Consulting for Dental Practices Assisted Two Column Hygiene

Increase Hygiene Capacity
Without Adding Operatories

optimize with intention

Increase production. Improve efficiency. Elevate the experience for doctors, hygienists, and patients.


Fully Scheduled. STRUCTURALLY LIMITED.

When demand exceeds your capacity, growth stalls.

Your practice is expanding. Hygiene schedules are full. Patients are waiting. You’re hiring temporary coverage at premium rates to keep up. Yet production per hour remains capped — not by demand, but by your design.

In a traditional single-column model, hygiene production plateaus.

The consequences compound:

Capacity Capped

A single-column schedule puts a ceiling on hygiene production.

Economic Misalignment

Hygiene wages rise faster than production.

Team Strain

Fatigue Increases. Turnover risk rises.

It isn’t pay. It isn’t demand. It isn’t your team.

It’s your structure.

Assisted hygiene isn’t about seeing double the patients…it’s about removing work that doesn’t require a hygienist.

A Coordinated Two-Column Structure


Increased production per hour

  • Built-in assistant support

  • Compensation aligned with production

  • Expanded production without longer days

  • Stronger hygiene to doctor flow

For the doctor

  • Improved hygiene production

  • Expanded restorative opportunity

For the hygienist

  • Less structural strain. Greater earning potential.

Proven In Practice

This isn’t a theory.

For over twenty years, I’ve worked within a two-column, assisted hygiene system producing

over $330 per clinical hour

without burnout, rushed care, or compromised patient experience.

This system works because it serves everyone:
• The practice
• The doctor
• The hygienist
• The patient

This isn’t a framework built in a spreadsheet.

It’s a system that I have lived, refined, and implemented in real practice.

Explore What’s Possible

Every practice is different.

If your hygiene department is fully scheduled, growth-oriented, and feeling constrained by capacity, there’s a better way.

Let’s schedule a brief call to discuss:
• Your current hygiene structure
• Identify capacity opportunities
• Determine if assisted hygiene is the right fit in your practice

If your hygiene department is full but not as productive as it should be, there’s a better way to structure it.