Monday, September 30, 2019

A recap of the 2019 ADA FDI World Dental Congress

Three weeks ago, I packed my bags and flew across the country to attend the ADA FDI World Dental Congress. I had the honor of being chosen as one of ASDA’s student delegates to attend the meeting, and I was eager to represent dental students in the broader organized dentistry community. I had been to several dental conferences before, so I had an idea of what to expect, but I couldn’t have anticipated the sheer scope of the ADA Annual Session. Here’s a quick look at my week in San Francisco.

Unless my amateur swimming takes off, seeing the opening ceremonies of the ADA FDI World Dental Congress is as close to the Olympics as I’ll ever get. Thousands of attendees from all over the globe congregated to mark the beginning of the week’s festivities. As each country’s name was called out over the loud speakers, people from that country stood up to cheer, waving the tiny flags they brought with them just for the occasion. Going through the list of all the world’s countries took quite a bit of time but made for some excellent people-watching. My favorite moments? When one country’s name was called and only two people stood up, it was apparent that neither of them knew that the other was there, and they shared a moment of joyful recognition from across the crowd. At another point, a single representative from a country stood up, realized he was the only one there, turned around to face the crowd and took a very theatric bow.

Dr. Jeffrey Cole, ADA immediate past president, and Dr. Kathryn Kell, FDI immediate past president, served as the emcees for the ceremony. After Drs. Cole and Kell presented several awards in recognition of humanitarian efforts in dentistry, it was time for the keynote speaker: Mark Wahlberg. As hundreds of cellphones went up in the air to try to get a shot of our celebrity guest, a nice Australian woman sitting directly in front of me turned around and asked, “Are you just here to see Mark Wahlberg? Because, honestly, I am.”

Wahlberg talked with Drs. Cole and Kell about his childhood in Boston, his own experience with dentistry and his passion for addressing the opioid crisis. After the interview, fans rushed the stage in hopes of getting a selfie with Wahlberg. (“Here’s your chance — get up there,” said the Australian woman from before.)

The excitement of the opening session left the ASDA delegation ready to dive into the week ahead. As delegates and alternate delegates to the ADA House, the ASDA delegation had several key responsibilities. First was reviewing the resolutions that would be presented to the House of Delegates, and discussing if and how those resolutions affected ASDA membership. Many of the resolutions had little impact on dental students — for example, specifics of the ADA’s annual budget — but many did intersect with ASDA policy and dental student interests. Investigations into new ways of repaying student loan debt, for example, were debated, along with other items.

After meeting as a caucus, attending reference committee hearings and discussing the resolutions with dentists from our home states, members of our delegation sat on the house floor and cast our votes. If you’ve ever been to a meeting of ASDA’s House of Delegates at Annual Session, you’ll know exactly what this process looks like.

It is impossible to summarize the week in such a short format. I could go on and on about how our delegation met with and questioned candidates for the ADA president-elect, second vice-president and speaker of the house. How we saw the leadership turn over from Dr. Cole to the ADA’s new president, Dr. Chad Gehani. How we proudly saw ASDA executive director, Nancy Honeycutt, become an honorary member of the ADA. Suffice it to say that every hour of these few days was packed with activity.

All in all, I came away from this experience appreciating how much organized dentistry means to our profession and how much practicing dentists are eager for students to get involved. After you’ve gotten a taste of organized dentistry through ASDA, consider getting involved with your local or state dental societies. I guarantee, you’ll be glad you did.

~Jeannie Binder, Texas-Houston ’21, ASDA Editor-in-Chief

CDA: Prepare for CDT 2020 dental code changes

Is your practice prepared for the additions, revisions, and deletions that will go into effect on January 1, 2020, to the Codes on Dental Procedures and Nomenclature (CDT)? This primer from CDA Practice Support will help your practice be ready for the changes.


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Do's and don'ts for delegating responsibilities

While it may make you feel better to have your hand in everything, as the practice's primary producer you can raise production dramatically by delegating all nonclinical responsibilities to staff members, according to Dr. Roger P. Levin. Delegating will also give your practice greater flexibility in daily operations and empower your team members to excel and take pride in their work.


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Friday, September 27, 2019

Special needs patients require unique anesthetic approaches

Safe, successful dental treatments in special needs patients depend on choosing the right anesthetic methods and equipment and having a skilled staff, according to the author of a recent study. Utilizing the appropriate anesthetic approach and taking serious precautions can reduce complications in these patients.


