Podcasts about cbct

Play Episode Listen Later Jun 3, 2025 23:28

Kiera and Dana offer a life raft for businesses struggling to keep cash flow in the green, including specific steps to help get your practice back on course. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript Kiera Dent (00:00) Hello, Dental A Team listeners. This is Kiera. And today I am jazzed. Dana, the one and only Dynamite Dana over there. She's on the podcast with me today. Dana, how are you today? Dana (00:10) doing pretty good. It's a beautiful day here and so I'm just excited to be on the podcast with you. Kiera Dent (00:15) Dana, I am so glad because you and I, feel like we're ships in the night. We see each other, we wave to each other. We love working together, but the reality of us like being on the same boat to talk to each other is few and far between, which is so ironic. But every time I see you in person, I'm like, Dana, we need to hang out more. Like, so it's fun to podcast, even though, I mean, it's a funny way to say hello. We're like here to do work, but at least we get to like have more interactions. So, ⁓ thanks for being on my ship today. I guess like welcome, welcome aboard, matey. Dana (00:44) Yeah, happy to be here, Gatton. Kiera Dent (00:48) But today you guys, Dana and I, we were talking about like some burnout and cashflow row. So think about death row. We actually have a lot of clients that come to us. Thankfully, like once they become clients, they get off death row, cashflow row. But we thought about, think oftentimes burnout and cashflow row ⁓ go hand in hand. And so I figured, Dana, let's get into like, how do you get off of cashflow row? like death row, you're about to go and like die like literally. ⁓ I feel it's becoming a bit more common than I've seen in the past. I'm super grateful and I just want to shout out and for all of you listening, if you're on cashflow row or you're on burnout row, ⁓ just like a huge hug, a huge hug of love, a huge hug of no judgment. Gosh, I get like emotional thinking about it I think it's so easy as a business owner to like just harp on yourself to just feel like Like, why am I so dumb? Like, why can't I figure this out? Like, the mean girl or boy in your mind is just like vicious and wicked. And it makes me so angry that we're this way to ourselves as business owners. Cause I'm like, you know what? You're freaking strong. And like, you took these risks and like, you don't know what you're doing, but you know, you wanted to like build a great like culture for your team. You wanted to build this amazing life for your family. And yeah, it's hard. It's really hard to be a business owner. And I think I speak of this so candidly because Like I've been on death row, like cashflow row. I've been on burnout row, like, and you just sit there and when you need to like have the most love and respect for yourself and grace, it's when we like punch ourselves and kick ourselves and yell at ourselves. And so ⁓ I thought it would be a really, ⁓ hopefully timely podcast for some of you listening of just love of no judgment, of encouragement, and maybe some like shining little stars when you need a North star right now, because It can feel very daunting. And I want to tell you, you don't have to do it alone. ⁓ You telling yourself you're alone and on an island is your choice. And it's a choice that you don't have to stay with. There's so many ways we can help. I think even just like when we get clients that are on cashflow row, I feel like they feel they finally got a life raft sent to them when they didn't know it was even possible. And as consultants, think Dana and I and our whole consulting team are so passionate about getting you into cashflow positive and doing it with ease where it's not that hard. But Like it wasn't overnight that you got here either. So it's not going to be overnight. get you out of there. We're to move you pretty quickly. Cause I think like, Hey, someone's like holding the lantern for you in this dark cave. Like, all right, here's the way out. can really, really help you. But really Dana, think like just again, I hope all of you listening know we come to you with love, with no judgment. You're not a terrible business owner. You're not dumb. You shouldn't have known this before. It's just, this is where we are kind of like a patient with perio, right? Like it's okay. Like this is where we are. And the great news is There are solutions and there's a way out and there's a way to happiness again if you want. So Dana, that's kind of my like emotional pitch to start this off with. Any thoughts you have? Because I think you've seen quite a few come to you on Cash Flow Row from day one. Dana (03:49) This is. Yeah, yeah. And I love just your vulnerability there, Kiera, as a business owner, because I say it to doctors all the time, like, whether it's a dental office, whether it's a consulting company, whatever business it is, it doesn't come with an instruction manual. And so we get in there with the best of intentions, we're ready to work hard, we put everything you have into it. And there are ebbs and flows in business. And sometimes it gets really, really hard. And you're right, it is the self talk that that you have to take a look at and the blame that you put on yourself