Hygiene Assistant

Lightwave Dental Management LLC; Richmond, Northern (VA, KY); Hybrid; USD 36,000 - 52,000; Full time

Job summary

Lightwave Dental Management LLC in Richmond, VA is hiring a Hygiene Assistant to support accelerated hygiene workflows. You will help prepare rooms, manage patient flow, assist with radiographs, charting, and patient education, and ensure equipment turnover keeps the schedule on time.

This role requires adherence to OSHA, HIPAA, infection control, radiation safety, and practice standards, plus strong teamwork with hygienists, doctors, and front-office staff to deliver high-quality care.

Qualifications

• High school diploma or equivalent required.
• Dental assistant certification where required by state law or practice policy.
• X-ray certification, if required to expose radiographs.
• Current CPR/BLS certification.
• Completion of required OSHA, HIPAA, infection control, and safety training.
• Ability to follow clinical protocols, infection control standards, and office procedures.
• Strong attention to detail and organization.
• Ability to work efficiently in a fast-paced clinical environment.
• Professional communication skills and a team-focused attitude.

Responsibilities

• Support hygiene schedule by preparing rooms, instruments, and supplies.
• Assist with radiographs and iTero scans as directed.
• Maintain sterilization and infection control standards in operatories.
• Prepare patients and assist between hygiene, doctor exams, and checkout.
• Assist with charting, documentation, and treatment notes as directed.
• Support patient flow and transitions between hygiene, doctor, and frontline staff.

Skills

Professional communication

Team-focused attitude

Attention to detail

Organization

Fast-paced environment

Education

Dental assistant certification where required by state law or practice policy

Tools

X-ray certification

iTero scanning

Dental practice management software

Digital radiographs

Nitrous oxide certification

Job description

Accelerated Hygiene Support Role

Position Summary

The Hygiene Assistant supports the hygienist, doctor, and clinical team by assisting with patient flow, room preparation, sterilization, radiographs, charting support, clinical documentation support, patient education reinforcement, and other duties that help create an efficient and high-quality hygiene experience.

This role is designed to support an accelerated hygiene model by allowing the hygienist to focus on direct patient care while the Hygiene Assistant helps prepare, organize, turn over, and maintain the hygiene operatory and clinical workflow. The Hygiene Assistant plays an important role in ensuring patients are seated on time, clinical records and imaging are prepared, rooms are properly disinfected, instruments are sterilized, and the hygiene schedule runs efficiently and safely.

The Hygiene Assistant must follow all office protocols, OSHA standards, HIPAA requirements, infection control guidelines, radiation safety requirements, and practice standards of care.

Essential Responsibilities

1. Hygiene Clinical Support

Assist the hygienist with clinical and administrative duties before, during, and after hygiene appointments.

Prepare patients for hygiene procedures, examinations, radiographs, periodontal charting, iTero scans, and provider exams as directed.

Seat patients, review basic appointment needs, update patient information as directed, and notify the hygienist when the patient is ready.

Assist with periodontal charting by accurately recording measurements and findings as dictated by the hygienist or doctor.

Assist with patient education by reinforcing hygienist and doctor recommendations, including home care instructions, fluoride, periodontal therapy, re-care intervals, Invisalign, nightguards, or other recommended services as directed.

Support the hygienist with provider handoffs by ensuring radiographs, scans, periodontal charting, notes, and clinical findings are available for doctor review.

Assist with maintaining schedule flow by anticipating the needs of the hygienist, preparing the next patient, and communicating delays or concerns to the appropriate team members.

2. Radiographs, Imaging, and Scanning

Take diagnostic-quality radiographs as allowed by certification, state regulations, doctor direction, and office protocol.

Ensure radiographs are properly exposed, positioned, labeled, mounted, saved, and available for hygienist and doctor review.

Take bitewings, periapicals, panoramic images, and other required images according to office protocols and patient needs.

Complete iTero scans or digital intraoral scans when trained and directed by the hygienist, doctor, or office protocol.

Take intraoral photos or other diagnostic images as directed to support patient education, documentation, and treatment planning.

Communicate any imaging concerns, errors, or retake needs promptly to the hygienist or doctor.

3. Sterilization and Infection Control

Prepare, clean, disinfect, and turn over hygiene operatories according to OSHA, CDC, state, and office infection control standards.

Sterilize and disinfect instruments according to practice protocol, including proper transport, cleaning, packaging, labeling, sterilization, storage, and documentation.

