Podcasts about cbct

Join Elevated GP: www.theelevatedgp.com Free Class II Masterclass - Click Here to Join Follow @dental_digest_podcast Instagram Follow @dr.melissa_seibert on Instagram Dr. Drew McDonald is a board-certified orthodontic specialist renowned for his expertise in airway and temporomandibular joint (TMJ)-focused treatment planning, surgically facilitated orthodontic therapy (SFOT), and complex interdisciplinary care. He is based in St. Petersburg, Florida, where he leads McDonald Orthodontics, a practice dedicated to comprehensive, patient-centered orthodontic solutions. 

In today's Part 2 episode, Dr. Mark Costes and Dr. Paul "Nacho" Goodman dive deep into what it really takes to build sustainable, freedom-giving dental practices—and they don't hold back. The duo talks through the importance of proper associate onboarding, the risks of working interviews, and why most dentists are more willing to invest in a CBCT than a top-tier team member. Paul shares a revealing story about his wife's unexpected run-in with a trainee piercer, contrasting it with five-star staff training at Tavern on the Green.  They unpack how building redundancy and a strong "bench" in your practice can be the key to lowering stress and unlocking true lifestyle flexibility. The conversation also zooms out to big-picture business lessons from NFL salary caps and sushi masters, and touches on current hiring trends from Paul's work at Dentist Job Connect. EPISODE RESOURCES https://www.dentalnachos.com https://www.truedentalsuccess.com Dental Success Network Subscribe to The Dentalpreneur Podcast

Which imaging techniques should you prioritize for TMD patients? Does a panoramic radiograph hold any value?  When should you consider taking a CBCT of the joints instead? How about an MRI scan for the TMJ? Dr. Dania Tamimi joins Jaz for the first AES 2026 Takeover episode, diving deep into the complexities of TMD diagnosis and TMJ Imaging. They break down the key imaging techniques, how to use them effectively, and the importance of accurate reports in patient care. They also discuss key strategies for making sense of MRIs and CBCTs, highlighting how the quality of reports can significantly impact patient care and diagnosis. Understanding these concepts early can make all the difference in effectively managing TMD cases. https://youtu.be/NBCdqhs5oNY Watch PDP223 on Youtube Protrusive Dental Pearl: Don't lose touch with the magic of in-person learning — balance online education with attending live conferences to connect with peers, meet mentors, and experience the true essence of dentistry! Join us in Chicago AES 2026 where Jaz and Mahmoud will also be speaking among superstars such as Jeff Rouse and Lukasz Lassmann! Need to Read it? Check out the Full Episode Transcript below! Key Takeaways: Imaging should follow clinical diagnosis → not replace it. Every imaging modality answers different questions; choose wisely. TMJ disorders affect more than the jaw → they influence face, airway, growth, posture. Think beyond replacing teeth → treatment should serve function, not just fill space. Avoid “satisfaction of search error” → finding one problem shouldn't stop broader evaluation. Highlights of this episode: 02:52  Protrusive Dental Pearl 06:01 Meet Dr. Dania Tamimi 09:04 Understanding TMJ Imaging 16:00 TMJ Soft Tissue Anatomy  21:04 The Miracle Joint: TMJ Self-Repair 24:26 The Role of Imaging in TMJ Diagnosis 28:15 Acquiring Panoramic Images 39:35 Guidelines for Using Different Imaging Techniques 41:26 Case Study: Misdiagnosis and Its Consequences 45:46 Balancing Clinical Diagnosis and Imaging 50:17 Role of Imaging in Orthodontics 53:18 The Importance of Accurate MRI Reporting 58:27 Final Thoughts on Imaging and Diagnosis 01:00:54 Upcoming Events and Learning Opportunities

Join me for a summary of CBCT use inorthodontics, where I look into the current risk of cancer with CBCT use, the differenceit can make to treatment planning, and the 3 most common incidental findingsorthodontists should be aware of. This was one my highlight lectures from lastyears British Orthodontic Conference by Consultant Dental Radiologist, SimonHarvey.    How much radiation comes from dentalCBCT, medicine?Effective dose of modern machines:·      Dose from full DPT with adigital system = 20-25µSv·      KAVO, MoritaX800 4 x 4cm =16uSv·      FDA values of CT scans acrossthe boy from Lubar 1500uSv – Heart 16000uSvFACT 1 – effective dose in dental imagingare far below the rest of medicine Background radiation·      Terrestrial radiation·      Cosmic radiationo  Flight London – New York 56uSv– cancer UK ‘does not effect risk of cancer, even for frequent flyers', 4uSvper houro  Pilots do not have an increasedrisk of cancerUK 3000 uSv annuallyFACT 2 – EFFECTIVE DOSES IN DENTAL IMAGINGARE FAR BELOW THE NATURAL BACKGROUND RADIATION American Association of Physicist inMedicine AAPM“evidence supporting increased cancerincidence or mortality from radiation doeses below 100mSv is inconclusive” –cancer incidence and mortality from the use of diagnostic imaging are highlyspeculative, discourage these prediction of hypothetical harmFACT 3 EFFECTIVE DOSES IN DENTAL IMAGINGARE SO LOW, THEY DO NOT CAUSE CANCER Clinicians improved confidence andconsistency in treatment planning decisions.Impacted canine:·      3 radiographs -  namely occlusal view, opg , periapical  = still not confident about prognosis.·      CBCT = clear follicle and impactedcanine proximity to adjacent tooth, = easily make up the decision estimatingprognosis o  22%-44% change of plans Hodges 2013 Stoustrup 2024  change in treatment plans ofimpacted teeth. The majority related to change in planning, with approximately10-20% a change in exposure Vs extraction. Keener 2023  ·      Cleft – quantification of bonedefect volume for grafting and localisation of ectopic teeth·      Surgery – location of importantanatomical structures 3 Commonincidental findings for orthodontists·      Dense bone island- o  Radiopacity with no radiolucenthaloo  Mandibular premolar regiono  Harmless, may resorb roots ifcontact it·      Sinus mucosal thickeningo  Antrum floor intacto  Only concern if 5mm+·      Trabecular patterno  Around inferior dento-alveolarcanalo  No corticated boardero  normal in children, technicalreason is physiologic response as more RBC's are developing surrounding thatarea. Pregnant women –yes as not irridating pelvic reason, CBCT beam is horizontal so no risk Conclusion1.    CBCT superior for resorption,material change to treatment plans and improve confidence of the orthodontists2.    No recommendation for takingfull mouth CBCT instead of DPT ahead of starting every orthodontic treatment asroutine and x rays should never go hand in hand3.    Small volume CBCT does is solow it doesn't cause cancer

In this episode, we'll break down what to look for when purchasing a CBCT machine—and why the features a salesman highlights may not be the most important factors to consider. While we'll focus primarily on how CBCT enhances implant procedures, the reality is that this technology benefits nearly every aspect of dentistry, improving outcomes across a wide range of treatments. If you've ever wondered whether CBCT is the missing piece in your practice, stay tuned—we've got the insights to help you make the right decision. Our guest is Dr. Steven Vorholt, a board certified dental implant specialist who practices in Santa Barbara, California. He has taught over 1,000 dentists place their first implants and thousands more through lectures, webinars, and podcasts. He is the host of The Full Arch Podcast.

keywords:   periodontics, dental practice, AI in dentistry, corporate dentistry, private practice, dental technology, marketing strategies, pandemic impact, dental education, career journey, dentistry, AI, technology, dental practice, efficiency, personal stories, career, education, tools, future, Yvette Carrillo, Perio Princess, Serv Wahan, Dr. Wahan, Dental Influencer, Dental podcast, San Diego, New Mexico, CBCT,      summary:   In this engaging conversation, Yvette Carrillo, a periodontist, shares her journey from dental school to establishing her practice in San Diego. She discusses the challenges of starting a practice during the pandemic, the importance of technology and AI in dentistry, and the evolving landscape of corporate versus private practice. Yvette also reflects on her experiences in dental school, her near-death car accident, and the significance of networking and community in her professional life. In this engaging conversation, the speakers explore the integration of AI in dental practices, personal experiences in education, and reflections on life and career. They discuss the evolution of technology in dentistry, the importance of teamwork, and the future of AI as a tool to enhance efficiency and patient care. The dialogue also touches on personal anecdotes, including experiences in college and residency, and light-hearted rapid-fire questions about preferences and lifestyle.     takeaways: Yvette is the first periodontist on the show. She initially moved back to New Mexico after dental school but returned to California. Starting a practice from scratch is challenging, especially in a saturated market. Opening during COVID provided unique challenges and opportunities. Technology and AI play a crucial role in modern dentistry. Networking with other professionals is essential for success. The landscape of corporate dentistry is changing rapidly. Yvette emphasizes the importance of comprehensive patient assessments. She has a strong bond with her sorority sisters from dental school. Understanding business aspects is vital for running a successful practice. AI is becoming an essential tool in dental practices. Team collaboration enhances the use of technology in the workplace. Personal experiences in education shape professional growth. Finding the right AI tools can streamline workflows. AI can help manage mental load in busy practices. The future of dentistry is intertwined with technological advancements. Maintaining a work-life balance is crucial for success. Personal anecdotes can enrich professional conversations. Exploring new technologies can reignite passion for work. Sleep hygiene and personal health are important for productivity.   titles: From Dental School to Periodontics: Yvette's Journey Navigating the Challenges of Starting a Dental Practice The Role of Technology in Modern Dentistry AI and Its Impact on Periodontics   Sound Bites: "I love Perio so much." "What's the worst that can happen?" "I was a good patient." "I love my Surge sisters." "I highly recommend it." "I have a really good core team." "I can't take notes anymore." "I gave up caffeine." "I have the best sleep hygiene."   Chapters:   00:00 Introduction to Yvette Carrillo 01:01 Journey to Periodontics 03:30 Starting a Practice from Scratch 07:54 Navigating the Pandemic and Marketing Strategies 10:33 Technology in Dentistry 16:08 AI in Periodontics 19:33 Corporate vs. Private Practice 22:21 Business Training and Networking 24:31 Fraternity Life and Connections 26:00 The Role of AI in Dentistry 29:59 AI Tools for Efficiency 33:52 Integrating AI in Dental Practices 34:48 The Future of AI in Dentistry 37:01 Personal Reflections and Rapid Fire Questions

The DWD team interview Lindsay Janzen RDH on the subject of the Digital Hygienist and her career Journey from chair-side to lecturer.

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  

In this episode of the Smarter Not Harder Podcast, Dr. Cody Kriegel takes us deep into the world of biological dentistry — a rapidly growing field that connects oral health with overall wellness. From root canals to cavitations, mercury fillings to ceramic implants, Dr. Cody shares his clinical experience, personal journey, and powerful patient transformations that reveal just how interconnected your mouth is with the rest of your body. You'll also hear why he believes traditional dentistry is due for a major paradigm shift, and how modern technology like CBCT, PRF, and laser therapy are revolutionizing oral care. Join us as we delve into: + How root canals can lead to chronic inflammation and systemic issues + What cavitations are — and why they're more common than you think + Ceramic implants, ozone, and PRF: the future of minimally toxic dentistry + Real-life stories of healing after dental detoxification This episode is for you if: - You've had a root canal or metal fillings and wonder how they may affect your health - You're interested in a more integrative, biologically sound approach to dentistry - You struggle with unexplained chronic symptoms and want to explore overlooked causes - You want to know what questions to ask your dentist to make smarter, safer choices You can also find this episode on… YouTube: https://youtu.be/hjhstA75So8 Find more from Dr. Cody Kriegel: Vios Dental: https://viosdental.com/ Vios Dental Instagram: https://www.instagram.com/vios_dental/ Dr. Cody's Instagram: https://www.instagram.com/codykriegeldds/ Find more from Smarter Not Harder: Website: https://troscriptions.com/ | https://homehope.org Instagram: @troscriptions | @homehopeorg Get 10% Off your purchase of the Metabolomics Module by using PODCAST10 at https://www.homehope.org Get 10% Off your Troscriptions purchase by using POD10 at https://www.troscriptions.com Get daily content from the hosts of Smarter Not Harder by following @troscriptions on Instagram.

Join me for a summary of recent long-term research of resorbed teeth due to impacted canines. This podcast is based on an excellent lecture by Julia Naoumova delivered at last year's British Orthodontic Conference. Part 2 with focus on the prognosis of resorbed teeth from impacted canines, and follows on from part 1 with explored outcomes of open Vs closed exposures of impacted canines – see here for part 1.  Root resorption of incisors reported at 19-67% Erikson 2000 Walker 2005, Mitsea 2022Anna Dahlén and Julia Naoumova 2024 retrospective CBCT study n =27 incisorsMean   Follow-up average 9 years (5.5-14.6)Patient reported outcomesSurvival 100%Horizontal grade 3 moderate resorption n=17  (resorption inner dentine not involve pulp moderate)Horizontal grade 4 severe resorption n=12 (pulp exposed severe)Vertical grade 3+ severe resorption n=7 (resorption 2mm-1/3rd moderate)oVertical grade 4 extreme resorption n = 1  (resorption 1/3rd +)No significant difference in any grade of resorption long term of the following:Symptoms Mobility and ankylosisDiscolourationIncrease gingival pocketing but not clinically significant RR horizontal changes with time No change 81%Worse 4%Improve 15%RR vertical changes  with timeNo change 43%Worsen 57%Expected as had orthodontic treatment as wellPrevious research 1-23 years Survival 93-100% Falahat 2008 , Bjerklin 2011, Becker 2005, Jönsson 2007Jönsson 2007 showed grade 1 mobility when root length < 10mm Conclusion:Extraction of asymptomatic based purely on root resorption should be routinely performedPaper by Anna Dahlén and Julia Naoumova 2024 Longitudinal study of root resorption on incisors caused by impacted maxillary canines—a clinical and cone beam CT assessment https://doi.org/10.1093/ejo/cjae052

Welcome back to our weekend Cabral HouseCall shows! This is where we answer our community's wellness, weight loss, and anti-aging questions to help people get back on track! Check out today's questions:    Snaz: Hi Dr. Cabral. I am located in Southern CA in an area impacted by fires. The air has been very ashy. When the farmers market reopened after the initial crisis had passed, I had gone shopping at the market and then I was washing my veggies and started to think about how this toxic ash may end up in our food being grown in the region. What if anything can or should we do to prevent the body from absorbing these additional toxins? I can remember "smoky" vintages of wine from previous fires. This obviously ends up in our food system through direct settling on the produce or absorption in the soil. Is there anything extra we can do to protect our health from this additional source of toxins? Or just all of the usual things you talk about? Thank you for your thoughts.                           Gemma: Has the Dr Cabral practice ever worked with Milky Oats (avena sativa)? I see that it is often used for anxiety (amongst other things such as alcohol or drug recovery) but I would like to understand if you have seen this work in practice and if its worthwhile as its quite an expensive herb. Pub med is hinting that it got good results but theres a lot of science in that report! It behaves differently from other herbs for anxiety as other herbs such as passionflower seem to make you sleepy and switch off your brain. I dont quite understand the science behind this one but you take it every day, no sleepiness, no withdrawal symptoms if you forget….seems like a wonder herb in theory. And apparently can also lower cholesterol as an added bonus! Why isn't half the population on this?                        Michael: Hi Dr. Cabral, Thank you for everything you do. My question is regarding cone beam CT scans at dental offices. What is your recommendation for having this imaging done? I'm 38 and had all 4 of my wisdom teeth pulled about 5 years ago. I've had a history of bad oral health that I've been working on. I've also had some intermittent jaw/facial symptoms on one side of my face for the last year or so. I recently started to see a holistic dentist and the CBCT is an option. My worry is the radiation with CT scans.                                                                                                                                                             Michael: Hi Dr. Cabral, I have a question regarding regular sauna use. I've read a lot about the benefits of multiple sauna sessions per week. I have used a dry sauna at a local gym regularly for a couple of years. I recently purchased a sauna blanket from Higher Dose for the convenience of not having to travel to the gym every day. I do sweat a lot using the sauna blanket especially when I use it after a workout. Is there more of a benefit from a sauna that you're inside of and breathing the warm air, or does the benefit simply come from warming the body to the point of sweating which is still provided by the sauna blanket? Thank you for taking the time to answer everyone's questions!                                                  Belinda: Hi doctor Cabral, I was wondering if you could help me with the following: every morning, I have a large, wel-formed, normal bowel movement, but in the afternoon, I feel the urge to go again, but I'm only able to pass a small amount of stool. I'm experiencing bloating and gas, and I feel like I should be able to have a more complete bowel movement. I'm eating a healthy diet with plenty of fiber, drinking enough water, and I recently completed a cleanse, but my symptoms haven't improved. Could you please provide some insight into what might be causing these issues? Really grateful for your help here. Thanks so much! Belinda         Thank you for tuning into today's Cabral HouseCall and be sure to check back tomorrow where we answer more of our community's questions!    - - - Show Notes and Resources: StephenCabral.com/3312 - - - Get a FREE Copy of Dr. Cabral's Book: The Rain Barrel Effect - - - Join the Community & Get Your Questions Answered: CabralSupportGroup.com - - - Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - Get Your Question Answered On An Upcoming HouseCall: StephenCabral.com/askcabral - - - Would You Take 30 Seconds To Rate & Review The Cabral Concept? The best way to help me spread our mission of true natural health is to pass on the good word, and I read and appreciate every review!  

