Our present time actions. Jobs we love


Be thankful for incremental increases in success that comes after jobs bring love.

There are many people that will tell you how much they hate their jobs.

You can show up at work day after day and do what is necessary to pay the bills.

Some jobs pay you tremendous amounts of money to perform tasks you may dislike.

People that enjoy what they do are willing to pour their hearts and souls into difficult projects.

In my profession dentistry demands extremely high amounts of energy be expended to develop high quality final products.

We learn from the dental environment how to produce the best services possible.

The lessons learned for incremental success encourage you to get away from your job each week to refresh and rejuvenate the spirit.

You perform at a higher level, fresh and ready for duty.

Busy people are able to get more done if they enjoy what they do on a daily basis.

A good formula includes a certain amount of activities that allow you to distress.

Our best efforts are performed from the actions we do within what we enjoy.

Work takes on a certain fulfillment fueled from our passions.

The soil that gets under our fingernails is a minor distraction when it is known a harvest is on the way.

The scripture, we reap what we sow, becomes more real to those use to working hard with passion as the stepping stones through the garden.

Jobs bring love and can also be called our labors of love, performed out of necessity and passion at the same time.

Years pass as we look back and wonder where the time has gone.

Time expands for those who enjoy what they do.

Enjoyment may be found in the games of life.

But nothing is more fulfilling than winning at life’s most productive game, which is meaningful work.

This is a discovery you make out of your own experiences.

The experiences derived performing the duties and tasks that help others.

The world is in need and desires the services of those willing to help others.

Care for the world and your reward is bestowed in the services you render.

A dental team functions in a manner that cares for the public at large.

Jobs bring love and are done with the greatest of care.

From the Diary of my enlightenment,

A.L. Clark, D.D.S.




WE CARE                                       HIGH RISK DENTAL PATIENTS

High risk dental patients.


Take the time to understand the needs of high risk dental patients.

Teeth can show tremendous wear from the stress and strain of night grinding called bruxism.

Care must be taken in the restoration of teeth badly worn down that place dental patients at high risk.

Some of a dentist most challenging cases for restoration come after the wear and tear of tooth grinding related

to stress and anxiety.

Dental treatment resulting from this kind of damage can be veer difficult to treat.

Patients will hear fees to repair the damage to teeth from stress and anxiety above and beyond what is considered normal and routine.

More time will be required in the planning of treatment for these cases.

Full mouth rehabilitation is the treatment of choice when every tooth is to be prepared for porcelain crowns,

Some dentist find it easier to prepare the teeth in one jaw at a time to facilitate equilibrium in restoration of the patient’s case.

High risk dental patients can fracture porcelain crowns in the same way they grind away tooth structure during bruxism in their sleep.

Badly worn teeth reduced in size and strength can be restored with porcelain crowns.

To evaluate the patient’s bite relationship, also look at the size of the Masseter muscles.

Very pronounced and developed jaw muscles cause elevated jaw forces measured in pounds per square inch.

Patients with a square jaw deliver very high biting forces.

To help protect the chewing surfaces of restored teeth a bite guard is fabricated.

The bite guard is worn at night to minimize forces that are harmful to the teeth.

Worn on a regular basis, it will reduce porcelain fracture of the new crowns.

Those we treat capable of fracturing their teeth, are referred to as high risk dental patients.

Allow patients undergoing dental rehabilitation to wear provisional crowns also known as temporary crowns to wear them approximately 90 days.

The 90 day period provides valuable information before the final restorations are cemented.

Patients should expect to wear the night guard as a protective device not only at night but during times of high stress.

You greatly reduce the risk of porcelain fracture wearing this device.

Indicators of damage to the teeth are wear facets greatly reducing the ability of a patient

to smile and crew effectively.

High risk dental patients can improve the function of their teeth with well planned restoration.

From the Dairy of my enlightenment,

A.L. Clark, D.D.S.



Finding a way to survive the times.


