Articulator Volume 27, Issue 4

ARTICULATOR MDDS

Connections for Metro Denver’s Dental Profession

2nd Quarter, 2022 Volume 27, Issue 4

THE FUTURE OF DENTISTRY

10

HPI: Changes in Dentist Demographics, Practice Modalities Accelerating

12

Protecting Your Practice From a Cyberattack

14

Managing Four Generations in the Workplace

16

Creative Tension: What is it and Why Does it Matter?

18

Use Candor, Be a Can-Do-Er

20

Dental Care for the LGBTQ+ Community

B

LOOKING FOR GUIDENCE TO GROW AND MANAGE YOUR DENTAL PRACTICE? We specialize in assisting dentists with critical HR tools and resources.

Whether it’s payroll administration, job placement, employee handbooks, or comprehensive HR, we understand that dental practices are unique places of employment. Let Resource Management help you navigate your HR solutions and give us a call today.

Doug Hartley Regional Vice President 720.323.9048 doug@rminc.com www.rminc.com

BENEFITS-HR-PAYROLL-RISK MANAGEMENT Resource Management Inc. is a local company!

2nd quarter 2022

what's inside?

16

pg.

pg.12

10 HPI: Changes in Dentist

Demographics, Practice Modalities Accelerating

12 Protecting Your Practice From a Cyberattack

14 Managing Four Generations in the Workplace

16 Creative Tension: What is it and Why Does it Matter?

18 Use Candor, Be a Can-Do-Er 20 Dental Care for the

LGBTQ+ Community

departments

Advertisers Directory ADS Precise Transitions adsprecise.com................................... 4 CDA cdaonline.org.................................... 25 CDA Enterprises cdaonline.org/cdae.....Inside Front Cover

Dentists Professional Liability Trust of Colorado tdplt.com.......................................... 21

COPIC Financial Services Group copicfsg.com....................................... 5

SAS Transitions sastransitions.com...............................5

4

President's Letter

CTC Associates ctc-associates.com............................. 11

6

Reflections

Dente Vita dentevita.com................................... 22

7

Member Spotlight

8

Member Matters

22

Committee Spotlight

24

Tripartite News

Co-Editors Amisha Singh, DDS; Allen Vean, DMD Creative Manager CT Nelson Director of Marketing & Membership & Managing Editor Cara Stan MDDS Standing Officers President Pat Prendergast, DDS President-Elect Janie Boyesen, DDS, DMSc Treasurer Karen Foster, DDS

26

Event Calendar

27

Classifieds

Dental Lifeline Network dentallifeline.org............................... 23

Secretary Susan Kutis, DDS Printing Dilley Printing The Articulator is published quarterly by the Metropolitan Denver Dental Society and distributed to MDDS members as a direct benefit of membership.

University of Colorado School of Dental Medicine dental.cuanschutz.edu/.........Back Cover

Editorial Policy All statements of opinion and of supposed factare published under the authority of the authors, including editorials, letters and book reviews.

They are not to be accepted as the views and/or opinions of the MDDS. The Articulator encourages letters to the editor, but reserves the right to edit and publish under the discretion of the editor.

Advertising Policy MDDS reserves the right, in its sole discretion,to accept or reject advertising in its publications for any reasons including, but not limited to, materials which are offensive, defamatory or contrary to the best interests of MDDS. Advertiser represents and warrants the advertising is original; it does not infringe the copyright, trademark, service mark or proprietary rights of any other person; it does not invade the privacy rights of any person; and it is free from any libel, libelous or defamatory material. Advertiser agrees to indemnify and hold MDDS harmless from and against any breach of this warranty as well as any damages, expenses or costs (including attorney’s fees) arising from any claims of third parties.

Inquiries may be addressed to: Metropolitan Denver Dental Society 925 Lincoln Street, Unit B Denver, CO 80203 Phone: (303) 488-9700 Fax: (303) 488-0177 mddsdentist.com ©2022 Metropolitan Denver Dental Society

3

PRESIDENT'S LETTER

Another Trip Around the Sun

By Patrick Prendergast, DDS

A

s summer approaches so does the changing of the

generations and have been of all ages for just as long, today dentists feel the need

Guard at MDDS and a bit of reflection as to where

to separate into categories within dentistry. When we choose to identify with

we’ve been and what lies ahead. We all expected a

New Dentists, Academic Dentists, Corporate Dentists, Private Practice Dentists,

year of continued change and a bit of “whitewater”, and we

or dental groups based specifically on our culture or ethnicity…we need to ensure

weren’t disappointed!

that we don’t inadvertently exclude ourselves from the broad and inclusive family of the profession of Dentistry. We need to ensure we don’t limit who we listen to,

This year brought a return to in-person gatherings, and while most were masked,

who we associate with, what we believe and what we think other people believe.

We need to ensure we don’t withdraw from the body of

you could appreciate colleagues smiling with their eyes… joyful to simply be together again. We all have been impacted by the difficulty of restarting our lives, businesses, the country and the world. Hopefully, this lesson is a long-remembered one, as we now learn about the many repercussions a worldwide shutdown created.

As we try to anticipate the next few years in the dental profession, some elements seem particularly interesting.

It is clear the trend toward DSOs and employee dentists is accelerating. We must ensure the dentists working in these settings are welcomed into the profession. We live in a land of unbridled opportunity; we have the freedom to work as hard

"Let’s make this coming year a revival of respect for our profession and the people dedicating their lives to it. We can only improve ourselves, but those changes can dramatically alter the world."

cooperation and collegiality that has given this profession so much voice and respect. As individuals, it is easy to think of other dentists as competitors instead of colleagues. As rivals to be defeated versus professionals to learn from and lean upon. One of the biggest lessons we can all learn is we are our own greatest competition, our actions create the good and bad in our lives, and finally, dentistry done in its highest form is difficult and provides plenty of challenge to each of us. Let’s make this coming year a revival of respect for our profession and the people dedicating their lives to it. We can only improve ourselves, but those changes can dramatically alter the world.

as we wish and create a unique future for ourselves and our families. When the State of Colorado granted us a license to practice dentistry,

It has been a great honor to serve as MDDS President this year. We are blessed

that license came with both opportunity and responsibility. We are granted the

to have an incredible team at MDDS who work tirelessly for us, our profession

privilege to work on human beings, to cut into their bodies to alleviate disease

and our practices. You are in great hands with Dr. Janie Boyesen and the MDDS

and attempt to restore health for the betterment of their lives. But as with all

Board for the 2022/2023 year, and I wish each of you success and happiness in

opportunities, it is never guaranteed and can be easily lost if not treated with the

this profession.

respect it deserves.

One of the most recent developments that illustrate this lesson is Colorado’s

KNOWLEDGE EXPERIENCE TRUST CREDENTIALS

legislative move toward Mid-Level Providers. Regardless of your opinion on this development, the change will affect you the doctor. This bill, which may be law by the time you read this column, very clearly demonstrates our laws can and will change, and these changes impact all of us. This also provides an opportunity for each of us to learn more about the Colorado Dental Association (CDA) and its Governmental Relations Council (GRC). I encourage you to take a moment (or several) to learn how much effort the GRC put in with the State Legislature to bring educational standards and public safeguards into this controversial bill.

If you were not aware of the tremendous time put in by your colleagues and the CDA, please educate yourself. Once again, as during the height of the pandemic, your membership dues were spent responsibly.

Another issue that has come to the forefront is the changes in how dentists classify one another. While dentists have worked in different practice modes for

4

I

2nd Quarter 2022 mddsdentist.com

DENTAL PRACTICE BROKERS • Practice SalesSince 1986 • Transition Planning • Practice Appraisals • Dental Building Sales • Partnerships • Buy Ins/Buy Outs Pete Mirabito DDS, FAGD • Jed Esposito MBA, CVA

ADS Precise Transitions

Call us - 303.759.8425 Visit us - adsprecise.com

All ADS companies are independently owned and operated

We Can Sell and Transition Your Practice Without “Selling Out” Your Legacy!

