Podcasts about DDS

Detailed Show Notes Episode Overview In part one of this two-part series on Dental Digest, host Dr. Melissa Seibert sits down with dual-boarded periodontist and prosthodontist Dr. Ashley Hoders to examine the latest consensus literature on peri-implant soft tissue deficiencies, biologic bone preservation, and the biomechanics of skeletal expansion . They unpack why soft tissue recession is fundamentally a bone problem, how thin tissue starved of blood supply triggers crestal loss, and why treating skeletal arch deficiencies with dental compensation compromises cortical bone . Guest Information Guest: Dr. Ashley Hoders, DDS, MS Credentials & Affiliations: Dual board-certified diplomat and fellow of the American Board of Periodontology and the American Board of Prosthodontics; MS from UT Health Science Center at San Antonio . Clinical researcher with the McGuire Institute, co-creator of Spear Hygiene, visiting faculty at the University of Washington Graduate Periodontics Department, and active member of the American Academy of Restorative Dentistry (AARD) . Key Clinical Takeaways 1. The Reality of Peri-Implant Soft Tissue Deficiencies Recent joint consensus papers (AO/AAP) reveal that non-diseased peri-implant soft tissue deficiencies have an overall prevalence of 46.2% . These deficiencies worsen over time: 33% at 1 year and 64.5% at 5 years . Clinicians should exercise caution when planning implants in the aesthetic zone and consider alternative modalities (such as resin-bonded bridges) when appropriate . 2. Mid-Facial Margins vs. Interproximal Papilla Interproximal papilla height is dictated primarily by the bone levels on adjacent natural teeth . Mid-facial mucosal margin stability is driven by facial bone thickness (which is frequently $

Lihme Kirke, Viborg stift. 11. s. e. trinitatis Prædikant: Anne Røndal Organist: Elisabeth Juul Vært: Katarina Lewkovitch Salmer: DDS 748: Nu vågner alle Guds fugle Nr. i 100 Salmer: 876: Barmhjertige Gud DDS 397: Trods længslens smerte DDS 582: At tro er at komme DDS 522: Nåden er din dagligdag Præludium: Nu vågne alle Guds fugle små Komponist: Jesper Madsen Postludium: Postludium I Komponist: Hans Matthison-Hansen

A new report shows homes are selling below asking price in 38 of the 50 biggest U.S. cities, a signal that the long-dominant seller's market may be finally turning. We examine what this shift means for real estate as an asset class, homebuilder stocks, and mortgage-sensitive portfolios.Today's Stocks & Topics: AeroVironment, Inc. (AVAV), Market Wrap, Regeneron Pharmaceuticals, Inc. (REGN), Affordable Care Act (ACA), Onto Innovation Inc. (ONTO), U.S. Housing Market Cracks: Homes Selling Below Asking Price in 38 Major Cities, Pulse Biosciences, Inc. (PLSE), Uber Technologies, Inc. (UBER), Robinhood Markets, Inc. (HOOD), Dillard's, Inc. (DDS), Margin Debt.Our Sponsors:* Check out Anthropic and use my code Claude.ai/invest for a great deal: https://www.anthropic.com* Check out Quince and use my code quince.com/INVEST for a great deal: https://www.quince.comAdvertising Inquiries: https://redcircle.com/brands

In this episode of A Tale of Two Hygienists, Jessica and Dave sit down with Dr. Glenn Canares, DDS, MSD, to explore how psychological safety transforms learning environments, why there's a critical difference between being nice and being kind, and how Hygienist and educators can challenge learners while fostering growth. Glenn shares practical strategies for modeling self-care, delivering meaningful feedback, and creating sustainable, high-performing educational cultures that ultimately improve patient care.   In this episode, we discuss:   Why psychological safety is essential for effective learning   The difference between "nice" and "kind" feedback   Modeling self-care and growth-oriented leadership   How kindness improves learning, performance, and patient outcomes   Sustainable ways to integrate kindness into rigorous training programs   Connect with Dr. Glenn Canares:   LinkedIn: https://www.linkedin.com/in/glenn-canares/ Instagram: @oracleofkindness Email: glenn@oracleofkindness.com   Connect with the Hosts:   Jessica Atkinson: jatkinson@endeavorb2b.com Dave Torres: dtorres@endeavorb2b.com

One of the most important and fundamental practices is keep track of time. Time-keeping with accuracy has been pursued for centuries and has been recorded as being practiced even in ancient cultures and societies. Today we have convenient tools designed to do that very thing with great effectivness, wristwatches. In this episode Jacob and Stephen sit down with Brown Rocket Actual to talk about the importance of have a good and reliable watch as well as different things to look for and what brands are trustworthy.   CONTACT US The best way to get a hold of us is to email us. We love hearing from you and we also love discussing details and helping where we can with specific or more nuanced questions. Please feel free to reach out. We'd love to talk to you! minutemen.initiative@gmail.com   HOW TO SUPPORT US & THE PODCAST Follow us on Instagram and YouTube! @Dynamic.Defense.Solutions  |  @Minutemen.Initiative  |  @Minutemen.Initiative (YouTube) We are passionate about training / education which is a major drive behind why we do the podcast, this same passion extends to our social media presence. We post high quality and in-depth educational content on our DDS instagram as well as our Podcast instagram.  Support us through our web-store: Dynamic Defense Solutions Website Use Discount Code: MINUTEMEN We thoroughly test and evaluate all the equipment we sell. If you see it for sale on our web-store then we personally back it and recommend it. We are always adding new products to our store that we believe supports the "Modern Minuteman" and that mission. We get asked often how people can support us and the podcast. Purchasing gear, equipment, holsters, and accessories from us directly supports DDS which makes the Minutemen Initiative podcast possible. We appreciate all of you who listen and greatly appreciate your support!  Thank you, Jacob & Stephen   INDUSTRY  COLLABORATIONS:  IWA International Website: https://iwainternationalinc.com  Discount Code: DDS5   One Hundred Concepts Weblink w/ Discount: https://onehundredconcepts.com/DYNAMICDEFENSESOLUTIONS Discount Code: DYNAMICDEFENSESOLUTIONS If code is inactive or not working, please use the following email to request you discount: cs@onehundredconcepts.com    907 AMMO Website: https://907ammo.com 

In this episode of A Tale of Two Hygienists, Jessica and Dave sit down with Dr. Glenn Canares, DDS, MSD, to explore how psychological safety transforms learning environments, why there's a critical difference between being nice and being kind, and how Hygienist and educators can challenge learners while fostering growth. Glenn shares practical strategies for modeling self-care, delivering meaningful feedback, and creating sustainable, high-performing educational cultures that ultimately improve patient care.   In this episode, we discuss:   Why psychological safety is essential for effective learning   The difference between "nice" and "kind" feedback   Modeling self-care and growth-oriented leadership   How kindness improves learning, performance, and patient outcomes   Sustainable ways to integrate kindness into rigorous training programs   Connect with Dr. Glenn Canares:   LinkedIn: https://www.linkedin.com/in/glenn-canares/ Instagram: @oracleofkindness Email: glenn@oracleofkindness.com   Connect with the Hosts:   Jessica Atkinson: jatkinson@endeavorb2b.com Dave Torres: dtorres@endeavorb2b.com

Join Dr. Clancy  and his guests, Drs. Ganesan and Mangala, as they discuss what is known about the microbiome, its relation to disease and how we can promote a healthy microbiome. Episode Transcript CE Credit Available Host: Gerard Clancy, MD Senior Associate Dean for External Affairs Professor of Psychiatry and Emergency Medicine University of Iowa Carver College of Medicine Guests: Sukirth Ganesan, DDS, PhD, MPH Centennial Research Associate Professor Director of the Advanced Education Program in Periodontics University of Iowa College of Denistry and Dental Clinics Ashutosh Mangalam, PhD Professor of Pathology Interdisciplinary Graduate Program in Molecular Medicine University of Iowa Carver College of Medicine Financial Disclosures:  Dr. Gerard Clancy, his guests, and Rounding@IOWA planning committee members have disclosed no relevant financial relationships. Nurse: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this activity for a maximum of 1.00 ANCC contact hour. Physician: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this enduring material for a maximum of 1.00 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Other Health Care Providers: A certificate of completion will be available after successful completion of the course. (It is the responsibility of licensees to determine if this continuing education activity meets the requirements of their professional licensure board.) References/Resources:  Shahi SK, Ghimire S, Jensen SN, Lehman PC, Rux AG, Sinha S, Borcherding N, Tanas MR, Gibson-Corley KN, Ganesan SM, Karandikar NJ, Mangalam AK. IL-17A deficiency in HLA-DR3 transgenic mice enriches beneficial Prevotella species in gut to promote Tregs and reduce CNS autoimmunity. Microbiome. 2026 Jun 29;14(1):176. doi: 10.1186/s40168-026-02394-w. PMID: 42374500 Lehman PC, Ghimire S, Price JD, Ramer-Tait AE, Mangalam AK. (2023) Diet-microbiome-immune interplay in multiple sclerosis: Understanding the impact of phytoestrogen metabolizing gut bacteria. Eur J Immunol. Nov; 53(11):e2250236. DOI: 10.1002/eji.202250236. PMID: 37673213. Mendoza-Leon MJ, Mangalam AK, Regaldiz A, Gonzalez-Madrid E, Rangel-Ramirez MA, Alvarez-Mardonez OA, Vallejos OP, Mendez C, Bueno SM, Melo-Gonzalez F, Duarte Y, Opazo MC, Kalergis AM, Riedel CA. (2023) Gut microbiota short-chain fatty acids and their impact on the host thyroid function and diseases. Front Endocrinol (Lausanne). Jun 30; 14:1192216. DOI: 10.3389/fendo.2023.119226. PMID: 37455925. PMCID: PMC10349397.

Politik er kedeligt! Det er gamle mennesker der skændes, og så har det intet med spejderliv at gøre... Eller?!? kan det nu også være rigtigt?I det her bonus afsnit fra Spejdernes Lejr får vi besøg af Lily og Frida. De er unge spejdere, som har meldt sig som spejderambassadører, fordi de gerne vil involvere sig politisk i spejderbevælgelsen. Og så får vi besøg af en, der ved alt om spejder og politik, nemlig Signe, som sidder i korpsledelsen hos DDS, men også har siddet i WAGGGS's Europakomitee og været ungdomsdelegeret til FN. På en lille halv time vender Lily, Frida og Signe op og ned på alle mine fordomme om politik og spejder, og kommer med masser af ærlige og overraskende vinkler på det politiske spejderarbejde. Du kan godt glæde dig!Mange tak til Lily, Frida og Signe for at stille op i det hårde blæsevejr! Vi lyttes ved engang i september. Indtil da kan du følge med inde på spejderliv.dk/podcast, eller via Facebook og Instagram.

