Articulator Volume 29, Issue 4

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C O N N E C T I O N S F O R M E T R O D E N V E R ’ S D E N TA L P R O F E S S I O N

RMDC PREVIEW Self-Care for Healthcare Professionals Shift Your Energy to Shift Your Burnout The Perfect Blend The Most Dangerous Profession? Reduce Cancellations & No-Shows

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ADVERTISING DIRECTORY

In this Issue... 10 RMDC SPEAKER PREVIEW SERIES

Ally Medical Partners allymedpartners.com........................................................................................ 30 Berkley Risk berkleyrisk.com.........................................................................................................5 Colorado Dental Association (CDA) cdaonline.org/wellness..............................................................................18, 28 COPIC Financial Services Group copicfsg.com............................................................................................................13 CTC Associates ctc-associates.com.............................................................................................25 Dente Vita dentevita.com............................................................................................................8 Dentists Professional Liability Trust of Colorado tdplt.com....................................................................................................................29

Self-Care for Healthcare Professionals Shift Your Energy to Shift Your Burnout The Perfect Blend The Most Dangerous Profession? Reduce Cancellations & No-Shows

Dental Lifeline Network dentallifeline.org......................................................................................................16 Dentutopia dentutopia.com.........................................................................................................8 First Bank efirstbank.com.................................................................... Inside Front Cover Healthcare Medical Waste Services hcmws.com.................................................................................................................5 Rocky Mountain Oral X-ray rmox.com.................................................................................................................... 17 University of Colorado School of Dental Medicine dental.cuanschutz.edu................................................................. Back Cover US Bank usbank.com............................................................................................................. 30

Co-Editors Amisha Singh, DDS; Allen Vean, DMD Creative Manager Little Red Swing • littleredswing.com Managing Editor Cara Stan

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RMDC 2024: New Look, New Features, Classic Favorites

J.R. FRANCO, DDS AMISHA SINGH, DDS

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50 Years and Counting

ALLEN VEAN, DMD

Printing Dilley Printing MDDS STANDING OFFICERS President Karen Foster, DDS

Treasurer Bryan Savage, DDS

President-Elect Susan Kutis, DDS

Secretary Angelica Seto, DDS

The Articulator is published quarterly by the Metropolitan Denver Dental Society and distributed to MDDS members as a direct benefit of membership. Editorial Policy All statements of opinion and of supposed fact are published under the authority of the authors, including editorials, letters and book reviews. They are not to be accepted as the views and/or opinions of the MDDS. The Articulator encourages letters to the editor, but reserves the right to edit and publish under the discretion of the editor.

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Event Calendar

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Classifieds

Advertising Policy MDDS reserves the right, in its sole discretion, to accept or reject advertising in its publications for any reasons including, but not limited to, materials which are offensive, defamatory or contrary to the best interests of MDDS. Advertiser represents and warrants the advertising is original; it does not infringe the copyright, trademark, service mark or proprietary rights of any other person; it does not invade the privacy rights of any person; and it is free from any libel, libelous or defamatory material. Advertiser agrees to indemnify and hold MDDS harmless from and against any breach of this warranty as well as any damages, expenses or costs (including attorney’s fees) arising from any claims of third parties. Inquiries may be addressed to: Metropolitan Denver Dental Society 925 Lincoln Street, Unit B Denver, CO 80203 Phone: (303) 488-9700 Fax: (303) 488-0177 mddsdentist.com

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Member Publication

©2023 Metropolitan Denver Dental Society. All rights reserved.

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RMDC CO - CHAIR MESSAGE

RMDC 2024: New Look, New Features & Classic Favorites J.R. FRANCO, DDS & AMISHA SINGH, DDS

The holidays are here and the 2024 Rocky Mountain Dental Convention (RMDC) is right around the corner! We are excited to have three fun-filled days of continuing education, networking, social events, area discounts and a reimagined Expo Hall planned. RMDC volunteers have aimed to design an innovative, relevant, and inclusive dental conference for a diverse workforce, empowering them to serve their patients and craft a fulfilling career. As we planned RMDC, we centered decisions around serving dentists and dental teams from all stages of their careers, practice modalities and identities. For months and years, the RMDC Program Committee has been committed to providing quality education to a growing society of dental professionals that embodies diversity in many different areas. Our profession includes a variety of practice models—private practice, non-profit/public health, DSOs, academia, military, etc. Our profession also includes a variety of indispensable roles- dentists, dental hygienists, dental assistants, office/operations staff, etc. As a result, dentistry has found its members filling many different roles, including practice owner, associate, employee, contractor, teacher, volunteer and more. Justice, equity, diversity, and inclusion in dentistry are a necessity, and RMDC walks along with us to create progress in that capacity. Speakers from different practice models and backgrounds are featured at RMDC 2024, including Dr. Ankur Gupta, Dr. Purnima Hernandez, Dr. Aman Kaur, Dr. Anne Koch, Dr. Pio Modi, Dr. Samson Ng, Dr. Brian Novy, Ms. Sherrine Washington and more. Networking continues to be a focus of RMDC 2024 since connection is more important than ever. We envision RMDC as a central hub to build the community of dentistry, an annual place to come, learn, connect and belong. In addition to classics like the Friday Night Party and Sips & Shopping Happy Hour, there will be some new opportunities to socialize at Thursday’s Mile High Party and the Saturday Snacks & Shopping Break. Plus, be sure to check rmdconline.com for adjacent social events hosted by dental schools and state/ regional components of the American Dental Association (ADA).

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"As we planned RMDC, we centered decisions around serving dentists and dental teams from all stages of their careers, practice modalities and identities."

For RMDC attendees, there are area discounts for Winter Park Resort, the National Western Stock Show and the Denver Boat Show. These are must-see activities and events in the Denver area that provide great opportunities to enjoy and create long-lasting memories. In addition, the Expo Hall will feature solutions and new innovative changes while still maintaining the bedrock of companies whose products and services we have come to count on. For the first time, RMDC will have an Education Pavilion in the Expo Hall. This new suite holds a classroom of up to 126 attendees and features a modern design that encourages learning and interaction with the surrounding social atmosphere. The Headshot Lounge will give you the opportunity to get a new professional headshot for no cost. The Posture Pavilion will offer free ergonomic assessments to keep you practicing pain-free. In addition, the Podcast Pavilion brings your favorite podcasts in earshot. While Thursday's Mile High Party and two beer gardens bring the fun! Finally, the Tripartite Wellness Oasis, sponsored by MDDS, CDA and the ADA will have features focusing on mind and body wellness— stop by for a chair massage! Lastly, we are excited to celebrate the American Dental Association PresidentElect, Dr. Brett Kessler, a member of the Metro Denver Dental Society (MDDS) and past president of the Colorado Dental Association (CDA). We hope you will join us for a reception in his honor on Thursday evening at the Colorado Convention Center. We look forward to Dr. Kessler assuming the role of ADA president at the 2024 ADA House of Delegates in New Orleans. We hope to see you soon at RMDC 2024! Respectfully, J.R. Franco, DDS & Amisha Singh, DDS

