Dentistry Uncensored with Howard Farran
Dentistry Uncensored with Howard Farran
How to perform dentistry faster, easier, higher in quality and lower in cost.
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1220 Don't Go To Dental School! By Alessandro G. Bartoletti DMD, FAGD : Dentistry Uncensored with Howard Farran

1220 Don't Go To Dental School! By Alessandro G. Bartoletti DMD, FAGD : Dentistry Uncensored with Howard Farran

7/13/2019 11:06:35 PM   |   Comments: 0   |   Views: 218

Dr. Bartoletti was born and raised in Pittsburgh, PA. He spent his sophomore year of high school in Bologna, Italy, where he briefly shadowed his uncle, a general dentist there. After attending Dickinson College, he worked for two years and then was accepted to Temple University’s School of Dentistry. 

VIDEO - DUwHF #1220 - Alessandro Bartoletti

AUDIO - DUwHF #1220 - Alessandro Bartoletti

He graduated in 2003 and served four and a half years on Active Duty in the United States Navy after having received a scholarship during dental school. He returned to Pennsylvania after his Active Duty stint, and has been in the reserves ever since. Dr. Bartoletti was an associate in a couple of private practices, and also taught full time at Temple University Kornberg School of Dentistry from 2012 until 2015, being the course director for two restorative classes, assistant course director for one, and director of the AEGD Program. Dr. Bartoletti is currently a partner with ELCO Family Dental, does school screenings for two school districts and is a Fellow in the Academy of General Dentistry. He is married to a wonderful wife and has two super kids! He enjoys photography, writing, reading, exercise, baking, and watching sports.

Howard: it's just a huge honor for me today to be podcast interviewing Dr. Alessandro Giovanni Bartoletti DMD FAG the CFT the CFT is he is a certified fitness trainer so I am shocked he came on my show he's a general dentist in private practice in central Pennsylvania which is a Schafer's town Pennsylvania he was born and raised in Pittsburgh Pennsylvania and spent one year of high school in Bologna Italy while there he briefly shattered his uncle a general dentist in Bologna he has been in the dental industry for over 16 years after graduating from Temple University of Dentistry in 2003 he served on active duty with US Navy thank you so much for your service thank you our in 2008 he went into private practice as an associate from 2012 to 2015 he worked full time as a faculty member at Temple University Kornberg School of Dentistry and that time he was director of the AEG D program as well as director of several restorative courses all why working part-time in private practice and being in the US Navy Reserves he became a partner at his current dental practice in 2015 and 2017 he published the e-book don't go to dental school which is available on Amazon for a whopping 99 cents additionally he does school district dental screenings and he is a fellow in the Academy of general dentistry he recently became a certified fitness trainer he's married to a wonderful wife and has two super kids I had him on the show because my gosh when I published that book I don't go to dental school by you and oh my god the comments were just so hilarious I don't know if you saw that but today I've been a physician's life goals become a doctor marry a doctor have kids make them doctors get them married to a doctor dentists life goals study dentistry ask your siblings not to study dentistry ask your friends not to study dentistry tell everybody not to study dentistry and then die watching everybody's still choosing Dentist three so idea oh I gotta ask your book is just amazing everyone loves it what possessed you to write a book don't go to dental school 

Dr. Alessandro Giovanni Bartoletti: that's a great question you know I when I started teaching you know I'd never really fully checked up on or followed up on the costs of dental school education after graduating I kind of put that on the back burner all of a sudden I get into the teaching arena and I start talking to the students and I start finding out how much they're paying for dental school look this is ridiculous it's more well over twice what we paid for dental school you know and it only happened the span of at that point was it nine years nine ten years you know more than doubling but this is nuts you know why are people subjecting themselves putting themselves through this kind of burden especially financial burden they're come out on the other end having to pay most of their paycheck to loans pay back loan and so after a while it's that this is ludicrous it does not make sense for anybody to go to dental school really unless they have certain qualifying features about them or about their background which would allow them to so that's why I wrote it just doesn't seem like it's feasible and more to go to dental school and I wouldn't recommend it 

Howard: well you know it's a it's timely that you said this because right now all over the media we have a presidential campaign going on and one of the people running for to be the president said that the tax cut would have paid off all the dental student loans so what do you think would have been better a tax cut for people like me and you or paying off all the student loans 

Dr. Alessandro Giovanni Bartoletti: well you know that's a tough question I'm glad I'm glad that you asked it I mean for the future generations if you're thinking positively or altruistically for them I would say pay off pay off their loans you know let them be loan free not have to worry about things but then there are those people who will turn around and say hey look we paid for it well why  don't we get off the hook we spent all the money for our education so where's the benefit for us when you know instead of just giving the benefit to other people while we well you know we sweated we toiled you know and we had to pay for everything all out of our own pocket or to pay back the loans that we received yeah very very tough question um but you know 

Howard: when you go to these dentals feels like there's two in my backyard I'm in Phoenix there's one in Mesa one in Glendale I mean it seems like half the faculty only teaches there for one reason to try to try to have an advantage that maybe their kid will get in dental school I mean this is it's no secret I mean everybody's talking about this USC scandal I mean people have been part-time instructors in universities they're  whole you know for centuries trying to get their kids into school and the way they're thinking about I mean think about the average net income forget us if you're a specialist you averaged 320 general practice or 197 if you're a general dentist you own your own practice you're making 244 if you're done this use an employee 147 I mean so if they're graduating 284 they're basically paying two hundred eighty four thousand dollars for a six-figure job do you think that's worth it or do you think there's better uses of that money to be like your dentist's associate 147 or look at it this way what business could I start up you know a plumber sheetrock er gardener where if I own my own dental office I made 244 so do you think it's a return on investment or

