Clackamas Dental Consultant | Dental Practice Solutions

Tips to Improve Case Acceptance

By: Debbie Seidel-Bittke, RDH, BS

May 3, 2023

What is your current percentage of patients who have accepted your care this year?

Case acceptance in the dental practice is at an all-time low. If you notice 50% of your patients are leaving with the “I need to think about it syndrome,” continue reading and discover a few tips to optimize your treatment acceptance.

It’s essential that dental professionals are able to communicate the diagnosis and recommend a treatment plan in a way that patients can more easy to understand their oral conditions, how inflammation and infection will affect their overall health.

We must take the time to truly understand our patients, their concerns and what they value for their life and overall health.

Truly understanding our patients requires a certain level of skill, which includes the ability to actively listen, understand the patient’s needs and concerns, and articulate the benefits of the recommended treatment according to their needs and values.

By asking open-ended questions about what the patient hopes to accomplish with their smile, and what their main concerns are, dental professionals can gain valuable insights into the patient’s goals and expectations. This information can then be used to tailor the treatment plan to better meet the patient’s needs and preferences.

It’s also important for dental professionals to understand the emotional factors that may be influencing the patient’s decision-making process. Patients may have fears or anxieties about dental procedures, or they may be seeking a cosmetic improvement to boost their self-confidence. By understanding these underlying emotions, dental professionals can frame their services in a way that resonates with the patient and addresses their concerns.

We must use words our patient understands and not speak in dental lingo which patients most likely do not understand. Use words that paint pictures of what is happening in their mouth.

Break it down into a conversation centered around what your patient values and use words to describe their dental condition. Use words they can easily understand.

These are tips that build trust and trust is a #1 reason your patients will accept your care.

Examples of descriptive words:

Bleeding
Inflammation
Infection
Hole
Crack
Etc, etc.

Take intra oral images. Show the patient these images while you are seated with your patient knee-to-knee and eye-to-eye. Make your patient part of the decision-making process. Help your patient “Own their disease.”

This is called Proxemics which is part of rapport and building trust.

When dental professionals improve case acceptance they provide better care to their patients. Ultimately, the goal is to build trust and establish a long-term relationship with patients by providing the best possible care and a patient-centered experience.

Engaging in non-interruptive conversation is a great way for dental professionals to better understand their patients and their needs.

When you seek to understand what your patients desires and attach the benefits of your services around a benefit for them, case acceptance improves.

What are the primary values of dental patients?

Money
Aesthetics
Health
Time
Pain

Ultimately, it’s important for dental professionals to recognize that patients make decisions for their own reasons, and that it’s the dental professional’s role to provide patients with the information and guidance they need to make informed choices. By adopting a patient-centered approach and focusing on building relationships, dental professionals can help their patients achieve their oral health goals in a way that feels comfortable and supportive.

Patients often feel more comfortable and engaged when they are given the opportunity to express their thoughts and feelings about a proposed treatment plan. Encourage a dialogue to help patients take ownership of the decision-making process. Patient’s will feel more confident about scheduling and paying for treatment when you make treatment planning a partnership with patients not a one-way path.

In addition to promoting a more comfortable atmosphere, a conversational approach to case presentation can also help to build trust and establish a stronger relationship between the patient and you, the expert.

By demonstrating a genuine interest in the patient’s concerns and needs, and by providing clear and honest information about the proposed treatment plan, dental professionals can help patients feel more confident about the care they are receiving.

Ultimately, the key to improving case acceptance rates is to focus on building strong relationships with patients, and this can be accomplished through open dialogue, active listening, and a patient-centered approach to care. By putting the patient’s needs and concerns first, dental professionals can help their patients achieve better oral health outcomes while also building a loyal and satisfied patient base.

The motivational interview (MI) philosophy is a great way to create a partnership with your patient, understand their needs, get them to own their disease and accept your best care.

Below I have attached a resource to learn more about motivational interviewing. I believe you will discover this philosophy is very helpful to overcome challenging case acceptance.

