Tuesday, March 31, 2020

Treloar Talks: In conversation with a general dentist

In this edition of Treloar Talks, I speak with Dr. Matthew Walker, a general dentist in Tahlequah, Oklahoma. Dr. Walker earned his bachelor’s degree from Northeastern State University and his dental degree from Oklahoma University in 2001. He has maintained a commitment to continuing education and has pursued advanced training in laser gum surgery (LANAP), cosmetic reconstruction and dental implant dentistry.

Blake Brownell: Tell us about your practice and the community you serve.

Dr. Matthew Walker: I’m a lifelong resident of Tahlequah, Oklahoma. It’s a community of about 20,000 people, but as the county seat for the larger area, it draws upon a population of about 45,000 to 50,000. It’s a somewhat underserved community. I practiced here for 10 years by myself before my brother joined me.

How did you and your brother start working together?

When my brother graduated dental school in 2009, he took a job with the Cherokee Nation that gave him Fridays off, so he would work in my practice on those days. The space I had for the practice was too small for both of us. After about two years, I decided to build a new facility — a 10 operatory practice. That’s when he joined full time, and we have been off to the races ever since.

What motivated you to take on that big project?

The bank was the first thing that kept me motivated. When I got out of dental school, I remember several of my classmates saying they felt it was too risky to go into a solo dental practice. And my thought was, well, I have about $10 to my name, so if the bank would loan me money, I’ll give it a shot — and I did. I bought a modestly sized practice from a dentist in Tahlequah.

The desire to succeed drove me more than anything else. It was fun, it was stressful and it was a little scary, but you hustle and go in every day, doing the best you can. Fortunately for me, it worked out well.

What allowed you to be successful early on?

The practice took off quickly because in that community at the time, there was a huge need for pediatric dental care, and few dentists addressed it. In dental school, I had a special interest in this area, and I participated in a pediatric honors program, which helped a lot. I also had interest in endodontics, a specialty that several dentists in our town did not offer. A few of them referred cases to me, which was helpful.

Being open to doing lots of different procedures helped me grow. Not that it was easy to learn all those skills — it wasn’t. But I’ve always thought that it’s important for general dentists to be well-versed in a variety of procedures to be able to serve their patients well, especially in a rural community like ours.

How have you expanded your practice and developed your skills throughout your career?

I’ve always felt a responsibility to provide all the technology and techniques that patients can access in communities larger than ours because that’s what people want and need. Granted, there are still patients willing to drive an hour and a half to go see a specialist, but most people would prefer to have those services right here in town.

I discovered that if I couldn’t offer a particular service, most often the patient wouldn’t get it done at all, even when I referred them to someone else. Now that I’m more experienced and skilled, I offer them the choice to do it here (if we offer it) or to go to another provider. Most times, they say, “If you can do it here yourself, please go ahead and do it.” My philosophy is to be honest and upfront with patients about our capabilities and their options. Every time someone has chosen to give me the opportunity to perform a procedure that’s new, it’s both motivated me and allowed me to expand my skillset.

Who has helped you along the way?

I was fortunate to have access to specialists willing to help me. I called them a lot when I was learning to perform new procedures. I told them what I was learning to do, but I also faithfully referred to them when I knew that my patients would be better served through them. I made a point to associate myself with people who are good in their chosen field and they, in turn, became good mentors.

Treloar & Heisel and Treloar & Heisel Property and Casualty are divisions of Treloar & Heisel, Inc.
Insurance products offered through Treloar & Heisel, Inc.
Treloar & Heisel, Inc. and its divisions do not offer career management advice. The information in this article is intended for general informational purposes only and does not guarantee career success. Please consult a professional concerning this topic.
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~Blake Brownell, Director of Strategic Partnerships, Treloar & Heisel

This blog post was sponsored by Treloar & Heisel.

5 strategies to increase dental office manager job satisfaction

Here are five tried and true strategies you can implement now to show your gratitude and support for all that office managers do, all while improving your practice when things return to normal, writes Christine Alfano.


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Maine dentists can't treat patients via teledentistry

Dentists in Maine cannot legally engage in teledentistry during the COVID-19 pandemic, despite instruction from the state's governor to treat patients remotely, according to the Maine Board of Dental Practice.


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How dentists can financially survive the COVID-19 pandemic

Dental consultant Sally McKenzie has put together a few tips to help dentists and team members better understand the financial situation of their business and what they need to do to survive the crisis caused by the COVID-19 pandemic.


