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Medical Forum / General / Dentistry / February 2005

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Which dentists want to switch to become dental hygienists?

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Joel M. Eichen - 24 Feb 2005 14:11 GMT
http://www.deborahhartley.com/new_page_1.htm

"And then there's Debbie Hartley, the highest producing hygienist in
the world. I call her 'Hurricane Debbie' because she's the most
energetic and motivating hygienist I've ever met. She does $250,000+
per year and her doctor does $1-million plus with only one hygienist -
Debbie. If you can get your hygienist to hear Debbie, I promise she'll
show them how to do the same"  
--Dr. Woody Oakes, DDS Founder The Profitable Dentist

"I have heard nothing but raving comments and positive responses
regarding your lecture from our members. I am sure that we all took
home something because of your informative presentation...Your
knowledge of the subject matter was great. Your excitement in
presenting that knowledge to us really made us feel equally excited
while absorbing that information"  
--Richard D. Knowlton DMD, MAGD

"Deborah is a must see, her motivation and message are a great
jump-start to a more productive and profitable practice. She will have
your hygienist and staff electrified."  
--Anthony J. Vocaturo, DDS, Accredited Member AACD Member ASDA
Cofounder of genR8TNext

"Your hygiene department is an integral part of your practice I was
told many times. Until I experienced Deborah Hartley's seminar, I
never believed how important it could and should be. Her energy and
passion are both contagious and motivating. Her philosophy and
approach are practical. She has a true understanding about the
business of dentistry and dental hygiene. This is a must see seminar
for the entire dental team."  
--Larry Rosenthal, DDS, New York Founder Aesthetic Advantage

"Many thanks for your contribution in making the Aesthetic Advantage
program so successful. Your presentation to staff members certainly
rated high marks from everyone in attendance. Your energy and
enthusiasm are contagious. Your presentation should be an important
part of many programs here at Baylor."  
--Ann Seals, Executive Director for CEU, Baylor College of Dentistry

"You are the highest producing hygienist I've ever run across and put
that on top of the dentistry you sell, and the grand total is
enormous."  
--Kenneth James, DDS, Magnum Opus Management   Kent, Washington

"Your training seminar has revamped our hygiene department to be not
only more productive in periodontal care but also in educating our
patients on the importance of restorative and cosmetic dentistry. The
enthusiasm and value you created was invaluable to our practice. The
team approach has increased our staff's value of self-worth and our
patients benefit from much needed treatments. The 3 hour trip was
worth it."  
--Peter Masci and Tim Hale, DDS   Walden, NY

"If you're looking for rave reviews and a memorable presentation,
there's only one choice: Deborah Hartley. I've seen her speak at two
different meetings. She is the "Tony Robbins" of hygiene, motivational
with hundreds of bottom-line tips that will make a real difference in
anyone's office Monday morning. She is the "real thing" of dental
hygiene, and an inspiration to all who meet her."  
--Patrick Wahl, DMD, MBA   www.officemagic.com 

"Your program was very good! There is a definite need for someone
like you to motivate other hygienist. In fact if more hygienist had
your positive attitude, many dentist wouldn't be so frustrated with
their hygiene department."  
--Anita Jupp Dental Practice Management Ontario, Canada

"I have had the extreme pleasure of working very closely with Deborah
Hartley over the past several years. We specialized in both
periodontal and implant dentistry and Debbie has had a direct and
positive impact on production of both areas in my practice. We have
enjoyed having her as a major referral source through her hygiene
patients. In addition, her technical skills shine above and beyond. We
are blessed to have Debbie as one of our top referring hygienists, due
to the astronomical boosting in sales of our implant dentistry and the
quality of care she takes with each of her patients."  
--Richard Rassussen, DDS, Tampa, FL

A Forward from Deborah's employer
"The time has come for a paradigm shift in the way we view our
hygienist. Ideally, they are the ones who can make or break our
business. Deborah Hartley is employed at the same level that I would
employ an associate dentist, only she is more valuable. She educates
the patients by raising their mental and dental value IQ, creating
value for the services both she and I offer.

She has already indicated to the patients where their problem areas
are and has explained fully my treatment procedures before I even walk
into the room. By the time I get the patient back for treatment, they
have excellent oral hygiene and tissue health, and understand the
value of maintaining their dental health. It's a slam dunk!

Deborah is paid on a percentage basis with a guarantee of $25/hr
minimum. She has worked for me for three years and has always far
exceeded the minimum of $25/hr with her percentage.

She NEVER complains about 4 quads of root planning in one day, she
does this routinely on a single patient.

Think about this, we charge $180/per quad x 4. This takes Deborah
anywhere from 2-3 hours to complete and she makes 33% of this. Now, if
she does just two of these a day, she and I both come out ahead.

