Maria Liza Lim, RDH

Caring for Every Smile, From Childhood to Geriatric Care A child’s nervous smile and an elderly patient’s trusting gaze may seem worlds apart, but both have taught me the same lesson: caring for oral health means caring for the whole person. Throughout my career as a dental hygienist, I have served patients at every stage of life, from preschool children learning about oral hygiene to nursing home residents who depend on others for daily care. These experiences have shown me that dental hygiene requires compassion, patience, adaptability, and an understanding of each patient’s individual needs. Working in nursing homes has been one of the most meaningful parts of my career. Many patients live with dementia, physical disabilities, or medical conditions that make brushing their teeth difficult or impossible. Some cannot clearly communicate their needs, while others struggle to open their mouths, sit upright, or understand what is happening during treatment. In these situations, I slow down, remain calm, and approach each person with kindness and respect. Providing care in a nursing home often requires flexibility and creativity. I have cleaned the teeth of patients in wheelchairs and electric chairs, adapting my position and techniques to keep them comfortable and safe. Even when a patient cannot fully cooperate, they still deserve quality oral care. I do everything I can to provide a thorough cleaning while preserving their dignity. Often, the most important part of an appointment is earning the patient’s trust. Patients with dementia may become confused, frightened, or resistant to care. I have learned that a gentle voice, reassuring smile, and patient approach can make a significant difference. I explain each step slowly, allow time for responses, and pause when a patient seems overwhelmed. These small actions create a sense of safety. I remind myself that resistance is often a response to fear, confusion, or discomfort—not intentional difficulty. This perspective helps me provide care with empathy rather than frustration. I have also worked with pediatric patients in school settings, caring for children from Pre-K through high school. This experience has strengthened my communication skills and taught me another kind of patience. Some children are nervous about dental care, while others need encouragement to understand the importance of oral hygiene. I enjoy helping them feel comfortable, confident, and proud of caring for their teeth. Whether I am answering questions, demonstrating brushing techniques, or offering reassurance, I strive to make each interaction positive and memorable. Caring for patients from childhood through old age has given me a unique perspective on the full circle of life. I have watched children take their first steps toward understanding dental care and supported older adults who need assistance with basic oral hygiene. Each patient

has taught me something valuable—patience, compassion, or the reminder that small acts of care can make a meaningful difference. For me, being a dental hygienist is about much more than removing plaque or providing a cleaning. It means seeing the person behind the patient, understanding their circumstances, and finding a way to help, even when care is challenging. I am proud to serve patients who may not be able to care for themselves. Whether I am helping a child feel confident in a school setting or gently caring for an elderly patient with dementia in a wheelchair, my goal remains the same: to provide compassionate care, preserve dignity, and help every patient maintain the healthiest smile possible for as long as I can.