continued from pg. 12
This July 28–30 is RDH Under One Roof in
National Harbor, Maryland. Register for the
meeting and specifically ask the conference
planners to assign you a mentor.
Why? Because instead of just attending
courses, you need to learn how to network,
meet the speakers you want to meet, and make
connections that will help start you on a new
path with a new vision for your career. Go to
the meeting with your own printed business
cards, and make sure you have had face time
with Ann Spolarich, Jo-Anne Jones, Maria
Goldie, Shannon Nanne, Karen Davis, Tricia
Osuna, Alice Horowitz, or whoever has inspired
you in some way. Exchange e-mail addresses
and follow up when you get home so you can
continue your journey of learning and growing
under their guidance.
The individuals you meet may know someone who knows someone who will give you
advice, make connections, and help you begin
on a new activity. If this meeting is not for you
and you want to think outside of dental hygiene, attend a business meeting and do something similar. Network, exchange contact information, make connections, seek advice,
listen, learn, and—above all else—follow
through. The world is your oyster and you are
one step away from the pearl within it! RDH
continued from pg. 14
As the visit continued, she wanted to
open up about her lifelong struggle with the
realization that she was in a body that was not
meant for her. I asked her where she was on
her timeline. I had read some articles and was
slightly familiar with the protocols. She said
that she had been taking hormones for 15
months, which meant that when I saw her last,
she had not been forthcoming about her medications. (I understand her reluctance to divulge
that to me.)
She said that she hoped to be considered
as a candidate for surgery but that it would
require another six months of living as a woman, with two psychiatric “sign offs” before she
could proceed. Since the surgical change is
permanent, the risks, time off from work, and
rehabilitation are all factors she must consider.
Further, the costs are significant and insurance
companies are not likely to cover them. For
this reason, her surgical transformation might
be delayed. She said that she had found peace
of mind by simply making the changes that
she had so far.
She was candid with me about her family
situation, which was going to remain intact.
She and her current legal wife will both parent
as mothers to their two elementary school-aged children.
I found the experience awkward only at the
beginning of the appointment. Once we got
going, Jessica was as warm and nice a person
as Ken had always been. Frankly, it broke my
heart when she thanked me for being willing
to treat her. She later expressed the same gratitude to our dentist.
Perhaps today’s column will serve to help
you with patient management should you encounter this scenario in your practices. Our
world is ever changing. We are professionals
treating patients regardless of their gender-changing status. Onward we go; it is in our
hearts’ core. RDH
1. Hembree WC, et al. (September 2009). Endocrine
Treatment of Transsexual Persons: An Endocrine
Society Clinical Practice Guideline (PDF). Journal of
Clinical Endocrinology & Metabolism.
THE RIGHT WORD
continued from pg. 36
5. Bernstein L. U.S. updates water fluoridation guideline
for the first time in 53 years. Washington Post website.
guideline-for-the-first-time-in-53-years/. Published April
6. Peterson A. Question: European countries have
rejected fluoridation, so why should we fluoridate
water? Wisconsin Dental Association website. http://
www.wda.org/wp_super_faq/european-countries-have-rejected-fluoridation-so-why-should-we-fluoridate-water. Published March 8, 2013.
7. Communities that have rejected fluoridation since
2010. Fluoride Action Network website. http://
8. Statements from European health, water, &
environment authorities on water fluoridation. Fluoride
Action Network website. http://fluoridealert.org/content/
9. The Children’s Dental Health Project. Fluoridation
advocacy: Pew’s contributions and lessons that
pew.july-2015.pdf. Published July 2015.
10. The Pew Charitable Trusts. Community water
fluoridation: The top 10 and bottom 10. http://14703-
Published January 2014.
11. Cancer. Fluoride Action Network website. http://
12. Bassin EB, Wypij D, Davis RB, Mittleman MA.
Age-specific fluoride exposure in drinking water and
osteosarcoma (United States). Cancer Causes Control.
2006; 17( 4):421–428. http://www.ncbi.nlm.ni
13. Water Fluoridation and Cancer Risk. American
Cancer Association website. http://www.cancer.org/
water-fluoridation-and-cancer-risk. Revised July 28,
14. Connett M. Fluoride & insulin. Fluoride Action
Network website. http://fluoridealert.org/studies/
diabetes02. Updated April 2015.
15. García-Montalvo EA, Reyes-Pérez H, Del Razo LM.
Fluoride exposure impairs glucose tolerance via
decreased insulin expression and oxidative stress.
Toxicology. 2009;263( 2–3): 75–83. http://fluoridealert.
16. Xie YP, Ge XJ, Jiang YT, et al. Clinical study of effect
of high fluoride on the function of the pancreatic islet B
cells. Chin J Endemiology. 2000; 19( 2): 84–85. http://
17. Lobo JG, Leite AL, Pereira HA, et al. Low-level
fluoride exposure increases insulin sensitivity in
experimental diabetes. J Dent Res. 2015;94( 7):990–
THE RDH & IMPLANTS
continued from pg. 43
implant placement with the proximity to anatomical structures in actual patient data. Providing resources for continuing education plays an
additional role in establishing the practice as a
frontrunner in implant dentistry among their
colleagues and the dental community at large.
• Social marketing: While social media
marketing is a profession in and of itself, the
core building block is content. Whether it be
for a website, a blog, or building of a social persona on Facebook, LinkedIn, or Twitter, accurate
and up-to-date content is what drives attention
to the implant surgeon and to the practice. An
empowered, educated dental hygienist can provide and monitor such content.
While training for this rewarding career in
dentistry, keep in mind that this is a leadership
role. Leaders take on tremendous responsibility
and act as role models for dental auxiliaries.
They are respected professionals held to a
higher standard. I personally take great pride
in practicing and teaching the role of the expanded function hygienist-implant