Tosha Kozloski, RDH
The complete system for turning phase contrast microscopy into diagnosed disease, accepted treatment, and a hygiene department that runs like true healthcare.
No pitch. No pressure. A real conversation about what is possible for your practice.
Four things that don't change, no matter the practice.
The microscope shows what clinical intuition can't. Patients see it, they don't have to be convinced of it.
Excitement fades after a training day. Systems are what keep a team diagnosing and communicating consistently.
Your hygienists are healthcare providers, not tooth polishers. Every script and protocol treats them that way.
The mouth is not separate from the rest of the body. We don't soften that to make it easier to hear.
I was the doctor who thought, there's no way I want to do that, too much work. I'd tried salivary diagnostics and it created this lag and confusion that frustrated my team and lost patients. The microscope changed everything. It takes just a few minutes, the whole team is invigorated, and we're stepping into our clinical authority in real time, showing patients something they had no idea about. I'm using antibiotics less. And the greatest takeaway was still the verbiage. Tosha is so good at giving you the exact words. It's her superpower.
Dr. Nicole Vane
Biologic Dentist, Moonlight Beach Dental, Encinitas, CABleeding gums aren't a hygiene failure. They're an infection nobody's naming.
Mouths look "pretty clean." Bleeding gets wiped away before the doctor's exam. Nothing sounds urgent. "I just want a regular cleaning" ends the conversation, while real periodontal disease goes undiagnosed and untreated. Tosha calls this the watch-it loop, and it's the default pattern in most hygiene departments, not because your team lacks skill, but because nobody ever gave them a system to break it.
The microscope ends the loop. In about 30 seconds a hygienist takes a slide. In under 2 minutes, the patient is watching their own infection move on a screen. Seeing it removes the need to convince them. But a microscope alone doesn't change a practice. Teams buy one, get a short training, and it collects dust in the corner. What actually works is the full system built around it.
Two ways to run a hygiene department. Only one of them changes lives.
Six months. Three phases. One system that sticks.
The patient conversation scripts, the case acceptance system, and the documentation toolkit. Your team learns exactly what to say, in plain language, so patients say yes.
Phase contrast microscope mastery and the perio diagnosis workflow. Your team learns the technique and gets a clinical decision tree that removes the guesswork on when and what to diagnose.
The production tracker, front desk alignment, and the patient demand creation campaign. This is where the system becomes permanent instead of a memory from a training day.
For the doctor. For the hygienist. Both matter.
The hygiene microscope came at the perfect time in my career. After years of treating patients through traditional methods, the bleeding gums never stopped. What a change for patients to see in real time the bugs causing their infection. This is a game changer for everyone's immune system and full-body wellness.
Everything your team needs to run this, nothing you have to figure out alone.
Full training system + starter kit shipped: slides, cover glass, laminates, reorder sheet
Clinical decision tree that removes the guesswork on when and what to diagnose
Protocols for gingivitis, early/moderate perio, and peri-mucositis and peri-implantitis, with insurance coding built in
Word-for-word scripts explaining bleeding, bacteria, and infection in plain language
Doctor-hygiene handoff choreography and treatment presentation tools
Pre-written note templates, chart prep, and consent/refusal forms
24/7 searchable reference library with every protocol and script
Six months of live coaching, with your team accountable to Tosha and to you
Phone scripts and scheduling language so the whole team is saying the same thing
Mailed laminates and printables, customized to your practice
Tracks microscope usage, diagnosis, acceptance, and production growth
A featured Mouthy Matters podcast episode plus email, social, text, and in-office copy written for your practice
Increase in hygiene production commonly reported by practices that complete the TOSH Method.
Measurable Results From Dental Practices
Pennsylvania Practice
TOSH training March–August 2025
$205,362 increase
12% to 33%
North Dakota Practice
TOSH training February–May 2024
$86,631 increase
37% to 45%
New York Practice
TOSH training January–May 2025
$260,183 increase
29% to 43%
Comparisons show either the year before TOSH training against the training year, or the training year against the following year, depending on how long ago each practice completed the program.
