Improving oral health through tooth alignment – new hygienist training programme launched

hygienist offering invisalign treatmentAlign Technology has announced the launch of a training programme, specifically created for hygienists and therapists to help improve oral health through tooth alignment.

The programme is designed to show dental hygienists and therapists the pivotal new role they can play within a multi-disciplinary, digitally-focused practice.

The four-part series is delivered on a dedicated Invisalign webpage. It is free for dental hygienists and therapists keen to learn how their expanded scope of practice. Making them the ideal partner for dentists offering Invisalign treatment.

An initial pilot for the programme proved extremely popular amongst 150 hygienists and therapists. And it is now available nationwide across the UK.

The agenda for the four-part online programme runs as follows:

  • Part 1: an educational session about how the Invisalign system fits into the hygienist/dentist interface and practice workflow; how to identify the patients who could most benefit from tooth alignment to improve their oral health; and how to introduce the Invisalign concept during the hygiene consultation
  • Part 2: how to effectively communicate with patients during the hygiene consultation
  • Part 3: the relationship between oral health and straight teeth
  • Part 4: how to implement a digital workflow between practitioner and hygienist in the practice: how to diagnose and scan with the Itero inter-oral scanner.

Teamwork makes the dream work

Part three of the programme is presented by Anna Middleton. She was the highest ranked dental hygienist on this year’s Dentistry Top 50 – coming in at number nine. She is best known to her 11.6k Instagram followers as the @Londonhygienist.

Here Anna explains more about the new training programme and the role she plays in upskilling her peers: ‘This is an online programme, especially developed for dental hygienists and therapists to give them an insight into how Align Technology offers a solution to aid patients in their treatment choices.

‘I will discuss both how I use digital scanning to have open conversations with patients about their dentition, and how I use it in my Itero workflow as an aid to the other clinicians in practice.

‘More and more hygienists and therapists are looking for ways to help their patients achieve high levels of good oral health. As well as building further skills by offering additional services that can create a unique and positive patient journey.

‘They are also keen to undertake such additional roles to help their practices to continue their growth.

‘In the pilot sessions of the programme, delegates were keen to learn more about how they could incorporate digital scanning into their scope of practice.

‘They were also keen to develop ways to initiate conversations with patients about teeth straightening. Along with why these conversations are so important. I was able to share some of the dialogue I use and discuss the steps I take with my patients.

‘With this orthodontic programme, there is a real scope of opportunities for these dental professionals. I always say “teamwork makes the dream work”.’

Helping our patients

‘Often when I see a patient under direct access, they may not have visited a dental practice for some time,’ Anna continues. ‘It is during this time I can discuss not only their oral health but their dental health.

‘I use scanning of my patients as a digital record and we all know the saying: “A picture is worth a thousand words”… it couldn’t be more true.

‘The scans allow me to show patients all the areas in their mouth in detail. We can use it to discuss any concerns they may have – then discuss potential solutions.

‘Hygienists and therapists play an important role in any dental practice. The start of any smile make-over journey will begin with a hygienist session. And the dentists I work with always stress the importance of good oral hygiene and health in order to achieve results. As well as preserving their treatment for long after it has been completed.

‘Many of my patients who had difficulty maintaining their oral hygiene due to crowding, have now said how much better their mouths feel and how much easier it is to clean. Those who had more frequent visits in a year are now on six to 12-month recalls.’

Digital impressions

‘I have had conversations with some hygienists and therapists who would like to use their expanded scope of practice more,’ Anna says.

‘I believe there is plenty of work to go round. Often all it takes is to have a few open discussions with the team and implement a new workflow.

‘The dentists I work with have special interests in aesthetic and restorative dentistry. By sending elements of work to me, means they can focus on the areas they best enjoy. This in turn, is also a better use of their time.

‘I see the Invisalign programme helping hygienists and therapists to help their patients. As we know, misalignment of teeth is a contributing factor to poor oral hygiene and tooth wear.

‘While Invisalign treatment isn’t suitable for all patients – it is the dentist or specialist orthodontist who makes the assessment and decides if the patient is a suitable candidate for a clear aligner treatment.

‘It is a discrete and affordable solution. One that some patients might not even be aware of.

‘I still have patients who think that “braces” means “metal train tracks”. So scanning patients for Invisalign treatment means that you can offer options to your patients.

‘The programme will also show hygienists and therapists other benefits of scanning as it records restorations and calculus. I use digital scanning for all my impressions now.

‘I had a patient who desperately wanted whitening but could not tolerate alginate impressions. So, I used the Itero to scan their teeth to produce their whitening trays. This was a complete game changer for them.’

Itero digital workflow

‘The Itero digital workflow between me and the dentists I work with makes things really simple,’ Anna explains.

‘I have longer appointments for all new patients. This allows plenty of time to scan and then discuss treatment options with the patient.

‘Then if there is anything they would like to discuss further, I book them in with the dentist. Because they already have a scan, they can then continue the conversations. It is like passing the baton seamlessly.

‘We are also now slowly scanning all existing patients, so we have base-line digital recordings.

‘It is easy to assume that patients are happy with their smile, but that can change over time. I find that the technology fascinates patients. Then they tell me about what they see, that they do not like. This is the best way to initiate conversation about what we can do to help.

‘Hygienist and therapists are in a prime position to carry out scans. By utilising those in your team who are happy and want to take on extra duties, the practice should see an improvement in workflow and time management. As well as an increase in revenue, which I am sure any dentist would welcome.’

Working in tandem

Anna Middleton works with Dr Rhona Eskander who adds: ‘I think this hygienist programme is such a good idea.

‘Ultimately the success of the Invisalign workflow depends on teamwork. The hygienist tends to have a very good relationship with the patients. So educating them that aligning the teeth has a massive benefit on oral hygiene is a huge help.

‘Patients are more likely to understand about teeth straightening options because the hygienist has already highlighted the benefits.

‘Anna sees patients herself as a result of direct access. Often I get referrals for aligning their teeth.

‘In my experience the hygienist convinces the patient to have treatment before you have even seen them. So ultimately, we can see more patients because the hygienist has already had that discussion with the patient.

‘I would advise dentists to get on board with this Align hygienist programme. Particularly if their staff are already talking to their patients about Invisalign treatment.

‘With so many more hygiene than dental appointments, it makes sense to involve hygienists. It is something that we really should not miss.’


Access to the training programme is via the Invisalign portal. To register, the dental hygienist or therapist needs to log on in collaboration with the Invisalign provider in the practice where they work using their IDS number.

CPD certification is conferred on all participants on completion of the course.

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