Podcasts about Aligner

Let's be honest – the occlusion after Aligner cases can be a little ‘off' (even after fixed appliances!) How do you know if your patient's occlusion after aligner treatment is acceptable or risky? What practical guidelines can general dentists follow to manage occlusion when orthodontic results aren't textbook-perfect? Jaz and Dr. Jesper Hatt explore the most common challenges dentists face, from ClinCheck errors and digital setup pitfalls to balancing aesthetics with functional occlusion. They also discuss key strategies to help you evaluate, guide, and optimize occlusion in your patients, because understanding what is acceptable and what needs intervention can make all the difference in long-term treatment stability and patient satisfaction. https://youtu.be/e74lUbyTCaA Watch PDP250 on YouTube Protrusive Dental Pearl: Harmony and Occlusal Compatibility Always ensure restorative anatomy suits the patient's natural occlusal scheme and age-related wear. If opposing teeth are flat and amalgam-filled, polished cuspal anatomy will be incompatible — flatten as needed to conform. Need to Read it? Check out the Full Episode Transcript below! Key Takeaways Common mistakes in ClinCheck planning often stem from occlusion issues. Effective communication and documentation are crucial in clinical support. Occlusion must be set correctly to ensure successful treatment outcomes. Understanding the patient’s profile is essential for effective orthodontics. Collaboration between GPs and orthodontists can enhance patient care. Retention of orthodontic results is a lifelong commitment. Aesthetic goals must align with functional occlusion in treatment planning. Informed consent is critical when discussing potential surgical interventions. The tongue plays a crucial role in orthodontic outcomes. Spacing cases should often be approached as restorative cases. Aligners can achieve precise spacing more effectively than fixed appliances. Enamel adjustments may be necessary for optimal occlusion post-treatment. Retention strategies must be tailored to individual patient needs. Case assessment is vital for determining treatment complexity. Highlights of this episode: 00:00 Teaser 00:59 Intro 02:53  Pearl – Harmony and Occlusal Compatibility 05:57 Dr. Jesper Hatt Introduction 07:34 Clinical Support Systems 10:18 Occlusion and Aligner Therapy 20:41 Bite Recording Considerations 25:32 Collaborative Approach in Orthodontics 30:31 Occlusal Goals vs. Aesthetic Goals 31:42 Midroll 35:03 Occlusal Goals vs. Aesthetic Goals 35:25 Challenges with Spacing Cases 42:19 Occlusion Checkpoints After Aligners 50:17 Considerations for Retention 54:55 Case Assessment and Treatment Planning 58:14 Key Lessons and Final Thoughts 01:00:19 Interconnectedness of Body and Teeth 01:02:48 Resources for Dentists and Case Support 01:04:40 Outro Free Aligner Case Support!Send your patient's case number and get a full assessment in 24 hours—easy, moderate, complex, or referral. Plus, access our 52-point planning protocol and 2-min photo course. No uploads, no cost. [Get Free Access Now] Learn more at alignerservice.com If you enjoyed this episode, don't miss: Do's and Don'ts of Aligners [STRAIGHTPRIL] – PDP071 #PDPMainEpisodes #OcclusionTMDandSplints #OrthoRestorative This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance. This episode meets GDC Outcomes A and C. AGD Subject Code: 370 ORTHODONTICS (Functional orthodontic therapy) Aim: To provide general dentists with practical guidance for managing occlusion in aligner therapy, from bite capture to retention, including common pitfalls, functional considerations, and case selection. Dentists will be able to – Identify common errors in digital bite capture and occlusion setup. Understand the impact of anterior inclination and mandibular movement patterns on occlusal stability. Plan retention strategies appropriate for aligner and restorative cases. Click below for full episode transcript: Teaser: The one thing that we always check initially is the occlusion set correct by the aligner company. Because if the occlusion is not set correctly, everything else just doesn't matter because the teeth will move, but into a wrong position because the occlusion is off from the beginning. I don't know about you, but if half the orthodontists are afraid of controlling the root movements in extraction cases, as a GP, I would be terrified. Teaser:I don’t care if you just move from premolar to premolar or all the teeth. Orthodontics is orthodontics, so you will affect all the teeth during the treatment. The question’s just how much. Imagine going to a football stadium. The orthodontist will be able to find the football stadium.  If it’s a reasonable orthodontist, he’ll be able to find the section you’re going to sit in, and if he’s really, really, really good, he will be able to find the row that you’re going to sit in, but the exact spot where you are going to sit… he will never, ever be able to find that with orthodontics. Jaz’s Introduction: Hello, Protruserati. I’m Jaz Gulati. Welcome back to your favorite dental podcast. I’m joined today by our guest, Dr. Jesper Hatt. All this dentist does is help other dentists with their treatment plans for aligners. From speaking to him, I gather that he’s no longer practicing clinically and is full-time clinical support for colleagues for their aligner cases. So there’s a lot we can learn from someone who day in day out has to do so much treatment planning and speaking to GDPs about their cases, how they’re tracking, how they’re not tracking, complications, and then years of seeing again, okay, how well did that first set of aligners actually perform? What is predictable and what isn’t? And as well as asking what are the most common errors we make on our ClinChecks or treatment plan softwares. I really wanted to probe in further. I really want to ask him about clinical guidelines for occlusion after ortho. Sometimes we treat a case and whilst the aesthetics of that aligner case is beautiful, the occlusion is sometimes not as good. So let’s talk about what that actually means. What is a not-good occlusion? What is a good occlusion? And just to offer some guidelines for practitioners to follow because guess what? No orthodontist in the world is gonna ever get the occlusion correct through ortho. Therefore, we as GPs are never gonna get a perfect textbook occlusion, but we need to understand what is acceptable and what is a good guideline to follow. That’s exactly what we’ll present to you in this episode today. Dental PearlNow, this is a CE slash CPD eligible episode and as our main PDP episode, I’ll give you a Protrusive Dental Pearl. Today’s pearl is very much relevant to the theme of orthodontics and occlusion we’re discussing today, and it’s probably a pearl I’ve given to you already in the past somewhere down the line, but it’s so important and so key. I really want to just emphasize on it again. In fact, a colleague messaged me recently and it reminded me of this concept I’m about to explain. She sent me an image of a resin bonded bridge she did, which had failed. It was a lower incisor, and just a few days after bonding, it failed. And so this dentist is feeling a bit embarrassed and wanted my advice. Now, by the way, guys, if you message me for advice on Instagram, on Facebook, or something like that, it’s very hit and miss. Like my priorities in life are family, health, and everything that happens on Protrusive Guidance. Our network. If you message me outside that network, I may not see it. The team might, but I may not see it. It’s the only way that I can really maintain control and calm in my life. The reason for saying this, I don’t want anyone to be offended. I’m not ignoring anyone. It’s just the volume of messages I get year on year, they’re astronomical. And I don’t mind if you nudge me. If you messaged me something weeks or months ago and I haven’t replied, I probably haven’t seen it. Please do nudge me. And the best place to catch me on is Protrusive Guidance. If you DM me on Protrusive Guidance, home of the nicest and geekiest dentists in the world, that’s the only platform I will log in daily. That’s our baby, our community. Anyway, so I caught this Facebook message and it was up to me to help this colleague. And one observation I made is that the lower teeth were all worn. The upper teeth were really worn, but this resin bonded bridge pontic, it just looked like a perfect tooth. The patient was something like 77 or 80. So it really made me think that, okay, why are we putting something that looks like a 25-year-old’s tooth in a 77-year-old? But even forgetting age and stuff, you have to look at the adjacent teeth in the arch. Is your restoration harmonious with the other teeth in the arch, and of course is the restoration harmonious with what’s opposing it? Because it’s just not compatible. So part one of this pearl is make sure any restoration you do, whether it’s direct or indirect, is harmonious with the patient’s arch and with the opposing teeth and with their occlusal scheme. Because otherwise, if you get rubber dam on and you give your 75-year-old patient beautiful composite resin, it’s got all that cuspal fissure pattern and anatomy, and you take that rubber dam off and you notice that all the other teeth are flat and the opposing teeth are flat amalgams, guess what? You’re gonna be making your composite flat, whether you like it or not. You created a restoration that’s proud, right? That’s why you did not conform to the patient’s own arch or existing anatomical scheme. So the part B of this is the thing that I get very excited to talk about, right? So sometimes you have a worn dentition, but then you have one tooth that’s not worn at all. It’s like that in-standing lateral incisor, right? Think of an upper lateral incisor that’s a bit in-standing, and you see some wear on all the incisors, but that lateral incisor does not have any wear in it because it was never in the firing line. It was never in function. It was never in parafunction. Now, if you give this patient aligners or fixed appliances, you’re doing ortho and you’re now going to align this lateral incisor. So it’s now gonna eventually get into occlusion and it will be in the functional and parafunctional pathways of this patient. Do you really think you can just leave that incisor be? No. It’s not gonna be compatible with the adjacent teeth. It’s not going to be compatible with the opposing tooth and the occlusal scheme. So guess what? You have to get your bur out or your Sof-Lex disc out, and you have to bake in some years into that tooth. Or you have to build up all the other teeth if appropriate for that patient. You’ve just gotta think about it. And I hope that makes sense so you can stay out of trouble. You’re not gonna get chipping and you can consent your patient appropriately for enamel adjustment, which is something that we do talk about in this episode. I think you’re in for an absolute cracker. I hope you enjoy. I’ll catch you in the outro. Main Episode: Doctor Jesper Hatt, thank you so much for coming to Protrusive Dental Podcast. We met in Scandinavia, in Copenhagen. You delivered this wonderful lecture and it was so nice to connect with you then and to finally have you on the show. Tell us, how are you, where in the world are you, and tell us about yourself. [Jesper] Well, thank you for the invitation, first of all. Well, I’m a dentist. I used to practice in Denmark since I originally come from Denmark. My mother’s from Germany, and now I live in Switzerland and have stopped practicing dentistry since 2018. Now I only do consulting work and I help doctors around the world with making their aligner business successful. [Jaz] And this is like probably clinical advice, but also like strategic advice and positioning and that kinda stuff. Probably the whole shebang, right? [Jesper] Yeah. I mean, I have a team around me, so my wife’s a dentist as well, and I would say she’s the expert in Europe on clear aligners. She’s been working for, first of all, our practice. She’s a dentist too. She worked with me in the practice. We practiced together for 10 years. Then she became a clinical advisor for Allion Tech with responsibility for clinical support of Scandinavia. She was headhunted to ClearCorrect, worked in Basel while I was doing more and more consulting stuff in Denmark. So she was traveling back and forth, and I considered this to be a little bit challenging for our family. So I asked her, well, why don’t we just relocate to Switzerland since ClearCorrect is located there? And sure we did. And after two years she told me, I think clinical support, it’s okay. And I like to train the teams, but I’d really like to do more than that because she found out that doctors, they were able to book a spot sometime in the future, let’s say two weeks out in the future at a time that suited the doctors… no, not the doctors, ClearCorrect. Or Invisalign or whatever clear aligner company you use. So as a doctor, you’re able to block the spot and at that time you can have your 30 minutes one-on-one online with a clinical expert. And she said it’s always between the patients or administrative stuff. So they’re not really focused on their ClearCorrect or clear aligner patient. And so they forget half of what I tell them. I can see it in the setups they do. They end up having to call me again. It doesn’t work like that. I would like to help them. [Jaz] It’s a clunky pathway of mentorship. [Jesper] Yes. And so she wanted to change the way clinical support was built up. So we do it differently. We do it only in writing so people can remember what we are telling them. They can always go back in the note and see what’s been going on, what was the advice we gave them, and we offer this co-creation support where we take over most of the treatment planning of the ClearCorrect or Clear Aligner or Spark or Invisalign or Angel Aligner treatment planning. So we do all the digital planning for the doctor, deliver what we think would be right for the patient based on the feedback we initially got from the doctor. And then the doctor can come back and say, well, I’d like a little more space for some crowns in the front, or I would like the canines to be in a better position in order to achieve immediate post disclusion. And so we can go into this discussion back and forth and adjust the digital setup in a way that is more realistic and predictable and do it all for the doctors. So they, on an average, they spend four to six hours less chair time when they use that kind of service compared to if they do everything themselves. And on top of that, you can put your planning time. She was responsible for that and it works quite well. I still remember when we initially got on all these online calls and we would see fireworks in the background and confetti coming down from the top and all of that. [Jaz] Exactly. So excuse that little bit, but okay. So essentially what you’re doing is, for an aligner user myself, for example, you’re doing the ClinChecks, you are helping, supporting with the ClinChecks, the planning. And I’ve got a lot of questions about that. The first question I’ll start with, which is off the script, but there’s probably a hundred different mistakes that could happen in a ClinCheck, right? But what is the most repeatable, predictable, common mistake that you’ll see when a new user sends a case to you to help them with their planning? What’s the most common mistake that you will see in a setup? [Jesper] Two things, actually. The one thing that we always check initially is the occlusion set correct by the aligner company. Because if the occlusion is not set correctly, everything else just doesn’t matter because the teeth will move but into a wrong position because the occlusion is off from the beginning. And so we always check that as the first part. How does this— [Jaz] So let’s talk about that ’cause that might be confusing for a younger colleague because they’re like, hey, hang on a minute. I scanned the bite left and right. What do you mean the occlusion is wrong? Because surely that gets carried through into what I see on the ClinCheck. So what do you think is the mechanism for this to happen? [Jesper] Two different reasons. I’m from a time when I graduated in 2003, so that was before digital dentistry. So when I went to the Pankey Institute and learned everything about functional occlusion and all of that stuff, I also found out that most of my patients, when I put silicone impression material between the teeth and asked the patients to bite together, they would always protrude a little bit unless I instructed them to bite hard on the posterior teeth. And when we got the scanners, when we put a scanner into the cheek and pull the cheek, most patients, when we asked them to bite together to do the intraoral scan of the bite, they also protruded a little bit, not much, but enough to set the bite wrong. So that is the one challenge when the technicians of the aligner companies put the models together. The other challenge is that some of the aligner companies, they let the technicians set the models. We always, as the first thing when we see a case, we always look at the photos, the clinical photos. And that’s why the clinical photos have to be of great quality. So we look at the clinical photos of the patient— [Jaz] And also in those clinical photos, Jesper, you have to coach them correctly to bite. You have to notice if they’re biting wrong even in the photos ’cause then it just duplicates the error. And that’s why good photography and actually being able to coach the patient is so imperative. [Jesper] Yes, that’s correct. But we compare the two and usually if we see a difference, we ask the doctor, is what we see in the photo correct, or is what we see on the digital models correct? And because we don’t like differences. So that would be the first step to look for. And what’s the second? The second thing is that when you look at the setup, the anterior teeth are usually—I’m trying to show you—the anterior teeth are very, very steep. Typically with aligners it’s a lot easier to tip the crowns. So when you have a class II patient, deviation one, where the anteriors are in a forward position, proclined, and you have a lot of space between the anteriors of the maxilla and the mandible, then the easiest thing on a digital setup is to just retrocline the anteriors of the upper to make them fit the lowers, which you could then procline a little bit, but usually you have very steep relationships between the two and this— [Jaz] So you’re more likely to restrict the envelope of function, functional interference anteriorly. You are obviously reducing the overjet, but you may end up reducing like a wall contact rather than an elegant, more open gate. [Jesper] Yes. And there’s another dimension to this because when we work with orthodontics, one of the most important things to look for is actually the profile of the patient. Because let’s say I’m trying to illustrate this now, so I hope you get a 90— [Jaz] So describe it for our audio listeners as well. So we’re looking at a profile view of Jesper. [Jesper] Yes. So I’m turning the side to the camera. I hope you can see my profile here. So let’s say I had flared anterior maxillary teeth and I wanted to retrocline them. It would have an effect on my upper lip, so the lip would fall backwards if I just retrocline everything. And every millimeter we move the anteriors in the maxilla in a posterior direction, we will have a potential lip drop of three millimeters. In addition, if we don’t get the nasolabial angulation correct, we risk the lower face will simply disappear in the face of the patient. So soft tissue plays a role here, so we cannot just retrocline the teeth. It looks great on the computer screen, but when it comes to reality, we’ll have a functional challenge. We’ll have a soft tissue support challenge, and in addition we’ll have long-term retention challenges as well. Because when you have a steep inclination, the anterior teeth in the mandible, they don’t have any kind of support. They will not be stopped by anything in the maxillary teeth, which you would if you had the right inclination between the teeth, which would be about 120 degrees. So why do aligner companies always set the teeth straight up and down in the anterior part? We wondered about this for years. We don’t have a strict answer. We don’t know exactly why it’s like this, but I have a hunch. I think there are two things to it. First of all, the easiest thing to do with aligners is to move the crown, so we can just tip the teeth. You take them back, you make a lot of IPR, and then you just tip them so they’re retroclined. Secondly, all aligner companies, they come from the United States. And in the United States there is a higher representation of class III patients. Now why is that important? All our patients can be put into two different categories in regards to how they move their mandible. They are the crocodiles that only open and close, like move up and down, and then we have the cows. And then we have the cows that move the mandible around, or the camels. I mean, every camel, if you’ve seen a camel chew, it’s just moving from side to side. [Jaz] Horses as well. Horses as well. [Jesper] They kind of do that. [Jaz] But I’m glad you didn’t say rats ’cause it’s more elegant to be a crocodile than a rat. [Jesper] Exactly. And I usually say we only tell the crocodiles. So why is this a challenge and why isn’t it a challenge with class III patients? Well, all real class III patients act like crocodiles, so they don’t move them side to side. From a functional perspective, it’s really not a problem having steep anterior inclination or steep relationships as long as you have a stable stop where the anteriors—so the anteriors will not elongate and create the red effect. So they just elongate until they hit the palate. If you can make a stop in the anterior part of the occlusion, then you’ll have some kind of stability with the class III patients. But with class II patients, we see a lot more cows. So they move the mandible from side to side and anterior and back and forth and all… they have the mandible going all kinds of places. And when they do that, we need some kind of anterior guidance to guide the mandible. I usually say the upper jaw creates the framework in which the mandible will move. So if the framework is too small, we fight the muscles. And whenever we fight the muscles, we lose because muscles always win. It doesn’t matter if it’s teeth, if it’s bone, if it’s joints, they all lose if they fight the muscles— [Jaz] As Peter Dawson would say, in the war between teeth and muscles or any system and muscles, the muscles always win. Absolutely. And the other analogy you remind me of is the maxilla being like a garage or “garage” from UK, like a garage. And the mandible being like the car, and if you’re really constrained, you’re gonna crash in and you’re gonna… everything will be in tatters. So that’s another great way to think about it. Okay. That’s very, very helpful. I’m gonna—’cause there’s so much I wanna cover. And I think you’ve really summed up nicely. But one thing just to finish on this aspect of that common mistake being that the upper anteriors are retroclined, really what you’re trying to say is we need to be looking at other modalities, other movements. So I’m thinking you’re saying extraction, if it’s suitable for the face, or distalisation. Are you thinking like that rather than the easier thing for the aligners, which is the retrocline. Am I going about it the right way? [Jesper] Depends on the patient. [Jaz] Of course. [Jesper] Rule of thumb: if you’re a GP, don’t ever touch extraction cases. Rule of thumb. Why? Because it is extremely challenging to move teeth parallel. So you will most—especially with aligners—I mean, I talk with a very respected orthodontist once and I asked him, well, what do you think about GPs treating extraction cases where they extract, you know, two premolars in the maxilla? And he said, well, I don’t know how to answer this. Let me just explain to you: half of my orthodontist colleagues, they are afraid of extraction cases. And I asked them why. Because it’s so hard to control the root movement. Now, I don’t know about you— [Jaz] With aligners. We’re specifically talking about aligners here, right? [Jesper] With all kinds of orthodontic appliances. [Jaz] Thank you. [Jesper] So now, I don’t know about you, but if half the orthodontists are afraid of controlling the root movements in extraction cases, as a GP, I would be terrified. And I am a GP. So I usually say, yeah, sometimes you will have so much crowding and so little space in the mandible, so there’s an incisor that is almost popped out by itself. In those cases, yes. Then you can do an extraction case. But when we’re talking about premolars that are going to be extracted, or if you want to close the space in the posterior part by translating a tooth into that open space, don’t. It’s just the easiest way to end up in a disaster because the only thing you’ll see is just teeth that tip into that space, and you’ll have a really hard time controlling the root movements, getting them corrected again. [Jaz] Well, thank you for offering that guideline. I think that’s very sage advice for those GPs doing aligners, to stay in your lane and just be… the best thing about being a GP, Jesper, is you get to cherry pick, right? There’s so many bad things about being a GP. Like you literally have to be kinda like a micro-specialist in everything in a way. And so sometimes it’s good to be like, you know what, I’ll keep this and I’ll send this out. And being selective and case selection is the crux of everything. So I’m really glad you mentioned that. I mean, we talked and touched already on so much occlusion. The next question I’m gonna ask you then is, like you said, a common error is the bite and how the bite appears on the ClinCheck or whichever software a dentist is using. Now, related to bite, vast majority of orthodontic cases are treated in the patient’s existing habitual occlusion, their maximum intercuspal position. Early on in my aligner journey, I had a patient who had an anterior crossbite. And because of that anterior crossbite, their jaw deviated. It was a displaced—the lower jaw displaced. And then I learned from that, that actually for that instance, perhaps I should not have used an MIP scan. I should have used more like centric relation or first point of contact scan before the displacement of the jaw happens. So that was like always in my mind. Sometimes we can and should be using an alternative TMJ position or a bite reference other than MIP. Firstly, what do you think about that kind of scenario and are there any other scenarios which you would suggest that we should not be using the patient’s habitual occlusion for their bite scan for planning orthodontics? [Jesper] Well, I mentioned that I was trained at the Pankey Institute, and when you start out right after—I mean, I spent 400 hours over there. Initially, I thought I was a little bit brainwashed by that because I thought every single patient should be in centric relation. Now, after having put more than 600 patients on the bite appliance first before I did anything, I started to see some patterns. And so today, I would say it’s not all patients that I would get into centric relation before I start treating the teeth. But when we talk about aligner therapy and orthodontic treatment, I think it’s beneficial if you can see the signs for those patients where you would say, hmm, something in the occlusion here could be a little bit risky. So let’s say there are wear facets on the molars. That will always trigger a red flag in my head. Let’s say there are crossbites or bite positions that kind of lock in the teeth. We talked about class III patients before, and I said if it’s a real skeletal-deviation class III patient, it’s a crocodile. But sometimes patients are not real class III skeletal deviation patients. They’re simply being forced into a class III due to the occlusion. That’s where the teeth fit together. So once you put aligners between the teeth and plastic covers the surfaces, suddenly the patients are able to move the jaws more freely and then they start to seat into centric. That may be okay. Usually it is okay. The challenge is consequences. So when you’re a GP and you suddenly see a patient moving to centric relation and you find out, whoa, on a horizontal level there’s a four- to six-millimeter difference between the initial starting point and where we are now, and maybe we create an eight-millimeter open bite in the anterior as well because they simply seat that much. And I mean, we have seen it. So is this a disaster? Well, it depends. If you have informed the patient well enough initially and said, well, you might have a lower jaw that moves into a different position when we start out, and if this new position is really, really off compared to where you are right now, you might end up needing maxillofacial surgery, then the patient’s prepared. But if they’re not prepared and you suddenly have to tell them, you know, I think we might need maxillofacial surgery… I can come up with a lot of patients in my head that would say, hey doctor, that was not part of my plan. And they will be really disappointed. And at that point there’s no turning back, so you can’t reverse. So I think if you are unsure, then you are sure. Then you should use some kind of deprogramming device or figure out where is centric relation on this patient. If there isn’t that much of a difference between maximum intercuspation and centric— [Jesper] Relation, I don’t care. Because once you start moving the teeth, I don’t care if you just move from premolar to premolar or all the teeth. Orthodontics is orthodontics, so you will affect all the teeth during the treatment. The question’s just how much. And sometimes it’s just by putting plastic between the teeth that you will see a change, not in the tooth position, but in the mandibular position. And I just think it’s nicer to know a little bit where this is going before you start. And the more you see of this—I mean, as I mentioned, after 600 bite appliances in the mouths of my patients, I started to see patterns. And sometimes in the end, after 20 years of practicing, I started to say, let’s just start, see where this ends. But I would always inform the patients: if it goes totally out of control, we might end up needing surgery, and there’s no way to avoid it if that happens. And if the patients were okay with that, we’d just start out. Because I mean, is it bad? No. I just start the orthodontic treatment and I set the teeth as they should be in the right framework. Sometimes the upper and the lower jaw don’t fit together. Well, send them to the surgeon and they will move either the upper or the lower jaw into the right position, and then we have it. No harm is done because we have done the initial work that the orthodontist would do. But I will say when I had these surgical patients—let’s say we just started out with aligners and we figured, I can’t control this enough. I need a surgeon to look at this—then I would send them off to an orthodontist, and the orthodontist and the surgeon would take over. Because