Podcasts about invisalign

Mama Tish is in good company this week because Olympic legend Adam Rippon is here and is OBVIOUSLY her new BFF. Adam dives into some of his wildest stories, from nearly telling Mike Pence to take several seats, to Britney Spears tweeting at him, to what it actually feels like to win an Olympic medal at 28. They spiral into therapy confessions, Dancing With the Stars secrets, Tinder-husband love stories, and why staying home with dogs is elite. And yes, they spend a generous amount of time admiring Adam's truly perfect Invisalign teeth, which might be the real gold medal moment. It's unfiltered, hilarious, emotional, and peak chaos… just the way we like it. Follow Adam: https://www.instagram.com/adaripp/?hl=en Follow your hosts: https://www.instagram.com/sorrywerecyrus/?hl=en https://www.instagram.com/tishcyruspurcell/?hl=en https://www.instagram.com/brandicyrus/?hl=en Thank you to our incredible sponsors: Nobl Travel: Head to NoblTravel.com for up to 58% Off your entire order. After you purchase, they will ask you where you heard about them. PLEASE support our show and tell them our show sent you. Jones Road Beauty: Use code SWC at jonesroadbeauty.com to get a Free Cool Gloss with your first purchase! Rula: Go to Rula.com/CYRUS to get started today. CBDfx: Get 40% off your first order with code CYRUS at cbdfx.com. 1800 Contacts: Order online at 1800contacts.com or download the free 1-800 Contacts app today. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Kiera is joined by renowned cosmetic dentist Dr. Pia Lieb to talk about Dr. Lieb's journey in her field, as well as her insights into what the rich and famous ask for (and pay for) when it comes to their teeth. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: Kiera Dent (00:00) Hello, Dental A Team listeners. This is Kiera. And today I am so excited. I have an incredible doctor on our podcast. Dr. Pia is coming to   from New York, Manhattan. And this woman is incredible. She has been able to build and sustain a high-end cosmetic practice. She's figured out how to be, you guys are gonna love this, a referral only destination for patients seeking discretion, innovation, and ultra-personalized care.   This woman has been named the Michelangelo of dentistry and I am so excited to welcome her on the podcast. Welcome Dr. Pia, how are you today?   Dr Pia (00:32) Thanks for having me, Kiera.   Kiera Dent (00:34) Of course. Well, I have been so excited about this podcast. I don't often get to bring clinical guests onto the podcast. And so to just kind of hear of how you do your cosmetic dentistry, how did you become this practice of being so sought after? ⁓ How did you become the Michelangelo of dentistry? So kind of just walk the listeners through how did Dr. Pia go from where she was to where she is today? Kind of just give us a background on, on who you are and what your story has been.   Dr Pia (01:04) Well, I'm gonna start with, it all started in dental school. There was a lecturer by the name of Dr. Gallup Evans who has passed away since. And he was giving a PG, which is obviously post-doctoral course on cosmetic dentistry. And his reputation was he was the one who did.   the supermodel Polina Povaskova's veneers back in the early 90s. And I went up to him after the lecture and I basically said, I'm a sponge, teach me, tell me what to do so I can do the same thing that you're doing. I've completely fell in love and cut out a class to go to that course. And after the course, he turned around to me and said, well,   sweetheart. You're either born with it or you're not. So I went home and I cried for five days.   and he completely tore me to shreds and that really got me upset and ⁓ I was a great student. was the youngest in NYU as a student. I graduated high school at 16. I was the nerd, right? And basically what I did is I was asked to start teaching after residency and that was my...   Kiera Dent (02:03) Absolutely.   Dr Pia (02:26) way to make sure that I would never allow anyone to speak to a student like that. And my whole point was, I want to empower the dental students. I don't want anyone to feel the way I did by this particular person. And basically I had nowhere to start. So I started taking all of these courses, these PG program courses, and I met up.   Kiera Dent (02:37) Mm-hmm.   Dr Pia (02:53) When I was actually in dental school, I went and I met the holy grail ceramist who invented veneers in America. And I went up to him and I said the same thing, I'm a sponge, please teach me. And he was like, great. Okay. You have a car. And I'm like, yes, I do. He goes, all right, come to the lab every Friday after school and every Saturday, let me teach you how to prep and how to do veneers. And this man who also passed away has taught me everything.   Kiera Dent (03:12) I'm   Dr Pia (03:23) that I know because the doctors were not doing it and there was only two guys in New York that were doing veneers in the 80s and in the 90s and those were older men in their 40s and they were not going to take a young 20 year old female and teach her what to do because they were you know insecure that we were going to take over the business from them.   So that's how it all started. And obviously, I taught for 18 years and I did do that what I set my mind to do. I wanted to give every one of my students the best experience that they can have with dentistry and with cosmetic dentistry. And we're still friends after all these years. So I must have done something right, that they still love me to invite me for dinners into their houses.   Kiera Dent (04:10) Thank   ⁓ I think that you're speaking to my own heart. mean, having that love   being in the dental colleges, of   to give back, like that's the whole reason Dental A Team exists was because of those students that you just fall in love with. And kudos to you because I got really lucky and I worked at Midwestern University's Dental College in Arizona. And I have been told that the culture there and the experience there is not like most dental schools. It was a very empowering, very enriching. There was no smashing of models. There was no...   ⁓ destroying people's dreams, but I know that that's not everywhere. so kudos to you for ⁓ making a stance and also not giving up on your dream. And I think something I took from that is how often are we maybe told something that's not true and we believe it. We take that on as an identity and yes, crying for five days. I don't blame you, I would have done the same thing, but ⁓ it is.   Dr Pia (05:03) No, it's demoralizing, you know, like it's   just here you are, you're this young bright-eyed and bushy-tailed eager beaver who wants to be the best at her profession and then you get some 50 year old man telling you, ⁓ honey, you can't do this, you gotta be born with it. I'm like, really?   Kiera Dent (05:20) Hmm.   Maybe I am born with it and have you seen it. ⁓   Dr Pia (05:25) And you know what I was and that's that's the   thing and it's just but it's the way he said it but we'll get back to karma because 18 years go by and he was lecturing again and karma if it's a small I don't want to say the b word on a podcast but   Kiera Dent (05:42) Mmm.   Hahaha   Dr Pia (05:51) it is. So he's got the lecture, same thing, same before and afters. And this time I'm wearing a white lab coat and scrubs underneath and I had you know, and at this point, I was clinical assistant professor and there were like 350 doctors in the audience. And he's like, Does anyone have anything to say? And I'm at the back wall, I wasn't sitting down, I was standing up and I raised my hand and I was like,   He goes, and he goes, I know that name. You're in press and you're my competition. And he was like, and you know, what is it that I said? said, you know what? Thanks to you, I am who I am today. I want to say thank you. If you didn't say this to me and make me go home and cry for five days, I wouldn't have.   done everything humanly possible to be your competition and here I am I didn't know if he was gonna slap me or kick me out or just whatever it was but it was not what I and he said you know come on down and just tell us more about it he goes you've got so much pressure all over the place and it was funny because at that point   Kiera Dent (06:52) Ha!   Dr Pia (07:08) That was like maybe 10 months after I did 10 episodes on TLC of 10 years younger. And I was all over the place. Like everybody knew me from TV and from press and ⁓ the New York Times wrote that I'm the Michelangelo in Smile Boutique. And it just got to that point. I got the recognition that I worked so hard for. he was like, all right, give me a hug. I was like, thank God.   to   get a slap. But I was ready to get like thrown out or to. So that's kind of what I wanted to do is I just want to empower every single person out there. And you have to understand, when I went to school, we there were no women, it was 97 % men, we had   Kiera Dent (07:43) You   Dr Pia (08:02) maybe seven girls in the graduating class. I mean, not that we had a lot. We have much smaller classes back then and we were 97, but seven out of 97 is a low percentage.   Kiera Dent (08:14) That is,   yeah. Wow, that's such a fun, ⁓ I think kudos to you. And one of my favorite lines through life has been, life is not happening to us, it's happening for us. And I'm sure in that moment, you felt like life was happening to you. Like, who is this jerk? And they destroyed my dreams. And yet, ⁓ again, not to say that that's ever the right route to go. But I just want to highlight and compliment of you took something that people could have said would be sour grapes and you actually turned it into beautiful wine.   and you turned it into something beautiful and it was fuel to your fire to make you into this incredible woman that the world needed. And so I'm very curious, how did you then go from, okay, here we are, how'd you become this renowned cosmetic dentist, getting on TLC, getting all the press, like what was kind of the way to get into that? Because I'm sure there's a lot of dentists who want to live your dream. How did you do it?   Dr Pia (09:04) I think the   way in was truly like in 1998 or 99, I don't remember what year it was, but it was the first gen art fashion show for Fashion Week in New York where they took up and coming young designers and they had a private fashion show with about 10 of small up and coming, which we don't have anymore. mean, New York Fashion Week is no longer what   used to be. But I go there and I had a patient from Belgium who had a really good friend who was an up and coming crazy French designer and he was showing the runway and I just basically went with her and I remember that we were after the fashion show there was a VIP with champagne and we got these wristbands and so forth and my   my patient was, you know, late 30s, single and ready to mingle. And there was this really cute male model that did the runway for ⁓ another designer that wasn't as big. And she was like, my God, he's so cute. And here I was, I had no makeup on, right?   Kiera Dent (10:07) Yeah.   Dr Pia (10:23) this long Margiela dress and I have like Doc Marten boots, my hair up in a ponytail, just like mascara and red lips on. And I went up to this guy and I said, hi, I'm Dr. Pia. You know, my friend Jacqueline wants to meet you. And he had this woman who was next to him and she was like, you gotta talk to me. I'm his booker. I didn't know what a booker was. So I'm like, what's a booker? I thought it was like the, you know, betting on horses, know, like booking, you know, that's what I thought.   Kiera Dent (10:47) Yeah.   Yeah.   