In: Local Anesthetic | December 16, 2016
In: Patient Care | July 16, 2015
In: Frustrations | September 10, 2014
In: Dilemmas | June 3, 2014
In: Dilemmas | May 7, 2014
I currently use a diode laser for certain patients. I use it at every srp appt and again at their perio maintenance if indicated (bop, no pd resolution, etc) We only have one laser in the office so it’s hard to use it for every single pt that presents w/ bleeding so I generally reserve it for my srp appts. I am hoping that we end up purchasing another laser so that I can make it standard practice for any pt w/ active inflammation/bleeding.
We do not charge for use if it is part of a prophy or perio appt. We do charge to treat lesions such as aphthous ulcers and cold sores.
Question: diode laser used for hygiene visits. | June 23, 2016
I just finished a year of pumping at work. It is definitely not easy but I was able to make it work. It was nearly impossible to pump on a set schedule so I grabbed every opportunity I got. If I finished early w/ a patient I would pump for 10 mins or so before my next pt. I pumped on my lunch break for a longer session and every time I had a no show/cancellation. When my daughter got a little older and was nursing less it was easy to scale back on pumping but I always tried to pump at least 3x day in the beginning then I tapered down to 2x and eventually to one time at lunch. I also work w/ amazing staff who helped me get it done. Like I said, it wasn’t always easy but I managed to continue breast feeding for a year. Good luck!
Question: Breast pumping at work | June 23, 2016
This is a toughie! I’m actually in the same predicament more or less. I am 8 weeks pregnant after having 3 miscarriages over the last year. My employer and co-workers were aware of my past pregnancies so after each loss I had to deal with letting them know….which was just awful.
Anyway, this time around I am being very careful not to tell anybody until we are in the “safe” zone. I have to wear a lead apron at work and of course everybody asked if I was pregnant. I simply told them “no, but we are trying and I’d like to be extra precautious”. That seemed to work but I still think that they are on to me. Unfortunately, working in a small office environment there is not real sense of privacy. You certainly are not required to discuss it with anybody but be aware that they may figure it out on their own.
Question: Pregnant! Help! | September 10, 2014
I completely agree Sue. We had a mom that would miss bringing her child in for appointments and then when she did finally show up it was all “whitening, whitening, whitening”. I had to carefully explain that good hygiene habits come first and once they are established she could worry about cosmetics. Mind you, the child was 8yo at the time. Mom insisted we schedule a bleaching session (which of course we refused). I explained that she was too young and it shouldn’t be a concern at this age. At her next prophy visit she had of course done otc bleaching on this young girl. I can’t imagine the body image issues she will have growing up 🙁
Question: What age is it ok to start whitening? | July 8, 2014
I am not a fan of it. Our doctor swears by it and we are to use it on every patient when screening for sealants, although most of the time she ignores the numbers anyway. I don’t trust the numbers as I have seen it fail to detect caries and go off the charts in areas that are not decayed. The diagnodent we use has trouble calibrating and the whole process is just frustrating to me. Waste of time when you have new radiographs and an explorer. Just my opinion though….
Question: What are your thoughts on the DIAGNOdent ? | June 9, 2014
Good to know that I’m not alone in thinking this is absurd! I actually started to feel a little guilty about my out right refusal and disgust at the suggestion….I needed this verification that I was not crazy! I stand by my decision and am positive that there is no legal way she can make me pay for a broken chair. I have been in this office for 4 years and have never had a patient damage the chair b/c they were to heavy…I’m not too worried that it will happen going forward. However, you all are right, I need to find a new office. It has been a long time coming and unfortunately this is not the first time she has shown insensitivity toward certain people. Unfortunately, it has recently become worse and much more difficult to ignore
Question: Asking patients about their weight. | June 4, 2014
I do a 6 wk re-eval and use the 4910 code then the pt is placed on 3 mo recalls. Dr does not do an exam at the re-eval. I was recently at a CE course and the speaker said that checking probing depths at 6 week re-evals is a waste of time b/c it takes longer than that for tissues to heal and pockets to shrink and that we should be be evaluating poh and bleeding only. Anybody else ever hear this? I always do a whole new perio chart at the 6 week appt.
Question: periodontal reevaluation | May 7, 2014
Wow, this is like a page out of my own book! Are you sure we don’t work together? haha. I feel your pain, I have often thought of leaving but the jobs are so few and far between and I really do have great benefits and a flexible schedule. Makes it really hard to leave. I did try to leave once and was guilted into staying. I have kicked myself ever since.
Question: Mentally exhausting from the boss | May 7, 2014
Thanks for the advice! I don’t want to be dismissive of their concerns but I also want to sound confident when making my points and recommendations without sounding pushy. It’s tough!! I have tried the “naturally occurring element” approach but have had the reply that “lead is naturally occurring too but we aren’t brushing our teeth with it”. So frustrating.
Question: Fluoride pros vs cons. | May 7, 2014
I do get paid for no-shows but I always find other stuff to do around the office. If the end of my day falls apart then I have the option to do “busy work” or leave early.
Question: Do you get paid if you do not have a patient? | May 6, 2014
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Dental Hygiene with Kara RDH