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Barry L. Musikant, D.M.D., F.A.C.D.
Education as a Means of Practice-Building
Barry Musikant

Barry Musikant

THIS ARTICLE is really directed more to endodontists than to the general practioner.  When I was a good deal younger and just starting out, I wanted to meet dentists so that I could build my endodontics practice.  My father was a well-known dentist in Manhattan, many of his friends were dentists, and as a result I had been surrounded by dentists since early childhood.  So, when I had to meet dentists to build a practice it was not an uncomfortable situation for me to be in.
    I knocked on doors and introduced myself, and I also became an instructor at one of the local dental schools.  In addition, my partner Allan Deutsch and I started throwing singles parties for dentists, dental assistants, hygienists, and anyone else remotely associated with dental offices.  This was easy to do when I was single.  I don’t recommend this approach if you are married.  We also gave many lectures at localities throughout the greater New York area.
    The standard we always attempted to reach was something that set us apart from the “others.”  That was why we opened up seven days a week and twelve hours a day, because no one else was doing it.  The same motivation was behind the the singles parties.  When we lectured originally, it wasn’t on endodontics, but rather on post and core buildups, because no one else at the time was doing it.
    Today, we teach dentists how to perform efficient, inexpensive, and predictable endodontics by learning the SafeSider® instrumentation and the EZ-Fill® obturation techniques. When you teach an effective simplified approach in contrast to all the other techniques out there, the practice-building potential is amazing.  It dwarfs whatever we had done over the preceding 25 years.
    Many times I speak to an endodontist and say that one of the things you probably do is to call up new dentists and ask them out for dinner.  In effect, you are trying to charm them into sending you referrals.  I understand that.  I did plenty of that over the years.  Now maybe I’m being cynical, but most dentists really don’t want to go out for dinner.  I think most of them want to get home when the workday is done, and when they agree to go out with an endodontist (or any other specialist) it’s because they are being a nice guy (or gal).
    So here we are teaching dentists how to do much better endo simply and effectively without spending a lot of money and, in fact, virtually eliminating the chances of fractured instruments.  We tell other endodontists, our potential competitors, how and why it works for us.  And the results are amazing.  Most endodontists believe that if they really teach an effective method of endodontics it will result in less work for themselves, so they don’t want the general practioner to learn these simpler, more effective systems.  We tell them that, in reality, they are only half right.  If they teach these systems, many of their referrers will send fewer patients because they can do more on their own; however, what these endodontists fail to see is that teaching the Safesider and EZ-Fill techniques will result in their meeting many new dentists whom they would have never met otherwise.
    By the way, most of the individual hands-on courses we give last two to three hours.  That means that both the dentist and the endodontist get home earlier than if they had gone out to eat.  In addition, you have not polluted yourself with alcohol and fat-drenched steaks, adding to your long-term good health.
    The endodontists who teach the techniques that allow the gp’s to make more income in a simplified fashion will get less work per dentist, but they will have many more dentists who send work.  As for being charming, I tell them that if they teach a dentist to make $125,000 more a year, there are few things that are more charming.  It certainly beats sending a case of wine or a dozen steaks from Omaha, not that we are telling those specialists to stop sending the wine and the steak.
    Teaching the SafeSider instrumentation and EZ-Fill obturation techniques is particularly timely, considering the fact that rotary NiTi has two things that are going on concurrently.  Many recent graduates are coming out of dental school having been exposed to rotary NiTi techniques, and a low but persistent incidence of instrument separation keeps occurring.  While the major manufacturers say that instrument separation is a result of the practioners’ techniques, the research clearly shows that instrument failure is directly connected to NiTi’s poor resistance to torsional and fatigue stresses.  Studies have shown fracture rates between 2 and 9 percent, a level that translates into great inefficiency when attempting to remove embedded segments of broken instruments.
    Once the dentists see and understand the SafeSider alternative, they begin to appreciate the formerly inconceivable notion that rotary NiTi is truly an irrelevant departure from safe predictable endodontics, and its abandonment results in superior results and less anxiety.
 
Spring 2004
When you teach an effective simplified approach in contrast to all the other techniques out there, the practice-building potential is amazing.


















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