Hi. I'm Scott Finley with The Dawson Academy, with a quick tip that will give you something to consider when you're selecting shades for you restorations.
Hello, everybody. One of the most, I think, important things Dr. Dawson ever taught me was the concept of green time. And you can call green time go time, or time that's being held for more profitable things in the practice. But the way I think about green time is holding blocks of time in my schedule for things that are going to be cerebral; things where I'm going to have to have complete focus for what I'm doing.
In this edition of Increasing Case Acceptance, I want to talk about converting an emergency patient over to somebody that is going to desire more advanced complete care.
Every one of us have emergencies coming into our practice every day, and many of these patients are focused on the problem at hand. It might be a broken tooth, might be something that's bothering their tongue, or it could be a full-blown abscess where they're in pain. What we have to remember is, if you think about this, it is rare - it's extremely rare - that the only thing that's going on in their mouth is related to that emergency.
In this addition of increasing case acceptance, I want to talk about digital photography. You've been hearing me say this over and over if you've been listening to this section along the way: I don't think there's any way that we can completely convey to a patient what is going on in their mouth unless we have a crystal clear picture of what is happening.
So, a tip to keep improving and growing your office is to focus on the new patient experience. Every month you should be having monthly meetings. I would recommend that at least quarterly you and your office staff actually go through your office as if you were a new patient.
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Inspiration for this article:
Recently we received the following comment on the blog article, "The Importance of Load Testing" by Dr. Leonard Hess.
I am a past attendee of the Pankey and Dawson curriculums ( long ago in the 1980's) and am flabbergasted that you still preach this anachronistic content which has long been disproven in the evidence based literature and debunked in dental education. I am a dental educator and long ago stopped teaching that every patient had to be in centric relation, that the TMJ bore the main load of occlusion and that anterior guidance and posterior interferences had a significant relationship to TMD. I see patients with harmful irreversible changes caused by excessive and unnecessary equilibration, and TMD patients grossly overtreated with unneeded prosthetics, orthodontics and orthognathic surgery. I am hoping that you will post this and respond. Although I have great respect for Dr. Dawson as a pioneer in dentistry the Dawson Academy needs to greatly modify its curriculum content to come into the 21st century. !
Harold F. Menchel DMD
You can find responses by both Dr. Hess and Dr. Dawson to Dr. Menchel's comments at the bottom of that article. Below is my response.
As dental educators, it is our duty to seek a total understanding of the foundational concepts and the associated clinical relevancy in order to teach our students and positively impact patients. Dr. Dawson’s very concept of complete dentistry, and what is taught by the Dawson Academy, is to identify any signs or symptoms that impede anatomic and functional harmony. It is our goal to provide the least invasive, most conservative treatment to help our patients achieve optimal health that is maintainably comfortable and beautiful. This we agree upon.
The “anachronistic content” you describe stems from an incomplete understanding of the anatomy and function of the masticatory system as well as the erroneous application of that misinformation. Much controversy and clinically skewed research stems from a lack of a common classification system for joint position, occlusion and temporomandibular disorder (TMD) diagnostic criteria. Sadly, such has perpetuated our profession and the opportunity to clarify is welcomed.
In this edition of Increasing Case Acceptance, I want to talk about the most important three minutes you have with every patient visit that can lead to case acceptance, either at that visit or in the future.
So my quick tip is about immediate non-occlusal load temporaries for implant restorations.
I love doing INOL temporaries.
I just think it's a great value for patients, but what I found was that there's a lot of chair time involved in doing these. I've done many of them in my office and the patient would come over from the surgeon's office, implant was placed that morning. They come to me. I have my stent ready. I fabricate the INOL temporary and it looked great, but it took me an hour or an hour and a half to do it. And there's a lot of bleeding involved, and tissue involvement that just becomes very frustrating to work with when you are trying to deal with a temporary material.
In this edition of Increasing Case Acceptance, I want to talk about patients with missing teeth. We all have them. We all have patients in our practice that are missing a molar, and time goes by as the patients wonder whether they should do anything about it. And as you observe the patient over the years, the teeth start shifting in. The upper tooth or the lower tooth start shifting in the space and things start getting off.
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