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Archives for April 2011

Worthy Wives

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Alternative Ways You Can Help Your Husband’s Practice

by Eva Watson

 

Running a financially solvent and content dental practice is hard work. The challenges of keeping the schedule filled, placating unhappy patients, and ensuring the peace and tranquility between team members are constants that must be adhered to for the greater good of the practice.

None of these responsibilities are taken more seriously than that of the spouses of dentists. These individuals not only have a vested interest in the monetary success of their married dental partners but to better the daily operations and keep ‘the ship sailing smoothly’ as well.

With all of the positive traits and well-meaning leadership dental wives have in mind for their husbands’ offices, there are days, just a tad too many, actually, that your guidance and intentions seem to push the staff’s proverbial ‘button’, so to speak. May I dare say ‘lay the sauce a bit too thick’? If I may be so bold as to offer, ‘Make the employees want to ship you in a box to Africa’?

It’s a difficult pill to swallow, I agree, but I do have some various, and incredibly helpful options, to aid in your demanding role as dental spouse:

 

 

Pass out dental office brochures to businesses around a twenty square mile radius, three days a week.

Obviously this will take you away from the practice frequently. Think of it this way – you can hit Neiman Marcus, Restoration Hardware, and schedule appointments with contractors to remodel your kitchen. Just make sure our checks don’t bounce again, okay?

 

Visit local elementary schools dressed as ‘Rooty! The Giant, Friendly Root Canal Tooth’

I would totally do this myself, but I need to be in the practice so– have fun! There are holes for your arms, but walking may pose a challenge. Oh, and there’s the white stockings and black shoes you have to wear. The staff attached a huge endodontic file to the top of your costume so the little ones understand why root canals are completely awful. Now, the suit gets sweaty and stinky after an hour, so make certain you bring a change of clothes. Come to think of it, you may want to shake it out a few times before you put it on. I thought I saw something crawling in it.

 

Take some time off

The staff knows you’ve earned it. You come in here, day after day after day, talking and talking, mispronouncing patients’ names then laughing about it, and we just feel like all that hard work deserves some rest and relaxation. In fact, we spoke to the doctor about it at one of the staff meetings. (You were Rooty that day so you missed the meeting.) Anyway, he feels that sending you to a month-long spa getaway is a fantastic idea for your peace of mind and well-being. You’re going to be busy next month – we got a new practice mascot costume for you!

Say hello to ‘Gingie – The Awfully Bloody Gingiva’!

 

 

 

Happy Earth Day to my instrument drawer

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by Trish Walraven

This Good Friday is quite the contemplative one, blending the best of tree-hugging and cross-hugging in one wonderful day off of work for most of us.

So when I got a notice in my email box from Hu-Friedy in celebration of Earth Day today, I immediately made the phone call to get our practice started up on the Environdent program. Heaven knows our junk drawer is hard to open, with all the broken cavitron scaler inserts, bladeless curettes, explorers with gnarled tips, bald probes and scratched-up mouth mirrors. It’s a vast nubby world in there, but the hoarder in me just wouldn’t let any of it go, just in case American Pickers made a visit to our office.

Now that I’m signed up, Hu-Friedy’s going to send a bunch of boxes so that I can make our junk drawer look more nice and neat, like the one in their line drawing below. <!>

This is how the Environdent program works:

And HA! I’m going to get a pretty good deal for all that hoarding. For every 12 instruments that we send them to be recycled, we’ll earn one free Hu-Friedy instrument of our choice. When you look at our drawer, that means we’ll be able to get enough explorers to last about ten years.

You too? Well then give them a call next week (they were nice and let everyone go home early so don’t call today) and get your office set up on the Environdent program. For over 15 years Hu-Friedy has been recycling over three tons of surgical steel every year. Request your free Environdent kit at 1-800-HU-FRIEDY (1-800-483-7433), and feel good this Earth Day for keeping stuff out of the landfills, for justifying your obsessions, or for simply being a tightwad.

Didja Know? Hu-Friedy was founded by Austrian immigrant Hugo Friedman in 1908, whose grandson still owns the company today. So Happy Passover to everyone as well!

