The Same Day Dentistry Revolution: The Path to a More Profitable, Efficient and Enjoyable Experience for You, Your Staff and Your Patients
By Charlie Cole
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The Same Day Dentistry Revolution - Charlie Cole
Chapter One
Dentistry on the Same Day? What’s That All About?
Iwant to talk about two things: disruption and dentistry.
When you talk about disruption, dentistry probably isn’t the next word that comes to mind. But I want to get us started off on the same level, and on that level, we’re thinking a little differently.
We’re thinking about how to make change, and for the better. We’re thinking about problems that need solutions. We’re thinking about throwing out the playbook and starting from scratch.
More important—most important—here on this wavelength, we’re thinking about being true to ourselves. For me, a dentist with decades of experience in traditional dental practices, being true to myself meant bringing a little of that disruption into dentistry. It meant starting the Same Day Dentistry revolution.
You might have been practicing the traditional model of dentistry for years too, owning your own practice and trying to make ends meet by keeping a rotating roster of ever-complicated procedures. Or, you might be a junior dentist, just starting out in your field and trying to scrape together a living working for different corporate dental centers throughout the week, worrying about paying off your school debt and supporting a young family. Or you might be a patient, frustrated by having to come back for procedure after procedure until you’ve crossed everything off your expensive treatment plan.
Make no mistake: I have no quarrel with the traditional way of doing things. And the way that I run my practice isn’t for everyone, either. There’s a time and a place for each type of treatment. But I wrote this book because the time might be right for a little revolution in your life too.
What We Do
It’s as simple as it sounds: the Same Day Dentistry revolution is about performing dental procedures on the same day. Efficiently solving problems, being a dependable and trusted presence in patients’ lives, helping them to get out of pain and move on with their day: that’s what has driven me as a dentist for more than thirty-five years, and that’s what we aim to do in a Same Day Dentistry practice.
Let’s walk through it with a patient. We’ll call him John. John has wandered in to my practice largely because he’s seen our sign out front (we’re located in a central strip mall, not a place you’d expect to find a dental practice, but we’ll get to that later) and he’s heard of us through positive word of mouth or social media. He’s busy, he’s scared, and he’s in a lot of pain. The first thing I do is sit down with him for a one-on-one conversation; I gather his patient history, but more important, I listen for the type of experiences that he’s had walking into dental practices before.
I can tell that John is feeling a little guilty and embarrassed. He’s never particularly liked going to the dentist, he admits, and so that makes it hard for him to prioritize his dental care. I can’t hold that against him; it’s an intimidating prospect, letting a stranger poke around in your mouth with all those sharp implements! He’s typically ignored problems in his mouth before, hoping they would go away.
I have bad teeth,
he explains, like it’s something that is his fault, and then goes on to tell me about the last time he visited a dentist, two years ago.
He had a nagging toothache, one that he worried was the result of a cavity or an infection. He found a dentist on his insurance plan and went in for a consultation, hoping to get the problem addressed. He received a cursory exam and X-rays for a hefty out-of-pocket fee, and a treatment plan with an intimidating (and costly) list of issues to address.
I have bad teeth,
he says again.
Because he hadn’t had the money that day for the entire treatment plan, he’d felt it wasn’t worth starting down that road. He’d had a toothache that day, but he had walked out of that office with nothing but a hole in his bank account from the examination fees.
My first aim was to make sure that this didn’t happen to John again. I knew that in the intervening years, some problems may have gotten worse—and some new decay had probably popped up. But I wanted to make sure that, no matter what, John would walk away with some sort of a solution today.
So what brings you in today, John?
Well, I have a toothache.
The idea behind Same Day Dentistry is that we’ve set up our practice in such a way that we can offer same-day solutions. It’s not that we turn away patients like John, who may have multiple needs to address over time. Instead, it’s that we’ve made sure that patients like John can come in and get their most urgent needs addressed right then and there, with no added pressure to follow an overwhelming treatment plan (and no added pressure on us to have to sell him on that plan to meet our expenses).
Skeptics will decry that mission as unreasonable, but I beg to differ. By adhering to a policy of simplicity and transparency—clearly listing our services and their costs from the get-go on our website, in the waiting room, on all of our materials—we approach each patient with a clarity of purpose and a shared expectation of what the goals of treatment are for that visit. We’re not trying to be all things to all people. It would be unreasonable to say that we could perform some complicated, multiday procedures in one day. Because one of the keys to the Same Day Dentistry revolution is that transparency and truth in process, we make it very clear what we can offer (exams, fillings, cleanings, sealants, crowns, implants, root canals, and removals, to name a few of our services) and what we can’t.
So after listening to John’s story, my first order of business is to get him in my chair to identify his problem and deliver a solution. I’m not thinking about what’s going to happen down the road, worrying about whether or not John will return for the other procedures that he might need. Because I’m focused on providing excellent same-day solutions for John’s most urgent issues, I know that the follow-up visits will take care of themselves. He came to us based on the strength of our good reputation, after all—on the trust that we’ve built over years in our community. And I’m banking that good reputation will only continue into the future after we’ve solved some problems for John in the present.
How We Do It
For me, it all comes back to that belief in the Same Day Dentistry mission. My entire office is attuned to it; everyone from my office manager to my dental assistants understands what we’re trying to achieve, and we’re all committed to that one goal: providing superior service and making people feel better that same day.
To believe in this mission in theory is one thing, but to put it into practice is another. I’m incredibly fortunate to have a team that is willing to walk the walk. It’s not a philosophy that would fly in most offices; if you call your dental office at 4:00 p.m. and they close at 4:30 p.m., you probably will expect to be told by the receptionist that you can’t be seen until the next day. In our office, the approach is different. How about tomorrow?
becomes How soon can you get here?
Same Day Dentistry might remind you of an urgent care clinic in that respect, and I’m OK with that comparison. If you’ve ever had something go wrong in your mouth when the clock is ticking toward the end of a workday, you know that feeling of dread that comes with the idea that you might not be able to find relief until the following business day—and that’s in the best-case scenario. To me, there’s not much that seems more urgent than that. My staff feels the same way.
And, ultimately, it’s that level of customer service that makes me comfortable shrugging off the outdated model of having patients essentially on retainer. Everyone who comes in to our office is a Same Day Dentistry patient the first time he or she comes in. That doesn’t mean that it’s the only time we’ll see that patient—far from