for being the reason why you got there. And you know what, it's okay, we're gonna figure it out ⁓ and we're gonna stop the bleeding and we're gonna start focusing on the things that are going to matter and are going to move it forward. And you know what, as a coach, I get the pleasure of cheering you along the way and sometimes kicking your booty when it's needed. And ⁓ it is, we are seeing it more and more and I think it comes down to two, like knowing what cash you need, knowing what you're spending your cash on, and sometimes making some hard decisions based on that too. Kiera Dent (05:05) Mm-hmm. Yeah, and I think with that it's like awesome. Here we go Here's the blood like we're going to help you get out of that and I love that you said there's no instruction manual just like being a parent There's no instruction manual and so there are just different ways to do it So my big thing and in Dental A team, always like we are profitable We call it the yes model so you can say yes to everything you want in life and the Y stands for you as a person We're gonna focus on E stands for earnings and profitability and S stands for systems and team development. So like those three things together are going to give you success with ease. So today, if you're on cashflow row or burnout row, I think oftentimes burnout comes because of cashflow. Like it is the scary piece to it. So with that, let's talk about like, what can we do if we're in cashflow row? What are some of the fastest things that will help people get out of cashflow? Dana, I'll let you take this. We're going to just kind of riff back and forth. Like you guys, this is unscripted. This is just from our knowledge of things that we do. of like when we see offices and again this is coming from real life offices things we've actually done to get them off of cashflow row. Dana let's just riff because you've got a few that have just come and you've got a few that have been there and ⁓ they're doing well. Dana (06:12) Yeah, yeah, yeah, I think it is. It's a reviewing of expenses. Is there anything we can cut that we're not cutting ourselves too lean though that we can't continue to grow? And then also, what do need to produce and produce it consistently? Kiera Dent (06:27) Yeah, I love that. So it's like we either need to increase our production or we need to decrease our expenses. And on the production, I will also say we need to make sure we're collecting. It's wild to me. I was talking to a doctor who's on quote unquote cashflow row and they said, Kiera, I have like $300,000 sitting in AR. And I was like, so you're really not on cashflow row. You've got the money. You just haven't collected it. So realizing that usually in dentistry, there's quite a few cashflow opportunities very quickly. But I agree with you, Dana. Like step one is like, let's get our PNL and let's know our numbers. Is there anything on there? Like, and I'm talking like, you don't like, gosh, people get wild and they start cutting things that actually you need. Like I know your hygienists are expensive, but they also produce for you. I know billers can feel annoying, but they also collect money for you. I know your treatment coordinator can feel expensive, but they're putting money on your books. I know a consultant can feel like I'm going to cut. can do this on my own, but they're literally the only person holding you accountable and pushing you through and guiding you. So it's one of those things of like, let's look to see like, what really is stuff to cut? And I'm talking like subscriptions that you're no longer using. This is one that it makes me wild. I don't understand this. It makes no sense to me. But when people are in cashflow row and the only thing I can come up with Dana is it's ego. That's all I can figure out. So I'm just saying to you like, Hey, I hear you. see you. Let's cut the ego and get you into cashflow positive. And then like rock on, do whatever you want from there is like holding onto equipment that you're not using. It's weird to me. Like, Okay, so we're not like, we thought we were gonna do all these scans of the Itero. And if I look at the last six months, we literally have like taken three scans. Or I bought the CBCT, because I thought was gonna do all these implants, and I'm not doing implants. Or I have like multiple Iteros, but like we've cut back and we've scaled back like, so I only need one Itero instead of three Iteros. those are big expenses on your debt and your loan. Like, let's sell those, let's get rid of them. people, I don't know, it's like embarrassment or ego or like, Maybe you're still like wishing for the good old glory day. I don't know what it is, but I'm like, get rid of that. Cut the cost. Like think in your own life. If you had a car that you had a car payment on, even though it's the nicest car and it's your dream car, but you can't afford food, you're going to get rid of that car. You're going to sell it and you're going to buy something more economical and affordable. Like let's just get rid of it. No one, no one cares. Like honestly, none of your colleagues know that you're selling the equipment off because you're freaking broke right now. That's just you and it's okay. it truly like what can you get rid of? there equipment you're no longer