Anecdotes

These identical twins can both be your dentist

February 8, 2019 By DentalBuzz Staff 6 Comments

The novelty of seeing someone’s face repeated on another human creates a positive moment of surprise that will be instantly apparent on your own face. Do you feel genuine happiness when you encounter the miracle of identical twins? Well, maybe there’s a dental practice in your area that will engage that joy, one that will take care of that big broad smile that they bring out of you every time you visit.

Duplicate Dentistry is what you’ll get with twins! At least that’s the general idea. Two individuals who chose the same path in life, right down to their profession and where they would live. It makes sense, though, that twins would find a sense of trust and companionship with one another enough to form a complimentary way to be in the world.

It’s pretty common for spouses to meet in college and then to build dental practices together, or for children to follow their parents’ leads and then join them as dentists in the towns where they were raised. Identical twin dentists practicing together is quite exceptional, and rare, which is a little surprising! As an identical twin, it makes sense to weigh your natural clone’s career ideas along with those that you are considering. Then again, it’s a lot to ask someone to join you for eight years of college and then open up a business with you.

That’s exactly what these wonderful people have done, though. They are identical twins who work together to make dentistry a more enjoyable part of their patients’ lives. Keep reading to see if there are a set of twin dentists or orthodontists that are close enough for you to visit.

Charlotte, North Carolina

Drs. Lindsey Rennick Salone and Lauren Rennick Lockhart

Dual Image Smiles

One of the taglines for this practice is “Laugh Frequently. Smile Proudly.” Dr. Salone, Dr. Lockhart, and the other doctor Lockhart (Lauren’s husband) have been providing family dental care and orthodontics in the Charlotte area with the high level of expertise that comes with the rigorous years of additional training they have all received in their professions. The twins were featured recently on a local morning show where they shared why their practice is a great dental home for all members of the family, from toddlers to grandparents. On their website, Dr. Lauren gives us a taste of what it’s like to be her patient. She states, “I love to laugh, I love to smile, and am excited to share these gifts with you!” If you’re lucky enough to live in the Charlotte, NC area, visit them in their office (a renovated house!) or schedule an appointment with them at DualImageSmiles.com.

1315 Matheson Ave, Charlotte, NC 28205 Phone: (704) 334-6907

Midland, Michigan

Drs. John McLaren and Charles McLaren

McLaren Dental Associates

Some sets of identical twins can be harder to track down than others! Especially when they’re very humble about themselves. You would think that McLaren Dental would make it well-known that twin dentists would be caring for you! If it weren’t for this article written 15 years ago when the two took over an existing practice in Midland they may not have ever been included here. In the article’s interview, Charles echoes the feelings that many twins have about their lives together. “I have yet to meet any brothers or sisters that are closer than us. That’s the way we grew up,” Charles said. “A lot of our decisions in life were at least in part based on what the other was doing. We’ve both had the same interests and skills. I’ve called him up before, and thought I was talking to myself.” They can be found at McLarenDental.com.

308 Northgate Drive, Midland, MI 48640 Phone: (989) 631-7880

Frisco, Texas

Drs. Pantea Nooraee and Kelara Gandy

Twins Family Dentistry

This is the first of THREE (!) sets of identical dental twins in Texas, located in the far north Dallas area of the state. If you don’t see them both on the same day, however, that’s because they now work from two locations in Frisco to make it even more convenient for their patients. What’s it like to visit them? Here’s one reviewer’s take: “Dr. Nooraee and Dr. Gandy are the pinnacle of dentistry, the office has state of the art technology, SUPER sweet staff and convenience is their specialty. (I don’t know who my dentist is as they really are twins) I think I like them both though.” You can request an appointment and more from their website at TwinsFamilyDentistry.com.

8811 Teel Pkwy Suite 270, Frisco, TX 75034 Phone: (972) 335-3000

2626 Stonebrook Pkwy Suite 400, Frisco, TX 75034 Phone: (214) 872-2200

Austin, Texas

Drs. Kip Nielson and Cody Nielson

Starlight Dental and Orthodontics

Need a dentist (or two) that are fluent Spanish speakers and live in central Texas? It would be surprising to learn that the twins are both undergraduate Spanish majors, until you realized that their education was a continuation of the experience gained as each served as missionaries in Central America for two years. Dr. Kip’s time was spent in El Salvador, while Dr. Cody worked in Costa Rica. They both value building long-term relationships with their patients and providing a level of dental care that will endure as well. Dr. Kip shares his feelings about his work in this way: “l feel extremely blessed and fortunate to provide healthy and beautiful smiles to all those that l treat. I am thankful for the opportunity l have as a dentist to meet and serve so many wonderful people in the Austin area.” You can read more about them at StarLightDentalAustin.com.

