#921: Why Perio Calibration Matters (Even When You Think It Doesn’t)
This one's for the doctors and hygienists. Tiff and Britt discuss why perio calibration matters, how accountability on top of that improves practice-wide success, the right percentages your hygiene department should be reaching, and more. Episode resources: Reach out to Tiff and Britt Tune Into DAT’s Monthly Webinar Practice Momentum Group Consulting Subscribe to The Dental A-Team podcast Become Dental A-Team Platinum! Review the podcast Transcript: The Dental A Team (00:01.302) Hello, Dental A Team listeners. I am excited to help with you today with me, with us. Britt Stone, Miss Britt is one of our hygiene queens. You know, we have a couple of them on our team and occasionally I like to bring them in for some hygiene flow and some hygiene spaces. Now, Britt, today we are gonna talk hygiene, but I wanna do hygiene from doctors. perspective and like doctors really getting a lot of value out of that space. So today's hygiene is a little bit different. Your hygienists can listen to this always as well. Obviously there's gonna be nuggets in there for them, but doctors, this is for you. Before we jump into my hygiene, I'm so excited for this one, my hygiene stuff, Britt, how are you? You just went on vacation and it was a little chilly, I agree, because we're from Arizona, anything under. 80 degrees is a little chilly. I get it. Tell me, where did you ladies go and how amazing was it? Britt (00:56.382) That was true. Britt (01:04.513) It was amazing. One, thanks for calling us Hygiene Queens. I think all the hygienists out there appreciate that. So we love it. But I went up to Washington, Seattle area. So out to Woodby Island. So a little island out there. Took the ferry over, enjoyed it. It was great. I mean, we're all Arizona girls that went. It was like a high school crew, all my high school friends that went for a vacation once a year. And so we went out of town, enjoyed some fall, enjoyed some cooler weather since we don't... The Dental A Team (01:17.913) Super cold. Britt (01:32.695) get as much of that here and had a great time. The Dental A Team (01:34.351) No, that's awesome. And you froze, because you were like, those islands, they get really cold no matter what time of year it is. They're chilly, because they're way up there. You're almost Canada in those suckers. Britt (01:46.497) Yeah, and it's windy and it was rainy because it's fall time, but I mean, yeah, it's, yeah, which makes it nice and green and it was gorgeous. We saw like a bald eagle. Amazing. So it was. The Dental A Team (01:52.333) in Seattle. The Dental A Team (01:58.028) to. that's really cool. Well, I am excited that you got to go and I think that's super cool. I know you guys do your once a year trip and it's always something really, really fun and you get to just disconnect for at least a weekend. So I was happy to see you're out there. Yeah, I love it. I love it. And I love, I do love my hygiene queens and I think hygiene is obviously an imperative space. for dentistry and today's topic, it's actually, it's serendipitous, know, things always happen and come up. But the other day, my partner was asking me, he said, because he's a financial advisor, so he's always thinking numbers and he advises a few dentists. And so he's like picking my brain for things. And he's like, how much do dentists actually make? off of a cleaning, because like he'll go in for his cleaning and then come out with like all of these financial questions for me and I'm like, I'm very smart, you like I'll walk you through it. Yeah, so I'm like, nothing. He's like, what do you mean? What do mean they make nothing? And I was like, they make nothing. Like you're not, you are not going to be profitable off of strictly re-care appointments. And so I literally like, that was my initial response was like nothing and like walk away, right? And he's like, no wait, tell me more. And I'm like, Britt (03:22.275) all the things and then eventually nothing. The Dental A Team (03:25.539) Yeah, and so I was like, okay, fine, I'll break it down for you. Let me tell you all the things that go into a hygiene appointment and that cost analysis per hour and why it's so important that a hygienist does 3.3 times his or her rate of pay and can produce 30 % of overall production for the practice because if they're not, that department is not profitable for the company. And the non-profitable space of the company is an issue, right? And it's not to say hygiene that, know, we're never gonna say do things you don't wanna do or squeeze your appointments or do more. And like, that's not who we are. It's really just about finding the spaces where we can create more value for our patients utilizing the tools at our fingertips and creating more profitability for the company because for Dental A Team we believe that the profitability leads to reinvestment back into. the