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Monday, March 30, 2020

Navigating the COVID-19 pandemic as a D4

With dental schools closed across the country, many seniors are navigating what the next steps in their dental career look like. Sandya Athigaman is a fourth-year dental student from Carlsbad, New Mexico, attending Texas A&M. After graduation, she plans to practice as a general dentist, serving in Texas. Here, Athigaman talks about the experience at her school and her tips for staying optimistic during these uncertain times.

How has COVID-19 affected your graduation plans, and what is your school’s contingency plan?

All commencement activities, including our graduation, awards ceremony and awards reception have been canceled. The school is discussing possible alternatives and will relay that information to us as soon as they figure out what works best for everyone. 

How has this affected your licensing exam?

The WREB licensing exam for our school has been postponed. WREB and our school administration are working together to confirm logistics for the new exam dates and will send us emails periodically to update us on this matter.

Is there anything you are doing right now to meet requirements you have left?

Elective dental work is to be postponed until after April 21, per the governor’s order. This date may be extended depending on the severity and control of the outbreak. If we are not providing dental care for patients in the clinic, there is no way for us to complete our requirements at this time.

How do you think this will affect your first year on the job?

We don’t know how or when we’re going to become licensed. Undeniably, we will experience a delay in joining the workforce. Currently, many new dentists are being laid off or furloughed due to the government-mandated cessation of elective dental care. Once the pandemic has ended, dental practices will likely take a few months to return to normal operations. A lot of us have jobs lined up, but there is a possibility that these may not be guaranteed anymore.

What are your wellness and self-care tips for other fourth-years out there?

We have worked hard during the past few years, and we’ve seen the light at the end of the tunnel; only now, it seems to be getting farther away, and it’s pretty discouraging. It’s OK to feel that way. However, we just have to remember that the light is still there, and it’s still ours to celebrate one day. We can’t let this time of uncertainty bring down our spirits, so we need to stay busy and focus on things we can control: enjoying our hobbies, taking care of our health and contacting our loved ones once in a while.

We also have to remember how incredible it is to have the support of so many different people working diligently 24/7 to slow the progression of this pandemic and allow us to live as normally as possible during this trying time. Ending each day with a little hope and a little thanks is the key to getting through this.

~Shilpa Kudva, Texas A&M ’21, ASDA Electronic Editor

Do's and don'ts for writing scripts for a better patient experience

Every routine interaction between staff and patients contributes to the quality of the patient experience, for better or worse. Well-written and properly used, scripts can guide team members as they operate practice systems and also add depth and value to patient-practice relationships, writes Dr. Roger P. Levin in his latest Practice Success tip.


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4 ways to up your online presence during the COVID-19 crisis

Getting to work on these four tasks will keep you connected to your profession, boost your online presence, and, hopefully, bring in new patients and strengthen the relationships with the ones you have, writes Dr. Mikaeya Kalantari.


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Imaging aids removal of broken burs from third-molar surgeries

Radiography, CT, and 3D modeling helped clinicians remove burs that had broken off from high-speed handpieces during third-molar extractions and migrated to the mandibular body of one patient and the floor of the mouth of another, according to a recently published report of two cases.


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Friday, March 27, 2020

Dentists are asking, 'Should I stay or should I close now?'

There is certainly no judgment here, but Dr. David Rice discusses why now is the time for dental practices to put the long-term health of dentists, team members, and patients ahead of the short-term goal of keeping a dental practice open during the coronavirus disease (COVID-19) pandemic.


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How every picture tells a story in the dental practice

If dental professionals do not take adequate notes, capture an intraoral image, or take radiographs to document our diagnoses and support our treatment plans, we will not have the full benefit of factual clinical findings, writes Lisa Wadsworth, RDH.


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Affordable Care Act 10-year anniversary: Oral health wins and losses

March 23 marked the 10-year anniversary of the signing of the Patient Protection and Affordable Care Act (ACA). Dental public health expert Nadereh Pourat, PhD, spoke with DrBicuspid.com about some of the oral health wins and losses from the biggest U.S. healthcare overhaul in 50 years.


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Thursday, March 26, 2020

4 factors affecting which jobs dental assistants take

How do you get those dental assistants who are willing to go above and beyond for your practice each day? Find out what job factors matter the most when dental assistants are considering positions, and adjust accordingly to land the best and the brightest, writes Robynn Rixse, president of the American Dental Assistants Association.


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Loss of taste, smell likely signs of COVID-19

Patients who experience loss of taste and smell but are otherwise asymptomatic may be carriers of the novel coronavirus, causing the rapid spread of the outbreak, according to the British Association of Otorhinolaryngology -- Head and Neck Surgery.


