Tag Archives: odontoiatria

Digital in dentistry
digital guided surgery blog bioservice

When we talk about digital in dentistry, in reality we are not dealing with a completely new issue. Indeed, already in the mid-eighties these technologies were introduced into the practice of dentistry, but in the last decade their use has increased exponentially.
The modern techniques have changed the flow and sequence of work for the development of dental performance by changing the division of tasks and consequently the productivity of the working group.
Time is money! In this case, we can really say that digital technology has changed the work cycle with great benefits in terms of timing and predictability.
Before the advent of technology in the dental field, the sequence of work was marked by essential steps dictated by traditional methods. For those who use them are still the order of the day: the choice of physical supports, materials for the impression, the sending to the laboratory, the physical realization, the waiting while the technicians materialize and send everything back to the doctor, the verification of the work in test and finished (In some cases are necessary to make changes and it is necessary to repeat the operation of the impression). All these steps entail times and costs ranging from travel, to multiple sessions for the patient, and still waits while the dental technician modifies or resumes the work from scratch.
How much is Well-being worth? And how is the operator’s work optimized? What are the advantages to be gained in one’s work?
The fingerprint revolutionizes roles, times and costs.
The transition from conventional techniques to intraoral scanning has changed the experience of traditional impressions. 8Intraoral scanning requires that the impression made is fully digital and that it is processed directly by a software that manages both the oral scanning part and the subsequent improvement phase. All this takes place together with the patient, who becomes aware of the state of his mouth and what he needs thanks to the screen that shows in real time what the dentist is doing. Great professionalism and technology on the part of the doctor, the ability to monitor on screen for the patient, a direct and understandable channel that needs no explanation. Once this phase is over, we proceed to 3D printing, with very limited margins of error compared to the traditional method.
The procedure becomes much more comfortable and streamlined: for the patient who no longer has to suffer the discomfort of the impression with various materials (between coned and, not infrequently, sense of suffocation), for the elimination of consumables such as plaster, alginates, silicones (zero impact also from the environmental point of view), for the absence of errors considered the possibility of managing the digital file, for the shortened times given the elimination of the intermediate procedures of manufacture of the plaster model (also the data acquired through the scanner can be used by the studio to design the prosthesis with CAD/CAM technology).
What is the value of the patient’s time?
The question is rhetorical. Of course, the timing helps to determine the satisfaction of the patient, who will be all the more satisfied the fewer sessions he will have to face. The loss of time is matched by a loss of time in economic terms: work permits, miles from the dental office (if not nearby), transportation, parking, the baby sitter for children at home alone, and all other daily activities that need to be postponed or anticipated to make room for the appointment at the dentist.
And the doctor?
As far as the doctor is concerned, the supply chain is shortened and times are drastically reduced.
The fee: the fee that before seemed to be motivated by the presence of a longer chain (more steps with the laboratory, more frequent sessions), today is justified by the performance itself that has provided upstream an investment “important” to ensure efficiency, comfort and reduced time and on the other hand the learning curve of the professional who needs to learn, improve and master the digital technique.
The change
In conclusion, the process of approaching this reality must not be sudden and forced, the professional must have a clear understanding of how the progress of their study, what are the most requested services and based on the needs of the patient can invest in equipment and software technology most congenial to their business. Amortisation will be all the faster as the service provided by the digital technology chosen will be offered to the patient in an exhaustive manner.
You can’t stop or ignore innovation or manage it or suffer it. This teaches us history. The patient also has the opportunity to verify the information that his doctor provides; it is essential that these are in accordance with the evolution of the state of the art and are not limited to the techniques used by the dentist himself. Today the patient is very well informed even if the amount of information can paradoxically generate the same effect as the lack of information. For this reason, too, the doctor, today more than ever, plays an essential role for the patient, provided that he supplies objective information and always supported by scientific evidence.
In this way, the patient will become the best sounding board to advertise the study, breaking down the hesitations linked to the “value of the performance”.

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“No! It is too expensive!”
fear estimate blog bioservice matrix

