Showing posts with label Dental Mills. Show all posts
Showing posts with label Dental Mills. Show all posts

Thursday, February 02, 2012

Time is money–ever wonder how much?

So why does your dentist strap your child in a papoose board as soon as they get their hands on them, instead of taking the time to go through the acceptable standards set out by the American Academy of Pediatric Dentistry? (Listed in detail below).

Answer - M.O.N.E.Y.

How much?

Every MINUTE saved is $6-$8.

For a Private Equity firm, or other Wall Street bank or investment firm, wasting $6-$8 a minute is UNACCEPTABLE!  For a greedy dentist who cares nothing about your child, only about his/her 5 million dollar home and private jet it’s also UNACCEPTABLE.  (see below about these numbers)

From the AAPD Guidelines for Behavioral Management

AAPD Guidelines Page 4 - Regardless of the behavior guidance techniques utilized by the individual practitioner, all guidance decisions must be based on a subjective evaluation weighing benefits and risks to the child. The need for treatment, consequences of deferred treatment, and potential physical/emotional trauma must be considered.

Decisions regarding the use of behavior guidance techniques other than communicative management cannot be made solely by the dentist. They must involve a parent and, if appropriate, the child. The dentist serves as the expert on dental care (i.e.,the timing and techniques by which treatment can be delivered). The parent shares with the practitioner the decision whether or not to treat and must be consulted regarding treatment strategies and potential risks. Therefore, the successful completion of diagnostic and therapeutic services.

Acceptable Techniques

1st – Tell-Show-Do Tell-show-do is a technique of behavior shaping used by many pediatric professionals. The technique involves verbal explanations of procedures in phrases appropriate to the developmental level of the patient (tell); demonstrations for the patient of the visual, auditory, olfactory, and tactile aspects
of the procedure in a carefully defined, nonthreatening setting (show); and then, without deviating from the explanation and demonstration, completion of the procedure (do). The tell-show-do technique is used with communication skills (verbal and nonverbal) and positive reinforcement.

Tuesday, October 25, 2011

Real dentists sharing real thoughts about sealants, dental mills, waste and fraud

Dentist 1:

It’s all designed to fool the taxpayer.  Politian's get into trouble for overspending.  They cut services, in this case Medicaid reimbursement fees for dental treatment. To keep the special interest happy, they agree to cover another procedure, everyone’s happy.

I work in an office (corporate mill) that takes Medicaid- MassHealth-in my state. which covers sealants on primary molars.  In my opinion, I think sealants on second primary molars (first primary, very rare) are beneficial in only a small percentage of cases; high risk, deep grooves, ability to obtain good isolation, etc.

Here's what I find troublesome and wasteful from a taxpayers point of view.
- We routinely seal all primary molars up to the age of 8, even on low risk patients with shallow grooves
-  90% of the time dental assistants place them alone with poor isolation.
I only do sealants when I have good isolation.  95% of the time I use my Isolite.  
With my criteria, I rarely seal primary molars. 
The dentists who do treatment plan sealants on a 3 year old, that will not even remain still for an exam or cleaning are wasting tax dollars in my opinion.  I do see pressure for assistants to do them from the corporate headquarters.  Corporate heads want a “sealant” report daily.  That irks the hell out of me.  It irks me even more when the dentist is not busy at all and still let's the assistant do them alone!

Saturday, June 11, 2011

Your tax money for Wall Street, no not the bailout-Worse!


In 2009 the Richard J. (John) and Leanne Malouf home rated 42 in top 100 most expensive homes in Dallas!  He’s just a dentist!  What did his neighbors think he did?  How did he explain he was screwing his neighbors as well as taxpayers to live like this?  He’s only 45 years old!
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June 8, 2011

Last year, lax state regulations allowed dentists to legally collect nearly $200 million to straighten the teeth of poor children in Texas at taxpayer expense.
That's more than the rest of the United States combined.
Orthodontic treatment for children is generally an elective, cosmetic procedure that many parents spend thousands of dollars on for their children. But Texas pays for orthodontics under Medicaid like no other state in the country.
In 2010, Texas spent $184 million on Medicaid orthodontics.
Medicaid is designed to provide health care for the poor.