hygien e€¦ · las vegas, nevada april 17-18 apogee dream team summit scottsdale,az (712)...
TRANSCRIPT
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See Wendy LIVE!March 26-27 GOLD PLUS members only meeting Chicago, IL(877) 732 2124
April 2-4 TOWNIE MEETINGLas Vegas, Nevada
April 17-18 APOGEE DREAM TEAM SUMMIT Scottsdale,AZ(712) 899-4061
May 22 2009 Australian Tour Hygiene Diamonds Down Under!
HYGIENEDIAMONDS’
B r i l l i a n c e c i r c l e
b r o a d c a s t
! ! ! ! march 2009Smile Makeover
options for a tough
economy..WFL
Celebrity smiles, 6 reasons a
smile is your most valuable asset
Page 2
Treating Caries
Protocol for patients considered
High Risk..are you doing
enough?
Page 4
The Periodontal
Paradigm
What is the ideal protocol for
Periodontal therapy, how should
we implement current research?
Page 3
Gingival Health and
Leukemia
Periodontal Disease and
Osteoporosis what you need to
know
Page 4
The Periodontal Paradigm...what’s yours?by Wendy Briggs, RDH
Lightning speed. This is how fast Periodontal Therapy is changing! Because of the abundance
of research available to the dental community, the paradigm regarding Periodontal Disease, and
recommended treatment is changing at an incredible rate. Despite these new changes, many providers
are still treating periodontal disease today the same way that they have been for the past several
years. If you have not adjusted your protocol, this article will help you know what the latest research
regarding effective treatment is, and how to better implement these concepts.
The Old paradigm for Periodontal therapy promoted antiquated ideas. Ideas that have current
hygienists shaking their heads at how we could possibly have performed treatment in this way for so long.
Concepts such as scaling until the root surface is “glossy and smooth”, “hand scaling is preferable to
Powerscalers”, or treating just “one quadrant at a time”, are no longer accepted as the standard of care.
Current Periodontal researchers support more proactive paradigms, such as Full-Mouth Disinfection,
Blood testing to determine systemic health risks and genetic tendencies for periodontal infection, and laser
therapy to more effectively eradicate the bacteria. Over the past few months, even more information has
become available regarding early detection, systemic conditions that are affected by periodontal infections
and cutting edge technology approved by the FDA that can help the body regenerate bone. Sometimes the
information we have regarding
ideal Periodontal therapy is
changing so rapidly, it is
difficult to keep up! What
should we change? How do we
do this and keep all the continued page 3
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Want to Boost Production in a BIG way? Plan an
Invisalign Open House! Many of our members have seen
great success from hosting an Invisalign Open House. On average we
are seeing 6-10 patients enroll for Invisalign in one day! Here are
some tips to help make your Open House a Success!
• Invite more than existing patients to the event. Promote your Open
House in the community. Free Standing Inserts in the newspaper,
direct mail, something to invite new patients to participate.
• Have them call to book a scheduled time during the open house
• Offer an incentive to encourage them to attend the Open House. A
drawing for an I-pod, or some other exciting item is a popular choice
• For those ready to get started, promote a One Day Only special deal,
$250 towards the total service if they are financed or paid today.
• Include complimentary Whitening for Life for all patients who move
forward with Invisalign
• Join forces with a complimentary business, to cross promote your
event to their mailing list. The more the merrier!
WHITENING FOR LIFE
Special Announcement! You can now order your bleach online at www.hygienediamonds.com Simply visit the store and order!
Call Chantelle at 801.318.2907 with questions or to find out more!
Who has the top rated Celebrity Smile? Reuters has just published the most requested Celebrity smiles
for 2009. Can you
guess who they
are?
1. Julia Roberts
2. Brad Pitt
3. Tom Cruise
4. Angelina Jolie
5. Jennifer Aniston
6. Barack Obama
It is interesting to see whose smiles our patients admire. Although many of these A listers have naturally beautiful smiles, our patients are sometimes surprised to know that several of them have been restored to their current state of beauty.
