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11 October 11 October 20072007

Page A1Page A1

With dentists’ fees rising far faster than With dentists’ fees rising far faster than inflationinflation

More than 100 million people lacking More than 100 million people lacking dental insurancedental insurance

The percentage of Americans with The percentage of Americans with untreated cavities began rising this untreated cavities began rising this decade, reversing a half-century trend of decade, reversing a half-century trend of improvement in dental health. improvement in dental health.

27 percent of children and 29 percent of 27 percent of children and 29 percent of adults had cavities going untreatedadults had cavities going untreated

The level of untreated decay was the The level of untreated decay was the highest since the late 1980s and highest since the late 1980s and significantly higher than that found in a significantly higher than that found in a survey from 1999 to 2002. survey from 1999 to 2002.

State boards of dentists and the American State boards of dentists and the American Dental Association have fought efforts to use Dental Association have fought efforts to use dental hygienists and other non-dentists to dental hygienists and other non-dentists to provide basic care to people who do not have provide basic care to people who do not have access to dentists. access to dentists.

Many poor and lower-middle-class families do Many poor and lower-middle-class families do not receive adequate care not receive adequate care

A child in Mississippi and another in Maryland A child in Mississippi and another in Maryland died this year from infections caused by died this year from infections caused by decayed teeth. decayed teeth.

The dental profession’s critics say that The dental profession’s critics say that too many dentists are focused more on too many dentists are focused more on money than medicine. money than medicine.

““Most dentists consider themselves to be Most dentists consider themselves to be in the business of dentistry rather than in the business of dentistry rather than the practice of dentistry,” said Dr. David the practice of dentistry,” said Dr. David A. Nash, a professor of pediatric dentistry A. Nash, a professor of pediatric dentistry at the at the University of KentuckyUniversity of Kentucky. .

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““Charity is not a health care system,” Dr. Charity is not a health care system,” Dr. Dickinson said, a practicing dentist who Dickinson said, a practicing dentist who is also the executive director of the is also the executive director of the Virginia Dental Association. Virginia Dental Association.

Dentists, of course, are no more Dentists, of course, are no more obligated to serve the poor than are obligated to serve the poor than are lawyers or accountants. lawyers or accountants.

Formerly poor relations to physicians, Formerly poor relations to physicians, American dentists in general practice American dentists in general practice made an average salary of $185,000 in made an average salary of $185,000 in 2004 2004

That figure is similar to what non-That figure is similar to what non-specialist doctors make, but dentists specialist doctors make, but dentists work far fewer hours. work far fewer hours.

After peaking at 5,750 in 1982, the After peaking at 5,750 in 1982, the number of dental school graduates fell to number of dental school graduates fell to 4,440 in 2003 4,440 in 2003

The average dentist is now 49 years old The average dentist is now 49 years old For at least the next decade retiring For at least the next decade retiring

dentists will probably outnumber new dentists will probably outnumber new ones ones

Training dentists is expensive, because Training dentists is expensive, because dental schools must provide hands-on dental schools must provide hands-on training — unlike training — unlike medical schoolsmedical schools, which , which send doctors to send doctors to hospitalshospitals for training after for training after they graduate. they graduate. Hospitals receive federal subsidies for the Hospitals receive federal subsidies for the

training they provide to medical interns and training they provide to medical interns and residents, but the equivalent system does residents, but the equivalent system does not really exist in dentistry. not really exist in dentistry.

The association says it sees no The association says it sees no nationwide shortage of dentists, though it nationwide shortage of dentists, though it acknowledges a shortage in rural areas. acknowledges a shortage in rural areas. Dentists note that in the early 1980s, when Dentists note that in the early 1980s, when

schools were graduating nearly twice as schools were graduating nearly twice as many dentists relative to the overall size of many dentists relative to the overall size of the population as they are now, some the population as they are now, some dentists struggled to keep their practices dentists struggled to keep their practices afloat. afloat.

the association is working to increase the association is working to increase Medicaid’s reimbursement rates to make Medicaid’s reimbursement rates to make it more cost-effective for dentists to treat it more cost-effective for dentists to treat low-income patients low-income patients While Medicaid is supposed to cover both While Medicaid is supposed to cover both

basic care and emergency procedures for basic care and emergency procedures for children, the program will pay only for children, the program will pay only for emergency procedures — not basic care — emergency procedures — not basic care — for adults in most states. for adults in most states.

