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Product Pair Automates and Improves Endo Irrigation

Irrigation is essential to every root canal. Two tools from Vista Dental Products aim to improve its effectiveness while taking less of a toll on tired wrists. The AutoSyringe ejects irrigants in a steady stream, while the Endo Ultra uses ultrasonic technology to help that fluid reach impacted tissue.

“It’s all about convenience and ergonomics,” said Nick Pond, product manager at Vista. “An endodontist who is using a standard syringe is doing the same motion all day. They tend to get kind of sore in their hands. The AutoSyringe is a nice solution for that.”

Each AutoSyringe comes with a set of 20-mL Quick-Connect canisters that dentists can fill with any irrigant. Empty canisters snap right off, and replacements snap right on. When it’s time for irrigation, users select one of three speed settings and simply activate the device.

“You can go from a drip, drip, drip to a streaming setting,” Pond said. “Also, it’s safer than standard needle irrigation because it’s a controlled flow. You’re getting a consistent flow the entire time, whereas with your hand, you’re relying on yourself. There’s some variability.”

The AutoSyringe also accepts all standard irrigating tips. Also, Pond noted that the device saves endodontists the costs of new syringes. Endodontists use at least 4 syringes per procedure, he said, at a total cost of about $20 dollars a day. Using the AutoSyringe instead, he added, would pay for itself in about a month.

Sterilization is not an issue either. Each AutoSyringe comes with 24 canister liners, 100 plastic barrier sleeves, and 3 autoclavable sleeves. Also, it plugs right into its battery-charger base after each use for powered, cordless use.

Once the canal has been irrigated, users can switch to the EndoUltra. According to Vista, research has shown that irrigants are more effective when they are electromechanically activated. Acoustic streaming and cavitation can significantly enhance cleansing of difficult anatomy.

“Standard needle irrigation leaves 35% of the canal untouched by irrigating solution,” said Pond, adding that bacteria and debris can be left behind in manual irrigation dental handpiece. “Infection could occur. And then you have to retreat,” he said.

The EndoUltra, though, uses 40,000 Hz of acoustical streaming to disrupt biofilm, improve irrigant penetration and debris removal, and remove vapor lock. According to Vista, passive irrigation only reaches 27% of the canal’s isthmus. The Endo Ultra reaches 98.8%, forcing irrigants into the lateral canals for a full cleansing.

Dentists simply insert the tip of the device to 3 mm short of the apex for effective operation. Tips come in 15/02 and 25/04 sizes, with depth markers at 18, 19, and 20 mm scian nebulizer. Each autoclavable tip can be used up to 20 times. Tips may be purchased separately as well.

According to Pond, the EndoUltra is 100% safe despite the rapid vibration. It is no different from introducing a file, he said, as its tips do not cut dentin. The ultrasonic operation isn’t audible either, reducing patient anxiety.

Like the AutoSyringe, the Endo Ultra was designed with the user in mind. Its contra angle provides access to all areas of the tooth. An LED light near the tip illuminates the treatment area. Charging via USB supports an hour and a half of continuous runtime Ultrasonic Scaler. Plus, its autoclavable sleeves and barriers ensure sterile use.

“There are competitive products out there. But those are all sonic devices,” said Pond. “This is ultrasonic. So, that’s huge. Nearly all of the research out there supports ultrasonics.”

The Advantages of the Morse Taper Dental Implant Connection

One of the most challenging issues in implant dentistry is maintaining the hard tissues around the implant head so the soft tissue is supported in developing and sustaining natural gingival contours. This is the essence of the term “pink aesthetics.”

The critical determinant of this process is the abutment/implant connection. A stable connection with no development of a microgap during function will prevent bacterial infestation and colonization of that connection with subsequent endotoxin production, which is so deleterious to the peri-implant bone levels.

Although the internal hex reigns as the most predominant abutment/implant connection, it is not the most stable. I have been restoring dental implants for almost 25 years and had become accustomed to crestal bone loss down to the first thread.

Euphemistically termed “remodeling,” such bone loss is different than peri-implantitis only in degree and is why I have called the vast majority of these systems members of “The First Thread Club dental lab supplies australia.”® This loss of hard-tissue scaffolding (Figures 1 and 2) has a direct effect on gingival architecture, producing less than successful results (Figures 3 and 4).

