IDEAS WORTH THINKING ABOUT
Practical ideas for better dentistry.
Thinking on case acceptance, efficiency and creating a more successful practice.
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Stop minimising
Dentists soften bad news with "little," "quick" and "tiny" because they're trying to be kind. Minimising language leaves patients unsure whether their problem is serious. Channel some Dr Ben Casey gravitas instead.
Bur butler
Going to the drawer to pick out burs one by one wastes time and isn't hygienic. I explain why the Shofu Bur Butler solved that problem in my own practice and became a permanent fixture on every tray.
Wear your loupes
I remember the shock of putting on loupes for the first time. Fillings I'd been proud of suddenly looked rough. I think every dentist should wear magnification for every procedure, not just the fiddly ones.
Sell treatment? No way!
Selling treatment creates pressure. The alternative mindset removes it entirely, and paradoxically lifts your case acceptance rate. Here's why "reactance" makes pushing counterproductive, and what to do instead.
Rapid setup
I've timed how long it takes to setup for a root filling in 12 practices. It averages 10 minutes with the dentist standing idle. Here's how to get it down to 3 seconds.
Sympathy vs. empathy
Be sympathetic to your patients, not empathetic. Sympathy keeps you present and while empathy can burn you out. Here's why the distinction matters more than most dentists realise.
Curly suction device
One of the cheapest, most useful pieces of kit I've ever used. It retracts the tongue and gives you a dry field without the fuss of rubber dam. Here's why the "curly suction" deserves a spot in every surgery.
Massively increase efficiency
I cut 12 hours from my working week and increased my net income. The change came from rethinking how my practice worked. Here’s how to make productive days easier.
The fee is not the barrier
I once doubled a fee hoping to lose every case that came with it and started winning almost all of them. Here's what that taught me about pricing.
My dentistry got better. My practice didn’t.
I kept improving my dentistry, but my practice wasn’t improving with it. Then, in 1986, I reluctantly took a weekend communication course. By Monday, something had changed.
What patients value
A lady told me she'd pay $200 more for a 30-minute crown prep appointment over a 90-minute one. That changed everything I thought I knew about fees.
Fourteen crowns. No rushing.
A day booked entirely with check-ups and cleans ended with fourteen crowns prepared. The surprising part was how calmly it all happened. Here’s what made that day possible, and why great dental days don’t have to be rare.
Discounting will eat your lunch
Discounting can feel sensible. It isn't. Here's what it costs financially, what it signals to patients, and why your best patients deserve better.
5 case acceptance strategies that work
Why do patients decline treatment they need? Here are 5 practical strategies that improve case acceptance without pressure.
When a patient says ‘no’
When a patient declines treatment, pushing harder or stripping the plan back are both wrong. Here’s what actually works and why it starts with letting go.
The courage to do less
Doing fewer procedures and doing them brilliantly leads to better outcomes and a more profitable practice. Here's the case for focus in dentistry.