““Access to dental care, especially for Access to dental care, especially for children, has been a growing problem for children, has been a growing problem for 10 years,” Dr. Roth said. “State and 10 years,” Dr. Roth said. “State and federal programs have decreased the federal programs have decreased the amount of dollars available.” amount of dollars available.”

Some dentists do not accept Medicaid Some dentists do not accept Medicaid patients because they frequently miss patients because they frequently miss appointments, which means lost revenue appointments, which means lost revenue

Outside the United States, more than 50 Outside the United States, more than 50 countries, including some western countries, including some western European nations, now allow technicians European nations, now allow technicians called dental therapists to drill and fill called dental therapists to drill and fill cavities, usually in children. cavities, usually in children.

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October 11, 2007October 11, 2007 Boom Times for Dentists, but Not for Teeth Boom Times for Dentists, but Not for Teeth By By ALEX BERENSONALEX BERENSON For American dentists, times have never been better.For American dentists, times have never been better. The same cannot be said for Americans’ teeth.The same cannot be said for Americans’ teeth. With dentists’ fees rising far faster than inflation and more than 100 million people lacking dental insurance, the percentage of Americans with untreated cavities began rising this decade, reversing a half-century trend of improvement in dental health. With dentists’ fees rising far faster than inflation and more than 100 million people lacking dental insurance, the percentage of Americans with untreated cavities began rising this decade, reversing a half-century trend of improvement in dental health. Previously unreleased figures from the Previously unreleased figures from the Centers for Disease Control and PreventionCenters for Disease Control and Prevention show that in 2003 and 2004, the most recent years with data available, 27 percent of children and 29 percent of adults had cavities going untreated. The level of untreated decay was the show that in 2003 and 2004, the most recent years with data available, 27 percent of children and 29 percent of adults had cavities going untreated. The level of untreated decay was the

highest since the late 1980s and significantly higher than that found in a survey from 1999 to 2002. highest since the late 1980s and significantly higher than that found in a survey from 1999 to 2002. Despite the rise in dental problems, state boards of dentists and the American Dental Association, the main lobbying group for dentists, have fought efforts to use dental hygienists and other non-dentists to provide basic care to people who do not have access to dentists.Despite the rise in dental problems, state boards of dentists and the American Dental Association, the main lobbying group for dentists, have fought efforts to use dental hygienists and other non-dentists to provide basic care to people who do not have access to dentists. For middle-class and wealthy Americans, straight white teeth are still a virtual birthright. And dentists say that a majority of people in this country receive high-quality care.For middle-class and wealthy Americans, straight white teeth are still a virtual birthright. And dentists say that a majority of people in this country receive high-quality care. But many poor and lower-middle-class families do not receive adequate care, in part because most dentists want customers who can pay cash or have private insurance, and they do not accept But many poor and lower-middle-class families do not receive adequate care, in part because most dentists want customers who can pay cash or have private insurance, and they do not accept MedicaidMedicaid patients. As a result, publicly supported dental clinics have months- patients. As a result, publicly supported dental clinics have months-

long waiting lists even for people who need major surgery for decayed teeth. At the pediatric clinic managed by the state-supported long waiting lists even for people who need major surgery for decayed teeth. At the pediatric clinic managed by the state-supported University of FloridaUniversity of Florida dental school, for example, low-income children must wait six months for surgery. dental school, for example, low-income children must wait six months for surgery. In some cases, the results of poor In some cases, the results of poor dental caredental care have been deadly. A child in Mississippi and another in Maryland died this year from infections caused by decayed teeth. have been deadly. A child in Mississippi and another in Maryland died this year from infections caused by decayed teeth. The dental profession’s critics — who include public health experts, some physicians and even some dental school professors — say that too many dentists are focused more on money than medicine.The dental profession’s critics — who include public health experts, some physicians and even some dental school professors — say that too many dentists are focused more on money than medicine. ““Most dentists consider themselves to be in the business of dentistry rather than the practice of dentistry,” said Dr. David A. Nash, a professor of pediatric dentistry at the Most dentists consider themselves to be in the business of dentistry rather than the practice of dentistry,” said Dr. David A. Nash, a professor of pediatric dentistry at the University of KentuckyUniversity of Kentucky . “I’m a cynic about my profession, but the data are there. It’s embarrassing.”. “I’m a cynic about my profession, but the data are there. It’s embarrassing.” A defender of the profession is Dr. Terry D. Dickinson, a practicing dentist who is also the executive director of the Virginia Dental Association. He says he believes that dentists are charitable and want to provide care to poor patients. But dentists are also in business; A defender of the profession is Dr. Terry D. Dickinson, a practicing dentist who is also the executive director of the Virginia Dental Association. He says he believes that dentists are charitable and want to provide care to poor patients. But dentists are also in business;

