Hygiene Tribune U.S. No. 6, 2013
Celebrating 100 years of dental hygiene / Reflections on the ADHA meeting
Celebrating 100 years of dental hygiene / Reflections on the ADHA meeting
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Hygiene Tribune Editor in Chief Patricia Walsh describes her as 'the true north on our professional compass.' Reflections on the ADHA meeting By Patricia Walsh, RDH Editor in Chief signing. We wish to hold her hand, feel her genuine warmth. Just being near her makes us feel like we are somehow connected first met Esther Wilkins to the original intention quite by accident. It was and purity of our profesearly in the morning sion. One of the highlights at a Chicago convenof the American Dental tion. Marginally awake afHygienists Association anter 12 hours of convention Patricia Walsh, RDH nual meeting was a mornfestivities the previous day, ing speaker who opened I walked onto a hotel elevawith an unofficial “benediction” taken tor. No badge, no makeup, and in search from “The Book of Esther.” About a thouof strong coffee. I glanced at the person sand dental professionals got the joke I shared the lift with and did a double immediately and burst into wild aptake. I tilted my head to one side and plause. When Dr. Wilkins spoke to us this said, “Aren’t you ...?” There she was, our year, not onstage, but via the Jumbotron Florence Nightingale. I was all alone with screen, you could have heard a pin drop. Dr. Wilkins for a whole glorious eight She is the “true north” on our professionfloors. The love we have for this hygienal compass. ist is palpable. You see it at every book Photos/ By Patricia Walsh, Hygiene Tribune I Technology sometimes leaves me scrambling to keep up. I would be lost without regular continuing education courses even if they weren’t a licenser requirement. This was not the case for the first 20 years of my career. But in more recent years, there has been an explosion of change in our profession. My office was one of the first in the state to go digital. Since then, the improvements that have been made with panorex clar- ity and definition are amazing. Its capabilities astound me: a concise, full head shot with all the radiation of one set of bite-wings. A pan review course was at the top of my list for the Boston meeting. In other words, we’re seeing so much more detail that it amounts to information overload. A helpful website to assist in lesion ” See REFLECTIONS, page D2 Industry commentary Celebrating 100 years of dental hygiene By Lori Bernardo, RDH of dental hygiene with fellow hygienists. In the past 100 years, our profession has fought hard to carry In 1906, when Dr. Alfred out Fones’ mission. As I reFones came up with the idea to flect on this anniversary, train his assistant, Irene Newthere are two major areas man, to clean teeth and perwhere the dental hygiene form preventive oral services profession has made leaps on children, no one could have and bounds — the career predicted how our profession Lori Bernardo, RDH opportunities available becould have evolved. Fones’ Photo/Provided yond the clinic and the oral early vision of the role of the by Crest Oral-B health challenges facing our dental hygienist was revolupatients. tionary. Although most dental hygienists are His goal was to employ dental hygienemployed in the private practice setting, ists who were primarily from schools many of us have chosen to take our misand medical practices. He was quoted as sion “to the streets” in a variety of ways saying: “It is primarily to this important during the past 100 years. We can still be work of public education that the dental seen as public health workers, teachers, hygienist is called. She must regard hermarketing and sales representatives, reself as the channel through which densearch professionals, and more. tistry’s knowledge of mouth hygiene is to I personally have had a very rewarding be disseminated, the greatest service she career that has spanned almost 30 years can perform is the persistent education of in the oral health industry. Although the public in mouth hygiene and the almost of those years were spent in clinical lied branches of general hygiene.” practice, twice during this time I left to It was a lofty goal, which became the work in sales for different dental product start of a noble profession whose purpose companies. In my current sales represenis to eradicate oral disease and improve tative role, the commodity that I offer is overall health of the whole population. no longer the work of my hands, but the I recently had the opportunity to attend collected knowledge of 30 years in the a reception sponsored by Crest® and Oraldental profession. It is more about what I B® to celebrate the 100-year anniversary know than what I CDA do; I believe this BOOTH role allows me NO. 1202 to continue delivering the message of our original dental hygienist mission on a much larger scale and make room chairside for new graduates. Sharing information on new products and services gives other dental professionals the tools they need to do their work more efficiently, and in turn, help them reach more people. No matter where we practice, the cause of improving oral health unites us all. Dental hygienists have always strived to educate the public on the value of oral health and its role on one’s overall wellbeing. Today that message is even more powerful as many believe the mouth is an indicator of a person’s whole-body health. In the first 100 years, we have made gains on the improvement of oral health, and the incidence