The Dr. Phil Klein Dental Podcast Show

What happens when traditional implants aren't feasible, but conventional bridges feel too aggressive? Whether facing insufficient bone, medical contraindications, or age considerations, many single-tooth replacement cases require a different approach.Dr. Marvin Chacon brings over 15 years of private practice experience in conservative cosmetic and reconstructive dentistry from San Jose, Costa Rica. He holds a Master's in Aesthetic Dentistry from King's College London (2022) and serves as a clinical trainer and speaker specializing in modern dental materials and biomimetic dentistry techniques under the minimum intervention approach. His expertise centers on fiber-reinforced composite fixed partial dentures (FRCFPDs) and innovative clinical protocols.This episode explores fiber-reinforced bridges as a minimally invasive, chair-side alternative to traditional fixed prosthetics. Dr. Marvin demonstrates how these innovative restorations combine unidirectional glass fibers with composite materials to create flexible, biomimetic solutions that can be fabricated in under 30 minutes. The conversation covers case selection, preparation designs, and long-term outcomes with documented success spanning up to 22 years in posterior applications and 8 years in anterior cases.Episode Highlights:Fiber-reinforced bridges utilize unidirectional glass fibers (Grand Tech) combined with composite resin veneering materials, offering a biomimetic flexibility that better absorbs occlusal forces compared to rigid conventional prosthetics. The framework requires specific manipulation techniques to maintain fiber integrity, with approximately 4,500 individual fibers working collectively to provide optimal strength and durability.Case selection should prioritize anterior applications for beginners, as anterior bridges demonstrate superior longevity with average lifespans of 7-8 years compared to 4-5 years for posterior applications. Ideal starting cases include single missing lateral incisors, agenesis cases, or situations where implants are contraindicated due to medical conditions, age considerations, or insufficient bone volume.The box-shape preparation design with additional isthmus extensions in proximal areas provides optimal retention and reinforcement for connector regions. Minimal preparation depth requires 2.5mm total: 1mm for fiber placement and 1.5mm for composite veneering material, significantly more conservative than conventional crown preparations while maintaining structural integrity.Chair-side fabrication takes approximately 30 minutes for posterior bridges and slightly longer for anterior cases requiring layered composite aesthetics. The technique eliminates laboratory fees and allows immediate delivery, with treatment costs equivalent to single zirconia crowns while providing greater flexibility for various patient demographics and financial constraints.Retrievability represents a major clinical advantage, allowing repairs and modifications without complete prosthesis replacement over time. Long-term case documentation shows successful adaptations and shape modifications over 8-year periods, particularly valuable for growing patients or cases requiring aesthetic evolution as gingival contours mature with age.Perfect for: General dentists seeking minimally invasive alternatives to conventional bridges, practitioners treating younger patients unsuitable for implants, clinicians managing medically compromised patients, and dental teams interested in expanding chair-side fabrication capabilities.Discover how this biomimetic approach can transform your treatment options while maintaining conservative dentistry principles.

Are you addressing the root cause of your patients' dental problems, or just treating the symptoms? Many common dental issues like bruxism, scalloped tongues, and repeated crown failures may actually be signs of underlying sleep-disordered breathing.Dr. Jacqueline Patterson brings over 15 years of experience as a general dentist and certified orofacial myofunctional therapist. She received her Doctor of Dental Surgery from UC San Francisco, her undergraduate degree in Dental Hygiene from UNC Chapel Hill, and completed specialized training as an Orofacial Myofunctional Therapist through the International Association of Oral Myologists. Dr. Patterson has developed expertise in airway-centered disorder therapies and non-invasive treatment approaches that address the underlying causes of dental and systemic health problems.This episode explores how sleep-disordered breathing connects to common dental findings and reveals a comprehensive approach to patient care that goes beyond traditional restorative treatment. Dr. Patterson shares her journey from general dentistry to airway-focused practice, demonstrating how specialized training can transform both patient outcomes and practice fulfillment. The discussion covers practical assessment techniques, treatment protocols, and the importance of medical-dental collaboration in managing sleep-related disorders.Episode Highlights:Visual assessment techniques for identifying sleep-disordered breathing include recognizing mouth breathing posture, narrow arches with crowding, scalloped tongue edges indicating clenching patterns, and venous pooling under the eyes. These clinical signs often correlate with poor sleep quality and can be identified during routine dental examinations.Adult palatal expansion using clear aligner therapy focuses on expansive rather than retractive orthodontics, avoiding unnecessary extractions and minimizing interproximal reduction. This approach aims to increase airway space while addressing crowding and aesthetic concerns simultaneously.Sleep screening protocols using digital assessment tools can identify at-risk patients across all age groups, from low-risk to severe-risk categories. Follow-up protocols include medical history review and coordination with sleep physicians for definitive diagnosis and treatment planning.Myofunctional therapy certification through organizations like the International Association of Oral Myologists provides training in head and neck anatomy, muscle retraining exercises, and habit modification techniques. This therapy complements appliance treatment and surgical interventions for comprehensive airway management.Medical-dental collaboration requires structured referral relationships with sleep physicians, primary care providers, and ENT specialists to ensure proper diagnosis and insurance coverage. Educational outreach through lunch-and-learns and community presentations helps establish these partnerships and improve patient access to care.Perfect for: General dentists interested in sleep medicine, dental hygienists seeking expanded scope opportunities, and practitioners looking to develop airway-focused treatment protocols that address root causes rather than just symptoms.Discover how recognizing airway health issues can transform your approach to restorative dentistry and improve patient outcomes dramatically.

How can you ensure predictable outcomes when dental materials evolve faster than clinical protocols?Dr. Howard Glazer brings five decades of clinical experience to this comprehensive discussion of modern dental materials and techniques. As a Fellow and Past President of the Academy of General Dentistry, former Assistant Clinical Professor at Albert Einstein College of Medicine, Fellow of the American College of Dentists and International College of Dentists, Diplomate of the American Board of Aesthetic Dentistry, and Deputy Chief Forensic Dental Consultant to the Office of Chief Medical Examiner in New York City, Dr. Glazer has established himself as one of dentistry's most respected materials evaluators. He currently publishes the bi-monthly column "I Have It...You Need It!" in Dental Economics and lectures internationally on dental materials, cosmetic dentistry, and patient management.This rapid-fire discussion covers the essential materials and technologies every dentist encounters daily, from composite resins and curing lights to provisional materials and patient management systems. Dr. Glazer shares his clinical philosophy of "faster, easier, better" while emphasizing that improvements must benefit both the practitioner and patient. The conversation addresses critical decisions facing modern practitioners: when to adopt new materials, how to evaluate product claims, and which technologies truly enhance clinical outcomes.Episode Highlights:Nano-filled composites with organically modified ceramic resins (ormocer) offer superior strength and polishability compared to traditional macro-fill materials, with tighter nanoparticle structure preventing the chipping and ditching commonly seen in older formulations. Modern composite selection should include multiple A2 shades from different manufacturers since each offers unique color characteristics for optimal patient matching.Bulk-fill composite placement in deep preparations (7-8mm to axial gingival floor) requires curing lights with sufficient power output and direct beam collimation to ensure complete polymerization at the base. Inadequate light penetration often causes post-operative sensitivity due to incomplete cure at the deepest portions of the restoration.Tissue retraction for digital impressions can be achieved through three primary methods: traditional retraction cord, soft tissue diode lasers, or aluminum chloride retraction paste that provides hemostasis, tissue displacement, and sulcus drying. Regardless of impression technique, complete margin visualization remains absolutely critical for successful crown and bridge fabrication.Provisional restorations serve multiple critical functions beyond tissue protection, including aesthetic preview, treatment communication with laboratories, and long-term durability for bite-raising cases. Materials like bis-acryl formulations can provide 3-6 months of service when needed, with some requiring minimal polishing while maintaining high luster throughout treatment.Electric handpieces have become the standard in 56 of 62 dental schools, with modern units achieving 28% lighter weight and 23% smaller size compared to earlier generations. The consistent torque delivery of electric handpieces provides superior cutting efficiency and tactile feedback compared to air-driven alternatives.Perfect for: General dentists, dental residents, and specialists seeking evidence-based guidance on material selection and clinical technique optimization. Particularly valuable for practitioners evaluating new technologies or updating their armamentarium with proven solutions.Discover how five decades of clinical testing translates into practical material selection strategies for your practice.

Dr. Dean Elledge, a seasoned dentist based in Kansas City, found himself at a crossroads in his career. While many might have settled into routine, Dr. Elledge wanted something more—something that would reignite his excitement every morning. His dream? To become the director of a residency program. However, there was no such opportunity available near his home in Kansas City. But when he learned about an opening for the position at Wichita State University, nearly 200 miles away from his home, he didn’t let distance deter him. His decision to chase his dream has not only transformed his career but also given him a renewed sense of purpose. Yes, sacrifices may be required, but when the payoff is fulfillment and purpose, the journey is well worth it.