they must pay rent and employee salaries, and they deserve fair fees, he said.they must pay rent and employee salaries, and they deserve fair fees, he said. ““Charity is not a health care system,” Dr. Dickinson said.Charity is not a health care system,” Dr. Dickinson said. Dentists, of course, are no more obligated to serve the poor than are lawyers or accountants. But the issue from a public health standpoint, the critics say, is that even as so many patients go untreated, business is booming for most dentists. They are making more money Dentists, of course, are no more obligated to serve the poor than are lawyers or accountants. But the issue from a public health standpoint, the critics say, is that even as so many patients go untreated, business is booming for most dentists. They are making more money

while working shorter hours, on average, even as the nation’s number of dentists, per person, has declined.while working shorter hours, on average, even as the nation’s number of dentists, per person, has declined. The lack of dental care is not restricted to the poor and their children, the data shows. Experts on oral health say about 100 million Americans — including many adults who work and have incomes well above the poverty line — are without access to care.The lack of dental care is not restricted to the poor and their children, the data shows. Experts on oral health say about 100 million Americans — including many adults who work and have incomes well above the poverty line — are without access to care. A federal survey shows that 27 percent of adults without insurance saw a dentist in 2004, down from 29 percent in 1996, when dental fees were significantly lower, even after adjusting for inflation. For adults with private insurance, the rate was virtually unchanged, at 57 A federal survey shows that 27 percent of adults without insurance saw a dentist in 2004, down from 29 percent in 1996, when dental fees were significantly lower, even after adjusting for inflation. For adults with private insurance, the rate was virtually unchanged, at 57

percent, up from 56 percent. Since 1990, the number of dentists in the United States has been roughly flat, about 150,000 to 160,000, while the population has risen about 22 percent. In addition, more dentists are working part time.percent, up from 56 percent. Since 1990, the number of dentists in the United States has been roughly flat, about 150,000 to 160,000, while the population has risen about 22 percent. In addition, more dentists are working part time. Partly as a result, dental fees have risen much faster than inflation. In real dollars, the cost of the average dental procedure rose 25 percent from 1996 to 2004. The average American adult patient now spends roughly $600 annually on dental care, with insurance picking Partly as a result, dental fees have risen much faster than inflation. In real dollars, the cost of the average dental procedure rose 25 percent from 1996 to 2004. The average American adult patient now spends roughly $600 annually on dental care, with insurance picking

up about half the tab. up about half the tab. Dentists’ incomes have grown faster than that of the typical American and the incomes of medical doctors. Formerly poor relations to physicians, American dentists in general practice made an average salary of $185,000 in 2004, the most recent data available. That Dentists’ incomes have grown faster than that of the typical American and the incomes of medical doctors. Formerly poor relations to physicians, American dentists in general practice made an average salary of $185,000 in 2004, the most recent data available. That

figure is similar to what non-specialist doctors make, but dentists work far fewer hours. Dental surgeons and orthodontists average more than $300,000 annually.figure is similar to what non-specialist doctors make, but dentists work far fewer hours. Dental surgeons and orthodontists average more than $300,000 annually. ““Dentists make more than doctors,” said Morris M. Kleiner, a Dentists make more than doctors,” said Morris M. Kleiner, a University of MinnesotaUniversity of Minnesota economist. “If I had a kid going into the sciences, I’d tell them to become a dentist.” economist. “If I had a kid going into the sciences, I’d tell them to become a dentist.” But despite the allure of rising salaries, the shortage of dentists will almost certainly worsen, because the nation has fewer dental schools and fewer dentists in training than a generation ago. After peaking at 5,750 in 1982, the number of dental school graduates fell to But despite the allure of rising salaries, the shortage of dentists will almost certainly worsen, because the nation has fewer dental schools and fewer dentists in training than a generation ago. After peaking at 5,750 in 1982, the number of dental school graduates fell to