There are those who are good at findng your way in the worst of times.

Take note of these individuals and learn from them.

Look upon them as the opinion leaders of the day.

Opinion leaders can be called upon to show the way.

You will see no matter the niche we all have struggled along the way at

some point.

You arrive at work daily and place the largest dent possible in the workload of your day.

Take care not to stay in life’s ruts where the priorities of the day get shuffled to the bottom of  the to do list.

Handle the priorities of the day so that finding your away becomes a part of your daily routine.

Dentists find themselves in the business of contract procurement filling out lengthy applications to get in the graces of dental insurance carriers.

Employers shop for their employee benefits, changing dental carriers approximately every five years.

The dental industry stays in a state of flux because of this particular situation.

Keep in mind any business has fixed cost attached to the service that you deliver.

A profit is made somewhere between fixed cost and the flow of patients you are able to generate daily.

It is no easy job balancing what is loss and that which you gain to remain a solvent business concern.

In your own business out think the various ways you can have a continuous flow within your own operation.

Finding your way to survive the tough times will keep you digging for the gold that lies at your feet.

It remains only a thought and actionable step away.

The intentions that we pour our hearts and souls into eventually become the fruit of our labor.

Pick the lowest hanging fruit to start the flow but the sweetest berries glisten in the sun at the very top.

Greater rewards await those who understand the sales process and are willing to reap a bountiful harvest after

the crop is ready to be harvested.

Crops don’t wait on the harvester. They are best harvested when ripened in their own time.

Like the farmer that tills the soil and plants seed, we too pour ourselves into the work that we do daily.

Honest labor where seeds have been sown do yield productive crops.

Finding your way to survive is out thinking the variables that limit our ability to be successful.

From the Diary of my enlightenment,

A.L. Clark, D.D.S.

Reference: sterling,



Sectioning problematic teeth


Sectioning problematic teeth facilitates their removal.

During the consultation appointment with a dental patient, decisions are made to do in house oral surgery or refer to a specialist.

Patients that come into dental offices have a wide variety of options regarding oral surgery.

Dental insurance benefits allow patients the option of general anesthesia for difficult surgery cases.

Patients without dental insurance may qualify to receive treatment in county hospitals at a reduced rate.

Neighborhood dental facilities subsidized by our tax dollars have a sliding fee scale charging patients according to their ability to pay.

A large segment of dental patients enter dental clinics, from the heart and soul of the American workforce.

These patients come for emergency dental care. They have chronic high pain levels usually putting off treatment for weeks at a time.

General practitioners make treatment decisions based upon what is best for the patient.

Patients unable to afford the services of oral surgeons become problematic for several reasons.

Pain medication and antibiotics have greatly reduced pain and suffering. They only help up to a point.

Sectioning problematic teeth facilitates their removal. Teeth have degrees of difficulty. Those with a high degree of difficulty are the best candidates for referral to oral surgeons.

Regarding discomfort associated with mandibular wisdom teeth, the upper wisdom tooth is easier to remove when erupted.

It takes pressure off the lower wisdom tooth providing relief to the patient.

Patents may also benefit from the removal of a portion of the tooth from the alveolar socket, another way of relieving pressure until the oral surgeon is seen.

Another technique is to remove pulp tissue as a temporary procedure when patients are suffering.

Patients are encouraged to receive routine dental care on a regular basis to avoid the possibility of interim or temporary procedures.

You will find patients requesting intermediary procedures after being up all night unable to sleep because of high pain levels.

Waiting until the 9th hour creates more problems for the dental patient.

These problems are resolved like problems being looked upon as knots in a ball of twine where each knot sista as a problem.

Dentists treat daily the problems that occur because of the patient’s level of procrastination regarding pventative dentistry.

Patients are surprised by the high level of comfort experienced in the process of their dental treatment.

One way to treat high pain levels is sectioning  problematic teeth.

