There are many useful sites, on agile business, mindfulness, eHealth, and one dental course on photography. A further one is being produced on oral cancer. Currently there are no plans for one on oral hygiene advice for carers, for the benefit of residents in care homes. A MOOC (massive open online course) would benefit society in general as many of us are becoming carers with no training or support. If a corporate body produced an instruction video for their care homes, and released it for the general public, it could only enhance their reputation and there would be a worldwide benefit. A win win situation.

Teeth 4 life is built around the use of modern technology as it becomes available. The course itself also gives an example of a lean canvas, which is a framework to make a startup company using disruptive technology by learning what your customers really want.

TED talks have some excellent thought provoking topics. Sir Ken has the similar issues with the education profession as I have with dentistry. Currently we are de-skilling due to protective treatment planning and unrealistic expensive referrals, and consequently not attempting procedures due to the constant threat of litigation. Where Jamie points out the real killer on a graph, we could have one regarding poor treatment, we should be highlighting the good work we do. We are being let down by both the GDC and the defence system. You need a thief to catch a thief, we need better lawyers to stop the cycle and reduce our stress levels. We also have had digital radiographs going back over 10 years, and can see the teeth we are extracting now may have another 10 years left when compared to cases when we have been watching poor root fillings for over 30 years. Cost and striving for perfection may not be in the best interest of all our patients.

We have fantastic equipment and tools to carry out root canal therapy compared to 30 years ago with online videos on how to use them. The funding from the largest corporate type group, the NHS, is inadequate, and doesn't help the reality of your professional conscience. We can't bury our mistakes as discussed by Henry Marsh in the excellent ‘Do No Harm,’(Review link available) they are still there. We can guarantee our work for a year, but can be sued many years later? We should make mistakes, ideally relatively few, otherwise how do we learn. We should not be punished and stuck off, but supported by retraining. Us older GDPs should be able to openly discuss what has worked for us, and our patients over our practising career. The new dentists, and our patients would benefit.

With regard to what works for our customers, look at Jamie Heywood. How to get children to clean their teeth look at the author of the power of habit.

Future Iterations

The app addresses the main 3 concerns of the public. How well do they clean their teeth, cost, and oral cancer. According to all our dental motivational coaches, once patients become motivated they will buy your services rather than you having to sell them. The time saved by using the App should enable you to develop more rapport, and empathy rather than seeing more patients. In the future we may develop further roles with regard to general health as it is so clearly linked. I initially had a score in the App for general health, but after initial surveys decided to remove it. It could however, be added at a later date to the teeth4life App. It may well be that regular appointments mean you could monitor general health. It would take under 2 minutes and help screen the public as indicated below.

There are huge libraries of audible books, on self help, management, business, leadership and 2 on dentistry. Peter Drucker is extremely well regarded. One quote of his, "There is nothing quite so useless as doing with great efficiency what should not be done at all". Do we write our notes for ourselves, the patient, or the lawyer? With GDPR the no win no fee lawyers will soon be demanding your notes on behalf of their concerned clients. As my parents would say, its the tail wagging the dog. How about asking your patient do you want me to go through all your treatment options, and explain everything thoroughly at £500 an hour like your lawyer, or send you a binding terms and conditions email highlighting all the possibilities for you to read at your leisure?

Clearly, this couldn't apply to your NHS patient. Its as if we were being encouraged to leave the service. If only it was not a political football. The government of the day must bite the bullet and give a core NHS service. Even get the patient to use the App or similar. You can only qualify for treatment if your hygiene score is good enough. It was as I was taught in 1982, and unfortunately it doesn't look we will have a suitable NHS framework in my lifetime.