Schedule your confidential consultation today at www.sastransitions.com

Susan A. Spear

LICENSED BROKER / BUSINESS INTERMEDIARY

(303) 973-2147

susan@sastransitions.com www.sastransitions.com

S O L U T I O N S

B E YO N D C O V E R A G E

We understand the health care industry and can offer you strategic, customized insurance and financial solutions. We’ll work with you to navigate employee benefits, cyber protection, coverage options, and any gaps that need addressing to protect your assets. That’s Value Beyond Coverage.

COPICFSG.COM | 800.421.1834

5

REFLECTIONS

Has Our Profession Become a Commodity?

By Allen Vean, DMD

R

ecently, I had an animated discussion with a colleague about an ever-increasing change in our profession that is quite concerning to me. Is dentistry becoming a commodity (Gupta, 2019)?

As we all know, the internet and social media have changed the way we do business. The consumer is much more knowledgeable about our profession.

They want to be involved with their care. As many publications have advocated, communication is the key. Take time to talk with your patient. Make sure that you are on the same page as your patient. Be flexible with treatment options.

One treatment plan does not fit everyone. Be aware of fees. State law requires that fee schedules be available to the consumer. Make sure that your digital presence and marketing are up to date and accurate.

In exploring this topic, I came across an excellent blog from Dr. Alex Sharp of Cabot, Arkansas. Dr. Sharp states, “Over the past couple of decades, an argument can be made that the world at large has become more commoditized. Never have so many goods been so readily But the most important aspect that will make you stand out among all the available for consumption, and never has the competition in the marketplace rest is outstanding customer service. That includes the first interaction of the been so fierce. Gone are the days of small-town commerce, where demand for prospective patient be it online, telephone, text, e-mail, a given product might outpace supply to such a degree and/or teledentistry to the completion of treatment and that scarcity of that product would ensue. With the advent "High-quality dentistry all the in-between interactions. As I have mentioned (and subsequent ubiquity) of the internet, anything from before, there is a reason companies such as Trader Jo’s, groceries to large electronics can be delivered to your can be found in many Apple, Amazon, Lexus, and Ritz Carlton are so successful. front door with the click of a mouse.” (Sharp, 2019) different practice models They have an excellent product and customer service that is unrivaled in their industries. Historically, your number He continues, “Interestingly enough, this newfound and many different one and best referral source are your patients. convenience of commerce is not limited to the exchange of settings. But all of these tangible goods. More commonly, services are now being I have outlined above is certainly not new. Treating delivered more efficiently and cheaply as well. Everything settings have one thing in What patients, the way that you would want to be treated is a from lawn services and house cleaning to plumbing and common: the practitioner commonsense approach to care. roofing can be researched, vetted, priced, and initiated via electronic means with nary a second thought. No is centering the However, we have some roadblocks ahead. The ADA longer does the average consumer open the Yellow Pages, Health Policy Institute in an April 10, 2022, update states make an arbitrary service provider, and hope for the best. needs of their patient that dental offices lost 1,500 jobs from February to March, The internet has effectively commoditized many service above all else."

64.8 percent of dental practices said they were recruiting industries.” (Sharp, 2019) hygienists and 84.5 percent were recruiting dentists. Of those who replied, 91.5 percent and 73.4 percent indicated that recruitment “According to Merriam-Wester, a ‘commodity’ can be defined as: ‘an economic of hygienists and dentists was extremely challenging. Dental hygienists are good, such as a mass-produced, unspecialized product.’ One wonders if leaving dentistry because of safety concerns, inability to find childcare and dentistry is viewed with the same apathy as, say, selecting a carpet cleaner? feeling underpaid. Additionally, dentists’ retirement over the age of fifty-five Would you select a dentist based on how cheap he is? Would you switch was 6,641 in 2021, compared to 4,785 in 2017. dentists based on a good deal on a Groupon? I sure hope not. Would you go to the cheapest cardiovascular surgeon for your open-heart surgery? Again, I Part of the solution is in the problem. There are many new graduate dentists sure hope not.” (Sharp, 2019) and hygienists who are searching for positions. Many are seeking a practice that can serve as a solution. Their needs and desires align well with the “It is worrisome that many patients are starting to treat the people who render generation of dentists who are retiring. They are seeking mentorship and a their healthcare as interchangeable parts, valuing price and other factors ahead place to grow. Retiring dentists are seeking someone to pass on a lifetime of of quality of care and relationships with their healthcare providers. While I knowledge. Mentor them with guidance from your years of experience and cannot change anyone’s mind who views healthcare as being analogous to any show them how valuable and satisfying dentistry can be from a professional other good or service, I can resolutely offer an alternative to those who DO and financial viewpoint. Our young hygienists need the same type of clinical value personalized service, high-quality care, and seeing the same health care mentoring. Incidentally, work-life balance and debt reduction can be achieved provider every appointment.” (Sharp, 2019) High-quality dentistry can be found in many different practice models and many different settings. But all in dentistry. of these settings have one thing in common: the practitioner is centering the needs of their patient above all else.

As always, thank you all for your support of organized dentistry. Please feel free to share any comments that you may have.

Dr. Sharp’s commentary is quite powerful. Is dentistry a mass-produced, unspecialized product? Is there a cross-over between commoditization and References: consumerism? Consumerism is the promotion and protection of the interests H. Gupta et. al.: “Commoditization of dentistry,” International Journal of Aesthetic and Health of the consumer (the patient). As we recover from the pandemic, patients are Rejuvenation, July-September 2019: 45-47. going to return to our offices and more people are going to seek our services.

Sharp, Alex: “Is Dentistry Becoming a Commodity?” Blog, cabotdentist.com, January 25, 2019.

It is imperative that practice owners have a solid plan in place. Recent surveys in the U.S. showed that 63% of providers felt that they delivered and provided Fraser, Heath: “The ‘C’ Word and Dentistry,” Newsletter, The Airsmile Company, May 31, 2021. an excellent patient experience while only 40% of patients reciprocated that feeling. How do we raise the patient experience such that the consumer no Dr. Sharp is the president of Shared Practices, a company whose passion is to help dentists achieve the practices of their dreams through education, leadership, growth and a deep understanding of longer perceives our services as a commodity? analytics. (alex@sharedpractices.com)

6

I

2nd Quarter 2022 mddsdentist.com

MEMBER MEMBERMATTERS MATTERS

MEMBER SPOTLIGHT

Andrei Ionescu, DMD Timber Dental Care Thornton, CO

What dental technology innovation are you most looking forward to/excited about?

What inspired you to be a dentist?

"I love how CBCT 3D imaging has become the standard of care. We can be so much more precise when diagnosing."

"Growing up I was always drawn to medicine seeing my mother serve as an incredible, dedicated nurse.

While I didn’t know much about teeth at the time, I did reason there's only one heart and one brain but 32 teeth. Sounds great for job security!"

Where do you see the dental profession headed in the next five years?

You started a practice last year; can you share a piece of advice for someone thinking of starting their own practice?

"Maintain a healthy body and mind by working out, eating healthy and intentionally creating/scheduling fun time for yourself. This is the key to taking care of yourself and enjoying the process of building the practice of your dreams! Make your 9-5 the same as your 5-9 by creating a positive, fulfilling work environment."

"Continuing to innovate and create a more comfortable, seamless experience for patients. The old stigma of being afraid of the dentist should be gone by then."

What would you be doing if you were not a dentist?

"Starting slot wide receiver for the Denver Broncos!"

What is one experience you are grateful for that you would not have had without your career in dentistry?

"I traveled to Kenya in the summer of 2019 and it really opened me to the world out there. Alleviating local villages of dental pain and infection for two weeks also helped my mindset and made me realize how grateful I am to be part of a profession that can help those in need."

