Annual Planning SessionsAnnual Planning Sessions

August 16-17, 2007August 16-17, 2007

Chicago, IllinoisChicago, Illinois

NADL MissionNADL MissionThe NADL is the unified voice for the The NADL is the unified voice for the dental laboratory industry supporting dental laboratory industry supporting

dentistry and serving the public interest dentistry and serving the public interest by promoting high standards. NADL by promoting high standards. NADL

accomplishes this by providing programs, accomplishes this by providing programs, services and networking opportunities services and networking opportunities responsive to the evolving technical, responsive to the evolving technical,

educational, professional and business educational, professional and business needs of dental laboratories.needs of dental laboratories.

NADL VisionNADL Vision

The NADL shall be the voice for the dental The NADL shall be the voice for the dental laboratory industry to ensure laboratory industry to ensure

professionalism through strategic professionalism through strategic leadership, partnering and cohesive leadership, partnering and cohesive representation before regulatory and representation before regulatory and

educational entities. NADL shall guide the educational entities. NADL shall guide the industry by setting standards and industry by setting standards and

providing a venue for members to advance providing a venue for members to advance in the field of dental technology.in the field of dental technology.

Are we moving at the speed of Are we moving at the speed of light?light?

U.S. Workforce DemographicsU.S. Workforce Demographics

Source: Nawb.orgSource: Nawb.org

Dental Industry Growth – Dental Industry Growth – The Upside for Labs is GoodThe Upside for Labs is Good

Source: Centers for Medicare and Medicaid Services

$50 $54 $57$62 $68 $73 $77

$82 $87

$125

$167

$0

$20

$40

$60

$80

$100

$120

$140

$160

$180

1997 1998 1999 2000 2001 2002 2003 2004 2005P 2010P 2015P

Total Dental Products and Services Spending($ in billions)

Projected Growth: 7%,

$ in billions

Number and Type of U.S. Allied Dental Number and Type of U.S. Allied Dental Programs: 1970 - 2006Programs: 1970 - 2006

0

50

100

150

200

250

300

350

1970 1975 1980 1985 1990 1995 2006

Dental Hygiene Dental Assisting Dental Laboratory Technology

Dental Laboratory Dental Laboratory EstablishmentsEstablishments

Approximately 12,089 Approximately 12,089 businesses classified as dental businesses classified as dental laboratories laboratories

5,000 of those are single 5,000 of those are single technician labs. (many of which technician labs. (many of which are nearing retirement age)are nearing retirement age)

Dental Technician Workforce Dental Technician Workforce StatisticsStatistics

48,000 48,000 full and part-time technicians. full and part-time technicians. ((U.S. Census)U.S. Census)

By 2014, 11,000 technician By 2014, 11,000 technician employees will leave the employees will leave the profession due to profession due to retirement or leaving the retirement or leaving the industryindustry for other reasonsfor other reasons ((U.S. Dept. of Labor)U.S. Dept. of Labor)

Top Issues Impacting the Dental Technology Top Issues Impacting the Dental Technology Profession and Dental Laboratories Profession and Dental Laboratories

(reaffirmed since 2005)(reaffirmed since 2005)

Shortage of qualified technicians and Shortage of qualified technicians and ManagersManagers

Existing and potential state and federal Existing and potential state and federal regulation of technicians and facilitiesregulation of technicians and facilities

Cost and proliferation of technologyCost and proliferation of technology Globalization of dental device production Globalization of dental device production Dental insurance (reimbursement rates)Dental insurance (reimbursement rates)

What Has Changed Since Last What Has Changed Since Last August?August?

Media Coverage of Chinese and foreign product Media Coverage of Chinese and foreign product safetysafety

Food and Drug Administration officials now Food and Drug Administration officials now contacting NADL rather than the other way aroundcontacting NADL rather than the other way around

Modest growth in dental laboratory salesModest growth in dental laboratory sales 2,000 dental laboratories have closed since 2005 2,000 dental laboratories have closed since 2005

based on U.S. Dept. of Labor informationbased on U.S. Dept. of Labor information Continued closure of ADA accredited educational Continued closure of ADA accredited educational

institutionsinstitutions 2006 saw a marked increase in % of imports2006 saw a marked increase in % of imports