using that you could sell that you could pawn off just to get you some cash flow quickly and cut some of that debt services? Like is there any debt service that we can get rid of for you? That's a question like but I think it's a very easy cut on the PNL. Dana thoughts on that. Dana (09:02) Yeah, I agree with you. then and again, I can't, I can't really decipher where it comes from. But I do you do see offices wanting to hold on to those things. And maybe it is like, well, we'll turn it around, and then I'll use it. Great, then we can get another one down the line. Right. But right now, what the immediate relief from dispensing of it will far outweigh hanging on to it until down the road, maybe we'll need it again. Kiera Dent (09:27) Exactly. Like it's okay. Like don't don't even stress about it. We're not we're not here for we're not here for that ego. So I think when we're looking at the PNL, let's look to see like go back to COVID days. If you were a business owner during COVID, I remember we scrubbed that PNL like, could we call the lenders? Could we put this on pause? Could we like get rid of this loan? Like those things I think are really important because that actually can free you up exponentially being buried in debt. I remember my husband when we were paying off his loans. Holy moly, he could not see outside of that debt for one second. We can't get rid of our practice loan, but you could renegotiate your rent, like your lease. Those are things that you can do. I remember during COVID, people got very scrappy and I'm like, don't forget that scrap you just learned a few years ago. Like take those lessons and go through them. that's step one of, but be careful. Like Dana said, please don't cut things that are going, let's not cut the hygienist right away. Like I'm looking at what are the things that are nice to have, but not necessary to have. Let's cut those things. ⁓ well, I put consulting in a must have. think if they're a great consultant and they're holding you accountable and they're moving you forward, yeah, you better believe it's one of the best dollars you'll ever spend. Now, if you are not, ⁓ if they're not moving you forward, if they're just having like rando conversations with you, probably a good thing to move on. But again, you also should go to your consultant. They work for you and say, I am in cashflow row, which hopefully if they're a good consultant, they would know that. And it's like, we have to make this happen. Now there's no other options. So after we do that, next step is let's look at our AR. Doctors, if you don't know how to run your AR, that's your aging report. Let's just go see how much money is sitting out in our AR. And let's see if it's patient portion that we could collect or if it's insurance and also why and how much is in our 30, 60, 90 and over 90 buckets. Because that over 90, like this sounds awkward, but doctors like truly you can call patients and you can collect. We can send text messages. I know that feels awkward. I know that doesn't feel like what you want to do. But these are ways like there is cash there. Also, like, let's look at the protocol of how are we getting there? Are we not collecting when they get into the practice? We can start collecting when they come in. I was in an office yesterday and they're like, gosh, our accounts are all funky. And I was like, sweet. As soon as they walk in, let's collect the money before they even go to the back. They're like, but that's different. We've never done that. And I'm like, think about a hospital. You do that. Like you show up, you pay the money and then you go back, like switch it. It's not weird. People don't think it's weird. It's very normal. So like, let's collect the money. Let's put some systems into place. So we stop getting into an AR crunch. And really making sure that that is something that we are very proactive on. Do you know other thoughts on AR? AR to me, think is just like this like, I don't know. It's like an endless pit. And I think I have it because when I first started the business, I had this endless pit of AR and I didn't even know it existed. And I'm like, oh, no wonder I'm broke. It's just because we're not collecting the money. And then I was like, Sweet, let's change the system. That's a system you should put into place. But what are some other thoughts or systems you have around AR to help people get this cash? Dana (12:16) You Yeah, I think AR it's it's kind of like culture. It's like a thing that you have to stay super super consistent on and work on all the time and I see it so oftentimes in practice. It's like well I pull it once a month and you know, like I that's when I work on it and I'm like no it's something that you have to set purposeful time aside. So whoever's responsibility it is making sure that every single week they have a chunk of time that can be dedicated solely to working on AR because it is also it can so quickly grow when we haven't been paying attention to it. And so it's, I'd say, dedicated time for it and then find a cadence that works for you. Whether it's alternating patient and then insurance and then patient follow-up again and then more insurance follow-up, figure out however you can keep it super consistent and make sure you've got dedicated time