What’s Wrong with This Picture?

World Map

Nothing, really. When you’re talking about a spherical planet suspended in the void of space, the notions of up and down when it comes to geography are, of course, completely arbitrary. And yet, when we look at this map, with Mexico positioned above the U.S. and Canada below it, it just feels wrong—which gives you an idea of how deeply entrenched we can become in our own perspectives.

I’ll give you another example. As summertime is heating up, our thoughts turn to outdoor activities, days at the lake, kids running around outside. Right? Not here in Scottsdale, where the temperature hits 120 by the peak of summer and not even the snakes and scorpions are outside at midday.

My point is we have to remember that as individuals we each come with our own unique contexts. As dentists, your success depends greatly on your capacity to recognize and empathize with these different world-views. You need to be able to come in each day, prepare your way of looking at each case, and then prepare yourself to see it from the patient’s perspective. You need to get inside their heads and really understand their mindsets, their priorities, and the world as they see it. Even if—especially if—it seems completely upside down from your perspective.

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Can the Tissue Be Trimmed? Results Are In!

Trimmed

Trimming the tissue to create symmetry at the time of a restorative procedure can create a great result. This tissue was trimmed using the Sirona Diode Laser during a Live Patient: Anterior Esthetic Restorations course at Spear Education. The admitted risk, of course, is that the tissue will return to its original position a few months following the procedure. As we discovered when the above photos were posted on my blog, many thought that the tissue would rebound rather quickly. If you’re like me, you have no doubt experienced that occurrence when you hoped for another outcome. And as the old saying goes, once burned, twice shy.

Trimmed

Here’s the result after 20 weeks of healing time. The probe shows tissue has indeed come back, with a sulcus measuring 1.5 mm at time of treatment and 2.5 mm after healing. Not illustrated is the initial measurement of a 3 mm sulcus on the unprepared tooth, meaning about .5 mm of change was effected with the trimming of the tissue. The change in morphology of the zenith toward the distal and a slight change in emergence profile of that portion of the tooth with the restoration completed by The Winter Lab have created a striking difference in symmetry and therefore in overall impact of this treatment.

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What Client Loyalty Really Means

Steve Jobs holding iPadIt looks like Steve Jobs has done it again. On May 3, Apple sold its one-millionth iPad—a phenomenal feat considering the device had been on the market for just 28 days at that point. (To put that into perspective, it means the iPad is breaking out at 2 ½ times the pace of the iPhone—which also sold in ground-breaking quantities, but didn’t hit the 1 million mark until 78 days after its release.)

How does something so new get embraced so quickly? It’s not that buyers were swayed by an unusually successful marketing campaign (although Apple knows how to market with the best of them). It’s not a matter of word of mouth—recommendations don’t spread that fast. No, the reason for the astronomical early numbers is that Apple has a very devoted, very enthusiastic group of core followers who were waiting for the iPad’s release with fanatical anticipation.

I’m not suggesting that you can get patients to camp outside your office for the chance to be first in line for clinical procedures, but there is a lesson to be learned here about the real meaning of trust and loyalty. Technology is a crowded, competitive field where buyers can feel lost comparing specifications and benefits. Steve Jobs simplified things. He proved early on that he understood his target market’s needs and that he knew how to satisfy them. Now he is rewarded with their loyalty in terms that really matter—his followers are ready to go along with him and buy into upgrades each time Apple improves or innovates. That kind of instant client buy-in is not something that happens overnight—it’s earned over time through a series of successes. In that sense, loyalty is a journey.

Dentists enjoy the loyalty of their patients, too, because those patients come back regularly. But the true test of patient loyalty is how they embrace the evolution of dentistry, and how much faith they put in you as the person to guide them through that journey. As clinical technology changes—and as you change and become more adept at seeing new opportunities—you need to set yourself up as the thought-leader in this area of their lives. Prove that you understand their fundamental needs, and gain their trust over time. Prove that you are the one to simplify things and provide them with outstanding clinical and value excellence, and you will be rewarded with their continued, and growing, commitment.

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Total Etch Technique

Tips from Lee on the total etch technique.

If you cannot see this video, please visit speareducation.com/blog.

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Zombie Dentistry

If you haven’t seen this yet, take a look at this video of a “dental training robot” in action:

For anyone who went through dental school even 10 years ago, this sort of thing would have been unimaginable. I’m sure that before long it will be commonplace. That’s how quickly the pace of change is occurring in dentistry.

And yet, consider this: Thirty years ago, when “drill and fill” was still the basis of most dental procedures, it took four years to complete a dental school education. So how long does it take today, in an age defined by ever-expanding choices in new dental materials, sophisticated techniques, and advanced clinical technologies? The answer, as you well know, is still four years. That can only mean one of two things. Either dental schools are packing a whole lot more education into four years (which is not realistically possible), or dentists need to supplement their foundational education with ongoing studies to keep current in a rapidly changing landscape.