From the Diary of my enlightenment,

A.L. Clark, D.D.S.








WE CARE   Survivalist Traning

Defining survivalist


Survivalist training prepares a person to be all he/she can be even in the toughest of times.

Keep your eyes and ears open to understand what can be done in spite of life’s difficulties.

The gun case in this picture was taken at a shooting gallery in Lee’s Summit, Missouri.

Bullets fly all day on the shooting range at Frontier Justice.

They have a wide assortment of weapons in their facility.

You will hear citizens stockpiling ammunition like there’s giong to be no tomorrow.

It becomes an interesting proposition learning what must be done to survive the coming business cycle.

Economic turmoil is a part of the business cycle. What goes up in the market is bounew to come back down at some point.

A speaker was on the radio this morning discussing how the railroad spawned quite a few wealthy men of that day.

They rode an ideal wave of fortune on the backs of Americans during the industrial revolution.

In my profession dentistry, consultants inform dentists to work 4 strong and fruitful days.

We are encouraged to take time off each week to convalesce and refresh the spirit.

The best therapy for weariness is rest and quality time spent with friends and family.

What you are able to provide from labor are creature comforts that won’t carry much value if the trade off

is your health.

You can learn valuable lessons from men and women living off the American power grid.

Severe weather patterns keep us mindful just how frail the human body really is in the whole scheme of things.

Would you be able to survive if all the comforts of home were taken from you?

Spend a few nights out of doors to appreciate survivalist training where the bare essentials of life are at your disposal.

One survivalist states our bare essentials are water, food and clothing.

Personally shelter would be on my list where the roof is solid and able to keep rain at bay and drastic swings in temperature under control.

Survivalist training regimens expose you to your weaknesses with intentions of making you stronger and more viable.

After a romp in the woods for the weekend you appreciate the comforts of home.

You even return to work more focused and energized.

Take time out of your busy schedule to reconnect with nature and find the fruit of minimalism.

In minimalism is simplicity the main lesson in survivalist training.

From the Diary of my enlightenment,

A.L. Clark, D.D.S.






Horizontally impact teeth


Horizontally impacted teeth are portals for infection to enter the body.

Left untreated they create tremendous health risk for the dental patient.

Dentists find themselves having to remove impacted wisdom teeth also known as third molars.

For most patients wisdom teeth are hard to reach and keep clean.

Their position in the jaw is one of the reasons their removal is recommended.

The size of the jaws in relation to the position of these teeth have been a problem for mankind for many years.

They can erupt into the mouth pointing out towards the cheek, or partially erupt forming a food trap around their coronal aspect.

Third molars at times stay submerged and bacteria over the years is trapped around them causing mouth oder and abscess formation.

Antibiotics can be used in the short term but plan to remove them for better oral health.

Parents seeking consultation are usually told patients can have third molars removed in the early teens.

Infection deep within the jaw spreads from the formation of bacterial gases expanding at a steady rate.

Pain ensues because of pressure build up within hard tissues.

Some of your more difficult teeth to remove are horizontally impacted teeth.

In relation to the tooth growth patterns any tooth has the potential to grow at angles different from their normal positions.

Mid jaw smaller molars known as premolars can be trapped under the gums, crowded out of their normal position.

They become crowded out of their normal positions because deciduous teeth may be lost before the final eruption sequence into the oral cavity.

It requires orthodontic intervention to surgically access horizontally impacted cuspids in the maxillary jaw.

A small access preparation exposes the cuspid and ligature wire is used to engage it, guiding the tooth over time into a more normal position.

View the mouth as a class one over system similar to a nutcracker.

Most of the more profound chewing occurs in the most posterior part of the mouth where the psi of chewing stroke is highest and most efficient.

A nutcracker functions in the same manner.

Patients are encouraged to maintain their teeth in order to not overwork them. Molars are designed to take on the load of chewing.

Horzontally impacted teeth can bemore difficult to remove than erupted teeth because they grow at angles subgingivally.