Dr Pia (10:53) And basically, ⁓ I was like, No, no, no, I'm just, you know, we're going behind if you guys want to come and join us at the after party behind and he was like, great, she goes, No, no, no, we can't go anywhere. You got to go through me. And I'm like, Okay, I said, Look, I'm a cosmetic dentist. And back then we had cards, right? So I was like, Here's my card. She goes, I want one, too. And I and   Yeah, that was it. had some drinks afterwards. And she was like, Yeah, I want to come in as a patient. I have to come in first before he comes in. Because he said he needed his teeth done. I was like, okay, so the next morning, I'm like, live it at like nine o'clock. I call Wilhelmina who was like back then the number one modeling agency for men. And I call and I'm like, Can I speak to Jennifer and   Kiera Dent (11:32) Yeah.   Dr Pia (11:47) She picks up the phone. I'm like, hi, it's dr. P again. I'm like, I just want to make it really clear I'm married. I do not I am NOT picking up on on your male model It was my friend who was interested just making putting it out there and being totally transparent. So she's like fine I Want an appointment so I booked her and the moment that I booked her She introduced me to the modeling industry. So then I started getting all the models   Kiera Dent (11:57) Mm-hmm.   Dr Pia (12:13) the supermodels, I got everybody in and I think that's how it all started with the press and everything because they've seen my work with the modeling industry and that's how kind of it all started and the thing with me it's always been privacy it's I've never named names I will never name names because it's like plastic surgery if you're going to go in and get a facelift do want it to be plastered all over the press I don't think so so it's the same thing with veneers I mean I do very   natural handmade porcelain and the whole secret that I think to my success is I've never gone into that chicklity white Hollywood smile the toilet bowl teeth or the turkey teeth as now they all go to Turkey to have them done well I've never done that so for me I've always followed what I believe in and did the best that I can and I think that that is as long as you love what you do   Kiera Dent (12:55) Mm-hmm, mm-hmm.   Yeah.   Dr Pia (13:12) and try to be the best that you can be. think the universe, no matter what God you believe in, you know, I think the universe gives it back to you.   Kiera Dent (13:23) I think, well, and also what I heard from that is kudos to you for just going and meeting people and for being out there. Like, I don't think people realize the power of connections, the power of human interaction, the power of who you know. I think we're in such a society where it's all online and we just think, which you can still connect online, but like, don't be afraid to say hi to people. Don't be afraid to introduce yourselves and...   Like I said at the beginning, Dr. Pia, it's very rare that I bring on clinical guests to the podcast. So I'm curious, you work on supermodels, you work on really incredible people. I have a doctor, which we will not name names either, who works on movie stars in LA. so I have a couple of questions and if you don't want to answer by all, you probably do. We will chat post show and see, exactly off call. ⁓ But.   Dr Pia (14:07) I probably know him. If it's it, we'll do it all off, off.   Kiera Dent (14:15) I'm curious, Dr. Pia, just for listeners to know, what is like, I'm gonna ask a few questions and like I said, privacy and respect are my number one. So if there's something that you're like, I'm not gonna answer by all means, audience just know Dr. Pia is so kind to come onto the podcast for us and I did not prep her because I never know what I'm gonna ask. It's just a genuine curious host over here wanting to know, what are the average cases like dollar wise, our low end to our high end of cases that you're doing?   I just want people to know, because I think people do not believe that this is real life dentistry and it can be.   Dr Pia (14:51) You're talking about veneers or you're talking about all the procedures. Veneers. Veneers are from three to 45, 100 or two. It depends. mean, if someone is a massive grinder and I've got issues with them.   Kiera Dent (14:54) I would say let's do veneers and then let's do other procedures.   Dr Pia (15:12) having, you know, doing the grinding at night, felspathic, I'm a little bit weary of doing that and I'll do the 3D printed. ⁓ As much as I'm not the greatest fan of doing that, I would rather keep them in a night guard and let them have the beautiful teeth. But it basically is... ⁓   Kiera Dent (15:19) Totally.   Mm-hmm.   Dr Pia (15:35) You know, for the handmade porcelain, I mean, there are some people out there that are charging over five. And I think that's just a little bit exaggerated because I know how much it costs me to make. think, you know, 4500 is a fair price. You don't have to go above five. I think that's just the ingredient.   Kiera Dent (15:42) Totally.   Sure.   Mm-hmm. Which I appreciate that you say that, especially with the press and with the people that you worked on. You have an opportunity to charge more, but you're also being ethical and fair, which I think ties to the passion, the love, the reason people can trust you. So how many veneers, this is like, now I'm gonna just be like a nerdy patient. How many, because I feel like a lot of people just want like the four veneers and then the six and then.   Dr Pia (16:15) Alright, come on, bring it on!   Kiera Dent (16:20) Do you just do all of them? there a space where clinically you recommend like we stop here for smile lines? What's kind of your, what's your, what's your clinical excellence on this? What do you recommend?   Dr Pia (16:25) No!   I think you should have either one or as many as you need. think the biggest problem and the... Okay, now you got me. So my competition in New York will only do 10. And he's my former student.   Kiera Dent (16:37) I'm ready. She got fired up everybody. Juicy like sits up.   Mm-hmm.   Dr Pia (16:51) which is even more infuriating to me. Like I so disagree because I think if you have a beautiful smile and let's say you fell and you've had a root canal and the tooth is starting to change color. I think if you're a good clinician and a good clinician is a cosmetic dentist, I don't believe a GP could do this. Okay. And men, we have the issue with 40 % are colorblind. So that's another issue altogether.   