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Inflation and Its Impact on The Oral Surgery Industry

Inflation has affected everything, and the oral surgery industry is no exception. Surgeons might be experiencing a decrease in patients as the seemingly nonstop inflation impacts their willingness to splash the cash on dental care.

Dr. Pranathi Reddy oral surgeon says that industry surgery practices need to work toward a positive culture to retain employees and keep their morale high during low patient flow.

Insurance-Controlled Dentist Fees

According to the industry leader, a significant chunk of dentists’ fees is controlled by the insurance they work with. And sadly, reimbursements haven’t kept up with inflation during the past four decades, let alone the recent unprecedented increase.

It’s an unfortunate reality for dentists as material and equipment costs are only climbing higher. Not to mention the added costs of fringe benefits (e.g., healthcare) and employee wages.

Pushing Rising Costs onto Patients Isn’t an Option

But even though business costs have skyrocketed for dentists throughout the United States of America, dentists and surgeons alike note that they can’t push the rises onto patients. After all, inflation has done a grand job of affecting people’s willingness to spend on oral health.

Many people are all too likely to sacrifice their dental care to pay for basic needs like food, electricity, and gas. However, this poses longer-term concerns for their oral health, as they’ll consequently require urgent treatment — a costly endeavor in itself.

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A Patient Slowdown Fueled by Rising Inflation

Most procedures conducted by oral surgeons come after referrals from general dentists. Thus, they don’t experience as many cancellations or no-shows.

However, surgeons are certainly experiencing a slowdown from the post-pandemic peak when patients neglected their healthcare during the outbreak of COVID-19.

Last year saw a cyclical nature of patient visits return. But there seems to be a small decrease in referred patients, potentially indicating that general dentists might be experiencing cancellations.

Ultimately, the oral surgery industry has been incredibly sensitive to the impacts of inflation from all sides. Even though practices have capped patient fees, it’s burdensome for clinics with massive payrolls and the considerable cost of supplies and goods.

The Major Challenge for 2023

Finding good people to employ is the most challenging task for oral practices this year. It costs more to hire people than it did even just 12 months ago, squeezing clinics’ margins like never before.

Increased costs mean reduced profitability, especially when practices aren’t hiking their patient’s prices.

On top of that, the lack of surgeons wanting to commit to a private clinic poses problems — corporate dentistry has the ability to pay more due to its massive client base. So, recruiting qualified, dedicated surgeons is near-on impossible in this costly landscape.

Practices Must Implement Successful Work Cultures to Recruit and Retain Staff

Culture is a crucial component of obtaining and retaining employees. Practices that manage to relate to the people they work with every day and have one-to-one relationships with employees will undoubtedly reap the rewards.

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What Doctors Have Discovered About Marijuana Use and Oral Surgery

According to the latest data from the National Center for Drug Abuse Statistics in the United States of America, roughly 55 million (16.9%) American adults currently use marijuana, and 45% have tried it at least once. But many aren’t aware of the drug’s effects on oral surgery. In fact, it’s so impactful that anesthesiologists must know about cannabis usage before providing sedation.

Dr. Pranathi Reddy explains that those who use marijuana regularly may require more anesthesia before undergoing oral surgery or other medical procedures

The Rising Marijuana Popularity

More states are allowing people to eat edibles and smoke pot without worrying about legal restrictions. And this fact has caused an increasing number of oral surgeons and doctors to ask about cannabis use before procedures because regular users might need more painkillers or anesthesia.

Impact of Marijuana on Anesthesia

The director of the Marijuana Investigations for Neuroscientific Discovery emphasizes the importance of disclosing cannabis use to anesthesiologists.

Dental surgeries already ask about alcohol consumption, which can also affect sedation requirements. However, most people aren’t honest about marijuana use, and some states’ dentists aren’t required to ask, posing anesthesia problems during surgery.

Currently, it isn’t clear whether the anesthesia complication is caused by THC (i.e., the primary psychoactive compound in marijuana) or CBD. While the latter won’t produce the same high as THC, it’s utilized as a pain, anxiety, or sleep remedy — and many edibles contain both components.

One oral surgeon from the Maryland Center for Oral Surgery and Dental Implants, mentions that he began noticing increased anesthesia requirements for consistent sedation a few years ago.

In his experience, regular cannabis users required almost double (and sometimes triple) the amount of anesthetic propofol to stay sedated. Sometimes, both the doctor and his colleagues would need to add other drugs sometimes utilized in sedation (e.g., ketamine and fentanyl) for patients who were restless throughout operations.

The popularity of marijuana has spurred many practices to ask more specific cannabis use questions on their health history forms.

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But There’s No Need to Panic About Waking Up During Surgery

While the above may be distressing for some, patients don’t have to stress about waking up during their procedures. Anesthesiologists monitor sedation levels throughout procedures, injecting more if they realize the drugs are wearing off.

Regardless, regular marijuana users seem to need more anesthesia to go under and remain there.

Recommendations Now Require Marijuana Screening and Questioning

January 2023 saw the American Society of Regional Anesthesia and Pain Medicine outline recommendations that patients undergoing anesthesia must be screened and questioned about marijuana use. Forms should detail how much they take, how often they take it, how they take it, and when they last used it.

That said, the ongoing research into cannabis’ impacts on anesthesia means the guidelines aren’t very specific. For instance, they don’t dictate how much more sedation users will need or what usage amount requires changes.

But overall, cannabis users need to inform their oral surgeon of their habit before the procedure begins. That way, they’ll ensure proper care.