Treenighedskirken, Esbjerg, Ribe stift. 10. s. e. trinitatis Prædikant: Mira Bang Pedersen Organist: Lasse Toft Eriksen Vært: Katarina Lewkovitch Salmer: DDS 752: Morgenstund har guld i mund Nr. 907 i "151 Salmer": Vi synger om freden DDS 397: Trods længselens smerte DDS 276: Dommer over levende og døde Nr. 944 i tillægget "151 Salmer": Lyset vælder ind i verden Præludium: Præludium i Es-dur Komponist: Johan Sebastian Bach Korsats: Dit lys og din sandhed skal lede mig Lasse Toft Eriksen/ Iben Krogsdal Postludium: Chaconne: Dance for a Chinese Man and Woman Komponist: Henry Purcell

Are you totally dependent on third party rescue? Additionally, are you established well enough with your gear and logistics that you can sustain while awaiting rescue? Will your planning and equipment enable or hinder your rescue?  In this episode, Stephen and Jacob discuss simple and systematic gear and logistcs considertions that help to make you more rescuable and sustainable. There are many simple equipment and planning considerations that can drastically increase your survivability when things go wrong.    CONTACT US The best way to get a hold of us is to email us. We love hearing from you and we also love discussing details and helping where we can with specific or more nuanced questions. Please feel free to reach out. We'd love to talk to you! minutemen.initiative@gmail.com   HOW TO SUPPORT US & THE PODCAST Follow us on Instagram and YouTube! @Dynamic.Defense.Solutions  |  @Minutemen.Initiative  |  @Minutemen.Initiative (YouTube) We are passionate about training / education which is a major drive behind why we do the podcast, this same passion extends to our social media presence. We post high quality and in-depth educational content on our DDS instagram as well as our Podcast instagram.  Support us through our web-store: Dynamic Defense Solutions Website Use Discount Code: MINUTEMEN We thoroughly test and evaluate all the equipment we sell. If you see it for sale on our web-store then we personally back it and recommend it. We are always adding new products to our store that we believe supports the "Modern Minuteman" and that mission. We get asked often how people can support us and the podcast. Purchasing gear, equipment, holsters, and accessories from us directly supports DDS which makes the Minutemen Initiative podcast possible. We appreciate all of you who listen and greatly appreciate your support!  Thank you, Jacob & Stephen   INDUSTRY  COLLABORATIONS:  IWA International Website: https://iwainternationalinc.com  Discount Code: DDS5   One Hundred Concepts Weblink w/ Discount: https://onehundredconcepts.com/DYNAMICDEFENSESOLUTIONS Discount Code: DYNAMICDEFENSESOLUTIONS If code is inactive or not working, please use the following email to request you discount: cs@onehundredconcepts.com    907 AMMO Website: https://907ammo.com 

Biomimetic dental materials mimic a natural tooth's flexibility and cohesive strength. How does this help a restoration long-term? These materials, when used with the right techniques, work with the remaining tooth structure around the restoration, rather than in opposition to it, like with materials that are too stiff, poorly bonded or stress weaker areas of the tooth.In this episode, Dr. David Alleman, DDS, dives into dentinal bonding systems, flowable composites and fiber, discussing what makes them biomimetic, how they are developed and researched and their benefits in a restoration. Articles referenced in this episode:Akimoto N, Takamizu M, Momoi Y. 10-year clinical evaluation of a self-etching adhesive system. Oper Dent. 2007 Jan-Feb;32(1):3-10. doi: 10.2341/06-46.Send us Fan MailOur next Biomimetic Mastership class starts September 14. Register before August 14 for our special early-bird tuition discount at allemancenter.com/mastership.Instagram @david.alleman.dds@davey_alleman_dmd@allemancenter.comYouTube@allemancenter

In this episode, Howard Farran sits down with Dr. Chanelle Small, an endodontist who earned her Certificate of Endodontics from Tufts and both her DDS and undergraduate degree from Howard University, and who served as a Clinical Instructor at Columbia. Beyond founding Midtown Endodontics in New York City, Dr. Small works as a dental expert witness, retained by both plaintiff and defense attorneys across multiple states to determine whether the standard of care was met in malpractice cases. The conversation demystifies the legal side of dentistry that most clinicians never see until it's too late. Dr. Small breaks down the four elements of a malpractice claim — duty, breach, causation, and damages — through a real endodontic scenario, and explains how "standard of care" actually gets defined in the courtroom versus the textbook. She walks through the anatomy of a case from the initial complaint to resolution, when and how an expert witness enters the picture, and whether she's ever felt pressured by attorneys to shade her opinion to strengthen a case. The episode closes on the practical side every dentist can act on today: why radiographic documentation matters so much, what's most often missing from the record, and the habits beyond documentation that help protect a practice. Disclaimer: This interview does not constitute legal or tax advice and does not create an attorney-client relationship. This interview is for educational purposes only. Episode #1723 : Dentistry Uncensored with Howard Farran, Howard sits down with Dr. Chanelle Small — endodontist, founder of Midtown Endodontics in NYC, and a dental expert witness retained by both plaintiff and defense attorneys. From the four elements of a malpractice case to how "standard of care" actually gets defined in a courtroom, Dr. Small pulls back the curtain on what really happens when a dentist gets sued — and the documentation habits that protect you.

Episode Title: Demystifying Molar Endo: Metallurgy, Apex Locators, and Safe Canal Negotiation Host: Dr. Melissa Seibert (Dental Digest Podcast) Guest: Dr. Matt Chesler, DDS, MS (Board-Trained Endodontist & Resident Faculty at Spear Education) Episode Summary For many general practitioners, molar endodontics presents high anxiety before ever reaching a canal . Staring into an access preparation, searching for the pulp chamber, and worrying about over-drilling or ledging can cause significant stress . In this episode, Dr. Matt Chesler breaks down these fears by sharing practical, evidence-based approaches to modern instrumentation, glide path creation, working length determination, and retreatment decision-making . Dr. Chesler discusses why hand files are often the true culprit behind ledges, how modern reciprocating files offer a safer envelope of motion, why apex locators far outperform 2D radiographs, and why coronal sealing and high-quality restorations dictate long-term success . Key Discussion Topics & Timestamps — Introduction & Elevated GP Study Club Overview of Dr. Matt Chesler's background and the Elevated GP virtual study club . — File Metallurgy & The Hand File Myth Debunking misconceptions around rotary file ledging . How active-tip C-files create apical zips, ledges, and transportation . — Glide Path Formation & Reciprocating Files Transitioning away from hand files as early as possible (#8 or #10 hand file) . Using reciprocating glide path files (e.g., WaveGlider) and dynamic movement protocols . — Orifice Openers & Hunting for MB2 How orifice openers (e.g., Dentsply Gold Sx) straighten 45-degree entry angles . Techniques for brushing outward toward line angles and locating tight MB2 canals . — Working Length: Apex Locators vs. Radiographs Why the anatomic apex and radiographic apex fail to coincide in 88% of cases . Modern Electronic Apex Locator (EAL) accuracy (100% within $pm 1text{ mm}$) vs. 2D radiographs (65%–84%) . Why obturation outcomes are 15% higher when kept short or flush rather than long . — Chemical Negotiation & EDTA Usage Using liquid EDTA early in calcified canals to deliver files without damaging root dentin . Viewing endodontics simply as "a really deep Class 1 filling" . — Orifice Barriers & The 45-Day Re-Contamination Rule Material choices for coronal seals (Fuji Triage / dual-cure Glass Ionomer) . Managing exposed gutta-percha and why 45 days is Dr. Chesler's go/no-go threshold for retreatment . — Selective Retreatment & Restorative Priority When to perform selective retreatment (treating the MB root alone for missed MB2s) . Why good restorations with suboptimal endo out-perform good endo with bad restorations . — Systemic Health Impacts & Closing Remarks Research from King's College showing endodontic treatment lowers systemic biomarkers (blood pressure, blood sugar, cholesterol) . Key Takeaways 1. Hand Files Are Often the Cause of Ledging, Not Rotaries Ledges and apical transportation frequently result from improper hand file use (e.g., using active-tip C-files without pre-curving) rather than modern rotary or reciprocating files . Moving to mechanized instrumentation early creates a safer and more forgiving outcome . 2. Trust Your Apex Locator Over 2D Radiographs Radiographs fail to show the true anatomic apex in roughly 88% of cases . Modern electronic apex locators offer near 100% accuracy within $pm 1text{ mm}$ . Keeping obturation short or flush is 15% better for outcomes than overextending past the apex . 3. Orifice Openers Save Time and Dentin An orifice opener combines multiple Gates Glidden sizes into one file . Brushing outward toward line angles straightens canal entry and facilitates MB2 location without excessive tooth structure removal . 4. The Coronal Seal Drives Success A well-restored tooth with average endo has a higher long-term success rate than perfect endo with a leaking restoration . Exposed gutta-percha re-contaminates quickly; if open to oral fluids past 45 days, retreatment should be strongly considered . 5. Systemic Health Benefits Resolving endodontic infections directly improves systemic biomarkers, including measurable reductions in blood pressure, cholesterol, and blood sugar levels . Resources & Materials Mentioned Guest Community: The Elevated GP (Virtual Study Club) Instruments & Files: Dentsply Gold Sx Orifice Opener, WaveGlider Reciprocating Glide Path File Materials: Fuji Triage (Glass Ionomer Orifice Barrier), Liquid EDTA Research / Organizations: American Association of Endodontists (AAE) & King's College Systemic Biomarker Study

Platelet-rich fibrin (PRF) has become an increasingly popular tool in oral surgery, but what is the best way to incorporate it into your practice? In this episode, Dr. Grant Stucki welcomes oral and maxillofacial surgeon Dr. Anish Gupta back to the podcast to discuss how PRF can enhance procedures ranging from third molar extraction to ridge preservation, sinus lifts, and bone grafting. Rather than presenting it as a cure-all, Dr. Gupta explains where PRF offers meaningful benefits, from improving soft tissue healing and creating easier-to-handle "sticky bone" to reducing post-operative concerns and simplifying graft placement. He also shares practical advice on implementation, equipment, team training, and protocol development. The conversation concludes with a discussion of liposomal bupivacaine (Exparel®) and its role in supporting opioid-free pain management after surgery. Tune in for practical insights to help refine your surgical workflow and patient care!Key Points From This Episode:=Introduction to platelet-rich fibrin (PRF) and how it differs from platelet-rich plasma (PRP).Using PRF for third molars and extraction sockets.Creating "sticky bone” with PRF to improve graft handling and stability.Where PRF helps most, like soft tissue healing, and why it isn't a cure-all.Dr. Gupta's PRF approach to third molar extraction and ridge preservation.How PRF reduces post-op concerns.Why patients and staff respond positively to PRF.Incorporating PRF into third molar surgery protocols.Why Dr. Gupta moved away from routine chlorhexidine use.Using StellaLife® alongside PRF to support post-op recovery.Practical tips for implementing PRF in a surgical practice.Emerging PRF applications and future directions.Resources for learning how to implement PRF and training your team.Using Exparel® to support opioid-free pain management.Setting realistic expectations for PRF and Exparel® outcomes.Links Mentioned in Today's Episode:Dr. Gupta Oral Surgeon | Lyon Dental Implants And Oral Surgery — https://lyondentalimplants.com/dr-guptaDr. Gupta Email — guptanish@gmail.comStellaLife® VEGA® Oral Care Spearmint Rinse — stellalife.com/products/stellalife-vega-oral-care-sprearmint-rinseDr. Richard J. Miron, DDS, MSc, PhD - IAOCI — https://www.iaoci.com/iaoci-annual-congress/dr-richard-j-miron-dds-msc-phd/Exparel® — https://www.exparel.com/Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/ Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/ Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059