What if the biggest challenge in your dental practice—managing employees—could become your greatest opportunity for growth and profitability?Dr. Todd C. Snyder, DDS from UCLA School of Dentistry, brings decades of experience in comprehensive aesthetic dentistry and full mouth rehabilitation to this strategic discussion. A faculty member at UCLA's Center for Esthetic Dentistry where he co-developed the first comprehensive 2-year postgraduate program in aesthetic and contemporary restorative dentistry, Dr. Snyder has also trained at the prestigious F.A.C.E. Institute for complex gnathological and temporomandibular joint disorders. As an international lecturer, dental materials consultant, published author, and founder of the non-profit Miles To Smiles, he offers a unique business perspective on practice optimization.This episode explores revolutionary approaches to dental practice staffing that challenge conventional wisdom about team building and employee management. Dr. Snyder shares his philosophy of operating with fewer, higher-skilled employees who are compensated at premium levels, creating more accountability and productivity while reducing overhead costs. The conversation reveals innovative recruitment strategies and training methods that prioritize communication skills over dental experience, leading to more engaged and effective team members.Episode Highlights:Strategic staffing involves hiring fewer, highly skilled employees at substantially higher compensation levels, creating greater accountability and reducing workplace distractions like phone usage during clinical hours. This approach decreases overall overhead while improving productivity and employee retention rates.Effective recruitment focuses on finding candidates with exceptional communication skills rather than dental experience, using creative advertising approaches like seeking "concierge" professionals. Video submission requirements during the application process efficiently filter candidates who can follow directions and present themselves professionally.Virtual front office operations utilize artificial intelligence and remote staff to handle phone calls, appointment scheduling, and patient communications without requiring physical presence in the practice. This system maintains professional patient interactions while reducing on-site staffing needs and operational costs.Employee retention strategies emphasize creating appreciation and team connection rather than relying solely on financial compensation. Regular recognition through unexpected gestures, handwritten notes, and demonstrating genuine appreciation for individual contributions builds stronger workplace relationships and reduces turnover.Practice automation systems handle common patient inquiries about appointment details, location information, and basic scheduling questions through digital workflows. Patients complete forms digitally before arrival, and virtual consultations provide alternatives for addressing specific clinical questions without requiring immediate dentist availability.Perfect for: Practice owners seeking to optimize staffing costs and improve team efficiency, dentists struggling with employee management challenges, and forward-thinking practitioners interested in implementing virtual office solutions and streamlined operations.Discover how to transform your biggest practice challenge into a competitive advantage that increases profitability and reduces daily stress.

Are you unknowingly compromising sterility in your instrument processing cycle? Even when your spore tests consistently pass, contaminated instruments could still be harboring dangerous microorganisms.Dr. Marie Fluent brings over 35 years of dental experience to this critical discussion, having worked as a dental assistant, practice owner, infection control coordinator, and clinical instructor. A graduate of the University of Michigan School of Dentistry, she has educated thousands of dental professionals internationally through her lectures, webinars, and consulting work. Her unique perspective from working in every role within a dental practice gives her unparalleled insight into real-world infection control challenges.This episode focuses on optimizing the instrument processing pathway in dental practices, with particular emphasis on instrument cleaning and validation. Dr. Fluent explains why traditional methods may be inadequate and how modern technology can enhance both safety and efficiency. The discussion reveals critical weak points in standard protocols and provides practical solutions for addressing them in today's challenging staffing environment.Episode Highlights:Manual instrument cleaning poses the highest risk to staff and provides the least effective debris removal, while instrument washers offer superior cleaning efficiency with minimal staff handling. Ultrasonic devices fall between these options but should be validated regularly using specialized strips with ink indicators that disappear when proper cavitation occurs.Debris remaining on instruments creates an impenetrable barrier that prevents steam sterilization from reaching all surfaces, potentially harboring microorganisms even when spore tests pass successfully. This represents a critical gap in the infection control protocol that biological monitoring cannot detect since spore strips are placed in the autoclave center, not on individual instruments.Wet instrument packages compromise sterility by allowing microorganisms from handlers' gloves to penetrate packaging materials during manipulation. Instruments must enter and exit the autoclave completely dry, and wet packages should never be handled or distributed for patient care.Instrument washers provide significant efficiency gains by allowing staff to load devices and attend to other tasks, including patient care, while automated cycles run. This addresses current staffing shortages while improving workflow compared to manual cleaning methods that require constant supervision.Validation protocols for cleaning equipment, while not federally mandated, represent best practices for quality assurance and legal protection. Regular validation documentation creates evidence of proper equipment function and demonstrates commitment to patient safety standards.Perfect for: General dentists, dental assistants, office managers, infection control coordinators, and practice owners seeking to optimize their sterilization protocols and address staffing challenges while maintaining the highest safety standards.Discover how modern instrument processing can transform your practice's efficiency while protecting both patients and staff.

Are you truly protecting your patients and staff from infection transmission, or are gaps in your disinfection protocols putting everyone at risk?Dr. Emily Boge brings over 20 years of dental hygiene and assisting experience combined with dual doctorates in Education and Organizational Leadership. She champions innovation in product development with five collaborative dental patents, conducts evidence-based research on infection prevention, and serves as a leading educator for dental professionals globally. Dr. Boge advocates for practitioner accountability and empowerment while pushing the boundaries of dental practice standards.This episode provides essential guidance on infection prevention and control protocols that every dental practice must implement correctly. Dr. Boge breaks down the critical distinctions between cleaning, disinfection, and sterilization while addressing real-world challenges facing today's dental teams. The discussion covers practical decision-making around disinfection methods, single-use inventory management, and the evolving role of infection control coordinators in modern practices.Episode Highlights:The EPA N-list provides validated disinfectants specifically designed for healthcare settings where aerosols are produced, requiring intermediate to high-level disinfection rather than household products. Practitioners should select products based on effectiveness wait time that matches their workflow needs, with one-minute kill times ideal for high-volume practices.The spray-wipe-spray or wipe-discard-wipe protocol ensures proper cleaning followed by disinfection of all contact surfaces. Wipes provide controlled saturation and reduce aerosolization of disinfectants that staff breathe throughout the day, though both methods can be effective when used with proper technique and adequate contact time.Single-use items marked as one-time use must be discarded after initial use, regardless of environmental or cost considerations. Reusing these products violates manufacturer instructions and compromises patient safety, while items designed for sterilization can safely undergo heat sterilization cycles up to their specified limits.Cold sterilization using glutaraldehyde presents significant workflow challenges due to inconsistent effectiveness wait times ranging from 24 to 48 hours across different products. The inability to track immersion timing for individual instruments creates reliability concerns, making heat sterilization the preferred standard for consistent results.The Certified Dental Infection Prevention and Control (CDIPC) credential through DANB provides dental team members with marketable expertise in infection control coordination. This 100-question examination costs approximately $300 and demonstrates specialized knowledge that can enhance career opportunities and practice value.Perfect for: Dental hygienists, dental assistants, practice managers, and dentists seeking to optimize infection control protocols and understand emerging career opportunities in infection prevention coordination.Discover how proper infection control can become a competitive advantage for your practice while opening new career pathways for your team members.

