Podcasts about dentists

In this episode of the Group Function podcast, host Alan Mead sits down with Dr. Alex Kantor and Dr. Eric Applesies from the Just a Couple of Dentists podcast to unpack the "regular ass dentist" experience of buying, starting, running and selling dental practices! Fresh off their presentation at the 2026 Voices of Dentistry conference, the Eric and Alex (a married couple of dentists) dive into the logistics of optimizing a practice for sale, emphasizing that maximum value is built in the 18 to 24 months before a transition by tightening systems and improving hygiene "show rates." The conversation balances technical advice on EBITDA and overhead reduction with a candid—and occasionally spicy—critique of the post-COVID hygiene labor market, ultimately highlighting how dentists can prepare their businesses for a successful handoff to either a private buyer or a DSO. In their session and conversation with Alan, Dr. Alex Cantor and Dr. Eric Applesies highlighted several key levers to pull when prepping a practice for sale. Their core philosophy is that "a dollar saved is $4 to $6 earned" during a valuation. Key Optimization Strategies The 12-to-24-Month Runway: Valuations are typically based on the last 12 months of profit (EBITDA). To ensure your systems are fully "flushed out" and consistent, start implementing changes 18 to 24 months before you intend to sell. Hygiene "Show Rates": Increasing your show rate from 70% to 90% is considered "low-hanging fruit." Because hygiene has low variable costs (mostly just prophy paste and floss), nearly every dollar of a kept hygiene appointment goes directly to the bottom line, which is then multiplied during a sale. Aggressive Appointment Confirmation: Use automated texts to keep appointments top-of-mind. The "48-Hour Rule": If a patient hasn't confirmed 48 hours out, inform them they will be removed from the schedule. Follow Through: Actually remove unconfirmed patients to give your team two days to fill the spot with someone who wants to be there. Overhead Reduction (The "Spend" Side): Supplies: Move away from the "old school" model of buying through a single rep who brings donuts. Use platforms like Crazy Dental or Net 32 to treat supplies as a commodity and secure the lowest price. Labs: Look for efficiency gains through model-less workflows and digital scanning, which can reduce lab fees and turnaround times. Clinical Extraction: If you want to retire immediately after the sale, stop working clinically one year prior. This proves to a buyer (especially a DSO) that the practice's revenue is sustained by systems and associates, not just your individual production. Know Your "Game": Private Buyer: Better if you want a quick exit (6–12 months) and have a smaller practice. DSO Buyer: Better for high-revenue practices ($5M+ range), but usually requires you to stay on for several years as an associate. Some links from the show: Just A Couple of Dentists Podcast Join the Very Dental Facebook Group using one of these passwords: Timmerman, Paul, Bioclear, Hornbrook, Gary, McWethy, Papa Randy, or Lipscomb!  The Very Dental Podcast network is and will remain free to download. If you'd like to support the shows you love at Very Dental then show a little love to the people that support us! I'm a big fan of the Bioclear Method! I think you should give it a try and I've got a great offer to help you get on board! Use the exclusive Very Dental Podcast code VERYDENTAL8TON for 15% OFF your total Bioclear purchase, including Core Anterior and Posterior Four day courses, Black Triangle Certification, and all Bioclear products. Are you a practice owner who feels like the bottleneck in your own business? If you're tired of being the hardest-working person in your office, I've got something you need to hear. Dr. Paul Etchison, is hosting a virtual event that is a total game-changer. Paul is honestly one of the most brilliant minds in dental leadership today, and he's hosting the 3-Day Freedom Practice Workshop from February 19th through the 21st. He's going to show you exactly how to break through that two-million-dollar revenue ceiling while actually compressing your clinical week. It's about building a leadership team that takes ownership so you can finally step into the CEO role you deserve. Head over to DentalPracticeHeroes.com/freedom to grab your spot. And do me a favor—mention the Very Dental podcast when you sign up. It's 100% guaranteed, so you've got nothing to lose but the stress. Crazy Dental has everything you need from cotton rolls to equipment and everything in between and the best prices you'll find anywhere! If you head over to verydentalpodcast.com/crazy and use coupon code "VERYSHIP" you'll get free shipping on your order! Go save yourself some money and support the show all at the same time! The Wonderist Agency is basically a one stop shop for marketing your practice and your brand. From logo redesign to a full service marketing plan, the folks at Wonderist have you covered! Go check them out at verydentalpodcast.com/wonderist! Enova Illumination makes the very best in loupes and headlights, including their new ergonomic angled prism loupes! They also distribute loupe mounted cameras and even the amazing line of Zumax microscopes! If you want to help out the podcast while upping your magnification and headlight game, you need to head over to verydentalpodcast.com/enova to see their whole line of products! CAD-Ray offers the best service on a wide variety of digital scanners, printers, mills and even  their very own browser based design software, Clinux! CAD-Ray has been a huge supporter of the Very Dental Podcast Network and I can tell you that you'll get no better service on everything digital dentistry than the folks from CAD-Ray. Go check them out at verydentalpodcast.com/CADRay!  

Scaling a dental practice isn't just about adding operatories... it's about having the right leadership and systems in place. In this episode of the Nifty Thrifty Dentists Podcast, Dr. Glenn Vo sits down with Erica Benavente, Founder of Quest Dental Solutions, to discuss why many dentists hit a ceiling when they try to scale without executive-level operational support. Erica shares her journey from dental assistant to COO, how she helped grow a practice into a 25-operatory super practice, and why a fractional COO can be the missing link between chaos and sustainable growth. In this episode, we cover: When dentists actually need a fractional COOWhy office managers can't scale practices aloneHow systems and staffing must evolve as practices growWhat changes when you expand to multiple locations

We play a round of Never Gonna Get It where the question is: Since 2011, the lifespan of one of these items has risen from three years to eight. What is it? Bobby helps a listener who wants to make Valentine's Day special this year but is struggling financially. How can he make it special without spending a ton of money? We throw down in another compliment battle. Who can dish out the most nice things about the other person? In the Anonymous Inbox, Bobby helps a listener whose husband has a fear of the dentist but is suffering from bad breath.See omnystudio.com/listener for privacy information.

The Bulletproof Dental Podcast Episode 424 HOSTS: Dr. Peter Boulden and Dr. Craig Spodak DESCRIPTION In this episode of the Bulletproof Dental Practice Podcast, Craig Spodak and Peter Boulden discuss various aspects of running a successful dental practice, focusing on the importance of hygiene, incentives for staff, and the challenges of scaling. They explore the disconnect in dental hygiene practices, the need for alignment within teams, and the potential for burnout in the profession. The conversation emphasizes the value of creating a robust business model that prioritizes general dentistry and hygiene, while also allowing for specialization when appropriate. The hosts encourage listeners to pivot and adapt their business strategies to ensure long-term success and satisfaction in their dental careers. TAKEAWAYS Sales-based jobs often yield better results in dentistry. There is a significant disconnect in dental hygiene practices. Incentives are crucial for performance in dental teams. Simplistic and replicable business models scale faster. A strong hygiene program can drive restorative work. Burnout in dentistry often stems from high complexity and stress. Alignment within teams is essential for success. Dentists have the power to pivot their business models. A robust hygiene program can enhance practice profitability. Understanding unit economics is vital for sustainable growth. CHAPTERS 00:00 Introduction and Personal Anecdotes 02:55 The Disconnect in Dental Hygiene Compensation 05:50 Streamlining Dental Practices: Lessons from Tesla 08:30 The Value of Simplicity in Dentistry 11:23 The Profitability of General vs. Complex Dentistry 14:13 Building a Robust Hygiene Program 17:18 Creating a Stable and Sellable Dental Practice 19:45 Building a Sustainable Business Model 21:06 Aligning Team Goals for Success 23:31 Avoiding Burnout in Dentistry 25:49 The Importance of Pivoting in Business 29:12 Navigating Change and Volatility 33:19 Creating a Resilient Dental Practice 37:10 Outro REFERENCES Bulletproof Summit Bulletproof Mastermind

When the pace of dentistry accelerates, how do you ensure excellence and connection don't get lost in the rush? In this episode, Michael reunites with Dr. Sundar Jagadeesan of Dentiq to explore how he has navigated big changes within his practice while keeping quality care at the core. Following a wave of associate departures and team restructuring, Dr. Jagadeesan has set his sights on the future: planning for 2026 and adapting his practice to not just survive, but stand out with a renewed focus on comprehensive restorative dentistry and a patient-first mindset.As rising overheads and post-COVID supply costs squeeze New Zealand practices, Dr. Jagadeesan reveals practical strategies for maintaining profitability without cutting corners: from direct supply management and hiring expert accountants, to integrating tech and AI for streamlined admin. Discover how slowing consultations, fostering a committed team, and leveraging SEO and online reviews have boosted both patient satisfaction and practice growth. Dr. Jagadeesan's insights on building deep patient relationships, grassroots marketing, and staying strategically reflective offer actionable wisdom for every dentist seeking long-term sustainability and growth.What You'll Learn in This Episode:How to turn staff transitions into opportunities for stronger practice alignmentPractical steps for managing rising supply and overhead costs post-pandemicWays to use AI tools to streamline administration without sacrificing patient careThe benefits of longer, more thorough consultations for diagnosis and treatment planningHow deepening patient relationships can organically grow your practiceEffective digital marketing strategies for attracting new patientsWhy community presence can outperform traditional advertisingThe value of regular reflection and future-focused planning for practice sustainabilityTune in now to hear how a fast-growing practice harnesses change, technology, and patient-centered care to achieve lasting success!‍Sponsors:‍Oryx: All-In-One Cloud-Based Dental Software Created by Dentists for Dentists. Patient engagement, clinical, and practice management software that helps your dental practice grow without compromise. Click or copy and paste the link here for a special offer! https://thedentalmarketer.lpages.co/oryx/Guest: Dr. Sundar JagadeesanPractice Name: DentiqCheck out Sundar's Media:‍Website: https://www.dentiq.nz/Sundar's Previous Episode: 460: Dr. Sundar Jagadeesan | Dentiq – The Dental Marketer Podcast‍Host: Michael AriasJoin my newsletter: https://thedentalmarketer.lpages.co/newsletter/‍Join this podcast's Facebook Group: The Dental Marketer Society‍Love the Podcast? Let Us Know How We're Doing on Apple Podcasts!‍

