3 Secrets To Maximize Hygiene Production

I’ve been a Hygienist for more than 20 years and a Hygiene Production Consultant to more than 1,718 practices in 12 countries around the world. Hygiene is my passion … and exploding Hygiene productivity and profits is my expertise.

When I started …and for many years … I was satisfied with the status quo.

I saw patients, did my job and never really questioned the system. I was making good money for the practice – but no where even close the potential where it could be!

But something else bothered me even more. I had an arsenal of wonderful treatments to help my patients have a healthy mouth, but I wasn’t using hardly any of it.

The dentist I worked for was busy drilling and filling. Every day it was the same basic routine….and we were using just a fraction of the latest tools. I knew there had to be a better way. So I took action and made a list of everything I knew to be true about the practice:

  • My dentist had excellent skills
  • We hygienists were the frontline of the practice
  • We weren’t using 75% of the tools at our disposal
  • The dentist haphazardly tried to offer more procedures (he wasn’t comfortable “selling”) with little results
  • Our hygiene department procedures and scripting weren’t consistent with every patient

My interest in improving oral health became an obsession. Every day I would brainstorm for a better way by thinking like a business owner… and improving bottom-line profits was the only measurement tool I used to rate every idea.

And one day…I had one of those Ah-hah moments!

Since hygienists are on the front line of almost every dental practice…and since hygienists spend the most time with patients…and since hygienists have the most tools available to help patients have healthier, more attractive smiles…I had this million-dollar realization…

Why weren’t we maximizing our strengths to produce amazing profits for the practice?

Since that day, I’ve spent years perfecting a system that can literally transform any hygiene department into a Profit Machine for the practice. First, I tested my ideas on my own at the practice where I worked.

Then, through my inner-circle (my network of friends who are working hygienists in practices across the U.S.) we started beta-testing my exact same scripting at the practices where they worked. Bottom line: by approaching hygiene like a business owner, and by consistently asking the same, scripted questions…within the first 30 days…

Hygiene production doubled, tripled even quadrupled in every instance!

Take a look at some of these this result from a  hygienist that understood the secrets I'm about to reveal on increasing hygiene production.


I know, you’re probably asking yourself: Really…can my hygienist earn that much in one day? But hygiene is a ‘lost leader’, right? It sounds impossible!

And the reason it sounds impossible is because of the way you’re running your hygiene department.

All it takes is the right training, along with some easy scripting tweaks on how your hygienists talk to the patients and PRESTO…your hygiene profits will skyrocket!

Now I’m not saying every hygienist will earn $4000 every day.

But you’ll find after taking and implementing the secrets I'm about to reveal that ANY hygienist can start having $2000, $3000, and even $4000 days on a regular basis.

So let's dive right in

Secret #1 - Increase Hygiene Production by Enhancing Patient Care

Our basic job as a hygiene provider should be to advocate for our patient's dental health by doing the right thing every time for every patient.

For me, production was never the goal.

I discovered during my own journey, that by doing the right thing and advocating for better patient health, hygiene production naturally increases as a result.

Brian Tracy a prominent business coach once said, "What get's measured, get's improved."

But how do we measure patient care?

Well here are 3 key metrics that I look at.

1.) Get a minimum of 80% acceptance of Adult Fluoride

For example, an 80% acceptance in fluoride = $32,000+ per hygienist over the next year!

2.) 4 Sealants per day

For example, just four sealants a day at $45 =$34,000 over the next year.

3.) 4 Teeth treated with desensitizing agents

For example, treating four teeth a day with desensitizing agents =$34,000 over the next year.


What I find fascinating is that we think we are treating our patients with the utmost care, but if that were really the case,  we should see these treatments done on more patients.

Did you know that the majority of practices have a fluoride acceptance rate of 10%?

We have so many great tools on the menu to help our high-risk patients. And they need all the help they can get. We know that, so we need to make sure we're embracing the tools that we have to help them so they can succeed.

Never in my career did I have a patient say, "Hey, why do you think today during my visit, I need a higher level of focus on preventive therapy."

Nobody ever said that, but they said things like bad teeth run in my family. It seems every time I come here, I have more and more cavities. Those comments represent frustration.

Maybe you're offering these treatments to your patients already, but they aren't accepting them.

Well, that leads me to secret #2.

(We've also put together a in-depth report that shows you how to maximize hygiene production including the scripts I use. You download it here. 


Secret #2 - Clear Communication For Improved Treatment Acceptance

There is nothing more frustrating when you know your patient needs a treatment and they don't accept it.

