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Dispel the Loss Leader Myth and Double your Hygiene Production!

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Designed for dentists who want to revitalize an under producing hygiene department, this course focuses on unearthing the 'hidden' non-surgical therapy cases that are sitting in your charts! Learn a practical protocol that can be easily implemented for a successful periodontal therapy program. Practical applications for locally-applied antimicrobials including Periochip, Arestin and Atridox will be discussed, as well risk assessment and treatment planning exercises. Don't miss this career-changing course! As Linda Miles says: "If your hygiene department is holding you back, make this the year you decide to fix it and reap the rewards for your patients, your team and you. A higher level of quality care and a better net income awaits."

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Dispel the Loss Leader Myth and Double your Hygiene Production!

  1. 1. Dispel the Loss Leader Myth and Double your Hygiene Production!!! Presented by: Colleen Rutledge, RDH Perio-Therapeutics & Beyond www.PerioAnd Beyond.com
  2. 2. Systemic LinkGenetics DOES play role in periodontal breakdownIT wasn’t ALL about the PLAQUE afterall !!
  3. 3. Systemic Link research strongly suggests oral bacteria may contribute to:• Cardiovascular Disease• Diabetes• Pre-Term/Low Birth Wt. Babies• Atherosclerosis• Osteoporosis• Stroke• Stomach Ulcers• Pneumonia
  4. 4. Surgeon Gener al Repor t• Oral Health in America draws attention to the “silent epidemic” of dental and oral diseases that has affected large numbers of people in our country• “Good oral health and general health are inseparable.”• May 25, 2000: SG David Satcher, MD PhD
  5. 5. Risk Assessment Systemic Link
  6. 6. Periodontal Therapy Back in the 80’s we were limited…. Treatment optionsProphy OR Perio Surgery
  7. 7. Periodontal Therapy “From what we know now…” FocusProphy Non-Surgical Perio Surgery
  8. 8. Periodontal Therapy Dental offices are operating with dated hygiene department protocols “Quads” “SRP” “STM” 4341 / 4342 Relying SOLELY on local anesthesia Removing bacteria & calculus ¼ mouth at a time Treatment completed in 2 to 4 visits (usually 2 weeks apart)
  9. 9. Periodontal Therapy Major DOWNFALL: Treatment usually not completed in a timely fashion (or at all!) Patients numb for the procedure Compromised clinical results with high probability of relapse Typical ‘prophy’ services across the country are nothing more than “supervised neglect” Many patients are left untreated due to under diagnosis
  10. 10. Periodontal Therapy A Contemporary Approach Oral cavity is treated as an infection Focuses on decreasing the bacterial load ASAP Cases finished in same day or within a week Newer products (Oraqix) used in place of needle Medical model vs mechanical model Locally applied antimicrobials ULTRASONICS! Piezoelectric technology
  11. 11. Brief History of Ultrasonics AKA:Power ScalingAcceleratedInstrumentation
  12. 12. 1950’s used for decayremovalBIG &BULKY! Photo courtesy of Anne Guignon RDH, MPH
  13. 13. Sonic andUltr asonic Scaler sgained popularityin 1960 & 70’s
  14. 14. Debridement of Lar geSupr a gingival Calculus
  15. 15. Even though we had thistechnology…instruments still r uled !
  16. 16. Now weknow… Ultrasonics are as effective as hand scaling… and may be a BETTER choice!!
  17. 17. "TALKING TIPS WITH COLLEEN” www.acteonsupport.com/Colleen.htmlWhy choosepiezoelectrictechnology?