10123 Lake Creek Pkwy #2, Austin, TX 78729 Phone: (512) 250-8101

Amarillo, Texas

Drs. Austin Hodges and Patrick Hodges

Hodges and Hodges Orthodontics

Austin Hodges and Patrick Hodges are identical twin dentists with additional specialty training as orthodontists. Which means that while you won’t be able to visit them for your regular dental care, they can make sure that you and your family’s teeth are in the best possible position to enhance your smile. Their childhood orthodontist in Amarillo hired them once they both graduated from Texas A&M University, and after his retirement, they moved to a new office built on the family land that is shared by their dad’s veterinary practice. Dr. Austin and Dr. Patrick were drawn to dentistry as their profession after participating in mission trips to Mexico with local dentists and experiencing profound gratitude from the people they served during those visits. Why did they choose to practice together? In this recent Amarillo Globe-News interview, Patrick addressed the question. “It’s never been a plan that was set in stone, but we always thought it would be nice to work together. We were roommates for almost 30 years, so we figured we’d be pretty good (business) partners.” They now have three locations where Texas panhandle residents can get their teeth straightened. To view a tour of their offices, visit HodgesAndHodgesOrtho.com.

5212 S Coulter St, Amarillo, TX 79119 Phone: (806) 353-9862

1801 4th Ave, Canyon, TX 79015 Phone: (806) 353-9863

1401 E. 1st St, Dumas, TX 79029 Phone: (806) 353-4442

Tuscaloosa, Alabama

Drs. Belinda Rhodes and Melinda Rhodes

Rhodes & Rhodes Family Dentistry

Meet BeBe and MeMe, the Rhodes twins who grew up in Sawyerville, Alabama. They’ve been practicing together in Tuscaloosa since 2013 and work with a loving group of dental staffers that know how to put patients first. Although they still practice under their original last name, both dentists are married, and enjoy spending their time serving their communities. After obtaining undergraduate degrees at Stillman College in Tuscaloosa, Belinda and Melinda earned their DDS degrees from The University of Michigan School of Dentistry. Learn more about the Rhodes and the rest of their team at RhodesFamilyDental.com.

6000 Old Greensboro Rd, Tuscaloosa, AL 35405 Phone: (205) 409-9088

Cincinnati, Ohio

Drs. Dave Rothan and Mike Rothan

Twin Dental

The Rothan brothers may not be exact duplicates of one another, but as twins that have practiced together for over 30 years, they deserve a place in this lineup. They are known for their ability to provide a wide range of dental services so that patients can have both general care and specialty care provided in the same office without needing referrals to other dentists. You’ll find that everyone in the practice is down-to-earth yet professional, and that they have the experience and technology needed to make dentistry less scary. Most importantly, Dr. Dave and Dr. Mike focus on prevention so that their patients are less likely to need more complex care in the first place! You can schedule a free virtual consultation online at TwinDental.com.

11430 Hamilton Ave Suite 1002, Cincinnati, OH 45231 Phone: (513) 825-6111

Monroe, Louisiana and Baton Rouge, Louisiana

Drs. Katina Beverly and Kredenna Beverly

TWINkling Smiles of Monroe

TWINkling Smiles of Baton Rouge

How do you know that your dentist has the right focus to take care of children? When that dentist originally wanted to be a kindergarten teacher. Both Katina and Kredenna were studying at Southern A&M College when a recruited suggested that they should look into becoming pediatric dentists instead of kindergarten teachers. They now practice independently, but that doesn’t mean they practice alone. On two Saturdays a month, the twins operate a satellite pediatric dental facility in Oakdale, Louisiana where they provide joint care to underserved kids, and they mentor each other throughout the week. Their slogan, “Twins Making Tiny Smiles Twinkle” helps them fulfill both their professional purpose as well as deepening their personal worldview. Katina expressed this to the News Star in 2018, stating, “When I talk about my journey, I always include my sister, because I think about our lives as one story.” And then there’s the $2 Bill Initiative that they use to teach kids about their origin and purpose. Learn more at TwinklingSmilesOfMonroe.com and TwinklingSmilesOfBatonRouge.com.

