Maxillary Block Injection-High Tuberosity Approach
Check out our latest video of the maxillary nerve block injection technique.
Technique: Same as the PSA injection (distal to second molar with 45, 45, 45 angles) but with a long needle inserted 3/4 the length.
Pros- 1 injection numbs the maxillary quadrant reducing the amount of injections needed.
Cons- Increased chance of hitting the plexus and is doesn't reduce hemostasis as well. Some supplementary injections still may be needed.
Subgingival Curettage
In 1989 the American Academy of Periodontology stated there’s no justifiable application of gingival curettage during active therapy stages for chronic periodontitis and that it has limited usefulness. There are many states that do require it be taught in the class room and in the clinic, or like California have a separate course you have to take to become licensed. So here is our demonstration for its "limited usefulness" that may be helpful to you.
Providing Oral Hygiene Education Through Blogging
One way to provide oral hygiene education to your patients in between appointments is by blogging. You can share the post on your office website, create a quarterly newsletter to email out, print it out for your patients goody bag, or share it on your office's social media pages. There are many options for topics such as, sharing your favorite dental products, websites and tips.
This can be a great marketing tool as well, as patients then share the information with others through forwarding the e-mail or sharing it on social media with friends. It also helps to keep “the dentist” fresh in their mind so that they return at appropriate maintenance intervals keeping your schedule full.
Here is a sample blog article written by our guest Dr. Bao Nguyen, DDS
Habits that Destroy Your Smile
Dr. Bao Nguyen, DDS
Your smile is often the first thing someone will notice about you. I know a person’s smile really captures my attention. Keeping your smile nice and clean will make you come across as more approachable.
There are some routines that you do that can be destroying your smile and you do not even know it. Here is a list of habits commonly done that hurt your smile.
Brushing too soon after eating
Consuming acidic foods and beverages can harm your teeth due their acidic nature. They will erode your tooth enamel - the glossy outer layer of your tooth. Brushing your teeth too soon after drinking or eating something acidic does not brush out the acid, instead, it brushes it into your teeth. It is best to rinse your teeth with water after consuming something acidic and wait 30 minutes before brushing your teeth.
Excessively bleaching your teeth
Over-bleaching can cause your teeth to look unnaturally white as well as increase tooth sensitivity. Before purchasing an at-home bleaching product, talk to your dentist about which one provides the best results without damaging your teeth.
Not flossing
Everyone knows that brushing your teeth twice a day is important, but not everyone knows that you should floss at least once a day. Flossing gets rid of food that gets left behind in your teeth after eating. Bleeding and irritation can occur when you first start flossing but if you keep at it, it will get better.
Using a hard-bristled toothbrush
A hard-bristled tooth brush along with aggressive brushing can cause irreparable damage to your gums. You want to use a soft-bristled brush coupled with circular brushing to avoid causing sensitivity to your teeth.
Not replacing your toothbrush often
Old toothbrushes do nothing for your teeth and they also harbor bacteria that can cause infection. You are advised to replace your toothbrush every three to four months. Dentists also suggest replacing your toothbrush after you have had a cold.
Cutting back on at least 2 of these habits can help bring back your pearly whites. You might think that you are helping your smile with some of these habits, but now you know what not to do when it comes to your smile.
Author Biography
Dr. Bao Nguyen, DDS
Dr. Nguyen is a trusted dentist at Promenade Dental Care in Temecula, Ca, where he is committed to providing you with the highest quality dentistry possible on every visit, everyday. He will make sure you are given different treatment choices for your dental needs.
How to Teach Your Patients To Clean Their Lower Anteriors More Effectively
I do a lot of oral hygiene education. I do it for my patients to live a healthier life, aaannnd because I'm kind of lazy, I don't want to clean as much when I see my patient in six months ;).
I do a lot of oral hygiene education. I do it for my patients to live a healthier life, aaannnd because I'm kind of lazy, I don't want to clean as much when I see my patient in six months ;).
If a patient uses a manual tooth brush they should be dry brushing starting on the lower right linguals. Research shows patients brush more effectively and longer. In addition to dry brushing I have my patients use many different directions on the LA- vertical, horizontal and oblique. I read an article in a hygiene magazine years ago (I can't remember the magazine) and I have been astonished how much more effective patients are at keeping the lower anterior teeth clean.
I always tell my patients that I want to "adjust" his or her technique to make him or her more effective. I actually take the toothbrush out of the packaging and demonstrate in the patients mouth- showing the bass technique and where I want the patient to start. After I've demonstrated, I put the tooth brush back in the packaging and in the patients bag.
Patients have been VERY receptive and grateful, and I usually have a lot less to clean in 6 months ;)
What to know more about how I teach this skill? Check out me educating a patient on dry brushing HERE.
