Cliff's Notes

The Business of Dentistry

“Can Sleep Medicine Really Help Your Practace?” & “ADA Comments on Senate Dental Bill”

Cliff’s Notes for October 27, 2013

Cliff Marsh, Henry Schein ……Cell: 201-321-7494……Fax: 201-262-2210


 Cliff Pic


The reason we do what we do, is so that we can to do what we want to do, when we want to do it!

It’s a tongue twister, but working as a team and making informed decisions, will get us there.



Judge a man by his questions rather than his answers.”



This Week’s Feature on the Cliff’s Notes Channel


Safe & precise Contouring, Finishing & Polishing Hard to Access Areas

Over 170 Dental Videos

Click on the Play List!

In This Week’s Issue

  • The Root of It Commentary:

How Can Sleep Medicine Improve My Practice, without any Effort?

  • Product Review:

Futurabond U by VOCO!

  • Grassroots News:

The Most Educational Clinical Procedure for Everyday Dentistry!

  • The Office Manager Blog:

The Happy Hygienist!

  • American Association of Dental Office Managers:

It’s Time For M.A.D.O.M. – Metropolitan Association of Dental Office Managers

  • Dentistry Beyond the Mouth:

OSA Appliance Training!

  • The Disney Magic of Management:

Insights from the Disney Institute!

How Disney Improved the Customer Experience!

  • This Week from the ADA:

ADA comments on Senate dental bill!

  • The Henry Schein Outlet Store:

Cavitron Prophy Jet!

  • Music & a Laugh Should Start Your Day:

The Root of It Commentary……………………………………………….

image001  How Can Dental Sleep Medicine Improve Your Practice?

 Did you read the articles? Did you take the course? Did you try to implement? Did it go anywhere? It probably didn’t because you didn’t understand how to use the program to improve your practice. At the seminars you are told how much money you could make fabricating OSA oral appliances and that the patient’s medical insurance would cover the cost. What you’re not told is how to handle the treatment plan when the patient has a high deductible. With the introduction of the ACA (Obama Care) these issues will popup more often. So, how do you continue to use the program for a positive effect on your practice?

Providing advanced diagnostic services is the new world of dentistry. So what do you do when you screen a patient for OSA and the patient refuses home testing or if they do the test and OSA is present but they have a high deductible so the appliance will not be covered? You don’t want the patient to think you are pushing for a cash procedure so back into the problem.

“Ok Mr. Smith, I completely understand what you are saying. However, you have a condition that may affect your overall health somewhere down the line, so with your permission, I would like to forward these test results to your primary care physician so they are aware of our concerns”

Your office now forwards a copy of the report via registered mail with a return receipt request to the patient’s primary care. The receipt is recorded in the patient’s chart. When the primary care receives the report, they will address it with the patient. Upon the patient’s re-care visit to your office you can ask if they spoke to their primary care about the ramifications & treatment of OSA. Mr. Smith’s response will most likely be “Yes, they prescribed a CPAP”. You can then inquire, “That’s good, and how’s it working out for you?” You see, there is an 80% non-compliance with CPAP. Now the patient is in your pipeline for treatment planning. Also, the primary care knows that you can treat their non-compliant patients. Start thinking outside the box!

For further discussion, questions or concerns, please feel free to contact me at any time @ 201-321-7494 or e-mail

Product Review -……………………………………………………………..

The world’s first and only truly universal adhesive in a unit dose delivery system

  VOCO introduces Futurabond U, the world’s first and only true universal adhesive in a unit dose delivery system.  Futurabond U’s two main advantages as identified by VOCO are first its universal indications for all adhesive procedures without the need of any additional activators or primers and second Futurabond U’s ability to prevent solvent evaporation a well-documented challenge for adhesives dispensed in a bottle.

Futurabond U’s versatility allows it to be used in self-, selective- or total etch mode without any additional primers or activators on virtually all substrates.  Futurabond U achieves total-etch bond strength levels with all light- self- and dual-cure resin based composites, cements and core build up materials. As a dual-cure adhesive Futurabond U will self-cure without any light activation which offers a big advantage for endodontic applications such as post cementation where it avoids the pooling effect, a problem with light cured adhesives. Futurabond U also adheres well to metal, zirconia and ceramic making extra primers unnecessary.

