Many years ago in the BC era (Before Computers) when office data was on paper, work flow meant; where does the chart go and who does what task.

Once a dental office develops a paperless system digital data can be accessed anywhere there is a computer, in the back, at the front or somewhere in the cloud.

This new pattern of doing things has been called Front Desklessness.

Does that mean there is no actual desk? No, Front Desklessness is not about tossing out a piece of furniture or eliminating a staff person. It is all about workflow, doing the non clinical business functions in a different way because technology allows us to handle data in a much more efficient manner.

For example, why make all the appointments at the front desk? If you use an electronic schedule with treatment room based computers why not schedule from the treatment room? Who better to make the appointment than the chairside assistant? She has just heard the dentist and the patient discussing the treatment. She knows exactly what needs to be done next. She knows if the patient is a gagger who needs extra time. She knows if there is lab work involved or any of the other clinical considerations, which would affect the appointment time. Just make the appointment.

Often work flow tasks with digital data do not need a person of any kind. For example making reminder calls, reactivating non compliant patients, sending bills or insurance claims are done in the cloud (online) with e-services, no human involved.

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Dental Art

by Larry Emmott on July 8, 2020

in Dental Art

“Star Spangled Lips” Dental art for the 4th of July!

Dental art is anything that depicts teeth or dentistry in an interesting or artistic way. If you have any suggestions for future Dental Art pieces please send them to me or give me a link. Thanks.

Previous “Dental Art” images can be found here on Pinterest.

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Understanding Line Pairs per Millimeter

by Larry Emmott on July 7, 2020

in Radiography

Line Pairs per millimeter or LP/mm is a resolution measurement commonly used to evaluate digital radiography sensors. LP/mm is a measurement of spatial resolution, that is how small a space can you perceive. Spatial resolution is important if you want to see a very small item such as the tip of an endo file on a radiograph. It is not so important if you are looking for subtle changes in the density of enamel.

A line pair gauge like this one shows five line pairs (one dark and one light) converging together into a smaller and smaller space eventually reaching a maximum of 20 LP/mm. It is important to note the gauge only goes to 20. If a radiography vendor tells you that his or her sensor has a LP/mm of 23 or 26 one of two things is happening. They are mistaken or they are quoting a theoretical measurement based on pixel size.

Te problem with theoretical is that it is well… theoretical. The actual performance is always less, sometimes a lot less, that the theoretical upper limit. As a result the only reliable measurement of LP/mm is an actual test using the gauge and the highest possible score is > (greater than) 20.

In actual testing sensors range from as low as 8 to >20.

It is also important to note that in order for a human eye to actually see 20 or greater LP/mm the image must be magnified. Good spatial resolution is a result of both a high-quality sensor and well designed software that can display the image in an appropriate way. Some software enhancement tools such as sharpening may actually decrease LP/mm.

Some radiography vendors have made the claim that LP/mm is not an important measurement. In fact it is important for some things and not for others. It is important if you are trying to see the tip of a #8 file or a pattern of bone trabeculation. It is not important if you are trying to see incipient decay.

Thanks to Doug Yoon  at XDR Radiography

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From  ScienceDirect: Following is the summary of this scientific article by E. Dianne Rekow, King’s College, London.

Digital innovations have unquestionably disrupted dentistry. With these innovations, patient experience has improved. More restoration options are available delivering longer lifetimes, and better esthetics. Fresh approaches are bringing greater efficiency and accuracy, capitalizing on the interest, capabilities, and skills of those involved. New ways for effective and efficient interprofessional and clinician-patient interactions have evolved. Data can be more efficiently mined for forensic and epidemiological uses. Students have fresh ways of learning. New, often unexpected, partnerships have formed bringing further disruption — and novel advantages.

Is digital dentistry disruptive? Absolutely. Is it destructive? Absolutely not!

Source: Digital dentistry: The new state of the art — Is it disruptive or destructive? – ScienceDirect

I have been saying the same thing for many years. It is nice to see some research backing me up.

