Dental Practice Solutions

Optimize your dental hygiene department by taking an integrated, team approach

  • Do you feel like you are working hard and your production is not increasing?
  • Do you feel like your hygiene department is under performing?
  • Is your hygiene department producing 25-30% of your total production?
  • Are hygienists in your office treating bloody prophys?
  • Does your hygiene department help enroll implant cases and high-end treatment?
  • Do you have one or more holes in your schedule daily?

I am so happy that you are here because we have answers and solutions to your challenges.

Dental Practice Solutions - Debbie Bittke

Your Dental Patient Treatment Plan:  Triage and get Paid

By: Debbie Seidel-Bittke, RDH, BS

September 5, 2018

dental-patient-in-chairDear Dental Professional,

Did you run your end of year reports?

How many dollars walked out your door in 2018 without scheduling for treatment?

How many of your patients are overdue for a hygiene appointment?

During the month of August 2018, our team created training videos and blogs for you to feel inspired, motivated and we provided steps to reactivate overdue hygiene patients and get those patients with outstanding treatment back on your schedule.


What is your plan for 2019 to keep your back-door closed?

Today I will share steps to create your dental treatment plan with a triage to get paid.


Triage Background

 Triage is a word we typically hear used in the medical field.

What does Triage mean?

 This word comes from the French word trier, meaning to sort.

It was first used in World War I.

The work triage (noun) means:

  1. (in medical use) the assignment of degrees of urgency to wounds or illnesses to decide the order of treatment of a large number of patients or casualties.


  1. assign degrees of urgency to (wounded or ill patients).

Many of our client offices have patients who come in for a limited exam because of the toothache or a complication with their oral health.

How many of these patients who have a complication tell you that they can’t afford to pay for the necessary treatment?

It happens quite often; right?

What can you do when patients have a disease condition with their oral health?

The first step is to help your patient understand what is happening in their mouth.

Your patient may come in because of pain and then when they hear the cost to (at the very least!) have the tooth extracted; they say they can’t afford $100 or $200.

You are thinking, WHAT? You have pain and won’t pay to have this tooth extracted?

This boils down to a miscommunication.

Does your patient understand that if there is an infection in their mouth there is most likely infection brewing in their body?

Does the patient see what this challenging oral condition looks like?

And….do you know what your patient “can” afford to pay; today?

Now, your patient came in to your office and they know it is not free to have something done to stop the pain, so what did they expect to pay?

I have witnessed patients coming in for a limited exam due to a toothache and when they find out it will cost $100 they decide to leave without scheduling for any treatment?


Where have we gone wrong?

Steps to Overcome the “I can’t afford it” Challenge:


  1. Connection and Rapport
    1. This happens when the patient calls saying they have a challenging oral condition.
    2. What was said on the first phone call to schedule for this limited exam?
    3. How did you make the patient feel when they came into your office front door?
    4. How well did the team and doctor connect with the patient?
  2. Diagnosis
    1. Is the patients’ condition urgent?
    2. Show the patient what you see and assign a level of urgency
    3. Explain while looking at the pictures you have which show the patients oral condition, what is happening and address the benefits of completing treatment according to their level of urgency
    4. Explain the risks for not completing treatment in a special timeframe (According to how you have triaged your patient)
  3. Patient Accepts Treatment Plan
    1. When you have a patient with a limited exam they will be triaged with a priority of urgency
    2. Most limited exam patients will be triaged to have at the very least, palliative treatment completed the day of their limited exam
  4. Discuss Financial Arrangements
    1. When money is an objection, ask your patient, “What can you afford today?”
    2. Break down your questions into small bite-size pieces.
      1. Surely if your patients scheduled to see you because they have a toothache, they know this is not going to be free, so find out what they did plan to pay today.
      2. If there will be a larger treatment plan needed, as your patient what type of payment will feel comfortable every two weeks?
        1. If your patient says they can afford $100 every two weeks, ask if $200 a month is a comfortable payment to arrange


How to Get Patients to Pay                     

Urgency is key. This means that your patient must understand what is in it for them. This is the WIIFM Syndrome. The What’s in It for Me Syndrome.

No pun intended but find a way around their pain point; their reason to not accept treatment.

Most of the time patients object to paying for treatment. Spending money on their teeth is the biggest objection you will hear.

Dentistry is not expensive, but neglect is. Help your patients understand that waiting for the tooth to become a worse condition than it is today, costs everyone more money.

We want you to also learn about this other flexible in-house payment option you can offer your patients. Just click this link to find out how it works. This link takes you to a calendar to schedule 20 minutes and you will walk away with a new option to help your patients pay for oral health challenges and also—what may be music to your ears is that this information will help you enroll more patients into high-end treatment.


Do you want to learn how to enroll more patients into high-end treatment and get them to pay at the time they schedule for treatment?

Plan to attend our Live AGD CE Event in Portland, Oregon on September 21st, 2018.

During this event we will have a break-out session, so you will feel confident in enrolling more patients into high-end treatment plans and you will learn how to get them to pay at the time they schedule for treatment,

Can’t attend the live event? Give our office a call or email us because we can bring this to your office virtually or we will come deliver to your team in the office. Just ask us how it is done, and we will also give you and the team AGD CE Credits when we do a training for you. Email: or Call: 949-351-8741.



