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A Tale of Two Hygienists Podcast
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A Tale of Two Hygienists Podcast

Author: Michelle and Andrew The Two Dental Hygienists

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This is the BEST dental hygiene podcast out there! You will get up to date information with some real life application. Michelle and Andrew are exactly where you are, hygienists looking to get better! We may not be experts, but we will do our best to get them on the show! Please rate and review us on Apple Podcasts, Stitcher, Spotify, or whichever podcast app your use. Please, enjoy the show!
437 Episodes
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! In honor of National Minority Health Month, Andrew and Michelle welcome two passionate experts in the field to the podcast today. Daniel Lopez, RDH, a dental hygienist practicing in a Federally Qualified Health Center in New York City, makes a return visit, while Alicia Murria, RDH, MS(C), and Founder and CEO of Hygienists for Humanity, is making her first appearance here. Together with our hosts, they examine the fundamentals of minority health and what that looks like in dentistry today, and offer their recommendations for the future. They begin by sharing differing perspectives on politics and minority health, exploring public health and private practice treatment, and offer a glimpse of DentaQuest’s Preventistry. Our panel then delves into the need for an outcomes-based health model, the barriers to quality focused care on minority groups, and the many avenues which could lead to overcoming these barriers. Alicia and Daniel conclude the interview by stressing the most important components to address in minority health, and by offering their sage advice for listeners interested in ‘really making a dent in this problem’. Drawing greatly upon Alicia and Daniel’s immense expertise and experience, today’s conversation marks one more step in bringing crucial awareness to this decidedly sensitive and extremely important topic.  EPISODE HIGHLIGHTS:  Interview starts: 8:08   Guest introductions   Politics and minority health   Public health and private practice treatment   DentaQuest’s Preventistry   New York State’s move toward an outcomes based health model   Barriers to quality focused care on minority groups   Learning about cultural differences and making connections   Expanding the role of the hygienist, meeting patients where they are, developing trust, and offering consistency   Underserved and neglected populations   What we can be doing in our communities   Motivational interviewing   The importance of listening to all patients and educating them   Learning from each other in the hygienist community   Daniel and Alicia’s parting advice  QUOTES:  “You don’t go into this profession with a political mindset. You go into this profession with a heart.”   “Health insurance is, unfortunately, a political issue.”   “I think, in public health, we’re offering fish sandwiches every single day, and we’re not teaching enough people to fish.”   “If I feel like I didn’t give them what they needed, and I didn’t serve them well, I bring them back at no cost to them.”   “And also, private practice grows if they have disease.”   “Why on Earth are we the only health care modality centered around prevention, and no one pays attention to what we have to say?”   “What does it look like if your insurance is paying out more for prevention than for restoration?”   “There’s this endless cycle of new providers. The most at-risk and the most underserved are constantly being seen by people who are just learning the ropes.”   “The dentist population does not reflect the general population.”   “Dental providers and medical providers are less empathetic to the black population than they are to white.”   “You have to be able to see color in dentistry.”   “There are so many different avenues that you need to go down to actually get to a point where you’re really making a dent in this problem.”   “I’ve literally had people say they would rather die than go somewhere else.”   “You have to start with yourself…be a resource, be a friend, let them know that you’re an ally in their community.”   “Be willing and be open to getting it wrong.”   “These patients that we are servicing need prevention more than anything else.”   “Don’t be afraid to speak up!”     LINKS:   A Tale of Two Hygienists homepage -     AToTH on Facebook -     AToTH on Instagram -     AToTH on LinkedIn -        PDT homepage     MINORITY ORAL HEALTH IN AMERICA: DESPITE PROGRESS, DISPARITIES PERSIST   Disparities in Oral Health   The Persistence of Oral Health Disparities for African American Children: A Scoping Review       Alicia's Instagram   Alicia's Facebook   Hygienists for Humanity   Email Daniel
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:  More Fast Facts:  Katrina Sanders Website:  Katrina Sanders Instagram:  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.
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
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 - -   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 -     AToTH on Facebook -     AToTH on Instagram -     AToTH on LinkedIn -       Canadian Dental Association:   Canadian Journal of Dental Hygiene:   FDI World Dental Federation:   Oral Cancer Chairside Guide:   Oral Cancer Foundation:   RDH Magazine Articles:    Side Effect Support homepage:   Side Effect Support Facebook:   Side Effect Support Twitter:   Oral Cancer Consulting:   Susan Cotton Facebook:   Susan Cotton LinkedIn:   Maria Perno Goldie email:   Maria Perno Goldie Facebook:
