Orthodontist in Oklahoma City

Invisalign Orthodontists

Picking of a decent orthodontist may appear to be simple, however numerous individuals wind up losing time, cash and exertion because of wrong decisions made. Tips on the best way to pick a decent Orthodontist OKC include:

Qualifications

High aptitudes and ability are keys to fitting orthodontic treatment. To ensure great administration, dependably check if the orthodontist has the vital capabilities, licenses and experience to perform the work.

An expert orthodontist ought to have a degree in dental surgery, notwithstanding a graduate degree. Authorize dental organizations ought to have legitimately authorized the person. Go for people who have the greater part of the capabilities to give quality administrations.

Alternative of treatment

There are distinctive choices that an individual can pick in orthodontics. Be instructed when picking the best alternative for your treatment. Go for choices that fulfill all needs, whether bringing about preventive treatment or surgical. In the event that conceivable, investigate web assets to guarantee that the administrations being offered match current gauges of consideration and expense.

Gear

Treatment instruments change with innovation headway. Consider if the orthodontist has the state-of-the-art gear fundamental for legitimate results. Pick a person who can get to all the cutting edge instruments and gear easily and who is proficient about all treatment alternatives in connection to the apparatuses.

Work performed already

Before making an arrangement for a discussion, it is vital to consider the surveys offered by former patients for comparative administrations. Survey the orthodontist’s expert site to see the consequences of work they have finished previously.

Acknowledgment

Before choosing the orthodontist you are considering for treatment, consider the administrations’ majority they offer. Verify that they are authorize to perform all aspects of the treatment you are looking for. It is ideal to feel trust in your supplier, realizing that after all work is performed, you will be completely fulfilled.

Costs

Consider the expense of treatment required. Settle on a choice in view of the needs. It is fitting to get a treatment’s quote required. A second feeling may even be all together. Pick a treatment plan that suits your money related needs, without trading off your administrations.

Environment

Consider an orthodontist situated close to you’re home or work, for straightforwardness in booking arrangements. Consider the separation, cleanliness, offices and qualified labor of the facility before choosing the orthodontist to offer your administrations. Verify both the administrations and staff individuals from the center make you feel good.

Orthodontic consideration requires some serious energy; and you need to feel good with all features of your treatment. Pick a facility with an agreeable situation, however situated inside of driving accommodation, for straightforward entry whenever you have to counsel the orthodontist.

Orthodontist relationship

Continuously check if the individual has a decent association with AAO and they are an orthodontist in Moore OK. Setting off to a person whose association with companions is one of high expert respect may be vital to picking the right professional to handle your consideration.

Pick an orthodontist who is transparent with others to guarantee feeling more great with your consideration. The patient ought to set aside an ideal opportunity to be very much educated.

Aftercare

Consider if after the treatment, the orthodontist giving the administration offers aftercare conference. Go for orthodontists who have a subsequent meet-up medications advertised. The best orthodontist offers after consideration interviews for the situation any issue is experienced while at home. Their administrations for after treatment ought to have no additional expenses other than the expense of treatment while under consideration.

Interviews

Consider the interview administrations offered by the person. It is prudent to pick an orthodontist whose counsel administrations incorporate every single therapeutic expens required. There ought to be no additional expenses after discussion. Starting charges ought to be for quick and aftercare administrations.

While picking the best orthodontist, verify the administrations are of value, in connection to the cash paid. The orthodontist ought to have a decent association with the working group.

Administrations got from a group that is united advantages everybody, patients and staff alike. Those administrations are of better quality and make a decent and agreeable environment for patients.

Autism spectrum disorder: Strategies for successful dental hygiene appointments

Most clinicians have or will treat a patient who has special needs, whether those special needs are easily recognizable physically or come in the form of a developmental disability such as autism. What may be a routine dental visit for us or for another child can be a stressful event that incites an emotional tailspin for others.

Autism spectrum disorder is a variable condition on the rise in the United States, and it affects our children in mysterious ways. In April 2018, the Centers for Disease Control released new statistics on autism spectrum disorder. The newest studies indicate that, in the United States, one in 59 children is on the autism spectrum, up from the previous figure of one in 68.1 A government survey of parents revealed that one in 45 children has been diagnosed with autism.2 The prevalence of the disorder is greater among boys than girls: one in 37 and one in 151, respectively.1 There is speculation about the cause of autism, although it still remains unknown.