Latest episode of Elvis on the Dental Fuel Podcast. Apple Podcasts: https://podcasts.apple.com/us/podcast/elvis-dahl-expert-advice/id1683707577?i=1000694735080 Spotify: https://open.spotify.com/episode/3NlBYj36UshcFJveOezQkt?si=ZHAOnrZHTmeyEJcHiwCq5Q Thanks to the AMAZING people at exocad (https://exocad.com/ids), Elvis and Barb will be recording for the first time at IDS in Cologne, Germany (https://www.english.ids-cologne.de/). March 25 - 28 in Hall 1, booth A040/C041. Come see us, be on the podcast, and see all the amazing things exocad is doing for your lab! This week had the pleasure of speaking with Vladimir Roman, a dental lab owner based in Florida, who shared his unique journey into the dental industry. Vladimir's story is not just about his career; it's a testament to embracing change and innovation in a field that is constantly evolving. Vladimir began his journey in the military, where he discovered the existence of dental labs while pursuing a career in the Air Force. Initially focused on aviation, he found himself drawn to the dental field, ultimately leading to a fulfilling career in dental technology. His experience in the military provided him with a robust training foundation that he has built upon throughout his career. One of the key themes of the conversation was the importance of collaboration between dental technicians and dentists. Vladimir emphasized that effective communication and teamwork are essential for achieving the best outcomes for patients. This collaborative spirit is what drives him and his team at Romanax Dental Lab (https://www.romanax.com/) to provide high-quality surgical guides and dental solutions. Vladimir shared insights on the evolution of digital workflows and the role of 3D printing in modern dental practices. He highlighted how technology has transformed the way dental labs operate, making processes more efficient and allowing for greater precision in patient care. The use of virtual assistants in his lab has further streamlined operations, enabling technicians to focus on their core tasks while ensuring that administrative duties are handled effectively. Vladimir's passion for education and mentorship shines through as he discusses the training programs he offers for both dental technicians and dentists. He believes that knowledge sharing is crucial for the growth of the industry, and he is committed to helping others learn about surgical guides and implant planning. Take it from Laura Prosser, the digital marketing manager for Ivoclar North America (https://www.ivoclar.com/en_us). She would like to invite you to start following them on Instagram. It's your chance to obtain exclusive updates on product announcements, industry news, upcoming educational events, and heartwarming stories about our local team and industry professionals. Let's get social together. Simply start following us on Instagram @Ivoclar.na (https://www.instagram.com/ivoclar.na/). We'll see you there. Make sure you visit Aidite (https://www.aidite.com/) at Booth E-26 during your visit at LMT Lab Day Chicago (https://lmtmag.com/lmtlabday)! They will be there showcasing their exciting new products and cutting-edge solutions in digital dentistry. Attendees can explore hands-on demonstrations of Biomic stain & glaze (https://www.aidite.com/detail/materials/Biomic_Stain_Glaze_130_2.html) techniques and some of their other innovative technologies. Aidite will also host engaging lectures in Grand Suite 2, East Tower, covering topics such as EZneer (https://www.aidite.com/detail/materials/EZneer_113_2.html), 3D Pro-Zir, (https://www.aidite.com/detail/materials/3D_Pro_Zir_111_2.html) Digital Dentures, and their Aidite Cloud design service (https://www.aiditecloud.com/). Even before you go, you can stay updated by following @AiditeNorthAmerica (https://www.instagram.com/aiditenorthamerica/) on all social media platforms. Don't miss the opportunity to see how Aidite is shaping the future of dental labs! Are you a dental lab in need of more talent to improve your bottom line and keep production on schedule? Are you a dental tech with great skills but feel you're being limited at your current lab? Well, the answer is here and this is precisely why WIN WIN GO (https://www.winwingo.com/) was created. The dental lab and dental tech community needed a place where labs and technicians can meet, talk about their needs and connect in ways that foster a win win outcome. As a tech. If you're ready to make a change, thinking about moving in the next year or just curious what's out there, sign up today. It's totally free. As a lab, you might be feeling the frustration of paying the big employment site so much and getting so few tech candidates. We understand they don't much care about our industry. WINWINGO.com is simply the best place for lab techs and lab owners to actively engage in creating their ideal future. WINWINGO.com, how dental techs find paradise. Special Guest: Vladimir Roman.

Running a practice comes with its challenges, especially when it comes to efficiency and costs.One of the areas where we can be more efficient and save costs is by directly printing aligners in our offices.In this episode, I sit down with Mark Bacino from Voxel Dental and Nate Hudson from Renew Digital. Mark dives into how Voxel's partnership with Lux Creo is changing the game with direct-print aligners. No more models, no more thermoforming. You can print a full set of aligners in about two hours; how cool is that?Nate gives us the lowdown on CBCT tech and why certified pre-owned CBCTs are becoming a smarter investment than new 2D systems. We also chat about how these digital advancements help orthodontists offer faster, more efficient treatments, including same-day sleep appliances.If you are looking for ways to streamline your workflow and cut costs without sacrificing quality, this is the episode you don't want to miss.Go ahead - hit that play button. You'll thank me later!Key TakeawaysIntroduction (00:00)Meet Mark Bacino (02:36)Meet Nate Hudson (03:42)Overview of Voxel Dental's direct-print aligner technology  (11:11)Cost and efficiency improvements with Lux Creo systems (16:30)The role of CBCT in modern orthodontics (23:15)Consultative approach to selecting digital solutions (35:01)Cross-specialty opportunities with EMA sleep appliances (39:26)Contact information for Voxel and Renew (40:19)Additional ResourcesContact Nathan HudsonPhone Number:  404-418-8753 Email: nathan@renewdigital.comContact  Mark BacinoPhone Number:  469-525-0791 Email: mark@voxeldental.com----Voxel Dental – Technologies for digital orthodontic solutionsRenew Digital – Certified pre-owned CBCT and other digital solutionsLux Creo – Dental 3D printing technology—- 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

DWD team interviews Dr. Tom Shackleton on Digital technology for Endodontics and pain management. CBCT and Digital Impressions play a key role in Diagnosis and treatment planning. The concept of digitally planned endo "surgical" guides are also discussed.

In this episode of the Very Dental Student Podcast, Mo talks with Kevin and Zach to discuss endodontic procedures, comparing dental school protocols with real-world practices. They delve into a step-by-step walkthrough of an endo procedure on a premolar, highlighting key differences and offering valuable insights for dental students and new dentists. Key Takeaways: CBCT is Your Friend: While PAs and bitewings are helpful, a CBCT scan provides a 3D view of the canal system, acting as a "GPS" for navigation. This is especially crucial for molars and complex premolars. Begin with the End in Mind: Always consider the final restoration (likely a crown). Take a pre-op impression before starting the endo to simplify temporary crown fabrication. Quadrant Isolation: Isolate more than just the tooth being treated with your rubber dam. This provides better orientation and access for both endo and crown prep. Flat Top that Tooth: Reduce the occlusion and flatten the tooth before accessing the canals. This improves visibility, access, and post-op comfort. Lubricate Early and Often: Use RC Prep on your files before entering the canals to prevent pushing debris apically and to aid in lubrication and chelation. Hypochlorite Timing: Introduce sodium hypochlorite after establishing working length to avoid pushing debris and potentially blocking the canal. Secondary Rinses: Use EDTA or a similar product (like Smear Off) to remove the smear layer created by sodium hypochlorite before obturation. Sealer Coating Technique: Coat the canal walls with sealer by running your files in reverse. This ensures a more thorough and even distribution. Post-Op Comfort: Even if a crown is planned, taking the tooth out of occlusion can improve patient comfort and reduce post-op complications. Posts - Controversial but Sometimes Necessary: While posts are less common today, they can be valuable in certain situations, particularly for premolars and anterior teeth. Crown Prep Under Rubber Dam: While unconventional, prepping crowns under a rubber dam can be done effectively with practice and proper technique. Join the Very Dental Facebook group using the password "Timmerman," Hornbrook" or "McWethy," "Papa Randy" or "Lipscomb!" The Very Dental Podcast network is and will remain free to download. If you'd like to support the shows you love at Very Dental then show a little love to the people that support us! -- Crazy Dental has everything you need from cotton rolls to equipment and everything in between and the best prices you'll find anywhere! If you head over to verydentalpodcast.com/crazy and use coupon code “VERYDENTAL10” you'll get another 10% off your order! Go save yourself some money and support the show all at the same time! -- The Wonderist Agency is basically a one stop shop for marketing your practice and your brand. From logo redesign to a full service marketing plan, the folks at Wonderist have you covered! Go check them out at verydentalpodcast.com/wonderist! -- Enova Illumination makes the very best in loupes and headlights, including their new ergonomic angled prism loupes! They also distribute loupe mounted cameras and even the amazing line of Zumax microscopes! If you want to help out the podcast while upping your magnification and headlight game, you need to head over to verydentalpodcast.com/enova to see their whole line of products! -- CAD-Ray offers the best service on a wide variety of digital scanners, printers, mills and even  their very own browser based design software, Clinux! CAD-Ray has been a huge supporter of the Very Dental Podcast Network and I can tell you that you'll get no better service on everything digital dentistry than the folks from CAD-Ray. Go check them out at verydentalpodcast.com/CADRay!    

Kiera points listeners to where opportunity for hidden savings or additional value could be lurking in your profit and loss statements. Episode resources: Subscribe to The Dental A-Team podcast Join Dental A-Team Consulting Leave us a review Transcript: Kiera Dent (00:00.942) Hello, Dental A Team listeners, this is Kiera. And today I just want to have a really fun podcast with you. I want to talk about some possible ways of hidden value, how to trim some fat in the practice. think these are just some fun things that I don't think we often think about that really can actually add pennies, dollars, Benjamins, thousands into your pocket with minimal effort. As always, thanks for being a part of our Dental A Team podcast family. I adore you.   I appreciate you. If I was with you right now, I'd be telling you, you're doing way better than you think you are. And my mission is to positively impact the world in the greatest way possible. Life is my passion. Dentistry is my platform. And I am here to infuse you with positivity of tactical tips of sharing how you can be living your best life. Life, the life you were destined and meant to live and doing it through dentistry because I'm obsessed with helping you guys give back to people, share with people and become who you were ultimately meant to be. With that, you're loving this podcast,   Go leave us the review, share this with someone because for me to get this into the hands of every single person, every single dentist in this world, I need your help to do it. So please truly go share, share this with someone. And today let's start talking about ways that we can trim the fat, find the hidden value of just little things that we might not be thinking about. My husband does this. He is the guru in our family of looking at our expenses and figuring out what things are we not doing.   of just little tiny things of hidden fees. So you can do this in your personal life and your professional life. And something my husband and I were talking about is we don't have this on a set cadence, right? And so how can we set this on a set cadence? So if you're using a software, our company uses ClickUp. I would not recommend it for most practices. I usually recommend Asana or Trello or Basecamp. Asana is my go-to. Monday.com is another great one. Those are all really good ones, but put this as a reoccurring task. So every year we actually look at these things. And then I do set as a reoccurring task.   every single quarter. My bookkeepers know, so email your CPAs today. Hello, CPAs. Super excited to talk to you. I need you to send me a detailed P &L at the end of every single quarter. I set up myself reminders in my inbox. You can set it up in your project management software, whatever it is, but have a reminder to review your P &L. And I think review your business P &L and your life P &L every quarter. And if you go through every single line item, you will find little areas, but a few things for you today of hidden costs, hidden value, things that you could be doing.   Kiera Dent (02:20.834) Number one is your insurance. My husband, he's a pharmacist and we have disability insurance, we have life insurance, and there will actually come a point in time, potentially, that you actually no longer need this insurance. For dentists, I'm strongly advocating for you to always carry your disability insurance in case anything happens. I've had so many dentists actually have fluke weird things, like I had a dentist in their 30s have a stroke, I had a dentist in their 20s get cancer, I had a dentist who had tingling in their hands and they actually have   something in their neck, you never know when something weird is going to happen in dentistry. Your hands are really what are going to be able to make it to where you can be successful in your career. but assessing it. I know for us with our our insurance, it's usually we do a lot of research when we buy our cars or our house or our practice or we're getting out of school, but then we never go and reassess it. And so check to make sure are we really like are we paying more than we should be?   Is there a better carrier out there? Are there new people on the market that could be better for us? And just go check instead of just paying that premium every single month, go and look, can we trim the fat? And I know this sounds annoying and you're like, gosh, I don't want to do it. Delegate this to someone, have your managers look into it for you if you want to. But the point is look to make sure that we're not just passively paying our insurances, but we're actively looking to make sure, are we getting the best rates? Are we getting the best fees? Could we negotiate our lease and our rent? That's another zone.   all the different areas that we've negotiated, let's make sure we're looking back. And I think insurance is a really, really big one. The next one is internet. Internet goes up on us, cable, our subscriptions. Can we get those discounted? I know a lot of times with insurance, give you a promo, or excuse me, internet. They give you a promo for a while. And can you cancel it and restart it? Please do it on a weekend. We do not want it disrupting patient care. But can we cancel it and actually get reduced fees? And I know it doesn't sound that great. It's like, OK, well, maybe I could get 50 bucks.   Well, 50 bucks over the course of a year is 600 bucks. And so if we look at that, I know 600, you're like, but Kiera, we're doing like 4 million. I agree with you, but $600. It's the principle of continually looking for where can we trim the fat? So we're always staying at our peak because we never know. And so we're always looking at these things, trimming little hidden costs. These things add up. So let's say we're able to save $200 on our insurance. We're able to save 50 bucks on our internet. Then the next one is credit card fees.   Kiera Dent (04:44.834) I'm going to be a huge advocate for you looking at credit card fees and not just being like with the person that you started the practice with. Credit cards are notorious for tacking on these extra additional fees that you don't even know what they are to where you're paying 7 % on your credit card transactions. That's ludicrous. There's companies like Bestcard or Moolah. can definitely, we have affiliate relationships with them that we can connect you with and you can get the best prices and promos with them. You get terminals for free. You should be paying...   two to three percent max on your credit card transactions. And so when you look at that, paying an additional four percent on credit card transaction fees, that is so much. So let's say you're a four million dollar practice. OK, let's say that you let's actually I'll just do two million. OK, let's come down a little bit. So a two million dollar practice, you transact all of that and we're paying an extra four percent. That's an additional eighty thousand dollars just because we weren't wise stewards over and like looking to trim the fat.   looking at these items. This is where we look at it. Every single month my credit card company sends it to me. You can send it to your manager. Do the quick math. How much was it? How much of that percentage did they take out? Because it doesn't seem like a lot. But what is the true percentage? For me, I try to average 2.7 to 2.9 because we don't take actual cards. You guys actually do a lot of actual cards in the practice. I know you have a lot of cards on file. What can we do to get that reduced down? And there's also companies like Dental Merchant Advocate that can actually go through your credit card statement, see how they can save.   They do a 50-50 split so they take 50 % of the savings and you get 50 % of the savings So it's a great company They can reduce it for you But also go and look at these other companies and see could you also reduce your own fees for you? So look at that look to see look at the credit card fees. What are you being charged for me? I also have a bunch of credit cards that charge me annual fees Could we be getting the same points or better points from other credit cards? Of course talk to your financial advisors because I know opening and closing credits can actually hurt you and help you depending upon how you do it   But are there other ones that you could be doing that would actually give you better rates, give you better return? Being just intentional with the credit cards. We put so much money on our company cards. Are we still in the best credit card for our business and for the savings that we could be getting? Or are they charging us? Again, we don't fall in love with it. Things change. So let's make sure we're always being so strong. Same thing with your labs. Are there better labs out there? Are there better supplies out there that we could go and work with? I know that there's some great companies like Ordo, O-R-D-O.   Kiera Dent (07:09.114) They can actually get you reductions on your supplies. I know you love your suppliers and I'm not here to say not to, but there are better ways to do it you can actually save a lot of money. There's buying groups. If you want some help, email me Hello@TheDentalATeam.com. You can literally work with your same exact suppliers, but you can save exponent. Like we're talking thousands and thousands and thousands of dollars. To me, these are the simple things that put money in your pocket. And like we said, $200 on our insurance, 50 bucks here, 80,000 with our credit card fees.   with our supplies, a lot of offices are saving hundreds of thousands. Like I am telling you in the hundred thousand right there, we're up to 180,000. If we could save a hundred thousand on our supplies labs, getting a reduction without losing it. You could bring in a 3d printer and not have to pay for those night guards or orthotrains. Now, of course, make sure that you are trained and you're not hurting patients to try and cut costs, but there's a lot of things we can order. A lot of things. I have offices that order things on Amazon or different suppliers, but check to make sure that the fees haven't gone up.   because they do everything goes up and let's make sure that we're actually paying the best fees. And are there other people coming to the game that could be possibly just as good if not better. So looking for that. Other things, cell phones. I know this sounds silly. I've been with Verizon. my gosh. For like 20 years. I kid you not. And there's another cell phone company called Visible that's new to the market and they're $25 a month for unlimited data. I sound like I'm on a Visible commercial. $25 a month.   unlimited data, unlimited call, text, everything. And I watched for a while to see, they actually really good? My family has been on them $25 a month for a cell phone. And yet most of us are probably paying like 70, $80 a month for our cell phones. That's a simple switch. It runs off the Verizon towers. The only con is if you go out of the country, you do need to have a SIM card there. That's the only con they don't have international currently. I guarantee you they'll get there. But $25 just for cell phones. That's like,   right there, let's just do another 50 bucks for us. So we've got 200 for our insurance, 50 for our internet, 50 for our phones. That's $300 right there. That's 3,600 bucks that you like just in those simple savings, not to mention the 80,000 on credit card fees and the 100,000 on supplies. But this is where we trim the fat. This is where we're able to find little simple things. This is where we're good stewards. we can pay. I think it's always funny. I don't think about like gauze. If gauze is the exact same, but I could pay   Kiera Dent (09:35.962) $200 for gauze or I could pay 20 bucks for gauze. It's exact same, same packaging, same gauze, everything. It's not like the string gauze. Don't worry. I know that there are some better products out there that we pay for. But why on earth would I be paying 10 times the amount just because I wasn't willing to go and do some research? Now doctors, your time is very valuable. So I'm not going to say that these are necessary things for you to go do, but for your office managers, have them go look into this, have them do the research for this, but be intentional. I mean, you're spending money. Why don't we make sure we're spending it?   in the most effective way possible and keeping the most amount of money in your book and your in your pocket. This is how we keep profitability. This is how you're able to afford consultants. This is how you're able to afford coaches is how you're able to afford CBCT. This is how you're able to afford the CE and why not be smart with our finances. And I want to tell you, I believe that the best doctors that are good owners are the ones who fall in love with their numbers, who have the discipline of looking annually, quarterly.   They do a full financial review, a whole assessment. Take a look at these items. Look to see the hidden. We look at them like, we just don't feel like we have enough money. Well, I know $3,600 doesn't feel like a lot, but guess what? Every single month, that was $300. What if we could put those $300 to a team member and be able to hire somebody who has higher value? We maybe can't afford that hygienist because they want $47 and we're only paying 45.   Well, that $2 per hour might just got made up for because we just cut down our internet bill by just making one phone call. These little areas are where you become incredible practices. And so I just want to give you some ideas to get your brain stirring. If you have some good ideas of where you've trimmed the fat or some great resources or some great suppliers or some great dental pieces that you've been able to find, let me know, email me Hello@TheDentalATeam.com. I think it's always so fun to share with you the best ideas. That's why I love the podcast. That's why I love to consult because I love to   Share. love to bring our doctors together. I love our community that shares the best resources, how to get things cheaper, how to save money, looking for different ways to do it. Because if we can be better, we can hire better people. We can hire more team members and have them work in great places. We can grow your practice exponentially because we trimmed the fat in the areas that really it didn't make a difference. Our internet is same internet. We're just paying cheaper.   Kiera Dent (11:53.282) Our cell phone could potentially be better or worse. If you hate visible, I'm really sorry, but take a look at it. Like that's saving. You could put your whole family on it. Think of now, instead of just you, you've got four or five, six people saving 50 bucks a month. Well, now that's instantly a lot better deal than just yourself. So look at all these different things. Could you get like a Spotify plan and share it with family members and everybody's paying less? Could we get a Netflix family plan and be doing less? All those dollars, it seems like $2 here, $10 there, $5.   When you add it up every single month, I look at my credit card bill and it's usually for 20, 30, $40 Amazon purchases that add up to 2000, 4,000, 5,000, 6,000, 10,000 of $20 transactions. So why not get the $20 savings, the $30 savings, the $50 savings, more money back to you on things you're already using. You're just being smart with it. So like I said, if you've got other great ideas, send them on over. Hello@TheDentalATeam.com be smart.   Save money, get cash in your pocket. And if we can help you in any way, reach out Hello@TheDentalATeam.com And as always, thanks for listening. I'll catch you next time on the Dental A Team Podcast.

