How to connect with a Cerec, Sirona Laboratory

Riverside Dental Studio is a certified Sirona Laboratory with the most advanced Cerec mill ever produced.
Riverside Dental Studio features competitive pricing and Incredible Service. We specialize in implant abutments and restorations.
How to connect is simple.

1 Get the Sirona “connect” app on your desk top.
2 Scan and draw the margin as usual.
3 Enter in the patient info.
4 Click “add my favorite lab” and enter in Riverside Dental Studio 84790.
5 Send your digital impression.

Riverside’s experience and education in the field of cosmetics and implant restorations will provide you with predictable outcomes for success.

Scott Emett

Marketing Home Run

Marketing Home Run

Wouldn’t it be great to find the secret to marketing your practice? Wouldn’t you love to hit a home run every once in a while?

Just imagine a marketing campaign that made everyone who came in contact with it come into your office for treatment. Not only that, but because of the way this marketing campaign is presented, your new patients gladly pay up front for your recommended treatment. This is fun! You think to yourself “I love dentistry”!

Because your practice is growing so rapidly with a flawless reputation you have become somewhat of a local celebrity. Patients expect to pay far more than you have dared to charge up until now. So you charge twice the fees you started with and no one complains. You love getting up in the morning and going to work. Your staff is happy and working together like a well oiled machine.

After lunch with your wife one day, you arrive a little early to your office. Sitting in your big leather chair, you kick the door shut, and lay back for a 15 minute power nap.

You can no longer treat every patient that wants to come into your practice. You choose to hire a dentist to help you. You have to expand your four ops to eight. The new hire is busy immediately. Now you have gone from being a dentist that has a nice busy practice to being a business owner. You now have an H.R. nightmare with three times the employees you started with. Your once spacious office is now crammed full of employees running this way and that. Are you loosing that gentle one on one treatment that your patients used to enjoy? Is your practice still holding up it’s end of the marketing promise? Are your patients still amazed by the loving staff that cared so deeply for them before?

As a business owner you are hiring still more people to cover things you just don’t have time f0r. First on the list is an expensive consultant. He says you have to move into a bigger, more modern office. He suggests you go digital on everything possible. He hires more and fires a few. Book keeping, tax planning, scheduling, new system coordinators, team leaders, and case presenters are added in. Your original staff is lost in the shuffle.

You take a week off to find land and negotiate a purchase. Archetects and engineers, excavation and city permits are bleeding you dry. Your attention is just not on your patients any more. You are spread thin and run ragged.  Then it happens, pay day is today and you can’t cover it. What is going on? Running to the bank for a line of credit and embarrasing explanations was not fun. Trusting the people you have in place, you continue to press  forward.  But you can’t help wondering what happened to your dream practice? Where is your original staff? This is not what you had intended. You can’t even remember how many operatories are being built in your new office. Can you still charge the fees you were charging or are you now competing with coorporate dentistry? How many patients have to come through your doors just to break even on this huge land, building, digital equipment, employees, and overhead? You can’t even comprehend it.

Another pay day rolls around. You are far short of meeting that financial obligation. Realizing you haven’t even paid on the last line of credit, you go to a new bank. After meeting the right people and opening an account you get a much needed, large loan to get you through this difficult time.

Not daring to advertise because you know you can’t just make empty promises, the practice stops growing and slowly begins a downhill trend. Your new office will be finished in about nine months. You wonder if you can stay in business that long. Even if you can, the marketing that worked so well for your first practice will not work for this new, ultra modern, multi dentist monstrosity.

Oh No!! This was not in the plans! Now you panic. This is not a business that you know how to market. The consultant thought you were a marketing genius, so the bigger the better. But you realize the error that was made. Hitting a marketing home run almost never happens, especially twice to the same person. The business now is far different from the practice you marketed with such incredible success.

You are not a marketer or a business man. Y0u are a good dentist with a desire to treat and help your patients. But what are you going to do about the financial chain around your neck and your ruined life as a dentist?

Knock knock…Dr., your one O:Clock patient is here. Startling awake from your power nap, looking around, you peek out from your office door. A feeling of gratitude floods warmly over you. “IT WAS JUST A DREAM”!

When marketing success knocks on your door, see it for what it is. Realize it won’t be coming back soon and that it won’t stay long. Marketing is a long term investment, and almost never a one hit wonder home run.