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REFLECTIONS

50 Years and Counting ALLEN VEAN, DMD

The MDDS Board of Directors met recently and our co-editor, Dr. Amisha Singh, gave a beautiful presentation on “Professionalism.” As I listened to her speak, I realized that as of this spring, I will have graduated from dental school fifty years ago. Some of you may remember visiting the dentist with spittoons for rinsing your mouth, belt driven slow speed handpieces, cold sterile solutions (I called it holy water), no gloves or masks, a mortar and pestle for mixing amalgam (no kidding), the overhead light that was so hot you were afraid to touch it. Yes, this, and much more, was how dentistry was delivered. How grateful we should be that in the last fifty years the highspeed handpiece, adhesive dentistry, digital technology, computerization, and other new technologies have transformed our profession to one of delivering the highest quality of care. As I reflect on my education and experience, there are so many memories to recall. My dental education was completed at a private dental school. It was the oldest dental school west of the Mississippi and one of its faculty members was the infamous G.V. Black. When a new chancellor was named, he was given the task of making sure every school at least paid their way and was not a financial burden to the university. As we all are aware, providing quality dental care has a high cost, especially at a private school. Like many other private schools, dental care and education had an extremely challenging time making expenses. My tuition was capped at $1,150 per semester (Yes, really). However, since Colorado did not have a dental school and was part of the WICHE program, I was given a stipend to travel back to Colorado once per year. The stipend was based on a train fare of $60 (big bucks), which I never received since it went straight to the registrar’s office and credited to my tuition account. It was impossible for our school to adhere to this new edict and the dental school that had been in existence since 1866 was forced to close in 1991. Our dental class consisted of 66 males. There were 12 students, including yours truly, who had graduated college and began their dental education immediately after receiving their undergraduate degree. The remainder of the class consisted of students, many with young families, who had been working in different industries and saw the potential in dentistry. I recall one of my classmates who had worked for NASA. I questioned him as to

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why he decided to change careers. His response was, “There is no future in the space program.” Incredible! It also should be noted there were no minorities or students of color represented. The university’s faculty was a mixture of private practice and ex-military dentists. There were two female faculty members, the chairperson of the pediatric dentistry department and an operative instructor who was trained in Germany. As I look back, from a clinical aspect, the faculty was outstanding. However, their “professional” interactions with both students and patients were what I would characterize as a horror show. Some had no problem in demeaning and embarrassing students in front of a patient. I recall a prosthodontics faculty member taking one of my classmate’s denture setups, calling them “door stops,” and proceeding to shatter them as he threw the set down on the floor. But there were also fond memories of a kind and compassionate oral surgery faculty member who guided this neophyte through a third molar extraction. When I graduated, the faculty had not changed, the student population mix remained the same with the exception of one female dental student. After completing my pediatric residency program and a brief time teaching in a graduate pediatric dentistry residency program, I returned to Denver and began private practice. My involvement in organized dentistry began in 1983 when I became chair of the Dental Health-Public Information Committee (as it was known then) of MDDS. I also became a member of an organization known as Denver’s Cable Television Health Consortium. We attempted to educate the public about health issues both dental and medical. After that time, we all know the rest of the story with technology advancing at almost light speed. In 1986, I was honored to serve on the MDDS Ethics Committee and remained a member until 1998. There is one incident that to this day, I will never forget. As we sat in the office of the MDDS Executive Director for a committee meeting regarding a significant issue, one member of the Board of Directors was present and claimed that MDDS must do something about the makeup of the board because “There were too many Jews.” I am a descendant of a Jewish family that escaped Russia and emigrated to America through Ellis Island. I sat stunned and was at a loss for words at that moment. To his credit, our Executive Director immediately confronted the member and told him that expulsion proceedings would be commenced immediately if such a comment was ever mentioned again.

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In 2003, I became a member of the Governmental Affairs Committee of the CDA and remained on the committee until 2014. I am always grateful and appreciative of the knowledge I obtained while serving. Incidentally, I was informed of the committee term limits by our new ADA president-elect. Dr. Kessler was the newly elected president of the CDA at the time. The call was expected and the need for involvement of new members was understandable. As my clinical career ended in 2017, I remained active in organized dentistry. Volunteering for Special Olympics Colorado as a Clinical Director, substitute teaching at a local hygiene school when asked, and participating in their GKAS sessions twice a year, has been gratifying. In addition, I hope that Amisha and I have made the Articulator a valuable addition to your membership. We have made progress since 1974. According to the ADA, in 2022, almost 37% of dentists are female. In 2022, of all dentists, approximately 68% are White, 19% are Asian, 6% are Hispanic, 4% are Black and 2% classify themselves as “other.” In 2021, 56% of first-year dental students were women. We are on the right track. Our membership should be extremely proud, particularly of the makeup of our MDDS Board of Directors, which exemplifies diversity and inclusion at the highest level. Thank you for your participation in organized dentistry. It continues to be an honor to serve.

NEW IN 2024

FREE

Expo Hall Pass Don’t need CE? You can enjoy all the action in the Expo Hall at no cost. Register to access these features: • 100s of vendors and show specials • Four fun social events • Two beer gardens and a coffee lounge • Free headshots • Free ergonomic assessments in the Posture Pavilion • Cash prizes in the Prize Payout • And, more!

Please enjoy the 2024 RMDC!! Your comments and thoughts are always welcome. A healthy, happy holiday season to all!

JANUARY 18-20, 2024 ›› DENVER, CO Learn more and register at rmdconline.com

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Member Matters WELCOME NEW MEMBERS!

CDA & MDDS END OF SUMMER BASH

Dr. Susanne Carpenter

Dentists from around the metro area took networking to new heights at FlyteCo Tower in Central Park during the CDA & MDDS End of Summer Bash this August.

Dr. Kayla Foell Dr. Matthew Gamache Dr. Gina Giangreco Dr. Kiet Danny Huynh Dr. Fatima Kazi Dr. Yoel Kidane Dr. Michale Kleeman Dr. Courtney Lamondin Dr. Inyeop Levine Dr. Genevieve Macrae Dr. Elisabeth Mauro Dr. William McReynolds Dr. James Pacheco, Jr.

MDDS SHRED EVENT Member dentists securely shredded patient records and sensitive personal and professional documents during the annual Shred Event at Peebles Prosthetics. Three shred trucks were filled and proceeds from the event were donated to the Colorado Orthodontic Foundation (COF).

Dr. Madeleine Park Dr. Menaka Tandon Dr. Ishita Topiwala Dr. Ami Trivedi Dr. Carmen Tsang Dr. Ajay Varghese Dr. Kelsey Zinser

CDA & MDDS SOULCYCLE RIDE

MDDS NONPROFIT MEET-UP

MDDS & CDA member dentists and dental students turned up the heat and made wellness a priority at SoulCycle in Cherry Creek sponsored by ADA and ClassPass.

MDDS hosted its nonprofit partners and other dental public health professionals at Maggiano’s in the Denver Pavilions for an evening of connection and collaboration during the National Network of Oral Health Access (NNOHA) Conference in Denver this November.