every single week because it will quickly grow if we're not paying attention to it. Kiera Dent (12:54) Yes. Yeah, it's a wild zone that I'm like, okay, ⁓ it's so crazy how fast it will grow on you. so it's, and just so you know how insurance works, if you don't understand this, I'm here to like give you a quick like, all right, this is how the snapshot works. So what it is, is you actually have it where like, These insurance claims don't fall in like, okay, it's the 30th of the month. So now we go and that's when our 30 days fall into 60 days. Every day, money is moving from the 30 to 60, 60 to 90, 90, because it's based on when that claim sent. So you have to realize this money kind of like interest is how I feel of AR. It's constantly moving on you. So you can call it winning Wednesday, you can call it like taking cash on Tuesday, Thursday, but like literally have days set up for your biller and This is a position and this is a job responsibility that I am very sticky on. They have to do it. I don't care if we're busy. don't care if patients are calling like, dang, I'm so busy. I had a patient, I can't pay your paycheck. Like that's the reality. They have to collect money. I do not care. Those are non-negotiables for me. It's two hours, Tuesday and Thursday, non-negotiables period. The house will not burn down. The practice will not burn down. Get your dang money because oftentimes that's all it is. And it's just being consistent. So billers, Doctors, if you need to send this to your bill, like, Hey, we're on cashflow row billers. I'm talking to you. You have a responsibility to your doctor and to this office. They have produced. You need to collect this money. So get the good insurance verification, get the statements, call the insurance companies, figure out why our claims aren't getting paid. That's your job, honey. That's your job. And yes, your responsibility. Like if you want a paycheck, collect the money because that's where your paycheck's coming from. And so and it's nothing wrong. We're not doing anything wrong. We've done the work. We did great work. Let's collect the money and make sure that we don't get this out of control. It like breaks my heart when doctors have no money and it's because team members, we let our doctors down. They did the work and honestly, team members, it breaks my heart and I'm here to say like, tis tis, shame on you. Be better than that. You are better than that. Collect the money and if you need help, tell your doctor like, hey, hire the dental team. Like we have literally brought in hundreds of thousands of dollars. just by helping some billers because honestly, doctors, like I say, tisks on the team, which truly it is our fault, but they might not know how to do it or how to do it effectively. There's a lot of ways where we can chunk it. We can break it down. We can make it so much faster and easier for them. We can help them get rid of some of the bad debt. It's running reports differently. It's tagging things differently so they can work it. It becomes so much easier. So again, like if you're billing is a struggle, great opportunity for you to get some help and billers, please don't be afraid to ask for that help too. So. I say that with a giant hug as well. I know it was like a stern hug, but really you've got to collect that money. So we've got cut your expenses. Look at that. Like debt services. What on earth? Just get rid of the debt. Get rid of anything you can. Next is going to be that we're collecting the money in the AR. Let's figure out how much we have there. And then next is going to be producing. Now I will go on a rant again, clearly cash and burnout. Like let's just not get there. Like I hate this. Let's get you out of there fast. ⁓ I really hate when doctors come on to calls with me and they're like, yeah, I I produced a million last year. And I'm like, that's awesome. And they're like, yeah, but we had to write off 50%. So we were only produced like 500,000. And I'm like, why did you tell me a million that only served you like high five, but you did not produce a million. I don't care that that's your office fee that feeds your ego only, but it's not real. And what you're doing is you're actually hurting yourself because you're, you're elusive to the fact that you're not producing a million, but you think you are. but you're living on 500 bucks, it'd be like, or 500,000. It's like, oh, Dana, I make a million a year, but I only have like 90,000. Well, why are you telling me you have a million? You don't actually, like that's not even real money. That's monopoly money. I'm so glad we gave you some paper money. Like I get it, but you're in insurance. So like, let's live on real numbers so you can produce real numbers. Cause this is often where cashflow happens because you're like, well, we're making a million. No, you're not. You're making 500,000. So either get out of network, which I strongly would not recommend, but do a block schedule, figure out how to produce, make sure you're diagnosing. And also when I hear about these cashflow row offices, normally, and doctors, I'm not a dentist, so I'm not here to tell you how to do it. I'm just here to say, whatever number you want and need to produce, you need to be diagnosing three times that amount. That's a