How do you get patients to “Own their disease?”
When was the last time you looked at your percentage of patients who have outstanding treatment?
What’s is your plan to get these patients to schedule their necessary treatment?

Please know that I am here to support you and your team to have your best year ever.

Schedule a coffee chat and let’s determine your best path to achieve your goals this year.

References.

Motivational Interviewing. https://bit.ly/VideoMI411
https://bit.ly/ProxemicsRapport

Stop Treating Your Schedule Like a Video Game; How to quit messing around and schedule your day for success

By: admin

August 21, 2018

Written by: Cindy Rogers, RDH, BS, OMT, Lead Hygiene and Business Coach.

I admit that while I was a scheduling coordinator, I was treating the schedule as if it were a video game. I would squish and stretch appointments to make them into pretty colored boxes that all fit nice and tightly together. I thought to create a productive day meant to have all the blocks filled in

It did not occur to me that these pretty little boxes basically controlled how the clinical teams’ day would run. Yes, they did often come up and kindly tell me to stop treating the schedule like a video game. I was told that they needed more time for this or that and that they could not possibly do a root canal at the same time as an extraction. I did not really understand what they meant. All I knew is that my pretty boxes needed to match up and their demands were messing that up.

After being reminded a few hundred times and working with some great consultants, I got better at this, but still did not truly understand why my boxes couldn’t just fit together nicely.

Now that I am a hygienist, I totally understand and often apologize to my previous team for all of the agony I must have caused them. I figure the reason they supported my transition into hygiene was so that I would get my payback.

Five main points to consider when planning your day

I would like to now share five points to consider when planning your day. These steps will help make your day successful both in production and in keeping your team mates on your side:

How much time does each procedure require?

Make a list of how much time each doctor needs for treatment procedures. (i.e., 60 minutes for one crown, 90 minutes for two)

What hygiene visits do NOT require an exam?

Typically, gum treatment appointments do not always require an exam. This is where you will be matching up time for the doctor to perform procedures that are hard to break away from.

What time of day do the providers prefer to perform longer procedures?

Let’s face it, some of us are morning people, and some of us aren’t. Why not do your patients a favor and find out.

What is a good time to save for new and emergency patients?

You should have time set aside for emergencies and new patients. You want to be able to offer these patients an opportunity to come in within 72 hours of them calling. Often, offices will block out time right before lunch. This way they have time to perform palliative treatment if needed, and a longer lunch if not.

What is your daily production goal for each provider?

Each provider should have a daily production goal. When you mix and match these procedures during the day, they should add up to reach this goal.

Now you want to match up the hygiene appointments that do not require an exam with the longer treatment appointments. These will be your rocks for the day and time where the providers can work uninterrupted.

Next, schedule treatment such as composites, and preventative hygiene. These will be your pebbles. After the foundation of rocks and pebbles are set in place, you can sprinkle some sand around them. Sand will be your crown seats, limited exams, and hygiene re-evaluations.

Each day should be balanced this way to assure your goals are met and that you are not running around crazy seating crowns and doing limited exams one day and sitting for 8 hours straight the next. Everyone on your team will be much happier and more productive. Remember that the daily schedule is your plan for the day. If you plan poorly, chances are your day will run poorly.

Written By: Coach Cindy Rogers, RDH

For many years Cindy has been an integral part of successfully building dental practices from the group up. Cindy is known for creating a harmonious work environment where the whole team looks forward to coming to work every day. The result of this has been massive growth for the practice.

Her passion is to share her success and knowledge with other practices so that they can experience a great team working environment while watching their profitably explode. What you will experience with coaching by Cindy, is somebody that can bring your team together to create your ultimate dental practice, and the ultimate patient experience.

It is through her years of experience in the dental field and the methodologies of Dental Practice Solutions that Cindy creates the next level of success for each dental practice she touches

When not focusing of dentistry, Cindy spend her time with her family exploring the outdoors in beautiful Pacific Northwest.