then—I mean, surgical patients and kids—that’s the second group of patients besides the extraction cases that I would not treat as a GP. ‘Cause we simply don’t know enough about how to affect growth on kids. And when it comes to surgery, there’s so much that is… so much knowledge that we need to know and the collaboration with the surgeons that we’re not trained to handle. So I think that should be handled by the orthodontists as well. [Jaz] I think collaborative cases like that are definitely specialist in nature, and I think that’s a really good point. I think the point there was informed consent. The mistake is you don’t warn the patient or you do not do the correct screening. So again, I always encourage my guests—so Jesper, you included—that we may disagree, and that’s okay. That’s the beauty of dentistry. So something that I look for is: if the patient has a stable and repeatable maximum intercuspal position, things lock very well, and there’s a minimal slide—like I use my leaf gauge and the CR-CP is like a small number of leaves and the jaw hardly moves a little bit—then there’s no point of uncoupling them, removing that nice posterior coupling that they have just to chase this elusive joint position. Then you have to do so many more teeth. But when we have a breakdown in the system, which you kind of said, if there’s wear as one aspect, or we think that, okay, this patient’s occlusion is not really working for them, then we have an opportunity to do full-mouth rehabilitation in enamel. Because that’s what orthodontics is. And so that’s a point to consider. So I would encourage our GP colleagues to look at the case, look at the patient in front of you, and decide: is this a stable, repeatable occlusion that you would like to use as a baseline, or is there something wrong? Then consider referring out or considering—if you’re more advanced in occlusion studies—using an alternative position, not the patient’s own bite as a reference. So anything you wanna add to that or disagree with in that monologue I just said there? [Jesper] No, I think there’s one thing I’d like the listeners to consider. I see a lot of fighting between orthodontists and GPs, and I think it should be a collaboration instead. There’s a lot of orthodontists that are afraid of GPs taking over more and more aligner treatments, and they see a huge increase in the amount of cases that go wrong. Well, there’s a huge increase of patients being treated, so there will be more patients, just statistically, that will get into problems. Now, if the orthodontist is smart—in my opinion, that’s my opinion—they reach out to all their referring doctors and they tell them, look, come in. I will teach you which cases you can start with and which you should refer. Let’s start there. Start your aligner treatments. Start out, try stuff. I will be there to help you if you run into problems. So whenever you see a challenge, whenever there’s a problem, send the patient over to me and I’ll take over. But I will be there to help you if anything goes wrong. Now, the reason this is really, really a great business advice for the orthodontists is because once you teach the GPs around you to look for deviations from the normal, which would be the indication for orthodontics, the doctors start to diagnose and see a lot more patients needing orthodontics and prescribe it to the patients, or at least propose it to the patients. Which would initially not do much more than just increase the amount of aligner treatments. But over time, I tell you, all the orthodontists doing this, they are drowning in work. So I mean, they will literally be overflown by patients being referred by all the doctors, because suddenly all the other doctors around them start to diagnose orthodontically. They see the patients which they haven’t seen before. So I think this is—from a business perspective—a really, really great thing for the orthodontists to have a collaboration with this. And it’ll also help the GPs to feel more secure when they start treating their patients. And in the end, that will lead to more patients getting the right treatment they deserve. And I think that is the core. That is what’s so important for us to remember. That’s what we’re here for. I mean, yes, it’s nice to make money. We have to live. It’s nice with a great business, but what all dentists I know of are really striving for is to treat their patients to the best of their ability. And this helps them to do that. [Jaz] Ultimate benefactor of this collaborative approach is the patient. And I love that you said that. I think I want all orthodontists to listen to that soundbite and take it on board and be willing to help. Most of them I know are lovely orthodontists and they’re helping to teach their GPs and help them and in return they get lots of referrals. And I think that’s the best way to go. Let’s talk a little bit about occlusal goals we look for at the end of orthodontics. This is an interesting topic. I’m gonna start by saying that just two days ago I got a DM from one of the Protruserati, his name is Keith Curry—shout out to him on Instagram—and he just sent me a little message: “Jaz, do you sometimes find that when you’re doing alignment as a GP that it’s conflicting the orthodontic, the occlusal goal you’re trying to get?” And I knew what I was getting to. It’s that scenario whereby you have the kind of class II division 2, right? But they have anterior guidance. Now you align everything, okay, and now you completely lost anterior guidance. And so the way I told him is that, you know what, yes, this is happening all the time. Are we potentially at war between an aesthetic smile and a functional occlusion? And sometimes there’s a compromise. Sometimes you can have both. But that—to achieve both—needs either a specialist set of eyes or lots of auxiliary techniques or a lot more time than what GPs usually give for their cases. So first let’s touch on that. Do you also agree that sometimes there is a war between what will be aesthetic and what will be a nice functional occlusion? And then we’ll actually talk about, okay, what are some of the guidelines that we look for at the end of completing an aligner case? [Jesper] Great question and great observation. I would say I don’t think there’s a conflict because what I’ve learned is form follows function. So if you get the function right, aesthetics will always be great. Almost always. I mean, we have those crazy-shaped faces sometimes, but… so form follows function. The challenge here is that in adult patients, we cannot manipulate growth. So a skeletal deviation is a skeletal deviation, which means if we have a class II patient, it’s most likely that that patient has a skeletal deviation. I rarely see a dental deviation. It happens, but it’s really, really rare. So that means that in principle, all our class II and chronic class III patients are surgical patients. However, does that mean that we should treat all our class II and class III patients surgically? No, I don’t think so. But we have to consider that they are all compromise cases. So we need to figure a compromise. So initially, when I started out with my occlusal knowledge, I have to admit, I didn’t do the orthodontic treatment planning. I did it with Heller, and she would give me feedback and tell me, I think this is doable and this is probably a little bit challenging. If we do this instead, we can keep the teeth within the bony frame. We can keep them in a good occlusion. Then I would say, well, you have a flat curve of Spee. I’d like to have a little bit of curve. It’s called a curve of Spee and not the orthodontic flat curve of Spee. And then we would have a discussion back and forth about that. Then initially I would always want anterior coupling where the anterior teeth would touch each other. I have actually changed that concept in my mind and accepted the orthodontic way of thinking because most orthodontists will leave a little space in the anterior. So when you end the orthodontic treatment, you almost always have a little bit of space between the anterior teeth so they don’t touch each other. Why? Because no matter what, no matter how you retain the patient after treatment, there will still be some sort of relapse. And we don’t know where it’ll come or how, but it will come. Because the teeth will always be positioned in a balance between the push from the tongue and from the cheeks and the muscles surrounding the teeth. And that’s a dynamic that changes over the years. So I don’t see retention as a one- or two-year thing. It’s a lifelong thing. And the surrounding tissues will change the pressure and thereby the balance between the tongue and the cheeks and where the teeth would naturally settle into position. Now, that said, as I mentioned initially, if we fight the muscles, we’ll lose. So let’s say we have an anterior open bite. That will always create a tongue habit where the patient positions the tongue in the anterior teeth when they swallow because if they don’t, food and drink will just be splashed out between the teeth. They can’t swallow. It will just be pushed out of the mouth. [Jaz] So is that not like a secondary thing? Like that tongue habit is secondary to the AOB? So in those cases, if you correct the anterior open bite, theoretically should that tongue posture not self-correct? [Jesper] Well, we would like to think so, but it’s not always the case. And there’s several reasons to it. Because why are the teeth in the position? Is it because of the tongue or because of the tooth position? Now, spacing cases is one of those cases where you can really illustrate it really well. It looks really easy to treat these patients. If we take away all the soft tissue considerations on the profile photo, I mean, you can just retract the teeth and you close all the spaces—super easy. Tipping movements. It’s super easy orthodontically to move quickly. Very easy as well. However, you restrict the tongue and now we have a retention problem. So there are three things that can happen. You can bond a retainer on the lingual side or the palatal side of the teeth, upper, lower—just bond everything together—and after three months, you will have a diastema distal to the bonded retainer because the tongue simply pushes all the teeth in an anterior direction. [Jaz] I’ve also seen—and you’ve probably seen this as well—the patient’s tongue being so strong in these exact scenarios where the multiple spacing has been closed, which probably should have been a restorative plan rather than orthodontic plan, and the retainer wire snaps in half. [Jesper] Yes, from the tongue. [Jaz] That always fascinated me. [Jesper] Well, you’ll see debonding all the time, even though you sandblast and you follow all the bonding protocol. And debonding, breaking wires, diastemas in places where you think, how is that even possible? Or—and this is the worst part—or you induce sleep apnea on these patients because you simply restrict the space for the tongue. So they start snoring, and then they have a total different set of health issues afterwards. So spacing—I mean, this just illustrates the power of the tongue and why we should always be careful with spacing cases. I mean, spacing cases, in my opinion, are always to be considered ortho-restorative cases. Or you can consider, do you want to leave some space distal to the canines? Because there you can create an optical illusion with composites. Or do you want to distribute space equally between the teeth and place veneers or crowns or whatever. And this is one of those cases where I’d say aligners are just fabulous compared to fixed appliances. Because if you go to an orthodontist only using fixed appliances and you tell that orthodontist, please redistribute space in the anterior part of the maxilla and I want exactly 1.2 millimeters between every single tooth in the anterior segment, six years later he’s still not reached that goal because it just moves back and forth. Put aligners on: three months later, you have exactly—and I mean exactly—1.2 millimeters of space between each and every single tooth. When it comes to intrusion and extrusion, I would probably consider using fixed appliances rather than aligners if it’s more than three millimeters. So every orthodontic system—and aligners are just an orthodontic system—each system has its pros and cons, and we just have to consider which system is right for this patient that I have in my chair. But back to the tongue issue. What should we do? I mean, yes, there are two different schools. So if you have, let’s say, a tongue habit that needs to be treated, there are those that say we need to get rid of the tongue habit before we start to correct the teeth. And then there are those that say that doesn’t really work because there’s no room for the tongue. So we need to create room for the tongue first and then train the patient to stop the habit. Both schools and both philosophies are being followed out there. I have my preferred philosophy, but I will let the listener start to think about what they believe and follow their philosophy. Because there is nothing here that is right or wrong. And that is— [Jaz] I think the right answer, Jesper, is probably speak to that local orthodontist who’s gonna be helping you out and whatever they recommend—their religion—follow that one. Because then at least you have something to defend yourself. Like okay, I followed the way you said. Let’s fix it together now. [Jesper] That’s a great one. Yeah, exactly. [Jaz] Okay, well just touching up on the occlusion then, sometimes we do get left with like suboptimal occlusions. But to be able to define a suboptimal occlusion… let’s wrap this occlusion element up. When we are completing an orthodontic case—let’s talk aligners specifically—when the aligners come off and the fixed retainers come on, for example, and the patient’s now in retention, what are some of the occlusal checkpoints or guidelines that you advise checking for to make sure that, okay, now we have a reasonably okay occlusion and let things settle from here? For example, it would be, for me, a failure if the patient finishes their aligners and they’re only holding articulating paper on one side and not the other side. That’s for me a failure. Or if they’ve got a posterior open bite bilaterally. Okay, then we need to go refinement. We need to get things sorted. But then where do you draw the line? How extreme do you need to be? Do you need every single tooth in shim-stock foil contact? Because then we are getting really beyond that. We have to give the adaptation some wiggle room to happen. So I would love to know from your learning at Pankey, from your experience, what would you recommend is a good way for a GP to follow about, okay, it may not be perfect and you’ll probably never get perfect. And one of the orthodontists that taught me said he’s never, ever done a case that’s finished with a perfect occlusion ever. And he said that to me. [Jesper] So—and that’s exactly the point with orthodontics. I learned that imagine going to a football stadium. The orthodontist will be able to find the football stadium. If it’s a reasonable orthodontist, he’ll be able to find the section you’re going to sit in. And if he’s really, really, really good, he will be able to find the row that you’re going to sit in. But the exact spot where you are going to sit, he will never, ever be able to find that with orthodontics. And this is where settling comes in and a little bit of enamel adjustments. [Jaz] I’m so glad you said that. I’m so glad you mentioned enamel adjustment. That’s a very dirty word, but I agree with that. And here’s what I teach on my occlusion courses: what we do with aligners essentially is we’re tampering with the lock. Let’s say the upper jaw is the lock. It’s the still one. We’re tampering with the key, which is the lower jaw—the one that moves—we tamper with the key and the lock, and we expect them both to fit together at the end without having to shave the key and to modify the lock. So for years I was doing aligners without enamel adjustment ’cause my eyes were not open. My mind was not open to this. And as I learned, and now I use digital measuring of occlusion stuff and I seldom can finish a case to get a decent—for my criteria, which is higher than it used to be, and my own stat—is part of my own growth that’s happened over time is that I just think it’s an important skill that GPs are not taught and they should be. It’s all about finishing that case. And I think, I agree with you that some adjustment goes a long way. We’re not massacring enamel. It’s little tweaks to get that. [Jesper] Exactly. I like the sound there because sometimes you hear that “ahh,” it doesn’t really sound right, but “tsst,” that’s better. [Jaz] That’s the one. You know, it reminds me of that lecture you did in Copenhagen. You did this cool thing—which I’ve never seen anyone do before. You sat with one leg over the other and you said, okay guys, bite together. Everyone bit together. And then you swapped the legs so the other leg was over the other and bite together. And then you said, okay, whose occlusion felt different? And about a third of the audience put their hand up, I think. Tell us about that for a second. [Jesper] Well, just promise me we go back to the final part because there are some things we should consider. [Jaz] Let’s save this as a secret thing at the end for incentive for everyone to listen to the end—how the leg position changes your occlusion. Let’s talk about the more important thing. I digressed. [Jesper] Let’s talk about the occlusal goals because I think it’s important. I mean, if you do enamel adjustments in the end—so when we finish the treatment, when we come to the last aligner in the treatment plan—I think we should start by breaking things down to the simplest way possible. Start by asking the patient: are you satisfied with the way the teeth look? Yes or no? If she’s satisfied, great. How do you feel about the occlusion? “Well, it fits okay.” Great. Now the patient is happy. There’s nothing she wants to—or he wants to—change. Then you look at the occlusion. Now, it is important to remember that what we see on the computer screen, on the aligner planning tools, will never, ever correspond 100% to what we see in the mouth of the patient. And there are several reasons for that. But one of the things that we have found to be really interesting is that if you take that last step and you say, okay, the occlusion doesn’t fit exactly as on the screen, but it’s kind of there… if you use that last step and you don’t do a re-scan for a retainer, but you use the last step of the aligner treatment as your reference for your aligner retainer… We sometimes see that over six months, if the patient wears that aligner 22 hours a day for another three to six months, the teeth will settle more and more into the aligner and create an occlusion that looks more and more like what you see on the screen. Which to me just tells me that the biology doesn’t necessarily follow the plan everywhere in the tempo that we set throughout the aligner plan. But over time, at the last step, if it’s just minor adjustments, the teeth will actually move into that position if we use the last stage as a reference for the retainer. Now, if we do a scan at that point and use that as a reference for creating an aligner retainer, then we just keep the teeth in that position. Now, if the teeth are a little bit more off— [Jaz] I’m just gonna recap that, Jesper, ’cause I understood what you said there, but I want you to just make sure I fully understood it. When we request, for example, Align, the Vivera retainer, it gives you an option: “I will submit a new scan” or “use the last step.” And actually I seldom use that, but now I realize you’re right. It makes sense. But then on the one hand, if the occlusion is—if the aesthetics are good and the patient’s occlusion feels good, what is your own judgment to decide whether we’re still going to allow for some more settling and occlusal changes to happen over a year using the Vivera retainers based on the ClinCheck last-aligner profile, rather than, okay, let’s just retain to this position? What is making you do the extra work, extra monitoring? [Jesper] To me, it’s not extra monitoring. It’s just basic. I mean, it’s just part of my protocol. I follow the patients. And honestly, to me, it’s just time-saving to just use the last step in the aligner. Because I mean, if the plan is right and if the teeth have been tracking well, they should be in that position. Why do I then need to re-scan for Vivera retainers or for other kinds of retainers? Now, if the occlusion is a little bit more off—and in a minute you’ll probably ask me when do I see which is which, and I can’t really tell you; it’s about experience—but that’s the beauty of this. If I see there’s a little bit more deviation and I like some teeth, the occlusion isn’t really good on one side compared to the other side, I would rather have a bonded retainer from first premolar to first premolar in the mandible, combined with a Hawley or Begg or something like that retainer for the upper. And you can order them with an acrylic plate covering some of the anterior teeth so they keep that position, but that allows the teeth to settle. And over three months you should see some kind of improvement. If you don’t see enough improvement and let’s say you still have a tendency for a kind of an open bite on one side, you can always add some cross elastics, put some buttons on the upper, on the lower, instruct the patient to use these, and then in three months you will have the occlusion you want. Now, once that is established—you have that kind of occlusion—you need to keep the teeth there for at least six months before you do some kind of equilibration or enamel adjustment. Because if you do the enamel adjustment right after you have reached your final destination for the teeth, the teeth will still settle and move. So you do the equilibration, two weeks later everything looks off again. You do the equilibration, two weeks later things have changed again. So I prefer to wait six months before I do the final equilibration. Now, in this equation what we’ve been talking about here, it goes from very simple to more and more complex. And then we have to consider, well, did I expand the mandible posterior segment? If so, I can’t just use a bonded retainer on the lower and I need to add something to keep the teeth out there in combination with whatever I want in the upper. Do I want to keep the Begg retainer or the Hawley, or do I want to change to something differently? So these kinds of considerations have to be there from the beginning of the treatment because, I mean, it costs additional money to order a Begg retainer compared to just an aligner. [Jaz] A Begg retainer is the same as Hawley? [Jesper] Well, no. It has a little different design. [Jaz] Oh, a Begg as in B-E-G-G? [Jesper] Yes. [Jaz] Yeah, got it. Got it. Okay. [Jesper] And then in Denmark we use the Jensen retainer, which is a Danish invention, which goes from canine to canine or from first premolar to first premolar but with a different type of wire which keeps the teeth more in place compared to a round wire. So there are different variations. The most important part here is it allows the posterior teeth to settle so they can move, which they can’t in an aligner to the same degree at least. Now, this is all really nice in teeth that only need to be moved into the right position, but most of our patients are adult patients, or they should at least be adult patients. Most of my patients were more than 30 years old. So if you have a patient with anterior crowding and you move the teeth into the right position where the teeth should be, the teeth are in the right position, but they still look ugly because they have been worn anteriorly by the position they were in when they were crooked. So when we position them, we still need to do some restorative work. Then what? We still need to retain those teeth. The patient wants to be finished now as fast as possible, so we can’t wait the six months to make the final touches. So we have to figure out: what do we do? And then we have to think of some kind of retention strategy to keep the teeth in place during that restorative procedure. And I mean, at the end of an aligner treatment or any orthodontic treatment, two days is enough to have relapse in some patients. Some patients it’s not a problem. The teeth are just there to stay in the same position for three months, and then they start to move a little bit around. But other patients—I mean, you just have to look away and then go back to the teeth and they’re in a different position. You can’t know what kind of patient you have in your chair right now. So you have to consider the way you plan your restorative procedure in regards to how you retain the teeth during that phase. So if you want to do anterior composites or veneers, do it all at once. Put in a bonded retainer, scan, and get your aligner retainer as fast as possible. Or use a Begg or a Hawley or something like that that’s a little bit more flexible. If you want to do crowns, then we have a whole different challenge and then we have to consider how do we then retain the teeth. [Jaz] Okay. Well I think that was lovely. I think that gives us some thoughts and ideas of planning sequence of retention, which is the ultimate thing to consider when it comes to occlusion. Okay, yeah, you get the occlusion, but how do you retain it? But in many cases, as the patient’s wearing aligners, the occlusion is embedding in and is fine. And you take off the aligners, the patient’s happy with how it looks. They bite together. It feels good. You are happy that yes, both sides of the mouth are biting together. Now, it might not be that every single contact is shim-hold, but you got, let’s say, within 20 microns, 40 microns, okay? Then some bedding happens. In that kind of scenario, would you be happy to say, okay, I’m gonna scan your teeth as they are because I’m happy with the occlusion, the occlusal goals are good, and they’re near enough the ClinCheck, and go for the retainers to that position? Or is your default preference as a clinician to go for the Vivera or equivalent based on the last aligner, on the ClinCheck projection? [Jesper] I would still go for the last aligner because I think the planning I’ve done is probably a little bit more precise than what I see clinically. However, I still expect that I will have to do a little bit of enamel reshaping at the end after six months, but that’s okay. I mean, the changes are so small, so you can still use the last aligner or the Vivera retainer that you already have ordered. So it’s not that much of a problem. [Jaz] Which goes back to your previous point: if it’s a big deviation, then you’ve gotta look at the alternative ways, whether you’re gonna go for refinement or you’re gonna allow some occlusal settling with a Hawley and a lower fixed-retainer combination, or the elastics like you said. Okay. Just so we’re coming to the end of the podcast—and I really enjoyed our time—I would like to delve deep into just a final thing, which is a little checklist, a helpful checklist for case assessment that you have for GDPs. [Jesper] Yeah, thank you. First of all, one of the big challenges in a GP practice is being able to take a full series of clinical photos in two minutes without assistance. I think most dentists struggle with that, but that is a foundational prerequisite to any aligner treatment. Once you have the photos, I would sit down with the photos and I would consider six different steps. One: is this a patient that I could treat restoratively only? Because that would be the simplest for me to do. Next, moving up in complexity: would be, do I need periodontal crown lengthening? Or next step would be: do I need to change the vertical dimension, or is there something about centric relation that I should consider? Moving up a little bit on the complexity: are there missing teeth? Do I need to replace teeth with implants? Next step would be orthodontics. So this is step five. The next most complex case we can treat is actually an aligner case—orthodontics in general. And the last part would be: are the teeth actually in the right position in the face of the patient, or do I need surgery to correct the jaw position? So these six steps, I think they’re helpful to follow to just think, how can I break this case down into more easy, digestible bits and pieces to figure out what kind of patient I have in front of me? Now, if you consider it to be an orthodontic case or ortho-restorative case, here comes the challenge: case selection. How do you figure out is this an easy, moderate, complex, or referral case? And here’s the trick: do 500 to 1000 treatment plans or treatments with clear aligners. And then you know. But until then, you really don’t. This is where you should rely on someone you can trust who can help you do the initial case selection. Because you can have two identical patients—one is easy and one is super complex—but they look the same. So it’s really nice if you have done less than 500 cases to have someone who can help you with the case selection. And I don’t say this to sell anything, because we don’t charge for that. Because it’s so essential that we don’t do something that is wrong or gives us a lot of challenges and headaches in the practice. I mean, the practice runs really fast and lean-oriented, so we need to make things digestible, easy to work with. And I think that’s really important. [Jaz] It goes full circle to what we said before about having that referral network, staying in your lane, knowing when to refer out, cherry-picking—it all goes back full circle with that. And not even orthodontics, but restorative dentistry—case selection is just imperative in everything we do. [Jesper] Yes. And there is—we always get the question when we do courses and we do consulting—can’t you just show me a couple of cases that are easy to start with? And it works with implants, kind of. But with orthodontics where we move—I mean, we affect all the teeth—it’s just not possible. I know the aligner companies want to show you some where you say, you can only just do these kinds of cases and they are really easy. The fact is they’re not. But they want to sell their aligners. [Jaz] I get it. They are until they’re not. It’s like that famous thing, right? Everyone’s got a plan until they get punched in the face. So yeah, it can seemingly be easy, but then a complication happens and it’s really about understanding what complications to expect, screening for them, and how you handle that. But thanks so much. Tell us—yeah, go on, sorry. [Jesper] There are three things I’d like to end on here. So, first of all, we’ve been talking together for about an hour about a topic that, if you want to take postgraduate education, it takes three years to become an orthodontist. And there is a reason it takes three to four years. However, I want to encourage the listener to think about this: Mercedes has never, ever excused last year’s model. Meaning that they always strive for perfection. So if we go into the practice and we do the very best we can every single day, there is no way we can go back and excuse what we