I

3rd Quarter 2021 mddsdentist.com

7

MEMBER MATTERS MEMBER MATTERS MATTERS

Denver St. Patrick's Day Parade

New Members, Welcome!

Dr. Nathaniel Chertok Dr. Brad Kessler Dr. Hannah Kessler Dr. Linda Nguyen Dr. Melvin Pederson Dr. Brian Poore Dr. Mabel Salas Martinez Volunteer dentists, nonprofit partners, family and friends helped the MDDS Community Outreach & Public Relations Committee distribute 5,000 toothbrushes and toothpastes with access to care information attached during the Denver St. Patrick's Day Parade.

Dr. Girmachew Seyoum Dr. Cameron Waters

Volunteers get in the parade spirit and bring smiles to parade goers for the 6th year running.

MDDS April Social - Colorado Campfire

MDDS members gathered at Colorado Campfire in uptown for great conversation, craft cocktails and tasty s’mores.

8

I

2nd Quarter 2022 mddsdentist.com

MEMBER MEMBERMATTERS MATTERS

MDDS Friends & Family Social – Dick’s Sporting Goods Park

MDDS members, their teams, plus family and friends enjoyed a BBQ, sun and soccer as the group watched the Colorado Rapids defeat LA FC at the annual Friends & Family Social.

Sat., September 17, 2022

MDDS

SHRED EVENT BENEFITING

9:00am – 12:00pm Peebles Prosthetics 909 Wadsworth Blvd Lakewood, CO 80214

FEATURE

HPI: Changes in Dentist Demographics, Practice Modalities Accelerating: Health Policy Institute releases latest workforce data Reprinted with permission from the American Dental Association Health Policy Institute

T

he dentist workforce is getting younger, more likely to be female and more likely to be non-white, according to the latest data from the ADA Health Policy Institute.

The findings reported in the webinar, “The Changing Dentist Workforce,” also found that the prevalence of solo practices is rapidly decreasing, and fewer dentists own their practice.

“We are about to see a de-aging of the dentist workforce,” said Marko Vujicic, Ph.D., HPI chief economist and vice president, during a March 9 webinar to present the findings. “In the next five years, there’s going to be a big exodus of the baby boomer dentist population.”

And behind that exodus is a surge of younger dentists in the workforce.

Ownership: Practice ownership continues to decline, from 84.7% in 2005 to 73% in 2021, according to the latest data from the ADA Health Policy Institute.

That changing demographic of practitioners, along with other factors such as the COVID-19 pandemic, are only accelerating a shift in practice modality, with solo practices continuing to decrease while groups and dental support organizations continue to increase. “[The pandemic] has had an acceleration effect,” Dr. Vujicic said. “It’s thrown gas on embers that were underneath that are now front and center."

Other key findings by HPI include: • The number of dentists per capita remains stable at 60.8 dentists per 100,000 in 2021.

However, that’s projected to increase beginning in 2025 through 2040 to 67 dentists per 100,000 population.

I

10 2nd Quarter 2022 mddsdentist.com

Younger: The average age of dentists in 2021 was 49 years old, down from 49.3 in 2020 and from a peak of 50 in 2014, according to Marko Vujicic, Ph.D., HPI chief economist and vice president, and Brad Munson, HPI senior research analyst, during a March 8 webinar.

FEATURE • The average age of dentists in 2021 was 49 years old, down from 49.3 in 2020 and from a peak of 50 in 2014.

• Gender parity is projected to reach the dentist workforce in 2040, as more women continue to pursue dentistry. Women made up 20% of the dentist workforce in 2005; 34.5% in 2020.

• 69.1% of the dentist workforce in 2021 were white, down from 83.2% in 2001.

• Asians and Hispanic or Latino dentists continue to increase. About 18.5% of dentists in 2021 were Asian, up from 9.7% in 2001; and about 6.1% were Hispanic or Latino, up from 3.5% in 2001. Black dentists were 3.9% of the dentist workforce in 2021,

"That changing demographic of practitioners, along with other factors such as the COVID-19 pandemic, are only accelerating a shift in practice modality, with solo practices continuing to decrease while groups and dental support organizations continue to increase."

• Percentage of private practice dentists in solo practice also continues to decline at 46.2%, down from 66.5% in 2001.

While a decrease in the prevalence of solo practices is seen among all dentists, the trend is pronounced among younger dentists.

• 10.4% of U.S. dentists were affiliated with dental service organizations in 2019, up from 8.8% in 2017. Meanwhile, the percentage of dental school seniors entering private practice who plan to join a DSO increased from 12% in 2015 to 30% in 2020.

“There’s a huge generational divide in the workforce in the U.S.,” Dr. Vujicic said during the webinar. “The generational divide will have implications on the practice model.”

To learn more about the changing dentist workforce or watch a recording of the webinar, visit ADA.org/HPI.

up from 3.3% in 2001.

• Practice ownership continues to decline, from 84.7% in 2005 to 73% in 2021.

THINKING ABOUT SELLING YOUR DENTAL PRACTICE? CTC Associates can guide you through the transition process to ensure everything goes smoothly with the legacy you have built.

Complimentary Consultation

(303) 795-8800 info@ctc-associates.com

New Listings: www.ctc-associates.com/dental-practices-for-sale Selecting someone to assist with the transition from a dental practice of 48 years is a difficult decision. I can't think of a more capable person than Marie Chatterley to handle this process.

It was reassuring to me that she had the answers to virtually all my concerns. Her experience made me completely comfortable with the process. I will be forever indebted to her Ivan Naiman D.D.S

Larry Chatterley

Marie Chatterley

Appraisals • Practice Sales • Partnerships • Associateships info@ctc-associates.com | 303-795-8800 | www.ctc-associates.com

I

2nd Quarter 2022 mddsdentist.com

11

FEATURE

PROTECTING YOUR PRACTICE FROM A CYBERATTACK

By Thomas Terronez, CEO - Medix Dental IT

C

yberattacks are an ever-growing business that

According to a 2021 IBM Commissioned Report, the average cost of a data

continues to evolve with new creative tactics

breach exceeded $4.2M during the pandemic. The report also stated the average

deployed every day. Through years of experience

time it takes to identify and contain a breach is 280 days. The top cybersecurity

and conducting assessments, we have found

threats the dental industry faces today are ransomware, insider threats,

cybersecurity in dental practices to be weak, making a

compromised business email and lack of software patching.

hacker’s job easy. Several factors can contribute to this. The main factors are current IT providers not doing what they should be, poorly

• Ransomware has become a lucrative business for cybercriminals. This is when

developed software, lack of knowledge and vetting IT vendors based on price.

a cybercriminal places malicious software on your computer, invades your

An IT provider should be doing more than automatic scans and data backups.

system and holds your information/data hostage until you pay a hefty fee. This

Protecting a practice needs to go beyond that, or it is easy to fall victim to a

type of cyberattack can leave your practice inoperable for months.

cyberattack.

Cyberattacks could lead to: • Lost production, remediation, reputation and reacquisition • Loss of patient trust and patient fallout due to not protecting their personal information • HIPAA fines

• Insider threats and social engineering are when hackers pay employees for their work login credentials. They use the credentials to perform malicious acts on your systems and practice data. The employee will claim, “I don’t know how my email got hacked,” and the company believes this due to the lack of evidence to find the true source of the security break.