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

On today's episode, we dive into the key components of effective case planning and surgical workflows with Dr. Taher Dhoon, Dr. Daniel Briskie, and Dr. Mark Costes. The discussion covers advanced imaging techniques like CBCT, digital workflows powered by Exocad, and efficient data collection with TRIOS scanners. We also explore hands-on training opportunities at the Colorado Surgical Institute, including live surgical workshops, digital workflow programs, and IV sedation courses. From managing implant inventory to overcoming intraoperative challenges, this episode is packed with actionable insights to refine your surgical strategies. EPISODE RESOURCES https://www.coloradosurgicalinstitute.com/#1 https://www.truedentalsuccess.com Dental Success Network Subscribe to The Dentalpreneur Podcast

In this episode of The Full Arch Podcast, Dr. Steven Vorholt sits down with Dr. Steven Barnes to discuss how cutting-edge technologies like CBCT and AI transform the dental landscape. They also dive into Acteon's role in improving workflows and outcomes, providing valuable insights for dental professionals navigating the future of dentistry.     Key Highlights: CBCT for Better Diagnostics: Discover how Cone Beam Computed Tomography enhances diagnostics and surgical planning accuracy, revolutionizing outcomes for full-arch cases. AI's Role in Streamlining Workflows: Learn how artificial intelligence is helping dental professionals make better decisions, reduce inefficiencies, and improve patient care. Innovative Tools from Acteon: Steven Barnes highlights Acteon's advancements and their potential to reshape dental workflows and elevate the patient experience.    

This podcast focused on Case Acceptance in the Dental Clinic. We interview Andrew Gibson, North American speaker, on the pearls of creating an environment of trust and reducing fear in the dental exam. Techniques such as body language and co-discovery are discussed.

Tiff and Dana spell out how to avoid the crunch-time that always seems to crop up each December. They give advice on how to find the just-right daily metric for your practice, the power of adding procedure codes, how to get the whole team rallied for the cause, and more. Episode resources: Reach out to Tiff and Dana Tune Into DAT's Monthly Webinar Practice Momentum Group Consulting Subscribe to The Dental A-Team podcast Become Dental A-Team Platinum! Review the podcast Transcript: The Dental A Team (00:01.174) Hello, Dental A Team listeners. Dana and I are back at it today. We are bringing you some fantastic information today, if I might say so myself. Dana, thank you so much for being here with me. I know we both had calls. You've had a million calls.   a ton of clients and you had so many calls already this morning and you pop it on podcasts to just give away more information. So thank you for being here with me. Thank you for giving me this time this afternoon. What do you have going on this weekend? It's Friday for us right now. I don't know when this is dropping, if it'll be a Friday or not, but what do you have going on this weekend? Because I think the world needs to know. I was very excited and I'm going to need a picture of your outfit.   Dana (00:41.026) Thanks, I'm super excited. We are going to PBR tonight. It's one of my kids' most favorite things and I will say in Tucson they do it up. They do get a lot of the top bull riders across the country. So my kids are pumped for that and indoor fireworks and country music. so we are pumped. I know, was like in my morning Friday five, like, yee-haw everybody, I'm super excited.   The Dental A Team (00:56.384) Dang!   The Dental A Team (01:03.222) Yeah, I'm excited. My sister and I went to PBR a couple years ago. It was up here in Phoenix and it was fun. We were honestly we went as like, I don't know, it's something to do. But we were like hyped by the end of the night. It was like two hours like 10, 11pm. And I was like, what else are we doing tonight? Like, where are we going? So I was like your kids so I get it. And my feet hurt because I wore her boots and that was the wrong idea. So it's fine. It's fine. Well, you have PBR. I have my   Dana (01:22.946) Yeah, super fun.   Dana (01:27.746) You   The Dental A Team (01:31.946) tonight. You didn't get to hear that. I know. Mariah Carey's Christmas concert and I told the team this morning this is not meant to be political or offensive to anyone. This is just true from my heart. Mariah Carey is to me what Taylor Swift is to all the Swifties of the world. I am not. I I think Taylor's would just be fantastic. I do love her music. I think she's great but to me Mariah Carey is is that. So I'm excited.   Dana (01:49.584) Yeah.   Dana (01:57.614) I'll exchange pictures then.   The Dental A Team (01:59.958) Yes, yes, we'll exchange pictures. You got PBR, I Mariah Carey, we've got it on lockdown. This is going to be fantastic night. I hope all of you are doing something fun, whatever day this might be, that you're listening to this. I hope that the weekend that we recorded this, you did one of those two things if you're here in Arizona. And really, we're looking at, I mean, we're looking at fun things towards the end of the year. This time of year,   is wild. I feel like this weekend specifically I've had like 16 different things come up that people are like, can you do this, can you do that? I'm like, my gosh, plus I fly on Sunday and I'm like, I can't cram anything else into the amount of time that I have remaining for the year and this is the crunch time, the end of the year.   where things just get really, really, really wild. And we really try to cram as much as we can into the time that we have. So personally and professionally, we start doing this, we start seeing practice, you know, schedules get a little wild. And I really want to talk about today, how to make the most of that. So end of year crunch, end of month crunch, but also Dana and I were talking and I want to not just talk about it for December, for the end of the year, I want to talk about it for   forever, for every month. How can we make sure that it doesn't get to the end of the year, the last two months of the year, that we're like, holy cow, guys, we've got $60,000, we've got to make up, we're behind. And I don't want you guys to get there. I don't want you to feel that crunch. I want you to be looking at numbers more succinctly throughout the year so that you don't feel that stress, but.   We do get there. We do get there sometimes during the year, during other months. And I want you to also be prepared for what that can look like. And Dana, you had just this really fantastic plan.   The Dental A Team (03:45.908) that you've laid out that we use for a lot of our clients, all of our clients are doing it, where they should be. If they're not, slap on the wrist and talk to your consultant. Make sure you get it implemented. But I really want to hear, in your words, Dana, how you make sure that your teams and your doctors are constantly looking at those goals, that they don't have that weird crunch time, and they can accomplish what they're looking for.   Dana (04:08.067) Yeah, and I think like you said, you start off by really looking at those numbers throughout the entire year. I think we set them oftentimes in November, December for the following year and then we're like, well, we set them, we know what they are, that's it. And that's great that you know what they are, but continuing to look at them throughout the year and really to continue to look at is there a gap in any of them? And then we are...   The Dental A Team (04:19.774) Yeah.   The Dental A Team (04:23.178) Yeah.   Dana (04:33.858) pushing the needle or spreading the gap out for the rest of the year so that we are just doing our very best and we're staying on top of where we are in getting there.   Oftentimes when we set them in the beginning of the year, those are big numbers, right? They're big numbers and for the team to digest this, we walked through with a practice on our group consulting the other day and our consultant, Christy, just did a fantastic job of saying like, those are huge numbers and to team members sometimes we have to break it down into bite-sized chunks and what can we focus on every single day to get us there? And if we can take, let's say you set a $60,000 gap, if we can take a $60,000 gap and we can   The Dental A Team (04:49.62) Yeah.   Dana (05:16.256) break it down and say, guys, that is one crown a day. Boy, does that feel so much more doable to a team member than we've got to find $60,000. Right. And I love that you said not just in December, because December, like you and I were talking about, Tiv, is like a baby month this year, like where the holiday is placed and with the time off that happens in December and all the activities like December is such a tiny month this year. And so if we wait and we save and we say, okay, well, let's look at it in December, man, we have missed some   The Dental A Team (05:25.29) Yeah. Yeah.   The Dental A Team (05:32.416) Yeah.   Dana (05:46.16) opportunities throughout the year and all the other working days that happened before we got to the month of December.   The Dental A Team (05:51.034) Mm-hmm. Totally. I think that's brilliant and it's something that should be talked about like you said every day Really we should be looking at it especially when it's crunch time and I know I've had so many teams really rally At the end of the month when it is crunch time and not that they waited till the end of the month But they're like, okay guys like we're still needing this 10k Like where are we finding it today and teams will gamify it and they'll really rally around it   when they know what they need to gain, when they know how to win. So this kind of goes into that metrics conversation that we had on another podcast of really knowing how I can affect the metric on a daily basis. I love.   the idea of doing it and breaking that and what Christy said, like breaking a big goal down to something smaller. breaking that yearly goal down to quarterly, down to monthly, down to daily is huge. And I even have practices, I talked to one today that they were like, gosh, most of the days this week were fantastic, yesterday kind of sucked. But overall for the week, we were above goal. Fantastic. So it's from a monthly to a weekly to a daily. Like, as long as you're on track over the big haul, that's what matters.   I do have practices that almost focus too small and then I have practices that focus too big. The two big practices are like, okay guys, our goal is 250 this month and we're at 125, so let's keep going. It's like, okay, cool, but what else is left? And then I have practices that are like, we need $10,000 every day. So every day they're like, are we at $10,000, yes or no?   What they're not doing is what Dana's talking about is really looking at what was our goal minus what we've done minus what's scheduled, right? Divided by the number of days you have remaining because even if I'm at 12,000 of a $10,000 goal today, if I was at 8,000 yesterday and I'm not thinking about that now $2,000 gap between the two days, I'm $2,000 short at the end of the month and I'm like, wait, where did the money go?   The Dental A Team (07:47.338) well, there's a gap somewhere that was missed. So we've got to look at all of those metrics and figure out every single day, my daily goal might change. I have a practice that I was like,   Just I Extended them that was hard to get out I extended them one year past what I they thought they could do I knew they could do it right But they had like a nine thousand dollar a day goal They had three hygienists and they had one and a half doctors had a nine thousand dollar a day goal and I was like No, you guys you guys can do 12 and they were like   No freaking way. And I was like, we're doing it. We're freaking doing it. I'm going to tell show you how I'm going to tell you how to get there. I'm gonna hold you accountable. We're gonna do it. And they did. But then next week, I get a text from the front office gal, the treatment coordinator and she's like, I'm sad to say that was really easy. And I think I know because you just didn't know what you were capable of because we weren't looking at the numbers before you had no idea that you were surpassing $9,000 on the regular.   Dana (08:24.813) me.   The Dental A Team (08:48.694) You guys were already doing it, you just didn't know. So I put that $12,000 in, blew your minds, and now you guys are like, wait a second, this was really easy, actually, if we could do more. You totally can with the right scheduling, with the right pieces put into place, but if we're not looking at it, we have no idea where we can go. So taking those pieces throughout the month, on the fifth day, you might see, hey guys, we're actually not, we're a little bit behind, we need to add $2,000 each day. Great, our 9,000.   $1,000 goal is now $11,000 until we get above that. But looking at it every day and making sure we do know what that gap is. Dana, you talked on another podcast about, like we said at the beginning of this one, how the little things that we do every single day can add up to a big thing. So even as far as you mentioned attaching all of the procedure codes, right? So what have you seen in practices that you've worked with or worked in where it's like, gosh, guys, we're only $500 short or something, like we're looking at it.   But then it comes down to those simple things. What are some areas that you feel like practices miss that are easily made up when they've got a gap like that? Like just attaching simple codes. What codes are you looking at?   Dana (10:00.524) Yeah, x-rays for sure. Anything as far as adjunct services. Sometimes we're like, well, I'm just going to irrigate just this quadrant. Well, you irrigated them, right? Or bundling perio things so that our perio patients that get the best results also have laser or ozone or stellalight or all of the other perio adjunct services. Making sure that we're adding fluoride. Even I've got lots of doctors now that because fluoride helps crowns last longer are adding fluoride to all of their crowns.   they do the seat, they're administering varnish. Even coming up with, right, as we're seeing more of this fluoride pushback come out, you know what? There's a hydroxyapatite varnish. So let's have that in the practice so that even when we get pushback, there's still something we can do. So it really is just little, little things. And I use fluoride as an example because lots of patients can benefit from that or the hydroxyapatite alternative.   If we look at, say one hygiene day, average floor, will say is $30 for the varnish. We see eight patients in each hygiene column. If every hygienist even got 80 % of their patients, that's close to a thousand extra dollars every single working day. And it's something so small. You use the example of PAs and write PAs 12, $16. But if we're doing that routinely for all of our patients, that maybe we see a little bit something or maybe, you know, they're having some sensitivity here and we add that PA.   those things add up with the number of patients that we see each day. So little things like that really do have a huge impact.   The Dental A Team (11:36.16) Yeah, I agree. I think the PAs are so easy. And I think even on like a limited exam, we'll have a limited come in and they'll do a limited and a PA. But then sometimes the doctor's like, can you get a bite wing of that? Then you did a bite wing too, right? So making sure all those are put in there. And then I thought how many times when I've done billing and gone back through and I've seen crowns, and I'm like, so many crowns and do we really not do build ups? Doc's like, we always do a build up. What are you talking about?   I'm like, well, we've never charged for a buildup. These patients are just getting buildups all over the place. And those are like $185. I've seen it all the way up to almost $300 for a buildup.   Dana (12:07.81) Yeah.   The Dental A Team (12:17.174) Making sure that every code is attached is insanely important, not just to the billing representative because he or she desperately wants that information, you guys, but also to your bottom goal. And when you come in and it's like, guys, we're so close. Or when I get the calls from the teams and they're like, we missed it by 2000. I'm like, well, where was the 2000? Where did you lose it? Was it in buildups or PAs or was it, know, two more, can we have done two more occlusal guards? Like, where does that look like? really   winning your month and knowing how you're going to get there is huge and then I think you guys talked you said on that group coaching call which I love because those doctors are just freaking fantastic and they have so many excellent questions and ideas that they're sharing but you guys brought it so granular as to like what is the thing that's going to get us there so we might be $1,200 short what is that so that's a crown   That's two occlusal guards. That's a handful of fillings for certain patients. Really looking at, where can we make that up? Where do we have time in our schedule to make that up? Do I have assistive time that if I had two night guards come through, so two occlusal guards, I could have the scans or impressions taken? Making sure that it's super applicable and that we can see the result very easily, I think is super key. And then also flip side, Dana, I have a lot of...   a lot of hygienists that I'm like, take the scan in your room. If this patient needs a night guard and occlusal guard, take the scan in your room and then get that credit over there as well. Do you have a lot of hygienists that are doing scans and occlusal guard scans, like full mouth scans to show teeth shifting, all those pieces? Are you seeing that a lot?   Dana (14:00.61) Yeah, yeah, and I'm even seeing I had a hygiene team that they even started to build a whitening column in between their   re-care patients and they would both kind of just hop and run it and manage it together. And that was a fantastic boost in production. And sometimes too, is like doctors are hesitant. I just talked to another doctor and it was like, well, you know, I could do bone graft for membrane. And I'm like, why are you going to stop and think like, would this give this patient a better result? Maybe they're not interested in implant right now, but they didn't say no ever in the future. like, let's bone graft it and make sure that those bone levels are nice and healthy or why only popped a couple granules in there? No, that's a bone graft. So let's make   sure that we are accounting for it. So I think this is a team-wide thing. And if everybody can just be like, what is one little thing? What is one little thing that if I did consistently throughout my patient base, or if I added in one whitening patient, or combined as a hygiene team, we ran a whitening column, or our FDOT had their own column and they were doing sealants in a pediatric practice. Like what can we do? And there's oftentimes so many things. And if we put our heads together, we actually end up with this list and   The Dental A Team (14:37.78) You opened it.   The Dental A Team (14:46.176) Yeah.   Dana (15:07.44) we're like, okay, well, actually, where do we start of all of these things that we can do?   The Dental A Team (15:07.946) Yeah. Yes.   Yes, and putting your heads together on how do we implement this change moving forward and what's the verbiage to feel okay with it? Because I think also, we have a hard time sometimes charging for what we should get paid for. And we say constantly, charge for what you did, charge for what you did. So that means don't leave it off and charge for what you did, meaning don't charge the wrong code just because it feels better because it feels like less I know.   I love you all dearly, all of you who are doing this, but it needs to stop. Charging a pro fee for a perio maintenance, just do a perio maintenance. If this patient is a perio maintenance, if this patient has pocketing, if they have all the pieces that add up, they had SRP, they have all of those pieces, and you guys.   You guys, this drives me insane and I'm not a hygienist, so tell me if this is totally out of line. I am okay with it. Write me, email me, Dana, call me out on it now, I don't care. But it drives me insane when I see hygienists time over time over time say, okay, well, I'm going to do it this time. But really, it's if it's bad next time, still, I'm going to SRP, I'm going do a one to three or I'm going to go I'm going to have them do three profies. Because really, they need limited scaling. But I don't want to have   to tell them that or I think I can do it with the profis like my gosh I think we get caught up in not wanting to make a patient feel some certain way and we actually are doing them such a disservice in my opinion if I have perio tell me I have perio   The Dental A Team (16:42.036) But I need limited scaling because I have had a body change. My physical body has changed because guess what? I'm older than the last time I was here. I'm on different medications or supplements or my breathing changed. I lost weight. I gained weight. I stopped sleeping at night. So many things add up to changes in our mouth that we don't give credit to and then we charge for the lesser because we feel bad. We feel guilty. That's my assumption.   That's me putting an assumption into the world. But for the love of all things that are holy, I implore upon you, charge for what you're doing. If you do a CBCT scan, charge for that. If you do a panel, charge for that. Charge for whatever it is that you're doing and stop charging for the lesser just to pad something. Now, if you want to charge it out and you're like, hey, I don't want to charge you for this, then do a write-off.   Do a write-off so that you see how much of that you're writing off and giving away as well. Because when you charge a pro fee, when it should have been a perio maintenance, you're not seeing that $60 to $100 difference of money that you're writing off every month that you guys are owed because you did the work. That's my soapbox, Dana.   Dana (18:00.854) No, I will join you in that. I will agree with you. Same thing. I was even the classic hygienist who if you came with too much buildup, I would say I need to see you every three months instead of every six months. You're still a pro-fee, but you're just a heavier builder. And I only have an hour with you and I refuse to run 15 minutes into my next patient's appointment when I could see you more frequently. So...   Yeah, you do what your patient needs and if you're prepping the patient and if you're like, oftentimes you're like, well, they're just gonna be surprised or they're gonna be shocked that they need this this time. Well, no, because you build that into the entire appointment, right? You're saying these period charting out loud. You're making them say like, if you hear fours, hey, those are warning signs. If you hear fives, we're in a little bit of hot water territory here. So.   The Dental A Team (18:25.152) Yes.   The Dental A Team (18:39.051) Yeah.   Dana (18:49.64) have the conversations that are needed to be had, do the services that are needed to be done, and bill accordingly.   The Dental A Team (18:55.57) I agree. And doctors, the same thing goes to you for those buildups, for those x-rays, for those just to fix whatever it is. Charge for what you're doing. If you did a buildup,   put it in there. If it wasn't treatment planned as it was needing a buildup, then guess what? Have the conversation with the patient, hey, we weren't actually able to save it. We thought we were going to be able to, but once we got in there, it was a little bit deeper, a little bit bigger. And for the stability of this tooth and the longevity of your crown, the money that you are investing, we had to do a buildup.   Period. It's not that much, you guys. It is on the long run to you because if you're giving away 10 buildups, it's over potentially $2,000 a month, just charge for it. Do the right thing, charge for it. So that's not just a dig at hygiene. That is everyone. Charge for what you're doing, code for what you're doing. Make the best of your months by looking at what that gap is and how can we get there and then look back and think too.   How did we get here? Is it because we forgot to charge for things? We were missing things? Do we have open hours? Do we need to tackle something within the scheduling or the treatment planning? Really look at the trends of the practice, not just what can we add same day always. That's a huge benefit and something I want you to be looking at, but look at the trends that also got you there.   So take all this information our soapbox is done you guys we are stepping off of it. We are done for the day on that one. I hope you've gained some value there are some amazing tips within this we do work with clients constantly on these same pieces and if you have questions on what you should be charging for or shouldn't be we can help with a lot of those we don't know.   The Dental A Team (20:33.246) the legalities for every single thing but we do know how to look really hard and find information and help you out as best as we can. If we don't, we know the people who can help you and we will always direct you in that direction. So Hello@TheDentalATeam.com message us there, message us on socials, whatever avenue you want to take. Drop us a five star review below, let us know how much you loved this. Dana, thank you so much for joining me on my soapbox today and for all of the invaluable information that you had to share today. This has been so much fun.   Thank you. Awesome you guys can't wait to hear from you. I hope you have a stellar rest of your day and into the week or weekend whatever that looks like today while you're listening to this. We'll catch you next time.