When money comes, it always comes in waves. That means that there are highs of high profit and lows of low profit. Don’t take too much credit or spend too much money when your practice is on a high. Also, don’t be too discouraged when your practice is on a low.

Keep marketing consistently, and realize the rule of small business also applies to dentistry.

Almost skipping out to see your first patient of the afternoon, you smile to yourself and think “I love dentistry”!

Scott Emett

 

 

 

Honestly?

What is more important than being honest? Honestly?
Not much!
An honest man is a natural leader. People trust him, they know where he stands, and that trust creates a bond. This bond enhances loyalty.
At home stay completly honest with your wife, children, neighbors, and friends.
At work be completly honest with your patients, your employees, vendors, and everyone that you come into contact with.
Sports, activities, church, hobbies, volunteering, and anything else you do, tell the truth. Be honest!
I have a friend who will call a couple of times a week to set up lunch or just talk about family stuff. Sometimes he will say, “where are you?”
Sometimes he will spot me walking into a store or just driving down the road. If I answered back untruthfully he would know in a second. Even if i thought to myself I don’t want to be obligated to do something right now and responded with a little white lie, or maybe I just think it’s nobody’s business so respond in generalities, shame on me.
Now he wonders if I would lie about something as silly as my location at the moment, would I be truthful about big things?
My reputation as well as my friendship would be on the line with my best friend.
How silly.
In business if you try to lie about something to make more profit you will be exposed at some point. You will loose your good reputation and good clients.
It is painstakingly slow and laborious to build a strong reputation. It can take only a few minutes to ruin it.
Years ago, two brothers ages 14 & 11 were watching the weekly jackpot at the arena one half of a mile from their home.
It was a small town and everyone knew everyone.
The jackpot was a simple contest between cowboys in the area. They would each put in money on their events. Then they would compete for the jack pot.
The brothers would walk around and talk to the cowboys and sometimes help with some events.
It was a summer night and getting close to midnight as the cowboys were finishing up. The brothers headed home walking in the dark. Suddenly a pick up truck pulled up behind them. The man driving was a little drunk and very mad. He began yelling at the boys for opening his gates and letting his cows out. He was mad because it took him hours to get the cows back in their corral. He was furious that two no account boys would show so little responsibility and be so mean, showing a high level of disrespect to him personally.

The brothers were surprised when he started yelling because they thought he was just going to pull up and have a neighborly conversation. When he begin swearing and accusing, they both started to run in the direction of their home. He started his truck up and stayed right behind them, so they cut through the rocks and sagebrush on a shortcut home. As they went over a hill the headlights from the truck disappeared. Although they could not see him they were sure he was headed to their home. They arrived out of breath and ran into the house to find their dad. He was sitting in his easy chair reading a book. He looked up, alarmed as the boys came rushing in. They said that a guy in a pickup truck (they were pretty sure his name was Lee) was very very upset with them and was following them home. So the dad got up and walked outside just as Lee pulled up. He started yelling saying those boys need to be punished. They opened my gate and let all of my cattle out. It has taken me over an hour to put them all back in. He knew it was these two brothers because he saw them out by his Corral. And when he ask them about it they just took off running. He was absolutely positive that those two brothers were guilty. The dad looked at him and then he looked at his sons. He asked them if they had been over to Lee’s Corrals and if they opened that gate and let the cattle out. He watched carefully as they answered. They said no, we were not anywhere near his Corrales. We would never open a gate and let cattle out and we sure did not do that tonight. The dad asked where the boys had been. They said they had been up at the arena watching the jackpot Ropers and Cowboys. The dad turned to Lee in his truck and said they did not open your gate and let your cattle out. In fact they were not anywhere near your corrals. So you need to turn around and leave now, and I will forget you ever came over here.

You can bet those brothers were highly relieved that their father believed what they said. They were also glad that they had dealt honestly and been truthful with their parents all of the time. Their father trusted them over anything else or anyone else. That kind of trust is priceless.

I hope we are all building that kind of trust at home and in our business life.  That reputation is worth more than gold.