203 North 5th St., Monroe, LA 71201 Phone: (318) 805-9000

2314 Weymouth Dr., Baton Rouge, LA 70809 Phone: (225) 926-4444

Porterville, California

Drs. Elwin Hutchins and Erwin Hutchins

Hutchins Dental

Residents in the Porterville area were very appreciative when Elwin and Erwin Hutchins quickly filled in for a retiring dentist several years ago, and they are keen to share their kind demeanor and dental care with new patients as well as long-time patients. The identical twins started in mission dentistry, serving patients in Puerto Rico, Trinidad and Tobago with very busy outreach clinics where they worked for almost two decades before returning back to their California roots. Their wives have also joined them in practice – Elwin’s wife Sonia is an assistant while Sandy is the office manager. Visit them in either of their offices, or online at HutchinsDental.net.

350 N. Second Street, Porterville, CA 93257 Phone: (559) 781-1163

100 N. Palm Street, Woodlake, CA 93286 Phone: (559) 564-8878

Sarasota, Florida

Drs. Amy Nulty and Leslie Nulty

Mirror Image Dentistry

If there ever were a dental practice you could visit where it seemed like the dentist had cloned themselves so that they could be in two places at once, Mirror Image Dentistry would be the place. Dr. Amy and Dr. Leslie are very identical twins. New patients find it very hard to tell them apart from one another, given that they prefer to dress the same, participate in conversations where one’s sentence overlaps naturally into the others, and even work in the same close office space where they’ve been since 2001. The sisters grew up in Philadelphia and graduated from Temple University School of Dentistry. Find out why they proudly state “Our Patients Like To Go To The Dentist” by getting in touch with them at MirrorImageDentistry.com.

2140 Bispham Road, Sarasota, FL 34231 Phone: (941) 929-9332

Milwaukee, Wisconsin

Drs. Austin Dodge and Ryan Dodge

As recent graduates of Marquette University, Ryan is currently practicing out of state at Howell Comprehensive General Dentistry in Virginia, but once his brother Austin completes his periodontal residency at Marquette, they could end up in a complimentary practice together, somewhere. For now, though, we’re including them here because, look at them! They’re young, they haven’t settled down yet, there’s potential for them to practice together, and who knows? They may read this and decide to cozy up to one another for convenience, for camaraderie, and for the commercial appeal held by the novelty of being an identical twin. Watch this space for updates!

Limerick, Ireland

Drs. Cormac Shields and Conor Shields

Shields Dental & Implant Clinic Limerick

Ireland is fortunate to have a set of identical twin dentists in Conor and Cormac Shields, but it wasn’t by coincidence that they chose their profession. Their father and grandfather, both named Frank Shields, were dental surgeons before them. The twins’ grandfather qualified as one of the first dental surgeons in Tyrone in 1917, and their father was a pioneer in oral surgery and sedation in Dungannon. Americans will be surprised to see that the brothers list out their prices for dental procedures on their website and that they are also open on Sundays.

Ever wondered what a modern dental practice looks like in Ireland? Peek into the world of Dr. Conor and Dr Cormac in the video above, as they share their history, a hint of twin dynamics, and learn more about their philosophy as they explain how they provide not only dentistry but facial esthetic services in their offices.

10 Ashdown Ctr, Courtbrack Ave, South Circular Rd, Limerick, V94 K5TX Phone +353 61 480070

Brno, Czech Republic

Drs. Eva Luskačovy and Hana Luskačovy

DuoSmile

In the United States it is rare for dentists to also have double degrees in both medicine and dentistry. So when identical twins each have a double degree, is this the mathematical equivalent of a being a doctor to the 4th power? This is what you’ll find if you travel to the Czech Republic to visit Dr. Eva and Dr. Hana, who established their practice together in 2017. Language is not a barrier here, as you’ll discover that both doctors and many of their team members are fluent in English. You’ll find their Facebook page enchanting, with video vignettes that range from random silly office moments to informative dental health tips. Be sure to visit their website, too, at DuoSmile.cz.

Pekařská 84, 3rd Floor Brno, 602 00 Phone +420 720 02 32

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If you know of any other sets of identical twins practicing together that you’d like to see featured here, let us know in the comments below. Thank you to all the practices, and most importantly, to the people who have made this exploration of twins in dentistry a fun journey.

A hygienist’s answer to “what do you do?”

March 11, 2015 By DentalBuzz Staff 8 Comments

If you read Dentaltown Magazine, you may have received the edited, paper version of this article today in your snail mail box. But because I don’t have to make room for saliva ejector advertisements in the sidebar (seriously, this article helps sell SALIVA EJECTORS!) you can enjoy the original here in its more raw form.