Dans cet épisode d'Industrial Growth, Karim Bouras reçoit Quentin Clair, Directeur Communication & Marketing Digital chez Elkem. Quentin nous partage comment une entreprise de l'industrie chimique a structuré son marketing, fusionné communication & digital, et commencé à tirer parti du CRM et de l'IA pour mieux soutenir les ventes.

Les coachs Chloé et Safyaa échangent autour d'un sujet clé : comment aligner concrètement ses actions avec ses objectifs. Elles abordent les raisons pour lesquelles on se sent parfois déconnecté de ce qu'on veut vraiment, et partagent des outils simples pour retrouver cohérence, discipline et clarté. N'oublie pas de t'abonner au podcast, de lui donner une note et de le partager sur les réseaux sociaux ✨ Coaching : https://www.fitbychloe.com/coaching Instagram : https://www.instagram.com/teamfitbyc/

Moving teeth can be tricky—especially those lateral incisors and stubborn second molars—and in clear aligner therapy, we can't let them have the last word! This week on Dentistry Unmasked, David and Pam sit down with Dr. Farah Kar as she spills the tea on proper ortho diagnosis, virtual case planning, and flawless execution. Did you know your virtual plan should never look like a perfect occlusal setup? Dr. Kar explains why and shares other key considerations to level up your aligner outcomes. Don't miss these pearls from one of the best in orthodontics!

Are clear aligners really the future of orthodontics? Tune in for an inspiring discussion with Dr. Farah Kar on Hype vs. Health: What Orthodontists Want You to Know About Braces vs. Clear Aligners.Moments with Marianne Radio Show airs in the Southern California area on KMET 1490AM & 98.1 FM, an ABC Talk News Radio Affiliate! Listen live at: https://www.kmet1490am.com/Dr. Farah Kar has nearly a decade of experience providing exceptional orthodontic care in Marietta and Atlanta.  She is double board-certified in the U.S. and Canada and recognized as one of the top Invisalign providers in the Southeast. Dr. Kar has advanced training in craniofacial orthodontics, treating patients with severe skeletal discrepancies and special needs, and frequently lectures on Invisalign. Her unique background combines a fine arts degree and a master's in project management from Georgia Tech, giving her a creative approach to orthodontics. invisalign.com/find-a-doctorFor more show information visit: https://www.mariannepestana.com/

Early orthodontic treatment is transforming how practitioners approach phase one treatment for growing patients. In this episode of the Golden Age Of Orthodontics, hosts Dr. Leon Klempner and Amy Epstein welcome Dr. Don Spillers, a board-certified orthodontist and leading voice in Invisalign First therapy. Dr. Spillers shares how clear aligners for kids are revolutionizing pediatric orthodontics, offering superior compliance, better hygiene, and remarkable arch development without traditional metal appliances. The conversation explores the business impact of treating patients at age seven versus only offering observation, the role of digital orthodontics in the growth of modern practice, and the best age to start orthodontic treatment for children.What you will Learn in this Episode:• How early orthodontic treatment with Invisalign First delivers superior patient compliance and clinical outcomes compared to traditional orthodontic appliances like palatal expanders and headgear• The business impact of implementing aligner therapy for growing patients – including how observation and recall strategies may be costing your practice significant patient attrition to competitors• Why digital orthodontics is revolutionizing phase one treatment with innovations like the Invisalign palatal expander, mandibular advancement wings, and complete digital workflow integration• How treating children during active growth phases supports airway development and arch development, often eliminating the need for primary or permanent tooth extractionsSubscribe to the Golden Age of Orthodontics and our sister podcast, Practice Talk, hosted by Lacey Ellis, wherever you listen to stay updated on orthodontic innovation and real-world practice strategies. Visit People in Practice for more insights and to connect with our team for practice growth solutions.TIMESTAMPS: 00:00 Introduction to early orthodontic treatment debate, the evolution of phase one treatment with clear aligners and personal insights from Dr. Leon and Amy Epstein02:34 Meet Dr. Spillers09:55 Dr. Don Spillers' journey from Invisalign skeptic to faculty member, teaching digital orthodontics and aligner therapy worldwide15:43 Patient experience and business impact of implementing Invisalign First – including compliance advantages and practice growth from 30% early intervention orthodontics19:21 Clinical innovations, including Invisalign palatal expander, mandibular advancement wings, and CBCT integration, showing bone change and airway benefits28:00 The marketing reality of observation versus treatment – why delaying orthodontic treatment leads to patient attrition and the future of digital pediatric orthodontics by 2030KEY TAKEAWAYS: • Early orthodontic treatment with Invisalign First offers a complete digital workflow from scanning to retention, with new tools including the Invisalign palatal expander, mandibular advancement wings, and occlusal blocks – providing every appliance needed to treat growing patients without traditional metal devices• Children ages 7-8 demonstrate superior compliance compared to teenagers, with parents reporting kids remind them when it's time to change aligners – plus treatment causes no pain, allows normal eating and sports, and improves hygiene compared to traditional orthodontic appliances• Practices implementing phase one treatment with aligner therapy experience significant business growth, as observation strategies lead to substantial patient attrition to competitors – moms want immediate...