Here is one way that will break through your ceiling of huge potential and learn what your patients want.

Step 1: This begins with a motivated and committed team.

Step 2: You must have specific systems in place; systems that match your vision and the culture in your dental practice

Step 3: Your team must drive the systems in your dental practice

Step 4: Once the team drives the systems doctor will focus solely on their excellent clinical skills

Step 5: Experience Freedom!

If you follow these steps you will experience freedom to live the life you want.

The business of dentistry no longer needs to dictate how you live life—how you spend your time becomes your choice because you have more free time.

REGISTER HERE TODAY. SEATING IS LIMITED! $147 ONLY TODAY. If you are reading this, you must call or email our office for the SPECIAL TUITION RATE: Office – 949-351-8741 or

What can you expect when you attend with your team? 

  • Business success strategies from people who have traveled the road ahead of you
  • Radically increase production with REAL solutions from this course
  • Rapid growth with PPO and managed care insurance
  • Learn how to STOP the fear of corporate dentistry
  • Strategies that are 100% BULLETPROOF to Catapult your production no matter what the economy is!
  • Increase your current patient appointment value
  • Schedule more high-end treatment plans and get patients to pay when they schedule!
  • Improve case acceptance during hygiene appointments

Morning Session:

How to Run Your Business (Your Practice!) and Create a Culture of Success

Learning Objectives:

  • Proven strategies to effectively communicate with and motivate your team
  • How to deal with a “Bad Apple” on your team in a way that will make you a hero
  • Present treatment that your patients “want” and need
  • Putting it all together during the hygiene appointment

Afternoon Session:

The Business Side of Dentistry: What Every Dentist Should Know

Breakout Session: Work with your team to create a high-end, large production case. You will learn how to create a treatment plan with specific strategies that help your patient pay for the “Care” they want and need. You will be provided a patient treatment plan to put what you learn into action right away…. before you leave the course!

Learning Objectives:

  • Identify the critical building blocks of every successful practice
  • Enroll patients into the “care” they want and need (during their hygiene appointment)
  • Create flexible financial arrangements that your patients will want to say “YES” to and pay in advance
  • Leave with your blueprint, a written plan, to improve your practice and your life


Breakfast & Check-In – 8:00 AM to 9:00 M

Morning Session – 9:00 AM to 12:00 PM

Lunch – 12:00 PM to 1:15 PM

Afternoon Session – 1:15 PM to 4:15 PM

Closing Remarks & Questions – 4:15 PM to 4:30 PM

Always fresh and up-to-date information! You will feel empowered to take immediate action!

“Debbie and Doug are so good together on stage. Our team attended their San Diego event and walked away with great ideas and systems to implement on Monday morning. We learned a lot and had a great time. The food was delish, and we left with lots of great gifts from the sponsors.”

– Denise Calhoun, Office Manager

For Hotel Reservations, please contact Embassy Suites by Hilton Portland Airport.

7900 NE 82ND AVE, PORTLAND, OR 97220
PHONE # (503) 460-3000 / (800) 774-1500 – CODE: DPS DENTAL CONFERENCE


The Dental Practice Solutions is designated as an Approved PACE Program Provider by the Academy of General Dentistry. The formal continuing dental education programs of this program provider are accepted by AGD for Fellowship, Mastership and membership maintenance credit. Approval does not imply acceptance by a state or provincial board of dentistry or any other applicable regulatory authority, or AGD endorsement. The current term of approval extends from 04/30/2017 to 04/30/2019. Provider ID 376088

**Refund Policy:  Refunds may be eligible up to August 1, 2018.

REGISTER HERE TODAY. SEATING IS LIMITED! $147 ONLY TODAY. If you are reading this, you must call or email our office for the SPECIAL TUITION RATE: Office – 949-351-8741 or


How Dentists can Improve Loyalty

By: admin

June 14, 2018

How dentists can improve patient loyalty.

Our Guest Blog Written By: Dr. Nabil Mockbil

There have been many cases when patients who need certain expensive cosmetic or restorative dental procedures, cringe at the exorbitant cost and often forgo the expensive treatment completely.

It would seem that dentists are quick to recommend costly dental treatments with little or no regard to how their patients are going to pay for the costs.

The dentist is in a unique position to advise their patient on the best and most affordable dental care ensuring their patient is happy and financially comfortable.

How can your dental practice achieve this and keep or even grow your patient base?

  • Once a dental diagnosis has been made, use this time to educate the patient on the proposed procedure. The end goal should always be helping patients achieve and maintain their best oral health.

The patient should understand the benefits of the treatment plan and be able to make an informed decision, as opposed to opting out of the treatment because of what they believe is a high cost of dentistry.

The benefits you outline should focus on how the treatment will improve their overall health, comfort and appearance. This will help the patient make an educated choice based on your professional advice.

The patient may fully understand the benefits but still think the treatment is too pricey and not justified, but at least the patient sees you as being upfront and honest. This contributes to building your good reputation.

  • Be honest about the cost of the proposed treatment plan. This should also include all the dental appointments required and the length of time it takes to complete the treatment.

