Effective Assisting. Timothy M. Bizga, DDS, FAGD

Transcription

1 Effective Assisting Timothy M. Bizga, DDS, FAGD

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3 ABOUT ME

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5 Holy Toledo

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8 What makes an Effective Assistant

9 Type A

10 Application

11 Attitude

12 Where is your skill level?

13 The Law of the Mirror You must see value IN yourself to continue to add value TO yourself You will never rise about the level of YOUR SELF IMAGE

14 Improving your self image 1. Guard your self talk the most important person you talk to everyday is YOU 2. Add value to others lose yourself by giving yourself 3. Do the right thing even when it s the hard thing 4. Everyday GET A WIN!!!

15 3 Things Employers Look For 1. Loyalty/ Dependability 2. Positive Attitude 3. Desire to learn new things and keep growing Anything that is healthy, keeps growing!

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17 9 things we hate about our employees 1. We hate when you are only nice to us on special days This stems from a lack of appreciation 90:10 rule= we only remember the 10% bad 2. We hate when we have to nag for things to get done 3. We hate when you chew gum This presents a very unprofessional look to patients 4. We hate when you don t check the floor after cleaning a room Cleanliness matters to patients and a dirty floor means a dirty facility

18 Nine things we hate about our employees 5. We hate when you do not introduced us to new patients We need to know if we already met the patient 6. We hate when you do not help us get to know the patients 7. We hate when we have to do ALL the talking We need you to EDUCATE the patient too 75% conversation should be business and 25% social chitchat You are not just an employee, you are a TEACHER

19 Nine things we hate about our employees 8. We hate the personal use of cell phones and Internet at the employee s desk This is a form of TIME EMBEZZLEMENT 9. We hate when you cry Belittling or criticizing in front of a patient IS NEVER RIGHT Using tears as a form of control IS NEVER RIGHT

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21 Patient types Never Been to a Dentist Acute needs before FIXES

22 Patient types Dental Phobic Motivated by Pain

23 Patient types Last Trip about every 2-5 years No Insurance Be aggressive in treatment.do not monitor small things TREAT

24 Patient types Regulars Learn their preferences Cost Conscience Want the Best Missing teeth Basics and Function First Esthetically driven

25 Budget What is the average family budget, for dental expenses, annually? $0.00 Dollars

26 Yet they spent 34 Billion Billion 1.65 Billion

27 What matters to the Patient Can I trust you? Are you committed to excellence? Do you care about me? 27

28 My CORE Treat people first, but teeth are a close second Seek first to understand rather than be understood

29 Question What are people most likely to remember when they leave your office? Your technical explanations? How they felt about the experience?

30 Rules of Business and Referrals 1.Know 2.Like 3.TRUST

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32 Which Impresses People More?

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35 Purpose of DISC 1. To help you better understand YOURSELF 2. To help you better understand OTHERS 3. To help you be MORE PRODUCTIVE and have LESS ANXIETY when dealing with people 4. To treat others as they wish to be treated The one who knows this information is the one responsible for using it and applying it!!

36 Understanding Yourself Everyone is wired differently. To understand yourself better, ask yourself these two questions: First Question 1. Am I more Outgoing, or am I more Reserved? Outgoing Reserved 6

37 Understanding Yourself... Traits to look for: Outgoing / Active Fast - paced Involved Energetic Optimistic Positive Enthusiastic Outgoing Their focus is on talking things out. Reserved/ Passive Slower paced Cautious Concerned Reluctant Critical thinking Discerning Their focus is on thinking things through. Reserved 7

38 Understanding Yourself... Second Question 2. Am I more Task-oriented or People-Oriented? Task- Oriented People- Oriented 8

39 Understanding Yourself Traits to look for: Task- Oriented People- Oriented Task-Oriented People-Oriented Form Function Programs Plans Projects Process Their focus is on getting things done. Relationships Caring Sharing Emotions Feelings Friendships Their focus is on other people and how they feel. 9

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41 The D Type OUTGOING T A S K Dominant Demanding Direct Determined Decisive Doer Director Dogmatic Dreamer Diligent Dynamic Defiant 12

42 Percentage of Population: 10% Examples: Donald Trump, Judge Judy, Dr. Phil, Hillary Clinton Basic needs: Challenge, Choices and Control D Types Make Good... Administrators Athletes Boxers Builders Business Owners Coaches Developers Directors Drill Instructors Entrepreneurs Executives Fighter Pilots Foremen Government Agents Law Enforcement Officers Lawyers Military / Special Forces Motivators News Anchors Private Investigators Producers Race Car Drivers Real Estate Developers Sales Managers Supervisors Truck Drivers 12

