Dental Disorder
By Bryan Laskin
()
About this ebook
There is a secret war going on in dentistry right under our very loupes. And while it's invisible to the average dentist, the daily repercussions (lost patients, misdiagnoses, lawsuits, and more) are NOT.
The fact is, dentists and patients are caught in a pointless battle in which everyone loses...
Dental Dis
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Dental Disorder - Bryan Laskin
DENTAL DISORDER
EXPOSING THE BIGGEST PROBLEM IN DENTISTRY AND HOW TO SOLVE IT
DR. BRYAN LASKIN
Copyright © 2023 Upgrade Dental
All rights reserved. No part of this book may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or by any information storage and retrieval system without written permission of the author, except for the inclusion of brief quotations in critical reviews and certain other non-commercial uses permitted by copyright law. For permission requests, contact the author in writing at the address below:
230 Manitoba Ave South, Suite 110
Wayzata, MN 55391
upgradedental.com
ISBN hardcover 978-1-7366437-3-0
ISBN paperback 978-1-7366437-4-7
ISBN eBook 978-1-7366437-5-4
This book is dedicated to my hero and grandfather, George Bernstein. He fueled my love of reading and is the model by which I try to conduct myself in business and life.
Just by buying this book, you’ve already made a difference. 100% of the proceeds of Dental Disorder are going to support the not-for-profit Dental Standards Institute and its work to remove the bottlenecks to innovation within healthcare and to put patients first.
To get involved, join us at:
DentalStandardsInstitute.com
Disclaimer
This publication contains the opinions and ideas of its author. It is intended to provide helpful content for the purpose of elevating patient care and increasing joy and fulfillment throughout the healthcare profession with an emphasis on the dental industry.
There are strong opinions in this book which are true at the time of its publication. It is the author’s sincere hope that we, the dental industry, act swiftly to make much of this content outdated which would, obviously, result in a changing of the convictions held within.
Within this book, the author may discuss companies and entities in which he holds financial interest and such interests are disclosed when the entities are first mentioned. All the names are fictional, unless permission for their use has been granted. Nonspecific pronouns have been utilized in an attempt to convey a more realistic nature to any analogies. In cases where characteristics of fictional characters are portrayed, there has not been any intent to omit or otherwise exclude or over use identifications of any type. The author and publisher specifically disclaim all responsibility for liability, loss or risk, personal or otherwise, which is incurred directly or indirectly as a result of the use or application of any information contained within this publication.
CONTENTS
Preface
The Standard Disorder
The Typical Disorder
The Dentist’s Disorder
The Data Disorder
The Profit Disorder
The Patient Disorder
The Team Disorder
The Owner Disorder
The IT Disorder
The Insurance Disorder
The DSO Disorder
The Change Disorder
The Cure
Afterword
Additional Resources
Acknowledgements
About the Author
Preface
First they ignore you, then they laugh at you, then they fight you, then you win.
- Mahatma Gandhi
First off, I would like to extend my gratitude and appreciation to you, the reader, for picking up this book. Just picking up a book about the dental industry, cracking open the spine and reading this far (the first paragraph) shows you are more engaged than the majority of people who are touched by dentistry. And everyone is touched by dentistry in some way.
Therefore, reader, you are likely an exceptional person.
We are about to embark on a journey together that will unveil what I believe to be the single most broken aspect of the dental industry. If you are a dentist, that means that this book addresses what is potentially the single most destructive force that is working against your dental practice, endangering both your practice and the health of your patients.
If you are a vendor to the dental industry—whether an insurance provider, distributor, manufacturer or materials developer—this unnecessary barrier to improving dental practice wellness also impacts your business in a significant and negative way.
Most importantly, I firmly believe that this is the largest barrier to improving the oral wellness of every patient, regardless of whether they regularly see a dentist or not.
There is a moronic state-of-being that we, as an industry, propagate through our continued ignorance or tolerance of it. Those knowingly continuing this problematic reality do so for the most basic of reasons: greed.
In this book, I will unveil the magnitude of this problem and how every patient and every practice is dramatically worse off due to the persistence of archaic solutions we permit to be sold to us for way too much money. This ultimately has fabricated a virtual prison of our work that we pay handsomely for, while some of the most trusted companies in dentistry lock away the key to quality patient care and profitability in a jail that exists within the walls of our practices.