• A business email is compromised when a cybercriminal gains access to your email system. The most common trend is when the hacker spoofs incoming/ outgoing emails to trick you into sending money for a fake expense or

• And more

I

12 2nd Quarter 2022 mddsdentist.com

purchase. The hacker receives a payment and might have captured your

exploited by a cybercriminal. Lastly, ransomware mitigation software is another

payment information to exploit further.

layer of protection we recommend to dental practices. It lures hackers to cyberhoneypots, which detect attacks and deflect them by immediately shutting down

• Software Patching Maintenance is an ongoing duty performed by your IT provider, patches should be monitored and applied accordingly. In March, there were major vulnerability patches released for several vendors, including Microsoft, Adobe, Android, Google, Apple and Intel. Not applying critical security software patches throughout the year easily allows a hacker access to your practice systems.

the computer if files are changed or removed. Ransomware mitigation software also allows for gaining information on the cybercriminal.

Comprehensive Data Backup Strategy Having a comprehensive data backup strategy is a business cybersecurity safety net. Every dental practice should have a data backup strategy and a disaster

Practice owners are encouraged to take a proactive approach to cybersecurity.

Failing to do so can leave a practice inoperable should it encounter a cyberattack.

Dental practices have been identified as an easy target due to having widely known weak and outdated cybersecurity - owners need to protect their practice data now more than ever before.

recovery plan to withstand a cyberattack with little to no effect on practice operations and data loss. A local backup or disaster recovery device segmented from the practice network to avoid being impacted by a network infection is ideal.

While data backups are known as set-it-and-forget-it tasks, IT providers should closely monitor them to detect changes and odd behavior. Practices should work with their IT provider on an incident response plan and ensure their backup solutions are HIPAA compliant.

Here is what you can do . . .

Cybersecurity Training The first line of defense against ransomware is employees. It is imperative to the success of any digital workplace to invest in cybersecurity training. It is recommended to schedule quarterly cybersecurity awareness trainings (annually at the very least).

Cybersecurity training does not have to be overly complicated. Most training typically includes a cyber-threats

"An IT provider should be doing more than automatic scans and data backups.

Protecting a practice needs to go beyond that, or it is easy to fall victim to a cyberattack."

Cyber Insurance There are several factors to consider when it comes to backing up practice data. Does your insurance cover lost data and recovery? For an extra layer of protection, have an adequate insurance policy in place that pays for mitigation, data recovery and business continuity. If you fall victim to a ransomware attack, having these three items covered in an insurance policy (along with performing data backups) will help get a practice operable again.

overview, email security best practices, password policies, web protection and social engineering. Training can be through an interactive platform or by the completion of reading assignments.

Email and web browsing are the two main areas of training that practice owners need to ensure staff understands and implements security best practices in their daily routine at work. Try sending friendly reminders throughout the year in internal newsletters or printing off flyers for staff to reference as needed.

Educating practice staff on web browsing protection and allowing website usage for only websites necessary for practice operation reduces risk instantly. Practices should also disable autocomplete for web forms and remember your password features. Enabling these features makes it easier for a hacker to discover if a system were to get compromised.

Multi-Layered Protection While 100% protection does not exist, having multiple layers of security is the next best thing to mitigate and prevent cyber threats. Firewalls help shield computers from unwanted network traffic. Having a firewall that includes malware and virus scanning ensures that employee downloaded files do not

IT Provider If firewalls, endpoint protection, and data backup strategy are not in your vocabulary – you are not alone. As cyberattacks continue to rise, it is critical for dental practices to partner with an IT provider that will serve as a strategic member of the practice team and manage cybersecurity responsibilities.

About the Author Thomas Terronez is the owner and CEO of Medix Dental IT. With over 20 years of experience in dental IT, Thomas is the nation's renowned dental technology leader.

His mission is to lead dental organizations through operational and scaling challenges by leveraging technology. He has a forward-thinking outlook and is solution-focused, which has led him to work with the top dental vendors on evolving and developing the technology infrastructure for the industry's future. For more information about Medix Dental IT, visit medixdental.com.

Dos and don’ts of email security: • Email red flags: https://bit.ly/3vOqMRZ • Email security best practices: https://bit.ly/3P2XYgk

contain infectious, hidden files before fully downloading onto the computer.

Endpoint protection is a security necessity for every business. It protects enduser devices such as laptops, desktop computers, tablets, and servers that can be

I

2nd Quarter 2022 mddsdentist.com

13

FEATURE

Managing Four Generations in the Workplace

By Tonya Lanthier

Originally published in Off The Cusp, a blog by Patterson Dental. Reprinted with permission.

W

e have four generations in the workplace today!

Dentists have never before had to manage such a diverse set of beliefs, values and communication styles all at once. But if we take steps to bridge the gaps, we can leverage the best attributes of every generation: loyalty, innovation, passion, professionalism, and strong work ethic to cultivate a workplace super-culture.

Attributes: • Seek work/life balance • Independent • Creative and problem solving, especially with few resources • Don’t like being micromanaged

The time period we are born in affects so much of our outlook, mindset, and beliefs as we develop in the context of events around us. Each generation is affected by things like the state of the economy, whether it’s a time of war or peace and advancements in technology. And the generation raising us imposes their belief systems and what they would like to change. When we understand a person’s wants, needs, and where they come from, we understand more of what drives them, both personally and professionally, so we can better manage these incredibly diverse teams!

Millennials or Gen Y (75 million born between 1981-1996)

Here’s a look at how today’s generations break down contextually.

• Desire transparent relationships with managers

Baby Boomers (80 million born between 1946-1964) Baby boomers are the longest-working group in the workplace, often staying in the same company, in several different roles, for as long as possible. They don’t aspire to retire as early as their parents and will likely outlive them by 10 to 25 years. They know the benefits of staying active in later years.

Attributes: • Productive and hard-working in the workplace – willing to put in long hours • Very loyal to their companies • Make long-term commitments • Adept at breaking down large projects and delegating appropriately • Communicate in a direct and professional manner – preferably in-person

Generation X (60 million born between 1965-1980) Also known as the “Sandwich Generation,” Gen X’ers make up one third of the workforce and tend to be the “meat” of the operations while also holding the most leadership positions. They don’t complain much and are good at figuring things out on their own with little support. In a rapidly-changing digital economy, managers find their innovation and resourcefulness indispensable.

I

14 2nd Quarter 2022 mddsdentist.com

Millennials have gotten a bad rap, but don’t be fooled. They are the purposeseekers and dreamers who want their life to be about more than just money.

Attributes: • Follow their own set of rules • Love collaborating • Prefer digital communication, except in critical conversations • Goal-oriented • Great multi-taskers • Technology attitude: “there’s an app for that!”

Generation Z (65 million between 1997-2015) Don’t be fooled by the fact that this generation was pretty much born with a phone in their hand. They are #woke and have #goals. They are more like The Silent Generation: more practical and frugal and appreciate security more than previous generations.

Attributes: • Motivated by money (grew up in 2008 recession) • See the world through Instagram influencers who made money on fame • Greater purpose than salary, even more so than Millennials • Willing to work hard • “Show Me” generation: love step-by-step instructions and teach themselves how to do things via YouTube and Instagram

THE 4 GENERATIONS: AT-A-GLANCE

"The time period we are born in affects so much of our outlook, mindset, and beliefs as we develop in the context of events around us."

A Gray Area: “Cuspers” (born within 3-5 years of the generation ranges)

• Understand what motivates each team member and help them grow to reach their professional and personal goals.

While the generational differences may seem clear-cut, there are those who find themselves somewhere in the middle. These are your in-betweeners – your “cuspers” – who straddle the line of two generations and share characteristics from both. They are great to have on your team because they bridge gaps between team members of different generations, and can empathize with and understand both perspectives.

Cuspers are excellent mediators, translators and peacemakers, especially when employees clash or conflicts arise. Of course, there are always exceptions to the stereotypes, so it’s important to ask and not just assume.

The more you understand your individual team members, the happier you all will be.

Are You Prepared for What’s Coming?

Show Up & Lead

Currently, Millennials and Gen Z account for just over one-third of the workforce.

In the next six years, that number will skyrocket to a whopping 75 percent! We’re already starting to see higher turnover rates among the youngest dental teams.

