In: Patient Care | February 11, 2015
In: Frustrations | August 9, 2014
In: Dilemmas | May 23, 2014
I have been a hygienist for 29 years..and I feel in my 6th year was my aha moment. I felt I experienced enough and seen enough that I could confidently speak to a patient and know the outcome. That I could tell a patient why they needed perio scaling and share with them what the outcome would be and really believe it that that will be exactly what will happen. Patients who are smokers, I know will rarely have the best outcome..but until I seen it over and over I thought I could make everything better. Missing things? I still miss things you can’t be perfect every day every patient. The fact you are here and learning more makes you a good hygienist already
Question: When did you feel like you became a good rdh? | February 11, 2015
The first time I see a patient I show them the picture of the progression of perio disease. I explain to them 1’s and 2’s are good 3’s are okay with no bleeding explaining gingivitis. 4-5’s with bleeding bone loss etc, (I point to the next picture) and continue to explain the progression, Let them know higher numbers mean the support system of the tooth has been compromised and will need to be addressed. They are now tuned into the numbers I call off and when there is a 4 or 5 they already know where they are at. Regular patients to our office they have been doing it for a while, I just state almost exactly what you do then let them know last time numbers were good and I am not anticipating worse OR I tell them last time we were concerned with this and we will reevaluate…
Question: How do you explain Perio Probing to the patient? | June 20, 2014
orascoptic with light. Have worked 27 years with out loupes. An EFDA in our office had them. I had always thought to get them but they were too expensive. The other hygienist in the office 28 years practicing wanted a pair too. We knew they would help us with posture and all around ergonomics. I applied for a safety grant with the BWC and it was approved it helped with the cost. It has helped us so much…
Question: What's the best loupes with a light to use | June 20, 2014
I too had bills living on my own and going to school…no children though, I give you moms a lot of credit for doing that. I had all my pre-requisites out of the way so Hygiene school and working two jobs, both flexible worked for me. I did get some minimal student aid. Try for grants first and then loans. You have to just stay focused on school and work.
Question: I want to start Hygiene School but.. | June 17, 2014
I also would never ask a patient about their weight, I have had patients where the chair will make some noises when patients are set back…but when patients are that big sometimes it is difficult to work on them laying back and I end up doing stand-up hygiene. I can’t get the chair low enough to sit correctly. I don’t think a dental chair would ever break, but if you don’t lay the patient back it definitely would not break.
Question: Asking patients about their weight. | June 4, 2014
I am probably one of those hygienist that uses it less then more, I would expect if someone came in and used it on every patient my patients would wonder why and probably not like it. Every time I use it I tell my patients that it will vibrate and there is a lot of water, I let them know I will keep it suctioned out and that most patients don’t like the noise more then anything else, but if anything is uncomfortable just let me know. I keep the setting lower.
Question: Cavitron | June 4, 2014
These patients are difficult to decide…sometimes by the time you decide you could have done the treatment :-). If it was a patient of record every 6 months perio was wnl. Then we do a perio chart (we do complete perio charting annually for healthy patients and 2x per year for perio involved patients) and the perio chart shows 5mm in 1 area with bleeding I would have to wonder if there was trauma etc…if it is a over due patient I would recommend site specific, New patient SRP. I like to know I did everything possible on a new patient then monitor success and maintain. If they are a smoker existing or new SRP always.
Question: How to decide prophy vs SRP? | June 4, 2014
I have tended to use the same instruments I am familiar with since school..(28 years) and have been fortunate to choose what ever I wanted. I am sure though there are instruments I would not know, put the names of the instruments or the numbers on your question to see if those out here have used them and how.
Question: Learn a New Instrument??! | June 3, 2014
amalgam polish no, rubber dam, never, Impressions 20 years ago at my first job and poured up models. and whitening trays no.. I think that my time is used more productive if I do things that others can not do.
Question: job duties | June 2, 2014
Sometimes a seasoned hygienist doesn’t adapt as well to a new practice old habits that may not fit in. You could be a great addition to the practice. Don’t rule yourself out. Be willing to learn and work hard.
Question: Co-worker competition | June 1, 2014
rdhmares has no Best Answers.
Dental Hygiene with Kara RDH