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Kiera is joined by the tooth-healer himself, Jason Dent! Jason has an extensive background in pharmacy, and shares with Kiera where his pharmaceutical experience has bled over into dentistry. This includes the difference between anti-quag and anti-platelet and which medications are probably safe, what to do to shorten the drag time in the pharmacy, how to write prescriptions most efficiently, and more. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: The Dental A Team (00:00) Hello, Dental A Team listeners. This is Kiera and today is a really awesome and unique day. It is, think the second time I've had somebody in the podcast studio with me live for a podcast and it's the one and only Jason Dent. Jason, how are you? I'm doing well. Good morning. Thanks for having me. It is crazy. I I watch Instagram real like this all the time where people are like in the podcast and they're hanging out on two chairs and couches and now look at us. We're doing it. Cheers. Cheers.   That was a mic cheer for those of you who are only listening, but yeah, Jace, how does this feel to be on the podcast? It's weird. Like I was not nervous at all talking about it. I got really nervous as soon as you hit play. So if I stumble over my words, please forgive me ahead of time. Well, Jason, I appreciate you being on the podcast because marketing had asked me to do a topic about teledentistry and I was like, oh shoot, that's like not my forte at all. so   You and I were actually chatting in the hot tub. call it Think Tank session and you and I, we have a lot of good ideas that come from that Think Tank. A lot of business. no phones. That's why. We do leave our phones out. But I was talking to Jason and this is actually a podcast we had talked about quite a while ago. Jason has a lot of information on pharmacy. And if you don't know, Jason isn't really, we were going through all of it last night. It's kind of a mock in the tub. And I think it's going to be great because I feel like this is an area, I'm working at Midwestern and   knowing about how dentists, pharmacology was surely not your favorite one. Jason actually helps a lot of dentists with their clearances. And so we were talking about it and I like it will just be a really awesome podcast for you guys to brush up on pharmacology, different things from a pharmacist's side. So Jason, welcome. Thank you. Yeah, no, we were talking about it and here's like, what should I talk about on the podcast next? I have all these different topics and she's like, what do you know? And the only real interaction I have with dentists is doing clearances for procedures. We get them all the time, which makes sense.   Lots of people are on blood thinner, I've always told Kiera, like, hey, I could talk about that. Like, that's kind of a passion of mine. I'm not a dentist. Or my name is Jason Dent. So in Hebrew, Jason means tooth. No, no, no, sorry. Nerves are getting to me. Jason means healer and Dent means tooth. So my name means tooth healer. So, here's a little set. Hold on, on, hold Can we just talk about? I brought that up before you could talk about it more. So.   My name means tooth healer but I did not become a dentist. I know you wanted me to become a dentist. did. I don't know why. I enjoy medicine. I know what you're going to get to already. The things you're going to ask me. There's been years of this. But nevertheless, that's my name. We'll get that out of the way. But you did give me a great last name. So I mean, it's OK. You're All is fair and love here. SEO's up for that. But yeah, Jason, I'm going to get you right into the show. And I'm going to be the host. And we're going to welcome to the podcast show. Jace, how are you?   Good, good, good. Good, good, good. So by getting into clearances, right? This is what you're kinda talking about with you know, before we get to clearances, I actually wanted Jason, for the listeners who don't know you, who haven't talked to you, who don't know, let's kinda just give them like, how did you go from, Kiera wanted you to be a dentist, to now Jason, you are on the podcast talking as our expert on pharmacy. fantastic. I've always really loved medicine, a ton. As a kid getting headaches and taking Excedrin, like you just feel like a miserable pile of crap.   and then you take two pills and all of a sudden you feel better. Like that's amazing, like how does that happen? Also getting ear aches as a kid, just being in so much pain and then taking some medicine and you start feeling a lot better. I always had a lot of appreciation for that. I've always been mechanically inclined. I went to, started doing my undergrad and took biology and learned about ATP synthase, which is a spinning enzyme that's inside the mitochondria, like a turbine engine. I used to work on small engines on my dirt bike and thought that is so cool. So I really got wrapped up into chemistry.   All the mechanics of chemistry really pulled me in. I'm not getting goosebumps. checking. I usually get goosebumps when I think about chemistry. But it's so cool. You think an engine's awesome, like pistons and camshafts and pressures, the cell is the same thing. It's not as loud, so it's not as cool. But it's fascinating. that's why we're like. ⁓   chemistry and really got into coagulation. So I did my residency after pharmacy school. we went to Arizona for three years. ⁓ You did and your main focus, you were never wanting to be the guy behind the counter. No, I haven't done that. Yeah. No, I love them though. I've always really want to go clinical. ⁓ But I love my retail ⁓ pharmacists. They're amazing resources. And ⁓ I use the retail pharmacist every day still to this day, but I went more the clinical route, really love the chemistry aspect of it.   did my doctorate degree and then I did my residency in Reno. Reno's kind That's how we got here everybody. Welcome to Reno. Strategically placed because I was really interested in critical medicine and where we're located we cover a huge area. So we pull in to almost clear, we go clear to Utah, clear to California, all of Northern Nevada. We get cases from all over. So we actually are kind like the first hub of care for lot of areas. So we really get an eclectic mixture of patients that come in that need-   all kinds of different cases that are coming to them. So it's what I really wanted. So I did my residency in critical care there. And then for the next 10 years, I worked in vascular medicine with my final five years being the supervisor of the clinic. Ran all the ins and outs of that. So my providers, two doctors were on our view. So when we talk about dentistry, talk about production, those kinds of things, totally get it. My doctors were the exact same way, my vascular providers. ⁓   There's some pains there, right? You wanna be seeing patients as much as possible, being able to help as many people, keeping the billing up. And had other nurse practitioners, four practitioners, a fleet of MAs, eight pharmacists. We also had that one location we had, going off the top of my head, I think we had eight locations running as well. And we took care of all the different kinds of vascular cases that came to us. Most common was blood clots, ⁓ which is just a...   which is an easier way of saying VTE. There's so many different ways to say a blood clot. Like you might hear patients say, I've had a PE or a DVT or a venous thromboembolism or a clot in my leg, right? They're all clots, but in different locations. Same with an MI, and MI can be a clot as well. ⁓ there's a lot of, everybody's kind of saying the same thing, but sometimes the nomenclature can make it sound hard, but it really is actually pretty simple.   No. And Jason, I love that you went through, you've been in like, and even in your, ⁓ when you were getting your doctorate, you were in the ER. You also worked in retail pharmacy. remember you having a little sticker on your hand. And retail pharmacy, I have a lot of respect for those guys. They have a lot of pressure on them. and then you also, ⁓ what was that test that you had to take that? I don't know. You were like studying forever for it. ⁓ board certification for, ⁓ NABP. Yeah. So I did that board certification as well.   And now you've moved out of the hospital side onto another section in your career. Now in the insurance, right? So it's really, really interesting. So now I'm on the other side reading notes and evaluating clinical appropriateness and trying to help patients with getting coverage and making those kinds of determinations. So yeah, I've really jumped all over. Really love my clinical days. I know. don't I don't I do miss them. But yeah, kind of had a good exposure to a lot of.   pharmacy a lot a lot of dentists actually with all the places that come through which Jason I really appreciate that and honestly I know you are my spouse and so it's fun to have you on but when I go into conversations like this I don't know any of this information and so finding experts and Jason I think here's me talk more about dentistry and my business than I do hear about him on pharmacy so as we were chatting about this I really realized you are a wealth of knowledge because you've been on the clinical side so you've done a lot of patient care and you've seen how   medications interact and I know you've had a few scares in your career and ⁓ you've known some physicians that have had a few scares and ⁓ you've seen plenty of patients pass away working in the ER and gosh in Arizona drownings were such a big deal. I remember when you were in the ER on your rotations I'd be like who died today? Like tell me the stories and you've really seen and now going on to the insurance side I felt like you could just be such a good wealth of knowledge because I know dentists are sometimes so   I would say like maybe just a little more anxious when it comes to medications. I know that dental students from Midwestern were like here was like four months and we had to like pass it, learn it. And Jason, you've done four years plus clinical residency, plus you've been in it. And something I really love about Nevada Medicine is they've been so collaborative with you.   like your heart, your cardiologist, they diagnose and then they send to you to treat with medicine and... Yeah, I've been really lucky being here in Reno too. The cardiology team has been amazing to work with. We started a CHF program, sorry, congestive heart failure program for patients. So we would collaborate with cardiologists. They'd see the cardiologists and then they send them to the pharmacist to really manage all the medications. So there's pillars of therapy ⁓ called guideline directed medical therapy and the pharmacist would take care of all that. So that's gonna be your...   your beta blockers, your ACEs, your ARBs, your Entresto, which would be a little bit better, spironolactone. So just making sure that all these things are dosed appropriately, really monitoring the heart, and make sure that patients are getting better. we've had real positive outcomes when the, sorry, this is totally off topic. do, talk about that study. When we looked at when patients were coming to see our pharmacists in our clinic that we started up, the patients were half as likely to be readmitted. And this was in 2018, and our pharmacists,   We're thinking about all the medications. We're usually adjusting diabetes medications too at the same time. Just kind of naturally just taking care of all the medications because we kind of got a go ahead from the providers, a collaborative practice agreement that we could make adjustments to certain medications within certain parameters. So we weren't going rogue or maverick, but we were definitely trying to optimize our medications as much as possible. And then years later, some studies came out with, I'm sure you've seen Jardins and Farseegh. not trying to, I'm not.   I don't get any kickback from them. I have no conflicts to share. But because our pharmacists were really optimizing that medication, those medications were later shown to reduce hospitalizations and heart failure, even though they're diabetes medications. Fascinating. So it wasn't really the pharmacists. It was just the pharmacists doing as much as they can with all the tools that were in front of them. And then we found out that the patients were going back to the hospital.   half as much as regular patients. So, yeah, being here, it's been so amazing to work with providers here. the providers here want help, want to help patients, don't have an ego. I mean, I just, it's awesome. I love it. I do love how much I think Jason sees me geek out about dentistry and I watching Jay's geek about his pharmacy and how much he loves helping patients. And ⁓ really that was the whole idea of, all right.   Dentistry has pharmacy as a part of it. And I know a lot of dentists are sending in clearances and I know working in a chair side, it would be like, oh no, if they're on warfarin or on their own blood clot, you guys, honestly don't even know half of what I'm talking about because this is not my jam, which is why Jason's here. But I do know that there was always like, well, we got to talk with their provider. And so having Jason come in and just kind of explain being the pharmacist that is approving or denying or saying yes or no to take them off the blood thinners in different parts, because you have seen several dental   I don't know what they're called. What is it? Clarence's? that what comes to you? don't even know. All day my mind, it's like, here is the piece of paper that gets mailed to you to the pharmacist and then you mail it back. So whatever that is. But Chase, let's talk about it because I think you can give the dentist a lot of confidence coming from a pharmacist. What you guys see on that side. When do you actually need to approve or disapprove? Let's kind of dig into that. Yeah. Well, first of all, I think I'm not a replacement for any kind of clinical judgment whatsoever. Every patient's different. But the American Diabetes Association, you   I work with diabetes a lot. American Dental Association has some really great guidelines on blood thinners and I would always reference them. I actually looked at their website today. Make sure I'm up to speed before I get back on this again. They have resources all around making decisions for blood thinners. And I think the one real important thing in putting myself in the shoes of a dentist or any kind of staff that's around a patient that's in a chair, if they say I'm on a blood thinner, right, a flag goes up. At least in my mind, that's what goes up.   Like, okay, how do we get across this bridge? And I think the important thing to really distinct right then when they say they're on a blood thinner is that is kind of a slang word for a lot of different medications, right? Like it's the overarching word that everybody pulls up saying, I'm on a blood thinner. It's like, okay, but I don't know what say. It's like, I have a car. You're like, okay, do you have a Mazda? Do you have?   Toyota, Honda, what do you have? or even worse it'd be like saying I have a vehicle, right? So when somebody says they're on a blood thinner, it opens up a whole box of possibilities of what they're Blood thinners are also, doesn't, when they're taking these types of medications that are quote unquote a blood thinner, it doesn't actually thin the blood, like adding water to the blood, if that makes sense, or like thinning paint, or like thinning out a gravy, right? It doesn't do the same thing. Blood thinners, really what they're doing is they're working on the blood, which.   which is really cool, try not to tangent on that. ⁓ When they're working on the blood, it's not thinning it per se, but it's making it so that the proteins or platelets that are in it can't stick together and make a cloth quite as easy. So whenever somebody's on a blood thinner, I usually ask, what's the name of the blood thinner that you're on? It's not bad that they use that slang, that's okay, on the same page, but it's really broken into two different classes. There's anticoagulant and antiplatelet.   And a way to kind of remember which is which, when residents would come through our clinics, the way that I teach them is a clot is like a brick wall. You know, it's not always a brick wall. Usually the blood is a liquid going through. But once they receive some kind of chemical message, it starts making a brick wall with the mortar, which is the concrete between the and the bricks, the two parts. When it's an anti-quagent, it's working on that mortar part. When it's an anti-platelet, it's working on the bricks part, right? You need both to make a strong clot or strong brick wall.   But if you can make one of them not work, obviously like if your mortar is just water, it's not working, right? You're not gonna make a strong brick wall. So that's kind of the two deviants right there. So that's what I do in my mind real quickly to find out because antiplatelets are usually, so that's gonna be like your Plavix, Ticagrelor, Brilinta. And hold on, antiplatelets are bricks? Good job, bricks. They're the bricks. And so the reason I was thinking you could remember this because I'm, antiplatelets, it's a plate and a plate is more like a brick.   And anti coagulant, I don't know why quag feels like mortar to me, like quag, like, know, it's like slushy in the blood, like it's coagulating. It's a little bit of that, like, honestly, I'm just thinking like coagulated blood is a little bit more mortar-ish. And so platelet is your plate, like a brick, and anti-quag is like.   the gilly between the bricks. Okay, okay, I got it. Yeah, so there's an exception to every rule, but when they're on that Don't worry, this is Kiera, just like very basic. You guys are way smarter listening to this, and that's why Jason's here. No, no, you helped me pass pharmacy school. When we were doing all the top 200, you helped me memorize all know what flexorill is, all right? That's a muscle relaxant. Cyclo? I don't know that part. It's a cyclo, because you guys are cycling and flexing. I don't actually know. just know it's a muscle relaxant, so that's about as far as I got. When we're looking at antitick platelets, so that's the brick part, so that's going to be your, you know,   Hecagrelor, Breitlingta, Clopidogrel is the most common one. It's the cheapest one, so probably see that one the most. Those, I mean, there's an exception to every rule, but that's generally being used after like a stent's placed in the heart. It can be used for VTE, there's some out there, but that's pretty rare. But also for some valves that are placed in the hearts, it can be used for that as well. So antiplatelet, really thinking more like a cardiac event, right? Like I said, there's always an exception to every rule, but that's kind of where my mind goes real quickly, because we're gathering information from the patient.   They're on anticoagulant. Those are like going to be the new ones that you see commercials for all the time. So Xeralto, Alequis, those are the two big ones right now. They're replacing the older one. And also we were supposed to do a disclaimer of this is current as of today because the ADA guidelines do change. this will be current as of today. And Jason, as a pharmacist, is always looking up on that. I had no clue that you are that up to speed on dental knowledge. so just throwing it out there that if you happen to catch his podcast,   a few years back that obviously check those guidelines for sure. But the new ones are the Xarelto and Eloquist. They're replacing the older ones of warfarin. Warfarin's been around for a really long time. We've seen that one. Those are anti-coagulants. So when you're looking, when a patient says that, generally they're on that medication because they've possibly had a clot in the past or they have a heart condition called atrial fibrillation. Those are kind of the two big ones. Like I said, there's always caveats to it, but that's kind of where my mind goes real quickly. And then,   as far as getting patients cleared, the American Dental Association has really good resources on their website. You can look at those and they're always refreshing that up. They even say in their own words that there's limited data around studying patients in the dental chair and with anticoagulants or anti-platelets. It's pretty limited. There's a few studies, some from 2015, some from 2018. There's one as recent as 2021, which is nice. But really, all of those studies come together and it's really more of an expert consensus.   And with that expert consensus, they have kind of simplified things for dentistry, which is really nice. ⁓ comparing that to, we have more data for like total hip replacement, total knee replacement. We have a lot of data and we know really what we should be doing around then. But going back to dentistry, we don't have as much information, so they always say use clinical judgment, but they do give some really great expert guidance on that. So if a patient's on an anticoagulant, ⁓   they generally recommend that it doesn't need to be stopped unless there's a high bleeding risk for a patient. as a provider or as a clinician in the practice, you can be looking at high bleeding risk. Some things that make an oral procedure a little bit lower risk is one, it's in the compressible site, right? Like we can actually put pressure on that site. That's the number one way to stop bleeding is adding pressure. It's not like it's in the abdominal cavity where we can't get in and can't apply pressure. So number one, that kind of reduces the bleeding risk.   is number one. Two, we can add topical hemostatic agents. Dentists would know that better than me. There's a lot of topical ways to do that. So not only pressure, but there's those things as well. And also, but there are some procedures that are a little bit more likely to bleed. And that's where you and dentists would come in hand in What's the word in APO? Oh, the APOectomy. I got it right. Good job. like, didn't you tell me last night that the ADA guideline was like what?   three or four or more teeth? great question. So you can extract one to three teeth is what their expert consensus One to three teeth without. Without really managing or stopping anticoagulation or doing anything like that. I think that's some good guidance from them. I'm gonna add a Jasonism on that though. So with warfarin, I do see why dentists would be a little bit more conservative or worried about stopping the warfarin because warfarin isn't as stable as these newer agents. Warfarin, the levels.   quote unquote levels can go really high, they can go really low. And if the warfarin levels are high, they're more likely to bleed. So I do think it makes sense to have a really recent INR. That's how we measure what the warfarin's doing. I think that makes a lot of sense, but the ADA guidelines really go into the simplification version of all these blood thinners. Generally, it's recommended to not stop them because the risk of stopping them outweighs the benefit of stopping them in almost every case. Almost every case.   ⁓ So when you're with that patient, right, they say I'm on a blood thinner, finding out which kind of blood thinner that they're on, you find out that they're on Xeralto, right? How long have you been on Xeralto for? I've been on it for years. You don't know exactly why, but if they haven't had any recent bleeding, you're only gonna remove one tooth. ⁓ You can do what's called a HasBlood score. That kind of looks at the bleeding risk that they'd have. That'd be kind of going a notch above, but in my mind, removing one tooth isn't a real serious bleeding risk. I'd love to hear from my dentist friends if they...   disagree, right, but ADA says one to three tooth removals, extractions, that's the fancy word. Extractions, yeah, for extracting teeth out. Is not really that invasive. Sure. It's not that high risk, so it's usually perfectly fine. So if a patient was on Xarelto, ⁓ no other, this is in a vacuum, right? I'm not looking at any other factors, which you should be looking at other factors. I would be perfectly fine to just remove one to two.   And when those clearances come in, because dentists do send them, talk about what happens. You guys were working in the hospital and you guys would get these clearances all the time. do. We get them so often. I mean, we get like four or five a day. We'd love to give it to our students, student pharmacists, and ask them what to do. And they would usually look up the American Dental Association guidelines and come up with something. We're like, yep, that's what we say too. In fact, we say it so many times a day that we have a smart phrase.   which just blows in the information real quickly and faxes it right back to the So it's like a copy paste real quick. So what I wanted to point out when Jason told me this is dentists like hearing this and learning this, this can actually save you guys a ton of time to be able to be more confident, to not need to send those clearances on. And we were actually talking last night about how I think this might be a CYA for dentists. like, as we were talking, I think Jason, you seeing so many other aspects of medicine, like you've literally seen patients die, you've seen other areas.   And so coming from that clinical vantage point, we were realizing that dentists, we are so blessed to live in an injury. I enjoy dentistry because possibly there's someone dying, not super high, luckily in dentistry. The only time that I have actually had a doctor have a patient pass away, and it was only when they were completely sedated and doing ⁓ some other things, but that was under the care of an anesthesiologist. And so that's really our high, high risk. And so hearing this, Jason,   That was one of the reasons I wanted him to come on is to give you doctors more confidence of do we have to always send to a pharmacist? I mean, hearing that on the pharmacy side, they're just sending these back and not to say to not see why a to not cover this because you might be questioning like, well, do I really need to? But you also were talking about some other ways of so number one, you guys are just going to copy back the 88 guidelines. So so 88 guidelines. Yeah. And I think that that gives a lot of confidence to a provider or a dentist is that you can go to the 88 guidelines and read them, right? Like you're listening to some   nasally monotone pharmacist on a podcast. Rumor has it, people love him at the hospital. were like, you're the voice, he's been told he has a good radio So for the clinic, I was the voice. Like, yeah, you've reached the vascular clinic, right? And they're like, oh my gosh, you're the voice. But sorry, you me distracted. That'll be your next career, Jace. You're going to be a radio host. OK. I would love that. I love music. But you're hearing from a nasally guy, but you can actually read the ADA guidelines. You just go right to the ADA, click on Resources, and under Resources, it has the   around anticoagulants, I think that's the best way to get a lot of confidence about it because they have dentists who are the experts making calls on these. I'm just reiterating what they say, but I think it makes a lot of sense to help providers. And the reason why my heart goes out to you as well is having the providers that used to work underneath me, they're always looking for our views, which is a fancy way of making sure that they're drilling and filling. Can I say that? Yeah, can say drilling and filling. They're being productive, right? They're being productive, right?   They're always looking to make sure if a patient's canceling, like get somebody in here. Like I need to be helping people all day long. That's how I, we keep the lights on. That's how I help as many people. And so if you have a patient coming in the chair and it has an issue, they say I'm on Xeralto. Well, you can ask real quickly, why are you on Xeralto? I had a clot 10 years ago. my gosh. Well, yeah, we're pretty good to go. Then I'm not worried. We're only removing one tooth or we're just doing a cavity or a cleaning. Something like that. Shouldn't be an issue whatsoever because there's experts in the dental. ⁓   in the dental society, the ADA guidelines that recommend three teeth or less, minimally invasive. They really recommend if it's gonna be really high bleeding risk. And clinically, that's where you would come in, ⁓ or yourself. know, apioectomy is one that's like on the fence line. I don't know where implants set. though, and like we were talking, implants aren't usually like a date of procedure. Most people aren't popping in, having tooth pain, and we're like, let's do an implant. Now sometimes that can be the case, but typically that one's gonna have   a few other pieces involved. And so that is where you can get a clearance if you want to. ⁓ But we were really looking at this of like so many dentists that I know that you've seen will just send in these clearances because they are. And I think maybe a way to help dentists have more confidence is because you know, I love routines. I love to not have to remember things. So why don't we throw it in, have the team member set it up where every quarter we just double check the ADA guidelines. Are there any updates? Are there any other things that we need to do on that? That way you can just see like   getting into the language of this, of what do I need to do? Because honestly, you guys, know pharmacy was not a big portion for it, so, recommending different parts, but I think this is such a space where you can have confidence, and there's a few other things I wanna get to, and I you- I some pearls too. Okay, go. I'm so when she get me into talking about drugs, I'm not gonna stop. So, some other things around that too is these newer blood thinners like Xarelto Eloquist, they now have reversal agents, so a lot of providers in the past were really worried about bleeding because we can't turn it off. We can turn those off. Warfarin has reversal as well, right?   So I'm looking at these patients. It's really low risk. It's in the mouth, generally speaking. Very rarely are they a high bleeding risk. Now if you're doing maxillofacial surgery, this does not apply, right? This does not apply whatsoever. you're like general dentist, you're pediatric dentist. Yeah, yeah, and it's kind of on the fly. So just trying to really help you to be able to take care of those patients on the moment, have that confidence, look at the ADA guidelines, have that in front of you. I don't think it's a bad thing to ever...   check with their provider if you need to. If you're thinking, I feel like I should just check with the provider, I would never take that away from you. But I just want to kind of steer towards those guidelines that I have to help. But what did you want to share? No, yeah, I love that. And I think there were just a few other nuggets that we were chatting about last night that can help dentists just kind of get things passed a little bit easier. So you were mentioning that if they were named to their cardiologist, what was it? was like, who is the last? Great question. Yeah, when a patient's on a blood thinner,   It could be prescribed by the cardiologist. It could be prescribed by the family provider or could have been punted to like a vascular clinic like where I was working. It can go to any of those. And when you send that fax, right, if it goes to the cardiologist and it's supposed to go to the family care provider, like it just kind of goes, goes nowhere, right, from there. So I think it's a really good idea to find out who prescribed it last. If the patient doesn't know who prescribed their blood thinner last, you can call their pharmacy. I call pharmacies all day long.   I have noticed in the last year, they are way easier to get a hold of, which has made my job a lot easier, working on the insurance portion. So reaching out to the pharmacy, finding out who that provider is and sending it to them, because they should be able to help with that. I thought that was a good shift in verbiage that you had of asking instead of like the cardiologist, because that's who you would assume was the one. But you said like so many times you guys would take care of them, and then they go back to family practitioner, and you guys would get the clearances, but you couldn't clear because you weren't overseeing. So just asking the patient.   who prescribed their medication for them last time. That way you can send the clearance to the correct provider. then- And they might not know. You know patients, right? They're like, I don't know, my mom's or else, I don't know who gave it to me. Somebody told me I need to be on this. But at least that could be another quick thing. And then also we were talking last night about-   ⁓ What are some other things that dentists can do when like writing scripts to help them get what I think like overarching theme of everything we discussed is one how to help dentists have less I think drag through pharmacy. ⁓ Because pharmacy can take a little while and so perfect we now know the difference between anti-quag and anti-platelet. We know which medications are probably safe. We know we can check the ADA guidelines so that we were not having to do as many clearances. We also know if they're on a medication to find out and we do need a clearance.   who we can go to for the fastest, easiest result. And now, in talking about prescriptions, you had some really interesting tips that you could share with them. Yeah, so with writing prescriptions, right, pharmacies are pharmacies. So I'm not gonna say good thing or bad thing. There are challenges working with pharmacies. I'm not gonna play that down at all. ⁓ If you're writing prescriptions and having issues and kickbacks from pharmacies, there's some interesting laws around ⁓ writing prescriptions. Say that you're trying to ⁓ prescribe   augmentin, you know, 875 BID, and you tell the patient, hey, I want you to take this twice a day for seven days, and then you put quantity of seven, because you're moving fast, right? You want it for seven days, quantity of seven. Quantity would actually be 14, right? It's not that big of a deal. Anybody with common sense would say if you're taking a pill for twice a day for seven days, you need 14 tablets. But LAHA doesn't allow pharmacists to make that kind of a change, unfortunately. They have to follow what you're saying there. So you're going to get a...   An annoying callback that says, you wrote for seven tablets. I know you need 14. Is that OK? Just delays things, right? So ⁓ I really like the two letters QS. That's Q isn't queen. S isn't Sam. Yeah. It stands for quantity sufficient. So you don't have to calculate the amount of any medication that you're doing. So for me, as a pharmacist, when I was taking care of patients, I hated calculating the amount of insulin they would need for an entire month. So I would say.   Mrs. Jones needs 15, I'd say 15 units ⁓ QD daily. ⁓ And then I say QS, quantity sufficient, ⁓ 90 day supply through refills. So the pharmacy can then go calculate how much insulin that they need. I don't have to even do that. So anytime you're prescribing anything, I like that QS personally. So that lets the pharmacy use ⁓ common sense, as I like to call it, instead of giving you a call. I think that's super helpful. I also thought of one thing too.   going back to blood thinners is when it's kind of like a real quick, like they're not gonna have you stop the blood thinner at all. like you're seeing if you can stop the blood thinner for a patient, there's some instances it's just not gonna happen. And that's whenever they've been, they've had a clot or a stroke or a heart attack within the last three months. Three months. Yeah, that's kind of like the.   Because so many people are like, they had a heart thing like six years ago. And so I think a lot of my dentists that I worked with were like, we got to stop the blood thinners. But it sounds like it's within three months. Yeah, well, I'm just the time. Like this is general broad strokes. What I'm just trying to say is when you want to expect a no real quick. Got it. Right. So because benefits of stopping a blood thinner within those first three months of an event is very, very risky versus the, you know, the benefit of reducing a little bit of blood coming out of the mouth. Right. Like that's not that bad.   when somebody's had a stroke or a heart attack or pulmonary embolism, a clot in the lung, like we can't replace the lung, heart or brain very easily. We can replace blood a lot better. We've got buckets of it at most hospitals have buckets of it, right? So I'm always kind of leaning towards I'd rather replace blood than tissue at all times. So that's kind of a quick no. If they've had one those events in the last three months, we are really, really gonna watch their brain instead of getting.   root canal, right? Like really worried about them. So you'll just say no. And they could the dentist still proceed with the procedure or would you recommend like a three month wait? Or is it provider specific way the pros and cons because sometimes you need to get that tooth out. Great question. think then it's going to come into clinical. That's that's when you send in the clearance, right? Like, and it's great to reach out to the provider who's managing it for you. But I think it's kind of good to know exactly when you get a quick no quick no is going to be less than three months.   ⁓ Or when it's going to be like a kind of a typical, yeah, no problem. If it's been no greater than six months, they're on the typical anticoagulants or alto eloquence. Nothing crazy is going on for them. You're only removing two teeth. This is very, very low risk. But again, I'd urge everybody to read the ADA guidelines. That way you feel more comfortable with it. I'm not as eloquent as they do. They do a real good job. So I don't want to take any of their credit. I think they do a real good job of simplifying that and making you feel confident with providing.   more timely care for patients. Which is amazing. And Jayce, one last thing. I don't remember what it was. You were talking about the DEA and like six month rule. yeah. Let's just quickly talk about that and then we'll wrap this because this is such a fascinating thing for me last night. Yeah. So when comes to prescribing controlled substances, most providers have to have a DEA license. OK. First of all, though, what's your take on dentist prescribing controlled substances? ⁓ I don't think, you know, I worked on the insurance side of things. Right. And I look at the requirements for the   as the authorizations, what a patient, the criteria a patient needs to hit in order to qualify for certain medications. A lot of times for those controlled substances, they have pretty significant issues going on, like fibromyalgia or cancer-related pain or end-of-life care versus we don't, in all my scanning thread, I don't have a ⁓ perfect picture memory. Sure. But I don't usually see oral.   pain in there. There is some post-operative pain that can be covered for those kind of medications but I really recommend to keep those lower and in fact in a lot of our criteria it recommends you know have they tried Tylenol first, they tried, have they filled NSAIDs or are they contraindicated with the patient. So really they should be last line for patients in my two cents but there's always going to be a caveat to the rule right? Of course. comes through that has oral cancer and you're taking   like that would make sense to me. Got it, so then back to the DEA. Yeah, okay. Okay, ready. So as a provider, you should be checking the, if you're doing controlled substances, you should be checking the prescription drug monitoring program, or sometimes called the PDMP, looking to see if patients are getting ⁓ controlled substances from another provider. So it's really just a check and balance to make sure that they're not going from provider to provider to getting too many narcotics and causing self harm or harm to others.   And so with checking that PDMP before prescribing, I think a lot of providers do that. A lot of softwares that I'm aware of, EMRs, electronic medical records, sometimes have links so that you can do that more quickly. However, I don't think it's as intuitive that they need to be checking that every six months in some states. And like here in Nevada, you're supposed to be checking it every six months, not for a patient, but for your actual DEA registration to see if anybody else is prescribing underneath you. Because if you don't check that every six months, you could get in some serious trouble with...   not only DEA, but even more the Board of Pharmacy and your state. Now, I don't know all 50 states, so I check with your state to see if you need to be checking that every six months, but set an alarm just to check that real quickly, keep your nose clean. ⁓ I've had providers, I've had to remind to do that. And if somebody was using your account, prescribing narcotics, you'd never know unless you went and checked that PDMP.   Yeah, I remember last night you were like, and if that was you, I would not want to be you. The Board of Pharmacy is going to be real excited to find you. So that was something where I was like, got it. So, and we all know I'm big on let's make it easy. And Jason, I love that you love this so much and you just brought so much value today. And like also for me, it's just fun to podcast. fun. Yeah. But I got a nerd out on my world a little bit. Bring it into yours. I work with dentists or at least you know, when I was working in Vascular Clinic all day long. Great questions that would come through. Yeah.   So I think for all of us, as a recap on this is number one, I think setting yourself ⁓ some cadences. So maybe every quarter we check our ADA guidelines and we check our, what is it, PDMP. PDMP. so each state, so they call it Prescription Drug Monitoring Program. We need that. Yeah, but there are different acronyms in different states, though. That's just what it's called in Nevada. I forget what it is in California, but you can check your state's prescription monitoring program, make sure that opioids aren't being prescribed under your name. Got it. So we just set that as a cadence.   We know one to three teeth most likely if they're on a blood thinner is According to the 88 as of today is good to go You know things that are going to get a quick know are going to be within the last three months of the stroke the heart attack or the Clot I'm thinking like the pulmonary embolus. Yeah, that's what we're trying to prevent   Those are gonna be quick knows and then if we're prescribing, let's do QS. We've got quantity is sufficient so that we're not getting phone calls back on those medications that we are. And then on narcotics, just being a bit more cautious. Of course, this is provider specific and in no way, or form did Jason come on here to tell you you are the clinical expert.   Jason's the clinical expert on medications. And if you guys ever have questions, I know Jason, you geek out and you want to talk to people so that anyone wants to chat shop. Be sure to reach out and we'll be able to connect you in. we've even talked about possibly, so let me know listeners. You can email in Hello@TheDentalATeam.com of ask a pharmacist anything. I talked to Jason. I was like,   We'll just have them like send in questions and maybe get you back on the podcast or we do a webinar. But any last thoughts, Jace, you've got of pharmacy and dentistry as we as we wrap up today? No, I think that's pretty much it. So check the ADA guidelines. I think it's really good to have cross communication between professions. Right. If you're working with the pharmacy, CVS, Walgreens or something like that or Walmart, I know that it can be challenging. Right. They're under different pressures. You're under different pressure. So I think ⁓ just coming in with an understanding, not being angry at each other.   you know what mean, is super beneficial and working together. When it comes to it, every dentist that I've talked to is actually worried about their patient. Every pharmacist that I've worked with is really worried about the patient as well. So we're trying to accomplish the same thing, but we have different rules and our hands are bound in different ways that annoy each other, right? Like I know Dr. Jones, want 14 tablets, but you said seven. And I know Common Sense says I should give them 14, but I've got to make that change.   knowing that their hands are tied by the law. They can't use as much common sense, which is aggravating. I mean, that's why I love what I gotta do here. I gotta just kind of help a lot more and use common sense and improve patient care. But those kinds of things I think are really beneficial as you work together and then not being so afraid of blood thinners, right? So I think those guidelines do a great job of giving you confidence and not worrying about the side effects. And there's a lot of things that you can do locally for bleeding.   You have a lot of control over that. I think that's pretty cool, the tools they have. Yeah. And at the end of the day, yes, you are the clinician. You are the one who is responsible for this. so obviously, chat, but I think collaborating, talking to other pharmacists, talking to them in your state, finding out what are the state laws, things like that I think can be really beneficial just to give you peace of mind and confidence. And again, dentistry, are maybe a bit more risk adverse because luckily we don't have patients dying That's great thing. Yeah, that's fantastic. I want my dentists to be risk adverse. I think so too. But Jason, I appreciate you being on the podcast today.   And for all of you listening, ⁓ more confidence, more clarity, more streamline to be able to serve and help our patients better. if we can help you in any way or you've got more questions, reach out Hello@TheDentalATeam.com. And as always, thanks for listening. I'll catch you next time on the Dental A Team podcast.  

