
Small talk—it’s a love-it-or-hate-it part of being a dental hygienist. For some, conversation flows naturally, but if you’re an introvert (like me!), it can feel awkward or downright exhausting. However, small talk isn’t just about filling silence—it can help ease patient anxiety, build trust, and make appointments more pleasant for both of you.
Why Small Talk Matters
Many patients are nervous about being in the dental chair, even for routine cleanings. Lighthearted conversation can help put them at ease and create a sense of connection. When patients trust and feel comfortable with their hygienist, they’re more likely to return regularly and follow through with oral care recommendations.
The Introvert’s Guide to Small Talk
If the thought of carrying a conversation with every patient all day long makes you uneasy, you’re not alone! But you don’t have to be an extrovert to master small talk—you just need a strategy.

- Make it about them – If you’re uncomfortable sharing personal details, let the patient lead. People love to talk about themselves, and asking simple, open-ended questions can keep the conversation flowing without requiring much personal input from you.
- Understand their motivation – Some patients ask personal questions as a way to ease their own nerves. What may seem like prying is often their attempt to build trust and distract themselves from dental anxiety.
- Prepare in advance – Knowing ahead of time what you’re comfortable sharing can prevent awkward moments. If a patient asks a version of the same common question (i.e.: “What made you want to become a hygienist?” or “Where do you live?”), having a polished response ready can help avoid fumbling or oversharing.
Safe and Engaging Conversation Starters
Not sure where to begin? Here are a few easy conversation starters that work well in the operatory:
- Weekend plans: “Do you have anything fun planned for the weekend?”
- Hobbies & interests: “What do you like to do for fun?”
- Pets: “Do you have any pets?” (Bonus: People love talking about their pets!)
- Local events/restaurants: “Have you been to any good restaurants lately?”
- Movies/TV shows: “Have you watched anything good recently?”
- Travel: “Have you taken any trips lately or have any planned?”
What Not to Ask
Just as important as knowing what to ask is knowing what not to ask. Some topics can be too personal or sensitive, even if they seem harmless.
- Avoid questions about relationships and family. Asking, “Are you married?” or “Do you have kids?” can unintentionally put someone in an uncomfortable position.
- Steer clear of polarizing topics. Politics, religion, and other controversial subjects are best left outside the operatory—even if the patient is the one to bring it up.
- Pay attention to patient cues. Some patients love to chat, while others prefer a quiet appointment. If a patient is giving short answers or seems uninterested, it’s okay to keep the conversation minimal.
Your Go-To Small Talk Script
If small talk doesn’t come naturally to you, having a go-to script can be a lifesaver. That’s why I’ve put together a free downloadable guide with patient-friendly conversation starters you can use to make small talk easier and more natural in the operatory.
Download ▶️ >>The Hygienist’s Small Talk Cheat Sheet<< for ready-to-use conversation prompts that will help you navigate patient interactions with ease!
Why This Matters for You
At the end of the day, mastering small talk isn’t just about making your patients feel comfortable—it’s also about protecting your own energy. Constantly forcing conversation or feeling uncomfortable with patient interactions can leave you drained and contribute to burnout.
When you have a simple system in place for guiding conversations, you take the pressure off yourself, making the day feel smoother and less exhausting. Small talk should work for you, not against you!
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