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Speaker Preview Series S AV E T H E DAT E

JANUARY 18-20, 2024 ›› DENVER, CO Visit rmdconline.com to learn more and register.

Each year in January, thousands of the dental profession’s best and brightest descend upon the Mile High City to attend the much-anticipated Rocky Mountain Dental Convention (RMDC). For 116 years, RMDC has offered the dental community the opportunity to connect with each other and attend education courses from nationally-recognized speakers. In the pages that follow a few of these speakers have provided a sneak peek on topics they will be presenting at the 2024 RMDC January 18-20. To learn more about RMDC including speakers, courses, participating vendors and new features, visit rmdconline.com.

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Self-care for Healthcare Professionals

PURNIMA HERNANDEZ, DDS, MA, MA, CHWC

At the peak of my career, I had a sudden onset of vague symptoms which included hearing impairment in the right ear, extreme fatigue and brain fog. Even though two ENTs cleared me and reported that my hearing was equivalent to that of a teen, there was an unexplainable sensory dampening of sounds in that ear. It was so intense that everyday pleasures were drowned out by the noise of my symptoms. Up until then, I prided myself as an energizer bunny who thrived off interacting with patients, and now found myself exhausted by the smallest interactions. It was then that I realized to succeed in a profession dedicated to helping others, I had to help myself first. It was time I committed to myself as my own patient and treated myself with the same love and care I provided to others. This realization of self-care has become a passion and purpose. It has led me to become a “lifestylist for kids” (of all ages) ...helping individuals develop their vision of well-being, co-create and meet their health goals.

LIFESTYLE MEDICINE After going through my journey visiting the silos of medicine, I gathered there was no medication for my collection of vague symptoms. Living with them was not an option. This realization led to a deep dive. I became fully immersed in reading books on diet and lifestyle and with this knowledge created a reasonable plan for myself. The diet and lifestyle changes took time, but my health began to improve. Within a couple of months, my hearing was restored, I felt re-energized and, quite frankly, better than ever. Even today mindful living remains a constant mantra because how I live my life daily greatly influences how my symptoms manifest. THE LIFESTYLE OF HEALTHCARE

ABOUT THE AUTHOR

Dr. Purnima Hernandez is triple board-certified in pediatric dentistry, applied behavior analysis and as a health and wellness coach. Dr. Hernandez was awarded the Dr. Solomon Rosenstein Visiting Professorship and Fellowship by the Columbia University College of Dental Medicine for her contribution to the field of special needs dentistry.

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PROFESSIONALS IS CHALLENGING As health professionals our personal mindset and well-being are imperative when caring for others. If not, burnout is right around the corner. Just because we can walk, talk and engage in daily functions, does not mean we are in the best health. In fact, as healthcare professionals, we may have unintentionally designed a lifestyle that may not align with our physiology and/or genetics. For instance, the daily stresses of running a practice,

managing employees, managing patients, and meeting the needs of our families may leave us in a time famine for our self-care. Long-term engagement in such a strenuous lifestyle will reliably take its toll on the body, influence physiology, lead to the development of pathology and ultimately chronic diseases. Chronic lifestyle diseases such as insulin resistance, obesity, hypertension, diabetes and auto-immune issues are on the rise. How we live has a huge impact on the genesis of these chronic diseases. The knowledge of “epigenetics” is in many ways a message of hope. We have control over the environmental factors that influence disease processes. So, no matter where you are in your lifecycle and no matter what your medical resume reads, know that lifestyle can make a difference. WHAT IS LIFESTYLE? At most medical appointments, we hear “eat healthy and exercise”. These are only two important components of lifestyle. The five important lifestyle factors are Sleep, Diet, Stress, Movement and Relationships. These factors are necessary components of most interventions regardless

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of the disease. It is a prescription that is assumed but rarely personalized or specified for the patient. Quite frankly, information on lifestyle should be primary to any intervention. Lifestyle in many disease processes is analogous to a cast for a fractured bone. Just as the cast supports the bone as the fracture line heals, these lifestyle factors provide a framework around which we build a physiology that influences our vulnerability to health issues. Think of lifestyle as a label for a set of health behaviors. Engagement in a good lifestyle may lead to good outcomes and engagement in a poor lifestyle may lead to poor outcomes (disease processes).

WHAT IS A GOOD LIFESTYLE? We have all had experience with sleeping, eating, stress, forming relationships and movement from birth. We engage in a variety of health behaviors daily that influence our physiology for better or worse. The definition of a healthy lifestyle can vary from one individual to another based on the person’s genetic makeup. An ideal lifestyle is one that is personalized and designed around the genetic differences of a person as well as how feasible it is to execute changes in the person’s everyday life. This is the basis of “bio-individuality.” Lifestyle medicine is a specialty in itself. The science is simple, well-researched, often free and something we have an opportunity to engage in daily. It is the best preventative plan yet.

HOW DO I GET STARTED?:

MY TOP 10 LIFESTYLE NON-NEGOTIABLES:

1. Create your vision of well-being.

1. Starting the day with good thoughts: listening to videos or uplifting podcasts.

2. Set health goals that match your vision. 3. Examine the discrepancies between your health today and your vision of well-being.

2. Meditation/breath practice: about 5-10 minutes daily helps set the intention for the day.

4. Develop a diet and lifestyle self-care plan.

3. Morning sunlight 10-20 minutes: gets my body ready for work and prepares for sleep.

5. Focus on small but sustainable changes in health behaviors.

4. Movement: getting in a variety of movements from yoga to aerobics.

6. Be consistent.

5. Hydration: drinking filtered water at least half my body weight in ounces with a pinch of sea salt (if no medical restrictions).

7. If you have a bad day or week don’t sweat, just pick up the next day. 8. Stay accountable. It could be a coach, a data collection app or even public posting. 9. Get your family to join you. Moving in the direction of wellness as a team can be life-changing. 10. Self-care is not selfish. It is being compassionate to yourself.

6. Eat fresh and mostly nature-served: Mostly organic and grass-fed while avoiding processed foods. 7. Healthy fats are good. 8. Targeted micronutrient supplements to replenish insufficiencies. 9. Eating within a time window and fasting at least three hours before sleep. 10. All things sleep.

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MY FAVORITE READS ON LIFESTYLE FACTORS:

a. Why We Sleep – Mathew Walker, PhD b. Food Fix – Mark Hyman, MD c. Why We Get Sick – Benjamin Bickman, PhD d. Childhood Disrupted – Donna Jackson Nakazawa e. The Obesity Code – Jason Fung, MD f. The Blue Zones of Happiness – Dan Buttener

These artworks were created by my daughter Sophia Hernandez. Bergamot, lavender, sandalwood, and the kitchen are her aromatic and visual memories of our journey to health. When we are unwell, oftentimes it influences the entire family. This is her view of how activities in our kitchen served as a dispensary aka pharmacy in influencing my health positively.