An uneasiness shared by both the patient and the dentist: the fear for the estimate.
We could say that in reality the fear of one is poured on the other. If a professional is literally afraid to submit his or her estimate to the patient (the most frequent hesitation is to present excessively expensive fees), he or she will certainly be wrong about the ways and forms because an honest and justified expense cannot be ignored if the patient’s needs have been endorsed upstream.
The patient presents himself to the study with certain expectations and objectives to be achieved. Anyone who sits in the dentist’s office chair already knows how they want to get out, and anyone who requests a service has a clear idea of what they want for themselves. The patient imagines the final outcome and on the basis of the variables of the case (such as time of execution and financial availability) decides on the proposal of the professional whether to carry out the therapy through a complete and definitive rehabilitation or proceed step by step. What he is not aware of are probably the technical aspects of the therapy, the possible physiological limits related to his clinical case.
The good dentist will be able to guarantee, through the person of his team delegated to the preparation of estimates, an estimate that reflects and embraces in full the real needs of the patient, whether they are related to the most obvious request that is the treatment of the disease, the aesthetic factor and function, up to the inevitable limits dictated by economic expenditure (absolutely binding for the purpose of accepting the estimate).
The figure who deals with interfacing with the patient to discuss together the amount of the final expenditure is not insignificant, it allows to separate the medical profession of the Doctor, compared to the purely economic / accounting context and has the opportunity in the preliminary meetings to intercept the needs of the patient integrating them to a rough analysis (but still well-founded) about the status of the person in front of him, a necessary moment in which we try to frame the individual so that we can take the most correct way to explain, motivate and propose the estimate.
Once the urgency, the necessity, the projection into the future of the patient and his “economic availability” have been understood, the suitable ways of treatment with the relative timing are submitted, always keeping in mind that the medical services provided are aimed at restoring the well-being of the entire organism and are not limited to the treatment of the teeth. The restoration of function and aesthetics are the final and most “visible” part of a much more complex and complex therapy, the result of careful and meticulous clinical investigations to assess every aspect of health as a whole. Only thanks to a careful and complete diagnosis by the dentist is it possible to carry out a personalized therapy because each person is unique and as such must be treated and satisfied.
If we want to talk about the modus operandi, the professional should prefer a modular approach (various stages) rather than an overall one (everything and immediately). In recent years the doctor-patient relationship has changed, once the word of the doctor was incontrovertible and the patient trusted, or had to rely blindly on the hands of their trusted dentist. In today’s scenario, where information and competition have altered the parameters of choice, the far-sighted dentist must find a way to explain, convince and operate in all honesty and transparency. Each patient is unique and as such needs to be treated, the doctor must reason in a targeted manner, motivate one line rather than another, ensure the result by embracing the needs of the patient and then make them coincide with the economic availability.

With regard to financial management, one is led to think that the first and only parameter taken into account by the patient is the amount of the fee. In reality, it is only partially correct. Of course, the advertising that stands out on the windows of low-cost chains that promise low-cost performance attracts, but at the same time how can you promise a therapy, and a performance, without a proper diagnosis? Without having seen what clinical condition the patient is in? Without knowing exactly what his expectations are? Without these essential elements it becomes almost impossible to propose targeted, effective solutions, able to fully meet the patient’s expectations.
The dentist must be aware of the fact that the difference is not the estimate but the listening of the patient that leads to intercept the best and most suitable “care” according to expectations and possibilities. It is not certain that a patient does not accept an “important” estimate, perhaps deferred over time, by virtue of the predictable final yield, rather than an estimate “below cost” which in fact does not allow the patient to be treated in the best possible way.

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Dental technician is a doctor or a seller of teeth?
dental technician seller teeth blog bioservice matrix

How has the context in which the dentist works changed? Is the dentist a doctor or a seller of teeth? What is the benefit for the patient?
These questions open Pandora’s box in the field of Dental, a huge amount of reflections placed in the context in which our Professional operates.
The panorama has completely changed, the dentist finds himself living the so-called “empty drawer syndrome” and suffers the presence and the pressing spread of the “low cost” chains. It seems that the last solution to adopt, considering the “crisis” that has emptied the agenda, is that of the sale of sales in the dental field! As if the value of the service were eclipsed in the face of the advantageous price.
The so-called chains operate on economies of scale and on marketing communication (with a focus on the most expensive therapies such as orthodontics and prosthetics, especially on implants), all this has favoured demand but first of all has created new models of reference on the market. The communication used by the chains, and the huge budgets allocated to this dissemination of information, have had a significant impact on the market, because on the one hand they have made implantology better known and on the other they have destabilized the pricing policies of the traditional dental system. Given the low prices, the collective “value” of therapies has been lost.
In fact, the tendency on the part of the average Italian patient is not to abandon the traditional study but to rely more and more on the chain for expensive interventions (prosthetics and orthodontics). From statistics – data other consumption 2016- the average cost of a patient with a traditional dentist is about 370€ while it is about 900€ when he decides to turn to a chain.
But you should not be suspicious in the face of the word marketing, it means nothing more than “create and give value to the service“, marketing is not purely sales. People don’t buy products but solutions to their problems and that’s why ethical marketing uses communication to express values, spread the culture of health and raise awareness of the need for care by stimulating the economy of the dental office. Therefore, the dental office must have a healthy communication and a good dialogue with the patient, that is, transparency; the patient appreciates who follows him/her in the course of treatment, who motivates the provision of the service by illustrating the quality of the service itself. The service given by the doctor to the patient is not only based on the “tooth product” but above all on the ability to make a diagnosis. One cannot be undervalued and talk about the price of the product (tooth) when the doctor’s fee is based first of all and above all on the provision of the service.
Ultimately, people do not buy what you do but why you do it. Giving a predefined price to a diagnosis, a treatment, or a rehabilitation plan is absolutely incompatible with the service itself. There are certainly fixed costs such as material, production, transfers and deliveries, physical developments, equipment, but the cost of a service is not bound and justified only by these amounts but the intrinsic value of the service provided by the doctor. The doctor advises, clarifies, includes and follows the patient before, during and after. The doctor enables the patient to benefit from the best possible service, made up of competence and mastery of knowledge and tools. This makes the difference, creates value and must be disseminated through targeted information.