statistic that's proven. You've got to be diagnosing enough to get that money on your schedule. And the next piece is treatment coordinators and doctors. We've got to make sure we're closing that treatment and getting it on the books and doing quadrant dentistry, not just solo tooth. If we're watching, what are we watching for? If you're a watcher, you're scared to diagnose, just diagnose one more thing that you would normally watch. Just put it on the books. That's going to help you. But the reality is you, you truly have a moral obligation to diagnose your patients, ⁓ to tell them what needs to happen and to not judge them based on what you think their bank account is. Your job is to be a comprehensive dentist. All right, Dana, I'm off my soapbox. You should take it away from me now. What are your thoughts on that? Dana (18:17) Thank I love that and I do say yeah exactly we want to look at net numbers and if you're not happy with your adjustments then there are you know ways to tackle that through fee negotiations through you know looking at your numbers to see is it worth changing some network status with one insurance company or making a little bit of a shift or do we just need to start, like you said, being strategic and block scheduling and maybe even one more step of, hey, yeah, we can block schedule and we've got to watch our insurance mix within our block schedule. All of those things are avenues. just kind of, you have to take a look at. Kiera Dent (18:50) Mm-hmm. Dana (18:55) the numbers and build it to be efficient, successful, get you to your goal and to also not cause burnout. I get so much pushback on block scheduling because it's like, well, my team knows how to schedule. Absolutely, right? But like, can I get you to goal with two, three crowns and a quadrant worth of fillings? Yes. Can I also get you to goal with 32, one surface fillings? Sure can. Those days feel super different. Right? That's a lot of turnover, a lot of check in and check out and insurance verification and all of those things. And so when we build it more strategically, dang, those days feel really, really different to Kiera Dent (19:23) They do. And I say this often, I'll say it again, if we have a bad schedule, that was our fault. Like I know you're like, well, patients, can like, they just want to go here. And I'm like, no, you led them there. You guide them. Doctors, are like, you are a clinician. You are an amazing doctor. We get to pick our schedule. And so like Dana said, let's build this. Let's make this incredible for us. But I think those are hopefully three quick ways for you to figure out your cashflow. If you're on cashflow row. ⁓ And please, the last thing I would say is bonus tip for you is cut the excuses. I think when people are on cashflow road, they like to sit here and excuse land. They like to sit here and blame land, which is normal. It's normal to be frustrated. It's normal to say, like it was this, it was that. was like, well, we can't hire people. Stop, stop. You're continuing this in a reality where it's like, it's just not true. I know it feels that way. but we've got to stop the excuses. We've got to stop the blame and we've got to just say like, this is where we are. And the good news is this is what we're going to do to get out of it. It's hard. Like that takes mental discipline that you've got to have. But that's also where I think like a coach, a cheerleader, someone who's an ally with you. Like Dana said, sometimes it's a hug and sometimes it's a good like push because you need to be pushed. But hopefully these are a few things because I believe that the mental stress of cashflow row. will create more burnout faster than anything else because you just sit here stressed out of your mind. So Dana, I hope you guys all like listen. I hope you take it. And if you are in cashflow row or you're on burnout row, please like reach out. We will do like a complimentary practice growth call with you. Like, let's see where your gaps are. Let's help you out. Let's get you out of this wildness because success with ease is very possible. And that's what I think Dana and Denali team in our. whole company is passionate about is getting you the yes model, you as a human being so happy and fulfilled and having the life you want, getting the earnings and profit that you deserve that you are worthy of that you can totally have and getting the systems and team development to support those those top two things, just be able to say yes to whatever you want. So Dana, gosh, thanks for getting in this one. This is a solid and I just appreciate you loving our clients and getting them off of cashflow row and and into the happier land and for being on the podcast today. Dana (21:49) Yeah, thank you so much for having me. And you know, I just love being able to see clients like win when they came in feeling so burnt out. So it just fills me too. So appreciate it. Kiera Dent (22:00) ⁓ I love it. Let's get you guys the W's. Let's get you those wins when you didn't think it was possible I think that's my favorite thing is turning the impossible into possible and helping you take dreams into reality So reach out hello at the Dental A team calm and as always thanks for listening We'll catch you next time on the Dental A team podcast