Aligner un bateau qui incarnera l'esprit de défense lors du Vendée globe de 2028.  Le défi du Premier Maître Philippe Hartz, ancien nageur de combat du Commando Hubert, impressionne autant qu'il fascine. La tâche à relever est immense : il faut trouver des sponsors, réunir des fonds, trouver et former une équipe, la structurer, et participer aux courses qualificatives du Vendée Globe. Rigueur et persévérance seront de la partie, au même titre qu'un équipage chargé d'accompagner cet ancien commando marine passionné de la mer depuis son enfance. Ancien nageur de combat du commando Hubert, le Premier Maître Philippe Hartz officie depuis plus de 20 ans au cœur de la Marine nationale avec des missions réalisées dansdes conditions complexes aux quatre coins du globe. Alors, pourquoi s'est-il lancé dans ce projet ? Comment la Marine l'accompagne-t-il dans son aventure ? Et comment ce projet va-t-il évoluer dans les années à venir ?  On en parle avec le principal intéressé, Philippe Hartz.D'ailleurs, son parcours est détaillé dans le podcast Legend animé par Guillaume Pley. Voici le lien : https://youtu.be/IJZTPJmVx04?si=fsMqQcNRkzBAf6kFBonne écoute !Vous en voulez plus ? Retrouvez l'intégralité des publications du Centre d'études stratégique de la Marine sur notre site : ⁠⁠⁠⁠Centre d'études stratégiques de la Marine (CESM) | Ministère des Armées⁠N'hésitez pas aussi à vous abonner au podcast et à nous faire part de vos retours à l'adresse mail : ⁠podcast.cesm@gmail.com

Bonjour à tous,Grâce à mon activité de coach, je rencontre de nombreux entrepreneurs qui portent des projets incroyables....MAIS... Mais le message est flou, le propos est peu clair, la communication pas si impactante et le client n'accroche pas. Quel est le problème: la marque ?Derrière une expertise, que ce soit pour un produit comme dans le service ( pour moi aussi en tant que coach par exemple), il est primordial d'être une marque, une qui résonne avec ce qui vous anime, et qui fait briller votre singularité.Dans cet épisode, au format solo, je vous parle du :Pourquoi avoir une marque alignéeCe qu'est la mission de vie et les critères pour la définiret comment on se différencie.Et pour plus d'impact, je vous donne des exemples précis et des exercices concrets pour vous mettre en action.Et si vous voulez aller plus loin, avec moi, j'anime le 14 octobre, à Lasnes, au showroom SE-EM, un workshop "Oser vendre et Aimer ça" pour vous accompagner à

Von TikTok-Videos im Zahnarztkittel über die große E-Rechnungs-Pflicht bis hin zur Frage, ob Philip Morris jetzt der „Gesundheitsapostel“ der Dentalbranche wird – Olaf und Björnpacken wieder alles auf den Tisch.Gerüchteküche um Dentsply Sirona, frische Partnerschaften à la Amann Girrbach x Henry Schein, und die DMS 6 zeigt, wie's wirklich in Deutschlands Mündern aussieht. Dazu Innovationstrophäen für Dürr Dental, Start-up-Witze über Aligner zum Selfie-Bestellen und ein Ethik-Check mit Zigarettennachgeschmack.Es wird analysiert, gelacht und manchmal auch ein bisschen gezweifelt – immer mit Blick darauf, was Marketingentscheider wirklich wissen müssen. Denn wer beim Branchengespräch im Wartezimmer mithalten will, hört hier genau richtig rein.Kurz: 15 Minuten Branchentratsch mit Faktenbasis, Wortwitz und Augenzwinkern – damit das Wartezimmer nie langweilig wird.------Dental Talk wird präsentiert von Dental Marketing - dem Fachmagazin für Dental- Marken----Egal, ob neue Trends oder Geschehnisse der letzten Tage, der Podcast von Björn Kersten und Olaf Tegtmeier kommt am Montag und behandelt die spannendsten Themen des Dental- und Marketingbereiches. Beide kennen die Bereiche so gut wie Ihre Westentasche und diskutieren mit Spaß an der Sache und meinungsstark aktuelle Themen und geben Einblicke hinter die Kulissen.---- #DentalTalk #DentalMarketing #SocialMediaDentistry #ERechnung2025 #PraxisDigitalisierung #Zahnarztwahl#DentsplySirona #AmannGirrbach #HenrySchein #DürrDental #AlignerStartup #Mundgesundheit