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:  More Fast Facts:    Katrina Sanders Website:  Katrina Sanders Instagram:    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.   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.
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
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 -   AToTH on Facebook -   AToTH on Instagram -    AToTH on LinkedIn -   PDT homepage  Forward Science EarAID Financial Survival Guide for Dentists 
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:  More Fast Facts:    Katrina Sanders Website:  Katrina Sanders Instagram:
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   Elevate Oral Care Website:   Elevate Oral Care Facebook:    Elevate Oral Care Instagram:    More TIPisodes:    AToTH Website: 
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 -     AToTH on Facebook -     AToTH on Instagram -     AToTH on LinkedIn -        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.
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:  More Fast Facts:    Katrina Sanders Website:  Katrina Sanders Instagram:
This week on A Tale of Two Hygienists TIPisode we are joined by Andrew Johnston, RDH to talk about the three things he wants you to know about sealants!   Episode Highlights Caries Risk Assessment Faulty Logic Time Management Product Selection Production   Quotes "Insurance wouldn't pay for it, so why spend the time talking about it."   "I was anti-sealant for years, because of this faulty logic."   "In my opinion, Caries Risk Assessments are still our most valuable tool for determining the need for sealants."   "A poorly placed resin based sealant is not helping the patient."   "You need a product that isn't going to fail, even if there is a little bit of moisture present, or a little bit chips away."   "The backbone of any practice is the hygiene department."   "It is our responsibility to take control of the production coming out of our chair and sealants are just such an easy way to produce production."   "If you can apply just a few sealants per day you can add a few thousands of dollars to your practice each month."   Links Fuji Triage: Fuji Triage EP: Glass Ionomer Sealants
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!     Amanda Hill joins Andrew as a co-host today for a fascinating interview with computational mathematician, Andrew Carr. Specializing in machine learning, Andrew has served as a research intern at Google Brain, worked in geometric deep learning, and writes a blog where he muses upon math, deep learning, and programming. He is determined to prove to the world that his field of study is, indeed, ‘cool’, and he does just that here today as he explains his views on how data science, machine learning, and AI can play a transformative role in the future of dentistry.   The show begins with a couple of recent listener reviews before Andrew shares his background, his work at Google Brain, and his explanation of understanding and using data. He and our hosts then delve into the type of data traditionally collected in dentistry, some software that works with that data currently, and some ideas for what more it could do in the future. Andrew also discusses computer vision, depth estimation, chat bots, and robotics along with the roles they could play in dentistry, and he finishes by offering his advice for those looking to move from their current role in the dental field to his beloved field of machine learning and AI. Today’s collaboration between our insightful ‘tool users’ and this highly talented ‘tool maker’ will undoubtedly spark your imagination about just what is possible in the future for dentistry and dental professionals.     EPISODE HIGHLIGHTS:   Interview starts: 7:52     -   Some listener reviews from February -   Andrew’s background -   Google Brain -   Understanding and using data -   The type of data collected in dentistry -   The gap between the tool makers and tool users -   Dentistry software such as axiUm -   The evolving definition of AI -   Protected information -   Andrew’s perspective on data use, computer vision, and depth     estimation in dentistry in the future -   Chat bots, natural language processing and GBT-3 -   Robotics in dentistry -   Soft robotics -   Moving from the dentistry field to the field of machine learning and     AI   QUOTES:   “I think I only understood the word ‘cloud’ in that whole thing.”   “I promise, it’s interesting.”   “We went into Dental Hygiene because we could only count to 32, so be kind, and be slow.”   “Most data turns out to be pretty useless.”   “In general, data is used nowadays to solve business problems.”   “The idea is, of course, we use whatever data we’re collecting to provide treatment plans to achieve an outcome.”   “We need to be calibrated on all the inputs.”   “You can learn on data without ever seeing the data.”   “Computer vision is fraught with perils.”   “The machine learning systems that we build…they always try to find the easiest way to solve the problem, and it’s almost never the problem we actually intend to solve.”   “The time it would save!”   “It’s one motivated grad student away from completion.”   “It turns out, though, that making something that can understand long term context is the challenge.”   “What is a mouth and where is the head? You know, ‘Don’t squish anyone’ – that kind of thing.”   “I think Robotics is the next big thing as far as applications of machine learning.”   “It sounds like there’s a lot of things we could solve in dentistry if somebody’s interested in figuring it all out.”     LINKS:   A Tale of Two Hygienists homepage -     AToTH on Facebook -     AToTH on Instagram -     AToTH on LinkedIn -         axiUm Dental Software   Automate the Boring Stuff   Everyday Data Science on Gumroad   Everyday Data Science on Amazon   Andrew's Twitter   Andrew's Blog   Email Andrew