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Cases in Upper Cervical CBCT Imaging with Dr. Savannah Shortz

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Play Episode Listen Later Jun 3, 2025 42:54

In this episode of the Atlas of Chiropractic podcast, Dr. John Stenberg interviews Dr. Savannah Shortz, a DACBAR who specializes in chiropractic imaging. They discuss Dr. Shortz's journey into chiropractic, the rigorous residency process to become a DACBAR, and the importance of diagnostic skills in patient care. The conversation also highlights real-world case studies that emphasize the need for thorough diagnostic evaluations in chiropractic practice. In this conversation, Dr. John Stenberg and Savannah Shortz discuss the evolving role of imaging technology in chiropractic care, particularly focusing on Cone Beam Computed Tomography (CBCT). They explore the implications of CBCT in patient diagnosis, the importance of understanding the technology, and the legal considerations surrounding its use. The discussion also highlights the significance of patient history in diagnosis and the need to consider soft tissue findings alongside bony structures in imaging. Several case studies illustrate the complexities and unusual findings that can arise in practice, emphasizing the necessity for chiropractors to be well-versed in both imaging and patient care. In this conversation, Savannah Shortz and Dr. John Stenberg delve into complex cases in dentistry and chiropractic practice, focusing on the importance of imaging techniques, particularly CBCT, in diagnosing conditions related to the cervical spine and inner ear. They discuss various patient symptoms, congenital anomalies, and the significance of thorough examinations and collimation in imaging. The dialogue emphasizes the challenges faced by practitioners and the need for resilience and dedication in serving patients effectively.Check out Part 2 on YouTube to view the CBCT Cases here:Atlas of Chiropractic on YouTubeLinks to Resources:Black and White RadiologyRadiantDr. Stenberg's Colorado Springs, CO Practice@zenith_chiro

The Latest in CBCT with Dale Miles, DDS

Academy of General Dentistry

Play Episode Listen Later Jun 2, 2025 30:50

In this episode, Dale Miles, DDS, MS, FRCD, a renowned expert in oral and maxillofacial radiology, explores the evolving role of cone beam computed tomography (CBCT) in dental practice. With a career spanning several decades in academic and clinical settings, Dr. Miles offers a compelling look at how advanced imaging is transforming diagnostics, treatment planning, and patient outcomes. From clinical pearls to regulatory considerations and the future potential of AI in radiology, this episode is a must-listen for any dentist looking to stay at the forefront of diagnostic imaging. Listen now.

