Sunday, June 28, 2026

Green Dentistry: Future-Proofing Dental Practices for the Next Generation - Brittany Cox, MA RDH, CCDS July 2026 E NEWS

Green Dentistry: Future-Proofing Dental  Practices for the Next Generation 

By: Brittany Cox, MA, RDH 

For the next generation of dentists and practice leaders, sustainability will become an increasingly core component of successful practice management. Regulatory expectations, patient preferences, technological advancements, and economic pressures are all driving healthcare toward more efficient and responsible models of care. 

Practices that begin adapting now will be better prepared to navigate these changes while maintaining profitability and delivering exceptional patient experiences. Sustainability is not simply a trend; it is part of the future of healthcare. 

Sustainability and Profitability 

One of the biggest misconceptions about sustainability is that it requires significant financial investment with little return. In reality, many sustainable initiatives align directly with sound business practices. For example, switching to LED lighting reduces energy costs, adopting digital patient records decreases the need for printing and storage, and installing efficient water systems can cut utility expenses. These types of changes not only help the environment but can also deliver noticeable savings over time. 

Reducing unnecessary consumption, eliminating inefficiencies, improving purchasing decisions, and optimizing workflows can generate measurable savings over time. Practices that take a closer look at where resources are being lost often discover opportunities to reduce overhead while maintaining or even improving the quality of care. 

Inventory Management 

Inventory management is one of the most overlooked areas of dental practice sustainability. Excess ordering, expired products, duplicate supplies, and disorganized storage systems create both financial and environmental waste. 

Implementing inventory management strategies such as PAR levels, usage tracking, and regular inventory audits can significantly improve efficiency. PAR (Periodic Automatic Replenishment) levels are a system for determining the minimum and maximum quantities of supplies to keep on hand, helping teams avoid both shortages and excess stock.  

Even small improvements in inventory management can have a meaningful impact on profitability. When teams know exactly what they have, what they need, and how quickly products are used, practices can reduce waste, improve cash flow, and maintain a more efficient clinical environment. 

Leveraging Technology 

Technology continues to transform the delivery of dentistry, and many digital innovations support both sustainability and operational excellence. 

For practices just beginning to embrace sustainable technology, starting with digital patient records is often the easiest and most impactful first step. Digital records not only reduce paper consumption but also improve accessibility and enhance communication within the team and with patients. Intraoral scanners can also minimize the need for physical impressions and shipping materials. Teledentistry can improve access to care while reducing unnecessary travel and appointment inefficiencies. Beyond environmental benefits, these technologies often improve workflow efficiency, enhance diagnostic capabilities, and strengthen patient education.  

The Expectations of Today's Patients 

Patient values are evolving, particularly among younger generations. Many consumers are paying closer attention to how businesses operate and whether their practices align with their personal beliefs about health, ethics, and environmental responsibility. 

Patients are increasingly drawn to healthcare providers who demonstrate transparency, prevention-focused care, and a commitment to responsible business practices. Sustainable initiatives can become a meaningful differentiator in competitive markets, helping practices attract and retain value-driven patients. 

Importantly, sustainability does not require extensive marketing campaigns. Simple actions such as reducing unnecessary disposables, implementing recycling programs, supporting community health initiatives, and communicating preventive care philosophies can help strengthen patient trust and engagement. Providing your team with clear, approachable language can make these conversations feel natural. For example, staff might say to patients, "We're committed to providing excellent care while reducing our environmental footprint, so you may notice we use digital records and limit single-use plastics where possible." Sharing the reasons behind sustainable initiatives in a straightforward way helps patients understand and appreciate your practice's efforts. 

When patients see that a practice is committed to both individual and community well-being, they often develop deeper loyalty and stronger long-term relationships with their providers. 

Progress Over Perfection 

Green dentistry is not about achieving perfection overnight. It is about embracing a continuous-improvement mindset. 