Kiera Dent (16:52) That's   I do remember there was a girl in dental school who couldn't like really see and I was like, how do you like she couldn't see colors and I'm like, how do you, how do you, how do you get over that as a dentist? I'm just curious. I can't check the color, right? Okay, so making sure you think that you can do one if you're a good clinician, which is, love this. Cause people tell me all the time, you can't do one.   Dr Pia (17:29) Well, they get the dental assistant to choose the color.   I do one. do one. So I do one.   I do one. I'll do two. If you're if you ground I do four.   I'll do six, I'll do 10, I'll do 12. If the person has a really big smile and it's a color correction like a tetracycline case, then I have to do 12, you know, like, because it depends if you're someone that has this uber large mouth, then and you when you smile, you go back to the second molars, you have to do it. But I feel that this whole entire ⁓   doing 10 or nothing. think that is so unfair to the patients. And I think it's such bad karma as well, because it's going to come back and bite you later on, because I don't feel that everyone has to have that many done. And the other thing that I'm actually known for is the fact that I don't believe that   you have to necessarily file the tooth down. If the teeth are in the correct position, okay let's back it up. If the teeth are not in the correct position do Invisalign first and then do the handcrafted veneers because the way I do them they're as thin as a contact lens so there is no drilling needed. Anytime why I wouldn't want anyone to drill my teeth to put veneers on why are you taking away to add on it's an   Kiera Dent (18:42) Love.   Mm-hmm.   Dr Pia (19:08) moron right so if you are a true cosmetic dentist and know how to do this and have the right support of the right ceramist they should be see-through   Kiera Dent (19:09) Mm-hmm, mm-hmm.   Yeah.   Dr Pia (19:24) So if that's the case, there's no drilling involved. And if you need only one, just do one. There's no reason to spend that money on doing more if you don't need them.   Kiera Dent (19:32) It's incredible.   which I'm so grateful to hear this. This is why I was so excited. I'm like, I have so many questions about this and I'm just curious of how you do it and to hear that being really talented at this, you don't need to do more than that because I hear all the time like, well, if you only do four, then you're gonna see it, but I don't disagree with you. think if you're good at what you, and this isn't just dentists. I also think dentists, well, I'm gonna go out on a limb. Now I'm fired up to be, like, here we go.   Dr Pia (20:02) No, no, they   want the money. It's clear as day. They're doing it for the money.   Kiera Dent (20:06) Right.   Well, and also I'm like, if you're not good enough to be able to do one without it looking like a chicklet, I might question, you good enough to be doing this in general? And that I know is a very bold statement, but I might get really good at this. I don't disagree.   Dr Pia (20:18) No, they should not be doing them. I'm sorry, they should   not be doing it. And with felspathic, with the handmade porcelain, it... I can't say it enough. One is not a problem.   Kiera Dent (20:35) Okay, let's talk about different labs and how do you choose a good lab for ceramic, for cosmetic cases? Like what's the difference? I mean, I've heard some people that are printing ⁓ Emax crowns for the front and I wanna like cringe and I'm like, ⁓ that feels really bad. So let's talk about like, how do you pick a good lab? What's the difference of a good lab? How is it handmade versus not? Like what are some of those nuances within the cosmetic world that really make a difference on being able to do one versus having to do eight to 10?   Dr Pia (20:48) No, no, no, no, I didn't write.   Kiera Dent (21:03) because you're gonna see lines and it's gonna look different.   Dr Pia (21:06) Okay, so I'm a nerd. I'm going to give you the whole entire background. Okay. ⁓ So basically the handmade porcelain is felspathic and it can be as thin as 0.16 of a millimeter, which is technically a contact lens. Okay. It's thinner than your natural fingernail, not with gel on it or powder, you know, polish. I'm talking about a natural fingernail. So having said that,   Kiera Dent (21:08) I love it. I want this.   Mm-hmm.   Dr Pia (21:33) Now in the way that those are made they're done on platinum foil so you take the model of the teeth they put platinum foil which is also like super super thin microns it's you know anywhere between 10 microns 20 microns okay and then on that porcelain on that platinum foil the porcelain multiple colors multiple translucencies get added on and that's   the veneer is made. Okay so that's how we're able to have them super thin. The 3D printing, different story altogether. So 3D printing needs to have minimum   Kiera Dent (22:05) Mm-hmm.   Yeah.   Dr Pia (22:17) between 1.5 to 2 millimeters of thickness. So those right there are thick. Okay, so that's why you need to file. Otherwise, everything is gonna be out. That's why they need to do 10 because they can't match the flatness of a natural tooth. So those are done by a computer. So what you do is you scan with the feldspathic. You still have to take good old fashioned impressions because the model has to be poured in   Kiera Dent (22:22) Right.   Mm-hmm.   Mm-hmm.   Dr Pia (22:47) it cannot be on plastic to do the platinum foil. With the 3D printing, with 3D printing veneers and crowns, you basically just scan the tooth, send it via, you know, the cloud. It gets to the lab, they print out the model, and then they start designing the shape and the size of what they want the veneer or the crown to look like.   Kiera Dent (22:51) Interesting.   