Category Archives: Practice Management

Noncompliant patients

From: Utley3 <>
Subject: noncompliant patients
Date: Monday, February 28, 2011, 8:02 AM


I just finished reading an article in The Bulletin about treating noncompliant patients.  The authors suggested that the orthodontist was too agreeable with the parents in allowing treatment to continue despite his poor oral hygiene.  They note that if the orthodontist would have terminated treatment after “a few months”, the parents would have been more accepting of his decision to terminate treatment.  It seems to me that we are required to be clairvoyant in situations like this.  I have fought the oral hygiene battle for many years.  Most of the time, I win, but not always.  If I were to have terminated treatment after just a few months on every poor brusher, many patients would not have their malocclusion corrected today.  Besides, in the vast majority of cases I have treated with poor oral hygiene, the worst “damage” can be repaired with conservative measures (enamel microabrasion, composite restorations…etc)  I think that is better than leaving someone with a 10 mm overjet with no decalcifications.  It is obvious in hindsight what the orthodontist in the article should have done, but we have to make judgements in the present.  Clearly, in a small percentage of patients, treatment should be terminated, but the guidelines in this article would apply to a significant percentage of my patients.
Kevin C. Utley


Receivables / Payables

From: Leon Klempner <>
Subject: Receivables/Payables
Date: Friday, January 14, 2011, 7:55 AM

Does anyone have a simple system of tracking supplies received so that all monthly statements can be easily verifiable before payment?

Leon Klempner
Port Jefferson, NY

Online Collaboration

From: Leon Klempner <>
Subject: Online Collaboration
Date: Friday, January 14, 2011, 7:44 AM

In these economic times, enhancing relationships with our referring dentist and patients has become more important than ever.

Has anyone successfully use online collaboration tools like Fuze, Webex, GoToMeeting, etc successfully?  If so, please share.
Leon Klempner
Port Jefferson, NY

Re: Doggy Dentistry Can Now Mean Braces

From: []
Sent: Monday, January 03, 2011 7:24 PM
Subject: Re: Doggy Dentistry Can Now Mean Braces 


To fellow ESCOERS  


During these difficult times, we are treating more adults and
canines(dogs) in greater numbers. We have certain criteria that must be met before agreeing to treat.  These are            
1- oral hygiene must be immaculate
2- all appointments are in the morning
3- wee wee pads accompany each visit  (seniors and dogs)
4- separate fee for prolonged elastic instructions 
5-  additional retainer fee if ” my dog chewed up HIS retainer” 
HAPPY NEW YEAR,  Glad that ESCO is returning!
Howard M. Tichler, DDS
Jenny E. Abraham, DDS
725 Montauk Hwy
West Islip, NY 11795

Three questions before I go home…

From: Tim Dumore [mailto:Tim@DRDUMORE.COM]
Sent: Thursday, October 01, 2009 6:00 PM
Subject: Three questions before I go home…


I have three questions- been meaning to post them for a while but never seem get around to it!

  1. For the past ~year, I have been using OrthoCAD, and now find that I have perhaps a thousand model boxes that I no longer need.  They have dividers that allow you to fit four mounted casts, but you can get dividers that allow you fit six standard casts…all are a very attractive beige color…  ?anyone need some boxes??
  2. My bracket of choice is Inovation R…like it a lot.   For first molars, I typically bond, but find enough situations where I place bands.  The challenge is that assistants can sometimes have a hard time placing an excellent steel tie, and I find myself wishing that GAC had a band with a self-ligating attachment.  ?Am I the only person that has ever wished for a band with a self-ligating attachment?
  3. I am contemplating a bonus system for my team, but recently brought on an associate who is working one day per week, generally seeing his own patients, receiving a percentage of collections.  His staff are paid by me and work for both of us.  That said, how do you create a bonus system that fairly compensates the staff, while taking into account the productivity and compensation paid to an associate?  I’m not sure my question is as clear as it might be, but time’s up- dinner time!

Thanks for your time and consideration…

Tim Dumore