Every practice starts from a different place, and meaningful progress often begins with small, manageable changes. For most practices, reviewing purchasing habits and reducing disposable waste are among the most accessible and impactful initial steps, as they require minimal investment and can yield quick results. Once these areas are addressed, teams may consider implementing energy-efficient equipment or conducting a waste audit to uncover additional opportunities for improvement. Prioritizing the most achievable actions first can help busy practices build momentum and see early benefits. 

Sustainability is most successful when it becomes integrated into everyday decision-making rather than treated as a separate initiative. The cumulative impact of these actions can be significant. Over time, incremental improvements reduce operational costs, improve efficiency, enhance patient satisfaction, and create a smaller environmental footprint. 

Impact Beyond the Operatory 

Dentistry has always been a profession dedicated to improving health. Today, that responsibility extends beyond individual patients and into the broader systems that support community well-being. 

Dental practices consume energy, generate waste, purchase large quantities of supplies, and influence patient behaviors. As healthcare leaders, dental professionals have a unique opportunity to model responsible stewardship while continuing to deliver exceptional clinical care. The choices made within a practice today can have a positive impact that extends far beyond the operatory walls. 


What was once viewed as a niche interest is rapidly becoming a competitive advantage. Practices that embrace sustainable principles are often better positioned to control costs, streamline workflows, strengthen patient relationships, and prepare for future industry changes. Sustainability is no longer simply about being environmentally conscious; it is about building resilient, efficient practices designed to thrive in a changing healthcare landscape. A truly healthy future depends not only on the care we provide to our patients today, but also on the systems we build to support that care for generations to come. 

The GLP 1 Effect: From Medical Trend to Dental Risk - Julie Goldberg, DDS, CCDS July 2026 E NEWS


The GLP 1 Effect: From Medical Trend to Dental Risk

Author: Julie Goldberg, DDS, Professional Dental Risk Specialist at PMIG

GLP 1 receptor agonists, commonly prescribed for type 2 diabetes and weight management, are now encountered routinely in dental practice. While not dental medications, GLP 1s introduce emerging professional liability exposures; these exposures extend beyond sedation and anesthesia to include xerostomia, caries progression, periodontal concerns, treatment planning complications, and potential informed consent gaps. This article will explore how a failure to account for GLP-1 medication effects may be cited in malpractice allegations and will offer strategies to mitigate the likelihood of such allegations.

Sedation and Procedural Risks

GLP 1 receptor agonists are associated with delayed gastric emptying, increasing the risk of:

  • Residual gastric contents despite fasting
  • Regurgitation and aspiration
  • Nausea and vomiting during procedures

These risks are most relevant for patients undergoing:

  • IV sedation
  • Oral sedation
  • General anesthesia
  • Lengthy or invasive dental procedures

Aspiration events, while uncommon, are high severity claims with substantial exposure.

  • Post event allegations commonly include:
  • Failure to identify GLP 1 use
  • Proceeding with sedation despite increased aspiration risk
  • Inadequate informed consent
  • Deviation from accepted safety practices

Oral Health–Related Risks

GLP 1 use has also been associated with side effects that directly affect dental outcomes, including:

  • Xerostomia (dry mouth)
  • Dietary pattern changes
  • Enamel erosion secondary to nausea
  • Increased caries and periodontal risk

When these factors are not identified, documented, and addressed, dentists may face allegations of:

  • failure to diagnose,
  • failure to warn, or
  • failure to modify care despite identifiable risk factors.

