You get a new patient in the chair (always an exciting time) and you provide a comprehensive examination and diagnosis to the best of your abilities – skills you have spent a lot of time developing, talent that sets you apart from many other dentists.

This may well be the first time the patient has experienced dentistry at this level. You present your findings and the patient responds by saying, with an air of suspicion, “My last dentist never told me this.”

Of course, you know that not all dentists are created equal; however, like it or not, to many patients a dentist is a dentist. If what you're saying is different from what they've heard in the past, they're going to wonder who they should believe – the dentist they knew for years or this new one who is talking about all this stuff they've never heard of before?

So what can you do? You can't very well come out and say that their last dentist just wasn't that good, but you also don't want to compromise on your clinical integrity and dial back your diagnosis to fit their expectations. This is where the details of your practice culture come into play.

It's that first phone call, where the front desk person asks the right questions and sets the tone for what the patient can expect.

It's the first impression on arrival, where they are greeted personally and warmly and given a complete tour.

It's the personalized way that their information is gathered.

All this is important so that the patient is not “blindsided” when you offer a diagnosis that is different from what they have heard before. In fact, if you do it right, patients will expect that. They will know before they get in the chair that this practice is different.

If they're going to buy into the idea that you are different from other dentists, it's important that not just your diagnosis is different, but that their entire experience is different.



Comments

Commenter's Profile Image Mark Olson
November 19th, 2012
I love this Imtiaz!.....This is one of the hardest challenges I believe we face as Spear trained dentists. Keep it coming!!!
Commenter's Profile Image Barry Polansky
November 19th, 2012
The real issue is what they say to themselves after..."My last dentist never told me this." What they say to themselves that we don't hear is the issue. What are their emotions behind the verbal reply...that they don't express. This is where the real adventure begins. This is what tests a dentist's skill level. You described a moment of truth that if not handled correctly can make or break a case. Thanks Imtiaz.
Commenter's Profile Image Rick Campbell
November 19th, 2012
I've heard this a few times! What really helps support my treatment plan presentation is photography. When patients are able to see what I'm trying to explain to them, it's priceless. Pictures are worth a thousand words!
Commenter's Profile Image Jason Tubo
November 20th, 2012
Some patients have such amazingly complex needs that have gone undiagnosed for so many years. Even when we set very high expectations from the start, it's still possible to completely blow a patient away. I'm putting a presentation together for my staff to highlight this with two of my new patients from last week. Both had very similar and modest financial backgrounds and had seen their previous dentist regularly. Both have extreme erosion related to GERD, beginning to expose pulp tissue. Neither were even minimally aware of the extent of their oral condition... and both were blown away to an extent by the facts (and photos). One chose to "do nothing" and treat emergencies when they arise... that's in line with his value system, and now we know for sure. The other chose to "do EVERYTHING" which even he didn't know was in line with his values until posed with the question, "what if there are no teeth left to fix in 10 years?" But the big key here is that both patients had eye-opening experiences and both were very appreciative to have gathered so much understanding about what is going on in their own bodies. Frank is right when he says, "it's just data collection and fact finding." Don't change the facts to fit your patient. Let the patient tell you what needs to be done based on the facts. Thanks Imtiaz!
Commenter's Profile Image Barry Polansky
November 20th, 2012
Jason--great examples...the question you posed..."what if there are no teeth left to fix in ten years?" is a great question. It is great because it enables the patient to "visualize" what his mouth will look like in 10 years. Quite emotional. I once asked a patient the simplest of questions..."how would you feel if you lost this tooth?" She immediately accepted treatment. Did you ask the same sort of question to the first patient? Sometimes we make so much more about case presentation than is necessary. We must remember that all humans have the ability to use THEIR mind's eye...they all have imagination. Barry---
Commenter's Profile Image Gerald Benjamin
November 22nd, 2012
I recently saw a new patient for a consultation. After chatting with the patient (What brings you to our practice?) and performing a brief clinical exam (to validate the patient's concerns) and doing a direct resin mockup to demonstrate how fabulous the patient's smile could be the patient said to me, " I have only one kidney and I am seen by THE BEST kidney specialist in the country in Boston but I have to tell you that it was harder for me to find you than it was for me to find my nephrologist." Intelligent patients are DESPERATE to find a good dentist after being abused by so many for so long. Unfortunately, many dentists do not get it. After my assistant and I gave a live demonstration, one dentist was overheard by my assistant when he told another dentist, "Well HIS patients are different than our patients." My response to my assistant was, "Yes, they were his patients last month." lol Pursuing excellence is extremely challenging for a dentist who decides to go down that road.
Commenter's Profile Image Barry Polanksy
November 22nd, 2012
The problem with being a REALLY good dentist is that most dentists don't understand the scope of the field. It is an extremely complex field field that deals with highly complex technical work combined with the application on human beings. Humans are complex and no two individuals are wired the same. Yet---we are taught how "simple" dentistry is... When we graduate dental school we can take one of two paths---toward mastery (where passion lies) or toward apathy. Guess which one is the road less traveled. Barry