Real teams. Real transformation.
See what happens when dental teams have the science, systems, and support to elevate patient care.
"As a practicing dentist for over 20 years, few things have reignited my passion for patient care like Tosha and her course. Her program has truly elevated the standard of care in our office. What Tosha teaches should be recognized as the true standard of care in dentistry."
"Working with Tosha RDH has changed the way I will forever practice dentistry. She has helped me modernize the dentistry we offer our patients. My life will never be the same since working with Tosha. I feel more fulfilled in my field."
"I've had the privilege of partnering with Tosha in multiple dental practices, and her expertise in oral-systemic health is unmatched. The quality of her workshops is outstanding, informative, relevant, and immediately actionable."
"I can't express enough how much the microscope training by Tosh evolved our office into one amazing team. It has been a game changer with our patients' acceptance for the treatment they need."
"Her passion and knowledge for the microscope training and the treatment of periodontal disease is astounding. We have implemented her systems as a hygiene team and they are clear and concise."
"Tosha is super responsive, and her training is straightforward and clear. We're all using our microscope regularly, and the patients are impressed with the extra data. Many of them have been extra motivated as a result."
"My team has implemented the microscope in such a short amount of time and Tosha has been readily available for any questions. The combination of online training plus the in person is a fantastic way to minimize costs and maximize education and clarity."
"We have implemented all of the new skills and strategies that better serve our patients and our practice. Tosha is extremely knowledgeable and fun to work with. We are so happy we took her course!"
"She trained myself and my hygiene team to comfortably integrate the microscope into our dental practice in UK. Deep dive into the oral systemic link and practical approaches to improve the patient journey. Always positive and full of ideas. 100% recommend."
"Tosha is incredibly knowledgeable and supportive. She provided fantastic training that empowered our clinical team to integrate oral-systemic health into our practice using a microscope and ozone therapy. A five-star experience!"
"Tosha is an invaluable resource. She is highly knowledgeable re: periodontal protocol, verbiage, and microscope use. She has taken our hygiene department to the next level in delivering oral-systemic care."
"Tosh knows her stuff! I've appreciated the fresh and effective communication skills I learned along the way, learning more about adding a microscope to our practice and diving deeper into perio."
"Tosh is an amazing teacher with wonderful knowledge of Biofilm Reduction Therapy. I would absolutely recommend Tosh to other healthcare providers in the dental field."
"Tosha was very organised and attentive. She explained everything thoroughly and I would highly recommend her program."
Review excerpts preserve the reviewers' original wording. Longer reviews have been shortened for readability.
I was the resistant hygienist. Then one day changed everything.
Back in 2008, I started using salivary diagnostics, and it changed the way I practiced. I was getting good results, and I was busy. Really busy.
But I had this group of patients I never knew what to do with. They came in every six months with great home care, but they bled during their cleaning. They didn't have a dirty mouth. No heavy debris, no calculus. So I didn't fully understand why they were bleeding, and honestly, I wasn't sure scaling and root planing was the answer for them either.
So when the microscope showed up in 2010, I didn't want to touch it. I didn't think I needed one more thing on my plate. I thought I was doing just fine without it, and the other two hygienists in our practice were just as busy as I was, so they weren't using it either. It never even occurred to me that this was the thing that could finally show me what was going on with those patients I couldn't figure out.
Then one morning huddle, our doctor made us an offer: take a slide on every patient before lunch, I'll help if you need me, and if you still don't find it useful, we'll go back to how we were. We agreed, honestly expecting to prove him wrong.
By lunch, the three of us had collected $10,000 in perio treatment. Not because we pushed anybody. Because patients saw their own infection on the screen, leaned in, and wanted the care. It used to take me ten minutes to talk a patient into a lab test and periodontal therapy. With the microscope, it took less than two, because I wasn't talking them into anything. They could see it for themselves. And remember, this was 2010.
That day changed everything for me. But here's the thing: one good day isn't a system. I spent the next decade figuring out what actually makes it repeatable, the scripts, the protocols, the coding, the coaching that makes it stick past the first month, and I've refined it with practices across the United States, the UK, and Australia.