The Status Scan discusses the use of Digital Impressions to help educate patients on their dental health and to monitor changes over time to their oral cavity.

Back By Popular DEMAND, Elvis & Barbara are excited to re-release two shirts (along with long sleeves and hoodies) to hopefully fulfill your holiday shopping. “Just say no to brushing”- idea and the denture is from Brittany Mitchell: https://www.bonfire.com/shirt-for-removable-techs/ “Don't pull out” features art work from Charlie Barbour at CIMBdesign: (https://www.redbubble.com/people/cimbdesign/shop?asc=u). https://www.bonfire.com/shirt-for-fixed-techs/ You should be able to both shirts in your cart if you want both…. And this time the podcast logo is on the back! Just a reminder that 100% of the profits get donated to the Foundation For Dental Laboratory Technology (https://dentallabfoundation.org/). With Barb off doing what ever ceramist do, Elvis has a nerdy implant conversation with Alan Banks from GuidedSMILE (https://guidedsmile.com/). Alan talks all about his history with Roe Dental Lab (https://www.roedentallab.com/) and how there have do THOUSANDS of guides using pretty much all the different planning software. Opening GuidedSMILE across the street allowed them to expand the guide services to other labs. Realizing the power of the RealGuide (https://www.realguide.com/en/home/) software, Alan worked closely with them to enable doing full stackable surgical guides and smiles all in one software with less clicks. Come get nerdy with us. Listen to John Wilson from Sunrise Dental Lab (https://www.sunrisedentallaboratory.com/index.php) and take your own lab to the next level by getting in on some of Ivoclar's End of the Year deals (https://www.ivoclar.com/en_us/campaigns/ivoclar-equipment-promotions-2024?utm_source=website&utm_medium=content_tile&utm_campaign=equipment_promo) on equipment. If you are looking for your first or looking to expand your capabilities, Ivoclar (https://www.ivoclar.com/en_us) has just what you need at a time where it's best to invest. Head over to Ivolcar.com or contact your local rep for all the deals today. Don't let the new year come thinking you should have bettered your lab. Special Guest: Alan Banks.

Join me for a look at CBCT and its use in the diagnosis of the transverse problem, and if it offers the solution to the debated topic. The podcast is based on a lecture by Chun Hsi Chung at this year's AAO and appraises established methods of assessment, the Curve of Wilson and the WALA ridge line through the lens of a CBCT, as well as how to use a CBCT to assess the maxilla and mandible, which although revealed an ideal measurement, may not be telling the full story. What is ideal? inclination  Curve of Wilson – CBCT study  Vertical distance buccal and lingual cusp, 1mm vertical difference  Buccal inclination upper 5 degrees Alkhatib 2017 Lingual inclination lower 12 degrees Alkhatib 2017 Andrews WALA ridge 2000 Bucco-lingual distance from crown ( FA point) to the most prominent portion of mandibular buccal alveolar bone (coincident with mucogingival junction) Hypothesised teeth over the basal bone , Glass 2019 1st molar = 2mm Ideal mandibular intermolar width FA – FA = WALA-WALA distance minus 4mm Normal width  CBCT CBCT age 13 N = 79 Miner 2012 Maxilla slightly smaller mid point molar root on lingual bone -1.22 +/- 2.91mm CBCT Age 22.7 years Koo 2017 Measure CoR furcation 1st molar Mx – Mn = -0.39+/- 1.87mm CBCT 56 adults normal occlusion  Lee 2022 PENN STUDY Buccal – buccal on crestal bone, furcation, 6s Lingual – lingual crestal furcation 6s Reliable reading on lingual aspect – buccal shelf bone prevents reliable readings Maxilla narrower than mandible -1 +/- 3mm Previous literature  Tamburrino 2010 describes  5mm cortical plate level of furcation buccal aspect, however Lee 2022 showed for males 1.1mm +/- 4.5mm and 1.6mm +/- 2.9mm Without cbct can transverse diagnosis occur? Models = lingual surface at furcation level (4mm vertical below gingival margin) maxillary width slightly narrower than mandible -2+/- 3mm Issue with CBCT for diagnosis Standard Deviation is large = +/- 3mm, range from -4mm-+2mm falls into SD Issue with study model transverse analysis from 4mm at the gingiva Not validated

804: Am I Overtreating My Patients? – Dr. Drew McDonaldDoctors treat diseases as soon as they see it. They don't wait until the final stage! So, why aren't dentists doing the same? To encourage you to start diagnosing more and treating patients early, Kirk Behrendt brings back Dr. Drew McDonald from the Chicago Study Club to explain the consequences of waiting until it's too late. Early diagnosis isn't overtreating — you are setting patients up for a better, healthier, pain-free life. To learn the true value of orthodontics and how you can help more patients, listen to Episode 804 of The Best Practices Show!Learn More About Dr. McDonald:Join Dr. McDonald on Facebook: https://www.facebook.com/drew.mcdonald.984Follow Dr. McDonald on Instagram: https://www.instagram.com/drdrewmcdonaldContact Dr. McDonald for speaking engagements: https://www.orthobymcdonald.comStay tuned for Dr. McDonald's MRI courses (TBA late 2024): https://www.orthobymcdonald.comLearn more about Chicago Study Club: https://chicagostudyclub.comSend Kirk an email for Dr. McDonald's previous videos: kirk@actdental.com More Helpful Links for a Better Practice & a Better Life:Subscribe to The Best Practices Show: https://the-best-practices-show.captivate.fm/listenJoin The Best Practices Association: https://www.actdental.com/bpaJoin ACT's To The Top Study Club: https://www.actdental.com/tttSee the ACT Dental/BPA Live Event Schedule: https://www.actdental.com/eventGet The Best Practices Magazine for free: https://www.actdental.com/magazinePlease leave us a review on the podcast: https://podcasts.apple.com/us/podcast/the-best-practices-show-with-kirk-behrendt/id1223838218Episode Resources:Watch the video version of Episode 804: https://www.youtube.com/@actdental/videosMain Takeaways:Not diagnosing patients is not okay.Using MRI and CBCT to diagnose patients is not overtreating.Early diagnosis and intervention is not overdiagnosing or overtreating.You have the ability to course correct and set patients up for better health.Imaging machines today have lower doses of radiation and are safer for patients.Diagnose patients as early as possible so they can be treated as early as possible.Orthodontists are more than just movers of teeth. You can prevent many future issues.Snippets:0:00 Introduction.1:28 Dr. McDonald's background.6:05 Why...

Did you know? Practices working with the Dental A-Team tend to see a 10 to 30% increase in revenue and at least a 5 to 10% decrease in overhead. In this episode, Kiera talks about key ways hiring a consultant for your practice will boost your success. Episode resources: Reach out to Kiera Tune Into DAT's Monthly Webinar Practice Momentum Group Consulting Subscribe to The Dental A-Team podcast Become Dental A-Team Platinum! Review the podcast Transcript: Kiera Dent (00:01.038) Hello, Dental A Team listeners, this is Kiera. And today I am so excited because as things are coming to a wrap up at the end of the year, I know a lot of you are possibly talking to your CPAs, financial advisors, looking for all those different areas where you're possibly like, gosh, like maybe your practice is freaking thriving and you're looking for, it's end of year. What can I do? How can I maximize my practice? What are some options? Or maybe you're on the other end where you're like, gosh, 2024 was such a hard year for me. And so just wanted to pop on and let you know.   three ways that a consultant can help your practice either thrive or come back from surviving into thriving. Because oftentimes we don't realize that consulting can actually propel our practices forward. It's also a complete tax write-off for most practices, which is great if you're thriving and you need to find ways to spend cash and be able to get through the end of the year. Consulting is actually a great option that a lot of offices do, whether it's a pay-in-full option or whether it's monthly payments or even some offices will pay 50 % end of year.   and then 50 % throughout the rest of the year. So a lot of great options, but the reality is that I love about consulting is I like to invest in things that move me forward. So at the end of most years, I'm looking for what's an area or a gap that I have in my business, whether that's in my marketing department or my sales department or my dentist, like what dentists things can we bring to the practice? But every single thing that I'm adding into my practice, I want to make sure.   is going to give me an ROI. So an ROI is a return on investment and I don't like to buy things that are just cash. So looking at like, if we were for example, to say buy a car, well, what's the ROI that that's gonna bring and bring money into my practice? Probably nothing. In Dental A Team, our clients tend to see a 10 to 30 % increase in revenue and at least a five to 10 % decrease in overhead. Now it is a two way street. We can give every tool and resource but if clients don't execute,   then they're obviously not gonna see the same results. However, clients who do see the, who do implement and do receive the results, they actually see incredible value. So we have offices like this year that have added 10,000, 50,000, 100,000, 250,000, multiple millions to their schedules by working with us. We have other offices that have decreased their overhead. I had one office at the beginning of the year start out at 75 % overhead and they are now down to 53 % overhead with intentionality.   Kiera Dent (02:20.43) leadership put into place where their team is actually looking at the numbers and viewing the practice in a way of as a business, not necessarily just as a practice. And so being able to find something where if we spend, say 20,000, can they give me at least 20,000 back and or more? So 40,000, 50,000, can I get a return on my investment is a really great thing to look.   Other examples are like CBCT scans. Like, can you add that in and how many CBCTs could we do and give better patient care with purchasing these items? Maybe looking for an implant course that we could attend. Maybe looking for CE, but really doing something that's for our team and for every person on our practice to elevate. And that's actually something I love about Dental A Team is we aren't just focused on the doctors. I think going to all these events as business owners,   I found that the hardest thing for me is when I show up to an event and then I have to come home and bring it back to my team. And it's like, I'm all ramped up and amped up, but the team didn't necessarily get the same excitement that I did. The team wasn't in on all those meetings and different pieces with me. And so therefore I feel like, gosh, like this is sometimes hard to get the buy-in. And so when we built Denali team, I said, hey, what we're actually gonna do is we're gonna build a company where we coach the doctors and we coach the team together.   So doctors, we hear your plan of your vision. We help you build that vision. And then team members, help you implement and execute and build leadership teams and train your team on the billing and the tactical and all the systems. But we're helping you build the business, the practice of your dreams to be able to give the patient care and the team experience that you desire. And so thinking of those things, and that's kind of where I just wanted to pop in of like, whether your practice is thriving and you're like, Hey, what it's going to take us to the next level. I might consider consulting as an option.   Or if you're like, gosh, you know, could this CE course move us forward? Possibly. But like, I have offices that go to CE courses, like sleep. How do get your team bought into that? How do you like, and how do we know the CE to implement or not implement? Sometimes having a consultant or a coach can help actually get you more revenue, more value, more buy-in because they're helping guide and coach the team. And Denali team truly is experts at this. And so it's something really fun. So I just wanted to kind of give like some areas where   Kiera Dent (04:35.488) If you're looking for that way to get some money off of your books, consider consulting, consider something that's gonna move you forward. Or whether you're looking for like, gosh, this year was really, really hard for me, we need to figure out those gaps. Either end of that spectrum, I do believe that consultants can help. And when you're looking for a consultant, some great things to look for are number one, has that consultant or consulting company been there, done that and done that successfully in your situation? Have they coached and consulted offices like yours? Do they have testimonials of offices like you?   Do they know where you want to go and do they have the path that they can show you of where you want to go? So if you're looking for, want to sell to a DSO in the next five years, do they know how to do that and have they helped other clients successfully? If you're like, nope, I want to be in my practice for the next 20 years and I want to have a legacy practice. Have they done that for other people? If you're wanting to expand and buy multi-practices, have they done that? If you're wanting to get your office manager to be doing all the pieces, have they done that? If you're wanting to add in a leadership team so that way everything's not on your shoulders,   that consultant done that and done that successfully? Have they been in your shoes? And for me, I like it when they'll like selfishly as a business owner, I'm busy. The last thing I want to do is have to go and like learn from my consultant and then go implement it with my team. I really love to have a consultant who teaches me and my team simultaneously. It feels like it allows me to like multiply and double myself rather than trying to do it myself because I feel like there's so much on owners. And so that's something that I just think is niche.   None of my coaches coach by team. And I really wish that they would because it'd be so much easier to have somebody else besides me coach and educate and get them excited rather than it all leaning on my shoulders. So when we built Dental A Team that was something I was adamant about of I want to make these dentists lives easier. want to make the team's lives easier. I want to be that bridge between doctor and team member and helping us all align and be on the same page. So as you're looking at it and just thinking that's how you're going to vet for a really good consultant.   Also look to see who is that consultant and do they align with where you want to go? Do they have the same principles, the same values? So for me, ours is we want to positively impact the world of dentistry in the greatest way possible. And I don't believe that dentistry is what makes you your person. I believe it can be a great portion of your identity, but I believe that your life and your family and your hobbies and who you are as a person is the most important. So ours is the yes model. It's you as a person we focus on and what your life, your dream, your team, who you are as people.   Kiera Dent (06:59.874) Then we focus on E for earnings and profitability and making sure that you're profitable as a company. And then S stands for systems and team development. Do we have the systems to run and we're not dependent upon team members so we teams can go on vacation, they can have fun. And as we grow and expand and, or if we lose team members or we need to hire new team members, we have a system in process where it's system dependent, not team dependent. I say it's system dependent, it's team implemented and adds the sprinkles and the sparkles with the team flair to it.   So we have tried and true systems that we're gonna then be able to go in. What are you looking for? Are you looking for someone who comes in and they are A to Z cookbook and they give you the systems that way? Or are you looking for someone who's going to be more collaborative with you and hear what you want and then be able to add in different pieces for it? What are you looking for and what are the results? And then do their results speak for themselves? Can they tell you consistently they hit this?   Do you want a doctor community? Do you want a team community? Do you want to go in person and go to events and masterminds? Or do you want to have it virtual? How do you want this to work out? And so really looking at those options are going to be pieces to look for. In Dental A Team we heard, we heard what you guys were saying where you said, we want in-person masterminds. We want to network with these other doctors. We want to learn. so come 2025.   Welcome, we are going to be meeting you all in person with an elite leadership retreat where it's doctors and leaders coming together. So doctors in their office manager, doctors in their associate partners, coming together and really masterminding on your life, on your practice and on your business. Having a great time where we actually like hot seat on your business and we work on your life and you workshop for a day and a half and meet incredible people. We also are working with your team simultaneously. So what you're learning.   In person, we're gonna be able to help take back to your team. So we still lift that training your team members for you, putting places, pieces into play. And we also have for newer practices that might need just like the foundations and building blocks of a business where we do it in a group setting where every single month there's a new system that you can implement while also having access to the consultants every single week. So different ways and different pieces and what that looks like for you as consulting.   Kiera Dent (09:02.422) And then let's just think of like, what are some different ways that a practice like truly a consultant should and could help you go to thriving rather than just surviving. And some of the things is like, I think one of the greatest things we do is find the small little areas to make your life exponentially more efficient, whether that's from handoffs, collections, the way we set up our statements, the way we do our confirmations, the way we build our schedules, the way we do our handoffs, like those very small little pieces. People ask me all the time, Kiera, how are you able to like...   add 30,000 to a schedule in one day. And I'm like, honestly, it's from handoffs, morning huddles and collecting at the end of the day. Like that's all it is. It's nothing hard. It's nothing crazy. But when we get a whole team bought into this process and this system, then the system flows and moves. So it's very simple. So things that I think are super important is can we look and maximize your schedule for increased production? I love to do less work and get more gain. And so how can we work less and make more?   Like how can we do that and give better VIP patient care? And so I love helping people build out block schedules. Like I was talking to an office earlier and they said, Kiera, should we expand our practice? And I said, well, like, let's look at where you're at and are you maximizing all of what we already have or should we go and like spend more money on it? And so many people don't realize like what we already have, we could like wring it out, squeeze it out a little bit more and there's no extra cost to the practice, but there's actually little efficiencies that we can put into place.   One of my favorite examples is I walked into an office and they're like, Kiera, we know we need more space. We have no more space for patients in this practice. And we know we need to have a bigger building. Like we're already like, we've got land. We're already building the other building. Like that's our biggest problem. Within about 15 minutes of working with this office, I was able to find where they could add another operatory. They added another operatory and we were exponentially able to increase their practice, but they were so closed because they thought that there's no possible way for us to add.   anything else into this practice. And yet sometimes just having another set of eyes outside is able to help you see what truly is possible. And so that's something that I'm obsessed with that I love. We're able to add hundreds of thousands to this practice and serve more patients while their other building was being built. It made it a smoother transition as they moved into the next location. And really we ramped up their handoffs, their doctor exams, little small things, tracking our treatment so doctors know what they're diagnosing, tracking our case acceptance, looking to see are there little ways we can do it.   Kiera Dent (11:28.12) have an office that we've added multi-millions to in the course of working with them. And everyone's like, how have you done it? And they said, we hired this coach. And this coach coaches all of our treatment coordinators. And our treatment coordinators then learn little ways to say things, different ways to present things. They're an incredible office at implementing and executing, but it's in these small, little verbiage tips that are able to help them. And so how can we maximize your practice for exponential growth, but do it in the easiest way? Let's not come in and change everything.   Let's look for the tiny little things. So number one that I feel like a consultant really can do of the three ways they can maximize and optimize your practice from thriving to thriving or surviving to thriving is one, maximizing your practice for optimal. Like I said, looking for those little spots where if we just do one or two little changes, a little verbiage change here, a little collection here, a little change in our scheduling and block scheduling, we really truly can actually make your practice so much more profitable. And something I'm very big on, one of our core values is ease.   How can we make this so easy for our practices that the team's excited to implement it, the office is excited, and it gets us the great result of helping more patients? So that would be number one of ways that I think a consultant truly can help you thrive in 2025. Number two, consultants are really able to take the numbers of a business and translate them into action to help your practice grow. So, so many dentists come to us and so many office managers come to us and they have no idea how to read a PNL.   They don't understand what KPI should be. They don't understand how to use the metrics, the numbers of the business as levers in the business of, okay, if we increase this, we can decrease this and we can actually get more of what we're looking for. They have no idea how to do it. And the honest reality is that's okay. You didn't go to dental school to learn business, but a consultant and a really educated consultant can actually help you translate those numbers into action. And so what I'm obsessed with doing is teaching our offices and our leadership teams.   Let's look at the numbers. Let's figure this out. What should our payroll be? What should our supplies be? What should our labs be? How can we make one or two changes? Do we need to increase our production? Do we need to increase our collections? Do we need to decrease our costs? What is it going to be? And then teaching the team, like the leadership team and our doctors to look at the numbers and say, I love numbers and numbers love me. Because when we can look at the numbers and get so obsessed and excited about these numbers of what's our overhead, what's our profitability.   Kiera Dent (13:47.456) What are our metrics and how can we translate this into helping more patients? Teams then start to look at it and put the puzzle pieces together. For me, numbers are just puzzle pieces and like, how can we put the puzzle pieces together to make this incredible practice grow and thrive and be able to serve and help more patients? So it's something I am obsessed about because if we can get this dialed in for them, guess what? They're going to be able to freaking thrive.   They're gonna be able to look at the numbers, but not just looking at the numbers, but taking it into action. So if our overhead's high, what do we need to do? A lot of consultants come in and they want to cut. My goal is to not cut unless we're like overspending on supplies and then all we need to do is put a supply tracker into place and bada bing, bada boom, it's all fixed. People now know how much we can budget. You empower them, you teach them, they fill it in. Our supplies are instantly fixed. Same thing with our lab supplies. They can get fixed very quickly.   So when we look at it and we can just give them the empowerment, give them a simple spreadsheet, give them a simple worksheet, give them the tools and the levers, teams now get excited about it. And I have teams and it was so fun. I was on a call and one of the teams is like, well, we are thinking about this and we're not sure that we want to do this. Cause when we're looking at the numbers, we realize this. And I wanted to cry because when the team is looking at the numbers like a business owner and they're seeing, Hey, do we really need to hire this other employee?   Or is that gonna impact our overhead and could we band together and do we wanna do this? Or is this something that's a nice to have, but not a must have? Or is it, no, this is a must have and if we hire this other person, this is how many more patients we should be able to serve and it should translate into these kinds of goals. And so many people are like, Kiera, there's no freaking way that you could ever get my team to be that way. And I say, try me. Like truly, I'm very confident in what we do because as a team member myself, I didn't understand numbers. As an owner, like.   The most liberating day of my life was when I realized that numbers are a superpower and not something to beat myself with. Like when I realized the numbers are truly the treasure map. Like if I'm looking for the clues to success, look at your numbers, look at where you are. You will literally see what you need to do to be able to move forward. And that's something that I think is so empowering, so inviting. And when we can teach doctors and owners and teams to look at their numbers and turn it into actionable help for your practice.   Kiera Dent (16:03.584) you're able to truly thrive. And now success is not something that just is happenstance. Success is something that's very predictable that you can do. So using your numbers would be number two that I think great consultants can do for you and your team. And then number three that I think a consultant really can help you do. So number one, like we said, was optimizing the efficiencies within your practice, finding those pieces. Number two is translating your numbers into actionable ways to help your practice and getting your whole team to be able to see these numbers of   the yardstick of success of how many patients we're able to help and serve. Number three would be setting and achieving goals. I think setting goals is always tricky. think figuring out projections, I think it's hard when you look at the schedule and you're like, I don't even know what I should set my goals and I wanna take vacations, but I can't take vacations and I'm stuck here and I'm not able to have the family life I want. And I say, again, it's back to the puzzle pieces of numbers and schedules and being able to set realistic goals for your practice. So I tell our offices, I tell my doctors,   I don't care what schedule you want to have. don't care if you want to be off at three o'clock. I don't care if you want to work three days a week. I don't care if you want to take six weeks of vacation, like whatever you want. Let's like just tell me and then let's plug it in and let's figure out how we're able to, to use our practice and use our schedule and use our team in a way that's going to fulfill all the needs and the wants of the practice. It's so doable. And I think that that's what's so fun for me is to set these goals and help practices and teams reach higher potential than they ever imagined that they could have.   I remember getting a text from one of my doctors that we coached and he said, Kiera, when you came into our practice and you set a goal of X amount, this practice, they were producing about 200,000 and we looked at it, we figured out the schedule, we did the block scheduling, we optimized the schedule. Again, going back to the number one, optimizing little areas of efficiency for maximum impact. The doctor said, you came in and you said we should be able to produce 300,000 a month. And the doctor said, I did not believe you for one second.   And he said, and what's crazy is we did 300,000 our first month. did 305 our next month. We did three 10 our third month. And to see them going from 200,000 to 300,000 felt like something that they had never done before. And so helping offices turn dreams into a reality is what lights my freaking soul on fire. Because when I can help you see that like the numbers are there and the schedule is there and all we need to do is bring the pieces together and you're able to have the dream life that you want to have the family time that you want to have the practice that you want.   Kiera Dent (18:21.902) Yes, there areas where we're maybe going to need to make a sacrifice or we realize, can you want to do this? Let's maybe hire an associate or we think outside the box. But really, I believe like my passion is life and my platform is dentistry. And so helping dentists have the life that they want, having teams have the life that they want is where my life, like my life goal and passion is as a consultant because helping so many people achieve this. Like I have doctors and when I met them, we were producing 150 and now we're producing 500,000 a month. And   The reality is that practice did not believe that this would even be possible. And now they're hitting goals and objectives that they never believed were possible. And they're stretching the envelope and they're figuring it out and they're serving more patients and they're helping more patients and they're truly being the dentist that the community chooses. When I see offices having that and the dentist is having their dream life and they're having more free space for admin time in their world and their team, their leadership team is taking it on. That's what I feel like we've made it. We've made it for that office.   When I have another office and they tell me, Kiera, every year you do the projections with us, we take it to our CPA and they laugh at us. I'm like, you've got to be crazy. There's no way you're going to hit those numbers. And every year we hit them and we hit them with success. And they're like, Kiera, it's magic because those are numbers that we never believed we'd be able to do. But you break it down so simply. You help us set these realistic goals. You look at our schedule, you look at our providers, you look at the time, we look at what our team can do. We make sure we put our life forward and what we want to be doing so that way we're living our best selves.   and you help us set and achieve these goals that we never believed were possible. And to me, that setting and achieving the life that you never believed was possible, you always hoped it would be, but we help you achieve that. And so those are three areas that I really feel that consultants can help you either thrive even more or go from surviving to thriving. And like I said, I am so passionate that we built different models for different practices. So if you're a newer practice and you're like, we're just starting out and our budget's not as much, phenomenal, we literally built a program.   that takes you through the systems that you need, that gives you weekly access to consulting where you can literally come on and ask your questions and send your team because I'm so adamant that we're gonna coach your team and we're gonna coach the doctors and we're gonna teach you to take care of you, to have a profitable practice and have systems that are dependable so you have predictable success rather than hoping and wishing for success. So if you're brand new, there's an option for you and there's a great space and our community is so incredible and people just love it.   Kiera Dent (20:44.398) If you're a practices like, we're a little bit beyond the fundamentals. We're not this newer practice. We want to have more one-on-one help within our practice. Phenomenal. We coach your team. do coaching calls with you and we bring you in person to work on your practice and on your life to make sure that you're getting what you need. If you're like, Hey, we want some help in our practice. We want you to come to our office. Amazing. We have options for that because I believe that consulting isn't a one size fits all. I believe that a practice is not a one size fits all. I believe that a life is not one size fits all.   I believe that you know where you want to go. And I believe that with the great coach and a great consultant beside you who's been there, done that and done that successfully over and over and over again, you truly can have whatever you want. And so I just wanted to pop on and give you guys some resources that you're looking at the end of the year, whether it's your best year or whether it was your one of your hardest years, there's solutions. And I truly believe that the greatest people of all time, they have a coach and they have a mentor next to them. They have someone that's going to push them. They have someone who's going to grow them. They have someone who's going to work with them.   someone who's not gonna give up on them when the hard times are there, someone who's gonna guide them, someone who's gonna help their team grow and thrive. And if that's what you're looking for, I'd recommend looking into consulting and seeing, is this an option for you? At Dental A Team, I wanna give you so much value. And so whenever people schedule a call with us, we look at your practice and we give you value. So even if you're not a perfect fit, you're gonna leave with great resources and we're gonna direct you to someone who can help you. If you're a great fit for us and you're someone who's growth minded,   You're someone who's committed to success. You're someone who wants to grow your team and wants to grow you. You're a great fit for Dental A Team. And if you're like, gosh, I just don't even know what consulting is like, I encourage you to just make the call. It's not gonna hurt to get on a call. It's not gonna hurt to figure it out. It's not going to hurt. The pricing can be anywhere from as low as like $12,000 a year, all the way up to 50,000 a year. There's variable pricing throughout, but I promise you every single one of those dollars that you put in is going to come back to you in ROI of systems.   of decreased overhead, of increased profitability of your practice, of better case acceptance, of reduced errors on billing, of higher collections. So it's this crazy thing that it's one of those best investments that's going to give you a guaranteed ROI on your investment. And for me, when I'm looking at investments and I'm looking to see where I should invest my money, investing in my team, investing in myself and investing in a way that's going to give me a guaranteed ROI is where I bank.   Kiera Dent (23:05.548) And so I would invite each of you, if you're thinking about it, if there's consultants that are there that jive with you, check, I gave you guys a way to interview a consultant, to look for them. Do you vibe with them? Have they been there? Have they done that successfully? Have they done it successfully in your shoes? Do they understand your practice? Do they understand your team dynamics? We work all across the nation. We work in rural towns. work in...   the heart of DC, we've got consultants from all over the board, we've got doctors on our our ambassador team that help us with doctor issues, we've got an incredible thriving doctor community that works and helps each other, we have brilliant people that have MBAs and different pieces in business, we have hygienists, we've got dental assistants, we've got regional managers, so the plethora of knowledge within our consulting is insane and so being able to be a part of that community where your questions get answered on a 24-7 basis.   We have direct access to consultants who know how to grow you and your practice. We're able to truly grow and grow with everybody that's around you and you're around like-minded people because I believe that proximity is power. And when you're around people that are thriving and you're around people that are succeeding and you're able to pick their brains and be able to learn from them, that's how we elevate. I purposely joined Tony Robbins highest level of consulting because I wanted to be around those people. And what's crazy is every time I'm around them, I grow and evolve to the next level because they share tips with me.   They inspire me. I ask them how they're doing things and they share. And that's what we've created for dentists. So if you want to be a part of it, I'd love to have you reach out. Hello@TheDentalATeam.com. Go on our website, TheDentalATeam.com, book a call, whatever it is. But whatever you choose to do this year, invest in you. Invest and commit that 2025 is not going to be happenstance success. It's going to be guaranteed success. Let's find a way to get you that guaranteed success. And whether it's us, another consulting company, another ROI,   I don't care what you choose, but make sure you do something different to ensure success for 2025 rather than hope for it. These are three ways that a consultant can help you go from thriving to even higher or from surviving to thriving, whatever end of the spectrum you're on, whatever it is, there's a solution for you. I think check our egos. It's hard. It's hard to ask for help, but it's one of the greatest things. And once you enter the world, you realize no one's there to judge, especially in Dental A Team. My rules are no judgment. Come as you are, show up, add more value.   Kiera Dent (25:20.566) and make sure that you're committed to getting success and that we don't give excuses. If that's who you are, come, come and be a part of it. I'd love to have you. And if I can help in any way, always reach out. Hello@TheDentalATeam.com. This is your life. This is your practice. Your team needs you. You need you. Your patients need you and you deserve the best of the best. So go for it. Let's make 2025 the best it can be. And as always, thanks for listening. I'll catch you next time on the Dental A Team Podcast.