A hygienist’s answer to “What do you do?”

by Trish Walraven RDH, BS

You’re at a gathering of acquaintances, a general hob-nobbery of casual conversing, one of those social obligations that you love/hate because you’re really more of an outgoing introvert, someone who plays well with others but enjoys their quiet, navel-gazing world too. Sooner or later you know that the question will be asked.

“So, what do you do?”

No hesitation here. You know what your profession is. You have a title, a position, a calling.

Then that inner part of your thinking begins to twitch.

You weren’t asked about your job title, actually. You were asked a direct question: What do you do?

The typical reaction of hearing that you’re a dentist or hygienist involves a full disregard of the art and compassion that you put into your profession. People want to tell you about their bad experiences as a child, or how much they hate you (but don’t take it personally!). They just nod, warily, quietly, at your response and quickly think of a way to change the subject.

Instead of giving away the conversation and letting it slide into other people’s thought bubbles, then, you can steer the dialogue back to the original question, and the feel-good answer you’ve prepared instead.

“I take care of people’s teeth.”

You’re a regular Mother Theresa now, aren’t you? The way you dedicate your life’s work to helping others, it’s so freaking noble. This response elicits a smile of comfort and familiarity from your obligatory small-talk partner. The conversation can move forward now that your profession has been deemed socially acceptable.

An hour later, driving home, you’re blissfully alone with your thoughts, rewinding your earlier social interactivity, musing over the highlights, and you really, deeply, ask yourself in hindsight, “what do I do?”

I can’t speak for dentists, but if you’re a dental hygienist, you do some pretty strange things, actually.

First of all, perfection to you is wave-shaped. It’s the curve of a thin scallop of attached pinkness that anoints each interproximal space with a coral-tipped point of the healthiest gingiva imaginable. Anything less than this in your patients’ mouths is limbo. Chaos is the reason your job exists, but you always hunger for order and balance. To achieve this imagined perfection in a mouth that is not optimal, then, means that you often resort to some diversions along the way. It’s about the journey, not the destination, right?

How do you handle the patient whose lower anterior linguals are piled with a couple of grams of Grade A calcium phosphate? Sure, you could just chunk the calculus off. But sometimes, when you’re feeling a little dastardly, you carve out the top and the bottom of the tartar evenly, so that you’ve left a neat chalky white mustache, complete with curlicues. With artistic satisfaction, you turn your attention back to your duty and politely erase the Banksy-esque dental graffiti from your patient’s teeth.

This is not something you tell people that you do.

You also tell no one that your deepest fear is running into anything artificial while you’re cleaning someone’s teeth. Your ultrasonic scaler turns into a fierce lead pencil in those situations, which means not only that you are wearing down your precious metal antennae into useless nubs, but also that you’re leaving dark lines where there was once only whiteness. Every last bit of old orthodontic cement has now been revealed like a charcoal rubbing, thanks to you. And you would never admit to leaving a grey streak on a brand new porcelain crown. How could you slip like that? You hope like heck that the prophy paste will get that scary line off before anyone notices.

When it comes to things that you enjoy, then, there’s a bit of hesitation about sharing those stories as well. Like hovering around the periapical abcess that’s begging to be relieved? Or when you’re spraying baking soda slurry under a bridge and the patient becomes aware that its odor speaks more than the thousand words that you could ever say about superfloss? To you the stink is like scoring a point. Or why your trophy at the end of a particularly difficult appointment is a 2×2 gauze loaded with something that looks like buckshot, but is really your patient’s carefully extracted calculus? Fun times.

Probably the most difficult part of your career, though, has to do with patient management. Unless you’re regularly disengaging people from their mouths via nitrous oxide, there are forceful tongues, and lip pulls, and saliva ropes, and people who forget that it’s safe to swallow their own spit. Suck. Suck. Suck. Ten times a minute. At least this way they’re remembering to breathe. When they forget to breathe they feel like they are drowning. It’s not the water; they’re just suffocating because you’re blocking any chance of mouth breathing. Never mind that noses are much more optimal for breathing but whatever. Not everyone has learned how to snorkel either. And how do you convince patients that unless they just ate a handful of almonds, brushing immediately before their dental appointment won’t make your task any easier?

Then there are the patients themselves. Not just their mouths, but the whole person. Patients whose embarrassment about their teeth are the reason they haven’t been to a dentist in a while. People who not only open their mouths but open up to you, tell you their secrets, their fears, their wishes and hopes. People who trust you to take care of them, to love them, to nurture them towards health. They see something special in your eyes, and they open wide.