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Wednesday, March 25, 2020

How dental practices should manage hiring during COVID-19 pandemic

Recruitment strategy is like every other type of business strategy -- it is only as effective as the quality of inputs you have to form it. Unfortunately, COVID-19 creates a lot of uncertainty. With that in mind, Catrinel Hagivreta has five key recommendations to help you stay competitive when it comes to hiring practices.


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Teledentistry 101: How to get started, billing codes, questions, and more

In her latest podcast, dental insurance expert Teresa Duncan breaks down what dentists and dental team members need to know about implementing teledentistry into their practices, including answers to frequently asked questions.


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A spotlight on ASDA’s national delegate of the year

ASDA delegates serve to increase membership, interact with state and local dental societies, and encourage members to seek national and regional leadership positions. Each year, ASDA recognizes the accomplishments in mentorship of its delegates by awarding one from each district a Delegate of the Year Award. From the 11 award winners, the delegate who has demonstrated significant personal dedication and outstanding achievement receives the National Delegate of the Year Award.

This year, Eric Bender, Pittsburgh ’21, was named ASDA National Delegate of the Year.

What does being the National Delegate of the Year mean to you?

I’m honored to be recognized for the energy I’ve poured into ASDA, though I think of this recognition with a stronger connection to our team’s success than a “me” award. As the saying goes, surround yourself with people you want to be like, as we are a product of our environment. I was lucky to have the best executive board a president could ask for. Lee Rodems (VP), Casey White (secretary), Kirsten Fast (treasurer) and Patrick Donnelly (legislative liaison) were nothing short of amazing this past year. Our ASDA chapter achieved incredible growth in both member engagement and programming, all of which wouldn’t have been possible without their leadership. We instituted “decentralized command” within our chapter, delegating executive board members to oversee one or two committees, which were in turn led by committee chairs. 

Outside the scope of our chapter, I’ve garnered leadership experience and personal development through my involvement as vice president of The Tooth Bank. Our growing team of all-stars, including Jack Lupfer, Raul Molina, Brett Becker and Monil Mehta (among many others), have given me the feedback and guidance to apply transferable skills between both organizations. I’m honored that our success has drawn attention as an example of what delegates can achieve! I would also like to give a huge thank you to Julia Cheung (immediate past district 3 trustee) for nominating me and Immediate Past President Craig McKenzie for demonstrating what ASDA can be. My choice to commit such a large amount of time to ASDA this past year took away time from other areas of my life, especially time with my fiancé Emilia, so a big thanks to her for being supportive and understanding of my involvement.

What has been your favorite ASDA moment this past year?  

If I have to pick one, it would be our chapter’s “Steel City Expo.” Every year, our school administration blocks off class and clinic for a day to allow the student body and interested faculty to attend a keynote lecture and vendor fair. This year was our most successful event yet! Much credit owed to the leadership of District 3 Trustee Casey White, as she led the event planning committee. For the first time in the history of the event, we not only had a keynote speaker, but we had breakout sessions from local dentists on a variety of topics. After the lectures and breakout sessions, we had our most highly attended vendor fair, which gave students the opportunity to learn about the vital interactions we have with dental industry.  

The feedback we received from our classmates and faculty was positive. Attendees agreed it was the best Steel City event they’ve ever been to. Most importantly, though, we brought an NLC-style event to our home turf and offered our members what NLC gave those of us who attended – the ability to learn outside the classroom,and an idea of what organized dentistry can provide. Our school’s interest in ASDA gained even more momentum after this event and being a part of that brings so much joy!

This year’s Annual Session theme was “Gateway to Growth.” How have you grown as a leader in this past year with ASDA?  

This may sound cliché, but I never thought I would grow as much as I did this past year as our chapter’s president. There were many triumphant moments, as well as those that were trying. Being a leader is difficult. Add in the fact that ASDA members are undergoing (possibly) some of the most rigorous and stressful years of their lives, and you’re in for a challenge. I think I grew most by realizing that everyone is on their own journey and their own timeline. People have different priorities, skills, talents and interests. Despite this variation, ASDA can be of value to each and every member. I’ve learned to think critically about how ASDA can fit into everyone’s paths to provide value as a chapter to our members and community.  

Through lectures at ASDA’s national conferences and through practice of leading our chapter, I’ve taken away a few “biggies”:

  • I’ve learned to take ownership of faults and failures, and not to blame others, but to celebrate and reward wins with the team that made it happen.
  • I’ve learned that if you want something in life, take steps to make it happen. Sure, there’s the risk of failing, but wouldn’t you rather fail than to have never tried? Happen to life, don’t let life happen to you.
  • I’ve learned just how far being a genuinely nice person can go. Be kind. People take notice.

