Ineedce.com/RDHCEeveningExpress November 2015 Presenter by: Kristine Hodsdon, RDH, MSEG 1 Selective Polishing: Does It Really Matter? This presentation is supported by Young Dental. Presented by: Kristine Hodsdon , RDH, MSEG www.kristineaho ds do n.co m PennWell is an ADA CERP recognized provider. ADA CERP i s a servi ce of the American DentalAssoci ation to ass ist denta l professi onals inidentify ing quali ty providers of continuing dental education.A DA CERP does not approve or endorse i ndivi dual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry.Concernsor complai nts abou t a CE provider may be directed to the provi der or to A DA CERP at www.ada.org/goto/cerp. P ennWell designates thi s activ ity for 1 Continui ng E ducation Credit. Dental Boar d of Califor nia: P rovider 4527, course registrationnumber 01-4527-15025. “This course meets the Dental B oard of California ’s requiremen ts for 1 unit of continuing education.” Recognition and Credits The P ennWell Corporation is designated as an Approved PACE Program P rovi der by the A cademy of General Dentistry. The formal conti nuing denta l educati on programs of this program provider are accepted by the A GD for Fellowship, Mastership and membership maintenance credit. A pproval doesnot implyacceptance by a sta te or provinci al board of dentistry or AGD endorsement. The current term of approval extends from (11/1/2011) to (10/31/2015) P rovider ID# 320452. Presenter Disclosure: Kris tine H ods don‘s c ompany is D ental Influencers , LLC. She is the Direc tor of the RDH eVillage, PennWell publication an on-line new s letter reac hing ov er 57,000 s ubs cribers and work s w ith the Pride Institute. Com m er cial S uppor t: This course was developed with commercial support by Y oung Dental. P r ovider Disclosur e: P ennWell does not have a leadership position or a commercial interest in any products or services discussed or shared in this educational activity, No manufacturer or third party has had any input into the development of course content. CE P lanner Disclosur e: Heather Hodges, CE Coordinator does not have a leadership or commercial interest with any commercial supporter, or with products or services discussed in this educational activity. Heather can be reached at [email protected]. Im age Authenticity: No images in this educational activity have been modified or altered. S cientific Basis: A ll content has been derived from references listed and the author’s clinical experience. Research references are provided in the bibliography and/or supplemental materials. E ducational Disclaim er : Completing a single continuing education course does not provide enough information to result in the participant being an expert in the field related to the course topic. It is a combination of many educational courses and clinical experience that allows the participant to develop skills and expertise. Disclosure Declarations
PennWell is an ADA CERP recogniz ed provider. ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. Concerns or complaints about a CE provider may be directed to the provider or to ADA CERP at www.ada.org/goto/cerp.PennWell designates this activity for 1 Continuing Education Credit.
Dental Board of California: Provider 4527, course registration number 01-4527-15025.“This course meets the Dental Board of California’s requirements for 1 unit of continuing education.”
Recognition and Credits
The PennWell Corporation is designated as an Approved PACE Program Provider by the Academy of General Dentistry. The formal continuing dental education programs of this program provider are accepted by the AGD for Fellowship, Mastership and membership maintenance credit. Approval does not imply acceptance by a state or provincial board of dentistry or AGD endorsement. The current term of approval extends from (11/1/2011) to (10/31/2015) Provider ID# 320452.
Presenter Disclosure: Kristine Hodsdon‘s company is Dental Influencers, LLC. She is the Director of the RDH eVillage, PennWell publication an on-line newsletter reaching over 57,000 subscribers and works with the Pride Institute.Commercial Support: This course was developed with commercial support by Young Dental.
Provider Disclosure: PennWell does not have a leadership position or a commercial interest in any products or services discussed or shared in this educational activity, No manufacturer or third party has had any input into the development of course content.
CE Planner Disclosure: Heather Hodges, CE Coordinator does not have a leadership or commercial interest with any commercial supporter, or with products or services discussed in this educational activity. Heather can be reached at [email protected].
Image Authenticity: No images in this educational activity have been modified or altered.Scientific Basis: All content has been derived from references listed and the author’s clinical experience. Research references are provided in the bibliography and/or supplemental materials.
Educational Disclaimer: Completing a single continuing education course does not provide enough information to result in the participant being an expert in the field related to the course topic. It is a combination of many educational courses and clinical experience that allows the participant to develop skills and expertise.
Disclosure Declarations
Ineedce.com/RDHCEeveningExpress November 2015
Presenter by: Kristine Hodsdon, RDH, MSEG 2
Agenda
Verbal Skills & Enhancing the
Patient Experience
Landscape of Prophy Paste
Selective Polishing vs Essential Selective
Polishing
Self-Profile about your product style
Myth Busters about Polishing
Adult-Prophylaxis, D1110ADA CDT-4 Codes
�Myth: A dental prophylaxis performed on transitional or permanent dentition that includes scaling and/or polishing procedures to remove coronal plaque, calculus, and stains.