On this week’s episode of Fast Facts - Perio Edition your host, Katrina Sanders, RDH talks to us about the supporting bone!   Quotes:    “So when we see the meeting of the cribriform plate and the buccal and lingual cortical plates, that's where, of course, we see that beautiful lamina dura radiographically, the buccal and lingual cortical plates will vary in thickness, but typically we do see that that cortical plate is thicker on the mandible than on the maxilla.”   “We talk about that compact bone being thicker on the mandible, but on the maxilla we see that the compact bone itself is actually thicker on the palatal surfaces than it is on buccal surfaces.” Resources:   DentistRX:  More Fast Facts:    Katrina Sanders Website:  Katrina Sanders Instagram: 
Please Rate this Podcast!   This week on A Tale of Two Hygienists TIPisode we are joined by Jessica Atkinson, MEd, BSDH, RDH from Hygiene Edge to talk about helping your students to get the most out of clinic! Educators this one is for you!   This TIPisode is sponsored by Orascoptic. Visit to learn more.   Episode Highlights Focus meetings Review student requirements and patient needs Help beyond requirements Set that dream list Expectations   Quotes   “A clinical instructor needs to take charge."   "When you start right, it is easy to go right."   "She ended up offering the things the patient needed more often when she worked in a production based office."   "You can get what you need when you offer the best care to your patients."   "As you invest in those students they will feel that enthusiasm and you will see them grow, and become, and excel."   "To watch them recognize how far they have come is amazing."   Links    Hygiene Edge:   More TIPisodes: 
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, Andrew and Michelle welcome Dr. Matt Allen to the podcast for an in-depth discussion about Motivational Interviewing (MI). Among his many roles, Dr. Allen serves as the President of M David MI Inc., the CEO and co-founder of differentkind, a part time volunteer faculty member at the University of Colorado School of Dental Medicine, and he still remains active in clinical practice. In addition to all this, he is the only US-based dentist member of MINT, the Motivational Interviewing Network of Trainers. As you will hear, Dr. Allen’s passion for teaching, coaching, and mentoring other dental professionals to engage with and support patients along the road to oral health is fully evident during the conversation today.   Dr. Allen begins by sharing his professional background including his journey to working with MI, and then he explains exactly what MI is and where it fits best within the dental visit. Along the way, he shares some of the tools and techniques of MI, how it can be implemented with patients and colleagues alike, its impact on clinicians’ feelings of burnout, and building it into dental professional education programs. Dr. Allen's extensive experience with MI generates a great deal of wisdom and advice for its use in many areas of life, and particularly in the dental world. Destined to be even more important and effective in a post-pandemic world, we would all be well advised to implement it as a best practice now, and Dr. Matt Allen shows us how in this informative and inspiring conversation here today.   EPISODE HIGHLIGHTS:   Interview starts: 8:25     -   Dr. Allen’s background and how he got into motivational interviewing (MI) -   What MI is and where it fits best in dental visits -   Dr. Allen’s analysis of Michelle’s MI example -   Open-ended questions, change talk, self-management goals, choice menus, social determinants of health -   MI with more challenging patients -   Tele-dentistry and technology affecting change behavior with MI -   Using motivational tools and techniques in inter-colleague relationships -   Compassion, Autonomy, Partnership and Evocation (CAPE) -   Small wins and the power of affirmations -   MI’s impact on clinician burnout -   Building MI into dental professional education programs -   Findings of a study of what dental patients value -   Asking permission to make suggestions with patients and colleagues -   ‘Setting the table’ at the beginning of every appointment -   Where to learn more about MI   QUOTES:   “I feel like, right now, I have 7 jobs, I think.”   “It is a way of being with people that’s pretty profoundly different.”   “I want to be better at this, and I screw it up every single day.”   “What we want is for them to think they’re coming up with that idea themselves.”   “What’s most important for you to talk with me about today?”   “Motivational interviewing increases the likelihood of change.”   “We can take these skills and apply them to our relationships with each other and I think we’ll be better humans with each other.”   “That’s what being a good leader, I think, is about in a lot of ways, is letting go and letting the person actually take ownership.”   “Patient safety is one of those things where it’s not really about motivation, it’s about compliance.”   “People just wanted help taking control of their own oral health.”   “I want to use those 2 hours the most effectively that I can. I think MI helps us do that.”   “I’m asking you to agree to come along in the conversation with me.”   “I think we need more people doing this work.”   LINKS:   A Tale of Two Hygienists homepage -     AToTH on Facebook -     AToTH on Instagram -     AToTH on LinkedIn -         Reach Dr. Allen: M David MI homepage   differentkind homepage   Motivational Interviewing for Leadership: MI-LEAD   Experiences of dental care: what do patients value?   Motivational Interviewing Network of Trainers  (MINT)