  18. 18. Locally AppliedAntimicrobials PerioChip ® ATRIDOX®
  19. 19. Locally Applied Antimicrobials PerioChip ® Chlorhexadine Gluconate 2.5 mg
  20. 20. Adrian Pharma single site FDA approved Non-antibiotic small orange-brown chip Initial Therapy or MaintenanceAs an adjunct to scaling and root planing for Periodontal pockets ≥ 5 mm in depth
  21. 21. Locally Applied Antimicrobials HOW to INSERT:After isolating the periodontal pocket and drying the surrounding area: Insert curved . end first, into the pocket to its maximum depth. Laschal
  22. 22. Locally Applied Antimicrobials • Henry Schein • FDA approved • Single site (#12 ML) • 1 mg minocycline (antibiotic ‘powder’) • Place tip at the base of pocket • Express handle while retracting slowly
  23. 23. Locally Applied Antimicrobials
  24. 24. Locally Applied AntimicrobialsFlatten the tip – most important step! Please see complete Prescribing Information following presentation
  25. 25. Courtesy of I. Farmer
  26. 26. Courtesy of I. Farmer
  27. 27. Locally Applied Antimicrobials FDA approved ATRIDOX® is a registered trademark of TOLMAR Inc
  28. 28. Module #3 Locally Applied TOLMAR Inc. Antimicrobials Preparation for UseWhen removing caps, hold Twist and lock the 2 syringes.syringes with nozzles Inject the liquid contents ofupright to avoid spilling Syringe A (indicated by red stripe) intowhile coupling Syringe B (doxycycline powder) ATRIDOX® is a registered trademark of TOLMAR Inc
  29. 29. Module #3 Locally Applied TOLMAR Inc. Antimicrobials Preparation for UseComplete 100 mixing cycles at a pace of Attach the blunt cannula1 cycle per second (or mix for 90 Bend cannula to resemble aseconds) periodontal probePush the contents back into Syringe A ATRIDOX® is a registered trademark of TOLMAR Inc
  30. 30. Locally Applied AntimicrobialsATRIDOX® Inserted subgingivally into pockets 5 mm & greater ATRIDOX® is a registered trademark of TOLMAR Inc
  31. 31. Locally Applied Antimicrobials Used in conjunction with SRP or • as a “stand alone” therapy • No refrigeration or dressing required No brushing or interdental cleaning for 1 week in treated area Biodegradable and bioadhesive Treats multiple sites Reapplication - 4 months ATRIDOX® is a registered trademark of TOLMAR Inc
  32. 32. Locally Applied AntimicrobialsWhat makes ATRIDOX® so appealing in this economy? Treats multiple sites! Excellent choice for 10, 20, or even up to 30 pockets Affordable for both patient and dental practices
  33. 33. Locally Applied AntimicrobialsSINGLE SITE LAA MULTIPLE SITE LAA # 2 ML $40 # 2 ML #2F $40 # 2F # 3 DL $40 # 3 DL # 3 MB $40 # 3 MB # 4 ML $40 # 4 ML # 4 MB $40 # 4 MB # 5 DB $40 # 5 DB $280 $180
  34. 34. SPECIAL!!! FOR ATTENEDEES TONIGHT!!!Visit the EXHIBIT TABLE for 20 % off all DVD’s & CD’s
  35. 35. Scheduling and Production
  36. 36. 10:00 Patient oneProduction = 4910 Perio Maint $125$2235.00 for 6 11:00 Patient two 0180 Comp perio exam $60hour day… 4341 Perio Therapy UL $175 4341 Perio Therapy LL $175 4341 Perio Therapy UR $175 4341 Perio Therapy LR $175Generates 12:00 Patient three 4381 Atridox $150$372.50 4341 Perio Therapy UL $175 4341 Perio Therapy LL $175per/hour… 1:30 Patient four 4381 Atridox $150 4341 Perio Therapy UR $175$447.00 per/ 4341 Perio Therapy LR $175 3:00 Patient fivepatient 4341 PerioTherapy UL $175 4341 PerioTherapy LL $175