Dr Pia (23:14) and then they have this block which is like about this big and it's like a disc it's like an oversized hockey puck okay and out of those they usually get out of those hockey pucks usually they get 25 crowns and veneers like either or okay ⁓   Kiera Dent (23:22) Mm-hmm. Okay.   Sure, okay.   Dr Pia (23:35) Now those blocks you have to understand they come in one solid color and very opaque hence why they look like toilet bowls like you can see like ⁓ Simon from What is it the the show with America's Got Talent right now his teeth walk in before him   Kiera Dent (23:55) Mm-hmm.   Dr Pia (23:58) They're so white and chalky. He had them done and they're too big, personal. I mean, I think they're too, he's too horsey. He should have stayed with the veneers he had before because they looked more natural and.   Kiera Dent (23:58) It's true.   Dr Pia (24:12) But that's the problem. If you have them very, if you have the 3D printed, the opacity is one solid, you know, base that the computer then drills that hockey puck to form the crowns and the veneers. So you're never going to get the aesthetics of having incisal translucency or having a halo or having them nice and flat. You're not, because the computer is going to make them the thickness that   Kiera Dent (24:33) right?   Dr Pia (24:41) They cannot drill those any thinner than that because they're going to break.   Kiera Dent (24:46) So this is fascinating and I love this because now I have more quite like being an assistant, also having worked in this, also having gone to labs, also having like things done for family and friends that I know. Are you a fan of custom shading where you send your patients to the lab or how, okay, so how do you get it to where it's like a perfect shade match, like consistently, any tips that you have to make it to where it is really that absolutely perfect, making your smiles.   Dr Pia (25:04) Hell no.   Kiera Dent (25:15) beyond perfect without sending them to a lab. Because I think a lot of people hold back and they're like, I've got to send it. But I've seen a lot of dentists where they'll try to put the shading in, they try to put the translucency in. This is no knock on dentists. This is like, hey, we've got an expert here. Let's ask how she does it so we can all rise up.   Dr Pia (25:30) Okay, honestly, I take the patient to the window. My whole main thing is every single office that I've built, I need to have windows that are five feet tall.   and sunlight. So I'm able just to move the patient to the window. And that's where the talent comes in. I'm able to take shade without a shade guide. I mean, I'm at that point, but I've been doing this for decades now. So it's like at the beginning, I wasn't so I would do the shade guide and I would write it on a piece of paper and just be like, okay, the neck is an A two and then we have an A one body and then we have translucency of two millimeters and a halo and I just draw it.   Kiera Dent (25:41) Fascinating.   Dr Pia (26:10) and then they would make every single veneer with the same recipe. It's almost like cooking. But the window and natural sunlight is the key. Because all these computers that you put up against your tooth, all due respect.   Kiera Dent (26:15) I see. Mm-hmm. Yep. Mm-hmm.   That's great.   they shade it differently.   Dr Pia (26:29) it's not only   that you have to understand everybody's tooth is a different length okay like your centrals are fairly long for the average person right that particular shade guide is not going to read color on your tooth that you probably have 12 millimeter long centrals and i'm diagnosing you over the video right so that particular   Kiera Dent (26:35) Mm-hmm.   Mm-hmm. Mm-hmm.   Yeah.   Mm-hmm. Hey, thank you. Yeah.    Dr Pia (26:58) light source is not going to be able to read 12 millimeters perfectly from the gum line to the incisal. It's just not going to happen. You're going to need and if you're not good at taking shade, go do endo or oral surgery or ortho.   Kiera Dent (27:07) Right.   It's true cosmetic is about I feel it's about the precision. It's about the aesthetics and like there I mean I hire designer to do my house. I'm not going to do it. I know that that is not my forte. I'm really good at other things, but I'm not good at color matching and what goes well together and how to put this together. It's just not my strength and skill set and I really do believe like this is what I think going back to your original professor speaker lecturer who   completely dash your dreams. I think maybe possibly what he meant was, I think there's some people who have a natural eye for cosmetic and aesthetics and there's other people who maybe don't. And I think you can adapt it and evolve it and become, and you have clearly proven that. But my guess is, I mean, hearing that you're even on fashion week, my hunch is you already by default had a very strong fashion aesthetic. Maybe you didn't, but I would guess that that kind of has been a part of you.   Dr Pia (28:07) No, I did. did.   And you know, I do like my own makeup and I know my colors and things like that. And so that helped. I have to say that really did help me quite a bit.   Kiera Dent (28:11) Mm-hmm.   which is why you were drawn   to this. You had the passion, fire, because you already knew that.   Dr Pia (28:21) And I loved it and I was like, how can I? And then what the other thing is like, you may not know you have it. So the other thing what I say is buy some art books. That's what I did. Buy some art books. Get to learn the difference between the chroma and the hue and just take a couple of art classes and see if you have it.   And if not, what can you pick up and learn from those art classes if you really want to do it? And I'm not trying to be sexist by any means, but I do think that women are better at it because of color. And I think we're a lot more patient because the way I do it is I do diagnostic wax ups on every case, whether it's one tooth, unless it's even with the prepless veneers where I don't touch the tooth.   Kiera Dent (28:52) Yeah.   