DWD Podcast #40 Fall return after the summer break. Highlights include the new Dentsply Sirona Primescan 2 and updates to the DS Core cloud based software. Integration, AI and tips and tricks to get you ready for the winter of digital dentistry.

Dr. John Stenberg and Dr. Cameron Bearder sit down to recap their experience at the ASAP Conference 2024. The hosts recap their experience at the ASAP conference, which focuses on Chiari malformations and related conditions. They discuss the unique format of the conference, where patients can learn from top experts and ask questions. They emphasize the importance of understanding the different types of Chiari malformations and the need for clear communication when discussing these conditions. They also highlight the need for a thorough diagnosis, as Chiari malformations are a radiographic diagnosis that must be correlated with signs and symptoms. The hosts discuss the complexity of these cases, including the potential involvement of connective tissue disorders, inflammatory conditions, and genetics. They stress the importance of being aware of the interconnections between these conditions and considering co-management with other healthcare professionals. They also mention the need for further research and learning in this area. The conversation explores the philosophy of health from a functional perspective, emphasizing the importance of understanding why the body is not functioning properly. It delves into the chronic neuroinflammatory processes and how they remodel tissues, particularly in the cervical spine and lumbosacral spine. The discussion highlights the need for a methodical approach in treating patients with acquired hypermobility and managing their symptoms. The conversation also emphasizes the importance of imaging, particularly CBCT and MRI, in identifying structural abnormalities and CSF flow issues. It concludes with a discussion on CSF leaks and the various factors that can contribute to them. In this final part of the conversation, the speakers discuss various topics related to cranio-cervical instability, Chiari malformation, and scoliosis. They talk about the potential causes and symptoms of CSF leaks, the radiographic signs of CSF leaks on MRIs, and the importance of considering the entire spine and all the tissues when assessing CSF flow obstructions. They also touch on the challenges of conducting research in this field and the need for multidisciplinary approaches to patient care. The speakers emphasize the importance of being knowledgeable, humble, and collaborative in order to provide the best possible care for patients. Resources from this episode: ASAP YouTube Channel Comprehensive Chiari Care with Haley Fitzgerald of Global Neurosciences Institute What Happens When Two Upper Cervical Chiropractors Attend a Neurosurgery Conference

Meet Patricia (Kim) Palmer, Maureen Shelton and Jennifer Mascaro! In this episode, we delve into Cognitively Based Compassion Training (CBCT) and Compassion-Centered Spiritual Health (CCSH), and how they can inform and transform chaplaincy practice. Read more about CBCT at CBCT® | Cognitively-Based Compassion Training - Emory University and in the article below. APC membership includes access to the Journal of Health Care Chaplaincy. Factors associated with health personnel–chaplain interactions in the hospital setting: a cross-sectional survey study: Journal of Health Care Chaplaincy: Vol 0, No 0 - Get Access (tandfonline.com) Connect with Alice and John on social media: Instagram: @alicetremaine (Alice) @researchchaplain (John) https://www.linkedin.com/in/alicetremaine/ https://www.linkedin.com/in/chaplainbetz/ Leave us a message at the Chaplain's Compass phone number: 502-536-7508 Learn more about chaplaincy at https://www.chaplaincynow.com/ and the association of professional chaplains at https://www.apchaplains.org/

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...

On this episode, Dr. John Stenberg sits down with Dr. Randy Culig to discuss the difference between x-ray and CBCT in upper cervical practice. Takeaways Understanding the biomechanics of the cervical spine is crucial in upper cervical care. Asymmetry is prevalent in the upper cervical spine and plays a significant role in misalignments. CBCT provides a clear view of the articulations and allows for a more comprehensive analysis. Early adoption of CBCT in Orthospinology requires manual measurement and analysis. Integrating different techniques and taking a patient-centric approach is essential in upper cervical care. CBCT imaging provides valuable information for upper cervical chiropractic care Understanding the unique anatomy and architecture of each patient is crucial Important findings such as elongated styloids and narrow canals can be identified with CBCT Precision in adjusting techniques based on these findings can lead to improved outcomes Collaboration with other healthcare professionals is beneficial for patients Check out Dr. Culig's Website here: https://www.pierceuc.com/ View the speaker line-up and register for the Orthospinology Symposium here: https://www.orthospinology.org/ View the speaker line-up and register for the Blair Annual Conference here: https://www.blairtechnique.com/2024blairconference/

Dr. John Stenberg and Dr. Jake Hollowell sit down to discuss news and updates from the Blair Technique including the upcoming conference and the release of the NEW Blair Technique manual. Takeaways The Blair Society is a volunteer-run organization focused on serving the public and advancing the Blair technique. Certifications offered by the Blair Society include student certification, level one and level two certifications, instructor certification, and faculty instructor certification. The upcoming conference will feature diverse speakers discussing topics such as communication, marketing, brain changes, clinical impacts of lower cervical adjusting, CBCT analysis, and evidence-based approach to the 33 principles. There is a growing interest and enthusiasm for the Blair technique in South America, particularly in Brazil and Argentina. The Blair Technique has gained traction and momentum globally, with practitioners teaching and practicing it in different parts of the world. The release of the latest version of the Blair Technique Manual provides a valuable reference for practitioners, covering various aspects of the technique. The manual includes chapters on biomechanics, thermography, exam procedures, X-ray troubleshooting, CBCT analysis, and adjusting procedures. A special chapter on special populations written by Dr. Forrest is included in the manual. Being a "straight" chiropractor means focusing on the detection and correction of vertebral subluxation. Click here to check out the speaker line up and register for the Blair Conference.

Join me for a podcast summary looking at the effects of aligners when expansion occurs. In this podcast we will explore if bone loss occurs with expansion and why bone loss doesn't necessarily cause recession. The podcast is based on the lecture and research by Greg Huang presented at this year's AAO, and includes some more recent research on the topic     PICO Population adults, 22 maxillary arches, 20 mandibular arches Intervention – expansion with aligners, average 3.7mm Control – minimal expansion, average 0.6mm Outcome – bone height and width from CBCT   What was the bone loss?   Maxilla ·      Minimal bone loss ·      Minimal bone height and width change   Mandibular ·      Significant bone loss ·      1.5mm height mandibular centrals ·      1.4mm height premolars   What movement took place of the incisors? Maxilla ·      Little change in bucco-lingual inclination   Mandibular ·      Labial and buccal tipping increased   What were the overall changes?   Dental changes ·      3-4mm of expansion ·      Mainly  at premolars ·      Mainly buccal tipping, not bodily movement ·      Lower incisors procline   Similar bone loss with aligners expansion from other studies, Zhang 2023 , Allahham  2023   Should CBCT's debate within the literature regarding voxel size of a CBCT and false negatives. Accuracy of alveolar height CBCT 2019 Yuan Li BA systematic review showed ·      CBCT Vs skulls/patients ·      Bone height 0.03mm ·      Bone width 0.11mm   My thoughts: no difference in cbct and gold standard, however the measurements were all of large structures, not bone height or thickness of less than the voxel size   Predict bone loss ·      Upper arch no predictors as limited changes ·      Lower arch, same as for fixed appliances, but the quantity was missing o   Proclination o   Expansion o   Buccal expansion and tipping   Systematic review of orthodontics 48 articles de Llano-Pérula 2023 ·      Proclination ·      Less keratinised tissue ·      Thin biotype ·      Prior recession ·      Crossbite ·      Previous recession ·      Age     Does bone loss = gingival recession? ·      Not generally found from Greg's study ·      When significant bone loss of 3mm, far less than 3mm gingival recession     Significant retraction of upper incisors and intrusion Kim 2024. Loss of Palatal bone however in retention palatal bone recovered   Hypothesis ·      If PDL and periosteum are maintained  epithelium is maintained ·      If the root moves back into the bone, the bone recovers – as PDL and periosteum osteogenic, and tension generated between PDL and periosteum ·      PDL-periosteum hypothesis – proposed by Greg Huang   What I liked about Greg's lecture was that he started with declaring his conflict of interest as an academic, both the royalties he receives for his books as well as research funding, which was great to hear and a trend I hope continues. Acknowledged the hard work of the research lead, his trainee and the  time-consuming process of orientating CBCT slices of 1000s of images

Today we're featuring a throwback to the Spear Summit all the way back to 2019! Jason and Alan were still podcasting as the Dental Hacks and we had the pleasure of sitting down with Dr. Jim McKee. Jim is one of a special breed of dentists that has created a practice that focuses on pain patients and patients with TMJ issues. How did Jim become interested in occlusion and TMJ? How has imaging changed the game for Jim's patient treatment? "The imaging isn't for you. The imaging is for the patients!" How does pain relate to malocclusion and why is pain often the last thing to show up? How does Jim "front load" the patient education process? What are Jim's favorite educational aids for TMJ/pain? How did oral surgeon Dr. Mark Piper influence Jim's philosophy? Which comes first: airway or joints? What's the best way to learn TMJ? How is he using CBCT in his office? How does he use the MRI? How did Jim build his restorative practice using the what he'd learned about TMJ and occlusion? Can you create new patient flow by focusing on TMJ? Why shouldn't TMJ be a specialty? Are TMJ specialists a "dumping ground?" Direct vs. indirect treatment options for joint/muscle pain and the 4 R's What is the best way to screen for TMJ issues? What questions should you ask? How can you find a TMD specialist in your area? What questions should you ask? Who should be on the interdisciplinary TMD team? Some links from the show: Spear Education Occlusion Workshop Spear Online Join the Very Dental Facebook group using the password "Timmerman," Hornbrook" or "McWethy," "Papa Randy" or "Lipscomb!" The Very Dental Podcast network is and will remain free to download. If you'd like to support the shows you love at Very Dental then show a little love to the people that support us! -- Crazy Dental has everything you need from cotton rolls to equipment and everything in between and the best prices you'll find anywhere! If you head over to verydentalpodcast.com/crazy and use coupon code “VERYDENTAL10” you'll get another 10% off your order! Go save yourself some money and support the show all at the same time! -- The Wonderist Agency is basically a one stop shop for marketing your practice and your brand. From logo redesign to a full service marketing plan, the folks at Wonderist have you covered! Go check them out at verydentalpodcast.com/wonderist! -- Enova Illumination makes the very best in loupes and headlights, including their new ergonomic angled prism loupes! They also distribute loupe mounted cameras and even the amazing line of Zumax microscopes! If you want to help out the podcast while upping your magnification and headlight game, you need to head over to verydentalpodcast.com/enova to see their whole line of products! -- CAD-Ray offers the best service on a wide variety of digital scanners, printers, mills and even  their very own browser based design software, Clinux! CAD-Ray has been a huge supporter of the Very Dental Podcast Network and I can tell you that you'll get no better service on everything digital dentistry than the folks from CAD-Ray. Go check them out at verydentalpodcast.com/CADRay!

