Profitable Hygiene : YOU are the Secret�No Sugar Coated Lies

• We do not rise to the level of our expectations; we fall to the level of our training.

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• Team members will not do what we ask but what we allow

• Education
• Leadership
• Inspiration
• Profit

RENAISSANCE OF DENTAL HYGIENE

MY �HYGIENE VISION

• A mid-level healthcare provider, a diagnostician and patient health advocate
• NOT a probing robot

KNOW THE FACTS

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• 50 % of people 30 years old
• 70% of people 65 years old or older
• 70 million Americans

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DR. PESSI 2016 AMERICAN HEART ASSOCIATION

• Publised AHA Journal “Circulation”
• 101 Patients
• Blockages 16x more oral germs
• 50% of these patients had unknown oral conditons

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COVID

• 2021 Journal of Periodontalogy
• 7.6x hospitalized
• 4.5x ventilator
• 8.8x death

DIABETES

• 95% of diabetics
• Inflammation in the pancreas
• Improve glycemic control

ALZHEIMERS

• P. Gingivalis 99%
• Spirochetes 91% 495 control 0% 185
• Journal of Neuroinflammation 2011

SEASON 1: 1,2,7,8,9 SEASON 2: 3,6

DENTALPRENEUR

• 167 Heidi Ardnt
• 188 Tom Larkin
• 279 “Hey Yall” Rachel Walll
• 317 Jake
• 358 Kiera

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3 TYPES OF DIAGNOSIS

• Old school insurance diagnosis
• Family Diagnosis
• Microslide Diagnosis

MICROSLIDE DIAGNOSIS

SDS PERIO PROTOCOL

• Healthy - 0-3 mm with NO bleeding on probing: simple prophy, recommend 6 month recall appointments
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• Gingivitis/ 1-3 mm pockets with bleeding on probing and supragingival calculus. No interproximal calculus on bitewings, no bone loss, Lamina Dura still in tact. All pocketing is due to inflammation, not attachment loss: GT2 (D4346) with ozone water followed by fine scale and polish( D1110) about 2 weeks later. Then placed on 6 month recall.
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• 4mm pockets no bleeding = 6 month recall
• 4mm pockets with less than 30% bleeding, no radiographic bone loss, no radiographic calculus = treat with GT2 (D4346) followed by D1110 about 2 weeks later
• 4mm pockets, bleeding with radiographic calculus or radiographic bone loss = SRP on quarterly basis using ozone water.

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SDS PERIO PROTOCOL

• 5mm to 7mm pockets will be treated with SRP using ozone water on quarterly basis.
• If patient still has symptoms of active periodontal disease after treatment i.e. bleeding, infected sites should be treated with appropriate SRP if last SRP tx was 2 years or greater.
• Greater than 7mm refer to periodontist for surgery after completing pre-surgical SRP to increase tissue health for optimal surgical outcome. Patient should be referred to perio for consult two weeks after SRPs are completed. Perio should know what treatment has been completed and why we completed SRP prior to surgery. After surgery and post-op patient should be referred to us for all perio maintenance. This should be reviewed with perio on referral.

CREATE YOUR PERIO PROTOCOLS�

• Probing calibration
• X ray calibration
• Bleeding calibration

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FOUR LETTER WORDS

• Bone loss
• Probing depths
• Gum disease / Periodontal disease
• SRP/ Scaling & Root Planing, Deep Cleaning

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SDS TRIBAL LANGUAGE �NO SUGAR COATED LIES

• Gum Infection, Contagious germs
• Inflammation, Bleeding
• Gum disinfection

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THE LAST PART OF THE EDUCATION

• Hygienist as Producers
• Complexity of our solutions

INSPIRATION

• Ozone water
• Microscope
• Laser
• Oral pathogen testing

NOW SUPPORT AND LEAD

• Accountability in exams
• Weekly growth meetings and active text thread
• Fast coaching
• Create value through education
• Cameras (don’t tell me, show me)
• Power points

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• Daily metrics day sheets
• morning huddle KPIs
• monthly goals

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• Morning huddle prep sheets
• Crown and Bridge Warranty
• NP Blocks
• SRP Blocks
• Prioritize the oral systemic care
• GT2
• 4 quads at a time
• Flex Fridays
• Tx presentation

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PROFIT

• Bonus systems
• Tiered compensation models