Wanna Be a Dentist?
February 15, 2012
I’m sure you have heard that dentists are always at the top of the list for suicide, divorce, and substance abuse. I did a little research just to verify that is actually accurate…..and yup, it is. I could go into why I think that is the case, but I’ll let you ponder that one on your own.
Despite the many challenges of this profession, if I could do it all over again, I would still choose to be a dentist. I didn’t decide to go to dental school until late in my senior year of college. People ask me all the time, “What in the world made you decide to look inside of mouths every day?” Believe me, I asked myself the same question when I decided to apply to dental school. It was a last minute decision.
Today, I am glad I went into a profession that allows me to problem solve and can be both easy and challenging. I guess it is my approach. I see myself as an educator and a health care provider who wants to help people decide to what level of health they wish to achieve. I have also made the conscious choice to enjoy what I do every day. When things occur that I do not enjoy, I try not to focus on the negative. It is always a work in progress.
For a dentist, and for that matter anyone in any profession to be successful, they must know themselves and have standards they are able to communicate with passion and energy. One thing is very clear, behavior, with its impending results, is a choice. We make choices every minute of every day. What we choose to do with the paths presented to us is a choice. Being frustrated with your job, trying to copy others instead of discovering yourself as well as dental care is a choice.
All dental care is elective. There is nothing that you have to do. That is what makes this profession the most fun and rewarding for me. A dentist who worries about how much of a particular procedure they do, or tries to sell dentistry as a commodity will become frustrated. That is why there tends to be a high burn-out rate in this profession. It should be about education. It should be about people and caring about their health.
It is also about building trust with people. If any of my patients out there ever had a thought that I was trying to “sell” them something, there is an issue with trust there. I use the car analogy often. First, you decide that you are buying a car. It is only after you decide that you are buying a car that you pick the style, the brand, and the options. It is with that information that you make a decision on what car you are buying, based on what you want and feel is right for you. I look at dentistry the same way.
Dentistry combines health care, artistry, psychology and business all into one. As in any job, there are good times and not so good times. There is always room for improvement in all aspects of the profession and the options for continuing education to improve are limitless.
If you, or if you have kids in high school or college who are wondering about what to do with their life, introduce the possibility of a career in dentistry. Ask your dentist if they would talk to you or them about the profession or even do mentorship. It’s a wonderful profession.
Dental Insurance Benefits Expiring
December 1, 2011
I don’t know how you feel but I think this year is just flying by. I guess I feel like that every year. Only one more month left in 2011. For those of you with dental insurance, only one more month to use your dental benefits before they disappear and go toward the bonuses for the insurance executives. That is kind of a joke and it is kind of not.
As you know, if you have dental insurance, you have a yearly maximum amount of money that can be used for dental care. Although that yearly maximum (typically $1000-1500 per year) has not changed for 40 years in most situations, if you don’t use the money the insurance company keeps it. That’s right, if your insurance company doesn’t write a check out for your dental care, they keep whatever you don’t use.
On that note, if you have dental work that needs to be done, now is the time to do it. The only catch is that because many patients wait until the end of the year to use their dental insurance benefits, it is often difficult to get an appointment. Therefore, those reading this column will be one step ahead of everyone else. The big rush generally occurs in the next couple of weeks so book your appointments now.
This is especially true for patients who need multiple things done. Let me use a specific example. Let’s say your dentist has told you that you need a crown on a tooth but the tooth will need work done by a periodontist or even the dreaded root canal prior to doing the crown. Getting the “pre-crown” work done at the end of this year will allow you to finish the crown in the beginning of next year and maximize your insurance benefits.
It has always seemed crazy to me that we have to play these games with dental insurance, but that’s the way it works. If you have been told that you needed some work done and haven’t done it, call your dental office or insurance carrier to see how remaining benefits you have.
Just for clarification, as this is an area that patients sometimes get confused on, your yearly maximum is yours and not your spouse’s. If you and your spouse have dental insurance and a $1000 yearly benefit, you get to use $1000 and your spouse gets to use $1000. If you go over your maximum you cannot use any of your spouse’s benefits.
For those without dental insurance – you are not missing out on too much. Yes, dental insurance is nice to have, especially if your employer is paying most or all of the premiums. However, people tend to get into the frame of mind that if they do not have dental insurance they can’t go to the dentist.
I had a patient in just yesterday that had not been in for 5 years because he said he did not have insurance. Five years later the patient needs more work done than the insurance benefits will cover. It’s not worth it.
One thing is for certain, regardless of whether you have insurance or not, regular visits to a dentist is the key. If your goal is health you can’t do it alone. If the cost, or the fact you don’t have dental insurance is what is holding you back, talk with an office that offers financial arrangements that work for you. The longer you stay away the more difficult it is to catch-up.