So go ahead and make it known out there in the big world that you’re hygienist. Or a dentist. You scale teeth. You drill teeth. No biggie. That’s what you do.

What really matters, though, are the reasons why.

Trish Walraven RDH, BSDH is a mom and practicing dental hygienist in the suburbs of Dallas, Texas. She is a bit of an an introvert when she’s writing dental articles, but you get her together with her best friend from high school and Irish festival beer and she begins to make faces like this. She also makes faces like this under her mask if her patients aren’t paying attention to her flossing instructions.

Is Arestin® a red flag?

September 5, 2014 By Trish Walraven 68 Comments

Not long ago, all dental practices were owned by the dentist who took care of you. Sure, they might not have given you any anesthetic before they smashed silver crunchy metal into your cavities, and they may have slapped you around and given you Post Traumatic Stress Disorder any time you thought about opening your mouth wide for anyone, but at least you knew that the dentist shoving their knuckles into your nostrils was the one dictating how things were done around there.

Since then, dentistry has gone all Wal-Mart on the public. There are thousands of dental offices that are part of large chains, where the dentists who take care of you are merely employees, where the quality of dental care provided to patients is secondary and instead the amount of profit generated by each provider becomes the indication of that person’s worth within the company. Can you imagine a leaderboard, like in a sales department, where all the dentists’ production numbers are on display for the entire office, so it’s a race to see who can make the most money?

As a patient, don’t you get giddy at the thought of being ridden like a thoroughbred horse? Me neither. My health is not a commodity.

Dentistry is a little different creature than regular medicine in the sense that TEETH ARE OPTIONAL. You can be a very healthy individual, only with no teeth. It’s kind of like having a hand amputated – your quality of life may be affected, but a hopelessly infected hand should be removed and replaced with a prosthetic. If your body is rejecting your teeth for whatever reason, that’s when there are health concerns as well. Dental professionals make it their life’s work to help you keep your teeth in as close to original condition as possible.

The problem is that when money is involved, you can bet that there are those who will abuse this relationship. There’s scare tactics, there’s bait-and-switch, there’s all the usual sleazy sales pressure used to extract as much income from each patient as possible. New patients often bring us treatment plans that they are unsure of, looking for second opinions, trying to figure out why they don’t trust the previous dental offices’ diagnoses. I just want to say it straight, “They’re taking you for a ride, dear.”

Whip. Whip.

Well crud, I never wanted this article to be an analogy of horse racing with the big hats and Bourbon and milk-drinking and jockeys. So, let’s start over and begin talking instead about Red Flags and Grey Areas.

Red flags, of course, are the signals you get when you realize something that seems good, isn’t so good. Red flags are big fat warning signs.

Grey areas, are, well, not really black and not really white. Grey areas are where black and white kind of blur into each other, and sometimes they end up looking a little suggestive (!) like the image above. Yeah, sorry about how weird that looks when I take it out of context.

When it comes to the health of your mouth we usually look at two things: your teeth, and the stuff that holds your teeth in your mouth. That’s what we’re going to talk about in this discussion, what you think of as your gums. Dental professionals call this part of you your periodontium. If your gums are in excellent condition, you have what is called periodontal health. On the other hand, if your gums are seriously letting go of your teeth you have periodontal disease.

As you can see, the biggest part of this diagram is the Grey Area. This is where most people land, especially if they haven’t been to the dentist in a while. Even if your front teeth are mostly healthy often you’re automatically categorized into the Very Diseased category because you have too many spots in your mouth that are infected with bacteria to treat you as a Very Healthy person. That’s when you’ll get a treatment plan designed to minimize the effects of your disease.

When your mouth is in the Grey Area, this is where treatment recommendations can vary the most from office to office and even from person to person. Almost every dentist will prescribe the same treatment course if your case is black and white (very diseased or very healthy). If you’re in the Grey Area though, this is when Red Flags will start to stick out.

There’s one Red Flag in particular that keeps showing up. Arestin® is a yellow powder containing minocycline microspheres – an antibiotic designed to help diseased gums heal faster. The powder is puffed deep into an infected spot under the gumline where it hardens upon contact with moisture and time-releases the antibiotic for about three weeks. Here’s what the package of cartridges looks like, with the yellow powder in the tip:

Arestin is a great product! I’ve seen stubborn gum disease completely disappear when we’ve used it very selectively in our practice. So the Arestin itself isn’t a problem. The problem is how it’s being prescribed.