I have come to realize that good health isn’t the lack of illness, it is a constant effort towards wellness. A good lifestyle is the lowest hanging, cheapest, readily available fruit which can influence the trajectory of health and well-being. So, my message to each of you is take a moment and genuinely examine how your current lifestyle is serving you. Then become curious and inform yourselves on how to live in alignment with your physiology.

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RMDC: SPEAKER PREVIEW SERIES

Shift Your Energy

to Shift Your Burnout LAURA BRENNER, DDS

ABOUT THE AUTHOR

Dr. Laura Brenner graduated from Baylor College of Dentistry and then moved to Denver to establish her dental roots. She worked in private practice for 10 years until she left clinical dentistry. As the author of the Lolabees blog, she began connecting with other dentists from around the world who wanted more from their careers. This work inspired her to become a Certified Professional Coach.

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Do you ever feel burnt out by burnout? The word is everywhere these days. I’ll admit, as someone who loves helping others reduce burnout, even I get sick of hearing it. There’s a reason this word gets so overused though. Burnout is a pervasive problem that we, as a profession, still struggle to solve. During my decade in practice in the early 2000s, no one talked about burnout in any career. Looking back, I now see that I was burnt out for 7 of my 10 years in practice. Because no one discussed burnout, I didn’t know what it was. I simply thought I hated my career. Eventually, the pain I experienced was too big, and I had to quit dentistry. Fast forward eight years after leaving the profession, I began to study burnout in 2019. As I researched for my first-ever presentation on burnout for the RMDC, a lightbulb went on: all those years I thought

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“If you want to get to the root of the problem, you must begin addressing how your own beliefs and attitudes create your reality.”

I hated my work, I was severely burnt out. That recognition left me wondering, “If I’d had the resources, could I have fixed my burnout instead of leaving my profession?” Today I have no regrets for my choices, but this very question consistently drives me to understand how you can get real about your career frustrations, so you can create the right solutions for yourself. Despite all the awareness and resources, we have to treat burnout today, why is burnout still plaguing so many people? We’re stuck in burnout because we mainly focus on treating our pain from the outside-in, instead of the inside-out. Standard burnout treatment plans consist of self-care in the form of bubble baths and massages. We learn we should prioritize exercise and healthy eating. And, if you really want to re-energize your zest for dentistry, you should buy a practice, so you can control everything, or you should take more CE to do more of the procedures you love. Don’t get me wrong. These burnout treatment strategies are important and effective—to an extent. The missing link, though, is addressing the world of experiences you create inside your head. The difference between people who are burnt out and those who aren’t is your energy or, in other words, your perspective.

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If you want to get to the root of the problem, you must begin addressing how your own beliefs and attitudes create your reality.

it’s not easy to change our energy and thinking patterns, it is possible—and worth it! What’s the solution?

Without that, these treatments are all band-aids on the broken leg of burnout. You obediently pursue them, and then you wonder why you remain fried, despite following “the plan.” In the past five years, I’ve observed a common trend burnt-out dental professionals have in common: we genuinely care for others, we love to fix problems and we naturally put others first. Let’s call us Compassionate Caretakers. While these qualities are good and noble, they can also lead to people-pleasing, perfectionism and self-sacrifice. But it’s not always as selfless as it seems on the surface. We are motivated to help others, so they will trust us, respect us, and even like us. Our self-worth often depends on receiving gratitude from others, so we strive to always be the heroes to our patients and team. There is an underlying reward in there for us. The problem is that in dentistry, patient complaints and treatment “failures” often overshadow appreciation and praise. Our buckets aren’t getting filled, and our commitment to helping others becomes unsustainable as this relentless pursuit for validation and safety creates a constant weight on our shoulders (aka burnout). This is how some of us have learned we need to show up in the world. But there’s hope. While

I’ve painted a picture of the pattern that creates most of the burnout I see in dental professionals. Now let’s look at those dental professionals who rarely get burnt out. They seem more engaged in their work and actually enjoy the daily challenges of dentistry. These Solution Seekers don’t care any less than the Compassionate Caretakers, but they simply have a different perception of their world. If the Compassionate Caretaker will go to any lengths to make sure the other person wins (even if out of obligation,) the Solution Seeker believes in a true win-win. They recognize patients can only win if they, themselves, win too. This manifests as an ability to create healthy boundaries – not just boundaries to protect from other people, but also boundaries to protect from their own minds. Solution Seekers also commit to giving their best, but in the process, they don’t own other people’s problems the way Compassionate Caretakers do. They trust that problems have solutions, so they don’t get bogged down by these same burdens. They learn and successfully “let it go.” Compassionate Caretakers can learn to be Solution Seekers while maintaining their compassion. It begins with awareness. Understanding your thinking patterns and your stress allows you to

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consciously decide to reframe your beliefs into new, productive ideas. This reframe takes a lot of practice, but remember that you are unlearning years of conditioning, and you can do it! If you can go from being terrified by giving your first inferior alveolar block to feeling like it’s second nature, then you have living proof that you can change your mind.

When you give yourself permission to ask for what you want, you’ll give yourself the power to stop your cycle of self-sacrifice that always puts others first. You’ll break the very cycle that’s bringing you down.

As you practice changing your perspective, you will begin to realize that many of your worries have win-win solutions. With your own mind on your side, it becomes easier to fix the external burnout triggers. If you find yourself working too many hours, having no control over your environment, struggling to maintain a good team, and worrying about how patients are more difficult in a postCovid world; this energy shift will allow you to find solutions without the guilt.

Many of us were taught in life that if we put ourselves first, then we are selfish, bad people. That thinking creates a world where there can only be one winner. What if instead, we choose to live in a win-win world; a world where winning looks different from what we were taught?

Taking care of yourself doesn’t mean you will neglect others.

When you maintain healthy expectations for yourself and release the need to be the hero, you’ll gain the freedom to serve others without

WHY I Dental?

At DLN, your time and skills matter. That's why we've made volunteering with our Donated Dental Services (DDS) program easy for compassionate dental professionals like you. Volunteer with DLN to change lives, find your purpose, and redefine success.

Visit WhyIDental.org to sign up today!

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carrying around everyone else’s burdens. There’s a fine line between responsibility and burden and maintaining that line is the key.

Do you want to live in a win-lose world that requires you to carry the burdens of others at the expense of your own well-being? Or do you want to create a win-win reality that allows you to better help others because of your willingness to create healthy boundaries, practice selfcompassion, and care for yourself ? The choice is yours.

THERE’S A HUGE NEED FOR DENTAL SERVICES. DLN REALLY HELPS FILL IN SOME OF THOSE VOIDS AND GAPS FOR PEOPLE. VOLUNTEERING IS REALLY REWARDING AND GRATIFYING ON A PERSONAL LEVEL FOR ME AND MY STAFF.

Jeffrey Lodl, DDS DLN•CO President and long time DDS volunteer with DDS patient, Tammy

M D D S D E N T I S T. C O M


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acceptance. See full anatomy in 360 degrees. Integrates with other 3D technologies. More information with lower radiation. No more guessing or 2D “Misses”.

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Tooth Be Told These are Numbers You Need to Know

2024

7 1

years is how long patient records must be retained.