The Transitioning Practice – Part 2
October 3, 2011
Last week I began talking about what to do if your long-time dentist is replaced by someone new. Having taken over the practices of two retiring dentists, I consider myself pretty experienced at this type of situation. Let me see if I can break this issue apart.
For those long-time patients, change is not easy. My theme of last week’s column was that you owe it to your retiring dentist and the staff to give the new dentist a try. From there you can make the decision on whether you are comfortable or not.
In my last practice transition I was taking over an office that was stuck in the 1970’s in both style and equipment. The patients loved it there….and they loved the “retiring” dentist. Enter me. I went in and replaced all the windows, floors, cabinetry and equipment. I did it for the patients but I also did it for me because I needed to be comfortable in the place I was working.
I got many comments about the new digs. Most people appreciate when things are “state-of-the-art” and in this case desperately in need of an update. However, that is a just a small piece of the puzzle.
Long-time patients of a dental practice grow very attached to their dental office. This includes the dentist and the staff. The transition of a dental practice is often the excuse patients need to switch if they have been traveling a long distance to see their dentist. Patients definitely find comfort in at least seeing the same faces of the staff when they return to the “new” office. Therefore, it is very important for the “new” dentist to keep the same staff, at least for a while.
However, as the leader of a dental practice and a small business owner, the dentist will undoubtedly make changes. These changes, from my own experience, are made for both the benefit of the practice and the patients. This can be difficult for many patients to understand as most only visit the office a couple of times a year. When a patient sees a new face and familiar faces gone, it always raises questions. The entire current staff of the office needs to be comfortable with discussing the changes. Although uncomfortable, patients should not hesitate to ask any questions they have.
I have been very lucky in both of my practice transitions to retain the majority of existing patients. I understand that choosing a health-care provider is a very personal decision. When a practice transitions, the patients are automatically granted a “new” dentist without the initial ability to choose. The bottom line is that you always have the right to choose your health-care provider.
Patients should know that most providers respect a patient’s right to choose. Yes, it is always a little depressing for the staff to see long-time patients leave. However, it is also very gratifying to see a practice family grow as new relationships are made.
In conclusion, give your new dentist and dental staff a chance. You may be pleasantly surprised. If not, move on. If you aren’t comfortable for whatever reason you always have the opportunity to go back “home”. Most offices welcome this.
Next week I will discuss some ideas for finding a new dentist should you decide to transfer. This information will also be helpful for those who have not been to a dentist for a while or are new to the area
The Transitioning Practice – Part 1
September 27, 2011
It has happened. The worst possible thing in the world you could ever imagine has happened to you. The dentist you have been seeing for the last 20 years has retired. What are you going to do?
Many people, including myself, get attached to their healthcare providers. When you build a relationship with your healthcare provider and the office staff, there is a level of comfort in knowing that when needed, there is a person/office you trust to take care of you. When that provider retires there is a sense of abandonment, obviously not intentional, and that feeling of – What do I do now?
In many cases, the staff members remain, which is not only important for the patients, but also for the new provider. Dental patients go to a particular office for many different reasons. Those reasons range from convenience, insurance coverage (which is not necessarily a good reason and a topic for its own column), they love their hygienist and the other staff, they believe they are getting the best of care, or they have just developed a sense of comfort with the office. I can tell you a fact that I have seen over and over again – no matter how good the dentist is, if patients have issues with the staff, they don’t stay. Staff members play as much of a role in patient retention as the dentist does, if not more. If the staff members leave with the retiring dentist, it can be that much more devastating for patients.
The fact that your dentist retired obviously means that you must have a new dentist, whether you stay with the office or you decide to go to a new office. Because of this, and especially if familiar faces remain, it is usually a good idea to give the incoming dentist a try. One thing is certain, regardless of whether you remain in the office or jump ship, things will be different.
Every dentist has their own unique personality, style of practice and philosophy of care. It is unrealistic to think that any one dentist will be the same as another. It is impossible for you as a patient to have any way to evaluate the clinical skills of any dentist……although most patients don’t even think about that. For patients, the first thing you will be looking for in your new dentist is whether or not your personality meshes with the new person.
Expect to hear new things. As I said, every dentist is different and has his/her own unique style of practice. It is up to the dentist to be able to communicate their philosophy of care with you. If they fail to do this it is their problem because you will not be staying.
In general, a retiring dentist has been in practice much longer than the new person coming in. Patients get used to the style of practice they have been in. You need to keep an open mind. I know we have been inundated recently with the notion that change is good. My philosophy is that change can be good.
It will be up to you to decide if this particular change is good for you or not. If you approach this change with an open mind, and your new provider communicates his/her philosophy well, it will give you the best opportunity to decide if it is right for you.
I will present a few more ideas on this topic next week.