We are all contagious. It is our choice how we show up and lead our team. It takes work to bring together a high-performing team, but the effort will yield BIG rewards as you, your team, and your patients benefit and reap the rewards of a thriving and growing dental practice!

I frequently hear from young dental professionals that their Boomer dentists and even some Generation X dentists are not willing to change to accommodate the needs and values of the new workforce (ex: flex-time, being a part of the big picture).

Dentists unwilling to change their mindset and accommodate these needs will experience a loss of productivity and higher turnover. Those that do make the shift will continue to attract and retain the best young hygienists and office talent.

Stay Current & Competitive to Attract and Keep Top Talent The good news is, there is plenty you can do to bring harmony to a multi-generational team and make your office more attractive to potential new hires:

• Learn how individual team members communicate. Personality testing like DISC assessments will tell you a lot about a person’s communication style.

• Know what your team members value. Is it flextime? Work-life balance? If you can accommodate it, or at least try to, your team will appreciate it.

About the Author Tonya Lanthier is founder and CEO of DentalPost, the dental industry’s premier and largest online and mobile job board, connecting and educating more than 850,000 job seekers and 60,000 dental offices in the U.S. and Canada. A Registered Dental Hygienist, Tonya built DentalPost from a passion to improve lives and help dental professionals build teams that excel through metric-based career matching tools, including emotional intelligence and personality tests, core values, skills and work culture assessment.

I

2nd Quarter 2022 mddsdentist.com

15

FEATURE

Creative Tension:

What is it and Why Does it Matter?

By Dr. Joel Small and Dr. Edwin McDonald

M

any of us are familiar with the

continue to smoke and experience psychological tension because a

concept of cognitive dissonance.

gap exists between their reality and their perceived ideal state. The

Described initially by Leon Festinger in

more they value becoming a non-smoker, the greater the degree of tension.

1957, the theory of cognitive dissonance proposes that humans seek psychological consistency between

There are several ways in which the gap between ideal and real

their current reality and their perceived ideal reality.

can be closed. But it has been our observation that those who are unable to close the ideal/reality gap continue to suffer psychological

When a gap exists between the two, psychological tension, or

tension until they finally either close the gap and become a non-

dissonance occurs. The more significance and value one attributes

smoker, rationalize why smoking is acceptable, or submit to a self-

to the perceived ideal state, the greater the tension and the more

limiting belief that they are just incapable of reaching the perceived

one seeks to relieve it.

ideal state. The consequences of adopting this self-limiting belief can be significant as one lives with constant frustration and loss of

For example, a smoker may well understand that smoking is unhealthy yet they may desire a healthy lifestyle. However, they

I

16 2nd Quarter 2022 mddsdentist.com

self-esteem.

Interestingly, this same tension can be used in a more positive

Self-Efficacy

and generative way.

There is perhaps no greater driving force for creative tension than one's belief in their ability to attain the desired future

Peter Senge (1990) introduced the concept of creative

state. Those that suffer from chronic cognitive dissonance

tension as a potential aid in facilitating creativity and change.

do so because they either place little value in achieving their

According to Senge's theory, we create positive tension when

preferred future or even more commonly, they believe that

we clearly articulate our vision and our current reality, thus

they are incapable of closing the ideal/reality gap.

making the gap between the two apparent.

Creating a sense of self-efficacy requires a growth mindset Cognitive dissonance and creative tension both share a

on the part of the leader. Believing in the capabilities of each

common etiology; tension created by the perceived gap

team member, creating a psychologically safe environment,

between the ideal and the real. What distinguishes creative

and allowing them a degree of autonomy will empower our teams and build their confidence in their ability to

tension from chronic cognitive dissonance is the way the tension is resolved.

We assert that creative tension is a powerful motivator that drives positive change within organizations.

It is also our belief that three essential elements must be present for creative tension to produce positive change: Vision Jim Clemmer, a renowned leadership

"As a leader, you want to be sure you are offering your team these elements and helping them experience that creative tension. It will help build their confidence, abilities, and your business will see a difference because of it."

accomplish any goal.

Given these three essential elements, creative tension becomes energizing.

Teams that experience creative tension see the task ahead as a way to an extremely desirable future.

Once they embrace a clear vision that they find desirable and compelling, and they are confident in their capabilities, there is little that will stop them from achieving the desired result. For them, the task becomes their mission.

expert, once stated that "If you can't see it, you can't be it." Our vision is what allows

As a leader, you want to be sure you are offering

us to see a preferred future state of being. Having a compelling

the team these elements and helping them experience that

vision of a preferred future is essential on a personal level, but

creative tension. It will help build their confidence, abilities,

how we communicate this vision to our team is even more

and the business will see a difference because of it.

critical.

About the Authors Desirability

Dr. Joel Small and Dr. Edwin McDonald, the founders of Line

Unless the team finds the vision compelling, they will lack the

of Sight Coaching, are dental practitioners, authors, speakers

motivation necessary to make the vision a reality. Trust in the

and Business Leadership Coaches who work with healthcare

leader and believing in an overarching organizational purpose

professionals to help them build more successful practices so they

are important when seeking team motivation. Presenting a

can live the balanced life they seek.

clear vision that the team finds both compelling and desirable adds to their willingness to close the gap between their current reality and the preferred future.

I

2nd Quarter 2022 mddsdentist.com

17

PRACTICE MANAGEMENT

USE CANDOR, BE A CAN-DO-ER

By Dr. Justin Baltz

A

fter stumbling across a book titled, “Winning” written by the late Jack Welch, I became captivated with the idea of implementing candor into my practice. Welch, who is thought to be one of the most dynamic and successful CEOs of all time, led General Electric (GE) to great new heights in success and profitability. In chapter 5 of his book, Welch describes candor as “the biggest, dirty little secret in business.” Candor can be thought of as frankness, openness, sincerity and honesty.

Applied candor is a frank expression, putting forth ideas to stimulate debate, straightforward communication, necessary criticism, and approaching disagreements with honesty and truth. In other words, it’s the ability to realistically talk about what is happening and how you feel about it, without distension or calamity.

Why is candor so rare? People want to be polite, avoid conflict, and not directly present ideas that are unpopular. A lack of candor can be dangerous to all parties involved. The benefits of candor are the creation of an honest environment, identifying

I

18 2nd Quarter 2022 mddsdentist.com

toxic employees or patients, avoidance of conflict or litigation, stimulation of conversation, betterment of work culture and the deepening of relationships. Ignoring candor leads to superficial encounters, unmet expectations, stress, and failed relationships for both parties. Candor will look different for everyone and may not be for everyone. Keep in mind that words absolutely matter, and being candid must be articulated correctly, at the right time, and with the right tone.

Two types of candor are important in the dental office: those with patients and those with staff. In regard to patients, subtle but transparent realism as to what an office can provide is essential.

Practices that treat complex cases may utilize paid marketing to attract patients. In this marketing, you don’t talk about beautiful smiles (optional), you talk about proper nutrition (essential).

Paid marketing helps practices get to the point of what can be done for patients, but the new patient experience and candor fortify who the practice is when they arrive through the door.