But it's not our patients fault.

More often than naught it has to do with how we're communicating with our patients.  So here are my tips to improve your communication so that you can improve treatment acceptance and increase your personal hygiene production.

1) Don't wait until the end.

Too often we wait until the end—after we’ve had the exam and know what needs to be done. If we do that, we’re out of time

) Don't let insurance dictate your level of hygiene care.

We say things like we refuse to allow insurance to dictate the level of care we provide. But then every day in the trenches, we often do allow insurance to dictate the level of care we provide.

It's natural. We get into the habit of not wanting to have to overcome the objection when our patient's insurance doesn't cover certain treatments and have to pay out of pocket.

We have to get over that. We can't allow insurance to dictate care.  I've long lived by the approach that if it was my mother, my sister, my daughter, what would I want them to have? I want the same for my patient.

3) Educate Your Patients

I hear things like we should probably do a fluoride for that. but if I'm the patient and the hygienist hasn't educated me on the benefits, I won't accept the treatment, especially if I'm paying out of pocket.

Helping patients understand not just what we're wanting them to do, but why they should do it is critical in helping your patients accepting our treatment recommendations we're offering.

You don't need to get into the weeds of the science or research. I like to use the phrase, "New Research Shows"  is  part of 3 part script I like to use for treatment acceptance. (click here to  get my 3 scripts for improving patient acceptance)

For example:

"New research shows that for patient who consistently have a professionally applied fluoride treatment , we can see up to 75% fewer new cavities. This is huge for patients who are alway struggling with decay."

4) Conduct An Emotionally Connected Exam

A $2558.50 Day In Hygiene Production!


What do I mean by this? You need to identify what the dominate emotion of the patient is.

Are the worried?

Are they anxious?

Are they angry?

Are the uncomfortable?

What are they feeling?

Once you identify what that dominate emotion is, you need to relate to that.  I see a lot of hygienist  where a new patient will tell them they're scared and the hygienist just goes right past it.  Or they'll say they were upset with their last dentist, and there are no followup questions about why.


Your hygiene patients are looking for somebody here cares, who addresses their concerns and someone who avoids connection stoppers.

What are connection stoppers?

The 3 biggest connection stoppers are judging, shaming and indifference. 

Hygienist are looking into patients habits and health and the last thing our patients need is to be judged, shamed, or feel indifferent. 

This doesn't happen intentionally, but by how we say or express ourselves it can come across negatively to our patients. So put yourself in their shoes and don't forget to tell them the good things you see!


Secret #3 - Offering Same Day Hygiene

This is important to maximize hygiene production.

Let's take sealants for example. When our hygiene coaches work with other practices, we talk about what to do., why we should do it, and then we actually get into the nitty gritty and share with them how to do sealants same day.


And it's powerful. Here and example of Tanya, a hygienist form of Dr. Ayers offer after she had done 33 sealants. None of those have been scheduled ahead of time.  All  were done same day!

So it's exciting! I love seeing hygienist confidence soar when they reach these levels because they are providing better care for their patients and their production double or tripled as a natural result.

It doesn't take 33 sealants in one day to have an impact, on average, if let's say four teeth a day are protected per hygienist throughout the course of a year, that's a $48,000 impact!

That is a huge win for you and your patients!

Below is a hygienist in a single doctor practice. And she had a $1,245 day.

That's really good considering that the national average of hygiene production per day is around $800-$1000 per day.

The next week after going through hygiene coaching, she had a $3,009 day!

Some hygiene consultants think that the solution is to shorten the appointment time and cram more people through and you'll see your production increase.

But the number of encounters didn't change.


She saw seven adult patients, one child, and one perio-maintenance on her $1,200 a day.

On her $3,300 day, she saw eight adults and one perio-maintenance.  So the same number of encounters, still eight patients served. But look at the difference.  She treated her hygiene patients with fluoride, more sealants, more x-rays, more preventative services, but the big game-changer for her was she did 23 same-day sealants and her hygiene production exploded.

Check out this quick video I did where I reveal 10 secrets to start same-day dentistry in Hygiene. (Be sure to subscribe to our YouTube Channel here for more great videos!)

As I said earlier, when we do the right thing for every patient every time, higher production will naturally follow, if we are focused on enhancing patient care, become better at communicating to our hygiene patients, and offer same-day dentistry.

If you'd like more detail, we've created this free report that goes into even more detail about how you can double or even triple your hygiene production. Click here to get it.

Maximize Hygiene Production Report