Autism can manifest in a multitude of ways; every child it affects is different. From those mildly affected to those who have a profound disability, each individual has unique triggers and coping mechanisms. In many cases, early intervention and therapy have improved the ability of children to learn and communicate with others and to learn social skills that don’t come naturally to them. Some of the more common manifestations of autism include repetitive movements such as rocking back and forth, avoiding eye contact and touch, struggling to understanding others’ feelings and emotions, delayed or undeveloped language, and upset over changes in routine. Most children who have autism have intense reactions to textures, smells, sounds, lights, or colors. Shifts in routine and new environments or faces can cause anxiety in these children, often making them less cooperative as patients.

The consequences of dull dental hygiene instruments on practice productivity

Sharpening in the trenches: Survey results

Instrument sharpening is rarely part of discussions about the business model of dental hygiene. This isn’t surprising given that sharpening is often literally left out of the hygienist’s day, whether he or she likes it or not. Our recent survey on sharpening revealed that of hygienists who say they aren’t sharpening as much as they’d like, 73% cite a lack of time as the main issue.

From our survey, it also became clear that some hygienists’ employers (both individual dentist-owners and DSOs) don’t value sharpening. They don’t provide reasonable time to accomplish it, expecting hygienists to do it after hours—that is, unpaid. Some employers even downright discourage it. One respondent said, “The doctor gets upset when we sharpen and thinks we will ruin the instruments.” There were many other comments such as this one.

Why is something as central to the practice of dental hygiene as a sharp scaler so neglected in some practices’ models of productivity and everyday activities? Why should hygienists feel confident in including sharpening as an important part of their work, both as clinicians and as generators of revenue? In this installment, we’ll explore these questions and hear what experts have to say about them.

The money

Let’s be cynics for a moment. We all know that not every dental professional has the patient’s best interests at heart. We’ll explore the clinical consequences of dull instruments in an upcoming article, but what about consequences that are spelled out in dollars? Sometimes even dire clinical consequences are not enough to push a practice owner to prioritize patient care, but such a person or entity will pay attention when the practice loses money. So, it’s worth asking: Can dull instruments actually hurt a practice’s bottom line?

The gag reflex: How dental hygienists can help patients who experience it

When exposing radiographs, some techniques may alleviate the reaction

Our gag reflex is a natural protective automatic response designed to keep us alive. It keeps us from allowing any foreign object from going down our throat. It’s one of many survival responses, like jerking our hand away when we touch something hot. We don’t think about gagging; it just happens. Have you ever gagged when having x-rays taken? This is not pleasant.

The pharyngeal reflex or laryngeal spasm activates the gag reflex when something touches the back of the throat, roof of the mouth, tongue, or uvula areas. The tissues constrict in the back of the mouth, which causes a person to gag or feel like throwing up. Many people become concerned when the gag reflex activates, and this makes them feel uncomfortable or nervous.

The gag reflex starts in the first months of life. If the infant’s brain perceives something that’s too lumpy, the hypersensitive reflex activates. Once the infant starts to eat solid foods, the gag reflex diminishes and is less important for survival, unless, of course, a bitter taste is detected and interpreted as dangerous or poisonous. The bitterness will cause someone to vomit and eliminate the hazard immediately. Cotton rolls can also activate the gag reflex.


Patient perception

Some people have a terrible time preventing their gag reflex from activating. This is embarrassing, and they don’t really know why it’s happening. Gagging can be a physiological fear of losing control by vomiting. Some people can see the x-ray holders coming toward their mouths (it’s not even in their mouths yet) and they start to gag. As dental professionals, this can be frustrating, time consuming, and scary. I have told my patients that if they throw up, I’ll be next. I’m a “sympathy gagger.” However, we should offer our patients who gag encouragement, patience, and a positive attitude.