NADL Member DemographicsNADL Member Demographics Majority are white male, average age is 50 and they have the position of Majority are white male, average age is 50 and they have the position of

laboratory owner or non owner managerlaboratory owner or non owner manager 78% of NADL members have 10-25 employees78% of NADL members have 10-25 employees Regardless of size of lab, NADL members have been in business on average Regardless of size of lab, NADL members have been in business on average

between 17-30 yearsbetween 17-30 years 63% of NADL members lease their facility63% of NADL members lease their facility 47% of small labs have no exit plan; 53% of medium labs have no exit plan; 47% of small labs have no exit plan; 53% of medium labs have no exit plan;

33% of large labs have no exit plan33% of large labs have no exit plan 70% of small labs do not plan to purchase or lease a CAD/CAM system; for 70% of small labs do not plan to purchase or lease a CAD/CAM system; for

medium its 28%; 20% for large lab membersmedium its 28%; 20% for large lab members Small labs spend $2.5 K a year on CE or training; medium size labs spend Small labs spend $2.5 K a year on CE or training; medium size labs spend

$4.5K; large size labs spend $10.5K$4.5K; large size labs spend $10.5K Small labs average 13.5% net profit; medium labs average 11.8%, large labs Small labs average 13.5% net profit; medium labs average 11.8%, large labs

average 13.5% net profitaverage 13.5% net profit

2005 NADL 2005 NADL Member SurveyMember Survey

Top 3 NADL member benefits in terms of Top 3 NADL member benefits in terms of perceived valueperceived value85% of respondents said 85% of respondents said Journal of Journal of

Dental TechnologyDental Technology68% of respondents said 68% of respondents said

representation in regulatory and representation in regulatory and legislative affairslegislative affairs

68% of respondents said NADL 68% of respondents said NADL websitewebsite

2005 NADL 2005 NADL Member SurveyMember Survey

Top 3 statements that characterize Top 3 statements that characterize NADL NADL 77% of respondents said NADL keeps its 77% of respondents said NADL keeps its

members informed about members informed about legislative/regulatory affairslegislative/regulatory affairs

71% of respondents said NADL is 71% of respondents said NADL is responsive to industry issuesresponsive to industry issues

69% of respondents said NADL represents 69% of respondents said NADL represents the interests of all dental laboratories the interests of all dental laboratories regardless of whether they are members or regardless of whether they are members or notnot

2005 NADL 2005 NADL Member SurveyMember Survey

Top 3 NADL activities in terms of importance:Top 3 NADL activities in terms of importance: 90% of respondents said dental technology 90% of respondents said dental technology

educationeducation 90% of respondents said representation in 90% of respondents said representation in

legislative, legal and regulatory affairslegislative, legal and regulatory affairs 83% of respondents said dental 83% of respondents said dental

technology/promotion/awarenesstechnology/promotion/awareness 81% of respondents said Business management 81% of respondents said Business management

educationeducation

How Is NADL How Is NADL Meeting its Mission?Meeting its Mission?

Unified voiceUnified voice – categories of – categories of membership include laboratories; membership include laboratories; suppliers, state and regional dental suppliers, state and regional dental laboratory associations, laboratory associations, educational programs; and educational programs; and individual techniciansindividual technicians

Promoting high standardsPromoting high standards – CDL, – CDL, CDT, DAMAS, Competency CDT, DAMAS, Competency StandardsStandards

How Is NADL How Is NADL Meeting its Mission?Meeting its Mission?

Technical needs of the industryTechnical needs of the industry – – WOK, JDT, study products from WOK, JDT, study products from dental manufacturers and dental manufacturers and suppliers, National Lab Networksuppliers, National Lab Network

Business needs of the industryBusiness needs of the industry – – Vision 21, NADL University, Vision 21, NADL University, Industry reports, JDT, JDT Industry reports, JDT, JDT Unbound, DAMAS, HR Hotline, Unbound, DAMAS, HR Hotline, Insurance ProgramsInsurance Programs

How is NADL How is NADL Meeting Its Vision?Meeting Its Vision?

