
Inside the Hygiene Insight Room
The Hygiene Insight Room is a monthly Women in DSO mastermind that I co-lead with Tammy Filipiak for hygiene leaders across DSOs.
It actually started at Women in DSO, when Tammi and I spoke up (loudly and lovingly) for hygiene to have a dedicated space for real leadership conversation. That moment turned into a room. And that room turned into a rhythm.
Each month, we gather to talk about what’s changing in hygiene, what leaders are carrying right now, and what it looks like to build teams that are clinically excellent and operationally sustainable.
This isn’t a “sit and get.” It’s a mastermind-style space where we can compare notes, share what’s working, and say the quiet parts out loud—without judgment.
Key Themes We Discussed
Hygiene is expanding beyond preventive care
One thing that keeps coming up (and I love this) is how the hygienist role continues to grow, especially with the increasing focus on whole-body health, stronger patient education, and practicing at the top of scope.
The workforce pressure is real
Across organizations, we’re navigating many of the same challenges:
- Staffing shortages
- Burnout and retention
- Compensation expectations
- Protecting (and rebuilding) strong office culture
The common thread I heard in the room: leaders are working hard to support their teams while still keeping the operation healthy and sustainable.
Business literacy is a leadership opportunity
A big conversation was around helping hygienists better understand the business side of dentistry, things like reimbursement, production, and operational sustainability.
Not to “turn clinicians into accountants,” but to build shared understanding and reduce the us-vs-them tension that can creep in when people don’t see the full picture.
Leading across generations requires flexibility
A recurring theme was the need to adapt leadership and communication styles to support a multi-generational workforce.
What motivates one hygienist might completely miss the mark for another—and as leaders, we’re being asked to coach, communicate, and connect in more customized ways.
Mentorship, advocacy, and belonging are retention tools
Participants emphasized the importance of:
- Mentorship
- Advocacy
- Creating environments where hygienists feel valued, supported, and connected to a larger purpose
Because when people feel like they matter, they stay—and they grow.
We want to keep going (and keep going deeper)
There was strong interest in continuing conversations around:
- Leadership development
- Education and training
- Reimbursement trends
- Improving collaboration between doctors and hygiene teams
Topics to Cover in Future Insight Rooms
- Managing and leading across generations in the hygiene workforce
- Coaching conversations and delivering feedback effectively
- Hygiene compensation, profitability, and reimbursement trends
- Building stronger doctor-hygienist partnerships and office culture
- Technology, AI, and reducing clinical/administrative burden
- Developing leadership pathways for hygienists
- Recruiting and retaining hygienists in today’s market
- Practicing top-scope hygiene and elevating patient outcomes
- Advocacy, education, and influencing the future of the profession
To everyone who joined us this month: thank you for showing up with honesty, openness, and a willingness to share what you’re seeing in your organizations.
I’m excited to keep building this community with you, because the future of hygiene deserves leaders who are connected, supported, and equipped.
Register to join the next Hygiene Insight Room here.
About our Author
Misty Mattingly is Registered Dental Hygienist, executive leader, entrepreneur, published clinical researcher, and legislative advocate with more than 25 years in dentistry and 19+ years as a practicing hygienist. Currently serves as Chief Dental Hygiene Officer & Senior Vice President for Sage Dental, overseeing 250+ hygienists across 90+ practices in Florida, Georgia, Tennessee, and Alabama, and as President & Owner of SmileSip™ USA, leading the U.S. launch of the world’s first prebiotic, pH-neutral oral health drink.
Recognized nationally for advancing the dental hygiene profession through legislative reform, regulatory leadership, evidence-based clinical innovation, entrepreneurship, and workforce development. Pioneered Georgia’s expansion of hygienist scope of practice, including general supervision, direct access, and local anesthesia, and currently serves on the Georgia Board of Dentistry, the ADHA Governance Committee, and as a clinical examiner for the American Board of Dental Examiners (ADEX) and Central Regional Dental Testing Service (CRDTS).
A recognized speaker and industry leader, she specializes in product innovation and the integration of technology into clinical workflows and has led the industry in innovation and research. Trained as a dental hygienist, she has also managed dental specialties and operations, building a proven track record of driving culture, performance, and retention across multi-state organizations.