I came up with my article topic when one of my myofunctional patients visited a dentist for her prophylaxis and new-patient examination. When she returned to her therapy appointment, she told me that she went to her dental appointment, but because she had a sensitive gag reflex, they told her to see another dentist. They actually dismissed her from their practice! I was flabbergasted! This patient truly has a severe gag reflex. The dental team did not understand how to handle or temporize the situation. Aren’t dentists always looking for new patients? What do you think this patient will have to say about that office? Negative publicity will not grow a practice.

As a prevention specialist, I felt so bad that she was turned away because of a problem she could not control. So we discussed ways to eliminate her gag reflex. She has a narrow palate and small mouth. We started some remedial activity. The most successful technique was using a small graham cracker placed between her tongue and mandible. She was able to tolerate this and did not gag.

Placing that huge x-ray holder in a little mouth is a challenge for both patient and dental professional. There are other ways to collect radiographic records, such as a panorex, child-size sensors or films, or piggyback bitewing tabs on the sensor to move it toward the center of the palate to avoid contact and gagging. Crosstex has excellent Wrap-Ease Cushions for sensors with barriers. These prevent the mandibular and palatal tori from being injured. They’re also comfortable and easy to use.

Professional swallowers

Think of a sword swallower. I gag just thinking about that, and I’m not a gagger! How did they train themselves not to gag while putting that long sword down their throats? What about people who “swallow” fire or other items mentioned in books like Ripley’s Believe It or Not!

Do these people not have gag reflexes? How do they overcome any gagging? Do they use continuous training such as mind over matter? What about people who are professional eaters? They have to overcome gagging in order to swallow enough food to win a contest. Participants practice in order to put on great shows for audiences. Patients can also practice at home to desensitize their gag reflex.

In the dental office, gagging takes most people out of their comfort zones. Gaggers often don’t want to return for more dental care. Every experience can be traumatic. Treatment is often postponed until it becomes an emergency. Future recare appointments are frequently cancelled due to anticipated stress and fear.

Every office should consider creating a standard operating procedure for these patients. Every team member should learn techniques to make appointments as comfortable as possible. Stress management is a significant step in this process. Patients could practice at home to desensitize their gag reflex each time they brush their teeth.

Gagging is a defense system of the body to prevent choking. I hope this article helps lay this gagging reflex problem to rest. You can collect some little bags of salt to use, and remember, they are infection-control friendly.

, RDH, COM, is a national and international speaker specializing in OSHA, infection control, lasers, and orofacial myology. Pine conducts in-office trainings, boot camps, online seminars, and lectures at dental/dental hygiene conventions. She is a member of OSAP speaker’s/consultant’s bureau and publishes regularly in several dental magazines. Pat provides both OSHA Boot Camp and orofacial myofunctional therapy. Contact her at info@oshatrainingbootcamp.com.

References

1. https://www.medigoo.com/articles/hyperactive-gag-reflex/

2. https://www.ncbi.nlm.nih.gov/pubmed/8647679

3. http://www.dentalhygiene411.com/how-to/x-rays-gaggers/


Tips and tricks from Facebook’s hygienists

My dental hygiene peers on Facebook shared the following suggestions after I asked: “What do dental professionals do for patients with gag reflexes when taking x-rays?” I was pleasantly surprised by the great responses.

  • Communication is key, talking softly and calmly to patients to give them a sense of calm and control.

Addressing compliance in the periodontally involved patient

Start with one part patient relationship plus one part break down compliance barriers. Toss in some patient education and combine with follow-up. Sprinkle liberally with communication. Serve with a smile.

Periodontal disease continues to be prevalent in the United States. In a recent report, the Centers for Disease Control and Prevention (CDC) found that 47.2% of adults ages 30 years and older have some form of periodontal disease.1 Every day dental hygienists try to help patients improve their oral health along with their systemic health. In November 2016, the American Heart Association stated that, based on recent research, periodontal disease is independently associated with arteriosclerotic vascular disease (ASVD).2 This was a breakthrough in the medical and dental communities. Before, we could only say there was a strong correlation between periodontal disease and heart disease, but now we can say it is a fact. Dental and medical professionals need to come together to help patients improve their oral and systemic health.

Dental hygienists face issues daily with patients regarding periodontal compliance for a multitude of reasons. Getting patients to comply with treatment recommendations is a multifaceted process. The importance of compliance must be communicated consistently by all dental team members, primary care physicians, specialists, and team members throughout the referral network.