In this episode of the Healthy, Wealthy and Smart podcast, Dr. Karen Litzy interviews Dr. Aisha Akpabio D.D.S., a Detroit-based dentist and entrepreneur. They discuss the challenges and triumphs of being a female healthcare provider while running a business. Dr. Akpabio shares her journey from employee to owner of her own dental practice, the importance of design in healthcare, and the significance of representation in the field. They also address the balance between delivering high-quality care and managing business aspects, as well as the importance of self-care for longevity in the profession.   Takeaways   ·      It takes courage to bring people together in healthcare. ·      Transitioning from employee to entrepreneur requires a mindset shift. ·      Business education in dental school is minimal. ·      Delivering exceptional care justifies pricing. ·      Patients appreciate a personal touch over corporate practices. ·      Design can significantly impact patient experience. ·      Representation in healthcare matters for community trust. ·      Self-care is essential for longevity in the profession. ·      Balancing work and personal life is crucial. ·      Living in the moment is important for personal growth.   Chapters   ·      00:00 Introduction to Female Healthcare Entrepreneurship ·      02:58 Dr. Aisha Akpabio's Journey and Practice ·      05:51 Transitioning from Dentist to Entrepreneur ·      08:41 Navigating Healthcare Pricing and Value ·      12:05 Competing with Corporate Dental Practices ·      12:57 The Importance of Design in Healthcare ·      16:49 Legacy and Representation in Dentistry ·      20:02 Self-Care and Longevity in Dentistry   More About Dr. Akpabio:  Dr. Aisha Akpabio D.D.S. is a Detroit-based dentist, entrepreneur, and community advocate dedicated to smiles and systems of care. As the founder of Diamond Smiles Dentistry, she is redefining what it means to build a thriving dental practice rooted in wellness, accessibility, and neighborhood revitalization. A graduate of the Goldman Sachs 10,000 Small Business program, she leads with vision and heart, creating opportunities for growth in underserved communities while mentoring the next generation of healthcare professionals. Beyond dentistry, she is passionate about wellness, motherhood, and empowering others to build healthy, wealthy, and purpose-driven lives.   Resources from this Episode: Diamond Smiles Dentistry Website Instagram- Diamond Smiles Dentistry Facebook - Diamond Smiles Dentistry   Jane Sponsorship Information: Book a one-on-one demo here Mention the code LITZY1MO for a free month   Follow Dr. Karen Litzy on Social Media: Karen's Instagram Karen's LinkedIn   Subscribe to Healthy, Wealthy & Smart: YouTube Website Apple Podcast Spotify SoundCloud Stitcher iHeart Radio