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270. Are clicking and popping joints healthy? With Dr. Drew. McDonald

Dental Digest

Play Episode Listen Later May 29, 2025 29:32

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.

DWD Podcast 46 Periodontics and Implants with Dr. Farhad Boltchi

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Play Episode Listen Later May 29, 2025 29:12

This podcast focuses on Periodontics and Implant Dentistry. The DWD team interview a Spears and CDOCs faculty Periodontist Dr. Farhad Boltchi on his journey in implant dentistry. Discussions will include socket preservation and the paradigm shifts in implant dentistry.

2255: Why Redundancy Is the New Freedom Pt. 2

The Dentalpreneur Podcast w/ Dr. Mark Costes

Play Episode Listen Later May 27, 2025 30:21

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

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Understanding TMD Radiographic Imaging – Pano vs CBCT vs MRI – PDP223

Protrusive Dental Podcast

Play Episode Listen Later May 13, 2025 66:27

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

CBCT, what's the harm and should it be routine? | 9 MINUTE SUMMARY

Play Episode Listen Later May 7, 2025 9:12

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

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DWD PC #45 Implant Dentistry with Dr. Mark Ludlow

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Play Episode Listen Later May 5, 2025 27:22

The DWD team interviews Dr. Mark Ludlow from CDOCS and Spears Institute on Implant dentistry and complications.

Ep. 663 - CBCT, AI, and Implant Success: Insights from Dr. Steven Vorholt

Viva Learning Podcasts | DentalTalk™

Play Episode Listen Later Apr 28, 2025 42:00

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.

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ep 19: Periodontics, AI and Private Practice Hacks with Serv Wahan and Yvette Carrillo

Dr. Wahan Experiment

Play Episode Listen Later Apr 16, 2025 39:44

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

DWD Podcast 44 The Digital Hygienist Journey with Lindsay Janzen

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Play Episode Listen Later Apr 15, 2025 41:48

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

Episode 146: How Aligner Therapy Impacts Airway Health with Dr. Meenal Patel

Healthy Sleep Revolution

Play Episode Listen Later Apr 14, 2025 25:52

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

Biological Dentistry Explained: What's Really Happening in Your Mouth (Dr. Cody Kriegel) | SNH #118

Smarter Not Harder

Play Episode Listen Later Apr 9, 2025 80:40

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.

Impacted canines, resorbed teeth Part 2 | 3 MINUTE SUMMARY

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Play Episode Listen Later Mar 5, 2025 3:56

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

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3312: Wildfire Impact, Milky Oats & Anxiety, Cone Beam CT Scans, Different Sauna Options, Complete Bowel Movements (HouseCall)

The Cabral Concept

Play Episode Listen Later Mar 1, 2025 16:44

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!

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361: Vladimir Roman is Your Guide to Surgical Guides with Romanax

Voices from The Bench

Play Episode Listen Later Feb 24, 2025 63:32

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.

Episode 160 - Antibiotic Use in Veterinary Dentistry: What You Need to Know!

The Vet Dental Show

Play Episode Listen Later Feb 19, 2025 13:14 Transcription Available

Save Time and Money with Direct Print Aligners

The OrthoPreneurs Podcast with Dr. Glenn Krieger

Play Episode Listen Later Feb 11, 2025 45:04

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

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DWD Podcast #43 Digital Endodontics

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Play Episode Listen Later Feb 3, 2025 25:07

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.

Very Dental Student: How to Do a Root Canal with Zach and Kevin

The Dental Hacks Podcast

Play Episode Listen Later Jan 27, 2025 38:38

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!

