If you are doing bone or soft tissue grafting, don't miss this event!
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The Endo Blog - 5 new articles


Technique & Long-Term Stability of Bone Grafts & Soft Tissue Grafts


If you are doing bone or soft tissue grafting, don't miss this event!
   

Using CBCT to Diagnose the Depth of a Cracked Tooth

 One of the many uses of CBCT is to help us determine the depth of a crack - seen on the occlusal surface of a tooth, but uncertain as to how deep it goes down the root.  Obviously the deeper the crack goes below the CEJ, the poorer the long term prognosis.

This patient was mostly asymptomatic until he recently bit into something and has had pain ever since.

Periapical film

2 Cracks seen on the MMR - with staining



CBCT shows a narrow, bony defect identifying a crack in the axial (Z) view.  The sagittal (Y) view shows the depth of the crack.  A new crown would have to go past this depth to cover the crack up.  This view helps us make a determination of the restorability of the tooth.

In this case, the crack would never be completed removed or covered up by the crown making the long term prognosis poor.  CBCT allows us to make this evaluation without having to remove the amalgam filling and chase the crack - saving the patient (and us) time and money.



   

Innovations in the Dental Insurance World

 


Medical insurance has been using tiered systems to provide care to patients for some time. A tiered system categorizes physicians by quality and cost efficiency standards. While the patient chooses their provider, the patient's copay may vary based upon the provider tier that is chosen. Insurance companies can reimburse different tiers on different fee schedules potentially allowing network providers with better outcomes higher reimbursements. An example of medical insurance tiered system:

TIER 1
Providers meet excellent quality and/or cost efficiency standards
Members pay the lowest copayment
TIER 2
Providers meet good quality and/or cost efficiency standards
Members pay the mid-level copayment
TIER 3
Providers who are outside the insurance network
Members pay the highest copayment

As you know, trends in dentistry typically follow trends in medicine. While the tiered provider system is not yet here for dentistry, the concept of evaluating the quality of dental care has been on the horizon for some time, and will shortly be utilized by major dental insurers. How will this work?

A leader in this type of data analytics is P&R Dental Strategies. They have developed a unique, objective, quality measurement program for dentists. Their methodology, called DentaQual, leverages a nationwide, multi-payer dental claims database (DentaBase) to measure quality by analyzing cross-payer claims and dentist utilization data. Quality is measured based on metrics scored in each of 5 categories.
The DentaQual score for a dentist is based upon an individual dentist's "standard deviation from the norm", the norm being the average practice behavior of a dentist's peers in a geographic area. It is not based upon predetermined or subjective benchmarks such as user reviews.

As the largest dental insurer in Arizona, Delta Dental of AZ, will soon make these quality scores available to patients to help them in selection of their dentist. Other insurers such as United Healthcare and other Delta Dentals have already incorporated this platform and it's probable that other insurers will follow suit.

In order to better understand the purpose behind these metrics and how insurance companies will be using them, we have invited Mr. Mike Jones, President and CEO of Delta Dental of Arizona to participate in our upcoming seminar. Mr. Jones will provide us with an update of current and future initiatives and explain how Delta Dental will be leveraging these new metrics.

We have also invited Mr. Michael Urbach, President of New Markets for P&R Dental Strategies to come and explain how DentaQual works and what affect they expect to have on the dental insurance marketplace.

We look forward to their presentation on Tues, March 22, 2022 at 6:00pm at Superstition Springs Endodontics.


 


   

Survival in the Dental Office: Brain Based Leadership Concepts to Help your Practice


During the 2020 spring shutdown, due to the COVID-19 pandemic, I found myself at home with my family looking for ways to entertain ourselves. We planned daily "quarantainment activities" like playing indoor games, outdoor games,
 cooking competitions, bike rides, ping pong tournaments, movies etc. At some point, we began to watch back seasons of the CBS reality show "Survivor". In this show, a group of very different people get stranded on an island, with just the clothes on their backs. They compete individually and in teams but ultimately have to vote each other off the island until there is one remaining survivor. We did some major binge watching, but it was fun. Watching the drama of such different people put in a stressful environment, competing for food & small comforts, making pacts with each other and ultimately doing anything to survive in the game - including the all too famous "blindside" was just too entertaining to look away!

At the same time, we all found ourselves in a business survival mode. How do we handle our emergency patients? Do we layoff employees? Can we get a PPP loan? Can we get it forgiven? What happens if someone on staff gets sick? How do we pay for sick time? If a staff member gets sick, do we have to shut down the office? What if my family gets sick, can I come to work? How do I handle the hygienist's concerns? How do we manage our team's anxiety about the whole situation? How long will this go on? etc. etc. The threats to our businesses and livelihood were real and we all felt a little "blindsided" by COVID-19.

Survival is what the brain is designed to do. The brain identifies threats and keeps us alert and aware of them at all times. Unfortunately, sometimes this state of arousal can create challenges and problems when it comes to communicating, collaborating, solving problems, setting goals, and leading a team in your office. Modern neuroscience is teaching us many new things about the brain and cutting edge leadership is taking advantage of that new knowledge.

Our upcoming Inner Space Seminar, will discuss how brain based leadership focuses on understanding how the brain works and using that information to our advantage. David Rock, of the Neuroleadership Institute, has described five social domains that the brain treats as primary rewards or threats. Since your office is social system, understanding these concepts can change the way you communicate, lead your team and interact with your patients more effectively.

Our upcoming Inner Space Seminar will be presented by Jason Hales DDS, MS on Thursday, Nov. 11th, 2021, will review these leadership concepts and help you survive as a leader in your practice.




To register please contact Annette at Annette@superendo.com or 480-807-8022. Seating is limited.
   

Dealing with Cracked and Fractured Teeth - An Inner Space Seminar

 

 

At a recent Inner Space Seminar, Dr. Jason J. Hales discussed dealing with cracked and fractured teeth.

   

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