My business partner and another colleague of ours, both of whom are starting to do some intro thinking about retirement in the next 5 to 10 years, met with an Aspen rep with the possible idea of opening up an Aspen practice in Florida. They were flat out told that Aspen has a targeted goal that every new patient who walks through the door will walky out with a treatment plan of ATLEAST $3,000. That treatment plan may be comprised of everything from actual perio treatment (lots of 4 quadrant scaling treatment plans that I have seen in my own office for a 2nd opinion with generalized 2-4mm pockets, essentially no bleeding on probing, and plenty of pink, stipled gingiva) and various oral hygiene aids to restorative, oral surgery, etc. That adult patient that has a say a stained OL groove on #3, that has probably been there for 15 years, looking exactly the same and with inactive caries that isn't detectable on a radiograph, you know the type of lesion that when you see a patient for the 1st time, most of us will clinically choose to re-evaluate it at the patient's next cleaning visit to see if it needs to be restored, those types of lesions are essentially an automatic part of the patient's treatment plan at that 1st visit.
From what i've personally seen, both clinically and via 2nd opinion requests from patients, as well as via discussions with multiple collaegues about the generalized topic of corporate dentistry. Is all the work and actions of corporate dentistry questionable? Absoluetly not. Do they tend to do things/treatment plan things that one could argue are in that "gray area" at a higher frequency than most dentists would? I certainly feel that way. Then again, i'm sure that if you put 10 different dentists in a room and had them treatment plan the same patient, that at best you'd get 6 or 7 different treatment plans, realistically 8 or 9 different plans, and atleast 10% of the time, 10 different treatment plans!
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