How has pain management in dentistry evolved from ancient tree resins to today's sophisticated anesthetic techniques, and what breakthrough innovations are reshaping patient comfort?This episode features Dr. David Isen, who maintains a private practice in Toronto, Canada, running a Sleep for Dentistry clinic specializing in anesthesia-based care. Dr. Isen has delivered over 400 presentations worldwide on medical emergencies in healthcare settings, local anesthesia for dentistry, and sedation techniques. He has authored numerous articles, peer-reviewed papers for dental journals, and served as a consultant for dental and pharmaceutical companies, bringing decades of expertise in pain management and patient sedation.The conversation traces the fascinating evolution of dental anesthesia, from 4,000-year-old Babylonian clay tablets describing tree resin pain relief to modern local anesthetic innovations. Dr. Isen explains how current anesthetic techniques work, why articaine offers superior tissue penetration compared to lidocaine, and how combining nitrous oxide with effective local anesthetics creates an optimal patient experience. The discussion also explores sedation dentistry protocols and emerging technologies that promise to transform pain control in dental practice.Episode Highlights:Articaine's hybrid ester-amide structure allows superior nerve membrane penetration compared to lidocaine, with its 4% concentration providing 72 milligrams of drug per 1.8ml cartridge and faster metabolic breakdown enabling safer re-dosing protocols. The thiophene ring structure enhances lipid solubility, prolonging anesthesia duration through better tissue protein binding.Epinephrine in local anesthetics actually reduces systemic toxicity by keeping the anesthetic localized longer, while plain solutions like mepivacaine and prilocaine pose higher cardiovascular risks due to rapid systemic absorption. Most dental patients can safely receive epinephrine-containing anesthetics, as intraoperative pain causes more endogenous epinephrine release than the vasoconstrictor provides.Nitrous oxide remains significantly underutilized, with only 60% of dentists administering it despite its excellent safety profile and rapid onset within 20-30 seconds. Proper titration can reach concentrations up to 70% nitrous oxide while maintaining minimum 30% oxygen, with modern delivery systems featuring failsafe mechanisms and scavenging systems for optimal safety.IV sedation offers superior control over oral sedation because of its titratable nature, while oral benzodiazepines create guessing scenarios that cannot be easily reversed if overdosed or supplemented if underdosed during the same appointment. Conservative dosing with triazolam at 0.375-0.5mg can be effectively combined with IV midazolam for enhanced patient comfort.Emerging long-acting local anesthetics like liposomal bupivacaine provide 72-hour anesthesia for surgical sites, potentially eliminating opioid requirements post-operatively, while intranasal tetracaine applications promise pulpal anesthesia from second premolar to central incisor without injections, though cost considerations at $250 per vial may limit initial adoption.Perfect for: General dentists seeking to improve pain management protocols, dental residents learning anesthetic pharmacology, oral surgeons exploring advanced sedation techniques, and practice owners considering sedation dentistry integration.Discover how modern anesthetic innovations can transform your patient experience while maintaining the highest safety standards.

Are you struggling to find and retain quality dental team members in today's competitive market? With staffing shortages affecting practices nationwide and no quick resolution in sight, dental professionals need innovative approaches to build and maintain their ideal teams.In this essential episode, Melissa K. Turner, BASDH, RDHEP, EFDA brings her extensive expertise as a registered dental hygienist, sought-after consultant, and Chief Hygiene Officer for Cellerant Consulting Group. As a 2022 recipient of the Sunstar Award of Distinction—dental hygiene's highest honor—and cofounder of the National Mobile & Teledentistry Conference, Turner offers unique insights from both clinical practice and boardroom strategy. Her work spans brand development, workforce solutions, and practice optimization for companies and DSOs nationwide.This comprehensive discussion addresses the reality that staffing shortages will persist for 5-10 years, exploring practical solutions beyond traditional hiring methods. Turner explains how authentic practice branding naturally attracts both patients and quality team members, while addressing the psychological impact COVID has had on career expectations across all dental professionals.Episode Highlights:Strategic workforce preloading through in-person networking at dental events creates a pipeline of potential team members before you need them. This proactive approach involves building genuine relationships and maintaining contact with quality professionals, even when neither party has immediate openings.Flexible staffing models using contingent workers can maximize practice efficiency during seasonal fluctuations. Bringing in temporary hygienists during year-end insurance rushes or reducing hours during slower summer periods helps optimize revenue while providing work-life balance for temporary staff.Authentic practice branding requires internal culture development before external marketing, including comprehensive employee handbooks, clear expectations, and workplace policies that support work-life balance. This foundation naturally attracts both patients and team members who align with practice values.Modern patient expectations center on convenience, flexibility, and transparency, which can be delivered through virtual consultations for simple post-operative checks, flexible scheduling options, and clear communication protocols that create operational efficiencies.Annual compensation discussions should be initiated by practice owners as standard business practice, including cost-of-living adjustments and performance feedback sessions. This proactive approach reduces awkward salary negotiations and demonstrates investment in team member growth and retention.Perfect for: Practice owners, office managers, and dental professionals seeking sustainable solutions to staffing challenges and team retention strategies.Transform your approach to dental staffing and discover why traditional methods no longer work in today's competitive landscape.

How has composite technology evolved to simplify inventory while delivering better clinical outcomes? What makes modern nanohybrid composites suitable for both anterior and posterior applications?Dr. Troy Schmedding brings 30 years of restorative experience to this discussion on contemporary composite systems. He holds a DDS from University of the Pacific Arthur A. Dugoni School of Dentistry, serves as Assistant Professor in the Department of Integrated Reconstructive Dental Sciences at UOP, and maintains a private practice in Walnut Creek, California. Dr. Schmedding lectures nationally and internationally on advanced dental materials and complex restorative procedures, has published articles on dental restorative materials, and holds accreditation with the American Academy of Cosmetic Dentistry—one of only 450 dentists worldwide to achieve this distinction.This episode explores the dramatic evolution of composite technology from 64-shade systems to simplified universal flowables. Dr. Schmedding explains how nanohybrid formulations with spherical particle clustering have transformed handling characteristics while enabling anterior-to-posterior versatility. The conversation covers practical selection criteria, staff integration considerations, and clinical techniques that maximize material performance.Episode Highlights:Modern nanohybrid composites utilize spherical particle formulations that significantly improve handling characteristics and reduce instrument sticking compared to older materials. These formulations enable simplified shade systems, often reducing inventory from 64 shades to as few as 2-5 shades while maintaining comprehensive coverage across the visible spectrum.Universal flowable composites like Clear Fill Majesty ES Flow Universal offer sufficient viscosity and physical properties to be used in posterior occlusal contact situations. These materials can be built up in 1mm increments and provide stackability for creating proper anatomical contours without sloughing.A hybrid layering technique involves placing a half-millimeter base of traditional flowable composite over the bonding agent to fortify the hybrid layer, followed by universal flowable composite in 1mm increments. This approach reduces secondary decay risk while maintaining ease of placement.Bubble formation in flowable composites can be minimized through tip submersion technique—keeping the dispensing tip submerged in the material throughout placement rather than lifting it in and out. Quality manufacturers also provide specially designed tips and bubble-free packaging systems.Two-step polishing systems have replaced traditional three-step protocols for modern composites. Specialized instruments like twisted-shape polishers effectively access grooves and contact areas, while nanohybrid formulations accept high polish levels previously achievable only with microfilled materials.Perfect for: General dentists seeking to optimize their composite selection and placement techniques, dental residents learning contemporary restorative protocols, and clinicians interested in simplifying their material inventory while improving clinical outcomes.Discover how simplified composite systems can transform your restorative efficiency without compromising aesthetic results.

Are you maximizing your intraoral scanner's potential, or just using it to avoid impression material? While 53% of dentists now use digital scanners, most are missing the transformative power of the initial scan visit.Dr. Christopher Pescatore brings over 30 years of aesthetic dentistry experience and pioneering work in digital workflows since the 1990s. A national and international lecturer, published author in leading dental journals, and holder of a U.S. patent for non-metallic post systems, Dr. Pescatore has served on editorial boards including the prestigious REALITY publication and taught at New York University College of Dentistry, Baylor College of Dentistry, and University of Kentucky. He maintains a full-time practice dedicated exclusively to aesthetic procedures and has been instrumental in developing products for major dental manufacturers.This episode explores how the first patient visit becomes a cornerstone for building trust and achieving exceptional case acceptance through comprehensive digital scanning. Dr. Pescatore demonstrates how scanning functional movements—not just static impressions—creates powerful patient education moments that transform consultation dynamics. His approach combines clinical excellence with relationship-building strategies that have evolved over three decades of practice.Episode Highlights:The initial scan visit protocol includes capturing maximum intercuspal position, protrusive movements, and canine guidance patterns to demonstrate wear patterns and functional deficiencies to patients. This comprehensive documentation becomes the foundation for treatment planning and helps patients understand why problems exist and how they can be addressed.Patient positioning and communication strategies significantly impact treatment acceptance, with the practitioner sitting slightly below the patient's eye level to create a non-threatening environment. This approach, combined with open-ended questioning and active listening, establishes trust before any clinical procedures begin.Digital scanning serves as a painless first clinical interaction that immediately demonstrates practice technology and competence. The co-discovery process of viewing teeth on screen together creates shared understanding of clinical conditions and treatment needs.Functional movement scanning allows before-and-after comparisons that showcase not just aesthetic improvements but functional enhancements. This comprehensive documentation helps patients appreciate the full scope of treatment benefits beyond cosmetic changes.Established practices with strong referral bases see enhanced case acceptance through digital visualization, though newer practices may need additional relationship-building to achieve similar conversion rates. The technology accelerates treatment planning discussions and helps patients commit to comprehensive care more readily.Perfect for: General dentists and aesthetic specialists looking to enhance patient communication, improve case acceptance rates, and maximize their digital scanner investment beyond impression replacement.Discover how a simple shift in your first visit protocol can revolutionize patient relationships and treatment acceptance.