Contact Cindy: admin@dentalpracticesolutions.com

Dental Consultant | The End of Year is Near. How to Get Dental Hygiene Patients to Return Now.

By: admin

August 8, 2018

The end of the year is near. In today’s blog you will read how to get your dental hygiene patients to return now.

Summer is coming to an end. The kids are going back to school. Parents are busy with work, back-to-school shopping and it seem there is not time to visit the dental office

Many of your dental patients haven’t scheduled necessary dental treatment for themselves or their family.

Most dental benefits will not roll over to the next year and that means you are wasting insurance benefits for your patients.

Now is the time to try and help your patients maximize their dental insurance coverage. Many of your patients are overdue for a routine hygiene appointment.

August is the best time to be looking over your list of overdue hygiene patients and also patients with outstanding treatment.

Every month of each year, plan a day to run a report of overdue hygiene patients. Mark your calendar to run this report the first week of each month.

At this point in the year, it is crucial to focus on contacting your overdue hygiene patients as well as get patients to return who have unscheduled treatment to complete.

How do you contact your patients?

It is important to contact your patients in a way that creates a quick response.

With today’s world of technology, you may notice that most people don’t pick up their phone (of not often), they don’t check their personal emails throughout the day and not many people go to their mailbox to pick up their mail each day.

We suggest that you have the ability to two-way text all of your patients.

To begin the two-way texting, you need to have the technology connected to your practice management software.

We recommend SolutionReach to our clients because not only does this company offer two-way texting, but you can add a link for your patients to click which will allow them to immediately schedule their appointment.

What does your text message say?

You will at the very least want to text all overdue patients with only a sentence that says, please call our office about your dental appointment.

We have found this works very well for patients to call your office and especially when they know they don’t have an appointment.

Once the patient does call they will most likely let you know, “I don’t have an appointment.”

Your response will sound like this:

“Mrs. Smith, please let me check your patient record to find out exactly what is happening here. May I put you on a brief hold? This will take me less than ten seconds to check.”

Most patients will be patient enough to wait a few seconds.

Here is the part that may be new to you.

The team of consultants at Dental Practice Solutions, teaches clients this acronym called, R2R.

What does R2R mean?

R2R means “Reason to Return.”

The R2R is a brief description each clinician writes on the last line of the patients record, each time the patient is seen in the office.

This means that the clinician has discussed, communicated, with their patient the reason why they need to return, and that reason will not only be a clinical reason but a benefit to the patient.

If the patient you just took a call from, has a clinical R2R note that states, Pt has bleeding gums, infection around all the back molars and heavy tartar build-up in lower front teeth. Pt has diabetes and I explained that treating gum disease will put a halt to the life-altering challenges of diabetes that can be prevented when their mouth is healthy.

Using the R2R. What to say to the patient.

Once your team of clinicians begin to use the R2R the person answering the phone call will always put a patient who calls about an appointment on a short hold while they check the R2R.

Now that your patient is on the phone, let them know that doctor (and you can include the hygienists’ who last saw the patient) is concerned about their health. Explain that last time they saw doctor and hygienist they had infection in their gums and this can make their diabetes worse which causes other serious health problems. Let the patient know it is extremely important to complete the gum treatment because now we know this will help improve their diabetes.

What do we do if we have not used the R2R?

If you are reading about the R2R for the first time, when you look at a patients’ record, there will not be an R2R and I suggest that you have each of your team members learn about this.

Please contact our office and a dental consultant on our team will be happy to provide a training for your team. We can offer AGD CE Credits if you like.

Steps to reactivate overdue hygiene patients:

Step 1. Run your reports

1. Run an overdue hygiene patient report for the past 6 or 12 months.
  1. If you don’t usually run this report monthly you will want to go back at least 12 months when you begin running this report.

