Saturday, 19 July 2014

Social Media, Everyone Is Doing It?


The most recent buzz in dentistry is Social Media.


I get all kinds of inquiries from dentists who want to know how to write a blog, how to set up a Facebook page.  They want the newest thing, they do not want to fall behind and loose market share.  Still, I think there is a problem.  First, there is the problem of over-saturation, of dilution; everyone’s doing it.  The second concern is that most dentists know dentistry, but they have no idea how to use the tools of Social Media.  They all have a web page, Facebook and Twitter accounts, but rely on someone else, or no one at all, to actualy run the pages, post the comments and photos because they have totally missed the point.  It’s a dead end for them.  It’s useless.


You know there was a time when almost no dentist even had a web page.  Advertising, as it existed just a few years ago was yellow page ads.  In my college economics class, before I was even in dentistry, I asked my professor about something I had noticed.  Some dentists were beginning to advertise.  It was frowned upon for dentists to advertise back then.  It was unprofessional.  Really, this was a pervasive attitude.  It was allowed, but you had to put all kinds of disclaimers in any announcement.  The only thing you were “allowed” to do was announcing the opening of your practice in the local paper and later on, your retirement.  Now, there were a few dentists back then who were beginning to put “ads” in the yellow pages.  These were fairly minimal things; a quarter of a page max.  These dentists enjoyed what you might expect from the increased visibility, an increase in business.


I asked my economics professor, what happens when more and more dentists advertise too.  You know,  just to keep up and compete?  He said the first adopters would reap the most bang for the buck.  Once it spread and most if not all were doing the same thing, the benefit would diminish.  Everyone would be back to square one, but with a higher monthly bill for advertising.


These days we do not advertise, we do “marketing”.  It’s more accepted to put your practice name out there on billboards, TV ads, etc.  There is a reduced stigma.  There is nothing wrong about telling people what you do and where you are located and educating people about your profession.  There is still a concern about deceiving the public, about presenting oneself as something you are not.  For instance, a general dentist saying he does braces is one thing, but saying or implying he is a specialist, an orthodontist, is unethical and in most states illegal.


So, what is the newest thing in marketing? -Social Media.  Dentists are being advised to not only have a webpage, but a business Facebook page, a locations page, a Twitter account and a Blog.  This is good as these are modern vehicles for not only information, but interaction and education. I love it. I started this blog in 2006 and had a Twitter account before most even had heard of it much less understood what it was.  Still, I wonder as more and more dentists get on the bandwagon of “Social Media” that a dilution effect will ensue.  This time perhaps not, at least for those who know how to actually use Social Media.  It is so sad that there are so many physicians and dentists who hire someone to establish their webpage, set up their blog and Facebook Page.  Then they just sit back and expect it all just to run itself like the yellow pages of old.  This is so off the mark.  You have to actually engage, interact, update and communicate on these sites.  It just doesn’t work without that level of energy, interaction, and caring.  You can’t take the Social out of Social Media.


So, Facebook, Twitter, videos, and blogs are all things that can help a practice grow and thrive in the 21st century.  The key is actually knowing how to use these new tools properly.

Dental School is Exactly Like This

Dental School is Exactly Like This.  Ok, well, maybe not exactly.  Still, dental school was certainly an awesome experience.  I’m sure we could have made such a great video in our day if we had the technology.  In fact, weirder things than this are know to happen.  Hat tip to UNLV School of Dental Medicine.


Buy my book on Dental School click here.


Double click the youtube video for option of full screen.

10,000 HOURS

Malcolm Gladwell, in his book “Outliers”, puts forward a well researched observation regarding the topic of skill and mastery.  He states that it takes approximately 10,000 hours of concentrated activity to become a master or expert.  He gives examples of concert pianists, sports figures, computer programmers and even The Beatles, who spent many a weekend performing and refining their music and performance skills in clubs well before becoming known to the wider world.  How long is 10,000 hours?  Ten thousand hours comes to working 8 hours a day 5 days a week for at least 5 years.



How does this apply to dentistry?  The art and science of the dental profession certainly falls within the definition of something that is difficult and complex, not only intellectually in diagnosis, knowledge and assessment, but the use of physically demanding and precise surgical techniques.  While there is a certain amount of innate talent and certainly compassion involved, the true mastery takes a long time to develop.