Why do patients lose confidence in their treatment when they see their provisionals? What if your temporaries could actually set positive expectations for the final restoration while maintaining perfect margins for extended periods?Join Dr. Susan McMahon, a graduate of the University of Pittsburgh School of Dental Medicine who leads one of Western Pennsylvania's largest cosmetic dental practices. She is accredited by the American Academy of Cosmetic Dentistry, a Fellow in the International Academy of Dental-Facial Esthetics, and Director of New Product Evaluation at Catapult Education. A seven-time award winner in the AACD's Annual Smile Gallery with two gold medals, Dr. McMahon has been honored as a Top Cosmetic Dentist five times and voted Top Dentist in Pittsburgh by her peers for over two decades. She is one of only 350 dentists worldwide to achieve AACD Accreditation and was recently inducted into the prestigious American Society for Dental Aesthetics.This episode explores how 3D printing technology is revolutionizing provisional fabrication, moving beyond the limitations of traditional bisacryl and bisgma materials. Dr. McMahon demonstrates why printed provisionals offer superior marginal integrity, enhanced durability for long-term cases, and serve as precise prototypes for laboratory communication. The discussion covers workflow integration, material selection, and how this technology transforms patient confidence and treatment outcomes.Episode Highlights:Traditional bisacryl and bisgma provisionals face limitations in marginal integrity, color stability, and durability, particularly for cases requiring extended wear periods of several weeks or months. These materials often develop voids, surface roughness, and compromised margins that can affect tissue health and patient satisfaction.3D printed provisionals using materials like VOCO vPrint maintain superior marginal accuracy at equigingival levels, eliminate interproximal roughness, and retain their shine and color stability for long-term applications lasting four to six months without remake requirements.The workflow involves digital scanning post-preparation, designing provisionals in software like Trios Design or ExoCAD, followed by automated printing, washing, and curing processes that remove the clinician from active fabrication time while maintaining precision.Printed provisionals serve as precise communication tools with ceramists by providing exact size, shape, and form specifications rather than vague "make it better" instructions, resulting in more predictable final restoration outcomes and reduced adjustment appointments.Patient acceptance forms based on approved provisional prototypes create clear treatment expectations and reduce final delivery complications, while the aesthetic quality of printed temporaries allows patients to attend major events confidently during treatment phases.Perfect for: Restorative dentists, cosmetic specialists, prosthodontists, and general dentists seeking to improve provisional quality and patient satisfaction while streamlining laboratory communication.Discover how 3D printing can transform your provisional workflow and elevate patient confidence throughout treatment.

How many of the common oral lesions you encounter in practice could be masking something far more serious than they appear?Dr. Ashley Clark is an Associate Professor and Division Chief of Oral Pathology at the University of Kentucky College of Dentistry. She holds a DDS from Indiana University and a certificate in Oral and Maxillofacial Pathology from The University of Florida. Dr. Clark has previously served as oral pathology laboratory director at West Virginia University, where she was nominated for the Early Career Innovator Award. At the University of Texas at Houston School of Dentistry, she earned the John H. Freeman Award for Faculty Teaching and the Dean's Excellence Award in the Scholarship of Teaching, along with a Fellowship in Health Education. She has published over 40 papers and abstracts, authored oral pathology sections of both Dental Decks and Dental Hygiene Decks, and serves as a Fellow in the American College of Dentists. Dr. Clark is on the Commission on Dental Accreditation review board for oral and maxillofacial pathology programs and the Advisory Board for Oral Cancer Cause.This episode provides essential clinical guidance for identifying and managing common oral pathologic entities that every dental practitioner encounters. Dr. Clark breaks down the decision-making process for when to watch, monitor, refer, or biopsy suspicious lesions, with particular emphasis on distinguishing between benign presentations and potentially malignant conditions that can mimic harmless lesions.Episode Highlights:Mucoepidermoid carcinomas are the most common malignant salivary gland tumors and prefer the lower lip location, often presenting as cystic lesions that can burst and refill exactly like mucoceles. Any adult with a lower lip mucocele requires excisional biopsy, and any mucocele on the retromolar pad should be considered cancer until proven otherwise.Fibromas are the most common mesenchymal tumors in oral practice, but it is impossible to diagnose a fibroma without histologic evaluation. Even experienced practitioners can miss mucoepidermoid carcinomas that present as fibroma-like lesions, making biopsy submission mandatory for all excised tissue.For isolated pigmented lesions, practitioners must take a radiograph to identify amalgam particles in the soft tissue. If no amalgam can be proven radiographically, the lesion must be biopsied immediately, as melanomas can look identical to melanotic macules and rapidly progress when diagnosis is delayed.Leukoplakia affects 10% of male patients over age 70, with high-risk locations including lateral tongue, ventral tongue, floor of mouth, and lower lip. The average progression time from dysplastic leukoplakia to cancer is two to four years, but there is no benefit to waiting two weeks before biopsy as with ulcerative lesions.Lower lip mucoceles require complete excision including removal of the affected minor salivary glands, which appear as small whitish-yellowish lobules. The excision should be performed in a vertical orientation to allow the mucin sac to pop out, followed by careful removal of the causative glandular tissue.Perfect for: General dentists, oral surgeons, periodontists, and dental hygienists who need practical guidance on oral pathology recognition and biopsy decision-making in everyday practice.This clinical discussion will help you confidently distinguish between lesions that can be monitored and those requiring immediate histologic evaluation.

Are you relying too heavily on adhesive materials, or are they truly revolutionizing your restorative outcomes? As minimally invasive techniques become the standard of care, many clinicians are questioning where to draw the line between tooth preservation and predictable long-term success.Dr. Troy Schmedding brings over three decades of clinical experience to this conversation. He earned his DDS from the University of the Pacific, Arthur A. Dugoni School of Dentistry, and has successfully maintained private practice for 17 years before transitioning to academia. Currently serving as Assistant Professor in the Department of Integrated Reconstructive Dental Sciences at University of the Pacific, Dr. Schmedding continues his private practice in Walnut Creek, California. He is one of only 450 dentists worldwide to achieve accredited membership with the American Academy of Cosmetic Dentistry and lectures nationally and internationally on advanced restorative materials and complex procedures.This episode explores the clinical realities of modern adhesive dentistry, examining how contemporary bonding agents have shifted treatment paradigms from traditional crown-and-bridge approaches to minimally invasive restorative techniques. Dr. Schmedding shares his systematic approach to adhesive protocols, discussing why he has moved away from traditional retention-based preparations while maintaining excellent long-term outcomes. The conversation addresses the critical balance between preserving tooth structure and ensuring restoration longevity.Episode Highlights:Universal bonding agents require precise technique despite simplified packaging, with application times as short as 3 seconds and film thicknesses reduced to 3-6 microns for improved marginal adaptation. The MDP monomer chemistry allows bonding to all dental substrates including enamel, dentin, ceramics, and non-glass-based materials in a single system.Core buildup procedures benefit from dual-cure compatibility between bonding agents and core materials, eliminating light-curing challenges in post spaces while creating a monoblock restoration. Self-cure activation occurs through chemical interaction between the bonding agent and dual-cure core material within 3-5 minutes.Indirect restoration cementation can rely entirely on self-cure mechanisms without light activation of the bonding agent, provided the cement system is chemically compatible. Surface preparation involves air abrasion or MDP-based cleaning agents to rejuvenate composite surfaces and remove debris.Zirconia bonding achieves predictable long-term success when proper cleaning, priming, and cement selection protocols are followed, with clinical evidence supporting non-retentive zirconia restorations lasting over seven years. Both zirconia and lithium disilicate materials offer appropriate applications depending on clinical requirements.Cross-compatibility issues between different manufacturers' adhesive systems can cause core buildup failures and restoration debonding, making it advantageous to use products within the same chemical family. Dual-cure activators may be required when mixing systems from different manufacturers to ensure proper polymerization.Perfect for: General dentists seeking to optimize their adhesive protocols, restorative specialists evaluating minimally invasive techniques, and dental residents learning contemporary bonding systems and core buildup procedures.Discover how systematic adhesive protocols can transform your approach to tooth preservation while maintaining predictable clinical outcomes.

