WHAT IS MISSING IN YOUR COMPREHENSIVE DENTAL EXAM?

A truly professional comprehensive dental exam examination (D0150 or D0180) should include much more than what the CDT codes delineate.
What is essential?
Beyond the obvious FMX, the charting of existing and needed dental and periodontal conditions, and an oral cancer screening, there are many other useful evaluations which are directly related to our services and are within our range of authority and responsibility. 
The Comprehensive Exam should also include measurement of vitals such as blood pressure, a sleep dysfunction (Obstructive Sleep Apnea) screening such as the Epworth Sleepiness Scale, a nutritional analysis and a careful discussion of any notable items (alerts) in the patient’s med history. These things don’t need to be spelled out in the CDT code. They come with our desire to do what we know is right. .
11-27-11 APPLE A DAY
  TMJ exam, facial muscle palpation, Mallampati classification (of the airway entrance) and 
an oxygen saturation test will provide critical information.  Any dentist/hygienist will chose how extensive they wish their dental exams to be and what should be included.
Would we be “spending too much time” in a dental exam visit?

Not if we care about our patient’s total well being, about our conscience, and about our dental license.

And is this nearly always accepted by patients as hugely valuable and with appreciation?     YES, it is, where the dental team shows their patients how much passion, care and skill they have. I see it in many dental offices.    The really successful ones.

5-20-12 HUMAN PYR

A Hygienist is in a uniquely key position.
Here’s your opportunity to increase your service to your community, to create your “niche”, and  to stand out in your community as a complete care-giver.
It is reported that 34% of the population has Sleep Apnea symptoms. 
One of the next three patients that walk thru your doors is a Sleep Apnea victim. Are you able to help them?
Does your New Patient Exam include a screening for Sleep Apnea?
1-21-13 LOGO DENTAL PROS SHARING

Interested? Then check this out:   www.sleepgs.com

DO WE HAVE TOO MANY DENTAL HYGIENISTS?

A Hygienist/Staffing Specialist in Cleveland/Akron, Ohio posed this question on LinkedIn to the American Dental Education Association: “…why are schools graduating so many Dental Hygienists in a field that is very saturated, with little chance of job opportunities for these new Dental Hygiene grads? “
I am also interested in hearing the answer. Here in south Florida there is a plethora of well trained, dedicated Hygienists who are working part-time for Staffing Agencies, or as clinical assistants, and in other industries, because there are not enough opportunities in dental offices. My colleagues in Philadelphia and southern California tell me the situation is similar there.

Do you find this to be the case in YOUR area?

From The Bureau of Labor Statistics:
Job prospects are expected to be favorable in most areas, but will vary by geographical location. Because graduates are permitted to practice only in the State in which they are licensed, hygienists wishing to practice in areas that have an abundance of dental hygiene programs may experience strong competition for jobs.

Projection data from the National Employment Matrix Occupation:
Dental hygienists

174,100 2008
237,000 2018
36% increase

Do you feel that expanding the legal functions of Hygienists, and relaxing their areas of “direct supervision” will alleviate this problem?

DO WE HAVE TOO MANY DENTAL HYGIENISTS?

 

A Hygienist/Staffing Specialist in Cleveland/Akron, Ohio posed this question on LinkedIn to the American Dental Education Association: “…why are schools graduating so many Dental Hygienists in a field that is very saturated, with little chance of job opportunities for these new Dental Hygiene grads? “

We also interested in hearing the answer. Here in south Florida there is a plethora of well trained, dedicated Hygienists who are working part-time for Staffing Agencies, as clinical assistants, and in other industries because there are not enough opportunities in dental offices. My colleagues in Philadelphia and southern California tell me the situation is similar there.

Do you find this to be the case in YOUR area?

From The Bureau of Labor Statistics:
Job prospects are expected to be favorable in most areas, but will vary by geographical location. Because graduates are permitted to practice only in the State in which they are licensed, hygienists wishing to practice in areas that have an abundance of dental hygiene programs may experience strong competition for jobs.

Projection data from the National Employment Matrix Occupation:
Dental hygienists

174,100 2008
237,000 2018
36% increase