Your health isn't a number on the scale—it's how you treat your body every single day. In this recap, Lesley and Brad dive into the wisdom of Amber Romaniuk, an emotional eating, digestive, and hormone expert with over a decade of experience and host of The No Sugarcoating Podcast. This conversation challenges the myths we've been sold about health and inspires you to listen to your body, trust your instincts, and finally put yourself first.If you have any questions about this episode or want to get some of the resources we mentioned, head over to LesleyLogan.co/podcast. If you have any comments or questions about the Be It pod shoot us a message at beit@lesleylogan.co .And as always, if you're enjoying the show please share it with someone who you think would enjoy it as well. It is your continued support that will help us continue to help others. Thank you so much! Never miss another show by subscribing at LesleyLogan.co/subscribe.In this episode you will learn about:Why Pilates footwork is a full-body exercise, not just about the feetWhy BMI is outdated and misleading as a health measure.Why we get stuck in suffering because it feels familiar.Daily habits that support hormones and digestion.How to advocate for yourself with providers.Episode References/Links:Follow Amber on IG https://www.instagram.com/amberromaniukAmber Romaniuk Website - https://www.amberapproved.caNo Sugarcoating Podcast - https://amberapproved.ca/podcastP.O.T. Chicago 2025 - https://pilates.com/pilates-on-tour-chicagolandCambodia October 2025 Waitlist - https://crowsnestretreats.comWinter Tour Waitlist - https://opc.me/eventsPilates Expo Journal - https://www.pilatesjournalexpo.com/los-angeles-pilates-expoThe Aligner from Balanced Body - https://opc.me/alignerSubmit your wins or questions - https://beitpod.com/questionsThe Aligner from Balanced Body - https://opc.me/aligner Camp Shame - https://beitpod.com/campshameEp. 400: Gay Hendricks - https://beitpod.com/gayhendricksEp. 177: Lindsay Moore - https://beitpod.com/ep177Ep. 39: Jessica Valant - https://beitpod.com/ep39Ep. 41: Dr. Kelly Bender - https://beitpod.com/ep41Ep. 183: Dr. Kelly Bender - https://beitpod.com/ep183FemGevity - https://beitpod.com/femgevityIf you have any questions about this episode or want to get some of the resources we mentioned, head over to LesleyLogan.co/podcast https://lesleylogan.co/podcast/. If you have any comments or questions about the Be It pod shoot us a message at beit@lesleylogan.co mailto:beit@lesleylogan.co. And as always, if you're enjoying the show please share it with someone who you think would enjoy it as well. It is your continued support that will help us continue to help others. Thank you so much! Never miss another show by subscribing at LesleyLogan.co/subscribe https://lesleylogan.co/podcast/#follow-subscribe-free. If you enjoyed this episode, make sure and give us a five star rating and leave us a review on iTunes, Podcast Addict, Podchaser or Castbox. https://lovethepodcast.com/BITYSIDEALS! DEALS! DEALS! DEALS! https://onlinepilatesclasses.com/memberships/perks/#equipmentCheck out all our Preferred Vendors & Special Deals from Clair Sparrow, Sensate, Lyfefuel BeeKeeper's Naturals, Sauna Space, HigherDose, AG1 and ToeSox https://onlinepilatesclasses.com/memberships/perks/#equipmentBe in the know with all the workshops at OPC https://workshops.onlinepilatesclasses.com/lp-workshop-waitlistBe It Till You See It Podcast Survey https://pod.lesleylogan.co/be-it-podcasts-surveyBe a part of Lesley's Pilates Mentorship https://lesleylogan.co/elevate/FREE Ditching Busy Webinar https://ditchingbusy.com/Resources:Watch the Be It Till You See It podcast on YouTube! https://www.youtube.com/channel/UCq08HES7xLMvVa3Fy5DR8-gLesley Logan website https://lesleylogan.co/Be It Till You See It Podcast https://lesleylogan.co/podcast/Online Pilates Classes by Lesley Logan https://onlinepilatesclasses.com/Online Pilates Classes by Lesley Logan on YouTube https://www.youtube.com/channel/UCjogqXLnfyhS5VlU4rdzlnQProfitable Pilates https://profitablepilates.com/about/Follow Us on Social Media:Instagram https://www.instagram.com/lesley.logan/The Be It Till You See It Podcast YouTube channel https://www.youtube.com/channel/UCq08HES7xLMvVa3Fy5DR8-gFacebook https://www.facebook.com/llogan.pilatesLinkedIn https://www.linkedin.com/in/lesley-logan/The OPC YouTube Channel https://www.youtube.com/@OnlinePilatesClasses Episode Transcript:Lesley Logan 0:00  If you're feeling overwhelmed by what's going on in the world, because you've got stuff in your own life going on, it is your number one priority to heal yourself, to go figure out, like, what people, what services, what you need to heal so that you can go out there in the world and be this amazing, evolved human who helps and supports and inspires other people. Brad Crowell 0:19  Yeah. Lesley Logan 0:20  Welcome to the Be It Till You See It podcast where we talk about taking messy action, knowing that perfect is boring. I'm Lesley Logan, Pilates instructor and fitness business coach. I've trained thousands of people around the world and the number one thing I see stopping people from achieving anything is self-doubt. My friends, action brings clarity and it's the antidote to fear. Each week, my guest will bring bold, executable, intrinsic and targeted steps that you can use to put yourself first and Be It Till You See It. It's a practice, not a perfect. Let's get started. Lesley Logan 0:59  Welcome back to the Be It Till You See It interview recap where my co-host in life, Brad, and I are going to dig into the beneficial convo I had with Amber Romaniuk in our last episode. Nailed it. If you haven't yet listened to that interview, feel free to pause this now. Go back and listen to that one, and then come back and join us. You guys, I also think last week, I don't even think I said Jon's last name correctly, like I, I gotta you guys.Brad Crowell 1:22  You got close. It's okay. We. Lesley Logan 1:23  Okay, I think it's really important you know, I went to speech therapy, okay, as a child, I had a stutter. I had a lisp. I do think I'm slightly dyslexic. I, I'm doing the best I can here. Brad Crowell 1:37  You're doing great, babe. Lesley Logan 1:39  Today is September 18th 2025 and it's World Water Monitoring Day. And I got some fucking neighbors I'm monitoring. Anyways, every year, around 150 countries come together to honor World Water Monitoring Day. It just rolls off the tongue, don't you think? Brad Crowell 1:55  Yeah. Lesley Logan 1:55  Water, as we've been learning since a young age, is an extremely important source for keeping all living beings alive and well, you can go without food for a long period of time, about three weeks, but your body will most likely start showing signs of shutting down if you haven't had enough water intake for even a short period of time, about three to four days. I can't even go fucking three to four hours without some water. So I just so you know, if I'm ever kidnapped and tortured, I don't think I'm gonna make it three days. I'm gonna I'm gonna, I'm gonna, I'm gonna drown. I'm gonna die. The human body is, after all, made of 60 to 70% of water. We're like cucumbers, everyone. Water is so important. I have, are cucumbers more than 60% water? Brad, will look it up. Water is so important that much of the space exploration budget is solely dedicated to finding water sources on other planets. A huge chunk of the earth's ecosystem.Brad Crowell 2:47  Cucumbers are 90, 95 to 96% water.Lesley Logan 2:50  Okay, so we're not like a cucumber, but we should act like we're, be it till you see it as a cucumber, guys. A huge chunk of the earth's ecosystem is also made of water, with countless organisms dependent on it, yet things like water pollution and climate change are threatening our water sources, which is why it has become more important now than ever to regularly monitor the water bodies around us. I kept interrupting myself, but I just want to say, like I did do a whole thing, you can drown yourself if you drink too much water, you can it's called hyponatremia,neutramia, nitremia, hyponatremia, nutremia, anyways, it's the opposite, and so.Brad Crowell 3:26  Hyponatremia.Lesley Logan 3:28  Natremia. So here's the deal. You do want to. Brad Crowell 3:35  The sodium levels in your blood become abnormally low because you're (inaudible). Lesley Logan 3:36  If you look at, like, cyclists or marathon runners, they're not just drinking water. They have electrolytes in it, you A.K.A., there's salt. So make sure that you be it till you see it like a cucumber, but put some salt in your water. Okay? Also, you know, while we're at it, research the companies who are putting salt in your water, because some of them are dick heads. Some of them don't believe in science, which is pretty fucked up, considering that they're fucking scientific. They're supposed to be scientific in what they're doing. Brad Crowell 3:59  I think we can call one out. Lesley Logan 4:01  Yeah, LMNT apparently supports MAHA. And I'm pretty pissed off.Brad Crowell 4:04  The two founders are, like, lockstep with RFK doing, you know, like de-science-sizing our science.Lesley Logan 4:14  So anyways, I'm pissed off because I really liked it. However, the great thing about being cookied and like algorithms following us is, I use Brad's phone several times to research different companies that are not LMNT, that don't have stevia or sugar, and not only do we come up with a few because of, like, a chat bot of Brad's, but now he's getting ads for some and I think one of the ads you got is brilliant, and I'm really excited about it, so. Brad Crowell 4:38  Yeah, it's a shame, because I really like their product. It was actually really great. Lesley Logan 4:38  It was really great, but, you know what. Brad Crowell 4:38  It still is great. I disagree with their. Lesley Logan 4:38  Clearly, since they don't believe in science. Brad Crowell 4:39  Well, I disagree with their opinions. Lesley Logan 4:43  But also, since they don't believe in science, there's probably a better scientific electrolytes out there. So we're gonna find those, and once we do, you'll know, because I'll just make us an affiliate, and we'll shout it up from the rooftops. But my fucking goodness, protect your water. Make sure, like, look, make sure that even if you live in a place where the water is abundant, we were, I could not believe how much water is in Idaho. I could not believe the amount of water in Idaho. I'm like, no one. California is like, just wasting water. There's no water. Like, when you live in the southwest, when you live on the west, like it's not exactly like, abundant. Brad Crowell 5:20  It's a desert, hello. Lesley Logan 5:21  Yes, I know. So anyways, it happened in Vegas. We found out that, like, when we use water out of our faucets and our sinks and our showers, like 98% of that, or something like that, is actually able to be reused, like cleaned and all that stuff. So, like, that's really nice.Brad Crowell 5:35  I don't know what the percentage is, but. Lesley Logan 5:36  It was over, it was over 90. Brad Crowell 5:37  Yeah, they're very intense in Nevada about water conservation and reuse. Lesley Logan 5:42  We're doing a great job in Nevada, because, we have. Brad Crowell 5:44  Specifically in Las Vegas. Lesley Logan 5:46  Yes, because our population has increased ridiculous amounts, and we've decreased our water consumption. And you know, the fact that people are fighting for their fucking green lawns pisses me off, because unless you live where it rains all the time, then by all means, like, lawn away, but like, if you don't, you know, lawns don't even capture water. Like, that was the shocking news to me. Brad Crowell 6:08  No. The only thing that grass does is look pretty. Lesley Logan 6:10  Looks pretty. Brad Crowell 6:12  That's it.Lesley Logan 6:12  So clearly, I'm against golf courses. But look, if water is natural where you are, and it rains and it can keep grasses green, then have them. But why are we doing the grass in the desert? It piss, like, those kinds of things are stupid. They don't make sense. It, just going with our you know, talk about believe in science. Anyways, at Be It Till You See It, we believe in science. We just got back from the U.K., literally two days ago. We are home, are catching up on work. We're filming stuff for OPC. We're recording stuff for this podcast, and then we're going to, this is our tour, we're gonna go to Chicago. I will be at POT for balanced body in Chicagoland in Burr Ridge. We're gonna celebrate our anniversary together, 10 fucking years married. Holy moly, can you believe that?Brad Crowell 7:00  That's insane. Lesley Logan 7:01  Yeah. I was like, are you still here? Brad Crowell 7:03  Yeah. Lesley Logan 7:04  So, 10 years married, and then from Chicago, we're gonna go to Cambodia, and we're gonna run our retreat in Cambodia. I'm so excited for the epic humans we're gonna hang out with in Cambodia. It's gonna be so (inaudible) and then we're gonna head up to Singapore on our way home. I'm teaching a workshop there. Go to crowsnestretreats.com for our retreat info. Brad Crowell 7:21  Yeah and if you're if this one is too close, because it literally is a couple weeks away, no problem. Get on the waitlist. Lesley Logan 7:24  You're not spontaneous, but they can't be spontaneous. Brad Crowell 7:31  No, you're allowed to be spontaneous. I get it. But also, like doing an international trip within a month can be challenging. So I understand that, I recognize that, if.Lesley Logan 7:39  My mom's friend did it in two weeks. Brad Crowell 7:41  She did. You're 100% right and you should do that, too. Drop your life and come join us. If that's not an option, then come join us next year, we are going to be doing this again in October of next year. We'll be announcing all the dates in January. So go to the website. Go to the website and get yourself on the waitlist. Go to crowsnestretreats.com.Lesley Logan 8:00  Then, on you on our way home, go to Singapore, and then we come home, we hang out for a month. Brad's parents are finally visiting. It's only been 10 years. Don't throw them under the bus. They're lovely people. Anyways, we love them very much. And I just, I just love this 10-year vacation that we're on. Every 10 years. But anyways, we'll announce the winter tour deets on October 1st, actually. So the winter tour is going to release before you leave for for Chicago. So you want to be on the waitlist. opc.me/events to make sure you get that link. Also, 2026 is literally around the corner. We come home from winter tour. I teach at a Pilates Expo Journal. Brad Crowell 8:35  That's in L.A. Lesley Logan 8:36  That's in L.A. adjacent. I just as an Angeleno, I have a really hard time saying that something is in L.A. when it's not in L.A., because I just feel like it's not in L.A., and then we'll be in Poland. So if you are wanting information about that, check out my Instagram account. I'll put that stuff up there. We'll get the links up here in an upcoming episode. Before we get into Amber's amazing takeaways, what is our question this time, babe?Brad Crowell 9:00  etaine.pilates, yeah, is asking legs in parallel, hip distance apart, legs together, zipped midline, either or both? And this is. Lesley Logan 9:01  A footwork question. Brad Crowell 9:05  A footwork question.Lesley Logan 9:06  We got so many footwork questions. I was like, I'll just and some of them are longer than I can type a character count of Instagram. So here is the deal, footwork from Joe, if you're doing it Joe's way, on the Reformer or on the Wunda Chair or on a Cadillac or anywhere footwork is, you start with heels together, toes slightly apart. Brad Crowell 9:33  But if you're doing it Brad's way, you just put your feet completely 180. Lesley Logan 9:37  Yeah, he does his own way. Brad Crowell 9:38  But don't do that. Lesley Logan 9:39  So don't do that. So slightly apart. Like, people like to say Pilates V Pilates V is not first position. So don't get them confused. There's actually no. Brad Crowell 9:39  First position, meaning dancing. Lesley Logan 9:40  Dancing. It's a little that's a little too externally rotated, so it's a slightly apart. The other thing is, it's like, actually your neutral position of your femurs, like, when the body is in neutral, your femurs are slightly turned out, like, that's what footwork toes is. So that's heels, the other toes apart. Then when you move to arches and heels, ideally, you are zipped, zipping the midline together. However, bodies are interesting shapes. We have some people have bony ankles. Some people have large calves. You know, some people have thigh abundance. Some people are Knock Kneed. So here's the deal, if you cannot zip your legs together and get everything to touch so ankles, you know, knees, thighs, what you can do is. Brad Crowell 10:29  Oh, the zip starts all the way down there? Lesley Logan 10:31  Oh, ideally. Doesn't your zipper start at the bottom of your coat? Brad Crowell 10:34  I don't know, whenever I hear that term, I think it's like zipping from my core, so like from my my belly button up, zipping my ribs and, you know, or. Lesley Logan 10:43  Yeah, you could think that, it's fine. Brad Crowell 10:45  But I didn't think about it all the way down to the heels.Lesley Logan 10:48  Sorry, from the bottom, now we're here, babe. So gotta start from the from the feet up. We are talking about footwork, yes, but if you can't, because of your body shape, Balanced Body makes a really cool thing called the Aligner. You can put that between your ankles or your thighs. They have two different ways you can use it. It's really, really cool. We have an affiliate link for that. We'll toss that in the notes, and then, if that's but if that's more than you need because it is a little bit bigger, just roll up a towel, um, or get a little squishy ball and or get a yoga block. Or, like, get a get the dog's toy, put it between your the place in your body that has a hard time, like that's touching, like you don't like when your ankles touch, or your knees knock, put up between something close the chain, so your inner thighs activate. It's really, really important that the inner thighs activate so that you're not just using quads in your footwork. We want the inner thighs, want the hamstrings, want the glutes to work. So it's a full body exercise. So it's all the things you asked Heather, all of them. Brad Crowell 11:41  It's all the things. Lesley Logan 11:42  If you want to dive in deep to footwork, one, I think I'm teaching a workshop. I taught a workshop in the U.K., so that's passed, missed out on it, but we have free tutorials on our YouTube channel, on any place you can do footwork, and it's in our flashcards, and you'll can hear why I'm obsessed with it. If you have a question, go to you can text us at 310-905-5534, we're plus one country code, I guess, so, +1-310-905-5534, or go to beitpod.com/questions, you can submit a win or a question. I want to shout your wins out. That's what makes a Friday episode fun, is your wins. Brad Crowell 12:17  That is what does it and you should definitely be doing that, so. Lesley Logan 12:20  You should be. If you're not doing that, you're doing life wrong.Brad Crowell 12:22  I mean, y'all, we should have so many wins that we don't, we have to pick between them. So, let's go, step it up. Go to beitpod.com/questions.Lesley Logan 12:30  Here's what people, my win's not very big or I don't want to take up space. You want to know something? That's what the fucking patriarch wants. They want you to not take up space. Because if you're quiet and you're humble and you think your win isn't anything, then you then they get have an easier time controlling you in your life. So take up space. Celebrate your wins. You're inspiring other people to see what they can do, and it makes the world a fucking better place to live in. Ladies, take up some fucking space.Brad Crowell 12:54  Take up some space. Lesley Logan 12:55  Share a win. Brad Crowell 12:59  By the way, the link for the Aligner is opc.me/aligner. Lesley Logan 13:04  Aligner. Good luck spelling that there is a silent G. Brad Crowell 13:07  A-L-I-G-N-E-R Lesley Logan 13:08  What's that comedian who, like, does a whole thing on like this, saying the silent letters in the U.S. and like, the English language, we call it aligner.Brad Crowell 13:15  Oh yeah. I don't know the name of the comedian, but that's hilarious. Yeah, go check it out. All right. Stick around. We'll be right back. Brad Crowell 13:22  Welcome back. Let's talk about Amber Romaniuk. Amber is an emotional, eating, digestive and hormone expert with over 11 years of experience and the host of The No Sugar Coating Podcast, which boasts 1.9 million downloads over 500 episodes and is listened to in over 88 countries. Her mission is to help guide women worldwide towards food and body freedom, a state where they understand and address their physical, hormonal, digestive and blood sugar issues, alongside the habits and mindsets that hinder their healing. Her backstory is very involved with her mission today. Her passion for helping women stem from her own profound struggles, which began at a very young age, and some of it was learned from family. Some of it was due to bullying. She shares a little bit about that on the interview. So if you haven't had a chance to go listen to that interview, definitely go, you know, hit pause. Go back. Listen to that. It's worth a listen. When she was a child, she developed an unconscious emotional connection to food, and it revolved around sugar and processed foods, and it led to full, full blown food addiction. And that's part of the story she shares. It's a bit shocking. And it's also, you know, I actually think it's something that is very relatable. And it's not just women who deal with this stuff, you know as well, food can become an addiction, just like cigarettes, like drugs, like whatever working out can be an addiction. For her, food became an addiction.Lesley Logan 14:47  Yeah, I just it's really interesting, because I, while we were on our tour, I listened to like, every podcast I could, and I actually ran out of episodes to listen to. I can tell we're on tour like I ran out of episodes I found this podcast. Podcast was about a camp that, like, heavyweights was based off of actually. And podcast series is really, really cool. It's called Camp Shame. You want to listen to it. And they did a really great job explaining, like, how, just how, historically, then this became associated with, like, healthiness and how, especially in the US, but in most Western cultures, we have really fucked people up by, including our medical world, by thinking that you just have to lose weight and that has created these food addictions and these other and these other ways of eating disorder addictions. And I think it's just.Brad Crowell 15:41  I think losing weight certainly can be the solution, but how could it possibly always be the solution?Lesley Logan 15:47  Oh, and that's exactly it. Because, like a lot of people who do have, do have a little bit more weight on them, doctors are always like, oh, go lose some weight first, before they even, like, listen to their fucking symptoms. And so then their issues get worse. Anyways, all this to say, I really enjoy that I really like when people are willing to share their stories of healing and then how they're going, because I think it's so important to normalize these conversations so that people can realize that, first of all, your weight often has zero to do with width of your health. And we know that now we have a lot of more information now than we did before, because, actually, of science and people studying these things and. Brad Crowell 16:09  Can you explain that? Because that's not intuitive. How is it that your weight could be? I mean, your weight has to have something.Lesley Logan 16:31  So first of all, everybody thinks a BMI is like your insurance companies will use your BMI to determine if you're healthy or not, and what your insurance rate should be. Your BMI was actually never supposed to be used for what health is? The scientists who did it was for another reason, and it was only sitting on men. And BMI means your height to weight ratio. Well, a bodybuilder could have what would be considered obese BMI because the weight. Brad Crowell 16:53  They could be short and huge, but they're intentionally huge. Lesley Logan 16:56  But their their muscles and their body so their body fat percentage is quite low, right, versus somebody who's the same height and maybe even the same weight, but doesn't work out, right? But, but by the way, we're we're acting like that guy with muscles is healthier than the guy without muscles, because we have been conditioned to think that that is healthy. That person might be on steroids, they might be under eating, they might. Brad Crowell 17:19  They could be starving themselves (inaudible) Lesley Logan 17:21  Correct. Right. And then the other thing is, is that, like, you're, a lot of our health conditions are actually genetic versus, you know, a lot of things, and we are, different races have different body shapes. And so we're saying, oh, if you're not heroin chic, then there's something wrong with you. Because the best way to describe the way that the 90s thought health and wealth and beauty was like fucking stick pencil thin. Those girls were eating cotton balls soaked in orange juice. Literally, you can go watch documentaries on this like that is how they were staying the shape that they needed to be to make money. And then we're all chasing this dream when our bodies actually don't want to look like that. They don't. That's not healthy. And so, at any rate, health, signs of good health, your weight is like, truly not one of them, unless you are on the very, very, very ends of a spectrum, but in the middle, there is a wide range of health that could be and your outside appearance is rarely able to to significant like, the indicator of what your health is, we have to look at your sugar levels. We have to look at like, do you digest sugar? Are you digesting your food? Are you absorbing nutrition? Like your microbiome is a better signifier of health than your weight on the scale. And so it's really fascinating, because we have a humongous population of women and men who are raised to think that I just have to be thinner. And so there's a lot of people, a lot of people, a lo t of people listen to this podcast who probably struggle with, I was at the gym today, right? And this woman, she is so, so sweet. She looks so cute. And she's like, yeah. She's like, I'm carrying 30 pounds more because of an injury. And like, the fact that she felt like she had to tell me that because she's a Pilates instructor. And so she's like, yeah, I was like. I was like, who cares? Like, I listen to her. Who cares. You are having the most fun. You're rocking your Pilates practice. Who cares? So the point is, all this to say, like, we, this country is fucked up, in how it thinks of health, and so people are worrying about what the scale says, versus, like, going to their doctor, getting their lungs listened to getting their heart listened to getting their blood checked, and then researching, like, what is, what's in range, hormones, hormone health, that kind of stuff. But like, we're, we're so obsessed with what the scale says, versus like, what does your blood fucking say? What does your blood say? So anyways, back to Amber. She said, we get comfortable in our comfort zones of suffering. And I think this is really, really important. A lot of us are afraid of being on the other side of whatever our addiction or whatever our thing is, because suffering has become comfortable. We know it. We know what to expect. We like certainty. We'll hear more about certainty in a couple weeks with Brad Bizjack. But like we like knowing these things, but we have to we, our comfort zone of suffering is not uncomfortable enough for us to want to get out of it. She said, we continue to do what is familiar because it feels safe to your brain. You can listen to Gay Hendricks or read his book about like your brain, like wanting to be in this comfort zone we will sabotage right? She described being terrified of the unknown. This is, I am familiar with this, like you're so terrified of, like the unknown, like I'll just stick in my suffering, because the other side, the thing that I want, is actually scary, because I don't know what's it going to feel like and but she said the suffering became bigger than the fear of change, and that is so key. Like, sometimes we just have to figure out what that's going to be for us. And she said your healing is one of the most valuable journeys you can choose, is going to help you grow and evolve in ways you can't even imagine. And I think this is so important, like, whatever is going on in your life, if you're feeling overwhelmed by what's going on in the world, because you've got stuff in your own life going on, it is your number one priority to heal yourself, to go figure out, like, who, what, what people, what services, what you need to heal so that you can go out there in the world and be this amazing, evolved human who helps and supports and inspires other people. Right? Anyways, so many good things in there. What did you love?Brad Crowell 21:32  I was digging where she's talking about, your actual body is always trying to heal. Doesn't matter where you are in your life cycle. And what she was talking about, what I what she was referencing there was the different, like hormonal stages of a female body, specifically with the perimenopause, menopause, you know, post she said, however, we have to look at what is in the way of healing. And it's not, not even just those stages, but it, you know, your mindset is so much a part of this healing, right? And whether you're seeing doctors or not, that's what we can contribute to the fix that we may be getting from an expert, right? But our mindset and our habits, the behaviors that we have. She said, she also, you know, when it comes to age and certain ages, right? I know from just being around people who are older than me, they have this idea that they're set in their ways, and there's nothing that can be done about it. And that's not true, you know, like, it doesn't matter when how old you are, you can start to create change and the internal, the way that we internalize, the way that we think about ourselves and think about the change and the hope and the shift in our health, will contribute significantly to whatever actual like, you know, whether we change our sleep or our food or our workout or our, you know, supplements or whatever, any of that, but the way we think about it is going to change, is going to support that or it's going to make it effective, right?Lesley Logan 23:15  Well, we talked about those habits, right? We have a whole habit series coming out, by the way, in December, so I'll dive in more there. But like, if you shame yourself after doing making a mistake in a change you want to make, your main mindset will keep you from making those changes again. Like you will not be able to do it even though your body wants to do it, even though you say you want to do it, like how your mindset is absolutely a huge part of making the changes and allowing your body to heal. Because your body wants to do it, but you're, you're getting in the way.Brad Crowell 23:43  Yeah and also your mindset of your provider, right? The, it's hard to change a provider, but I, you know the response that you mentioned earlier, oh, just go lose some weight first, and then we will do X, Y and Z, you know, like, that's some bullshit. That's such a cop out. Lesley Logan 24:00  Find a new provider. Brad Crowell 24:01  Yeah, and like, if you're getting told something like that, you are, you absolutely can go get a second opinion. Lesley Logan 24:08  You can also tell them, no, I've already have, like, there, in one of the FYFs, I think I actually brought up, like, things that you can say to a doctor. But like, and unfortunately, people who are in what's considered a larger body, you might have to say to the doctor, but I want you to know, come into this I've already lost X amount of weight. I have had this pain for this long. Unfortunately, no matter who you are, even if weight is not a thing, you're gonna have to say how long things happen. Because some people, some doctors, do not take some symptoms seriously until it's been a significant amount of time. Brad Crowell 24:45  Well, let's, let's, let's think about this here, like from the perspective of a doctor, it's a puzzle, okay, you are a puzzle to them, and they like figuring out puzzles, and they've educated themselves in a crazy way over many, many, many, many years to understand all the variables that are involved so, but, they're still human, right? And they're going to do what brains do, which is the fastest, easiest way to find the answer, the solution. That's what their brain is doing for them. So they're gonna look at it and go, well, step one is, is it fucking plugged in, right? Just like any of the stupid customer service calls. So what are they gonna say? They say, well, you're clearly overweight, so go lose some weight, right? And that is the easy answer for them, but there's more to it than just that. But they can say, well, this is definitely something that has to be solved anyway, and it could be a very likely contributor to whatever the problem is that you have. So what are they going to do? They're going to go to the easiest answer first. Now there could be far more to it, or if you can give them a clearer picture of the puzzle, you can already say, this is how long this thing's been happening. I have already lost X amount of weight. I have already done these other things. I have already changed my eating, my sleeping, my this. Yet the problem persists. Now they have a clear picture of the puzzle, and they can go, hmm, the easy is it plugged in response doesn't work here. What's the next thing on my mental checklist of things? Right? So it's really important to be communicative. It's important to be paying attention to yourself. It's important to have those numbers and statistics and like, you know, things that you've already tried, and to share that information, because otherwise you're gonna get the is it plugged in answer.Lesley Logan 24:53  And they don't, and to their to also like to be on their a little on their side, they are, they have to see a ridiculous number of patients in a day. They have, they're given six minutes with you, and so the more you can have your thoughts organized. Listen to the episode with Lindsay Moore and also Jessica Valant on, like, advocating for yourself in healthcare, but like, have these notes, because it will help your healing process if that's the route you have to go. And if you're going a route of a therapist or something like that, find one like it might take a few different people. And I know that's annoying. I know like, when you're when you are suffering and you're finally ready to make a change, it can be fucking annoying to start over week after week after week with a different therapist until you find what you like. But you have, you owe it to your future self and you owe it to the people that you're going to change their life by being yourself. Brad Crowell 27:05  Yeah, I mean, think about, think about it from the perspective of of a Pilates teacher or a fitness coach or whatever, like, if you are in the Pilates world, what we always coach our clients through Agency. We say not, you are not for everyone, and that's okay. The therapists are for everyone, and that's also okay. You're not going to connect the same way with this, with every person, but there is going to be one or more than one person that you're gonna be like, oh my gosh, I totally vibe with this person, and you'll be willing to connect with them in a in a better way. Doctors are the same way, right, like, so anyway, the Lindsay Moore episode is episode 177 and who else did you say? Lesley Logan 27:47  Jessica Valant, her first episode. Brad Crowell 27:49  Jessica Valant is episode 39 so go back and check out those interviews that both will be very helpful and supportive for this conversation as well. And yeah, the I think that you know, to sum this all up, if you're frustrated with the attention or lack of attention that you're getting from your provider, you are allowed to advocate for yourself. No one is going to advocate for you unless you hire someone to advocate for you or engage you know someone advocate for you, or maybe you have a family member who's willing to to play that role, but you can advocate for you, and it's also okay to go get a second opinion and to dig deeper. You know, you're allowed to do that, you know? So she, she said, we need to recondition ourselves, to normalize investing in our health. And what she's specifically talking about in that is that she's Canadian. They do have health care as a country. She said just because we get health care doesn't always mean that it's great health care, right? When she started having this, these deeper conversations with her doctors, she started cutting out some of the middleman and paying to go directly to the experts. Right, because she said, well, I couldn't get the referral, but I disagreed with them. I went to someone else. And just because the way the system was structured, it wasn't an option. So for me, I had to go straight to the expert, and that meant I had to pay out of pocket, and that sucks, because I did have access. I do have access to a healthcare system, however, that wasn't, that wasn't solving my problem and and I think in the United States, the irony is, we still have to fucking pay for things anyway, because our insurance system is so backwards. So, you know, I would say, you know, I agree with her that we need to recondition ourselves to normalize investing in our health, and that's that's exactly why we encourage people to go work out, too.Lesley Logan 29:44  And then, you know, call your fucking Congress person and tell them how much you would invest. Tell them what you want to see changes are. They work for us. And every country that you have some sort of voting system, the person who represents you is supposed to work for you whether you voted for them or not. So like be something in there, like be in their fucking bonnet about it, but first you have to heal yourself. And that does, unfortunately, there's like a statistic that it's like a ridiculous amount of money that women will spend on their health care versus men, because we are often getting second opinions because, unfortunately, they didn't study women's bodies. Brad Crowell 30:19  I think women also live longer than men. So maybe there's something to it.Lesley Logan 30:29  Especially if you don't get married. There's, like, a lot, so there's a fuck ton of study. Brad Crowell 30:53  Wait a minute. Lesley Logan 30:27  Yes. So it says if you're basically, the science is, if you're a man, you need to be married because you'll live longer, but if you're a woman, you should not get married because you will live longer. And so it's just, like, really interesting thing that, like women actually provided we still get to have our credit cards and our bank accounts and vote. You know, we will live longer if we just live by our like, live on our own or live in a commune with each other. Brad Crowell 30:53  Well, there's that. Lesley Logan 30:54  Sorry, babe. I love you, but.Brad Crowell 30:56  I love me too, so, you know. Lesley Logan 30:57  Okay. Brad Crowell 30:58  All right, stick around. We'll be right back. We're going to dig into those action items. Those Be It Action Items that we got from Amber Romaniuk. Brad Crowell 31:05  All right, so let's talk about those Be It Action Items. What bold, executable, intrinsic or targeted action items can we take away from your conver conversation with Amber? She said, hey, the best habits for hormone and digestive health, start getting into a mindful eating practice and start having good sleep hygiene. And what she was specifically saying about mindful eating practice, this is really interesting, y'all, because we're glued to our phones, I'm just as guilty of this, like 100%, she said, for eating, put down your phone, sit and eat your food mindfully. Why? What does she actually mean by that? She said, Well, there's two elements to eating, and we're distracting ourselves from one of the two elements when we're not focused on eating. What are those two elements? There's the physical state of eating, and then there's the emotional state of eating. And if we are not paying attention to our food, there's very high chance that emotionally we won't even realize it, and we will just keep eating, because we don't emotionally think, feel, you know, that we're full, right? And also, there's still that, that element with the physical you know, you're not necessarily paying attention to your stomach, you're paying attention to your phone, right? So you could just keep going past the point of being full. So I just thought it was really interesting. It's not the first time we've heard this. In fact, I think Dr, Kelly Bender also mentioned eating and putting your phone away and just focusing on eating. Can't remember which interview that was, because she's been with us for a few, but. Lesley Logan 32:39  Yes, but you can go listen to them. Brad Crowell 32:41  Yeah, she, she was in episode 41 and 183 Dr. Kelly Bender, so we'll put those links in the show notes. But she, she mentions the same thing, like put your phone away while you're eating. And I never thought about it as as a mindful practice, but disconnect from that technology. And she said, same goes with sleeping. And of course, we've talked about this before.Lesley Logan 33:00  Mindfully sleep, put your phone away. You can actually sleep.Brad Crowell 33:04  Yeah, not mindfully sleeping, but like preparing for sleep, like actually preparing for sleep. And I know you went through a couple different extreme things where you would leave your phone in the other side of the house.Lesley Logan 33:16  I know I still want to do that. I just haven't figured out how to do that. Brad Crowell 33:21  It's tough too, because their phones are our alarms all the things. But like, you know, disconnecting from tech, she said 15, 30 minutes before going to bed, you know. And then also, she said sleeping before 11pm especially for women, because optimal hormone balance occurs between 11pm and 1am I don't actually know how that statistic comes to be, I think every body is a little bit different. And so, you know, we all have our own sleeping patterns. So I think it's important to understand your own circadian rhythm, a tool that we use to help us find ours, has been a ring like the ring that monitors your heart, your health, your blood, you know, your blood, all that kind of stuff, your blood pressure, I mean. And then it actually can identify your natural rhythm.Lesley Logan 34:05  We'll have to, we'll have to find out where that is, because I do, there is information that our liver also does its own, like clean, like cleaning out thing around 2 to 4 a.m. and so that's why a lot of people get up at two in the morning having to pee. Like, it's actually, like, there are, there are some things that the body just does at a certain time. Brad Crowell 34:21  But, but also, like 2 to 4 a.m. for me is not 2 to 4 a.m. for somebody else. So that's what doesn't make sense like, because the time zones like so, so I think, I think there's a, there's a there's like a guideline there. But, you know, I think it's obviously different forever. We live in different parts of the world.Lesley Logan 34:37  Luckily, for you, Brad, you can be a lark, you can be up, or whatever it's called, owl, you you don't your hormones will be fine. If you stay up past 11, it's okay.Brad Crowell 34:44  High level, she said, get your hormones tested. So.Lesley Logan 34:47  Get them tested multiple times, multiple times, because they they do change throughout the day, but also throughout your cycle. And also find a doctor, if not working with Amber or FemGevity, find fucking someone who actually gives a fuck. Because it took me, I knew I did not have testosterone for years, and I had it took me forever to find someone who would fucking listen to me, and so it is annoying, and you gotta advocate for yourself, but you need to find someone who actually gives any fucks about hormones. So whatever it is, find the person you're and yes, it takes time. I know you're busy. Brad Crowell 35:11  I think we could talk about FemGevity here. I mean, you probably heard the commercials that we throw in occasionally here. But you know, Lesley has been working with a female telehealth medicine company that is only in the United States. Sorry, Canadians, but.Lesley Logan 35:33  That's why they have Amber and anyone can well, you can be outside the States, outside of Canada, and work with Amber as well, of course, I guess, but yeah, you gotta find people. So if so cannot talk to Amber, contact FemGevity, but contact interview people who and see if they fit your vibe. Do they understand what your goals are? Like are, does it make sense them? If they're not, it's okay. It's not like, oh my god, they're an asshole. They don't get me. They're not the right person for you.Brad Crowell 36:00  Yeah, they're not the right person for you, or they don't have the time for you and so you can find somebody else. What about you?Lesley Logan 36:06  Becoming in tune and learning how to listen to your body, most powerful gift you can give yourself. I think it's kind of free, guys, as well. Yeah, it's free. She said, do a self-assessment. What symptoms are you experiencing? Rate your intensity, a one to attend, to effectively commute with a healthcare professional. So you could just literally take notes on your phone. And when you wake up, you could just, like, ask yourself, like, well, how do I feel? What am I experiencing right now? Like, in the morning, I'm experiencing a runny nose, oh, it's because I need to take my allergy medicine, right like, or, and in the afternoon, might sit down for lunch. You can go, what am I experiencing right now? And it's like, oh, my nose is still running. Maybe this is not allergies, right? Like, you know? And then after dinner, like, what? Instead, it could be part of your gratitude practice like, I'm grateful because I feel hot, I'm grateful because I feel tired, part of it, but start to rate it, so that you have notes, and you can start to see patterns. And then when you actually do talk to a healthcare professional, they can see that you are paying attention to yourself. Yeah, like, you know, it's really hard when you go, I don't know it's been a while since I've been feeling this way. Since when? They're going to know since when? Because a while for some people is three days, and for some people it's three fucking years. So you want to say since January 27th, every night I feel like this. You know, like that is important information. Build a self-care routine, if we I mean, we know that this is a big thing. I'm a big fan of, you know, even if it's just sitting or slowing down and practicing the art of doing nothing. That's a great thing.Brad Crowell 37:29  Oh yeah, that was a whole interesting part of the conversation. She said, we need to take 10 minutes and literally do nothing to regulate our nervous system every day. And I thought, huh, do I ever give myself time to do nothing? No, you know why? Because I've got a damn phone and I'm like, scrolling Instagram. If I, if I'm doing quote, unquote relaxing, I'm still doing something.Lesley Logan 37:55  You know what? Also, even if, like, here's the deal, you can walk your dog, which is going to be doing something, but then do nothing while walking your dog. And like so, but find ways to get bored. You know, our yoga teacher always talked about, when his kids go, I'm bored, he's like, you're so fucking lucky. It was one of the greatest things you could ever be, is bored. And lastly, Amber advised us to be patient and compassionate with our with yourself. Try to build a friendship with your body. Whoo, that one, that one, if you do nothing on this world, but like, build (inaudible).Brad Crowell 38:25  I mean, you asked, like, how do we not be impatient when we aren't seeing immediate results? And that's where she said, be compassionate with yourself.Lesley Logan 38:33  Yeah, if you were your friend, telling your friend, I'm not seeing X, Y and Z results, you your friend, would be like, okay, but how long has it been? Okay, but you. Brad Crowell 38:41  It's been a week. Okay, it took me 40 years to get here. Lesley Logan 38:44  Yeah, be nice. You're not a robot. Speaking of not being a robot, I'm Lesley Logan. Brad Crowell 38:49  And I'm Brad Crowell. Lesley Logan 38:51  Thank you so much for listening to this episode. Thank you for sending in your favorite parts of the episode. Thank you for sharing what you love and your suggestions. Send your questions and your wins in to beitpod.com/questions. Share this episode with a friend who needs friend who needs to hear it, especially Amber's interview with your friends who are struggling with their health right now and their health journey. It gets really inspiring. Brad Crowell 39:09  beitpod.com/questions Lesley Logan 39:11  Oh, beitpod.com/questions that's more helpful. And until next time, Be It Till You See It. Brad Crowell 39:17  Bye for now.Lesley Logan 39:19  That's all I got for this episode of the Be It Till You See It Podcast. One thing that would help both myself and future listeners is for you to rate the show and leave a review and follow or subscribe for free wherever you listen to your podcast. Also, make sure to introduce yourself over at the Be It Pod on Instagram. I would love to know more about you. Share this episode with whoever you think needs to hear it. Help us and others Be It Till You See It. Have an awesome day. Be It Till You See It is a production of The Bloom Podcast Network. If you want to leave us a message or a question that we might read on another episode, you can text us at +1-310-905-5534 or send a DM on Instagram @BeItPod.Brad Crowell 40:01  It's written, filmed, and recorded by your host, Lesley Logan, and me, Brad Crowell.Lesley Logan 40:06  It is transcribed, produced and edited by the epic team at Disenyo.co.Brad Crowell 40:11  Our theme music is by Ali at Apex Production Music and our branding by designer and artist, Gianfranco Cioffi.Lesley Logan 40:18  Special thanks to Melissa Solomon for creating our visuals.Brad Crowell 40:21  Also to Angelina Herico for adding all of our content to our website. And finally to Meridith Root for keeping us all on point and on time.Support this podcast at — https://redcircle.com/be-it-till-you-see-it/donationsAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Mit Tobias von CAMLOG geht es in dieser Folge um das neue Aligner-System "Smilers by CAMLOG". Es geht um Kieferorthopädie und die Möglichkeuten der unsichtbaren Zahnspange. Hierzu wird es in Zusammenarbeit mit Fundamental auch eine Schulung geben.Es geht aber auch um die strategische Planung von neuen Produkten und Markteinführungen. Es geht auch um die interdisziplinäre Zusammenarbeit zwischen Zahnärzten, Kieferorthopäden und Zahntechnikern, um den Patientinnen und Patienten eine bestmögliche Versorgung zu bieten. Zum Abschluss der Folge kommen noch zwei Zahntechniker zu Wort, die Ihre Sicht auf Ihren Beruf und die Zahnmedizin schildern. Also wieder Mal eine vollgepackte Folge #EHDSNeugierig geworden? Dann hört rein in #ersthosedannsocken - die #Weltrekordfolgen Wenn du diesen Podcast unterstützen möchtest, dann erzähle deinen Freunden, Kolleginnen und Kollegen von ihm und bewerte ihn beim Podcastdienstleister deiner Wahl!Ihr findet unseren Sponsoren unter: DZR Ihr findet uns online unter:Doc.Blattner: Instagram ThreadsDoc.Tandon: Instagram Threads Youtube WebsiteChristian Both: Instagram ThreadsMarius: InstagramFundamental: Instagram Threads YouTube Website

