The Overwhelmed Practice
- Part 1 - Dr. Bhavna Doshi
TMD - Does the
Chiropractitioner hold the solution?
LA Dentist with New Patient Packages
VIDEO OF THE MONTH - Porcelain Veneers
Dental therapists to
fill dentist shortage of Dentists in USA
CAUSE OF TOOTH DECAY ISOLATED
-The Evening Independent Oct/19/1938
The Dental Drill as it was called and aerotor as we call today - the
drilling device has history dating back to Indus Valley Civilization
in 7000BC. The Bow drills are the first known equipment used to
drill teeth. Many such mechanical devices some recorded and some yet
to be discovered are perhaps thought to be the method used later
times. In 1864, British dentist George Fellows Harrington invented a
clockwork noisy & faster dental drill named "Erado." In 1868,
John Greenwood and one of George Washington’s dentists came up with
a pneumatic dental drill powered with pedal-operated bellows. James
B. Morrison devised a pedal-powered burr drill in 1871. Dr. Green
patented the first electric dental drill- a development that
revolutionized dentistry. By 1914, electric dental drills could
reach speeds of up to 3000 rpm.In the era of 1950 and later
witnessed the development of the air turbine drill. The first
official application for a provisional patent for the handpiece was
granted in October 1949. This handpiece was driven by compressed
air. The final model is held by the Commonwealth Inventions
development Board in Canada. The New Zealand patent number is
No/104611. John Patrick Walsh was granted patent in November
for his of the contra angle air-turbine handpiece after he had
used a small commercial-type air grinder as a straight handpiece.
Dr. John Borden's American version of the same was first
commercially manufactured and distributed by the DENTSPLY Company as
the Borden Airotor in 1957. Our present day Aerotor hand piece can
deliver up to 80,000 RPM.
Drilling out the practice
problems and delivering high speed "Dental Practice Solutions" is
this edition of Dental Follicle.
welcome more and more of you to send your cases or articles for
Dental Follicle .
Dwayne is recovering from surgery in St Peter's, Chertsey, UK,
having had a local anesthetic when a nurse asks him how he's
feeling.' I'm O.K. but I didn't like the four-letter-word the doctor
used in surgery.'
'What did he say?' asks the nurse.
Overwhelmed Practice - Part 1
Author: Dr. Bhavna Doshi B.D.S Lon.
Dr Bhavna Doshiis an international lecturer, who has worked
extensively with the National Media including
Extreme Makeover UK. She is the CEO of Dental
WEALTH Builder, which primarily focuses on Practice
Productivity, Cost-Effective Marketing and Growth
much to do, Too little time
most common form of stress that practice owners experience
is the feeling of being overwhelmed with far too much to do
and having little time to do it. In fact “TIME POVERTY” is
the biggest single problem facing our profession today!
simply do not have enough time to fulfil our
responsibilities. Because of budget limitations, staff
motivation and training, downsizing, patient care and time
needed with treatment planning, and then competitive
pressures, individual practice managers and principals are
forced to take on more and more work, all of which appears
to be indispensable to the smooth functioning of the dental
These pressures in turn often lead to unproductive
behaviours by both dentists and dental teams. Unproductive
behaviours include: procrastination, blaming anyone other
than yourself, poor standards, waiting for a better time to
do the work and generally never feeling that you are
progressing in any way. These behaviours lead to
unfulfilling work and lower profits, not to mention lower
standards of care.
This cannot be good for any business, especially in a
business like ours where a “service with a smile” is so
important to our ultimate practice growth.
Ask yourself the following questions:
How genuine is your smile when you are under stress?!!!
How effective and productive are you when you are pushed
How much do you dislike your job when you are under
In this mind set are you taking your business forward or
are you stagnant?
This tends to come to us in all forms and manner; and is
definitely not beneficial to our long term health. When we
are not achieving our goals in life we often tend to
procrastinate or just settle ourselves in our comfort zones
that are familiar and bearable. Going outside this zone
often leads to undesirable stress.
Stress often comes in three forms – the good, the bad and
ugly stress is the one which leads to verbal tension and
complete uncooperative behaviour. This is damaging to the
entire infrastructure of the business. You will instantly
recognise this because it will be the only thing playing on
your mind. Get rid of it now!
then come to the bad stress, this is often the one we
do not realise is creeping in on us. This is the stress
leading to job dissatisfaction, where we no longer enjoy the
practice of dentistry, yet don’t even stop to even think
about the cause of it. We often blame our patients and
unmotivated staff. We tend to end up feeling there is no way
out and this is the way it will remain. We go into an “if
What we need is the good stress, this is the one we
need, to keep us alert and motivated and is the one which
allows us to achieve goals. Good stress is created as a
result of reorganising the elements which give us the bad
a business owner we need to take a step back and re-
evaluate our situations. We need to ask ourselves – What are
we trying to achieve? We then need to figure out the steps
that will take us there.
need to take a good look at the bigger picture-of where we
The most common time wasters:
Drop-in visitors e.g. sales reps
Lack of clear and definite purpose, vision and goals
Attempting to do too much at once
Lack of prioritisation
Lack of practice systems
No definite system to monitor progress
Lacking the ability to say “No”
Having poor team members
Becoming an expert
Then all we need is to create solutions. One such solution
to the problem of work overload is for you to become an
expert in time management. There is probably no other skill
you can learn that will give you more value per pound spent
than to become extremely knowledgeable and experienced in
using time management practices.
is a case of giving more value to your time than your money.