In Pediatric Dentistry, it pretty much takes at least that long.  A new graduate knows a lot, but has not yet mastered the art of the profession.  In fact, in dentistry, we call it dental “practice” because you are really never done learning and improving.


I am humbled that, although I have gone well past the magic number of hours, I still am refining, learning, and relearning how to practice with a certain degree of mastery.  In fact, I think the rule for dealing with children (and their parents) on a daily basis should be closer to 20,000 hours, or maybe a lifetime!


So, if a dentist with many years of experience takes a look and says he is concerned or offers an opinion, you might be well advised to listen.


“Outliers” by Malcolm Gladwell


Pediatric Dentistry



10,000 HOURS

Get Those Requirements

In my book, Dental School, I mentioned the trials and difficulties of the dental school experience.  One thing I would like to bring out more is the relentless pursuit of “Requirements.”  What do I mean?  Requirements are the need number of specific procedures you must accomplish to pass or to graduate.  These are things like a specific number of crowns, dentures, root canals, or two surface fillings you must complete.



It always seemed in my experience and in those with whom I talk to, that it was difficult to get these done in a reasonable time frame.  What if the patient you have acquired or been assigned needs three fillings, one root canal and one crown?  That’s great, but you need to do a periodontal surgery crown lengthening and a post and core buildup prior to the crown.  Moreover, the only thing you really need as far as requirements is the crown.  In some schools you have to get all the necessary work done on the patient, much like in the real world.  In some other situations, you may be able to have someone else do the root canal and surgery, then you do the crown, but that can take a while before you get it done.


The thing I want to emphasize is the drive to get the requirements.  It’s not always easy.  Some schools are having a more difficult time getting patients as more and more are treated by private practitioners.  I know some pediatric residents that do only one or two premed (sedation) cases prior to graduation.  In practice I do one or two sedation cases a day.  Experience is an important part of developing and perfecting a skill.  The more you do the more you know how to deal with the little variations in each case.  Requirements are just the way schools have of making sure a dental student gets at least some basic minimal experience before awarding a degree.

Pediatric Dentistry



Get Those Requirements

Rising DAT scores

The DAT or Dental Admissions Test measures a dental school applicant’s potential for success based on performance in several academic disciplines.  Here is a graph of the rising competitiveness of scores in recent years:




I cannot emphasize more how competitive it is to get into dental school these days.  You must have very good grades and very good DAT scores.  After research and studying recent trends and speaking to Deans of dental schools, I can say with confidence that it is harder to get into dental school than medical school.  I have heard of someone saying, “If I don’t get into dental school, I can always fall back on medical school.” Wow, how times have changed.  In fact, even since I wrote my book and alluded to the increasing application/acceptance ratio to dental schools these days, there has been an increase in the number of applications for the limited slots available.  There is a rapidly rising number of applicants and the quality of those applicants is rising very rapidly as well.




Pediatric Dentistry



Rising DAT scores

Thumb Sucking


Although I have addressed the issue many times in other posts, I just realized I don’t have a specific post on Thumb Sucking.  I hear all the time, “how do I get my child to stop sucking their thumb?”  Well, here is a rundown of some general advice that I give in the office. Basically, lots of kids suck either pacifiers, thumbs, or one or more fingers (digit sucking).  I will concentrate this post to thumb sucking as most information on pacifiers is here:  Pacifiers


What is going on:


1.  Pacifier and thumb habits in preschoolers are very common.  Kids find comfort in the habit.
2.  Sometimes these habits affect the teeth and jaws, sometimes they do not.
3.  There is often an associated habit that goes along with the primary habit.  For instance, a thumb sucker may hold a favorite blanket or twirl their hair.
4.  The habit tends to get worse when they are upset, tired, zoned out in front of the TV, or otherwise not occupied with other activities.
5.  The kinds of problems that involve teeth tend to fall into three categories:
     a.  Overbite, or protrusion of the upper front teeth, sometimes with the lower front teeth going backwards.
     b.  Open bite, or an opening of the front teeth to accommodate the thumb or pacifier.
     c.  A Posterior Crossbite or constriction of the upper arch resulting in the teeth shifting to one side or moving totally inside the lower arch.
6.  Anything in the front teeth, like overbites will tend to correct on their own once the habit is stopped–so long as it is in the primary dentition (no permanent teeth involved).  Posterior Crossbites do not tend to correct themselves and often need orthodontic correction.