Being candid from the beginning is important in building a strong relationship, great rapport, between the dentist and patient, based on trust and honesty.

If you are able to offer an alternative treatment plan that takes less time or is less costly, be sure to offer it to your patient. This will leave the patient feeling like you have their best interests at heart rather than just making a quick buck!

  • It is a good idea to give your patient a written estimate of the treatment plan.

This shows that you are transparent about the costs and are willing to stick to the plan and the fees you’ve discussed; provided there are no “surprises” (aka: changes), during the treatment in the form of unexpected additional costs. Ensure the patient understands that “changes” to a treatment plan are possible.

The patient will also have a record for future reference during or after their treatment.

Some points to include in your written price estimate:

  1. The treatment proposed with the time it will take to complete from start to finish. Ensure that you include a provision that complications may arise due to unforeseen circumstances- this may impact the length of time of the treatment and even the costs.
  1. A breakdown of the fees as discussed with the patient at the initial consultation. This should clearly show what portion is covered by the patient’s dental/medical insurance and a fee the patient will have to cover “out-of-pocket.”
  1. Outline any payment options your dental practice offers. Does your office offer a special patient discount plan? Be clear on the amount that needs to be paid upfront before treatment begins, if there is any.


  1. Explain your dental practice’s billing options- whether you have convenient online payment options or how often invoices are sent out- either via email or postage. This will improve patient payment compliance. Who needs an inconvenience when trying to pay a bill?!
  1. Clarify how any amounts that are in arrears are dealt with. It is expected that some patients will not be able to pay their bills on time. This gives the patient options without impacting the reputation of your dental practice.

When you make an effort to connect with the patient you are able to explore all the available alternatives for his dental treatment but within his budgetary constraints.  This builds a strong relationship between the dentist and patient.

A happy patient is one who returns to your practice for all future dental care, brings the whole family and recommends you to friends thus, growing your patient base.

Author bio:

Dr. Nabil Mockbil received his DDS in 2001 from Umea University in Sweden, regarded as having the best dentist programme in Sweden for undergraduates. He’s now the founder of Swedish Dental Clinic in Dubai

Contact your highly trained and experienced dentist

Emotional Freedom Technique (Tapping): How to use it to Alleviate Anxiety in the Dental Patient

By: admin

June 7, 2018

Written by: Cindy Rogers, RDH, BS, OMT

How many times have you heard a patient say: “I hate the dentist.”? Well, they don’t actually mean they hate the dentist. More than likely they have dental anxiety. It has been estimated that 9% to 15% of Americans avoid seeing the dentist because of anxiety and fear.

Fear of the drill, fear of the needle, fear of the cost, fear of the white coat, fear of small spaces, fear of being lectured, fear of bad past experiences, and fear of being embarrassed.  These are all fears that can bring on anxiety about going to see a dentist.

There are many options we can offer our patients to help them conquer their anxiety. Some options are: listening to headphones, taking anti-anxiety medication, breathing exercises, etc. One option you may not have heard about is Emotional Freedom Technique, commonly referred to as tapping.

What is Emotional Freedom Technique (Tapping)?


Emotional Freedom Technique, often referred to as tapping, is a form of psychological acupressure that is meant to help your body focus on healing its self.  It has been shown to help relieve a wide range of emotional and physical issues such as anxiety, stress, depression, pain and trauma. It can be done anywhere and anytime without any tools, needles or side effects, which makes it very convenient.

Think of it as a form of acupuncture where you use your fingers instead of needles. Using your fingertips to tap on your energy meridians using a sequence which helps release blockages within your energy system.

The Three Parts to Tapping

Part One: The Setup Statement- Have the patient focus on their feelings of anxiety. They should come up with a statement that addresses that anxiety. The more specific they are with the statement, the better. An example is: “Even though I have dental anxiety, I love and accept myself.”

Part Two: The Reminder phase – The reminder phrase should be a very short version of your setup statement that states the issue. An example is: “This dental anxiety” The reminder phrase will be used as they continue through the tapping sequence.

Part Three: The Sequence- Start by having your patient rate their anxiety on a scale of 1-10. Then have them start the sequence by repeating the setup statement three times aloud, while tapping on their first meridian point, the karate chop. Next, have them tap 7-9 times on the reminding eight points in order listed below. As they are tapping on the eight remaining points, have them repeat the reminder phase.

The Nine Meridian Points Used for Tapping


  1. Karate Chop – Located on the fleshy, outside part of the hand between the top of the wrist and the bottom of the pinkie finger
  2. Eyebrow – Located just above the nose where the eyebrow starts, slightly to the side.
  3. Corner of the Eye– Located on the bone alongside the corner of the eye.
  4. Under the Eye – Located an inch under the pupil.
  5. Below the Nose– Located in the area between your nose and upper lip.
  6. Under the Mouth – Located below your bottom lip and above your chin.
  7. Collar Bone – Located where your collarbone and first rib meet.To find it, locate the U-shaped indentation at the top at the bottom of your throat (then move down 1 inch and to the side 1 inch.
  8. Under the Arm – Located about 4 inches below the armpit.
  9. Top of the Head- Located on the top of your skull in the middle of your head.

