The Skilled OHT

The Skilled OHT Academy to help OHT’s and Hygienists excel in their everyday lives and become better clinicians.

What’s wrong with this image? On a brief look, it may appear that Rubber dam, Clamp and matrix are well done, however if...
09/03/2025

What’s wrong with this image?

On a brief look, it may appear that Rubber dam, Clamp and matrix are well done, however if you notice the gap between the matrix and Clamp-
This is an issue when packing composite as excess composite will relase out when packing.
So what’s the solution??

Follow for upcoming answer 🙂

Photo credit: Sahil Bareja

What matrix system should I use? Tofflemire? Sectional? If so, which one? Bio clear?Garrison? Composi-tight? Looking at ...
17/01/2025

What matrix system should I use?
Tofflemire?

Sectional? If so, which one?
Bio clear?
Garrison?
Composi-tight?

Looking at the images above- Will there be a matrix system that you would choose?

Every matrix system has its pros and cons. The interdental prep dictates which type of matrix to use!
In upcoming posts we will explore this further 🙂

Like and follow for more posts like this 🦷

As a new graduate, the big burning question I had was should I work on Hourly vs Commission ?And what about a Retainer? ...
12/01/2025

As a new graduate, the big burning question I had was should I work on Hourly vs Commission ?

And what about a Retainer?

If you also have these questions and want to get them answered in detail, stay tuned!

Follow to find out the answer 🙂

A pay rise is a very sensitive topic in workplace, however if delivered with facts and figures, it can often be a win- w...
11/01/2025

A pay rise is a very sensitive topic in workplace, however if delivered with facts and figures, it can often be a win- win scenario for both employer and employee! 🌅

Before understanding a pay rise figure, the practitioner needs to calculate the following:
- What are my hourly billings in the clinic?
- What are the non- tangibles that don’t count towards production?
- What are my upcoming skills and treatments to offer the clinic?
- What is my treatment conversion and hygiene recall rate ?

For example, it is a common understanding that if a clinician is billing $300 an hour on average, they should be on 30% of the hourly billings. However, this doesn’t take business’s expenses such as superannuation and permanent employee leave pay into account. Let’s assume Superannuation is 10% and leave loadings approx 8%, therefore we can safely deduct/ minus 10-20% as a safe figure for pay calculation.
Let’s do some rough calculations:
Hourly billings $300/hr
30% of $300= $90
Tax/Leave Considerations = $90-15%=$76.50 an hour

In upcoming posts we will discuss this in further detail, including other related issues, such as :
- How to negotiate working with a DA?
- How to improve patient retention and treatment conversion

Stay tuned!

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What are my yearly fixed expenses as a dental hygienist/ Oral health therapist in Australia ? If you’re new to practice ...
11/01/2025

What are my yearly fixed expenses as a dental hygienist/ Oral health therapist in Australia ?

If you’re new to practice and wondering what are the costs associated with maintaining your dental license, then here’s a quick summary for you:)

Fixed expenses :

- AHPRA registration- Annual renewal
- Indemnity insurance - Annual renewal
- CPD Courses - Average of 20 CPD hours per year need to be maintained
- Radiation license - Annual renewal (EPA)

In addition, there are optional expenses related to your practise :
- Professional body memberships- DHAA, ADOHTA
- Income protection insurance

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How do you motivate your patient to return to your 6 monthly recall ( Not Periodontal treatment acceptance or 3/12 perio...
06/01/2025

How do you motivate your patient to return to your 6 monthly recall ( Not Periodontal treatment acceptance or 3/12 perio recalls)

Many of us believe it’s Receptionist’s job to book 6 monthly and this is where we as Dental practitioners are going wrong!

1. 6 Monthly recalls should be emphasised in dental chair so that patients themselves go upto reception asking to book their 6 monthly “active maintenance appointment”

a. Intra-oral Photos: Use IO photos to show photo BEFORE, DURING and AFTER Scale and clean to emphasize on bleeding, plaque and calculus levels and how important it is for the patient to attend 6 months time again

b. Emphasise that Brushing and flossing alone does not prevent Gingivitis completely- Teeth need to be professionally cleaned (whether 6/12 or Annually)

2. Emphasize to patient that you will see them again in 6 months time (Mention possible date and Month) to emphasize that you are serious towards your approach!

3. Assure patient that you have recorded scores today and cases like these can easily be managed but they require follow-up. (Patient likes to hear solutions, not the problem!)