What if better data did not have to mean more paperwork? In this episode of Manager Minute, Sarah Leonard from the South Carolina Commission for the Blind and Pamela Clayton-Johnson from Maryland DORS join Carol Pankow to talk about their National Rehabilitation Leadership Institute research on the RSA-911. Their project takes a hard look at the growing administrative burden of federal reporting and asks a timely question: Are we collecting the right data for the right reasons? Sarah and Pamela discuss their recommendation to remove 71 data elements they believe exceed statutory requirements, while still maintaining accountability and protecting the integrity of VR data. The conversation also explores the importance of involving frontline staff, using data to improve services, and creating space for counselors to spend more time doing what matters most: helping individuals with disabilities achieve meaningful employment. Tune in for a thoughtful, practical, and refreshingly candid conversation about smarter data, stronger services, and leadership that challenges the field to think differently. Listen Here   Full Transcript {Music} Sarah: That's kind of my whole philosophy of who I am as a person. I'm always looking for how we can do things better and questioning, like why we're doing things like, why are we reporting this? Why are we doing that? And so I think that kind of shows up in the paper. Pamela: I think we chose to focus on streamlining the RSA nine over 11 report, because we recognize how much time and energy staff spend on administrative tasks and reporting requirements. Sarah: Were spending all this time to report this data. It must be important. It must be being used somewhere. but, I am not seeing that for some of this. Intro voice: Manager minute, brought to you by the Vocational Rehabilitation Technical Assistance Center. Conversations powered by VR. One manager at a time, one minute at a time. Here is your host, Carol Pankow. Carol: Welcome to the Manager Minute. Today, we're joined by Sarah Leonard, planning and reporting director from South Carolina Commission for the Blind, and Pamela Clayton-Johnson, program manager for the Eligibility Unit at Maryland DORS. So how are you doing today, Sarah? Sarah: Good. I'm doing great. How are you? Carol: Awesome. And Pamela, how about you? Pamela: I'm good. Enjoying all this rain that we had within the last week. Carol: Oh, nice. Well, we're in a heat wave. I'm in Minnesota, and, boy, it's been smoking hot. Sarah: It's been hot here. Carol: So Sarah and Pamela recently published a cohort project through the National Rehabilitation Leadership Institute that takes a thoughtful and timely look at the RSA 911. Their paper, Smarter Data, Better Outcomes, explores how reporting requirements have evolved over time, and the growing administrative burden on agencies, and what it would mean to streamline data collection in a way that would better support the core mission of vocational rehabilitation, which is helping individuals achieve employment and strengthening America's workforce. Their work raises important questions for the field about the balance between compliance, data, and outcomes, and offers practical ideas for rethinking how we can approach federal reporting moving forward. So let's dig in. So let's start with each of you. How did you get into vocational rehabilitation and what drew you to this work. And Pamela, I'm going to go to you first. Pamela: Okay. My interest in vocational rehabilitation began in 1999, after one of my close friends sustained a gunshot wound and became a quadriplegic. He was no longer able to do the work he had done before, but he still had a strong desire to work and remain independent. I began to help him research for programs and resources that could support him. And during that process, I discovered the Division of Rehabilitation Services DORS. So that experience changed my life and inspired me to pursue a career helping individuals with disabilities achieve their goal and match their full potential. I later earned my graduate degree in adult Education with a minor in Rehabilitation counseling, which allowed me to combine my passion for education, advocacy and services to others. Carol: That is an amazing story. You are the first person I've heard with like a story like that. And how is your friend doing today? Pamela: He is doing great. He is living independently. He has services in place for him. It's been so many years and he is doing well and he's thriving. So oh. Pamela: Yes. Carol: He's lucky to have a friend like you. I think that's awesome. Pamela: Yes. Carol: Sarah, how about you?How'd you get involved in VR? Sarah: My journey to VR is a recent one. I just started in VR in 2023, and I actually started my career as a public education teacher. And when I was looking to kind of make a career change, I was looking to kind of stay in the public service realm and ended up finding some job openings with the Commission for the blind and kind of my experience as an educator and everything. It just was kind of a natural fit. So I really enjoyed kind of the past three years now, and I'm excited for what's to come. Carol: Very cool. I remember when you first started, I feel like it was longer ago than three years. Time passes really fast. Sarah: It does. Carol: You both participated in NRLI live, and I just want to know a little bit about what that experience was like. And how did it shape your thinking as an emerging leader? And Sarah, I'll ping you first on that. Sarah: NRLI was an amazing experience and I learned so much from the staff from NRLI, but also just from connecting with so many VR professionals across the US. The way it's structured, you meet four times over the course of almost a year. And I think kind of as the year progresses, you are in different places in like kind of what you're doing at work. So when you come together each time as a group, you're kind of experiencing something different and everyone else kind of brings their own experiences and their different kind of situations currently occurring in their agencies to those conversations. So as like an emerging leader. It's just really helped me kind of see the bigger picture of VR on the national scale and how I kind of fit into that on the state level. Carol: Yeah, I love that so much because you see people from start to end because I get to help participate, at least in one of the weeks with doing some of the training, but really seeing how kind of the light bulbs are going on for you guys with that whole bigger national picture. I think that's awesome. Sarah: Yeah. Pamela: Right. Carol: How about you, Pamela? Pamela: Well, participating in the National Rehabilitation Leadership Institute was a very rewarding and eye opening experience for me. It gave me the opportunity to connect with rehabilitation professionals across the country, and who all share the same passion for helping individuals with disabilities succeed. The experience helped shape my thinking as an emerging leader by teaching me the importance of collaboration, advocacy and being servant leadership. I learned that leadership is not just about managing people, it's about listening and supporting others, creating positive change of course, and making sure the voice of the people we serve are heard. The institute also encouraged me to think bigger about the future of vocational rehabilitation and the impact we have in helping individuals achieve independency, employment and a better quality of life. It strengthened my confidence as a leader, and it also reminded me that growth happens when you are willing to learn from others and step outside of your comfort zone, and being a part of the group really helped me step outside my comfort zone. So it was an amazing experience for me. Carol: I love that, and I know they have that coaching component. And so you each get a like a mentor coach that is with you throughout the whole time. And that I just think adds an extra element, like a personal touch for you specifically and all of that. So it really is a great, great program. NRLI is about building leadership capacity and driving change. How did that show up in this project that you chose to take on? And I'll throw that to either of you. Sarah: I mean, that's our whole project. Pamela: right. Sarah: Our whole goal was to kind of advocate for some changes in terms of reporting, specifically the 911. So I think that's kind of my whole philosophy of who I am as a person. I'm always looking for how we can do things better and questioning like why we're doing things like, why are we reporting this? Why are we doing that? And so I think that kind of shows up in the paper. Carol: So what led you guys specifically to go after the RSA 911 for your project? I know you went through some iterations of different topics you were going to pick. Pamela: Yes. I think we chose to focus on streamlining the RSA 911 report because we recognize how much time and energy staff spend on administrative tasks and reporting requirements. Our goal was basically to look at ways to reduce the burden, so vocational rehabilitation staff could spend more time focusing on what truly matters, which is helping individuals with disabilities prepare for, obtain and maintain employment. We wanted to help shift the focus to building America's workforce and improving outcomes for the people we serve. This project taught me that leadership is about identifying the challenges and working together to find solutions, and being willing to advocate for meaningful change that benefit both the staff and consumers. It also showed me the importance, of course, of innovation and thinking about how systems and processes can work more effectively while still meeting federal requirements. So we ponder over a lot of different topics, and this is the one that we end up with. So I'm happy with all that we did with this particular paper and all that I have learned in this process. Carol: So Sarah, you specifically, I know have lived this burden of the RSA 911 every day. How would you describe it to other folks that may not understand? Like, what's the big deal about that? Sarah: I think what people don't realize is how much that report really drives like agency processes, just like day to day. The data that we collect as VR agencies as a part of the intake process, the closure process, all of that that gets reported on the 911. And then for those who aren't kind of in it every day, kind of one of the biggest shocks when they start kind of looking at what is all involved, especially, I think Pamela did this. She went to her person in Maryland who oversees the 911 and asked to see kind of the whole data file that gets submitted up to RSA. And I think that's kind of what puts it into perspective. So for those that haven't seen that, there's a line for every single consumer at your agency who has an open case or was applying for services that quarter or who has closed within the past six quarters. And they stay on that report for those six quarters after they close. And for each of those participants, those individual people, there's a ton of columns of data that gets reported for each of those consumers. And those are the data elements of the 911. And so for those that haven't seen that, I would really encourage them to just ask the person at their agency who is in charge of the 911 just to kind of it puts things in perspective. I think that all of those entries into the case management system, like all of that gets reported out in some sort of fashion on that 911. And so there's stuff that has to go on in the background too. Like our field staff, of course have to collect the data, but most agencies have a whole case management system team who kind of keeps their case management system running. And those data elements all have to be maintained with coding in the back of the system, so that it can get reported out correctly on that report. So there's field staff hours that go into this report. There's technical staff hours that go into this report. And then of course there's data collection that may be involved as well that has to go into the report. So that's a collaboration between technical and people in positions like myself, but then also the field staff to make corrections if those are needed on the 911. So. Carol: And how many data elements are there exactly? Sarah: Over 300. Yeah. Pamela: Yes, it was over 300. And we understand how important that report is for the vocational rehabilitation industry. So we recognize that the counselors and employees spend a large amount of time entering and reviewing data, which can sometimes take away from the direct services to consumers. So we just wanted to explore ways to make the process more efficient. Carol: Well, you guys make the point because you say in your paper the reporting requirements expanded beyond what's required in statute. And so why does that matter to the field right now? Sarah: Well, it's just extra work. Like if we're going to expand the requirements beyond what is like actually legally required, there should be a reason for that. And some of these data elements that are beyond kind of legal requirements, you know, like with the rehab act and everything, some of those data elements, I don't see them being used by RSA. I don't see them being used by Congress in any way. So RSA puts out an annual report to Congress every year, and the amount of data that actually goes into that report is very small, compared to the over 300 data elements that are reported for each consumer at every VR agency in the country. Pamela: And it just increased the workload for staffing agencies. You know, when reporting requirements continue to grow for the counselors and staff, they can spend more time focusing on paperwork instead of the data entry and working directly with the consumers and employees. You know, this can impact, of course, you know, the efficiency, staff morale and overall ability to provide timely services. So it's especially important because the VR agencies, which is us, are focused on helping build America's workforce by supporting individuals with disabilities in reaching their employment goals. So the field wants to make sure that the focus stays on serving people. That's the main goal, creating opportunities and improving employment outcomes, not becoming overwhelmed by administrative tasks, you know? So that was our main focus. Carol: Yeah, I hear that a lot. You know, people are like, I'm just pushing paper now. Pamela: Right? Carol: I'm the data collector. Instead of having time to actually talk to the people. So was that like your biggest realization that all that data wasn't actually going into the reported to Congress? Sarah: That was one of them for me. I think because I just would expect, if we're giving this data out, it would be being used in some sort of way. We're spending all this time to report this data. It must be important. It must be being used somewhere. But I'm not seeing that for some of this. When I kind of came to that realization, I was like, well, then why are we doing all this work? Why are we doing this to ourselves? Yeah, that for me, it was. Pamela: Yeah, we still understand that equity and good data are important, but there also needs to be balanced so agencies can effectively carry out the mission and the best support the people that we serve. So that's our main focus. We want to make sure that we're providing, you know, services to consumers instead of spending a lot of time on paperwork and things that, you know, they're not even looking at or is not meaningful. So it's just like, we're just trying to focus on what matters and balance out the workload. Carol: You did a really thorough job on being super specific on the data elements you recommended that got removed. I mean, it was like, I'm like, holy cow, because it was like you went through the whole entire directory and there were a lot, I don't even know how many, but how did you guys go about doing that to decide the elements that you were recommending to remove? Sarah: We spent a lot of time reading the laws and the regulations. I read the Rehab