In order for you to do this you need to take an “inventory”
of yourself and your practice needs. Then you need to
prioritize the steps which will lead to your “bigger
picture”. You need to develop sound leadership qualities in
order to redirect the team and their operative functions
within the practice.
art of leadership and delegation is what will eventually
save the day. As a business owner you need to be more
visionary in your role in order for you to take your
Time management is about doing your job in the most
efficient way possible to maximise profits and enjoyment.
two indispensable keys to the practice of time organisation
ability to set priorities
ability to concentrate single- minded on one thing at a time
TWELVE Tips For Effective Productivity
1.Write down a plan of key objectives for the
2.Focus on results ……not activities.
3.Prioritise the daily objectives by giving each
activity a 1-5 star priority.
4.Plan your daily activities the day before. Your
day will begin on a higher note.
5.Include personal time for yourself daily, to
reflect on your day ahead.
6.Good planners consistently get better results
7.Give start times and finish times per activity
for effective planning.
8.Make sure delegation is done effectively by
ensuring the job is explained clearly with help given
when required and more importantly a deadline for
9.Do not put off high productivity activities.
Follow the Pareto principle that 20% of your actions
will lead to 80% of your results and vice versa.
10.Regular, planned, and prepared meetings to
increase practice communication
11.Provide complete and effective training to the
12.Do not succumb to interruptions during a planned
activity e.g. telephone interruptions, internet use,
Since there is never enough time to do everything that needs
to be done, you must be continually setting priorities on
your activities. Perhaps the very best question that you can
memorize and repeat, over and over, is, “What is the most
valuable use of my time right now?”
This question will do more to keep you on track, hour by
hour, than any other single question in the list of time
Often we are so busy doing the LITTLE things that all we
achieve is LITTLE results!!!! The natural tendency for all
of us is to major in minors and to give in to the temptation
to clear up small things first. After all, small things are
easier and they are often more fun than the big, important
things that represent the most valuable use of your time.
However, the self – discipline of organizing your work and
focusing on your highest value tasks is the starting point
of getting your time under control and lowering your stress
This principal not only applies the dental business
management but also to your time allocation with your
patients and their treatment planning. Schedule your patient
diary to maximise income yet at the same time to lower your
stress levels by deploying the correct time allocation per
patient. There is nothing more stressful than a waiting room
full of WAITING patients!!!!
There are various techniques to scheduling your patients
with better efficiency. One such technique is to book long
higher income earning procedures in the morning (when you
are your at your optimum level of energy) and to book lower
income earning procedures in the afternoon. This way you
still have sufficient productivity each day yet you are not
stressing yourself all at one time.
other action point you can make use of is to create definite
practice systems for various jobs, then create a check list
for that system. Soon the systems within the practice will
become auto-run by the team as norm, hence freeing you up
for creative ventures to grow the business.
clear priorities each day, week, month and year and soon you
will be realising your potential for further growth and
productivity. This we can only do if we have taken the TIME
to work out where we want to steer our ship. We need to
understand the most valuable use of our time – deciding what
to eliminate, what to delegate and what to outsource. We
need to be creative in our procrastination of our
responsibilities. What should do we do now and what we can
leave for later are very important productive decisions. We
will ultimately have peak performance and enjoy the
benefits, if we manage our very valuable time to its
EFFICIENT TIME MANAGEMENT = OPTIMUM PRODUCTION & GROWTH
Correct and efficient time management skills are an
essential to any practice owner. Especially if you are
ambitious enough to want to enjoy the fruits of your labour,
and obtain enjoyment and fulfilment in the practice of
dentistry; not to mention increased productivity!
Continued in Next Issue - Click Here For Next Issue
As a special Dental WEALTH Builder launch gift,
I have packaged together a “7 Gift” compilation,
one of which is “The Top Ten Biggest Advertising
Mistakes in Dentistry” manual. To obtain your
FREE gifts please go to
www.dentalwealthbuilder.com and sign in for
TMD - Does the Chiropractitioner
hold the solution?
TMD - One of
the most common condition affecting the global population
has motivated University of Iowa College of Dentistry, the
UI Institute for Clinical and Translational Science's Dental
Clinical Research Center, and the Palmer Center for
Chiropractic Research at Palmer College of Chiropractic in
Davenport for a collaborative study . The Study is intended
to investigate " whether the Activator Chiropractic
Technique can reduce head and neck pain and the need for
prescription pain medications, and improve quality of life".
People age 21 or
older with temporomandibular disorder may be eligible to
participate in a clinical research. Study participants will
be assigned randomly to one of four different treatment
groups. Participation, including follow-up, will last six
months and involves examinations and treatment at the UI
Dental Clinical Research Center
X-mass Motivates LA Dentist with
New Patient Packages
To celebrate Christmas and the
LA based dentist Dr. Neda
Naim is thanking new patients for
scheduling appointments by providing
specials on selected services
Dr. Neda Naim is emphasizing three
service packages in her Christmas
special. Her special on check-up
services includes an oral exam and
diagnosis, a one-hour cleaning and
polish, X-rays, a smile evaluation,
periodontal exam, and an oral cancer
screening. Estimated at a $240
value, this service package is
priced as low as $75.
Dr. Naim is providing her "Zoom"
one-hour advanced teeth whitening
service with a discount of over 50%.
Valued at $500, Dr. Naim is
providing this package for $199.
A great business
move and something all dentists can
learn from especially in this season
MONTH - Porcelain
Veneers Part 1
Dental therapists to fill
dentist shortage of Dentists in USA
The 48 million U.S. Children and adult's
who live in areas without adequate
dentists can sigh a relief as
The W.K. Kellogg Foundation plans to
recruit dental therapists in these areas
. Dental therapists who are new USA
dental industry may lead a revolution in
dental health care industry as far as
opportunities are concerned to dentists.