Running a practice with your spouse can be your biggest advantage… or your biggest stressor.In this episode, husband and wife team Trent and Hope Neisen share how they've made it work through big transitions, burnout, and the day-to-day challenges of running a practice. You'll hear how they handle the hard days, maintain boundaries in the office, and stay aligned as leaders of the practice.Topics discussed:Defining your role of clinical vs. office managerHow they handle disagreements and stay alignedHow Trent reduced his clinical days and managed burnoutBoundaries that protect the relationship and prevent burnoutThe challenges and rewards of working with familyWhere spouse teams can get outside support This episode was produced by Podcast Boutique https://www.podcastboutique.comRegister for the 3 Day Virtual Event...THE DPH FREEDOM PRACTICE WORKSHOP (Seats are Limited!) Learn how to make more money on less days!  Register for the 3 Day Virtual Practice Freedom event at https://www.dentalpracticeheroes.com/freedomTake Control of Your Practice and Your Life We help dentists take more time off while making more money through systematization, team empowerment, and creating leadership teams. Ready to build a practice that works for you? Visit www.DentalPracticeHeroes.com to learn more.

On this episode of The Dentist Money Show, Matt, Jake, and Will dive into what it really means for dentists to be retirement ready and why it's about much more than hitting a savings number. They explore why many dentists retire later than the average American, how spending habits can delay financial independence, and why starting the planning process early is critical for long-term success. Tune in to learn how balancing clear financial systems with meaningful relationships, hobbies, and a gradual transition out of work can help dentists build a retirement they're truly prepared for and excited about. Book a free consultation with a CFP® advisor who only works with dentists. Get an objective financial assessment and learn how Dentist Advisors can help you live your rich life.

►► GET MY FREE VIDEO & WORKSHEET - SHATTERPROOF YOURSELF LITE! 7 SMALL STEPS TO A GIANT LEAP IN YOUR CONFIDENCEJoin host Adam Gragg and special guest Dr. Stacy Wince as they crack open the vault of vibrant company cultures and spill the three essential decisions every leader needs to supercharge their team.From ice cream bribes with freshman boys to surprise shoe-shopping sprees for dental staff, this episode isn't your average chat about core values and leadership. It's a rollercoaster of real talk, personal stories, and laugh-out-loud moments. Discover how intentionality, accountability and pure awareness can transform even the busiest, most chaotic office into a place people can't wait to show up to, and yes, even at the dentist!Whether you're a business leader, a team member, or just someone who dreams of loving Mondays, this episode is packed with actionable wisdom to help you build a culture that's healthy, fun, and wildly effective. Don't miss out on fresh insights, heart, humor, and a few family squabbles. Tune in now and learn how to make your workplace the envy of the block!CHAPTERS:00:00 "Building a Healthy Culture"08:47 "Ensuring Cultural and Value Fit"11:43 "Be Intentional About Culture"16:02 "Advice Sticks Better Externally"18:30 Empowering Growth Through Support20:30 "Accountability Drives Personal Growth"24:49 "Teamwork in Dental School"28:06 "Leadership Tone Shapes Morale"30:42 "Strong Values Build Resilience"34:02 "Surprising Team with New Shoes"38:00 "Action Drives Transformation"39:32 "Decide Your Legacy Today"Ready to improve your organization's culture? Tune in now and let's build a legacy worth sharing!Connect with Dr. Stacy Wince: DrWince@wincedental.comLearn more about Decide Your Legacy and Adam Gragg: https://www.decideyourlegacy.com/If you enjoyed this episode, don't forget to LIKE, SUBSCRIBE, and SHARE with fellow leaders and friends! Your support helps us keep bringing you valuable content. Be sure to check out Escape Artists Travel and tell them Decide Your Legacy sent you!

Dr. Craig Hollander is a legendary pediatric dentist in the St. Louis area. He was kind enough to drive up and meet me for coffee to reflect on his 30+ year career as a pediatric dentist. Dr. Hollander was a very welcoming presence when I moved to Missouri. I've always been impressed by the way that he balances a busy clinic schedule, leadership, organized dentistry, study clubs and teaching residents. These in-person episodes are fun and we cover a wide variety of topics including:- How he grew a 3 chair practice to 30+ chairs- When and how he sold his ownership, and why he stayed as an associate- Becoming a board examiner and why he enjoys the process- Advise to young and ambitious pediatric dentists and residents- How to deal with practice competition

What happens when you let your P&L get ugly on purpose? This dentist explains how he scaled to $8M fast—and why profitability became the next big challenge.

On today's episode, Dr. Mark Costes is joined by Alexis Gallati, founder of Cerebral Tax Advisors and author of Advanced Tax Planning for Medical Professionals. Alexis brings a wealth of knowledge on proactive, high-level tax strategies tailored specifically for medical and dental professionals. The conversation covers everything from tax-saving tactics for W2 earners like short-term rentals and oil & gas investments, to advanced planning opportunities for business owners, including entity structuring, paying your children, and maximizing retirement contributions through backdoor and mega backdoor Roths.  Alexis also shares personal insights on being married to a neurosurgeon and how that inspired her mission to protect high-income professionals from bad financial advice. Whether you're looking to save more on taxes or make smarter long-term financial decisions, this episode is packed with practical gems. Be sure to check out the full episode from the Dentalpreneur Podcast! EPISODE RESOURCES https://www.cerebraltaxadvisors.com/bigbill https://www.truedentalsuccess.com Dental Success Network Subscribe to The Dentalpreneur Podcast

Is stretching really the answer to dental pain?

What if confidence isn't something you're born with, but something you build? This week, Mike welcomes Fred Joyal, bestselling author, international keynote speaker, and co-founder of 1-800-DENTIST, the nation's leading dentist referral service, which generated more than $1 billion in revenue under his leadership. Once deeply introverted, Fred transformed his life through one powerful realization: bold action creates confidence, not the other way around. Now the author of Superbold: From Under Confident to Charismatic in 90 Days, Fred reveals how boldness is not a personality trait; it's a learnable life skill. Through personal stories and practical strategies, Fred shows how small, intentional acts of courage can create massive momentum in both life and business. Listeners are taken behind the scenes of the rise of 1-800-DENTIST, from early risk-taking to national expansion, including the leadership pivots, economic challenges, and cultural foundations that fueled its success. He explains how transparency, adaptability, and trust became the pillars of long-term growth. One of the episode's most unexpected insights comes from Fred's experience with improv comedy, which reshaped his communication style and elevated his public-speaking confidence, proving that growth often begins far outside your comfort zone. From lessons learned through his mother's bold parenting to actionable techniques for strengthening your own "boldness muscle," this episode delivers inspiration you can immediately put into action. If you've ever hesitated to speak up, take the leap, or trust yourself, this conversation is your invitation to stop waiting and start moving. Because confidence isn't discovered. It's built.  

Most dentists assume that paying massive tax bills is just part of success — but that belief could be costing you millions. In this episode, Dr. Len Tau sits down with tax strategist Rachel Michaelov, Founder and CEO of Practice Wealth Partners, to uncover the most common (and costly) tax mistakes dentists make — and how proactive planning can legally reduce tax liability, sometimes all the way to zero. If you've ever written a painful check to the IRS and wondered if there's a better way, this episode is a must-listen.   What You'll Learn Why most dental CPAs are reactive — not strategic The dangers of disconnected bookkeeping, payroll, and tax prep How improper entity structure and payroll decisions raise audit risk Why buying equipment last-minute isn't real tax strategy How quarterly tax planning can dramatically reduce liability Common myths around audits, R&D credits, and tax strategies What dentists should demand from their accounting professionals   Key Takeaways 01:55 Top Tax Mistakes Dentists Are Making 03:00 Why Dentists Overpay Even With a CPA 03:40 The Cost of Disconnected Financial Teams 04:40 Enrolled Agent vs CPA: What's the Difference? 12:10 Why Retirement Plans Alone Aren't Enough 14:40 Buying Equipment vs Strategic Tax Planning 15:58 Choosing the Right Business Entity 20:05 Cost Segregation, R&D, and Advanced Strategies 24:40 How to Challenge Your CPA (Without Fear) 28:35 Do Tax Strategies Increase Audit Risk? 32:34 The Biggest Tax Myths Dentists Believe 34:00 Lightning Round with Rachel Michaelov   — Connect with Rachel

When boundaries feel hard, it's often not because you don't understand them — it's because resistance shows up quietly. For many dentists, that resistance looks like overgiving, pushing through fatigue, or second-guessing yourself long after the day is done.In this short guided meditation, I'll help you:Notice resistance with compassionTune into your body instead of pushing past itExperience boundaries as clarity, not conflictThis practice isn't about fixing yourself or forcing change.It's about listening — honestly and without judgment.You're in control of your experience. Engage as much or as little as feels right.Get The 8 Must-Have Boundaries Every Dentist Needs for Sustainable Success here for FREE: yogafordentistst.net/boundarieschecklistGet the Boundaries for Dentists self-paced digital course here: https://www.crownofwellness.com/boundariesFor a visual experience, check out this episode on the ⁠⁠⁠⁠⁠⁠Y⁠oga for Dentists YouTube Channel⁠.⁠⁠⁠⁠⁠⁠Hang out with like-minded dental professionals on ⁠⁠⁠⁠⁠⁠⁠Facebook⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠Instagram⁠⁠⁠⁠⁠⁠⁠ @yogafordentistsEmail me: ⁠⁠⁠⁠⁠⁠⁠josie@yogafordentists.net⁠⁠⁠⁠⁠⁠⁠How to Enjoy Life in Dentistry without Sacrificing Your Body and Mind: click ⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠⁠:⁠⁠⁠⁠⁠⁠⁠https://www.crownofwellness.com/enjoydentistrywebinar⁠⁠⁠⁠⁠⭐️⭐️⭐️⭐️⭐️ If you're listening on Apple Podcasts, please take a moment to give Yoga for Dentists a 5-star rating or leave a review!Thank you so much!