What happens when a talented dentist becomes a practice owner but lacks natural leadership skills? How can you transform a toxic work environment without completely changing who you are?Dr. Ankur Gupta brings over 20 years of dental experience to this candid discussion about leadership evolution. After completing a one-year GPR in Cleveland, Dr. Gupta started his practice from scratch in 2005, only to watch it struggle due to his leadership limitations. A certified AGD/PACE provider, he has spent more than a decade experimenting with personal and professional improvement strategies, transforming his practice from financial unpredictability and team toxicity to excellent patient numbers and a solution-oriented work environment.This episode explores the critical transition from being a "likeable cool guy" to becoming an effective leader who can handle accountability without confrontation. Dr. Gupta shares his systematic approach to creating clear expectations, managing team dynamics, and building sustainable practice culture. The discussion reveals how leadership isn't about changing your personality—it's about implementing systems that make leadership easier for your natural temperament.Episode Highlights:The hidden danger of avoiding confrontation in practice management creates toxic environments where hardworking employees feel undervalued while others avoid accountability. This resentment splits between problem employees and leadership, ultimately damaging team cohesion and practice culture.Comprehensive job descriptions must include "non-obvious tasks" like cleaning break room refrigerators, calibrating equipment, and maintaining office aesthetics. These responsibilities typically fall on the hardest workers, creating imbalance and resentment when not properly delegated and recognized.A shared Google Sheets tracking system removes emotion from accountability conversations by documenting both positive contributions and performance issues. This data-driven approach allows leaders to address problems objectively while maintaining comprehensive employee reviews and proper termination documentation.Effective leadership for naturally non-confrontational personalities requires systematic approaches rather than personality changes. Clear expectations, documented accountability measures, and structured review processes enable successful practice management regardless of natural temperament limitations.Practice growth decisions should prioritize work enjoyment over pure financial gain, recognizing that increased production often comes at the cost of work-life balance. Clarity about personal values and lifestyle goals enables better leadership decisions that sustain long-term career satisfaction.Perfect for: Practice owners struggling with team management, new graduates transitioning to leadership roles, and dental professionals seeking to improve workplace culture without sacrificing their authentic personality.Transform your practice leadership approach with proven systems that work for any personality type.

Are you doing too much with composite when a crown might be the better long-term solution? This common clinical dilemma affects treatment outcomes across thousands of dental practices.Dr. Jen Derse brings unique insights as Chief Clinical Director overseeing 40 DSO dental practices at Espire Dental. A 2005 graduate of Marquette University School of Dentistry, she has focused on cosmetic and restorative dentistry throughout her career, with extensive experience in clear aligners and digital workflows. Dr. Derse serves as a mentor at the prestigious Kois Center in Seattle and has lectured internationally on restorative dentistry, cosmetics, and case presentation. Her post-graduate education includes Harvard Business School Online CoRE and McKinsey Leadership programs, combining clinical excellence with business acumen.This episode examines the critical decision-making process between composite restorations and full crowns, exploring how remaining tooth structure, occlusal forces, and material science should guide treatment planning. Dr. Derse shares insights from analyzing treatment patterns across multiple practices, revealing common mistakes and offering evidence-based protocols for optimal patient outcomes. The discussion emphasizes cusp protection strategies and the paradigm shift from cohesively retained to adhesively retained restorations.Episode Highlights:Treatment planning ratios reveal that doctors often attempt four-surface composite restorations when crowns would provide superior long-term outcomes, particularly when more than one-third of the distance from cusp tip to cusp tip is compromised. The key principle involves protecting cusps through occlusal coverage rather than attempting complex composite buildups that may fail within several years.Digital impression accuracy depends heavily on achieving hemostasis during scanning procedures, as blood contamination affects light refraction and dimensional precision. Retraction paste with neutral pH prevents post-operative sensitivity compared to acidic hemostatic agents, while maintaining clean, dry margins throughout the scanning process.Crown preparation efficiency can be achieved through systematic three-burr protocols, reducing chair time from typical 10-minute preps to under seven minutes without compromising quality. This approach becomes critical during quadrant dentistry cases where patient fatigue and anesthesia duration impact treatment success.Material standardization within practice teams significantly improves efficiency and reduces remake rates by ensuring consistent handling protocols and assistant familiarity. The transition should occur gradually, starting with composite materials, then bonding agents, followed by cements and burr selection to minimize workflow disruption.Adhesively retained restorations allow margin placement in enamel rather than requiring subgingival extension, improving long-term prognosis while enabling more conservative axial reduction. This paradigm shift favors materials that can be seen through radiographically for ongoing caries detection over opaque alternatives like zirconia.Perfect for: General dentists, DSO practitioners, and dental team members seeking to optimize crown treatment planning, improve digital workflow efficiency, and implement standardized material protocols for enhanced practice productivity.Discover how evidence-based crown protocols can transform your treatment outcomes and practice efficiency.

"A disgruntled terminated employee, a surprise OSHA inspection, and a $21,000 fine — all within two months of buying a dental practice. Could this happen to you? Dr. Karson Carpenter is a practicing dentist and President of Compliance Training Partners, an OSHA-approved trainer with over 25 years of experience designing regulatory compliance programs for dental, medical, and veterinary facilities. His expertise spans OSHA, HIPAA, and infection control, and he has guided clients across the United States through inspections and the high-stakes post-inspection process — including contested citations, fine negotiations, and full remediation plans. Few people in dentistry understand the regulatory landscape as thoroughly, or from as many angles, as Dr. Carpenter. In this episode, Dr. Phil Klein and Dr. Carpenter walk through a real-world OSHA inspection case involving a newly purchased dental practice — one that was cited for multiple serious violations and initially fined $21,000 after a complaint was filed by a recently terminated employee. The conversation covers exactly what the inspector asked for, why the absence of written plans triggered the largest citations, and how a strategically written letter of contest brought the fine down to $5,000. Beyond the case study itself, Dr. Carpenter offers a framework for due diligence when acquiring a practice, explains how OSHA fines are scheduled and how they scale, and outlines what every practice owner needs to have documented before an inspector ever walks through the door. This episode is as much a financial risk management discussion as it is a compliance tutorial — and the math makes the stakes undeniable. Episode Highlights: The two written plans that triggered the largest citations in this inspection — a written hazard communication plan covering chemical safety, SDS sheets, labeling, and PPE, and a written exposure control plan for bloodborne pathogen prevention — and why the absence of either, regardless of the owner's tenure or transition timeline, results in immediate serious-level fines under the OSHA Act of 1970. How a letter of contest successfully reduced a $21,000 citation to $5,000 by reframing the inspection narrative around the practice's compliance trajectory, the prior owner's neglect, the new owner's documented training investment, and the burden of debt carried by a first-time practice owner — and why that same argument that failed with the on-site inspector succeeded with the regional OSHA director. The compliance due diligence framework for practice acquisition: how to use documented deficiencies — missing autoclave testing records, no eyewash station, absent spill kits, untrained staff, and no written plans — as a negotiating tool to reduce purchase price, and why a practice with verifiable OSHA compliance and trained staff commands a measurable premium at the time of sale. Why purchasing and documenting an online employee training program in the first weeks of ownership — even before all physical compliance infrastructure is in place — can meaningfully influence inspector and regional director decisions during a contested citation, and why training documentation without corresponding physical compliance still carries citation risk. The relationship between OSHA inspections and downstream state public health department involvement: how an OSHA citation for employee safety violations can prompt a separate CDC-guideline-based infection control inspection, and why CDC standards — not OSHA — represent the benchmark a court of law would apply in the event of litigation. Perfect for: dentists considering a practice acquisition, recent practice purchasers who have not yet completed their OSHA compliance review, and any practice owner who wants to understand what a real inspection looks like from the moment the inspector walks in to the moment the citation letter arrives. The difference between a $21,000 fine and a $5,000 fine — or between a fine and no fine at all — came down to documentation that would have cost less than $1,000 and ten hours of work. Listen to this episode before your inspector does."

