As dental hygienists, we are uniquely positioned to observe early signs of malocclusion such as crowding, abnormal wear patterns, recession, plaque retention, and even jaw discomfort. While it’s the dentist’s role to diagnose, our job is to start the conversation with confidence, compassion, and clarity. It can feel uncomfortable at first, especially if the patient has never been told there’s a concern with how their teeth fit together. When we lead with education, not fear, we empower our patients to take ownership of their oral health.
Here are simple strategies to make these conversations easier and more impactful:
🔹 Start with a clinical observation
“I’m noticing some wear and crowding that may be making it harder to keep things clean. Over time, that could increase your risk for cavities or gum issues.”
🔹 Make it about health, not cosmetics
“This isn’t just about how your teeth look, this is about long-term function, stability, and protecting your smile.”
🔹 Use visual tools
Photos, scanners and clean hand mirrors help patients see exactly what you’re seeing and they open the door for trust.
🔹 Stay objective and supportive
“You don’t need to make any decisions today, but it’s a good idea to explore your options with the dentist.”
🔹 Normalize it
“Many adults are surprised to learn their teeth have shifted. You are not alone; it is common and very treatable.”
Your voice matters. Patients trust you, your honesty, your education, your care. Don’t underestimate the impact you can have by simply starting the conversation.