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Kiera is joined by Dr. Paul Etchison to talk about changing the mindset of turnover = failure. This transition is part of the evolution of leadership. Both Kiera and Dr. Etchison share their own experiences in remaining true to core values, and keeping their definitions of success separate from whether a team member stuck around or not. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: Kiera Dent (00:00) Hello, Dental A Team listeners. This is Kiera and today is an extra special day. I have one of my faves and every time we podcast, people say, you two just seem like you love each other so much. And I really do. I've been to this man's practice. We've been friends in the industry for I don't even know how many years pre-COVID. That's a long time. And we've been on each other's podcasts a lot. He has an incredible podcast. He's an incredible human, incredible friend, incredible mentor. I got the one and only Paul Etchison on the podcast today. Welcome. How are you today, Paul?   Paul Etchison (00:28) Hey, I'm good. And I was just thinking about how you mentioned like the pre-COVID thing. You texted me a picture of when you came into my practice for two days. And it was like before COVID. And what was funny about it, and I don't know if it's funny or not, but like I looked at it and half of my team has turned over. They're all new people. So I know. ⁓   Kiera Dent (00:36) cute.   Mm-hmm.   It's real life, Paul. That's real life. It is funny and isn't because I go back and I used to   be embarrassed about that. So let's just kind of highlight on that. I used to actually be very embarrassed of like, my gosh, I don't have senior team members. And like, I hate the question. There was a hot minute. The Dental A Team felt like I was Johnny Depp in the middle of the ocean and my boat was full blown on fire. And I was like, I just hope another one shows up soon. Like I hope something comes. ⁓   And then I realized that's business ownership. Like that's real life. And yes, we built these great cultures, but you outgrow team members and team members outgrow you in life circumstances. And I'd rather be honest and real rather than perfect. And so the fact that like teams shift in a lot, mean, shoot, I used to have this vision board, Paul, you want to hear how ridiculous this was? And I took the team and I put them in the one year, the three year, the 10, and I just had this like same team follow with me. That lasted me for like six months. And I was like, rip this thing up.   Paul Etchison (01:31) Yes.   You   Kiera Dent (01:40) It's   gotten better, it's stabilized, but I think that that's real life. So thanks for talking about it.   Paul Etchison (01:44) It's hard,   yeah, I mean, we look at it and I think like the beginning of my practice career, I had very little turnover, but it was, I had to put so much into keeping that. Like it was such a hard thing to keep going. there was a lot of team members that I kept and I was able to make them happy and I was able to have it be a productive relationship and they were good at the practice. But sometimes I look back on it I'm like, man, it was just, that was a lot of energy I put into one person. I should have just moved on.   So that's how I practice now. It's different. There's a little bit more turnover and I think that's normal and that's part of business ownership. So we're okay.   Kiera Dent (02:16) What changed in your mindset for that? I have so many questions for you today. You guys, Paul and I, when we get on the podcast, it really is just like a free for all. And Paul has no clue. I have a full plan of what I'm asking you today, ⁓ but it's going to be a free for all rift of business ownership of teams. How did you change that perspective? Because I think so many people chalk that up to, I'm a failure of a boss if I've got turnover. Like I had a doctor the other day on a coaching call and she's like, Kiera,   Paul Etchison (02:19) Yeah.   Kiera Dent (02:42) What am I going to do for PR? Like I've got people turning over and how do I PR this? So anything is twofold. One, how did you get like mentally change that mindset? Cause I think it's a big mental game.   Paul Etchison (02:54) Yeah, for me, was everything that I've done in my career as far as like leadership growth and stuff, I think has always stemmed from some period of just struggle and burnout to some extent. It was like, I got to the point where I was taking everything that happened at the practice personally, every upset person at upset employees, they're bothered about something. They're they always, I mean, they're telling you how you should be doing things that not realizing that there's very complicated solutions. And sometimes there's not perfect solutions. A lot of times there's   perfect solutions. So I think what changed for me is I started looking at it from a point of my mental sanity saying I can't attribute my feelings on the happiness of all these team members anymore.   And all I need to do is just be very clear on what I want, be very consistent with the way that I treat them and hold them to that standard. But ultimately, I'm putting the ball in their court. It's up to them. And if they want to play ball, cool. If they don't, that's cool too. We can still be friends and you can go to some other office where it's more to your liking. But the biggest change for me was just realizing I can't be everything to everybody. And I did it for a long time and it was really exhausting. And I worked through that and I feel a lot better   it.   I think my team   is better for it.   Kiera Dent (04:08) Yeah, no, I don't disagree. And I'm glad you talked about that. It's been fun. think Paul, you felt like, I don't know, a big brother to me when we met and I came out to your practice and the fun things we've been able to do together and just the differences. ⁓ I think as we've grown up in the industry together, but I, I admired that because I always thought you had this amazing team. And I think to hear your version and then my version at the same time was very similar. I just realized like,   We got a killer team. Like this is an amazing company. And I think when I evolved to you're so lucky to work here, you're so like not in an egotistical way, but I think in a confidence way of like, this is a great place and we're going to attract people. I started realizing like I had confidence to make offers of what we actually wanted to pay versus what I felt like I had to chase to get people to be here. ⁓ we pivoted and I used to like chase all the time and try to be everything for everybody. And then I'm like,   Why am I doing this? Kiera, like you have built a company and a culture and a space that people love. And yes, there are changes and I will continue on forever evolve. I don't think that we're a perfectly set company, but I think that we're a pretty great, awesome place to work. And I think when I became centered, confident in me and what I was providing in the culture without having to be everything, I noticed I actually attracted a way different type of employee. I attracted somebody who wanted that same style. They, it,   It was like no more like games. think in like compensation and all this, it was more just centered. It was like, this is what we do and this is who we are and I want great people. And I also think it was very much attributed to like, got dialed in on core values. And I was like, I'm sticking to these. These are like rock solid. do not deviate from that. And if you don't fit. Fantastic. There is another opportunity, like go find your dream place and we're going to find our dream team member. And I say that in a very like confident, hopefully not egotistical. And I think you, sounds like you did a similar thing, but I.   I will say, I think you go through a space of realizing you're not a failure. It's an evolution. I think of, of leadership. It's almost like going from, I don't want to say immature. It's more like children and how's they grow. Like, I don't think a little baby is a failure for having that knowledge and that mindset. And I think some of us, are toddler baby owners. Like we've never done this before. We don't know. So we're going to have a different mindset. And then you just start to morph and evolve just like   Children grow up and they morph and evolve into these teenagers, into these college students, into like the prime of their life. To me, that also feels like a maturity of leadership as well to being confident with that.   Paul Etchison (06:42) Yeah,   I love that you point that out too, because we do, we hear a lot of complaints from our team members and then we start to, it starts to add up and then we start to really doubt.   Did we really create a great work environment? I mean, we just had an all day meeting maybe about two months ago, maybe six weeks ago,   like that. And one of the questions I asked, we use this thing called Slido. It's just in real time, you put on a PowerPoint slide and everybody can vote on their phone. There's a million like programs that do this. But I asked the whole team anonymously on a scale of one to 10, how fun is it to work at Nelson Ridge Family Dental? And I was terrified to throw that   Kiera Dent (07:03) Thank   Paul Etchison (07:19) there. I had no idea what people were going to say.   Kiera Dent (07:20) I don't blame you.   Paul Etchison (07:22) It was everybody was like eight, nine. There was like three or four sixes. Now I have 30 something team members.   So the   Kiera Dent (07:29) Yeah.   Paul Etchison (07:30) of it was very good, but it was, it was scary.   if you would have asked me what I thought it was going to   Kiera Dent (07:35) Mm-hmm. Mm-hmm.   Paul Etchison (07:37) I did not think it was going to be that good because the squeaky wheel gets the grease. This, you know, that's what we hear. That's what we focus on. And it reminds me of this one coaching client I had, cause I coached dentists as well. had a coach coaching client named Isaac and he did very similar to you.   choir practice, he really got deep into the foundational core values of this is what the practice is. And   turned over his entire team and he said, I feel like such a failure. I feel like everybody's leaving. I feel like I'm just turning everybody off. Patients are coming in and asking where everybody is. I just don't think my leadership's good. And I told him, just hang through,   Hang, you'll find your people. And then six months later, he was like, I cannot tell you how much I love my team. And so I think the message of what you and I are saying, Kiera, is that no matter   Kiera Dent (08:12) Mm-hmm. Mm-hmm.   Right.   Paul Etchison (08:22) what you want to do with what kind of vision you have for your practice, your team's out there. They are there. They are waiting for someone to take charge and just make it a big deal that that's the type of people we have at this practice.   Kiera Dent (08:26) Mm-hmm.   Paul Etchison (08:33) So if anyone's listening thinking like, have this issue at my office, get those core values out, talk to the team about it. Don't just like leave it on a document, bring it up with ⁓ a meeting and say, guys, this is what I truly want.   And sometimes apologize. I'm   I haven't been holding everyone to the highest regard or the highest standard, but I'm ready to do it and I need your help. So I love that you brought up those two points. Those are amazing things and I think everybody struggles with that.   Kiera Dent (08:55) Yeah.   I think, and I think that that's something that I feel you and I both strive to do is tell people feel like they're not alone. I think so many doctors feel like I'm the only one out there. I'm the only one who can't keep my team there. I'm the only one who has team turnover. And like, this is not the path that we were even on my radar to head, but I think it's obviously the most important path for people to hear. ⁓ I think Paul, it's the no judgment. It's the hang through it. It's, ⁓ having a guide, a mentor who's been there, done that, done that successfully. I mean, you and I can both like,   Gosh, you like grit through that and it's painful. But I also believe that while yes, painful, I feel it's an evolution of soul that you actually internally are craving. I don't believe that we rise to the call until we're ready. Like Kieran 2020, when I'm sitting on Johnny Depp like boat in the ocean, it was on fire. I was not ready for the call and the evolution that came in 2024 for me.   Like I just, wasn't ready for it, but come 2024. And I think it's a, it's a shedding, it's a shifting. It's a, like, I call it like the skin sloughing. Like it's like a snake, like you're leaving it behind. It's, I watched penguins when I was in Antarctica, like small flex there, Paul. Like the Antarctica trip was pretty rad. And we watched it. Right? We went to Antarctica. Penguins are so cute and they smell terrible. Like they're like little ketchup bottles that just squirt poop all day long. And it's disgusting.   Paul Etchison (10:11) I was just going to follow up on that. Whoa.   Kiera Dent (10:25) but they were molting when we were there and they just looked absolutely miserable. Like they sat there and they told us like, please don't touch the penguins. like, these look just, they're like, it's very painful for them. They're having to completely molt off all of these feathers. And I think that that's how I feel a lot of business owners are like, are you going through that molting process? But again, just like those penguins, just like us, I really do believe that when we're ready to be called to that higher level, one, you're not alone, two, you don't have to go through it alone.   Three, it's normal and it's part of growth, but like, there's also, you don't have to grow until you actually want to. Like, it sounds like Isaac was just ready. Like, I'm ready, I'm done. Like, I've hit my limit. I was ready, I was done. I was like, we are having a complete culture shift. Like, we're done and like, it needs to evolve. Sounds like you had it. But I also feel, and I don't know how you feel, Kieran 2020, Kieran 2024, even into 2025, leadership culture company.   keeps evolving. don't feel like I have as many of those like huge molting in 2020, huge molting in 2024, 2025. It's more of a shift in a refinement rather than a full molt. But that's, think how, at least for me, that's how I think I view leadership is.   Paul Etchison (11:37) Yeah, totally agree. It's like we go through these stages of leadership growth. And I remember for me, like leadership all the way up to COVID was like system, system, systems, consistency with team. And my team grew to like 35, 40 people and it got really unmanageable. And then when we came back from COVID from being shut down, I really wanted to try to do something different. And I wanted to keep that. ⁓   I just loved when we were shut down for COVID. I loved how it felt. It felt easy. And I said, I want that, but I don't want that craziness when we open up again. And when I did, I started to feel that same craziness. And I was going to therapy at the time. And like the therapist will tell you, just change your expectations. Don't take everything personally. And what I learned through that is there's no amount of therapy that can   broken leadership   Is that I had systems, I had consistency, but my team   had outgrown those systems. We needed more systems of leadership. So the next stage in my leadership was learning how to lead leaders and truly delegate and truly give them the autonomy to do everything. And when we did that, everything got so much better. there was parts of me that was like, I'm not the right person for this level of organization. not the right person for this size of a dental office. I'm just too anxious. I take   Kiera Dent (12:41) Mm-hmm.   Paul Etchison (12:59) too personally. And ultimately, I think it was just I   Kiera Dent (12:59) you   Paul Etchison (13:02) set up, I didn't set up my organization the proper way. So that was the next level up for me. And I think that's me shedding my skin finally once and for all to learn how to lead leaders. And who knows what's   Kiera Dent (13:14) Paul, I think that you are actually a really good example of letting go of control. How do you do that? Like,   I remember talking to you one day, this is offline, hopefully I'm not oversharing. And you're like, a lot of people say, like, what are you going to do if you retire? And I know you sold your practice to a DSO and you're like, I've never looked back. Like it was great. Um, you're like, I'm actually the person who's okay to just like sleep in and do nothing. Like I really am okay with that. Like, how did you let go of that control with your team? Um, knowing that they weren't going to do it exactly like you, like, I think people have this in theory. They try to do it, but.   Paul Etchison (13:23) No, of course not.   Kiera Dent (13:49) Like that's another molting. That's another really hard gap to go from full control. You're in charge of everything to I'm stressed out. Now I'm going to let team members take over and maybe you're, maybe you're an anomaly, maybe you're a unicorn, but how did you do it?   Paul Etchison (13:59) Yeah.   I think it's like we talked about the growth, but I think where we screw up as practice owners when we do this is we get upset that the team members are not doing exactly the way that we would do it. And there needs to be some wiggle room. There needs to be a lot of forgiveness. But ultimately, there's got to be clarity. And not enough practice owners are having the conversations with their team members. Like I always say, like, I'm coaching dentists all the time, and they're telling me about these issues they're having at their practice. And I'm saying, well, why do you think that is? And the answer is like, well, it might be this.   kind of think it's this and it's like, well, get curious, ask, ask your team. So for me, it was about telling my team what's expected and when   Kiera Dent (14:36) Mm-hmm.   Paul Etchison (14:42) didn't meet expectations, instead of like dancing around it, just going right at the   getting curious, what is going on with this? What is, why is this not happening? And then always like, you know, if you ask the right questions, the next step for any leadership, any leader is to validate their perspective.   no matter what it is and that will go so far. If you take one thing out of this podcast, do that. When your team members share something with you or if you're getting curious, asking them why things are happening, how they're feeling about something, validate their experience and watch how much they open up and they're.   open to behavior change and other options. And then that allows you the opportunity to then ask and invite participation in the solutions. What do you think we should do?   I noticed our cancellations are getting up there. Like, what are we doing about this?   What do you see happening? Getting curious. And they're saying, well, I don't know. Like, I got to ask some more   OK. And then validate their experience. I totally see how maybe you got busy with your other things and you haven't been asking your team. But we've got to ask the team and find out just so many little things.   For me, was getting out of the way, being clear with expectations. But then instead of trying to go around my leads and my leaders, my practice and go around them and deal with the other other teams myself, I let them do it and I let them fail and I help them and I support them.   And I think I know there's a lot of like team members that listen to your podcast, Kiera. I would hope if you're listening to this and you're team member, I would hope you understand how valuable you are to an owner. If you can take things, find solutions and hold your, your team members, your fellow coworkers to a certain standard, like you would be so valuable. Everyone's like, well, how can I get a raise? How can I contribute more value? I would people on my team, my leaders that do this for me, they are so valuable to me and every owner.   is just waiting for somebody to step in and fill that role. I mean, every practice could use   Kiera Dent (16:38) team members, their number one objective is to make their doctor happy.   every day, all day. That's like what my job is. That's what I want to do. That's how I want to serve. That's how I want to help out. ⁓ And I think as owners, I think it can be easy to see all the problems in your team. But I think it's what pair of sunglasses do I want to put on? Do I want to put on the one where I see like, what's wrong is just as available as what's right. Both are always available in every single scenario, every single situation. And so what are we bringing to the table and how are we looking at these different things?   How are we guiding our teams? How are we guiding our leaders? How are we showing up as leaders? How are we like, what is the filter I'm putting on every single day? Like those, those two sunglasses are right there as you walk out the door and which pair are you choosing to put on? Cause you're going to influence impact and create a team. No matter what we see what we want to see. And I believe that we create our own realities. I believe that reality is what we believe it is. And so, ⁓ I think shifting that seeing that, and I think having just a bigger plan, a bigger vision. know when I got very crystal clear of where am I headed?   What is my role? Like, this is gonna sound funny, Paul. I literally Googled like, what does a CEO do? I think doctors come out of school, like you're a doctor, like you do the dentistry, like that's what I'm supposed to do. And I remember one day I was sitting there and I'm like, what is the CEO even supposed to do? Like, I don't even know, like, like really, like where is a CEO, like dictionary, like job description, I realized, got it. It's profit, vision, and culture. Like those are really my main things. Stay out of the weeds and like go for it. And...   Paul Etchison (17:43) you   Kiera Dent (18:04) That's what I'm bred to do. Bring the great ideas, bring those different pieces. That's my job. That's my responsibility. I think dentists also have the second tier of you do dentistry too. So you are a clinician in there and then you have those pieces. But driving culture, driving a culture of accountability of fail, fail forward. like, gosh, I just read this really awesome book and they said, we measure it by outcomes, not activity.   Like just stuff like that. Like you start to become this person who wants to evolve your culture, evolve who your team is, evolve who you are as a person. And I think Paul, even in just knowing you, I think there's been an evolution of who you are as well. ⁓ I think that is just, and hopefully I've evolved too, like fingers crossed there's been an evolution and I'm not as quite, I don't know. I think we keep the best of ourselves. And then I think just evolve into our 2.0, 3.0, 4.0 levels. I guess I just asked the questions of   Paul Etchison (18:42) Absolutely.   Kiera Dent (18:58) I think you've got a fascinating story. You were full, full practice owner. You were in there. You sold out to a DSO. You're still in your practice. You still train. You, you've evolved. If you were sitting back when I met you, what would you tell that Paul of what you know today that would have made that whole experience, whether you're selling, whether you're growing, evolving. I mean, you have a very large practice. It's been real fun to watch you and your practice and everything. What would you have told that Paul?   Paul Etchison (19:27) Yeah, and this comes up a lot with my coaching clients. A lot of people ask me that. And one of the things, if we're looking at our practice, and I'm going back to the beginning, is if we want to sell our practice, if we want to cut back our days, if we want to have the most profitable practice ever, a lot of the times the strategy is identical. We're just trying to go through and create more freedom for ourselves as practice owners by empowering our team, getting them to do a lot of the responsibility.   Kiera Dent (19:48) Mm-hmm.   Paul Etchison (19:57) to be accountable for a lot of the stuff. So I think if I could go back and tell myself again, man, first of all, just stop taking everything so personal. And you come in and you look at it with these different lens of leadership and maturity and all these leadership skills. It's not just at the practice. It shows up in your relationships with your spouse, with your friends, with your kids, like all these things. Like it's all intertwined. But I would have much earlier got the leaders going in my practice because one of the things   Kiera Dent (20:16) Mm-hmm. Mm-hmm.   Paul Etchison (20:27) happen through my practice sale is I just like I mentioned I felt like it wasn't I'm not cut out for this I'm sick of being miserable I'm sick of being stressed I'm sick of taking it home and I'm sick of taking it out on people that I love and so when I sold it I said okay I'm on my three-year exit plan I'm getting out of here I'm moving on I don't know what I'm gonna do but I'm gonna move on so I said you know my associate partner Dr. Kathy she owns part of the practice too   I'm gonna pass it to her and maybe she won't be able to do it as well as me. But I need to set this up so she is just, I wanna bless her with this amazing practice that runs on its own. And in the process of setting that up with my leaders, I realized, dang, I don't know if I would have sold. And I'm still happy I sold, don't get me wrong. I'm not saying I would have, but that's what I would have tried to do early in my career. I would have went, who are the leaders? ⁓ The whole thing with like the Dan Kennedy of the who, not how. Not how do we do it, but who's gonna do this?   Kiera Dent (21:11) Mm-hmm, mm-hmm, mm-hmm.   Right.   Paul Etchison (21:25) And I would have leaned into that a lot more because I think I would have been a lot happier. I would have been able to enjoy the journey more. But at the same time, it's like we learn from our mistakes and you got to make the mistakes to learn from. So it's like, so that whole Catch-22, would I change anything? I don't think so because I wouldn't be, if I didn't have the same experience, I wouldn't be the person I am today. But man, I wish I had learned it earlier. That's for sure.   Kiera Dent (21:45) Sure.   It's fair. And I'm actually happy to hear that because I feel like this is like the DSO conundrum and like the cell. And I'm happy to hear you say that because it validates what we try to coach on to. So many doctors are like, I'm just going to sell. And I'm like, well, let's just look at this. If you sell, let's look at what your life will look like on the other side of it. Let's look to see where you are today. And really, let's get to the root of why do you want to sell? And I think, Paula, if we would have asked you that same question.   Why did you wanna sell? My hunch is it was all these problems, all these issues. It was just like, I'm sick of it. Like, let's just pass this on. Let's move on. When a great leader, a great office manager, a CEO, a CFO could have easily come in, taken over for you. You could have had the exact same scenario. You just would have owned it and had more options on the table. Like you said, it's not right, it's not wrong. But I think like for everybody listening, I think today is a good reflection of one, are you going through a molt? Like, are we molting anywhere?   ⁓ and do we, or do we need to molt? Like, is there something we need to shed, let go of identity wise? And then two, I like to do this reflection a lot. And I encourage a lot of people to do it. It sounds like Paul, you do it. Like when we're in these issues in these problems, are we stopping and pausing and asking like, what is the root? Not the symptom, the top line symptom is like, I'm so stressed. And I got this and this and this, but like, do we ever stop and pause to dig to that route and find out   what is really at the root. For me, I often have many journals that are like this, this, this, and I just like list it all out of all these things are frustrating me. But what I'm trying to do is find what is a thread? What is the piece in that that's causing the chaos because then we go fix that. And that's what I love in practices because 99 % of the time what people tell you on the top line, so coaching offices, coaching doctors, coaching teams, like Paul, you know this, I know this. What people tell you at the top is not really what's the problem.   It's the bottom layered, there's something rooted, there's something under there. These are just symptoms on the top. Same thing with patients and case acceptance, right? It's the up at the top, what they're telling you is not really what they're feeling. And all you gotta do is just dig under, find out what that root is and stress and that will go away. And so Paul, thank you for, I just am curious. I've always been curious, like, would you have done something differently? Of course we never can, like, no, we're not going to. But if I could go back and tell that younger self things, like,   Kyri, get rid of your ego, honey. Like trust your team, trust that team to do amazing, trust them to do better than you are, trust them to be better than you, trust them to make better decisions than you do, because I want to create that kind of a team and me believing that is going to ultimately turn my team into that. They have the whole study about teachers with kids and IQs and like if they believe that they have a stronger IQ without doing anything different, that child actually ends up with a higher IQ. Well, why don't we take that same principle and apply it to our teams and see what happens.   Paul Etchison (24:23) Yeah.   It's so true. And I love that you say like the reflection that you did, because I noticed this with my coaching   is that there's a lot of, there's a lot of how, how do we do this? How do we fix this? But I think anyone listening, if you just sat down in a dark room, maybe not dark room, but you're sitting down in a quiet room for 30 minutes and you reflect it, what do I really, you know, I do this with my coaching clients. We call it a practice clarity and frustration exercise. What do we, what really bothers you with the practice? What is it that really just, you know, grind your gears,   it down and it sounds simple but once you write it down you can like visually see it and start to brainstorm for solutions and you start to make this progress that not only affects the way your practice runs but the way that you're the way that you feel and I think ultimately as practice owners we need to realize that the CEO hat you mentioned what does a CEO do we need time for that and we don't have time for that when you're doing four or five days of dentistry that's why when I'm working with clients the first thing I'm gonna do with a practice owner is I'm gonna get them down to three days clinic   Kiera Dent (25:10) Mm-hmm.   Paul Etchison (25:27) And it always works. so inefficient. There's so many things we can do with scheduling and efficiency and production that we can get you down to three days clinical. But now you've got that extra day to put on that CEO hat, to reflect on the things, to write down and figure out what your plan of attack is. I mean, that's what I've got a workshop coming up in February that that's focused on that. How do we get you down to three days? And that's all I want to do in this three day workshop. We're, of course, doing these reflection activities. But I think this is over the course of my career and working   Kiera Dent (25:27) Mm-hmm.   Paul Etchison (25:57) with people, that's what I've seen moves the needle the most. We need time and we need to give the energy where it's due. And it's not, we   be 100 % clinician. It just doesn't work that way.   Kiera Dent (26:09) Yeah, no, Paul, I love that. And think that's such a fun thing. I think dentists need this. Dentists need to have their vision, have their clarity. But I think from today, the wrap is it started out with a photo, unexpectedly, of this is what we're ⁓ kicking the day off of, going from where we were to where we want to be, ⁓ looking at that, reflecting back, seeing. Because   Paul Etchison (26:23) Yeah. How do we get here?   Kiera Dent (26:34) There's a client that you and I both know. They're pretty well known ⁓ that we work with. whenever I work with, gosh, it's so many practices. I think there's like 300 employees and I'm like, gosh, I remember all their names every time. ⁓ But they talk about how sometimes the best learning is just remembering. Remembering where we've been, remembering where we're going to go, remembering things that we've learned looking there. So it's like remembering where I've been so that way I can kickstart and project into where I need to go.   using your team to get there. Your team wants to be your best asset for that. So Paul, those are kind of my wrap thoughts. I know today has just been a real fun day. Always enjoy a good podcast with you. Any last thoughts you have?   Paul Etchison (27:15) No, you know, I would just close it off with   having the listener just believe, just believe in the possibility of what's going, what is possible with your practice. ⁓ There was a point where we talked about reflection. I reflected and I said, I wrote down everything I do at the practice and I wrote down how many of these activities bring me joy and how many of them I hate. And I believe it was something like 80 % of them I hated. So that's no way to live your practice life. You spend a lot of time at work. So why not do the reflection and put the time and energy into   Kiera Dent (27:38) Mm-hmm.   Paul Etchison (27:45) Making your practice a better place to be at it's not just gonna affect you. It's gonna affect your family. It's gonna affect your team ⁓ There's big your ripples that come from this little thing So I would say sit down find a coach find a mentor read some books it is possible believe in yourself and It all starts with the planning so sit down and write down some things journal love it   Kiera Dent (28:09) Journal it up. Well, Paul, I appreciate you so much.   I ⁓ just love what you're doing for our community. I love the things that we're able to accomplish together. ⁓ And yeah, guys, check him out in Dental Practice Heroes podcast. He's got some great stuff over there as well. ⁓ Paul, so good to have you on the podcast. I think you mentioned the event in February. If people want to know more about that, how do they connect with you on that?   Paul Etchison (28:35) Yeah, go to DentalPracticeHeroes.com slash freedom. So that's where the information on the three day workshop, it's going to   awesome. And I'm doing a money back guarantee. If you don't think you liked it, if you don't like what you signed up for, I'll give you all your money back. I believe in it that much. And I know from me coaching for the past six years, I know this is what produces results. So go check that out,   more about the courses, check out the podcast. And I'm always happy to talk to any listeners if they want some help or they just want to find out what we're more about. Please just go to the website, DentalPracticeHeroes.com.   dot com.   Kiera Dent (29:06) Amazing. Paul, thank you so much for being on the podcast. For all of you listening, I hope you do take the time to reflect. I do hope you think about where you want to go and what you want with your life. And just appreciate you guys all being here. And as always, thanks for listening. I'll catch you next time on the Dental A Team Podcast.  