Dr. Alessandro Giovanni Bartoletti: I think that it's it may have used to have been a good return on investment but now it's becoming sketchy at best and likely not really a really good return on investment because you have to pay so much back to the loans given the current structure that you're not making a great living you're questionably comfortable if you're for example if you have a family and you're the sole provider you know so you got to worry about then you got to worry about your mortgage you got to worry about health insurance you know and on and on and on and on by the end of the day are you saving anything for retirement probably not but all the costs have put together you're probably not really saving anything for retirement and then think about the future generation if you have kids are you saving money for college for the kids either you are but it's not enough or you're not saving anything at all 

Howard: so yeah I mean I know a personal family member friend where he dropped out of college started his own construction company and were the same age and he's ten times richer than I am I know another kid right here in Phoenix he was a patient of mine hated his job dropped out just went into a simple landscape maintenance for homes and now we're the same age he has five different crews he nets a million dollars a year there's and then then you gotta figure in the cost of all those years you weren't earning money so four years of dental school I mean four years of college four years olds great and even though these specialists average 320 net and general dentists are 197 the semester going three extra years so so by the time so you gotta factor in ten years of lost income right that's a lot and

Dr. Alessandro Giovanni Bartoletti: that's a huge load of money especially if at the same time the stock market was on fire I mean think of that if you haven't been putting any more any money into the markets you've just been sinking money into education while the markets have been going crazy you even lost out on who knows how much income so that's another point to kind of throw into the pot and I so and 

Howard: I also think it helps me give better advice when I'm talking to dentists by from lecturing around the world and this is not a u.s. problem it's a global problem like I was lecturing in Malaysia and they always had two dental schools and then out of nowhere eight private ones popped up I'm in India in India there's private dental schools everywhere Brazil it's unbelievably so this is a global ago problem and in fact as bad as it is the United States I think it's far worse in Asia and Central and South America I think India Brazil Malaysia I mean I mean I have podcasted people from those countries on this show that tell me of their dentist friends have a part-time job in something other than dentistry so there they are and just in Brazil and they have a part-time job I'm so right do you see this turning around in the United States at all do you see a correcting or what  do you see 

Dr. Alessandro Giovanni Bartoletti:I'm glad you again glad you asked that question do I see it correct correcting it all probably not unless we have some sort of major election reform like where you wipe out all of the debt student debt if somebody managed us to do that maybe there will be a change but otherwise no because if you think about it it's a whole bunch of different caught a whole bunch of different factors that created this forest that we are currently walking in instead of looking at it as like the trees in the forest this is a this is a whole bunch of stuff that created a forest you have the government which was you know permissive it allowed for companies I guess to create loans for students these banks and other companies were able to create these loans for students you know just and you know they just give the money out because for example dentistry is the second least likely business of the United States to fail so you have a successful model so hey we can keep on giving out money because these guys rarely fail the only people that are better than us is dentists or chicken farmers so if dentistry doesn't work out for you can go become a chicken farmer and you'll have an even better chance at not failing so the government was permissive these you know companies that created loans and banks they were permissive and very generous with giving out their money ah you know the students play their own you know play their own part in this role because they accepted the money they thought hey we could get a good living out of this if we go through the process we could make a lot of money potentially so you know what's taking some money out if we can make all that money back but then came the schools I think the schools are kind of play a very big role in this to Howard because all they do is they keep saying well these students keep getting these loans they're not having any problems getting money why don't we keep on pumping up the tuitions so that you know we keep making money on our own so we can keep you know let's face it they're not necessarily doing anything wrong they're adding extra technology they're adding extra you know you could say flashing glitz to make their schools with them so what they're doing is trying to improve their own school improve their own maybe their faculty etc passing on the cost to the students who are paying the bill through loans the Sphynx are getting more and more loans because they need more and more money in order to attend dental school since the situation keeps going up and it's like a cycle that keeps on feeding so until something happens it breaks that cycle I don't necessarily think that anything's gonna change um you said that the 

Howard:  UM the the loans were permissive because the government got involved I mean I I don't understand where the government is on this because the US Constitution basically article 1 section 8 Clause 4 the United States Constitution provides the Congress shop hour to establish uniform laws on the subject of bankruptcies to nights throughout the United States I can declare bankruptcy from any business I go into but I declare bankruptcy on my student loans I mean well 

Dr. Alessandro Giovanni Bartoletti:  I'm not I'm not sure that they consider student loans a bit like is and a personal loan of business even though it relates to business I don't know if that's what I don't know if that's why they don't consider it a business ha

Howard:  I just find it odd that the government was guaranteeing these loans while they were passing laws that you can't ever declare bankruptcy on these student loans I mean I I don't know do you smell a rat but I mean that that sounds like a rat marrying a mushroom I mean then that sound a little weird to you yeah of course it does then again the government does weird things so you know I can't explain it Howard I can just say that that's the way it is yeah and another weird thing like in Arizona right now the government you as license all these medical marijuana dispensaries so they can make their profit off it meanwhile there's 800,000 people sitting in jail for selling marijuana marijuana right I mean so yes you're sitting in jail for selling it and you're in jail from a government who's now selling it right yeah exactly huh it's also gun so yours with dental students right now when they when the faculty what is it like working with a bunch of other faculty when they know you just published a book don't go to dental school um 