4,440 in 2003, as several big dental schools closed their doors. The average dentist is now 49 years old, according to the American Dental Association, and for at least the next decade retiring dentists will probably outnumber new ones.4,440 in 2003, as several big dental schools closed their doors. The average dentist is now 49 years old, according to the American Dental Association, and for at least the next decade retiring dentists will probably outnumber new ones. Even if more students wanted to enter the profession, states are not moving aggressively to expand dental schools or open new ones. Training dentists is expensive, because dental schools must provide hands-on training — unlike Even if more students wanted to enter the profession, states are not moving aggressively to expand dental schools or open new ones. Training dentists is expensive, because dental schools must provide hands-on training — unlike medical schoolsmedical schools , which send doctors to , which send doctors to

hospitalshospitals for training after they graduate. Hospitals receive federal subsidies for the training they provide to medical interns and residents, but the equivalent system does not really exist in dentistry. for training after they graduate. Hospitals receive federal subsidies for the training they provide to medical interns and residents, but the equivalent system does not really exist in dentistry. Meanwhile, the A.D.A. does not support opening new dental schools or otherwise increasing the number of dentists. The association says it sees no nationwide shortage of dentists, though it acknowledges a shortage in rural areas. Dentists note that in the early 1980s, Meanwhile, the A.D.A. does not support opening new dental schools or otherwise increasing the number of dentists. The association says it sees no nationwide shortage of dentists, though it acknowledges a shortage in rural areas. Dentists note that in the early 1980s,

when schools were graduating nearly twice as many dentists relative to the overall size of the population as they are now, some dentists struggled to keep their practices afloat.when schools were graduating nearly twice as many dentists relative to the overall size of the population as they are now, some dentists struggled to keep their practices afloat. Dr. Kathleen Roth, president of the A.D.A., said that the association is working to increase Medicaid’s reimbursement rates to make it more cost-effective for dentists to treat low-income patients. While Medicaid is supposed to cover both basic care and emergency Dr. Kathleen Roth, president of the A.D.A., said that the association is working to increase Medicaid’s reimbursement rates to make it more cost-effective for dentists to treat low-income patients. While Medicaid is supposed to cover both basic care and emergency

procedures for children, the program will pay only for emergency procedures — not basic care — for adults in most states.procedures for children, the program will pay only for emergency procedures — not basic care — for adults in most states. ““Access to dental care, especially for children, has been a growing problem for 10 years,” Dr. Roth said. “State and federal programs have decreased the amount of dollars available.”Access to dental care, especially for children, has been a growing problem for 10 years,” Dr. Roth said. “State and federal programs have decreased the amount of dollars available.” Besides calling for higher Medicaid reimbursement, Dr. Roth said, the association supports putting health aides with basic dental training into public schools. The aides would help get appointments for children who need them and teach children basic habits like brushing Besides calling for higher Medicaid reimbursement, Dr. Roth said, the association supports putting health aides with basic dental training into public schools. The aides would help get appointments for children who need them and teach children basic habits like brushing

teeth.teeth. But critics say the association’s plans would do little to solve the basic problem of access to care. Moreover, even in states that have raised Medicaid payments, most dentists still do not accept Medicaid patients. Virginia, for example, overhauled its Medicaid program in But critics say the association’s plans would do little to solve the basic problem of access to care. Moreover, even in states that have raised Medicaid payments, most dentists still do not accept Medicaid patients. Virginia, for example, overhauled its Medicaid program in

2005, raising rates 30 percent. But only about 25 percent of all Virginia dentists now accept Medicaid patients, compared with 15 percent before the changes.2005, raising rates 30 percent. But only about 25 percent of all Virginia dentists now accept Medicaid patients, compared with 15 percent before the changes. Some dentists do not accept Medicaid patients because they frequently miss appointments, which means lost revenue, said Dr. L. Jackson Brown, the former managing vice president for health policy at the A.D.A. Some dentists do not accept Medicaid patients because they frequently miss appointments, which means lost revenue, said Dr. L. Jackson Brown, the former managing vice president for health policy at the A.D.A. With little dental care available for poor children, pediatricians are teaching themselves how to apply fluoride varnish on baby teeth, a simple procedure that can prevent cavities, said Dr. Amos S. Deinard, a pediatrician and associate professor at the University of With little dental care available for poor children, pediatricians are teaching themselves how to apply fluoride varnish on baby teeth, a simple procedure that can prevent cavities, said Dr. Amos S. Deinard, a pediatrician and associate professor at the University of

