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: Only Polishing Children and Considering It a Child Prophy

My doctor wants to change the protocol in our office for the treatment of children. I’m concerned about the level of care associated with the change he wants to implement. He wants all children to be seen by a dental assistant (dental assistants are allowed to polish in my state with certification) instead of a dental hygienist. The hygienist...

Ask Kara RDH: What should I do about doctor cutting my pay?

I’ve been a hygienist at my current office for two years now. When the doctor hired me, he told me he would pay me $30 per hour ON ONE CONDITION: he said I must have at least five patients per day. If I have less than five, he cuts my pay down to $16 an hour. I agreed only...

Ask Kara RDH: How did you deal with stresses of dental hygiene school?

I’m currently a dental hygiene student in my second semester of my first year. It’s starting to get really tough, and I’m feeling the pressure. We’re just starting to see patients, and I’m feeling really lost with everything and discouraged. Being a dental hygienist is something I want very badly but I’m getting nervous that I will fail. Did...

Ask Kara RDH: The first job out of hygiene school is so stressful I feel like a failure

Just some background info first. I applied to jobs every day for a week until I got a call from a dentist to set up an interview. The interview went ok, and I was asked for a working interview. The pay was going to be less than I had asked for but I understand being a new grad and...

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: PSA Block Injection Complication

I recently administered a right PSA block on a patient. Seconds after, my patient expressed that it hurt more than when I had numbed the left side a week prior. She kept expressing that her cheek felt puffy and hard. I attempted to massage the anesthetic into the nerve, but the patient continued to tell me that it felt...

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: What would you do if you’re being questioned on probing depths?

My Director of Operations had her friend come in for a cleaning last week. She had not been to the dentist for ten years but has excellent hygiene. My Director of Operations got mad at me because she didn’t need a deep cleaning. Probing depths were healthy with no bone loss or inflammation present. She is now having the...

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