�Truth: "A dental prophylaxis performed on transitional or permanent dentition that includes scaling and polishing procedures to remove coronal plaque, calculus, and stains.”
Why Integrate Polishing??
�Produces smooth surfaces on teeth and restorations that reduce the adherence of dental biofilms and extrinsic stains (marketing & pt experience)
Ineedce.com/RDHCEeveningExpress November 2015
Presenter by: Kristine Hodsdon, RDH, MSEG 3
LANDSCAPE OF PROPHY PASTE
Bulk Jar
Single Does Units
Ineedce.com/RDHCEeveningExpress November 2015
Presenter by: Kristine Hodsdon, RDH, MSEG 4
2-in-1 Does Units
The first 2-in-1 polishing system to promote enamel health through customized care
�Fine�Medium�Coarse�Extra Coarse
GRIT
Science of AbrasionMyth vs Truth
..use the polishing grits in a progression of coarse, medium and fine applications for a smooth lustrous finish…
…Polishing abrasives have the potential to remove millimicrons of the fluoride rich enamel layer
Truth
Myth vs Truth
…Fluoride in prophylaxis paste is a replacement for a topical fluoride treatment…
Myth
Ineedce.com/RDHCEeveningExpress November 2015
Presenter by: Kristine Hodsdon, RDH, MSEG 7
Supplemental Ingredients
Desensitizers� Potassium Nitrate� Argine Calcium
Carbonate� Calcium Sodium
Phosphosilicate� Calcium Phosphate
Bacterial Inhibitors� Xylitol
Remineralizers� Amphorhous Calcium
Phosphate� Casein
Phosphopetides-Amorphous
� Calcium Phosphate Nitrate
� Calcium Sodium Phosphosilicate
Self Profile� Do you know (unaided) the brand
names of the prophy paste & anglesyou use in clinical practice?
� What types of grits do you currently have available? Use?
� What are the additives / flavors?� Do you know which dental
distributor your office purchases their prophy paste/angles from?
� Do you know the name of your dental distributor sales representative? � Do you have a good professional relationship with this individual?
“one polishing paste for all polishing procedures”
Truths about Preventive Market
Ineedce.com/RDHCEeveningExpress November 2015
Presenter by: Kristine Hodsdon, RDH, MSEG 8
Rubber Cup Polishing
�Polishing every client/tooth during an oral prophylaxis
Selective Polishing
..it was introduced in 1976 in the 4th edition of Clinical Practice of the Dental Hygienists
by Ester M. Wilkins, RDH, BS, DMD
&…”polishing is a slective procedure and not every patient needs to have teeth polished,
especially on a routine basis”
Patient Centric vs Research Driven
Ineedce.com/RDHCEeveningExpress November 2015
Presenter by: Kristine Hodsdon, RDH, MSEG 9
Essential Selective Polishing
…dental hygienists select cleaning or polishing agents according to the individual patients' needs…
Barnes CM Polishing In: Wilk ins EM Clinical Practice of Dental Hygienists, 11th ed. Philadelphia: Lippincott Williams and Wilk ins; 2012
Polishing Assessment� Individual Client needs� Health of the Tissue� Caries risk (presence of demineralization)� Exposed Dentin� Erosion/ Abrasion� Type of Restorations� Client’s oral health behaviors
– Type and amount of stain (smoking or coffee)� Appropriate grit of polishing paste or cleaning
agent
Enhancing the Patient Experience
�2012… Essential Selective Polishing: Polish all teeth (stained or unstained) by selecting the least abrasive polishing agent to meet individual patient needs.
�A customized approach to polishing will help to preserve enamel health.
Ineedce.com/RDHCEeveningExpress November 2015
Presenter by: Kristine Hodsdon, RDH, MSEG 10
Verbal Skills…Enhancing the Patient Experience
� “in order to preserve your investment in your smile…”� “because I know you value white teeth...”� “research now show us that…”� “so that we can prevent the possibility of at gritty feeling
once I’m done…”� “because I know you love to leave with fresh breath…”� “ previously, while I was assessing your smile I noted
ABC which is why now when I begin polishing them, I’ve purposefully chosen a technique/product that will…”
� “because you told me that your teeth are sensitive (fill in the blank)…”
Essential Selective Polishing
�Patients Win�Teeth Win�You WIN!!
Selective Polishing:Does It Really Matter?
YES!!!!
Ineedce.com/RDHCEeveningExpress November 2015
Presenter by: Kristine Hodsdon, RDH, MSEG 11
This presentation is supported by Young Dentalthrough an unrestricted educational grant.
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