The tapered connection, especially the true Morse taper of 5.7° as featured in the Ankylos system from DENTSPLY implants, provides a much more stable abutment/implant interface dental handpiece. Used to attach jet engines to the wings of airliners, the Morse taper is among the most tried and true fixtures in the engineering world. It virtually eliminates any microgaps and provides a hermetic seal that prevents bacterial invasion of the abutment/implant juncture dental lab equipment.

The result of this stability is actual growth of bone over the shoulder of the implant (Figure 5) with this system along with preservation of bone levels between adjacent implants, even when they are less than 3 mm (Figures 6 and 7), that will uphold natural looking gingival profiles.

In the dental implant world of “pink and white aesthetics,” pink aesthetics almost totally depends on its primary hard-tissue platform. The true Morse taper connection, as opposed to the internal hex, maintains and fosters that platform to the point where pink aesthetic challenges are a thing of the past.

CDC Summarizes Dental Infection Prevention Guidelines

The Centers for Disease Control and Prevention (CDC) has released its Summary of Infection Prevention Practices in Dental Settings: Basic Expectations for Safe Care. It introduces new elements to the standard precautions introduced in the CDC’s 2003 guidelines and provides a downloadable checklist in a user-friendly format.

“This summary and checklist is not a replacement for the 2003 guidelines,” said Jennifer Cleveland, DDS, lead for infectious diseases and infection prevention in dental healthcare settings at the CDC turbine air compressor. “Rather, it’s kind of a repackaging of the most important elements presented in that document.”

The summary addresses infection prevention program administrative measures, infection prevention education and training, respiratory hygiene and cough etiquette, updated safe injection practices, and administrative measures for instrument processing. While drawing upon the 2003 guidelines, it also includes guidelines published by other CDC divisions since 2003.

“The CDC has been involved in continually updating the scientific evidence and keeping abreast of any transmissions of breaches in infection control that we are called to investigate,” said Cleveland. “We’ve also reviewed the literature and have found that several transmissions that have occurred since 2003 involved breaches in infection control scian nebulizer.”

The CDC does not believe that the 2003 dental infection prevention recommendations need to be modified, but it has found inconsistent compliance with these recommended practices. There is a need, the CDC says, for comprehensive training to improve the understanding of the underlying principles and practices of infection control.

“Infection prevention recommendations should be available and easily understood by the entire staff so that they can be implemented by all types of dental healthcare personnel,” Cleveland said. “This is why we developed this summary of infection prevention for dental healthcare settings.”

For example, the new summary emphasizes the need for an infection prevention coordinator in each dental practice to develop written infection policies based on evidence-based guidance, regulations, and standards. This individual also would ensure that the practice has the equipment and supplies required to adhere to standard precaution practices and routinely communicate with all staff members about infection prevention issues.

“This person should be willing to be trained in infection prevention practices and should be willing to take on the responsibility of coordinating all the infection control for the office, including standard operating procedures, record keeping, and other functions related to infection control, as well as keeping up with the latest new technology in infection control,” Cleveland said.

Also, the summary includes a checklist that practices can use to evaluate administrative policies and compliance with recommendations through the observation of clinical practices. It is available as part of the overall document and as separate, print-friendly, and fillable PDFs so it can be used easily in exposure control plans and in training.

“The elements for the checklist for each topic area can be placed throughout the office as a reminder of standard operating procedures,” Cleveland said. “This resource also can be used for investigations of dental settings where transmissions or breaches of compliance have occurred.”