Risk Management Strategies

1.         Improve Medical History Processes

  • Update intake forms to specifically ask about injectable and weight loss medications
  • Train staff to flag GLP 1 drugs
  • Reconfirm medications prior to sedation or major procedures

2.         Identify and Manage Xerostomia

  • Assess salivary flow during examinations
  • Document findings and patient counseling
  • Adjust preventive plans (fluoride, recalls, saliva support)

3.          Individualize Sedation Decisions

  • Account for GLP 1 use when selecting sedation type and timing
  • Use caution during early therapy or dose escalation
  • Delay elective sedation when risk assessment is unclear

4.         Strengthen Informed Consent

  • Discuss medication specific risks when relevant
  • Document patient understanding and questions

5.         Coordinate Care and Document Reasoning

  • Communicate with prescribing clinicians when medication issues affect care
  • Document clinical rationale when proceeding, modifying, or postponing treatment
  • Maintain flexible protocols that allow individualized judgment

GLP 1 receptor agonists represent a multifaceted and evolving professional liability exposure for dental practices. Practices that proactively identify medication use, assess oral side effects, individualize care decisions, and document clinical reasoning are best positioned to reduce claim exposure and enhance defensibility.

For questions related to dental risk management, contact Dr. Julie Goldberg, Senior Dental Risk Specialist with PM Dental Protect, PMIC. julie.goldberg@phmic.com.

This information is intended to provide general information only on specific risk management topics. It is not intended to provide coverage determinations or coverage positions, nor is it to be construed as legal, medical, or professional advice in any form whatsoever. 

5th Annual Oregon Oral Cancer Foundation Walk/Run - Kyle Isaacs BHS, RDHEP - CCDS July 2026 E News


5th Annual Oregon Oral Cancer Foundation Walk/Run September 12 Corvallis

Kyle Isaacs BHS, RDHEP

Greetings all dental professionals! Preparations are now underway for the 5th annual Oregon Oral Cancer Foundation walk/5K run and oral cancer screening. This year almost 58,500 Americans will be diagnosed with oral and oropharyngeal cancers, and these diseases will result in 13,500 deaths, killing roughly 1 person per hour, 24 hours per day. Unfortunately, the 5-year survival rate for those newly diagnosed is about 57%, a statistic that has not improved significantly in decades. Oral and oropharyngeal cancers have a higher death rate than many other cancers, but not a lot of people know about or have them on their radar. This is partly why I have dedicated my time and energy to organizing these events, to raise more awareness and to raise much needed funds to support education, research, and to help survivors and their loved ones.

I talk to many people who are newly diagnosed, survivors of several years, family members of survivors and those who have succumbed to the disease. Overwhelmingly, I hear the same story, “I had never heard about this cancer before my diagnosis.”  It is my hope that we can continue to increase awareness to not only the disease, but also the importance of annual thorough screening and early diagnosis for best outcomes for patients.

Last year we had 130 people in attendance with three survivors and a family of a young person who succumbed to oral cancer. Katelynn Romviel, a young tongue cancer survivor shared her journey with oral cancer, how it changed her life, and how coaching a teen dance troupe helped save her life. I think I can say, most of us did not have dry eyes.  Back by popular demand, we will Brenda Cortez will be creating amazing face art with paint, there will be more amazing raffle prizes, and lots of yummy snacks. As of now we have: $200 Amazon card from Cloud Dentistry, a 6-month family membership to the YMCA in Albany, worth more than $600, two water flossers, an electric toothbrush, a massage, a beautiful, framed photo of the Mission Mountains in Montana and more.

We have already raised $5600 with our goal to raise $15,000 through sponsorship from Corvallis Dental Group, CariFree, Capitol Dental, Willamette Dental, Elevate Oral Care, BioGaia, and Aseptico. We would be grateful for any sponsorship or donations you would like to make which are 100% tax deductible.

At the event there will be a contest for the biggest team, the person who raises the most money, and the team that raises the most money. We will again be doing free head and neck screenings and will enjoy a beautiful walk/run along the Willamette River in Willamette Park. So, don’t hesitate, register now and save the date, Saturday September 12th. You can contact Kyle at 541-740-4694 or kjulin@gmail.com

List of raffle items:

1. $200 Amazon gift card
2. $50 to Top Golf in Hillsboro
3. $100 gift card to Mary Ruth's
4. $20 Book bin gift certificate
5. Private tour and wine tasting with cheese plate for upto 6 people at Willamette Valley Vineyards ($300 value)
6. Massage at Certifiably Serene ($120 value)
7. Quip electric toothbrush, toothpaste and whitening strips
8. Sonic fusion waterflosser
9. Private wine tasting for 4 with charcuterie board at Bluebird Hill 
10. One free acupuncture visit with Corvallis Community Acupuncture
11. Kaady car wash ( 5 free washes, $75 value)
12. 2 Framed photos of the Mission Mountains by Becky Basl
13. One free craniosacral therapy with Becky Bricker, RN
14. 2 tickets to the Oregon Aquarium ($59.85 value)

 



     








Coastal Cascades Dentist Society Update - CCDS July 2026 E NEWS

 


Coastal Cascades Starts Meetups

CCDS started “meetups” in June. Meetups are an informal way to gather, where RSVPS are welcome but not necessary. You can just show up, and if there is a cost, you would pay your own way.  Our first meetup was on June 13
th and was at Mt. Pisgah. Hiking Dentists and Staff gathered and hiked up the mountain. Our next meetup is at PLAY arcade in Eugene on August 11th. Dentists are welcome and bring staff and/or family, hang out and have fun with other people in the dental community who enjoy games. There is also Bingo on Tuesday nights, so you could get lucky!  We also have another hike scheduled for October 10th. We will have more details about that event coming soon.


Old Timers Luncheon Met in June

A retiree luncheon was held on the second Tuesday in June. Every year it is on the second Tuesday, so planning ahead is easy!  This year, it was at Roaring Rapids Pizza in Eugene. Attendees included Dr. Bob Carmichael, Dr. James Gant, Dr. John Robinson, Dr. Cedric R. Hayden, Dr. Cedric L. Hayden, Dr. Lohring Miller, and Dr. Lawrence Raugh.  Another retiree luncheon will be held on the Second Tuesday in December, in Corvallis or Albany (TBD). We will have two luncheons a year so retirees can have two opportunities to connect with old friends and make new ones! We are hoping to make this a very special event and look forward to sharing more information soon.

September Social and Partnership with Lane Community College

September 17th will be our 3rd Social at Lane Community College in the Healthcare Professionals Building. This gives dentists the Opportunity to mix and mingle with dentists and with dental instructors at Lane Community College. The Lane Community College Foundation cohosts the event.

There are two LCC dental program scholarships that are set up and can be donated to through the LCC Foundation. The Jan Malone Dental Assisting Scholarship was established in 2004 in honor of Jan Malone, who served as the Executive Secretary for 27 years. This scholarship covers the cost of national certification exams for LCC Dental Assisting students. The Jen Helling Memorial Scholarship was established after Jen, a LCC dental hygiene graduate. She was diagnosed with melanoma during her second year in the program. Cancer claimed her life three years after she graduated. This scholarship is for dental hygiene students in their second year.


Thursday, June 4, 2026

Improve Patient Experience Dental Office Management Corner with Janette Douglas - Reprinted from LCDS & SWDS September/October 2024 Newsletter


Dental Office Management Corner with Janette Douglas 

Improve Patient Experience

I was in an office recently where a patient was asked about something that was a repeat of the prior week. She was visibly annoyed; the tone was set.

This could have been avoided by being prepared before the patient’s arrival. A checklist ensures that things aren’t missed. Equally important is a designated place to note that each has been addressed. Examples:

 • Unscheduled treatment
Past due hygiene
Unscheduled family members
Outstanding balance due

These are a few crucial pieces of information that, with prior knowledge, will help your staff to know what they are doing and come across confidently. If that had been the case with the annoyed patient, the tone set for that entire visit would have been much different. The additional bonus is that your team member is prepared, so whatever needs attention, it will get resolved before the patient leaves the office.

Final tip: How do you feel when someone remembers your name? If you aren’t taking photos of your patients and entering them into the patient file, I encourage you to do so. A photo to look at before the patient arrives will help with recognition so they can be greeted by name.