After they have completed the tapping sequence, have them take a deep breath and concentrate on how they are feeling. Now have them rate their anxiety again on a scale of 1-10. They should feel a sense of relief, but they may want to repeat the sequence for even better results.

Once your patient has perfected this sequence, they can perform this any time during their dental appointment to help ease their anxiety.

We now have several resources to offer our patients when it comes to dental anxiety. Tapping might be the best option as it is proven to be highly effective and does not require any equipment or medication. The patient is totally in control of the tapping and this helps ease their fear and anxiety even more.


Cindy Rogers, RDH, is a dental consultant, coach, speaker, and author for Dental Practice Solutions. Cindy coaches in the areas of front office systems and processes as well as the hygiene department. People love the calm ZEN vibe that comes with Cindy but don’t be surprised at her “Inspiring and Motivating” ability when working with your team! Please contact Cindy for a complimentary Profit Boosting Session: or call 949-351-8741 the website for valuable resources and schedule your complimentary Profit Boosting Session today. Check out more information on our website:

Dental Consultant in Oregon | How To Deal With The Stress of Being A Dentist

By: admin

May 10, 2018

How To Deal With The Stress of Being A Dentist

Written by Dr. Rachel Hall

It is true – being a dentist is stressful. Most patients dislike coming and are themselves stressed or anxious and this often comes across as rudeness, aggression and irrational behaviour. No one seems to appreciate or understand how hard it is to fix a tooth when you are leaning over, ruining your posture and straining your eyes.

Dentist Various Types of Stress

Many patients do not want to take your advice and simply think they know best despite the level of knowledge, experience and expertise you have.

Many complain about the bill, blow things out of proportion, ask the same question over and over even though you spent forever explaining it and even drew them a picture. And why do the challenging patients all seem to be booked in on the busiest and most demanding of days?

Then there is constantly being pushed for time, dealing with the bickering and team dynamics and their inability to think or organise anything for themselves – which come on doctor you know you’ve had a hand in as you are so controlling and need to micro-manage everything!

Add to that the bills are overdue, stock needs ordering, cash flow is a drip feed and the most vital piece of equipment has just blown up and yes…. It’s not surprising you’re stressed!

What Dentists Were Never Prepared For

Dental school fails to prepare the fresh-faced young and eager dentist to cope with the pressures they will face once graduated and working in dental practice. Instead it puts you under enormous amounts of pressure to learn, to achieve, and to come up to standard, pass exams and see patients on clinic at the same time.

You learn not to complain, to suck it up because you have to be the one to make it work, pay the bills, make the patients happy. You hold it all inside and put your brave face on as you dare not show you are overwhelmed and not handling the workload.

We come to rely on coping mechanisms like sugar, caffeine, alcohol and even drug abuse to handle the demands of daily practice; demands that we vent at our staff, patients, families and friends and then beat ourselves up over. Is a downward spiral!

Eventually we get sick, develop musculoskeletal problems, anxiety and depression, become de-motivated, resent our job, our staff and our patients and suffer from professional burnout and a higher than average rate of divorce, drug and alcohol addiction and suicide.

The statistics speak for themselves; in a study from the British Dental Journal July 2004, 90% of dentists said they drank alcohol regularly (with 1 in 7 dentists having an alcohol problem), 10% smoked and 35% were overweight. 62% suffered from heartburn, wind or indigestion, 60% reported being nervy, tense or depressed, 58% reported headache, 48% reported difficulty in sleeping and 48% reported feeling tired for no apparent reason.

Results also indicated that levels of minor psychiatric symptoms were high at 32%, similar to doctors at 27% and higher than the general population, which has been reported at 18%.

It is obvious from the studies that dentists do encounter numerous sources of professional stress, which can impact negatively on their personal and professional lives. Because of this dentists are prone to professional burnout, anxiety disorders and clinical depression and must be made aware of the importance of maintaining good physical and mental health to enjoy satisfying professional and personal lives.

Anecdotally, health professionals do not seek help for their own stress and personal frailty readily and instead are likely to put on a brave face and pretend they have the situation under control. Many often refuse to seek help for fear they will be stigmatised or lose their job whilst many others remain in denial.

Would it not then be sensible and beneficial to teach dental students and dentists a different way of managing stress and caring for themselves so they would be better equipped to deal with life? What if we could show dentists how to live in a way that supports them to deal with their issues and stresses and thus be able maintain their own health and remain fit and healthy both physically and mentally?

Solving the Dentist Stress Challenge

On a business level it’s important that you have systems and processes and are able to delegate to your team and have a team that is engaged and aligned to your practice values and mission. Sounds like a lot right there. Plus, as well as taking care of the business side of things you must learn to take care of your number one asset – YOU.

Here is a simple common sense approach to health and vitality that encourages you to care for and respect your body. This has worked well for me and many of my clients.

Eat to Support the Body

By assessing how the body reacts to foods (and situations) we can see what is beneficial and what to avoid such as gluten, dairy, sugar, caffeine and alcohol as these can cause stress to the body or may make you feel unwell. It is also a well-known fact that what we eat can affect our mood and wellbeing.

