Periodontics has the greatest immediate potential for growth due to the amount of periodontal disease amongst our existing patients. The research shows that 60-80% of adults will have some level of periodontal disease. A tremendous service opportunity and growth center exists within your practice.


The answers to applying and standardizing the hygiene department to follow the current standard hygiene process of care, called A.D.P.I.E., isn’t an option in today’s dentistry.


All RDH’s, at some point in their education or continuing education, are aware and taught the process as a critical component of their professional obligation and licensing.


Is the hygiene department just “a cleaning” department or is it a therapeutic department with consistent protocols for early detection of periodontal disease, (the number one cause of premature tooth loss in adults)?


Does the dental team understand how to identify the risk factors that lead to its etiology such as genetics, lifestyle choices, a diet low in nutrients, smoking / the use of smokeless tobacco, autoimmune or systemic diseases, diabetes, hormonal changes in the body and medication?


Are you providing non-surgical treatment of scaling and root planing, behavioural modification with self-care aids, medicaments and follow up re-evaluation procedures on regular basis with accurate coding and value add fees?



Some questions to ask to determine if your hygiene department is honouring current standards are:


  • Do our patients value the hygiene visit or do they view it as “just a cleaning”


  • Does the entire dental team understand how oral health fits into overall wellness?


  • Is the practice performing documented comprehensive oral evaluations with measurements of the clinical attachment level?


  • Do the adult patients of record have a documented annual periodontal exam every year?


  • Does the hygiene department have clear diagnostic distinctions between health, disease and maintenance oral health status?



  • If a patient has active disease, are we clear on their case type of Gingivitis, early, moderate and advanced periodontal disease?


  • Is the hygiene team communicating with every patient the status of their supporting structures of bone and gums that hold their teeth in place?


  • Does the practice perform root planning, scaling and home care guidelines for patients with active disease?


  • What patient education tools, technology and visuals are being used to make sure the patient understands their status and frequency.


  • Do patients understand they need the periodontal care and frequency regardless of how many units they have covered or what insurance pays?


  • Are patients with disease returning for their revaluation to assess their healing and success of gum therapy?


  • Does the practice offer home care aids such as power brushes, interproximal aids, toothpaste etc. in the practice for purchase at a lower professional cost than retail outlets?


  • Does the hygienist use the intraoral camera on all patients prior to dentist examination?


  • Does the practice have a standard for each patient to order radiographs


  • Is the hygienist billing the accurate units of time the patient is in the chair?


  • Does the hygienist pre schedule the patient clinically before they leave?


  • Does the Dr. and RDH have a professional process of prompting the doctor in recall exams?


  • Are hygiene exams generating restorative dentistry that contributes to 80% of the
  • future dentist schedule?


If your answers to the above questions are NO or unknown, enroll today in our dental hygiene training workshop for how to build and expand your hygiene department.


September 21 & 21: Burlington, ON:



November 16 & 17: Ottawa, ON: