Dr. Paul Feuerstein, Dentistry Today’s technology editor, took some time at ADA to talk Dr. Ed Shellard about some exciting developments at Carestream Dental: Ed’s new role as chief dental officer and Carestream Dental’s new position as a standalone company.
With Dr. Shellard’s deep roots in dentistry, and Carestream Dental’s long history in imaging solutions and practice management software, the company is well positioned for a bright future in dental innovation. Carestream Dental’s deep understanding of today’s dental practice—from the front office to the back office—will continue to drive new integrated solutions that provide more information and improve treatment planning.
By Dr. Bethany Valachi, PT, DPT, MS, CEAS
Imagine spending $1,500 on new loupes and then developing neck pain—or your existing neck pain worsens. This is an all-too-common problem that I frequently encounter in my dental ergonomic consultations and among my dental students. On the other hand, I have repeatedly seen well-designed ergonomic loupes that improve or completely resolve neck pain. So how do you know if your loupes are improving or worsening your health?
Of all the criteria for selecting loupes (working distance, frame size, scope position, declination angle, co-axial adjustment), declination angle is the most important ergonomic factor that can make or break your health.
Studies show that working with the neck flexed forward only 20 degrees or more for 70 percent of the working time has been associated with neck pain. While no loupe systems provide completely neutral head posture (ear-over-shoulder), loupes with a steep declination angle may significantly improve operator working postures in dentistry, thereby lessening risk of musculoskeletal disorders and improving clinician comfort. Therefore, to prevent musculoskeletal injury, loupes should enable you to work with less than 20 degrees of neck flexion.
A major reason for attending any conference is for educational purposes. The Global Oral Health Summit has some of the best and brightest industry speakers, trainers and doctors lined up to guide attendees on their educational journey, but opportunities also exist outside the classroom for people to learn from their peers in the industry.
Carestream Dental calls it the “knowledge exchange;” the concept is similar to The Exchange, the online software users’ community, where attendees/users are can ask questions and learn from each other’s experiences. The Summit offers several spaces for attendees to meet with their colleagues and exchange ideas, tips and tricks and suggestions for how they can take their practices to the next level:
This mass brainstorming session is a collaborative effort with other oral health care professionals to find solutions to the challenges practices face every day. Innovators from MIT will guide participants in problem-solving scenarios to encourage the free flow of ideas and communication about the future of the oral health industry. In particular, the hackathon will address boosting the efficiency of day-to-day operations, enhancing the patient experience and improving their practices. Continue reading
By William J. Moorhead, D.M.D.
To some people, “time-out” implies “sporting event.” To others, it means “parenting strategy.”
Time-outs have been used in medicine for several years. In surgery with the surgical team, time-outs verify such areas as:
- Patient’s name
- Date of birth
- Consent form had been signed
- Drug allergies
- The kind of surgery being performed
In our practice, we use time-outs as a planned pause before the start of treatment to focus on safety and patient communication. Continue reading
During a hectic day at a learning event, it’s common for teams to choose a designated spot to meet up and regroup between educational sessions. At the Global Oral Health Summit, that “designated spot” is Exchange Central. It’s more than a place to connect with team members, it’s a central location with software and support resources, local information and fun ways to relax and recharge.
Make a Pit Stop with the Practice Management Pit Crew
Attendees can look under the hood at some of the new and exciting changes coming to Carestream Dental software. The crew of software analysts and designers will be on-hand to showcase the investments and improvements taking place in Carestream Dental’s practice management systems.
Join The Exchange
Attendees can chat with a Community Expert to learn more about The Exchange, Carestream Dental’s free online users community. At The Exchange, users can ask questions, participate in polls and search for handy how-to guidance for navigating their software.
Get crafty with your hands or challenge others to a game of corn hole, giant Jenga or Connect Four in our Summit Play area. Continue reading
By William J. Moorhead, D.M.D.
In years past, when a clinician made a recommendation, the patient almost always accepted the treatment plan and proceeded with the procedure. A lot has changed since then. With the advent of the internet, patients often want time to do their own research before making a treatment decision because they feel the need to look out for their own self interest.
You may already know the concept of co-diagnosis—the term used to describe the process where patients are guided through a self-discovery of their problems. Technology now helps us tremendously in this process, with intraoral cameras and digital photographs and radiographs.
If you take digital photographs early in the examination appointment, you give patients the opportunity to see their actual conditions—and own their problems before the doctor performs the exam. Most patients expect far fewer issues than are actually present. By seeing the evidence firsthand, however, their self discovery improves case acceptance. Continue reading
By William J. Moorhead, D.M.D.
Can the design of your medical and dental history forms affect efficiency? Yes, definitely. In fact, a well designed form not only saves time, it can facilitate diagnosis and motivate your patients.
Today, most practice management systems have online forms, which enable patients to register and complete their medical and dental history in advance. This can streamline the appointment—but only if the forms are designed with the patient in mind. If you discover that patients are filling out the forms incorrectly or if they are omitting information, it’s likely time to rethink your forms.
When you develop the medical and dental history section of your forms, develop questions so that a “yes” answer requires the doctor’s attention. For example, change the question “are you satisfied with the color of your teeth?” to “would you like whiter teeth?” This approach can speed your review process, because you can quickly decipher where to focus your attention. Continue reading
By William J. Moorhead, D.M.D.
Looking for ways to systematize your dental office? In the book “The Checklist Manifesto” by Atul Gawande, M.D., Dr. Gawande talks about the advantages of using discipline in our work day. Let’s face it, we’re human and prone to mistakes. Gawande reveals how systems and checklists can decrease mistakes, boost efficiency and reduce stress.
Even the Journal of the American Dental Association (JADA) agrees. In an article published in August 2010, Harold M. Pinsky, D.D.S., a part-time dentist and part-time pilot, states, “To enhance safety, practitioners must implement forward-thinking strategies. Because human error is inevitable, threat and error management techniques are needed to help identify and trap error before it develops into unexpected outcomes. Risk analysis heightens situational awareness for possible dental error. Efficiency increases with early error detection.” Continue reading
It is no longer a debatable fact that three-dimensional imaging is standard of care when it comes to the surgical component of implant placement.1 The key here is to understand the value of achieving the three-dimensional view, simply phrased as the depth component of the visual anatomy. CBCT images are valuable to understand the topography and—more importantly—the inner component of the osseous structures.
Although all the image stacks are very critical to forming an opinion of the anatomical region in consideration, it is the cross-sectional view that are the most used when it comes to virtual planning of implants. Surgeons are better able to appreciate the buccal-lingual dimension of the bone when viewing the cross sectional reconstruction of the scanned anatomical area of the jaws. While viewing this reconstruction and other multiplanar images, there are some key anatomical markers to be evaluated as a part of the visual assessment of the bone.
It is expected that the morphology of the edentulous areas varies not only between individuals, but in an individual’s oral cavity. Age is a critical factor in the change noted in the osseous structures. Another critical factor is time; the longer a patient stays edentulous, the more the probability of resorption of the alveolar crest. This leads one to note the following three (not limited to) critical changes in the jaws:
by Dr. Mark Hyman
A young dental student was working with me in my office years ago. All day long, he repeatedly said, “How can your team get patients to say yes to so many cases? What’s the secret sauce?”
His questions astonished me until I realized this: what is obvious to me isn’t obvious to everyone. My way of practicing dentistry involves the use of fundamental human relations principles, and a lot of practitioners out there just don’t realize the importance of this. Here’s the premise: Stop telling people what they need; instead, listen to what they want.
We try to never use the word need in our practice. You need a crown; you need to floss; you need to stop smoking. Need is punitive. Let’s face it: for the most part, dentistry is elective. The better four-letter word is want. After all, it’s not enough to buy CBCT systems, or digital sensors or intraoral scanners. What good is that state-of-the-art technology if your patients don’t want you to use them? Continue reading