Voice for the dental laboratory industryVoice for the dental laboratory industry – officially recognized spokesperson – officially recognized spokesperson with over fifteen allied dental with over fifteen allied dental organizations and state/federal organizations and state/federal governmental agenciesgovernmental agencies

Strategic LeadershipStrategic Leadership – annual planning – annual planning session/consistent analysis of session/consistent analysis of programs/servicesprograms/services

How is NADL How is NADL Meeting Its Vision?Meeting Its Vision?

Representation –Representation – participation at participation at allied organization meetings, (both allied organization meetings, (both on the laboratory side and the on the laboratory side and the clinician side); with allied clinician side); with allied educational associationseducational associations

Standard settingStandard setting –competency –competency standards, administrator of standards, administrator of DAMAS quality assurance process; DAMAS quality assurance process; promotion of compliance with promotion of compliance with QS/GMPQS/GMP

Member Programs and ServicesMember Programs and Services TangibleTangible Business insuranceBusiness insurance HR/Labor Law ConsultingHR/Labor Law Consulting Credit Card ProcessingCredit Card Processing Discounted ShippingDiscounted Shipping Payroll ProcessingPayroll Processing Industry Data and ReportIndustry Data and Report JDTJDT JDT UnboundJDT Unbound Fulfillment House (product Fulfillment House (product

inventory for training) inventory for training) Vision 21Vision 21 NADL UniversityNADL University

IntangibleIntangible Representation before Representation before

government agenciesgovernment agencies Representation before allied Representation before allied

dental organizationsdental organizations Leadership training to state Leadership training to state

and regional dental lab and regional dental lab associationsassociations

Tradeshow Attendance and Tradeshow Attendance and speaking engagements at 12-speaking engagements at 12-15 dental lab meetings a year15 dental lab meetings a year

Representation with dental Representation with dental laboratory associations in laboratory associations in other countriesother countries

NADL Moving Forward – NADL Moving Forward – Areas of FOCUS for next 12 -18 Areas of FOCUS for next 12 -18

monthsmonthsRoad Map for Education (traditional, adult Road Map for Education (traditional, adult

learning, cross training among dental team learning, cross training among dental team members, alternative methods of delivery)members, alternative methods of delivery)

FDA Regulations (lobbying and/or legal FDA Regulations (lobbying and/or legal representation before Congress and other representation before Congress and other appropriate public officials)appropriate public officials)

Public Relations/Marketing of the Dental Public Relations/Marketing of the Dental Technician Profession and Dental Technician Profession and Dental Laboratory IndustryLaboratory Industry

Education Concept:Education Concept:

an educational system that will facilitate the an educational system that will facilitate the continual upgrade of the educational level continual upgrade of the educational level of domestic incumbent worker to allow for of domestic incumbent worker to allow for and maintain a competitive edge in a and maintain a competitive edge in a global market, to mitigate knowledge global market, to mitigate knowledge erosion and meet the future needs of erosion and meet the future needs of changing workforce models and emerging changing workforce models and emerging technologies and that will result in a formal technologies and that will result in a formal institutional awarded degreeinstitutional awarded degree

Creative linkagesCreative linkages

Identify barriers:Identify barriers:CODA restrictionsCODA restrictions Institutional restrictionsInstitutional restrictionsADAADA

Identify facilitatorsIdentify facilitatorsADEAADEALab SummitLab SummitNBC/NADLNBC/NADLProsthodontic ForumProsthodontic Forum

Occupational MapOccupational Map Identified Core CompetenciesIdentified Core Competencies

All DisciplinesAll Disciplines Dental TechnologyDental Technology Clinical Dental TechnologyClinical Dental Technology Dental AssistingDental Assisting Dental HygieneDental Hygiene Dental TherapistDental Therapist DentistDentist ADA Community Dental Health CoordinatorADA Community Dental Health Coordinator

Skills Audit gap analysis to place you on the Skills Audit gap analysis to place you on the ladder ladder

ADEA Roadmap (matrix) forAllied Dental Education

Dental Dental Laboratory Laboratory

Technician ITechnician I

Dental Dental Laboratory Laboratory

Technician IITechnician II

Dental Dental Laboratory Laboratory

Technician IIITechnician III

Dental Dental LaboratoryLaboratory

Technician IVTechnician IV

Position Position OverviewOverview

Entry Lab Entry Lab TechTech

Advanced Advanced Skills Lab TechSkills Lab Tech

Direct Patient Direct Patient ContactContact Practice Practice ManagementManagement

ResearchResearch EducationEducation AdministrationAdministration

Recommended Recommended DegreeDegree CertificateCertificate A.S.A.S. B.S.B.S. M.S.M.S.

