the dental care team is far more likely to experience a predictable, positive, and productive workday with overall improved clinical outcomes and
patient satisfaction. RDH
MARIE T. FLUENT, DDS, is a graduate of the
University of Michigan School of Dentistry and
has enjoyed 25 years of clinical practice. She is
an educational consultant for the Organization
for Safety, Asepsis and Prevention (OSAP) and
has written peer-reviewed articles and lectures
on infection control in the dental setting.
CATHERINE L. PAWLOSKI, RDH, BSDH,
studied at the University of Michigan, receiving
her bachelor of science in dental hygiene. She
has written articles relating to the topics of
infection control in the dental office and
Occupational Safety and Health Administration
(OSHA)/Centers for Disease Control and
Prevention (CDC) guidelines. She currently
works in clinical practice in Michigan.
continued from pg. 32
legitimate concerns with my physician.
I self-monitor and have watched my BP
readings gradually decrease over the past year.
I finally stopped checking because I could sense
the difference in my body. When my BP is high,
I can “feel” my blood racing. There is a pounding sensation around my ears. Not good, I know,
and thankfully, it has stopped. Note: I’ve made
no dietary changes. I’ve partaken regularly in
aerobic and weight-bearing exercise throughout my adult life. This, along with meditation,
yoga, eating in a somewhat healthy fashion,
are my staples. Despite all this, my pressure
was rising. Enter tai chi!
Last week, at my medical visit, my reading
was officially 120/78. What?! I could not be
more thrilled. I have added tai chi to the disciplines I practice, and I intend to keep it in
my life forever.
You may have patients like me, who balk at
Onward we go; it is in our hearts’ core! RDH
the idea of taking prescription medicine. I’ve
always felt that for me personally, it doesn’t
hurt to try the alternative route first. Yes, I
know my approach is not necessarily applicable
or advocated by all, especially not by physicians
who espouse traditional solutions and who
are doing their best to keep patients healthy.
Before you attack me, my way is simply an
alternative strategy to health and well-being
that happens to be working for me, right now.
continued from pg. 44
strive to strengthen and expand sealant
• SSPs should create a memorandum of
understanding (MOU) or a memorandum
of agreement (MOA) signed by the SSP
operator and an appropriate representative of the school or school district where
services will be provided.
• Oral health advocates and school officials
should work together to communicate
the value of investing in SSPs to state
Medicaid programs, legislators, school
board officials, and other policymakers.
Priority: Collecting, analyzing, and reporting data
• SSPs should collect, analyze, and report
11 specific types of data.
• State licensing boards and/or legislatures
should evaluate existing rules and
regulations that restrict the use of
appropriately trained and licensed
members of the workforce. Rules, laws,
and/or regulations should be changed to
allow patients to receive services in the
most cost-effective manner.
Priority: Addressing Medicaid and regulatory hurdles
• State Medicaid programs should allow all
licensed dental providers (e.g., dental
hygienists and dental therapists) to enroll
as Medicaid providers, as well as allow
them to submit claims and receive direct
reimbursement for oral health services in
all settings, particularly in states where
they can place sealants without a prior
exam by a dentist.
• States should simplify the Medicaid
application and credentialing process for all
licensed dental professionals. This would
help to facilitate the efforts of SSPs.
• State Medicaid programs should require
that managed care organizations (MCOs)
abide by the same payment and
contracting requirements that govern the
state Medicaid program.
• State Medicaid programs should
complete a cost-benefit and budget
impact analysis on the recently approved
Current Dental Terminology (CDT) codes
for case management services to prepare
for implementing these codes. In
addition, Medicaid agencies should
educate dental providers on the types of
case management that are covered and
how to use these codes appropriately.
Dental hygienists should read this report
and use it when planning and evaluating school
programs. This document would be key in
planning for new programs or improving existing programs because it is comprehensive in
nature and addresses all aspects of school sealant programs. This can also be helpful when
advocating for changes in practice to ensure
access to care for all. RDH
continued from pg. 46
and diagnostics, Cindy felt that with her vast
experience as a clinical hygienist she could
incorporate a lot more material to broaden
the scope and responsibility of this exciting
career opportunity. She had already been presenting programs on HIPAA, practice management, and coordinating a professional study
club for several years. So adding the implant
information seemed like a natural progression.
She started researching and attending implant
conferences, embracing CBC T and treatment
planning software and began to expand and
evolve her career path.
Her program offers handouts that include
detailed job descriptions, FAQs, and implant
phrases for communicating with patients. She
is also working on an implant coordinator
manual she expects to have in publication by
the summer 2017.
Cindy is a native of Brooklyn, N. Y., and received her dental hygiene degree from the City
University of New York (CUNY) and Brooklyn
College. In 1999, a general dentist, an oral-maxillofacial surgeon, a periodontist, and an
orthodontist decided to collaborate and create
a “Professional Dental Study Club.” Cindy was
invited to join in the process but no one had
a clear idea of how to make the study club a
reality. Cindy contacted a friend who was involved in an established study club and was
introduced to the coordinator of that group.
She picked the coordinator’s brain and learned
the ins and outs of achieving accreditation and