This is akin to our philosophy of doing more treatment on fewer
patients.

To maintain this, Deborah puts her patients on 3-month recall. This is
easier on her and because she has created such value for her services,
her patients would not dare miss their appointment with her.

Intersperse about 4 of these 3 month recalls with her 2 RPC's and she
has an $1800 day in production. Deborah takes home $600/day and in
addition she averages sales of $2,00-$5,000/day (production for me).

This is a win-win situation for everyone! Deborah, our patients and
me.

However, it takes Deborah's skills as a hygienist along with her
phenomenal scripts.

Her skills are something that she doesn't talk about much in her
lectures but she is phenomenal. I was a hygienist before becoming a
DMD and I did not achieve or even understand the tissue response to
gingival curettage as Deborah does. She has saved many a patient from
the knife!

I must admit I had my share of complaining hygienist in the past. I
had several hygienists before Deborah that I offered this same
percentage to but they complained because it wasn't their fault if MY
patients didn't show up or I just didn't have the right mix of
patients with periodontal needs.

Obviously, Deborah has proven that this can work in any practice and
in anyone's hands.

I forgot to mention that only once in the 3 years that Deborah has
been employed with me have I had to go in and administer anesthesia to
her patient. She does all of this with Noven patches (and I suspect a
little psychology).

So, I am not bothered all day with hygiene checks. Of those 6 patients
I might see two. Not bad for the numbers!

But this is it folks, this is 6-9 hygiene patients a day, not high
volume."
 
--Diane Wright, DMD Clinical instructor for LVI, AACD secretary FL
Bill - 24 Feb 2005 20:03 GMT
Joel writes (quoting from the website):

"This is akin to our philosophy of doing more treatment on fewer
patients.

To maintain this, Deborah puts her patients on 3-month recall. This is
easier on her and because she has created such value for her services,
her patients would not dare miss their appointment with her.

Intersperse about 4 of these 3 month recalls with her 2 RPC's and she
has an $1800 day in production. Deborah takes home $600/day and in
addition she averages sales of $2,00-$5,000/day (production for me)."

Is this about the patient's best interests?

Or is it all about sales?

DUH!

- dentaldoc
StovePipe - 25 Feb 2005 06:11 GMT
> Is this about the patient's best interests?
>
[quoted text clipped - 3 lines]
>
> - dentaldoc

Well, _I_ think it depends on which patients are being targeted.

If these are REAL perio patients (with pockets over 3.5mm, as measured
by a no-nonsense CIPTN probe), I'd say a 3 month recall is reasonable,
yes. After all, perio is a chronic disease, as many others are, and the
therapy must be re-applied to keep those roots detoxified. In school, I
learned that it takes 90 days for the numbers (and types) of bacteria to
come back in sufficient force to cause bone loss again.

So, when we inform our perio patients about their state of gingival
health, I tell them that if they're going to invest in the scaling and
root planing phases (often with little or no support from their
insurance), they MUST realize that there is a mandatory three month
recall appointment, at least for the first year, and perhaps for ever.
These recalls will as well be ignored by their insurance.  We don't
usually anesthetize for these recall appointments, and the whole mouth
is usually done at one sitting. They must know this at the get-go or
it's no-go. I let my part-time hygienist decide how much time she wants
for the recall perio patients and I don't argue. Better to have it done
well rather than try to make money on this phase of treatment. So I see
it as finding a fee such that the patient is not going to balk at the
recall appointments. I don't know what we charge, but it is less than a
recall exam/cleaning/x-rays. When it is myself that does them, it is a
REAL no-nonsense appointment. I used to use the LASER in the pockets as
well, as described by Dr. James Jesse, DDS, Biolase User. But, I firmly
believe that the Biolase in pockets like that is just so much BS.

I'd like to see this cracker-jack hygienist come up here and try to
squeeze blood from stones like she's doin' down there.. (probably in a
very high income area, I might add).

BTW: what web site is this from?

Thanks
SP
Signature

Not a real Addy, yet

Michael Cundiff - 25 Feb 2005 19:51 GMT
Hi, Why does'nt she just make a video tape of her lecture and sell that..
Product..Product...Product...MC

> http://www.deborahhartley.com/new_page_1.htm
>
[quoted text clipped - 144 lines]
>
>  --Diane Wright, DMD Clinical instructor for LVI, AACD secretary FL
Joel M. Eichen - 25 Feb 2005 21:43 GMT
Excellent ,,, I bet she has!

>Hi, Why does'nt she just make a video tape of her lecture and sell that..
>Product..Product...Product...MC
[quoted text clipped - 8 lines]
>> show them how to do the same"
>>  --Dr. Woody Oakes, DDS Founder The Profitable Dentist
 
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