Once you have mastered each of the kits and the client can move through the modules comfortably, feel free to book an appointment with the dental hygienist. It is helpful if you can talk to the hygienist before the appointment, outlining any specific triggers or areas of concern for your client. The hygienist will do everything he/she can to make sure that first visit is relaxed and successful.  If this means a follow up visit, no problem!