Politicians and Light Bulbs
August 11, 2011
I know what you’re thinking; politicians and light bulbs? That’s an oxymoron. I thought the same thing when I heard this one. It’s back in the news because the date the incandescent light bulb goes out is rapidly approaching.
Congress passed an energy bill which controls the type of light bulbs all Americans must use by the year 2014. It bans the use of the incandescent light bulb and requires the use of those squiggly fluorescent bulbs. I know what you’re thinking again; that’s not so bad….they’re energy saving and that’s good, right?
In addressing the House of Representatives, Rep. Ted Poe of Texas noted that there was nothing in the Constitution that allows the government to control the type of light bulbs Americans use. Other than the lack of constitutional authority, Rep. Poe goes on to say, “These light bulbs contain mercury. So, they have to be disposed of in a certain way. According to EPA rules, you are supposed to take them to a local recycling center.”
Again, that’s not so bad, right? Recycling is good. He goes on to say, “Thanks to Congress, nothing is easy. If you throw them away at home you are supposed to seal them in two plastic bags and place them in the outside trash. Otherwise, the bulb may break and pollute the landfill, of all things. These bulbs are made of glass so they are fragile. If one breaks it or drops it you have to follow simple rules thanks to Congress. And according to the EPA, here’s what you do if you break one of these light bulbs. And I quote, ‘Have people and pets leave the room and don’t let anyone walk through the area. They must evacuate the room. Open a window and leave the room for fifteen minutes or more. Shut off the central heating and air conditioning system. Carefully scoop up glass fragments and powder with stiff paper or cardboard and place them in a glass jar with a metal lid.’ Obviously that’s readily available. I continue, ‘Use sticky tape such as duct tape to pick up any remaining small glass fragments and powder. Wipe the area clean with a damp paper towel or disposable wet wipes and place them in the glass jar. Do not use a vacuum or a broom.’”
He continues, “If you break one of these light bulbs in a high-rise where the windows don’t open, will the EPA police haul us off to jail because of improper disposal procedures? If we dropped one of these light bulbs we would have to evacuate the House of Representatives according to the EPA light bulb law.”
The warnings on these light bulbs say that they may cause interference to radios, televisions, wireless telephones, and remote controls. They are also ONLY made in China. So, not only are they only made in China but they contain mercury. Let’s see……another product that we don’t produce that we will rely on….and they contain mercury….which is obviously not good for the environment….but is still legal to stick in teeth. I am not aware of any warnings on the packaging of amalgam (silver) filling material and this contains 50% mercury. I will discuss more about that next week.
Thank God for politicians.
There Are No Two Dental Practices Alike
February 24, 2011
No two dental practices are alike! Each takes on the characteristics of the practitioner who owns it. The personality of the owner is probably the key to how that office “feels” when you walk in the door. Some practices may feel “clinical and efficient”, while others feel somewhat more home spun and laid back. The dentist’s personality is reflected in his or her treatment preferences as well. The fact that different dentists will suggest different plans to treat your condition does not necessarily mean that one plan is better than another.
In my experience, all dentists will suggest what they feel to be the very best plan for any given patient. The differences between the treatment suggested by one dentist and that of another reflects that dentist’s preferences based on his or her experience. Thus, differing treatment plans do not necessarily reflect any deficiency in either dentist’s judgment.
It is important to remember that there are numerous ways to treat the same situation, and it is always important for the dentist to tailor the treatment plan for each patient’s specific circumstances. A major part of those circumstances may be financial, and since different treatment plans can vary a great deal in cost, it is helpful if the dentist takes the patient’s ability to pay into account.
Think of treatment plans like various models of cars offered by different dealers. All of the models are new, have warranties and will work well out of the lot. The higher end models however have some advantages not found in the less expensive models. Some options add years to the life of the car. Some add to the appearance and enjoyment of driving it.
Dental treatment plans are like that too. Saving a badly damaged tooth with a root canal and a crown will preserve it for a long time, but it is expensive, and the patient may opt for a much less expensive extraction instead. Replacing a missing tooth may be done with a more costly implant or fixed bridge (which remains in the mouth and is not removable), or a much less expensive removable partial denture. A dentist should be able to explain the advantages and disadvantages of the various options, and allow the patient to make the decision.
All dentists who have graduated from an accredited dental school should be technically competent to perform any procedure that they personally feel comfortable performing. But it is important to remember that each one is an individual, and no two dentists can perform exactly the same technical procedure in exactly the same way. As a matter of fact, no single dentist can perform exactly the same procedure exactly the same way twice in a row! How well your filling turns out depends as much on how wide you can open your mouth as it does on the technical qualifications and skills of the dentist himself or herself.
Over the years I have developed a respect for those who practice dentistry. By and large, these are honest people who have the best interest of their patients at heart.