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Why knowing what's happening in your practice isn't enough: Part 1

If the first step in helping a patient is by asking them where it hurts, why shouldn't the same procedure apply to your practice? Curtis Marshall of Dental Intelligence writes that many practice owners don't identify the pain points in their practice. In the first of a two-part series, he helps identify these pain points and how to fix them.


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Study: Electric-activated method whitens teeth faster

Using an electrokinetic flow method to whiten teeth offers a faster, equally effective alternative to other available light-diffusing treatments, according to a study published September 20 in Dental Materials.


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Thursday, September 26, 2019

Wednesday, September 25, 2019

Maintaining your wellness as a predental student

As a predental student, there are many stressors that come our way. Balancing academics, volunteering, participating in club organizations and work are not only time consuming, but can be strenuous on our bodies as well. While juggling all of these responsibilities, it can be tough to find time to take care of yourself.

I struggled with this during my first couple years of college. After a long day of classes, volunteering and extracurricular activities, all I wanted to do was head back to my apartment and lie in bed. However, this usually was not an option because I would have an exam to study for or a project to complete. I crammed my day with responsibilities and did not prioritize or allocate much time to taking care of myself.

Over summer break, my roommates and I’d had enough. We decided to work on prioritizing ourselves again. With a lighter summer schedule, we spent time in our university’s recreational center to get our blood pumping. My friends helped keep me accountable, and I held them to the same standard.

As the new fall semester approached, however, this routine fell apart. Spending time getting in my car, driving to the gym, finding parking and finally entering the gym meant my 30-minute workout turned into hour or longer. I felt that my schedule could not afford this loss of time.

The second issue was losing my accountability and support system. My roommates and I all had different schedules, so I no longer had easy access to the friends who kept me motivated. I reverted to my old ways. I stopped prioritizing my health and wellness.

After a few months, I decided I needed to find a different way to make sure I was taking care of myself and exercising. Not having enough time and not having friends to work out with me were excuses I could not afford to keep making. To deal with the problem of not having an accessible gym, I took my workouts home with me and started running. I ran in the neighborhood where I lived and in parks nearby, and I’m now able to wake up, get dressed, step outside and begin my workout. I run for 15-30 minutes and then walk back to my apartment.

Running in my neighborhood makes a big impact on my life. I save an incredible amount of time in the day, and I am able to keep motivated since all I have to do is make that first step outside. I am prioritizing my wellness as a predental student, and my productivity, energy and overall mood have increased. By adding running to my schedule, I am more focused and awake during the day, and I get more schoolwork done since I start my day with a productive mindset.

Getting in a workout, no matter how big or small, can improve your attitude and ability to reach your goals. It doesn’t have to be running either! As predental students, either working or in college, you may not have access to a gym or recreational facility. You can still do something to take care of your body at home or in your neighborhood. Yoga, at-home workouts, jump-roping, meditation, playing with your dog or even a simple walk down the street are all great ways to focus on your well-being.

Now that we are nearing the end of ASDA’s Wellness Month, I challenge you to continue any simple steps you have taken to invest in your health and wellness. For the remainder of the year, take only a few minutes of your day to do something for you. Once you see the positive impact that simple changes can have on your life, there will be no turning back.

~Grace Ishak, University of Florida ’20, ASDA Predental Consultant

New review finds AI as accurate as healthcare practitioners

Artificial intelligence (AI) can detect oral cancer and other diseases with similar levels of accuracy as healthcare professionals, according to a new review published on September 24. But the authors caution that dentists and physicians aren't in danger of being replaced by AI anytime soon.


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5 steps to appeal denied claims

Every practice experiences a denial of their claims, but why does it happen, and how can you increase the likelihood that your appeal will be accepted? Dr. James Anderson of eAssist notes that there are common mistakes to avoid, like putting in the wrong codes or not having the necessary information. He outlines five practical ways your practice can improve immediately.


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Tuesday, September 24, 2019

Incidents of preventable dental mistakes rising

The number of severe dentistry failures that clinicians could have prevented, such as performing surgery on the wrong location, continues to climb. Wrong-tooth removals account for up to 10% of all preventable safety dental incidents, known as "never events," according to a new study.


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4 steps to protect your practice against cybersecurity attacks

You have spent many years training to become a dentist, growing your practice, building your reputation, and developing a loyal patient base. It is now imperative that you take steps to protect your investment of time and money. Gary Salman, CEO of Black Talon Security, offers four steps to take to protect your practice against cybersecurity attacks.