of dental caries and tooth loss dropped dramatically. In addition, there was a steady rise in the percentage of the population that receives regular dental care. However, since the mid 1990s, we may be witnessing an alarming reversal in that trend. According to a recent National Health and Nutrition Examination survey, the incidence of caries among children is on the rise.1 Additionally, research from the American Dental Association indicates the percentage of the population obtaining regular care has dropped and the frequency of dental visits has declined.2 No matter what challenges lie ahead, I know that we are more than capable to rise to the occasion as we always have. So, my fellow colleagues, I say we pause to celebrate our profession and all that we have done. Have a party. Enjoy a piece of cake. But don’t rest for too long, because if we want to honor the mission that Dr. Fones set out for us 100 years ago, we still have a lot of work to do. Are you ready? Now, let’s get started on another “100 Years of Dental Hygiene!” ▶ References 1. www.nidcr.nih.gov/DataStatistics/Find DataByTopic/DentalCaries/DentalCaries Children2to11 www.ada.org/sections/advocacy/pdfs/7170_ Breaking_Down_Barriers_Role_of _FinanceFINAL4-26-12.pdf 2.[2] => D2 ◊ REFLECTIONS, page D1 identification is www.0rad.org. A clinician can be guided along by answering simple questions about the abnormality. You’ll be asked to enter age, gender, borders, loculation and location. The website will give you a list of the most probable or typical lesions that match your entries. I hope I never see evidence of metatastic breast cancer show up on one of my pans, but it’s entirely possible. The radiographic improvements that have transpired increase our responsibilities as clinicians. Technology has furthered our role as holistic health care providers. I have an old-school physician who was never much for vitamins other than Calcium and D when I turned 50. Now and then I’ve read something on a dental blog about an exciting new oil or a vitamin combo that has left me scratching my head. If so-and-so is this excited about Ad MEETINGS it, then it must be great. One year I sat intrigued by a hygienist pushing “gingival” vitamin powder rubs — after her lecture on lasers. The more high-tech the subject, the more credible the educator? When I wrote to a top nutritionist — a professor emeritus at a prestigious dental school — his response was chilling. Not only was it a profound, “No. It doesn’t do anything,” but he followed it up with a scoulding: “Patty, you’re a smart girl, stop reading the blogs. Read PubMed.” His mantra seemed to be if they are selling their book after the lecture, take what they say with a grain of salt. His words were resounding in my head when I went on a hunt for an antioxidant gel at the ADHA convention booths. A well-respected periodontist I know had been using it to fight inflammation in patients who did not seem to respond to traditional treatment. If it’s good enough for him, it’s good enough for me. The hygiene blogs were all buzzing about it as well. The company did not have a booth at the convention, and I was disappointed. I was ready to put their reps’ feet to the fire and ask about clinical trials. As they said in Dragnet: “Just the facts ma’am, just the facts.” Perhaps the product will turn up in another year, at another big meeting. My first hygiene textbook, “The Clinical Practice of the Dental Hygienist” (AKA, The Book of Esther) may be “old testament,” but it is the foundation of a vibrant and growing profession. Recently, California approved self regulation for hygienists, who will now dictate their own education and licenser requirements and control the profession's ethical standards. Californians have always been trendsetters. If it is a left-ofcenter fashion statement, it probably got its start in California. (The jury is still out on wearing Uggs boots with short Hygiene Tribune U.S. Edition | August 2013 HYGIENE TRIBUNE Publisher & Chairman Torsten Oemus t.oemus@dental-tribune.com President & Chief Executive Officer Eric Seid e.seid@dental-tribune.com Group Editor Kristine Colker k.colker@dental-tribune.com Editor in Chief Dental Tribune Dr. David L. Hoexter feedback@dental-tribune.com Editor in Chief Hygiene Tribune Patricia Walsh, RDH feedback@dental-tribune.com Managing Editor Robert Selleck r.selleck@dental-tribune.com Managing Editor Fred Michmershuizen f.michmershuizen@dental-tribune.com Managing Editor Sierra Rendon s.rendon@dental-tribune.com Product/Account Manager Jan Agostaro j.agostaro@dental-tribune.com Marketing Director Anna Kataoka-Wlodarczyk a.wlodarczyk@dental-tribune.com EDUCATION Director Christiane Ferret c.ferret@dtstudyclub.com Accounting Coordinator Nirmala Singh n.singh@dental-tribune.com Tribune America, LLC 116 West 23rd Street, Suite 500 New York, NY 10011 Phone (212) 244-7181 Published by Tribune America © 2013 Tribune America, LLC All rights reserved. Tribune America strives to maintain the utmost accuracy in its news and clinical reports. If you find a factual error or content that requires clarification, please contact Managing Editor Robert Selleck at r.selleck@dental-tribune.com. Tribune America cannot assume responsibility for the validity of product claims or for typographical errors. The publisher also does not assume responsibility for product names or statements made by advertisers. Opinions expressed by authors are their own and may not reflect those of Tribune America. Editorial Board Dr. Joel Berg Dr. L. Stephen Buchanan