Dans cet épisode, nous explorons un concept clé mais souvent mal défini : les objectifs de vie. Pourquoi sont-ils indispensables pour avancer vers la liberté financière, ajuster sa stratégie immobilière et prendre des décisions alignées avec soi-même ? Vous découvrirez : Comment définir concrètement votre « vie rêvée » comme une destination GPS. Les signaux de désalignement à repérer pour réajuster votre trajectoire. Pourquoi vos objectifs évoluent et comment adapter votre stratégie au fil du temps. Des pistes concrètes pour diversifier votre approche : colocation, location courte ou moyenne durée, marchand de biens, division de terrains… Comment garder un cashflow positif grâce à la création de valeur (bonne affaire à l'achat + travaux ciblés). Un épisode 100 % mindset et stratégie, qui vous aidera à clarifier vos priorités, rester motivé et adapter vos actions pour tendre vers votre vie idéale. Écoutez maintenant et commencez à (re)définir vos objectifs de vie.

Avec : Élise Goldfarb, entrepreneure. Yael Mellul, ancienne avocate. Et Frédéric Hermel, journaliste. - Accompagnée de Charles Magnien et sa bande, Estelle Denis s'invite à la table des français pour traiter des sujets qui font leur quotidien. Société, conso, actualité, débats, coup de gueule, coups de cœurs… En simultané sur RMC Story.

Our latest episode featuring two incredible guests, Shannon Pace Brinker, CDA, Founder & CEO of Chairside Assisting & Angela Severance, Training & Education Mgr. for DSOs of Ivoclar. They bring a wealth of knowledge and experience in the dental assisting and education space. We had a fantastic discussion about the challenges and opportunities in clear aligner therapy.  Here are three key takeaways that stood out: The Importance of Consistent Training Understanding Materials and Techniques Navigating Insurance and Documentation To learn more about clear aligner therapy education and how Ivoclar can assist your DSO with education and better patient outcomes reach out to Angela Severance at Angela.Severance@ivoclar.com You can learn more about Shannon and Chairside Assisting at https://www.chairsideassisting.com/    

In this episode, I had Mike Gordon from 3DNA Dental to discuss the revolutionary impact of 3D printing technology in orthodontics.With a background deeply rooted in IT, he sheds light on how 3D printing is transforming dental practices and shares insights on the latest advancements, particularly with direct print clear aligners.Departing from traditional in-house aligners that involve multiple steps, including setting up a case, printing models, and post-processing, direct print aligners streamline the process significantly.Mike provides insights into the cost per aligner, which ranges between $4 to $6 in material costs. Compared to the national average of $56 per aligner, the direct print technology presents significant cost savings for dental practices.3DNA Dental provides comprehensive support and implementation services for dental practices venturing into 3D printing. The company's primary focus is on real, ongoing support for in-clinic adoption, ensuring a seamless integration of 3D printing technologies to dramatically cut lab costs and improve patient service times.Tune in to learn more!Key TakeawaysIntro (00:00)About Mike Gordon and 3DNA Dental (01:40)Direct print 3D aligners (06:21)Key features of direct print clear aligners (10:47)Cost implications and material properties (14:30)Diverse applications of 3D printing (18:12)Additional Resources

Lien pour les séances Soulful Sweat: https://tamara-bisson.teachable.com/p/seance-soulful-sweat-live Lien du livre pour le protocol: https://www.amazon.ca/Inflammation-Spectrum-Triggers-Reset-System-ebook/dp/B07NX21BFW/ref=tmm_kin_swatch_0?_encoding=UTF8&dib_tag=se&dib=eyJ2IjoiMSJ9.m8P5RAP-Px13m3s_fzKUvhm1AhtStkC_NgfTVViutaczkayS8eyvW42sL0iua3Nvs-gMpSUa-_rtIJrrldX53ca9No0IUAakhfoowf3NF8nu54LiQI-DvViWWuHHi6vQQn084HglPTriNv0KphSzTUQz747ZcE96mNXSaYu-tQUrq7PTsCuUuh4p1PHdZgKctbmYe0BrjzyozD_P-ap6rB4FXUojXqePx4tJUcHPcOPNQdDZ3PVa6ATolQU47F9BQtCOCIRD_WKejaectue-4R1yzcQTZI4KhG-CMTRD9z8.DxGCJTdAyqdhva08lhFpha1gnx27Kq9DYNyShoQWa4A&qid=1756127186&sr=8-1

C'est un concept qui va nécessairement gagner en popularité dans les mois qui viennent.L'alignement des intelligences artificielles, en clair, tente de trouver comment faire en sorte que des systèmes d'IA très puissants restent utiles, sûrs, et surtout fidèles aux valeurs de concepteurs et des utilisateurs.Pourquoi l'alignement est crucialEt tout d'abord je vous explique pourquoi c'est crucial. Aligner une IA, c'est lui apprendre à poursuivre nos objectifs humains, et pas seulement l'objectif technique que ses concepteurs ont codé.Et c'est facile à dire, mais bien moins facile à faire mentionne IBM dans un document explicatif, parce que nous avons tendance à prêter aux modèles d'IA des intentions humaines. Cette tendance se nomme l'anthropomorphisme.Pourtant, une IA n'a ni morale ni motivations. Le but d'une IA c'est d'optimiser le résultat d'une consigne, aussi nommé prompt.Et si la consigne est trop étroite, et bien l'IA peut “réussir” sa mission d'une manière qui nous échappe complètement.Et ce comportement est désormais bien documenté. Et il a un nom, celui de “détournement de la récompense” observé dans les tâches d'apprentissage par renforcement. D'où l'importance d'un alignement pensé dès la conception, surtout quand l'IA touche des domaines sensibles comme la santé, la finance ou les transports autonomes.Robustesse, Interopérabilité, Contrôlabilité et ÉthiqueAlors quels sont les principes que les concepteurs des IA doivent garder en tête ? On peut les résumer par un acronyme, nommé RICE, et qui signifie Robustesse, Interopérabilité, Contrôlabilité et Éthique.La robustesse signifie que l'IA doit rester fiable, même dans des situations imprévues ou face à des attaques.L'interopérabilité veut dire que l'on doit pouvoir expliquer les décisions de l'IA.Dans le même esprit, la contrôlabilité signifie que l'humain doit pouvoir reprendre la main, arrêter, corriger, orienter.Enfin, je vais prendre un exemple pour définir l'éthique. Un moteur de recommandation sur Internet ne devrait pas favoriser la désinformation juste parce qu'elle génère de l'engagement.Comment faire de l'alignement ?Alors, et c'est le troisième point, comment on s'y prend concrètement pour faire de l'alignement, et où est ce que ça coince.Côté méthodes, les spécialistes l'apprentissage par renforcement à partir de retours humains. Cette méthode porte un nom, le RLHF pour Reinforcement learning from human feedback.Les données synthétiques sont aussi utilisées pour montrer aux IA ce qu'ils doivent éviter. Mais là aussi, les valeurs humaines censées corriger les IA sont plurielles et évoluent.Bref, le fameux “problème de l'alignement” reste ouvert.Le ZD Tech est sur toutes les plateformes de podcast ! Abonnez-vous !Hébergé par Ausha. Visitez ausha.co/politique-de-confidentialite pour plus d'informations.

In today's episode, we're focusing on one of the most critical — and often overlooked — elements of clear aligner therapy: clear aligner attachments. If you've ever dealt with aligners that don't seat, patients who fall behind in treatment, or cases that just aren't progressing as planned, we've got some troubleshooting tips you won't want to miss. Our guest is Dr. Foroud Hakim. He has maintained a private dental practice for over 30 years, is a sought after key opinion leader and speaker and is a highly respected consultant for new product evaluation and development.