Additionally, the Organization for Safety, Asepsis and Prevention (OSAP) provides an overview of the relevant recommendations since 2003 on its website, highlighting some of the changes that have occurred since the 2003 guidelines were introduced. And in addition to live lectures on the summary scheduled for major dental meetings, OSAP has created an array of supplemental tools designed to help dental teams comply with the CDC guidelines. These tools include:

From Policy to Practice: OSAP’s Interactive Guide to the CDC Guidelines: This free online course comprises 7 modules that break the guidelines down into easily understood principles.
CDC Guidelines: From Policy to Practice by OSAP: This self-study workbook walks users through the CDC guidelines. Each chapter offers practical how-to instructions, charts and checklists, pictures and captions, answers to common questions, and guidance for making sound clinical judgments.
OSHA and CDC Guidelines: Interact Training System: This program combines requirements for Occupational Safety and Health Administration (OSHA) annual training with the CDC guidelines.
OSAP Dental Infection Control Educators’ and Trainers’ Toolkit: Delivered via CD, this coaching workbook is designed to assist with the development, planning, and promotion of successful, high-impact infection control and safety programs and presentations dental equipment.
OSAP also will use social media, its member publications, Web forums, conference programming, and national meetings to keep the dental profession informed about the guidelines. It will work with consultant, educator, and corporate members while coordinating with other dental organizations to help educate the dental community as well.

Use Photos and Video to Engage Your Patients in Their Care

Technology has the capability of opening up the lines of communications between dentists and their patients. It’s hard to fully comprehend a problem and its solution when it can’t be seen Dental Chair. That’s why, for example, auto mechanics sometimes take customers on the shop floor so they can see a worn part for themselves. Doing so also builds loyalty because those customers aren’t worried that they’re paying for a repair they don’t actually need.

It’s an approach that dentistry can and should follow. One reason is financial. More than 30% of patients in a Futuredontics survey think dentists try to sell unnecessary treatments. This concern can undermine the dentist-patient relationship and, worse, prompt some patients to forego necessary treatment, leading to further damage and discomfort dental supplies.

The good news for dentists and patients alike is that technology offers a solution. Photos and video can show patients conditions such as decay, plaque, lesions, and cracks. Most people who grind their teeth don’t realize it, and decay sometimes isn’t advanced enough to cause pain by the time of their next regularly scheduled appointment. They also might not notice a lesion if it’s painless even though that can be a sign that it’s cancerous.

Video and photos make it easier for patients to understand these and other conditions, including their seriousness and treatment options. That’s key because the Futuredontics survey also found that 93% of patients will go back to their dentist if they receive a clear explanation of required versus optional treatments. In the process, these images fundamentally change the process of care in ways that benefit both patients and their dentists.

Taking Ownership

When patients understand a condition, they’re more likely to take ownership of the treatment, leading to better outcomes. For example, one online video shows a patient who has no pain. But there’s a crack in his tooth connecting to an old amalgam. When the filling is removed and the crack goes down the center of the tooth, there is no doubt that the patient has a problem.

1. Video footage of the troubled tooth help patients understand why they need treatment and what the best options for care may be. For example, patients who otherwise feel no pain would be able to see cracks in their teeth that need to be addressed.
With video, the options of filling, tooth removal, a possible root canal, and/or a crown can be clearly discussed, allowing the patient to participate with knowledge about the risks involved. Without video, patients would often have a filling placed and subsequently blame the dentist because all they had to go on is they had no pain when the dentist first worked on the tooth (Fig. 1).

An Ounce of Prevention

Images also help shift the technological focus from treatment to prevention. In their advertising, many dentists highlight treatment technologies such as hard-tissue lasers and CAD/CAM equipment that makes a crown in one visit. These are welcome advances and effective market differentiators, but they also distract from the most important message: Using technology to help patients preserve their teeth and gums rather than having them repaired or replaced.

2. Dentists can use videos as educational tools to help illustrate the symptoms and severity of periodontal disease.
All of the new patients should receive a comprehensive exam, including a video of their oral condition. Most patients know they should be flossing their teeth, but an exam showing how their gums are irritated, inflamed, and bleeding illustrates why they need to address the problem. Another online video is helpful for explaining the process of good health and the different stages of disease. With this personal knowledge, patients become motivated and successful at improving their periodontal health.What Is Dental Sealant? for more information.

Trends in Prosthodontics A Q&A with Dr. Douglas G. Benting

Prosthodontists are playing a larger role in dental care. And as demographics and technologies have changed, so has the profession. Recently, the American College of Prosthodontists (ACP) reviewed surveys of members and nonmembers alike from 2008, 2011, and 2014 to chart the specialty’s evolution and found some revealing trends.