Futurabond U comes in a patented unit dose delivery system that prevents the solvent from evaporating. This ensures reliable and predictable results with each application. Thus the first bond will be as good as the last bond out of the box. VOCO states Futurabond U’s unit dose is priced the same as or less than the bottle systems of other brands.

Futurabond U needs only one coat and takes 35 second from start to finish. Its low film thickness of only 9 microns makes bonding margins invisible (i.e. no “halo” effect) and prevents pooling problems. Additionally the material does not need to be refrigerated.

Further Futurabond U benefits include its indication as a desensitizer for use under amalgam restorations or on hypersensitive tooth necks, as a protective varnish for glass ionomers as well as an intraoral repair of ceramic restorations.

For more information, log onto:


The Most Educational Clinical Procedure for Everyday Dentistry!

November 12, 2013 – The Grassroots Metro will meet at Vizstara, 300 Sylvan Ave., Englewood Cliffs, NJ. This session will feature a patient live demonstration on the treatment of incipient decay. The live procedure will be viewed by video feed into the lecture room where Wayne Flavin, Director of Scientific Affairs for DMG America will be answering procedural and material questions. Metro chapter members attend free of charge. 2- CERP/PACE Credits.

November 21, 2013 – The Grassroots Denville will meet at the heritage Grill on Broadway in Denville, NJ. This session will feature a discussion on the new Federal & State tax liabilities and yearend tax planning. Mr. Robert Lawlor, CPA will lead the discussion and answer questions regarding 2013 law and the liabilities expected in 2014. Denville chapter members attend free of charge. 2 PACE Credits.

Chapter members attend free of charge.

Grassroots Denville Members – $45.00

Annual Chapter Membership $450.00

Annual Global Membership (all chapters) $795.00

Individual sessions $80.00 (Early sign-up $65.00)

Special DMG Invitational Price – $45.00 (call Sandra Metz @ 201-294-9711)

For more information on program dates or topics, or to register for any meetings or events, contact the club administrator Linda Barba @ 201-201-446-4265.

Dentistry Beyond the Mouth……………………………………………..

  There have been many seminars educating dentists on the treatment of OSA. iSleep Centers of New York have developed the best. Not only is the training ½ the price of full day sessions and offers 6 C.E.R.P. credits, but it also incorporates a hand on approach and attendees will fabricate and adjust an OSA appliance that they can take back to their office as a demonstration model or keep it for personal use.

The training will be in 2-3 hour sessions. Stay tuned to Cliff’s Notes for more details.

For more information call Cliff @ 201-321-7494 or

The Office Manager Blog:………………………………………………….

image001The happy dental hygienist !

Do you have a dental hygienist in your practice who navigates through the mouth as she perio charts in a different way than the default?  Would you like to create a perio script that only spot probes for those 6 week checks after SRP?  Then this video is for you.  Watch and learn . . .

To read the rest of Dayna’s interview, log onto:

Tips from the AADOM……………………………………………………….

image004Virtual Study Club for Dental Office Managers.

 Virtual Study Club for Dental Office Managers.

 Registration is now open!

Join AADOM again as we offer the best in practice management educations. This Advanced Track offers everything you need to continue to excel as a dental office manager. Virtual Study Club open to AADOM members only. New season starts Jan.14!

BONUS: Virtual Study Club students also receive special pricing to the 2014 Annual Dental Managers Conference. Register today!

Meet the AADOM Team: Log onto:

Metropolitan Association of Dental Office Managers – 12/13/2013

The Metropolitan Association of Dental Office Managers (M.A.D.O.M.) will be holding their first meeting on Friday morning December 13, 2013 @

Vizstara Dental Educational Center

Hyundai Building

300 Sylvan Ave.  (3rd Floor)

Englewood Cliffs, NJ.

All team members (Drs. Included) are welcome.

The Topic will be: “Regulatory Compliance 2014” presented by Dr. Donald Cohen. Dr. Don, as he is nationally known, is the CEO of the Health Compliance Team and Director of Regulatory Compliance for Banyan Health Corp. & Health First Corp. These two organization supply 50% of all the emergency medical kit and emergency pharmaceuticals in the United States.