Dans ce nouvel épisode des Pieds dans le Plat, Claudio Vandi reçoit Pauline Barnouin, Chief Human Resources Officer chez Phenix, une entreprise qui lutte contre le gaspillage alimentaire.Beaucoup d'entreprises se disent engagées... mais combien le sont-elles réellement ?Valeurs, impact et tutti quanti font clairement partie du vocabulaire des organisations. Mais la grande question est : comment faire en sorte que ces principes prennent vie dans le quotidien des équipes, VRAIMENT ?Ce défi, Pauline Barnouin le relève depuis 5 ans chez Phenix. Chez eux, les valeurs sont fortes, la mission bien présente et s'incarne en chaque collaborateur. Alors elle nous raconte tout : ses apprentissages, les rituels de management qu'ils ont mis en place et les points de contact clés pour faire vivre les engagements de l'entreprise (du recrutement jusqu'à l'offboarding).Au programme :

Et si l'ennui était l'arme secrète des marques les plus performantes ?Dans cet épisode, on remet en question un mythe tenace : celui de la nouveauté comme moteur indispensable du marketing. Vous découvrirez pourquoi certaines marques préfèrent la stabilité à la surprise, et comment la répétition, loin d'être ennuyeuse, peut devenir un puissant levier de mémorisation, de confiance et de fidélité.On parle psychologie, stratégie de marque, et on décortique les codes des entreprises qui réussissent en misant sur la cohérence plutôt que sur le spectaculaire.Un épisode qui pourrait bien changer votre regard sur la créativité… et sur la constance.>> Téléchargez le guide le Kit de Cohérence de MarqueConstruisez une marque forte, rassurante et mémorable sans vous réinventer à chaque foisVous avez l'impression de répéter les mêmes choses dans vos contenus ?Bonne nouvelle : c'est exactement ce qu'il faut faire… à condition de bien le faire.Le Kit de Cohérence de Marque vous aide à :✅ Vérifier la cohérence de vos messages sur tous vos canaux✅ Identifier les points faibles de votre branding✅ Répéter efficacement sans lasser votre audience✅ Aligner tous vos points de contact avec votre promesse✅ Gagner du temps grâce à des modèles prêts à l'emploi---------------

durée : 00:37:36 - Questions du soir : le débat - par : Quentin Lafay, Stéphanie Villeneuve - Faut-il durcir la justice des mineurs ? La loi Attal, adoptée en mai puis partiellement censurée par le Conseil constitutionnel en juin, relance un vieux débat : entre réponse répressive et visée éducative, quelle place la République accorde-t-elle aux enfants en conflit avec la loi ? - réalisation : François Richer - invités : Raphaël Kempf Avocat au Barreau de Paris; Jean Terlier Député du Tarn Ensemble pour la République

durée : 00:37:36 - Questions du soir : le débat - par : Quentin Lafay, Stéphanie Villeneuve - Faut-il durcir la justice des mineurs ? La loi Attal, adoptée en mai puis partiellement censurée par le Conseil constitutionnel en juin, relance un vieux débat : entre réponse répressive et visée éducative, quelle place la République accorde-t-elle aux enfants en conflit avec la loi ? - réalisation : François Richer - invités : Raphaël Kempf Avocat au Barreau de Paris; Jean Terlier Député du Tarn Ensemble pour la République

Découvrez le groupe Fnac Darty ou quand la responsabilité devient un moteur de transformation. Dans ce nouvel épisode d'On The Way, nous recevons Jules Chaillé, responsable RSE du groupe Fnac Darty. Il nous raconte comment l'entreprise place les enjeux environnementaux au cœur de son modèle économique, bien au-delà des simples discours. Ici la responsabilité n'est pas une simple case à cocher mais un véritable levier de croissance. Leader de la réparation en France depuis plusieurs années, le Groupe Fnac Darty mise sur un modèle durable : réparer plutôt que remplacer, informer plutôt que de culpabiliser, accompagner plutôt qu'imposer. Une stratégie gagnante qui renforce la confiance des consommateurs et séduit une clientèle de plus en plus engagée. Jules revient également sur son propre chemin : son réveil écologique, son envie de faire bouger les lignes et comment il a trouvé chez Fnac Darty un moyen concret de mettre ses convictions au service de l'action. Aligner ses valeurs avec son job ? C'est possible. Et ça change tout. Un échange percutant qui nous rappelle qu'acheter, c'est déjà s'engager. Prolongez la réflexion en (re)découvrant l'épisode précédent d'On The Way avec Bertrand Jelensperger, fondateur de la newsletter Les Cactus, qui donne accès à une information claire, sourcée et indépendante sur nos modes de consommation. Tous les épisodes sont disponibles sur vos plateformes d'écoutes préférées. Bonne écoute !Hébergé par Ausha. Visitez ausha.co/politique-de-confidentialite pour plus d'informations.

In this Greatest Hits Series episode, I chat with two of the sharpest orthodontic minds I know, Dr. Sean Holliday and Dr. Barry Glaser, to talk about aligners, efficiency, and tech in orthodontics.Sean runs a multi-location juggernaut in Hawaii. Barry's crushing it with a boutique-style practice in New York. Both have totally different models, but they've dialed in workflows that make remote monitoring sing.We dig into what's working, what's not, the most common mistakes (yeah, I've made some too), and how tech can help you see fewer patients per day while growing your practice.If you're struggling with finding good team members or just want a smarter way to scale… you've got to hear this.

In this episode, we'll cover the step-by-step process, from handling the aligner template and trying it in, to etching the tooth, applying the bonding agent with precision, and ensuring proper composite loading. We'll also discuss the curing process, the careful removal of the template, and the all-important step of detecting and removing flash for a seamless finish. Our guest is world-respected assistant and educator, Shannon Pace Brinker.

Transpirer dans une salle plongée dans le noir, avec la musique à fond et un coach déchainé.Chloé et son mari Jules vivent cette expérience pour la première fois chez l'iconique SoulCycle à New York. C'est un vrai déclic. En 45 minutes de séance ils réalisent que leur routine sportive à Paris ne leur correspond plus du tout.Aux US, ils testent différents concepts sportifs novateurs et détectent tout de suite l'opportunité business.Chloé quitte alors son poste de cheffe de projet chez L'Oréal pour s'associer avec son mari et lancer Punch Boxing : un mélange de boxe sur sac et de bootcamp, dans une salle sombre aux ambiances de boîte de nuit.Ils ouvrent 2 studios à Paris puis rencontrent Jonathan Garay et Nicolas Chabrier qui viennent d'acquérir Dynamo, le SoulCycle français.Ils décident de regrouper leurs marques pour créer Monday Sports Club et permettre à leurs clients de naviguer entre 3 sports (cycling, boxe et yoga) qui se complètent.Le quatuor capitalise sur une tendance grandissante qui délaisse la performance au profit d'une expérience inédite et galvanisante.Le concept séduit massivement. Résultat : chaque semaine, près de 15 000 clients se déplacent dans les 21 studios du groupe à Paris, Bordeaux et Marseille.Dans cet épisode, Chloé dévoile l'envers du décor :Pourquoi prendre le contre-pied de la performance et créer la nouvelle norme du "sport-ainment"La magie d'une communauté ultra-engagée et fidèlePourquoi bannir les abonnements au profit d'un modèle ”pay-as-you-go”Les coulisses d'une fusion réussie : gérer 4 associés aux visions divergentes en gardant l'expérience client comme seule prioritéSon plan pour conquérir l'EuropeDes success stories qui démontrent une vraie tendance de fond sur l'évolution du marché du sport urbain. Un échange passionnant avec Chloé pour comprendre les clés qui permettent d'avoir un coup d'avance sur son marché.TIMELINE:00:00:00 : Dynamo, Punch Boxing, Riise, l'histoire derrière tous ces lieux iconiques00:18:15 : Pourquoi les cours de sport classiques sont has-been00:27:33 : La recette pour s'accorder entre associés00:36:47 : Aligner ses intérêts à ceux de ses clients00:50:34 : Le fonctionnement bien huilé des 21 studios du groupe01:03:43 : “Notre plus gros client a fait plus de 3000 séances”01:12:16 : Ce qu'elle a appris chez L'Oréal01:25:37 : La figure cruciale du coach star01:42:52 : Développer la franchise à vitesse grand V01:55:15 : Miser sur des sports intemporels02:08:58 : Comment importer des concepts des US et récolter le gros lotLes anciens épisodes de GDIY mentionnés : #352 - Juliette Lévy - Oh My Cream ! - Se mesurer aux géants de la beauté, casser les codes des DNVB, et tout rafler#103 - Pierre Chappaz - Kelkoo & Teads - Tenir tête aux GAFA, les plus grandes entreprises de la tech#249 - Frédéric Biousse - Experienced Capital - Prendre la vie comme une partie de Monopoly#54 - Alexandre Prot  -  De McKinsey à QONTO (en passant par les cigarettes électroniques)#456 - Alexandre Prot - Qonto - Bousculer l'écosystème bancaire et s'imposer en référence européenne[Hors-Série REDBULL] - Christophe Coutal - Moorea Plage - « C'est moi le roi, pas le client » la légende de St-Tropez#256 - Alain Weill - L'Express, BFMTV - L'homme qui bouscule le monde des médias depuis près de quarante ans#460 - Sébastien Bazin - PDG du groupe Accor - Diriger un groupe coté en bourse sans ordinateur#373 - Benjamin Cardoso - The Polar Plunge - Faire de son corps une FerrariNous avons parlé de :Monday Sports ClubDynamo CyclingPunch BoxingRise YogaEutopia VCChloé BouscatelJonathan GarretJules BouscatelNicolas ChabrierMachines LagreeExpérienced CapitalAcquired - Starbucks avec Howard SchultzAlvo Market, plateforme de transmission d'entrepriseAssociation La Maison PerchéeHôtel Lily of the ValleyOthershipDocumentaire “2 semaines aux US pour comprendre le rêve américain”Podcast The Bold WayVous pouvez suivre Chloé sur LinkedIn et Instagram.Je vous ai négocié un code promo DOIT qui vous permettra d'avoir une réduction sur l'offre de bienvenue des studios Monday. Vous souhaitez sponsoriser Génération Do It Yourself ou nous proposer un partenariat ?Contactez mon label Orso Media via ce formulaire.Distribué par Audiomeans. Visitez audiomeans.fr/politique-de-confidentialite pour plus d'informations.

What happens when a general dentist becomes passionate about aligner therapy and sleep medicine? In this inspiring and eye-opening episode, Dr. Meghna Dassani welcomes Dr. Meenal Patel—friend, colleague, and fellow dental sleep advocate—to the Healthy Sleep Revolution Podcast. Dr. Meenal shares her journey from dental school to building a thriving private practice in Cary, North Carolina, with a strong emphasis on total patient wellness. Learn how she's using advanced technology, aligner therapy, and sleep-disordered breathing screenings to uncover the hidden signs of airway issues—and change lives. From investing in an iTero scanner to implementing home sleep tests, Dr. Meenal walks us through how she seamlessly blends aesthetics and function while empowering patients with knowledge. Whether you're a provider or a patient, this conversation will open your eyes to how much your smile and your sleep are connected. In this episode, you'll learn: How Dr. Meenal Patel began integrating Invisalign and sleep apnea treatment into her general dental practice The role of technology (like the iTero scanner and CBCT) in uncovering airway issues How to recognize red flags for sleep-disordered breathing during routine dental exams What the patient journey looks like—from crooked teeth to improved sleep Why education and awareness are game-changers for both adults and children How Dr. Meenal is gently introducing airway conversations into everyday dentistry The importance of connecting the dots between oral health and whole-body health About Dr. Meenal Patel Dr. Meenal Patel graduated magna cum laude with a Bachelor of Science (BS) in Nutritional Sciences at the University of Florida. She went on to earn her Doctor of Dental Medicine (DMD) degree at the University of Florida College of Dentistry. She completed her post-graduate training at the University of North Carolina at Chapel Hill in the Advanced Education in General Dentistry (AEGD) residency program. Highly regarded as a cosmetic clinician, she has advanced training in cosmetic dentistry, orthodontics, endodontics, prosthodontics, adult and children's sleep apnea, and dental implantology with additional certifications in Invisalign and laser dentistry. She has been awarded the prestigious Fellowship in the Academy of General Dentistry (FAGD) as well as Fellowship in the International Congress of Oral Implantologists (FICOI), the International Congress of Dentists (ICD) and the American Academy of Clear Aligners (AACA). She has also been appointed for the Pierre Fauchard Academy - a very exclusive invitation. Dr. Patel also serves as an adjunct faculty member at UNC Chapel Hill School of Dentistry. She has served as Fourth District President for the North Carolina Dental Society, Raleigh Wake County Dental Society, Vice Chair for the Council on Membership with the American Dental Association, and Study Club Leader for NC with the American Academy of Clear Aligners, for which she also serves on the board. Dr. Patel was named Triangle Business Journal's Top 40 Under 40 just a couple years ago. She has been the owner and founder of her award-winning practice in Cary, NC for nearly a decade. Prior to this, Dr. Patel was an associate dentist for a group practice in Charlotte, NC. Dr. Patel has enjoyed owning and growing her practice, Preston Dental Loft, a premier family and cosmetic practice. She has a particular interest in helping people grow their confidence through their smile; offering Invisalign to her patients has helped her achieve this in a big way. She is one of the only general dentists in the area as a Platinum Plus Invisalign provider! Dr. Patel is committed to enhancing her patients' confidence through personalized care and innovative solutions; she believes that your oral health is directly related to your overall wellness as a human!   Connect with Dr. Meenal Patel Website: https://www.prestondentalloft.com  Instagram: https://www.instagram.com/prestondentalloft/  Facebook: https://www.facebook.com/prestondentalloft About Meghna Dassani Dr. Meghna Dassani is passionate about promoting healthy sleep through dental practices. In following the ADA's 2017 guideline on sleep apnea screening and treatment, she has helped many children and adults improve their sleep, their breathing, and their lives. Her books and seminars help parents and practitioners understand the essential roles of the tongue, palate, and jaw in promoting healthy sleep.   Connect with Dr. Meghna Dassani Website: https://www.meghnadassani.com Facebook: https://www.facebook.com/healthysleeprevolution Instagram: https://www.instagram.com/healthysleeprevolution/ Youtube: https://www.youtube.com/channel/UC9Lh_n7xmbhQVPGQrSjBIrw Get a copy of Airway is Life: https://www.airwayislife.com  

Pour déverrouiller les voice notes exclusives, inscrirez-vous au carnet de la cosmopolitesse ici : https://buy.stripe.com/14k4gi5JQ6AQaMofVous aurez ainsi accès à tout l'historique des voice notes + celles à venir. Vous recevrez aussi 2 newsletters : une dédiée au beau et une autre dédiée au bon.

​​"The more popular you are on social media, the fewer friends you have." In this episode of the Tooth Order Podcast, Dr. Amanda Wilson returns to share insights on helping general dentists with clear aligner therapy and virtual consultations. From her journey in orthodontics to educating dentists on how to handle mild to moderate cases, Dr. Wilson discusses the benefits of clear aligner therapy, the use of digital tools, and the importance of proper education for general practitioners. Tune in to hear her thoughts on case management, overcorrection issues, and how she balances her professional and personal life. Meet Dr. Amanda Wilson, a San Francisco native whose journey in dentistry has taken her from the heart of the Bay Area to the beautiful shores of Honolulu, Hawaii. Dr. Wilson earned her dental degree from UCSF Dental School and went on to achieve her Master of Dental Science and Orthodontics Certification at the University of Connecticut. With over a decade of clinical experience, she has completed thousands of orthodontic cases, both fixed and removable. Driven by a passion for teaching and mentoring, Dr. Wilson transitioned into corporate dentistry, where she has spent the past few years as a Dental Director and Consultant for both national and international orthodontic companies. Her work focuses on innovative areas such as early treatment, functional appliances, aligners, and tele-dentistry. In 2016, Dr. Wilson saw a gap in orthodontic coaching services tailored for General Dentists and took the initiative to fill that need. She founded her own orthodontic management and coaching company, StraightSmile Solutions®, to provide guidance and support to her peers. Now living in Honolulu with her family, Dr. Amanda enjoys the vibrant local culture and outdoor adventures. When she's not working with clients around the globe, you can find her surfing, hiking, or leading her Cadette Girl Scout troop. She's also a proud USA Swimming Official, further reflecting her commitment to community and youth development. For more information and to connect with Dr. Amanda, check out her social media profiles: Instagram: @straightsmilesolutions Website: https://www.straightsmilesolutions.com/ YouTube: https://www.youtube.com/c/Straightsmilesolutionsortho If you made it all the way down here, hit a like and share a comment. Until next time, Peace out peeps! ✌️ _______________________________________  

MULTIVERSE CHALLENGE : L'EXPÉRIENCE IMMERSIVE POUR LES ENTREPRENEUSES MULTIFACETTES

Dans l'émission de ce mois-ci, je vous parle d'une habitude que j'ai prise pour garder ma vie alignée au fil des années, que ce soit au niveau des routines, habitudes, projets, loisirs, etc. Comment je fais pour adapter mon quotidien et remettre en cause ce qui ne me convient plus si nécessaire...→ Soutenez la production de ces contenus gratuits pour le prix d'un café ici : https://www.patreon.com/florieteller   → Notes : https://florieteller.com/cc217Boutique d'art & papeterie créative : https://cafeauxetoiles.myshopify.com/ La lettre créative et sereine du mois : https://cafeauxetoiles.fr/lettre/ Discord de Café aux étoiles : https://discord.gg/ytjReRaKmK Instagram : https://www.instagram.com/cafe_aux_etoiles/ Site d'artiste : https://florieteller.com/   Qui suis-je ? Je m'appelle Florie Vine, je suis une artiste plurielle & slow et la fondatrice de Café aux étoiles. Avec Café créatif, je vous parle de ma vie d'artiste, mes inspirations, des explorations qui m'ont menée ici et des idées qui m'émerveillent…Crédit musique : Teller of the Tales by Kevin MacLeod Link: https://incompetech.filmmusic.io/song/4467-teller-of-the-tales License: http://creativecommons.org/licenses/by/4.0/

Join me for a summary looking at remote monitoring in orthodontic clinical practice, and if it can improve, quicken and enhance orthodontic clinical practice. This podcast is based on an excellent webinar by Jonathan Sandler and Juan Carlos Varela, as part of the Angle-net webinar series. I discuss how Dental Monitoring works, the proposed advantages and a review of the emerging research on this innovation in orthodontics.  What is Dental Monitoring? AI software which assesses occlusal and dental changes through a series of intra-oral photographs taken by the patient using their smartphone  How does it work? Upload STL / digital study model Ai segmentation of teeth which maps digital study model to the photos Aligner fit analysis: Discrepancy between tooth surface and aligner fit  Either proceed, continue wear or see clinician Fixed appliances  Assess rate of movement and schedule appointment Other proposed benefits Oral hygiene assessment Breakages Retention changes What do patients think of it? Patients attitudes to remote monitoring 81% interested in reducing number of appointments due to telemonitoring – Dalessandri 2021 25% of patients found scans difficult to perform, with duration of scan 2-17 minutes Hansa 2020 Does it reduce appointments and make treatment quicker? Sangalli 2024 Decrease the number of in-office visits by 1.68–3.5 visits  No difference in treatment duration  No statistical reduction in emergency appointments Are treatment outcome better (aligners)?  No difference in tooth movements  Hansa 2021 No difference in number of refinements  Hansa 2021 PAR changes – no difference in quality of outcomes Jarad Marks 2024 Is oral health better?  DM reduced plaque scores Costi 2019 31% Improved hygiene  Manzo white paper Other innovations with remote monitoring? Remote STL files Scan taken without patient attending the practice  Scanbox  Formulate STL file and fit aligner in surgery Is Dental Monitoring accurate? Ferlito 2022 80% repeatability from 2 scans 44.7% repeatability and reproducibility  Discrepancy between scanbox and intra-oral scan varied between 0.5-1.9mm, angular measurements maximum error 8.9 degrees Conclusion 2-3 appointments less No difference in overall duration Some people struggle to use Accuracy and repeatability variable No difference in the quality of the outcome Areas which are of concern Unknown accuracy of occlusal assessments from a reliable retruded contact position Patient motivation maybe better delivered in person Ai environment cost 2-3% of energy used by data centres Other ways to reduce time? Diagnostic and treatment planning acumen Identify main aspect of malocclusion and address through efficient mechanics

Est-ce que ton emploi du temps reflète vraiment ce qui est important pour toi?Tu travailles dur, tu enchaînes les tâches… mais au fond, est-ce que tout ça est aligné avec ce que tu valorises au fond de toi? Beaucoup de professionnels et d'entrepreneurs se retrouvent piégés dans un quotidien qui ne nourrit pas leurs vraies motivations profondes.

