificate doesn’t transfer easily, even though it is a very necessary part of patient care as a dental hygienist. Some states allow hygienists to administer local anesthesia, work independently, and even own practices, while others have more restrictive regulations. It's essential to be aware of these variations and check each state's dental board website for specific details. Level of Supervision: Deciphering the Oversight Understanding each state’s supervision levels is crucial when getting a new dental hygienist license. General supervision involves following a licensed dentist's instructions without their physical presence.  Personal supervision means the dentist must authorize, be present, and check prior to patient dismissal. Direct supervision requires the dentist to be on-site during specific treatments, while indirect supervision involves the dentist approving the procedure beforehand and being on the premises during the treatment. In collaborative practice, an RDH may practice without supervision, following a collaborative agreement between the RDH and a licensed dentist. Lastly, direct access means the hygienist can provide services as they deem appropriate without specific authorization. To be very honest, until moving around the country, I did not realize there were so many levels of supervision. Continuing Education Requirements Meeting continuing education (CE) requirements is essential for the renewal of your dental hygienist license in any state. These may include live, hands-on, and self-study credits from clinical hours, board exams, or certifications. Some states have specific topic requirements, such as OSHA/infection control, HIPAA, medical emergencies, human trafficking, pain management/opioids, or cultural competency. Others mandate board-approved courses, including beyond-CE training like CPR/BLS, with variations in acceptance. Failing to meet these requirements poses several risks, from board reprimands, audits, and potential fines to probation or even loss of license, impacting future job prospects and licensure applications in new states. Review of My Dental Hygienist Licenses Each state has its own set of requirements, and some certainly make the process of applying for a dental hygienist license trickier than others. Reflecting on my journey, obtaining a license in Colorado was surprisingly straightforward, while Montana and Arizona are a bit more complicated. Here’s a quick overview of the dental hygienist requirements you need to meet in these 3 states: The New Interstate Compact’s Promise As my fellow roaming oral health warriors will agree, we desperately need a solution to the hassles of obtaining a new dental hygienist license every time we relocate to a different state. In order to simplify multistate practice, the Council of State Governments, in collaboration with the Department of Defense, the American Dental Association, and the American Dental Hygienists’ Association, is developing the Dentist and Dental Hygienist Compact. This interstate compact, currently in drafting stages, aims to create reciprocity among participating states, reducing barriers to license portability and making it easier for dental professionals to practice across state lines. This would especially benefit those in military families or working in several states. Could Dental Therapists Be the Solution in the Meantime? Another topic that’s been getting attention lately is dental therapists. This mid-level position grants extended responsibilities, including restorative treatments, while operating under dentist oversight. Although each state establishes its own limitations and requirements, dental therapists are a great way of addressing health/community disparities, particularly in areas with chronic dentist shortages. In fact, the concept originated in Alaska and American Native communities for that exact reason. Dental therapy has only 4 programs in the US (at the time of this writing)— 1 in Alaska and 3 in Minnesota — verified during state license applications. Recently, Maine and Oregon passed dental therapist bills, joining Alaska, Arizona, Colorado, Connecticut, Idaho, Michigan, Minnesota, New Mexico, Nevada, Vermont, and Washington with authorized dental therapist practices. The Model Dental Therapist Rule and Best Practices Guide, published in January 2022 by the National Partnership for Dental Therapy, serves as a tool for state boards and governments to guide dental therapy approvals. Final Thoughts The call for dental hygienist license portability isn't just about personal convenience; it's a plea to collectively enhance dental healthcare accessibility and make a meaningful difference in the lives of those who need it most. With states making small but significant strides to facilitate multistate practice and enhance dental hygienists' scope of practice, there's hope for improved oral health outcomes. Recognizing hygienists as crucial components of healthcare will not only increase access to care but also elevate the value of the RDH credential. As we navigate the evolving landscape, let's continue working hard and looking toward the future of the dental hygiene profession. Before you leave, join me on Instagram and TikTok to follow my licensing journey across states. Oh, and don't forget to explore my Amazon store for my favorite dental products. Here's to breaking down barriers and shaping the future of dental hygiene!