Radiation: Duck and Cover (CYA!)

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by Trish Walraven

 

We know that you want to protect your family from anything that you hear about in the media. Especially radiation. Especially now, with the leaks at the nuclear power plant happening in Japan and with Dr. Oz telling everyone that going to the dentist could endanger their thyroid glands.

Your perception is made reality here at Safe Smiles Dental Care. Are you afraid of the cumulative effects of flying in airplanes, going outdoors, and X-Rays? Good.

Why do we say good? Because the way we nurture your fear of radiation sets us apart from other dental offices. We won’t say, “Oops, let’s re-take that xray; it didn’t come out right” here. We will get it right the first time, because, gosh darn it, we care. And we spent a lot of money on rectangular collimators with little magnets and beepers that tell you that we’re all lined up. And what about “Sorry, the thyroid collar will obstruct our view so we can’t use it”? You won’t hear that in our office either. We’ll just not worry your pretty little head about that part of your jaw.

This is what we call scratching our niche, baby. Our practice is the ultimate low-radiation dental office, and you won’t find this level of concern down the street at Dr. Happy-go-lucky’s practice. No way. We’ll massage your fears away with our assurance that any cancer you get in your lifetime won’t be from dental radiation.

So give us a call today at (990) 648-2130 to schedule your complimentary screening exam. We also offer just radiological services if you prefer to have your dental x-rays taken at our office and then forwarded to a dentist of your choice. But that’s such a hassle. Come on, you know you’d rather stay here with us. Especially when you start seeing these warning symbols posted all over the signs of our local competition:

Stay safe, and we’ll look forward to seeing you soon!

__________________

Yesterday on his network television show Dr. Mehmet Oz defended his remarks back in September about the necessity of lead thyroid collar use during dental x-rays whenever possible by stating that “there’s no good reason not to protect yourself against radiation.” While this is true, the bottom line is about using radiation in a way that leads to best outcomes in our patients, a point that several guest physicians also tried to make despite the protests of Dr. Oz.

Seriously, when you look at the sources of radiation in the world today, why worry about the miniscule intentional amounts? All radiation is dangerous, and it should be limited as much as possible, but the only way to avoid it totally is to dig a radon-free hole somewhere and live like a makedd roll gnat the rest of your life (ummmm. I mean naked mole rat. So hard to get that one right!). Calm your fears with this Radiation Dose Chart that was recently compiled, complete with facts about the Fukushima Nuclear plant (click on the image for full-size).

Another thing that I whipped up here for all you DentalBuzz readers is a Medical Radiation Dose Chart to download and show to your patients that have no idea how much radiation that they may be getting from the more common diagnostic procedures. I didn’t know a lot of it myself, so originally I created it to use in our office but you may find it helpful too. Did you know that it takes 10,000 PA radiographs to reach the annual limit of x-radiation? How many CT scans does it take to reach the limit? I’m too lazy to do all the math but it looks like 1 CT scan equals about 2,000 bitewings (film, not digital) according to this chart.

Regardless, we all have a responsibility to admit that we don’t know what we don’t know. And perhaps Dr. Oz may be a little right; we should do our best to protect our patients from radiation whenever possible, adapting the ALARA (As Low As Reasonably Achievable) principle with regards to radiation in dentistry.

Enter the media blitz. Interactive Digital Imaging (IDI) is re-introducing its rectangular collimator with a PR campaign targeting consumers. Dental patients will be encouraged to “Look for the Green Ring” at their dental offices, similar to the “Ask Your Doctor About” style of direct-to-consumer advertising used by the pharmaceutical industry. Originally priced at $1295, the newly redesigned Tru-Align collimator will be offered at $795 with improvements that overcome cone-cut errors and enhancements that make the positioner more user-friendly.

My favorite feature of the Tru-Align system is not that it can be used with any typical XCP holders (but still a good thing – this includes sensors, phosphor plates, and film), but that when you bump up the xray cone to the collimation ring, you get a magnetized lock-on and an audible beep to let you know that you will NOT be getting a cone-cut on that image. BAM! ZAP! If nothing else, the precision of this thing should impress our patients. And if they’re the kind that are really concerned about their radiation exposure, you can spew some factoids about reducing the absorbed dose from around 150 microsieverts to 30 microsieverts for an 18-image FMX series.