Dr. Arnaldo Castellucci Dr. Gorden Christensen Dr. Rella Christensen Dr. William Dickerson Hugh Doherty Dr. James Doundoulakis Dr. David Garber Dr. Fay Goldstep Dr. Howard Glazer Dr. Harold Heymann Dr. Karl Leinfelder Dr. Roger Levin Dr. Carl E. Misch Dr. Dan Nathanson Dr. Chester Redhead Dr. Irwin Smigel Dr. Jon Suzuki Dr. Dennis Tartakow Dr. Dan Ward Tell Tell us us what what you you think! think! Do Doyou youhave havegeneral generalcomments commentsor orcriticism criticism you youwould wouldlike liketo toshare? share?IsIsthere thereaaparticular particular topic topicyou youwould wouldlike liketo tosee seearticles articlesabout aboutin in Hygiene HygieneTribune? Tribune?Let Letus usknow knowby byemailing emailing feedback@dental-tribune.com. feedback@dental-tribune.com.We Welook look forward forwardto tohearing hearingfrom fromyou! you! If you would like to make any change to your subscription If(name, you would address likeortotomake opt out) any change please send to your us subscription an e-mail at database@dental-tribune.com (name, address or to opt out) please and besend sureus toan include emailwhich at database@dentalpublication tribune.com you are referring and beto.sure Also, to please includenote which that publication subscriptionyou changes are referring can taketo.up Also, to 6please weeks to process. note that subscription changes can take up to six weeks to process.[3] => Dental Tribune U.S. Edition | August 2013 shorts, but my perpetually cold feet do appreciate the introduction of soft fur.) Our professional meetings allow us to collaborate and compare. I no longer discount the blogs. Sometimes a grass-roots effort or product takes a little longer to catch on. A rumor might just have you hold off on buying a loupe if you know it may go cordless soon. Clinical trials and documentation can take years. Dental corporations compete with one another; dental publications compete with one another. The information highway can sometimes be a one-way, one-lane street. We use our education to take what we need for the time being, and leave the rest. I try to tell my patients not to believe everything they read or see on TV. Not only are hygienists bombarded with professional information on a daily basis, it’s that much worse for the patient. The patient never reads peer-reviewed dental journals. I heard one well-educated lecturer disparagingly use the phrase “bogus journals” at a dental meeting. I think there’s a place at the table for everyone. Only a small percentage of us are in research — and writing our doctoral thesis. The vast majority of hygienists just want to know what works and what doesn’t. Not necessarily what is fast and easy — but what actually works. We learn so much from each other’s clinical experiences in “the trenches.” There is an understanding in the military that if you really want to know what’s going on, ask a master sergeant. Don’t ask an officer. They’re too busy with the bureaucracy. Your doctor isn’t going to be up to date on which sensitivity toothpaste is the least abrasive. (Hint: It’s not the one you think.) He’s too busy trying to get his state income tax software to work properly. We, the hygienists, are the prevention specialists of the office. The Oscar-winning actor Geena Davis spoke to us at the end of our ADHA session about a woman’s worth — the value of our integrity, the beauty of our intellect. Davis reminded us that we still have a long way to go to change how women as a whole are perceived. To change the Hollywood misrepresentation of women, she started the foundation called Seejane.org. I walked away from the convention hall feeling empowered and as tall as Davis in heels. She is an actor, not an actress; just as I am a hygienist, not a hygienistess. As a profession, we were slow off the mark when it comes to diversity. I wonder sometimes if our female-oriented profession is both our greatest strength and our greatest weakness. We have evolved and diversified. I hope our individual information-gathering processes continue to evolve and diversify. Some of us are astute to changes in technology and research, while others have ears to the ground via local meetings and the Internet. We go forward together in this new information age — free from information prejudice — with an open mind and a common goal. Corrections Hygiene Tribune strives to maintain the utmost accuracy. If you find a factual error or content that requires clarification, please report details to Managing Editor Robert Selleck at r.selleck@dental-tribune .com. MEETINGS D3 The citizens’ memorial to Boston Marathon bombing victims is spread out across much of Boston's Copley Square, five blocks from the convention center that hosted the June ADHA meeting. The still-growing memorial is adjacent to the marathon’s finish line, still painted on the pavement. Nearly a third of a block near the statue of painter John Singleton Copley is filled with running shoes, caps and other remembrances and gifts. Among the memorial's most touching and recurring themes are the many references to the 8-year-old boy killed by one of the blasts. It's reported that he made a poster in school at an earlier date that said ‘no more hurting people.’ You see that written over and over again, along with ‘Boston Strong.’ In juxtaposition with the square's quiet area of reverence, life goes on. People are picnicking and children play on the grass. There are outdoor musicians entertaining and a farmers market is set up along the sidewalks. 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