Length of Length of ProgramProgram (Academic Years)(Academic Years)

1 year1 year 2 years2 years 4 years4 years + 1 year+ 1 year

Dental Laboratory Technology

CategoriesCategories

Knowing What We Know – What Knowing What We Know – What should change?should change?

JDT and JDT Unbound JDT and JDT Unbound are highly valued by are highly valued by members (47% of total members (47% of total NADL expenses NADL expenses budgeted for this budgeted for this purpose)purpose)

Regulatory Regulatory representation is representation is important to NADL important to NADL members – 1% of members – 1% of expenses are budgeted expenses are budgeted for this purposefor this purpose

81% of members said 81% of members said business management business management education is important – education is important – NADL allocates 20% of its NADL allocates 20% of its expenses for this purpose expenses for this purpose (not counting business (not counting business mgmt training in JDT)mgmt training in JDT)

83% of NADL members 83% of NADL members said promotion of the said promotion of the profession and industry profession and industry are important – NADL are important – NADL only budgets 1% of its only budgets 1% of its expenses for this purposeexpenses for this purpose

NBC Mission StatementNBC Mission Statement

The National Board for The National Board for Certification in Dental Certification in Dental Laboratory Technology Laboratory Technology provides professional provides professional certification to dental certification to dental technicians and dental technicians and dental laboratories for the health and laboratories for the health and safety of the dental patient. safety of the dental patient.

NBC Vision StatementNBC Vision Statement

The NBC is dedicated to administering a The NBC is dedicated to administering a globally-recognized certification program globally-recognized certification program

to verify the knowledge, skills and abilities to verify the knowledge, skills and abilities of dental technicians through examinations of dental technicians through examinations

and continuing education. NBC is also and continuing education. NBC is also dedicated to the certification of dental dedicated to the certification of dental

laboratories for the purpose of ensuring laboratories for the purpose of ensuring employee safety and quality assurance employee safety and quality assurance

practices that meet or exceed government practices that meet or exceed government requirements. requirements.

Credibility of ProgramsCredibility of Programs

““The (ADA) Council on Dental Education and The (ADA) Council on Dental Education and Licensure believes that the Licensure believes that the examination and examination and certification of dental laboratory technicians certification of dental laboratory technicians is necessary to provide the dental is necessary to provide the dental profession with an indication of those profession with an indication of those persons who have demonstrated their persons who have demonstrated their ability to fulfill the dental laboratory work ability to fulfill the dental laboratory work authorizationauthorization.”.”

1998:92, 713 passed by the ADA House of Delegates1998:92, 713 passed by the ADA House of Delegates

Certification of TechniciansCertification of Technicians

Conventional CDTConventional CDTMaster CDTMaster CDTTechnologistTechnologistRecognized GraduateRecognized Graduate

CDT DemographicsCDT Demographics (2006 NBC Survey)(2006 NBC Survey)

Only 25% of CDTs work in a CDLOnly 25% of CDTs work in a CDL52.7% of CDTs believe they are more 52.7% of CDTs believe they are more

likely to be hired than a non CDTlikely to be hired than a non CDT55.5% of CDTs believe CDTs receive 55.5% of CDTs believe CDTs receive

higher compensationhigher compensation60.6% of CDTs believe CDTs are given 60.6% of CDTs believe CDTs are given

more responsibility at workmore responsibility at work40% have been CDT’s for 30+ years40% have been CDT’s for 30+ years

CDT Educational LevelsCDT Educational Levels(2006 NBC Survey)(2006 NBC Survey)

High School/GEDHigh School/GED 14%14% Some college (no degree)Some college (no degree) 27.7%27.7% 2-yr DT degree2-yr DT degree 29.5%29.5% 2-yr "other" degree2-yr "other" degree 8% 8% 4-yr college degree4-yr college degree 15%15% Masters degree or higherMasters degree or higher 5.4% 5.4%

Why Do People Become CDTs?Why Do People Become CDTs?