On today's episode, Dr. Mark Costes sits down with longtime friends and financial experts Brent Saunier and Chris Sands of Profi2020 to unpack some of the most overlooked yet critical financial decisions dentists face. From the often misunderstood process of switching CPA firms and the emotional roadblocks that come with onboarding, to the dangers of outgrowing your entity structure without knowing it, this episode is packed with practical advice and real client stories.   The trio dives into why clarity around your finances is essential for long-term success, how to vet a great CPA, and why early education for newer practice owners is now more accessible than ever. Whether you're a new owner or a seasoned practitioner, this conversation will help you assess your financial infrastructure and avoid common mistakes that cost dental entrepreneurs time and money. Be sure to check out the full episode from the Dentalpreneur Podcast! EPISODE RESOURCES https://www.profi2020.com https://www.truedentalsuccess.com Dental Success Network Subscribe to The Dentalpreneur Podcast

Andy and Randy talk about the Hawks win and the brutal elbow that Onyeka Okongwu took from Jaylen Brown doing serious dental damage.

In this episode of the Less Insurance Dependence Podcast, Gary Takacs and Lester De Alwis welcome attorney Evan Sampson of Post & Schell to discuss the legal essentials that help dentists grow with confidence. The conversation explores common compliance pitfalls, employment law challenges, HIPAA risks in digital workflows, and the legal considerations that come with scaling a dental practice.Evan shares practical guidance on building strong systems early, managing remote teams across state lines, avoiding costly misclassification errors, and understanding how financial independence impacts compliance risk. This episode offers dentists clear, actionable insights on how proactive legal planning can reduce stress, minimize risk, and support a more stable, independent future—without unnecessary insurance pressure. Book your free marketing strategy meeting with Ekwa at your convenience. Plus, at the end of the session, get a free analysis report to find out where your practice stands online. It's our gift to you! https://www.lessinsurancedependence.com/marketing-strategy-meeting/   If you're looking to boost your case acceptance rates and enhance patient communication, you can schedule a Coaching Strategy Meeting with Gary Takacs. With his experience in helping practices thrive, Gary will work with you on personalized coaching, ensuring you and your team are prepared to present treatment plans confidently, offer financing options, and communicate the value of essential dental services. https://thrivingdentist.com/csm

We're diving into a fundamental—yet often underappreciated—pillar of successful endodontics: the rubber dam. Our guest is Dr Robert Milad, a passionate endodontist from Cairo, Egypt, who brings 8 years of clinical experience and a deep commitment to education—training both dental students and fellow clinicians in the art and science of rubber dam isolation. He believes the key to mastering rubber dam placement is keeping an open mind, experimenting with different techniques, and eventually developing a system that's both efficient and effective. Lots of tips in this episode. Thanks to our episode sponsors: BISCO - https://www.bisco.com/ VOCO America - https://www.voco.dental/us/

"Forget the noise, go back to the basics." Connect With Our SponsorsGreyFinch - https://greyfinch.com/jillallen/A-Dec - https://www.a-dec.com/orthodonticsSmileSuite - https://getsmilesuite.com/ Summary In this episode of Hey Docs, Jill sits down with Karthik Moorthi, the co-founder of BerryStudio, who shares his fascinating journey from a tech-savvy upbringing in the Bay Area to establishing a successful business in the orthodontic industry. Karthik recounts his early experiences in India, where he launched an e-commerce platform for wedding invitations, and how his path eventually led him to dentistry through his wife, Nora. The conversation delves into the inception of Berry Studio, which aims to streamline the patient intake process in orthodontics using innovative technology, including AI-driven solutions for insurance verification and patient engagement. Karthik discusses the challenges and opportunities presented by AI in healthcare, particularly in navigating compliance with regulations like HIPAA. The episode also explores the evolving landscape of how AI and digital platforms are reshaping the way patients find and engage with orthodontic practices. Karthik shares valuable insights on marketing strategies for orthodontists, including the significance of user-generated content and the need to adapt to changing patient behaviors in a digital-first world. Connect With Our Guest BerryStudio - https://berrystudio.ai/ Takeaways Karthik's journey reflects the challenges and opportunities of entrepreneurship.Berry Studio aims to revolutionize patient intake and insurance verification with AI.AI can enhance patient experiences but must comply with healthcare regulations.The importance of understanding HIPAA and data privacy in using AI tools.Patient education is crucial for successful consultations in orthodontics.The future of patient interactions may shift towards AI-driven platforms.Marketing strategies must adapt to the rise of AI in consumer behavior.Cloud stacking can enhance online visibility for orthodontic practices.User-generated content is vital for building trust in the digital age.Chapters 00:00 Introduction to Karthik and BerrtyStudio04:48 The Birth of BerryStudio12:56 Challenges and Innovations in AI for Orthodontics13:56 HIPAA Compliance and AI in Healthcare21:48 Personal Anecdotes and Cautionary Tales25:05 The Role of AI in Orthodontics26:50 Amazon's AI Search Revolution30:15 Strategies for Leveraging AI in Orthodontics36:17 OrthoStudio: Enhancing Patient Intake42:50 Contact Info and Final ThoughtsEpisode Credits:  Hosted by Jill AllenProduced by Jordann KillionAudio Engineering by Garrett LuceroAre you ready to start a practice of your own? Do you need a fresh set of eyes or some advice in your existing practice?Reach out to me- www.practiceresults.com.    If you like what we are doing here on Hey Docs! and want to hear more of this awesome content, give us a 5-star Rating on your preferred listening platform and subscribe to our show so you never miss an episode.    New episodes drop every Thursday!   

A pop up clinic offering free dental care in Wairoa has been overwhelmed with demand in an area that hasn't had a full time dentist for half a decade. The clinic is a joint project between Health New Zealand, iwi, Kahungunu and Hawkes Bay's Golden Apple dentists. Patients have been prioritised according to need and there has been lots of them keen to get in the chair, with the clinic's two week run almost over. Dr Isha Woodhams of Golden Apple Dental spoke to Lisa Owen.