Step 2. Send a text message

Use your patient engagement software (Ex. SolutionReach) to contact overdue hygiene patients
Your first text message should only say “Please call our office today about your dental appointment.”

Step 3. In one week for the patients who have not responded to your text message, send them an email.

In your email you can now include your scheduling link, so these patients can easily click the link to schedule their hygiene appointment.
Your email message can be customized with each patients’ name, but the same email goes out to every patient who needs a dental hygiene appointment.
As a dental consultant I have learned that people respond more favorably to this email when you offer them an incentive to return for their appointment.

We know that free tray whitening works well when attempting to get overdue hygiene patients back to your office.

1. 1. You can also use other special offers to motivate patients to return such as money of Invisalign.

Step 3. Understand the specific type of appointment needed.

When you do have patients calling to schedule their appointment, be sure to look at their patient record to understand what type of appointment they need.

Step 4. Begin using the R2R.

1. All clinicians must make this part of their patient record.
2. When a patient calls to schedule or change an appointment, the front office person answering the patient call, will look up the R2R so they know exactly what the patient needs to schedule for (Ex. Prophy, x-rays and doctor exam, etc.) can speak to the patient about the necessary service and value/benefits for scheduling.
3. This R2R can and should be used every time a patient calls to change a dental appointment. Use the value and benefit to the patient to get them to keep their appointment not change it.

The number 1 focus this month needs to be contacting all patients who need to return this year for a hygiene appointment.

Need help implementing the R2R or any other systems?

We are here to help you! Call us to find out how to get training virtually or in-office. We are here to help! Your team will receive AGD CE Credits with any training we complete for you. Contact us today. Email: admin@dentalpracticesolutions.com or call our office: 949-351-8741

Next week I will return with information to contact patients with outstanding treatment. I will also write about how overcome this big challenge of patients leaving without scheduling their important restorative care.

ABOUT DEBBIE SEIDEL-BITTKE, RDH, BS

Debbie Seidel-Bittke is the CEO of Dental Practice Solutions and has over 15 years of business and consulting experience, as well as 30 plus years of working knowledge as a dental professional.

Having the unique ability to understand dentists’ need, Debbie can help each dental practice grow to be efficient and profitable. The growth occurs by optimizing your dental hygiene department. She has a team of experts that will work in the other areas of your dental practice as necessary. Debbie’s insight allows her to effectively communicate and implement success strategies while strategically addressing productivity challenges in the dental practice.

As a dental hygiene business coach, a former clinician and educator, she is adept at collaborating with dentists and their team to incorporate her expertise to see a dental practice grow to levels beyond their imagination. Debbie and her team of experts will increase the profitability of each dental practice. This year, 2018, no client of Dental Practice Solutions will increase production less than $125,000 and without working more days in the office. Ask us how you can be next to do this!

Call or email our office to schedule for your Free Profit Boosting Session:

Email: admin@dentalpracticesolutions.com or call our office: 949-351-8741

How the Dentists Can Estimate Their Potential ROI from SEO Services

By: admin

July 20, 2018

As a dentist, your e-mail is probably bombarded every day with various online marketing pitches. Everything from web design to e-mail marketing and copywriting—you name it, it’s there.

However, did you notice that neither of these sales letters tells you the most important thing, which is what your return on investment (ROI) will be, or how much money you can make if you invest in their services? They don’t, because in most cases, this is difficult to calculate. These online-marketing firms are not willing to go for such a commitment, and even if they do, the ROI doesn’t look that good.

On the other hand, there are services like search engine optimization (SEO), which delivers quite predictable results, and we can easily tell what your potential is if you invest in that. Furthermore, SEO is a long-term strategy. This means the ROI doesn’t fluctuate month by month. In fact, most of the time, the ROI increases every other month, even if you put the campaign on hold.

This is exactly what we’re going to teach you here. We’re here to help you form an easy way to estimate how much money you could make as a dentist practitioner if you invest in an SEO service.

Click the link below to read more on how you can estimate your ROI from search engine optimization.

