515 The Current Model of Prevention is Broken with Tim Ives!
Episode Overview
In this thought-provoking episode, Tim Ives joins the show for an in-depth conversation on the evolving role of dental hygienists, the ongoing challenges in oral health, and the importance of behavior change and communication in achieving better patient outcomes. The discussion delves into dental education, interprofessional collaboration, measuring success in hygiene, and innovative ideas for the profession’s future, such as independent hygiene practices and high street outreach.
Key Topics
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Defining the Role of the Dental Hygienist:
Tim Ives challenges listeners to rethink the traditional image of the hygienist and advocates for a broader understanding among patients, dentists, and hygienists themselves. -
Barriers to Change in Dental Health:
Discussion on why oral diseases like dental caries and periodontal disease remain prevalent and the systemic issues preventing progress. -
Measuring Success in Hygiene:
How hygienists can (and should) measure patient health outcomes, and why communication and behavior change skills should be prioritized. -
Business vs. Healthcare:
The difficulties in balancing profitability and genuine health care—especially in corporate/group practice settings. -
Ideas for the Future:
Envisioning hygienists as independent professionals on the high street, specialists in behavioral change, and as accessible advisors to the public. -
Education Pathways and Research:
Insight into the innovative programs at O’Hehir University, including international bachelor’s and master’s degrees for dental hygienists, and the recently launched journal publishing condensed (400-word) research papers. -
Behavioral Change & Stress in Oral Health:
Exploring newer research that ties socioeconomic status, stress, and cortisol to dental caries risk, and the need to address systemic social issues to truly improve health. -
Professionalism & Interprofessional Education:
The impact of UK programs where hygienists and dentists are trained side by side, and how this fosters professionalism and teamwork. -
Direct Access & Practice Ownership:
How changes in UK policy now allow hygienists to own practices, employ dentists, and offer direct patient access. -
Personal Reflections:
Tim Ives shares his candid views on career development and success, plus a fun closing discussion on football and Wrexham’s promotion odds.
O’Hehir University Programs
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6-month Bachelor’s program — open globally to licensed dental hygienists
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18-month Master’s program — focused on oral health promotion, leadership, and research
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New journal featuring concise, practice-relevant research summaries
Learn more and contact Tim Ives:
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Email: [email protected]
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O’Hehir University Website: https://ohehiruniversity.org/
Connect
For more information about O’Hehir University or to reach Tim Ives, email him at [email protected].
Shout-Out
Huge thanks to Tim Ives for his insights and dedication to the profession, and to all listeners for supporting these important conversations that help shape the future of dental hygiene.
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About the Author

Andrew Johnston, RDH
Andrew Johnston, RDH, is your everyday hygienist who is passionate about sharing education and knowledge to others. Practicing in Washington State since 2009, Andrew enjoys utilizing his full scope of practice through traditional and restorative procedures on any given day—still working in the operatory 40-plus hours each week. In 2015, he started the wildly popular dental hygiene podcast A Tale of Two Hygienists with his cofounder Michelle Strange. Because of the podcast's success, they were able to begin a new chapter in dental audio content with The Dental Podcast Network, which consists of 10 short-format shows on different dental topics airing each day of the work week.