Dr. Don will review:

  • The Federal CDC Up-Dares.
  • The New Laws Regarding HIPPA Breach & The HIPPA Omnibus Rule.
  • The Mandates for O.S.H.A. Protocol Including Radiological Monitoring.
  • New ACA (Obama Care) E-Mail Security Requirements.

Tuition $65.00 for all attendees and includes a light breakfast and 2 CERP/PACE credits in continuing education. Membership to the national organization (AADOM) is available along with AADOM Fellowship Credits.

Registration starts at 9:00am with continental breakfast.

Lecture is from 9:30am-11:30am.

To register, call Asteto Dent Labs @ 973-763-1000

For more information, contact Linda Barba, Educational Coordinator @ 201-446-4265

The Magic of Management………………………………………………..

Project MATER: How Disney Improved the Customer Experience for Retail Guests at the Magic Kingdom Park!

 October 22, 2013 by Bruce Jones, Programming Director, Disney Institute
Disney is always striving to improve the customer experience, or what we might call the “Guest experience.” Be it an attraction, a technology, or a process, the continuous improvement cycle exists to ensure that enhancing the experience for our Guests is never sedentary.

This was recently the case when the Emporium team at the Magic Kingdom Park worked hand-in-hand with the Merchandise Line of Business team to elevate the retail experience for Guests. This became known as Project MATER, Mastering All The Elements of Retail.
The process started with a clearly stated and measurable goal: increase the efficiency of operational systems and processes and further the Guest shopping experience. To achieve that goal, Disney focused on three distinct areas:

To read the Disney Institute Blog, log onto:

This Week in Dentistry from the ADA:………………………………..

image005  ADA comments on Senate dental bill!

        October 25, 2013 By Craig Palmer, ADA News staff

Washington—The Association “cannot support” dental legislation offered in the Senate and referred to the Finance Committee but commended Sen. Bernie Sanders, I-Vt., “for your efforts to address our nation’s dental crisis and help break down the barriers that prevent millions of Americans from receiving regular dental care.”
“Access to dental care is a multifaceted problem and we appreciate that the Comprehensive Dental Reform Act of 2013 recognizes this and that no single solution will eliminate it,” the Association told Sen. Sanders, sponsor of S. 1522, in a letter commenting on access, coverage, education, research and workforce provisions in the bill.
The letter includes ADA comments on provisions relating to Medicaid, Medicare, the National Health Service Corps, community health centers, dental clinics, dental education, hospital emergency rooms, research funding, mobile dental services, residency programs, student loans and federal dental services including the Indian Health Service, Department of Veterans Affairs, Department of Defense and Federal Bureau of Prisons.

To read the rest of this article, Log onto:


 The Outlet Center……………………………………………………………

Overstock – Reconditioned – Demo…

For the Special of the Week or More Outlet Store Offers, Call Cliff @ 201-321-7494

  Dentsply Professional CAVITRON PROPHY-JET
Condition: Demo
Part Number: 167-2563-D  Manufacturer Part Number: 80853
Catalog Price: $3,279.99  Outlet Price: $1,999.00

Warranty: 2-Year

The PROPHY-JET delivers a slurry of sodium bicarbonate, air and water to polish tooth surfaces more thoroughly than conventional methods. Recommend to clean tooth surfaces prior to bonding procedures and placement of dentals sealants. Easy adjustment of power and water delivery. Equipped with a 2-position foot switch for polishing and rinsing modes. Easy-to-remove powder bowl. Installation requires a 115-V, 3-prong grounded wall outlet, air supply , and water delivery.
Contains: Unite, 1 PROPHY-JET air-polishing nozzle, 2-position foot switch, 4 packets of PROPHY-JET cleaning powder, water & air-connection tubing with quick connect & instruction manual.

Music Should Start Your Day……………………………………………..

From Me to You, Enjoy!





Cliff Marsh

Henry Schein Dental

P.O. Box 663, 45 Rt. 46 East, Ste. #605

Pine Brook, NJ 07058

Cell: 201-321-7494

Fax: 201-262-2210

October 28, 2013 - Posted by | Uncategorized

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