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Perio Therapeutics and Beyond
Marianne Harper
The Importance of a YES Attitude
Marianne Harper
Don't you hate it, as an adult, when you have to do "homework"? I know that I sometimes do. I suppose that I feel I have grown beyond that as the schools that I attended in my youth required a LOT of homework. So when I was required to do "homework" prior to attending this year's CareerFusion retreat, I was a bit frustrated when informed of my homework assignments. However, once I completed the assignments I was happy that I was required to do them and was reminded of the value of "homework."

One of my assignments was to read Jeffrey Gitomer's "Little Gold Book of Yes". This wonderful little book is a study guide and provides the details on "how to find, build, and keep a YES! Attitude for a Lifetime of SUCCESS." Mr. Gitomer states that a YES attitude is better than just a positive attitude, as it helps one to formulate one's responses in a positive form. He states that you must have insight into your attitude that your attitude is determined by how you react to what happens to you and that your attitude is your choice. He gives the following as ways to develop the YES attitude:

Insight to your attitude
Visualization and affirmations are key to developing a consistent positive attitude
You can control your response to what happens to you by looking for ways to turn things into a benefit even when they appear to be problems
Positive results follow positive expectations
Focus on solutions instead of focusing on problems
Your thoughts play a significant role. You bring to yourself what you focus on, so work on pushing away the negative thoughts
Act out positive attitudes through your behavior
Make your verbal responses positive
State what you like rather than what you don't like
Think about your qualities and rate them from strong to weak.
Work on turning the weak qualities around. Discover and evaluate your personal philosophy
Attitude Achievement
Believe that it will happen
Write down your goals and review them daily
Think about past successes
Attitude Fulfillment
You must give yourself permission to:
See the good things, not the bad
See how to make the bad things good
See opportunities and have the resolution to deal with obstacles
See things from the "what is right" side as opposed to the "what is wrong" side
Follow the "Golden Rule" – treat others as you would like to be treated
Encourage others when they need support
Set up a five minute rule – don't let negatives bother you for more than that time period
Decide that you will almost never have a bad day
Have positive things to say
Be happy inside
Work on maintaining the YES attitude every day
We who work in dental practices can benefit tremendously by working on building our YES attitudes. We need to be so conscious of developing great customer service and YES attitudes will absolutely affect the quality of that service. In addition, we deal with team members and YES attitudes can truly make for smoother days in the practice.

So buy the "Little Gold Book of Yes", read it, and re-read it. Encourage the team to do the same. Yes, it's homework, but you will find, as I did, that it's very beneficial homework.

Instruments that make the job easier
Colleen Rutledge, RDH
I am often asked how I can make placing locally-applied antimicrobials look so easy. To be certain, I am blessed to have many years of experience, however I have a hidden secret: the proper instrument.

Below is a brief description of three commonly placed antimicrobial products and the instruments that make the job easier.

2.5 mg Chlorhexidine Gluconate
PerioChip is an orange-brown, non-antibiotic in a rectangular gelatin chip which is inserted directly into single site pockets. The chip can be easily placed with 18L Locking pliers (aka: college/cotton/dressing pliers or 'pick-ups'). Due to the small size of the chip (4 x 5 mm), the locking feature is ideal for transporting from the bracket tray to the patient, as well as subgingival placement.

1 mg Minocycline
The handle / cartridge system of Arestin expresses minocycline powder into single site pockets. Upon depressing the handle, the powder injects efficiently and comfortably when the first 1-2 mm of the plastic cartridge is 'flattened' by the blunt end of a #7 cone socket mirror handle. This technique modifies the circular diameter of the cartridge conforming it to an oval shape. This can also be accomplished with a Hartman Straight 10cm/4 hemostat.

10% Doxycycline Hyclate
Atridox is an antibiotic gel that treats multiple sites and is an excellent choice when 10 - 15 periodontal pockets are present. About a minute after expressing the gel into the pocket, the product begins to solidify. To ensure it is at the base of the pocket, use a moistened Balshi gingival cord packer GCPBAL to tap the product lightly below the gingival margin.

Utilizing these instruments and technique tips will help you place these products with a new-found confidence and ease.
  Insurance Alert
New CDT code D1352 Have you checked into the use of the new CDT code D1352? This code is to be used for preventative resin restorations in a moderate to high risk caries risk patient and on permanent teeth only. The following are the guidelines:
Don't use this code when there is no active cavitated lesion a sealant code is used in that case
Decay does not extend into the dentin – it is used for conservative restorations of active cavitated lesions in pits or fissures that don't extend into the enamel
The tooth is not a primary tooth
Red flags for medical coding for bone grafts
For practices that have been submitting claims to medical plans for bone grafts and have been using CPT code 21210 for maxillary bone grafts and 21215 for mandibular bone grafts, please be aware that using these codes may be creating red flags for medical insurance carriers. The criteria now for more and more of these carriers is that these codes should only be used if bone grafts are being performed on at least half an arch. If the area is smaller than that, the carriers are suggesting that providers use the CDT code for the bone graft. Be advised that if you are audited due to the use of these codes, that all claims from the past that included these codes will also be looked at and fines imposed. So please evaluate your use of these codes.
  Time Line
For those of you who have purchased my dental-medical cross coding manual, "CrossWalking A Guide Through the CrossWalk of Dental to Medical Coding", it is now past time to update the manual with the new, changed, and deleted diagnosis codes. Please be sure to email me at to obtain your update.
January 1, 2011 – CDT Code biennial update (If you haven't updated your practice management software codes, be sure to do it ASAP) (If you haven't gotten a copy of the new code-set, do that ASAP)
January 1, 2011 – Medical CPT Code (medical procedure codes) update (be sure to update your manuals and CPT codes that are entered in your software)
July 5, 2011 – Medicare will require that all physician and non-physician practitioners that submit Medicare claims must be enrolled in PECOS (Provider Enrollment, Chain and Ownership System) as well as all ordering and referring practitioners, or claims may not be paid. Practitioners can enroll online at
October 1, 2013 – ICD-10 (medical diagnosis codes new revision)
January 1, 2014 – The date that the US government has chosen for requiring all medical and dental practices to be paperless

Favorite Quotes:
"If you think you can... or if you think you can't... you're right."   Henry Ford

Think about that for a minute... it is so true and relates to the article on a YES attitude.

Time Management
Do you feel frustrated that there's not enough time in your workday to get the job done? I have a few tips that might help:
Create to-do lists and prioritize the list
Schedule time for email reading and responses
Keep your desk orderly
Develop forms for repeat tasks
Control interruptions

Dental Humor:
Mother: Has your tooth stopped hurting yet?
Son: I don't know. The dentist kept it.

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The contents of this publication reflect the opinion of the authors only. This publication is for informational purposes only.
Any reference to a company or product is done only to provide information about the same and does not reflect any connection between the authors and the company.