Happinessand Fulfilmentin Dentistry
Foreword byPeter E. Dawson
Quintessence Publishing Company Limited
1985 Peter Glazebrook
First published 1985 byQuintessence Publishing Company Limited,
36 Can bury Park Road, Kingston-upon- ThamesSurrey KT2 6JX, England
ISBN 1 85097 002 5
All Rights Reserved. No part of this publicationmay be reproduced, stored in a retrieval system,
or transmitted in any form or by any means, electronic,mechanical, photocopying, recording or otherwise,
without the prior permission of the Copyright owner
Typeset by Alacrity Phototypesetters,Banwell Castle, Weston-super-Mare
Printed in Great Britain byBiddles Ltd, Guildford, Surrey
Foreword 7Preface 11
1 THE PATH TO HAPPINESS 15Dr. Pankey's Philosophy 17Cross of Life and the Cross of Reward 18Good Health 21
2 KNOW YOURSELF 24Growing Up 25Self Knowledge 27A Plan 28Self Image 32
3 KNOW YOUR PATIENT 34The Dentist's Impression 35Dealing with Patients 38The Clinical Examination 41Fees and Patients 43Patient Motivation 46
4 KNOW YOUR WORK 50Three Tiers of Dentistry 51Patients 53
5 APPLY YOUR KNOWLEDGE 58Why Knowledge Should be Applied 58Forward Planning 61
6 LOVE 67Love and the Family 69Love and the Practice 72
7 WORSHIP 78Why Worship is Important 79Worship in Society 83Worship in the Practice 88
8 WORK 89Dentists as Workers 90The Rewards 94
9 PLAY 96Play and the Family 97Other Aspects of Play 99
10 HEALTH 102True Fitness 104Financial Health 106Health in the Practice 114
11 WHAT TO DO NOW 118Take Time 119
Those of us who have practiced dentistry for twenty-fiveyears or more have witnessed some remarkable advancesin both technique and understanding of virtually everyaspect of dental diagnosis and treatment. A high per-centage of the procedures we use today in our practicesutilize methods and materials that were not even heard ofwhen I was in dental school ... and with proper treatment,we have achieved a truly impressive capability to treateven more complex problems with predictable success.The state of the art and science of dentistry has reached alevel of sophistication that makes it possible for any dentistto give his patients optimum oral health, comfort andnatural aesthetic beauty.
Unfortunately, while great advances were being madein preventive dentistry and treatment capabilities, therewere counter forces at work to prevent patients fromhaving the level of dental care that was possible. Some ofthese forces were political ... and while it is painfullyobvious that the great socialistic attempt to standardizefees and services resulted in lowering the quality of treat- ment . " it should also be obvious that professional con-duct would not allow that to happen without a change inmoral and ethical standards.
True professionalism, especially in a health service,re~u~resthat we use our educa tion and our reasoning skillswithin a professional atmosphere of discipline, honestyand hard work to provide the best treatment we can give.
8 HAPPINESS AND FULFILMENT IN DENTISTRY
It is true that we often have constraints imposed because ofhealth, patient desire, intelligence and finances, but theseare factors that must be thoughtfully evaluated whendeciding what is best for the patient.
We can't dictate values, but we can examine the con-sequences of values and it is obvious that when ethics isreduced to merely taking advantage of 'the system', weend up. with no ethics at all. Don't worry about whetheryou are serving your fellow man ... just milk the systemand let the patient beware.
Why do I bring up such topics as ethics, and morality inthis foreword? Because I firmly believe that the lack of ageneral moral perspective will be the cause of the greatestpolarization that our profession has ever known. All thetechnical expertise in the world will fail if the 'NewMorality' gives too little credence to honesty, to discipline,and to integrity.
We have been fortuna te in our people serving professionof dentistry. We have had many true professionals whohave clearly declared that we owe our patients the bestcare, skill and judgement that we can logically givethem.
There are many pressures being exerted on practi-tioners today... pressures to forego the old ethicalstandards, not just through social legislation, but also infavour of high volume, advertising, or other forms ofopportunism that are the antithesis of quality, caringservice. This is now and will continue to be at the one endof the polarization we mentioned. I believe dentists whochose this path will be more unhappy, more unfulfilled,and less rewarded than any dentists in history.