Dr. Alessandro Giovanni Bartoletti:  well the funny thing I mean I I stopped teaching back at the you know at the end of the school year so end of June of 2015 so it's been a little over four years now that I've not been teaching at a dental school I did get supportive messages from faculty members because I think that they see the same problem you know they  see the tuition that used to be me alone there used to be affordable you know says people back into the 1970s we're paying 4000 bucks a year you know here we are paying depending on the school sixty seventy eighty hundred and one hundred fourteen hundred fourteen for tuition per year you know it's gone crazy I'm sure that administrators may not have appreciated it you know maybe some beams didn't appreciate you know my book going out in the circulation on Amazon but you know I'm not saying that the schools are necessarily doing a bad thing they're just doing what they're supposed to do based on the current climate situation they're taking advantage of a situation but I can say that it is too expensive it has become too expensive the return on investment isn't good enough anymore and so for example if a prospective student would come to me saying hey what do you think about dental school I will say unless you have a certain set of criteria working in your favor don't do it it's simply not worth it anymore 

Howard: you know I've had some dental school deans on the show some one of them was filmed in my house and they told me you know it's just tough these dental schools that figured out years ago they would raise their tuition ten thousand dollars a year right and have no reduction in quality applications so then yeah just did it again and they did it again and they did again and now there's a bunch of them that are over $100,000 a year I taught a dental school so what would you think about telling them to go maybe to a foreign dental school I go to dental school and the Caribbean an something like that and then come here 

Dr. Alessandro Giovanni Bartoletti:  that's a very and that's an intriguing question the problem becomes will your license I'm sorry will your degree be recognized here in the United States so it's a question of state recognition of your dental degree I mean will they provide an education that's adequate enough for you to pass any kind of board examination here in the United States so quality of education there so if that can be tricky I know some people they used to do that for example my father's radiologist he immigrated here in the United States back in 1971 he had gotten his medical degree over there at the University of Bologna and he came here basically on the recommendation of the close friend of his who is American who was studying medicine in Bologna Italy so he could get his medical degree and moved back to the United States so back then he was worthwhile because there was a form of reciprocity or recognition so their degree could be recognized they could then take American Board examinations pass them you know being whatever licensure they needed and do so pretty easily apparently and  then my father and went on it his you know internship residency and then you know became a radiologist so back then way back to nineteen seventies maybe through the 80s it was worthwhile I guess things changed after that it got tougher so I can't tell you exactly when you know

Howard:  you're in Middle America you're  out in small town in Pennsylvania you're not in New York or Philly or whatever what do you is this as big a problem for Dennis earning income in the small town America's like where you're at or is this more of a problem in New York and Philly and not so much a problem in Schafer's town Pennsylvania 

Dr. Alessandro Giovanni Bartoletti: I think that another excellent question income depends upon a local economy as well as a national economy so where I am it's quiet relaxing peaceful but you're not going to get giant cases so if you're hoping to do a whole bunch of fancy dentistry if you set up a shop around here you're gonna go out of business because you're really not gonna get that type of books or at least very few of them you know out here we're treating farmers we're treating carpenters we're treating you know people of the earth you could say and they're great people but they're gonna do things relatively simply overall so you know if you're again if you're hoping for complicated cases tricked out in plant cases I'll be better off in the city out here you're gonna do very bread-and-butter dentistry 

Howard: what about doing on what you did which was getting a scholarship from the US Navy would you to have a kid yeah and undergrad and he said when I grow up I wanna be a dentist like you would you say you're going that during the Navy 

Dr. Alessandro Giovanni Bartoletti:you know what I'm gonna say is that that is one of the ways that you can do dent that you can go to dental school and that's what I mentioned in the book you can go to you know pick them Navy Army Air Force you can get one of their scholarships okay so that's one way to either reduce the costs of dental school or will almost eliminate them entirely altogether because you know when you get a scholarship from say the Navy there are a couple of different types available but the one that takes care of the tuition is an absolute godsend Howard and you think about it you don't have to worry about a dime of tuition you have to pick up all the other costs they give you a stipend so they give you a stipend it's not ray it's not huge you can't pay for every single one of your living expenses but you can probably pay off a fair amount of it and only have to take on in small quantities of loans to get through dental school and that's true for medical school as well or other specialties I think that that's an amazing offer that they have and if somebody's thinking about going to dental school I'll tell them if you're gonna do it if you're if your heart is set on dentistry and then doing that in the future for your career get a scholarship from the military because that's gonna save you an awful lot of money and headaches down the road

Howard: what was it so then you served in the Navy from 2003 to 2008 yes so so that's five years I took geometry and uh what I did I took 2008 the cosine of 2000 so what was what was that like did you enjoy being a dentist in the Navy did was that was it fighting for the people nice what was that like 

Dr. Alessandro Giovanni Bartoletti: I enjoyed a lot about meeting the people that were in the Navy was a great thing Howard there are so many fantastic dentists that are in the Navy friendly people you know hard-working you know genuinely just great people's great citizens so I had a good time I met a lot of lifelong friends that are excellent not just dentists but you know the assistance and the support staff as well they were fantastic a lot of them were absolutely super folks and you know being in the reserves there are times where I can you know I go back I go for two weeks I get to see some of the former people I work with and forget I did that just a couple months ago when I'm in May I went for two weeks to South Carolina to Parris Island where I'd served for two and a half years on active duty and I saw a lot of the same civilian assistance and text that I work with and it was wonderful to see because you know I'd missed them for many years so I have a wonderful experience in the Navy and that a lot of good people saw interesting places so yeah again great option for people who are considering going to dental school and don't want to have gigantic wounds 