I will expose the tactics that companies use to treat the caring members of our community as work geldings while they profit from our labor and our patients’ property, and why we continually pay these companies obscenely high fees.
I call this problem the Dental Disorder. It is a problem that is easy to understand once you learn to see through the cascading mess of sleight-of-hand dental tricks
that a select few corporations supplying our profession have employed either knowingly, or, in some cases, due to plain old ignorance.
I will be exposing dental vendor business strategies and policies that hurt patients, drain practice revenue and choke innovation.
Fortunately, there are simple solutions to our Dental Disorder. These easy answers will lead to considerable breakthroughs for your practice, saving everyone money, increasing patient access to care and facilitating what we all know needs to happen on behalf of our patients: innovation and medical-dental integration.
Many of the solutions we discuss in this book will be able to be applied immediately to improve the quality of the care you provide, decrease your stress, remove inefficiencies within your team and make more money while spending less.
Outside the walls of the dental practice, our digital life has seen tremendous growth. The first iPhone came out in the year 2007, and the Apple App Store was released the next year in 2008.
Just think about all the updates, transformative applications and major yearly improvements that have transpired since the initial launch of smartphones. These changes spawn lines that wrap around the block, filled with people eager to secure the newest iPhone release. That is some serious innovation and competition for some great software to be developed. While you could argue whether the smartphone has been a net positive for society, its progression into an indispensable tool is undebatable.
But if you look at the technology that runs your practice, it likely does not look or work much different from how it looked and worked at the turn of the century. This is a direct result of the Dental Disorder.
Dental practices and dental patients deserve better.
That is why I have made it my personal mission to fix this Dental Disorder as quickly and effectively as possible.
Before we dive into the Disorder and discuss the solution to the practice-eroding, patient-frustrating practices associated with it, I would like to tell you a story.
It’s the story of how I came to care so much about fixing this problem in the first place. It’s the story of what made me rethink what I know about how major institutions in our industry act and work with us.
If you told me five years ago that I would be working on Standards development at the highest level in our profession, trading emails with leaders in the Health and Human Services (HHS), collaborating with military information leaders or attending healthcare data conferences acting to connect medicine and dentistry, I would have laughed.
So how did I get involved in this groundbreaking, yet extremely nerdy and highly technical aspect of dentistry?
How did I discover that there were gigantic knowledge gaps at the highest levels of our profession and nefarious operators within our most trusted industry partners who knowingly erode our profession with their selfish business practices?
How did I end up here, writing to you right now with the goal of exposing and correcting the largest disorder within our profession?
How did I reach the point of feeling compelled to educate the dental profession about aspects that are destroying our ability to innovate, even at the risk of corporate retaliation by some of the largest partners I work with in dentistry?
As Theodore Roosevelt said, In any moment of decision, the best thing you can do is the right thing. The worst thing you can do is nothing
.
Therefore, I believe that staying silent, doing nothing, would be the worst thing I could do.
Like everyone, the position I am in is the result of all the decisions I have made up to this point in time. I rely heavily on my intuition when making decisions. Obviously, I put much thought into my decision making, but I also believe that we get so much data input that our brains cannot intelligently process it all.
At that point, if you keep your mind open to creative thinking and have focused goals in mind, your subconscious can successfully guide the processing of information. This is that gut feeling
that seems to intuitively make sense, especially in particularly challenging situations.
This can create the circumstances for you to seize a moment that feels like a fundamental opportunity to do things a better way. A singular moment that you can capture to improve your life, as well as the lives of others.
We all have experiences like this. An experience in which a painful event leads to growth. As Marcus Aurelius stated, what stands in the way becomes the way.
In other words, overcoming your problems is the most direct way to capitalize on opportunities, as long as you are armed with the right mindset.
You see, I have been unwittingly preparing to write this book through privileged yet extremely painful interactions with some of the most influential people in dentistry.
Experiences like growing an extremely successful small group of practices, serving as a contrarian within the leadership team at one of the largest DSOs, being an advisor for large dental laboratories and manufacturers, and serving as a board member of several companies while also developing a few of the most innovative solutions in dentistry over the last decade have opened doors for me to hidden rooms in our industry that few get to enter.
In these gatherings, the conversations rarely are about quality of care or how to improve dental practices.
It is all about business. And business (for them) is good.
Some of the most bizarre, frustrating and disappointing conversations I have had with leaders in our industry have fueled the fire within me to expose the opportunities