Act and spent time kind of analyzing that to determine like, what is actually required by the Rehab Act for us to report on. And after doing that review, I came to the conclusion that these 71 data elements that we proposed in our paper. There's no kind of legal requirement for those to be reported in the way that they're currently asking us to report them. Pamela: Right. Sarah: So most of the data elements that we propose to remove are related to service provider type. And the Rehab Act stipulates that only aggregate data on the types of providers and agency uses needs to be reported in some sort of fashion, but it does not stipulate that it needs to be reported on an individual case level for each of the services every quarter, which is what we're essentially doing right now through the 911. Pamela: And Sarah has so much experience because this is what she does every single day. So she was very, very helpful in teaching me about all the different data elements and what is used and things like that. So it was very informative. I had learned so much throughout the process when we were researching this paper and just trying to make sure that we're accurate on what we're reporting. Carol: Yeah, I liked it because I felt like you guys were very thoughtful and you approached this in a really good way and did an extremely thorough job. I would think RSA would be super interested in what you did. Have you spoken to RSA and maybe if you did, like what was that conversation like? You're kind of calling their baby ugly, you know? Pamela: We actually met with them. We met with Michael Quinn and he provided great insight and was very open to hearing our ideas and concerns regarding the RSA 911 report process. One of the biggest things that we learned was the importance of collaboration and having honest conversations about the challenges VR agencies face. It was encouraging also to hear that he believed our paper and research were realistic and thoughtfully developed. He also shared that his team will review our paper and take our recommendations into consideration, which showed us that there's value in bringing forth ideas that could improve processes within the vocational rehabilitation system. For me, it reinforced the idea that meaningful change starts with research, communication, and a willingness to work together to find practical solutions. Of course, that benefits both agencies and the individuals we serve. So meeting with his team was very informative and he was very realistic with the expectations and things like that. It was good. Sarah: We actually met with him twice, so we met with him once while we were kind of developing the paper. And that's what really shaped kind of our approach to writing the paper and research that we did. He told us in a bit of a cryptic way. He told us that we needed to think inside the box first and then think outside of it. So he encouraged us to read the laws, read the regulations. So that's kind of what shaped our method to collecting all of the research and the knowledge that we needed in order to be able to propose these changes. And then just meeting with him and his team kind of after the paper was done, when we went to DC for the final session of NRLI, It was really encouraging because him and his team were really open to the recommendations that we were making. And also, they said it was like getting public comment before the public comment period. So as everyone knows, the RSA 911 is up for renewal and was recently posted for public comment through the OMB. So they, I think, genuinely are looking for feedback on their reports and things like that. And I would really encourage agencies to take advantage of the public comment period on these reports, not just on the 911, but on the RSA 17, the 15, all of those different reports that we have to do, because RSA genuinely, I think, wants our feedback and wants to know the burden that it's putting on agencies and our ideas for streamlining. Carol: So I'm sure you're quoting this paper in the public comment, correct? Pamela: Yes. Sarah: Yes. Carol: Yeah, that's great. Well, you both bring up a really good point about being able to like do the research and speak up because I have heard for years people complaining about the 911, but I have never seen anyone do the job that you two did to dig in deep, do your research, do all the homework, and I'm glad Michael steered you down that path. Like read the rehab act... Pamela: right. Carol: ...look at the things, what's required, and then going back and meticulously, like coming up with 71 data elements. Wasn't 78 or 69. You came up with 71. You go, these are the ones. We don't need them. And I think a lot of times in VR, we kind of complain about things, but we don't always bring it up to the source that could do something about it because they just hear us anecdotally like, oh, you know, it's too much. But what exactly and what exactly could be removed? I think you did the work. People are going to be super happy about this if you get some success with that. Pamela: Yes. Carol: So if your recommendations were implemented. What do you think would be the biggest shift agencies would feel in their day to day operations? Pamela: I believe the biggest shift for VR agencies will feel is having more time and flexibility to focus on serving consumers, instead of spending so much time on administrative tasks and data entry. You know, counselors and staff will likely experience a reduction in paperwork as well and reporting burden, which could improve efficiency, reduce stress and allow more attention to be placed on counseling, job placement, employee engagement, and consumer support. I think agencies will still be able to collect important data and maintain accountability, because that's still important, but the process could become more streamlined and meaningful. The goal is not to remove the reporting, but to make sure the information being collected truly adds value and support that better outcomes. So overall, the biggest change will be shifting more time and energy back to the mission of vocational rehabilitation, which is helping individuals with disabilities prepared for, obtain and maintain meaningful employment while supporting America's workforce. Sarah: I think as well, like we call for removing those 71 data elements, but we also call for RSA to take a genuine look at the number of burden hours through the Paperwork Reduction Act and determine a more accurate estimate of those hours. And then also, we call for them to explore some opportunities to develop some centralized federal databases and data sharing systems, so that information on other WIOA program involvement and things like post-exit wages and credential data, that data could be more easily obtained by agencies. So a lot of agencies right now, they have to kind of manage these individual agreements with these... Carol: Right. Pamela: Right. Sarah: ...different entities to obtain some of this data. And so if we could in some way centralize that, so that whole process is easier. Agencies wouldn't have to kind of independently maintain these agreements with separate Agencies or organizations. Pamela: Right. Carol: Yeah, I thought that was a very interesting point. Thinking about that centralized data collection, I know like DDS, Pamela, you worked in that, you know, Pamela: yes. Carol: There is our centralized system. I used to manage DDS. And so thinking about kind of that nationwide database or whatever that you could possibly have. Now, I suppose people would say it's a little easier said than done, but nothing ventured, nothing gained. Was there any traction? Did you get to talk to Michael about that concept at all? Sarah: We did, and his comments back were kind of similar to what you just said, that it's easier said than done. But, you know, we have things like the Swiss data right now for wages. So I think it could be done. It just wouldn't be, you know, at the snap of your fingers, it would take some time to develop those. Carol: Well, you guys can be part of something like magnificently great. That could happen with your recommendations. I love it. Pamela: Yes. Carol: So stepping back as emerging leaders, what advice would you give others about like balancing compliance, data collection and achieving those real employment outcomes? What advice would you give agencies as they're facing all this? Pamela: I would say that it's important to remember that compliance data collection and employment outcomes all matter, but the mission should always stay centered on the people we serve. Data reporting are important because they help show accountability, measure progress, and tell the story of the work being done. However, we have to be careful that the process does not become overwhelming, that it takes away from direct services and meaningful engagement with consumers. My advice would be to focus on balance, use data as a tool to improve services and outcomes, not just a task to complete. Encourage teamwork, open communication and innovation when looking at processes and systems. It is also important for leaders to listen to frontline staff because they often understand where the biggest challenges exist and most importantly, never lose sight of the ultimate goal, which is helping individuals with disabilities achieve independency, meaningful employment, and success in their lives. Sarah: Pamela, I think you summed that up beautifully. Pamela: Thank you. Sarah: Yeah. I think my biggest advice to agencies is to start looking at your data and looking at your data with your front line workers who are in it every day and doing the job. They deserve to see that data and be involved in conversations surrounding that data. And it's a culture shift to kind of get your agency talking about that data, especially if you've not done it before. Some field staff, I'm sure, have never heard of the RSA 911 before in some agencies. So I think they deserve to be in those conversations and those conversations. I think it equips them to do their jobs more efficiently and effectively. Carol: I think people get so exhausted. I feel like sometimes with the collection of the data and making sure it's accurate, and then you submit it. And then on the other end, I know when we go on and do TA and you ask people about like the data or the observations, this isn't everywhere, but I think sometimes it gets so exhausted by the process, you forget to, on the other end, actually like use it and take a look at what the data is telling you. And I love that you said, you know, to involve your frontline staff because there have been different times we have like, say we look at the data dashboards and we're doing a little training with an agency and we have the field staff in there. They've never seen any of it. They don't know where this goes. They just know they have to do this thing where they're collecting all this stuff and it goes to some mysterious place, but they have no idea what it says. And it really is the story of your agency that does get communicated to Congress. Otherwise, they don't have any way to know about the anecdotal, awesome, wonderful things that are happening and getting people into employment unless you have something you can share. So we don't want to fall down at the very last minute and go, okay, we did all the thing, but we're not letting anybody know internally about what's going on with our data and then making changes as a result of it. You know, when you see different trends or things happening, being able to go in and go like, hey, what's up? You guys and the frontline people are sometimes, well, not sometimes they are the best people to talk to. They see what's happening and it comes out in the data. And everybody's sitting in central office like, mm, what's going on in that region? Go talk to that region and find out what's happening. Pamela: Exactly. The frontline staff, we need them. We need to get feedback from them because they are important in the decision making regarding things that, you know, the input and things like that for the different data elements. And I had a conversation with some of my staff because I work, you know, on the front line, just getting answers regarding, you know, different data entries at the time that they spend gathering information. So it was a lot of information that I learned. And just looking at the RSA 911 for the first time, it was overwhelming because I didn't even know all that information was being collected and used. So it was eye opening for me. Carol: And bless her heart, she does it all day, every day, I know. Are you sure you're happy you left public to do this? Sarah: And I think talking with our field staff about like the 911 data, for instance, like that, like just like NRLI, how we kind of came to this realization of how we fit into this bigger kind of national picture. I think for our staff, having conversations around our data and things like that can help them see that as well. Carol: Yeah. That's cool. So one last thing for you all. What about a little plug for NRLI, is there any like if we have listeners out there going like, what's this thing you all participated in? Do you have any kind of little plug you want to tell them about why they should do that program? Pamela: It was a leadership program, a leadership program where all people from all over the world, different walks in their career path participated. And I learned so much from people networking in itself. We still stay in contact, and their system sometimes may be a little different from how we do our things in Maryland. But just being around those folks that we are passionate about, the vocational rehabilitation process was just amazing and very fulfilling for me, and I think it will be an amazing experience for anyone that wants to be a part of this career path to participate. It was an awesome experience for me. Carol: I love that. Sarah: I really appreciated how, I guess intentional the whole entire experience like is designed like. So I think it's really intentional that it happens over the course of like basically a whole year. And then the different sessions or each week has kind of like a different almost like theme, I guess, or concept that you're learning that week. And then by the time you get to the final session in DC, it's kind of the culmination of everything that you've learned. But since time has passed and it's not just kind of like a one and  done thing, you have also kind of matured in your career. At least that's kind of how I felt as I went through it. I also started supervising two new people during that time period. So it was all very relevant and very, I guess, eye opening. But then also there's something I think, really important about it being a leadership program that's also in the lens of VR, right? Like there's tons of leadership programs out there, but they're not kind of tailored towards being a leader in VR. And so I think that's what makes NRLI so unique and different. Pamela: Most definitely. Carol: Yeah, I've seen over time, you know, those cohorts, you make those networks of friends, you guys have, you know, chat groups and all different things and getting together when you're at a conference or, you know, just people to call on and get ideas. If you run into trouble at your agency. You're like, oh, I'm gonna pick up the phone, I'm calling Pamela now, or I'm calling Sarah because they might have a different perspective on that. And I just love that transplanting of ideas across the country. There's such great benefit in that. I'm so glad you guys had a great experience. Pamela: I did, it was amazing. Carol: Thank you both today for this conversation. I'm expecting great things from your paper. I'm really hoping that it is the start of some cool changes. And thank you for joining me. Appreciate you both. Sarah: Thank you. Pamela: Thank you so much. {Music} Outro Voice: Conversations powered by VR, one manager at a time. One minute at a time. Brought to you by the VRTAC. Catch all of our podcast episodes by subscribing on Apple Podcasts, Google Podcasts, or wherever you listen to podcasts. Thanks for listening.