Howard: and you're all so still in the Navy Reserves yes a.m. and so now are you under contract to still be in the dentist Navy reserves or you just wanted to you just liked it I just I gave it a test run at first just to see how what it would be like 

Dr. Alessandro Giovanni Bartoletti: I started back in 2012 and I've been going since I'm not technically under contract I am and I'm not you know I have a commission with the United States Navy if I want to get out I simply resign the commission I say hey I've had enough time time to get out because I you know I just don't see this working anymore but for now you know I'm in and I'm still plugging away at it and you know when you're about year 14 you've got to get to 24 you know your retirement in your pension you know I'm 70% of the way there Howard so and they've all people on going so you so you're gonna do it I think so I don't see why not 

Howard: and so what is the Navy Reserve like is that one weekend a month or is that what does that work just one week in a month

Dr. Alessandro Giovanni Bartoletti: it's one weekend a month and two weeks out of the year so you have to you know again the weekend a month isn't such a big deal but if you're a private practice owner then the two-week part can get kind of tricky especially if you're a solo practitioner because it's either you get somebody to work for you in those two weeks or you shut down your practice for two weeks which is never any good so that can be a bit tricky if you're a you know if you're an owner now if you're an associate that could probably just fine now you're an owner but a partner so it's you so you're in there with John so there's two of you so yes so that two weeks here doesn't matter not right now no it doesn't matter now you know when John decides to retire and I don't know the way that's gonna be that's when he's ready hopefully he stays forever but when he decides to retire then I'll have to think about what to do that's probably a few years down the road 

Howard: well you got to think about a lot and last time I did jury duty yeah if I told you to do what you won't even believe me you'll think I'm making up I got called and it was a three week trial and when they yeah judge talk to me I said I can't do it I can't take out three weeks and she said well you are so get over it so I mean and then and then there was injuries I I know the person I feel the most sorry for I know a dentist who had a skiing accident and lost work for air and then five hours later he did it again I mean at least he wasn't a Kennedy and skied into a tree and died but I mean but he lost a year and so so it's actually pretty cool i i-i've always been pro-partnership our associate chef because there's 168 hours in a week your customers need you more than 32 hours a week you double your availability you split the fixed cost to rent mortgage equipment build out computer insurance about all that stuff so you double your availability you cut your fixed costs in half and you never know when you're gonna have an injury a heart attack a skiing accident I've always heard for my friends in the Navy is that they're there CE like in Bethesda that they have that there are continued education is world-class did you find that to be true

Dr. Alessandro Giovanni Bartoletti: I did I found that a lot of the courses that they offered were extremely informative and well-run so there see E is indeed excellent they also offer correspondence courses for active duty and reservists that are free of charge so you mail out for a course in the book they send you the information you do everything online you know you send the book back if it's a textbook what they mail to you and you get a certificate okay so you get free C E which you can apply to your Academy of general dentistry requirements should you have it and you it's valid for your licensure so it's valid for your state licensure and if you're in the Navy and you're reservist or active duty you get reserve retirement points 

Howard: now on the west coast I forgot what was is it like it's real nice place a Monica I've never I've never been to West Coast Navy facilities I've always been East Coast or the one the one spit that I was off of the East Coast was in Japan so I don't I can't give you much more specific information about the West Coast I know that usually San Diego is a big Navy center and has Balboa Naval Hospital I know that that that's probably a place where they would offer good CE courses yeah it certainly them 

Howard: what  is that city that big city and my San Francisco starts the name Monta that I did anyway it was just amazing I mean I went in there last year and it was also very very cool because everybody showed up to the lecture in full uniform yeah I thought I was on there's there's nothing more classy than a human in uniform you also were with the a GD e GD yes up you through the age program that temple yeah so a lot of people might not even know what a a e GD program is advanced education general dentistry program would you know it's that usually a year after dental school you graduated middle school and you go do this for one year for a stipend that that is correct yes and what is now live in these days

Dr. Alessandro Giovanni Bartoletti: that depends on the school and the program I can tell you that at least a temple it's an it's some money I'm not going to tell you that you're gonna be having champagne and caviar but you know it'll be enough to kind of pay your bills and get by so it's not stellar but it's something but how they're draining I know the education I'll tell you this you know my predecessor had been the director of the AG program for many years prior to when I took over and she had done an amazing job of organizing the program and really it was an impressive how much time and dedication and effort that dr. Mary Bogert put into the program is almost beyond words she had created probably a program organized second to none in the country so I took over a machine that was running very smoothly but let's just say that went out while I was there as an incoming new director things were kind of in the process of change so I can't tell you what it's like now I can tell you that outside forces were kind of acting upon it and I don't know where it stands and I don't know what its future is so unfortunately I don't I have some friends in the school and I talked with them but I really don't talk much about the program I could just tell you it used to be a very well-run program and I did everything I could to keep it that way 

Howard: uh this is Mary still there 

Dr. Alessandro Giovanni Bartoletti:Mary's not she retired but you know I think that again she was an outstanding lecturer an educator if you want to have her on your show for something you should because she's a great speaker well let her know