Scott Emett

Today’s dentist takes a step backwards

A dental student graduating in the late 1800s and early 1900s was taught to make his own restorations (gold) and removable (early acrylic) appliances.
In his practice he treated his patients in part of his day, and then fabricated restorations and appliances in the rest of his day. He just thought that was how things worked.
Somewhere in the early nineteen-hundreds a light bulb came on in someone’s brain. It is not known if a dentist decided to hire someone to do his restorations or if someone decided to start the career of a dental technician. But no matter how it very first happened, the fact is that as soon as dentists saw the value of having a commercial laboratory everything changed.

Commercial laboratories were springing up all over the country. The simple reason is that a dentist could make much more money in his day if he just saw and treated patients. The dentist left the job of fabricating restorations and appliances to a technician. In a very short time a dental technician became much more proficient at making these restorations then a dentist could ever hope to be.

The reason is simple, it is because dental technicians were making thousands of restorations and a dentist would just make a few restorations. Commercial laboratories got together and shared knowledge and techniques and materials and became even more proficient and offered super high quality, and fast service.
As an added bonus to the dental community, the manufacturers and suppliers and laboratories came up with new and better techniques and materials and restorative brilliance. They made a few small mistakes along the way but mostly their track record was flawless. Restorations became stronger and more lifelike.
The dental public demanded more esthetics and longevity and the laboratory community responded.

Commercial Laboratories have always responded to the call that the dental public was requesting. When dentists needed more help chair side to present cases or retro fit appliances or just custom shading, a technician was there at his beck and call.
The value of an experienced technician in comprehensive treatment planning can not be stressed enough.
In the past few years, a few dentists have forgotten about the success of team work and the value of a good commercial laboratory.
These few dentists have decided to go back 75 years and start doing their own laboratory work again. Mostly because of slick advertising and hard-working salesmen. They have been sold on buying miniature laboratories – put in their dental office. These laboratories are definitely not as good as a commercial laboratory. Yet, somehow they were convinced that the machine that costs over $100,000 will help them profit more.

Even when there has to be someone in their office being the dental technician. The dentist has opted to cut the commercial laboratory out of the equation. The only redeeming value is that they can make a crown within a couple of hours. But the fact is, that crown is not as esthetic or as strong as a crown produced by a laboratory.
The fact is that it is a small percentage of dentists that have actually bought into an in-office milling laboratory.
Dosn’t it seem like they are taking a step backwards in the progression of dentistry?

Scott Emett

All of us are smarter than one of us (treatment planning)

All of us are smarter than one of us.

In our last club meeting (the Seattle Study Club of Southern Utah ) we had three presenters talking on the topic of diagnosis and treatment planning.
It was easy to take away a few pearls from this awesome meeting. As we were able to see the approach to treatment planning by different minds, we put a few arrows in our quiver of approach and execution. We were able to take away new ways to look at simple and complex cases.
There is nothing more invigorating and thought-provoking as team treatment planning. Everyone leaves there with a new sense of purpose and a renewed enthusiasm for this great profession. We all begin our next work day with insight and ideas that apply to our patients on the schedule today.

In that same meeting we watch and listen as the club Specialists chime in with expertise and experience in the situations that are being discussed.

You can receive continuing education about any place these days. But true high level education is only available in very select situations or from the most elite teachers. The Seattle Study Club is by far and away the highest level of education that is available in dentistry today.

Diagnosis and treatment planning is the basics of this club. There are no other ways to learn, that measure up to team treatment planning that includes all of the specialties. This is called comprehensive treatment planning and the patient is the one that benefits the most. It makes Dentistry fun and lucrative and very rewarding in many ways. Comprehensive team treatment planning should be taking place in every dental office where there is a dental dilemma more than just a couple of fillings. My advice and the advice of many leading presenters is that you get involved with a great Study Club immediately.
There are many good study clubs and probably a couple right in your area. The Seattle Study Club is the one to look for if you have a choice.

30 plus CEs are available annually. The fee is normally in the area of $2500.00 per year. While based on diagnosis and treatment planning, the curriculum covers many other clinical and non-clinical classes. Everything from running a business, health and wellness, to implants and high end cosmetics are covered.
We are starting our sixth successful year of this highly rewarding Study Club. The 30 members absolutely love the club. The clinical interactions as well as dinner every evening before the lecture starts has caused the club members to bond together as friends and peers.
Find your Seattle Study Club and get ready to reap the benefits.
All of us know more than one of us.

