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TRANSCRIPT
Why Customers Leave
• 9% Leave because of competitors
• 10% Leave due to other reasons
• 14% Leave due to product dissatisfaction
• 67% Leave due to attitude or indifference (connection issue)
The Law of the Mirror
• You must see value IN yourself to continue to add value TO yourself
• You will never rise about the level of YOUR SELF IMAGE
3 Things Employers Look For
1. Loyalty/ Dependability
2. Positive Attitude
3. Desire to learn new things and keep growing
• Anything that is healthy, keeps growing!
9 things we hate about our employees
1. We hate when you are only nice to us on special days
– This stems from a lack of appreciation
– 90:10 rule= we only remember the 10% bad
2. We hate when we have to nag for things to get done
3. We hate when you chew gum
– This presents a very unprofessional look to patients
4. We hate when you don’t check the floor after cleaning a room
– Cleanliness matters to patients and a dirty floor means a dirty facility
5. We hate when you do not introduced us to new patients
– We need to know if we alreadymet the patient
6. We hate when you do not help us get to know the patients
7. We hate when we have to do ALL the talking
– We need you to EDUCATE the patient too
– 75% conversation should be business and 25% social chitchat
– You are not just an employee, you are a TEACHER
8. We hate the personal use of cell phones and Internet at the employee’s desk
– This is a form of TIME EMBEZZLEMENT
9. We hate when you cry
– Belittling or criticizing in front of a patient IS NEVER RIGHT
– Using tears as a form of control IS NEVER RIGHT
Patient types
✓ Last Trip about every 2-5 years
✓No Insurance
✓Be aggressive in treatment….do not
monitor small things TREAT
Patient types
✓ Regulars
✓ Learn their preferences
✓Cost Conscience
✓Want the Best
✓Missing teeth
✓Basics and Function First
✓Esthetically driven
Challenges with Patients
• Time
• Patients don’t tell the whole truth
• We have to marry NEEDS with WANTS
• “A Profession in Transition”
The Magic of Rapport
1. Rapport is created by feeling of commonality
2. Words are only 7% of communication
3. Matching and Mirroring
– Milton Erickson, MD
– People like people who are LIKE THEMSELVES; or how they would like to be
4. Style is more important that substance INITIALLY
Purpose of DISC
1. To help you better understand YOURSELF
2. To help you better understand OTHERS
3. To help you be MORE PRODUCTIVE and have LESS ANXIETY when dealing with people
4. To treat others as they wish to be treated
Reserved
Outgoing
First Question
1. Am I more Outgoing, or am I more Reserved?
Understanding Yourself …
Everyone is “wired” differently. To understand yourself better, ask yourself these two questions:
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Understanding Yourself... Traits to look for:
Outgoing / Active
Fast - paced
Involved
Energetic
Optimistic
Positive
Enthusiastic
Reserved/ Passive
Slower – paced
Cautious
Concerned
Reluctant
Critical thinking
Discerning
Reserved
Outgoing
Their focus is on talking
things out.
Their focus is on thinking
things through.7
Second Question
2. Am I more Task-oriented or People-Oriented?
Understanding Yourself...
Task-
Oriented
People-
Oriented
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Understanding Yourself … Traits to look for:
Task-Oriented People-Oriented
Form
Function
Programs
Plans
Projects
Process
Relationships
Caring
Sharing
Emotions
Feelings
Friendships
Task-
Oriented
People-
Oriented
Their focus is on getting
things done.
Their focus is on other
people and how they feel.
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Dominant
Demanding
Direct
Determined
Decisive
Doer
Director
Dogmatic
Dreamer
Diligent
Dynamic
Defiant
The D Type OUTGOING
T
A
S
K
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Percentage of Population:
Examples:
Basic needs:
10%
Donald Trump, Judge Judy, Dr. Phil, Hillary Clinton
Challenge, Choices and Control
D Types Make Good...
Administrators
Athletes
Boxers
Builders
Business Owners
Coaches
Developers
Directors
Drill Instructors
Entrepreneurs
Executives
Fighter Pilots
Foremen
Government Agents
Law Enforcement Officers
Lawyers
Military / Special Forces
Motivators
News Anchors
Private Investigators
Producers
Race Car Drivers
Real Estate Developers
Sales Managers
Supervisors
Truck Drivers
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The I Type OUTGOING
Inspiring
Influencing
Inducing
Impressive
Interesting
Impressionable
Important
Interchangeable
Interested in People
Imaginative
Impulsive
Illogical
P
E
O
P
L
E
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Percentage of Population:
Examples:
Basic needs:
25% - 30%
Oprah Winfrey, Ellen DeGeneres, Dr. Tim Bizga
Recognition, Approval and Popularity
I Types Make Good...