That's what the TOSH Method is. Not another training day. It's the complete system I wish someone had handed me years earlier.
— Tosha, RDH
A practicing dental hygienist since 2005, Tosha started using salivary diagnostics in 2008, years ahead of the field. In her best year in the operatory, she produced $440,000 working just 16 days a month. By 2010 she was co-teaching seminars on the systems and protocols she used chairside. In 2018 she moved into full practice management, learning front office systems inside and out, but her heart was in the mouth-body connection, so she came back to hygiene and founded TOSH, Teaching Oral Systemic Health, in 2020. She has personally trained hundreds of dentists and hygienists across the US, UK, and Australia. Everything Tosh Care delivers runs through her.
I had no idea I would go from cynical, burned out and exhausted by this profession, trying to find anything else I might be good at, to wanting to follow Tosha on this path.
Sarah, RDH
GreeleyBuilt for practices ready to change how hygiene works. Not for everyone.
If your team completes the training, attends the coaching calls, and implements the core TOSH workflows across the six months, and you still don't feel confident using the microscope as part of your periodontal diagnosis and patient communication system, I'll continue supporting your team until the system is fully installed.
Thank you for your role in my journey. Your encouragement, knowledge, wisdom, and kindness will forever be appreciated. Thank you for treating me as more than a client, I truly don't think I'd have advanced this far without you.
Kayla Bourgeois, RDH
Tosha works with a maximum of eight active practices at a time. When those seats are full, enrollment closes until one opens up.
Two ways to get the same system.
6 months · 12 live coaching calls · fully remote
or $10,800 paid in full (reg. $11,370, 5% off)
Book Your Free Discovery Call6 months · 10 live coaching calls + 1 in-office day with Tosha
or $13,680 paid in full (reg. $14,400, 5% off)
Book Your Free Discovery CallCredit card payment available with a disclosed 3% processing fee, monthly or paid in full.
Answered honestly, before you book.
The microscope is used as a motivational and educational tool, and as an adjunct to your clinical diagnosis, not a replacement for it. It shows patients what's happening in real time, which is what moves them to say yes to treatment you've already clinically identified.
The periodontal protocol packages include insurance coding built in for gingivitis, early/moderate perio, peri-mucositis, and peri-implantitis, calibrated to reduce denials and downgrading on procedures like SRP and gingivitis treatment.
Nobody does at first, and that's exactly the problem. Most practices I start with have their days booked prophy after prophy, with no room to treat the perio they're about to start finding. So that's the very first thing we fix. Before anything else, we build treatment blocks into your schedule, usually two 90-minute blocks a day, so there's real room to treat instead of squeezing it in or watching it walk out the door.
The diagnosis itself is fast, about thirty seconds for a slide and two minutes to show the patient. And after coaching dozens and dozens of teams, I know how to build those blocks in so your day runs smoother, not crazier.
If you're a hygienist reading this, I see you, and I hear this a lot. You know your patients are bleeding. You want to actually treat them. And you're not the one who signs off on the investment.
Here's what I'd say. Most doctors aren't saying no to better care. They're saying no to what feels like a cost without a return. That's why the whole system is built to show the ROI up front: the program fee is roughly one full-mouth SRP case a month, and the goal is two SRP cases a day per hygienist. When a doctor sees that math, the conversation usually changes.
So start with a conversation with your doctor. And when they're ready to look at this seriously, book a call with you and your doctor together.
That's the difference between a training day and this program. The TOSH Method includes six months of live coaching where your team is accountable to Tosha and to you, specifically because one-time CE doesn't change behavior on its own.
Yes. Practices that complete the program receive 20 CE credits along with a phase contrast microscopy certification.
In their own words.
Practitioners and hygienists share their experience with the TOSH Method, straight from conversations on the Mouthy Matters podcast.