Communication

To increase patient periodontal compliance, it may be helpful to contact your patients’ physicians and specialists to request assistance in supporting the cause for treatment of the patient’s periodontal disease. In my office, our doctor regularly seeks medical clearance and support for periodontal treatment from our patients’ physicians and our referral network. Unfortunately, most physicians and specialists outside our network respond with letters that leave much to be desired and contribute little to help improve our patients’ compliance. But within our referral network, we have found that patients will comply with the periodontal treatment that we recommend. Building rapport not only with our patients but with local physicians can help increase patient compliance.

Ask the Experts: Our go-to sealants for pediatric and adult patients

Properly applied sealants are a cornerstone of dental hygiene prevention, especially for young patients—but they’re not just for kids. We recently asked our editorial advisory board how they would handle sealant application in two very different patient situations. If you’ve got patients who love gummy worms and patients who love coffee (and we know you do), read on!


Patient A

This 7-year-old patient is at high risk for caries due to his diet, which includes sugary drinks and sticky foods, and his oral hygiene habits; he brushes just once a day and flosses only occasionally. He has normal dexterity for oral hygiene for his age, and while he seems mildly interested in home-care instruction, his parents are not particularly interested in enforcing good habits at home.

Patient B

This 42-year-old patient has excellent oral hygiene awareness and habits but is suffering decay issues. She has medication-
induced xerostomia. She enjoys a few cups of sweetened coffee spread throughout the day, which she drinks slowly. She is frustrated by the current state of her oral health and is interested in additional preventive measures.

Amber Metro-Sanchez, BA, RDH

What is your sealant of choice for these patients, and why?

For the younger patient, I would use UltraSeal XT hydro by Ultradent. This sealant material works well in a moist environment, which thankfully reduces the constant need for saliva control in this age group. This product also releases fluoride after placement and has excellent wear resistance, so it is a winner for this patient all around.

It’s not about you. Or is it? The key to keeping your patients coming back for recall appointments

When your patients don’t show up for their dental appointments, what is your first thought? A missed confirmation call or text? Think again; it’s not about your system. The key to keeping your patients coming back for their recall appointments starts with the letter R.

Ask yourself: What is the most important factor in ensuring patients keep their dental appointments? If your first thought is “confirmation calls or texts,” you would not be alone. But you would be wrong!

When we experience a no-show in our schedules, the first thing many of us look to is the confirmation list. “Did we speak to the patient or leave a message?” “Home or cell?” “Do we have a good phone number?”

Another element on which we rely heavily is the recall system the office uses. “Did the patient receive a reminder card in the mail?” “Were they properly entered into our continuing care system?”

Recall systems and confirmation calls are necessary components of a healthy hygiene department, of course. However, they are just that: components and complements to the real factor that helps ensure patients make and keep appointments.

Surprisingly, it’s not your system. It’s you.

Your relationship with your patients determines whether they make appointments and keep them. If you don’t agree with this, I challenge you to think about the appointments in your own life that you never want to miss. Do you have a friendly hair stylist you would never stand up? A personal trainer who gives you the push you need to be your best? A much-needed massage with the masseuse who knows where your muscle pain is located? These are all relationships. Not deep or complicated ones, but important ones in your life.

Guiding pregnant patients’ oral care

I love having pregnant women in my chair for prophylaxes! It allows me to really hone in on proper home care for mother and child. Since most soon-to-be mothers are concerned about doing everything right, it is rare that they become upset when I review oral hygiene instructions.

By the time I finish explaining the importance of home care, they usually have many questions for me. This is a great opportunity to build rapport with patients and gain their trust. Let’s be honest; this interaction is something that often gets pushed aside because of the high demand placed on hygienists to produce and do more throughout the day.

Subbotina | Dreamstime.com

Pregnant patients

It is usually through the medical history that I find out a woman is pregnant. I like to ask a few questions to feel out whether the patient is happy about the pregnancy before I congratulate her. Most of the time the woman is happy, but I do have patients who aren’t exactly thrilled with the situation, and I have to respect that too. I usually ask how far along they are, when they’re due, if it is a high-risk pregnancy, and how they’re feeling.