Dental Consulting | When Do We Begin Screening for Gum Disease?

By: admin

July 19, 2018

Dental Coach Oregon

Written by: Debbie Seidel-Bittke, RDH, BS, CEO

One of the big controversies working with dental hygienists is “When do we begin screening for gum disease?

It is a common question and each office we work with has a different answer.

What is the correct answer to this question?

In 2011, the American Academy of Periodontology published the Comprehensive Periodontal Therapy Statement, which recommends that all adults receive an annual comprehensive evaluation of their periodontal health.

The periodontal exam begins for all adults.

Who is considered an adult?

As a former dental assistant and then clinical dental hygienist, I have learned from experience, over years seeing teens and watching them grow to be mature adults, that periodontal disease begins at a very young age.

The description of adult for a dental patient begins when the patient has all twenty-eight of their adult dentition. This is the best time to begin screening for gum disease.

The conversation about gum health should begin with a patient at a very young age. You may notice that during orthodontic treatment, young patients have gingivitis. This is a great time to begin treatment for gingivitis and this conversation about the benefits of oral health.

Start educating your patients about gum health at a young age.

As dental professionals, our goal needs to be not only optimal oral health but optimal health. We are in a great position to help our patients understand that a healthy mouth can lead to a longer and healthier life. This needs to be our overarching message as a dental healthcare provider.

What does a periodontal comprehensive exam include?

The American Academy of Periodontology has a checklist that you can download. You can download this checklist here.

Your periodontal exam will begin with an overview of the patients’ total health. This will include recent surgeries, medications; herbs are included with medications because some herbs will cause more bleeding.

Here is a list of medications and herbs that may cause more bleeding then expected during a hygiene appointment or dental procedure.

What do we say when the CPE is not a good report for the patient?

It is very helpful when the clinician providing the CPE explains what is happening before they lie the patient back in the chair.

Next week I will walk you through the process on exactly what you should say before you begin the screening.

If you can explain what you are about to do for example, “I am going to use this ruler to take some measurements and these numbers mean X, Y & Z. When I am finished calling out these numbers, I will ask you “What is the highest and what is the lowest number you hear me call?”

When you explain this to your patients before you begin your screening, you will notice that patients tell you they have disease before you ask them what numbers they heard called out.

Your message

In conclusion, our goal is to help our patients live a longer and heathier life. When your patient has gingivitis, periodontitis or any type of infection in their mouth, it is a chance to sit with your patient and talk about the mouth-body connection.

We are in the business of helping people live a longer and healthier life.

When this is your message, you will have patients who schedule and pay for treatment. When this is your message you will have a dental practice of patients who return for routine care. This message shows how much you really care!

For more information about treating the patient with gingivitis and/or periodontitis download our free resource with a Hygiene Patient Flow Chart.

ABOUT THE AUTHOR

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 info@dentalpracticesolutions.com or go to her website: https://dentalpracticesolutions.com

Does your dental practice run your life? If you want to change the way you currently live your life in our world of dentistry check out our Live CE Event

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

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Dental Consultant | Building a Better Team

By: admin

June 28, 2018

Oregon Dental Consultant

Recruiting employees can be a time-consuming, stressful, and sometimes costly endeavor. When you’re looking to build an optimal team, it can be tempting to hold onto old employees for too long and hesitate to hire new ones until you’re confident you’ve found the “perfect” fit. However, both of these common mistakes can be damaging to the efficiency and culture of your business in the long term. Building an ideal team can take time, but keeping the following tips in mind can help ensure your business is able to thrive.