43 The I Type OUTGOING P E O P L E Inspiring Influencing Inducing Impressive Interesting Impressionable Important Interchangeable Interested in People Imaginative Impulsive Illogical 16

44 Percentage of Population: 25% - 30% Examples: Oprah Winfrey, Ellen DeGeneres, Dr. Tim Bizga Basic needs: Recognition, Approval and Popularity I Types Make Good... Actors Airline Attendants Auctioneers Broadcasters Clowns Coaches Comedians Entertainers Evangelists Meeting Planners Peace Corps Volunteers Performers Politicians Preachers Public Relations Directors Public Speakers Masters of Ceremonies Radio Personalities Receptionists Reporters Salespeople Teachers Telemarketers Telephone Operators Travel Agents Wedding Consultants 16

45 The S Type RESERVED P E O P L E Supportive Steady Stable Secure Serve Sweet Submissive Shy Status Quo Sentimental Sameness Sucker 20

46 Percentage of Population: 30% 35% Examples: Dr. Martin Luther King Jr., Paula Abdul, Mother Teresa, Gandhi Basic needs: Appreciation, Security and Assurance S Types Make Good... Artists Child Care Workers Counselors Customer Service Representatives Department Heads Diplomats Flight Attendants Funeral Directors Human Resource Directors Librarians Managers Nurses Painters Pharmacists Pastors Planners Real Estate Agents Researchers School Teachers Secretaries Social Workers Supervisors Technicians Veterinarians Waiters/Waitresses 20

47 The C Type T A S K RESERVED Cautious Competent Cognitive Careful Calculating Critical Thinking Compliance wanting Conscientious Correct Conformist Consistent Cold 24

48 Percentage of Population: 20% 25% Examples: Diane Sawyer, Clint Eastwood, Tiger Woods, Martha Stewart Basic needs: Quality Answers, Value and Excellence C Types Make Good... Accountants Architects Artists Authors Bankers Bookkeepers Composers Computer Programmers Consultants Dentists Engineers Finishing Carpenters Inventors Lawyers Librarians Mechanics Military Intelligence Musicians Philosophers Photographers Physicians Pilots Professors Scientists Surgeons Teachers 24

49 Meet Al

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57 Light Polymerization and Curing Lights

58 What Plays a Role in Effective Light Curing

59 Light Curing Shallow Prep + 10 seconds cure= WORKS

60 Light Curing But here it s all about depth We routinely rest the light source on the cusp, in this case it can be 8-10mm away from the cervical margin Far from light source, need to cure for additional time. Also pay attention to darker shades.light output of 1000+mW is desirable

61 Halogen Lights

62 Plasma Arc curing (PAC) lights

63 Caution: HEAT! Supplying high levels of energy to the restoration will also deliver energy to the pulp, increasing its temperature! This could contribute to pulpitis, post-operative sensitivity and even require root canal therapy

64 Light-emitting diode (LED) Curing lights

65 Curing Issues 1. There is no perfect way to test if composite is properly cured To you and me this means you can never OVER CURE 2. Curing light intensity decreases up to 68% between 2-9mm from the target To you an me this mean we need to get the light as close to the material as possible, especially in those class II boxes, also add incrementally 3. Light intensity falls off dramatically from the center to the edges, forming a BULLET-SHAPE curing pattern To you an me this means we need to move the curing light around larger restoration and cure from different angles and sides

66 Beam Collimation and Performance Over Distance Collimated Not Collimated

67 Beam Collimation and Performance Over Distance Collimated Not Collimated

68 Beam Profile The effective part of the light beam should be evenly distributed across the face of the light tip to maximize curing effectiveness

69 Most lights only deliver 35% of stated output to bottom of deep box BlueLight Analytics Inc., 2012

70 Effect of Light Angle on Curing Curing Light Tip undercured

71 Low head profile Long Rotatable tip Intraoral Access SmartLite Focus provides Excellent Intraoral Access Ease of maintaining proper angle 8.5 cm

72 Output (mw/cm 2 ) Light Performance over Distance Light energy delivered lessens as distance of the material from the light tip increases 2mm 6mm Irradiance Over Distance 7-10mm mm 8mm 9mm 10mm SmartLite Focus Radii Bluephase Style Demi Plus Valo (Std Mode) Elipar S10 SmartLite Focus loses LESS energy over distance, making it more effective at delivering energy at clinically relevant distances than many major competitors

73 Collimated beam Performance over distance Wide Spread/Uniform Beam Profile Simple Controls One Button/Rotating Head Long Lasting Battery

74 Shade Analysis and Communication

75 SHADE TAKING FACTS 1. 60% of remakes are blamed on poor color match 2. It takes 5 new crown cases to cover the cost of one remake 3. Improper color selection causes great frustration for the doctor, the laboratory and the patient, losing time and money for the dentist and laboratory.