AED is needed onsite if your office provides anesthesia services that require a permit.

2 8 Questions?

is a license renewal year for dentists and hygienists. Don’t forget to renew by Feb. 29.

120

days re-attest in the Every CAQH Provider Data Portal to ensure your credentialing information is accurate and usable by authorhorized plans.

30 years is how long most CPR and BLS certifications last.

CE hours are required per licensure cycle

(Mar. 1 2022 to Feb. 29, 2024) to renew,

reactivate or reinstate your license (16 must be clinical and 1 must be opioid specific.)

hours of qualified training is required for safe controlled substance prescribing (Schedules II, III, IV, and/or V) at the time of your next DEA submission to receive or renew your registration. Need a one-hour refresher? Join us on Dec. 7 from 4-5 p.m. for “A 2023 Update on Opioids” via zoom. Visit cdaonline.org/events

Call 303-740-6900 during business hours and talk to people, not prompts through our new and improved phone system.

www.cdaonline.org


RMDC: SPEAKER PREVIEW SERIES

The Perfect Blend: Maximizing Success with Online and Office Marketing for Dental Practices MR. BRANDON BOSCH

ABOUT THE AUTHOR

Mr. Brandon Bosch is a Certified Marketing Expert in both Google and Meta advertising. He has overseen the production of countless websites and marketing campaigns for offices across Canada, the USA and Central America and continues to grow Dr. Marketing into Europe and around the world.

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In today's competitive dental landscape, combining online and office marketing strategies is essential for attracting and retaining patients while keeping your practice's chairs consistently filled. Embracing the power of the digital world and maintaining a welcoming office environment can work together harmoniously to create a thriving dental practice. In this article, we’ll explore effective ways to blend online and office marketing for dental practices. THE DIGITAL AGE OF DENTAL MARKETING In recent years, the Internet has fundamentally changed how dental practices promote their services and interact with patients. While traditional methods like word-of-mouth referrals and local advertising still hold value, digital marketing has emerged as a game-changer. Here's how to make it work for you:

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“Successful dental practices understand online marketing and office marketing are not mutually exclusive but rather complementary.” Build a Strong Online Presence Your practice's website is the cornerstone of your digital presence. Ensure it's modern, user-friendly and optimized for search engines. Here are some key elements to consider: • Mobile-Friendly Design: With more users accessing websites on mobile devices, a responsive design is essential. • Search Engine Optimization (SEO): Incorporate relevant keywords, meta tags, and high-quality content to improve your website's visibility on search engines. • Patient-Focused Content: Regularly update your website with informative articles, patient testimonials, and before-and-after photos to engage visitors. • Online Appointment Booking: Simplify the patient experience by enabling online appointment scheduling. Social Media Engagement Social media platforms provide an excellent avenue for connecting with your audience and building brand awareness. Consider these strategies: • Regular Posting: Share engaging content related to oral health, dental procedures and practice updates.

• Educational Newsletters: Share informative newsletters with tips for maintaining oral health, practice updates, and special offers. • Promotions and Discounts: Offer exclusive discounts or promotions to your email subscribers to encourage loyalty. THE ROLE OF OFFICE MARKETING While online marketing is a vital component of a successful dental practice, the in-office experience should not be overlooked. Patients' perceptions of your practice can significantly impact their loyalty and referrals. Here's how to enhance your office marketing efforts: A Welcoming Office Environment Creating a warm and welcoming atmosphere in your dental office can set you apart from the competition. Consider the following aspects: • Friendly Staff: Train your staff to be courteous, helpful, and empathetic, providing a positive experience for every patient. • Comfortable Waiting Area: Make the waiting room welcoming and appealing with comfortable seating, reading material, and a pleasant ambiance. • Updated Equipment: Ensure your dental equipment is modern and well-maintained, emphasizing your commitment to patient care.

• Interactive Content: Encourage patient engagement through polls, quizzes and interactive posts. • Online Reviews: Encourage satisfied patients to leave reviews on platforms like Google Business Profile and Yelp. • Paid Advertising: Utilize targeted advertising on platforms like Facebook and Instagram to reach a wider audience. Embracing the Power of Video Marketing Video marketing is gaining traction in the digital marketing world, and dental practices can benefit significantly from incorporating it into their strategies. Develop video content that showcases your practice, introduces your team, and educates patients about dental procedures. Videos are highly engaging and shareable, helping your practice reach a broader audience. Harnessing the Potential of Email Marketing Email marketing remains a powerful tool for patient retention and reactivation. Consider these strategies: • Appointment Reminders: Send automated appointment reminders to reduce no-shows and cancellations.

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M D D S D E N T I S T. C O M


Effective Communication Clear and effective communication is key to building trust with your patients. Focus on these areas: • Patient Education: Take the time to explain procedures, treatment options, and oral health maintenance to patients, empowering them to make informed decisions. • Transparency: Be transparent about treatment costs, insurance, and billing procedures to avoid misunderstandings and surprises. • Follow-Up: Show that you care by following up with patients after major procedures or surgeries to check on their recovery and address any concerns. Patient-Centered Care Providing patient-centered care should be at the core of your practice. Consider these strategies:

BLENDING THE TWO WORLDS FOR OPTIMAL RESULTS The most successful dental practices recognize the symbiotic relationship between online and office marketing. They use their online presence to attract new patients and maintain communication while creating a memorable in-office experience to foster patient loyalty. Here's how to blend the two worlds effectively: • Consistent Branding: Ensure your online branding, including your website and social media profiles, aligns with your office's physical branding. Use the same logo, colors, and messaging to create a cohesive brand identity. • Seamless Transition: Make it easy for online leads to transition to becoming patients in your office. Provide clear contact information and encourage online visitors to schedule appointments or request consultations.

• Personalized Treatment Plans: Tailor treatment plans to each patient's unique needs and preferences.

• Digital Updates: Share your office's updates, success stories, and community involvement on your digital platforms to showcase your commitment to patient care.

• Patient Feedback: Actively seek feedback from patients to understand their experiences and make improvements where necessary.

• Patient Testimonials: Feature patient testimonials and before-andafter photos on your website and social media to build trust and demonstrate the quality of your services.

• Community Engagement: Engage with your local community through health fairs, school visits, or dental hygiene workshops to build a positive reputation.

• Educational Content: Leverage your website and social media to educate patients about oral health and dental procedures, demonstrating your expertise and dedication to patient well-being. • Analyze and Adapt: Regularly analyze the performance of both your online and office marketing efforts. Use data to make informed decisions, refine strategies, and ensure you're delivering the best possible patient experience.

STRIKING THE PERFECT BALANCE Successful dental practices understand online marketing and office marketing are not mutually exclusive but rather complementary. By blending the two worlds effectively, you can attract new patients online, build lasting relationships in the office, and ultimately, create a thriving dental practice. Embrace the digital age while prioritizing patient-centered care in your physical space, and you'll find the perfect balance for sustained success in today's competitive dental market.

