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Just Wait for the Cavity: Dental Cyber Security

Dental Cyber Security is kind of like, well, being a dentist. You’re in your patient’s mouth. The red flags are clear as day: calculus buildup going back to pre-fluoride Woodstock days. Severe dentin erosion, onset of gingivitis, gums retreating like Arctic glaciers. But there is no actual decay yet. No cavities to drill or crowns to fill, no stains to cap or roots to tap. Absolutely. Nothing. Profitable!

So what do you tell the patient? That’s easy…

“Looks good! Come see me when that molar finally cracks.”

Of course that’s not what you say, but that is roughly how it sounds to me when a practice director tells me that they invest minimally in ongoing preventative cyber security because nothing truly bad has happened yet with their practice data. In other words, Just Wait for the Cybercrime Cavity and spend ten times as much recovering.

But I would never advise you to wait for the cyber decay, and you would never advise your patients to hold off on brushing, flossing and regular dental checkups. Nor should you wait to implement regular dental cyber security. We are both in the prevention business and we are building long-term relationships that have a great LTV. There are enough patients to keep us both in business with bad hygiene, so we can focus on doing our job well and stopping the problem before it takes root. That preventative mindset will save you approximately $380 per patient record, which is the average cost of breach recovery in the health industry (excluding reputation damage and customer attrition).

Here are what I consider to be the 5 Most Pressing Cybersecurity Vulnerabilities in Dentistry:

  1. Outdated operating systems (Windows XP/2000) and unpatched operating systems, software and apps
  2. Weak spam filtration and barely-existent employee training that leads to email-based phishing attacks
  3. Poor data backup and recovery planning that allows ransomware to lock and destroy patient and financial data
  4. Lack of solid encryption on data at rest (on servers), in transit (to patients, vendors) and in the cloud (practiced management software) that allows easy access to hackers
  5. Credential hacking of cloud data due to lack of 2-factor authentication and password managers

When your practice begins to protect patient data in the same way that you ask patients to protect the health of their mouth, you have just discovered a critical competitive advantage for patient acquisition and retention. Your patients want to know that their data is safe in your hands. Here are some additional resources to help you take the next steps in protecting your practice data:

What are the greatest gaps you see in Security Awareness Programs? Please share your brilliance below.


John Sileo loves his role as an “energizer” for cyber security at conferences, corporate trainings and in industry study clubs. He specializes in making security fun, so that it sticks. His clients include the Seattle Study Club, the Pentagon, Schwab and many organizations so small (and security conscious) that you won’t have even heard of them. John has been featured on 60 Minutes, recently cooked meatballs with Rachel Ray and got started in cyber security when he lost everything, including his $2 million software business, to cybercrime. Call if you would like to bring John to speak to your members – 303.777.3221.

Security Awareness Programs Like Mushy Overnight Oats?

To diagnose your under-performing cyber security awareness programs, all you need to do is look at my breakfast today. My daughter introduced me to overnight oats. “It’s the perfect breakfast, Dad – full of energy, takes no time at all, packed with simple, healthy ingredients like oatmeal, almond milk and peanut butter”, she said. “That’s what I need!”, I said, “All of the power with none of the fuss”. So I took her recipe and promptly ignored it. I added cottage cheese, chia and some lemon – because if it was already good, I was going to  make it even better.

What I got was curdled mush that crawled out of the bowl like John Cusack’s dinner in Better off Dead. The theory of overnight oats was brilliant. It was my execution that made me gag.

Many security awareness programs choke on their own ingredients because, like my overnight oats, they don’t follow a recipe when they plan the program. The have no overarching security “end” in mind at the beginning, to paraphrase Stephen Covey. Empowering the human element of cyber security is the cultural ingredient that many organizations overlook. Think about tweaking your recipe a bit to make it more than palatable.

A Recipe for Effective Security Awareness Programs

One byproduct of serving as the opening keynote speaker for hundreds of security awareness programs around the world (in addition to the bottomless pit of mileage points I’ve earned), is that I have dined amidst training programs, OVER and OVER again, that leave me hungering for more substance and lots more flavor. Here is my simple recipe for a filling, enjoyable and effective Security Awareness Program:

Ingredients (For a Culture of Security that Cooks):

  • (1-3) C-Level Executive(s) who “Believe” (Ownership)
  • (1) Cross-Functional Business Case w/ Compelling ROI (Strategy)
  • High-Engagement Content Rooted in Personal Security (Methodology)
  • (6-12) Regular, Engaging Follow-on “Snacks” (Sustenance)
  • (1) Feedback Dashboard to Measure “Diner” Response (Metrics)