Are you still struggling with messy impressions, delayed lab returns, and frustrated patients who need to wait days for retainers or night guards? The integration of 3D printing technology could revolutionize your practice workflow and patient experience.Dr. Julia Latham, a general dentist and partner in a five-doctor, 16-operatory practice in Stratford, Connecticut, brings extensive clinical expertise to this discussion. She earned her DDS from the University of Michigan School of Dentistry in 2011, where she received the William S. Kramer Award of Excellence and was inducted into the Omicron Kappa Upsilon Dental Honor Society. Dr. Latham has completed extensive postdoctoral training in orthodontics and maintains Invisalign Platinum provider status. After serving as a general dentist for the US Navy in Spain and practicing with Tidewater Dental Group in Virginia, she now focuses 50-60% of her practice on orthodontic and restorative care.This conversation explores how 3D printing technology transforms dental practice efficiency, patient satisfaction, and clinical predictability. Dr. Latham shares her experience implementing digital workflows that eliminate traditional impression-taking while maintaining high-quality outcomes. The discussion covers practical considerations for selecting equipment, managing staff training, and integrating new technology into busy multi-doctor practices.Episode Highlights:Digital workflow efficiency allows scanning patients with braces on, digitally removing brackets using free software like MeshMixer, and pre-fabricating retainers so bracket removal and retainer delivery occur in a single appointment. This eliminates patient wait times and reduces the risk of orthodontic relapse from delayed retainer pickup.DLP (Digital Light Processing) printers offer significant speed advantages over SLA (Stereolithography) systems because UV light cures entire layers simultaneously rather than point-by-point laser curing. Print times average 15-20 minutes for multiple models, making the technology suitable for high-volume practices.Post-printing workflow requires three essential steps: printing the appliance, washing in specialized alcohol solutions to remove uncured resin that would distort accuracy, and final UV curing. Support removal and minimal polishing complete the process, typically within hours rather than days.Temporary bridge fabrication uses eggshell-style printed shells created from pre-operative scans, which are then relined with traditional provisional materials during preparation appointments. This approach reduces chair time while maintaining proven material properties and clinical outcomes.Staff delegation allows assistants to handle STL file processing, printer operation, and routine appliance fabrication, while doctors maintain control over treatment planning and complex restoration design. Multiple assistants can be trained on digital file processing, though specialized printer operation requires dedicated staff members.Perfect for: General dentists and orthodontists considering 3D printing integration, practice managers evaluating digital workflow investments, and dental teams in multi-doctor practices seeking efficiency improvements.Discover how this technology eliminates impression-taking stress while creating new opportunities for same-day appliance delivery and enhanced patient satisfaction.

How long can your body endure poor posture before it forces an early end to your dental career? Every day, dental professionals unknowingly compromise their musculoskeletal health through equipment choices that seem minor but have profound long-term consequences.Katrina Klein brings 17 years of registered dental hygiene experience combined with expertise as a national speaker, author, competitive bodybuilder, certified personal trainer, and ergonomic assessment specialist. As founder of ErgoFitLife, she specializes in preventing, reducing, and eliminating occupational pain through evidence-based ergonomic principles and fitness integration for dental professionals.This episode examines how dental chair selection directly impacts operator health and clinical efficiency. Klein reveals why traditional chair features marketed for patient comfort often create ergonomic disasters for practitioners, and discusses revolutionary approaches including standing dentistry capabilities that can transform career longevity. The conversation explores practical equipment evaluation strategies and immediate postural corrections that can prevent debilitating musculoskeletal injuries.Episode Highlights:Narrow chair backs and shallow seat depths are critical ergonomic features that allow operators to position themselves closer to patients, reducing forward head posture and spinal compression. Wide, cushioned chair backs force practitioners to lean forward excessively, creating static loading conditions that contribute to disc herniation and chronic pain patterns.Standing dentistry becomes viable when dental chairs can reach 36+ inches in height, allowing practitioners above 5'9" to work in neutral spinal alignment. This approach enables micro-shifting behaviors - small weight transfers between feet that engage different muscle groups and prevent prolonged static contractions that damage soft tissues.Dual articulating headrests must be positioned backward rather than forward to maintain proper cervical spine alignment during procedures. Forward-tilted headrests force patients' chins toward their chest, requiring operators to crane their necks forward and adopt contorted positions while handling sharp instruments.Self-evaluation through candid photography reveals postural red flags including elevated elbows, lateral spinal deviation, and non-parallel forearm positioning relative to the floor. These visual assessments enable immediate correction of ergonomic violations before they progress to injury-producing movement patterns.Chair programmability features allow predetermined positioning for supine patient placement and operator-specific height settings. Presenting repositioning as a safety measure for sharp instrument control gains patient compliance more effectively than explaining operator comfort needs, improving both clinical outcomes and ergonomic conditions.Perfect for: General dentists, dental hygienists, and dental assistants experiencing occupational pain or seeking to prevent musculoskeletal injuries, as well as practice owners evaluating equipment purchases for long-term team health and productivity.Discover how the right dental chair can extend your career by decades while improving patient care quality.

Are you struggling with the weeks-long delays between diagnosis and treatment delivery for TMJ appliances and sleep devices? What if you could go from initial scan to finished appliance in under 24 hours?Join Dr. Jeffrey Horowitz, a seasoned general dentist with over 30 years of experience and founder of the Carolina Center for Cosmetic and Restorative Dentistry and Advanced Sleep and TMJ Centers. Dr. Horowitz holds a DMD from the Medical University of South Carolina, completed a general practice residency at Mountainside Hospital, and is a Fellow of the Academy of General Dentistry where he served as past-president. He is also a mentor at the Kois Center for Advanced Dental Studies, key opinion leader for the Catapult Group, and instructor for Sleep Group Solutions, with affiliations including the Pierre Fauchard Academy, American Academy of Cosmetic Dentistry, American Association of Dental Sleep Medicine, and American Academy of Craniofacial Pain.This episode explores how 3D printing technology is revolutionizing functional dentistry by eliminating the traditional workflow delays that have plagued TMJ and sleep appliance fabrication. Dr. Horowitz shares his journey from closed-system printers to open-system solutions, explaining why material flexibility is crucial for optimal patient outcomes and practice efficiency.Episode Highlights:Open-system 3D printers provide material flexibility that closed systems cannot match, allowing clinicians to select the optimal resin for each specific appliance rather than being locked into proprietary materials that may be cloudy or lack durability. This approach prioritizes clinical outcomes over manufacturer constraints.The three essential digital technologies for modern dental practices are cone beam imaging for accurate diagnosis, intraoral scanning for precise data capture and patient communication, and 3D printing for rapid appliance fabrication. These three technologies work synergistically to compress traditional multi-week workflows into same-day or next-day treatment delivery.TMJ and sleep appliance workflows can be compressed from traditional 3-4 week timelines to 24-hour delivery by combining CBCT imaging, intraoral scanning, digital design, and in-office 3D printing. This eliminates the need for alginate impressions, physical models, and multiple patient appointments while reducing pharmaceutical intervention during waiting periods.Post-processing for 3D printed appliances typically requires 30 minutes of work after printing, including polymerization steps that can be efficiently managed by trained support staff. Multiple appliances can be printed simultaneously to maximize efficiency without significantly increasing print time.3D printing offers superior return on investment compared to milling systems because it can fabricate splints, surgical guides, temporaries, dentures, denture bases, and custom trays rather than being limited primarily to crown fabrication. With entry costs under $10,000 versus $20,000-$30,000 for milling systems, the versatility and affordability make 3D printing accessible to more practices.Perfect for: General dentists considering digital workflow integration, specialists treating TMJ disorders and sleep apnea, and practice owners evaluating technology investments for improved efficiency and patient care.Discover how 3D printing can transform your practice workflow and eliminate the frustrating delays that compromise patient satisfaction in functional dentistry.

Is your dental practice still using traditional impression materials and lab workflows when you could be printing models, guards, and restorations right in your office? The shift to in-office 3D printing is revolutionizing how dental practices deliver care, offering unprecedented efficiency and control over the treatment timeline.Dr. Susan McMahon brings exceptional credentials to this discussion. A graduate of the University of Pittsburgh School of Dental Medicine, she maintains one of Western Pennsylvania's largest cosmetic dental practices and holds accreditation from the American Academy of Cosmetic Dentistry - an achievement shared by only 350 dentists worldwide. She is a Fellow in the International Academy of Dental-Facial Esthetics, serves as Director of New Product Evaluation for Catapult Education, and was recently inducted into the prestigious American Society for Dental Aesthetics. A past clinical instructor in Prosthodontics and Operative Dentistry at the University of Pittsburgh, Dr. McMahon has been honored as a Top Cosmetic Dentist five times and is a seven-time award winner in the AACD's Annual Smile Gallery.This episode explores how 3D printing has become an indispensable tool in Dr. McMahon's practice workflow. She discusses the practical applications currently being used in dental offices, from basic models to complex restorations, and explains why 3D printing might actually be a better entry point into digital dentistry than milling for many practices. The conversation covers implementation strategies, material selection, and the cost-effectiveness of bringing these capabilities in-house.Episode Highlights:Modern 3D printers range from $7,000 to $12,000 and offer exceptional accuracy with small footprints, making the technology accessible for most practices. The ability to print multiple units simultaneously significantly increases production efficiency compared to single-unit milling workflows.In-office clear aligner printing represents a major disruptive technology that will dramatically reduce treatment costs and challenge the current market dominated by large aligner companies. Software advances now allow direct progression from intraoral scans to printed aligners with AI-assisted treatment planning.Ceramic composite materials for printed inlay-onlays provide excellent clinical results, though zirconia printing at mill-quality strength remains several years away from clinical viability. Current printed restorations work particularly well for bicuspid crowns and provisional applications.Implementation requires identifying a tech-savvy team member and establishing proper material storage systems, as each application requires specific material trays. The workflow involves scanning, STL file transfer, design software interaction, and post-processing through wash and cure stations.Surgical guide printing allows same-day consultation to two-day surgery timelines, providing unprecedented practice control over implant workflows. This eliminates the traditional 1-2 week wait times associated with laboratory-fabricated guides while maintaining precision.Perfect for: General dentists and specialists considering digital workflow integration, practice owners evaluating efficiency improvements, and dental teams ready to implement advanced manufacturing technologies.Discover how 3D printing can transform your practice efficiency while maintaining the clinical excellence your patients expect.

