D e n t a l    F o l l i c l e               

             The        Monthly     E-Journal  Of  Dentistry              Vol - I V    Number-  V I I         December 2009

In this Issue:

  • Editorial

  • News

  • DentistryUnited @ in Top 100 Ranks  on GOOGLE

  • Laughter - The best Medicine

  • The Overwhelmed Practice - Part 1 - Dr. Bhavna Doshi

  • TMD - Does the Chiropractitioner hold the solution?

  •  X-mass Motivates LA Dentist with New Patient Packages

  • VIDEO OF THE MONTH - Porcelain Veneers Part 3

  • Dental therapists to fill dentist shortage of Dentists in USA

  • CAUSE OF TOOTH DECAY ISOLATED -The Evening Independent Oct/19/1938




Editorial :

      Dear Fellow Dentist,

                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.


I welcome more and more of you to send your cases or articles for Dental Follicle .

mailto: dentistryunited at gmail dot com

Click here to join DentistryUnited
Click to join DentistryUnited

Yours truly

Dr. Syed  Nabeel

Editor of Dental Follicle & WebMaster

News :


DentistryUnited @ in Top 100 Ranks  on GOOGLE


Laughter - The Best Medicine :

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.






The Overwhelmed Practice - Part 1

Author: Dr. Bhavna Doshi  B.D.S Lon.

Dr Bhavna Doshi is 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 Strategies

Too much to do, Too little time 

The 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! 

We 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 practice.


Unproductive Behaviours 

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 for time?

How much do you dislike your job when you are under pressure?

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 the ugly

The 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! 

We 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 only” mode. 

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 stress. 

As 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.  

We need to take a good look at the bigger picture-of where we are heading.

The most common time wasters:


·         Telephone interruptions

·         Drop-in visitors e.g. sales reps

·         Ineffective delegation

·         Lack of clear  and definite purpose, vision and goals

·         Crises management

·         Attempting to do too much at once

·         Lack of prioritisation

·         Personal disorganisation

·         Lack of practice systems

·         No definite system to monitor progress

·         Procrastination

·         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. 

It 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. 

The 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 practice forward. 

Time management is about doing your job in the most efficient way possible to maximise profits and enjoyment.  

The two indispensable keys to the practice of time organisation are:

-          the ability to set priorities

-          the 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 following week.

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 than non-planners.

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 completion decided.

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 team.

12. Do not succumb to interruptions during a planned activity e.g. telephone interruptions, internet use, emails, etc

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 management strategies. 

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 levels. 

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. 

One 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.  

Creative Procrastination 

Set 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 ultimate potential. 




Practice Essentials

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  and sign in for these Gifts. 

Alternatively, you can e mail me on 



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 holiday season, LA based dentist Dr. Neda Naim is thanking new patients for scheduling appointments by providing specials on selected services throughout December.

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 of depression



 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.






The Importance of a Clean Mouth   - By  Arthur M Hunter-

The Miami News - Nov 29, 1920