Welcome back to the academy. In Session 1 we discussed mindset, and in Session 2 we started discussing the examination and all the variables of such an overlooked exercise. We also unearthed the concept of “Why?” Let’s now find out what this is and why it is so important. This session will be an eye-opener and a way of rethinking all examinations and how not to overlook any of the pieces of the puzzle.

When analyzing trends in the dental field over the last decade, one can easily see the influence that corporate dentistry has instilled into practices. This new reality is based on numbers, production goals, and other factors far beyond what dentistry was before. This is not a knock on corporate dentistry, but a reality check as to what it is and has become. With this in mind, it is now more important than ever to truly focus on the examinations. As hygienists, simply “cleaning teeth” is unacceptable—ethically, morally, and dentally—to preserve and prevent illness.

A hygienist may see a patient more often and for more hours than a dentist does throughout the year. It logically follows that being more involved in examinations and uncovering hidden red flags and other signs is critical to a patient’s well-being. The average patient will be seen by a dental office three to four times before they are seen by an urgent care center. If this is even slightly true, we must place a heavier burden of responsibility on ourselves to look for these signs and, if seen, make the proper recommendations to a superior for a referral or follow-up care.

Asking questions to help us define and uncover the “real” reason someone is in our office is vital to getting to the nerve of their intention. Were they coerced into seeing us? Was this really their own decision? Are they “all in” on this, or not really? A female patient may be more forthcoming with the real answer than their male counterpart, who may not be as open due to other circumstances, such as a significant other pressuring them to fix a tooth or bad breath. Getting a real answer is key to successfully making a difference in their healthcare and outcome.

Make a point to examine, observe, watch, and listen to our patients entirely. The examination is much more than just looking at teeth and gums.