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Monday, September 23, 2019

Books and podcasts, as recommended by ASDA’s Editorial Board

It’s safe to say that members of ASDA’s Editorial Board love a good book or podcast in their spare time. If you need a suggestion for a new book or podcast, keep scrolling for some recommendations.

Isabel Pennings, Contributing Editor

Book: “Teeth” by Mary Otto
This book describes the debate about mid-level practitioners and provides a unique journalistic view into the history of dentistry. This is a great read for anyone who is interested in the issue of increasing access to care.

Callista Schulenberg, Electronic Editor

Book: “Serve to be Great” by Matt Tenney 
This is a book about servant leadership and discusses how to build greatness by loving, serving and caring. I read this book in one sitting, and it completely changed the way I think about how I will lead in dentistry.

Mari Liestman, Contributing Editor

Book: “Lilac Girls: A Novel” by Martha Hall Kelly
Inspired by a true story, this historical fiction follows three women across the world over a period of 20 years. The author weaves together the stories of a New Yorker, a Polish teenager and a Nazi doctor as they experience life, love and loss during World War II and the Holocaust. It’s beautifully written, thought-provoking and has become one of my favorite books!

Jessica Rudman, Contributing Editor

​Podcast: Wrongful Convictions
Last year I was driving to interviews and externships a lot and needed a way to pass the time. This podcast was my go-to. Each episode outlines a story of a person who was wrongfully convicted. The episode includes an interview and often dives into the problems with today’s legal system, which allow these types of cases to be so common. Often, the person has been released by the time of the interview, but in some cases, the person is still in prison. The podcast can be dark at times because there are two victims in every case — the person who the crime was committed against and the person who was wrongfully convicted. 

Casey Rhines, Contributing Editor

Podcast: The Dangerous Dentist
After my first restorative procedure of fourth year, my faculty came to me and said I needed to gain some confidence. I almost cried. I went home angry from the criticism but aware that he was right. The first episode of this podcast is centered around increasing your confidence in dentistry, delivered by two funny best friends from dental school. Listen to why you shouldn’t mow your own lawn (episode No. 4) for a relatable discussion about time and money management. 

Podcast: Dr. Death
If you haven’t already listened to this podcast, you are missing out. A neurosurgeon set on the path to success spirals out of control and takes it out on patients and friends. Find out how the first medical doctor was tried for malpractice in a criminal case. This podcast delivers a satisfying combination of science and drama. 

Shilpa Kudva, Electronic Editor

Book: “The Other Wes Moore: One Name, Two Fates” by Wes Moore
This is a wonderful book about two men who grew up in the same neighborhood, both named Wes Moore. One of them became a successful author; the other ended up in prison. It’s a fascinating read, and I realized the impact the little decisions we make have on the rest of our lives.

Want to know what some of ASDA’s Board of Trustees are reading and listening to? Get more recommendations in the September 2019 issue of Contour.

Talking to your patients about implants or a root canal

Should your patient get an implant or a root canal? Dr. Edward Harsini notes that this is a difficult conversation to have with a patient and requires the dentist to have an answer that incorporates both the patient's investment and medical history perspectives. An implant isn't always the right answer.


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Misaligned teeth treatments depend on who, where, why

Patients may wonder why orthodontists chose certain treatments when they fix their misaligned teeth. While each patient's unique dental problems play the largest role in treatment, so do a number of other factors. Doctor and patient demographics also affect their decisions, according to a new study.


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Do's and don'ts for using social media wisely

Use social media to inform and entertain patients, not just as an excuse to talk about your practice. While a tweet or a Facebook post can discuss important practice announcements, you should also share stories about oral health, nutrition, and other subjects that patients may find interesting, advises Dr. Roger P. Levin in his latest Practice Success tip.


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Friday, September 20, 2019

Ex-dentist in DC pleads guilty to $5M in Medicaid fraud

A former dentist in the Washington, DC, area who is already in jail for sexually assaulting patients has pleaded guilty for his part in a scheme to defraud his local Medicaid program out of approximately $5 million.


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Kids with autism have fewer caries but other oral health issues

Children with autism experience fewer caries and decayed, missing, and filled teeth than their neurotypical peers, according to the findings of a new study. However, these children are prone to other oral health issues, including bruxism, dental anxiety, and soft-tissue trauma.


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Thursday, September 19, 2019

Master frequently asked interview questions

Interviewing can be one of the most nerve-racking experiences for job seekers. First impressions are everything and achieving a successful interview takes intentional preparation. The best way to prepare for an interview is to think through answers to the most frequently asked questions and practice ahead of time. This will help you appear positive, polished and genuine. To get started, these are five of the top interview questions for dentists and some insights into what interviewers look for from applicants.