And that is what sells the case and fuels the practice. Be genuine and realistic about who you are, what your outcomes reveal, and how long you expect things to last, and let patients know it is

their mouth and their decision to treat it. who helped to cultivate success and "can-do"Applied candor is Regarding staff, I choose to put my degree er" mentality. Candor may shake the core of a a frank expression, on the wall and leave my status at the door. practice, but it may also end up with exponential putting forth ideas As a dentist, it is my personal belief and growth, loyalty, and endless appreciation of staff to stimulate debate, leadership philosophy to include candor by and employees. doing everything from placing implants and straightforward cleaning a room to staying late for a staff Why not share in the “biggest, dirty little secret” communication, member or patient. Every opportunity I have in dentistry? Use candor, be a “can do-er”. necessary criticism, to speak to someone is a chance to understand and approaching how they tick and what matters to them. When About the Author disagreements with COVID-19 caused the 52-day shutdown and Dr. Justin Baltz is a passionate dentist and owner honesty and truth." “new normal” within our profession, I had no of Highpoint Dental Care and Implant Center, a idea of the internal impact on my staff. Like private practice located in Aurora, CO. Dr. Baltz is many others, I was forced to fire three employees and lost my a 2006 graduate of Marquette University School of Dentistry and most talented office manager due to differences in paradigm. a 2002 graduate of the University of Wisconsin - Madison with a Candor resulted in lost employees, the stress of who would Bachelor’s of Science in Biochemistry. He has previously served as fill these roles, and fear if I could hire equally qualified people a Board Member for the Metro Denver Dental Society (MDDS) in a market short of dental staff. However, the candor culture and a Member of the Continuing Education subcommittee for also resulted in a dedicated new associate, two elite hygienists MDDS. Dr. Baltz has served in two international missions. His I had met in years past, several talented expanded duty passions involve spending time with his wife, Ironman races, and dental assistants, and an even more talented office manager traveling somewhere new with bikes, golf bags, or snowboards.

I

2nd Quarter 2022 mddsdentist.com

19

FEATURE

DENTAL CARE FOR THE LGBTQ+ COMMUNITY

M

r. Smith told his dentist that his spouse will call to confirm his next appointments. The well-meaning dentist reassured him that his wife can call the office anytime to confirm the appointment. Mr. Smith has been married to his husband for over ten years.

People on the LGBTQIA+ (Lesbian, Gay, Bisexual, Transgender, Queer/ Questioning, Intersex, Asexual and more) spectrum face situations like this almost every day. These interactions can range from awkward assumptions to micro-aggressions, and even full-fledged discrimination. A recent Gallup poll concluded that 7.1% of the population self-identified as being on the LGBT spectrum (Jones, 2022). Yet, there are very few studies that adequately address their barriers to dental care.

Gay, lesbian, and bisexual individuals are more likely to rate their oral health as poor (Schwartz, Sanders, Lee, & Divaris, 2019). They are less likely to get routine exams and have an established dental home as it is hard to find LGBT competent dental providers and offices. Most of the dental textbooks, intake forms, and courses are conventionally heteronormative. This directly affects the care our patients receive. Here are a few ways we can start to make dental offices more welcoming and supportive of the LGBT community.

Using a patient’s preferred name and pronouns It is imperative to not make assumptions about a person’s gender based on how they may present themselves. By clearly stating your pronouns and asking new patients what their preferred pronouns are, we can start to avoid misgendering them. Practice using pronouns like they/them to refer to a person. What if you’ve accidentally used the wrong pronoun? Apologize, move on with the conversation and try to do better next time. Call a patient by the name they prefer, rather than what shows up on our electronic health records. Using the name they don’t use anymore, (referred to as their “dead name”), is problematic as it can out a person’s sex without their consent.

Being gender competent Sex is what people are assigned at birth. Gender is how they identify. Many dental practices are moving away from the dated “Sex: Male/ Female/ Other” health history form formats and are asking about a patient’s gender instead.

Patients will feel more welcome if we have a space for them to mention their gender identities. People who are transgender or non-binary also have trouble filling out sections that are titled “Female only”. A transman who was assigned

I

20 2nd Quarter 2022 mddsdentist.com

By Alisha Prince

female at birth may still go through the menstrual cycle, experience menopause, pregnancy, and breastfeeding, or be on birth control.

Knowing about hormones and their oral effects People undergoing gender transitions are usually prescribed hormones to aid in the process. During male-to-female transitions, patients take estrogen and antiandrogens like spironolactone, finasteride, leuprolide and progestin. In femaleto-male transitions, patients take testosterone. Most people are unaware of the side effects these hormones can have on dental care (Macdonald, Grossoehme, Mazzola, Pestian, & Schwartz, 2022). Beyond the systemic risks of osteoporosis, hyperkalemia, liver toxicity, and diabetes, patients on hormone replacement therapies are also at an increased risk of chronic periodontitis and oral infections (Weinstein, 2019). Therefore, we must create a safe space where our patients can disclose this information.

LGBT+ people have experienced stigma and discrimination their whole lives.

Creating a dental office where everyone feels safe, accepted, and free from judgment, requires everyone to work together and hold each other accountable.

Step in when you hear a colleague or friend say something offensive. Hire a team that’s informed about these issues. Representation matters. Incorporate various family configurations in lectures, marketing materials and websites. We need more LGBT+ competent providers who can understand and break down healthcare barriers. Everyone deserves to smile with Pride.

References: Jones, J. M. (2022). LGBT Identification in U.S. Ticks Up to 7.1%. Retrieved from https://news.gallup.com/poll/389792/ lgbt-identification-ticks-up.aspx Macdonald, D. W., Grossoehme, D. H., Mazzola, A., Pestian, T., & Schwartz, S. B. (2022). Transgender youth and oral health: a qualitative study. Journal of LGBT Youth, 19(1), 92-106.

Schwartz, S. B., Sanders, A. E., Lee, J. Y., & Divaris, K. (2019). Sexual orientation-related oral health disparities in the United States. Journal of Public Health Dentistry, 79(1), 18-24. doi:https://doi.org/10.1111/jphd.12290 Weinstein, G. (2019). Dental Care of Transgenders on Long-Termhormone Therapy. J Oral Biol, 6(2), 3.

About the Author Alisha Prince is currently a dental student in the International Dentists Program at the University of Colorado School of Dental Medicine. After getting her dental degree in India, she worked as an associate dentist for three years before moving to the U.S. She received her Master's in Biological Sciences at Wichita State University and worked as a dental assistant, research associate and adjunct faculty member before going back to dental school to pursue her U.S. dental license.

There are a lot of differences between being a Member of the Trust and just another policy number at a large, commercial carrier. Both give you a policy the Practice Law requires, but that’s where the similarity ends.

Who do I talk to when I have a patient event, claim or question?

The Trust: Local dentists who understand your practice, your business and your needs.

Them: Claims call center (likely in another state).

Besides a policy, what do I get when I buy coverage?

The Trust: Personal risk mitigation training, educational programs and an on-call team that ”speak dentist.“ Them: Online support.

Do I have personal input and access to the company?

The Trust: Yes. You are represented by dentists from your geographic area of the state. We understand the practice of dentistry throughout our beautiful state has its own challenges. We give you direct, personal representation to the Trust.

Them: Yes, via their national board.

How much surplus has been returned to dentists in Colorado?

The Trust: Over $2.2M has been distributed back to Colorado dentists as a “return of surplus” (after all, it’s your Trust, your money).

Them: $0 How long has the company been serving Colorado dentists?

The Trust: We were Established by dentists in 1987.

Them: It’s hard to say... they tend to come and go.

$0.00 First Year*

New Graduates

Protect your practice. Call the Trust today.

Dr. H. Candace DeLapp 303-357-2604 (Direct) www.tdplt.com

*some restrictions apply; subject to underwriting approval.

Individual and Group Policies Available.

TRIPARTITE NEWS

COMMITTEE SPOTLIGHT Finance Committee

By Cara Stan, Director of Marketing & Membership

D

o you ever wonder what goes into the decision to raise or not

raise MDDS membership dues? Or, how the organization invests in the future of the profession?

As a member-run organization, there are several checks and balances in place. All investments and the annual operating budget are approved by both the MDDS Finance Committee and the MDDS Board of Directors.

Many professional team and volunteer hours are spent finetuning the operating budget to ensure MDDS is financially responsible with your membership dollars. MDDS members have the Finance Committee to thank for funding such programs as continuing education courses, the Rocky Mountain Dental Convention (RMDC), the Articulator magazine, wellness programs and “keeping the lights on” at the Mountain West Institute (MWDI).