Say you had your gum disease treated with scaling and root planing (a “Deep Cleaning”), but a few spots are still unhealthy a month or two or three later. If your dentist or hygienist sees that you still have open sores that are higher than a certain parameter (over 4mm is considered the standard) this is when Arestin therapy provides the most benefit.

So when is Arestin a Red Flag? You’ve visited a new dental office, and not only are they recommending that you have treatment for your periodontal disease, they’re also saying you need a course of Arestin to be placed on the same day that you have your initial treatment. It’s even a bigger red flag if you floss regularly and never see your gums bleed.

The thing is, Arestin isn’t cheap. Just a single cartridge costs your dentist upwards of $15. Then there is the insertion fee; in other words, what the patient is billed for placement, and than can run as much as $60 per site.

Here’s where it gets crazy. An average mouth has 28 teeth. Each of your teeth has as many as six sites where Arestin can be placed. Let’s see, that’s $90 in material costs, $360 in placement costs. That’s potentially going to cost you $450 – per tooth.

You’re seeing the big picture now: treating gum disease can be quite profitable! This is why Arestin is such a big deal in the offices that are part of corporate dental chains designed for maximum shareholder profit. This antibiotic is marketed to dental professionals as a way to help us make money, all in the name of “helping our patients.”

So how do you end up getting prescribed Arestin therapy if your mouth is pretty healthy? If your hygienist or dentist was instructed to “force the probe” to create a deep measurement, that’s how. Stab ’em hard and voila! Fake gum disease! Here’s a story that exposes some of the bad things that have allegedly happened in corporate dentistry, including this example:

http://www.pbs.org/dentalworks-chain-misdiagnosed-for-money-dentists-say/

As you can see, lots of other stuff can be exaggerated as well to make sure that the dentistry performed on you is as profitable as possible. For now, though, we’ll stick to talking about the Red Flag, because this one cue may help you decide whether or not you’re being over treated.

Here are the professionally accepted general guidelines about Arestin usage, then:

Now please don’t use this to go and bash your well-meaning dentist and hygienist, or the Arestin company, or worst of all, to justify the reasons you tell yourself why you don’t go to the dentist ’cause it’s all one big scam and you can’t trust anyone. Most of us really do want the best for you.

The point is simply this: if more people understand the difference between dental care that is patient-centered and dental care that is profit-centered, then greedy dental corporations are less likely to thrive.

If you think you have ever had this happen to you, I wrote this story for you. For you, so that you don’t feel so dumbfounded the next time you wonder whether or not a dental office is looking out for your health or only for their own. As a hygienist who knows fraud when I see it, I wanted to be sure that patients have a resource to help them defend themselves against predatory practices.

I’d like to end this with a small confession, then: I actually love placing Arestin, because when the dentist and I decide that it’s a good fit for a stubborn case of gum disease, it just feels so right.

So much for being objective.

References and resources:

Explanation of insurance coding of Arestin therapy after initial SRP: http://www.practicebooster.com

An example of Arestin-based fraud in a DHMO: http://caldentalplans.org/downloads/Henderson.pdf

Arestin drug label and study that shows slight improvement of using Arestin with SRP vs. SRP alone: http://dailymed.nlm.nih.gov/arestin

Criticism of Arestin studies and concerns about Arestin therapy : http://periodontist.org/is-arestin-a-therapeutic-treatment-for-reducing-gum-pockets/

A blogger since 1997, Trish Walraven, RDH, BSDH is a practicing dental hygienist and marketing manager for an indie dental software development company. Her mission with DentalBuzz is to offer a fresh podium of discourse for those involved in dentistry and to expose fun in our professional lives.

Only God can explain the ACA to dentists

January 21, 2014 By Trish Walraven 4 Comments

Why I was chosen for such a task? I didn’t ask for this. Okay, so maybe I did.

Years ago I swore off direct petitioning prayer; you know, the kind where you ask God directly to intervene in the course of human events. Like, please help me to lose weight (that’s just BEGGING for a tapeworm there!) or any other sort of prayer that you ask God to help you in a specific way.

Except this time I forgot to not be so direct.

A few weeks ago I must have quietly asked God if He could help me make sense of Obamacare and how the Affordable Care Act is going to end up affecting dentistry in the next few years. And I had a dream that I would find the answer, only that it was buried and that I would get a signal when it was time to dig.

Dig? As in Joseph Smith, dig? Dude, angels aren’t my thing. Not that I have anything against angels pointing their fingers to the ground and making me do all the hard work.