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RMDC: SPEAKER PREVIEW SERIES

Practicing Dentistry: The Most Dangerous Profession? STEPHANIE BOTTS, RDH, BSDH, CEAS

Scan for article references!

The prevalence of musculoskeletal pain and musculoskeletal disorders (MSDs) in dental clinicians is well documented in the literature, ranging from 64% to 96%.1,2 According to research, high pain rates are due to repetitive movements, bending, twisting, reaching, incorrect operator and patient positioning and performing repetitive movements in a static posture.1,2 Infrequent breaks and insufficient time for rest are additional contributing factors in the development of MSDs.3 Practicing clinical dentistry is a challenging profession and one that places incredible strain on the musculoskeletal system. As the research indicates, dental clinicians are at high risk for developing various MSDs (Figure 1).

ABOUT THE AUTHOR

Ms. Stephanie Botts is a Certified Ergonomics Assessment Specialist providing both in-office and virtual ergonomics consulting and coaching to dental professionals. She has been a full-time clinical dental hygienist for over 13 years.

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Figure 1: Performing dentistry in non-neutral posture contributes to the development of MSDs

In fact, MSDs are the leading cause of disability in the United States.4 Due to the numerous risk factors practicing dentistry includes, clinicians are at high risk for disability themselves. With this knowledge, it is crucial for clinicians to understand ergonomic principles to help them enjoy a long and healthy career. Although there are always differences from one individual to another, the progression of an MSD typically follows the same pattern. The clinician may experience symptoms occasionally when doing work activities but will eventually notice symptoms during other activities or even at rest. Initially, the symptoms disappear once work activities have ended but will progress to constant symptoms, which may wake the clinician at night. Once the damage has gotten severe enough, the clinician may experience other symptoms such as pain in new areas, depression and reduced quality of life. The development of an MSD is multifactorial, with genetics, environment, previous injuries and age all contributing factors. While the clinician has little control over these factors, they can control their ergonomics while practicing dentistry. Ergonomics is the science of fitting the work environment to the worker.7 It is about recognizing the unique capabilities and limitations of the human body and designing the work environment to support it. However, most dental professionals are provided with a workspace, including a fixed operatory design and patient and

M D D S D E N T I S T. C O M


Figure 2: Holding awkward, static postures contributes to the development of MSDs

if necessary. Ideally, the clinician will have their thighs sloping downward with their hips at about 105-125°. Opening this hip angle decreases muscle activity in the low back and reduces pressure on the spinal discs.5 They should then establish neutral spinal posture; pressing the chin back to align the ear with the shoulder, rolling the shoulders back and down, tilting the head forward if necessary but no more than 20°, and bending the elbows at 90° while keeping the arms close to their sides (Figure 3).

they adjust themselves to fit this environment. Unfortunately, this behavior leads to holding awkward postures over an extended period (Figure 2), pushing the musculoskeletal system far beyond its intended design and ultimately resulting in pain for the individual that could potentially lead to permanent injury, surgery, disability and early retirement. Although practicing dentistry is challenging with a high risk for injury, clinicians can employ plenty of interventions to practice safer and more satisfied. For example, developing an "ergonomic mindset" and understanding ergonomically correct operator and patient positioning will ensure prolonged body health and allow the clinician to practice for as long as they desire. OPERATOR POSITIONING The dental clinician must establish a neutral position before adjusting the patient and patient chair. Remember, this is the essence of practicing ergonomically; respecting the clinician’s own body first, then adjusting the operatory elements, including the patient, to support that. Ideally, the clinician will have a fully adjustable operator stool, of which the lumbar support, seat pan, and chair height are all adjustable and can be fitted to them. They should sit on the stool, bring the lumbar support forward to fit into the low back curve and adjust the support's height

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Figure 4: Maxillary occlusal plane behind the vertical plane harmful body movements such as bending and twisting, thereby decreasing the likelihood of developing an MSD. The patient's position will depend on the arch treated. The maxillary occlusal plane should be 7-25° behind the vertical plane (Figure 4).6 This angle is critical to preventing leaning forward and will encourage neutral posture. Conversely, the mandibular plane of occlusion should be about 30° elevated from the horizontal plane (Figure 5).6

Figure 3: Establishing neutral posture will reduce pain, fatigue, and development of MSDs Another aspect to consider is movement. Since the body is meant to move, it is beneficial for some practitioners to alternate between sitting and standing. For example, the clinician could sit while operating the handpiece, and stand while filling or extracting teeth or giving injections. PATIENT POSITIONING A common mistake made by dental practitioners is not adjusting the patient chair or patient depending on which area they are treating. Taking the time to position both the patient's chair and the patient properly will significantly reduce fatigue and pain experienced by the clinician. In addition, proper patient positioning will allow greater adoption of neutral posture and reduce

Figure 5: Mandibular occlusal plane above the horizontal plane Despite the risks posed by practicing dentistry, clinicians can be empowered to take charge of their bodies' in many ways. Shifting the mindset and thinking of ways the clinician can care for themselves before even walking into the operatory will help prioritize their health and not compromise it to perform their clinical duties. Dentistry is a caring profession where clinicians are concerned for the comfort and optimal treatment of their patients, and while admirable, this cannot come before the health and longevity of the clinician’s body.

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Connect, Collaborate & Have a Blast at RMDC! Vivos Mile High Party Thursday, January 18 • 4:00pm – 6:00pm Expo Hall Kick-off RMDC with live entertainment, free drinks, delicious bites, jaw-dropping giveaways and more!

Sips & Shopping Happy Hour Friday, January 19 • 4:00pm – 6:00pm Expo Hall Connect with vendors in a relaxed happy hour environment with free beer, wine and soda – plus snacks and giveaways. Sponsored by Lasso, MediLoupes, PDA Dental Laboratory & Winter Park Resort

Friday Night Party Friday, January 19 • 6:00pm – 8:30pm Four Seasons Ballroom Keep the party going at the FNP featuring a live DJ, dancing, free food and fun!

Snacks & Shopping Break Saturday, January 20 • 10:00am – 12:00pm Expo Hall Fuel up for a final day of education with free snacks and drinks, prizes, giveaways and end of show specials!


How To Calculate Your EBITDA We often get asked how to calculate the practice EBITDA (Earnings Before Interest Tax Depreciation and Amortization). Here is a simple guide to help you determine this for your practice. Practice's Total Collections - Overhead - Dentist Compensation at FMV = EBITDA If a practice's total collections are $1,200,000, and the overhead is $840,000, the net income equals $360,000. And if the doctor's compensation is $288,000 then the EBITDA is $72,000. • Practice's Total Collections are the total practice collections (not production). • Overhead typically includes staff wages, staff benefits, supplies, office expenses, staff contract labor, telephone, computers and IT services, postage, merchant services, advertising, uniforms, laundry, lab, rent, NNN or CAM, personal property tax, etc. • Operative Production is the cost of what you would pay an associate doctor to perform the operative production in the practice. In our example, we take the practice’s total collections of $1,200,000 and subtract the practice overhead (this includes fixed and production expenses) of $840,000 to get a net of $360,000. Overhead does not include the following: owner's wages, associate wages, family wages, travel, auto, meals and entertainment, continuing education, professional memberships, or any other expense that a buyer would not have to assume to continue conducting business in the same manner. Next, we subtract the cost of what you would pay an associate doctor to perform the operative production in the practice. So, if your hygiene production is 20% or $240,000 and your operative doctor production is 80% or $960,000 then you pay a doctor 30% of collections ($960,000*0.30) = $288,000. Take your net income less doctor wages to get your EBITDA | $360,000 - $288,000 = $72,000.

