I went to the post office to purchase some stamps and I hate to wait in lines. Our post office has a wonderful kiosk for small purchases such as stamps. The touch screen led me to the purchase screen and before I swiped my card, my stamps were printed and paid for.....WHAT?? I looked inside the "insert card here" and noticed another credit card. Apparently, the person who last used the machine forgot to remove their credit card and left it in the machine and purchased my stamps. As guilt suffocated me, I looked over at the line of a dozen people half of which were 80+ years of age and knew I had to do the right thing. But what was the right thing? I already had the stamps and without thinking placed one of them on the card I was sending. I was also holding the credit card of some poor individual who is probably freaking out or will be the next time he wants to use it . Do I trust the post office employee with it? Do I attempt to find this man and return the card? I looked around to see if John Quinones was in the building and kept thinking I was going to land a spot on "What Would You Do? " television program on ABC. I stood in line for what seemed to be an eternity to explain the situation. A manager took the credit card belonging to some poor Sams Club member, asked me to pay for the one stamp already affixed to the card and proposed to give the stamps I had purchased using his card to him or if he didn't need the stamps, he could get a refund. Gosh I feel better.

10.  Set your team up for success.  
So many dentists hire staff just to put more bodies in the office because they do not feel they have enough human capital to support the practice.  Did you know if you had a plan or proper on-boarding system you could eliminate some of the overflow.  Training is not just for assistants and front desk.  Training is for everyone......assistant doctors and hygienist are included.  What if you could do more with less and still manage to meet and exceed your practice goals?
9.  Go Paperless 
No matter what!  Paper is a real bottleneck. With all the technology out there, paper should be used for four things.... routers, NP data, hygiene pink slips, and checklists(daily, weekly, bi-weekly, monthly, semi-annually, and annually)

8.   Clear Cut Systems
Systems are not protocol or policy, they are guidelines.  Break down every procedure into a guideline.  Have open and close day guidelines.  Have department guidelines.  

7.  A Company Mission, Vision, Core Values 
The statements provide the why for you, your team and your patients.  As Simon Sinek would say..."It's not what you do or how you do it, it's why you do it"  Your practice should be seamless.  All who work for you should be working towards something.  That something is your mission.  Ask your team to help you come up with your mission and own it.  Make it large print, laminate it, and hang it up for all who walk through your doors.  

6.  Dentistry From The Heart
For God's sake, give back!  Dr. Vincent Monticciolo started Dentistry From The Heart 14 years ago.  Contact (727) 849-2002 smile@dentistryfromtheheart.org 5139 Little Road, New Port Richey, FL 34655

5.  Ergonomics
Do you want to practice for 30 years or more? If you didn't think Ergonomics is involved in the building process, you are wrong.  Do more with less! Call Design Ergonomics 1-866-ERGO-4-US.  Ergonomic Dental equipment should also be implemented into your practice.  "You can't use what you can't reach".  Make the right decision today.  Your body and your staff will thank you. 

4. Cassettes
The use of cassettes is a very LEAN system.  Cassettes should be set up identically per procedure.  Limit the number of cassettes by standardizing what you are working with now.  There are only a couple instruments that differ from crown and bridge to restorative.  Set them up in a cassette the same!  Restorative is used for fillings and crown and bridge. Additionally, you decrease the risk of injury with the use of cassettes.  

3.  Get rid of your ultrasonic
GROSS, GROSS, GROSS.  There is no data anywhere that suggests an ultrasonic aids in the cleanliness of your instruments.  It's messy!  The fumes, gases, etc that fly through the air while turned on can and will harm everyone in your office.  

2. Standardization
I am writing this article because of this topic.  7 different impression materials, 4 different bonding agents, 25 different tips used for specific solutions, Ultradent catalog of syringes, who can support that imventory?  If you do not have 90% of what you need 90% of the time within arm's reach, how can you efficiently work.  How many bur blocks? 90% the burs your use 90% of the time set up in a bur block at all times!

Make it count.  Make it productive.  Put a guideline in place for the most effective morning huddle. 

Please call me at 813-833-4645 for questions.  Ask us about our on-site multi-level coaching programs.  
To receive an Ergonomic Products catalog email me at abachman@desergo.com

Stretching is an important piece of your daily routine.  But, did you know you should never stretch cold muscles?  There is nothing worse than a pulled muscle.  You can't do the simplest things like open the car door or walk up a set of stairs.  If you spend at least five minutes a day stretching that would probably be enough.  Before you stretch, walk for five minutes on the treadmill or around the block.  Walk fast.  Get warmed up before you stretch.  This little tidmit could make the difference in your routine especially when you get older.  Trust me, I know.  Get in the habit now and get moving.  Your body will thank you. 

We talk about fundamentals in the business of Dentistry.  It's really no different than fundamental in any sport. We need to bring it back to the basics. A LEAN dental practice does more with less.  

When my brother was a senior in high school, his high school football team has played together since he was 8.  Our high school was a small, farm country school in Northeast Ohio.  I think each class gratuated around 200 kids.  As a whole, the football team consisted of small white boys.  They all had a goal and that was to become state champions in football.  When the state semi-final game was approaching, no one thought the team had a chance.  They were about to play Steubenville RIG RED in Canton at the Pro Football Hall Of Fame.  Hell, just playing here was an honor.  Big Red had a few of the nations top recruits in football and had already made commitments to play Division I for teams like Penn State and THE Ohio State University.  Down 21-0 at half, the fans pretty much counted them out.  With some amazing coaching and heart, our little, white boys won this game.  They used a LEAN strategy to win the game.  They streamlined their game, used their speed, didn't do any fancy but just play the game.  They utilized the PDCA (Plan,DO, Check Act) They made a plan at the start of the game, did the plan, checked it a halftime made some appropriate changes, acted on them and won the game.  They brought the fundamentals back.