As a follow-up to episode 858 (Deciphering Your True Overhead), Tiff and Dana circle back to focus on managing your practice's debt by knowing your PnL. They touch on how to interpret your numbers, considering whether the debt is worth it, healthy money ranges, and a ton more. Episode resources: Reach out to Tiff and Dana Listen to episode 858: Deciphering Your True Overhead Watch DAT Podcasts on YouTube Practice Momentum Group Consulting Subscribe to The Dental A-Team podcast Become Dental A-Team Platinum! Review the podcast Transcript: The Dental A Team (00:00.238) I've got Dana with me and today we are chatting a little bit more about money and I think this is this is a space where I've worked really hard over the last few years as a consultant to just get really good at because I feel like I knew money but not as well as I do today and I think it's a space that we all can always get better at and Dana I love collabing with you and learning.   more from you as well because you have done a ton in the financial world yourself, family -wise, work -wise, all those pieces. So Dana, thanks for being here with me today and for always being my like, yep, I can podcast with you today. I, we say it every time we love podcasting together, but I truly love how flexible and easy you make it for me to get these in the schedule. So thank you. How are you today? I'm doing pretty good. It is   sunshiny and hot here in Arizona. And I think we're so alike and are just like love of the sunshine. So it's a fantastic day today. I agree. I agree. I every day this week, this this week has been I keep saying it's like a Monday every day this week has been a Monday for me. Where I'm on my fifth Monday right now. So every day this week, I have made a point to make my little mushroom latte, scorching hot.   take it outside and sit on my back porch in the sun next to the water and just sit there. I've sat there for as long as I could. Today I only got to 10 minutes because it was a little toasty. It was 6 .45 and it was so hot. I was like getting sweaty. I'm like it's 6 .45 a and I'm sweating outside. I must be in Phoenix. So it was toasty and then I looked at like the little thermometer. I came back inside, I looked at the little thermometer thing and it's like 82 degrees or something. I was like, that'll do it. Welcome to Phoenix.   Yeah, we do. We thrive on being outdoors, being in the sun, whatever it looks like. I think I love and hate the question, mountains or beach. Yeah. I truly don't care. I truly don't care. You want to, yeah. I'm like, both. Just put me, put me in the sun. Give me the outside inside question. Yeah, exactly. I love that. I love that. I'm actually going to change your question to outdoors indoors because it's going to be outdoors no matter what that looks like. Yeah.   The Dental A Team (02:21.134) I love that. I always say, I don't know, maybe Tahoe, because I get water and I get mountains. Yeah. I can paddleboard in the mountains, but I love my desert. And I think you do too. I think we love where we live. Yeah. Okay. So it's hot. It's my fifth Monday, but it's been a really good week though. It's been a really great week. I think the whole team's back. A lot of us were on the road or on vacation. Dana, you got to take vacation. I'm so happy for you.   Feel so like re -energized this week. Plug to my teams to remember my doctors to remember that time off is essential. Just make sure that it works with the whole team. But definitely make sure you're doing that. So Dana, first week back, it's been crazy. You've had a million calls. I was looking at your schedule and I'm like, holy million calls this week. I thought it was just me, but it was all of us. And you decided to podcast with us today. So thank you. The Dental A Team listeners appreciate you being here. You get a ton of great feedback on all of your stuff.   We've talked a little bit recently about P &Ls and budgeting. And we talked about what kind of percentages and what that might look like and how to create some budgets. But this time, I wanted to deep dive a little bit further. Last time we kind of skimmed it. We talked about what true overhead is. And remember, you guys, if you remember, if you haven't listened to it, you don't have to listen to it before this one, but you should listen to the other one as well.   about true overhead and budgeting because I think they're going to go together really well. So remember that your true overhead is anything that if someone were to purchase your practice, this is the overhead that they would be purchasing with that practice, right? This is what they could expect to inherit. So it does not include your doctor pay and it does not include your debt services. So today I really wanted to talk about the idea of managing debt   by knowing your P &L and looking at your P &L. That's something, Dana, I said I've worked really hard on my money mindset and our knowledge and my business knowledge for my clients and getting better and better at that. I think we're all getting better every year, but I know that's something that you and I both have worked on really hard with a few of our clients this year that have really just kind of gotten upside down in some debt situations. And so I wanna pick your brain a little bit today. You've had one.   The Dental A Team (04:44.333) Very recently, actually, that I struggled with maintaining their overhead, getting their overhead down. But then their debt on top of the high overhead was just, they were drowning. They were seriously drowning. And I know you helped them to at least identify it and start chunking away based on that. So what were some of the steps that you took them through with really just even understanding their P &L so that they knew where their money was going?   Honestly, tip the very first step was getting them to look at it. Right? Like they have a CPA who sends in their PNL every month who but getting them to really take a look at it because for a lot of practice owners that is scary. Right? Like being responsible for team members and responsible for a business and keeping doors open and keeping people's jobs. Seeing real numbers in front of them can be stressful and scary. So it was getting them to look at them consistently was piece number one.   Yeah. The next piece was just getting them to understand what it was telling them and what all of their expenses were and where to kind of categorize them. And we did talk about this in a previous podcast, but things that are personal things that are taken through and itemized in different ways, learning what they are, learning where they should go. And   where their debt services are, all of their debt services, and then just getting them to make smart decisions based on those numbers because we can on a whim and a prayer hope that we can afford that scanner, right? But if we've got real numbers in front of us that tell us we can confidently make better decisions. Yeah, totally. I love that. I love that you said number one, you have to look at it. I think that's the biggest piece. I have so many practices that   Well, number one, doctors, we know and understand what school looked like for you, as in you didn't have any business, really like business training. I think that I think I had a doctor tell me once they had like one semester of like business training that really wasn't anything applicable. So I get it. And that's what we're here for. That's why you hire people who know those things so that they can teach you and guide you. Now, I love that you said, look at your PNL.   The Dental A Team (07:07.725) Now, I think this is huge for a couple of reasons because Dental A Team is a consulting company and we love what we do. We love our clients. We love the non -clients. We love everyone in the dental community. And I think one of the biggest things that we set out to do that could be different, I have no idea, than other companies out there, but we really want to teach you how to do this on your own. I don't want to be the person that has to do it all the time.   for you because other than it's kind of like, I think of it like my husband doing my checkbook register, like my husband managing the money, right? I have no idea what that looks like. So then when I need to make a decision, I might make a decision on a whim or not even make a choice or a decision because I don't know. And so it could be very stressful to me because   he's got full control or he's, you know, he's the one that makes all those decisions. So it kind of makes me feel like that where if we're leaning on our, our consultants or our CPAs or our bookkeepers fully for that knowledge and that information, you sometimes I think are in the dark and will make poor judgment decisions. So we always want our clients to walk away from our financial conversations, feeling confident in the information that they've gotten and feeling confident that next month.   you might be able to walk me through your P &L so that I'm not always the one doing it. I want you to learn how to do it as well because as much as I love you and I have worked with many of my clients for five plus years, so I am here for a lifetime, we're all here forever, but I don't want you to need me. I want you to know how to do this stuff on your own. So I love that you said that. Number one, pull it up. And I think unlike,   the personal side of money mindset and like financial awareness and any financial podcast you ever listen to, right? They're like, number one thing, look at your bank account every morning. Know what your money looks like. So guys, like pull your PNL, know what that looks like, read through it. Even if you can't read it yet, even if you're like, I don't know what these numbers mean, don't shy away from looking at it.   The Dental A Team (09:17.933) Because the more you look at it, the more you'll start to understand and gather on your own. And the more questions will come up that you can then ask the professionals who do know. So I love that. Look at it. Number one. Now, Dana, I'm going to stay there for a second because I know that it, that this specific client, I think you've actually had a couple and I know I've had a couple too, that it was like, they were so afraid of looking at money, but they were so afraid of debt and afraid of money.   that they wouldn't look at it. So what did you do? How did you coach them through that and get them to a point where they could look at it without anxiety? Like I know it's anxiety inducing for some people. How did you help them get through that? It was just walking them through and building the confidence that when you know your money, right, you can control your money. And so when you   don't know and you don't know what the pieces are, you don't know what's coming in, you don't know what's going out, you can't make decisions. And so when you know it, you can own it. And you can fix things. And your piano and your money will always tell you a story. And so once you know what that is, then you get to own it and you get to make it better. But when we   I'm sure you've done this right at one point. You're just like, gosh, I didn't even know what's in my bank account. Like I hope to gosh, the Starbucks will go through and it's a finger in a prayer and a flute, right? Where have you checked your bank account before you went out? You might not have bought this before you bought that Starbucks if you really wanted the Starbucks. So it just helps. It's just giving them the confidence that the numbers may be scary and they may not be great when we look at them. But what it does is it allows you to take back control.   and get your way out of it. Figure out your map to move forward. I totally agree. I love that you brought that control in there because that hit, that hit hard. I hope everybody felt that hit. When you're allowing your money to control you, it's a very different space of life than you learning how to control your money. So I love that. So looking at the P &L, learning your P &L and understanding it, I think this podcast today, I wanted it to be about how to manage your debt using your P &L, right?   The Dental A Team (11:35.437) So number one, Dana's talking about knowing your money. Where is your money going, number one? Listen to the budgeting and true overhead podcast. That budgeting is gonna help you manage your debt a ton. But I think secondary to that is really being able to see within your overhead, what can you change or manipulate to help you pay down some of the debt that you have. When we talked on the last podcast about the budgeting and true overhead, we broke down.   your top of your spreadsheet, right? We take your P &L and we put it into an overhead spreadsheet. And which, these are available if you guys want them, email Hello @ TheDentalATeam .com, okay? So we take it and we put it in this overhead spreadsheet. So the top of that spreadsheet is your true overhead. This is what somebody would be taking over if they were to purchase your practice. That tells us this is how much money we have left over at the end of the month. Your goal there is 50 % or less, okay? Typically the range I'm seeing GP practices in is 55 to 65%.   Okay, 55 is still pretty healthy. Okay, 65 is like, okay, we can get you to a healthy spot. That's like a yellow for me. Anything, 65 and above is like a red. 65 to 65 is like a yellow, and then anything 55 under is like a green for me. So if we're in that yellow space, whatever. So now we can see, okay, this is where I'm at. I'm in a yellow, I'm in a red, I'm in a green. And now we say, okay, this is how much I paid myself that month, and then.   this is how much debt services were that month, and at the end of it, this is how much money I had. Now, I've had practices that we got to the end, and it was like a negative 9 % I saw one month on a practice. And he goes, that's why I had to go into my savings. That's why I don't have any money in my account. I'm like, exactly, exactly. But when we're not breaking it down, when we're just paying things because we need to pay them, when we're just buying things because we need   quote unquote, to buy, we need to buy them, we don't know that we're actually negative until we look back later and we're like, shoot, but if we're projecting and we're planning for it, we can see why were we negative. So that specific doctor, what I did is I have, and I have a lot of my practices doing this so that we can manage the debt is I have a different portion on that spreadsheet that says the debt, right? Who's the debt 02? What's the origin date?   The Dental A Team (13:58.861) What is the amount that we're paying and what's the projected payoff date? So I know how long do I have to keep this in the spreadsheet and can we pay this off earlier? Can we allocate funds to pay this down earlier? So then it adds it up for me and I can see X amount, $10 ,000 a month is going to debt services. It'll plug it into my spreadsheet right away. So I know.   Every month, at least $10 ,000 is going there. Now, if I can't change that $10 ,000 that cannot be reduced in any way, I'm going to look, if I'm struggling to pay that debt or my practices, right? I'm going to look at your overhead. And Dana, you did this like budgeting conversation on the previous podcast so perfectly. Cause you're going to look and see, are there areas that I could reduce my true overhead to allocate some more money?   down below to pay off some of that debt. And I think, Dana, that's just a way to be able to manipulate your money. And like you said, control your money instead of your money controlling you because it's so stressful when you're like, where this specific doctor was like, where Tiff, where is my money? I'm like, I don't know. What are you buying? Like, where? I don't know. And then, you know, two weeks later is like, can I buy a scanner? And I'm like, no.   You don't even know where your money is. This is where your money is, right? So I think that's just an easy way to do it. Now, Dana, where have you seen with these practices where you're like, let's look at your money, your true overhead is a little high, but maybe you've even seen their debt is too high. What do you do then with those practices to really help them start managing that debt within those P &Ls and those overhead spreadsheets?   Yeah, I think for some form of it is what we talked about prior, which is, can I budget the things that are above the line to leave more money to offset what is below the line one, and then to I look at each debt service right now, practice loan, we've got to have that. Okay. But the next debt services, are we utilizing the thing that we're paying for? I like is this even need to be a debt service for or can we sell it or get rid of it or utilize it more to make it worth what   The Dental A Team (16:15.597) it costs in debt services. And then if we've got extra money, is there a debt service down here that if we paid off now would allow you to do something else that boosts the business? Yeah, brilliant. I love that you just said, I wrote it down, evaluate your debt. Is it worth the money that you're spending? I think that happens a lot with scanners and mills and all of the things I think.   I think practices are getting much better at utilizing scanners for the new patient exams and all of those things and full mouth scans. But a lot of practices aren't. And I know two years ago when these things really started like making a wave in dentistry, they weren't using them. And they're spending thousands of dollars every month on the scanner that's sitting there collecting dust. And at that point, if it's not something that you're truly going to put into practice, why are we paying for it? It'd be like paying for a car that sits in your garage.   but you're upside down and can barely buy your groceries, why is the car still sitting in your garage? Sell the car. You would sell the car. So why is the scanner still sitting there if that's not something you're truly gonna implement? Maybe it's not something you're ready to implement, whatever the thing is, right? It doesn't have to be that. It could be a CBCT and you're like, gosh dang it, I'm never gonna do root canals that I need this for. You know what, I actually hate placing implants. Is the CBCT worth it in your practice then? Is it paying for itself or is that something that you might be able to sell?   and recoup some money or at least pay down the debt that you owed on it. I think that's brilliant. I think that's brilliant. So today's podcast is all about using your P &L to manage your debt. And I think number one, Dana, the first thing you said was look at your P &L. So then look at your P &L, know your P &L, look at your overhead percentages, and then look at your debt. You guys write out all of the debt that you have. What are all the payments you're making every single month? Where's the money going?   And then let's look at where can we allocate more money? And you guys, I'm going to go ahead and point this out. It doesn't have to be upside down for you to do these things right now. You could be in a really healthy space where you are making 20 % profit or 22 % profit, but you're still like, I still have debt and I don't like that. Then let's start paying it down. Let's start looking where.   The Dental A Team (18:33.709) where you can allocate more money. So obviously, if you're more profitable on the business side, you can pull money from your profit and pay debt down sooner. That's an obvious one. My caveat there is just to make sure that you do have cash reserves on the side to ensure that you're taken care of there. The reason that I say that, my number one reason for saying that is pandemic, okay? We know what that looked like. And if there's ever a space or you know what, if you...   Next month's production and collections is just ugly, but we still have to pay people. We want to make sure that we can pay people without having to take out a loan to pay our employees. So don't pay off loans to put yourself in a space where you have to take out money later. Make sure you've got those reserves on the side, but then start looking, okay, what if I only had 15 % profitability in my practice? So 15 % of my...   collections is going into my reserves, my bank accounts. But now I can allocate another 5 % to 7 % for a 20, 22%. I can allocate that 5 % to 7 % back into debt. So then I think, Dana, and this is going to pull on your personal knowledge, I would think then you would look and tell them, correct me if I'm wrong, you would then look at the debt that is costing you the most. So what's got the highest percentage rate?   What's maybe they're going to take the longest to pay off the most monthly payments? Like what's harming you the most Dana? Is that how you would you would tell? I was gonna say patience you tell your clients to to work it off. Yeah, absolutely I want them to start with those things because again most of our debt services come with some sort of interest so the quicker you can pay down those with either longer terms or higher interest the more your money starts working for you. Yeah. Yeah, perfect. I love that.   I love that, okay, so whether you're in a negative percentage rate on your, or a negative percentage on your profit, or whether you're positive on your profit, I think today is always a great time to look at your debt services. I have had a lot of clients that just, like Dana said, just looking at the numbers, just pulling the information and knowing where your money is going, I've seen a lot of clients really be able to pay off debt years before they thought they were going to be able to because their money,   The Dental A Team (20:54.605) started working for them. They were more in control of the money and they could see where it needed to go instead of just sending it where they thought it should go. They could really see, okay, it makes more sense to do this. And one of my clients, I've talked about them before that, I mean, we turned around their money in their practice where they were like, they were taking loans to pay loans. And we turned that around for them really by just looking at   where the money was going and making more educated decisions on new loans. So now we discuss it as a team, you know, me, wife and doctor, we discuss it as a team of what would it look like if we were to add this debt. And super fun plug, they're one of my, they're my,   that I spent the most time digging into this with. So I pull on them when we talk about this stuff, but most of my clients, I'm working on this stuff with them. But these guys just had like the biggest transformation. And I hope they listen to this and I hope they know who they are and how much I just adore and love them and love working with them and how fantastic it felt to watch them completely change their lives. Like the stress, you could see the stress and he still works his tail off. We're working on that.   So he still got a lot of stress, but they weren't, they're no longer stressing about money and watching that dissolve for them. I saw both of them just become happier people. They, they just, they both like stand a little taller. they're excited for their futures. They bought a beach house personally, because they could see that personally, they no longer needed to finance the practice. The practice was running itself and.   The money was there. And so my biggest, and I think Dental A Team in general, and Dana, I know you operate this way too. My biggest goal as a dental consultant with Dental A Team is that we can get your practice working for you. Instead of you working for your practice, your practice should support an exceptional personal life. You should be able to do all of the things that you dream of. You should be able to have all of the amazing things that you want as a business owner.   The Dental A Team (23:11.373) We just have to do these pieces in order to get your practice working for you. So those are, I mean, it's incredible. Dana, have you, I know it makes me emotional thinking about them, right? And I've had a few clients, but like in there, like my most recent and the biggest one, but I know earlier on we spoke about clients that wouldn't, you know, look at their P &Ls and I know you've worked with a lot of clients recently on having to manage debt. What has that been like for you as a consultant?   how did that feel for you to be able to help them with that? And then for them, how did you see their lives transformed just learning to look at their money? Yeah, I mean, it's been huge being able to have these discussions and being able to show clients like what their numbers tell them where they can make changes that have big impacts is huge. And the biggest thing that I think I see is just like their decision making confidence, right? If you look at your numbers, you will always know if you can give a team member a raise.   If you look at those numbers, you will always know if you can buy the supply or take the course or do the thing that you want to do. And then once you get that honed in and you're able to pay down the debt, usually every time I do an intake call with a client or their first call, it's like, okay, what can we do personally? And so often it's work life balance. And we can think that that's   delegation and we can think that that's like our scent, but truly it is the confidence and the profitability of the practice that allows them to do the outside things that create that work life balance. Totally agree. I totally agree. I love that. I think that's like drop the mic. That's the rap. That's the thing. So change your lives, change, change your money, change your lives, like pay attention to your money, change your life. And I think that's personal and professional.   And I think all of us can use those tips and those reminders. So when you're working to manage your debt using your P &L, number one, look at your P &L. Look at it every month. Look at your bank accounts throughout the month. Make sure that the deposits that you're seeing in your operating software match or are close to. Just know that your cash and your checks will always match a spot on, but your credit card's in your.   The Dental A Team (25:23.181) things like that will look a little different, but make sure that those deposits match, that they're making sense. Watch your money, watch how it's coming in and watch how it's going out. And then Dana, you said understand the categories on your P &L, understand what they mean and how you can manipulate them. And then making smart decisions, evaluating your debt, is it worth keeping? So look at your P &L, pull your debt.   information like how much debt do you have? What are those monthly payments look like? Add that into your monthly budget and figure out is there anything within that that you can change to pay off that debt any quicker because any debt is bad debt. Just get rid of it if you can, but ensure your company is profitable in those ways. So go pull your P &Ls, look at them, learn them, reach out if you guys need help. Hello @ TheDentalATeam .com. We are here.   told you today multiple times, we help clients with this every single day and we love it. We have learned so much ourselves in this realm and being able to help manipulate the money within the practice to work for you. And for the team, this is something all of our clients are very passionate about is reinvesting back into their team. This is how we get there. We have to make sure that the P &L and the debt management make sense before we can reinvest back into the company and the team. So this is how we do it.   Dana, thank you so much. This was a really applicable one and I know you've worked really hard with your clients. So kudos to you. You're an incredible consultant, you're an incredible team coach and you really change lives every single day. I get to watch that from my position within the company and I get to see that come back from our clients and the clients that you touch the lives of. So keep doing what you're doing, keep growing, keep learning and keep.   teaching all of the valuable things that you have. Thank you for being here today, Dana. All right. Everyone, go re -listen to this. There's a lot of things in there for you guys to pick up and take notes on. Reach out, Hello @ TheDentalATeam .com. As always, leave us a five star review below. Tell us how much you loved this and we can't wait to catch you next time. See you later.