Howard:  I'm because a lot of kids I'm you know they're when they're in dental school the yearly annual questions on dental towns are flooding in you know should I stay and become a specialist another three to five years should I do an a EGD residency at someplace like Temple so if some young kid was listen to you as a quarter of our listeners are still in dose school if they're listening right now and they're saying Alex do you think I should do a residency what would you say you know

Dr. Alessandro Giovanni Bartoletti: my answer is yes absolutely I think that when you get out of dental school you you're you've learned a lot but your hand skills and everything are not quite there I think that you know you some people have exceptional they're exceptionally gifted let's face it some people in your class you'd want them to work on you know at any point in time and you'd have no reservations but I think all of them pretty much most everybody else which is about 90 some percent of us you know we're good but we could use an extra year of refinement not just hand skills wise but learning we can get to see different procedures learn from different faculty members that we haven't encountered before so everything put together it's great for your skills as far as your your personal abilities are concerned you know treating patients but it's also a lot of great education that you get for free because no actually hey you're getting paid to learn so I think that it's a great deal you're getting a ton of extra education then they also you know put an asterisk there depending on the program yeah you might have some excellent programs I think I heard that VCU is an outstanding program at one point or another but but yeah I mean you're you're learning you're getting paid so to me it's a great deal some people might say well you know you're not getting paid all that much well you know what the education is worth it in a lot of cases in an ad or GPR um 

Howard: you also got your fa GD I did why to someone listening right now why was it important for you to join the Academy of General Dentistry be a member for five years take 500 hours of continued education and take an all-day exam to get your fellowship the HD why would you do that to yourself so the

Dr. Alessandro Giovanni Bartoletti: I think the Academy of General Dentistry is a wonderful organization you know it's dedicated to continuing education so continuing our learning which we all should do it's also depending on which state membership you have it offers different tracts of Education within the you know within the whole organization itself Pennsylvania Academy of General Dentistry is excellent I've been with a peak true basically an educational track with the same group of people for years now so you get to meet these people at semi annual meetings you get to meet them you see basically make friends with them you get so not just an education but the form a network within your own state or within your own region you know and so you're learning you're growing as a professional you're making connections you know you're meeting great new people and you're making friends so I think it is very much worthwhile to go into the Academy of General Dentistry pick up your fellowship and keep on learning you learn from you know people ask me you get to ask them hey what do you do in this situation or you know what how would you run your practice is your in practice informatics or you'll pick a subject with an offense I think it's great you know when I where 

Howard: I posted your book on dental town don't go to dental school by Alessandro mortality DMD fhd everybody was like finally someone said Bravo they said thank God for this guy finally someone gets it but then someone posted I have an assistant who wants to be an orthodontist I have really tried my best in four of them about the current session but oh well really sad the Las Vegas newspaper had an article because there was one kid who after four years of undergrad four years of dental school three years ortho school talked 1 million dollars in still dollars and it's like oh my god I've had two assistants Kelly and Elena went off to dental school I have an assistant right now that left and went to a hygiene school what would you say to your own dental assistant who says man I was under I want to be like you I'm gonna leave I'm not gonna be your dental assistant I'm going to Temple

Dr. Alessandro Giovanni Bartoletti: though what I'm gonna say is that there another part is like to say another category of people who have a leg up with respect to say your average college grad who wants to go to dental school because assistants or hygienists have worked in the field so they've seen dentistry they've witnessed it they know the terminology they know the mount they've worked in the mouth they know how things kind of generally operate and feel I think that they are another group of people who have like I said a leg up and they probably should go to dental school if that is their desire because they know the business they have an idea of what's going on so in my book I even mentioned the fact that you know assistants and hygienists you know probably form a group of people who should go to dental school we have that I think that because of their experience they know what they're gonna need to do to be successful 

Howard: um another Townie one of my one of my favorite ones on big as Posca voyeurs he says he'd be injured to see what alternative career past the author suggests versus dentistry 

Dr. Alessandro Giovanni Bartoletti:  well you know to me that becomes more of a personal question of folks who are considering dental school I mean do they have other things that they love to do you know pick a passion of theirs so I can't tell you that so instead of going dentals will go to medical school you know that MIT that might not be your ball of wax you know instead go to you know personal is some sort of financial business again that might not be your ball of wax I can't tell you specifically if you're not going to or delos well everybody's gonna get funneled into another industry just one specific industry it's going to be dependent upon what every individual likes to do or wants to do you know if instead of dentistry they want to go to hygiene school alright maybe I mean you won't need to take out as many loans certainly and you'll you know you'll certainly find employment at least you know you'll have a decent chance of finding it you know so maybe you can do that as an alternative you can go to vet school and yeah maybe you can go to med school grudgingly maybe law school I don't know but but you know find something that you love to do and do it or try to find a way to do it that would be my suggestion

Howard:  I thought the other interesting comments was that dental school is a new law school and then someone replied yummy you can't attend night class I mean I mean my gosh law schools I mean it lasts tells you could W there's evening classes for law school you go to law school on the side I mean how's it got that yeah  and dentistry yep but I'm do you think a dental school is becoming the new law school

Dr. Alessandro Giovanni Bartoletti:  um it might be I mean let's face it they've opened up a whole bunch of the past 15 years and who knows maybe they'll start offering night classes although there are certain schools in certain parts of different cities that I might be a little hesitant to go and either be a student at night in those schools or teach in those schools at night because quite frankly it's not all that safe but who knows III think that I think that we are maybe heading in that direction as as an educational in the educational part of the profession maybe 