Many dentists are still reporting great success with Whitening for Life, even in the current economic climate. (One office just told us that they had already enrolled 14 patients in the first 5 days of this month!) This is the most affordable way your patients have to improve their face value! Celebrity smile makeovers may not be in the budget, but everyone can afford Whitening for Life. Make sure your patients are continually given the opportunity to join this incredible program, and enjoy the benefits of a beautiful smile for LIFE!
How Important is a Beautiful Smile?•84% of adults perceive having an attractive smile as important for
getting a date with Mr.or Ms. Right.
•An overwhelming majority of adults (85%) consider a persons smile to be
very important at first meeting.
•Almost 9 out of 10 (86%) think people with good teeth are more attractive to
t the opposite sex.
•Over one-third agree that a person with bad teeth gets fewer job promotions.•Three out of four adults (75%) think an attractive smile is important for
succeeding in the workplace.
•94% of those polled said they are likely to notice a persons smile when they
meet them for the first time.
Next Brilliance Training Call with Wendy!March 23rd and April 27th 5:30 PM CENTRAL• TRAINING call open to all WFL Members, Brilliance Circle
and GOLD PLUS• Wendy will answer your questions LIVE!• To join in the call dial 1.512.225.3600 pass-code 360036#
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PERIODONTAL PROGRAMproviders on the same page? This can be
extremely challenging, especially if we have
mulitple hygiene providers and multiple dentists.
A comprehensive periodontal program is an
essential element of a successful Hygiene
Department. If you have not reviewed your
current program, or made any changes to your
recommended procedures in the last few years,
your homework is to do just that.
With that said, let’s review some of the
latest and greatest new developments designed to
help us raise the level of awareness for our
patients about their risk factors, and to improve
our results from therapy to our Periodontal
Patients.
• Early detection is becoming more
standard even for general dentists who are
seeking to achieve the best possible results from
their Periodontal Therapy. CRP testing is now
recommended both prior and following
Periodontal Treatment. Following periodontal
therapy, C-Reactive Protein levels should be at
lower levels than they were before therapy.
Combining traditional Scaling and Root
Planing, with a nutritional supplement has
been extremely effective in reducing C-reactive
Protein levels. But, don’t take my word for it,
find our for yourselves by doing CRP Blood
testing in your office for your patients. It’s as
simple as a finger prick test.
• Micro-Ident Plus testing uses
microbiology to discover the underlying cause-
specific periodontal pathogens. Molecular
Biological Detection of Periodontopathogenic
Bacteria supplies data on 11 different species
and their affiliation to so called “bacterial
complexes”. This testing provides an optimum
basis for individual therapy: usually a
combination of mechanical therapy and
adjunctive systemic and/or local antibiotic
administration. By discovering what strains of
bacteria exist in the pocket, and creating a
custom approach to more strongly affect those
specific strains, we attain more powerful
results.
• GenoType PST Plus is a DNA
type test that detects mutations in the genes to
determine if the patient carries the risks for
increased degradation of Periodontal Soft and
bone tissue. You might think that patients
won’t want to know, or will not be willing to
pay for this test. I was surprised at how many
patients DO want to know. They are aware
that periodontal disease runs in their family,
and are curious to know if they are at risk.
Often they also want to prevent future tooth
loss, and realize that awareness is the first
step.
• NDYag lasers, more specifically the
Periolase, are revolutionizing Periodontal
Treatment as we know it. The FDA has
cleared a relatively new procedure called
LANAP. This stands for Laser Assisted New
Attachment Procedure. This procedure is an
amazing adjunct to traditional therapy. It
currently is the only procedure cleared by the
FDA to regenerate bone. In my state, (and
many others)Hygienists can actually use a
diode laser as an adjunct to Periodontal
Maintenance therapy.
In the past, as Periodontal therapists, we
were able to achieve fairly good results treating
periodontal Infections. Now, we are able to get
incredible results! By combining laser therapy,
improved nutrition, and diagnostic testing we are
seeing unprecedented results.
If your Periodontal Program needs a boost
to get you up to speed on new concepts and the
updated Paradigms, we have several exciting
options for you. We have amazing Hygiene
Diamonds coaches that are available to do a
private seminar for your team in your office.
