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with Dr. Steve Rasner
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"In Over Your Head
with a Difficult Extraction"
Protocol # 41 (Excerpt from "The Protocol Book")
This is a clinical protocol. If you're struggling with an extraction over 45 minutes... bail. Get out the chromic. Place some gauze. Give post-operative instructions and a pain script and send the patient to the oral surgeon. Tell them:
"Listen, this tooth is more challenging than I anticipated. I'm going to place a stitch, give you a pain script and send you to my friend, Dr. King."
Be calm. Act like "these things can happen" and waive any fee.
Rationale
Ever start a tooth you had wished you hadn't? I wish I had had someone tell me this one year ago. Listen, I'm not an oral surgeon but I did stay at a Holiday Inn last night. Ok, enough kidding. I called an oral surgeon, a malpractice attorney dentist and used my own expertise. This is what we concluded:
First, remember that if you tell the patient this one is for the oral surgeon and the patient talks you into it, you are held to the oral surgeon's standard of care, which includes not leaving behind root tips. Forgetting all of this: if one day you find you're in deep, give the same post-op care as if you took the tooth out and remember that it's your responsibility to find them an oral surgeon - hopefully one that likes you. The point is, don't do what I once did. Don't cancel your afternoon, keep them in the chair three hours claiming victory over a battered, barely breathing patient. Forty-five minutes is tops. If it ain't out, get out.
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One-on-One Coaching with Dr. Rasner
Where will YOUR practice be in December, 2012?
Will you be stuck in
'horizontal growth' mode?
Want to create
your breakthrough year
and the practice you love?
with One-on-One Coaching
for you and a staff member...
in Dr. Rasner's office!
Schedule your
complimentary consultation
today!
800-337-8435
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(4 Audio CDs)

Bring the power and enthusiasm of Dr. Rasner into your own office. Listen and work through this course at your next full-day staff meeting.
Only $169
thru Apr 20
(Normally $199)
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"Dr. Rasner has had a massive influence on my practice, allowing me to grow by 35% in bad economic times while treating people more conservatively and more ethically." ~ Dr. Lincoln Harris, Harris Dental Boutique; and, Founder, Harris & Callaway Professional Education, Queensland, Australia "Highest rated speaker in history of Thunder Bay Rendezvous." ~ Dr. Paul Downhos; 2011 
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Where in the World is
Dr. Rasner?
Nova Southeastern University
Ft. Lauderdale, FL
Apr. 20, 2012
Eastern Shore Dental Society's Springfest
Ocean City, MD
May 04, 2012
Ontario Dental Association
Ontario, Canada
May 11, 2012
16th Annual Excellence in Periodontics
Jackson, MS
Sept. 28, 2012
Annual Fall Seminar
Southfield, MI
Nov. 08, 2012
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Realizing The Dream
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