Howard:  I'm what  are you passionate about now so let me talk about your book the ATD name everything what are you passionate about today now that all that will mind you and your land you're still young you got kids I'm what  in dentistry is I got you passion now I know you just became a certified fitness trainer and I know that on dental town some of the biggest threads are you know how to stay in shape many  dentists have said that they were fighting burnout disease depression and then all of a sudden they and they started working out why did you go back and get your CFT certified as a trainer yeah 

Dr. Alessandro Giovanni Bartoletti:I just got at the end of April so it's very recent you know I did because it's another way I think I can help people you know as far as passion is concerned it's always been in general about trying to find ways to help others a dentist who is a fitness trainer got me into it dr. Usha Diaw - he speaks around the country and yeah and so and he's a great guys a very interesting speaker very engaging you know keeps you on your toes I thought that was fantastic and like other dentists I've struggled with that with fitness over the course of my lifetime you know there are times where you're sedentary you don't move much maybe sometimes some people have stuck with an injury they can't you know they you injure your knee you injure your  arm you do something where you can't quite be as active and then your body kind of responds negatively you know you pick up the pounds pretty easy you know is so like I'm trying to find a way to help others in another manner and I found that this is probably an excellent way to do it I'm you know help others stay as in shape as they can because you know you know staying healthy and fit well it may not prolong your life by a tremendous it may make a difference but it may not do you know longevity-wise a tremendous amount but for your quality of life I think it's gonna do quite a bit and 

Howard: so who would you say your mentor was uh Buchi I know his name is dr. Chiu he's a Canadian dentist you smell that if you CH e OD IA tu an OG OD Auto is am he is the one who motivated you to do this so how did you meet him was he in the Navy too no he was actually a speaker at the Academy of General Dentistry meeting yeah we had him on the show he was um he was number 62 physical fitness for Dennis with doctor yeah ug OD audio podcast 62 and what would did um what did you learn from him or what was a big takeaway from the ug

Dr. Alessandro Giovanni Bartoletti: well the big takeaway was there are a number of the money but it was kind of what you eat is critical to how you perform you know get your proper rest which is tough for all of us you know let's face it you know with all the electronic bombardment that we all have it's very easy to get lost in you know your cell phone with you know Netflix with you know pick something to distract us so you know staying in shape try trying to keep yourself active eating right and you know and getting enough rest so those are all important things that I think that I took away from his his particular presentation to us

Howard: I really enjoyed his book with him and his wife the miracle of health simple solutions extraordinary results with Ichi OD ah - yeah and his wife Kari our OD ah - I'm sure he should have taken her last name I'm sure I don't know how I could have had a more difficult day III didn't recognize it when you said it and he's my friend I love the guy I'm you know I'm I'll never forget one of the patients that I had the most love for the most respect it was earlier than my practice and I got done working on I've been working on for an hour so and my back was like hobbled over and I was stretching on everything and you know just some old farmer from the Midwest who retired in Phoenix he went to Home Depot came back and put me up a pull-up bar above my in my back and break room and he said doc he said every time your back feels like that I want you just come back here and hang on it and at the time I had two other associates and my gosh it was amazing how just that little silly thing there none of us could do a pull-up everything like a month or two we were all up to like 7 or 10 pull-ups and you're talking about a minute in between you know a patient or something like that I've always thought someone should do you should do that you should make an online CEcourse of how you can exercise added dental office with an office with with nothing other than it did all no weights no Stairmaster no swimming pool just little things like that because the one thing I want to really beat into these little kids heads that um I didn't use loops like I should have and I leaned over for direct vision and totally jacked up my neck I did it for you know I did it for 20 years and it took a lot of yoga and a lot of therapy and a lot of chiropractors and you know and to just get the pain to go away and if I get it right and a lot of people think well you know you get beat up if you're a fireman or a policeman but you're not gonna get beat up if you're a dentist but you're absolutely gonna get beat up being a dead bust yeah yeah 

Dr. Alessandro Giovanni Bartoletti:oh yeah I know I definitely understand your feeling I mean I've been using loops for a few years because I had an AP dentist tell me your eyes are gonna burn out if you don't kid so you may as well get them and get used to them so after he told me that I started to get used to them and and so now that's  all I use and if I don't have them on me I don't even want to see a patient because I really don't know if I can work without them as for posture and mu you have that that's always tough we have a lot of patients who are kids so you'd like to sit up straight and you know have a great posture when you're working on them but you know maybe they're wiggling maybe they're you know they're they're lit smaller so you have to get a little bit closer the work on them it's tricky yeah and 

Howard: it can cost you a lot of money because if I have a friend who has a drop-down microscope because he can't bend his neck over anymore so he's got to do dentistry like a submarine or looking at a periscope and it really relates loves you down when they haven't been your head forward and look direct and and that's his only choice there's only choices to hang it up or to sit up straight and look straight ahead into a microscope and look down and then I also there was a the head of psychiatry at John Hopkins said an article I read a couple years ago someone posted on dental town that with the exception of schizophrenia any medication you take for your mind like for depression or whatever does better with 40 minutes of exercise a day and that every single let's say it didn't apply to schizophrenia but every other mental disorder medication you can take pharmaceutical performed far better if you took it in exercise 40 minutes a day 

Dr. Alessandro Giovanni Bartoletti:yeah absolutely it does exercise those wonders exercise does wonders and I think that you had a great idea you know to create some sort of course you know for a dentist for the dental profession how to exercise you know in your office without anything special yeah I think that that'd be a great course to create and give what do you do I mean do you ever jump down and do I

