My name is Darlene Saggiomo, and I work as a Registered Dental Hygienist at a New Jersey University’s School of Dental Medicine. I serve patients in two different clinics associated with the school, catering to a diverse community with varying needs.
In my role, I focus not only on dental care within the scope of my NJ licensing but also on the overall wellness of my patients. I believe in treating the whole person, not just their mouth.
For instance, I once had a patient with dangerously high blood pressure. After several attempts to get a stable reading, I decided to refer her to her primary care physician or the emergency room, despite her initial resistance. After explaining the situation thoroughly, she agreed. Later that month, she contacted me to apologize for her behavior and to thank me, saying I had “saved her life” as she was on the verge of a cardiac event.
Another memorable patient came in for a dental prophylaxis with a broken molar and severe pain. His story touched me deeply. He had lost his job, home, and car, and was living in a motel provided by Social Services with only a microwave and a tiny refrigerator. He broke his tooth on a day-old croissant that had become rock hard after microwaving. The student doctors and faculty treated his broken tooth, but I was concerned about his overall nutrition and health. Until his food stamps came through, I gave him money from my own pocket and directed him to a local market to buy bulk fruits and vegetables. I taught him how to ration these in zip-lock bags and store them in his small fridge. I also suggested he buy eggs and make simple, nutritious meals in the microwave. His gratitude brought tears to both our eyes. He now returns every six months, always expressing his thanks.
I also have the privilege of treating approximately 350 unduplicated HIV patients at the clinic. Initially, I was uneducated about HIV and concerned for my safety. However, after receiving proper training and education from the University, these patients became some of my favorites. We request full laboratory reports every six months to monitor their health and address their dental needs. I collaborate with their primary doctors, take their blood pressure, and counsel them on nutrition. I am knowledgeable about their antiretroviral medications and their side effects. These patients are living normal, healthy lives and aging with common comorbidities. However, the fear and stigma of HIV persist, causing mental health issues and trauma triggers. My visits often require Trauma-Informed Care, a skill I developed through University training. I have learned that my patients value their appointments not only for dental care but also for the opportunity to share their concerns with someone they trust. Confidentiality is paramount, and I only collaborate with social services or their primary infectious disease specialist with their approval.
During the COVID-19 pandemic, there were times when pharmacies were closed, and antiretroviral drugs were not readily available, causing panic among my patients. With the University’s support, I implemented Teledentistry to provide resources, guide them on vaccination, and inform them about pharmaceutical availability.
Although I am “just” a Dental Hygienist licensed in local anesthesia, I am also a person just like my patients. I see myself in many of them, and as they speak, I feel a deep connection. I am compelled and rewarded every day by the care I provide. It completes me to see my patients consistently taking their medications, following through with all their healthcare providers, and making every dental appointment with me every 3-6 months for their total care.
My dedication extends beyond my HIV patients. Over the years, I have countless stories of treating and caring for all my patients with heart and healing hands. I was raised in a family where my mother, one of 23 children, lived on a farm with very little. She raised some of her siblings’ children, feeding and clothing them as I grew up. From my parents, I learned firsthand how to care for and love others. Despite their own challenges, they never hesitated to help others and share whatever they could. This upbringing shaped how I operate today. If you find yourself in my chair, don’t be surprised to receive a big hug at the end of our appointment.
I write this Heart to Hands reward because it embodies what I know and feel. I thank my mother, who has passed, for teaching me to go beyond my reach, find ways to help others, and care deeply for their well-being. Every day, I work with “Heart and Healing Hands.”