Out with the old…

It can be hard to let go of any employee. Ideally, everyone you bring to your business will become a valuable member of the team. Unfortunately, that’s not always going to be the case. If an employee is displaying any of the following signs, it might be time to consider letting them go:

Bad Attitude: This includes eye-rolling, snide comments, complaints, confrontational tone, and passive-aggressive speech or actions. An employee that disrespects their co-workers won’t have the best interests of the team or the business at heart.
Lack of Engagement: Whether unfocused at work or unresponsive during meetings, an employee that’s not mentally present can’t give their best to their work.
Dishonesty: Whether this involves refusal to accept accountability, blaming others for mistakes, or outright lies, dishonesty is harmful to your business and your team.
Poor Performance: While it’s expected that an employee in a new role may need an adjustment period, if that employee shows an ongoing inability to grow professionally or meet the expectations of their position, it might be a harbinger of even bigger problems down the road.

In with the new…

Whether you’re looking to replace current employees or meet the demands of a growing business, you want to do everything you can to make sure you’re hiring the right people for your team. Here are some tips that can help streamline the hiring process:

There’s No Such Thing as Perfect: When looking to bring in new employees, it can be tempting to wait until you’ve found the “perfect” fit. However, that can unnecessarily slow down the process and cause you to skip over individuals who might become great assets for your team in time. Keep in mind that a good employee is one that grows and performs well, and look for individuals that possess the qualities needed to thrive long-term.
Follow Your Gut: Instincts exist for a reason. If something about a prospective employee isn’t sitting right with you, it could be a sign that there’s a deeper problem you’ll have to address in the future. While you shouldn’t necessarily make quick decisions on feelings alone, it’s worthwhile to take them into account.
Listen to Your Team: The members of your staff will often be able to offer good insights into how the company can grow. Whether a trusted employee is revealing the poor performance of a co-worker or a team is asking for another member to help manage their growing responsibilities, it’s worth seeking their input when making decisions.

Though there’s no exact science to building a successful team, there are proven strategies you can use to help the process be as painless as possible. By holding current employees to a clearer standard and exercising discernment with new and prospective employees, you can make the hiring process operate more smoothly and increase the overall productivity and happiness of your team.

For more advice on building a better team and managing your practice growth, contact our office.

Dental Practice Solutions
(888) 816-1511

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.

Dental Consultant Clackamas | How Expanding Your Services Can Expand Your Dental Business

By: admin

February 23, 2018

Written by: Debbie Seidel-Bittke, RDH, BS

AS YOU KNOW, patients don’t just visit their dentist for bi-annual hygiene appointments, aka: Preventive Care. There are a host of services available to promote great oral health and create beautiful smiles.

Is It Time to Expand Your Services?

Expanding the services, you offer can be a great way to improve value for your current patients and pique the interest of prospective patients as well. Have you considered expanding the services in your practice?

Here’s a few simple value-add services to consider:

April is oral cancer awareness month so offer your patients a no-cost screening using the latest technology such as the Oral ID. Does your hygienist understand how valuable sleep apnea screenings are for all patients (even children)? Another simple service your dental hygienist can offer is a TMJ exam. This is easily administered during the oral cancer screening.

Other simple, same-day, adjunctive services are: fluoride varnish and whitening services, just to name a few.

I just had my teeth whitening using a 4 minute system called Uphoria. It was created for hygienists to use after the hygiene appointment. It was a simple ultrasonic device that added a hydrogen peroxide to my teeth. It was simple, no sensitivity or awful taste in my mouth. My teeth lighted by 3 shades in those 4 minutes.

We’re Here for You at Every Stage of Your Business

It’s never wise to bite off more than you can chew, but strategically expanding your services can yield huge dividends—for your patients and your business. If you have any questions about expanding the services your practice offers, let us know! We can guide you through all of your options and help you select the best solutions for your unique needs.

We’re grateful for our clients!

AUTHOR Debbie Seidel-Bittke, RDH, BS

Debbie Seidel-Bittke, RDH, BS

Founder and CEO of Dental Practice Solutions

Debbie can’t remember life without dentistry. She has worked in the dental field as a dental assistant, hygienist, former assistant clinical professor, hygiene department program director and for eighteen years as a coach, consultant, author and speaker.