On this week’s episode of Fast Facts - Perio Edition your host, Katrina Sanders, RDH talks to us about the alveolar bone proper!   Quotes:    “The Cribriform plates themselves are thinner plates of bone that have perforations and those perforations are really important because those little openings are openings that carry blood vessels and nerve endings and of course, lymphatic support from the bone and supplies a kind of a nutritional source directly to the periodontal ligament fibers.”   “The two parts of the alveolar process are the alveolar bone proper and that's what we're going to talk about this week. Next week, we're going to talk about the supporting bone, and it's important for us to understand the differences between the two.” Resources:   DentistRX:  More Fast Facts:    Katrina Sanders Website:  Katrina Sanders Instagram: 
This TIPisode is brought to you by Zirc Dental. We are joined by Brittany Gray, CDA, Zirc Product & Efficiency Consultant, to talk about Procedure Tubs, Safe-Lok Covers, and material management!   Brittany Gray, CDA, is a Zirc Product & Efficiency Consultant. Prior to joining the Zirc team, Brittany spent nearly 23 years as a dental assistant. Her clinical experience has helped her be fantastic at visualizing how to improve the organization of a practice’s existing set-up and passionate about helping our clients become more efficient. Brittany is a consultant for our ZOBE, RESET, & Organization Conversation services!   Quotes:   "I wish I knew then, what I know now"   "I know because I found myself on the receiving end of that look many times."   "Procedure Tubs are the game changer."   "We don't know what we don't know and that is where Zirc comes in, Zirc is the expert, so you don't have to be!"   Links:    Learn more about Zirc's products & services at Sign up for an Organization Conversation: Sign up for ZOBE:   Email Brittany at or call her at 763-251-3047 Follow Zirc on Instagram:
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. This month’s roundtable focuses on periodontitis, a disease that more than half of Americans have! To get the full scoop, Andrew chatted with not one, not two, but FOUR perio educators.   Eva Ramsey is an assistant professor at Tennessee Wesleyan University and faculty for AndyRDH. Marie Richey is a full-time educator and assistant professor at Shawnee State University. Amanda Mitchell is a faculty member at Student RDH and who teaches for South College in Nashville. Lisa Bilich is the department chair at Eastern Washington University and has taught perio for 15 years. In this episode, our panel delves into their personal reasons for working in perio, discuss the way generational differences impact lesson plans, and ask the vital question: is House, MD still cool?     EPISODE HIGHLIGHTS:   Interview starts: 5:42   - Why our panellists fell in love with perio.   - The reason Eva views her students as “disease detectives.”   - How do the guests get their students—as well as more skeptical professionals—invested in perio?   - What Lisa does to make perio education more “real” for her students.   - The importance of recognizing the difference of experience among faculty members and clinicians.   - How the COVID pandemic has made it difficult for current perio students to get the same hands-on experience as their predecessors.   - What the guests want to be the ultimate outcome(s) for their lessons.   - How students can more effectively study for perio courses.       QUOTES:   “Perio is the path where science and dentistry kinda merge.”   “We’re making a bigger difference than just when we see our only patients.”   “We don’t clean teeth; we are preventative health care specialists.”   “It’s not just about the test; it’s about having to know I can stop the process by what I do.”   “I think it’s so important to learn along with our students and to be okay with not knowing everything.”   “Not every student learns the same way.” LINKS:   A Tale of Two Hygienists homepage -     AToTH on Facebook -     AToTH on Instagram -     AToTH on LinkedIn -  
On this week’s episode of Fast Facts - Perio Edition your host, Katrina Sanders, RDH talks to us the CEJ or Cemento Enamel Junction.    Quotes:    “So the current Darby text actually states that 76 percent of our patient population, we see a meet's where the cementum and the enamel meet 14 percent of our population we see that overlap and 10 percent of our patients, we see a gap.”   “So because of this morphological diversity, there's a call to action within the dental community that we need to be careful about dental interventions in the region of the CEJ because there could be other pathological changes or hypersensitivity of the teeth associated with the CEJ.”   Resources:   DentistRX:  More Fast Facts:    Katrina Sanders Website:  Katrina Sanders Instagram:
Comments (3)

Elizabeth Irving

Thank you for this information! I am in pain most days and even after a month off my I feel what hygiene has done to my body. I will be looking at the publications you discussed.

Apr 24th

Alysa Jordan

Could we get a podcast relating to the COVID-19 . With Hygienist being the #1 at risk job it's only right. Thank you a concerned Hygienist.

Mar 16th

Maritza Britton

100% my go to dental podcast! Such fantastic formation from very motivating professionals 😊

Nov 13th
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