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John” saves a lot of non-productive chairtime you<br />

would otherwise spend describing the dental work you<br />

will be doing. Practice discussing dental procedures<br />

or treatment options using the most direct, simplest<br />

way you can communicate. Long-winded lectures are<br />

boring to the patient and wasteful, and they should<br />

be eliminated. For example: “John, we can save your<br />

tooth with root canal treatment costing $700 or pull<br />

it out for $200. Your insurance will pay half. You will<br />

pay the other half.” If the patient dawdles, give him<br />

some speedy direction, “John, if it were my tooth and I<br />

had the $350, I would save it.” Save time by practicing<br />

your role in these situations so you will be prepared to<br />

quickly present yourself when the day comes.<br />

16. Make use of hand signals to your staff. For example,<br />

waving an index finger means to mix the cement. This<br />

saves time, especially when you are communicating<br />

with your patient and need to communicate with your<br />

dental assistant at the same moment.<br />

17. Control phone calls and other non-essential interruptions.<br />

You can call them back at convenient moments.<br />

Grabbing a phone in the middle of an operation is<br />

a time waster, foolish, and insulting to the patient<br />

and staff.<br />

18. Do as much as you can in one sitting. Try to avoid<br />

wasting time by getting up, walking out, coming back,<br />

re-gloving, re-washing and reappointing. Do it all at<br />

one time.<br />

19. Have spare instruments available for quick access. If<br />

you drop a mirror or bend a needle, you should have<br />

a replacement within easy reach. Do not lose time<br />

waiting for your dental assistant to run and get another<br />

instrument in the next room.<br />

20. Always be well stocked with an accurate and dependable<br />

supply of disposables, instruments and other dental<br />

materials. There is no value in running out of widgets<br />

when you need them. Being well stocked is common<br />

sense. Devise an automatic inventory system and<br />

implement it.<br />

21. Have redundant systems that can quickly be utilized in<br />

case of malfunction. If your compressor or vacuum goes<br />

out, you can simply turn on your spare. If you don’t<br />

have a spare, you will waste time and lose money. Be<br />

sure everything is hooked up and ready to go. Having<br />

a spare compressor in your garage doesn’t help you in<br />

the office. Quick plumbing disconnects and standard<br />

electric plugs/sockets can make it possible to switch<br />

equipment in a few minutes. This converts a timewasting<br />

disaster into a minor inconvenience. It’s going<br />

to happen to you some day, so be prepared.<br />

22. If it takes too much time to learn or use, you don’t need it.<br />

Our lives are filled with “labor-saving” gadgets, which<br />

we buy only to find out that they take too much time<br />

to use. “Modern” and “new” is not always the best.<br />

Software is a prime culprit. Beware of the time-wasting<br />

learning curve. Keyboard entry may be considerably<br />

slower than quickly scribbling on a record sheet. If you<br />

have to computerize, let your staff transfer the patient’s<br />

written records to the computer.<br />

23. Keep appointments to a minimum. If the patient has four<br />

restorations to do, do them all in one appointment, if<br />

practical. Don’t schedule another appointment if you<br />

don’t have to. Reappointing takes up considerable<br />

time: greeting the patient at the door, seating the<br />

patient in the dental chair, looking at the patient’s<br />

record, chatting with the patient, etc. With your speed<br />

dentistry technique, you can do more work in less<br />

time. Your patients will appreciate it.<br />

24. Inject anesthetics rapidly. Some dental instructors say it<br />

is better to inject slowly, but they are wrong. Why do<br />

it rapidly? Because it takes less time. Patients may feel<br />

a bit more pressure, but they will suffer less emotional<br />

trauma if you inject in 15 seconds instead of giving a<br />

slow, torturous 65-second injection. If you are going to<br />

inflict pain, the faster you do it, the less net discomfort<br />

there will be.<br />

25. Move with a sense of purpose. Avoid wasted movement.<br />

60 www.chairsidemagazine.com

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