Ask Kara RDH: Soaking gauze in disinfectant?

Is it OK to soak gauze in disinfectant or does disinfectant break down gauze to where the disinfectant is left ineffective? Both the Centers for Disease Control and Prevention (CDC) and the Organization for Asepsis and Prevention (OSAP) don’t recommend pre-soaking gauze in disinfectant. Cotton fibers in gauze can absorb and actually inactivate ingredients in disinfectants leaving them less effective or...

Ask Kara RDH: How Often Should I Sharpen My Instruments?

I am a new grad and started full-time at a new office. The hygienist I replaced sharpened her instruments once a month. I feel that is not nearly enough, but I know this office doesn’t like ordering new instruments often. My concerns are I don’t want to wear down instruments very fast by over-sharpening, and I don’t want to...

Ask Kara RDH: New Hygienist Doing Inferior Work

I have 33 years experience and have worked in my current office for 13 years. I take pride in my care of my patients. We deal with a lot of perio, have successful results with SRP, and refer when needed. The doctors hired a new hygienist. I have brought to their attention a few situations where at the four-month...

Ask Kara RDH: Full Mouth Debridement before Prophy

Since I’ve started at this office, I feel I have seen too many FMD patients. Patients that I believe, and have been treatment planned, as an adult prophy, however, the doctor is diagnosing as needing an FMD first. Patients that come in with heavy supragingival calculus and moderate/heavy plaque, I can understand in order to remove deposits for an...

Ask Kara RDH: Perio Maintenance Patients not Showing Improvement, SRP Again?

I am a new dental hygienist, licensed for about four months now. I see a lot of patients for periodontal maintenance. My concern with some more involved perio patients I’m running into is, during periodontal probing there isn’t a huge difference from the previous charting. Their pocket depths are ranging from 4-7 mm, OH is poor/fair, and it seems...

Ask Kara RDH: Why Isn’t Today’s RDH Addressing New Infection Control Guidelines?

Why aren’t there any articles on Today’s RDH addressing new infection control guidelines for when hygienists return to work? The short answer is because new infection control guidelines for post-pandemic hygiene don’t exist. (Please take note of the date this was published/posted) Long answer: Right now, the CDC only has interim guidelines for infection control practices for seeing emergency patients. They...

Ask Kara RDH: Should I Stay at My Current Office or Move On?

I’m a new grad. When I first was hired, my employer promised me 3-4 days a week, if not more. There are currently two hygienists, and they hired me as the third. I was filling in for a maternity leave, but since the office was expanding, he was going to keep me. Now that the other hygienist is back...

Ask Kara RDH: What can I recommend to patients with heavy stain?

I have had several patients in the past who come in the office with severe stain from wine and coffee. I usually try to anesthetize these patients for comfort and use the ultrasonic, polish, and air polish, but it doesn’t remove all the stain in the time allotted. What can I recommend to these patients to use at home...

Ask Kara RDH: Is Burnout in Clinical Hygiene Normal?

I have been doing clinical hygiene 3-4 days per week for over a year now and I’m already feeling burnt out. I work at a great office and love what I do but have noticed that patient’s attitudes make me dislike the job. It’s annoying when a patient tries to dictate care (no cold water, no ultrasonic, negative reactions...

Ask Kara RDH: Student Feeling Overwhelmed with Seeing Patients in Clinic

I'm a student and am just starting seeing patients in clinic. I am having a hard time remembering how to find the correct working end of an instrument, detecting calculus, and all of it! Please tell me this is something that will come easier with more experience and time because I’m being very hard on myself and am overwhelmed! With...

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