patients and the practice. So we cannot reinvest back into our patients' experience and all of these, you digital workflows that everybody's trying to do, these new x-ray machines, the scanners, the cavitron tips, guys, like those pieces of things and, and cool lasers and all of these things that you want even for your hygiene space, those are reinvestments back into it. So that profitability creates the space to be able to do that. And doctors today, I really wanted to walk through that. His question the other day was just like, my gosh, like, this is something that as a consultant and as a dental professional, this is one of those spaces that to me is just like, I'm like, why would you even ask that? Like that was, that was a weird question. Like, obviously it makes nothing. And then I'm like, you want me to walk you through it? Okay, this is one of those spaces that I think people know that they don't. And really taking an analysis and a look doctors at your hygiene department and how you're influencing that. as well and making sure that you're staying on top of it. think hygienists are incredible. I think dental teams are incredible. I think doctors are incredible human beings. But I think a lot of dentists, a lot of doctors are like, well, they're hygienists. Like you've got this. You've got this. You do the periapart. You do that, which I totally agree with you guys, right? You are in that world. You are in the gums, right? You got the gums. I'm gonna give you that world, okay? My doctors. The Dental A Team (05:48.642) you diagnose the decay, the things that need to happen, like you are in that world way more than anybody else is. So for hygienists to be the lead on perio and periodontal pieces, whether it's a routine cleaning or sky's the limit, that makes sense to me. But my doctors who pull so far out that they don't actually know what's going on over there anymore, which... That doesn't happen for anybody out there legally who's listening. That doesn't happen. But when we're not calibrated, or my doctors, I've had so many times a doctor that's like, yeah, I think they'll be fine, maybe a debridement. And the patient gets over, and the hygienist is like, five millimeter pocket. I'm like, no, he said a debridement. I guess we've already treatment planned it, so now we have to do a debridement. My hygiene team is upset. Britt (06:15.165) Yeah. The Dental A Team (06:40.269) I really wanted to talk periocalibration today and Britt, I wanna speak to the doctors specifically, hygienists too, and if you're listening to this and your doctor doesn't listen, like share this one, but go back and do these things with your doctor too. But Britt, from a hygiene standpoint, like how does periocalibration with your doctor, how does it positively influence your experience as a hygienist to... obviously give your patients the best experience, but how does that influence your experience as a hygiene team member within a practice when you guys are more calibrated like that? Britt (07:13.537) Yeah, mean, is big, right? When it comes down to it, we need to have a standard when it comes to perio that we all agree on. It's doctor-led, right? And then someone's got to ensure that that standard is actually happening. And that's where doctors don't get so disconnected from it that you can't recognize when a hygienist is not following the standard that we've all agreed upon or that you have set forth and you want that level of care provided for your patients. That's where... You know, as a hygienist, I love a doctor who trusts me. And you know what? You trust me because we are calibrated and you trust my opinion and you double check it and that trust continues to be there because we continue to be calibrated on how we treat our patients. And if we are not, then great, have a conversation and let's address it and let's reset things. mean... We're all human beings. How many of us have a habit that slowly over time, gradually changes a little bit? It can happen. So we need to help each other, right? Keep that standard of care that we want to provide to our patients. And sometimes it goes both ways, right? I want that doctor double checking, spot checking things to ensure that that quality is there. If there is a question, great, let's have a conversation about it. If doctor comes to me and says, hey, like question something, then like, great, let's have a conversation about it and let's recalibrate and let's get back on track with each other and get in line so that we ensure that the quality of care that we're providing to our patients is what we want it to be. So I think for doctors, right, anything we do, and even when we work with people on front desk items, it's like, well, how do I make sure that that's happening? Someone's got to spot check. There's gotta be accountability somewhere. Clinical is where doctor needs to be strong accountability. Office manager is more stro