Guided Biofilm Therapy (GBT) has emerged as a game-changer in dental implant maintenance, and AirFlow technology stands at its forefront. As a dental hygienist, I advocate for the highest standard of care for dental implants, which are significant medical devices. GBT, with its 8-step protocol, combined with AirFlow and PerioFlow technologies, offers an unparalleled approach to sustaining implant health. Understanding GBT: The 8-Step Protocol GBT is structured into eight meticulous steps, each playing a vital role in implant care. It starts with assessment and diagnosis, followed by disclosing and motivating patients about oral hygiene. The subsequent steps involve meticulous cleaning using advanced technologies like AirFlow, followed by systematic assessment and maintenance. This protocol ensures comprehensive care, from patient education to clinical intervention. AirFlow Technology: A Cornerstone of GBT AirFlow technology is pivotal in GBT, particularly in the removal of soft deposits and biofilm. It uses a gentle yet effective stream of air, water, and fine powder to meticulously clean the teeth and implants. This technology is especially beneficial for dental implants because it cleans effectively without causing any damage to the implant surface or surrounding tissues. The Role of Erythritol in AirFlow Erythritol, used in AirFlow, is a key factor in its effectiveness. It's a non-toxic, sweet-tasting compound that acts as a gentle abrasive, ensuring thorough biofilm removal without harming the implant's integrity. This makes it an ideal choice for maintaining the delicate balance between cleanliness and preservation of the implant structure. When soft deposits are present, the combination of AirFlow technology and erythritol powder becomes crucial. This duo gently yet effectively removes deposits with minimal damage to the implant and surrounding tissue, ensuring the health of the gums and longevity of the implant. It is important to regularly clean and maintain the implant structure to prevent any complications or issues in the future. PerioFlow Technology: Enhancing Deep Cleaning Complementing AirFlow is PerioFlow technology, designed for deep cleaning around dental implants. It reaches areas that are typically challenging to clean, ensuring thorough removal of biofilm and prevention of peri-implant diseases. This instrument is my go-to for All-on-X dental implant prosthetics. Prior to having PerioFlow, I felt like I was just hoping for the best when I was managing these prosthetic devices. I was concerned I was damaging the prosthetic, the implants, and hurting the patient before I had PerioFlow. Biofilm Management: The Key to Implant Health Managing biofilm is crucial for the longevity of dental implants. Biofilm, a complex structure of bacteria, can lead to infections and implant failure if not properly controlled. Regular and effective biofilm management through GBT and AirFlow technology is essential to prevent these complications and ensure the health and longevity of dental implants. GBT and Patient Motivation: A Synergistic Approach A unique aspect of GBT is its emphasis on patient education and motivation. In step 3, we focus on teaching patients proper home care techniques for managing bacteria and biofilm. This proactive approach empowers patients to take an active role in maintaining their implant health, reducing the risk of peri-implant diseases. I often say that I can be the best hygienist, but what I do while the patient is in my dental chair will only go so far! I have to help the patient want to do the work at home and find the products that are going to help them do this easily! Ultimately, it is the patient's responsibility to take care of their oral hygiene. Piezon Technology: Addressing Hard Deposits For hard deposits like calculus, GBT employs Piezon technology with a PI Max instrument tip, specifically designed for dental implants. This technology ensures that even the most stubborn deposits are removed safely and effectively, without damaging the implant surface. My last thoughts GBT, with its comprehensive and systematic approach, is essential for maintaining dental implants. As dental professionals, it is our responsibility to be equipped with the right technology, such as AirFlow and Piezon, to provide the best possible care for these critical medical devices. Embracing GBT and its advanced technologies is not just about maintaining dental implants; it's about ensuring the overall oral health and well-being of our patients. I love practicing GBT and writing about it. You can check out past blogs I have written on this topic here: What is Guided Biofilm Teeth Therapy and why do you need it?

The American Dental Association (ADA) has recently introduced a new standard, ANSI/ADA Standard No. 1099, to guide dentists in producing high-quality digital radiographs. This initiative comes at a crucial time, as about 90% of U.S. dental practices now use digital radiography. The standard provides a step-by-step process that encompasses the entire digital imaging system, ensuring an optimal balance between image quality and patient radiation dose. The Shift to Digital Radiography: Necessity of a New Standard The transition from traditional X-ray film to digital radiography in dentistry has been rapid and significant. Unlike X-ray film, digital imaging technology lacked formal training and standardized procedures for quality assurance. This gap led to a reliance on vendor-supplied information and a trial-and-error approach to digital radiography, often without scientific validation. ANSI/ADA Standard No. 1099: Enhancing Quality in Digital Imaging The ADA's new standard, ANSI/ADA Standard No. 1099, addresses the need for high-quality digital imaging in dentistry. This standard is universally applicable across various digital imaging systems, ensuring a uniform approach to capturing and displaying images. It focuses on scientifically validated processes, prioritizing the quality of the image while carefully balancing the radiation dose. This approach ensures that the radiation used is just enough to obtain the necessary diagnostic information without subjecting the patient to excess exposure. Debunking Myths in Digital Radiography: The Limitations of Post-Processing This standard challenges the common misconception that post-processing techniques can correct poorly captured digital radiographs. It underscores a crucial point: once data is lost or compromised at the image capture stage, no subsequent image processing can recover it. This emphasizes the importance of getting the image right from the start. Correct image acquisition is not just a technical requirement but a critical component in ensuring diagnostic accuracy and patient safety. Interoperability