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Is there really a dental hygiene shortage… or are hygienists simply refusing to tolerate toxic environments? In Episode 34 of The Real Talk of Dental, Brandi sits down with Kendra Flowers to unpack one of the most controversial conversations happening in dentistry right now. From the so called hygiene shortage to the growing tension between dentists and hygienists, this episode goes straight to the core of what is breaking inside the profession. Kendra’s career spans assistant, hygienist, clinical operations, and now public health advocacy at Harmony Health Foundation. Her perspective is layered, battle tested, and deeply rooted in service. She has worked in underserved communities, witnessed Medicaid practices collapse under grant loss, and seen firsthand how production pressure is reshaping the heart of dentistry. Together, they explore whether dentistry is losing its mission, why hygienists feel undervalued, and how COVID accelerated a professional reckoning. This is not surface level burnout talk. This is about identity, autonomy, access to care, and the future of oral healthcare. If you have ever questioned whether the hygiene shortage is real, felt dismissed as “just a hygienist,” or sensed that the industry is drifting away from patient centered care, this conversation will resonate. You’ll learn: Why the “dental hygiene shortage” may actually be a workplace culture issue How toxic environments are pushing licensed hygienists out of clinical practice The impact of COVID on hygiene autonomy and workforce decisions What hygienists are trained to do vs what they are allowed to do Why Medicaid reimbursement and public health funding are reshaping access to care The financial and systemic pressures dentists are facing How DSOs are influencing productivity expectations Why many hygienists feel reduced to “profit centers” The growing autonomy movement in dental hygiene How dentistry today mirrors medicine 50 years ago Why student loan debt limits public health career paths The real cost of losing heart in healthcare What happens when production replaces purpose How collaboration between dentists and hygienists could rebuild the profession 🔗 Join the community and submit your anonymous questions: https://www.therealtalkofdental.com 🔗 Learn more about The Empowered LeadHERship Program for Women in Dental: https://leadhershipexperience.com/ 🔗 Boundary Boss GPT: https://leadhershipexperience.com/bou... We talk about: 00:00 The “war” between dentists and hygienists 02:30 Is dentistry losing its heart? 05:00 Production pressure vs patient care 07:30 Medicaid, grants, and access to care challenges 11:00 Public health dentistry and why it matters 14:00 Why younger professionals avoid policy involvement 17:00 Student loan debt and career limitations 20:00 The dental hygiene shortage truth bomb 25:00 Toxic work environments and hygiene autonomy 28:00 “Just a hygienist” and professional identity 32:00 Hygienists in leadership and business strategy 36:00 Why collaboration is the future of dentistry 38:30 Reclaiming purpose and doing good in dentistry Connect with Kendra LinkedIn: / kendra-flowers Instagram: / kendra.e.flowers Website: https://www.kendraflowers.com/ Connect with me LinkedIn: / brandimarzolino Instagram: / brandi.marzolino https://courageandjoyatwork.com/ https://leadhershipexperience.com/ Phone: 616-682-6222