Cliff's Notes

The Business of Dentistry

“Did You Ever Save a Life?” & “NORAD & Santa, You Have to be Kidding”

Cliff’s Notes for December 22, 2013

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



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.




That’s All I Can Stands, I Can’t Stands No More!”

Popeye the Sailor Man


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

“Hu-Friedy’s It’s About Time Sharpening”

Over 175 Dental Videos

Click on the Play List!

In This Week’s Issue

  • The Root of It Commentary:

N.O.R.A.D. & Santa, You Have got to be Kidding!

  • Product Review:

T-LOC Triple Trays!

  • The Dentrix Office Manager Blog:

The end of the year is upon us!

  • American Association of Dental Office Managers:

Process to Leading a Life by Design!

  • Dentistry Beyond the Mouth:

Do you know what it feels Like to Save a Person’s Life?

  • The Disney Magic of Management:

Insights from the Mouse…Personalized Customer Experience!

  • This Week from the ADA:

Forensic dental data supplement!

  • The Henry Schein Outlet Store:

Dentsply Cavitron Bronze Package!

  • Life is not all about Dentistry:

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

image001   N.O.R.A.D & Santa, You have got to be kidding!

 I don’t usually get involved with political discussions but enough is enough. In today’s violent world with some form of terrorism, both domestic and international, lurking behind every corner, I fully support NORAD’s U.S. & Canadian Air Defense System in escorting Santa on his trip on December 24th. It’s not that Old St. Nick needs protection from the bad guys, but you never know when an alien encounter may arise. Hey, didn’t Orson Wells remind us that they may not be friendly? And, they may not know Santa; after all do you really think he has time to cover the Universe in one night? I mean, the reindeer are fast but we’re talking Superman speed.

Anyway, the Fighter Jet escort is a sign of respect for someone who has no skeletons, or interns, in the closet (that we know of) and asks for no public assistance. However, there has always been speculation on the Elves’ employee rights. We never did get the opportunity to view the Elves’ contracts and we really don’t know if any type of unionization was suppressed. Then again, I can’t imagine North Pole, Inc. not providing a comprehensive benefit package, but that may be up for review because Santa has more than 50 employees (I wonder what President Obama will have in his stocking). The question I have is, if the Elves are not U.S. citizens, can they sign up on the national exchange?

I also wonder who is paying for the gas for those NORAD fighters. The Canadian’s have the resources but now I hear that if we don’t want the oil they are sending it to China and I don’t even know if the Chinese let Santa into their air space.

Another question I have is about the “coal in the stocking”? Where is it coming from? Do you think Santa got a waiver to dig it up? And what about the safety conditions for the little guys (Elves) that go down into the mine? Now all that opens another question, women’s rights, are there any female Elves, or is it an “all boy’s club”

So, I think we should put the whole issue to a congressional vote. Maybe we’ll have an answer for next year’s toy run, unless they sequester Santa.

And to all a good night!

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

Product Review – T-LOC Trays……………………………………

T-LOC Triple Trays!

  • Patented adhesive-free design – Retention tracks mechanically lock in material, eliminating
    the need for offensive smelling, volatile, and
    expensive adhesives. You save both time and money.
  • Easier handling – Large, ergonomic handles
    simplify loading of the tray, enable easy transfer between assistant and dentist and facilitate tray
    insertion and removal from the mouth.
  • Accurate bite – Thin, loose webbing maximizes intercuspation of the teeth and exhibits “…least water sorption & thinnest occlusal wafer ” 1 to ensure an accurate bite.
  • Greater rigidity in posterior due to
    the use of a new, novel polymer.
  • Ensure accuracy and save time – Low sides, thin posterior bar and wide impression areas avoid impingement when the patient closes. Premier®
    Triple Tray® is proven2 accurate – as you
    simultaneously capture master impression,
    counter and bite registration.

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

Do you Know What it Feels Like to Save a Person’s Life?

Did you ever experience a patient walking up to you, grabbing you to hug you as tight as they can while crying and thanking you? As oral health specialists you probably never got that opportunity like a medical Surgeon or Oncologist, but for some of you colleagues, the scenario has been very real. It’s all about your exam protocol and the new abilities to diagnose.

I once went to an Allergist seeking some seasonal relief. As part of her initial exam was an electro cardiogram and for an allergist I thought that was quite unusual. What she found was an extra beat in my heart and although it was determined to be an absolute non-issue, she alerted me about something that was not text-book perfect.

Dentistry, and your moral responsibility for the total health of your patient base, is no different. If you find a systemic issue that is out of the normal range, you should be referring the patient, with a written statement, to their primary care provider.

Many of you have heard this story before, but at this time of year when we all reflect on the past 12 months it is worth telling again.

Several years ago an old film based panorex broke down and was pretty much beyond repair. The doctor decided to replace it and laid out around $40k (they are ½ the price now) for a new state of the art digital pan. About 2 weeks after the install a patient came in for a return visit to replace some old amalgam fillings. The staff noticed that the 62 year old male was due for a Pan/FMX so they proceeded to use their new digital pan. The patient was then seated and the pan image was brought up on the operatory monitor for the doctor’s review. After reviewing the image the doc suggested that the procedure be postponed. He explained that the new equipment allowed him to see things he was never able to see before and because of the anesthetics and materials he uses he would prefer to consult with the patient’s primary care provider. The patient was released and the images were e-mailed to his primary care provider.