76 Principles of Light

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78 Shade Selection CLINICAL TIP: Determine the Shades Needed for the Restoration Prior to Tooth Preparation

79 Shade Selection A Desiccated Tooth Will Appear Lighter than Normal Select the Dentin Shade By Examining the Dentin

80 What is necessary to see color? Light Object to interact with the light energy

81 Limitations

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85 What Color is This?

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87 Dental Shade Guides 1. MOST CRUCIAL component for shade taking in Dentistry in VALUE 2. Second most crucial component for shade taking is TRANSLUCENCY 3. Third most crucial component for shade taking is CHROMA 4. LEAST CRUCIAL component for shade taking is HUE

88 VITA Classical Shade guide

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91 RULES FOR TAKING shade 1. Patient sitting UPRIGHT at an EYE-EYE conversation distance 2. WELL-ILLUMINATED area preferably with color-corrected lighting or Ott-Lites (sold at Office-Max or Target) held 2 feet from patient 3. Take the shade before you start the procedure 4. Match VALUE first, then CHROMA, then HUE keeping in mind TRANSLUCENCY and its important for anteriors 5. Take a PHOTO Be sure to place the shade tab IN THE SAME PLANE as the teeth, incisal edge to incisal edge 6. Recharge your RODS and CONES by looking at an Neutral Gray or Light Blue 7. Lightly wet the teeth and the shade tabs with a clear liquid glaze prior to evaluation

92 Rite Lite 2 Tri-Spectra LED Shade Matching Light

93 Alginate

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97 Tray Selection The Journey of a Thousand Miles Begins with a Single Step -Lao-tzu

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104 Fixed Prosthodontic Landscape An average office performs 256 single unit crowns per year 256 x 150,000 general dentists = 38 million single unit crown procedures per year!

105 Function of Temps Maintain static contacts Calm state Maintain occlusion Trial OVD

106 Features of Provision Materials 1. Polymerization Choice Dual v. Auto 2. Air-inhibited layer 3. Fluorescence 4. Flaking when trimming Margin design 5. Fracture Strength Clearance 6. BPA free

107 Selecting the Provisional Material Methacrylates (poly) methyl (poly) ethyl Vinyl methyl Ethyl methyl Composites BIS-Acryl BIS-GMA Resins UDMA

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109 Light Curing the Provisional Let the material set for 90 seconds in the mouth then remove and command set with 20 seconds of light curing

110 Types of Provisional Cements Resin-Based containing di-urethane di-methacrylate TNE (Temrex) Tempbond Clear (Kerr) Zinc Oxide Eugenol TempBond (Kerr) Zinc Oxide NonEugenol Temp Grip (Dentsply) Polycarboxylate Durelon (3M ESPE)

111 Value Added Clinical Benefits The amount of money it can cost a practice when a patient has to return to have the provisional re-cemented (in lost production, time, materials)

112 Integrity Temp Grip Technique Tips Bleed the syringe twice!

113 Integrity Temp Grip Technique Tips Do not desiccate the tooth before seating! Moist cementation reduces opportunity for sensitivity Barrier results in the cement staying on the provisional and not on the tooth Formula for Sensitivity Start with trauma and then desiccate

114 Efficiency is Key

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117 Protection

118 Question Who are you going to be in 5 years? Answer: Very much the same you EXCEPT 3 things Books you read People you meet Thoughts you tolerate in your mind

119 The Keys to Your Success Beyond Today 1. Believe while others are doubting 2. Plan while others are playing 3. Study while others are sleeping 4. Decide while others are delaying 5. Prepare while others are day-dreaming 6. Begin while others are procrastinating 7. Work while others are wishing 8. Save while others are wasting 9. Listen while others are talking 10. Smile while others are frowning 11. Commend while others are criticizing 12. Persist while others are quitting

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121 Contact Info Like Dr. Tim Bizga on Facebook 2thLectures.com 121