Dr. Karen Foster, current MDDS Treasurer, had this to say about volunteering her time on this committee, “I have greatly enjoyed my time on the Finance Committee. There are great volunteers to work with. Marlene our Finance Manager, does a wonderful job and keeps us up "Many professional to date. The Finance Committee allows you to learn about team and volunteer the organization and see all of the wonderful things MDDS hours are spent finedoes since everything has a financial impact.”

tuning the operating budget to ensure MDDS is financially responsible with your membership dollars."

If you are interested in volunteer leadership positions, have a knack for finance, and want an insider view at MDDS with a minimal time commitment, the Finance Committee may be for you! If you would like to learn more contact MDDS Finance Manager, Marlene Pakish, MBA, at finance@ mddsdentist.com.

Looking to get involved and volunteer? Visit mddsdentist.com/volunteer/get-involved to learn more.

Improve Patient Care By partnering with DenteVita and the Practice of Dr. Aldo Leopardi, Prosthodontist, you can improve your patient care without adding overhead expense. You can trust that you’ll receive the impeccable service you would expect from a seasoned specialist like Dr. Leopardi.

Our goal at DenteVita is to do everything possible to build your confidence and exceed your expectations.

Together, we will work with you to provide the highest level of individualized care. Consider Dr. Leopardi’s expertise as an extension of your professional practice. The level of experience and precision that his Practice offers makes it easy for you to refer your patients with complete confidence.

Call our office at

About Dr. Aldo Leopardi Dr. Leopardi is the founder of DenteVita Prosthodontics.

His focus is to provide functionally driven aesthetic solutions to patients requiring tooth borne fixed, removable, aesthetic and implant supported dentistry.

With over 30 years of experience, from single tooth to complete rehabilitation, you can be assured that your patients are in the care of a skilled professional.

7400 East Crestline Circle, Suite 235 Greenwood Village, Colorado 80111 P. 720.488.7677 // F. 720.488.7717

22

Visit our website: www.dentevita.com

720.488.7677 to speak to Dr. Leopardi and find out how we can build a successful partnership.

Don’t forget to ask about our referral packet!

Life is

better with DenteVita

YOU CAN CHANGE A LIFE WillYouSeeONE.org From clearing up painful dental infections and being able to eat again to rejoining the workforce - volunteering with Dental Lifeline Network’s Donated Dental Services (DDS) program will make a life changing difference for the people we serve.

“Volunteering is easy. DLN screens those in need and coordinates the initial appointment. Patients are treated right in my office, on my schedule. If you’re like me and want to make a real difference in someone’s life — DLN makes it possible.”

-Mandy Miller, DDS

Follow us on social media!

23

TRIPARTITE NEWS

To Succeed in the Future, Dentists Must Navigate Rapid Economic Change

By Greg Hill, JD, CAE, CDA Executive Director

I

was recently interviewed on a podcast about my thoughts on the future of dentistry. This topic fits very nicely with what organized dentistry is trying to understand as business models are rapidly changing in the profession.

When I think of the future of dentistry, I usually think of three different things: practice model changes, technology and payment models. My purpose in this article is not to make judgments, only to identify the trends as I see them.

Practice Model Changes Hopefully, I am not the one breaking it to you, but there are some dramatic changes happening in the dental profession presenting significant pressure on the practice model that has existed for many years. Many of these changes were happening before COVID but were accelerated during the pandemic.

"Organized dentistry must recognize the future of dentistry will be different and we have a critical role to play in helping members navigate through these changes."

Recent reports from the Health Policy Institute (HPI) of the ADA showed practice ownership among dentists in private practice has been declining over the years, dropping from 84.7% in 2005 to 73.0% in 2021. For those between 30 and 35, this represents more than a 20% decrease during this ten-year span. Of female dentists, less than 60% are now practice owners.

Of course, one of the big drivers of this change is the growth of Dental Support Organizations (DSOs). In Colorado, 13.9% of all dentists were affiliated with a DSO in 2019. These two data sets, DSO affiliation and declining ownership indicate very strongly that we are at a tipping point from the traditional solo practitioner to some group ownership or DSO model. This is supported by another research report of the HPI that states, that significantly fewer dentists are working as solo practitioners. About 65% of private practice dentists were in solo practice in 1999. That proportion decreased to 46% in 2021.

So, one way that the future of dentistry will be different is that it will be a much younger, more diverse profession, with far fewer dentists operating solo practices.

to access to better understand your patient’s health. The CDA recently began working on a pilot program to provide access to electronic health records from primary care doctors. This allows dentists to know with a much higher level of accuracy any prescriptions and underlying health conditions so they can provide better and safer care.

Payment Models I’m not going to get into private dental insurance or fee-for-service here, but instead talk about government programs and value-based payment.

We saw this past year with the discussions ADA had with Congress, that some form of dental coverage for Medicare is on the horizon. Baby Boomers are turning 65 at the rate of seven per minute. They have gone through life knowing dental care is important. There is a strong appetite for the addition of dental care to the Medicare system and more than 60-million Americans are on Medicare.

Adding dental coverage to this population could dramatically shift the delivery system, with millions of older Americans now seeking the care they may not have sought before.

Additionally, the ADA is seeking Congressional approval to expand Medicaid to adult populations in the states. Colorado already provides dental benefits to adults, and we have seen a positive impact on health outcomes. This could drive more patients to seek dental services; however, provider networks may not be sufficient to meet the economic demand.

Finally, a developing model of payment called value-based care is a critical component of the future of oral health. DentaQuest defines the system of valuebased care in oral health as focused on proactively preventing dental disease rather than reacting to it. This means placing the value on quality care and health outcomes, not on the cost of services as in the fee-for-service model most common today. In other words, providers will be paid to keep a patient healthy proactively, rather than a reactive fee-for-service model.

How will these changes affect the dental profession? Only time will tell, but my opinion is those who successfully navigate these changes will be more successful in the future. Organized dentistry must recognize the future of dentistry will be different and we have a critical role to play in helping members navigate through these changes.

About the Author

Technology Dental offices are becoming much more high-tech from 3D printing of crowns and implants to artificial intelligence that may prove to be more accurate at diagnosing tooth decay and providing treatment planning. We already know AI is being used to evaluate dental claims.

To me, the question is not what technology will not be able to do in the dental office, it is how willing dentists will be to adopt innovative technologies, and to what degree patients will expect them from their dentist.

One thing I suspect is patient data will be a key driver to change. First, patients will want and will have access to their data, 24/7. Patients are already pulling their health records into their mobile devices, synchronizing them with their smartwatches, and gathering key health data, data you as a dentist may want

I

24 2nd Quarter 2022 mddsdentist.com

Greg Hill, JD, CAE has served as the Executive Director of the Colorado Dental Association since June of 2014. Prior to joining the CDA, Greg was employed by the Kansas Dental Association for 15 years and served as the Assistant Executive Director of the CDA and Executive Director of its Foundation. Mr. Hill is a 1999 graduate of the Washburn University School of Law in Topeka, KS and a 1994 graduate of Kansas State University with a Bachelor of Science in Economics. He became a Certified Association Executive (CAE) in 2016. In addition, he serves as Co-Chair and Treasurer of Oral Health Colorado; on the Board of Directors for the Colorado Dental Lifeline Network and the Colorado Mission of Mercy; and is a member of the Denver Tech Center Rotary Club. He and his wife, Gwen, are the parents of daughter, Haven, and son, Camden.

SAVE THE DATE!

Golf Club at Bear Dance

Larkspur, CO The annual tournament is back

Play Golf for Dental Charities!