Ownership. Failing to have a highly-communicative Chief Executive leading your initiative is like expecting a 3-Star Michelin rating from a fast-food cook. You must have high-level “buy-in” for your program to work. I’m not talking about the CISO, CRO, CIO or CTO here – that would just be preaching to the choir. The missing cook in awareness programs tends to be a security “believer” from the executive team. Successful security awareness programs are clearly led, repeatedly broadcast and constantly emphasized from the top of the organization, all with an attitude of authenticity and immediacy. Whether served up by your CEO at an annual gathering or by your Board of Directors to kick off National Cyber Security Awareness Month, your security champion must become an evangelist for defending your data.

Strategy. Don’t expect to randomly add security ingredients to the bowl and blindly hope they mix well together. You’ll just end up with curdled oatmeal. Approach your program strategically, and devise a recipe to protect your intellectual property, critical data and return on information assets. You are competing for resources, so build a compelling business case that demonstrates the organization’s ROI in business terms, not buried in techno-babble. What did it cost your competitor when ransomware froze their operation for a week? How much would the training have cost to avoid the CEO whaling scheme that lost a similar-sized company $47 million? What do the owners of  compliance, HR and I.T. have to add to the meal? The most successful security awareness programs have a budget, a staff (however small) and cross-departmental support. Involve the business team and other stakeholders up front to leverage their expertise before rollout.

Methodology. Here is a litmus test for the potential effectiveness of your security awareness program: Does it begin by focusing on the critical information assets and devices inside of your organization? If so, it’s probably doomed. Why? Because your employees are human beings and they want to know how this affects them personally before they willingly invest time to protect the corporate coffers. Excellent security awareness kicks off by making data protection personal – by building ownership before education. From there, the training must be engaging (dare I say fun!?) and interactive (live social-engineering) so that your audience members pay attention and apply what they learn. Death-By-PowerPoint slides will permanently put behavioral change to sleep. Highly-effective programs build a foundational security reflex (proactive skepticism), and are interesting enough to compete against cute puppy videos, smartphone farm games and our undying desire for a conference-room cat nap.

Sustenance. Best practice security awareness training, like a five-course meal, doesn’t end with the appetizer. Yes, kickoff is best achieved with a high-energy, personally relevant, in-person presentation that communicates the emotional and financial consequences of data loss. But that is only the beginning of the meal. From there, your team needs consistent, entertaining follow-up education to keep the fire alive. For example, we have found short, funny, casual video tips on the latest cyber threats to be highly effective. And lunch workshops on protecting personal devices. And incentive programs for safe behavior. And so on. Culture matures by feeding it consistently.

Measurement.If you don’t measure your progress (and actually demonstrate some), no one will fund next year’s dining budget. What are your Security Awareness Training KPIs, your key metrics? How did successful phishing attacks decline as a byproduct of your program? Has user awareness of threats, policy and solutions increased? How many employees showed up for the Cyber Security Awareness Month keynote and fair? How department-specific are your training modules – or does one size fit all? When you can show quantitative progress, you will have the backing to continue building your qualitative culture of security.

And now, back to the meal. In spite of the lemon juice that further curdled the cottage cheese and ruined my oats, I was still hungry, so I ended up choking them down, vowing to listen to my daughter next time. And I hope you will listen to me this time: Approach your security awareness program like you are planning a feast for guests who matter a great deal to you. Because your uneducated employees, unprotected customer data, and invaluable intellectual capital are exactly what cybercriminals are eating for breakfast.

What are the greatest gaps you see in Security Awareness Programs? Please share your brilliance below.


John Sileo loves his role as a keynote “energizer” for Cyber Security Awareness Programs. He specializes in making security fun, so that it sticks. His clients include the Pentagon, Schwab and some organizations so small (and security conscious) that you won’t have even heard of them. John has been featured on 60 Minutes, recently cooked meatballs with Rachel Ray and got started in cyber security when he lost everything, including his $2 million software business, to cybercrime.

Delete Your Facebook After Cambridge Analytica?

I’ve written A LOT about Facebook in the past.

  • What not to post
  • What not to like
  • What not to click on
  • How to keep your kids safe
  • How to keep your data protected
  • How to delete your account

ETC! Search specific topics here.

And personally, I’m ashamed of myself for knowing exactly how social networks like Facebook take advantage of users and our data, and yet still have a Facebook profile. I’m not just sharing my information, Facebook is also sharing everyone of my “friends’” Information through me. I’m currently thinking that the only way to protest this gross misuse is data is to delete my profile (which still won’t purge my historical data, but will stop future leakage).