Later that afternoon the primary care doctor called the dentist and informed him that the patient, a 62 year old married male with 2 sons in college, was sent to the hospital for emergency surgery. What the dentist “thought” he saw on the digital image was a 75% blockage in both carotid arteries and he did what any good physician does, he referred it to another specialist. He saved his patient’s life! The digital pan paid for its self that day and the dentist slept very well that night.

The diagnostic tools are out there. Some of them may only cost $20.00, some are free. Maybe it’s time to start using them.

If you have any questions or concerns, or wish to discuss the total health concept, please feel free to contact me at any time @ 201-321-7494.

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

image001  The end of the year is upon us!

This time of year I usually get the same questions and concerns about the Year End, and my answer is always the same . . . it is just like running a Month End.  Whatever your routine is for running a Month End; either using the Month End Update or the Month End Wizard (both located on the Ledger), the steps are exactly the same.   Now there may be some reports that you may run that could be different from your Month End routine because we all like to know how we ended the year.  Here are some examples:

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

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

Secure Your Own Mask Before Assisting Others – A Simple, 4 Step Process to Leading a Life by Design!

image004  I recently had the pleasure of traveling to New York to present a course at the Greater New York Dental Meeting on behalf of the American Association of Dental Office Managers (AADOM).   The presentation went well and I met some wonderful dental professionals from all over the world.  That combined with the magic of New York in December made it a fun and memorable trip.

The hustle and bustle of big city life and the added benefit of the festive holiday decorations, music, and shopping provided an exciting energy that was hard to ignore.  Although there was a strong current of excitement for the season and the conference, there was also an undertow of stress and urgency.   The same kind of stress and urgency we see in our dental practices every day.   I couldn’t get that out of my head all week.  What was that undertow?

To read the rest of this article log onto:

Meet the AADOM Team: Log onto:

The Magic of Management, Insight from a Mouse!………….

Fan Experience: Why Advancements in Stadium Technology Demand a Personalized Customer Experience!

December 19, 2013 by Jeff James, Vice President & General Manager, Disney Institute

Last week, I had the opportunity to serve on a panel during the IMG Intercollegiate Athletics Forum in New York City.  The session was called “Innovations that Add to the Game-Day Experience,” And, no surprise, my fellow panelists and I spent a lot of time talking about technological advancements that will change the nature of the in-stadium fan experience.* Despite these exciting changes, there was one element that we all agreed had to remain top priority: quality, personalized customer service.

There is no denying that innovations in technology, physical structures and setting – the “hardware” side, play a central role in many organizations. Stadiums are no exception. As stadiums improve the “hardware” in their venues, they cannot ignore innovations in technology. New technology is touching every aspect of the sports experience, from purchasing tickets to tracking a team to game day itself.  However, technology cannot and should not replace human interactions and the personalized customer experience, what you might call the “software” side.

Disney is fortunate to receive a lot of positive comments from Guests who visit our destinations year after year.  Yet with all of the great attractions, shows and technology we use to create the Disney Guest experience, rarely do those comments ever point out these particular attributes in the parks. Guests almost always talk about a connection they had with a guest-facing Disney Cast Member. (Cast Member = Disney Employee).

To read the rest of The Disney Institute Blog, log onto:

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

Forensic dental data supplement paves way for interoperability between dental offices, municipalities!

 image005  December 20, 2013 by, ADA News staff

Washington—As do fingerprints and DNA, dental data will now have a communication protocol as the basis for interaction and interoperability among the various forensic dental repositories and systems deployed internationally.

The Information Technology Laboratory enabled the communication protocol by way of the addition of a dental data supplement to the Data Format for the Interchange of Fingerprint, Facial & Other Biometric Information. ITL is part of the National Institute of Standards and Technology.

The ADA Standards Committee on Dental Informatics worked with the American National Standards Institute/NIST-ITL Dental Working Group to produce the forensic dental data supplement, which is based on the ANSI/ADA Standard 1058 – Forensic Dental Data Set. The dental supplement also covers other items useful in forensic work, such as patterned injury imagery (bite marks, etc.), cheiloscopy (lip prints) and computed tomography and cone-beam scans.

The forensic dental data supplement standardizes the transmission methodology of familial dental data, dental history data, tooth data, mouth data, radiological data, visual images and other dental biometric information. These records are critical to missing-persons investigations, disaster recovery identification efforts for transportation accidents, terrorist attacks and other incidents where dental records are used in the identification process.

To read the rest of this article, Log onto:

Henry Schein Outlet Center – Overstock – Reconditioned – Demo……

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

Condition: Demo
Part Number: 167-0152-D  Manufacturer Part Number: 8161420
Catalog Price: $3,054.99   Outlet Price: $1,989.00

Warranty: 2-Year


Cavitron® Plus™ ultrasonic scaler with Steri-Mate® handpiece

2-30K® FSI®-SLI®-10S ultrasonic inserts

1-30K FSI®-1000 ultrasonic insert

1-30K FSI® Slimline® 1000 ultrasonic insert

1-30K THINsert® ultrasonic insert

Life is not all about Dentistry………………………………………

From Me to You, Enjoy!

Johnny Cash – Wreck of Old ’97

George Carlin-7 Dirty

Don’t miss one day of your family growing up. Don’t let life get in the way, because when today is gone you can never get it back. It is important to find the balance.

December 22, 2013 - Posted by | Uncategorized

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