What it finally comes down to is having the right things to say to your patients when they ask about radiation, and addressing any real problems that you may be having in your office, like the assistant who has to re-take a periapical x-ray three times in order to get the one that you need. Or making sure that your thyroid collars are actually being Velcroed behind your patients’ necks. Or halting the bacteria-fest breeding on your lead aprons. My bet is that’s the biggest offense of all. Ahhh, a problem for another day…..

 

 

 

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Thanks to these blogs whose articles have helped shape this one:

The ALARA Principle: Dr. Jeffrey Hoos and Michael Razzano on Dentistry IQ

The Digital Dentist Lorne Lavine

Dr. Oz discusses Dental X-Rays and Thyroid Cancer: Dr. Todd Welch at The Science of Dentistry

Suction supermod

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by Trish Walraven

Rubber dams, meet silicone simplicity! Awkward assistants, take your cheek retraction and spit-sucking attempts elsewhere. You have both been banned from the operatories where isolation mouthpieces rule supreme.

First brought to market in 2005, Isolite™ Systems originated the idea of combining dryfield illumination and isolation in a patented product called the Isolite, which costs about $1700 per operatory to set up. Whoa, steeeeep. The tubing and LED Smart Stick sure isn’t their loss leader, now, is it? Then you still have to buy a $2.50 mouthpiece for each patient because they’re not sterilizable. All of it together is still easier and less expensive than your assistant.

But what if you want to keep your assistant, even though she kicks you under the chair all those times you say something stupid to a patient or start getting all OCD over a procedure? You’ve already ditched your overhead lamp for loupe-mounted headlights, so maybe you don’t even need the Lite part of the Isolite.

About a year ago, Isolite™ Systems indroduced a non-illuminating version called the IsoDry that runs a little less than half the cost of the original product. Both systems come with extra tubing. Tooobing. Makes me want to laze down the Guadalupe River with a six-pack in a styrofoam cooler. Don’t we have enough tubes and hoses to twist around each other already?

This brings us to the essence, the soul, the very magic of what makes the Isolite System the game-changer that it has become. It’s all about the mouthpiece. This transparent, comfortable, easy-to-insert soft piece of silicone not only attaches to high-speed suction to create a dry field, it replaces bite blocks, throat packs, cotton rolls, drying angles, and everything else that you used to cram in your patient’s mouth to create a perfect restorative environment.

But in order to use the mouthpiece, the rule is, you have to buy an Isolite or an Isodry. You can’t just stick it onto your high-speed suction and use it solo.

Or can you?

Mark Frias, RDH, can hook you up to go commando. Literally. He’s invented a hook-up mod for the Isolite mouthpieces that must have been driven by the frustration of trying to keep a squirmy six year old’s teeth dry for sealants with traditional isolation. You can see the differences between his design and the original Isolite on the left. It’s not sleek and sexy, but from a cost perspective this little adapter is a no-brainer. Mark calls it the Kona Adapter. Why? Is he an Ironman Triathlete from Hawaii? Actually, I think he named it after his dog.

Whatever the case, the ingenuity here is striking at a great moment. Mark is having difficulty keeping Kona Adapters in stock if that’s any indication of its demand.

For those who are concerned about taking business away from Isolite, Mark suggests purchasing a single system for one of your operatories and fitting the rest with Kona Adapters. This will give you the privilege of being an official Isolite customer so that you can be assured that you aren’t buying mouthpieces on the down low.

And everyone really wins here. Isolite could give the system away like Gillette gave away razor handles to sell you the blades for the rest of your life, or use the printer model: sell the hardware cheaply to lock you into high-priced ink refills. It’s not like Isolite Systems is exactly losing money on the mouthpieces. With this new adapter, Isolite can now make money from the dental practices that may have not been able to justify a whole-office use of their product.

So slippery-gripped assistants everywhere: Ding! You are now free to move about the office. Your hands have finally been relieved without a significant lightening of your employers’ bank accounts.


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