Fortunately no angel came to me. Instead it was a cricket, chirping in the middle of winter like no cricket should. There’s this closet in a corner of one of my operatories, it’s the hidden closet, it’s where we cram in the Christmas tree every January above the forgotten manual x-ray film developer and all the manila patient files from twenty years ago. All day I was tormented by the shrillness of that annoying survivor. Even after the last patient was gone the cricket continued its unwavering tone. Was that my sign? I began digging in the closet, searching for the little critter.

When I pulled out the second box of files, there it was, No, not the cricket, but three unassuming sheets of stationery, triple-folded and clinging to each other. The weird part, though, was that there was not actually any writing ON the pages, per se. Instead, the words were like cutout stencils, as if a brood of silverfish had only eaten away the paper where the ink had been. I shouldn’t have been surprised, really, but I figured that Someone had gone through all the trouble to stash the revelation in our dental closet; the least I could do was to transcribe the contents of the document here at DentalBuzz.

This, then, is:

The Fresh Testament for the Everlasting Dentition

Chapter 1

1. In the beginning, there were gingiva, and they were good. 2. As suckling begat the need to chew, the eruption of the primary teeth ensured proper consistency for bodily nourishment. 3. But childish things must be put away, as youth becomes adulthood, the shedding of the smaller allows for the growth of that which is more permanent. 4. The gift of teeth is therefore given to all freely, to last until the final breath of life.

Chapter 2

1. Know your enemies; otherwise they will be your undoing. 2. Beware of acid, and biofilm, and parafunction, for they may cause destruction. 3. Combined, they will hasten the evacuation of teeth from your mouth. 4. Seek refuge in the wisdom of those who are learned about the enemies of the dentition, for they will give you comfort and aid, and you will forever be guided towards pearly dental glory.

Chapter 3

1. The ways of the world take the unaware down the pathways of fear, uncertainty, and doubt. 2. The earlier generations of servants saw their wages frozen so that all would not perish from the earth after the second great war. 3. Thus the idea of a dental benefit was created. 4. The dental benefit is a substitute for actual earnings. 5. The first days of the dental benefit helped many people fight the enemies of their teeth, by sending earnings directly to the physicians of the mouth. 6. The physicians saved teeth with those dental benefits that were given to them instead of directly to those who had served their masters, and all was well. 7. A vast outpouring flooded all the land with a large booming of babies, and as they ripened they began their search for work. 8. No longer were dental benefits under the rein of the masters themselves; instead, they were passed to those who promised to look after the servants’ best interest as an insurance against the loss of teeth. 9. Verily, a seed was planted in the minds of many: if a servant does not have an insurance policy, one cannot attend the services of a dental physician. 10. And God wept when He saw that His children first began to believe they could no longer care for themselves with their own earnings.

Chapter 4

1. Those that promised to look after the servants and insure them against harm wanted to control dental physicians, and for many years the physicians resisted. 2. Three tribes arose in the struggle to attend to the care of the Children of God: the Fee For Service, the Preferred Provider, and the Single Payer. 3. While the lands where the three tribes practiced were not the same, as some were less hospitable than others, all tribes found that they could attend to those who were able to seek their services.

Chapter 5

1. Then in all the lands a clamor of discontent from the servants and their lords created a large cloud that poured out from the District of Columbia. 2. When the dust settled from the cloud it revealed that the tribes were not disbanded, and that those they served would continue to attend to their care to perpetuate the saving of teeth. 3. But with the servants, they felt a fear growing even larger in their hearts that made them feel helpless about affording the ability of themselves and their kin to smile and chew and not feel dental pain, and the care of the dental physician seemed even more unreachable.

Chapter 6

1. A revelation is near: know that the purpose of this Cloud of Obamacare is to assure the Everlasting Dentition for all. 2. But it will not be without struggle, because the Cloud itself is not the answer. 3. More care will be mandated, but the cost to the servants will cause a great frustration. 4. The dutiful will pay excessive amounts for their allotments yet they will not be blessed with their choice of caregivers. 5. Blessed are the children, for they will be adults some day and if every one of them for many years is required to visit a dental physician, then the proof of those efforts will be rewarded. 6. And it will be known that it is the act of visiting the dental care provider that saves teeth, not the insurance itself, and the eyes of all the people of the lands will be opened, and their hearts will be changed. 7. And the people will no longer look to their masters to care for them, for they themselves will know that they are partners in maintaining the gift of teeth that was given to all freely.

_____

Yeah, so see? God just wants to stay out of Obamacare. He has no place in it, or in politics at all for that matter.