Vedbæk Kirke, Helsingør stift. 9. s. e. trinitatis Prædikant: Rune Reimer Christensen Organist: Steen Lindholm Vært: Katarina Lewkovitch Salmer: DDS 2: Lover den Herre DDS 299: Ånd over ånder DDS 30: Op alle som på jorden bor DDS 518: På Guds nåde DDS 402: Den signede dag Præludium: Hosianna Komponist: Egil Hovland Korsats: Gak ud, min sjæl, betragt med flid (v. 1 og 7) Komponist: Nathan Söderblom Postludium: Gammal fäbodpsalm Komponist: Oskar Lindberg

Host: Dr. Melissa Seibert Guest: Dr. Matt Chesler, Board-Trained Endodontist & Resident Faculty at Spear Education Episode Summary In this episode of Dental Digest, host Dr. Melissa Seibert sits down with endodontist Dr. Matt Chesler to break down the most intimidating aspects of molar endodontics . From overcoming access anxiety in deeply calcified teeth to navigating complex MB2 anatomy and proper hand-file selection, Dr. Chesler shares practical, evidence-based strategies to improve clinical confidence and prevent misadventures . Guest Bio Dr. Matt Chesler is a board-trained endodontist with over 20 years in the specialty and serves as resident faculty at Spear Education . He earned his DDS from the University of Southern California (USC), completed his endodontics residency at the Naval Postgraduate Dental School in Bethesda, and holds a Master of Science from George Washington University . He has been teaching clinical endodontics to dentists for over a decade . Key Takeaways & Clinical Pearls 1. Molar Access vs. Anterior/Premolar Access Greater Forgiveness: Molars offer significantly more space and room for minor access errors compared to anterior teeth or premolars, where the margins for error are much tighter . Magnification & Illumination: High magnification and proper illumination are mandatory for identifying heavily calcified canals . 2. Access Strategy for Calcified Canals Trajectory: Canals enter the pulp chamber at an angle rather than straight vertically . Search Laterally First: Before taking down the pulpal floor, expand the access preparation laterally . Look for color changes and the historical outline of the pulp chamber . Orifice Location: Orifices are typically located at the floor-wall junction . Ultrasonics Over High-Speeds: Put away high-speed handpieces early to avoid damage . Use end-cutting ultrasonic tips (such as the Buck II tip) to drop the pulpal floor safely . 3. Critical Depth Benchmarks Research Data (Dr. Alan Deutsch Studies): Average distance from occlusal surface to chamber roof: 6.25 mm . Average pulp chamber height: 1.5 mm to 2 mm . Safety Rule: You generally have roughly 6.5 mm of safe drilling depth from the occlusal surface before reaching the chamber . Radiographic Checkpoint: If you reach 6.5 mm to 7 mm in depth and have not entered the chamber, stop and take a radiograph to verify alignment and prevent perforation . 4. Workflow & Tactile Training Initial Access: Start with a small bur (e.g., #330 or #1931) to identify the safe zone while preserving tooth structure . Unroofing: Once inside the chamber, switch exclusively to non-end-cutting burs (e.g., Pulp Shaper or Endo-Z bur) to unroof without damaging the floor . Tactile Practice: Practice access preps on extracted teeth with your eyes closed to develop a refined tactile feel for dropping into the chamber and running burs along walls . 5. Radiographs & CBCT 3D vs. 2D Imaging: CBCT serves as an "open book test" . It helps determine whether a canal is truly occluded versus calcified, eliminating unnecessary structure removal . Follow Natural Pathways: Never try to create a new canal; always follow natural anatomy . 6. MB2 Anatomy & Canals Prevalence: Expect to locate an MB2 canal in approximately 75% of maxillary molars . Type 2 vs. Type 3 Systems: Type 2 System: Two separate orifices join into a single endpoint (V, Y, or lowercase h shape) . Type 3 System: Two completely independent canals from orifice to apex ("11" shape) . Instrumentation Tip: On Type 2 systems, your file may hit a wall where MB2 joins MB1 . When backfilling MB1 with warm gutta-percha, you will often see MB2 fill simultaneously via the confluence . 7. Hand File Selection & Pre-Curving Start Small: Use a #6 hand file rather than a #10 file to negotiate tight or calcified canals . A #6 file often glides through where a #10 file buckles . C-Files vs. K-Files: C-Files: Feature a stiffer shaft and active tip, making them ideal for finding and opening orifice tops . K-Files: Switch to K-files once the orifice is located to prevent ledging . Single-Use Files: Discard distorted hand files immediately to avoid file separation . Understanding Calcification: Canals calcify top-down, not bottom-up . Hitting a hard stop mid-canal (e.g., at 15 mm in a 20 mm canal) usually indicates a curve rather than calcification . Pre-Curving Technique: Place a smooth 30° to 55° bend on the last few millimeters of the file (acting like a mini explorer) using your fingers or an explorer handle to bypass curves . Avoid sharp kinks .  

What materials should you use to maximize adhesive strength, restoration longevity and tooth conservation? While how you use the materials — your techniques – are more important than the materials themselves, materials do still make a difference in restorative outcomes. In this episode, Dr. David Alleman, DDS, discusses zirconia, ceramic and composite and these materials' interaction with natural tooth structure.Articles referenced in this episode:Urabe I, Nakajima S, Sano H, Tagami J. Physical properties of the dentin-enamel junction region. Am J Dent. 2000 Jun;13(3):129-35.Send us Fan MailNEW: Deep Margin Elevation Online Practical WorkshopOn July 25, learn deep margin elevation from anywhere in the world through live online lectures and guided skills practice over Zoom with Dr. David Alleman and Dr. Davey Alleman. Learn more at allemancenter.com/dme-online.Instagram @david.alleman.dds@davey_alleman_dmd@allemancenter.comYouTube@allemancenter

Join Elevated GP at https://www.theelevatedgp.com/sales-page Dr. Gustavo Avila-Ortiz obtained a DDS degree and completed a PhD training program at the University of Granada (Spain), before moving to Ann Arbor, Michigan (USA) where he graduated with an MS degree and a Certificate in Periodontics from the University of Michigan. He is also a Diplomate of the American Board of Periodontology. Dr. Avila-Ortiz has over 10 years of experience as an educator and has worked to advance the profession in numerous institutional committees and scientific organizations. He is a former faculty member at the University of Michigan School of Dentistry and at the University of Iowa College of Dentistry, where he was the Phillip A. Lainson Professor and Chair of the Department of Periodontics until 2022. He currently serves as Editor-in-Chief of The International Journal of Periodontics & Restorative Dentistry. He has authored more than 100 articles published in peer-reviewed journals and numerous book chapters. He is the co-author of the book TISSUES: Critical Issue in Periodontics and Implant-Related Plastic and Reconstructive Surgery (Quintessence Publishing 2022), which has been critically acclaimed within the profession. Dr. Avila-Ortiz is currently a Visiting Professor in the Division of Periodontics at Harvard School of Dental Medicine and a member of Atelier Dental Madrid (Spain), a center for dental excellence where he maintains a private practice limited to Periodontics and Implant Dentistry and is regularly engaged in scholarly and continuing-education activities.

Dry mouth is more than an inconvenience. It can affect eating, speaking, sleeping, oral health, and overall quality of life, but identifying the cause isn't always straightforward. In this episode, Dr. Hayley Vatcher, an Oral Medicine Specialist, joins Dr. Grant Stucki to explain how oral surgeons can better recognize, diagnose, and manage salivary gland disorders. She clarifies the difference between xerostomia (subjective dryness) and true salivary hypofunction (clinical dryness), outlines a practical diagnostic approach, and discusses the many factors that can reduce salivary flow, from medications and radiation therapy to autoimmune conditions such as Sjögren's syndrome. Dr. Vatcher also reviews current treatment options, including lifestyle modifications, prescription medications, and salivary gland therapies, while sharing promising research into regenerative treatments that may one day restore salivary function rather than simply relieve symptoms. Discover practical strategies that can help improve care for patients living with salivary gland dysfunction.Key Points From This Episode:Today's guest and topic: Dr. Hayley Vatcher discusses salivary gland disorders.Why saliva is essential for oral health and quality of life.Common causes of dry mouth and salivary gland dysfunction.A practical approach to evaluating patients with dry mouth.Identifying xerostomia (subjective dryness) vs. true salivary hypofunction (clinical dryness).Measuring salivary flow to guide diagnosis and treatment.First-line lifestyle changes and over-the-counter treatment options.When to prescribe medications to stimulate salivary flow.Managing medication-induced dry mouth with physicians.Radiation and chemo-related dry mouth and promising regenerative therapies.Causes and treatment of hypersalivation and how to identify it.How Sjögren's syndrome and other autoimmune diseases can cause dry mouth.Diagnosing Sjögren's syndrome with clinical testing and biopsy.Treatment strategies that reduce oral complications for patients with Sjögren's syndrome.What the evidence says about mouth taping for dry mouth.Links Mentioned in Today's Episode:Dr. Hayley Vatcher — https://www.charlestonoralandfacialsurgery.com/hayley-vatcherDr. Hayley Vatcher on LinkedIn — https://www.linkedin.com/in/hvatcher/ Dr. Hayley Vatcher on Instagram — https://www.instagram.com/dr.hayleyvatcher/Dr. Hayley Vatcher Email — hvatcher@gmail.comCharleston Oral and Facial Surgery — https://www.charlestonoralandfacialsurgery.com/TheraBreath Dry Mouth Lozenges — https://www.therabreath.com/collections/lozenges-gumAquoral Spray — https://aquoralspray.com/Biotène — https://www.biotene.com/Salivea — https://www.salivea.com/Colgate PreviDent — https://www.colgate.com/en-us/previdentClinpro Tooth Crème — https://www.amazon.com/dp/B00K5HV1HOBoka — https://www.boka.com/Cevimeline — https://www.mayoclinic.org/drugs-supplements/cevimeline-oral-route/description/drg-20062661Pilocarpine — https://www.mayoclinic.org/drugs-supplements/pilocarpine-oral-route/description/drg-20065496Dr. Michael T. Brennan, DDS, MHS — https://school.wakehealth.edu/faculty/b/michael-t-brennanEveryday Oral Surgery Website — https://www.everydayoralsurgery.com/ Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/ Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059

In this episode, Bill Piskorowski, DDS, Associate Professor Emeritus of Clinical Dentistry, University Of Michigan School Of Dentistry, discusses advancing medical and dental integration, expanding access to care, and preparing the next generation of dental professionals. He also shares his perspective on AI, workforce challenges, and making dental education more affordable and sustainable.

In this episode, Bill Piskorowski, DDS, Associate Professor Emeritus of Clinical Dentistry, University Of Michigan School Of Dentistry, discusses advancing medical and dental integration, expanding access to care, and preparing the next generation of dental professionals. He also shares his perspective on AI, workforce challenges, and making dental education more affordable and sustainable.

It doesn't take a keen eye to recognize the obvious and progressive corruption and deception that exists in our world today. This corruption seems to be perpetuated by the same actors and exists around many different levels of influence across the world. Why is this happening and what can be done about it? In this episode Stephen and Jacob sit down to discuss some of the deceptions, schemes for power, and outright evil that has been increasingly exposed concerning certain nations (with one specifically in mind). This conversation is one of a spiritual nature because of the theological realities associated with what we see happening in our world. Primary Passages Ephesians 2:1-14 Romans 9 Romans 10 Romans 11   Learn More About Jesus & How To Be Saved What Is Christianity? Answers About Christianity Who Is Jesus? Why is everything Evil? What is the deal with Sin?   Other Valuable Resources Located below are helpful resources for more education on much of the topics discussed in this episode: What is the Church? God's Plan with His Covenant People What is Replacement Theology? Biblical Manuscipts  Biblical Reliability  Archaeological Evidences   CONTACT US The best way to get a hold of us is to email us. We love hearing from you and we also love discussing details and helping where we can with specific or more nuanced questions. Please feel free to reach out. We'd love to talk to you! minutemen.initiative@gmail.com   HOW TO SUPPORT US & THE PODCAST Follow us on Instagram and YouTube! @Dynamic.Defense.Solutions  |  @Minutemen.Initiative  |  @Minutemen.Initiative (YouTube) We are passionate about training / education which is a major drive behind why we do the podcast, this same passion extends to our social media presence. We post high quality and in-depth educational content on our DDS instagram as well as our Podcast instagram.  Support us through our webstore: Dynamic Defense Solutions Webstore Use Discount Code: MINUTEMEN We thoroughly test and evaluate all the equipment we sell. If you see it for sale on our webstore then we personally back it and recommend it. We are always adding new products to our store that we believe supports the "Modern Minuteman" and that mission. We get asked often how people can support us and the podcast. Purchasing gear, equipment, holsters, and accessories from us directly supports DDS which makes the Minutemen Initiative podcast possible. We appreciate all of you who listen and greatly appreciate your support!  Thank you, Jacob & Stephen   INDUSTRY  COLLABORATIONS:  IWA International Website: https://iwainternationalinc.com  Discount Code: DDS5   One Hundred Concepts Weblink w/ Discount: https://onehundredconcepts.com/DYNAMICDEFENSESOLUTIONS Discount Code: DYNAMICDEFENSESOLUTIONS If code is inactive or not working, please use the following email to request you discount: cs@onehundredconcepts.com    907 AMMO Website: https://907ammo.com 

AGD Communication Chair and Houston General Dentist Sam Asthana, DDS, FAGD, shares his perspectives on what makes AGD such a great resource for general dentists, his work on the AGD Communications Council, and the ups and downs of dental practice ownership.