What to do about it:


1.  Ok, first, there is no magic cure or magic technique that always works to get kids to stop sucking pacifiers or thumbs.
2.  Almost all kids eventually stop the habit, sometimes sooner, sometimes much later, but you don’t see too many 25 year old executives sucking their thumbs–at least in public.
3.  Most kids who suck a pacifier stop by the age of 3 and a half.
4.  Most kids who suck fingers or a thumb stop a little later, about 4 and a half years of age.
5.  Because thumb and digit habits tend to persist and seem to cause more adverse dental movements, I prefer a pacifier habit to a thumb.  Of course, the child usually decides what they like the best, not us.
6.  If a habit persists beyond a time where the parent feels uncomfortable or it’s getting close to the time for permanent teeth to come in (around 5 years old), then you can try the following things:


     a.  Gentile reminders are usually the first step–not scolding- (that can make things worse).  Get them occupied with other activities or interests.
     b.  If you are seeing a general decrease in the amount of sucking, then you are on the right track.  Although, do not be surprised if things relapse a little if you move to a new house, have a new baby brother come along, or otherwise have a disruption in their normal routine.  Night time sucking is the last to go, and the most difficult to stop.
     c.  You can try that yucky stuff you paint on the thumb to inhibit sucking.  This tends to work better on older children.  Even then it only works about 10% of the time, but it’s sometimes worth a try.  Here is a website for the stuff (which is yuckier than when we were kids): http://www.stopbitingnails.com
     d.  What if that does not work?  There are all kinds of things out there to prevent sucking, like things that you put over the thumb to inhibit the habit.  These things tend to work best if the child really wants to stop, but just needs a reminder from time to time.  One of the most interesting ideas I remember is to get a long sleeve tee shirt and sew the sleeve opening up.  The child wears this as a nightshirt.  These kinds of things can initiate a lot of angst on the child’s part and are usually very frustrating unless the child really wants to stop.
     e.  There are good behavioral techniques I have seen speech pathologists use to get kids to stop.  Sometimes it seems like magic.  So, a dentist may refer you to one of these folks to give it a try.
     f.  Ok, if all that does not work, we dentists can make a thumb guard which is a dental appliance you attach in the mouth with orthodontic bands.  This child wears it all the time.  It usually has wire loops up behind the front teeth that inhibit the placement of the thumb the way the child likes.  It actually works most of the time.  The key is it is usually not used on preschoolers.  This is for kids who are into the permanent dentition, usually about 8 years old or older and is often followed by orthodontic treatment (braces).  Crossbites can be corrected with a simple orthodontic appliance.
Pediatric Dentistry



Thumb Sucking

Position Available for Pediatric Dentist

Alabama Pediatric Dental Associates and Orthodontics is looking for a Pediatric Dentist to join our group.  I don’t usually blog post such an announcement, but with the great number of people viewing this blog, I am taking the liberty to spread the word here.


We are looking for both full time and flexible part time pediatric dentistry specialists.  If you are looking for a part time arrangement, we can discuss how you can be an integral part of our practice family. In addition, if you are looking for a full time position, we will interested in discussing your future with us as well.


We currently have five pediatric dentists and two orthodontists working in three very new office locations.  We have been very successful in attracting and retaining great doctors over the years.  Our group is one of the most well known and respected practices in the country; thus we can be, and are, very selective.  We are looking for quality applicants with excellent clinical skills and personality.  Our patients deserve a caring doctor with top notch abilities.  Experience in practice is preferred, but we will entertain new graduates as well.  This is for specialists in Pediatric Dentistry only.  We have an integrated management system which makes your day go smoothly and without the worries of running a practice all by yourself.  Please check us out and give us an opportunity to show you how great working with us can be.


Interested doctors can contact us here:
Office Manager
Alabama Pediatric Dental Associates and Orthodontics
4001 Balmoral Drive
Huntsville, Alabama 35801
256-539-7447
bob@cyberdentist.com
*Do not e-mail pediatric dentistry comments or questions, only inquiries about the pediatric dentist position.


Pediatric Dentistry



Position Available for Pediatric Dentist