4. Use plain terms like “ Gum disease” in conjunction with Gingivitis or Periodontal disease, rather than using diagnosis terms alone.

5. Link problem to solutions- If you notice in Medical history form, patient has ticked Yes to Bleeding gums- discuss this problem in detail and offer solution of increased recalls accordingly ( Do Not underestimate the medical history and clinical history form)

6. Never ever let receptionist say “ Would you like to book your 6 monthly appointment or wait for the reminder”. Patients will almost always take easy way out and wait for reminder. Instead approach should be as follows “ Mrs. Jones i see you have come on a thursday (today), how does Thursday 4th June2025 in 6 months sound? I have a 11 am and 4 pm” Giving patient two options helps them make a quicker decision and if they say they prefer a different time, you can simply say “ Sure, let me see what i can do for you... and go ahead to book the appointment”

Are you an OHT or hygienist who is about to start working on an ABN or switching from hourly pay to commision? Are you c...
06/01/2025

Are you an OHT or hygienist who is about to start working on an ABN or switching from hourly pay to commision?

Are you confused on what is involved and how to manage?

Look no further, read below:)

An accountant with experience in the dental or medical industry can be beneficial. While it is not strictly necessary to engage one specializing in these fields, it can be challenging for some general accountants to fully understand specific industry nuances, such as lab fees. In such cases, you may need to provide additional explanations or ask your employer to clarify the arrangement with your chosen accountant.

To simplify, if you are on a 40% commission structure, you earn $40 for every $100 you bill.

There are two additional factors to consider: 1. GST (Goods and Services Tax)
2. Lab bills

GST:
Service Facility Agreements (SFAs) typically charge a “rental fee” to cover the costs of providing the facility, advertising, staff, consumables, and other business expenses. This fee is subject to GST. For example:
• If you bill $100, the clinic charges you 60% ($60) plus 10% GST on that amount ($6), totalling $66
• You would be paid $34. However, the $6 GST is credited back to you when you lodge a BAS (Business Activity Statement) or file your tax return, effectively restoring your full $40 earnings.

Lab Bills:
Lab fees will also impact your pay. For instance, if you charge $300 for a mouthguard and the lab fee is $50, your commission is calculated on the net amount: 40% of ($300- $50), which equals 40% of $250 = $100

It’s worth noting that some lab fees include GST, while others are GST-exempt. While this may slightly affect your calculations, it is usually negligible if the majority of your work consists of procedures like cleanings, fillings, extractions, and x-rays.

For information like this , follow us 🙂

Watch this space …

It’s that time of the year where most of us are starting a New year with new goals. But it’s also time to reflect back o...
06/01/2025

It’s that time of the year where most of us are starting a New year with new goals. But it’s also time to reflect back on how you performed in clinical setting.

How do you track your performance?

More importantly, how does your Employer track your performance?

Do you know how to review your daily statistics? Monthly statistics?

So Let’s get down to facts about negotiating pay!

1. Scenario 1: Think if you are an employer and your employee comes to you and says “ I have been working for 3 years- I think I need a pay rise”. What thoughts would be going through your head?

2. Or Scenario 2: You are an employee and you say to the Employer: “Hi Dr. John I wanted to discuss the potential room for growth in practice and some statistics…”



The approach to negotiating a pay rise is the key!

So how do you do it?

“The Briefcase Technique”

Before you walk in the room, make sure you:

 Know the exact figure you want to negotiate. If employer asks you how much you’re looking for pay rise and you are not sure what figure is appropriate, you have essentially lost the negotiation. The employer now has power to increase the pay, even if its $0.50 only

 Generate report and print your statistics to take in room with you ( like in a BRIEFCASE) :

o Time spent per patient

o Reviews from Patient

o In house Referrals vs Referrals to Specialist

o Generate Reports to Present:

-Average Daily Gross Production

-Quarterly Production

-Annual Production Increase

-Recall rate

-Retention Rate

-Treatment Acceptance %

-New patient numbers

-Treatments referred to Dentist and Associates

For example:

Scenario 1

 Daily Hygiene Production average 2023 : $2000

 Daily Hygiene Production average 2024: $2500

4 days/ week- Extra $2000 per week

48 weeks/year- $96000 Increase !!!

THIS IS JUST ONE EXAMPLE OF PRODUCTION INCREASE- imagine what other reports you can generate and show your employer to ask for pay rise !

Stay tuned for upcoming webinar on Negotiating pay and how to generate reports and how to maximize clinical performance on HOURLY and COMMISSION.

Watch this space…

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