Greg Grobmyer, DDS, joins Dr. George Schmidt at AGD2026 to discuss his dental career, coding and comedy.

Dr. Schmidt sat down with AGD2026 E-Poster Winner Farhad Kevin Baghaie, DDS, and Farzad Baghaie, DDS Candidate, during the meeting. Listen to their career journeys and how they focus on ways to improve dentistry.

Listen to an interview with Cheryl Mora, DDS, MAGD, of the Chicago Dental Society, during AGD2026 in Las Vegas.

Send us Fan MailDr. Matthew Burton, DDS has worked as an established dental practitioner in Frankfort,Illinois since 2008. He is an industry leader in Class 2 composite restoration, having developed the Quad Matrix System with Garrison.Dr. Burton embraces new dental technology as crucial to dentists' success through office efficiency and case outcomes. He has realized the importance of digital scanning and how software integration platforms are a key element to utilizing scan data. 3D printing, Intraoral Scanning, and digital smile software are the future of dentistry (and we couldn't agree more!).✨Connect with Dr. Burton: Garrison Website: https://www.garrisondental.com/Instagram: https://www.instagram.com/docburtondds/Huge thank you to Garrison for making this episode possible!

In this episode, host D. J. Thatcher chats with Dana Blalock, DDS, Dental Sleep Medicine Specialist at Sleep Better South Carolina

Fiber placement in restorative dentistry: Does it stop cracks, improve bonds or just add time to your restorative process? Dr. David Alleman, DDS, dives into the history of dental fibers, including Ribbond, Everstick Net and Ever-x Posterior, their uses in different clinical settings, and the research that shows how they support the restoration long-term. Articles referenced in this episode:Belli S., Et al. The effect of fiber placement or flowable resin lining on microleakage in class II adhesive restorations. J. Adhes. Dent. 2007; 9: 175-181Fennis  WMM,  Kuijs  RH,  Kreulen  CM,  Verdonschot  N,  Creugers  NHJ. Fatigue Resistance of Teeth Restored with Cuspal-Coverage Composite Restorations. Int J Prosthodont 2004 17(3)-313-317Send us Fan MailNEW: Deep Margin Elevation Online Practical WorkshopOn July 25, learn deep margin elevation from anywhere in the world through live online lectures and guided skills practice over Zoom with Dr. David Alleman and Dr. Davey Alleman. Learn more at allemancenter.com/dme-online.Instagram @david.alleman.dds@davey_alleman_dmd@allemancenter.comYouTube@allemancenter

Tongue ties are everywhere, even in the Netherlands.  What they don't have are CO2 lasers.  Dr Kirsten Slagter discusses with Katie Oshita how differences in availability, regulations, and tongue-tie culture affect treatment options for families in the Netherlands.  Listen here to learn more.Podcast Guest: Dr. Kirsten Slagter, DDS, PhD, graduated as a dentist in 2007 at the University of Groningen (cum laude). After graduation, she became a scientific researcher at the Oral and Maxillofacial Surgery department of the University Medical Centre Groningen and finished her PhD in oral implantology 2016. In 2024 she changed to the Dental department of the university. Her area of interest is oral implantology and oral surgery. Kirsten started more than 10 years ago the Tongue Tie Clinic as the first clinic in the Netherlands and continental Europe for consultations and treatments. This in combination with the Tongue Tie Institute Netherlands, regarding scientific research and (patient) information. Her goal is to make health care accessible for everyone and to help babies, children and adults with their oral issues and problems.Podcast Host: Katie Oshita, RN, BSN, IBCLC has over 25 years of experience working in Maternal-Infant Medicine.  While Katie sees clients locally in western WA, Katie is also a telehealth lactation consultant believing that clients anywhere in the world deserve the best care possible for their needs.  Being an expert on TOTs, Katie helps families everywhere navigate breastfeeding struggles, especially when related to tongue tie or low supply.  Katie is also passionate about finding the root cause of symptoms, using Functional Medicine practices to help client not just survive, but truly thrive. Email katie@cuddlesandmilk.com or www.cuddlesandmilk.com

This week, the Dental Amigos welcome Summer Kassmel, DDS, owner of Castle Peak Dental and Avon Dental, and Ladder5 Mentorship & Resources. She is also a black belt coach for the Dental Success Institute. Dr. Kassmel is a successful multi-practice owner, speaker, coach, and entrepreneur who helps dentists create profitable, systemized practices while building fulfilling lives outside the operatory. In this episode, Summer shares her journey from clinical practice owner to business leader and mentor. She discusses the importance of intentional hiring, building a strong culture through clear values and expectations, leveraging outsourcing and automation to reduce team burnout, and using practice metrics to successfully grow associate dentists. Summer also explains how thoughtful leadership and strategic planning can help practice owners scale while maintaining profitability and work-life balance. To learn more about Summer Kassmel and Ladder5 Mentorship, visit https://summerkassmel.com/. Additional Resources: * Instagram: https://www.instagram.com/drsummerkassmel/ * LinkedIn: https://www.linkedin.com/pub/dir/Dr.+Summer/Kassmel/us-0-United-States * Ladder5 Mentorship: https://summerkassmel.com/ * Ladder5 Webinar Registration: https://products.summerkassmel.com/registration-page Listeners who want to reach Paul can do so at Paul@DentalNachos.com and those who want to reach Rob can do so at Rob@RMontgomery-law.com.

Ronald Hsu, DDS, of Storybook Dentistry in Camas and Dr. Megan Miller of Expedition Pediatric Dentistry offer guidance on credentials, communication style, and why the American Academy of Pediatric Dentistry recommends a child's first dental visit by age one. https://www.clarkcountytoday.com/youth/how-to-choose-a-pediatric-dental-provider/ #PediatricDentistry #ChildrensDentalHealth #DeltaDentalWA #OralHealth #YouthHealth #ClarkCounty #WashingtonState #DentalCare #ParentingTips #DentalHome

Cracks put teeth at risk of infection and fracture if left untreated, but treating cracks in teeth can create many challenges for practitioners. Removing cracks without good magnification, visibility and an understanding of crack propagation puts the nerve and critical tooth structure at risk. Once the crack is removed, the non-standard defect requires specific techniques to bond to deep areas of the tooth while maintaining a strong bond.Dr. David Alleman, DDS, first began researching treatment options for cracks because he recognized that full coverage crowns weren't yielding predictable results. Adhesive dentistry had the potential to offer a more predictable alternative, but the protocols didn't exist for practitioners. So he formulated those protocols for predictable crack treatment himself. Articles referenced in this episode:Belli S., Et al. The effect of fiber placement or flowable resin lining on microleakage in class II adhesive restorations. J. Adhes. Dent. 2007; 9: 175-181.Nikolaenko SA, Et al. Influence of c-factor and layering technique on microtensile bond strength to dentin. Dent. Mater. 2004;20-579-585Send us Fan MailNEW: Deep Margin Elevation Online Practical WorkshopOn July 25, learn deep margin elevation from anywhere in the world through live online lectures and guided skills practice over Zoom with Dr. David Alleman and Dr. Davey Alleman. Learn more at allemancenter.com/dme-online.Instagram @david.alleman.dds@davey_alleman_dmd@allemancenter.comYouTube@allemancenter

In this episode of the AGD Podcast Series, host George Schmidt, DMD, FAGD, speaks with Charles D. Schlesinger, DDS, FICOI, VP of Clinical Development at Impladent LTD, about the critical role of bone grafting in successful dental implant therapy. Dr. Schlesinger explains why grafting is often necessary to create an ideal foundation for implant placement, reviews the advantages and limitations of various grafting materials, and shares practical insights on treatment planning, healing timelines, and radiographic evaluation. The conversation also explores the science behind alloplastic grafting materials, including OsteoGen® crystals, and discusses applications such as socket preservation, sinus augmentation, and immediate implant placement. Drawing on decades of clinical and educational experience, Dr. Schlesinger offers valuable guidance for clinicians seeking to improve implant outcomes while highlighting emerging innovations and future directions in regenerative dentistry. Dr. Schlesinger graduated with honors from The Ohio State College of Dentistry and completed a General Practice Residency at the Veterans Affairs Medical Center in San Diego, later serving as Chief Resident at the Veterans Affairs Medical Center in West Los Angeles, where he received extensive training in oral surgery, implantology, and advanced restorative care.

Elevated GP - Click here to join Elevated.GP Follow @dr.melissa_seibert on Instagram Dr. Peter Milgrom is Professor of Oral Health Sciences and Pediatric Dentistry in the School of Dentistry and adjunct Professor of Health Services in the School of Public Health at the University of Washington. He directs the Northwest Center to Reduce Oral Health Disparities. He holds academic appointments at Case Western University, University of Rochester, and University of California, San Francisco. He maintains a dental practice limited to the care of fearful patients and served as Director of the UW Dental Fears Research Clinic. Dr. Milgrom's work includes research on xylitol, the effectiveness of fluoride varnish and iodine in preschoolers, clinical efficacy and safety of diammine silver fluoride, motivational strategies to increase perinatal and well child dental visits in rural communities, and studies of cognitive interventions in pediatric and adult dental fear. The NIH, Maternal and Child Health Bureau, HRSA, and the Robert Wood Johnson Foundation support his work. Dr. Milgrom is author of 5 books and over 300 scientific articles. His latest book, Treating Fearful Dental Patients, was published in 2009.   Dr. Milgrom was Distinguished Dental Behavioral Scientist of the International Association for Dental Research for 1999. In 1999, and again in 2000, his work was recognized by the Giddon Award for research in the behavioral sciences in Dentistry. He received the Barrows Milk Award from IADR in 2000, recognizing his work for public health including the development of the Access to Baby and Child Dentistry (ABCD) program in Washington State. In 2003, Dr. Milgrom received a Special Commendation Award from the National Legal Aid and Defenders Association and the University of Washington Medical Center Martin Luther King, Jr. Community Service Award. In 2010, he received the Aubrey Sheiham Research Award for his work on xylitol. He serves on scientific review committees for the NIDCR, NIMHHD, NINDS, Center for Scientific Review at NIH and as a consultant to the FDA. In 2005, Dr. Milgrom was appointed the SAAD Visiting Professor of Pain and Anxiety Control at the King's College Dental Institute, University of London, UK for a six-year term. In 2008 he was awarded the degree of Doctor Honoris Causa from the University of Bergen, Norway in recognition of his work in social and behavioral dentistry. In 2012, he received the University of California, San Francisco Dental Alumni Gold Medal for his contributions to Dentistry. In 2012 he was also awarded the Norton Ross Award for Excellence in Clinical Research by the American Dental Association. In 2013, he was appointed to the Council of Scientific Affairs of the American Dental Association. In 2014, he received the Irwin M. Mandel Distinguished Mentor Award from the IADR. In 2015, he served as HMDP Expert in Dental Public Health for the Singapore Ministry of Health. Dr. Milgrom received his DDS from the University of California, San Francisco in 1972 and had a previous position at the National Academy of Sciences, Engineering, and Medicine. In the last few years, Dr. Milgrom has spoken to dental associations in Argentina, Colombia, Peru, Philippines, and USA and at major universities in USA and abroad.

Terry M. Adair, DDS is an oral and maxillofacial radiologist, author, and founder of the nonprofit Fusion Star Project, an organization focused on energy literacy, advanced technology, and the long-term future of civilization. He is the author of Where Are the Little Green Men? and the upcoming Earth: The Goldilocks Planet, exploring the intersection of astrobiology, evolution, thermodynamics, and the Fermi Paradox.