Howard:  I always thought about this as carpal tunnel a friend of mine is a carpal tunnel fanatic and whenever you hear about carpal tunnel he's like why don't they just fall to the floor put their hands flat and do ten push-ups twice a day I mean when was electric you know do you do you think some of that is true I mean do you think someone he did you know ten push-ups to be giving in the end of the day have far less chance of carpal tunnel syndrome just by putting that pressure flat on the hand or or how much you know 

Dr. Alessandro Giovanni Bartoletti:I think that part of our carpal tunnel problem in this country may be due to these cellphones that we have and the fact that we're all is playing on them I mean think about it how about how much you do texting wise we never used to do that you know I think even 15 years ago if I sent one text that would be a lot you know yeah I mean we've just become so dependent upon cell phones and that technology and some people I I can't believe how quick they text and it's like lightning on on their phones but yeah I mean I I think it's not just dentistry that's doing it I think it's a whole bunch of other stuff that we're doing now repetitively with our fingers enhanced which ends up creating carpal tunnel so maybe not touching your phones keeping away from them maybe try to gently stretch your hands up could help but you know mainly stay off your phone yeah because I think that that's what's doing it 

Howard: now that's interesting and and also on an ergonomic chair is gotta be better you're saying yes I'm done hurt your back but like you've an average week how many names some various physical things you might do while you're at work in a dental office like an average we got you 

Dr. Alessandro Giovanni Bartoletti: on your office I mean our office is an 1855 house so it is very historical I walk it up and down the steps so there's steps to the basement there's steps to go upstairs so I walk up and down the steps that keeps me moving so you can do that we're situated on a beautiful acre of land so I can walk around the property you know during lunch just take a walk even just taking a walk around the town do is a nice thing to do when the weather cooperates of course but so you can do that you know I helped John and his wife Melissa they keep the ground does I mean they do almost all of their own yard work on the property so you know we're out there weeding you know we'll be doing that we'll be cutting cutting one of the bushes up so that it doesn't overgrow out towards the street we'll do different things like that stay active and that certainly helps so 

Howard: I want to switch gears completely you're in with a partner you got your  both partners yeah 50% of marriages fail and that's when you have your lover children family all these sticky glue things and now you're married to a male dentist John is that as high-risk as marriage would you say that getting married at half of those marriages failed I'd be getting a partner half of them fail do you see any correlations that maybe he has a good marriage or you have a good matter how do you what advice would you give on a young kid because the thing that scares me this time of year is how many kids graduate and they go back to work with their mom who's a dentist or dad's a dentist and since it's family no contract just like when you got married you didn't have a prenuptial agreement did you know yeah so they go work for their mom or dad and it's all understood that you know when Mom retires this is my practice then she finds out seven years later that mom wants to sell it to her for 1.2 million dollars and  she's like well mom when I got here is only doing 700 but me working we built it up to 1.2 and now I built I doubled your practice and now I have to pay for and you're my mom and sorry and I'm like I might you know and I tell them a thousand times never get married without a prenuptial agreement but I didn't have one and never ever marry another dentist without a prenuptial agreement with Vanessa strategy spelled out and I saw that problem I just didn't do it but what would what advice do you have for marrying another dentist that you're not living with it and you know what would advice do you give them so as far 

Dr. Alessandro Giovanni Bartoletti:  as becoming a partner in a practice what I would say is you should probably be an associate there for a while that way you understand how the practice works the rhythms of the practice the people in the practice you don't want to just run into a partnership within a month or two you know sign everything and then realize that it's not a good fit it's not gonna work

Howard:  so how long me how long of a courtship did you recommend first of all how about how long did you date your wife before you pulled the string and married her and how long did you date render partner before you bought in and married him uh 

Dr. Alessandro Giovanni Bartoletti: well to two different arrangements there but my wife we were we dated for about 12 months before we got engaged okay so it was about her as far as the practice is concerned and John we were I was his associate for let's see well I've got to go back and do uh almost two years okay it was it was about two years and you know we were comfortable with each other enough that at that point you know we went ahead we'd already started discussing partnership in all the different steps but you know at two years we pushed ahead and became partners

Howard:  so did you go get a law firm that specializes in dental partners to draw up a arrangement or did you know any lawyer

Dr. Alessandro Giovanni Bartoletti: no I mean I chose a lawyer who I knew who is very good at business law and my partner his lawyer was also good at business law and that's of course the two lawyers knew each other and they liked each other so you know at that point you have basically what you had were you know two people me as an associate and him at that point is the complete owner who got along who had philosophies that were you know congruent very similar you know very workable and then to lawyer who weren't at each other's weren't at each other's throats you know so you had a cooperative you know a cooperative situation occurring and it was the best of both worlds in that case so you know everybody got along there were very few sticking points if any I can't remember any quite frankly and so yeah it was a wonderful arrangement and it worked tremendously

Howard:  well so are you guys on top of the you same time the same hours we already try to spread your hours so you have more availability seem out and do you do totally different procedures so like maybe no one likes endo and one likes implants or same out or single seizures yep yeah and and what type of a clinical dentistry are you most passionate about today well what's got you excited in clinical dentistry

