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Profitability of doing your own hygiene
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I live in Montreal, Canada. I don't know about elsewhere, but here an average recall appt (xray cleaning exam) costs about 250$. I've heard that it's pretty much "a thing" that many dentists here categorically refuse to do hygiene whenever they find associateship. I do not understand, especially in the case of new grads, why they would refuse to do hygiene as, by my calculations, it seems that hygiene can be a very profitable procedure when high enough speed is developed.

For example, my own dentist is able to get my recall appt done in under 20 minutes (I don't necessarily have the best hygiene), which made me realize she can pretty much do 3 recalls in an hour and bill 750$, which would end up being the same amount as doing a few fillings in an hour time. In addition to that, as far as I understand, cleanings don't cost much in terms of overhead, no?..

It just seems that with enough speed, if you're able to go through 2-3 recall appts an hour while keeping an acceptable quality of work, you can be very profitable even by doing hygiene. Of course, I am not saying that your whole day should be booked with recalls, but in cases where the front desk has trouble booking treatments for you and you end up having gaps in your schedule, why not suck it up and book a few recalls?

Overall, it feels like hygiene can be such a hack, especially if you own your practice. Maybe there are important details i'm forgetting which is why I would like to know what you guys think about this.

Looking forward to discuss:)

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Fellow hygienist here and I fully agree. Also I would say anyone who is finishing a prophy in 20 mins isn't doing a very thorough job. I have recently had many new patients coming in who would go for cleanings regularly at other offices and they present with subgingival calculus and 5-6mm pockets. Then they're confused and asking me why they have gum disease "suddenly" when their old dentist never said anything about it. It puts me in a bad spot because it either looks like I'm scamming them or I have to figure out how to not bad mouth the other office while explaining what's going on. I'm guessing there's minimal scaling done and a quick polishing at best.

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There's definitely some patients that don't take long but I have been seeing a lot of people returning for prophylaxis after being m.i.a. for a year or more and those always take longer. I always end up with the apprehensive patients who I have to baby their gums and use topical 🙄.

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5 months ago