The Dentalpreneur Podcast w/ Dr. Mark Costes 2375: The Truth About DSOs Culture and the Hygiene Crisis
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Nov 7, 2025 In this engaging conversation, Janet Hagerman, a Fractional Chief Hygiene Officer and author, shares her vast expertise in transforming hygiene departments within group dentistry. She discusses the critical hygiene shortage and practical strategies like assisted hygiene and solid practice culture to combat it. Janet also explores how DSOs have evolved into more patient-centric organizations, emphasizes the significance of effective communication in patient care, and reveals her proven techniques for running productive meetings—all while maintaining ethical standards in selling dentistry.
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From Reluctant Consultant To DSO Hygiene Leader
- Janet accepted a DSO hygiene director role expecting short tenure but stayed six years and learned corporate scaling.
- She helped turn around reputation by building quality teams and a best-in-class periodontal department.
DSOs Are Becoming Patient-Centric
- Modern DSOs increasingly differentiate by focusing on patient experience and clinician support.
- With KPI tracking and centralized training, DSOs can deliver higher-quality care at scale.
Adopt Assisted Hygiene Models
- Implement assisted hygiene to boost efficiency and support hygienists with dedicated assistants.
- Avoid double-booking; mirror doctor-room workflows for smoother throughput.