Dr. Alessandro Giovanni Bartoletti: you know the new thing that I'm excited about which we don't use all that often but I'm finding myself using it more is silver diamine fluoride I think that the applications for pediatric you know for pediatric patients which we have many many of is enormous especially for ones that might be afraid of the dentist or you know they have so much stuff going on that you just want to get it under some sort of control before you tackle it piece by piece but also the application for geriatric dentistry is huge I mean you have older folks who have you know their saliva output is either zero or very close to it because of medication because of age yeah or because manual dexterity it can't brush their teeth well or at all you're just trying to keep everything as stable as possible for these nice people and try to keep the costs as low as possible for these nice people and so I think that it's a great service and so I'm very excited by it and I try to use it as much as I can now 

Howard: do you take any state Medicaid for the poor not because I have noticed now some dentists are getting very business-savvy I'm out here in Phoenix where there's a lot of retirees there's a lot of nursing homes there's several near me and on the way home from work these dentists will take you know a backpack with gloves and silver diamine fluoride and stop in these nursing homes were in America four and a half percent of Americans will finish out their life in a nursing home and don't worry if you're a man because it's almost all women and they get one root surface carry a month for every month or nursing so by time great grandma's been in there a year she's got 12 rubbers cavities and they will just stop by and at the end of the day and apply these and Medicaid and doesn't pay much money but my gosh even if they pay $20 a tooth you know I'm you know she's been there she she needed 12 and you go across the hall and do 12 more and they they like elder people it's at the end of the day it's low stress I I think I'm I think silver diamine fluoride could solve probably one of the most embarrassing problems in America and that is all the people in nursing homes that are sitting here and I know those nursing homes and what do you do most of them are missing dexterity muscle mass and so they're missing oddities so they only want soft food so they serve them macaroni and cheese cottage cheese mashed hazing it's all mush apple pie and what do you do when you're 80 you'll love to eat you're not out jet skiing you know you're out skiing and so they love de it's all carbs it's all mush and their teeth just go down a dream and silver diamine fluoride could massively reverse that stop that slow it down and it's very profitable because it's the difference between doing an anterior crown and ten anterior crowns I mean it doesn't take you ten times longer to do ten upper crowns than it does to do one crown and and most of these stop you how long would it take you to go in and apply silver diamine fluoride to the average grandpa in a nursing home near you 

Dr. Alessandro Giovanni Bartoletti:probably not long at all I think it'd be a great service yeah so I'm really excited about silver diamond fluorite and what's even more funny about it it's nothing new

Howard:  they've been using silver to treat diseases for over a century you know so uh so besides silver diamond fluoride I can't believe we went over an hour but any any other any other clinical dentistry things you're passionate about 

Dr. Alessandro Giovanni Bartoletti:I can't say that I have I mean I enjoy dentistry as a whole but to me it's more about the people getting to know the people that you're taking care of and developing relationships with the people and in our area especially with the families you can really develop close bonds with some families and that means a lot so to me it's not just about you know the nuts and bolts that we do but it's really about the lives that we touch 

Howard: and last but not least with these kids coming out of school with $284,000 student loans this is what we started to do on a lot of them think that to be a great dentist like you they gotta buy a CEREC machine a CB CT and a photon of laser you know three purchases they doubled their student loan debt do you think those three major purchases are necessary to do quality family dentistry in Pennsylvania 

Dr. Alessandro Giovanni Bartoletti:no not at all no I mean you can you can do great dentistry without super tricked-out technology I think that you should grow your practice into that eventually if that's what you want to do but don't start out doing that because that that's a potentially erode the ruin or at least to a lot of stomach ulcers yeah and 

Howard: any parting advice you want to give to any of these kids you know if your student out there if you're in dental school what 

Dr. Alessandro Giovanni Bartoletti:  I'm gonna tell you is when you get out of dental school you know work hard work hard find find find places some people say even advocate finding two or three part-time positions that way you can kind of see different how different practices operate and then decide what you want to do for yourself eventually should you want to become you know a practice owner I say that name then maybe not a bad idea but whatever you do you know work hard keep your nose to keep your nose to the wheel keep on keep on pushing and trucking because you're gonna have to unfortunately with the loans that you have it's you're gonna have to work hard to pay them off and then to and then to live don't live a you know super lifestyle you know don't go out and buy yourself a brand-new BMW you live modestly at first you're want to control the costs and establish yourself and just be true to be true to the people that you treat they've treated fairly

Howard:  now were you born in Bologna or reborn in the Alsace I was born in Pittsburgh you you're born born in Pittsburgh and and I always think of your area as a large Mennonite population large Amish population Pennsylvania Dutch is there a lot of Pennsylvania Dutch around your town yes there are that 

Dr. Alessandro Giovanni Bartoletti:we have to hitching posts outside of our practice for patients to park their horse and buggies and come on in oh my god that is so cold so there's a 

Howard: there's a big Mennonite Amish population in Kansas where I grew up and oh and last time I was home visiting my mom we were out there driving to a friend's house and I saw a I saw you know the Dutch you know the Amish wagon and you know the dad and the horses and all that and you'll never believe it I tell you this there is the most adorable little girl sitting on the back and guess what she had in her hand what's that yes yes you know what I do believe it because we have that here to use that I'm like this is so adorable her dad is riding a horse and buggy and the little girl's back there in the bonnet dress and an iPhone and I just thought that is adorable but hey um thank you for having the guts to write that book thank you for you know warning people I mean you you thought about this for many many years before you wrote the book and most people would be too shy and not want to stand up and say anything and thanks for having the guts to write a book on something you feel strongly about and I I agree with that wholeheartedly and it's been an honor to podcast you today hey it's good an honor to be with you thank you so much Howard all right have a rockin hot day

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