Minnesota.Minnesota. ““The dentists don’t want to see these kids,” Dr. Deinard said.The dentists don’t want to see these kids,” Dr. Deinard said. Outside the United States, more than 50 countries, including some western European nations, now allow technicians called dental therapists to drill and fill cavities, usually in children. Outside the United States, more than 50 countries, including some western European nations, now allow technicians called dental therapists to drill and fill cavities, usually in children. Proponents of the therapists say their training is comparable to the practical training that dentists receive, but without the general medical training dentists get. Studies of the work performed by the therapists have concluded that it is comparable to, and in some cases Proponents of the therapists say their training is comparable to the practical training that dentists receive, but without the general medical training dentists get. Studies of the work performed by the therapists have concluded that it is comparable to, and in some cases

better than, that of fully trained dentists.better than, that of fully trained dentists. Dr. Frank Catalanotto, a professor of community dentistry at the University of Florida, said dental therapists would be a cost-effective way to provide basic care to children and some adults who could not otherwise afford treatment.Dr. Frank Catalanotto, a professor of community dentistry at the University of Florida, said dental therapists would be a cost-effective way to provide basic care to children and some adults who could not otherwise afford treatment. But state boards of dentistry have blocked dental therapists from working, arguing that only dentists should be allowed to drill teeth, because it is an “irreversible surgical procedure” and can lead to serious complications like infections or nerve damage. Children of Alaska But state boards of dentistry have blocked dental therapists from working, arguing that only dentists should be allowed to drill teeth, because it is an “irreversible surgical procedure” and can lead to serious complications like infections or nerve damage. Children of Alaska

Natives in remote areas have high rates of cavities and essentially no access to dentists, so a coalition of tribes began a program in 2003 to use therapists to treat native children. Natives in remote areas have high rates of cavities and essentially no access to dentists, so a coalition of tribes began a program in 2003 to use therapists to treat native children. ““There’s never been a dentist in these rural areas,” said Dr. Ron Nagel, a dentist who helped create the Alaska program.There’s never been a dentist in these rural areas,” said Dr. Ron Nagel, a dentist who helped create the Alaska program. But the American Dental Association fought the program almost as soon as it began, dropping its effort only in July, after a state judge ruled in favor of the program. Still, the group continues to oppose letting dental therapists practice anywhere in the continental United But the American Dental Association fought the program almost as soon as it began, dropping its effort only in July, after a state judge ruled in favor of the program. Still, the group continues to oppose letting dental therapists practice anywhere in the continental United

States. States. ““What we’re extremely uncomfortable with is that they need to drill teeth and sometimes extract teeth,” said Dr. Roth, the association’s president. Use of therapists would create a two-tier system where some people have access to dentists, while others must settle for What we’re extremely uncomfortable with is that they need to drill teeth and sometimes extract teeth,” said Dr. Roth, the association’s president. Use of therapists would create a two-tier system where some people have access to dentists, while others must settle for

less-qualified practitioners, she said.less-qualified practitioners, she said. Dr. Caswell A. Evans, a dentist and associate dean at the University of Illinois-Chicago, said dentists must stop fighting efforts to expand care to patients they are not currently treating. The system is failing many patients, he said.Dr. Caswell A. Evans, a dentist and associate dean at the University of Illinois-Chicago, said dentists must stop fighting efforts to expand care to patients they are not currently treating. The system is failing many patients, he said. ““Right now we have a double standard of care,” Dr. Evans said. “Some people can get it and some people can’t.”Right now we have a double standard of care,” Dr. Evans said. “Some people can get it and some people can’t.”

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Falling numbers of state dentists in Falling numbers of state dentists in EnglandEngland has has led to some people taking led to some people taking extreme measuresextreme measures, , including extracting their own teeth, according including extracting their own teeth, according to a new study released Monday. to a new study released Monday.

verall, six percent of patients had resorted to verall, six percent of patients had resorted to self-treatment, according to the survey of 5,000 self-treatment, according to the survey of 5,000 patients in England, which found that patients in England, which found that one in fiveone in five had decided against had decided against dental workdental work because of the because of the cost. cost.