Actors
Airline Attendants
Auctioneers
Broadcasters
Clowns
Coaches
Comedians
Entertainers
Evangelists
Meeting Planners
Peace Corps Volunteers
Performers
Politicians
Preachers
Public Relations Directors
Public Speakers
Masters of Ceremonies
Radio Personalities
Receptionists
Reporters
Salespeople
Teachers
Telemarketers
Telephone Operators
Travel Agents
Wedding Consultants
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The S Type
Supportive
Steady
Stable
Secure
Serve
Sweet
Submissive
Shy
Status Quo
Sentimental
Sameness
Sucker
P
E
O
P
L
E
RESERVED
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Percentage of Population:
Examples:
Basic needs:
30% – 35%
Dr. Martin Luther King Jr., Paula Abdul, Mother Teresa, Joel Osteen
Appreciation, Security and Assurance
S Types Make Good...
Artists
Child Care
Workers
Counselors
Customer Service
Representatives
Department Heads
Diplomats
Flight Attendants
Funeral Directors
Human Resource
Directors
Librarians
Managers
Nurses
Painters
Pharmacists
Pastors
Planners
Real Estate Agents
Researchers
School Teachers
Secretaries
Social Workers
Supervisors
Technicians
Veterinarians
Waiters/Waitresses
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The C Type
RESERVED
Cautious
Competent
Cognitive
Careful
Calculating
Critical Thinking
Compliance wanting
Conscientious
Correct
Conformist
Consistent
Cold
T
A
S
K
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Percentage of Population:
Examples:
Basic needs:
20% – 25%
Diane Sawyer, Clint Eastwood, Tiger Woods, Martha Stewart
Quality Answers, Value and Excellence
C Types Make Good...
Accountants
Architects
Artists
Authors
Bankers
Bookkeepers
Composers
Computer Programmers
Consultants
Dentists
Engineers
Finishing Carpenters
Inventors
Lawyers
Librarians
Mechanics
Military Intelligence
Musicians
Philosophers
Photographers
Physicians
Pilots
Professors
Scientists
Surgeons
Teachers
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37% of composite restorations are being insufficiently cured.Price R., Felix C., (2010). Factors Affecting the Energy Delivered to Simulated Class I and Class V Preparations. JCDA Applied Research.
An insufficient cure can lead to adverse effects on physical properties, such as
− reduced bond strengths,
− breakdown at the margins & microleakage,
− and ultimately secondary caries.
Boksman, L., Santos GC., (2012). Principles of Light Curing. Inside Dentistry, Volume 8, Issue 3. d failure.
Seal! Insufficient cure continues to be an issue
There are hot and cold spots within the curing light tip, and they vary with every light.
Distribution of LEDs
Beam Profile
SmartLite Focus has a homogenous beam profile for uniform performance in the curing area
The effective part of the light beam should be evenly distributed across the face of the light tip to maximize curing effectiveness, and minimize the negative impact of operator technique.
Composite Placement and Curing
Tips for success with curing:
• Position the patient so you can access the tooth
• Stabilize with finger rests while curing
• Position as close to tooth as possible
• Position perpendicular to the tooth/restoration
• Increase curing time for deeper preparations
• Air cool or wait in between cycles
• Use orange shields so you can “look at the light”
• Keep light guide tip clean and free of debris
SHADE TAKING FACTS
1. 60% of remakes are blamed on poor color match
2. It takes 5 new crown cases to cover the cost of
one remake
3. Improper color selection causes great frustration
for the doctor, the laboratory and the patient,
losing time and money for the dentist and
laboratory.
