Tuesday, August 7, 2018

Opioids for third-molar extractions linked to persistent use

Adolescents and young adults who fill an opioid prescription for wisdom teeth extractions are more than twice as likely to continue filling opioid prescriptions weeks or months later, according to new research published on August 7 in the Journal of the American Medical Association.


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Is stress stressing you out?

For established dentists and dental students alike, dealing with stress is an occupational hazard. A survey conducted by the ADA in 2015 found that 75 percent of dentists experience moderate to severe levels of stress. In addition, a 2017 report from the American Psychological Association identified health care, money and the economy to be key drivers of stress among Americans overall.

Prolonged stress can lead to burnout, substance use disorders and other conditions that may impair your ability to practice competent dentistry. It is imperative that you seek assistance when stress levels become too high.

Warning signs that you may be experiencing stress include (but aren’t limited to):

  • Fear and anxiety about the future
  • Anger, tension and irritability
  • Difficulty concentrating and making decisions
  • Reduced interest in usual activities
  • Loss of appetite
  • Sleeping too much or too little
  • Nightmares or bad memories
  • Smoking or use of alcohol or drugs

Suggestions for breaking the cycle of stress include:

  • Eating healthy, well-balanced meals
  • Regular exercise
  • Getting the correct amount of sleep
  • Taking breaks during stressful activities
  • Socializing and sharing problems with a parent, friend, counselor, doctor, colleague or clergy
  • Avoiding drugs and alcohol

The ADA Center for Professional Success has made available a free webinar designed to help you identify stress, recognize the physical and mental impacts of stress, and manage the negative types of stress.

If you are in need of assistance, please call the ADA Health and Wellness Program Manager Alison Bramhall at 312.440.2622 or email bramhalla@ada.org.

In addition, the ADA offers a Dentist Health and Wellness Program Directory that can help you connect with your state dentist well-being program. Whether you contact the ADA or your state dentist well-being program, all calls and emails are strictly confidential.

~ADA Center for Professional Success

This content is sponsored and does not necessarily reflect the views of ASDA.

Independent contractor or employee: What's the difference?

It's a vexing question for practice owners: Is the new dentist joining your practice an independent contractor or an employee? The question isn't an academic one, as getting it wrong can result in severe financial penalties. William Barrett and Casey Gocel of the law firm Mandelbaum Salsburg illustrate the differences.


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Monday, August 6, 2018

Straight (money) talk to a new dentist

I’m frequently asked what advice I would give to a new dentist. I compiled this list based on my years of experience advising dentists on their personal and practice finances and hearing, “I wish someone had told me this sooner.” These pointers should help you make thoughtful financial decisions, largely without regret.

Establish an emergency cash fund.

This should be in a separate account from your everyday checking account, only to be accessed in dire circumstances. You want to have three to six months of spending saved in the event that you lose your job or get sick.

Buy insurance while you’re healthy and young (it will never cost less).

Protect your ability to create an income. Make sure you have your disability income insurance in place, as well as other insurances such as professional liability (also known as malpractice).

Invest in your career before you invest in the stock market.

If that means opening a practice or buying into an existing one, take care of that goal. Create a healthy and recurring income stream, then worry about investing it.

Live within your means, so you don’t have to make painful “lifestyle cuts.”

Many students come out of school with huge school loans, and most of those students end up choosing income-based repayment (IBR) plans. IBR keeps your initial payments quite low but can falsely lull you into thinking you’ve got extra cash to burn. Some dentists end up spending their (false) “cash surplus” on cars, houses and other things. You will need to pay off your loans, and your loan payments will eventually increase, and if you don’t factor that in from the start, you’re in for a surprise.

(Eventually) you’ll want to save 15-20 percent of your income for retirement.

This doesn’t mean you have to start putting away this much money toward retirement the minute you get out of school. Assuming you pay off your student loans in a reasonable time period (say, 10 years), you can then divert the money you were setting aside toward loan payments and put them toward retirement.

Pay off your credit card bills every month.

If you can’t, that’s a surefire sign that you’re overspending. Set aside money gradually for large ticket items such as vacations, so you can pay for them before you go, not when you come back.

Create a budget.

There are so many software programs out there such as Mint.com. Some of these systems can even link to your bank accounts. Make a budget on your own or find a financial adviser to help you.

Buy a house or (new) car that you can truly afford.

The last thing you want is to buy a huge house and not have any money left over after making the mortgage payment. Build a sound financial foundation with emergency reserves, proper insurance and a suitable savings program before you commit to a house or new car.

Use tax-advantaged plans to save for retirement.

401(k), IRA, Roth IRA and other tax-advantaged savings plans through your employer (or your own practice) can reduce your taxable income and help you save for the future.

Learn about the cycles of the stock market.

A good financial adviser can help guide you through the cycles of the market, so that you don’t panic and lose sight of the big picture when the bottom (inevitably) falls out.

Don’t use Facebook to measure your progress against that of your peers.

It feels like everyone lives a perfect life on social media. Stick to your own goals, live your own life, and you’ll be happier without worrying about keeping up with everybody else.

Don’t bank on retiring from the sale of your practice alone.

Dentists generally don’t earn great multiples of income on the sale of their practice, so having a solid retirement savings plans is important. Also, it’s common to underestimate how much money you will need in retirement. Bottom line: save, save, save.

Work with an experienced financial adviser on a personal financial plan.

Seek good financial advice early on with people who understand your occupation.


 

Jeffrey E. Wherry, CFP®, ChFC®, AIF®, is the director of research and planning for Treloar & Heisel Wealth Management.

 

 

 

 

 

~Treloar & Heisel

Investment Advice offered through WCG Wealth Advisors, LLC a Registered Investment Advisor doing business as Treloar & Heisel Wealth Management.
Treloar & Heisel Wealth Management is a separate entity from The Wealth Consulting Group and WCG Wealth Advisors, LLC.
Insurance products offered separately through Treloar & Heisel and Treloar & Heisel Risk Management.
WCG Wealth Advisors, LLC and Treloar & Heisel Wealth Management do not offer tax advice.
WCG Wealth Advisors, LLC, Treloar & Heisel, Inc., and Treloar & Heisel Wealth Management are not affiliated with Mint.com.
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This content is sponsored and does not necessarily reflect the views of ASDA.

Do's and don'ts for understanding your overhead

Rent, insurance, and inventory may not be first on your list of concerns, but overhead is a key factor in any business, and dentistry is no exception. Dentists need to understand the different categories of overhead, how to assess and track them, and when and how to make adjustments, notes Dr. Roger P. Levin in his latest Practice Success tip. Only then will they be better able to create a successful financial model for their practices.


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Antibiotic prescriptions vary by season, specialty

Dentists prescribe millions of antibiotics, but prescription trends vary by dental specialty and time of year, which may represent an inappropriate use of antibiotics, according to new research presented at the recent 2018 International Association of Dental Research (IADR ) meeting in London.


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