If you've ever struggled with Meniere's symptoms, you know the frustration of searching for effective relief. In this episode, I'm excited to collaborate with Dr. Elizabeth Hoefer to explore how upper cervical chiropractic can be a transformative treatment option.Dr. Elizabeth Hoefer is a doctor of Chiropractic with a Bachelor's Degree in Science and an Associate's degree in Science and Chiropractic Technology from Palmer College of Chiropractic in Davenport, Iowa. Dr. Hoefer is also a certified instructor through the Blair Upper Cervical Chiropractic Society and trains chiropractors and chiropractic students alike on the Blair Upper Cervical Chiropractic Technique nationwide.Join us as we uncover how the structural integrity of the spine influences the nervous system and discuss the benefits of CBCT imaging in diagnosing and treating conditions like Meniere's disease. Whether you're directly affected by Meniere's or know someone who is, you won't want to miss this episode.

In this enlightening episode of the Nifty Thrifty Dentists Podcast, host Dr. Glenn Vo welcomes two distinguished guests: Dr. Steven Shao—a 3D printing expert and practicing dentist at Sunrise Dental Center in California—and Larry Huynh, Vice President of Sales and Business Development at US Dental. Key Takeaways: Dr. Shao believes that 3D printing technology is not just for experts but can be adopted by any dentist willing to learn.3D printing is more than just a dental tool—it's a transformative technology that can enhance various aspects of life and practice.The technology allows for the creation of a wide range of dental products—from night guards and surgical guides to complete dentures and aligners.Implementing 3D printing can significantly reduce costs for procedures like orthodontic aligners, potentially increasing case acceptance and practice growth.Meanwhile, US Dental—represented by Larry Huynh—offers a comprehensive range of digital dentistry solutions, including intraoral scanners, CBCT machines, and 3D printers.US Dental prioritizes thorough testing and validation of all products before offering them to dentists, ensuring reliability and effectiveness.The company emphasizes staff education, requiring all team members to be highly knowledgeable about their products. As a special offer for Nifty Thrifty Dentists group members, US Dental often provides exclusive deals on its range of digital dentistry solutions. For the latest offers and to learn more about how US Dental can enhance your practice's digital capabilities, contact Larry Huynh or visit their website. To get FREE Dental Resources and Deals, click here: https://niftythriftydentists.com/ To join our community of over 55,000 Dental Professionals, click here: https://www.facebook.com/groups/niftythriftydentists

In this enriching episode of Jaw Talk, Dr. Tiffany Lamberton sits down with Dr. Lynne Thomas to explore her dentistry journey from age 16 to becoming a renowned digital dentist. The conversation dives into her diverse experiences, including her time in the Air Force, transitioning to civilian practice, and integrating digital technology like CBCT and 3D printing into her daily work. They also discuss the importance of mentorship and the unique challenges faced by women in dentistry, emphasizing the need for collaboration and continuous learning. Tune in to discover insights on improving patient care, digital dentistry workflows, and creating supportive professional networks. Don't miss their plans for the upcoming Women in Dentistry symposium aimed at fostering a community of empowered women professionals: https://tmdcollective.com/ipuwd/We talk about:0:00 Intro02:19 Dr. Lynne Thomas' Journey Into Dentistry05:30 Transition to Digital Dentistry08:10 Advanced Diagnostic Techniques29:05 Mentorship and Study Clubs36:09 IPUWD2024Connect with Dr. Lynne Thomas here:https://pearlsofdentistry.com/https://www.instagram.com/pearlsofdentistry/https://www.linkedin.com/in/lynne-thomas-30865836/Connect with Tiffany here:Interdisciplinary Perspectives Uniting Women in Dentistry: https://tmdcollective.com/ipuwd/Courses: https://www.tmdcollective.com/courseshttps://www.instagram.com/tmd.collective/Support the Show: https://www.buzzsprout.com/2170917/supportSupport the Show.

Get on the waitlist for journal club here: https://www.dentaldigestpodcast.com/contact-4  Follow @dental_digest_podcast Instagram Follow @dr.melissa_seibert on Instagram Connect with Melissa on Linkedin  DOT - Use the Code DENTALDIGEST for 10% off Specialty Orofacial Pain Diplomate of the American Board of Orofacial Pain Fellow of the American Academy of Orofacial Pain Practicing since 1990 Education Doctor of Dental Surgery, University of Costa Rica, 1989 Specialty Certificate in Orofacial Pain, University of California, Los Angeles, 1998 Master of Education, Latin University, 2005 Professional memberships American Academy of Orofacial Pain International Association for the Study of Pain American Headache Society American Dental Education Association Dr. Padilla's Publications  Repurposing lectures and reviews into educational blogs J Dent Educ. 2023 06; 87 Suppl 1:895-896. . View in PubMed Temporomandibular joint findings in CBCT images: A retrospective study Cranio. 2021 Dec 11; 1-6. . View in PubMed Deploying a curated glossary: An orofacial pain wiki J Dent Educ. 2021 Dec; 85 Suppl 3:2016-2017. . View in PubMed Efficacy of cannabis-based medications compared to placebo for the treatment of chronic neuropathic pain: a systematic review with meta-analysis J Dent Anesth Pain Med. 2021 Dec; 21(6):479-506. . View in PubMed Efficacy of medications in adult patients with trigeminal neuralgia compared to placebo intervention: a systematic review with meta-analyses J Dent Anesth Pain Med. 2021 Oct; 21(5):379-396. . View in PubMed Efficacy of topical interventions for temporomandibular disorders compared to placebo or control therapy: a systematic review with meta-analysis J Dent Anesth Pain Med. 2020 Dec; 20(6):337-356. . View in PubMed Trigeminal neuralgia management after microvascular decompression surgery: two case reports J Dent Anesth Pain Med. 2020 Dec; 20(6):403-408. . View in PubMed Clinical skills evaluation and examination center: From demos to competence validation J Dent Educ. 2020 Oct 02. . View in PubMed A modern web-based virtual learning environment for use in dental education J Dent Educ. 2020 Sep 11. . View in PubMed Efficacy of Antidepressants in the Treatment of Obstructive Sleep Apnea Compared to PlaceboA Systematic Review with Meta-Analyses. Sleep Breath. 2020 Jun; 24(2):443-453. . View in PubMed Effects of respiratory muscle therapy on obstructive sleep apnea: a systematic review and meta-analysis J Clin Sleep Med. 2020 05 15; 16(5):785-801. . View in PubMed Empathy Levels of Dental Faculty and Students: A Survey Study at an Academic Dental Institution in Chile J Dent Educ. 2019 Oct; 83(10):1134-1141. . View in PubMed Prevalence of trismus in patients with head and neck cancer: A systematic review with meta-analysis Head Neck. 2019 09; 41(9):3408-3421. . View in PubMed Local Anesthetic Injections for the Short-Term Treatment of Head and Neck Myofascial Pain Syndrome: A Systematic Review with Meta-Analysis J Oral Facial Pain Headache. 2019; 33(2):183–198. . View in PubMed Use of platelet-rich plasma, platelet-rich growth factor with arthrocentesis or arthroscopy to treat temporomandibular joint osteoarthritis: Systematic review with meta-analysesJ Am Dent Assoc. 2018 Nov; 149(11):940-952. e2. . View in PubMed Chilean Dentistry students, levels of empathy and empathic erosion: Necessary evaluation before a planned intervention: Levels of empathy, evaluation and intervention Saudi Dent J. 2018 Apr; 30(2):117-124. . View in PubMed Effects of CPAP and mandibular advancement device treatment in obstructive sleep apnea patients: a systematic review and meta-analysis Sleep Breath. 2018 09; 22(3):555-568. . View in PubMed Effectiveness of Intra-Articular Injections of Sodium Hyaluronate or Corticosteroids for Intracapsular Temporomandibular Disorders: A Systematic Review and Meta-Analysis J Oral Facial Pain Headache. 2018 Winter; 32(1):53–66. . View in PubMed Reconsidering the ‘Decline' of Dental Student Empathy within the Course in Latin America Acta Med Port. 2017 Nov 29; 30(11):775-782. . View in PubMed Medication Treatment Efficacy and Chronic Orofacial Pain Oral Maxillofac Surg Clin North Am. 2016 Aug; 28(3):409-21. . View in PubMed  

This episode of our Humpday Happy Hour™ featured international practicioner lecturer, Dr. Chris Stevens. Hailing from Marquette University School of Dentistry, Dr. Stevens has dedicated the past several decades to providing education for all kinds of care providers, including dentists, physicians, chiropractors and physical therapists. We sat down with the co-founder of the Multi-Disciplinary Pain Clinic at the Medical College of Wisconsin to get an inside look at why it's important for clinicians to have CBCT training, including how to approach diagnosis, treatment plans and prognosis in all offices. Reach out to Dr. Stevens to learn more about the benefits of having CBCT in your dental practice: chrisstevens6624@gmail.com

In this episode, Meredith and I explore how leveraging technology can simplify dental practices, reduce patient costs, and increase profits. I discuss essential technologies every practice should consider insourcing, including digital cameras, digital impression machines, and 3D x-rays (CBCT), and outlines a step-by-step approach for transitioning from outsourcing to insourcing these tools. The episode also highlights the importance of maintaining simplicity in practice management and provides practical insights on balancing technological investments with operational realities. We also invite you to check The Dental Diaries Podcast!Spotify: https://open.spotify.com/show/7aBcDdGhOnrYKI7NzoBVdq Apple Music: https://podcasts.apple.com/ca/podcast/the-dental-diaries/id1744580692 Also make sure to subscribe to our youtube channel! https://www.youtube.com/@3d-dentists @02:36 Insourcing is worth it!@05:22 What is Outsourcing?@10:11 When to insource? @18:46 Things I'm still outsourcing@22:22 Factors affecting if I should Outsource or Insource

If you've been practicing dentistry for awhile, you've probably changed your mind about some stuff. Today's episode starts an interesting series for Zach and Kevin where they talk to some experienced dentists about what things they've changed their mind about over the years. Today's episode features a discussion with Al about some things we've changed our minds about clinically! Al has changed his mind about where to place margins. Now, he aims for equigingival margins vs. below the gingiva. Kevin changed his mind about specialty procedures for general dentists (implants, ortho, sleep, etc.) Kevin changed his mind about how soon to get a CBCT (seeing things in 3D). Zach changed his mind about sectioning teeth (he does it much sooner). "Atraumatic extractions start with the handpiece." Al has changed his mind about how soon he goes to an indirect restoration (go to indirect sooner). Zach changed his mind about digital dentistry. Become a member of the Very Clinical Facebook group!  Join the Very Dental Facebook group using the password "Timmerman," Hornbrook," McWethy," "Papa Randy" or "Lipscomb." The Very Dental Podcast network is and will remain free to download. If you'd like to support the shows you love at Very Dental then show a little love to the people that support us! -- Crazy Dental has everything you need from cotton rolls to equipment and everything in between and the best prices you'll find anywhere! If you head over to verydentalpodcast.com/crazy and use coupon code “verydental10” you'll get another 10% off your order! Go save yourself some money and support the show all at the same time! -- The Wonderist Agency is basically a one stop shop for marketing your practice and your brand. From logo redesign to a full service marketing plan, the folks at Wonderist have you covered! Go check them out at verydentalpodcast.com/wonderist! -- Enova Illumination makes the very best in loupes and headlights, including their new ergonomic angled prism loupes! They also distribute loupe mounted cameras and even the amazing line of Zumax microscopes! If you want to help out the podcast while upping your magnification and headlight game, you need to head over to verydentalpodcast.com/enova to see their whole line of products! -- CAD-Ray offers the best service on a wide variety of digital scanners, printers, mills and even  their very own browser based design software, Clinux! CAD-Ray has been a huge supporter of the Very Dental Podcast Network and I can tell you that you'll get no better service on everything digital dentistry than the folks from CAD-Ray. Go check them out at verydentalpodcast.com/CADRay!    

In this episode, I discuss the need to distinguish between individuals with good oral health and minimal dental work, and those with extensive dental treatments, which may contribute to systemic health issues. Not all dental care is created equal, and there are significant gaps in diagnostic techniques within the field. Many patients may be unaware of chronic inflammation in their mouths, which can go undetected for years due to these gaps and a lack of standardized diagnostic tools in dentistry.It's crucial to shift our perspective on the oral biome and the connection between oral health and overall health. Educating the public is essential; people with healthy teeth and minimal dental work generally face lower health risks. However, those with poor dental health and extensive treatments may need a comprehensive diagnostic overhaul, utilizing advanced techniques like 3D CBCT scans.For this reason, we developed an artificial intelligence tool that scans panoramic x-rays to detect hidden inflammation (see more at https://www.missinglink.ai/). This innovation aims to identify issues that, once confirmed by CBCT scans, can lead to the necessary medical interventions.It's important to note that chronic oral inflammation is directly linked to over 22 noncommunicable diseases that can severely affect our lives. Awareness and education about these connections are vital to improving health outcomes.

In this episode of Jaw Talk, I'm thrilled to have Dr. Pete Lemieux, a renowned restorative dentist with a focus on temporomandibular joint (TMJ) disorders, as our special guest. With over 25 years of experience and a passion for comprehensive care, Dr. Lemieux shares his insights and journey into the world of TMJ diagnosis and treatment. Join us as we explore the intricacies of TMJ disorders, the role of modern imaging in diagnosis, and the power of interdisciplinary care. Dr. Peter Lemieux maintains a comprehensive restorative practice in Winter Park, Florida, with a strong focus on temporomandibular joint diagnosis and treatment utilizing both CBCT and MR imaging. He has been a student of the L. D. Pankey Institute for Advanced Dental Education, Spear Education, the Dawson Academy, and the Piper Education and Research Center. Dr. Lemieux graduated with honors from the University of Florida College of Dentistry in 1997, and has been recognized with fellowship in the American College of Dentists, the Pierre Fauchard Academy, and the International College of Dentists.We talk about:[0:00] Intro[01:20] Dr. Lemieux's Passion[02:26] TMJ Mindset[04:40] Pediatric TMD Patients[06:47] Intake Process[10:20] Working with an Interdisciplinary Team[14:02] Restorative Dentistry After Jaw Surgery[16:39] Continuing Education for the Young Dentist[20:52] AES Presentation[29:22] Resistant for TMJ Diagnosis & Treatment[35:01] Modern Dentistry & Tech Advancements[37:11] What Dr. Lemieux is excited forMentions:https://www.igi-global.com/chapter/temporomandibular-joint-imaging/233657Connect with Dr. Lemieux here:https://winterparkdentist.com/Connect with Tiffany here:Courses: https://www.tmdcollective.com/courseshttps://www.instagram.com/tmd.collective/Support the Show: https://www.buzzsprout.com/2170917/supportSupport the show

Are you tired of your competitors having an edge due to the outdated dental technologies that you are using? In this episode, you will discover three cutting-edge dental technologies that can revolutionize your practice. CBCT machines offer crystal-clear 3D images for flawless implant dentistry, digital scanners can replace the dreaded impression trays, and 3D printing can be used for surgical guides and more. These advancements can not only impress your patients but also make your work as a dentist smoother and more efficient. Tune in to learn how you can take your practice to the future! Please schedule this as soon as possible, as it will help the team schedule the show notes on the website early!