"These findings indicate that the NHS dental "These findings indicate that the NHS dental system is letting many patients down very system is letting many patients down very badly," badly,"

Fifty-eight percent (of dentists) said new Fifty-eight percent (of dentists) said new dentists' contracts introduced last year had dentists' contracts introduced last year had made the quality of care worse, while 84 made the quality of care worse, while 84 percent thought they had failed to make it percent thought they had failed to make it easier for patients to find care. easier for patients to find care.

Almost halfAlmost half of all dentists -- 45 percent -- said of all dentists -- 45 percent -- said they no longer take they no longer take NHS patientsNHS patients, while 41 , while 41 percent said they had an "excessive" workload. percent said they had an "excessive" workload. Twenty-nine percent said their clinic had Twenty-nine percent said their clinic had problems recruiting or retaining dentists. problems recruiting or retaining dentists.

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id=071015184546.avefmhtd&show_article=1&image=largeid=071015184546.avefmhtd&show_article=1&image=large English 'pull own teeth' as dental service decaysEnglish 'pull own teeth' as dental service decays Oct 15 02:45 PM US/EasternOct 15 02:45 PM US/Eastern

View smaller image Falling numbers of state dentists in View smaller image Falling numbers of state dentists in EnglandEngland has led to some people taking has led to some people taking extreme extreme measuresmeasures, including extracting their own teeth, according to a new study released Monday. , including extracting their own teeth, according to a new study released Monday.

Others have used superglue to stick crowns back on, rather than stumping up for private treatment, said the Others have used superglue to stick crowns back on, rather than stumping up for private treatment, said the study. One person spoke of carrying out 14 separate extractions on himself with pliers. study. One person spoke of carrying out 14 separate extractions on himself with pliers.

More typically, a lack of publicly-funded dentists means that growing numbers go private: 78 percent of private More typically, a lack of publicly-funded dentists means that growing numbers go private: 78 percent of private patients said they were there because they could not find a National Health Service (NHS) dentist, and only 15 patients said they were there because they could not find a National Health Service (NHS) dentist, and only 15 percent because of better treatment. percent because of better treatment.

"This is an uncomfortable read for all of us, and poses "This is an uncomfortable read for all of us, and poses serious questionsserious questions to politicians from patients," said to politicians from patients," said Sharon Grant of the Commission for Patient and Public Involvement in Health. Sharon Grant of the Commission for Patient and Public Involvement in Health.

Overall, six percent of patients had resorted to self-treatment, according to the survey of 5,000 patients in Overall, six percent of patients had resorted to self-treatment, according to the survey of 5,000 patients in England, which found that England, which found that one in fiveone in five had decided against had decided against dental workdental work because of the cost. because of the cost.

One researcher involved in compiling the study -- carried out by members of England's Patient and Public One researcher involved in compiling the study -- carried out by members of England's Patient and Public Involvement Forums -- came across three people in one morning who had pulled out teeth themselves. Involvement Forums -- came across three people in one morning who had pulled out teeth themselves.

Dentists are also concerned about the trend. Dentists are also concerned about the trend. Fifty-eight percent said new dentists' contracts introduced last year had made the quality of care worse, while Fifty-eight percent said new dentists' contracts introduced last year had made the quality of care worse, while

84 percent thought they had failed to make it easier for patients to find care. 84 percent thought they had failed to make it easier for patients to find care. Almost halfAlmost half of all dentists -- 45 percent -- said they no longer take of all dentists -- 45 percent -- said they no longer take NHS patientsNHS patients, while 41 percent said they , while 41 percent said they

had an "excessive" workload. Twenty-nine percent said their clinic had problems recruiting or retaining had an "excessive" workload. Twenty-nine percent said their clinic had problems recruiting or retaining dentists. dentists.

"These findings indicate that the NHS dental system is letting many patients down very badly," said Grant. "These findings indicate that the NHS dental system is letting many patients down very badly," said Grant. "It appears many are being forced to go private because they don't want to lose their current trusted and "It appears many are being forced to go private because they don't want to lose their current trusted and

respected dentist or because they just can't find a local NHS dentist." respected dentist or because they just can't find a local NHS dentist."