Set up instrument trays, hygiene cassettes, disposable barriers, materials, and supplies needed for hygiene appointments.

Maintain sterilization areas in a clean, organized, safe, and compliant manner.

Monitor and report sterilization concerns, equipment issues, supply shortages, or broken instruments to the appropriate team member or manager.

Support the entire clinical team with sterilization duties as needed to maintain patient flow and infection control compliance.

4. Operatory Preparation and Patient Flow

Prepare hygiene rooms before each appointment with the correct instruments, materials, disposables, PPE, and equipment.

Ensure operatories are clean, stocked, organized, and ready for patient care.

Turn over rooms efficiently between patients while maintaining infection control standards.

Help maintain the flow of the hygiene schedule by preparing the next patient, checking appointment needs, setting up required supplies, and supporting timely provider exams.

Assist with seating patients, escorting patients, updating the team on patient readiness, and supporting transitions between hygiene, doctor exam, treatment coordination, and checkout.

Support the practice with emergency, limited, or overflow needs when appropriate and directed by leadership.

5. Documentation and Administrative Support

Assist the hygienist with charting, documentation, and clinical record preparation as directed and within office protocol.

Confirm that radiographs, scans, periodontal charting, intraoral photos, medical alerts, and appointment notes are available for provider review.

Support accurate documentation of services completed, patient education provided, treatment recommendations, re-care needs, and follow-up items as directed by the hygienist or doctor.

Assist with re-care, scheduling communication, pending treatment awareness, and patient handoff details as needed.

Maintain confidentiality of all patient information in accordance with HIPAA guidelines and office policies.

6. Teamwork and Practice Support

Work collaboratively with hygienists, doctors, dental assistants, front office team members, practice managers, and regional leadership.

Assist with reasonable tasks requested by the hygienist, doctor, practice manager, or other members of leadership to support patient care and practice operations.

Support the clinical team with sterilization, room turnover, radiographs, iTero scans, patient seating, patient flow, supply stocking, documentation support, and other duties as needed.

Maintain a positive, flexible, team-oriented attitude and contribute to a respectful and efficient work environment.

Participate in huddles, team meetings, training, coaching, and continuing education as requested.

7. Safety, Compliance, and Professional Standards

Follow all OSHA, HIPAA, infection control, radiation safety, and practice compliance requirements.

Maintain annual OSHA, HIPAA, BLS/CPR, infection control, and any other required training as required by law or practice policy.

Use proper personal protective equipment and follow universal precautions at all times.

Maintain patient confidentiality and professionalism in all communication.

Follow office protocols, standard of care expectations, and directions from the doctor, hygienist, practice manager, and leadership team.

Report safety concerns, compliance concerns, equipment issues, patient concerns, or workflow barriers promptly.

Qualifications

Required Qualifications

• High school diploma or equivalent
• Dental assistant certification where required by state law or practice policy
• X-ray certification, if required to expose radiographs
• Current CPR/BLS certification
• Completion of required OSHA, HIPAA, infection control, and safety training
• Ability to follow clinical protocols, infection control standards, and office procedures
• Strong attention to detail and organization
• Ability to work efficiently in a fast-paced clinical environment
• Professional communication skills and a team-focused attitude

Preferred Qualifications

• Prior dental assisting or hygiene assisting experience
• Experience supporting accelerated hygiene workflows
• Experience with digital radiographs, intraoral cameras, iTero scanning, or digital intraoral scanning
• Experience with dental practice management software
• Nitrous oxide certification, where applicable and permitted
• Strong understanding of sterilization, room turnover, and clinical supply organization

Role Expectations

The Hygiene Assistant is expected to:

• Support the hygienist in maintaining an efficient, high-quality hygiene schedule
• Prepare patients, rooms, instruments, materials, and equipment for hygiene care
• Take diagnostic-quality radiographs when certified and permitted
• Complete iTero scans or digital scans when trained and directed
• Assist with periodontal charting and documentation support as directed
• Maintain sterilization and infection control standards
• Support patient flow, provider exams, and clinical handoffs
• Keep hygiene operatories stocked, clean, organized, and ready
• Follow directions from the doctor, hygienist, practice manager, and leadership team
• Maintain professionalism, confidentiality, reliability, and a positive team attitude
• Assist with additional tasks as needed to support patient care and practice operations