1. What do you know about our dental office?
Do the homework. Search for everything available in the public domain about the owner-dentist and their practice, including the website, online reviews, LinkedIn, Facebook and any other information that can be found online. DSO, group and solo practice models vary widely, so take the time to understand how this opportunity stands out from others.

In asking this question, the interviewer is trying to understand what attracted you to the job opportunity. They want to get a feel for whether there is something about the opportunity that is truly meaningful or whether you are just looking for a paycheck.

So, how can you stand out? Make a connection with the owner-dentist or practice and talk about an aspect you uncovered that aligns well with your goals. For instance, if you find that the practice has participated in local community events and charities, you can talk about why community involvement is important.

2. How did you decide dentistry was the right career for you?
This is an opportunity for you to show the interviewer what drives you professionally. Make it personal and be genuine. Don’t make the mistake of giving the answer you think the interviewer wants to hear. If it comes across as generic or artificial, it can work against you.

Interviewers ask this question to understand your passion and dedication to dentistry. Your first inclination may be to say, “I went into dentistry because I wanted to help people.” Instead, tell a personal story about what first attracted you to dentistry or why you are so passionate about the profession. This is an opportunity to be sincere and tell a brief personal story that the interviewer will remember.

3. What makes you unique or different from your peers?
Spend time developing your value proposition and how you can best articulate it. The interviewer is evaluating whether they should hire you over the next applicant, and your answers to this question are one of the best opportunities to outshine the competition. If hired, what will you bring to the table that is exceptional?

As Coco Chanel said, “In order to be irreplaceable, one must always be different.” Which qualities and specific examples set you apart? If you can show the interviewer what’s in it for them if they hired you, your chances of landing the job increase. And remember to be likeable. An interviewer chooses to bring you in because of your qualifications, but they choose to hire you based on whether they like you and feel you are a good fit for the practice. 

4. What are your financial goals?
Many job seekers shy away from talking numbers in the interview. However, it’s important to have a transparent conversation about goals early in the process. The interviewer will understand that you may have a lot of debt, and they want to see that you have a plan to achieve your financial goals.

Do research ahead of time and know the industry standards for dentist compensation. You might say, “I know that average new dentist earns $120,000 to $150,000 per year, and I am looking be on the top end of this range, and here is why.” Be specific and measurable when talking about financial goals and debt repayment. 

5. What experience in your life has shaped you as a person?
This is another opportunity to be memorable. The interviewer is looking to make a connection with you and understand who you are on a personal level. Tell a story that might show a little vulnerability, but keep it professional. Think about the qualities you gained from the experience and how they continue to impact and benefit you on a personal and professional level.

Once you’ve thought through the answers to common interview questions, the next step is to practice and get feedback from others. Consider filming yourself and practicing your answers in the mirror to observe body language and facial expressions. It is also helpful to engage in mock interviews with people you trust. This is the best way to get valuable feedback on how you are articulating answers, and it helps you practice making eye contact, smiling and having good posture throughout the interview.

By taking an intentional approach to preparing for the toughest interview questions, you will not only feel more confident going into your interview, but also increase your odds of achieving success.

~Rebecca Sorci, MBA, University & Clinician Communications Manager for Pacific Dental Services®

This blog post is sponsored by Pacific Dental Services.

How your practice can avoid production loss

Practices lose about 10% of their production because of no-shows, patient attrition, and other issues. How can your practice overcome or avoid these issues? Dr. Roger P. Levin details four areas to watch and offers easy-to-implement tips for improving your practice's performance.


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5 ways to open oral health access to Medicare recipients

As policymakers in Washington, DC, explore ways to make dental care more affordable for approximately 60 million Medicare recipients, the Kaiser Family Foundation on September 18 issued a brief that outlined five possible ways they may achieve this goal.


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Wednesday, September 18, 2019

HRSA awards $85M to expand access to oral health services

The U.S. Department of Health and Human Services' Health Resources and Services Administration (HRSA) has awarded about $85.3 million to nearly 300 government-funded health centers to expand their oral health service capacity through new and enhanced infrastructure.


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Sparking joy while studying: How Marie Kondo changed my study life

Just as quickly as the last semester ended, a new one began. You promised yourself to become more organized, get through all of the recommended readings and stick to a study schedule. One month into the semester, your desk is covered in dirty scrubs, leftover Chipotle and half-highlighted syllabi. In 30 days, your study goal has gone from hero to zero. Semester after semester, I lose the motivation to study because my desk is in the running for the next episode of “Hoarders.” Fortunately, my Netflix obsession let me tumble across the KonMari method, which completely changed my study life.

