RDHU Facebook Page     IDHU YouTube Channel   instagram icon


Hours: Monday to Friday 10am - 4pm

Toll-Free 1-855-295-7348
Email us! info@rdhu.ca

"How to Release the ‘Intrepeneur’ Within!" By Kathleen Bokrossy, RDH

It’s a common scenario.  You attend a continuing education course, a lecture or product demonstration at a conference.  The information shared is exciting, it offers the opportunity to truly change how the practice operates and/or the level of care the client will experience.  You can’t wait to share this practice-changing news with the team.  Unfortunately, when you explain what you think is the greatest idea ever; you are not greeted with the same enthusiasm.  With their arms crossed and their resolve to resist change solidly in place, the great idea dies a quick death.  Each objection they raise fills you with doubt about being able to follow through and implement the changes in order to reap the benefits.  You get drawn back into the daily routine and all the opportunity is quickly forgotten.  You and the practice slide back into the “rut” wondering why things aren’t improving and you’re not reaching your practice goals.  Well at least until the next course or lecture comes along when you repeat the entire cycle again.  How did Einstein define insanity?  “Repeating the same actions over and over and expecting things to change.”

If this isn’t a problem for you, then congratulations!  If you can introduce a new idea to your office, get the team excited and implement all the changes required, then you naturally exhibit the skills of an ‘intrepeneur’.  What is an ‘intrepeneur’?  One of the most valuable assets to any dental practice!  An intrepeneur doesn’t ‘own’ the practice but looks at how the practice runs and continues to introduce positive change, like it’s their own.  Whether change is through better client experience, which leads to greater client retention and attracts new clients into the practice, or efforts to reduce costs and increase revenue, an intrepeneur is an essential member of any dental team.  

The biggest difference between an entrepreneur and an intrepreneur is who needs to be “sold” on the game-changing idea.  Any change carries with it both risk and reward.  Where an entrepreneur in most cases risks their own time and money to move an idea forward, an intrepreneur risks the resources of their employer, in most cases, the dentist.  Presenting both the risks and the rewards in a manner that the team can understand is often the biggest barrier to change.  The good news?  Through some subtle changes in how you make your “pitch” to the team, you can dramatically increase your chance of success.  Follow these simple steps to ‘Release the Intrepeneur Within’ and drive positive change to your practice today!    

1.    Actions speak louder than words!  Focus on what matters. 

Show an active interest in the productivity of the practice.  Not all dentists will share their revenue numbers with you, and you don’t need to know everything, but you should have an idea of what revenue your operatory generates as well as your supply costs.  This change in focus made a huge difference for me.  When I started paying attention to what I was billing and the cost for each day, I began to understand where I was having a significant impact on overall profitability.  When I saw opportunities for improvement and pointed them out to the dentist, he/she saw that my focus was aligned with his/hers.    Showing your commitment to the practice consistently over time will build your credibility, so when you do bring forward ideas, the dentist will know your intentions and commitment is to implement positive change to the practice.

Warning: I believe positive client experience is THE most important aspect of any dental practice.  Be sure your efforts to manage costs and improve efficiency does not negatively impact how the client is  treated nor their overall perception.

2.    Do your Homework

Look for different ways that you can contribute to your team meetings by suggesting systems/processes that help increase productivity.  There are so many resources available today that offer great ideas that have been successfully implemented by other practices.  Resources such as; on-line education, continuing education courses or from the technical sales representatives that call on your office, there is no shortage of ideas that can be implemented. 

Warning:  The trick is to separate the good ideas from the great ones!  Introducing the flavor of the month will hurt instead of help your credibility.  It is important to do your homework to determine which ideas will deliver a measurable benefit instead of just being a distraction from what’s already working. 

3.    Prepare a Benefits summary that you can share with the team.   

If you would like to implement new technology, a product, a program or a system into your practice, you need to present your ‘case’ to the dentist AND the team.   By outlining the benefits as well as the risks into a single consistent summary, you can quickly address initial concerns and illustrate how the new idea will improve practice productivity.  It helps to engage the entire team when you get ‘buy in’ and there is an understanding of the total benefit available through the change.  Since different members of the team are affected in different ways, it is important that the total impact of the new idea is understood by all. 

It also demonstrates to the team that you are truly committed to the idea and will put forth the sustained effort necessary to see it through to the end.  

Prepare a document that you can share that has the following elements!

-       Current State

You need to understand and explain what the current situation is, related to the new idea, so that you can prepare a document that will show where you would like to be.  By identifying current inefficiencies or costs associated with the current method, it becomes possible to determine the net change of the idea you plan to implement.

-       Benefits of the new process

Create a list of the benefits that this new product, system or program can bring to your practice, and your clients.

-       Risks

Most people don’t like to talk about risk, but it is important to bring these risks forward and discuss them with the team.  Risks that aren’t exposed at the beginning appear to be bigger than they actually are and can sometimes highjack the idea during the implementation.

-       Proposed Costs

There are two types of costs that need to be identified.  The initial implementation cost as well as the ongoing operating cost.  Initial costs are the up-front costs and effort required to get the new process in place.  The operating costs reflect the specific time, effort and expense required to maintain the new process.