What advice do you have for someone who is starting their ASDA journey? 

The most joy I’ve found in dental school has been the experiences I’ve had and people I’ve met through ASDA. Dental schools have a tough job. They need to graduate competent dentists who will walk out the door in four short years. Given such an important task, dental schools don’t have much time to teach students the soft skills of patient management, practice management, leadership skills to lead a team and the knowledge to advocate for and protect our profession and our patients. ASDA does this! Get involved with as much ASDA programming as you can. Get involved at your chapter and at the district and national levels. It’s time to start taking ownership in your own success. The most important factors for success in the real world are not awarded credit or a “grade” from faculty. Just look at past ASDA leadership, and you’ll see they are flourishing in the real world.

What does being an ASDA member mean to you? 

Being a member of ASDA means taking the extra steps to ensure your future’s success. The future success of not only you as a professional, but the success of your profession and your patients maintaining their oral health. School only offers so much; it’s up to you to go above and beyond to learn the skills you need to succeed, no matter how you may define success.

I’ve learned from my involvement with ASDA and attending many national meetings the importance of voicing our opinion as a profession. It is apparent that strength comes in numbers. It is because of our collective voice that our profession has maintained a level of freedom and the power to advocate for our patients as well as our professional colleagues. Being a part of ASDA means choosing to have a voice and being heard.

~Callista Schulenburg, LECOM ’22, ASDA Electronic Editor

Teeth tell the stories of people's most impactful life events

Teeth provide a true, permanent historical record of a person's major life events, including pregnancy, illness, relocation, and incarceration, according to a new study published March 25 in Scientific Reports.


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4 ways to stay productive during the COVID-19 crisis

These days, many dental practices are seeing their business slowed because of the coronavirus disease (COVID-19) pandemic, but Dr. Sheri Doniger shares four ways to ensure your practice and team members stay productive.


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Tuesday, March 24, 2020

Novel coronavirus remains stable on surfaces

The SARS-CoV-2 virus that causes COVID-19 remains stable for several hours to days when it is aerosolized or on surfaces, according to a letter to the editor published online March 17 in the New England Journal of Medicine.


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Study finds opioids less effective after tooth extraction

Patients who took opioids for pain relief after tooth extraction reported higher levels of pain than patients who took other analgesics in a new study, published in JAMA Network Open. The findings suggest nonopioid analgesics should be the first-line pain relief for extractions.


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How teledentistry can help during coronavirus disease (COVID-19) pandemic

During these unsettling times of the COVID-19 pandemic, it is crucial that we, as dental healthcare providers, provide the essential care necessary to our patients and communities through teledentistry, writes Dr. James Anderson.


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Monday, March 23, 2020

How to succeed in dental school, from a faculty perspective

Your acceptance to dental school indicates that you have a proven record of prior success. You have excelled academically while maintaining a rigorous schedule of extracurricular and volunteer activities. Nonetheless, you may be struggling with the over-saturated dental school curriculum. While tips for achieving success in dental school abound, we’d like to present the faculty perspective.

As former directors, we’ve observed that the students who excel engage in particular behaviors. Based on these observations, we’ve compiled some suggestions below.

Be proactive. Students who demonstrate their ambition to learn more than what is required elevate their status in the eyes of faculty. More importantly, they get more out of their learning experience since they are constantly challenging themselves. Dental school is an excellent opportunity to step outside of your comfort zone. Just make sure to seek out a faculty member or department chair for guidance and instruction.

Know and comply with the rules. The easiest way to get on the wrong side of faculty is to disregard the rules, whether explicitly or implicitly. While faculty members are your senior colleagues, during your dental school tenure, they are also tasked with ensuring that you meet the standards for graduation. Professionalism, which is a characteristic you must demonstrate to qualify for graduation, requires an adherence to the agreed upon mores of our largely self-regulated profession. If you don’t comply with the rules in dental school, it will be difficult for faculty to attest to your professionalism.

Understand and track completion of your course requirements. Organizational skills are essential for success in dental school. To complete your requirements, you need to know what they are. We have had misinformed students scramble to complete clinical requirements at the last minute because they relied on information from others or failed to investigate for themselves.

Keep meticulous records, and make sure they’re up to date. If you see you’re falling behind in clinical requirements, alert your faculty and, together, come up with an action plan.

Prepare in advance. You’re waiting in line for your clinical faculty. Your patient has been understanding, but for how much longer? After 10 minutes, the faculty finally gets to the patient, looks at the bracket table and asks for a crown remover. Need we say more?

