What it's like SRP Scaling with an Endoscope vs. Blind | Tooth Or Dare Podcast with Toothlife.Irene

f you're a dental professional curious about using technology to SEE sub-G this is the episode for you!

In this episode, Irene sits down with Kristen Ranaldo, a perio-focused hygienist who has spent her career using dental endoscopy to treat advanced perio and failing implants. Kristen shares how seeing below the gumline transforms diagnosis, treatment, and patient communication and why blind SRP and laser-only approaches often fall short. They also discuss how desiccation gels like PerioDT and Hybenx fit into workflows and what it takes to implement this technology in everyday practice.

In this episode, we talk about:

▪️ Kristen’s early hygiene career and how she became part of the 1% of hygienists using an endoscope routinely

▪️ When to use endoscopy alone vs. combining it with lasers, biologics, and desiccation gels like PerioDT

▪️ Practical implementation: appointment flow, patient communication, coding, fees, and how general practices can keep more advanced cases in-house

▪️ The bigger picture: technology, insurance, and why hygiene needs better protocols, standardization, and support to truly move forward

Connect with Kristen:

Instagram → @thesubgingivalqueen

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Until next time, Peace out peeps! ✌️

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