When the patient is properly coached about the benefits, they
will invest their time and effort into what is recommended. This
is particularly true when the coaching shows the individual a direct correlation of their oral and systemic health.
Personal limiting beliefs of practitioners are readily detected
by patients and ultimately lead to a decrease in use, if they bother
at all. This is true for any aspect of patient enrollment, whether
it’s a product, restorative treatment, or hygiene service. The dental professional must believe in the coaching provided and come
across with confident presentation and communication skills.
Beliefs get results.
If your success rate in enrollment in products or treatment
is poor, reach out for coaching to enhance your communication skills. It is not something we were taught in dental hygiene
school, just as dentists where not taught how to manage a business. Coaching is a great addition to your professional development and personal growth. Cherish the dentist’s investment in
your excellence and everyone wins. We are taking the very best
care of our patients as they deserve for trusting us with their
KANDRA SELLERS, RDH, BA, is currently an executive coach for Hygiene
Mastery and a regional owner/executive coach for Fortune Practice
Management in Illinois and Michigan. She holds certification in laser
therapy and advanced practice techniques. She can be contacted at
PATTI DIGANGI, RDH, BS, holds a publishing license with the American Dental Association for Current Dental Terminology and is an ADA
Evidence-Based Champion. She is a National Speaker’s Association
Certified Speaking Professional candidate. Patti received the Sonicare/
RDH magazine Mentor of Distinction award at the 2013 ADHA annual
session. Her website can be viewed at www.pdigangi.com.
1. Wade W, Addy M. In vitro activity of a chlorhexidine-containing mouthwash against subgingival bacteria. J Periodontol. 1989;60: 521–525.
Available at: http://www.mendeley.com/research/in-vitro-activity-of-a-chlorhexidinecontaining-mouthwash-against-subgingival-bacteria/
2. Mankodi S et al. A 6-month clinical trial to study the effects of a cetylpyridinium chloride mouth rinse on gingivitis and plaque. Am J Dent.
2005;18:9A-14A. Available at: http://www.amjdent.com/Archive/2005/
3. Frascella J, Gilbert RD, Fernandez P, Hendler J. Efficacy of a chlorine
dioxide-containing mouth rinse in oral malodor. (2000) Compend Contin Educ Dent. 2000 Mar; 21( 3):241-4, 246, 248. Last accessed 7/31/13.
4. Chlorine dioxide: The most flexible and effective biocide available.
(2013) Scotmas Group. Last accessed 7/31/13. http://www.scotmas.
5. Framingham Heart Study. (2013) National Heart Lung Blood Institute.
Boston University. Last accessed 8/1/13 http://www.framinghamheart-study.org/
health products stating they have “stabilized chlorine dioxide”
can be confusing to people, and it would be more accurate to
state that they are products with “stabilized sodium chlorite”
A few products contain true chlorine dioxide. Packaging is
the biggest trick to transporting them and making them effective. Some products in the past were sold containing chlorine
dioxide already mixed in a single bottle. Two weeks after being
opened, the chlorine dioxide had gassed out of the liquid, and
no longer had bactericidal benefits to the patient. The way to
overcome this issue is to have a product that makes true chlorine dioxide gas in liquid at the time of use. This method requires
activation at the time of use, such as a two-bottle system, mixed
equally with each use.
Science brings us a new option with OraCare, which was recently introduced to the dental market by Dentist Select (www.
dentistselect.net). OraCare is a two-part system. One bottle is sodium chlorite, and the second bottle is lactic acid, other mild acids,
buffers, and catalysts. Equal amounts of liquid from each bottle
are mixed and sit for 30 seconds, activating the chlorine dioxide so
it is ready to fight pathogenic bacteria, fungus, and viruses.
The world of EBD continues to evolve. For a long time, random
control trials were at the top of the EBD pyramid. As shown in
Figure 2, this is no longer the case. Systematic reviews, meta-analysis, and practice guidelines come higher on the pyramid.
Products that have been on the market for a long time often have
a larger body of research, and it may be easier to perform a meta-analysis and systematic review. Does this mean the product is
necessarily more efficacious than a newer product? The answer
Everything was new at one time. Before the Framingham
Heart Study5 started right after World War II, increasing blood
pressure was thought to be normal and desirable with aging.
This sounds ridiculous based on current science. For many years
in dentistry, implants were thought to be risky and experimental. Many insurance carriers would not cover them. This too
sounds ridiculous at this point in time. The emerging science for
lowering blood pressure and placing implants was not accepted
by those invested in the old ways. The body of science wasn’t as
This is true today with new products and procedures in dentistry. The question becomes: When is there enough science?
We all dream of a single product answering the questions for all
patients, but this is an unrealistic expectation. There is no one-size-fits-all diagnosis, treatment, or product. Every individual
has individual needs, wants, desires, and health issues. OraCare
is another arrow in our quiver of options for patients. Going back
to the EBD equation, products need to match with patients’ values, expectations, needs, and desires.
MATCHING RINSES TO INDIVIDUALS