This all day Comprehensive Periodontal
Program will help get everyone on the same page,
systemize your Perio Program and update your
practice. An intense focus on getting more
patients to move forward with more treatment
will help your hygiene team do more Perio
services. All this without having to leave home.
Of course there are resources on The
Navigator that will help you refine your
Periodontal Program. Check out the library for
Handouts on Periodontal topics. Another
valuable tool: the Periodontal Classification
Worksheet is also available for you to download.
Every time a New patient is diagnosed with
Periodontal infection, this worksheet will enable
all providers to be in agreement regarding the
findings. If you are not yet on the Navigator, call
Korey in the office and she will help you access
the members only website.
For those who have a more adventurous
spirit, On May 16th and 17th in Salt Lake
City the first series of Wendy Briggs, LIVE!
kicks off with our most requested topic: The
Secrets of Periodontal Profitability
this is your chance to hear Wendy teach these
incredibly valuable concepts to your team. See the
insert in today’s newsetter for information about
this series, and come join us. Bring your
Periodontal program up to light speed!
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HYGIENE DIAMONDS BRILLIANCE
Treating Caries“Too late it was appreciated that inserting fillings, even at a great pace, had little to do with arresting or treating disease, although it had the temporary effect of creating relief from pain and restoring function of the teeth.”- Fejerskov O, Kidd E. Dental Caries: The disease and its clinical management. Blackwell Munksgaard 2003 Oxford UK. Pp:4-5.
Did you Know? Gingival Bleeding and Inflammation are sometimes
indicators of a more serious condition?
This is a TRUE story!
• A 25 year old soldier presented to the dental clinic at
an AirForce base camp complaining about spontaneous
bleeding from the gingiva
• An Ultrasonic scaling was performed, and the treating
dentist referred the soldier to their physician for blood
tests
• Two hours later, the patient returned to the clinic with
massive gingival bleeding occurring from the gingiva
• The patient was referred to the Emergency Room,
where they were diagnosed with Acute ProMyelocytic
Lukemia
Gingival Lesions are the most common oral
phenomenon for Leukemia
Oral symptoms for systemic diseases are common, and
the dentist is often the first medical authority a patient sees.
Sometimes our attention to these details can help provide
an early diagnosis. With Leukemia, this can be a potentially
lifesaving decision. When in doubt, Refer it out! Be sure to
alert the doctor if you see any lesions that are suspect, or
notice heavier than normal bleeding with treatment.
What are you doing to help your HIGH risk patients fight the infection that causes cavities? Current research suggests that fixing the decay is not enough! For a quick reference on what others are doing, check out the list below..stay tuned for more information on this topic to come!
•Restorative treatment plan•Caries Risk Assessment•Caries Diagnostic Testing...bill under CDT code D0425•Antimicrobial Strategies: Tooth/Gum tonic, Fluoride, Sodium
Hypochlorite •Remineralization Strategies: Fluoride, Fluoride Varnishes•pH Strategies: Neutralizing and buffering rinses, sprays, gels,
toothpastes..neutralize the pH, reduce decay!•Behavior Modification: Counseling for specific risk factors
•Information and photo courtesy of Dr V. Kim Kutsch, DMD.
Periodontal Disease and OsteoporosisResearchers have suggested that there is a link between
osteoporosis and bone loss in the jaw. Studies suggest that
osteoporosis may lead to tooth loss because the density of the
bone that supports the teeth may be decreased. Did you know
that hormone replacement therapy may offer some protection?
One 2007 study in the Journal of Periodontology examined
1,256 postmenopausal women and looked for a potential
association between periodontal bacteria and bone loss.
• The study results showed that women with periodontal
bacteria in their mouths were more likely to have bone loss.
• A follow up study over 10 years concluded they could
significantly reduce tooth loss by controlling their periodontal
disease.
• Another JOP study in 1999 concludes that estrogen
supplementation in women within five years of menopause
slows the progression of periodontal disease.
What does this mean for your patients? Those
who have Osteoporosis should be closely monitored, and treated
if any signs of Periodontal infection exist. Communication
with the treating physician may also be advised to help prevent
progression of disease and loss of bone.