Scott Emett

Get anteriors straight with the easy face bow

Have you ever been ready to seat a beautiful anterior case, in full anticipation of knocking it out of the park? You try on each precious restoration just imagining how thrilled your patient will be. As you set the patient up and hand her a mirror, you are horrified to see that her beautiful new teeth are slanted to the left. Quickly you tilt her head to compensate, and when that doesn’t work you reach up to firmly seat each crown but they are already seated.
What went wrong? How do you fix it? How do you keep it from happening again?

What went wrong was communication with your laboratory. How do you fix it? You cannot fix it, it is a remake. How do you keep it from ever happening again? Simple, just use the EASY face bow technique. You hate Facebows? Yes you are not alone. Facebows are difficult to use, expensive, they make the patient uncomfortable, and a good third of the time they are inaccurate.

The EASY face bow is easy to use, cheap, the patient doesn’t mind, and they are accurate on any articulator almost 100% of the time.20150410_140019

E very
A rticulator
S ays
Y es

Use the EASY facebow every time you send an upper anterior case to your laboratory. It will solve any potential slanting problem and that is well worth the extra 3 minutes to take this record. You will love your lab and your patients will love you.

Here is how;
Use fast setting impression or bite taking material. Get a popsicle stick or a long Q-tip. Have the patient stand up in front of horizontal blinds, shelves, or wallpaper. Place the bite material on the lower anterior with an excess on the facial and on the lower lip. Have the patient bite into it. Orient the stick horizontally correct according to the pupils with a little help from the horizontal lines behind them. With the stick placed into the material, anterior to the teeth, setting on the patient’s lower lip and not in the bite. The laboratory simply affixes the bite to the lower cast and orients the horizontal stick even with the bench top. This is brilliant and it works almost 100% of the time.

Utilize the easy face bow today!

Scott Emett

Does Layered Zirconia Fracture Easily?

Does Layered Zirconia Fracture Easily?

Short answer, NO!

Long answer, when it first came out, some laboratories handled it wrong and fabricated a few units poorly, going against all of the porcelain veneering rules they have used for 75 years, (PFMs) and giving layered zirconia a bad name.

Labs thought zirconia was bulletproof. Nope!

It’s really simple! Veneering porcelain needs to be supported.

When you fabricate a PFM, the substructure is waxed to full contour then cut back 1.5mm all around and occlusally for the ideal support of the veneering porcelain. If veneering porcelain is close to 2mm thick it leaves the supporting protection of the substructure and is prone to cracking, chipping, and fracturing.

The exact same rules apply when layering or veneering zirconia. The technique is a little different but the theory is the same. Design the tooth to full contour (virtually), then hit the cutback button and it immediately cuts the crown back 1.5mm in preparation for the veneering porcelain.

The unbreakable law for veneering porcelain has always been keep it within 1.5mm for safety and strength.

Does layered zirconia fracture easily? NO! Not when it is fabricated correctly.

Scott Emett

What’s Up? Gold!

What’s up? The price of gold, that’s what.

10 years ago we used to watch that price like a hawk. It seemed like we lived or died with the spot price of gold. When it was low then gold crowns and big pfm bridges were no problem for anyone. When the price of gold was high then a laboratory got a phone call before every big case just for an estimate of the cost of the gold. If the estimate was too high then there was a discussion of how to cut down the gold content or the amount of metal needed for that certain case.

Right now the price of gold is over $1,200 an ounce. That would blow the minds of all of the dentists and insurance ladies in the office. We struggled when gold started towards $800 an ounce. That was the real danger zone and sometimes dictated treatment because of the high cost of gold. No one gave it a second thought when it was at $250 an ounce. When the $800 an ounce price rolled around it changed the thinking of insurance companies and doctors who were hesitant to quote the high price of a restoration.

Now, with the price at over $1,200 an ounce no one even seems to care. It certainly does not dictate treatment and it is hardly even a consideration. Why is that?

Gold is the standard for Dentistry. Gold is highly biocompatible, it had the same wear characteristics of enamel, the margins can be perfectly burnished down and closed, it does not chip or break or crack or fracture, and it has over a hundred years of actual in mouth proven success.

In Riverside Dental Studio right now, our clients prescribe zirconia 2/3rds of the time. The other 3rd is shared by pfms, EMax, and other restorations such as gold crowns. When I got into this industry 38 years ago, all I did was gold crowns! That lab fabricated 250 gold crowns a month. That same lab today does 5 gold crowns a month.