Dr Pia (29:16) I still do the wax ups to see I've had all let me backtrack a little bit but I've had every single 2d program   in the last what 16 years that they've been out more than 16 years okay and it's not the same when you see yourself in a photo with the size and shape and color that you might want okay it's like using it's like using the apps to change your hair color i'm   Kiera Dent (29:32) Wow.   I agree.   Mm-hmm.   Mm-hmm.   Dr Pia (29:50) the strongest belief that if you do want to change your hair color, I think you should try on a wig and wear it for a couple of days. So that that whole entire ⁓   Kiera Dent (29:58) Yeah, I don't disagree.   Dr Pia (30:03) philosophy that I have what I do is I do the diagnostic wax-ups I do the indexes and without drilling the teeth the patients come in and I pop it over their teeth, you know with the Luxe attempt, know the temporary material that sets over it and I tell them to walk out with it and You know, it's not bonded on or anything. They can just take their fingernail and just pop it all off But go out let your family see it. Let your partner see it. See how you feel. Is it too long?   Kiera Dent (30:22) Mm-hmm.   Dr Pia (30:33) Is it too square? Is it too round? I'm allowed to have my opinion, but you're paying me and if your opinion is different than mine You have you should have the right as a patient to get what you want. Not what I want We have to come somewhere in between sometimes like I'll put my foot down and I'll be like you really don't want them that way   Kiera Dent (30:49) Mm-hmm. And I'm glad...   You're right. We don't want them to make a statement before you walk in the room. That's what we're going to just highlight here. But hey, if you want white white, like at the end of the day, that's what they're going to have. I love that you, ⁓ I think this is probably what's made you really great. I don't know. I've heard a lot about you. But I think what you do is you make sure that the patients are obsessed with the results and not that Dr. Pia is obsessed. Like you're obsessed with the craftsmanship of what you've done.   You're really talented at that. But like hearing that you let people walk out and go try these on and what is it going to be like before you do it? That to me says that you are so obsessed about the outcome and the result for the patient. And then your job is to make sure you have the most excellent craftsmanship, the best product, the best techniques, the best method to get them the outcome they want. And I think hearing that, I'm just so proud of you. And I'm so grateful to hear that there are clinicians in our industry that   are obsessed about that rather than the reverse. Because I think some people are obsessed about maybe the dollar, maybe about doing these types of cases, but they're not the best at it, or this is what I think that they should look like. You really want to make sure that that patient is like a walking raving fan of you before you even do the work on them. And that I think is very special about you.  

On this episode we invite Tara to share the love of Christmas music. We discuss Invisalign, Black Friday, Mistress at the funerals and so much more. Enjoy!

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

Today's comedy show fires up with a foggy-brain Monday and only gets weirder from there. The crew dives straight into Invisalign pain, classic rock childhoods, and one of the most uncomfortable “man-to-man” confrontations ever witnessed at a rock concert—yes, complete with a territorial son, a shoulder-rubbed mom, and a threatened fistfight over absolutely nothing. Welcome to the holidays.Rafe recounts in disturbing detail how a grown man threatened to throw hands at him because he called someone's mother beautiful—apparently a crime in some households. Lern talks epic velvet-pants rock-god energy at her Clapton Chronicles gig. Moon shares how he spent childhood listening to exactly zero music because his parents apparently believed in silence as a lifestyle. And Rizz? He just wants people to leave his house on time and stop pretending gift-giving is fun.Then we roll into dead-body calls to radio stations, airline rankings, holiday travel chaos, dumbed-down TV, Code Red data breaches, lost luggage stories, and an extended philosophical meltdown about whether adults should opt out of Christmas gifts entirely.Comedian Greg Warren stops by to talk about the best snack cakes, his upcoming stand up comedy shows at The Funny Bone, an appearance on The Tonight Show with Jimmy Fallon on December 15, and his comedy podcast, The Consumers.Plus a massive concert announcement: Guns N' Roses coming to Busch Stadium on August 16—and yes, Rizz is already requesting the day off.This episode is chaos, comedy, and a surprising level of group therapy all wrapped up in a funny podcast. Daily Show Notes:Sexy Time Fun FactsRafe Does RedditGreg Warren stopped by to talk about his upcoming Jimmy Fallon appearance and showsCity of O'Fallon, Missouri, warns personal information from alert system may have been leaked ‘Dude, call the police': Body found in Frederick Co. after man calls into radio station with tip12th grade girls are less likely than boys to say they want to get married somedayFollow The Rizzuto Show @rizzshow on social media for more from your favorite daily comedy show. Connect with The Rizzuto Show Comedy Podcast online at 1057thepoint.com/RizzShow. Hear The Rizz Show daily on the radio at 105.7 The Point in St. Louis, MO. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Dr. Sheila Samaddar, a GP, shares how aligners have been a huge benefit to her practice, but she's also candid about the challenges. She walks us through the key things every GP should know before diving into clear aligner therapy, plus some of her favorite products and tools that help her get the best results. Dr. Samaddar is internationally recognized and published by Invisalign for Top Case results annually for the last several years, as well as having a Top 10 case with the American Academy of Clear Aligners.