Volunteer to help others. As faculty, we want to know that the students we graduate are going to be compassionate caregivers. When we see students volunteer to help others during their downtime, we know they are generous of heart and team players. That means a lot.

Be attentive. (Read your emails.) Faculty have to communicate important messages. When they do, they are disheartened to find that some students are not tuned in. Whether in a lecture setting or at home reading emails, pay attention to your faculty’s communications. If you’re out of the loop, you don’t have the information you need to succeed.

Find mentors who excel. We have often noticed that like attracts like. Students who excel find mentors in others who excel, while students who shirk their responsibilities also seem to travel in groups. Seek out mentors, whether upperclassmen or faculty members, who will increase your exposure to information and knowledge, and challenge you in ways that you are not able to challenge yourself. If you are a student who shows dedication, commitment, preparedness and a true desire to learn, your faculty will want to help you get the most you can out of dental school.

~Drs. Ivy Peltz and Eric Studley

Those with bad teeth, disabilities barred from jobs in Nigeria

If you want a job as a superintendent, inspector, or assistant cadre with the Nigerian Immigration Service, you better not have any disabilities or physical flaws, such as crooked teeth, according to news reports.


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Do's and don'ts for staying connected with patients

Connecting with patients is critical to maintaining your patient base, so you must be creative when it comes to staying in touch, advises Dr. Roger P. Levin. Try a mix of both traditional outreach methods and newer methods on social media. Stay in touch with patients often and you'll build long-lasting relationships that contribute to practice success.


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Want to reduce cavities? Maybe use cannabinoids

Chemicals found in cannabis or cannabinoids may be more effective at reducing bacteria associated with dental plaque than well-established synthetic oral care products, according to a recent study published in Cureus Journal of Medical Science.


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Friday, March 20, 2020

New campaign uses cognitive method to get kids to brush at night

Do you want to get more children brushing their teeth before they go to bed? Encourage your young patients and their parents to pair nightly oral hygiene with book reading for at least three weeks, according to new research. For World Oral Health Day, the Smile organization has launched a behavioral science-backed campaign to get more children brushing before bedtime.


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Elephant gets root canal to alleviate tusk ache

An elephant in India has undergone a root canal to relieve pain from a longtime tusk injury. The elephant had 0.5 kg of flesh that grew within the fractured tooth removed prior to the procedure, according to news reports.


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How to pull productivity reports in Curve Hero

How can you accurately pull reports in Curve Hero to track the productivity of staff members who are delivering dental services? Curve trainer Tracey Thompson offers some advice and best practices.


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Dentist convicted of bribing Haitian officials gets new trial

A dentist in Maryland and an entrepreneur have won a retrial after being convicted in 2019 of conspiring to bribe Haitian officials in exchange for approving a proposed approximately $84 million project on the Caribbean island.


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Thursday, March 19, 2020

Incorrect insurance adjustments can kill practice profits

If preferred provider insurance adjustments seem high in your practice, it could be because your business staff is incorrectly posting the adjustments. That is a mistake that can severely affect your cash flow, writes Dr. James Anderson.


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Are you working the digital triangle?

It's no news flash that practice marketing has gone digital. But, are you doing it right? You must take advantage of the digital marketing triangle to do it effectively, writes Jonathan Miller and Fred Joyal.


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The importance of social media during the COVID-19 outbreak

How should dental practices be using their social media channels to communicate with patients during the coronavirus outbreak? We asked dental social media expert Rita Zamora for advice in this podcast.


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Wednesday, March 18, 2020

How my time on the stage prepared me for dentistry

“I’m just gonna go grab one more thing I think we’re going to need for this,” I say to my patient as I deglove. I walk out of my operatory and, ignoring the supply shelf, walk to my attending with wide eyes and raised brows. Having never actually placed a fiber post in a canal before, I wanted to be sure I was choosing the right diameter and length. Two minutes later, I walk back into the op, smile at my patient and slip back into character, them none the wiser. Showtime.

I’ve done theater my whole life. From the shows my sisters and I put on in the living room every night to consistently performing in high school, college and (once!) in dental school, I’ve loved being on stage, in rehearsals and behind the scenes of a performance. The theater world is creative, technical and, at times, cutthroat. Not dissimilar from dentistry, as I’ve learned. Each interaction with a patient is a performance, and dental school is just like rehearsal before the big, 40-year run of a production that will be your career as a dentist.

After four years in dental school, I’ve learned to approach each patient interaction with the same mindset as rehearsal. All it takes is dissecting the script and translating the experience for the audience, or in this case, the patient.

Finish reading this article in the March issue of Contour magazine.