Alan reflects on a recent shift in his clinical routine: stepping back into the role of a dental hygienist due to staffing transitions and vacations. While many dentists avoid the "prophy" side of the chair, he argues that performing hygiene—when supported by an assistant who understands the workflow—offers invaluable diagnostic insights that are often lost during a standard five-minute exam. By seeing patients before they are "cleaned up," utilizing dental microscopes for high-magnification discovery, and employing disclosing solutions to visualize biofilm, he makes a case for a more rigorous, prevention-focused workflow. The discussion dives into the efficiency of air polishers, the reality of patient non-compliance with flossing, and the unique ability of a dentist to perform "micro-restorative" contouring during a hygiene visit to improve long-term outcomes.

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AME: Confessions of a Dentist Doing Hygiene