Digital orthodontics is transforming the specialty, and in this episode of the Golden Age of Orthodontics, hosts Dr. Leon Klempner and Amy Epstein sit down with Align Technology CEO Joe Hogan to explore what's next for orthodontics. Joe Hogan discusses 3D printed aligners, AI in orthodontics, and how clear aligner technology continues to evolve. He addresses pricing concerns and competitive positioning, and reveals Align's roadmap for direct printing, promising greater design flexibility and efficiency. Learn how AI technology enhances orthodontic treatment planning and discover why Hogan believes technology will expand—not replace—the orthodontic profession.What you will Learn in this Episode:✅ How digital orthodontics and 3D printing technology are revolutionizing aligner manufacturing, with Align's development of variable wall thickness aligners that mimic the orthodontic digital workflow advantages of traditional brackets while reducing waste by 95%.✅ The strategic reasons behind Invisalign cost comparison with competitors, including how comprehensive aligner treatment pricing differs globally.✅ Why orthodontic IP protection matters for innovation, and how Align's billion-dollar investment in ClinCheck software and iTero scanner technology creates efficiency tools that reduce weekend treatment planning time for practitioners.✅ Joe Hogan's perspective on AI in orthodontics and whether technology will replace orthodontists—plus how orthodontic practice efficiency improvements will actually expand the marketplace and enhance the profession rather than diminish it.Subscribe to the Golden Age of Orthodontics and our sister podcast, Practice Talk, hosted by Lacie Ellis, wherever you listen to stay updated on orthodontic innovation and real-world practice strategies. Visit People in Practice for more insights and to connect with our team for practice growth solutions.TIMESTAMPS: 00:00 Joe Hogan, Align Technology CEO, discussing the future of digital orthodontics and clear aligner technology innovation07:18 Align's strategic focus on clear aligner therapy versus custom digital braces, and addressing the resurgence of brackets among younger patients10:25 Joe defends Align's IP, noting decades of innovation and significant R&D investment13:36 Invisalign cost comparison explained: why US pricing differs from international markets, new flexible comprehensive aligner treatment options and marketing questions22:56 Direct 3D printed aligners roadmap: CubiCure acquisition, bio-based resin development, variable wall thickness advantages, and orthodontic practice efficiency gains28:58 AI in orthodontics and the future of the profession: why technology enhances rather than replaces orthodontists and expands the adult patient marketplaceKEY TAKEAWAYS:

What if beauty wasn't vanity but a radical form of self-respect? In this recap, Lesley Logan and Brad Crowell revisit their inspiring conversation with aesthetic nurse and rejuvenation expert Rachel Varga, exploring what it truly means to age with confidence. From skincare and collagen to breathwork and mindset, they unpack how honoring your appearance can deepen—not diminish—your self-worth. Tune in to learn why self-care is never selfish and how real confidence shines from the inside out.If you have any questions about this episode or want to get some of the resources we mentioned, head over to LesleyLogan.co/podcast https://lesleylogan.co/podcast/. If you have any comments or questions about the Be It pod shoot us a message at beit@lesleylogan.co mailto:beit@lesleylogan.co. And as always, if you're enjoying the show please share it with someone who you think would enjoy it as well. It is your continued support that will help us continue to help others. Thank you so much! Never miss another show by subscribing at LesleyLogan.co/subscribe https://lesleylogan.co/podcast/#follow-subscribe-free.In this episode you will learn about:How reframing skincare as self-care redefines beauty and confidence.Why genuine confidence changes how you show up in life.How rejuvenation aligns how you feel with how you look.The role of protein, creatine, and collagen in healthy aging.How breathwork lowers cortisol and slows signs of aging.Episode References/Links:World Kindness Movement - https://www.theworldkindnessmovement.orgOPC Winter Tour - https://opc.me/tourPilates Journal Expo - https://xxll.co/pilatesjournalCambodia Retreat Waitlist - https://crowsnestretreats.comAgency Mini - https://prfit.biz/miniContrology Pilates Conference in Poland - https://xxll.co/polandXContrology Pilates Conference in Brussels - https://xxll.co/brusselsXFlash Cards - https://opc.me/flashcardsSubmit your wins or questions - https://beitpod.com/questionsLL on School of Radiance - https://beitpod.com/lesleyonachelsodSchool of Radiance Website - https://www.theschoolofradiance.com (Code: LesleyLogan15 for 15% off one-on-one sessions, tutorial, and membership)Amy Cuddy's TED Talk - https://youtu.be/Ks-_Mh1QhMc100 Acts of Love by Kim Hamer - https://a.co/d/0HLOjhO If you enjoyed this episode, make sure and give us a five star rating and leave us a review on iTunes, Podcast Addict, Podchaser or