What do you do when a failure, setback, or “detour” hits your practice or life and you can't see the point of it yet? In this episode, Kirk Behrendt interviews Dr. Timothy Bizga, private practice dentist and educator, about the mindset shifts behind his book Timeless Tidbits of Wisdom and how to find perspective when dentistry feels heavy.You'll learn why “life happens for you,” how boundaries prevent burnout, and how community changes your trajectory. Listen to Episode 1056 of The Best Practices Show!Main Takeaways:Dr. Bizga wrote his book to serve readers with practical wisdom drawn from patient stories and his own experiences.Writing a book requires commitment and support systems, not isolation or “doing it alone.”A misgraded writing exam in eighth grade became a long-term gift by sparking Dr. Bizga's love of writing.The chapter “The Gift Inside the Detour” centers on changing mindset from “this is happening to me” to “this is happening for me.”Perspective often comes later, and progress in hard seasons can mean simply continuing to move forward.“Even Enamel Has Limits” is a reminder that caregivers and clinicians need boundaries to avoid burnout and breakdown.Smile Source Exchange is positioned as a community-driven learning environment where relationships and mentorship accelerate growth.Snippets:00:00 Welcome01:22 Meet Dr Tim Bizga03:04 Why Dr. Bizga wrote Timeless Tidbits of Wisdom and how patient stories shaped it.04:50 “Writing a book is the hardest thing ever” and why Dr. Bizga disagrees.06:09 “My hope is not to impress you, but to serve you” and the goal of 31 short chapters.07:50 The story behind “The Gift Inside the Detour”14:09 Applying detours to dentistry: procedures, team issues, health crises, and mindset.17:42 “Even Enamel Has Limits” and why boundaries matter for dentists and caregivers.21:39 Where to Get the Book22:26 Why Attend The Exchange 202625:09 Final thoughts on dentistry as a profession Guest Bio/Guest Resources:Dr. Timothy Bizga is a 2006 DDS graduate of the School of Dentistry! Along with having a successful practice, Dr. Bizga is an Adjunct Clinical Assistant Professor of Dentistry at the School of Dentistry and the Director of Education for Smile Source, a network of more than 1,000 independent dentists who benefit from group buying, collective education and peer-sharing programs. Dr. Bizga has lectured nationally for more than 16 years and recently authored Timeless Tidbits of Wisdom.Guest resources mentioned in the episode:Timeless Tidbits of Wisdom: https://a.co/d/0aFvJ3MsThe Exchange 2026: https://smilesource.com/exchangeMore Helpful Links for a Better Practice & a Better Life:The Best Practices Show: https://www.actdental.com/podcast/Best Practices Association: https://www.actdental.com/bpaUpcoming Events & Workshops: https://www.actdental.com/events/Smile Source: https://www.smilesource.com/Subscribe on Apple Podcasts: https://podcasts.apple.comSubscribe on Spotify: https://open.spotify.com

From ultra-processed foods and pesticides to environmental toxins, pharmaceuticals, and chronic disease, it can feel overwhelming to try to make sense of it all - - - especially when our health "authorities" seem to continuously change their minds about what's good for us and what's killing us - - - and everything seems to be poison now. In this eye-opening conversation, Jamie Belz, FNTP, MHC, sits down with veteran pediatrician, integrative physician, author, speaker, and health freedom fighter, and author Dr. Michelle Perro, MD, DHom, to discuss one of the biggest questions of today: How do we pursue true health in an increasingly toxic world? Drawing from more than four decades of clinical experience, Dr. Perro shares her perspective on the growing health challenges affecting children and adults alike, why so many people are searching for answers outside conventional approaches, and what practical steps individuals can take to reclaim their health. Together, Jamie and Michelle dive into topics including: • What's making our children sick and how we can begin making them well • Glyphosate, GMOs, fluoride, and environmental toxic burden • The MAHA (Make America Healthy Again) movement and why it continues to gain momentum • Why curiosity is one of the most important skills we can develop in today's world • The importance of critical thinking and informed decision-making • Finding trustworthy health information in an age of information overload • Lyme disease, chronic illness, and environmental health concerns • The role of food as the foundation of physical and mental wellness • Transhumanism, AI, technology, and the future of human health • Why community matters when pursuing a different path toward wellness • How young people can become empowered advocates for their own health • Why the choices we make today may impact future generations One of the most powerful themes throughout this conversation is the idea that health is often visible. Spend time around people who prioritize nutrient-dense food, clean water, movement, sunshine, meaningful relationships, and foundational wellness, and you'll often notice a difference. There is a vibrance, energy, resilience, and optimism that stands out. Jamie and Michelle discuss how surrounding yourself with people who value health can accelerate your own journey and help you stay the course when the path feels unconventional. Whether it's attending a health conference, joining a local Weston A. Price chapter, connecting with practitioners, or simply finding friends who share similar values, this episode highlights the importance of finding community and support as you pursue a healthier life. Most importantly, this conversation is a reminder that lasting change starts with paying attention. Asking questions. Staying curious. Learning to think critically. And taking ownership of the choices that shape your health and the future health of those around you. Please subscribe, leave a review, and share this episode! About Michelle Perro, MD Dr. Michelle Perro is a veteran pediatrician with more than 40 years of clinical experience caring for children and families. Formerly an attending physician at UCSF Benioff Children's Hospital Oakland, she has treated tens of thousands of patients throughout her career and has become a leading voice in children's environmental health. She is the founder and CEO of GMOScience and the co-author of the bestselling books What's Making Our Children Sick? and Making Our Children Well. Her work focuses on the connection between modern food systems, environmental exposures, chronic illness, and the long-term health of future generations. Dr. Perro regularly speaks internationally, educating parents, healthcare professionals, and communities about nutrition, environmental medicine, and informed healthcare choices. Dr. Michelle Perro's Books:  What's Making Our Children Sick?https://www.amazon.com/Whats-Making-Our-Children-Sick/dp/1603587578 Making Our Children Well GMOScience Other Resources Mentioned: Weston A. Price Foundation Find a Weston A. Price Local Chapter   S2E2: AI In the Kitchen S1E6: Dr. Francis M Pottenger Jr Story Health Revival Podcast Episode with Dr. Perro Jamie's "Scientific Advisory Council" or "SAC" (Copy/Paste/Store in Chat/Grok/Etc.) Del Bigtree Lindsey Berkson, DC, CNS William Burgdorfer, PhD Jill Carnahan, MD Ignacio Chapela, PhD Rangan Chatterjee, MBChB, MRCGP Alan Gaby, MD Michael Gerber Tyrone Hayes, PhD Jesse Inchauspé, BSc Mikhail Kogan, MD Patty Lemmer Elizabeth Lipski, PhD, CCN James Lyons-Weiler, PhD Peter McCullough, MD, MPH Jennifer McGruther Judy Mikovits, PhD Luc Montagnier, MD, PhD Candace Pert, PhD Michelle Perro, MD Francis M. Pottenger Jr., MD Weston A. Price, DDS Árpád Pusztai, PhD Robert F. Kennedy Jr., JD Jordan Rubin, NMD Gretchen Rubin, JD Sally Fallon Morell, MA Gilles-Éric Séralini, PhD Stephanie Seneff, PhD Troy Spurrill, MD Gerard Tortora, PhD Matthew Walker, PhD Jack Wolfson, DO, FACC  

The first interview in the PRF Spotlight Series: Voices Shaping Pain Science features Dr. Michael Gold, PhD delving deep in to discussion of the history and future of sodium channels. From the identification of sodium channels as drivers of nociceptor excitability to the emergence of NaVs as therapeutic targets, this conversation bridges the history of pain research with the future of mechanism-based analgesia. Part 1 of our interviews on Sodium Channels and the Making of a Field.   Michael Gold, PhD University of Pittsburgh   Francisco Isaac  Gomes-Aragão, DDS, MSC, PhD University of São Paulo, BR   Beatriz Lima Adjafre, PhD University of São Paulo, Br   Music by Seal Party.   

Incoming AAPD CEO Dr. Jessica Y. Lee joins host Dr. Joel Berg for an engaging discussion of her goals and vision for the Academy's future. She shares her journey through pediatric dentistry, delving into what excites her most as she shifts from academia to leader of the AAPD. In this heartfelt and genuine conversation, Dr. Lee compares taking on the CEO role to “coming home” and hopes to bring that sense of belonging to the newest generations of pediatric dentists as she takes the helm. Guest Bio: Dr. Jessica Y. Lee is Chief Executive Officer of the American Academy of Pediatric Dentist. Prior to taking on this role in June 2026, she was the Demeritt Distinguished Professor of Pediatric Dentistry and Senior Associate Dean for Faculty Affairs and Leadership Development at the University of North Carolina, as well as a professor in the Department of Health Policy and Management in the UNC Gillings School of Global Public Health. Dr Lee received her MPH and DDS degrees from Columbia University and her Certificate in Pediatric Dentistry and PhD in Health Policy and Management from the University of North Carolina at Chapel Hill where she was also a NIDCR National Research Service Award recipient. She is a board-certified pediatric dentist and an active member of the medical staff at UNC Hospitals and practices in the Dental Faculty Practice in the School of Dentistry. She has authored over 150 peer-reviewed manuscripts and is a renowned expert in health literacy and health disparities. She is dedicated to bridging the gap between medical knowledge and patient understanding and reducing health disparities. She has led projects funded by the NIH and HRSA. Dr Lee is involved in teaching, clinical practice, and research. In addition to her academic pursuits, Dr. Lee is actively involved in leadership, community outreach and education initiatives. She collaborates with healthcare providers, government agencies, and non-profit organizations. She served as the President for the American Academy of Pediatric Dentistry (AAPD) from 2020-2021. She is the recipient of numerous teaching and research awards including the 2008 AAPD Jerome Miller “For the Kids” Award. In 2010, she received the Presidential Early Career Award for Scientist and Engineers from President Barack Obama. In 2011, Dr Lee was named the ‘Pediatric Dentist of the Year” by the American Academy of Pediatric Dentistry and in 2021 she received the AAPD Merle C Hunter Leadership Award. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Sleep apnea treatment isn't one-size-fits-all—and CPAP isn't the only option.In this episode of SleepTech Talk, we sit down with Dr. Suzanne Thai, DDS, TEDx speaker, dental sleep medicine specialist, and one of the leading voices in dental sleep medicine on social media. Dr. Thai shares how oral appliance therapy is helping patients find effective treatment for sleep apnea and why collaboration between sleep physicians and sleep dentists is critical for patient success.Whether you're a sleep professional, healthcare provider, or someone living with sleep apnea, this conversation offers valuable insight into treatment options that extend beyond traditional CPAP therapy.Key topics include:✅ Why oral appliance therapy can be a first-line treatment for obstructive sleep apnea—not just an alternative to CPAP✅ How oral appliances and CPAP therapy can work together to improve treatment outcomes✅ What makes a sleep dentist different from a general dentist✅ How dental sleep medicine specialists collaborate with sleep physicians to provide comprehensive patient care✅ Common misconceptions about oral appliance therapy and who may benefit mostDr. Thai brings a unique perspective as a clinician, educator, TEDx speaker, and influential advocate for sleep health. Her passion for improving patient outcomes and increasing awareness of dental sleep medicine shines throughout this episode.You can learn more about Dr Suzanne Thai here:Her TEDx talk on Youtube: https://youtu.be/J1xRI199RUo?si=5E69LZ9BXhh9koUNYoutube: @DrSuzanneThaihttp://www.youtube.com/@DrSuzanneThaiInstagram: @Dfwsleepsolutions instagram.com/dfwsleepsolutionsFacebook:facebook.com/dfwsleepsTikTok:https://www.tiktok.com/@drsuzannethai?_r=1&_t=ZT-96mScoLxZJlA huge thanks to our sponsors:Philips Healthcare   See how Philips is supporting you and your patients with meaningful innovation. Visit https://www.philips.com/matters Fisher & Paykel Healthcare  Discover how F&P full-face masks have led millions of people to a great night's sleep at https://www.fphcare.com/curiosityhttps://www.fphcare.com/us/homecare/sleep-apnea/Soliish https://www.soliish.com/React Health  https://www.reacthealth.com/myWaveshttps://mywaves.tech/More resources for clinicians can be found at Sleep Review Magazine  https://sleepreviewmag.com/Don't forget to Like, Share, and Comment! Subscribe to SleepTech Talk for more insights into sleep apnea, CPAP therapy, and innovations shaping the future of sleep care.Whether you're a sleep professional or a healthcare innovator, this episode explores the intersection of technology, patient care, and sleep medicine.Learn more about the show at https://www.sleeptechtalk.com/thetechroomCredits:Audio/ Video: Diego R Mannikarote; Music: Pierce G MannikaroteHosts: J. Emerson Kerr, Robert Miller, Gerald George MannikaroteCopyright: ⓒ 2026 SleepTech Talk ProductionsEpisode 125The views and opinions expressed by guests on SleepTech Talk are their own and do not necessarily reflect those of the podcast hosts or SleepTech Talk as a whole. This podcast is intended for educational and informational purposes only and should not be considered medical advice. Listeners are encouraged to consult with a qualified healthcare professional for any medical concerns or questions.Subscribe for more conversations with leaders shaping the future of sleep medicine, sleep technology, and patient care.#SleepApnea #DentalSleepMedicine #OralApplianceTherapy #CPAP #SleepTechTalk #SleepMedicine #SleepHealth #Dentistry #HealthcarePodcast #SleepDentist