In her Netflix show, “Tidying Up with Marie Kondo,” Kondo explores the world of clearing out clutter and choosing joy. The National Survey of Student Engagement reveals first-year students spend an average of 13.8 hours a week preparing for classes. It’s almost a necessity to have an environment that brings joy while studying for long periods.

A main difference between the KonMari method and other decluttering strategies is Kondo discards by category, not by location. Cleaning one room at a time would take the rest of your dental school career before you got around to discarding your oral pathology notes from three semesters ago. The key to KonMari-ing your study space is to focus more on the things you want to keep instead of trying to throw everything away.

Get more organization tips from the rest of this article in the September 2019 issue of Contour.


Did you know that you could sign up to receive an email whenever the digital issue of Contour is available? Log in to your profile, select “My ASDA” and update your publications preferences.

Kids with type 1 diabetes have more caries

Two-thirds of children and adolescents with type 1 diabetes have dental caries, according to a systematic review published in BMC Oral Health on September 14 that analyzed cases that spanned 20 years. The authors recommended that these patients be screened for early signs of caries and receive preventive treatment during routine dental examinations.


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U.S. men less knowledgeable about HPV than women

U.S. men are generally less knowledgeable than same-age U.S. women about HPV, the HPV vaccine, and the relationship between HPV and cancer, according to a study published on September 16 in JAMA Pediatrics. The findings highlight the importance of effective communication between practitioners and patients about the vaccine.


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7 questions most dentists don't ask their marketing firm

As a practice owner, you want your marketing to convey the right image of your practice, writes Dr. Mikaeya Kalantari. But how do you know that a marketing firm is right for you? She specifies seven questions to help you wisely spend your marketing budget.


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Tuesday, September 17, 2019

Why dental leadership is necessary for today’s practice

Dental leadership is the set of practices, attitudes and abilities that allow a person to define the direction of a practice or team, and then motivate and influence others to move in that direction toward shared goals.

As emerging dental professionals, you might wonder if this kind of dental leadership is really needed to start and grow a practice. After all, aren’t there many more little details that need to be decided first? Doesn’t the practice need to grow to a certain size before worrying about leadership?

That might have been the case 20 years ago, but today, it’s an attitude that will hinder your practice. Consider all the forces that are shaping oral health professions today:

  • New practice/business models
  • Changing consumer demands for oral care and cosmetic dentistry products
  • Changing consumer demographics and buying patterns
  • New financing options for dental care
  • Direct marketing of dental products and services to consumers
  • Changes in education about oral health
  • Advances in oral care and orthodontic technologies
  • Privacy laws, patient records and compliance

A dental practice today might seem similar to one that our parents’ generation visited, but the underlying industry dynamics and business models are more complicated.

How are these forces to be navigated? How are decisions made? Who will define what the practice of the future looks like? How do you get your staff and your patients on board with change?

The first step is to ask yourself, “What can I do better today to be a better leader tomorrow?” The next step is to create a self-help plan for improving your leadership skills. It doesn’t need to be complicated; it simply needs to be a guide that will help you hold yourself accountable for your dental leadership development.

For example, you should plan for:

  • Continued learning. There’s always more to learn, both about the practice of dentistry and about being a leader in a dental practice. Make time to read books and articles or even take some classes. Join a professional peer group. Reach out to a mentor. Continue to challenge yourself.
  • Putting together a vision. It’s easier to lead others when you have a sense of direction. Picture what you want your practice to look like in one year, five years and 10 years. Ask yourself, “What steps do I need to take right now to start moving toward those visions?”
  • Working on your mindset. Do you have a passion for what you do? Do others feel that passion and get excited? Do you look forward to working together to achieve your vision? Mull over these questions, then do what you need to do to get into the right mindset for leading.
  • Mastering the art and science of decision-making. Effective leaders must perform a balancing act between making firm and fast decisions, and avoiding being stubborn or authoritarian. Decision-making in this way requires skills such as active listening, information gathering, prioritizing and, ultimately, positively influencing others.
  • Being open to change. The practice of dentistry and the economy at large are quickly changing. Dental practices that cling to the status quo are going to struggle. Be open to change and help your staff weather that change when it happens.

Want more ideas about dental leadership? Check out our webinar with ASDA’s Career Compass to hear what Heartland Dental-supported doctors had to say.

~Heartland Dental

This blog post was sponsored by Heartland Dental.