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The Power of the Initial Examination

Aug 01, 2023

Do you routinely perform a comprehensive initial examination?  Does it include full-mouth periodontal probing and full-mouth series of radiographs?  If you do, you are in the minority. In a review of 235 dental practices, it was found that only 19% routinely performed a d periodontal exam and 53% of the practices did not even have a periodontal chart (Incidence of periodontal diagnosis in private practice Cury, Martins, Bonecker et al  Am J Dent 19, 2006). When it came to radiographic examination, dentists did not fare much better with over 40% of the practices never taking a full mouth series of radiographs.

I have come to believe that, in the dynamic world of dentistry, one crucial aspect sets the stage for long-term success and proper treatment - the initial examination. Emphasizing the principles laid out by Atul Gawande in his enlightening work, "The Checklist Manifesto," I realize the transformative potential of these assessments. Surprisingly, despite its immense value, performing a comprehensive initial examination puts you in the minority. However, being part of this niche is not just about standing out but also ensuring the best interest of both you and your patients, even in the face of insurance complexities. We discuss this in great detail during our first day of the Periodontal Mastery program.

Gawande's "The Checklist Manifesto" reveals how simple, yet structured checklists can remarkably enhance complex processes. In the realm of dentistry, the initial examination checklist serves as an invaluable tool to meticulously assess various facets of a patient's oral health. This approach minimizes the likelihood of overlooking crucial details and reinforces the foundation for informed decision-making.

As dental professionals, we must recognize the significance of the first hour with a patient. This crucial window provides us with an opportunity to build trust, establish rapport, and delve into the patient's unique story. By actively listening to their concerns, goals, and fears, we gain a deeper understanding of their needs. This patient-centered conversation serves as a blueprint for comprehensive treatment planning that aligns perfectly with each individual's aspirations. Click here or our free link on this topic.

It's intriguing to note that despite its undeniable benefits, only a minority of dental practitioners perform comprehensive initial examinations. This means that by embracing this approach, you elevate yourself to a niche in the dental industry. In this rarefied air, you stand apart as a practitioner dedicated to providing the highest standard of care and committed to placing your patients' well-being above all else.

In the landscape of insurance-driven practices, some may wonder if comprehensiveness aligns with financial sustainability. The truth is, it does! Contrary to popular belief, practicing comprehensively not only fosters better patient outcomes but also enhances financial viability in the long run. By addressing potential issues proactively, you reduce the likelihood of costly treatments down the road, benefiting both your patients and your practice's bottom line.

Moreover, embracing the niche of comprehensive dental care opens doors to professional fulfillment and genuine patient satisfaction. Just as Gawande's checklists empower teams to handle complex situations with confidence, your patient-centered approach fosters a sense of trust and security in your patients. This, in turn, strengthens patient loyalty and fosters a robust referral network, perpetuating the growth of your practice. 

Treating People Not Patients
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Sample a lesson from our popular course Treating People Not Patients where we provide practical Insights on Hospitality and Human Connection to Provide High Quality Care Experiences for People and Practitioners

Treating People Not Patients
Free Preview

Sample a lesson from our popular course Treating People Not Patients where we provide practical Insights on Hospitality and Human Connection to Provide High Quality Care Experiences for People and Practitioners