Dentists have been attempting to treat cracked teeth for decades, with the goal of alleviating patient pain and conserving teeth through restorative treatment. But as Dr. David Alleman, DDS, describes in this episode, “it's a coin toss of success.” Methods such as retention to hold the crack together or bonding over the crack with adhesion are unpredictable. Sometimes the treatment works, and sometimes it doesn't, leaving patients and practitioners frustrated. The solution: treat cracked teeth like engineers have been treating cracks for over a century. The challenge: applying these techniques to a biological environment and accounting for bacteria, dentin hydration and dental adhesives.Dr. David Alleman, DDS, discusses the history and treatment protocols for predictable cracked tooth treatment in this episode of the Six Lessons Approach podcast.Articles referenced in this episode:Brannstrom M. The hydrodynamic theory of dentinal pain: sensation in preparations, caries, and the dentinal crack syndrome. Journal of Endodontics. 1986;12(10)-453-457Gordon, J. E. The New Science of Strong Materials: Or, Why You Don't Fall Through the Floor. Princeton, N.J: Princeton University Press, 2006.Abbott P, Leow N. Predictable management of cracked teeth with reversible pulpitis. Australian Dent J. 2009; 54:306-315.Send us Fan MailUpcoming training programs:May 18: Online Biomimetic Mastership startsAugust 7-8: SLA WorkshopSeptember 14: Online Biomimetic Mastership startsSeptember 25-26: SLA WorkshopOctober 7-10: In-Person Biomimetic MastershipOctober 23-24: Advanced Occlusion WorkshopDecember 4-5: SLA WorkshopLearn more and register at allemancenter.com/eventsInstagram @david.alleman.dds@davey_alleman_dmd@allemancenter.comYouTube@allemancenter

Gary Takacs and Naren Arulrajah on the complete guide to hiring an associate dentist: why the DDS is not a hiring filter, the 54% indifference statistic, Gary's four-area screening framework, the #1 mistake practices make, compensation on adjusted production, and the mentoring rhythm that determines long-term success. Plus, Naren's AI search marketing segment.

Episode 367 | Biological Dentistry and Whole-Body HealthStuart Nunnally, DDS, joins the show to discuss biological dentistry and the hidden dental issues that may burden the body. Topics include root canals, cavitations, toxic dental materials, and the clinical protocols available to support safer outcomes.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

What does truly integrated care look like in practice? Host Matt Crespin captured the conversations at ADHA's first-ever Integrated Care Summit in Broomfield, Colorado this past weekend — bringing together physicians, dentists, periodontists, and public health professionals making the case for breaking down silos. (1:56) Dr. Mychi Nguyen, Chief Medical Officer at Asian Health Services, shares how a patient's powerful words — "How can I be healthy if I don't have teeth?" — launched a dental clinic at her FQHC and explains the AHA's Healthy Smiles, Healthy Hearts initiative transforming dental visits into preventive health opportunities. (8:48) AGD President-elect George J. Schmidt reflects on the growing ADHA-AGD collaboration. (15:19) Dr. Elizabeth Ramos of the American Academy of Periodontology makes the case for hygienists as key communicators of the perio-systemic connection. (24:08) Michael Lazzara, VP of International Business Development of Dento, introduces oral health biomarker testing that gives patients real-time data to motivate behavior change. And (35:37) Holly Kingsbury of the Colorado Community Health Network walks through a promising model for integrating behavioral health screenings into dental visits at FQHCs statewide.Guests: Mychi Nguyen, MD; George J. Schmidt, DMD, FAGD, FICOI; Elizabeth D. Ramos, DDS, MSD, EdD; Michael Lazzara, Dento; Holly Kingsbury, MPHHost: Matt Crespin, MPH, RDH, FADHA

Guest: Dr Nadeem Karimbux- Dean of Tufts Dental School https://www.linkedin.com/in/nadeem-karimbux-67977113   Host: Dr Serv Wahan https://www.drwahan.com/     Creating the Future of Dental Education with Dean Karimbux In this episode, Dr. Serv Wahan sits down with Tufts Dental School Dean Dr. Nadeem Karimbux to discuss the evolving landscape of dental education, tuition challenges, clinical innovation, and leadership insights. Whether you're a dental student, educator, or practitioner, discover how future trends and leadership shape the dental profession.   Key Topics: Dr. Karimbux's journey from Kenya to dean at Tufts Dental School Challenges of dental school tuition and strategies for affordability Differences and strengths among Boston's top dental schools: Harvard, Tufts, and BU The impact of facilities and clinical training in student preparedness Faculty recruitment, retention, and flexible practice models Innovations in dental education: from early wellness courses to soft skills The role of AI in dentistry: tools, diagnostics, and future potential Common mistakes new dentists make and advice on career longevity How to balance specialization dreams with the opportunities in general dentistry Leadership lessons from navigating crises and the importance of mentorship   Timestamps: 00:00 - Introduction to Dr. Nadeem Karimbux, Tufts Dental School Dean 02:43 - The benefits of Harvard's five-year curriculum and research opportunities 04:16 - The rising cost of dental education and tuition burden solutions 06:36 - Creative approaches to offset education costs, including loan forgiveness and GME funding 08:21 - Comparing Boston dental schools: strengths and unique student experiences 09:39 - Tufts' large student body and fostering collaboration across classes 11:24 - Upgrades and facilities at Tufts Dental School praised by accreditation visitors 12:47 - Path to becoming a dean and career insights into academic leadership 14:38 - Leadership during the pandemic and managing financial pressures 16:55 - Student externships, transformation, and real-world clinical experience 18:24 - The importance of lifelong connections formed during dental training 20:34 - Faculty development, part-time roles, and international faculty programs 23:49 - A typical day in the life of a dental school dean and managing crises 25:53 - International student externships and community outreach programs 28:35 - The economics of dental schools and their contribution to university budgets 30:27 - DDS vs. DMD: No real difference, just different titles 31:01 - Implant-supported dentures versus full dentures – clinical decision-making 32:36 - Oldest dental implant patients and advancements in implant dentistry 34:43 - Implants and technological innovations over the years 35:02 - Balancing dental workforce supply and demand nationally 36:14 - Advice for dental students: focus beyond technical skills for career success 39:00 - Attributes that separate good from exceptional clinicians 41:30 - Common mistakes and pitfalls for new dentists 44:30 - Staying motivated, mentoring, and pursuing continuous learning 46:12 - Dean Karimbux's legacy goals and leadership style 48:13 - The helpful role of AI in academic and clinical settings 50:29 - Future applications of AI in diagnostics and practice management 52:30 - The enduring hands-on nature of dentistry and closing thoughtsResources & Links:   Tufts Dental School, Dental School tuition, Dr Serv Wahan, Dr Wahan, Dental Students, International Dental Students This episode provides a comprehensive look at leadership and innovation in dental education, offering actionable insights for aspiring and current dental professionals.

The draft dust has settled and Pack Nation is calling in HOT. Tonight's After Dark crew breaks down every Packers pick from the quality-over-quantity approach to the late-round gambles, and the consensus is clear — this might be Gute's best draft yet. Plus, the callers are already handing out nicknames and cooking up Lambeau traditions for the new guys. Beer Cheese Benny kicks things off with love for the Jager Burton pick and his zero-sack streak at Kentucky, while Batman delivers a scorching take on the Bears' disastrous draft and Caleb Williams' regression risk behind a potentially crumbling offensive line Daniel from California breaks down the upside of Brandon C'Sae's Stephon Gilmore mentorship, McClellan's unmovable run defense, and why Deny Dennis Sutton's athleticism and production make his draft fall inexplicable Uncle Rico solves the pronunciation problem once and for all — DDS is now officially "The Dentist" — while Aaron pitches the "What Does the C'Sae?" wave as Lambeau's next great defensive tradition TJ from Alabama co-signs the consensus board rant, delivers a public service announcement about the dangers of mispronouncing "jag off," and the crew debates whether street free agents still make sense with a full 91-man roster Call in and join the conversation: 608-501-0718. New callers go straight to the front of the line. #Packers #PackersNation #NFLDraft #GreenBay #PackernetAfterDark #GoPackGo #GoSmackGo #TheDentist #PackNation #NFL This episode is brought to you by PrizePicks! Use code PACKDADDY to get started with America's #1 fantasy sports app. https://prizepicks.onelink.me/LME0/PACKDADDY To advertise on this podcast please email: ad-sales@libsyn.com Or go to: https://advertising.libsyn.com/packernetpodcast Help keep the show growing and check out everything I'm building across the Packers and NFL world: Support: Patreon: www.patreon.com/pack_daddy Venmo: @Packernetpodcast CashApp: $packpod Website: https://nfldraftgrades.com/ My Board: https://nfldraftgrades.com/board/83a18c42-7a0b-4590-8d1b-453e49840d02

The draft dust has settled and Pack Nation is calling in HOT. Tonight's After Dark crew breaks down every Packers pick from the quality-over-quantity approach to the late-round gambles, and the consensus is clear — this might be Gute's best draft yet. Plus, the callers are already handing out nicknames and cooking up Lambeau traditions for the new guys. Beer Cheese Benny kicks things off with love for the Jager Burton pick and his zero-sack streak at Kentucky, while Batman delivers a scorching take on the Bears' disastrous draft and Caleb Williams' regression risk behind a potentially crumbling offensive line Daniel from California breaks down the upside of Brandon C'Sae's Stephon Gilmore mentorship, McClellan's unmovable run defense, and why Deny Dennis Sutton's athleticism and production make his draft fall inexplicable Uncle Rico solves the pronunciation problem once and for all — DDS is now officially "The Dentist" — while Aaron pitches the "What Does the C'Sae?" wave as Lambeau's next great defensive tradition TJ from Alabama co-signs the consensus board rant, delivers a public service announcement about the dangers of mispronouncing "jag off," and the crew debates whether street free agents still make sense with a full 91-man roster Call in and join the conversation: 608-501-0718. New callers go straight to the front of the line. #Packers #PackersNation #NFLDraft #GreenBay #PackernetAfterDark #GoPackGo #GoSmackGo #TheDentist #PackNation #NFL This episode is brought to you by PrizePicks! Use code PACKDADDY to get started with America's #1 fantasy sports app. https://prizepicks.onelink.me/LME0/PACKDADDY To advertise on this podcast please email: ad-sales@libsyn.com Or go to: https://advertising.libsyn.com/packernetpodcast Help keep the show growing and check out everything I'm building across the Packers and NFL world: Support: Patreon: www.patreon.com/pack_daddy Venmo: @Packernetpodcast CashApp: $packpod Website: https://nfldraftgrades.com/ My Board: https://nfldraftgrades.com/board/83a18c42-7a0b-4590-8d1b-453e49840d02