For example, prosthodontists currently spend 21% of their time treating patients for fixed prosthodontics, which is down from the 24.1% reported in 2007 dental supplies. Also, 2013’s mean amount of nominal gross billings was $654,270, which was lower than the mean gross billings in 2007 and 2010.

Douglas G. Benting, DDS, co-authored a study on the survey with Dr. Kent Nash for the ACP’s Journal of Prosthodontics. The full report, “Private Practice of Prosthodontists in the United States: Results from the 2008, 2011, and 2014 Surveys of Prosthodontists,” is now available online. Below, he discusses some key trends with Dentistry Today.

Q: The 2013 nominal gross billings were lower than the 2007 and 2010 gross billings. What could be causing this decrease?

A: A couple of trends from the data could help provide insight to the decrease in nominal gross billings. One trend is the decline in the average number of patient visits per week, which was 44.1 in 2007 and 33.3 in 2013. Also, an increasing number of prosthodontists are spending less than 30 hours per week treating patients. Gross billings are sensitive to the number of patients electing to move forward with treatment as well as the amount of treatment for each patient.

Q: How have net earnings changed throughout the years?

A: With an estimated 4,000 prosthodontists in the United States today, this is an important question. The trend in nominal net earnings is based on the gross billings of private practice prosthodontists.

It is interesting to see that the nominal net earnings were the highest in the 2007 survey immediately preceding the “Great Recession” starting in 2008. The data show a low point with the 2010 survey and have shown an increase in nominal net earnings in the 2013 survey. It appears that the trends are moving in the right direction with the net earnings increasing, and I look forward to seeing the results of the 2017 survey.

Another factor that contributes to changes in net earnings relates to a general shift away from an ownership position in a private practice with an increase in “employees” and “independent contractors” working in the private practice setting. Prosthodontists working as non-owners typically earn less than non-owner providers.

Q: How has the average workweek changed for prosthodontists?

A: The average of hours per week in the office reported in the survey was 35.7 in 2013, 34.6 in 2010, and 36.1 in 2007 turbine air compressor. The average hours treating patients per week reported was 27.6 in 2013, 30.0 in 2010, and 30.3 in 2007.

I believe the change in the number of hours worked, specifically the decrease in the number of hours treating patients, relates to a general decrease in patient utilization similar to dentistry as a whole during this time period.

As a prosthodontist in private practice, there is an increasing challenge that presents as a result of the increasing complexity of treatment needs for prosthodontic patients. The time involved in followup with the healthcare providers involved in restoring dental health and chewing function is critical to the success of the treatment while limiting the amount of time available for chairside treatment.

Also, time away from direct patient treatment is required to remain current in the technological advancements in digital dentistry, and the techniques and characteristics of biocompatible dental materials require a commitment to evaluate, follow the trends, and integrate into private practice scian nebulizer. Certainly, we are all limited by time, and I look forward to watching this trend in future surveys.

Deliver Personalized Patient Interactions on Your Website

One of the first places that potential patients will visit on their journey to discovering and engaging with your practice is your website. However, 74% of consumers find it frustrating when they come across websites that do not feature content that is relevant to their needs. This is true for most healthcare websites. Personalization is the first step in patient engagement, and it is one aspect of digital marketing that is most often overlooked.

Google is a prime example of how personalization can pay off. The search engine giant has been dominating the search domain primarily because it personalizes the search results of users based on their preferences and needs. With the arsenal of data (location, content consumed, referral source, device, etc.), harvesting tools, and resources available today, gathering intelligence on patient preferences and needs is relatively easy.What Is Mouth Inflammation? for more information.

Practices that successfully dominate their markets are the ones that know how to engage with their patients. And at the core of that engagement activity lies personalization.

Greater Demand for Personalization

You can have a swanky website, a ton of content resources, and a stream of traffic coming to your website. But unless you are successfully converting that traffic, your practice revenue is not going to pick up its pace.

Consumers expect practices to deliver interactions that are unique and customized to their needs and expectations. No one wants to feel like a number or a marketing or sales stat, and 78% of site visitors believe organizations providing custom content are interested in building good relationships.

