An Early Bite with Dr. John Paul: “Can’t I Just Get This Done at the Mall?”

By Dr. John Paul, FDA Editor

When it comes to teeth whitening, how often do patients ask, “Why can’t I just get this done at the mall?” — which is patient speak for “I don’t want to pay what I think you are going to charge for results I want but can’t count on.”

Here’s what I tell them:

“Mrs. Gruntbuns, you certainly can go to that kiosk at the mall and get teeth whitening supplies there, but for the life of me I can’t imagine why you would want to. You don’t know where the person handing out the whitening supplies was last week. That lab coat they are wearing does not mean they are a dentist or even a certified assistant — there is no reason to believe they have any special training. There also is little or no regulation on the actual chemicals that will be sold to you. In Florida, there are regulations that say unless the person in the kiosk is a Florida-licensed dentist they cannot legally place anything into your mouth or shine a “special light” onto your mouth, but you as a consumer would have to report the procedure to see any enforcement.

When you come here, part of what you are getting is my training and expertise. I will advise you how likely whitening is to work for you. I can prescribe different products to suit your individual needs. My staff and I are overseen by the Florida Board of Dentistry and should we stray from the standard of care, my license and my livelihood would be in jeopardy. Besides the fact that I like you, I have a vested interest in running a clean office with the best products, the latest techniques and a well-trained staff.

I certainly won’t stop you from spending your money at the mall, but you should think about whether the rewards outweigh the possible risks, and whether there will be anything you can do if you are unhappy with the results.”

Have a question you have a tough time answering? Send it to Dr. Paul at jpaul@bot.floridadental.org.

An Early Bite with Dr. John Paul: “Why Are You Sending Me to a Specialist?”

By Dr. John Paul, FDA Editor

We’ve all had the patient who does most of what we suggest but never wants to leave our office. What do you say when your patient asks, “Why do I have to go to a specialist? I’m so comfortable here.”

“Mrs. Gruntbuns, I have a friend down the street who is an expert in the treatment you need. It’s all she does, and she is faster, better and cheaper than I could possibly be for you. What she can do in 45 minutes would take me three hours and two visits. For this procedure, my service isn’t the best and I want the best for you. When she’s done with your procedure, she will send you right back to me and I will take care of the other things you need.”

Maybe your patient needs more than one specialist. “Mrs. Gruntbuns, your condition is complicated and will need a team of dentists to restore your mouth the way you want it to be. We’ll work with specialists for those things because they do much better than I could, but I’ll always be the ‘general manager’ of your care. You may ask me questions anytime about the care I provide directly or the services our specialists are providing.”

Have a question you have a tough time answering? Send it to Dr. Paul at jpaul@bot.floridadental.org.

An Early Bite with Dr. John Paul: “Are You on My Insurance?”

By Dr. John Paul, FDA Editor

What do you want your staff to say when a patient asks some variation of, “Why aren’t you on my insurance plan?” This is usually asked with the hidden threat or just basic confusion that they have to go where their insurance says.

“Mrs. Gruntbuns, if Dr. Paul were to be ‘on your insurance’ he will be required to sign a contract with your company that will dictate how he behaves when he sees you. Sometimes it may be just as simple as what to charge when, but it could mean he can’t provide a service that might be the most appropriate service for you. Because he believes no one should interfere in his relationship with you, he is unwilling to sign such a contract. That said, we will work with any insurance company that can provide your benefits in a timely manner without undue interference; we just aren’t ‘on your plan.’”

If you are a preferred provider for some plans but not all, you can use this same wording. Just note that you have reviewed the contract you will be required to sign and feel that unlike other plans you accept, this one will put unnecessary stress on your doctor-patient relationship.

Have a question you have a tough time answering? Send it to Dr. Paul at jpaul@bot.floridadental.org.