and Future-Proofing through DICOM The Digital Imaging and Communications in Medicine (DICOM) Standard complements the ADA's efforts by promoting interoperability across different dental imaging and practice management systems. This standard plays a vital role in future-proofing digital radiography investments, ensuring that systems are not limited to proprietary formats but can communicate and share data efficiently across various platforms and networks. This level of interoperability is crucial for the seamless exchange of patient information and images, enhancing the efficiency and effectiveness of dental care. The ADA's Role in Advancing Dental Radiography Standards The ADA, accredited by the American National Standards Institute, is pivotal in developing standards for dental products and information technology. Currently, over 130 national standards are in place, with more under development, highlighting the ADA's commitment to elevating the quality and safety of dental care [3]. The introduction of ANSI/ADA Standard No. 1099 marks a significant advancement in the field of digital dental radiography. It paves the way for consistent, high-quality digital imaging, enhancing diagnostic accuracy while prioritizing patient safety [3]. For more detailed information on this topic, please visit the ADA News article [here] Standards support capture, exchange of high-quality digital radiographs Citations: [1] The Importance of the ANSI ADA Standard for Digital Intraoral Radiographic Systems - A Pragmatic Approach to Quality Assurance [2] New ADA standard on digital radiography quality assurance available for download [3] ADA releases new standard for digital radiographs [4] A Perspective on Digital Radiography [5] How Digital Imaging is Revolutionizing Dental Diagnostics

The intricate relationships between oral health and overall systemic health constantly fascinate me as a dental hygienist. One particularly significant link is that between periodontal disease and cardiovascular disease. This connection is not just a coincidental overlap of common risk factors but a complex interplay of direct and indirect pathways that have profound implications for health professionals and patients alike. I recently read a great article by Dr. Saltz in Dimensions of Dental Hygiene: How Periodontitis and Cardiovascular Disease Are Intricately Linked. It made me want to dive back into this topic that I haven't reviewed in probably a year. Here are my thoughts and why I do believe medical and dental professionals should collaborate more closely in order to better understand and manage the intricate relationship between periodontitis and cardiovascular disease. Understanding the Direct Pathways Periodontal disease, characterized by chronic inflammation and the destruction of gum tissue and bone around teeth, has been linked directly to cardiovascular disease through several mechanisms. Oral bacteria, responsible for periodontal disease, can enter the bloodstream and travel to various parts of the body, including the heart. Once there, they can adhere to the blood vessels, causing damage and inflammation. This process is known as bacteremia and is a significant contributor to vascular endothelial damage, a precursor to atherosclerosis. The Role of Inflammation in Atherosclerosis Atherosclerosis, the buildup of plaques in the arteries, is a leading cause of heart attacks and strokes. The bacteria from periodontal disease contribute to the formation of these plaques by triggering an inflammatory response. The body's immune response to these bacteria can lead to the accumulation of macrophages, a type of white blood cell, in the arterial walls. These macrophages absorb fats and transform into foam cells, which are the primary components of atherosclerotic plaques. This process not only narrows and hardens the arteries but also makes them more prone to rupture, which can lead to a heart attack or stroke. Indirect Pathways: Systemic Inflammation and Its Effects Periodontal disease also indirectly contributes to cardiovascular disease through systemic inflammation. Chronic inflammation in the mouth elevates inflammatory markers throughout the body, including C-reactive protein (CRP) and interleukin-6 (IL-6). These markers are not only indicators of inflammation but also risk factors for heart disease. Elevated levels of CRP, for instance, have been associated with an increased risk of heart attacks and strokes. The Impact of Periodontal Treatment on Cardiovascular Health The good news is that treating periodontal disease can have positive effects on cardiovascular health. Studies have shown that nonsurgical periodontal treatments, such as scaling and root planning, can significantly reduce levels of CRP and IL-6. These findings suggest that managing periodontal disease effectively can help mitigate the risk of developing cardiovascular conditions. A Call to Action for Dental and Medical Professionals This link between periodontal and cardiovascular health highlights the need for a more integrated approach to healthcare. As dental professionals, we have a unique opportunity to play a pivotal role in not only maintaining our patients' oral health but also in contributing to their overall well-being. It is essential for us to educate our patients about the systemic implications of periodontal disease and to work collaboratively with other healthcare providers to ensure comprehensive care. Educating Patients: A Key to Prevention Patient education is crucial in the fight against both periodontal and cardiovascular diseases. Informing patients about the importance of maintaining good oral hygiene and seeking regular dental care is vital. Additionally, discussing lifestyle factors such as smoking cessation, a balanced diet, and regular exercise can have a significant impact on reducing the risk of both periodontal disease and heart disease. Final thoughts All of this to say, the link between periodontal disease and cardiovascular disease is a stark reminder of the importance of oral health in the context of overall health. As dental professionals, we must remain vigilant in our efforts to diagnose and treat periodontal disease effectively and educate our patients about the systemic consequences of oral health conditions. By doing so, we can contribute significantly to the prevention and management of cardiovascular diseases, enhancing the quality of life for our patients. Citations: [1] Gum disease and the connection to heart disease [2] Gum disease and heart disease: The common thread [3] Oral health and atherosclerotic cardiovascular disease: A review [4] The Link Between Gum Disease and Heart Disease [5] Oral health and all-cause, cardiovascular disease, and respiratory mortality in older people in the UK and USA