There definitely is a demand for personalized content. However, fighting for patient attention amid the massive chaos of marketing stimuli out there is not easy. Dental practices need to understand their potential patients on a granular level and implement marketing strategies that focus on patient identity and value and encourage deeper communication. Personalization helps in directing patients to their specific needs and helps push them further along in the sales cycle.

According to Infosys, 73% of consumers prefer to do business with brands that use personal information to optimize their buying experiences and make them more relevant. For potential consumers, customized marketing packs great value as it highlights those areas or aspects of a product or service that not only appeals to them the most but also brings them closer to their buying goals.

The best way to convert traffic that reaches your website is by ensuring users enjoy personalized web experiences based on individual preferences. In addition to ensuring that your site supports a clean, non-intrusive, and simple design and features hyper-relevant content, here are four other things to consider.

Create a Compelling CTA

An effective call to action (CTA) ideally will highlight the value that patients stand to gain and encourage them to take a measurable action. If used correctly, a strong CTA will direct your patients to take the necessary steps in actively engaging with your practice. The best way to achieve this is by opting for CTAs that are creatively bold, speak to the reader, and can prompt an immediate response. Make use of strong actionable words and ensure your CTAs are clearly visible.

Simplify Your Forms

Patients expect easy and quick access to your website. Once they reach your site, they expect to be able to access a resource, page, or tool with equal ease and speed. If users have to go through a lengthy process or a series of steps to access your content or tools, chances are they will lose interest halfway mobile dental unit.

Make your forms easily accessible, and reduce unnecessary fields that must be filled out. Also keep in mind that many patients use mobile devices to access your website. You don’t want them abandoning your dental website simply because your forms take too long to complete!

Remove Distractions that Divert Attention

Too many links, a wide number of offers, multiple sidebars, and unnecessary images and actions can divert the attention of your site’s visitors. Digital consumers already have short attention spans, and the last thing you want is an overdose of elements that distract user attention.

Too many diversions can negatively impact your conversion rate. So, minimize the number of distracting elements that shift user focus away from your content.

Brand Validations Encourage Conversions

Not all visitors to your website will convert readily. Sometimes they need a little nudge towards making a buying decision. This is where tools and features such as patient testimonials, detailed product or service information, or product/service ratings can play a major role. They not only generate trust, they also can provide just the kind of push that is required when converting leads.


Building dental practice advocacy and loyalty in the digital space is not easy. However, brands such as Amazon and Netflix have struck gold when it comes to building website traffic and converting leads. The reason largely responsible for their success is personalization.

Everything from the content they feature to product recommendations and deals that they offer is personalized and based on user behavior and preferences. Dental practices can duplicate this kind of success by personalizing their websites to match the needs and preferences of potential patients. dental air compressor

Many TMD “Specialists” Aren’t So Well Informed

Some dental offices advertise themselves on the Internet as “specialists” in managing temporomandibular disorders (TMDs) water picker. The actual expertise of these offices may be questionable, however, according to investigators at the Tufts University School of Dental Medicine and the Virginia Commonwealth School of Dentistry.

Using Google and “TMD specialist in” followed by the names of different states, researchers at the school found 255 dental providers advertising TMD management services.

Two thirds of these providers were general dentists. The rest included oral surgeons, orthodontists, and prosthodontists, as well as oral medicine and orofacial pain management providers.

According to the researchers, 66.7% of these websites attributed TMDs to occlusal problems or malocclusion. Also, 54.5% of the providers suggested treating occlusal problems or malocclusion to alleviate TMDs.

“The association of maloclussion to TMDs is not supported by research or literature,” said Bhavik Desai, DMD, PhD, assistant professor in the division of oral medicine with the department of diagnostic sciences at the school. “Hence, such a claim is inaccurate.”

Reversible, conservative treatment modalities are recommended for the management of patients with TMDs instead, Desai added.

Also, 38.8% of the sites labeled TMDs as a single disorder instead of a heterogeneous group of disorders that can affect musculature, bone, joints, and nerves—another inaccurate claim, Desai said dental implant machine.

The researchers speculate that the information on these websites might not be regularly updated, leading to these inaccuracies. Also, they say, dental school curricula might not adequately emphasize the diagnosis and management of TMDs.