Make a difference on a Monday by sponsoring or participating in this tournament that helps fund non-profit dental charities in Colorado.

cdaonline.org/golf

EVENT CALENDAR June 25 MDDS Trails & Ales Hike Matthew/Winters Park 1103 County Rd 93 Golden, CO 80401 9:00am -1:00pm August 25 CDA & MDDS Celebrate Diversity Block Party Edgewater Public Market 5505 W 20th Ave Edgewater, CO 80214 6:00pm – 8:00pm September 7 CPR & AED Training - CPR Choice Mountain West Dental Institute 925 Lincoln St Unit B Denver, CO 80203 6:00pm – 8:30pm September 16 Botulinum Toxins (Xeomin, Dysport, Botox) and Dermal Fillers Training, Level 1 -American Academy of Facial Esthetics Mountain West Dental Institute 925 Lincoln St Unit B Denver, CO 80203 8:00am – 5:00pm

September 17 Frontline TMJ & Facial Pain Therapy, Level 1 -American Academy of Facial Esthetics Mountain West Dental Institute 925 Lincoln St Unit B Denver, CO 80203 8:00am – 12:00pm

November 8 CPR & AED Training - CPR Choice Mountain West Dental Institute 925 Lincoln St Unit B Denver, CO 80203 6:00pm – 8:30pm

September 23 Twenty-First Century Laser-Assisted Dentistry - Dr. Anthony Cardoza Mountain West Dental Institute 925 Lincoln St Unit B Denver, CO 80203 8:00pm - 3:00pm

December 3 Nitrous Oxide/Oxygen Administration Training - Dr. Jeffrey Young Mountain West Dental Institute 925 Lincoln St Unit B Denver, CO 80203 8:00am - 4:00pm

October 7 Crown Lengthening Procedures to Enhance Excellent Restorative Dentistry - Dr. Sam Low Mountain West Dental Institute 925 Lincoln St Unit B Denver, CO 80203 8:00am - 3:00pm

KEEP UP-TO-DATE EVERYTHING MDDS

Did You Know?

The Mountain West Dental Institute (MWDI) is ready to host your next meeting. Affordable rates for staff retreats, team building events, training or business meetings.

- Conveniently Located - Free Basic AV - Free Parking - No Catering Restrictions

Learn more at mwdi.org.

I

26 2nd Quarter 2022 mddsdentist.com

January 19 – 21, 2023 Rocky Mountain Dental Convention - Various Speakers Colorado Convention Center 700 14th St Denver, CO 80202

Follow us @ mddsdentist today!

CLASSIFIEDS For Lease Beautiful 6 op (plumed for 7 ops) fully built out dental office available for lease in Westminster, CO. Ready to go minus equipment and dentist personal touch. Huge cost savings vs. building out your own practice in today’s competitive environment. For more information please contact Jason Kinsey at 720-280-5757 or email jason@kinseycre.com.

For Sale General Dental Practice for Sale in Colorado Springs (CO 2124). Great opportunity to acquire and established a wellestablished practice in a great location. Collections $450K, 3 OPS. Dr. Retiring. Practice Building is also for sale with practice.

For more information, please call 303.759.8425 or email jed@ adsprecise.com General Practice for sale in Boulder County (CO 2123).

This beautifully built out practice is 3,090 sqft and consists of 5 operatories with opportunity for an additional Op. The office also includes a reception area, a private doctor’s office, a business office, a lab area with nitrous closet, a sterilization area, consultation room, a dental storage room, restroom, employee break room and laundry. The practice collected $863K + in 2021 and is 100% FFS (Fee for Service). Doctor works 3 days a week.

For info contact jed@adsprecise.com or call 303.759.8425 OMS Practice for Sale North Denver Metro (CO 2122). Annual Collections $1.7M, 3 ops, Professional building, Office Condo also for sale, Excellent location, Dr. retiring. The practice produces $510K in collections. For info contact jed@adsprecise. com or call 303.759.8425 General Practice for sale in North Central Colorado (CO 2121).

Occupies 1,100 square feet and consists of 3 fully equipped operatories. Doctor works two and half days a week. The office also includes a reception area, lab, sterilization area, staff lounge and a bathroom. The practice produces $510K in collections.

For info contact jed@adsprecise.com or call 303.759.8425 Beautiful General Dental Practice for Sale in Central Mountains CO (CO 2118). Located near multiple mountain resorts. Approx. $2M in collections, very profitable two doctor practice. Practice occupies 2.657 sqft consists of 6 fully equipped operatories, with room for an additional op. The office also includes a reception area, a private doctor’s office, a business office, a large lab area, a sterilization area, two restrooms, and two supply closets. There is a large, finished basement used for storage, laundry, and a separate break room for staff. Doctors are relocating. For info contact jed@adsprecise.com or call 303.759.8425

Orthodontic Practice for Sale in Northwestern Denver Area, CO (Listing #:CO 2116) Collections of $400K. Practice occupies 1,400 square feet and consists of 4 chairs. For information email: jed@adsprecise.com or call 303-759-8425. For more listings visit www.adsprecise.com.

General Dental Practice for Sale in Littleton, CO (Listing # CO 2114) Collections of $700K. Practice occupies 2,400 square feet and consists of 4 fully equipped operatories and possibility to have a 5th Operatory. For information email: jed@adsprecise. com or call 303-759-8425. For more listings visit www. adsprecise.com.

Established GP for Sale in South Metro Denver (listing # CO 2015) Collections of $1.1M. Practice occupies 1,530 square feet and consists of 5 fully equipped operatories. Dr retiring. For information email: jed@adsprecise.com or call 303-759-8425.

For more listings visit www.adsprecise.com.

GP for sale in North Denver Metro area (listing # CO 2013).

Annual Collections $400K, 3 Ops, 1,100 sqft – Dr. retiring. For more information call 303-759-8425 or email: jed@adsprecise. com. For more listings visit www.adsprecise.com.

GP for Sale: Colo Springs (listing # CO 2010) Annual Revenues $319K, 3 Ops fully enclosed, 1682 sqft – Dr. Retiring. Sale price $199K. For more information call 303-759-8425 or email: jed@ adsprecise.com. For more listings visit www.adsprecise.com.

Perio practice for Sale: Boulder County area (listing # CO 1909) Annual Revenues $500K, 3 Ops, 1,323 square feet. For more information, please contact jed@adsprecise.com or call 303.759.8425. For more listings visit www.adsprecise.com GP for sale in Colo Springs (listing # CO 1908) Collections $465K, 2,043 sqft, 5 OPS. Sales price $250K. For more information, please contact jed@adsprecise.com or call 303.759.8425. For more listings visit www.adsprecise.com.

GP for sale in Colorado Springs ((listing # CO 1904) 4 Fully Equipped Ops, $250K in collections, 2540 sqft, Dr Retiring. For more information, please contact us at jed@adsprecise.com or call 303.759.8425. For more listings visit www.adsprecise.com.

GP for Sale: Northeastern CO (listing # CO 1735) 4 Ops, approx. $900K in collections, Stand-alone bldg. sold w/practice.

Dr. retiring. For more information, please contact us at jed@ adsprecise.com or call 303.759.8425. For more listings visit www.adsprecise.com.

Pediatric Practice for sale (listing # CO 2019) in beautiful resort mountain town with 7 OPS. $900K annual collections.

Two locations. For more information, please contact jed@ adsprecise.com or call 303.759.8425. For more listings visit www.adsprecise.com

I

2nd Quarter 2022 mddsdentist.com

27

SAVE A TOOTH ACCESS TO CARE INITIATIVE

Be an ally for someone suffering from tooth pain and contemplating pulling a tooth because of the cost of a root canal. We are offering root canal treatment for the price of an extraction ($102).

It’s a benefit for everyone. For your patients, they are saving their natural teeth while relieving pain.

For you, it is optimizing treatment planning and timely intervention to address patients’ oral health needs and goals.

Dentists looking to refer patients to this program can do so by emailing: sdmreferral@ucdenver.edu with promo code: ENDO21 .

DENTAL.CUANSCHUTZ.EDU/SAVEATOOTH