Hygiene Edge Weekly Challenge: Educate a Patient on Dry Brushing
Student Article Contest 2016
Hygiene Edge, with Lilac Paper, presents the 2nd annual student article contest! This year's topic is: Study tips you've been using while in dental hygiene school. Submissions are due by August 1, 2016 to hygieneedge@gmail.com. Winner will have their article published on Hygiene Edge along with recieving a Lilac Paper Dental Student Planner, and $50 cash.
6 Steps To Getting A Raise
Updated 4-6-24
At any stage in your career you could be wanting to negotiate your pay with your employer. If you are just planning on walking into your employers office one morning and demanding a raise you are setting yourself up for failure. These things take time, research and patience. Below are 6 steps to getting that raise you deserve.
1. Decide What You Would Like to Get Paid
Do you want $1-2 more per hour? Do you want to get paid on production? What is it that YOU want? Decide, so that if asked in step 2 you can be prepared.
2. Request an Initial Performance Review
The purpose of this 10-15 minute meeting is to make goals that you can reach so that next time you meet you will have met those goals and be able to ask for a raise. This is not the time to ask for a raise but if they bring it up you will have already decided from step one what you would like to be getting paid. Here are some options of topics to review at that meeting.
What are some things that I do well?
What would you like to see me do better?
What are my goals and the office goals?
3. Increase The Hygiene Departments Production
You want to show that you add value to the office and therefore deserve a raise. Read up on our latest articles below on some ways to increase the hygiene department's production.
How to increase production with the medical history
How to increase production with your radiographs
4. Increase The Dentists Production
Read up on how to increase the dentists production. We are with the patients much longer than the dentist, giving us the opportunity to discuss findings to our patents and then bring up those findings to the dentist. If we can help increase the dentist production, as well as our own, it makes us invaluable.
5. Track Your Increases
If you don’t know how to do it yourself, ask the front desk personnel to teach you how to check your production. All practice managment software systems have a way that tracks the office's production, and breaks it down into providers. Then track it from the last 3 months to the next 3 months.
Also track how much treatment the dentist diagnoses in your chair. Look at what they have averaged daily in their production for the last 3 months and shoot for a goal to help increase that number. I usually have to track this by the patients printable treatment plan as I don't know of a dental program that does it for you unfortunately. If you know of one, let me know below!
An example of this is you have found out that the patient grinds and would benefit from an occlusal guard, you use the Diagnodent and find 3 high readings on the occlusal surfaces, you also notice 1 large filling that has a crack in it (potential crown) and then 2 teeth with suspicious areas of darkness on the radiographs. You discuss your findings with the patient and say, “Let's have the dentist decide what they want to do.” The dentist them comes in for the exam and you bring up your findings. Then at the end of the day, you track how much treatment was diagnosed in your operatory.
Since we are with the patient more than the dentist we have the opportunity to find treatment the dentist may not see.
6. 3-6 Months Later, Request a Second Performance Review
I would recommend creating a 1 page statistic sheet to show your performance for the last few months to present to the dentist (or whoever is in charge of giving you the raise.) After reviewing your past goals and maybe even setting new goals you can show them all of your hard work and ask them for the raise.
Have you ever asked for a raise? How did it go? What did you do to help present the importance of a raise to your employer?
How To Floss Braces With a Threader
A short review of how to floss braces with a floss threader.
Are You a Buffalo or Cow Hygienist?
Use your imagination and picture a heard of large, powerful buffalo happily grazing on green grass. Next to the buffalo is a heard of cows also happily grazing. Off in the distance storm clouds appear, rain begins beating down, thunder shakes the ground below and lightening lights up the sky. The storm begins to move closer and closer. The cows take off running away from the storm as fast as their short legs will take them. The Buffalos, on the other hand, charge towards storm-quickly passing through it. Meanwhile, the storm catches up with the slow running cows. The cows keep trying to run away but the storm just moves along with them.
Let's be honest, besides buffalo (and maybe therapist) no one runs towards discomfort. But the faster you go through it, the faster it's over.
I've had times in my career that I've been a cow. Something new and unfamiliar was introduced and I was afraid/didn't want to take the time to learn it. Initially implementing the technology would slow me down from what I was used to and so I didn't bother. I dragged my feet on something I new would be a blessing once I mastered it.
I watched other hygienists charge towards and through the awkwardness of learning the new system and they happily went on more efficient than ever.
Are you a cow or buffalo when...
A new system is introduced:
Do you happily look foolish for a few days while learning everything you can about it OR do you just learn enough to get by?
A conflict arises at work: Do you avoid the person and tell everyone else how bad the person treated you OR do you work it out with the person of concern?
Your body signals you that it is experiencing pain: Do you make the proper adjustments and get the proper help or do you "work through" the pain?
Hygiene Edge Challenge: Be a Buffalo.
You may enjoy this video on becoming the best hygienist:
Handscaling Ortho Demonstration
I am sure all of you seasoned hygienists out there know the ropes of cleaning ortho well! Here is a little review for those needing a refresher, or those just learning. Thanks for viewing.