Welcome to The Golden Age of Orthodontics, the podcast that keeps orthodontists ahead of the curve in innovation and patient care. Join hosts Dr. Leon Klempner and Amy Epstein as they explore groundbreaking advancements shaping the future of orthodontics. In today's episode, they welcome Dr. Neil Warshawsky, founder of Get It Straight Orthodontics, to discuss the transformative impact of direct 3D printing and digital workflows. Together, they delve into the revolutionary changes brought by this technology, from producing pre-polished clear aligners and nightguards to the role of teledentistry in enhancing patient care. The discussion highlights the environmental necessity of reducing waste through direct printing and recycling practices. There has never been a better time to be an orthodontist.IN THIS EPISODE: [5:20] Dr. Neil shares his background and contributions to orthodontics[7:11] Exploring the new wave of direct printing technology[17:06] Predictions for the future of aligners and direct printing versus thermoforming[24:33] The benefits of Ortho FX nighttime aligners[31:14] The role of teledentistry and the importance of patient comfortKEY TAKEAWAYS: Revolutionary 3D printing has transformed orthodontics by producing clear aligners and nightguards with pre-polished surfaces, streamlining the process and reducing waste compared to traditional thermoforming methods.The daily production of millions of non-recyclable aligner models highlights the need for sustainable practices, such as direct printing and recycling initiatives, to minimize environmental impact.Customization and patient-centered approaches in orthodontics are essential for achieving better outcomes. Leveraging innovative technology like teledentistry and custom-made appliances addresses diverse patient needs, including those with special requirements. Consistency and comfort are key factors for success with aligner therapy.RESOURCE LINKSPeople + Practice - Website Leon - EmailAmy - EmailPeople + Practice - EmailDr. Neal - EmailDr. Neal - LinkedIn

De vendeur de pièces d'or virtuelles à magnat des affaires à Bangkok, Théophile Eliet partage son parcours, ses erreurs onéreuses et sa stratégie pour acquérir des entreprises multi-millionnaires

Cet épisode explore comment créer un business aligné avec ses valeurs, permettant d'atteindre à la fois l'épanouissement personnel et la liberté financière. Nous discutons de l'importance de la marque personnelle, de la patience, et des stratégies pour harmoniser la vie professionnelle et personnelle. • Présentation du concept d'être payé pour qui l'on est • Importance d'une vision personnelle claire • Les étapes du parcours entrepreneurial vers l'épanouissement • Les pièges des contenus clicbait et l'authenticité • Rôle central de la marque personnelle dans le succès • Nécessité de patience et de temporalité pour la croissance • Importance de l'harmonie entre vie professionnelle et personnelle • Appel à l'action pour partager sa propre vérité et vivre authentiquementAccède à TOUT ce que j'ai appris en développant ma MARQUE personnelle de 0 € à 40 000 € par mois, dans la SANTÉ holistique, en seulement 5 ans : https://nomadslim.com/

In this episode, I chat with Dr. Steven Semaan, an Australian orthodontist who runs a practice that's 99% aligner-based.He shares how he transitioned into a full aligner model in a country where aligner adoption is still relatively low. Steven also shares the tools he uses, like dental monitoring and remote response, to run his practice more efficiently and create more time for himself and his patients.At one point, he got an award for being the #1 doctor in the world using dental monitoring.Not only that, but Steven is the mastermind behind iChew®, an innovative aligner accessory that patients absolutely love. It solves a lot of the issues with traditional chewies, and his patients can't stop asking for more!If you have issues with aligner patient compliance or scaling your practice efficiently, Steven drops some golden nuggets you don't want to miss.Ready to rethink how you run your practice and get inspired to innovate? Click play, and let's go!Key TakeawaysIntroduction (00:00) Dr. Steven Semaan's background and early career (00:58)Transition to orthodontics and early adoption of aligners (07:51)Transitioning to aligner-based practice (14:36)Embracing dental monitoring and remote response (21:15)Using AI tools like ChatGPT in daily workflows (28:38)Addressing compliance in aligner treatments (36:43)Importance of delegation in practice management (39:35)iChew® and its benefits (45:54)Additional Resources- Order The iChew®: https://www.chewly.com.au/- Remote Response: https://www.remoteresponse.com/—- Register for the OrthoPreneurs Summit 2025: http://opsummit2025.com/- For more information, visit: https://orthopreneurs.com/- Join our FREE Facebook group here: https://www.facebook.com/groups/OrthoPreneurs

Joining us on this Podcast Episode are some incredible guests who are shaping the future of dental practices. We have Nicole Yount, an executive coach and ortho specialist at Next Level Consultants, sharing her expertise on integrating orthodontics into general practice. Also joining us is Nick Greenfield, the CEO of Candid, introduces us to Candid Pro, a clear aligner system designed specifically for general dentists, promising predictability, efficiency, and profitability. And from Tacoma, Dr. Arvind Petri, a seasoned dentist who has transformed his practice with Candid Pro, offers a real-world perspective on how this partnership has been a game changer for his business.The episode kicks off with some really exciting news. We explore how CandidPro is tailored specifically for General Practitioner Dentists, offering a unique blend of technology and expert support that reduces the number case of office visits, enhances patient compliance, and ultimately boosts your practice's bottom line!CandidPro is specifically designed to help general dentists deliver predictable outcomes, work efficiently, and drive more profit per case. We'll hear from Nick Greenfield about the value this clear aligner system can bring to practices of all sizes and get a first-hand account from Dr. Petrie, who has already earned over $600k in revenue working with CandidPro.Learn More about  our SPECIAL OFFER by visiting the link below and connecting with CandidStart your CandidPro experience with over 30% off your first 3-4 cases and experience the difference!https://www.candidco.com/nxlevelWhether you're a startup looking to incorporate orthodontics from day one, or an established practice aiming to expand your services, this episode is packed with insights on how to leverage this innovative partnership to grow your practice. We'll discuss the importance of team training, clinical confidence, and how Candid's system can be a cornerstone in your practice's success story.0:00 Intro2:00 Introducing CandidPro Guest speakers7:10 What is Candid?  and Candid's Market Impact9:44 Why CandidPro is a Game Changer: Predictability and Efficiency12:30 A Dentist's Experience w/ CandidPro clear aligners17:18 Typical Pitfalls GPs Face Offering Clear Aligner Therapy26:08 How Does CandidPro Increase Revenue compared to Competition35:22 Candid's Partnership in Empowering Docs w/ Clear Aligner Therapy38:04 Team Integration: Rally the Troops Implementing Clear Aligners Therapy43:33 Why CandidPro is the Clear Solution.

Anne Ghesquière reçoit Arouna Lipschitz, philosophe de la relation, docteure en sémantique, écrivaine, essayiste et productrice. Quels rituels adopter pour aligner le corps et l'âme en conscience ? Comment instaurer ces rituels au quotidien quand on manque de temps ? Comment les adopter en fonction des saisons, de notre âge etc? Arouna Lipschitz nous offre ses conseils sains et saints pour mieux vivre en conscience. Son livre, Rituels d'énergie, coécrit avec Stéphan Jaulin, naturopathe, est paru aux éditions Le lotus et l'éléphant. [REDIFFUSION – BEST OF – MÉTAMORPHOSE]ATTENTION : ces informations ne remplacent en aucun cas une consultation chez le médecin.Recevez un mercredi sur deux la newsletter Métamorphose avec des infos inédites sur le podcast et les inspirations d'AnneFaites le TEST gratuit de La Roue Métamorphose avec 9 piliers de votre vie !Suivez nos RS : Insta, Facebook & TikTokAbonnez-vous sur Apple Podcast / Spotify / Deezer / CastBox/ YoutubeSoutenez Métamorphose en rejoignant la Tribu MétamorphoseLe podcast #236 a été diffusé, la première fois, le 1er novembre 2021.Avant-propos et précautions à l'écoute du podcast Quelques citations du podcast avec Arouna Lipschitz :"C'est le sacré qui met la cohérence entre l'esprit et le corps""Aujourd'hui, plus que jamais, il faut qu'on arrive à garder ce centrage, l'envie d'être en vie !""Notre corps, notre façon de rayonner la beauté est le vrai test d'une spiritualité incarnée"Thèmes abordés lors du podcast avec Arouna Lipschitz : 00:00 Introduction07:53 Réveiller sa conscience viscérale.13:08 La klamath pour renouer avec la nature.14:33 Mettre "un supplément d'âme" dans ses rituels du quotidien.17:48 Se guérir de la nostalgie d'ailleurs.19:20 Quels protocoles quand on ne trouve plus de sens à sa vie ?21:16 Un rituel de respiration puissant pour se reconnecter.25:14 Libérer sa respiration au service de l'amour.26:25 Comment s'abreuver de lumière ?30:33 Les rituels pour spiritualistes pressés.37:02 Le brossage à sec pour alimenter son capital douceur40:04 Les rituels d'entrée dans l'hiver.43:45 Comment cultiver sa maturité juvénile ?46:31 Pratiquer le rituel du bain de pieds.Photo DR Hébergé par Acast. Visitez acast.com/privacy pour plus d'informations.

Tu passes des heures à créer du contenu pour te faire connaître en freelance, pour trouver des clients en solopreneur, pour promouvoir ton podcast, ton livre, ta newsletter ou ta chaîne YouTube ? Et t'as pas le budget pour te payer un Community Manager ?Et si je te disais qu'il est possible de gagner un max de temps, sans sacrifier la qualité de ce que tu publies ?Dans cette mini série du Board, je reçois Mélanie Hong, experte en podcast marketing et créatrice de la Podcast Marketing Machine, qui partage ses meilleurs conseils pour transformer ton média en une machine à contenus scalable grâce à l'IA.Que tu aies un podcast, une newsletter, une chaine Youtube, un blog, tu vas apprendre à automatiser ta création de contenu pour avoir plus de notoriété, plus de visibilité, plus d'abonnés et plus de conversion (eh ouais, tout ça !).Ce que tu vas découvrir :

Tu passes des heures à créer du contenu pour te faire connaître en freelance, pour trouver des clients en solopreneur, pour promouvoir ton podcast, ton livre, ta newsletter ou ta chaîne YouTube ? Et t'as pas le budget pour te payer un Community Manager ?Et si je te disais qu'il est possible de gagner un max de temps, sans sacrifier la qualité de ce que tu publies ?Dans cette mini série du Board, je reçois Mélanie Hong, experte en podcast marketing et créatrice de la Podcast Marketing Machine, qui partage ses meilleurs conseils pour transformer ton média en une machine à contenus scalable grâce à l'IA.Que tu aies un podcast, une newsletter, une chaine Youtube, un blog, tu vas apprendre à automatiser ta création de contenu pour avoir plus de notoriété, plus de visibilité, plus d'abonnés et plus de conversion (eh ouais, tout ça !).Ce que tu vas découvrir :

Tu passes des heures à créer du contenu pour te faire connaître en freelance, pour trouver des clients en solopreneur, pour promouvoir ton podcast, ton livre, ta newsletter ou ta chaîne YouTube ? Et t'as pas le budget pour te payer un Community Manager ?Et si je te disais qu'il est possible de gagner un max de temps, sans sacrifier la qualité de ce que tu publies ?Dans cette mini série du Board, je reçois Mélanie Hong, experte en podcast marketing et créatrice de la Podcast Marketing Machine, qui partage ses meilleurs conseils pour transformer ton média en une machine à contenus scalable grâce à l'IA.Que tu aies un podcast, une newsletter, une chaine Youtube, un blog, tu vas apprendre à automatiser ta création de contenu pour avoir plus de notoriété, plus de visibilité, plus d'abonnés et plus de conversion (eh ouais, tout ça !).Ce que tu vas découvrir :

Tu passes des heures à créer du contenu pour te faire connaître en freelance, pour trouver des clients en solopreneur, pour promouvoir ton podcast, ton livre, ta newsletter ou ta chaîne YouTube ? Et t'as pas le budget pour te payer un Community Manager ?Et si je te disais qu'il est possible de gagner un max de temps, sans sacrifier la qualité de ce que tu publies ?Dans cette mini série du Board, je reçois Mélanie Hong, experte en podcast marketing et créatrice de la Podcast Marketing Machine, qui partage ses meilleurs conseils pour transformer ton média en une machine à contenus scalable grâce à l'IA.Que tu aies un podcast, une newsletter, une chaine Youtube, un blog, tu vas apprendre à automatiser ta création de contenu pour avoir plus de notoriété, plus de visibilité, plus d'abonnés et plus de conversion (eh ouais, tout ça !).Ce que tu vas découvrir :

Tu passes des heures à créer du contenu pour te faire connaître en freelance, pour trouver des clients en solopreneur, pour promouvoir ton podcast, ton livre, ta newsletter ou ta chaîne YouTube ? Et t'as pas le budget pour te payer un Community Manager ?Et si je te disais qu'il est possible de gagner un max de temps, sans sacrifier la qualité de ce que tu publies ?Dans cette mini série du Board, je reçois Mélanie Hong, experte en podcast marketing et créatrice de la Podcast Marketing Machine, qui partage ses meilleurs conseils pour transformer ton média en une machine à contenus scalable grâce à l'IA.Que tu aies un podcast, une newsletter, une chaine Youtube, un blog, tu vas apprendre à automatiser ta création de contenu pour avoir plus de notoriété, plus de visibilité, plus d'abonnés et plus de conversion (eh ouais, tout ça !).Ce que tu vas découvrir :

Quand les équipes ne sont pas alignées, tout ralentit.Les cycles de vente s'allongent, les efforts se dispersent, et les opportunités se perdent. Pourtant, un alignement fort entre sales, marketing et produit peut transformer votre croissance. Dans cet épisode, Gaspard Gros, Deputy Sales Director chez GymLib, partage des actions concrètes pour briser les silos et maximiser l'impact de vos équipes. Au programme : Pourquoi l'alignement est crucial pour la croissance Comment aligner les objectifs entre équipes Sales, Marketing et Produit Les outils, process et stratégies pour y parvenir L'intégration de l'IA dans les processus de vente Des conseils pour futurs managers Soutenez l'émission ❤ Abonnez-vous

Un acteur du monde du foot est l'accusé du soir. Il est ensuite défendu avant le verdict du juge

Tout savoir de l'actualité people et média, c'est tous les jours à 7h35, avec Antoni Ruiz sur RFM !

Welcome to The Golden Age of Orthodontics, hosted by Dr. Leon Klempner and Amy Epstein. In today's episode, we're thrilled to be joined by Dr. Maz Moshiri, a faculty member of Align Technology since 2013 and co-founder of the Aligner Intensive Fellowship. This online residency has helped nearly 5,000 orthodontists worldwide master the art of clear aligners. Dr. Maz dives deep into the future of orthodontics, sharing his insights on the latest innovations in aligner technology, the integration of AI and CBCT, and the critical role of balancing clear aligners with fixed appliances. He also provides a thoughtful discussion on Orthodontic Service Organizations (OSOs), weighing the pros and cons of joining one and highlighting the importance of choosing the right OSO for long-term success. Whether you're an industry veteran or a newcomer, this episode offers invaluable perspectives on staying ahead in the rapidly evolving world of orthodontics. Remember, there has never been a better time to be an orthodontist. IN THIS EPISODE: [2:51] Amy introduces Dr. Maz Moshiri, and he discusses the current state of clear aligners and customized digital braces [8:29] Dr. Maz shares his thoughts on AI and machine learning [13:47] Dr. Maz discusses the integration of CBCT[15:44] Dr. Maz discusses how graduates are prepared to enter the field of orthodontics and how he determines whether to use clear aligners or exercise the option of fixed appliances in his practice[22:19] Dr. Max shares his insights on the future of the OSO model and the importance of choosing the right OSO if joining is your decisionKEY TAKEAWAYS: Direct print aligners also allow you to vary the thickness of the aligner and defined areas, which changes the biomechanics and can increase stiffness. This is intriguing because it may make the aligners more effective clinically, potentially using fewer attachments.AI will not replace an orthodontist. For your patient to achieve the desired goals, you need the correct diagnosis and the doctor involved in tracking the progress.It is beneficial for an orthodontist to have several resources available to move teeth because one way does not fix all problems. Having options is also beneficial for a patient.RESOURCE LINKSDr. Mazyar Moshiri - EmailAligner Intensive Fellowship - WebsitePeople + Practice - Website Dr. Leon - EmailAmy Epstein - EmailPeople + Practice - EmailBIOGRAPHY: Dr. Maz Moshiri has been a faculty member of Align Technology since 2013. He co-founded the Aligner Intensive Fellowship, an online residency that has educated nearly five thousand orthodontists worldwide on the proper treatment planning and use of clear aligners. He is a Clinical Assistant Professor in the orthodontic residency program at the Center for Advanced Dental Education at Saint Louis University, focusing on clear aligners. He serves on the clinical advisory boards of Orthodontic Partners and as an Associate Editor for the Voice of an Expert column for the AJODO Clinical Companion. Dr. Moshiri is a Diplomate of the American Board of Orthodontics and a Fellow of the American College of Dentists, the International College of Dentists, and the Pierre Fauchard Academy.QUOTES: “I...