The Smart Path to Clinical Competence for Young Dentists

By: John C. Cranham, DDS
This topic originally appeared on PankyGram.org. Dr. Cranham granted permission for igniteDDS to share with our readers.

Every hour you invest in your practice is an investment in your future—so choose wisely how you spend it. Many young dentists begin their careers with enthusiasm but find themselves caught in a chaotic, fast-paced clinical environment. You’ll feel pulled in every direction, trying to see as many patients as possible. You may end each day exhausted, wondering if you’re truly moving forward.

The Early Years: Activity vs. Productivity in Dentistry

In those early years, it’s easy to confuse activity with productivity. But productivity in dentistry isn’t about doing more—it’s about doing better. Thoughtful, comprehensive care delivered to fewer patients often produces superior results, fewer remakes, and more rewarding outcomes.

To reach that level, you’ll need to be intentional about how you structure your time, train your team, and hold yourself accountable.

Build Effective Systems, and Be Patient

You’ll realize at some point that you can’t maintain a chaotic pace forever. That’s when the real transformation begins. You’ll need to put systems in place, develop your team, and create space for meaningful dentistry. Clinical competence is achieved by finding mentor who empower and help you grow, not trying to do it all alone.

With time, you’ll become known as the dentist who solves complex problems and delivers comprehensive care with intention. But to reach that point, you must be thoughtful, consistent, and patient with both yourself and your patients.

Stay Committed to Dentistry and Build Meaningful Relationships

It’s easy to feel behind when your colleagues seem to be doing more advanced cases, especially if you’re working in a small practice with patients who only visit dentist when they’re in pain. However, you have to know your patients and be thoughtful about moving them along. Enjoy them as you do. 

You have to stay hopeful and employ the behaviors that you are being mentored to employ before you could employ your advanced clinical skills.  

I learned a lot about people, not just dentistry, in my early years. I look back upon the experience with fondness now. 

In Conclusion

Advanced clinical education offered by The Pankey Institute will prepare you for complex cases, but progress takes time. It’s not just your clinical skills that need to develop, your patients need to be educated with you.

Every conversation, every examination, every relationship is an opportunity to guide them toward better awareness in oral health.

John Cranham, DDS

John Cranham, DDS

Dr. John Cranham practices in Chesapeake, Virginia focusing on esthetic dentistry, implant dentistry, occlusal reconstruction, TMJ/Facial Pain and solving complex problems with an interdisciplinary focus. He practices with his daughter Kaitlyn, who finished dental school in 2020. He is an honors graduate of The Medical College of Virginia in 1988. He served the school as a part time clinical instructor from 1991-1998 earning the student given part time faculty of the year twice during his stint at the university. After studying from the greats in occlusion (Pete Dawson & The Pankey Institute) and Cosmetic Dentistry (Nash, Dickerson, Hornbrook, Rosental, Spear, Kois) during the 1990’s, Dr. Cranham created a lecture in 1997 called The Cosmetic Occlusal Connection. This one day lecture kept him very busy presenting his workflows on these seemingly diametrically opposed ideas. In 2001 he created Cranham Dental Seminars which provided, both lecture, and intensive hands on opportunities to learn. In 2004 he began lecturing at the The Dawson Academy with his mentor Pete Dawson, which led to the merging of Cranham Dental Seminars with The Dawson Academy in 2007. He became a 1/3 partner and its acting Clinical Director and that held that position until September of 2020. His responsibilities included the standardization of the content & faculty within The Academy, teaching the Lecture Classes all over the world, overseeing the core curriculum, as well as constantly evolving the curriculum to stay up to pace with the ever evolving world of Dentistry. During his 25 years as an educator, he became one of the most sought after speakers in dentistry. To date he has presented over 1650 full days of continuing education all over the world. Today he has partnered with Lee Culp CDT, and their focus is on integrating sound occlusal, esthetic, and sound restorative principles into efficient digital workflows, and ultimately coaching doctors on how to integrate them into their practices. He does this under the new umbrella Cranham Culp Digital Dental. Dr. Cranham has published numerous articles on restorative dentistry and in 2018 released a book The Complete Dentist he co-authored with Pete Dawson. In 2011 He along with Dr. Drew Cobb created The Dawson Diagnostic Wizard treatment planning software that today it is known as the Smile Wizard. Additionally, He has served as a key opinion leader and on advisory boards with numerous dental companies. In 2020 he published a book entitled “The Cornell Effect-A Families Journey Toward Happiness, Fulfillment and Peace”. It is an up from the ashes story about his adopted son, who overcame incredible odds, and ultimately inspired the entire family to be better. In November of 2021 it climbed to #5 on the Amazon best seller list in its category. Of all the things he has done, he believes getting this story down on paper is having the greatest impact.