Tax season officially kicks off on January 26th, and if you're treating your filing as just a compliance chore, you're likely leaving money on the table. In this episode, Jarrod Bridgeman, Kevin Rhoton (MBA, CPA), and Brodie Hough (CPA) sit down to dissect the evolving tax landscape for dental practice owners.The guys start by debunking the "Tax Bracket Myth"—the common fear that earning more will lead to a lower take-home pay due to higher rates—and explain how this misunderstanding might be sabotaging your practice's growth.Whether you're looking to optimize your 2025 filings or set the stage for a more profitable 2026, this episode provides the roadmap to becoming a truly Millionaire Dentist.Upcoming Tour Dates: Go to our EVENTS page for infoFacebook: Four Quadrants AdvisoryInstagram: @fourquadrantsadvisoryLinkedIn: Four Quadrants Advisory

This week we are diving deep into the world of cosmetic dentistry and oral health with the most in-demand aesthetic dentist on the planet, Dr. Michael Apa. Listen in as Dr. Apa gives us a masterclass on how-to seriously level-up and love the appearance of your teeth – even if you're on a budget.You'll hear about:Veneers 101: Pros, cons, costs and what to ask during your very first consultation.Invisalign vs braces: Find out which one Dr. Apa would choose – and why.Red flags: Dr. Apa shares his “no-go” zones for Botox and how lip fillers and other cosmetic enhancements can impact cosmetic dentistry.“Ozempic teeth”: The impact that rapid weight loss can have on your face, and why you should wait to hit your "goal weight" before investing in a smile makeover.The never list: The three habits Dr. Apa personally avoids as a leading cosmetic dentist.Girl math: If veneers aren't in the budget, Dr. Apa reveals the two non-invasive treatments that offer the biggest “glow-up” for your smileFor any products or links mentioned in this episode, check out our website: https://breakingbeautypodcast.com/episode-recaps/ PROMO CODES: When you support our sponsors, you support the creation of Breaking Beauty Podcast! QuinceRefresh your wardrobe with Quince. Don't wait. Go to Quince.com/BREAKINGBEAUTY for free shipping on your order and 365-day returns. Now available in Canada, too. One SkinOneSkin's OS-01 Peptide™ is proven to target the visible signs of aging, helping you unlock your healthiest skin now and as you age. For a limited time, get 15% off OneSkin with the code BREAKINGBEAUTY at https://www.oneskin.co/BREAKINGBEAUTY #oneskinpod. Get social with us and let us know what you think of the episode! Find us on Instagram, Tiktok,X, Threads. Join our private Facebook group. Or give us a call and leave us a voicemail at 1-844-227-0302. Sign up for our Substack here. Subscribe to our YouTube Channel to watch our episodes! Related episodes like this: TikTok-Viral Purple Toothpaste, The Best Electric Toothbrush to Invest In and Teeth Whitening Tips With Oral Care Expert Dr. Laurence WalshThe Biggest Celebrity Transformations Decoded: A Deep Dive with Dana Omari-Harrell @IGFamousByDanaBoob Jobs The Ultimate Guide With ‘Natural Aesthetic' Cosmetic Surgeon Dr. Lara Devgan*Disclaimer: Unless otherwise stated, all products reviewed are gratis media samples submitted for editorial consideration.* Hosts: Carlene Higgins and Jill Dunn Theme song, used with permission: Cherry Bomb by Saya
 Produced by Dear Media Studio See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Ever set a production goal that felt exciting, then realized the math didn't support it? We walk through a clear, no-fluff framework that turns revenue wishes into achievable targets by anchoring everything to one number: dollar per clinical hour. From there, we test whether your current systems can carry that load—diagnosis habits, treatment acceptance, and patient volume—and show how small, targeted adjustments create outsized gains without adding chaos to your week.We start by reverse-engineering annual revenue into a realistic hourly target and explain why that figure becomes your true north for scheduling, staffing, and time off. Then we dig into the three levers of growth. First, diagnosis: how to set ethical, consistent criteria, present risk clearly, and avoid the trap of under-diagnosing teeth at obvious risk of catastrophic fracture. Second, case acceptance: practical scripts and front-desk tactics for surfacing objections, clarifying value, and making financing easy so more patients say yes to care they need. Third, volume: when and how to expand through marketing, better phone conversion, airtight recall, and full hygiene capacity without burning out your team.The payoff is predictability. We show how to translate your dollar-per-hour into a block schedule that builds steady production days rather than volatile peaks and valleys. By aligning each provider—including hygiene—to a defined target and a purpose-built template, you reduce stress, hit goal consistently, and reclaim control of your calendar. You'll walk away ready to set numbers that make sense, diagnose with confidence, lift acceptance with simple training, and choose whether to grow through volume—on your own terms.  SET UP A CONSULTATION WITH GARY @ LEGALLY MINE CLICK HERE Take Control of Your Practice and Your Life We help dentists take more time off while making more money through systematization, team empowerment, and creating leadership teams. Ready to build a practice that works for you? Visit www.DentalPracticeHeroes.com to learn more.

Fred has to go to the dentist and he is nervous he'll get judged! Plus, find out why Stephen got ghosted on an all new Waiting by the Phone!See omnystudio.com/listener for privacy information.

Fred has to go to the dentist and he is nervous he'll get judged!See omnystudio.com/listener for privacy information.

On this episode of the Dentist Money Show, Ryan, Matt, and Cody reflect on 2025's biggest themes in dentistry and analyze the results from a recent survey sent out to Dentist Advisors' clients. They unpack the results of the quantitative benchmark data and what it reveals about dentists' income, spending, savings, debt, net worth, and retirement readiness across different age brackets and career stages. They explore how specialization impacts earnings, how student loans and practice debt shape cash flow, and what dentists' savings and investment balances look like in practice. Tune in to hear how dentists are really doing financially and what these numbers mean for building long-term wealth and retirement confidence. Book a free consultation with a CFP® advisor who only works with dentists. Get an objective financial assessment and learn how Dentist Advisors can help you live your rich life.

Emily and Shane are diving into some of the most-talked about cases in true crime right now. From the couple who was fatally shot in their Ohio home to the man who allegedly killed his wife to be with their Brazilian au pair… As more is being revealed about the Ohio dentist murders, do we believe the ex-husband committed the crime? Why would he pull the trigger 8 years after their seemingly amicable divorce?! Plus, the highly anticipated trial for the “au pair affair” has begun. Though the au pair has pled guilty, the husband is maintaining his innocence. With the trial in full swing, we’re anticipating what the defense’s next moves will be.See omnystudio.com/listener for privacy information.

On today's episode, Mark sits down with Dr. Vishal Sharma, Director of Clinical Education and Operations at Spear Education, to explore the evolving landscape of dental education. Dr. Sharma shares his journey from building and scaling private practices to leading clinical education initiatives across DSOs, and now helping shape the next generation of learning at Spear.  The conversation dives deep into hybrid education models, the growing role of AI in diagnostics and training, challenges facing early career dentists, and why blending in-person mentorship with virtual and self-paced learning is the future of dentistry. They also discuss how technology, efficiency, and accountability are redefining both clinical excellence and career satisfaction for today's dentists. Be sure to check out the full episode from the Dentalpreneur Podcast! EPISODE RESOURCES https://www.speareducation.com https://www.truedentalsuccess.com Dental Success Network Subscribe to The Dentalpreneur Podcast

In this episode, Wes Reed continues his series on common financial mistakes dentists make, focusing on retirement planning and investing. He explains how poor decisions around 401 (k) plans, defined benefit plans, debt management, and private investments can significantly impact long-term financial success.Wes breaks down how the U.S. tax system works, why retirement accounts are powerful tax-saving tools, and how dentists can use smart financial strategies to accelerate their path toward financial independence. He also shares real-life examples of mistakes he has seen in his practice and offers practical advice to avoid them.This episode is designed to help dentists make informed decisions, protect their wealth, and build a sustainable financial future.Key Topics CoveredUnderstanding the importance of choosing the right 401(k) strategyHow progressive taxes impact high-income professionalsWhen to Consider a Defined Benefit (Cash Balance) PlanWhy paying off low-interest “good debt” too early can hurt growthRisks associated with private and non-transparent investmentsThe importance of diversification and due diligenceKey TakeawaysUse 401(k) Plans Strategically: A well-structured 401(k) is one of the most effective ways for dentists to reduce taxes and build retirement savings. When implemented at the right time, it benefits both the owner and the team.Consider a Defined Benefit Plan in High-Income Years: For dentists with strong cash flow and high tax exposure, defined benefit plans can allow much larger, tax-deductible retirement contributions. However, they require professional management.Don't Rush to Pay Off Good Debt: Low-interest, tax-deductible debt used for assets like a practice or home should not always be paid off early. Investing that money can often produce higher long-term returns.Be Careful with Private Investments: Many private deals lack transparency and liquidity. Dentists should avoid investing based on hype and always perform proper due diligence.Think Long-Term, Not Emotionally: Financial decisions should be based on data, strategy, and long-term goals—not fear, pressure, or short-term emotions.Tax Planning Is a Key Part of Wealth Building: Understanding how taxes work and using retirement accounts properly can save tens of thousands of dollars over time.

A look at the top trends and challenges for dentists in 2026. Dr. Marko Vujicic, chief economist and vice president of the ADA Health Policy Institute, shares the industry predictions to help you prepare for the year ahead.  Special Guest: Dr. Marko Vujicic  For more information, show notes and transcripts visit https://www.ada.org/podcast Show Notes  In this episode, we're looking at the top trends and challenges for dentists in 2026 with our guest Dr. Marko Vujicic, chief economist and vice president of the ADA's Health Policy Institute.   The episode starts by looking back at the predicted dental trends for 2025, which were staffing shortages, insurance challenges, and rising overhead costs.  When speaking about economic confidence, Vujicic notes that at the end of 2024 dentists expressed a significant rise in economic optimism about the stability of the dental sector. But, by the end of 2025 confidence levels had dipped, and practice confidence dropped as well due to tariffs, economic uncertainty, and larger national concerns.  The ADA's Health Policy Institute (HPI) conducts quarterly surveys. Dentists are invited to enroll in the panel by emailing hpi@ada.org to help share their experiences and strengthen national data.  Dentists were asked about their biggest expected challenges for 2026, and they reported that their core issues remain consistent with last year's, but with insurance leading the list, followed by staffing shortages and overhead cost increases. These issues remain steady across urban and rural practices, as well as with different practice modalities.  About 90% of dental practices report they are still struggling with hiring staff, even though there's a growing pipeline of dental hygienist graduates, and a rebound in patient volume. The conversation explores whether technology could help with this issue, but dentistry remains a hands-on profession with limits on how much can actually be automated.  Dentists shared with ADA's HPI that this year they intend to hire more staff, reevaluate their insurance networks, and invest in equipment, technology and software.   Some key findings from HPI's Practice Ownership Trends report shows that today's early-career experience is very different from past generations with a delayed path to practice ownership. Data shows that most dentists will eventually become owners, just later in their careers. The major change: ownership is delayed, not disappearing.   Another interesting theme that emerged from the data was the generational, cultural, and priority shifts happening in the profession. Also, HPI introduces fresh insights into gender pattens that show that even though women start with a lower rate of practice ownership than men, the ownership gender gap closes by mid- and late- career.  The conversation shifts to explore the challenges and opportunities from the broader national policy forces shaping dentistry in 2026, and the impact of the economic data influencing decisions in multiple states.   HPI continues their research and is focusing on tracking emerging dental policy issues, research on the impact of Dental Loss Ratio (DLR) regulations, and forthcoming analysis of oral trends within Medicare Advantage, to list a few.    Resources  Read ADA's Health Policy Institute's report Practice Ownership Trends in Dentistry: A New Look at Old Data.  Learn more about HPI's latest studies and publications, including those mentioned in this episode.  Share your experience with us! Dentists are invited to enroll in the HPI panel by emailing hpi@ada.org.   For more information on the ADA's Health Policy institute, visit their website ADA.org/HPI.  Connect with Dr. Marko Vujicic.  Subscribe to the ADA's HPI Newsletter. 

This week on Dentistry Unmasked, Pam and Brian sit down with Dr. Keith Nicholson—an orthodontist, MBA, and practice transition expert—for a wide-ranging, eye-opening conversation about what dentists aren't taught in school. From learning business the hard way in private practice to earning an MBA at Wharton, Keith shares powerful insights on practice growth, smart investments, CRM systems, patient experience, and avoiding costly mistakes. With practical takeaways, real-world examples, and a few laughs along the way (yes, even white spot prevention makes an appearance), this episode will change how you think about running—and valuing—your dental practice. Don't miss it.

In this episode of the Heal Your Hormones podcast, Dr. Danielle interviews Dr. Toni Engram, a biological dentist who shares her personal journey with autoimmune disease and how it transformed her approach to dentistry. They discuss the principles of biological dentistry, the impact of dental materials on health, the importance of oral health in managing autoimmune conditions, and the controversies surrounding root canals and mercury fillings. Dr. Engram emphasizes the need for a holistic approach to oral health, including nutrition and understanding the body's overall health.About Dr. Engram:DR. TONI ENGRAM is a biological dentist, integrative health coach, and owner of Flourish Dental Boutique in Richardson, TX. After her own personal health struggles with an autoimmune disease, Dr. Engram shifted her practice philosophy to focus on whole-body health, and the prevention and safer treatment of oral disease. She has degrees from Texas Christian University and Baylor College of Dentistry. Dr. Engram is a member of the IAOMT (International Academy of Oral Medicine and Toxicology) and the IABDM (International Academy for Biological Dentistry and Medicine). She is SMART certified in safe amalgam removal technique, accredited through the IAOMT, and is a TBI Ambassador through The Breathe Institute. She is also a certified Integrative Health Coach through the Institute of Integrative Nutrition.  You can learn more through her ⁠Website, ⁠Instagram, or Youtube.Let's ConnectInterested in becoming a client? ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Schedule your strategy call here.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Join the newsletter here!⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Order Your Own Labs - LabShop⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Fullscript Supplement Dispensary⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

When should you attempt to save the root filled molar that everyone else thinks is doomed? What are the key steps to safely remove, treat, and replant a tooth without causing fractures or resorption? And how do you manage patient expectations and post-op care to maximize success? In this episode, Dr. Samuel Kratchman and Dr. Shivakar join Jaz to explore intentional tooth replantation—a procedure that rarely gets the spotlight but can completely change treatment options for challenging cases. They cover everything from case selection and imaging, to managing crowns and fragile teeth, to simple tools and techniques that make this procedure predictable and accessible. They also dive into patient communication, consent, and how to include this procedure as part of your everyday dental armamentarium, giving you the confidence to consider it when the right case comes along. https://youtu.be/SjJTzbJ_AXs Watch PDP256 on YouTube Key Takeaways: Intentional replantation is a viable alternative to extraction. The success rate of intentional replantation is documented at 88-89%. Patient education is crucial for successful treatment outcomes. The periodontal ligament must be kept moist during the procedure. Imaging is essential for understanding tooth anatomy before replantation. The procedure can be performed atraumatically with proper technique. Replantation can be a last chance for teeth that are difficult to replace with implants. A mindset shift is needed in dentistry to prioritize saving natural teeth. Apical infections are often linked to the root tip and surrounding tissue. A good coronal seal is essential before any restorative work. Common complications include ankylosis and resorption. Inflammation can aid in the extraction process by serving the ligament. Post-operative care is vital for successful recovery. Highlights: 00:00 Teaser 00:48 Introduction 03:27 Pearl: PDL is everything  04:54 Interview with Dr. Shivakar Mehrotra 07:03 Interview with Dr. Samuel Kratchman 11:01 Terminologies and Success Rates of Replantation 16:03 Indications of Replantation 22:29 Evaluating Radiographs and Clinical Factors 28:48 Case Studies and Practical Applications 30:51 Midroll 34:12 Case Studies and Practical Applications 38:08 Management of Apical Infection 40:35 Curveball Scenario: Combined Endodontic and Restorative Challenge 45:57 Replantation Success Rates and Complications 51:06 Radiographic Signs and Extraction Techniques 56:03 Postoperative Care and Instructions 59:49 Final Thoughts and Resources 01:02:14 Outro

In this Ask George episode, George breaks down how to set practice ownership goals you'll actually be happy you hit. He walks through the three stages of a dental career, how to align qualitative lifestyle goals with quantitative income targets, and why bottlenecks and “surface area of luck” matter more than arbitrary production numbers. If you're a dentist who wants to grow your income without hating Mondays, this episode gives you a practical roadmap from today to your ideal Point B.