From the Diary of my enlightenment,

A.L. Clark, D.D.S.




Optimizing your life is an investment.


Optimizing your life is a function of understanding your value to the world and pursuit of what you dream for the betterment of mankind.

Last night Nobel Bicare sponsered a meeting at the University of Missouri Kansas City School of Dentistry.

The host was The KC Dental Implant Society. In attendance were student doctors and dentists from the surrounding  community.

The topic was website marketing presented by WEO MEDIA who has taken on a specialty niche marketing to dentists.

Ian McNickle, one of the company partners gave a very informative presentation to the body.

WEO Media has gained rapid acceptance and endorsement in the dental industry due to relentless pursuit of providing dentists what they need.

They state they are a full service marketing company with great services, customer support and value.

Online marketing for most entrepreneurs gives the marketer the opportunity to make the best first impression possible.

Optimizing your life starts with a solvent business concern for those who depend on the World Wide Web for success.

WEO Media is a Google Partner.

They recommend that you have a realistic advertising budget to achieve some measure of success.

Dentists are in the cross hairs of a wide variety of marketing firms.

Knowing and understanding the dental market is a plus for dentists who are known to be in the top 1-2 percentile of income producers in the United States.

We were encouraged by Ian to understand the state laws of your dental board as you develop your marketing strategies.

In many states you will find penalties abound for dentists out of bounds in making offers to the public for financial gain.

There is contentment in knowing the business of dentistry will be cared for by professionals who come to you highly recommended.

A website analysis provides valuable information to your consultant and the entire marketing team of your business concern.

The group was encouraged to make the content posted to their websites engaging and personalized for greater readership by your patient base.

As a final note doctors were advised to be aware of scam artists who charge on average $500.00 to remove negative reviews.

Only the person who writes the review as a general rule can remove the review.

In a final note it was made known online marketing is traffic plus conversion.

The goal for dentists is simple to make their phones ring by converting traffic coming to your site into informed, educated buyers.

Optimizing your life starts with the optimization of a well run website by professionals you can trust to deliver.

From the Diary of my enlightenment,

A.L. Clark, D.D.S.




Maintain cognitive skills. Important business decisions.


Important business decisions must be made by you and your dental team to overcome the lean years of the business cycle.

The niche of your choice can be conquered in the making of good business decisions.

Survival can be a product of mind over the obstacles you confront on a minute by minute basis of each business day.

Intelligence is a great asset but experience will take you where you are wanting to go.

Out of experience you understand the elements and details of what can be done to achieve your goal.

In the heat of battle there is no better friend than one who has seasoned himself through the process of battle.

One of my favorite movies “Gladiator”, watched on several occasions, show the star of the movie, a Roman general of Spanish origin wielding his sword in battle.

You can tell by the techniques displayed in the movie his character is a very experienced fighter. He leads his army by example fighting along side his soldiers.

He is well respected by the men he commands.

In the same manner you have an opportunity to lead by example or follow and support good leadership.

You are known in your business by the actions you display on a regular basis.

Visionaries should always be wanted and desired in your business operation.

Emplyees that display vision are great assets.

Nurture their skill sets to advance your operation.

Important business decisions made by your entire team propel you from mediocrity to greatness.

Dare your team to rise above mediocrity having as a target daily and weekly improvement.

Your business bottom line improves with moment by moment focus on incremental increases in energy and effort.

We are told to stay motivated even during the worst of times and to never give up.

Those who are not willing to give in to setbacks and failure are not defeated in life.

Defeat only comes after one has quit and no longer has a desire to carry on for fulfillment of a dream.

Take the time to listen to those with experience as stated will become your best teacher.

Experienced teachers in marketing become allies for all of us in business.

Look at the big box stores and fast food restaurants that appear to be overnight successes.

They make the important business decisions that bring business to ther doors.