In 2000, Debbie founded Dental Practice Solutions and she has helped thousands of dental offices world-wide share the important message that oral health will help people live a longer, healthier life.

When a dental office is able to share this message with their patients they will discover patients are most likely to continue returning to their office. These are patients for life when they understand how much you care about them.

Email us or call to schedule a Profit Boosting No-Cost Training with Doctor your Hygiene Department. Email: admin@dentalpracticesolutions.com or Call to schedule a training: 949-351-8741.

Dental Consultant | Sleep Apnea and the Elderly Population

By: admin

Written by: Cindy Rogers, RDH, BS

Why is it that the older we get, the less we sleep? It is well known that the elderly in general do not sleep well at night. Many stay up late, sleep in their recliner, and get up in the morning before the crack of dawn. Yet, they are tired during the day and plan social activities around their naps. As people age, they tend to have a harder time falling asleep and more trouble staying asleep. It is a misconception that sleep needs decline with age. In fact, research shows that our sleep needs remain the same during adulthood.

So then, why do people sleep less as they age? One very possible reason is that they may be suffering from Obstructive Sleep Apnea.

What Is Obstructive Sleep Apnea

Obstructive sleep apnea (OSA) is a chronic condition characterized by frequent episodes of upper airway collapse during sleep.

OSA is comprised of two types of events. Apnea, in which there is 100% flow limitation for at least 10 seconds. And, Hypopnea in which there is at least a 30% decrease in airflow lasting 10 seconds or greater with oxygen desaturations greater than or equal to 4%.

How Common is Obstructive Sleep Apnea?

According to the National Healthy Sleep Awareness Project by the American Academy of Sleep Medicine- September 2014, 40% of adults over 40 snore (approximately 87 million Americans). 18% of men and 8 % of women between 30-70 suffer from some form of OSA. Less than 10% o OSA sufferers have been diagnosed. Of those 10%, less than 25% have been successfully treated.

The risks of untreated sleep apnea include cardiovascular disease, memory loss, depression, lack of energy, sleepiness, mood changes, social implications, irritability and more. Does this sound like anyone you know?

Should Dentures and Partials Be Worn at Night

We have been trained to advise our patients to remove their dentures and partials at night so that the gums and tissues can rest. However, without the dentures and partials in place, there is less support for the lips and cheeks. When a person lays down without this support for his lips and cheeks, they collapse further into the mouth cavity adding to the obstruction of the airway. Perhaps we should recommend that our elderly patients wear their dentures and partials to bed and let them soak during the day.

Screening Signs and Symptoms of OSA

Does your patient snores? Do they suffer from acid reflex or G.E.R.D? Do they get headaches such as migraines, cluster headaches, or dull morning headaches? Do they urinate frequently at night? Do they have enlarged tonsils? Do they suffer from excessive sleepiness and fatigue? Do they have high blood pressure? Do they have diabetes? Do they have a scalloped tongue? Do they show signs of clinching and bruxing? What is their Malampatti class?

OSA, High Blood Pressure, Heart Attack, and Stroke

There is a sympathetic response in the body every time an apnea or hypopnea occurs. This causes the heart rate and blood pressure to increase. People with OSA have hundreds of events per night, thus the body remains in a constant state of elevated blood pressure. The body does not get sufficient oxygen, because of this it is not converting enough into nitric oxide. Without enough nitric oxide, the blood vessels narrow and the endothelial lining of the arteries break down making them more susceptible to plaque building up. Narrow arteries, with risk of blockage equal high blood pressure, heart attack and stroke.

OSA Diagnostics and Treatment

If you suspect a that a patient of any age may suffer from OSA, they should be referred to their physician or a sleep MD to have a sleep study done. Once diagnosed with OSA, there are several options for treatment. The standard of care and best option is still a CPAP machine. However, it only works if the patient wears it, which can be difficult for some patients. Another great option is a sleep appliance that Dentists can provide with proper training and a written prescription from the MD. I would also encourage Orofacial Myofunctional Therapy in conjunction with any of these options.