Patients should be concerned about the doctors they select, while practitioners should be prepared to deal with misinformed patients, the researchers said. The researchers also suggest that dentists keep abreast of current peer-reviewed literature for the diagnosis and management of TMDs scian nebulizer.

“The ADA statement paper recommending TMDs be treated reversibly and conservatively, keeping in mind that there is a biopsychosocial component to the condition, is a good guideline for accurate information that may be incorporated into one’s website,” Desai said.

CDA Presents Chair Reflects on the Show and the Profession

The California Dental Association (CDA) has wrapped another edition of CDA Presents, held May 12 to May 14 in Anaheim. Its officers were upbeat about the show’s success too, with 6,300 exhibitors and more than 200 sessions serving up techniques and technologies to 27,000 attendees including 6,700 dentists from across the Golden State and the nation.

“The show is outstanding. It’s going well. Registration is up this year. The classrooms are full, and we’re ready to put on a good show,” said Gary Ackerman, DDS, chair of CDA Presents, before the conference opened on Thursday morning.

More than 130 speakers came to the Anaheim Convention Center to instruct dentists, hygienists, and other personnel on a host of issues, including clinical techniques, cutting-edge equipment, practice management, current legislation, and more. Getting top talent to speak at the show is a priority for the CDA, too Dental Chair.

“We always have great speakers at CDA. They’re brought to California from all around the country and all around the world,” said Ackerman. “We go out and scout them and invite them and bring them into our meeting.”

The show’s organizers also sought the participation of the next generation of practitioners. All 6 of the state’s dental schools were represented, with students competing in a table clinic presentation. Plus, the CDA recommended a series of specific clinical and practice management sessions for dentists new to the profession.

“This year we’re trying to focus more on a pathway to success for the new dentist. We’re also reaching out to the dental students and trying to involve them in our program,” Ackerman said. “We have many dental students who are auditing some of our workshops. We have some dental students that are room-hosting for us.”

The CDA also was pleased to offer an unusual session open to all attendees. Presented by Henry A. Gremillion, DDS, and M. Franklin Dolwick, DMD, PhD, “Anatomy of the Masticatory System: Clinical Application and Dissection” gave participants a chance to sharpen their blade skills and learn more about the body.

“We have a cadaver workshop. We’re actually doing dissections of the temporomandibular joint and the head and neck anatomy—actual cadavers and cadaver heads, and attendees will be able to dissect and work on them,” said Ackerman. “That’s pretty unique to us this year.”

Back on the show floor, corporate giants and scrappy startups alike among the 575 companies on hand showcased their latest gear. Many booths gave attendees the opportunity to get their own hands on these new tools and give them a try. And Ackerman wasn’t shy about what he was looking forward to seeing.

“We’re always excited to see the new CAD/CAM technology,” he said. “With the new CAD/CAMs that are coming out, you have the ability to use impressions without having to use actual impression material. You’re able to just CAD/CAM that. It’s very exciting.”

Also on the cutting edge, the Academy of Laser Dentistry presented a 2-day proficiency program. Attendees who completed it then could get certification through an online course. Topics included the different kinds of lasers available for dental use, contact and noncontact delivery systems, and soft and hard tissue procedures.

Beyond the show, the organization also is involved in community outreach through its CDA Cares program. Each of its clinics provides free dental services including extractions, fillings, cleanings, education, and assistance in finding ongoing dental treatment to the 10 million Californians who face barriers to dental care.

“We were just in Ventura and we saw 1,800 people in 2 days,” Ackerman said, referencing an event where 1,394 volunteers performed 11,583 procedures worth about $1.5 million. “CDA Cares then goes to Stockton in the fall. Then it’s San Mateo and back to Bakersfield. That’s our reach-out program dental curing light.”

The CDA has its eyes on the profession as a whole, too.

“The business of dentistry always presents challenges because you have changes in the insurance industry. You have changes economically. You have changes in the workforce,” Ackerman said. “Students are coming out of school with high debt ratios and trying to find a way to pay that back.”

Fortunately, Ackerman notes, CDA Presents offers all dental professionals the tools and education they need to navigate these often murky waters.

