From chaos to consistency: the DSO case acceptance formula with Janet Hagerman
Industry

From chaos to consistency: the DSO case acceptance formula with Janet Hagerman

Dental Disruptors Podcast
Dental Disruptors Podcast
October 9, 2025
29
mins

In this Dental Disruptors episode, Jake & Clint sit down with Janet Hagerman—clinical hygienist turned fractional Chief Hygiene Officer—to unpack why hygiene is the foundation of a thriving practice, how to systematize case acceptance across locations, and what DSOs can do this quarter to improve outcomes.

You’ll learn:

Why hygiene leadership belongs at the executive table

The real cost of poor case acceptance (30–50% non-acceptance is common)

Building a perio program + regional hygiene leadership model

Culture - “milquetoast values”: living a standard of care

Soft skills that move patients from diagnosis to “yes” (ethically)

Chapters

00:00 Intro

02:00 Janet’s path: hygienist - DSO hygiene director - fractional CHO

09:45 Building a multi-region hygiene program

14:20 What a CHO actually owns

19:05 Case acceptance as a team sport

27:40 Culture, systems, KPIs (and avoiding “culture-d’or”)

34:15 Tech + soft skills: AI as the “third opinion”

41:30 Where to start: coaching, org design, HR basics

48:10 How to reach Janet

#DentalDisruptors #DSO #DentalHygiene #ChiefHygieneOfficer #CaseAcceptance #DentalLeadership #DentalOps #Perio #DentalKPI #DentalAI #GroupPractice

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