79% pride of being a recognized 79% pride of being a recognized professionalprofessional

63% respect of co workers63% respect of co workers55.5% to be tested against a national 55.5% to be tested against a national

standardstandard53.3% respect of dental clients53.3% respect of dental clients37% marketing advantage over other labs37% marketing advantage over other labs37% to get higher pay37% to get higher pay

Barriers to Becoming a CDTBarriers to Becoming a CDT(2006 NBC Survey)(2006 NBC Survey)

Not Required Not Required 76.4%76.4% Few benefitsFew benefits 73.4%73.4% Lack of value to dentists Lack of value to dentists

75.4%75.4% Lack of interestLack of interest 63%63% Costs too muchCosts too much 44%44% Exam location convenienceExam location convenience 37.2%37.2% Exams are too difficultExams are too difficult 20%20%

The next Generation of CDTs (from 2006 The next Generation of CDTs (from 2006

NBC Survey – non CDT respondentsNBC Survey – non CDT respondents)) 50/50 Male to Female Ratio50/50 Male to Female Ratio Minority Representation of Those Aspiring to Be Minority Representation of Those Aspiring to Be

CDTs: 11.6% Asian; 14.5% African American; CDTs: 11.6% Asian; 14.5% African American; 13% Hispanic; 7.2% American Indian13% Hispanic; 7.2% American Indian

58% are non owner, non manager technicians58% are non owner, non manager technicians 17% of aspiring CDTs are from Florida (the 17% of aspiring CDTs are from Florida (the

highest percentage of all 50 states), 10% are highest percentage of all 50 states), 10% are from California and 12% from Texasfrom California and 12% from Texas

CDL Facility StandardsCDL Facility Standards

NBC has officially launched the new NBC has officially launched the new criteria and standards for the Certified criteria and standards for the Certified Dental Laboratory program which Dental Laboratory program which raises the bar for employee safety and raises the bar for employee safety and business operations of the facilitybusiness operations of the facility

Certified Dental LaboratoryCertified Dental Laboratory

Facility requirementsFacility requirementsEquipment requirementsEquipment requirementsManagerial requirementsManagerial requirementsPersonnel requirements Personnel requirements

Regulatory FrameworksRegulatory Frameworks

Requirement for a CDT as part of state dental Requirement for a CDT as part of state dental practice actspractice acts

FDA GMP requirement for training recordsFDA GMP requirement for training records FDA requirement for “competent to place on FDA requirement for “competent to place on

the market” – CDT should be considered to the market” – CDT should be considered to meet that requirementmeet that requirement

Increased acceptance of clinical technicians Increased acceptance of clinical technicians (denturists in state practice acts)(denturists in state practice acts)

GlobalizationGlobalization

Mobile workforce with legitimate Mobile workforce with legitimate credentials from other countriescredentials from other countries

Need for independent verification for Need for independent verification for non- U.S. lab workers working in the non- U.S. lab workers working in the U.S. and for those technicians U.S. and for those technicians supplying products into the U.S.supplying products into the U.S.

Standardization: NBC is working with Standardization: NBC is working with ANSI through endorsement process to ANSI through endorsement process to ensure commonality of baseline ensure commonality of baseline education, testing methods and CE education, testing methods and CE

ModularizationModularization

Testing technicians Testing technicians through task achievement through task achievement for finite areas of skill for finite areas of skill competencycompetency

Provides clearer career Provides clearer career path for development and path for development and production value for life production value for life long learninglong learning

NBC Areas of FOCUSNBC Areas of FOCUS

Public RelationsPublic RelationsBudget Reallocation based on matters of Budget Reallocation based on matters of

importance (based on constituent desires)importance (based on constituent desires)Public Policy AdvocacyPublic Policy Advocacy

Thank you for your Thank you for your participation in this participation in this important process!important process!

NBC PrioritiesNBC Priorities

Existing:Existing: CDTCDT RGRG CDLCDL Testing: CDT/RGTesting: CDT/RG Marketing (to the Marketing (to the

dentists, for dentists, for recognition to the recognition to the CDT)CDT)

Future:Future: Globalization Globalization

(endorsement and (endorsement and foreign testing)foreign testing)

AdvocacyAdvocacy ModularizationModularization EducationEducation