“The CDA is, in my opinion, the premier dental meeting in the nation,” he said. “I would like to invite everyone to be a part of it and part of the CDA. I think we have many, many things to offer.”Are There Any Treatments Available? for more information.

Why Your Dental Practice Needs an In-House Membership Program

Dental insurance is a pain to deal with in every office. Patients are always frustrated, your staff is worn out by the thought of working with insurance companies, and it seems to give your practice a bad customer experience implant machine.

Insurance companies have slow payouts, reject claims, and control what you can and can’t do for your patients. They dictate your prices and make you write off your services while they are making a profit. This doesn’t make sense from a business standpoint.

Many dental offices are growing tired of working with third-party providers and are bringing everything in-house through in-house membership programs.

What Is An In-House Membership Program dental equipment?

An in-house membership program can benefit your office drastically by providing benefits and discounts to your patients such as free cleanings, free x-rays, or free emergency visits. (Visit to see a great example of a membership program.)

Most programs consist of your patients paying a monthly or yearly subscription to get access to the benefits you offer, much like a Costco or an Amazon Prime membership, but for your dental practice.

Say each family pays an average of $95 a month for your membership program, and your office is able to get around 350 families to sign up. That means your office will generate $33,250 of recurring revenue each month. This revenue is guaranteed to be collected and predictable.

By implementing this type of program and seeing this amount of revenue generated, do you think you will be less stressed by running your practice? Can you cover your payroll with this amount? Can you focus on growth? You can even take time off and still have predictable revenues coming in each month.

The Value Of Recurring Revenue

Recurring revenue will increase the value of your practice. By predictably and automatically generating revenue each month, your practice will be attractive to potential buyers because it is less risky and more stable. Companies that are less risky to run and maintain are the ones that can sell at a premium price.

If you are managing your dental practice and implementing recurring revenue streams and can show potential buyers the exact amount of future revenue, you are building a valuable business dental file. An in-house membership program can help your office increase the value of your practice so when you decide to sell it, you can sell it at a premium.


When developing a 3-D approach to lower face rejuvenation, tailoring treatment to the specific needs of the patient is crucial. Understanding where to look for age-related changes is indispensible to the diagnosis and integral to successful treatment outcomes.

Patients are rarely able to identify specific areas in their lower face that are responsible for the evidential signs of aging. They simply know that the area conveys a look of sadness, discontent, or fatigue that they would like changed Ultrasonic Scaler.

A hand mirror aids in allowing the patient to point to the areas of concern. It also gives the practitioner the opportunity to inform and demonstrate to the patient the collective etiology in the problem area.

It’s important to assess a patient’s motivation for injectable treatments. Research indicates that patients with internal motivations, such as the desire to feel better about their appearance, are more likely to be happy with their results than those with external motivations, which include patients primarily interested in some perceived reward, such as a more successful career or to please a significant other.8

The practitioner is obliged to discuss what can be accomplished with facial injectables and establish realistic expectations by the patient dental curing light. This requires educating the patient regarding areas that contribute to an aged appearance as well as the limitations of injectables, risks, possible adverse events (ie informed consent), and costs. Furthermore, the patient should be apprised of what might be best handled surgically and the proper referral made when injectables are not indicated.

A medical history review including relevant medications and any prior history of facial surgeries or prior treatment with facial injectables (including type, if known) is completed. The importance of quality pretreatment photographs cannot be overstated dental lab supplies australia.

In Summary

Each facial third has its own focal point. In the upper face, it’s the eyes. In the middle third, it’s the nose. In the lower face, it’s the lips (Figure 6). When evaluating the lower third, most clinicians and patients place a high value on lip enhancement and neglect adjacent tissues.

These areas, which include the chin, oral commissures, prejowl sulcus, perimental hollows, marionette lines, and labiomental grooves, all contribute greatly to the aggregate aging presentation and remain untreated or undertreated by most practitioners.

The lower face and perioral region offers a relatively well-understood zone for the dentist new to the facial injectable world. Although not completely without risk, the anatomy of this area is familiar to the dentist and represents a lower risk of some of the more exigent adverse events.

The lips are absolutely vital to rejuvenation of the lower segment. However, treatment in isolation without addressing the perioral cutaneous tissues falls short of adequately addressing the senescent lower face.