(303) 795-8800

We hope this example is helpful. Please reach out if you need an opinion of value or appraisal for your practice if you are considering selling in the next 1-5 years. “I had a very large multi-doctor practice that Marie sold for me with the utmost confidentiality! This was most important to me as I had such a large staff and did not want to sell to corporate. Her company met and exceeded all my expectations, including what I thought my practice was worth, and I got over asking! Would not go with anyone else but Marie and CTC associates!” Melvin Benson, D.D.S.

Thinking about

SELLING your DENTAL PRACTICE? Ryan Nolan

Marie Chatterley

Appraisals • Practice Sales • Partnerships • Associateships

info@ctc-associates.com | 303-795-8800 | www.ctc-associates.com


RMDC: SPEAKER PREVIEW SERIES

How to Take a Proactive Approach to Reduce Cancellations & No-Shows MS. CARRIE WEBBER

ABOUT THE AUTHOR

Ms. Carrie Webber is the Chief Communications Officer and co-owner of Jameson, a dental management, marketing and hygiene coaching firm. She is a member of the Speaking Consulting Network and was named a Leader in CE by Dentistry Today in 2019 and 2020.

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M D D S D E N T I S T. C O M


There is nothing more stressful and frustrating than the toll cancellations and no-shows take on a perfectly planned and scheduled dental day. More and more practices are finding cancellations to be wreaking havoc on their schedules, most particularly in hygiene. In September of 2023, the ADA Health Policy Institute (HPI) shared results from doctoranswered surveys about the state of practice schedules. Those results showed that 80% of the respondents claimed cancellations and no-shows less than 24 hours out were the main reasons for not having a fully booked schedule.1 It is indeed a pain point in many practices today. Many questions arise from this issue. What do we do when patients cancel? What can we do when they cancel? How do we reschedule a no-show? And, the most important question to ask - How can we prevent cancellations and no-shows from happening in the first place? There are three specific areas to focus your attention on in practice and in patient experience to take a more proactive approach to build a sense of value for appointments: 1) The patient experience, 2) The patient check-out and 3) Overall team verbal skills with patients. THE PATIENT EXPERIENCE It is important to understand our role in our patients’ dental journeys is not only to provide clinical dentistry but to educate and build a healthy mindset regarding their continuous care. So much of what a patient perceives to be valuable in their care has to do with everything but the dentistry itself. So, what are you doing throughout your patient’s experience to build a sense of trust, need and value that are imperative for patient retention and engagement?

• What is your patient experience process? • Does everyone on your team know what that process is?

How do we work together as a team to sharpen our verbal skills to elevate our patients’ perceptions of value for their appointments with us?

• Is every team member on board and executing their part of that process with excellence?

Here are ways to begin introducing effective communication skills training for a heightened customer service experience in your practice:

The Four Pillars of a Healthy Patient-Practice Partnership are Trust, Need, Urgency and Value. Our processes and patient experience should be working to build these pillars within our patient relationships to help more and more patients not only get the treatment they want or need but to stay loyal in the practice. We want them invested in their own dental care to the point they keep their scheduled appointments. THE PATIENT CHECK-OUT The best time to schedule an appointment with a patient is face-to-face. When they are completing an appointment and you are scheduling them for restorative care or their next hygiene appointment, it is important to utilize this time to build value for why they are there and why it is important they come to the next appointment. Repetition is the key to learning, so make sure that as you pass the baton through patient handoffs every team member takes the time to support the patient’s decision and to reiterate the importance of the next appointment. Commitment questions can help in the engagement and retention of that appointment’s importance with the patient. Here are some examples: • “Do you see any reason why you may not be able to keep this appointment?” • “Doctor will be reserving 90 minutes of time to provide this care for you.” • “Can we count on you to be here next Monday?”

It is important every patient interaction with every member of the team is executed with intention, a high level of professionalism and advocacy for consistent and continuous dental care. These are the questions you need to ask to take the temperature of your practice’s performance when it comes to building trust and a sense of urgency:

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TEAM VERBAL SKILLS My father, Dr. John Jameson, always says the most important thing he and his team did throughout his practicing career to help improve treatment acceptance and patient loyalty was to continuously work on the mastery of verbal skills.

Brainstorm as a team examples of excellent customer service verbal skills that you have directly experienced. How did it make you feel? What are examples of things those companies said? How can you incorporate those verbal skills into patient interactions? Examples of businesses that often come up in this exercise are restaurants, hotels and luxury brands. Looking outside of dentistry for inspiration is a great way to build skills through the reflection of other successful businesses.

Explore and discuss as a team where you could replace “weak” words with stronger, more value-building words. Some examples: Use “reserve” in place of “schedule”, use “fee” instead of “price or cost” and eliminate words that reduce the value of what you are saying - diminishing words such as “just”, “kind of ” and “sort of ”.

Practice. Practice. Practice. Select scenarios you recognize need improvement in your practice and role-play those scenarios as a team, taking turns being the patient and the team member. Coach each other to improve your skills in those scenarios so the next time you have that conversation with a patient, you will be stronger and more confident in how you communicate.

The proactive approach to reducing cancellations and no-shows is full of intentional effort, processes and skills. When a practice commits to continuous improvement and implements positive changes in its efforts, fewer cancellations and no-shows occur and the consistency of your dental days improves.

REFERENCES 1. American Dental Association. (2023, September). Health Policy Institute Economic Outlook for Dentistry Report. Retrieved October 30, 2023, from https://www.ada.org/

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There are a lot of differences between being a Member of the Trust and just another policy number at a large, commercial carrier. Both give you a policy the Practice Law requires, but that’s where the similarity ends. Who do I talk to when I have a patient event, claim or question? The Trust: Local dentists who understand your practice, your business and your needs. Them: Claims call center (likely in another state). Besides a policy, what do I get when I buy coverage? The Trust: Personal risk mitigation training, educational programs and an on-call team that ”speak dentist.“ Them: Online support. Do I have personal input and access to the company? The Trust: Yes. You are represented by dentists from your geographic area of the state. We understand the practice of dentistry throughout our beautiful state has its own challenges. We give you direct, personal representation to the Trust. Them: Yes, via their national board. How much surplus has been returned to dentists in Colorado? The Trust: Over $2.2M has been distributed back to Colorado dentists as a “return of surplus” (after all, it’s your Trust, your money). Them: $0 How long has the company been serving Colorado dentists? The Trust: We were Established by dentists in 1987. Them: It’s hard to say... they tend to come and go.

