Talking About the Things No One Wants to Talk About Part One

Talking About the Things No One Wants to Talk About Part 1

Quality and competence are in the back of every dentist’s mind at all times. That is part of the reason we entered the industry-to be in a career that is always evolving and not stagnated. We hope we are better clinicians on the day we retired than we were on the day we graduated from dental school. To get there, are you evaluating your clinical competency on an ongoing basis?

As doctors, we have to believe and present to our patients that we are the best person for the job. That is why they are coming to you for care. But do you stop and take a hard look at your own work and how you can improve? Are you focusing your improvement on the parts of your practice that matter the most?

What do you patients prioritize? eMax vs Zirconia, Onlay vs Full Coverage, Xeno vs Allo? Is the material or design decision yours or theirs? And what are they really asking when they question some of these things? Often, patients are only asking these questions because they do not know what else to ask, they are trying to figure out if you are the doc who gets them what they really want.

Patients ultimately care about a couple of factors:

  • Will the appointment be “Easy”
    • This is very subjective, but we as dentists have WAY more control over the patient’s perception of this than we realize. Remember that their perception is their reality.
  • Will it work….the first time?
    • No redos or problems they have to come back to you for, and this includes your material selection
  • Will it last?
    • Patients do not want to return any more frequently than is absolutely necessary. This is not something against your personally-everyone is busy and has other focuses they would rather spend their time on
  • Will it look good?
    • If you see work coming back from another doctor that makes you cringe, are they saying the same about your work?
We are all human and make mistakes. Sometimes you have less than an ideal outcome because you were dealing with a complicated situation to begin with and the treatment was a long shot from the start. Unfortunately we do not often have immediate feedback on our clinical skills (or fortunately, depends on how you look at it). Sometimes we must wait weeks, months, or even years to truly evaluate our outcomes. This makes for a very difficult environment to leverage for improvement.

Have you ever found an open margin on a crown you cemented or decay you did not remove under one of your restorations? If you haven’t, one of two things is happening:

a. Either you haven’t done enough dentistry or
b. You aren’t looking hard enough

Talking About the Things No One Wants to Talk About
So focus on improving what you can and seek out ways to gain immediate feedback. Look for the more critical areas of your practice that you know are not optimized. Have a plan to learn new techniques you are lacking or need refinement. Humility is a difficult thing to face but your patient care will only excel as a result.
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