Sleep Quality

Go to bed early after unwinding from your day to support you to get plenty of good quality sleep. Wake when your body feels to, not when the clock or society says you should, which may be earlier than you are used to. Once you establish a healthy sleep pattern you awake less exhausted and full of energy.

Be in Control of Your Choices

Every choice we make affects and contributes to what happens in our life. These choices can either be self-caring and nurturing or not. The body constantly communicates with us about how those choices impact on it. If we override or ignore those messages instead of addressing them then eventually the body will suffer aches and pains, digestive problems, emotional fluctuations, stress, tension etc and illness can result.

Gentle Exercise

Exercise gently to keep the body fit, strong and supple. This assists us to be physically healthy without over-stressing the body, causing muscle tears or injury and producing excess lactic acid build up which can cause pain and stiffness.

Focusing the Mind

The constant chatter of our mind and thinking about other things and situations instead of the task at hand is draining and stressful. It is like a computer trying to run several programs at once, it uses up a lot of energy and drains the batteries. By remaining more present and focusing the mind to what is occurring in each moment we save energy and reduce stress levels. By switching off the incessant brain chatter it is easier to connect to the body and how we feel and thus remain calm.

The Gentle Breath Meditation can help to calm and de-stress the body and provide a moment to stop and reflect on how we are. Being aware of our breath allows us to feel when we are stressed or holding tension. By breathing gently we can slow the heart rate, reduce our blood pressure and let go of tension. By tuning in with our body we can feel where we are tight and holding tension; e.g. if our jaw is clenched, shoulders are up around our ears, our breath is laboured or whether our movements are rigid, tense and rushed or not; and then choose to let that tension go and allow the body to relax.


Seek Support

Sometimes our issues and the pressures that we face are too much for us to handle alone. It is important that we realise that everyone at some point in their life finds it hard to cope and that it is perfectly acceptable to seek support and ask for help.

Self-care is an integral and essential part of having a long and healthy dental career and should be incorporated into the undergraduate curriculum and be offered as part of our continuing professional development education. By equipping people with the tools of self-care that they can carry throughout their career; ill health and the need to use sugar, caffeine and alcohol or drugs as coping mechanisms could be reduced and avoided. In this way our health care providers including us dentists would be a living example to those that we are caring for, treating and educating on wellbeing.

About the Author

Dr Rachel Hall, business coach and founder of Ascendancy Business Coaching for Dentists, dentist and practice owner. Rachel’s coaching helps you develop tools and skills for a dental office that is less dependent on you, so you can do what you love and focus on being productive and happy through planning, strategy and systems – “without them you don’t own your business it owns you”.

You can learn more about her by going to one of her websites:  or

Or you can directly contact her at this email:

Dental Consultant in Oregon | The Ketogenic Diet and Periodontal Disease

By: admin

May 3, 2018

The Ketogenic Diet and Periodontal Disease: Could Eating More Fat Help Reduce Periodontal Disease?

Written by Cindy Rogers, RDH, BS


Inflammation has been found to be associated with just about every health condition. Chronic inflammation is a common thread among many conditions like stroke, cancer, heart disease, obesity, arthritis, Alzheimer’s and depression. So, it would make sense that it is also associated with periodontal disease.


How Inflammation is Associated to Periodontal Disease

For starters, inflammation is right there in the name periodontitis. Itis is defined as a medical condition accompanied by inflammation. Periodontitis is an inflammatory disease initiated by oral microbial biofilm. This distinction implies that it is the host’s response to the biofilm that destroys the periodontium in the pathogenesis of the disease.


Five Signs of Inflammation

  1. Heat
  2. Pain
  3. Redness
  4. Swelling
  5. Loss of Function


The Ketogenic Diet

If it is the host’s response of inflammation that is destroying the periodontium, then maybe we can control this response by following an anti-inflammatory diet. The ketogenic diet is a very effective anti-inflammatory diet.

The Ketogenic diet is known for being a low carb diet, but it is much more than a low carb diet and different than the Atkins Diet. The ketogenic diet is a high-fat, adequate protein and low carbohydrate diet.

When following this diet, your body is forced to burn fats rather than carbohydrates for energy. If there are little carbohydrates in the diet, the liver converts fats into fatty acids and ketone bodies. The ketones replace glucose as an energy source. Food that are high in carbohydrate will cause your body to produce glucose and insulin. Glucose is the easiest molecule for your body to convert and as energy so it chosen first over any other energy source.  Insulin is produced to process the glucose in your bloodstream by taking it around the body. When glucose is being used as primary energy, the fats you eat are not needed and are therefore stored around your body.

Ketosis is a natural process that the body uses to survive when food intake is low. Ketosis happens when you have lowered your intake of carbohydrates to the point that your body is forced to use fat as energy. When this happens, ketones are produced from the breakdown of fats in the liver.

Excess carbohydrates are converted into pyruvate, then to acetyl-CoA and then into HMG-CoA. Cholesterol is formed when HMB-CoA is converted into cholesterol by the enzyme HMG-CoA reductase. Statins lower cholesterol by blocking HMG-CoA reductase.