I probably don’t either, but from the new dental health plans that are available here in Texas I can comfortably say that the dental “insurance” you receive from any of the Obamacare coverage ends up costing more than just paying a dentist directly. It is too much of a hassle to give your money to a third party and then ask for some of it back, which is, in essence, what you are doing.

In the meantime, though, I’ll try to stay out of that closet.

How to talk to patients 101

December 6, 2013 By DentalBuzz Staff 4 Comments

dentistpatientcommunication

Have you ever wondered what kind of courses patients think you missed out on in college? They probably will never notice that you totally bombed the gold foil technique (neither will any dentist under 70, for that matter!). But they do wonder what you were taught about dealing with humans – the personal side, instead of the gushy clinical stuff.
Enter a bit of collegiate satire from a patient’s perspective. New DentalBuzz contributor Carolyn Roche has eight children and five grandchildren, a BA in Political Science from the University of Michigan, and is now studying English at Dixie State University in St. George, Utah where she lives with her husband, soon-to-be missionary for the Church of Jesus Christ of Latter-day Saints daughter, and two dogs. She occasionally begins her day with Special K, and would like to share this delightful suggestive nudge with all dentists and hygienists practicing now and into the future.

Lecture Notes on Dentist-Patient Communication

by Carolyn Roche

Professor Samuel Rose
Algonac Dental School
For Tuesday October 15, 2013

Today’s lecture is about communicating with your patient. No one wants to be the Frank Burns of the dental industry. You want your patient to have confidence in your wisdom and know that you will work on them with compassion and competence. We will discuss some guidelines about how and why you should maintain rapport and communication with your patient.

Acceptable Subjects of Conversation

Before you begin chewing out your patient for not flossing, break the ice by conversing about the following:

1. The weather. You can always jaw about the weather. Your patient has just come in from outside and can give you valuable updates. It will help them feel helpful to you.

2. The family:

a. You can drill him about his family. People always like to talk about their family.

b. You may talk about yours. You can forget about what Thumper said, “If you can’t say something nice, don’t say nothing at all.” It’s best to be honest with the patient or he won’t believe anything else you say. Tell him all the good and the bad about your family. Being open will encourage him to trust you as an honest person and like you as well. No one likes a goody-goody.

3. Recent acceptable news.

a. Crime. The patient will be happy to know which side of the law you are on. Always root for the good guy even though the bad guy is your brother. This could be another chance to talk about your family! Include all the crime details.

b. The economy. Let them know how much you earn and how much you have stashed away in safe investments. You will want to make an impression on them. Then make sure they pay the bill.

c. Medical news – if it throws a good light on professionals. If you have botched up anything recently, the patient will want to know the truth from the false rumors. Speak of your mistakes in detail. It’s okay to show off your knowledge. The patient will respect you more.

4. Remember to not get too personal with them. Forget the nonsense about building bridges to your patients. All patients should remain anonymous to you. You will be filling cavities for the rest of your life and to make YOU feel comfortable, think that they are just another cavity or tooth extraction. You will be less nervous and your patient will be less whiney. Once you get personal they will think they can complain about the pain. You don’t need that. It just wastes time.

How to Speak to Your Patient

However awkward, you must speak to the patient while you are working on them. Speaking to the patient with their mouth full is medically necessary. Make sure you have, at the least, the Hoover and a finger and a tool in their mouth.

1. Ask yes or no questions. A nod or a grunt means you haven’t frightened them enough to make them faint. Keep trying. Don’t mistake closed eyes for a faint; they are praying. There are no atheists in dentists’ chairs.

2. Ask questions that require a full sentence answer.

a. You can determine how frozen their mouth really is. If you can understand them, additional anesthetic may be required.

b. You can sue the patient for biting you. Dentistry can be an altruistic career, but remember your $1,500,000 in student loans need to be paid off before your children begin college.

After you have inflicted as much pain as possible, needle the patient about brushing and flossing. With the pain fresh in his mind he will be more likely to follow your recommendations. When you use these methods you will be filling your patients with tremendous motivation to have the healthiest teeth possible.

If You Need Help:

One of the great benefits of attending the Algonac Dental School is the support we offer to alumni opening their own practices. For a nominal fee of $500 –plus airfare, food, and accommodations- my staff and I will fly out and assess your new practice. We will help you streamline your operation. You won’t waste a moment in a day’s work after following our advice. For only $500 more, you can have the full, written report of our analysis and recommendations. NO OTHER dental school will offer this service! Call now for a FREE ESTIMATE 1-800-555-ROSE.

+++(Copy and hand out to students at end of class.)