  37. 37. Itemized Production PerTime Insurance Code Treatment Plan Perio Classification Cost Patient8:00 Patient One 8:10 8:20 4341 UL Perio Therapy $210 Severe Perio 8:30 4341 LL Perio Therapy $210 4-9 mm pockets 8:40 4381 1 Atridox for both quads $180 with risk assessment factors 8:50 and inflammation 9:00 9:10 9:20 9:30 9:40 Sub Total $600 9:5010:00 Patient Two10:1010:20 4341 UL Perio Therapy $200 Moderate Perio10:30 4341 LL Perio Therapy $200 4-7 mm pockets with10:40 4381 1 Atridox for both quads $180 risk assessment factors10:50 and inflammation11:0011:10 Sub Total $58011:2011:30 Patient Three11:40 4341 UL Perio Therapy $190 Early Perio11:50 4341 LL Perio Therapy $190 4 mm pockets (isolated 5mm)12:00 4341 UR Perio Therapy $190 with risk assessment factors12:10 4341 LR Perio Therapy $190 and inflammation 4381 1 Atridox or 4 $18012:20 Periochip/Arestin Sub Total $94012:30 Lunch
  38. 38. Scheduling and Production “You can not build a profitable, high quality hygiene departmentwithout consistent 6 point periodontal charting on every adult patient” Colleen Rutledge, RDH Perio-Therapeutics & Beyond
  39. 39. Treatment Planning Exercise  Yellow highlight all pockets 4 mm and above  Circle all pockets 5 mm pockets and above in RED
  40. 40. Treatment Planning Exercise  Get your perio chart  Focus on 1 QUADRANT  4341 - 4 or more teeth have depths 4 mm or greater  4342 - 1 to 3 teeth have depths 4 mm or greater
  41. 41. Treatment Planning4 45 4 5 5 5 44 44 4 444 5 4 44 4 4 4 4 5 4 4
  42. 42. Procedure Codes and Fees• If the ratio of 4910 is disproportionate to the number of periodontal therapy procedures (4341 / 4342) then…..• Your practice is skipping the therapy and putting patients into “maintenance” ** (gives the ‘illusion’ of a perio program)
  43. 43. Procedure codes and fees 4381PerioChip Arestin Atridox4381. P 4381. AR 4381.AX $35 $40 $180
  44. 44. Procedure Codes and Fees 4341 $2504341. E 4341. M 4341.S $240 $250 $260
  45. 45. Procedure codes and fees 4342 $1504342. 1 4342. 2 4342.3 $140 $150 $160
  46. 46. Case StudiesBefore & After Client Profiles Average Return on Investment: 3 - 6 months
  47. 47. Case Studies 1 DDS / 3 RDH Texas Revenue increase Pre-consult Post consultClient # 1 6 mo total 6 mo total 6 mths post consult arestin 42 134 $ 2,375 atridox 0 27 $ 4,050SRP 4341 39 100 $ 10,065SRP 4342 13 63 $ 4,250*PCht 0180 69 268 $ 3,980 $ 24,720 * this client incorporated Oral Cancer Screening technology as well and increased production by an ADDITIONAL $8,710
  48. 48. Case Studies 1 DDS / 1.5 RDH VirginiaClient # 2 Pre-consult Post consult Revenue increase 6 mo total 6 mo total 6 mths post consult arestin 0 55 $ 1,925 atridox 0 19 $ 3,420SRP 4341 11 57 $ 13,048SRP 4342 3 52 $ 9,702periochip 0 35 $ 1,400P Mt 4910 41 64 $ 2,484 $ 31,979
  49. 49. Case Studies 2 DDS / 3 RDH Pennsylvania Pre-consult Post consult Revenue increaseClient # 3 6 mo total 6 mo total 6 mths post consultdebr 4355 12 19 $ 1,015periochip 0 32 $ 1,280 arestin 0 130 $ 5,200 atridox 0 52 $ 9,360SRP 4341 12 44 $ 6,240SRP 4342 16 147 $ 16,375P Mt 4910 1 11 $ 1,210Pchrt 0180 0 17 $ 1,275 $41,955
  50. 50. W hich pr oduction scenario would you pr efer??Adult prophy Perio Therapy$100 $1000 Supervised High quality neglect care
  51. 51. You can do this on your own…. 5 things you must do to get started: Order new probes (standardize) Full mouth charting on ALL ADULTS Email Colleen (Colleen@PerioAndBeyond.com): RISK Assessment Teach your staff how to Treatment Plan (use exercise form) Order Locally Applied Antimicrobials
  52. 52. The greatest benefits of NOT doing it yourself:1. I will work with your ENTIRE staff hand- in-hand, step by step through the process so everyone is on the SAME PAGE2. Your quality / variety of hygiene services are literally transformed OVERNIGHT!3. HUGE and IMMEDIATE increase in hygiene production!
  53. 53. Don’t miss this opportunity… 20 % off All DVD’s & CD’s
  54. 54. Colleen Rutledge, RDH“Taking Hygiene Departments to Periodontal Therapy Levels” www.PerioAndBeyond.com 267-241-5833 724 Fitzwatertown Road Glenside, PA 19038 Colleen@PerioAndBeyond.com

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