But what about the other side ... I believe the dentistwho truly cares enough for his patients to master his skillsand provide optimal treatment in a caring atmosphere
will find more reward, more fulfilment, more true enjoy-ment in practice than dentists have ever experienced.
Many dentists have .had the wonderful good fortune ofhaving a role model in the search for a philosophy ofpractice. Even though the problems and the influences oftoda y are different, the principles of this philosophy aremore valid than ever. Furthermore these principles willnot only serve as a guide to successful practice, they are ablueprint for a successful, rewarding, happy life. Of courseI am referring to the philosophy of Dr. L.D. Pankey.
To know Dr. Pankey is to know his principles work. Heis successful by every standard of measurement. He isadmired and loved by his patients and his peers. He is ahappy, fulfilled person who continues to give unselfishly.He simply practices what he has preached, and obviouslyit works. It is doubtful if anyone in our time has influenceddentistry and dentists more than L.D. Pankey. His con-tributions in the technical aspects of dentistry are inthemselves noteworthy. His role as a motivator has causedthousands of dentists to upgrade their goals and strive todo more complete dentistry for their patients. He has been
,a catalyst for bringing great minds together in synergisticefforts to distil out the practical from the experimental,and in the process has stimulated uncounted others to bebetter than they would have been if they had never metthis man.
Many people are not aware that the L.D. PankeyInstitute for Advanced Dental Education was not foundedby Dr. Pankey. Rather it was founded by many of thedentists he had helped ... as a tribute to him. Its purposewas and is to close the gap between what is known andwhat is being practiced. I can say without reservation, thatthe dentists who have taken full advantage of the Instituteand who have followed the philosophy in their lives, are
10 HAPPINESS AND FULFILMENT IN DENTISTRY
among the finest dentists in the world ... but just asimportant, they are happy. They are fulfilled and hope-fully they are the guardians of professionalism for thefuture.
Dentistry has needed this book. The philosophy has toooften been misunderstood because only portions of it wereheard. For the philosophy to be valid, it must be complete.The author has not missed any of the pertinent parts andanyone who studies this treatise will benefit to the degreethe concept is accepted.
Please remember though that this is a dynamic philo-sophy . .. it is a never ending search for excellence andunderstanding. That is why Dr. Pankey is still excited andenthusiastic with dentistry and with life in his eighthdecade ... and you can be, too.
Peter E. Dawson
No man is an island unto himself, and knowledge trans-cends all ages and frontiers. Every philosopher in theworld has taken ideas freely from others, developed themand incorporated them into his own thinking. This is nodifferent and I have taken ideas from many sources toweave together in this philosophy.
I have gleaned these ideas over half a century of life,from my parents, and schoolteachers, from my wife Kayand her parents, and from books, ministers of religion ofvarious creeds, and from many other fine people in theworld. But the most powerful impact on my mind hascome from two of the greatest people I have ever met inany profession, Dr. L.D. Pankey and Dr. Loren Miller.' Iam happy and privileged to call these men my friends.
Over many years I had thought out my philosophy oflife and tried to apply it to my profession. It was hard goingand I frequently felt that I was 'the only one in step', notrealising how many other dentists were tramping the samesolitary road. And then I went to the Pankey Institute.
I shall never forget my first morning there: a strangecountry, a strange hotel, and by the time I found my wayabout I was late for the traditional breakfast and some-what embarrassed. I need not have been. A man rose fromthe top table and came to greet me with an outstretchedhand and a smile which said 'love' and 'welcome' moreeloquently than a thousand words. He introduced himselfas Loren Miller, and I warmed to him from the beginning,
12 HAPPINESS AND FULFILMENT IN DENTISTRY
little realising just how high my opinion of this man was torise. Later we had lectures on philosophy from him. Icould hardly believe my ears. He was speaking my ownmind and my own thoughts, but going much further thanmy thinking had gone, and all was collated into a marvel-lously whole, rounded philosophy. I knew that I washome, and that the hard work of thinking over the nexttwenty five years had largely been done for me. It was oneof the most stimulating experiences of my whole life.
It is this collation of philosophy which I seek to presentin this work: the thinking of Dr. L