Your Practice Computer Security – The Russians Are Coming!

crime-scene-computerI had a bit of a scare yesterday.  The first thing in the morning, my office manager told me she couldn’t get the computer at the front desk working.  There was a pop-up window saying my hard drive was full.  Whaaaaaaa??   Sure enough, there it was.  Whisky.  Tango.  Foxtrot!  The computer had pretty much frozen up.  I could barely get it to do anything.

The computer has a 500 Gig hard drive, and I knew it couldn’t be even more than half full.  No way.  I checked the properties of the hard drive.  It was full.  But, full of what?  How??

Had I been hacked?  Did we get a virus?  Am I a victim of ransomware??  Please!  Not that!  Does Vladimir Putin have a vendetta against me?  I bet it’s those fucking Russians!  😉  Though, we didn’t get a pop-up ransom notice, so it probably wasn’t that.  I hope not!  But, I was sweating bullets!

I’ve got a guy!

So, I had my office manager call one of my local dentist friends for a recommendation for a “computer guy,” STAT!  Usually, the “computer guy” is ME.  I’m pretty tech-savvy, but I was too panicked Continue reading

Digiprove sealCopyright protected by Digiprove © 2016 The Dental Warrior®
Posted in Current Events, Technology, What Happened Today | Tagged , , , , , , , | 4 Comments

The ADA “Values” My Opinion

Last night, I received an email with a link to a survey from the ADA.  Their records show I’m not a member and they want my input.  It was obvious they are becoming concerned about declining membership.

Subject:  Tell us what you think.

ada-logo

Dear Doctor: 

The American Dental Association is interested in your perceptions about member value and opinions about ADA membership. Upon completion of this survey, you will be entered to WIN one of five $100 Visa gift cards.

<link redacted>

Your participation is voluntary, but we would very much like your opinion. Please note that your answers to this survey are completely confidential and are only reported in aggregate. This survey should take less than 10 minutes to complete.  

We appreciate you taking the time to share your thoughts with us. If you have any questions concerning this survey, please feel free to contact me at 312.440.2864 or by replying to this email.

Please complete the survey by December 15. Thank you in advance for your assistance with helping us to collect this important information.

Sincerely,

Chris C. Mitchell
Director, Membership Marketing and Research

 

The questions were fairly predictable… asking about my prior experience and satisfaction with what the ADA has done.  They asked about my expectations of the ADA…. and so on.  Rating them on various categories with a range from “disatisfied” to “very satisfied” or “Strongly Agree” to “Strongly Disagree.”  At the very end, there was an opportunity to write additional comments in a text box.

This is what I wrote: Continue reading

Digiprove sealCopyright protected by Digiprove © 2016 The Dental Warrior®
Posted in Current Events, Editorial, What Happened Today | Tagged , , , | 25 Comments

Second Amendment Firearms Database – Software Review

Gun collector software appA few years ago, I reviewed a program designed to help gun owners document and archive important information about their firearms, related accessories, and ammunition.  While I liked the old program I was using, the developer has apparently abandoned the project.  My copy of the old program had become buggy, and there’s no support for it anymore.   Fortunately, I recently discovered a new database program that is fantastic.  It’s superior in many ways.  It’s called Your Second Amendment Gun Database (or “2AFDB” as an abbreviation later in this article).

There are a number of data points about your firearms, ammo, and related accessories you might want to keep recorded or track:

  • Receipts and other paper documents (scanned)
  • Acquired / purchased from source
  • Price paid / current value
  • Serial numbers
  • Round count (rounds fired through each gun – an “odometer,” so to speak)
  • Photos
  • Accessories
  • Maintenance and repair records
  • Modifications
  • Insurance
  • Ammunition inventory
  • Range and training log
  • Disposition / location (Is it in the safe?  Is it in the shop?  Did you loan it to someone?  Sell it?)

Why?  I can think of a few reasons.  Such records can help if you ever sell any of your firearms.  They can help in the case of loss (fire, flood, theft) for insurance claims and police reports.  They can also help diagnose issues by having a history of each gun, ammo, and your usage.  Another reason is for your own personal knowledge of how your guns are being used (a logbook), their condition, and value.  It increases your enjoyment of owning and using firearms.

Yeah, but do I need an app for that?

Sure, you could use a piece of paper in the old file cabinet or even a spreadsheet to do this.  But, a functionally-designed relational database has so much more to offer Continue reading

Digiprove sealCopyright protected by Digiprove © 2016 The Dental Warrior®
Posted in Guns & Knives | Tagged , , , , , , , , | 2 Comments

Dental Warrior Blog Stats!

