Speaking Up with Confidence: How Dental Assistants Can Address Concerns without Disrupting Office Harmony
Have you ever noticed something during a patient appointment that didn’t seem right, but when you brought it up, the dentist got tense — and the patient picked up on it? Moments like that can be awkward, even when your intentions are good. Dental assistants play a critical role in patient care and safety, and sometimes that means speaking up when something feels off. Whether it’s confusion about a treatment plan, a difference in training, or a potential OSHA concern, how you bring it up can make all the difference in keeping the office environment professional, respectful, and collaborative.
Here’s how you can bring up concerns with confidence — without undermining authority or causing discomfort in the office.
1. Choose the Right Time and Setting
Instead of bringing up a concern in front of a patient or during a busy moment, ask to speak privately with the dentist or office manager during a quiet time in the day — such as before the morning huddle or during a break.
Example: "Dr. Smith, when you have a moment later today, could we talk about something I observed during Mrs. Johnson’s appointment? I want to make sure I’m supporting the process correctly."
2. Lead with Curiosity, Not Criticism
Rather than assuming something is wrong, frame your concern as a question or clarification. This keeps the tone collaborative and respectful.
Instead of: "You weren’t wearing gloves when handling that item — that’s not allowed."
Try: "I noticed gloves weren’t used when handling that item. I’ve always been taught that OSHA requires gloves in those situations — can we go over what’s expected here?"
3. Acknowledge Experience and Hierarchy
Recognize that the dentist or office manager has extensive training and responsibility. Position your input as a desire to learn or help uphold standards, not to challenge authority.
Example: "I know you have more experience with this procedure, and I might have learned it differently in my program. Could we go over the steps together so I’m aligned with the way we do things here?"
4. Stick to Facts and Protocols
When it comes to regulatory concerns, especially with OSHA, it's best to cite specific guidelines. This keeps the conversation objective and less personal.
Example: "According to OSHA’s bloodborne pathogen standards, we’re supposed to dispose of needles in a sharps container immediately. I just wanted to clarify our office’s procedure so I don’t make any mistakes."
5. Be Part of the Solution
If you notice a gap or a potential risk, come with suggestions, not just problems. This demonstrates initiative and a team mindset.
Example: "Would it help if I updated our sterilization checklist or found a quick OSHA refresher course for the team? I’d be happy to take that on."
If your concern is not addressed after a respectful approach and it poses a risk to patient safety or regulatory compliance, it’s appropriate to bring it to the office manager or compliance officer. Always keep documentation factual and confidential.
Creating a safe, respectful workplace means everyone feels empowered to speak up — including dental assistants. With the right approach, your voice can lead to positive change, stronger protocols, and better care for your patients.