Shade Selection
CLINICAL TIP:
Determine the Shades Needed for the
Restoration Prior to Tooth Preparation
Shade Selection
• A Desiccated Tooth Will
Appear Lighter than Normal
• Select the Dentin Shade By
Examining the Dentin
1. MOST CRUCIAL component for shade taking in Dentistry in VALUE
2. Second most crucial component for shade taking is TRANSLUCENCY
3. Third most crucial component for shade taking is CHROMA
4. LEAST CRUCIAL component for shade taking is HUE
Dental Shade Guides
RULES FOR TAKING shade
1. Patient sitting UPRIGHT at an EYE-EYE conversation distance
2. WELL-ILLUMINATED area preferably with color-corrected lighting or Ott-Lites® (sold at Office-Max or Target) held 2 feet from patient
3. Take the shade before you start the procedure
4. Match VALUE first, then CHROMA, then HUE keeping in mind TRANSLUCENCY and its important for anteriors
5. Take a PHOTO
– Be sure to place the shade tab IN THE SAME PLANE as the teeth, incisal edge to incisal edge
6. Recharge your RODS and CONES by looking at an Neutral Gray or Light Blue
7. Lightly wet the teeth and the shade tabs with a clear liquid glaze prior to evaluation
Fixed Prosthodontic Landscape
• An average office performs 256 single unit crowns per year
• 256 x 150,000 general dentists = 38 million single unit crown procedures per year!
Features of Provision Materials
1. Polymerization Choice
– Dual v. Auto
2. Air-inhibited layer
3. Fluorescence
4. Flaking when trimming
– Margin design
5. Fracture Strength
– Clearance
6. BPA free
Taking a Matrix Impression
• Use a impression tray (closed bite, closed tray, quadrant tray, custom tray, etc)
• Create a putty matrix
Preparing the Matrix
• The matrix impression can be modified to ensure the provisional:
– Has better interproximal contact
Dispensing the Provisional Material
• Fill approximately ⅔ of the tooth in the matrix impression, don’t overfill to prevent excess
Final cure using a light curing unit (for 5 sec each surface per unit).
Extrude into the impression material and place into mouth within 45 seconds.
~ 0’45”
Set into the mouth for approximately 1 minute to 1’15”.
~ 2’00”
Remove from the mouth and remove excess material. If necessary, tack cure each tooth unit for 1-2 seconds.
~ 2’45”
~ 3’00”
Polish.
TEMPSMART™ can quicken fabrication of a temporary restoration due to its dual-cure option.
Three Minute Setting & Curing
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Integrity† Integrity
Multi Cure†
(light cure)
Structur2† Structur3†
Thickness: 1.5mm
Fluorescence
TEMPSMART™(light cure)
ProtempPlus†
LuxatempFluoresence†
LuxatempUltra†
Thickness: 1.5mm
Seating the Matrix
• When using a closed bite tray, re-seat tray into the mouth making sure it is fully seated and the teeth fit into the impression with the patient fully closed
Light Curing the Provisional
• Let the material set for 90 seconds in the mouth then remove and command set with 20 seconds of light curing
Trimming, Adjusting, Polishing
• Trimming:– Use a straight nose handpiece
and acrylic burs
– Palm-thumb grip
Trimming, Adjusting, Polishing
• Polishing:– Use a straight nose
handpiece and brushes or rag wheels
– Palm-thumb grip
Inlays and Onlays
• Triple tray method gives a very stable result, but there are other aleternatives
• FERMIT- Ivoclar
• Modified Microfill
• Requires NO-CEMENT
• EXPENSIVE
• Clip Flow- Voco
• Works exactly like Fermit, but not as costly
DOF essentials:
• Smaller Aperture – Greater DOF
• Greater Distance to subject – Greater DOF
• Greater the Focal Length – Greater DOF
Magnification 1:4 1:3 1:2 1:1F-Stop 18 28 32 32
Shutter Speed 1/200 s
Histogram Always on
ISO 300
Flash TTL M1/16
WB Flash or Cloud
Lens 60 mm Macro Lens or more
What do I mean…
Basic Photography Essentials
www.photomed.net www.practicon.com www.smartpractice.com
Be Consistent in Your Photography!
• Set the camera magnification and leave it there!
• Keep the same angle for each progressive shot!
• Do not alter f-stops, shutter speeds or flash settings!
• With operatory light…or without?
Question
• Who are you going to be in 5 years?
– Answer: Very much the same you EXCEPT 3 things…
• Books you read
• People you meet
• Thoughts you tolerate in your mind
The Keys to Your Success Beyond Today
1. Believe while others are doubting2. Plan while others are playing3. Study while others are sleeping4. Decide while others are delaying5. Prepare while others are day-dreaming6. Begin while others are procrastinating7. Work while others are wishing8. Save while others are wasting9. Listen while others are talking10. Smile while others are frowning11. Commend while others are criticizing12. Persist while others are quitting
Contact Info
• Dr. Tim Bizga• Like Dr. Tim Bizga on Facebook
• @DrTimBizga
• 2thLectures.com
• Email: [email protected]
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