Copyright AFP 2007, AFP stories and photos shall not be published, broadcast, rewritten for broadcast or Copyright AFP 2007, AFP stories and photos shall not be published, broadcast, rewritten for broadcast or publication or redistributed directly or indirectly in any medium publication or redistributed directly or indirectly in any medium

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http://www.belfasttelegraph.co.uk/health/article3064741.ecehttp://www.belfasttelegraph.co.uk/health/article3064741.ece

http://www.dailyindia.com/show/182884.php/Lack-of-NHS-dentists-visible-in-http://www.dailyindia.com/show/182884.php/Lack-of-NHS-dentists-visible-in-BritainBritain

http://www.nationalledger.com/artman/publish/http://www.nationalledger.com/artman/publish/article_272616703.shtmlarticle_272616703.shtml

http://online.wsj.com/article/http://online.wsj.com/article/SB119387210243478281.htmlSB119387210243478281.html


I decided to gauge just how inviting Rodeo Drive's I decided to gauge just how inviting Rodeo Drive's stores are with the help of Dan Hill, who is president of stores are with the help of Dan Hill, who is president of Sensory Logic, a company based in Minneapolis that Sensory Logic, a company based in Minneapolis that helps businesses from Target to Toyota connect helps businesses from Target to Toyota connect emotionally with patrons. emotionally with patrons.

Mr. Hill employs "facial coding," a technique of reading Mr. Hill employs "facial coding," a technique of reading and using facial expressions to elicit the most profitable and using facial expressions to elicit the most profitable emotional response in a customer. emotional response in a customer. The premise is that feelings occur more quickly than thoughts The premise is that feelings occur more quickly than thoughts

and play a more effective role in purchasing decisions, so and play a more effective role in purchasing decisions, so businesses need to appeal to our emotionsbusinesses need to appeal to our emotions. .


It's the emotional rather than the rational part of It's the emotional rather than the rational part of our brains that makes many of our buying our brains that makes many of our buying decisions, that's particularly true when it comes decisions, that's particularly true when it comes to luxury. to luxury.

"May I help you?" may not be terribly effective, "May I help you?" may not be terribly effective, given Mr. Hill's argument that only 7% of given Mr. Hill's argument that only 7% of communication relies on verbal exchange. The communication relies on verbal exchange. The rest is décor, the facial expressions of rest is décor, the facial expressions of associates, and things our eyes and ears pick associates, and things our eyes and ears pick up subliminally. up subliminally.

KY KY Delegated Delegated Duty ListDuty List

Board of Board of Dentistry Dentistry Fall 2007 Fall 2007 NewsletterNewsletter

http://dentistry.ky.gov/NR/rdonlyres/3618CC11-http://dentistry.ky.gov/NR/rdonlyres/3618CC11-AEED-4518-8E61-FC099C85AA5D/AEED-4518-8E61-FC099C85AA5D/127287/2007Fallnewsletter.pdf 127287/2007Fallnewsletter.pdf

84.3%

4.2%

5.1%

2.9%

1.6%

0.6%

0.1%

1.7%

SpecalistsSpecalists

OMFSOMFS 4.2% Kentucky licensees4.2% Kentucky licensees 43% KY Board of Dentistry 43% KY Board of Dentistry

board membersboard members

OMFS

OMFS

OMFS

CONTINUING CONTINUING EDUCATIONEDUCATION

ON THE WEBON THE WEB

http://http://www.thedentistsguide.cowww.thedentistsguide.com/m/

http://http://www.drbicuspid.comwww.drbicuspid.com

http://www.sciencedaily.com/releases/http://www.sciencedaily.com/releases/2007/05/070503094447.htm2007/05/070503094447.htm

http://www.yankodesign.com/index.php/2007/10/26/your-dentist-will-http://www.yankodesign.com/index.php/2007/10/26/your-dentist-will-know-everything/know-everything/

http://http://www.aeiseminars.com/www.aeiseminars.com/

http://http://www.bioclearmatrix.com/www.bioclearmatrix.com/

http://www.pinholephotography.org/110%20camera%20saleshttp://www.pinholephotography.org/110%20camera%20sales%20page.htm %20page.htm

http://www.dental-http://www.dental-tribune.com/tribune.com/

DR. SCOTT DR. SCOTT SHULERSHULER

caulk / dentsply new business fee surveys

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