$0.00 First Year*

New Graduates

Protect your practice. Call the Trust today. Dr. H. Candace DeLapp 303-357-2604 (Direct) www.tdplt.com 2 0 2 3 • VO LU M E 2 9 • I S S U E 4

*some restrictions apply; subject to underwriting approval.

Individual and Group Policies Available.

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MDDS CE & EVENT CALENDAR JANUARY 18-20, 2024 Rocky Mountain Dental Convention (RMDC) Multiple Speakers Colorado Convention Center 700 14th St Denver, CO 80202 APRIL 5 Chairside Assistant’s Role with Dental Implants Dr. Brian Butler, Dr. Dennis Waguespack, Dr. Janie Boyesen Mountain West Dental Institute 925 Lincoln St Unit B Denver, CO 80203 8:00am – 12:30pm APRIL 9 CPR & AED Training CPR Choice Mountain West Dental Institute 925 Lincoln St Unit B Denver, CO 80203 6:00pm – 8:30pm

APRIL 19 Botulinum Toxins and Dermal Fillers Training, Level 1 American Academy of Facial Esthetics Mountain West Dental Institute 925 Lincoln St Unit B Denver, CO 80203 8:00am – 5:00pm APRIL 20 Frontline TMJ & Facial Pain Therapy, Level 1 American Academy of Facial Esthetics Mountain West Dental Institute 925 Lincoln St Unit B Denver, CO 80203 8:00am – 12:00pm MAY 3 Introduction to Implant Dentistry: Hands-on Placement with Models Dr. Michael Pruett Mountain West Dental Institute 925 Lincoln St Unit B Denver, CO 80203 8:00am – 3:00pm

= HANDS-ON EVENT

FOLLOW MDDS ON SOCIAL!

MAY 9 MDDS President’s Party Meow Wolf 1338 1st St Denver, CO 80204 5:30pm – 9:30pm MAY 17 Denture Repair Workshop Sessions 1 & 2 Dr. Richard Bona Mountain West Dental Institute 925 Lincoln St Unit B Denver, CO 80203 Session 1: 8:00am – 11:00am Session 2 (repeat): 12:30pm – 3:30pm JUNE 7 Nitrous Oxide/Oxygen Administration Training Dr. Jeffrey Young Mountain West Dental Institute 925 Lincoln St Unit B Denver, CO 80203 8:00am – 4:00pm

Jumbo mortgage options for your higher-limit needs If you’re considering buying a higher-cost or luxury home, your best mortgage option could be a jumbo loan. – Low down payment options – Fixed- and adjustable-rate mortgages – Lender-paid mortgage insurance programs available

– Portfolio loans for unique situations – Primary residence, second homes and investment property financing

– Financing for a wide price range of homes Beaux Selznick Mortgage Loan Officer 303-394-7075 office 303-588-5101 cell beaux.selznick@usbank.com NMLS # 595323 Loan approval is subject to credit approval and program guidelines. Not all loan programs are available in all states for all loan amounts. Interest rates and program terms are subject to change without notice. Visit usbank.com to learn more about U.S. Bank products and services. Mortgage, home equity and credit products are offered by U.S. Bank National Association. Deposit products are offered by U.S. Bank National Association. Member FDIC. ©2022 U.S. Bank 780203c 6/22

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CLASSIFIEDS FOR SALE Ortho Practice for Sale in Westminster/ Arvada/

General Dental Practice for Sale on the Western

General Dental Practice for Sale in Colorado

Broomfield, CO Area (CO 2310). 30+ year

Slope of Colorado (CO 2306). Great opportunity

Springs (CO 2124). Great opportunity to acquire

established orthodontic practice for sale in the

to acquire an established dental practice in Garfield

a well-established practice in a great location.

Westminster/ Arvada/ Broomfield Area of Colorado.

County. Collections $1.8M, 6OPS. 2,500 sqft. For

Collections $600K, Price $336K, 3 OPS (w/ room

Collections of $552K. Sales price $339K. Tech

more information, please call 303.759.8425 or email

to expand), 1,500 sqft. Dr. Retiring. Practice Building

is up to date. Located in a professional building &

jed@adsprecise.com.

is also for sale with practice. For more information,

occupies 2,651 sqft with a 6-chair bay and 1 new

please call 303.759.8425 or email

patient exam room. Doctor is retiring. Listing #: CO

General Dental Practice for Sale: North Denver

2310 For information email: jed@adsprecise.com or

(Commerce City), 9 Ops, office is 2,160 sqft.

call 303-759-8425.

$1.8M in collections. Building for sale with

General Practice for sale in North Central

practice. Dr. moving out of the area. ADS Precise

Colorado (CO 2121). Occupies 1,100 square feet

Room for Growth in General Practice for Sale in

Transitions, 303-759-8425, www.adsprecise.com,

and consists of 3 fully equipped operatories. Doctor

Littleton (CO 2309). Located in a highly desirable

email: jed@adsprecise.com. Listing Reference

works two and half days a week. The office also

area of Littleton. GP practice for sale. Littleton, CO.

Number: CO 2301.

includes a reception area, lab, sterilization area, staff

Collections $650K, Potential for $1M in collections

jed@adsprecise.com.

lounge and a bathroom. The practice produces

w/advertising. 4 OPS, 1,500 sq ft. Lease. Price

Meticulously appointed and equipped OMS

$510K in collections. For info contact

$375,000; Dr works 2 days/wk. in each office. (2

Practice in Boulder County, CO (CO 2128).

jed@adsprecise.com or call 303.759.8425.

locations.) Doctor retiring. ADS Precise Transitions,

Collections $861K, 4 ops w/ room to expand, 1,865

adsprecise.com, 303-875-8500, email: jed@

sqft, Sales price $399K. Don’t miss out! Established

Great Opportunity – 30+ year established

adsprecise.com. Listing Reference Number:

GP referral base, much less $ than a startup Great

orthodontic practice for sale in an excellent

CO 2309.

Opportunity & Price! Excellent location, Dr. retiring.

location of highly desirable Boulder County,

ADS Precise Transitions, 303-759-8425 or jed@

Colorado (CO 2116). Collections of $500K. Sales

General Dental Practice for Sale in Grand

adsprecise.com. Listing reference number:

price $199K (only 40% of production). Tech is up

Junction (CO 2307). Great opportunity to acquire

CO 2128.

to date including an iTero Element imaging system.

a dental practice and building on the western slope.

Located in a Dr. owned 4-plex & occupies 1,400sqft

Collections $265K, Price $139K, 4 OPS (w/ room to

General Dental Practice in Southwest Denver,

with 4 chairs. Room for expansion. Doctor is retiring.

expand). Building is also for sale with practice 2,500

CO (CO 2201). Great location! Collections of $1,1M

For information email: jed@adsprecise.com or

sqft. For more information, please call 303.759.8425

Practice occupies 1,550 square feet and consists

call 303-759-8425.

or email jed@adsprecise.com.

of 5 fully equipped operatories. Potential for an additional 1,600 sq ft adjacent to this office. Dr relocating. Price $600,000. For more info email: jed@adsprecise.com or call 303-759-8425.

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