High carbohydrate diets lead to the overproduction of insulin, and insulin stimulates HMG-CoA reductase. High carbohydrate diets and its associated hyperinsulinemia equals hypercholesterolemia.


Why Ketones Help Reduce Periodontitis

 An anti-inflammatory diet works like a natural statin. With the release of ketones in the body, the body is in a state of ketosis. Ketosis is a desirable anti-inflammatory state. Ketone bodies reduce oxidative stress, which is very important, because an excess production of free radicals is implicated as a promotor of most chronic inflammatory diseases.



Getting into a State of Ketosis

To get into ketosis, you must eat less than 50 grams of carbohydrates per day.  Most carbohydrates should come from non-starchy vegetables, nuts and dairy. Refined carbohydrates, starch and fruit are off limits with the exception of avocados. Berries and star fruit can be eaten in moderation once you have entered ketosis. It is recommended that you take supplements as well.


  • Grains- wheat, corn, rice, cereal, etc.
  • Sugar- honey, maple syrup, agave, etc.
  • Fruit- oranges, apples, bananas, etc.
  • Starchy vegetables- potatoes, yams, sweet potatoes, etc.


  • Meat- beef, chicken, lamb, pork, eggs, etc.
  • Nuts and seeds- almonds, walnuts, macadamias, sunflower, etc.
  • High fat dairy- cream, butter, hard cheese, etc.
  • Leafy greens- kale, spinach, etc.
  • Avacado
  • Berries- raspberries, blackberries, other low glycemic berries
  • Vegetables- above ground such as cauliflower, broccoli, etc.
  • Fats- coconut oil, loive oil, salad dressing, etc.
  • Sweetners- stevia, erythritol (try mixing together for a better taste)
  • Anti-inflammatory supplements- magnesium, vitamin D, omega-3 fatty acids, chromium, ginger, turmeric and garlic


 Oregon Dental Consultant

Cindy Rogers, RDH, BS is a dental consultant, coach, speaker, and author for Dental Practice Solutions. Cindy coaches in the areas of front office systems and processes as well as the hygiene department. People love the calm ZEN vibe that comes with Cindy but don’t be surprised at her “Inspiring and Motivating” ability when working with your team! Please contact Cindy for a complimentary Profit Boosting Session: or call 949-351-8741 Visit the website for valuable resources and schedule your complimentary session today:




Oregon Dental Consultant | How to Increase New Patient Production

By: admin

April 12, 2018

Written by Cindy Rogers, RDH

A potential new patient calls your office and says that he has a tooth ache and would like to be seen as soon as possible because he is in pain. Excited at the opportunity to fill a hole in your schedule, you gleefully say “we have some time available today to do an exam and x-ray and get you out of pain.” Great, that is all the guy wants, right?  Well not exactly.

This patient has to this pain because he has not had comprehensive dental care in a while; maybe even years.  His dental care has consisted of seeking relief from toothache to toothache. He would get a toothache, go to the dentist, get out of pain and then repeat the cycle of limited exams, PA’s and limited treatment. He was never offered the option of having a comprehensive exam and full mouth x-rays.

You see, this guy is a general contractor, he does not work in dentistry and does not really know much about it. All he knows it that he is in pain and he needs dentistry to help him get out of it. It is our job to educate him on dentistry and what is best for him.  It is also our job as a business to determine what is best for us. This is a win-win opportunity.


Why is a Comprehensive Exam and FMX Best for the Patient?

  1. The patient has an active infection spreading throughout his body and it needs to be treated. Caries and periodontal disease are infectious. If one area is infected then it is likely that others are as well.  Bacteria travels throughout the blood stream to vital organs.
  2. The patient is valuable as a person and a patient in your dental practice. They need to get as much treatment completed as possible in one appointment to eliminate returning to your office and leaving their job. A limited exam and Periapical are usually scheduled for 30 minutes in your day. A comprehensive exam is usually scheduled for 60 minutes. The patient will have a diagnosis and treatment plan for his whole mouth in one appointment instead of retuning numerous times.
  3. This patient works hard and wants to get the most out of his insurance and the almighty pocket book. The majority of insurance companies only cover two exams of any type per year, regardless if they are a comprehensive or a limited exam. Most insurance companies will cover preventative services at 100%. To the patient, with insurance, there is no difference in cost for a comprehensive or a limited exam. They will get the most savings and a valuable benefit by having insurance pay for a comprehensive exam and Full mouth x-rays.


Why is this best for the Practice?

True, you could possibly add a little bonus in production by doing emergency treatment. Let’s take a look at the bigger production picture. Here is a possible scenario of the opportunity to increase production.





Scheduled Time 30 minutes 60 minutes
Production $150 $300
Patient Cost $0 $0
Possible Treatment Plan $500 $5000


By doubling the initial appointment time, you will at least double the production. You will also be able to present him with a “whole mouth comprehensive treatment plan.” The patient will be so impressed that you took the extra time with them that they will refer their friends and family to your dental office.

What to Say to the Patient During the Initial Phone Call

Dental Office: “Mr. South, I understand that you have a toothache and it is our priority to get you out of pain. Let me explain how we can do that and prevent you from suffering again in a few months, all while saving you time and money. How does that sound?”