The most ideal dental material in the world has been pushed aside.
There are two reasons we have stopped using gold.
One reason is the subject we have been talking about in this blog. That huge reason is price. The cost of gold begin to be prohibitive and begin to dictate treatment, so alternatives were sought after. The other reason is aesthetics. Vanity has been a huge influence. The General Public does not want gold showing in their smile. They want straight, white, beautiful teeth without a flaw.

That is it! Very simply, dentists have caved in to cost and vanity. In my short time and limited experience on this earth, I have never seen anything turn out good that was based on low price and vanity.
Just saying.

Scott Emett

Do you “Get It?”

Do you get it?

Wow! I was shocked!
For sure I was pleasantly surprised. I went to an appointment with a potential new client. He had heard about my lab and wanted to talk to me about lab communication and about his laboratory work.

I set down in his office and we discussed occlusion theories and time schedules and material selection.   On a computer monitor he pulled up a large case for us to go over.

He had taken pictures from all angles including lips at rest, full smile and profile shots. Using mirrors for occlusion and lip retractors where needed he did a great job. Not only that, but they were high quality pictures. Next, he was holding the correct shade tabs showing the number of the shade and holding it incisal edge to incisal edge so they were on the same angle as the teeth. Thus facilitating accurate shade matching.

My surprise did not just stop there.

He had taken a horizontal stick bite and a vertical stick bite. I know it was done well because he took a picture of it. When I looked at the impressions they were incredibly well done. The preps looked great for the intended restorations and he had gotten a great impression.

Now he pointed out some issues with tissue and other concerns he had and concerns the patient had. I was taking notes as fast as I could write. I was thinking the whole time that this is how these cases should go. With all of this great information, all the lab had to do is follow directions. Ok, I get it.

These restorations we’re going to turn out fabulous because the doctor and the patient and the Lab are all on the same page. He really did not need a wax up in this case because we were copying the pre op. The patient’s problem was in chipping and in some tissue recession that was showing some tooth surface at the gum line.

This case was going to be a slam dunk. There are many dentists that do this kind of high quality work. But it seems like I have taught most of the ones that send their work to my lab. It is such a pleasant surprise to walk into a new client’s office and have him already knowing how important lab communication is.

This case is highly predictable and the results will be everything that the patient and the doctor expected.

Obviously a little bit of work at the beginning will pay huge dividends at the end. The old saying that you should measure twice and cut once is so very true. Does he get it? YES!

He “gets it”!

Scott Emett

Get Motivated Now!

The myth of motivation

How do you get motivated to  achieve the goals you really want?

We will make this very simple. First you need to know WHY you are out there on the front lines everyday,  every week, every month, every year!

Next you need to know what to do.

I will use a short example of a salesman sitting in his car, looking at a business complex in front of him. He knows WHY  he is out there. It is because he needs to pay his mortgage, make his car payment, put food on the table, and take care of his family. It is only a little inspiring. It is only a little motivating. He has securely lodged into his mind WHY he is doing what he is doing.

Next he needs to know WHAT to do. That is maybe the easiest thing of all. He has been trained and retrained to know what to do. If he works for himself he has aspired to that position and knows exactly WHAT  to do.

There is a “Do It Now” post it note on his steering wheel and another one on his dash and another one on his calendar. He is hoping for motivation from those three words as he contemplates what to do now.  Is he waiting for another cool saying or quote that will motivate him to jump out of his car and run in and knock on the first door? Or maybe something larger like a lightning bolt?

That is the myth of motivation. It doesn’t really get things done. If you know what needs to be done you just need to go do it. If you start, the momentum will keep you going.

This is the key; do what you know needs to be done. Do not wait to get motivated. Get motivated later. I promise it will happen. How?

Just go do what you know needs to be done. Knock on the first door. No matter what they say, if you make a big sale or they tell you no, it doesn’t matter. Knock on the next door. Then knock on the next door. It will become easier to knock on the next door. You are doing what you know needs to be done and you are building self esteem and cash. Just go do what you know needs to be done. Action is the key. While your competition is waiting to get motivated, you are building self esteem and cash.

Do what you know needs to be done. Start now!

Scott Emett