I checked my blog dashboard today. It turns out that in 6 years, I’ve written the equivalent of three novels or two “thrillers.” 😎

dental-warrior-blog-stats

Digiprove sealCopyright protected by Digiprove © 2016 The Dental Warrior®
Posted in Dental Warrior Announcements | Tagged | Leave a comment

Fixing an Overprepped Tooth

over-prepped-tooth-9425over-prepped-tooth-2

 

 

 

 

 

Today’s challenge was a tooth #2 belonging to my former hygienist.  An all-ceramic crown fractured in half and debonded.  It had been endodontically treated before.  The tooth was under-prepped occlusally and over-prepped  and over-tapered axially, particularly on the distal.  The existing prep had very little retention and resistance form…. really NONE.  I couldn’t re-prep it as it was.  I needed to recreate some of the lost tooth structure.

Three different views of the prep as it presented pre-operatively.

Three different views of the prep as it presented pre-operatively.  Note the over-prepped axial surfaces.

So, I roughened / freshened the axial walls by “dusting” it with a diamond bur and removed a millimeter or two of the core build-up on the occlusal.  I couldn’t get a metal Tofflemire band to engage the tooth.  There was nothing for it to “grab,” as the tooth was turned into a “teepee” by the previous dentist.  The band would just slip off as it was tightened.  Then I found some old crown core forms in the back closet. Continue reading

Digiprove sealCopyright protected by Digiprove © 2016 The Dental Warrior®
Posted in Case Presentation, Clinical Technique | Tagged , , | 8 Comments

Dr. MacGyver Rocks You Like a Hurricane!

macgyver2-closeupLast week, just before the hurricane was predicted to strike, my office manager texted me on a Tuesday evening, “Broke my #9 off at the gum line!”  Yeah… not a good look for a cosmetically-oriented dental practice front desk, eh?

As it turns out, Wednesday’s schedule had pretty much fallen apart.  People were freaking out about the approaching Category 4 Hurricane, “Matthew.”  Gas stations had lines for blocks.  Supermarket shelves were being cleared by panicky citizens.  The office phone was silent.  hurricane-matthewDental care falls to the bottom of the priority list during a hurricane (unless they’re in pain… a lot of pain).

I didn’t have a lot of time to document everything.  We all wanted to get home to prepare for the storm.  So, this is a quick and dirty presentation.  (I’ll add an image of the radiograph when I get back to the office.)

macgyver-2-9406

Old crown, partially cleaned up.

The long-term viability of the tooth is certainly in question.  But, Hurricane Matthew was bearing down.  Jo-Ann just wanted her front tooth back!

macgyver-2-9398

Not much there to for retention, eh?

The first thing I did was just see if the existing crown still “fit” on the remaining root structure.  The margins seated fine all the way around.  Continue reading

Digiprove sealCopyright protected by Digiprove © 2016 The Dental Warrior®
Posted in Case Presentation | Tagged , , | 2 Comments

Do-It-Yourself Ortho Aligners? Same Thing, Right?

It’s been a long time since I have written a blog post.  No excuses.  Life is busy with family and other concerns, and I’ve not been inspired… until now.

Tele-dentistry?  Tele-braces?

sdc-diyMany of you may have already heard about online companies offering do-it-yourself orthodontic clear aligners.  For many of us, the instinctive reaction is to scoff or laugh at such a silly notion.  Some will dismiss the news and suggest that P.T. Barnum had it right about a “sucker being born every minute.”  I suppose the consensus might initially be summed up with the single-worded vernacular, “WhatevAR!”  What’s next?  Do your own crown preps?  Tele-crowns?

No worries, right?  If you visit this consumer review webpage and see their clients’ “before & afters,” you’ll likely be quite amused at the “results.”  Or, just keep reading.

Of course, we have many well-founded clinical concerns and objections to the concept of self-diagnosis and self-treatment.  No need to review them.  As dentists, we know what they are.  Smile Direct Club (SDC) claims that each case is “reviewed” by a licensed dentist.  The clients send in cell phone selfies of their smiles and self-administered impressions from the kit sent by SDC.  That’s it.  Consider the standard of care here.  How many of us would recommend orthodontic appliances for patients without a comprehensive examination prior to treatment?  These “hired guns” are approving cases based solely on selfies and models (of dubious quality)?  No x-rays?  No perio evaluation?  Caries or defective restorations identified?  Fixed bridges or splinted crowns?  Can you imagine what might happen to a practicing dentist who did that with patients of record?