Maybe this patient-android in the video is going to be a breakthrough in dental education, allowing students more clinical time to work on their technical skills, which can only be a good thing. But maybe that technical expertise is going to come at the expense of time spent getting comfortable with a real patient. As I’m sure you’d agree, when you are growing your skills, the ultimate test is still applying it to a live human being—someone you know and have developed a relationship of trust with. That’s why live patient workshops supported by peer mentors are so effective—they bring the theoretical to life.

I applaud the thinking behind this training android, and I know it has its uses. But the fact is no robot, no matter how realistic, will ever take the place of real-life experience treating real people, because patients are much more than the sum of their facial reflexes. And good dentists are much more than clinical technicians—they are empathetic care-givers who are trained in the art of real human interaction.

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What Can We Learn?

I wander into The Winter Lab periodically to see what Bob Winter’s incredible ceramists are doing and to see what I can learn. Specifically, I look at cases that haven’t been done yet and try to imagine what challenges the ceramist must face in order to complete any given case.

The following images are from a case that was on Bob’s desk. If you were Bob, what would you ask the dentist to do differently? What would you tell him/her that he/she is doing well and should continue doing?

Lab Teeth 01

Lab Teeth 02

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Frankly Creative

How does Frank stay so engaged and excited about education after 27 years?

In this short clip, Frank shares his energy around the upcoming Faculty Club Annual Event and one of his favorite aspects of education – creativity.

If you cannot see this video, please visit speareducation.com/blog.

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The Joy of Failure

Ball of PaperI’m proud to say I have had a number of failures in my career. It’s one of the secrets of my success.

Actually, it’s not much of a secret. Take a look at the winners in just about any field and look back at their career trajectories. You’ll likely find a path littered with false starts, rejections, and plans gone wrong. There are as many paths to success as there are people to create them, but these people have at least one thing in common: they’re not afraid to fail. As Thomas Watson, a pioneer of IBM put it, “If you want to succeed, double your failure rate.”

It’s a phenomenon that is certainly true in dentistry. The dentist who is consistently doing 10 times as many comprehensive procedures as his or her colleague down the street is not necessarily a 10 times better clinician. More likely, this dentist just presents comprehensive treatment plans to 10 times as many patients. Maybe it’s because they don’t pre-judge the patient’s ability to pay. Maybe they have created a process that allows them to communicate the value of ideal care more effectively. The bottom line is, this dentist has more success because he or she is willing to face more failure.

You really don’t have anything to lose by presenting ideal treatment options to everyone, and you have plenty to gain. Each “no” is an opportunity to analyze what your patients respond to, what they don’t respond to, and why. It’s an opportunity to refine your diagnosis and presentation skills.

It may sound paradoxical, but I know that some of my earlier experiences in business—the ones that didn’t reach the level of success I’d hoped for—actually gave me more confidence in subsequent enterprises. I was learning what didn’t work, and that is an indispensable lesson. Because in business, it’s not enough to want to succeed. You also have to be willing to fail.

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The Unexpected

Frank talks about how he handled the unexpected in two current patients whose dentistry presented some surprises.

If you cannot see this video, please visit speareducation.com/blog.

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Take a Deep Breath

Flight Attendant Demonstrating Air MaskIf you fly often enough, you’ve probably learned—as I have—to tune out the flight attendants’ spiel-and-pantomime performance about how to fasten a seatbelt and how to activate the flow of oxygen in the event of an emergency.

On a recent flight, however, one line caught my attention: “If you are traveling with children, be sure to activate your own mask first before assisting them.” The reason behind this is obvious—you’re not going to be much good as an aid-giver if you’re passed out—but I think this emergency protocol of “help yourself so you can help others” has implications that extend to our everyday lives.

All parents have the impulse to want to give their children every advantage possible, even if it means making significant personal sacrifices. Believe me, as a father, it is an impulse that I completely relate to. It’s a feeling that extends to my team as well—after all, I work closely with them every day, and I consider them to be like family. I know that dentists have these same impulses. They want the best for their families, and they want their teams to grow and succeed along with them. The problem arises when we forget that we really can’t give the best advantages to our kids, or our employees, if we don’t first focus on giving ourselves every advantage possible.

The right investments in the practice, the right education, building the right relationships—you have to devote yourself relentlessly to these priorities and focus on the things that will fortify your success. Because breathing life into this enterprise that powers your world is in the interests of everyone who populates that world. It’s what gives you the right kind of resources and energy so that you can truly share your success in a meaningful way with the people who mean the most to you.

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