From the Diary of my enlightenment,

A.L. Clark, D.D.S.,,




HAVNG your prize. Getting the job done. Royals relentless success.



Having your prize can be achieved giving to others what they desire in order to receive what you need.

Many niches are on the world-wide web to chose from.

Integrate a new operation so that your foundation for the business is stable.

It takes a series mindset by the business owner to run and maintain a solid business concern.

I am viewing this evening an episode of a television series called “The Profit”.

The series bails out business concerns that are failing because of mismanagement and clear leadership.

Consistency is a key in working on your business more than you work in the business.

Every business must have a mission statement so you don’t get lost working within your business.

Build a business and make sure to set a standard you can live by and plan for business growth.

Consistency and standard delivery create stability in your business.

Give those under your employ systems that deliver the consistency desired to get the job done.

Every business requires strong leadership to run smoothly and efficiently.

Have what the client wants and you have found the need that should be filled.

Find a need and fill it to the best of your ability.

Consumers want the opportunity to make decisions for themselves.

Set up your brick and mortar store and website with this key in mind.

At the center of every successful operation is a satisfied customer.

Keep customers satisfied and you definitely increase your chances of being successful.

Having your prize is a product of all the above  being applied to the daily actions of growing your business.

Incorporating systems into your business will bring unity required to run a business in today’s marketplace.

A well run business has state of the art technologies in many facets of the business.

Everything comes together incorporating th branding f your niche.

The television series shows what can occur with a visionary at the helm.

If you are having problems realizing your targets get back on track operating within simplicity.

Keeping things simple ensures duplicity of your purpose.

Take the time to incorporate a standard of high quality in your business model.

Quality incorporated into your operation is a very good thing.

Many of us do not have the business experience and acumen to run an operation that lives up to the targets we want.

Having your prize comes after the hard questions get answered that grow your business.

From the Diary of my enlightenment,

A.L. Clark, D.D.S.




 Medicaid treatment options in dental health.


Medicaid treatment options are still available to qualified recipients under the age of 21 years in the state of Missouri.

Dentists in Missouri who accept patients covered under Medicaid benefits inform family members to continue routine dental care.

Mothers and fathers are advised to bring children under this program to dental offices for routine dental care.

America continues on a downward spiral in dentistry into facilities that render emergency dental care.

This form of care causes an overrun stressing the limits of clinics providing emergency services.

In the evenings through after hours care in dentistry dental patients with severe toothache pain fill hospital emergency rooms.

Hospital emergency rooms work on a triage format, treating those with medical emergencies as a first priority.

Emergency room staff treat dental emergencies with all the care and respect given to any other patient in crisis.

In a system where life threatening concerns automatically come first patients have been known to wait in some emergency rooms upwards of 6 hours.

This time would be better spent relaxing at home or gaining knowledge reading or engaged in other worthwhile activities.

Many man power hours are lost waiting in emergency room facilities.

If at all possible we ask patients with dental emergencies to start the process of resolving dental problems earlier in the day.

Your choices are greatly expanded due to the fact more clinics are open during business hours.

You may receive medication for infection control and pain relief same as hospital emergency rooms at a fraction of the waiting time.

Routne visits to your family dental facility prevent the cause of many common dental emergencies.

Patients seek the care of dentists for the first time because of halitosis and pain relief usually tooth related.

Accidents in general resulting in head trauma should be evaluated by a medical team to rule out potential medical concerns.

Car accidents, falls, and different sorts of blunt forced trauma require medical follow up as well as dental visits.

Efficient and well run state programs require excellent management at every level.

It is the job of all healthcare staff to run their clinics as efficiently as possible, especially at the managed care level.

One of the easiest ways to get slashes in state medical and dental programs is through a duplication of services.

In dentistry over the years it has been witnessed how services rendered in one fiscal year are not available in the next.

Medicaid treatment options remain available for the majority of patients under the age of 21 years.

From the Diary of my enlightenment,

A.L. Clark, D.D.S.