"I vetted many people to figure out how I was going to do this in my office. Then in walked Tosha, and we loved her. We have never looked back. Best thing I've ever done. Her program was a very systematic, down-to-earth, easy way of doing it. There was so much implementation that happened. From a practitioner's standpoint, she taught me what I wanted to know, and from a hygienist's standpoint, she really held their hands and helped them. Tosha also did a really good job helping us navigate the process with verbiage. We fine-tuned our processes so much that when a new hygienist joined us, it was plug and play. Implementing a microscope is by far one of the best things I've done in my 22-year career."
"I would recommend Tosha's program a hundred percent. It definitely changed everything from my viewpoints on hygiene. Most of my patients have come back and completely changed their oral health status because they're doing the things at home. I've had some patients who have always been bleeders who are no longer bleeding, and I thoroughly enjoy my job more. Thank you for all the information you've provided and for always answering my text messages throughout the day when I have questions."
"Tosha's program has had such a huge impact. We collaborate as a team now on an entirely different level. It's been so rewarding to see the healing and the changing, and the patients are now excited. It's also attracted a very different level of patient to my practice. I'm an entirely different clinician. I'm totally reinvigorated and excited, and it leads to an entirely different conversation during the appointment. Now I get to do dentistry in really healthy tissue, and it makes a huge difference restoratively. It's totally changed how I practice. I would certainly encourage other providers to consider adding this into their office."
"Tosha, I'm really glad you were our first coach as we were trying to implement and understand microscopy and salivary diagnostics. You really trained us well to be able to help cases like this. If we have a coach like you, you tell us, 'Focus here first.' There's just so much to incorporate, and you're not going to know it all, and it's okay. Looking at things visually is really powerful. It does make practicing very enjoyable. There's just so much that we can do, even as a GP, because people see us more than their MD. Thank you for what you do, for getting more of us to be able to do this."
"Tosha, working with you was a lot of fun. Whenever you started explaining everything, all of it made a lot more sense than it did before. The patient knows why they're getting treatment because they saw it, so there's trust and rapport between us. I feel more competent, more skilled, and confident. It's really changed my whole perspective as a practitioner, and I know that my abilities have just skyrocketed. If you're considering Tosha's program, just do it. It's intimidating, and you're going to have a million questions, but Tosha has an answer for all of those questions. When you start to see those follow-ups, that is when you know this was the right move."
"Tosha's Microscope Guided Hygiene program was pretty easy and straightforward, and we had fun doing it. It empowers not just myself and the patient, but the hygienist and the assistants. It was a really nice opportunity to learn and team build at the same time, throw around ideas for implementation, and help our team members feel heard and like they have ownership in it. The homework was not overwhelming, not at all. I don't think we've had a single patient say no to treatment since we started showing them the visual. It empowers patients to be in charge of their own health. There are few things I've done better in my career than taking that time. Our team now shares the same vision, which is passed down to the patients. They trust you, they believe in it, and they don't think you're just trying to sell them something."
Real conversations from the Mouthy Matters podcast.
Three practitioners who went through the TOSH Method, in their own voices.
If you've been running saliva testing and still feel like you're guessing whether a patient is actually getting better, this episode is for you.
Tosha sits down with Dr. Caroline Labritz, a biological dentist in Morgantown, West Virginia, who has spent 22 years building a root cause approach to her practice. Before she found Tosha's program, she vetted multiple training options. What made her choose this one, and why does she say she'll never practice without a microscope again? That's exactly where this conversation starts.
She used to show patients a perio chart and watch nothing change.
That is where this conversation starts. Dr. Laura Mach, a biological dentist in Marion, Iowa, spent years explaining bleeding gums to patients who nodded, said okay, and walked out having changed nothing. She could talk until she was blue in the face. It just did not compute.
Dr. Nicole Vane spent years avoiding the microscope. Every mentor she trusted had one in their practice, and every time, she found a reason to skip it. Too much setup. Too much learning curve. The ozone would take care of it anyway, right?
Then she went through The TOSH Method, and it changed everything, for her, for her team, and for the way her patients understand what is actually happening in their mouths.
Ready to see what's possible for your practice?
Book Your Free 45-Minute Discovery Call →Tosha works with a maximum of eight active practices at a time.
Get started today before this once in a lifetime opportunity expires.