Based on their answers, I can usually detect if the pregnancy is good news or not, and then I can continue on with boy or girl questions, offer congratulations, and more. It is always good to have the information about the patient’s obstetrician on file in case the dentist needs to consult with him or her about the patient’s case.

The many ways hygienists earn extra income

An inside peek to adding bottom-line value

Creating and sustaining a viable alternative income stream is not a new idea. What are the driving forces for hygienists who work outside of a clinical setting, and how do those forces contribute to their financial health? In July 2018, 152 dental hygienists shared their thoughts in a short anecdotal poll (figure 1). The results painted a very colorful, diverse, and intriguing picture.

Figure 1. Motivations for nonclinical positions

Motivating factors

Dental hygienists are resourceful. Those who seek additional income are creative, inspired, and unwilling to let anyone define where and how they’ll make those extra dollars. Their enjoyment of something was their number one driver as more than half of the respondents said they earn income doing work they truly enjoy. Diversity was high on the list, and many said the nonclinical work feeds their creativity or provides an intellectual challenge.

Surprisingly, money was not the primary driver, but it was an important aspect for one-third of the respondents. Fourteen percent said they are building a nest egg, and just under 5% reported working in a nondental family business.

The poll revealed some surprising paths to pad RDHs’ bottom lines. Some split their time between a previous occupation and clinical practice, while others made a complete career shift. Sadly, a number said their job changes were spurred on by the physical toll of dental hygiene practice through the years.

I want to be my own boss

Many hygienists can only dream of a day when they own their own dental practice, but business ownership is becoming a reality in more areas of the country. This husband and wife team give hygienists hope that business ownership can be realized when state legislatures remove barriers that block hygienists from owning their own practices.

Derrick and Anna Robertson are dental hygienists who reside in Bucksport, Maine. They met while attending hygiene school at the University of Maine at Augusta, Bangor Campus.

“I craftily dreamt up excuses to talk to Anna, and we started dating the beginning of my last semester,” Derrick said. Anna was homeschooled, and then headed straight to college. Dental hygiene was a second career for Derrick. He had previously worked as a marketing associate for Sysco Foods and as a service writer for an auto center. Derrick graduated from dental hygiene school in 2003 and Anna in 2005.

One of the operatories in the Robertsons’ practice with a beautiful summertime view.

Making it legal

In July 2008, the Maine legislature passed a bill that allowed for the independent practice of dental hygiene. The application statutes for independent practice dental hygienists (IPDH) state that hygienists are required to have worked in a clinical setting for at least two years and 2,000 hours before they can apply for their license if they have a bachelor’s degree, or six years and 5,000 hours if they have an associate’s degree. Applicants must retake the jurisprudence exam, pass a criminal background check, and pass a board interview. At present, there are approximately 100 IPDHs.

Periodontal maintenance or prophy? Yes, periodontitis can be cured

Dear Dianne,

I work in a solo practice with another full-time hygienist. We both graduated 10 years ago and our doctor is a great guy. We pride ourselves on delivering high-
quality care to our patients and we focus on making sure our patients are happy with their experience.

However, I recently had a new patient in my chair who was definitely not happy when she left. This nice lady recently moved to our area and was referred to our practice by a neighbor. I seated her and gathered all the preliminary data plus took a full-mouth series of x-rays. Her medical history was uneventful and she had no history of smoking. She indicated that she had experienced some periodontal problems in the past, but as far as she knew, everything was fine now. Her periodontal charting revealed no bleeding on probing and no signs of disease activity. When I did a tour of her mouth, the tissue looked great and I only found one reading at 5 mm and a few areas of recession. Her home care was very good.

The policy in our office is if a patient has periodontal disease, past or present, the code for their preventive care is D4910. So that’s what I marked. But when the patient checked out, she was most unhappy with the charge and the business assistant’s explanation. She said, “I just came in to get a cleaning and I feel like I have been ripped off!” When the business assistant told me about the situation, I decided to send the patient a written explanation through email. I explained while there is no cure for periodontal disease, we try to control it, much like diabetes, and I was following the policies of my office. The patient replied she will never return to our practice.