Best Frenemies Forever?

Recently, Align Technologies (Invisalign) purchased part of SDC and is making their aligners for them.  The folks at Align tried to assuage the concerns of dentists by claiming they just want to be “ahead” of the trend (of self-treatment or “tele-dentistry”) and that the aligners they make for SDC are not the same technology as Invisalign brand aligners.  Furthermore, in the merger announcement, Align said, “30% of Smile Direct Club’s interested customers do not qualify using the Smile Direct Club protocols.”  Yeah…  Remember that 68% of all statistics are made up 93% of the time.  😉  Looking at the RealSelf.com SDC page, I’m hard-pressed to find a SINGLE CASE that was turned away by SDC.  Below you’ll see one I expect you’ll agree should have been.

SDC claims that every case is “reviewed” by a licensed dentist.  Word on the street (DentalTown) is that they hire dentists in each state to look at the selfies and impressions (remotely, I assume) for $50 a pop.  Fifty bucks.  Wow.  I wonder if there is an incentive to “approve?”  Do the dentists get paid the same measly $50 if they reject a case?  Who takes on the liability if / when the case goes south and the “patient” is looking for compensation?

It’s the same thing!

The problem with that is that SDC will certainly market this as “made by Invisalign,” and consumers will perceive it to be the same.

To wit… Continue reading

Digiprove sealCopyright protected by Digiprove © 2016 The Dental Warrior®
Posted in Current Events, Editorial | Tagged , , | 9 Comments

Do You Know What’s in Your Website? Are You Sure?

This article has been sitting in the “draft” folder for a while.  I’ve written, lectured, and pontificated many times about my position that dentists should be creating their own website content.  I’m not saying they need to create the actual website.  I’m talking about the CONTENT.  Content is king.  I’ve said it a googol times (pun intended)!

But, this article is about a different angle on content.  The reality is that most dental websites are chock-full of canned content provided by the website developer.

Aaagh! Patients do NOT want to see this!

Aaagh! Patients do NOT want to see this!

Most of it is harmless (and nearly useless) encyclopedic, canned content.  It’s the usual, “here’s what a root canal is” and “here’s a cartoon drawing of an implant in your jawbone.”

Besides not contributing to the content, many dentists may not even know what’s in their own website.  They wanted a website and wrote a check.  They may have taken a quick look at their own site.  They probably sent a link to their friends and their moms.  They also took a quick peek and marveled at how “nice” it looks.  And, most of them DO look “nice.”  They’re pretty.  They have cool special effects and pleasing color schemes along with the same stock photos of that pretty blond girl.

I once found a website that had the references to the dentist… by another dentist’s name!  They had the wrong name and the wrong city.  It was apparently a boilerplate site, but the website “developer” forgot to change the name and location!

But, what’s REALLY in their websites?  Does the content reflect the dentist’s philosophy?  Personality?  Style of practice?  Style of communication?  If the dentist actually looked at EVERY page, would he or she approve of the content?  Is it congruent with his or her practice?

Now that I’ve got you thinking about those seemingly benign questions… What if there was something more nefarious buried in your site?  Hiding in plain sight?  Continue reading

Digiprove sealCopyright protected by Digiprove © 2016 The Dental Warrior®
Posted in Marketing, Websites | Tagged , | 4 Comments

The Defensive Mindset – Mental Rehearsals

car-thieves-work-hereThis post was inspired by a friend who recently told a story on Facebook about finding burglars trying to break into her family’s cars at 4:00 am.  She and her husband went outside (both armed) to investigate.  But, by the time they came out, the car alarms had apparently scared off the bad guys.  And, that’s a good outcome.  But, it could have gone a number of ways… some possibly very bad.

When you take on the responsibility of your own security / safety by arming yourself, besides the technical training and practice and knowledge of your state’s laws…. It can be useful to mentally run scenarios in your head.  You should also discuss these scenarios with your spouse or housemates.

In this scenario, you are alerted that someone is trying to break into or steal your car.  How you react can have a cascade of effects.  It’s worth considering these possibilities BEFORE you encounter these situations.  Let’s do some mental “walk-throughs” of this case together: Continue reading

Digiprove sealCopyright protected by Digiprove © 2016-2017 The Dental Warrior®
Posted in Personal Security & Safety | Tagged , | 6 Comments