Behind the Smiles: Understanding the Surge in Dental Hygienists Resigning

by Jennifer Turner, RDH, BSc

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In a profession dedicated to maintaining the brightest of smiles, a stark trend has emerged that is casting a shadow on the field of dental hygiene. Numerous dental hygienists are resigning from dental practices that they have worked at for years. The cause behind this surge in resignations are multifaceted, and in this article, we will delve into the intricacies and motivations driving dental hygienists to leave their positions, shedding light on a situation that has remained largely hidden behind the smiles.

Dental hygienists play a vital role in maintaining oral health and helping patients achieve healthy, beautiful smiles. However, the dental industry is not immune to employment turnover, and one common phenomenon is dental hygienists resigning from their long-standing positions to work in other dental practices. This article takes a closer look into the key factors that motivate dental hygienists to make this shift and the critical aspects to consider when contemplating such a move.

Pay and Compensation

Money often stays at the forefront of reasons why dental hygienists consider changing dental practices. Dental hygiene is a well-paying profession and disparities in compensation exist between different dental practices. We used to see dental hygienists accepting a new position for a significant pay increase, which was a compelling reason to switch employers. We are now seeing dental hygienists switching employers for a minimal difference in pay. Some dentists are frustrated and concerned as the dental hygiene rate of pay has increased due to the supply and demand for dental hygienists.  

Hours and Flexibility

The hours dental hygienists work is a crucial aspect of their job satisfaction. Some dental practices require longer workdays and irregular schedules, which can be strenuous over time. When dental hygienists plan to work a certain number of hours per week and the schedule consistently falls apart, it is a cause for concern in the appointment booking and confirmation system in the practice. Dental hygienists may switch to another dental practice that offers more predictable working hours, part-time options, or better work-life balance, especially if they have family or personal commitments to consider.

Professional Development Opportunities

The dental field is constantly evolving with new technologies and products with an emphasis on ensuring the leading practices are state of the art.  Dental hygienists who value professional growth and development may consider switching to a different dental practice that places a stronger emphasis on professional development. Practices that provide opportunities for attending workshops, courses, or conferences can be very appealing. This can enhance their skills and knowledge base, making them more valuable as dental hygienists.

Team Dynamics

The interpersonal dynamics within a dental practice can significantly impact job satisfaction. A harmonious, supportive, and collaborative team environment is essential for the success and well-being of dental hygienists. If they experience conflicts, no scheduled team meetings, a lack of respect or poor communication within their team, they might seek greener pastures elsewhere. A welcoming and cohesive team is a strong incentive for dental hygienists to make a switch even when they have worked at the same practice for years.

Opportunity for Growth

Dental hygienists often seek upward mobility in their careers. Stagnation and a lack of opportunities for growth within a dental practice can be discouraging. If a dental practice lacks clear paths for career advancement, dental hygienists may explore other opportunities that promise career progression, potentially moving towards roles in other areas of dental hygiene such as management, education, public health, sales, or consulting.

Incentives and Bonuses

Dental hygienists are more likely to stay in an office if they receive recognition for their hard work, receive incentives or bonuses, keeping in mind it is always healthcare first followed by a business. Financial rewards, performance-based bonuses, and acknowledgement for exceptional patient care can be powerful motivators. Dental practices that offer these incentives will attract and retain top talent in the field. Many dentists in the industry have the attitude “when one of us wins, we all should win” and they have a longstanding, loyal team. Hand written thank you cards or a simple thank you does wonders for team morale.

Dental Practice Culture

The workplace culture is another decisive factor for dental hygienists. A positive and supportive culture can significantly impact job satisfaction. Dental hygienists might be drawn to a practice that fosters a culture of mutual respect, open communication, a no gossip policy, and a commitment to consistently offering optimal patient care.

Performance Evaluations

Consistent performance evaluations are a cornerstone of professional growth and success for dental hygienists working in a dental practice, yet many dental hygienists still do not have them. Regular feedback and assessments help dental hygienists celebrate their success and hard work, identifying any gaps that need closing, enabling them to refine their skills and possibly enhance patient care. I am continually puzzled when dental hygienists have performance evaluations, yet they have not discussed any dental hygiene metrics, growth, opportunities, or had a discussion on how they performed compared to previous years. Many dental hygienists may have sporadic performance evaluations or have never had a performance evaluation as many feels that it is solely tied to a raise based on loyalty to the practice and not based on their individual performance. Moreover, these performance evaluations promote accountability, motivation, a sense of accomplishment, ultimately fostering a more cohesive and effective team while ensuring that patients receive the best quality of care.

Personal Values and Ethical Considerations

Dental hygienists often have strong ethical and moral values. If they find themselves in a practice with policies that go against their principles, they might consider switching to an environment that aligns more closely with their personal values. Ethical dilemmas can be a compelling reason for a career move. Communication is key within a team to understand each person’s point of view and is essential for a highly functionable team.

In conclusion, while there are various valid reasons for dental hygienists to consider changing dental practices, the grass may indeed be greener on the other side, but it is essential to ensure that the transition results in a more fulfilling and satisfying professional journey.


About the Author

Jennifer is the Vice President, Dental Hygiene Operations at 123Dentist. She is the North American recipient of the “Educator of the Year”- Speaker award from Dr. Bicuspid, 2023. In addition, she has been globally recognized as one of the “10 Most Influential Healthcare Leaders to Watch in 2022.” She has built her reputation in the dental hygiene world as a natural leader through her professionalism and leadership. She has worked with hundreds of dental practices across Canada, supporting teams with change management and implementation of clinical systems to enhance and elevate optimal patient care. In addition, Jennifer is an inspirational, knowledgeable, dynamic speaker passionate about the dental profession.

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