Our final podcast for 2024! All of us who are doing endo have one main goal in mind, and that's to save the tooth. But in many cases, it's impossible to reach lateral, accessory and small constricted canals with our disinfectant solution, such as sodium hypochlorite. This means we often leave active microbes in these areas that can eventually lead to an endodontic failure. So the question is, is there something we can do in our procedure that can solve this problem? The answer is yes! It has to do with a new technology that is relatively inexpensive and very easy to use. This technology is based on high frequency conduction and it is extremely effective in helping to disinfect tiny accessory canals that would otherwise go untreated. To tell us all about is our guest Dr. Bruno Azevedo. Dr. Azevedo is a board certified oral and maxillofacial radiologist, Endodontist and arguably the best teacher and educator on the topic of CBCT in dentistry.

When it comes to endodontic irrigation, what are the main principles we should be adhering to? And based on these principles, are we performing endodontic irrigation in a way that will bring us the best clinical outcome. To tell us all about it is our guest Dr. Allen Nasseh. Dr Nasseh is a world respected endodontist who currently practices endo and lives in Boston Mass. He is a senior faculty member at the Harvard School of Dental Medicine and can be found online at YouTube.com/@AANasseh. Thanks to our episode sponsors: BISCO - https://www.bisco.com/ J. Morita - https://www.morita.com/usa/

Crafting beautiful veneers isn’t just about technical skill—it’s about ensuring that every step of the process leads to a result that your patient will love. So, how do we achieve that? Stay tuned as we break down strategies and tips for mastering this process to give every patient a confident, beautiful smile they’ll love! Our guest is Dr. Dimple Desai, founder of Luminous Smiles of Newport Beach, a boutique dental practice dedicated to enhancing patients' smiles. As an Accredited Member of the American Academy of Cosmetic Dentistry, she belongs to a distinguished group of professionals worldwide. Her contributions to dentistry include publications in prestigious dental journals and international speaking engagements, leveraging her expertise to advance the field.

According to our guest, Dr Stephanie Vondrak, if you want to make sure your restorative work is going to last, you need to know about the entire occlusal system, and that includes the TMJ. So Dr. Vondrak sought out CE courses taught by TMJ experts which have given her not only the ability to understand and diagnose TMJ disorders, but to actually treat them. She starts with protective therapy and then if necessary, proceeds with corrective therapy. Treating TMJ disorders in house is not for every GP, but, understanding the options for your patients is certainly the responsibility of the general dentist. Dr Vondrak owns and operates a private practice in Elkhorn, Nebraska. She has pursued over 600 hours of post-doctorate education in TMD, occlusion, orthodontics, and sleep apnea including the Pankey Institute, the Schuster Center, and the American Academy of Craniofacial Pain. Thanks to our episode sponsors: Ivoclar - https://www.ivoclarusa.com/finder/makeitemax/index.php 3M - https://www.3m.com/clarity-aligners-flex/

In this episode, we'll be talking about a new dental approach to an old problem, and that's Oral Human papillomavirus, commonly referred to as HPV. Why is this virus so dangerous and how can we as dental professionals help save lives by screening for this insidious virus? To answer these questions and more, is our guest, Dr Mohammad Kamal. Dr Kamal completed his Pathology training at Harbor UCLA Medical Center in California, serving as a chief resident. He completed subspecialty fellowship training in Gastrointestinal and Liver Pathology at UCLA and he is board certified in Anatomic Pathology. Dr. Kamal served as Medical Director of LabCorp’s Dianon Laboratory and as Chief Medical Officer for PLUS Diagnostics. Thanks to our episode sponsors: NSK America - https://www.nskdental.com/ Ivoclar - https://www.ivoclarusa.com/finder/makeitemax/index.php

As dental professionals and practice owners we have a lot to think about and manage in order to keep everything running smoothly at the office. But there is one thing that is probably not top of mind... and that's workplace violence. The odds of a violent incident unfolding in our practice is relatively low. But if it happens, the question is, are you prepared? So we invited Mary Govoni, RDH, CDA, MBA, to talk to us about workplace violence in the dental setting and what we can do as dental professionals to best protect our team members and patients. How do we identify the risks, de-escalate a potential violent interaction and ultimately decide, in the case of a deadly threat, whether to run, hide or fight. OSHA link: https://www.osha.gov/etools/evacuation-plans-procedures/eap/ Thanks to our episode sponsors: GC America - https://www.gc.dental/ DENTALEZ - https://www.dentalez.com/

To help manage post-op sensitivity and recurrent decay in composite restorative dentistry, we do have options in our selection of composite resin materials. Is your composite material bioactive? Does it actively participate in the oral ecosystem, helping to reduce post-op sensitivity and acid producing microbes at the tooth-composite interface? To tell us more about it is our guest, Dr Neville Hatfield. Dr. Hatfield graduated Magna Cum Laude from Boston University School of Dental Medicine. He completed a GPR at the Manhattan Veterans Affairs Hospital, where he provided comprehensive prosthetic and surgical treatment to military veterans. He currently practices in New Jersey.

Today we'll be discussing how 3D facial scanning and 3D printing can offer the clinician tremendous advantages to aid in the diagnosis, design, and fabrication of full-arch dentistry. We will also discuss how to best transition your practice into the world of digital dentistry. No question, prices have come down and according to our guest today a dentist can now equip an office with a full suite of digital technology for $25,000. We'll discuss the future of digital dentistry and how AI will play a part in everything we do as clinicians. Thanks to our episode sponsors: Shining 3D- https://www.shining3ddental.com/ SciCan - https://www.scican.com/us/

We all know that full arch implant cases can be difficult. More specifically the bite registration can be difficult to establish because we don't have reference of teeth to set the vertical dimension of occlusion. Is there any digital method to solve this problem? Well, there is! Dr. Philippe Nuytens, a well-respected prosthodontist, will explain how a simple idea crossed his mind that encouraged him to develop and commercialize a novel scan body system for intraoral scanners. The system makes it easy and fast for the dentist to quickly and reliably establish VDO and immediately scan the mouth. Each scan body incorporates an adjustable bite screw (CAPS). This episode addresses this new and exciting VDO tool. You can learn more at Viva Learning through Dr. Nuyten's webinar and at https://www.dynamicabutment.com/

Today we'll be talking to a dentist who knows a lot about full arch rehabilitation. He's here to share some of his tips and tricks. He's a young ambitious dentist who has taken full advantage of digital technology which has brought him predictable success with his full arch rehab cases. His practice is fully digital and he absolutely loves practicing in this fast evolving digital revolution. His name is Dr. Danny Domingue, a General Dentist in Lafayette, Louisiana with a private practice dedicated to implant dentistry.

Today we'll be taking a clinical journey through the delivery of a zirconia crown. We'll talk about the scan, marking our margins, working with the lab, choosing the right kind of zirconia and the tools and techniques for seating, adjusting and polishing our zirconia crown. Our guest is Dr. Marty Jablow, known as America's Dental Technology Coach.

One of the most valuable steps a new dentist can take is finding a mentor—someone who’s been in the field for 25 years or more and has learned through experience, including their own mistakes. A mentor offers the chance to see what lies ahead, helping you avoid getting caught up in the moment and make well-thought-out decisions about the kind of practice you want to build and the investments you’ll need to make. Today, we’re sitting down with Dr. Chris Pescatore, a general dentist with over 30 years of experience. He has been a pioneer in digital dentistry since the early ’90s and has seen it all when it comes to creating aesthetic restorations. As you listen to Dr. Pescatore’s insights, we hope you gain invaluable advice to help guide you as you embark on your own dental career.

