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Removable
Current state and future of removables, my thoughts.
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<blockquote data-quote="CPLZ" data-source="post: 163051" data-attributes="member: 676"><p>Thank you for a generally insightful post, however with all due respect, the statement above is borne of ignorance of the politics of dentistry. Being both a third generation and third generation past president of our state trade association, I have had many, many dealings with the state dental society regarding legislative issues. One is an absolute certainty. The dental society is so provincial in its need to be the dominant voice in legislation it will act to the detriment of its membership and the industry to protect its place as the preeminent voice in lobbying and legislature.</p><p></p><p>It is these political arms of dentistry that will preside over the death of the lab industry as we know it. In tandem with the comment that most dentists don't want to do removable, is the truth that most dentists aren't qualified to the judge the quality of removable when they see/get it. So when the current laws mandate that the dentist is the judge of what prosthetic is best for the patient, the premise for that law is patently false. Yet, sit in a meeting with the BOD of a dental society and see how they feel about amending those laws to benefit patients, dentists, and the industry, and you'll find a stone wall of opposition. These are not reasonable people. They honestly believe that they are serving the industry better by keeping 100% of the voice in their hands, even when they know that as individuals, they could not function properly without the aid of technicians guidance.</p><p></p><p>This is not a bitch, it is a real world assessment, it is what it is.</p><p></p><p>What these politico's have done, is create a perfect storm of demise for their own industry in which the competency will erode. Talented people are not entering the industry to be trained because we can't offer them a career path commensurate with their talents. By avoiding laws that create licensing, dental societies have succeeded in keeping prices low for their constituency, by allowing incompetent competition, but at a cost that will change the industry for the worst. What we are seeing today with the advent of Dentsply and Schein entering the lab business, is the future. The dentist will get what the lab provides, period. There will be no choice, because the options will be limited. State dental societies will be toothless to impart change at that point because options for that change will have disappeared. Big corporate will then dictate the level of dentistry performed...and yes, the net result will eventually, (I can't stress that word enough because it will take time) create legal denturism, the thing that most scares most dental societies.</p><p></p><p>So, what irony. The legislative ideology in place today, is not only going to harm the entire industry, it will give rise to the thing they most want to avoid.</p><p></p><p>My personal story is that I left the industry about 18 years ago (became a pro fisherman) and just returned 5 years ago. In all liklihood, I will be exiting the industry again because of the current climate of the industry, erosion of profitability, and the direction it seems to be trending, somewhat quickly.</p><p></p><p>I would like to be wrong on this, because it wouldn't be good for anyone, but have a high degree of confidence I am not.</p><p></p><p>Regards,</p><p>Chip</p></blockquote><p></p>
[QUOTE="CPLZ, post: 163051, member: 676"] Thank you for a generally insightful post, however with all due respect, the statement above is borne of ignorance of the politics of dentistry. Being both a third generation and third generation past president of our state trade association, I have had many, many dealings with the state dental society regarding legislative issues. One is an absolute certainty. The dental society is so provincial in its need to be the dominant voice in legislation it will act to the detriment of its membership and the industry to protect its place as the preeminent voice in lobbying and legislature. It is these political arms of dentistry that will preside over the death of the lab industry as we know it. In tandem with the comment that most dentists don't want to do removable, is the truth that most dentists aren't qualified to the judge the quality of removable when they see/get it. So when the current laws mandate that the dentist is the judge of what prosthetic is best for the patient, the premise for that law is patently false. Yet, sit in a meeting with the BOD of a dental society and see how they feel about amending those laws to benefit patients, dentists, and the industry, and you'll find a stone wall of opposition. These are not reasonable people. They honestly believe that they are serving the industry better by keeping 100% of the voice in their hands, even when they know that as individuals, they could not function properly without the aid of technicians guidance. This is not a bitch, it is a real world assessment, it is what it is. What these politico's have done, is create a perfect storm of demise for their own industry in which the competency will erode. Talented people are not entering the industry to be trained because we can't offer them a career path commensurate with their talents. By avoiding laws that create licensing, dental societies have succeeded in keeping prices low for their constituency, by allowing incompetent competition, but at a cost that will change the industry for the worst. What we are seeing today with the advent of Dentsply and Schein entering the lab business, is the future. The dentist will get what the lab provides, period. There will be no choice, because the options will be limited. State dental societies will be toothless to impart change at that point because options for that change will have disappeared. Big corporate will then dictate the level of dentistry performed...and yes, the net result will eventually, (I can't stress that word enough because it will take time) create legal denturism, the thing that most scares most dental societies. So, what irony. The legislative ideology in place today, is not only going to harm the entire industry, it will give rise to the thing they most want to avoid. My personal story is that I left the industry about 18 years ago (became a pro fisherman) and just returned 5 years ago. In all liklihood, I will be exiting the industry again because of the current climate of the industry, erosion of profitability, and the direction it seems to be trending, somewhat quickly. I would like to be wrong on this, because it wouldn't be good for anyone, but have a high degree of confidence I am not. Regards, Chip [/QUOTE]
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