Most dentists push for a yes right now. We take a different path and show how planting a clear, respectful seed today leads to an easy yes at the next visit—no pressure, no awkward sales pitch, just a plan the patient helped shape. Using four common scenarios—SRP hesitation, x-ray refusal, cracked teeth without symptoms, and adult crowding—we walk through the exact words, visuals, and boundaries that turn doubt into acceptance.Enjoy the strategies? Subscribe, share with a colleague, and leave a quick review on Apple Podcasts. If you want personal guidance for your team, book a free strategy call at dentalpracticeheroes.com/strategy.  SET UP A CONSULTATION WITH GARY @ LEGALLY MINE CLICK HERE Take Control of Your Practice and Your Life We help dentists take more time off while making more money through systematization, team empowerment, and creating leadership teams. Ready to build a practice that works for you? Visit www.DentalPracticeHeroes.com to learn more.

Have you noticed the fragility of the human psyche? One harsh word can crumble someone's confidence or inflame it. In the workplace, corrective feedback has become incredibly challenging. Leaders must delicately balance corrective conversations and often find themselves avoiding them all together. Dr. Kuba and Bethany tackle this topic in today's episode. 

Ever notice how two dental practices can sit a mile apart, offer the same services, and charge similar fees, yet one stays booked out while the other struggles to fill chairs? The difference is rarely clinical skill. It is visibility. Most dentists still believe SEO lives on their website. Google does not agree. Today, the real fight for new patients happens inside your Google Business Profile. That is where rankings are decided, trust is built, and calls are generated. If your profile is treated like a digital Yellow Pages listing, you are already behind. The Biggest SEO Misconception In Dentistry A great-looking website does not equal growth. Many practices obsess over design elements, videos, and aesthetics while ignoring the engine that actually drives traffic. SEO is not about how polished your site looks. It is about whether Google understands who you are, what you do, and when to show you. There is also a growing belief that AI has made SEO obsolete. The opposite is true. SEO feeds AI. If your digital footprint is weak, AI-powered search will simply skip you. Strong SEO is no longer optional. It is the baseline for being discovered at all. Why Google Business Profiles Dominate Local Rankings Search for any dentist, orthodontist, or specialist in your area. What shows up first? The map pack. Google Business Profiles sit above traditional organic results, and only three practices make the cut. That scarcity is intentional. Google wants to surface what it believes are the best local options, fast. This matters even more now as Google begins layering AI directly into Business Profiles. Pricing prompts, service summaries, and conversational answers are already being tested in other industries. Dentistry is next. If you are not optimized where Google is investing its AI future, you will miss the next wave of patient discovery. Free Growth Session Google Business Profiles Are More Than A Directory Treating your profile like a static listing is a costly mistake. Google Business optimization works much like website SEO. Categories, services, descriptions, and photos act as ranking signals. If you want to be found for Invisalign, implants, or pediatric dentistry, those services must be intentionally built into your profile. Think of it this way. If your website never mentioned Invisalign, you would not expect to rank for it. The same logic applies inside Google Business. Practices that structure services, write optimized descriptions, and maintain fresh activity give Google clear signals about relevance. That clarity is rewarded with visibility. Review Velocity Is A Competitive Weapon Most dentists understand reviews matter. Fewer understand how they actually work. Google looks at more than total review count. It tracks history, consistency, and momentum. A practice earning steady reviews each month often outranks competitors with a larger but stagnant total. Reviews serve two roles. They are algorithmic trust signals and they are patient decision drivers. The practices winning here do not leave reviews to chance. They build internal systems, train staff to ask at the right moment, and treat reviews as a non-negotiable growth lever. Discipline beats hope every time. Free Growth Session Hyperlocal SEO Expands Your Reach Without New Locations Local SEO is no longer just city-based. It is neighborhood-based. Patients search from specific pockets of a city. Google responds by prioritizing proximity and relevance at a hyperlocal level. Practices that only optimize for one city limit their reach. By creating hyperlocal content, aligning website pages with nearby areas, and reinforcing those signals through Google Business and reviews, practices extend their visibility radius. Think of it as casting multiple lines instead of one. More hooks create more opportunities to be found. Ranking Is Only Step One. Conversion Is Where Growth Happens Ranking does not guarantee patients. Once you appear in the map pack, patients compare fast. Reviews, photos, branding, and credibility signals decide who gets the call. A practice with five reviews will lose clicks to one with five hundred. Grainy photos and thin websites erode trust. Strong branding, clear doctor credibility, and proof of experience convert attention into action. Google gets you seen. Trust gets you chosen. Free Growth Session Practical Takeaways Dentists Can Use Now Here is where to focus if you want results, not theory. Log into Google Business Insights monthly and review calls, clicks, and profile interactions Build a consistent internal review system with full team buy-in Optimize categories, services, and descriptions for high-value treatments Align website content and Google Business messaging so they reinforce each other Track real outcomes like calls and bookings, not just keyword positions Stop guessing. Start measuring what actually moves patients. The Bottom Line Google Business Profiles are no longer secondary assets. They are becoming AI-powered decision hubs for local search. Dentists who treat them as set-it-and-forget-it listings will fade. Those who optimize, monitor, and adapt will own their local market. Visibility creates opportunity. Execution creates growth. If you want to win, start where Google already is. Free Growth Session The post Local SEO for Dentists: The Strategy Everyone Gets Wrong appeared first on HIP Creative.

In this episode, host Shawn Terrell discusses the importance of planning for Required Minimum Distributions (RMDs) in retirement, using the analogy of a problematic driveway to illustrate the need for proactive financial strategies. He emphasizes the consequences of not having a plan for RMDs, including higher taxes and implications for beneficiaries. The conversation also touches on strategies to manage RMDs effectively to minimize tax burdens and ensure financial efficiency for both the individual and their heirs.-------------------------------Episode Resource ----------------------------------Meet with Dentist Exit Planning Advisor:Schedule Discovery Meeting-----------------------------------About Dentist Exit Planning:Website: dentistexit.comFacebook Group for DentistsYouTubeInstagramLinkedInSign-Up for Dentist Exit Email NewsletterEmail Shawn at: shawn@dentistexit.com

Send us a textI want to start today by talking about something that almost every dentist and practice owner I know has experienced at some point in their career.Frustration.Frustration with insurance companies. Frustration with contracts. Frustration with reimbursement. Frustration with feeling unheard.And when that frustration boils over, most dentists are told one of two things:“You signed a contract.” Or… “Just drop insurance.”I've heard that response from state associations. I've heard it from leaders in the dental industry. I've heard it from colleagues.And I struggle with it — not because it's always wrong, but because it has become the default answer, and default answers don't solve systemic problems.Support the show

In a time when finding and keeping great team members is harder than ever, the key to long-term employee retention may not just be in pay raises or bonuses, but in creating a health-centered practice culture. Our guest, Katrina Klein, will recommend a few simple shifts that can transform your practice into a place where your employees want to work and have no interest in looking elsewhere. Katrina is a registered dental hygienist for 16 years, national speaker, author, competitive bodybuilder and certified personal trainer. She's the founder of ErgoFitLife, where ergonomics and fitness are a lifestyle to prevent, reduce or eliminate pain. Thanks to our episode sponsors: BISCO - https://www.bisco.com/ NSK America - https://www.nskdental.com/

Matt Roeske, the master of rabbit holes, is back for our third interview and as usual, this one does not disappoint.One of my goals is to encourage everyone to rethink what they already know (I put myself in that target audience) and Matt is definitely one to cause us to do just that.Many of us are seeing that what we have been told about pretty much everything is either a flat out lie or twisted in some regard. In this mind-expanding conversation, Matt once again challenges conventional wisdom on every level—from eating raw meat to understanding the real value of silver, from mouldy berries that heal to the suppressed knowledge of a man who cured himself of C in the 1970s.We also learn of the fascinating tree resin, Dragon's Blood. Truly one of mother nature's healers.Whether you're ready to question the food pyramid, rethink precious metals, or discover why your grandparents knew more about health than modern doctors, this conversation will shake your assumptions and offer practical solutions for true independence in 2026 and beyond.In today's show:5:11 - Silver at $90/ounce, highest ever, expected to keep rising due to Federal Reserve money printing6:35 - 2026 mirrors 1890s McKinley Tariffs playbook: tariffs, farmers struggling, precious metals surging - Trump quoted McKinley as inspiration10:17 - Asia blocked silver trade agreements, creating scarcity - bullion stores sold out everywhere11:30 - Germany's currency 1933-1950s was silver after hyperinflation destroyed paper money13:36 - Copper penny eliminated a month ago because copper value exceeded penny's face value16:05 - Matt's raw diet for 11-12 months: raw meat, raw milk, raw honey18:18 - How Matt's new diet activated his super smelling sense19:15 - Chemtrails deployed most heavily during full moons20:30 - Mouldy berries pull heavy metals from body21:01 - Aajonus Vonderplanitz healed afflictions with raw diet in 1970s-80s23:43 - Vonderplanitz said viruses are fake, parasites don't harm in 1980s-90s30:30 - The mysterious stories around Aajonus's death one year after Doctor's show appearance39:38 - Dr. Pottenger study: 900 cats on raw meat/milk became lions, cats on processed food became disabled and infertile44:10 - Pork and nitric oxide content and how Viagra replaced it46:51 - 5,000 PubMed studies show parasites grow in animals to eat heavy metals, not contagious51:10 - Mouldy berries create trippy, mushroom-like detox effect51:30 - Grandmothers traditionally added mouldy berries to soup, applesauce, raw milk for health52:30 - Penicillin shots as children and allergies to natural mould54:25 - Mouldy blueberries and heavy metals60:30 - Dragon's blood and severe eczema head-to-toe, receding gums60:50 - Dentists reported patients' gums regenerating with coconut oil and dragon's blood61:05 - Testimonial: arthritis inflammation 99% gone with four dragon's blood capsules daily64:07 - Electro culture book coming spring 2026 proving no scarcity exists65:43 - AI clones of Matt's voice/image scamming people, DO NOT purchase from these fake companies!and more!If you enjoyed this episode, please share if you dare and consider going to www.sovereigncollective.org/shop to check out my offerings and get a deal while supporting the podcast. I'll be adding more great offerings there over time.Matt is highly censored, so you'll have a hard time finding him on the major mainstream channels, or you'll have to look hard to find him.Peruse his site and use code Sascha10 to save on some goodies including Dragon's Blood:https://cultivateelevate.com/Matt posts on various platforms and does a regular live every week on Monday, among other videos and posts. Find him here:https://rumble.com/user/CultivateElevatehttps://odysee.com/@CultivateElevate:e2telegram: @ElevateThyMindhttps://www.instagram.com/cultivateelevate/--------------------------------------------Find me:Facebook: https://www.facebook.com/saschakalivoda/IG: https://www.instagram.com/saschaksays/Website: www.sovereigncollective.orgYou Tube: https://www.youtube.com/@saschasays/videosBitchute: https://www.bitchute.com/channel/Tfl1Zo021FcXEmail: sascha @ sovereigncollective.org

Our Nino Torres looks at the week that was in South American football plus European competition and his weekly story tied to the World Cup- this time, involving a dentist that shocked the world...

When a loving businesswoman and grandmother is murdered in a horrific car bomb incident in 1980, the finger is finally pointed in the direction of a serial killing dentist who was motivated by lust, money and the thrill of the kill.Sources:1. Bakos, Susan Crain. Appointment for Murder. Putnam Adult, 1988.2. “Dr Glennon Edward Engleman (1927-1999) - Find a Grave Memorial.” Find a Grave - Millions of Cemetery Records, https://www.findagrave.com/memorial/91569328/glennon_edward-engleman#:~:text=Methods used to kill his,of his victims is unknown.&text=According to numerous primary sources,of his victims is unknown.&text=------,According to numerous primary sources%2C his last name was Engleman,The tombstone is misspelled. Accessed 30 Dec. 2025.3. The Associated Press. “Illinois Woman Guilty in Husband's Death out of Prison | News | Columbiamissourian.Com.” Columbia Missourian, https://www.facebook.com/ColumbiaMissourian/, 19 Oct. 2009, https://www.columbiamissourian.com/news/illinois-woman-guilty-in-husbands-death-out-of-prison/article_bd493a8c-a9a6-5205-9d33-b78d4903a3c1.html.4. The F.B.I. Files. 1998.5. Saint Louis Post Dispatch, 2 Mar. 1980.6. Fox 2 Now, https://fox2now.com/news/true-crime/st-louis-serial-murderer-used-charm-for-insurance-fraud-over-22-years/. Accessed 31 Dec. 2025.7. Gasconade County Republican, 4 Feb. 1981.8. The Edwardsville Intelligencer, https://www.theintelligencer.com/news/article/Boyle-hopes-to-be-released-from-jail-10553232.php. Accessed 31 Dec. 2025.This Week's Episode Brought To You By:Shopify - $1 per month trial - http://shopify.com/lovemurderProgressive Insurance - Discover better rates at https://www.progressive.com/ IndaCloud - If you're 21 or older, get 25% OFF your first order + free shipping with code lovemurder at https://inda.shop/lovemurder!Mint Mobile - Mobile wireless for just $15/mo - http://mintmobile.com/lovemurderFind LOVE MURDER online:Website: lovemurder.loveInstagram: @lovemurderpodTwitter: @lovemurderpodFacebook: LoveMrdrPodTikTok: @LoveMurderPodPatreon: /LoveMurderPodCredits: Love Murder is hosted by Jessie Pray and Andie Cassette, researched by Sarah Lynn Robinson and researched and written by Jessie Pray, produced by Nathaniel Whittemore and edited by Kyle Barbour-HoffmanSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

What does it truly take to be happy as a dentist? In this powerful and reflective episode of The Thriving Dentist Show, Gary Takacs and Naren Arulrajah explore why so many dentists feel burned out, unfulfilled, or disconnected from the profession they once loved and what can be done to change that. Drawing from decades of experience working with thousands of dental practice owners, Gary shares why chasing the wrong definition of success often leads to dissatisfaction, how comparison and PPO dependence contribute to burnout, and why clarity, purpose, and balance matter more than ever. Together, Gary and Naren unpack practical habits, mindset shifts, and systems that help dentists regain control of their time, energy, and professional joy.