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4. Market competition: The rise of new dental schools and in turn the
           excess number of dentists graduating and starting clinics has increased
           the competition, pushing the clinics to adopt business strategies that
           enhance patient attraction and retention.
              Despite the financial imperatives, dental clinics must prioritize
           patient care, as neglecting ethical responsibilities can lead to
           reputational damage, legal liabilities, and loss of trust.

           ETHICAL AND PATIENT-CENTERED APPROACH
           As dentists, we graduated from the dental college by swearing on the
           “Hippocratic Oath” emphasizing patient care above all else. Ethical
           considerations in balancing business and patient care include:
              a) Patient centered care: As clinicians we are expected to provide
           personalized, compassionate care that prioritizes the patient’s needs
           over financial gains.

              b) Transparency in treatment costs: Patients should be aware of
           the cost of services before starting treatment thus preventing financial
           exploitation

              c) Avoiding over-treatment or under-treatment: Clinical decisions
           should be based on the patient’s needs rather than financial incentives
           - avoiding both unnecessary procedures and cost-cutting measures   •  Stay clinically focused: Prioritize continuing education and
           that compromise dental care.                           staying current with the latest clinical advancements.

              Striking the right balance between business and ethics requires a   •  Business  acumen:  Develop a solid understanding of financial
           strong leadership from the owner of the dental clinic. Some challenges   planning, marketing, and practice management.
           that clinic owners face while trying to strike this balance are
              • Rising costs/inflation: The increasing cost of dental materials,   CONCLUSION
           labour and technology makes it difficult for the institutions to maintain   Balancing business and clinical dentistry is a delicate harmony that
           affordability for the patients while ensuring financial viability.  requires careful attention to both aspects. By prioritizing clinical
                                                                  excellence, delegating effectively, and developing business acumen,
              • Shortage of trained professionals: Many dentists struggle with   dentists can create a thriving practice that delivers exceptional patient
           staff shortages, leading to increased workloads, potential burnout, and   care while also ensuring financial sustainability. Ultimately, finding
           a compromised patient care.                            this balance is crucial for success in modern dentistry. n

              • Administrative burdens: Along with providing clinical care, a   ABOUT THE AUTHOR
           dentist has to usually take care of bill payments to the different vendors
           and the other administrative responsibilities as well.                Dr. Akshay Kumarswamy is a second-
                                                                                 generation periodontist from Mumbai, India.
              • Conflicts of interest: Dentists may face pressure to maximize    He is board certified and is a Diplomate of
           profits through unnecessary procedures.                               the American Board of Periodontology. After
                                                                                 his undergraduate education from CODS,
                                                                                 Davanagere he obtained his Certificate in
              •  Balancing innovation with cost control: While technological     Advanced Dentistry from Boston University
           advancements enhance treatment outcomes, they also require            and followed it up with a 3 years Masters
           substantial investments, which can drive up the treatment costs.      of Science degree from the prestigious
                                                                                 University of North Carolina at Chapel Hill
           FINDING THE BALANCE                                     School of Dentistry, which is one of the top 5 dental colleges
           So, how can dentists balance the clinical and business aspects of their   in the world. Post his training, he taught at 2 different schools
           practice? The key lies in finding a harmonious blend of both. Here are   in USA and was the Director of the Implant training program at
           a few strategies to achieve this balance:               East Carolina University. He currently holds practice privileges
                                                                   in the USA, India and Dubai. He has recently launched DPT
              • Delegate effectively: Empower staff to handle the administrative   - Dental Practice Transitions - to help senior dentists plan
           tasks, freeing up time for clinical focus.              their succession and retirement. He currently practices full
                                                                   time in Mumbai along with training future dentists in the field
              • Streamline operations:  Implement efficient  systems  and   of Periodontics and Implantology. He can be contacted at:
           processes to minimize waste and maximize productivity.   periofamily@gmail.com


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