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Dental trauma from sports stress
dental trauma faucci education bioservice matrix

Dental trauma from sports stress
Problem, Cause and Solution

The sports disciplines will be framed, bringing out the problems of the high-level athlete.
Through clinical cases we will study the application of these concepts to the patient every day (orthodontic, implantoprosthetic, dysfunctional).
In particular, the following topics will be addressed:
Concepts and definition of dental wear and traumatology
Personal protective equipment (I.P.D.)
Recording of the occlusal relationship according to the ATM
Concepts of anatomy, posturology and syncromiography
Speaker:
– Dr. Alberto Faucci – freelancer and owner of the DENTAL TRAUMA CENTER of Savona
The course will be held in Genoa on 30 May 2018 at the Palazzo Ducale (Le cisterne del Ducale).

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The mouth, the teeth and everything else about the patient
health mouth patient implant course bioservice matrix

The mouth, the teeth and everything else about the patient

Anything that can cause a “Sale of a Tooth”
The daily problems of the dental clinic will be analysed from a different perspective, to understand how to solve and prevent uncomfortable situations to face.
We will examine the difference between an unsuitable rehabilitation and a correct therapeutic maneuver, but performed at the wrong time.
In medicine, for a long time, the various apparatuses have been analyzed, studied and treated in a “reductionist” way. But these types of systems should not be treated as if they did not cooperate in the functioning of the organism. It is almost impossible to define the boundaries of a single apparatus.
Speaker:
– Dr.ssa Enrica Poggio – freelance –
The course will be held in Genoa on 21 March 2018 at the Palazzo Ducale (Sala del Munizioniere).

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Is the dentist a doctor or a “seller of teeth”?
course dentist or seller teeth bioservice matrix

Is the dentist a doctor or a “seller of teeth”?

The title of the day is intended to be deliberately provocative.
Today, the dentist is seen by the patient less and less as a doctor and more and more as a “seller of teeth”. The hammering “communication” through all the major information channels that advertise the various “take three and pay two…” contributes significantly to all this, by failing to explain to the general public what is, or should be, the main characteristic of the dentist.
The dentist is first of all a Doctor and as such, he is the figure who first of all must make a diagnosis. Only through a diagnosis
The correct treatment is then possible to achieve a correct and consequent therapy.
Speakers:
– Dr. Riccardo Bosco – freelance – Resp. Scient. Biomatch-Oral
“Pre-cancerous lesions: differential diagnosis”
– Dr. Roberto Prisco – freelance – Speaker and lecturer in Implantology
“Implant Bio Prosthetics”
– Dr.ssa Valeria De Padua – freelance
“Treatment and management of patients with congenital and acquired coagulopathies”
The course will be held in Naples on March 11, 2017 at the “Millennium Gold Hotel”.

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From diagnosis to treatment of oral cavity lesions in dental practice
education therapies lesions oral cavity clinical bioservice matrix

From diagnosis to treatment of oral cavity lesions in dental practice

In daily practice, dentistry increasingly finds itself having to deal with clinical situations that require specific knowledge to enable targeted, rapid and effective diagnosis and treatment in order to achieve predictable results.10
The Complex Operative Unit of Dental Surgery of the Umberto I George Eastman Polyclinic, directed by Dr. Francesco Riva, assisted by his collaborators Dr. Domenico Gaglioti and Dr. Riccardo Bosco, is certainly a point of reference, not only for Lazio, in the diagnosis and treatment of particularly complex diseases.
The aim of the course is to provide participants with a clear and exhaustive picture, through the presentation of the clinical cases treated, which allows a rapid and precise diagnosis, positively finalizing the therapies through clear and coded operational protocols.
Speakers:
– Dr. Francesco Riva – Director Un. Op. Compl. Surgery Dentistry Policlinico Umberto I
“Diagnosis and therapy of mucous and bony lesions of the oral cavity”
– Dr. Domenico Gaglioti – resp. Un. Op. Semplice di Chirurgia delle lesioni del cavo orale – Policl. Umberto I
“Maxillary osteonecrosis: the role of bisphosphonates and new drugs. Pharmacological and surgical protocols in the patient undergoing treatment and with osteonecrosis”.
– Dr. Riccardo Bosco – freelancer – Biomatch-Oral Scientific Manager
“Surgical protocols in patients with congenital and acquired coagulopathies.”
– Dr.ssa Valeria De Padua – freelance
“The hemophiliac patient in dental practice”
The course will be held in Formello – Rome on 28 January 2017 at Studio Bosco (Formello – Rome).

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