And yes, I’ve written several times about how Facebook is allowed to sell your privacy.  Now, it turns out the practices I have warned about for years are taking over our headlines with a “little” news bit about how Cambridge Analytica has used data obtained from Facebook to affect the 2016 U.S. Presidential election.

Here’s a brief timeline:

  • In 2014, a Soviet-born researcher and professor, Aleksandr Kogan, developed a “personality quiz” for Facebook.
  • When a user took the quiz, it also granted the app access to scrape his or her profile AND the profiles of any Facebook friends. (Incidentally I was writing about why you shouldn’t take those quizzes right about the time all of this data was being gathered!  And, it was totally legal at that time!)
  • About 270,000 people took the quiz. Between these users and all of their friend connections, the app harvested the data of about 50 million people.
  • This data was then used by Cambridge Analytica to help them target key demographics while working with the Trump campaign during the 2016 presidential election.
  • Facebook learned of this in late 2015 and asked everyone in possession of the data to destroy it. (They did not, however, tell those affected that their data had been harvested.)
  • The company said it did, and Facebook apparently left it at that.

That takes us up to recent days, when The Guardian and The New York Times wrote articles claiming that the firm still has copies of the data and used it to influence the election.

What’s happening now?

  • Facebook has suspended Cambridge Analytica from its platform, banning the company from buying ads or running its Facebook pages.
  • The Justice Department’s special counsel, Robert S. Mueller III, has demanded the emails of Cambridge Analytica employees who worked for the Trump team as part of his investigation into Russian interference in the election.
  • The European Union wants data protection authorities to investigate both Facebook and Cambridge Analytica. The UK’s information commissioner is seeking a warrant to access Cambridge Analytica’s servers.

And what should you be doing?

Consider deleting your profile. I am. I’ve written about how to do that before and how to weigh deactivating your account versus deleting it. Consider carefully before making that choice.

Remember that the real illusion about Facebook is that there is anything significant we can actually do to protect our privacy. Facebook provides an effective privacy checkup tool, but it does nothing to limit the data that Facebook sees, or that Facebook decides to share with organizations willing to buy it, or even that hackers decide to target.

The data you’ve already shared on Facebook, from your profile to your posts and pictures is already lost. There is nothing you can do to protect it now. The only data you can protect is your future data that you choose to not share on Facebook.  Here are my suggestions for a few pro-active steps you can take right now:

  • Delete or deactivate your Facebook profile
  • Reread my post about Facebook Privacy from 2013—unfortunately, all of it still applies today!
  • Memorize this phrase: “Anything I put on Facebook is public, permanent and exploitable.”
  • Tell some little white lies on your profile.
  • And stop taking those quizzes!

John Sileo is an an award-winning author and keynote speaker on cybersecurity, identity theft and online privacy. He specializes in making security entertaining, so that it works. John is CEO of The Sileo Group, whose clients include the Pentagon, Visa, Homeland Security & Pfizer. John’s body of work includes appearances on 60 Minutes, Rachael Ray, Anderson Cooper & Fox Business. Contact him directly on 800.258.8076.

12th Day: Holiday Security Tips All Wrapped up Together

Would you like to give the people you care about some peace on earth during this holiday season? Take a few minutes to pass on our 12 privacy tips that will help them protect their identities, social media, shopping and celebrating over the coming weeks. The more people that take the steps we’ve outlined in the 12 Days of Christmas, the safer we all become, collectively.

Have a wonderful holiday season, regardless of which tradition you celebrate. Now sing (and click) along with us one more time.  

On the 12th Day of Christmas, the experts gave to me: 

12 Happy Holidays,

11 Private Emails,

10 Trusted Charities

9 Protected Packages

8 Scam Detectors

7 Fraud Alerts

6 Safe Celebrations

Fiiiiiiiiiiive Facebook Fixes

4 Pay Solutions

3 Stymied Hackers

2 Shopping Tips

And the Keys to Protect My Privacy

John Sileo is an an award-winning author and keynote speaker on identity theft, internet privacy, fraud training & technology defense. John specializes in making security entertaining, so that it works. John is CEO of The Sileo Group, whose clients include the Pentagon, Visa, Homeland Security & Pfizer. John’s body of work includes appearances on 60 Minutes, Rachael Ray, Anderson Cooper & Fox Business. Contact him directly on 800.258.8076.