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#946: Find the Hidden Value in Your Practice

Viva Learning Podcasts | DentalTalk™

Play Episode Listen Later Jan 23, 2025 14:06

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.

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Ep. 628 - High-Frequency Healing: Revolutionizing Endodontic Disinfection

Play Episode Listen Later Dec 30, 2024 32:00

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.

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2138: Case Planning Blueprint: Singles, Overdentures, & Full Arch Strategies

The Dentalpreneur Podcast w/ Dr. Mark Costes

Play Episode Listen Later Dec 14, 2024 58:44

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

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CBCT AI and the Emergence of Acteon with Steven Barnes

The Full Arch Podcast

Play Episode Listen Later Dec 6, 2024 31:51 Transcription Available

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.

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DWD Podcast 42 Case Acceptance with Andrew Gibson

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Play Episode Listen Later Dec 5, 2024 25:05

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.

#923: End of Year Crunch? No Need to Panic!

Play Episode Listen Later Dec 3, 2024 22:48

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.

DWD Podcast 41 The Status Scan

status atlantis dentistry scan sleep apnea digital technologies zephyr dental implants cbct cerec dentsply sirona digital workflow

Play Episode Listen Later Nov 22, 2024 12:55

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.

Episode 347: A Stack of Nerds Talking About Surgical Guides with Alan Banks from GuidedSMILE

Voices from The Bench

Play Episode Listen Later Nov 18, 2024 65:45

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.

Transverse assessment with a CBCT, is it the answer? 5 MINUTE SUMMARY

Play Episode Listen Later Nov 13, 2024 5:47

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

glass ideal models fa previous curve vertical miners reliable wala standard deviation transverse aao bucco cbct maxilla

804: Am I Overtreating My Patients? – Dr. Drew McDonald

The Best Practices Show

Play Episode Listen Later Oct 30, 2024 38:31

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...

patients mcdonald mri diagnose imaging tba snippets orthodontists cbct drew mcdonald using mri best practices show

#906: 3 Ways a Consultant Can Help You Thrive Now and in 2025

Play Episode Listen Later Oct 23, 2024 26:56

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.

success reach dc mba invest consultants practices roi consulting vip cpa tony robbins kpi phenomenal cpas pnl denali dso help you thrive cbct kiera dent

DWD Podcast #40 Fall Back into the Podcast

ai fall integration atlantis dentistry sleep apnea fall back digital technologies zephyr dental implants cbct cerec dentsply sirona digital workflow

Play Episode Listen Later Oct 21, 2024 20:36

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.

Clinical Pearls from ASAP Chiari and Syringomyelia Conference 2024

presence journal factors compass chaplain spiritual health apc get access cbct

Play Episode Listen Later Oct 15, 2024 86:39

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

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The Present of Presence: CBCT and Spiritual Health

The Chaplain's Compass

Play Episode Listen Later Oct 9, 2024 47:56

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/

Innovation in Clear Aligner Therapy with Dr. Maz Moshiri

The Survival Guide for Orthodontists

Play Episode Listen Later Oct 3, 2024 30:18

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...

Comparing X-Ray and CBCT in Upper Cervical Practice with Dr. Randy Culig

practice collaboration comparing integrating x ray asymmetry takeaways understanding cbct upper cervical

Play Episode Listen Later Sep 24, 2024 58:35

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/

Breaking News from the Blair Technique with Dr. Jake Hollowell

brazil argentina south america breaking news technique certifications hollowell cbct

Play Episode Listen Later Sep 17, 2024 46:42

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.

What Happens To Adults When We Expand With Aligners? 6 MINUTE SUMMARY

Play Episode Listen Later Aug 21, 2024 6:57

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

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Very Dental: The Best Way to Learn TMJ with Dr. Jim McKee

The Dental Hacks Podcast

Play Episode Listen Later Jul 19, 2024 75:22

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!

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#865: Stop Being Afraid of Your PnL