In today's episode, we're exploring a common challenge faced by dental practices: the limitations imposed by dental insurance on billing frequency for CT scans. But what if there's a solution lying in plain sight? What if dentists, as medical specialists, could leverage a different avenue to bill for these essential scans, not only unlocking a significant financial opportunity but also enhancing patient care and well-being? Our guest today is Kandra Sellers, a RDH with over 25 years in the dental industry. She is widely considered one of the most passionate and respected dental coaches. She is an educator in the field of oral systemic health, as well as founder and CEO of TIPS Medical Billing. Thanks to our episode sponsors: DENTALEZ - https://www.dentalez.com/ J. Morita - https://www.morita.com/usa/

In addition to her successful dental practice in Pittsburgh PA, Dr. Susan McMahon has embraced a leadership role as one of the most sought after speakers in the dental profession. And with her success, she is a strong advocate for women dentists to take center stage in their field. In this episode we'll talk about how women can make their way to the podium and balance their career between being a clinician and an educator. Thanks to our episode sponsors: 3M - https://www.3m.com/clarity-aligners-flex/ BISCO - https://www.bisco.com/

Obstructive sleep apnea, commonly referred to as OSA, affects 25% of adults yet 80% of cases go undiagnosed. And we know that sleep-related breathing disorders can cause havoc on a patient's oral and systemic health. And with so many patients having OSA, dentists have an amazing opportunity to treat these patients that are already patients of record. In this episode, we'll hear from two experts on the best way to start the journey of dental sleep medicine, helping patients on their path to good oral and systemic health while boosting revenue for the practice.

There's no question there's been an ongoing buzz and growing interest among dental professionals in, what is being referred to as, Wellness Dentistry. So what exactly is Wellness Dentistry? And why would a dentist consider positioning his or her practice around it? To answer these questions and more is our guest Dr Mohammad Kamal. Dr Kamal completed his Pathology training at Harbor UCLA Medical Center in California, serving as a chief resident. He completed subspecialty fellowship training in Gastrointestinal and Liver Pathology at UCLA and he is board certified in Anatomic Pathology. Dr. Kamal served as Medical Director of LabCorp’s Dianon Laboratory and as Chief Medical Officer for PLUS Diagnostics. Thanks to our episode sponsors: Ivoclar - https://www.ivoclar.com/ NSK America - https://www.nskdental.com/

Not all masks are created equal, and understanding the risks of using sub-par masks is vital for both safety and liability. In a dental practice, where high-aerosol procedures are routine, using the wrong mask or a sub-par mask may not only put your staff and patients at risk of exposure to harmful particles but also open your practice to serious legal consequences. With us today is our guest, Dr. Sheri Doniger. She is a sought after speaker, KOL and expert on the topic of infection control and prevention.

Today we'll be talking about a variety of perio related topics that GPs should be aware of. How do we determine the frequency of our re-care appointments? How do we get the highest compliance from our patients? Is there a secret sauce for getting predictable success with our perio cases? To tell us more about it is our guest Dr. Steven Milman. Dr. Milman received his dental degree from Baylor College of Dentistry in Dallas, Texas. He completed his Periodontal residency at the University of Texas Health Science Center in San Antonio. He was a researcher in periodontal microbiology and was a full time periodontist in his private practice in Round Rock and Austin, Texas for 36 years. Thanks to our episode sponsors: GC America - https://www.gc.dental/ SciCan - https://www.scican.com/us/

So how do we elevate our practice and what does elevating our practice do for our career, business and patients. It actually does quite a lot. For one, it helps with employee retention. A recent poll showed that the number one reason why a dental hygienist leaves a dental practice is because the practice is not innovative, it's doing the same ol same ol and they feel they are stuck in a rut, not learning anything new. nor are they trying new techniques and products. Also part of our episode today is talking about incorporating diagnostics into our practice. Instead of rushing through the medical history and moving right to our scaling, root planing and prophies, we should dedicate time to diagnostic testing, getting to the root cause of the problem. As our guest Amanda Hill will explain, diagnostic testing is a game-changer for the practice and not only builds trust between the practice and the patient, but also drives revenue to a whole new level.

Overall, we're doing less endo surgery than in the past. So why is this happening and what are we doing instead? When do we actually need to do endo surgery and how successful are endo surgical procedures? To tell us more about trends, techniques and success rates of endodontic surgeries these days is our guest Dr. Allen Nasseh. Dr. Nasseh received his DDS from Northwestern and his specialty certificate in Endodontics from Harvard, where is has been a senior clinical faculty member and lecturer for the past 28 years. He lives and practices endodontics in Downtown Boston. You can also find him online at youtube.com/@aanasseh. Thanks to our episode sponsors: J. Morita - https://www.morita.com/usa/ DENTALEZ - https://www.dentalez.com/

A fee-for-service practice doesn't have to be this pie-in-the-sky far reaching goal - it is attainable with the right mindset, good communication and keeping your eye on the prize. To tell us more about it is our guest Dr. Lauren Rainey. Dr. Rainey works as a general dentist and currently teaches a broad array of subjects to dentists in the US & Canada. Thanks to our episode sponsors: BISCO - https://www.bisco.com/ 3M - https://www.3m.com/clarity-aligners-flex/

To tell us the importance of having preventative protocol in a dental practice and all the nuances around building the optimal caries prevention toolbox are our guests today, Danielle Avila and Laura Bettencourt. They are both RDHs with over 15 years of hygiene experience. They are co-founders of L’Diamante Dental Coaching, helping hygienists gain confidence and shine in their careers.

Have you ever thought about practicing dentistry in a rural area? In this episode, we'll take a closer look at what it means to practice dentistry in rural America. Our guest is Dr. Scott Benjamin, who is in private practice in rural upstate NY for over 40 years. Dr. Benjamin has faculty appointments at several universities, is the Chairman of the ADA Standards Committee Working Group on Dental Lasers and is a Past-President of the Academy of Laser Dentistry. He currently serves on the editorial review board for several prestigious dental journals. Thanks to our episode sponsors: NSK America - https://www.nskdental.com/ GC America - https://www.gc.dental/

So the question is, if you're willing to try some new dental products (different from what you've been using for years) how do you know which one is best for you, your team members and your patients? To help us put this all in perspective, we'll be talking with Emily Boge. Emily is a RDH, speaker and writer with a dual Doctorate in Education and Organizational Leadership. She's a champion for innovation, influencing manufacturers to prioritize practitioner input into product development.

With the rise in violent crimes across our country, we as dentists are not immune to this disturbing trend. So the question is, what can we do to be better prepared? To help us put this in perspective and tell us what we should be doing to prepare and respond to a violent crime in our dental office is our guest Mary Govoni. Mary is an internationally recognized speaker, author and coach, focusing on Infection Prevention and Control, OSHA, HIPAA, and Ergonomics. She is a Certified Dental Assistant and Registered Dental Hygienist with 50+ years of experience in the dental profession. Resource link: https://www.osha.gov/workplace-violence/resources Thanks to our episode sponsors: NSK America - https://www.nskdental.com/ Ivoclar - https://www.ivoclar.com/

The dental profession is rapidly moving to a point where in-office design and fabrication of prosthetics, appliances, and orthodontic aligners will become commonplace. The time to learn about and plan for these amazing advancements is now! Our guest is Dr. John Flucke, Chief Dental & Technology Editor for Dental Products Report magazine. He maintains a private practice in Lee’s Summit, MO, a suburb of the greater Kansas City area.

Today, we're diving into the realm of digital dental scanners – those sleek devices that are changing the way dentists capture impressions. If you're a dentist looking to step up your game with cutting-edge technology or simply curious about what these scanners can do and how to reduce your chair time with collaborative workflow, sit tight and enjoy today's episode. Our guest is Dr. Scott Benjamin, who is in private practice in rural upstate NY and is an internationally recognized authority on dental lasers and advanced dental technologies. Dr. Benjamin has faculty appointments at several universities, is the Chairman of the ADA Standards Committee Working Group on Dental Lasers and is a Past-President of the Academy of Laser Dentistry. He currently serves on the editorial review board for several prestigious dental journals. Thanks to our episode sponsors: Shining 3D- https://www.shining3ddental.com/ COLTENE - https://www.coltene.dental/viva-hyflex/

This episode deals specifically with the importance of reliable and efficient systems in our dental practices. Our guest is Dr. Todd Snyder, a regular contributor to Viva Learning.com, a cosmetic dentist, international author, lecturer and consultant to a variety of dental companies. He hosts a weekly podcast, Delusional: Winning the Weekly War of Dentistry. You can reach Dr. Snyder at: https://www.legion.dentist/ Thanks to our episode sponsors: J. Morita - https://www.morita.com/usa/ DENTALEZ - https://www.dentalez.com/

As a dental practice owner or associate, do you feel you are financially sound? Do you feel comfortable with your finances? If you don't then how can you turn things around. Today we'll be talking with Eric Miller. Eric has been in the financial planning industry for over 20 years. He is the Co-Owner of Econologics Financial Advisors and the Chief Financial Advisor. He has a degree from Capital University and is a Registered Financial Consultant. He takes pride in helping practice owners become the financial heroes of their own stories and has taken this passion to over 600 families in the past decade. Thanks to our episode sponsor: GC America - https://www.gc.dental/