References

1.American Academy of Dental Sleep Medicine web site. http:/www.aadsm.org/

2.Sleep Group Solutions- Dental Sleep Medicine Seminar

3.Somnomed web site. http:www.somnomed.com/

Cindy Rogers, RDH, BS, is a dental consultant, coach, speaker, and author. She is office and hygiene coach with Dental Practice Solutions. Please contact Cindy for a complimentary Profit Boosting Session at no cost: cindy@dentalpracticesolutions.com or Call to schedule: 949-351-8741.

Dental Consultant in Clackamas | Give your dental marketing a boost in 2018

By: admin

February 14, 2018

Guest Blog By: Mandy Fischer of LocalMed.

Was one of your New Year resolutions for 2018 to improve your marketing strategy and bring in record numbers of new patients?

If it was, but you’re not entirely sure where to begin – we have some suggestions for you! These 5 action points can help you decide where to focus your time and effort this year in order to take your marketing to the next level.

Take advantage of peer-sharing groups.

If you’re looking for a sure-fire way to expand your marketing toolkit this year that requires nothing but your time and effort, check out and get involved in the groups that already exist for your benefit on social media.

There are dozens of groups and forums out there where dentists, office managers, consultants and marketing professionals are discussing best practices, what works and what doesn’t. Make it your mission to find at least one group that you can contribute and ask questions in this year!

2. Audit your digital presence.

Google yourself, and check out the first few pages of results. Make sure that your practice’s name, phone number, address, email address, web address and doctor’s name are all correct on every listing. If it isn’t – make a note of it, and fix it ASAP. If there’s differing information, you’re doing significant harm to your brand and likely losing potential patients.

Your digital presence is there to build trust with potential patients, and if you’re providing conflicting information, they’re just going to choose a different dentist.

3. Be strategically social with your patients.

Take a critical look at your social media strategy. Are your posts engaging people, or is nobody looking? Make it your mission to post relevant, fun, personable information that will make people WANT to come to your office! One of your most valuable assets is your branding – and that includes your social voice!

Post authentic photos of you and your staff having fun in the office, or happy patients (make sure to comply with HIPAA law) – and stay away from posting anything clinical that will scare away patients (i.e. a before and after of teeth whitening is fine, but a patient being prepped for implants is not!).

Diagnose your overall brand health.

Your brand includes your visual assets, your brand voice and your customer experience. Evaluate your office’s current efforts, and come up with a specific plan for improvement.

Some questions you can ask to diagnose how you’re doing:

What are your reviews saying? Do you have any reviews? Are they old or negative?
What is your social media interaction like? Is your social brand voice unique and engaging?
What’syour marketing materials look like? Do you have a library of mismatched assets that could be attributed to any dental practice? Do you have a brand guide that establishes standard fonts, colors and voice?
What are the common complaints or comments patients have made in regards to your calls, procedures or marketing? Ask your staff. What can you do to make their experience even better!

Close the loop on your marketing.

In addition to the tasks above, make sure you have a comprehensive marketing strategy in place. Facebook ads, direct mailers, referrals and ground marketing are all great ways of getting the word about your practice out.

But how do you convert leads into patients? If it’s by phone call only, or an “online request”, it’s time to upgrade to a better system.

Real-time online scheduling is the missing piece that closes the loop on your patient acquisition process. Enable patients to schedule an appointment with your office from wherever they find you, like your website, Google, Facebook, HealthGrades, Yelp, etc.

By giving patients the option of booking their appointment on the their own time, you can significantly increase your conversion rate on your current marketing efforts, meaning more patients in your door without needing to add any additional marketing strategies.

AUTHOR: Mandy Fischer
Marketing Coordinator for Local Med

Thank you to our guest blogger this month! We had a wonderful response a few months ago when Mandy wrote for us. We appreciate LocalMed and all they do to get patients scheduled even when you are not there to answer the phone call.