Summary:  Profitability and the Bottom Line

By comparing current costs to the proposed costs plus all the other benefits identified, it becomes possible to put together a single document that outlines the reasons (both fiscal and non-fiscal) to proceed.


For your reference, please find a few examples of how you can present your ‘case’:


1. Crest Oral B Program has a great program (www.healthypracticenow.ca) that is designed to help make the dental hygiene department more productive, it puts systems in place, recommendations for treatment, it empowers your clients and it involves the entire team.


On presenting this to your team:

a)     Show examples of a few current ‘recare’ clients:  How often they come in for treatment, the average revenue for each, what kind of treatment they receive, how long their appointments are and the self-care given to them.

b)     Show the same few ‘recare’ clients and apply the program to those clients and show the difference in the treatment received, the length of appointments, the frequency of the appointments, how the responsibility shifts to the clients, the team involvement

c)     Compare the revenue from the current situation to one of being on the program

d)     Show how the program works (visit the website and do the Practice Assessment together)

e)     Offer to bring in a sales rep if you need help to ‘close’ the deal, making sure that the dentist is present at the demo


2. Operatory Instrument Management Program (OIM Program) offered by D-Sharp, illustrates the potential savings associated with an instrument maintenance program versus what most offices do to maintain their instruments.  By plugging in your current situation, it is possible to use this format to evaluate whether moving to a managed program would deliver a significant benefit to your practice.  

a)     Show the current situation of your instruments:  How often your instruments get replaced, the cost of new instruments that you have purchased in the past, the organization of the instruments, purchasing of the instruments and the time spent, the sharpening situation, how much time it takes to sharpen, when do the instruments get sharpened, and if you can – the cost of the dental hygienist being paid for sharpening time.

b)     If you have a dental hygienist in your practice that you hear is “heavy handed”, note that.  Most times than not, it is the instruments in the hands of the dental hygienist rather than the dental hygienist him/herself.  Many clients try to switch dental hygienists or simply leave the practice.  Show the cost of losing a client (ex $10,000 over a lifetime of a client). 

c)     Show the benefits of being on the program for the client, the dental hygienist and the practice.

d)     Show the cost of the instruments per month by being on the program, and the time saved by not having to organize ordering, sifting through instruments to find the sharp ones, disposal of the instruments


3. An electronic periodontal probing method

a)     Show the current situation:  The time in the chair to probe, if an assistant is required and the cost associated with that.

b)     Show how this new technology will help you, the response of the client, the ease of use, the time saved.

c)     Compare the cost of the device to what it is currently costing you.

By being prepared, recognizing your current situation and knowing your facts, you will feel confident in presenting your case to your employer and your team.  By releasing the ‘intrepeneur within’, your practice will reap the rewards, your ‘job’ and professional satisfaction will soar, and you will become a valuable asset any office would be lucky to get.  

Warning:  If after consistently demonstrating your commitment to improve practice productivity, you do your homework and present well thought out strategies to improve the practice but you STILL can’t break in and help make a difference, you may not be in the practice that is best suited for you.  But that’s for a different article!!

Good luck!




"How prepared are YOU as a RDH to treat clients with exceptional needs?!" by Nadine Russell, RDH

I was discussing my “Clients with Exceptional Needs” presentation with some colleagues, when a fellow RDH had commented that her practice "just refers” all individuals with special needs for sedation.

Well, anyone who knows me or has attended any of my presentations KNOW that I am just a little passionate about this! So this makes me wonder…how prepared are YOU as a RDH to treat clients with exceptional needs?!

One of the very first topics I discuss in my presentations is that as Registered Dental Hygienists AND Regulated Health Professionals it is our OBLIGATION to know how to treat ALL clients…that includes those with exceptional needs.  It is the expectation of our College and of the public that as frontline oral health care providers that we have an understanding of and the ability to adapt our skills to serve this population. We are not auxiliaries; we cannot look to the dentist that employ us for guidance…it is our responsibility!!!

Here are some key points that I have highlighted in our Standards of Practice as outlined by the CDHO to support my statements:

“… dental hygienists have a social responsibility to promote access to, and delivery of, quality dental hygiene services”

“A dental hygienist demonstrates a commitment to professional responsibility by:

  • Using a client-centered approach that acts or advocates in the client’s best interest.
  • Contributing to actions that will support change and facilitate access to care; particularly in vulnerable populations.
  • Recognizing gaps in knowledge and taking the appropriate steps to acquire this knowledge.”   http://www.cdho.org/Standards+of+Practice.asp

All individuals are entitled the best possible care we can provide them…working with individuals with special needs is no different.  Some adaption to our “typical” routines can make this possible…that’s what client centered- care is. Assessing and recognizing the needs of our clients to be able to effectively provide them care.

The best way to better serve these clients is by arming yourself with knowledge!

As outlined in the CDHO Code of Ethics “PROFESSIONALISM- Is the commitment to use and advance professional knowledge and skills to serve the client and the public good.” http://www.cdho.org/Code+of+Ethics.asp

Being aware of our limitations and knowing when to refer is important, however; as professionals it is ESSENTIAL that we recognize when we lack the knowledge and then do something about it!


Yours In Health,


Nadine Russell, RDH