“Mr. South, I understand you are trying to save money by only fixing one tooth at a time. Let me explain why this is actually costing you more money and keeping you from using the insurance benefit that you pay for.”

“Mr. South, did you know that cavities are contagious? We are concerned that if we only fix the one tooth, that many others in your mouth are still infected and will be causing you pain in the near future. Let me explain how we can help prevent this from happening.”


Getting the patient out of pain is indeed a priority, but, let’s not forget about the big picture. The big picture for him and for your practice.




Your Goal: No more pain for the patient and in return you have a patient for life in your dental practice.



Cindy Rogers, RDH, BS is a dental consultant, coach, speaker, and author for Dental Practice Solutions. Cindy coaches in the areas of front office systems and processes as well as the hygiene department. People love the calm ZEN vibe that comes with Cindy but don’t be surprised at her “Inspiring and Motivating” ability when working with your team! Please contact Cindy for a complimentary Profit Boosting Session: or call 949-351-8741 Visit the website for valuable resources and schedule your complimentary session today:

Dental Consulting | 5 Simple Steps to Implementing a Successful Oral Cancer Screening Protocol

By: Debbie Seidel-Bittke, RDH, BS

April 5, 2018

Dental Advisor

Written by: Kelly Kunkel, Director of Strategic Development at Forward Science

April is National Oral Cancer Awareness Month and we have asked Forward Science to write a guest blog and share this important message. Thank you to Forward Science and Kelly Kunkel for your contribution to our guest blog series this month.


  1. Educate your patients & community about oral cancer

The stereotypical demographic has changed from years past.  While the traditional risk factors (smoking, drinking, family history, etc.) still apply, the fastest growing demographic of new oral cancer cases is younger patients without any of the traditional risk factors.  Patients need to be aware and understand that everyone is at risk and should be screened annually for oral cancer.  This is our industry’s cancer and we need to educate and make a difference in our communities.  Forward Science works with each of our clients to help you spread the word and differentiate your practice.



  1. Use adjunctive screening technology

Did you know that 69% of oral cancers are found in their later stages?  Fluorescence technology for early discovery of this growing epidemic has continued to evolve and allows you to identify abnormalities such as oral cancer, pre-cancer and other abnormal lesions at an earlier stage, thus saving lives. Adjunctive devices that incorporate this proven technology have been simplified and made to be cost-efficient. With devices like OralID that allow clinicians to use the latest technology with no cost per patient, oral cancer screening has become a no-brainer.


  1. Make sure EVERYONE on your team is trained

Like anything else you implement into your practice, training is key.  Everyone in your practice, from front office to back, needs to be 100% comfortable talking to patients about the current statistics and why everyone needs to be screened, how the technology works, how to present the screening to the patient and do so with passion!  If you’re going to talk the talk, you need to walk




  1. To Charge or not to charge

Enhanced oral cancer screening is a service you provide, and it is perfectly acceptable to expect an increase in revenue in return for the service.  How to charge for enhanced oral cancer screening can vary from office to office and can increase your revenue significantly if you choose.  When you are thinking about whether “to charge or not to charge,” remember that there is no right or wrong answer. By making the simple choice to incorporate this technology into your practice, you could be making a life-changing decision for your patients.





  1. Testing

If during the screening an abnormal area is found, the typical protocol is to schedule the patient back for a follow up in approximately 2 weeks.  If the lesion is still present and continues exhibit a loss of fluorescence, we will then move to the next step of the protocol; diagnostic testing. CytID is a simple and non-invasive test that will give a diagnostic result read by a pathologist on what is happening on a cellular level.  CytID liquid based cytology is used “when you need to know more”, and is not a replacement for the standard of care biopsy. This will help you gain more information regarding the lesion, so we can have a more informed plan of action. In the common occurrence that the results come back normal, the patient’s mind will be at ease, but you as the clinician can also rest assured that you provided the best quality care.


Guest Blog Author

Kelly Kunkel is the Director of Strategic Development of Forward Science LLC. Forward

Science is a medical device company founded on advancing oral healthcare through early discovery (OralID), diagnostics (CytID, PathID, hpvID, phID), and treatment options (SalivaMAX & SalivaCAINE). Utilizing her 20 years of dental sales, marketing and practice management experience, Kelly continues to grow the Forward Science user base and develop strategic partnerships while revolutionizing the way dentists screen for oral cancer. You can contact Kelly at Forward Science: Email: or Call: 480.734.3914. Website:





Dentistry: Get a Grip On Your Business and Grow Your Practice

By: Debbie Seidel-Bittke, RDH, BS

March 23, 2018


Fri, September 21, 2018

Presented by: Debbie Seidel-Bittke, RDH, BS, CEO of Dental Practice Solutions

Presenting Sponsor: Doug Fettig, CPA, MBA at Aldrich CPAs + Advisors LLP

6 CE Credit Hours – Breakfast, Lunch and Afternoon Snack – Lots of Fun Learning!


Embassy Suites by Hilton Portland Airport

7900 Northeast 82nd Avenue

Portland, OR 97220


Fri, September 21, 2018

9:00 AM – 4:30 PM PD


Breakfast & Check-In – 8:00 AM to 9:00 M

Morning Session – 9:00 AM to 12:00 PM

Lunch – 12:00 PM to 1:15 PM

Afternoon Session – 1:15 PM to 4:15 PM

Closing Remarks & Questions – 4:15 PM to 4:30 PM

Click here to register

Dental Consultant in Oregon | Converting Leads into Patients

By: Debbie Seidel-Bittke, RDH, BS

March 22, 2018

Marketing is an essential part of attracting new business. Strong print and internet marketing materials can help introduce your practice to potential new patients. Glowing reviews and testimonials tell people that you have a trustworthy team and offer quality care. However, even the best marketing efforts won’t contribute anything to your business if you fail to convert leads into patients. There are a variety of reasons outside of your control that might stop someone from scheduling an appointment at your practice, but it’s important to make sure you do all you can to help motivate people to seek treatment with you. Below are some tips to help your team more effectively sell the value of your service to potential new patients.

Be responsive and available. As a dental professional, you know what it’s like to be busy. Often, your patients have busy lives of their own. Make sure your team is available to take calls as they come and try to offer flexible appointment times to help people work within their limited free time.


Don’t be too pushy. While it’s helpful to be clear about all the treatments offered at your practice, patients are often turned off by overly “salesy” approaches. Take the time to get to know a patient and their needs, goals, and budget before trying to sell them on dental solutions. This will make them feel valued and understood, increasing the likelihood of treatment plan acceptance.


Offer a friendly and welcoming environment. There are a number of people who absolutely dread going to the dentist. Because of that, some potential patients may already have a negative feeling towards you and your team despite no fault of your own. Work to overcome this discomfort quickly by offering a personable and kind environment. Make sure your team greets patients by name and gets to know a bit about them. A little can go a long way.


Don’t lose track of people. Repetition is one of the easiest techniques for cementing something into memory. If a potential new patient contacts your office, be sure to follow up if you don’t hear from them again. You never know the reason they didn’t call back, so taking that step for them can offer a second chance to make a connection and help your practice stand out more in their mind.


Many dentists find it difficult to think about their practice as a business. It is likely that you chose dentistry due to a passion for service and healing, not bookkeeping or sales. Yet nearly any successful retailer will say that the only way to gain business is to give customers what they want, when they want it. Contact us for more strategies on boosting new patient numbers and patient retention!

Debbie Seidel-Bittke, RDH, BS

Debbie Seidel-Bittke, RDH, BS


Debbie Seidel-Bittke, RDH, BS is a dental consultant, coach, speaker and author. She is also CEO of Dental Practice Solutions. Debbie is a world-class leader in creating profitable hygiene departments. She is well-known as a former clinical assistant professor at USC in Los Angeles and a former hygiene department program director. Dentistry Today recognizes Debbie as a Leader in Dental Consulting. She can be reached at (888) 816-1511. Send an e-mail to or go to her website:

Check out the Free 3-Part Hygiene Department Training:

Clackamas Dental Consulting | SEO and Its Real ROI

By: admin

March 1, 2018

SEO has developed a bit of a bad reputation as of late. It’s true that some companies or individuals might try to cheat the system in unethical ways, putting you at risk of being blacklisted by Google. These spamming techniques include keyword stuffing, buying links, article stuffing, and more. While they might have worked to give you good results in the past, Google’s ever-learning algorithms have become much more adept at catching these tactics and punishing websites for them. However, a properly implemented SEO strategy is an invaluable part of a strong internet marketing plan. In order to understand the true value that SEO provides, you must first understand what it is and how it works.


What is SEO, Really?

While many individuals might be familiar with the term “SEO,” fewer know what it stands for, or how it really works. Search Engine Optimization, or SEO, is an umbrella term for a variety of strategies one might use to try and increase the ranking of a website on Google and other search engines. These techniques can include strategic keyword integration, off-site link-building, social media integration, and more. As search engines recognize an increased proliferation of your site across the web, your site will move up in rankings.


The Benefits of a Comprehensive Strategy

SEO is most effective as a part of a larger internet marketing strategy. In order to see a real improvement in your ranking results, it’s important to have an online presence that will get your site noticed and foster an increase in online engagement. By making sure that this engagement is all tied back to your site, you can organically boost the results. Having a site that’s SEO-optimized and kept up-to-date with the latest changes in Google’s algorithms will ensure that you’re making the most of the traffic and links to your site.


Why does this matter for me?

90% of individuals never venture past page one of web search results. If you’re trying to attract more people to your business, it’s important to ensure that your website ranks well for a variety of keyword combinations. Maintaining a consistent SEO strategy of keyword integration and diversified backlinks is your best bet for seeing a stable increase in your rankings on Google and other search engines. Don’t let poor rankings cause you to miss potential new business!


Grace is the proud owner of Identity Dental Marketing where she has made it her personal mission to improve the business of each dental practice she works with by a measurable amount. In her first position as a Marketing Director for a multiple location dental practice, she tripled the number of new patients seen on a monthly basis (in 3 short months, on the same marketing budget). From there, she created a variety of sales-focused training workshops, attended many marketing seminars and became obsessed with dental marketing and branding as whole.