October 2008 | Modern Hygienist
Career | Mentoring
Professional rewind
The backstory of Deborah Dopson-Hartley.
by Thais Carter
Usually, the focus of an article like this is to profile an everyday dental hygienist—someone you’d find working in the practice down the street or teaching at the community college across town. We love to uncover the simple but extraordinary ways that they impact their practice, patients and community.
This month, we’re working backwards. Many of you are familiar with the name Deborah Dopson-Hartley, RDH. Whether you’ve heard her speak, read an article she’s written, or met her at a tradeshow, she’s a dental hygienist who is out there, making the case for the business of dental hygiene on the national stage.
Someone on that kind of platform is often too easily dismissed as an anomaly in the profession or too intimidating to be a “mentor.” We want to share some of Ms. Dopson-Hartley’s history so that you can draw connections to your own story and appreciate the personal side of a more public personality in the dental hygiene community.
It all started with bad teeth
“I had bad teeth and lived at the dental office,” Ms. Dopson-Hartley begins with a broad smile that makes you doubt her teeth were ever that bad. “My dentist offered me a job as a dental assistant and I ended up cleaning teeth as one of the first preceptorship dental hygienists. I started doing check-ups and exams in 1970.”
Soon, she decided to “make it legal” and attend dental hygiene school at Pensacola Junior College in Florida. Those years of training laid a critical foundation that Ms. Dopson-Hartley would build on in the years to come. “With the love in my heart, the knowledge in my brain and the skill in my hands, I can help lead patients from infection and disease to health and wellness for not much money and not much time,” she explains. “No other profession can do that.”
| | MENTORING Profit isn't a dirty word Great patient care and a thriving practice can go hand in hand. It could be you Hygienists working as consultants or speakers started in your position. So what’s your dream? |
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First patient, lifelong lessons
Ms. Dopson-Hartley advocates for polishing teeth prior to scaling. Today, that belief is based on years of experience and evidence, but it started with her very first patient after graduating dental hygiene school.
“My very first patient—my dentist’s brother!—was a cardiologist,” she says. “I remember going to pick up my trusty scaler and he stopped me. He said, ‘You’re not going to clean me before you clean me. I wouldn’t cut you open without cleaning your chest.’ I was slightly taken aback, but I ended up polishing him first. Then, I handed him the mirror and began to show him how to floss. He started to hemorrhage heavily.
“That was an eye-opener for me. I realized that bacteria can get in through the blood and enter the heart—and this was my very first patient in 1976. Since then, I’ve always polished and flossed first, showing the patient what disease is instead of just telling them and going into scaling.”
Many dental hygienists frown at the idea of thinking of dental hygiene as a business or profit center. Bringing money into the equation heightens fears of less time with patients, selling treatment, and the “prophy mill” scenario in which relationship is sacrificed for profit.
Ms. Dopson-Hartley has heard all this before, but making her way to lecture halls to address crowds about the hidden profits of hygiene wasn’t nearly as calculated as some might imagine.
“My practice wasn’t dictated by insurance in the ’80s, and my last 12 years of practice we were insurance-independent, so we had to be better than everyone else—people aren’t just coming to you because you’re on their policy. My prophy fee in the early ’90s was more than $200. I was able to discover patients’ needs through instrumentation and then turn the needs into wants, into desires, into production.”
When “dental hygiene guru” Dr. Ken James came to her office to talk practice management, he saw Ms. Dopson-Hartley’s numbers and how they were tracking with sales and case presentation and was quite impressed. “He told me I needed to be out there and teach,” she says with a laugh. “I told him I didn’t know what I was doing. I was just doing my job.”
And that’s where it started. From Dr. James’ discovery, to Dr. Woody Oakes of The Profitable Dentist who put her on the podium, to Dr. Dianne Wright who introduced her to holistic dentistry, Ms. Dopson-Hartley’s journey—and this is just the beginning— is one of a mother, a healthcare provider and yes, a businesswoman.

| (Clockwise from top right) One great product Deborah wouldn’t be without is GC America’s MI Paste (gcamerica.com). You can take the woman out of Florida, but you can’t take Florida out of the woman—Deborah is an avid University of Florida Gators fan. Since moving to New York, however, she is all about the arts—including theater, comedy and music. Another must-have product? Handscalers from Hu-Friedy (hu-friedy.com). |  |
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“Know your numbers. If it’s not tracked, it’s not fact! They tell you where you’ve been.” — Deborah Dopson-Hartley, RDH |
Photos: Michael Voltattorni, David Muir/Getty Images