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Independence Day

by Larry Emmott on July 4, 2020

in General

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New Phone

by Larry Emmott on July 2, 2020

in Mobile

I just upgraded my smart phone to the new Samsung Galaxy S20.

The new phone is very nice, the camera is awesome. It is set up for 5G…whatever. However the best part was the transition. I was not looking forward to it as my past experiences have been less than ideal. This time it went very fast and easy, in just a mater of minutes I walked out of the Sprint store with everything of consequence was transferred to the new phone and working like a charm.

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Dental Art

July 1, 2020

“Brass Tooth” What are we seeing reflected in the shiny surface? Dental art is anything that depicts teeth or dentistry in an interesting or artistic way. If you have any suggestions for future Dental Art pieces please send them to me or give me a link. Thanks. Previous “Dental Art” images can be found here […]

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TikTok: Beneath Its Fun Exterior Lies A Sinister Purpose

June 30, 2020

From Forbes: Disturbing. TikTok is a lesson in irresponsibility, dangerous by design. And not simply by carelessness, mistake or default: this is a deep and patent irresponsibility, a philosophy focused on the constant capture of all kinds of user data. In short, not recommendable for children or adults, particularly thanks to its sinister and addictive […]

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Picky vs difficult

June 25, 2020

More wisdom from Seth Godin: Picky people have consistent preferences and standards. Difficult people change their preferences frequently, and often in response to who is presenting to them or the mood they’re in. It’s pretty easy to figure out which makes for a better client or colleague. Source: Picky vs difficult | Seth’s Blog

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Dental Art

June 24, 2020

“Dentist” Johann Christian Schoeller Austrian artist circa 1800. Dental art is anything that depicts teeth or dentistry in an interesting or artistic way. If you have any suggestions for future Dental Art pieces please send them to me or give me a link. Thanks. Previous “Dental Art” images can be found here on Pinterest.

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Ten Truths

June 23, 2020

I think part of a best friend’s job should be to immediately clear your computer history if you die. Nothing sucks more than that moment during an argument when you realize you’re wrong. There is great need for a sarcasm font. Google Map directions really needs to start on # 5.  I’m pretty sure I know […]

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ADA In Person Meeting Cancelled

June 23, 2020

The ADA and FDA have made the difficult decision not to move forward with ADA FDC 2020 as an in-person meeting, originally scheduled for October 15–18 in Orlando. Source: Important Information & Dates | ADA FDC Annual Meeting 2020

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The Internet of Things Has a Consent Problem

June 22, 2020

The Internet of Things (IOT) has a consistent problem with security. From  IEEE Spectrum: IoT companies should tell users what information their devices are gathering and how they’re using it Source: The Internet of Things Has a Consent Problem – IEEE Spectrum Read the whole thing. Most people would be shocked to discover all the […]

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Happy Father’s Day

June 21, 2020
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Virtual health: The next frontier of care delivery

June 18, 2020

From  McKinsey: For the past 10 to 15 years, virtual health has been heralded as the next disrupter in the delivery of care, but there has been minimal uptick in adoption. The COVID-19 pandemic is pushing against structural barriers that had previously slowed health system investment in integrated virtual health applications. Source: Virtual health: The […]

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Dental Art

June 17, 2020

“JSA at the dentist”  I have no idea who these super heroes are. The only one missing seems to be Odontoman. The dentist needs to get his mask up where it belongs. Dental art is anything that depicts teeth or dentistry in an interesting or artistic way. If you have any suggestions for future Dental Art […]

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“Users”

June 16, 2020

Most businesses have customers. The only ones that have “users” are software vendors and drug dealers.

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The Challenges of Pandemic Dental Care

June 15, 2020

From NYT. Generally a positive article worth reading as it lets us know what the general lay public is being told regarding dentistry and Covid. On March 20, when Gov. Andrew M. Cuomo of New York ordered nonessential businesses closed, a colorful sign appeared in the window of my dentist’s office. It reads, “We are […]

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