‍‍Is cybersecurity one of your top concerns as a dental practice owner? If not, today's episode will likely change your mind. Join me in this important conversation with IT expert Reuben Kamp, where we delve deep into the chilling event of the recent cybersecurity attack on UnitedHealthcare. UnitedHealthcare was manipulated into transferring a shocking $22 million in Bitcoin to a hacker group known as "Black Cat" and this incident will serve as a firm reality-check and wake up call for everyone in the healthcare industry.In our discussion, Reuben unwraps the tangled mess of this cyber-crisis, explaining how these ransomware attacks are affecting dental practices just like yours. Are you aware that a disturbing 6% of dental offices have already faced such debilitating attacks in 2022 alone? Our conversation pivots around the critical importance of stringent cybersecurity measures, such as HIPAA compliance, robust firewalls, ongoing risk evaluations, and how these can be your safeguard against such threats. Stick around as we close with vital insights on the gaping vulnerabilities that led to the UnitedHealthcare breach and how Reuben and his team, at Darkhorse Tech, take proactive steps to ensure that their clients remain secure and HIPAA compliant.What You'll Learn in This Episode:The chilling details of recent cybersecurity incident involving UnitedHealthcareHow ransomware attacks can deeply affect your dental practiceThe importance of stringent cybersecurity measures, including air-gapped backupsThe crucial role of HIPAA compliance and ongoing risk assessmentsInsights on the vulnerabilities exploited in the UnitedHealthcare incident and how to avoid similar breachesThe proactive steps taken by Dark Horse Tech to ensure client securityRemember, investing in reliable cybersecurity measures is the first step in protecting your valuable assets. Make sure to tune into this crucial episode and equip yourself with a robust defense arsenal against the rising tide of ransomware attacks!‍For DSO integrations, startup solutions, and all your dental IT needs, let our sponsors, Darkhorse Tech, help out so you can focus on providing the amazing care that you do. For 1 month of FREE service, visit their link today! https://thedentalmarketer.lpages.co/darkhorse-deal/‍You can reach out to Reuben Kamp here:Website: https://www.darkhorsetech.com/Email: admin@darkhorsetech.comPhone: 800-868-4504Facebook: https://www.facebook.com/DarkhorseTech‍Mentions and Links: Businesses/Services:UnitedHealthcareHenry ScheinChange HealthcareAspen DentalUPSConnectWiseOther Mentions:BlackCat HackersBitcoin‍If you want your questions answered on Monday Morning Episodes, ask me on these platforms:My Newsletter: https://thedentalmarketer.lpages.co/newsletter/The Dental Marketer Society Facebook Group: https://www.facebook.com/groups/2031814726927041‍Episode Transcript (Auto-Generated - Please Excuse Errors)‍Michael: Hey, Ruben. So talk to us. What's one piece of advice you can give us this Monday morning? Reuben: Wow. Well, we're going to talk about cybersecurity. just recently we had United healthcare. I think you've heard of them before. Uh, they just wired 22 million in Bitcoin to a hacker group called black cat.that name is familiar. It's cause they hit Henry shine three times last year. So. This Monday morning broadcast is about cybersecurity and how you can protect your dental practice. Michael: Interesting. Yeah. You sent me that the literally right before we're about to record right now, the link to it and it happened, it says on March 1st, a Bitcoin address connected to, and then it 350 So then they basically United healthcare paid them, right? Reuben: So the full story is. Last week, uh, they noticed something was wrong with their system. this is Change Healthcare. They're owned by United Healthcare. their role in a, in a dental practice is they are the middle man. They process claims.They are also involved on e prescribe, right? narcotics, you know, you're clicking your button in your practice management software, that's getting sent to the local pharmacy. That is actually still down by the way. so we're, we're 10 days with so far. and the E prescribed modules that are powered by that are down.What just happened? Um, but you were referring to that article I was talking about is I was going to ask you how, how many Bitcoin do you think 22 million is? But I think I already told you, it's not that much, it's like, 22 millions, about 350 ish Bitcoin. and you can see how devastating the attack was because they actually paid it.which is insane. I think, uh, you know, when you, when you think about organization, a business that gets. Hit by ransomware. Why don't they have backups? why do we have to pay this ransom? You should have backups. Well, they either didn't have backups Which again just absolutely insane for an organization this size the backups were also encrypted which again is just mind boggling For a company of this size that they didn't take their internal IT Uh, seriously.Michael: Interesting. So then let me ask you, because this has happened with UnitedHealthcare, oh, huge organization, right? So how could this be prevented and can something like this happen on a smaller scale, like a practice, single practice, single doc practice? Reuben: Yeah, I mean, the stats last year. So we, um, I should say 2022 because we don't have clean data yet for 2023.That's still being compiled. So the big kind of flashing yellow banner here is 6 percent of all dental offices had an issue with ransomware. In the year 2022. So I mean, quick math, 250 practice locations, uh, 6%. So that means 15, 000 dental offices dealt with ransomware last year. It's not a small number, the problem is getting, you know, even data further than that. Basically, once this happens and there's a breach and patient health care information is involved. we're talking about radio silence, right? The, the OCM, these government organizations try to keep it unless it's a giant thing.They, they try to keep it relatively under wraps. Right. So this is something that a large percentage of the industry is dealing with, I mean, think about like. If 6 percent of all the drivers on the road got into accidents, that would be a monstrous number. so to answer your question, small dental practices, small DSOs, emerging DSOs, midsize DSOs, large DSOs, like Aspen Dental that got hacked last year, they're all dealing with this same problem.But UnitedHealthcare is a larger target. Right, so they're going to attract black cat is like the creme de la creme of the hackers out there. they were the ones that did shine, as I mentioned before. were not involved in the Aspen Dental, but you know, those are three big, splashy events, that happened and are breaches because patient health information, in this case, six terabytes of patient health information, claims data, social security numbers, treatment performed, that's why they paid 22 million.Michael: Okay, so you mentioned two things. Their backups, they probably didn't have a backup or their backups were not encrypted or encrypted or something like that, right? You said Reuben: so how you're supposed to do backups is you're supposed to have two copies. One can be connected to your server and the other one needs to be what we call air gapped, basically one step removed.And the reason is. What we're talking about right here. You get hit that one that's actually connected to your system directly is also going to get compromised. So that's why you need to have an air gap. You know, sometimes that's a cloud backup. that's probably the easiest way to explain it to the audience here is like you have a local backup, you have a cloud backup backup should be set up to be air gapped so that I mean, we can talk about ransomware with the building burns down, you want your backups not in all in one, not have all your eggs in one basket.So backup. if anyone ever pays the ransom, you know that their backups are not working properly here's what happens when you have a backup hacker comes in, they encrypt your data. You say, Oh man, that sucks. And then you kick them out of the system, clean it all up and you restore from your backup.You do not have to pay. The ransom, the ransom is there because they are saying, Hey, you want your data back? You have to pay to get it. Well, you should be like, no, I have, I have backups. I'm not going to pay you go away. so it's just like, if you ever see an article about someone making a ransomware payment to hackers, it's because their backups didn't work.Now there's a lot that goes into protecting a dental practice. Backup is just one part of that, but it's a hundred percent of the time that if they're paying the ransom, it's because they don't have backups. Michael: Interesting. Okay. So then this can be prevented. How besides having backups, like you just tell your it company, like, Hey, make sure everything's backed up.That's it. Reuben: Yeah. I'll just, uh, for the sake of ease, assume everyone works with a competent it professional. So yeah, you should say, Hey, it company, am I HIPAA compliant? Are all my systems HIPAA compliant, right? Cause that should really answer the question, uh, questions, you know, one through 100 that follow after that firewall anti ransomware antivirus software, or you're keeping your computers up to date, you know, all this boring stuff, dentists just want to practice dentistry.And then we, you know, keeps us up at night over here on this side of the world, um, and backups. Which are the last line of defense, right? You get hacked. It's because something got through your firewall. Something got through your email filter. Something got past your antivirus software. The only reason we're talking about backups is because everything else failed.Michael: Hmm. Okay. So this is the last resort kind of thing is if Reuben: you're using backups, let's say outside of, I guess let's just continue to focus on ransomware, right? Because if your server fails, Hey, I've got a backup. No problem. We're going to get a new server. We're going to, but again, when we're talking about, if you're down because of ransomware and you're making a payment to this company, it's because you don't have backups.You would just tell them, hey, thanks for, uh, that headache, go away, cause you wouldn't have to worry about it. Michael: how common is this Ruben? Honestly, like within practices, have you seen this? Like, Oh my God, ransomware has happened. Reuben: Yeah, we don't have to deal with it as an IT company. We work for currently 1077 distinct practice locations, right?That's a lot of patient health information. A lot of different networks. We're not dealing with ransomware. Okay, and it's because it's not rocket science. It does take. Someone who's devoted and pays attention to the market, you do what HIPAA says you get a firewall in there, you get anti ransomware, you make sure the network is set up properly, you make sure, you know, Wi Fi is secured, backups, and this is not something you deal with.So, you know, the fact that it's affecting 15, 000 dental offices and, you know, it's crazy. It's affecting the small, the medium, and the large, right? No one is being spared by this. You know, uh, people continue to hire professionals that are, are saying, Hey, yeah, we got you covered doc. But what's actually happening is, is not that, so, you know, it's, it's a really hard.Position for the doctors in, right. You get, let's say you get a referral from buddy who's not in healthcare that doesn't, you know, Hey, I got a great it guy. Well, it's really important that he knows what it takes to protect your practice. Right. And again, yeah, backups is one part of that. I would argue it's the most important part, right?Backups equals downtime. They're not set up properly downtime. Patients are walking in the door, your systems are down, you can't take x rays, they're looking at you in the face, it's embarrassing that your technology doesn't work, let's just skip that and just do it right the first time. Michael: Mmm, gotcha. Okay, so it's more like the HIPAA compliance type of deal.You gotta ask them, hey, are you HIPAA compliant? And if they're like, yeah, sure. Like, yeah, sure. Reuben: Well, uh, yeah. And then I guess the, the, the follow up question, the magic words you could say is at, you know, where's your risk assessment, ask them for a risk assessment. And that's basically they have to give you a report.And this is the first thing. If you ever get audited by OCR office of civil rights, who's in charge of enforcing HIPAA and the fines and all that, that's the first thing they asked for, where's your risk assessment, right? It is. your self evaluation, It is, Oh yeah, we have this old CBCT that only works with a Windows seven PC.Okay. That's an identified vulnerability in your system. That should be in your risk. So that's just one example. It's basically an analysis of your practices, security profile. Michael: Gotcha. Okay. So in a nutshell, United healthcare, were they not HIPAA compliant? Reuben: We know they're not HIPAA compliant because they paid the fine.Michael: We can Reuben: skip right to the conclusion, which is, again, you're paying the fine, you didn't do your backups properly. We know that six terabytes of patient health information have been compromised. Names, date of birth, social security number, treatment provided. We're talking about, you know, claims. So prescriptions, I mean, this is a monumental event, uh, in the industry.Michael: Yeah. And it just happened because of an email. Reuben: So I'm glad we got to the why right? So we look at Aspen Dental. We look at Shine last year. Exactly what you just said is true. It happened just because of a single email, right? We can talk about fishing. Fishing is Someone pretends to be someone else.Could be UPS, it could be your boss, they want you to click on a malicious link. So someone from, let's say Shine, clicked on the link, it encrypted their information, all of a sudden, you can't order supplies from Henry Shine's ordering website or for your rep, and, uh, they got hacked a couple times just because of some hubris that happened.But, this changed healthcare, UnitedHealthcare situation is actually a different attack vector. All right. So we learned the lessons from that one. It was a great reminder, train your staff, have good email filters. Okay. This one, you want to guess how they got, you're never going to guess because it's so stupid.All right, Michael, you know what remote access software is? Michael: Yeah. Where you can access it from like a, another location, right? Reuben: Yeah. All right. Well, United healthcare. Wanted to save some money, so they bought a program and hosted it themselves, I'm a small business owner like many people listening here.I do the real thing It's a cloud product. It gets updated in real time. They bought a old product to use called connect wise And they hosted it in their own facility. Okay. And didn't update it. So black cat found the vulnerability cause it hadn't been updated in years, got into the system and the rest is history.So lessons are, I mean, this, this is applicable to windows security updates, right? There's a reason that Microsoft releases them. call it patch Tuesday, right? There's that Tuesday they it's because people like black cat are getting into the system, right? Researchers as well are identifying and windows is releasing, patches to fix those holes in the system.All right, well, imagine if, you know, you wait a couple of weeks, probably not that big of a deal, right? For your system to be out of date by a couple of weeks, take it back a month, still probably not six months. That's getting to be a little worrisome, right? That vulnerability has been known for six months.Okay. Oh, now we're talking about four times that amount of time. And I keep going back to the size of these companies and it's the hubris. It won't happen to me. is just, again, it's one of those things you don't think about. I call it roads and bridges, right? You don't think about it until you haven't paid enough attention or spend enough money on it, and then something like this happens.Michael: Interesting. All righty, Ruby, man, and your company dark horse tech covers this, right? So if I were to sign up with you guys. Immediately and ask you, Hey, make sure you do the HIPAA compliance. Everything it's already cut. Reuben: We do not enter into client engagements without this being in place, this protection being in place.So yes. And, uh, you know, to further accentuate presence in the industry. Um, if something ever did happen, right, I started this 12 years ago. This is not something we've dealt with at all. If something were to happen, that is going to be on our cyber liability insurance, not the clients, because that would be a failure of a service that we're providing to them.So it's, it's probably a topic for another day, but, uh, I will leave you with, please have your it company sign business associates agreements. MME Reuben Kamp Ransomware DRAFT: Nice. Okay. Awesome. Ruben, I appreciate your time. And if anyone has further questions, where can they find you? Reuben: CEO of Dark Horse Tech, dark horse tech.com. I am admin A DMI n@darkhorsetech.com.Um, email, call me numbers everywhere. You know how to reach me on Facebook, I'm around. Michael: Awesome. And that's gonna be in the show notes below. So if you wanna ask Ruben any more questions or concerns or look into Dark Horse Tech at the same time, going to channel Notes below. Look for Reuben's name and look at those links there.And Reuben, thank you so much for being with me on this Monday morning episode. Reuben: Thanks Michael.‍

Chris Thornbutgh and Lori Crowder CBCT stands for Cone Beam Computed Tomography, and it's very similar to regular traditional CT except it's low energy/radiation.In this episode, Chris Thornburgh and Lori Crowder, owners of CBCT Encompass solutions talk about the technicalities, logistics, financing, etc. of different types of imaging methods. Most importantly the discussion is centered around what a patient can get out of going to a Doctor who uses this technology.CBCT SystemsWebsiteInstagramCBCT Youtube VideosHere's what a 3-D CBCT looks likeCBCT short intro to Blair Upper Cervical analysis.Cool Machine Alert!A CT scan showing neck painTo contact Ruth:806-747-2735 https://www.blairclinic.comruth@blairclinic.comhttps://www.facebook.com/rutelin

The guys are joined by Dr. Sarah Pierce of Brentwood, TN! Sarah works with Dr. Sully Sullivan of Sullivan Dental Partners (aka: The Millennial Dentist)! As it turns out, Sarah is a new grad and recently took Kevin's amazing endo course at the 3D Dentists Retreat in Raleigh, NC.  What is it like to work at Sullivan Dental Partners? What is it like to take Kevin's Endodontic Digital Workflow course? How did Sarah's approach change after taking Kevin's course? Why is Kevin jealous of Sarah's practice situation? How has Zach changed endo since the CBCT?  Why is Zach jealous of Sarah being a new grad and having all the tech from the start? Complications? How was the retreat and what flavor was the 3D Dentists Kool Aid? Check out Kevin's endo course at the 3D Dentists retreat! Join the Very Dental Facebook group using the password "Timmerman," Hornbrook," McWethy," "Papa Randy" or "Lipscomb." The Very Dental Podcast network is and will remain free to download. If you'd like to support the shows you love at Very Dental then show a little love to the people that support us! -- Crazy Dental has everything you need from cotton rolls to equipment and everything in between and the best prices you'll find anywhere! If you head over to verydentalpodcast.com/crazy and use coupon code “verydental10” you'll get another 10% off your order! Go save yourself some money and support the show all at the same time! -- The Wonderist Agency is basically a one stop shop for marketing your practice and your brand. From logo redesign to a full service marketing plan, the folks at Wonderist have you covered! Go check them out at verydentalpodcast.com/wonderist! -- Enova Illumination makes the very best in loupes and headlights, including their new ergonomic angled prism loupes! They also distribute loupe mounted cameras and even the amazing line of Zumax microscopes! If you want to help out the podcast while upping your magnification and headlight game, you need to head over to verydentalpodcast.com/enova to see their whole line of products! -- CAD-Ray offers the best service on a wide variety of digital scanners, printers, mills and even  their very own browser based design software, Clinux! CAD-Ray has been a huge supporter of the Very Dental Podcast Network and I can tell you that you'll get no better service on everything digital dentistry than the folks from CAD-Ray. Go check them out at verydentalpodcast.com/CADRay!

Alan is joined by Dr. Matt Chesler, an endodontist practicing in Southern California. Matt has recently joined the Spear Education faculty where he's going to begin teaching clinical endo in Scottsdale! Matt's journey is an interesting one and we do, as advertised, give a lot of endo love! Matt has strong positive feelings about his dental training in the military and the Health Professionals Scholarship Program The new endodontics courses at Spear Education (who is it for--primarily GPs) Endodontics polarizes dentists (love/hate) Matt on the lit (hot teeth and blocks) Dental microscopes in endo vs. restorative What you'll learn from Matt at Spear (and yes, there is hands on!)  The part where Al forgets Dr. Doug Benting's name The importance of diagnosis and treatment planning in endo and how does CBCT change this? Are PA's useless in endo?  The value of referring a difficult person that's not necessarily a difficult root canal When is the best time to permanently seal a root canal access? (spoiler: while it's still under isolation) Which teeth are the toughest endo? (you might be surprised at his answer!) The endo-implant pendulum may be swinging back toward endo Endo/oral surgery and case selection bias Specialist confessional: what Matt would love to tell all his referrals The endodontist as "grim reaper" Some links from the show:  Predictability in Clinical Endodontics with Dr. Matt Chesler (at Spear Education in Scottsdale, AZ) Advanced Clinical Endodontics with Dr. Matt Chesler (at Spear Education in Scottsdale, AZ) AAE Case Difficulty Checklist Join the Very Dental Facebook group using the password "Timmerman," Hornbrook" or "McWethy," "Papa Randy" or "Lipscomb!" The Very Dental Podcast network is and will remain free to download. If you'd like to support the shows you love at Very Dental then show a little love to the people that support us! -- Crazy Dental has everything you need from cotton rolls to equipment and everything in between and the best prices you'll find anywhere! If you head over to verydentalpodcast.com/crazy and use coupon code “VERYDENTAL10” you'll get another 10% off your order! Go save yourself some money and support the show all at the same time! -- The Wonderist Agency is basically a one stop shop for marketing your practice and your brand. From logo redesign to a full service marketing plan, the folks at Wonderist have you covered! Go check them out at verydentalpodcast.com/wonderist! -- Enova Illumination makes the very best in loupes and headlights, including their new ergonomic angled prism loupes! They also distribute loupe mounted cameras and even the amazing line of Zumax microscopes! If you want to help out the podcast while upping your magnification and headlight game, you need to head over to verydentalpodcast.com/enova to see their whole line of products! -- CAD-Ray offers the best service on a wide variety of digital scanners, printers, mills and even  their very own browser based design software, Clinux! CAD-Ray has been a huge supporter of the Very Dental Podcast Network and I can tell you that you'll get no better service on everything digital dentistry than the folks from CAD-Ray. Go check them out at verydentalpodcast.com/CADRay!