In Dentistry, the same applies.  In any type of business the same applies.  The fundamentals are crucial to running a lean, streamlined business.  This would be standardization in value- added processes.  Map out the process.  Then ask yourself, where are my bottlenecks? Where is my non-value added time...THIS IS ALL WASTE.  As defined, waste is adding time and resources without adding value to the finished product.  Think about how much time it takes you to tear down an operatory.  If it is more than 3 minutes, you are wasting time.  The process of standardizing work can be done in all areas of your practice.  

In case you are wondering, West Branch High School won the Division III state championship in 1994 the following week.  My brother was a 5'9" linebacker and captain of that team.  I think about those boys when I am working with a dentist and his practice.  Just when you think it's impossible, great, big things can happen.  


Yes, I got married this weekend to the most wonderful man on this planet.....

He said to me these vows written by the great Paulo Coelho 

“It was the pure Language of the World. It required no explanation, just as the universe needs none as it travels through endless time. What the boy felt at that moment was that he was in the presence of the only woman in his life, and that, with no need for words, she recognized the same thing. He was more certain of it than of anything in the world. He had been told by his parents and grandparents that he must fall in love and really know a person before becoming committed. But maybe people who felt that way had never learned the universal language. Because, when you know that language, it's easy to understand that someone in the world awaits you, whether it's in the middle of the desert or in some great city. And when two such people encounter each other, and their eyes meet, the past and the future become unimportant. There is only that moment, and the incredible certainty that everything under the sun has been written by one hand only. It is the hand that evokes love, and creates a twin soul for every person in the world. Without such love, one's dreams would have no meaning.”

― Paulo CoelhoThe Alchemist

 am the Mrs. Angie Bachman...october 23, 2015

Have you ever thought the use of bins and tubs would change your life and the way you manage your dental practice?  Well, they will.  

As a veteran dental assistant, I have discovered first hand the issues that stood in the way of providing an optimum level of care.  I was not as effective as I should be becasue I did not have the tools in place in order for me to be the most efficient in my craft.  I always thought having a sterilization tech would make my life at work more manageable, but this wasn't the case.  Why was I taking so much time emptying a tray, throwing the instruments into an ultrasonic (and I mean throw because there was always another patient), bagging the instruments, and setting up a tray?  Because I didn't have another option.  How was I going to convince the dentist I worked for for help?  I was just a dental assistant, right?  I needed a dentist named Dr. Dave Ahearn to turn those problems around and into profit with solutions

For nearly two decades, Ergonomic products and Design Ergonomics have been offering dental office efficiency solutions and it is with my help it can all be implemented.  

Doesn't it make you crazy Dr. to be in the middle of a procedure and your assistant doesn't have the product you need?  After rifling through several drawers, she still doesn't have what you need when you need it.  You see Dr., you can't use what you can't see or reach.  This is when you really start to waste away. Wasting away production; your time, your money, your composure. The dental assistant will inevitably travel on over to the storage closet, or what I like to call "the room you never want to see".  She knows it's in there because she just ordered it but the product is no where to be found.  So, she steals it from op 2.  Of course, she forgets to return it and her co-worker, who hoards material, flips out when she doesn't have what she needs.  You're sitting there with your 2pm patient, finally on schedule today with your first patient after lunch, awkwardly making small talk as you mask your negative feelings toward your ENTIRE staff.  You're now frustrated for the day, she's frustrated for the day, tensions are high AND you're running so behind you can't even take a potty break. Does this sound familiar?  

Well, I get it!  We get it!!  Ergonomic Products now offers clinical coaching where myself or another will consult with your practice to discover needs and make a plan to solve your issues.  We not only come up with the plan, but we also implement these solutions and provide you all the necessary checklists to help you better optimize your schedule, manage your practice, and help you do what it is you do best.......DENTISTRY.  Now, you can.  

Call us and speak to any one of our talented staff.  Our schedules are booking up fast, so don't waste any more time.  We provide coaching to all of North America.  

Your Dental Prophet,
Angie Panezott

I have spent the last 40 years trying to figure out what works for me.  At age 41, I cannot live without these things

  • 1.  L'Occitane Aromachologie Repair Shampoo and Conditioner
  • 2. Aveda Brilliant Damage Control
  • 3. Aveda Phomollient
  • 4. Origins GinZing
  • 5. St. Tropez Self Tan Bronzing Mousse
  • 6. Banana Boat After Sun Aloe After Sun Lotion
  • 7. Bare Minerals Original Foundation
  • 8. Clinique High Lengths Mascara
  • 9. Sephora 12 Glitter Copper
  • 10. California Mango Magic Mango Cuticle Oil.  

Implemented Compassionate Finance this week through Comprehensive Finance.  It's amazing what one can accomplish if "options" are offered.  

Many patients who have large treatment plans have a hard time swallowing the figure presented in front of them.  What if you could take the financial pain away?  Well, Compassionate Finance has helped us close 50% more treatment plans than before.  A patient utilizes their existing insurance maximum as a down payment since at least 20% is required down in order to qualify for the loan.  In some cases, patients may qualify for Care Credit which, too, helps with this down payment.  

With some creativity, compassion, and care we can help our patients receive the much needed oral care and offer up a plan to help them afford it.  We are thrilled at what a difference we are making for our patients.  

How do you make for affordable dental care?