Castbox. https://lovethepodcast.com/BITYSIDEALS! DEALS! DEALS! DEALS! https://onlinepilatesclasses.com/memberships/perks/#equipmentCheck out all our Preferred Vendors & Special Deals from Clair Sparrow, Sensate, Lyfefuel BeeKeeper's Naturals, Sauna Space, HigherDose, AG1 and ToeSox https://onlinepilatesclasses.com/memberships/perks/#equipmentBe in the know with all the workshops at OPC https://workshops.onlinepilatesclasses.com/lp-workshop-waitlistBe It Till You See It Podcast Survey https://pod.lesleylogan.co/be-it-podcasts-surveyBe a part of Lesley's Pilates Mentorship https://lesleylogan.co/elevate/FREE Ditching Busy Webinar https://ditchingbusy.com/Resources:Watch the Be It Till You See It podcast on YouTube! https://www.youtube.com/channel/UCq08HES7xLMvVa3Fy5DR8-gLesley Logan website https://lesleylogan.co/Be It Till You See It Podcast https://lesleylogan.co/podcast/Online Pilates Classes by Lesley Logan https://onlinepilatesclasses.com/Online Pilates Classes by Lesley Logan on YouTube https://www.youtube.com/channel/UCjogqXLnfyhS5VlU4rdzlnQProfitable Pilates https://profitablepilates.com/about/Follow Us on Social Media:Instagram https://www.instagram.com/lesley.logan/The Be It Till You See It Podcast YouTube channel https://www.youtube.com/channel/UCq08HES7xLMvVa3Fy5DR8-gFacebook https://www.facebook.com/llogan.pilatesLinkedIn https://www.linkedin.com/in/lesley-logan/The OPC YouTube Channel https://www.youtube.com/@OnlinePilatesClasses Episode Transcript:Lesley Logan 0:00  You figuring out what rejuvenation as a form of self-care that works for you, which is very different than works for me, very different than anyone else, that is like staying in the power stance. It's an action. It's something that you're doing so that you can show up as your whole self and give the world the version of you that will make an impact. That cannot be bad. Lesley Logan 0:24  Welcome to the Be It Till You See It podcast where we talk about taking messy action, knowing that perfect is boring. I'm Lesley Logan, Pilates instructor and fitness business coach. I've trained thousands of people around the world and the number one thing I see stopping people from achieving anything is self-doubt. My friends, action brings clarity and it's the antidote to fear. Each week, my guest will bring bold, executable, intrinsic and targeted steps that you can use to put yourself first and Be It Till You See It. It's a practice, not a perfect. Let's get started. Lesley Logan 1:09  Welcome back to the Be It Till You See It interview recap where my co-host in life, Brad, and I are going to dig into the rejuvenating convo I have with Rachel Varga in our last episode. If you haven't yet listened to that episode, you need to do it, because she's amazing, and we've been using her tips, and some of them are extremely effective. I other ones I just haven't tried yet. I'm really impressed. But today, before we get into Rachel's amazing tips for your rejuvenating means, like skin all that kind of stuff, today is November 13th and it is World Kindness Day. Brad Crowell 1:40  Yes, it is. Lesley Logan 1:07  Damn it. That's what my papa Jake would say, celebrating like, meaning like we're gonna do it like that kind of damn it, okay. Celebrated internationally, this holiday was formed in 1998 to promote kindness throughout the world, and it's observed annually on November 13th as part of World Kindness Movement. It's observed in many countries, including the United States, Canada, Japan, Australia and the UAE. World Kindness Day presents us with the opportunity to reflect upon one of the most important unifying human principles. Oh, just period. On a day devoted to the positive potential of both large and small, acts of kindness try to promote and diffuse this crucial quality that brings people of every kind together.Brad Crowell 2:17  Yeah, so the World Kindness Movement. Lesley Logan 2:25  Tell us more. Brad, Brad Crowell 2:26  the world Kindness Movement is an organization, and they so well the world kindness movement.org if you're interested in reading more. I found it really intriguing that this is even a day, but I like the idea. I just think it's important that we are being conscious of this sharing kindness generally, because I think that in our extreme split political environment and belief in science and reality versus non science and non reality, it actually creates a lot of frustration. It really creates a lot of frustration for me, and this is a good reminder to that we still have to treat people who, you know, we definitely disagree with. We still have to treat them as humans, as people, even if we don't think what they're doing or thinking or saying makes sense, they're still humans, and we still have to treat them with kindness, regardless.Lesley Logan 3:18  You know, what's interesting about this is like we used to when we lived in LA, many of our neighbors were homeless, right? Like where we lived, and it's so easy. I watch people like they turn their head away from homeless people like they just don't even look at them, but then they wonder why they're not treating the area like with respect. It's like we don't feel like we're human. You know, you're not looking them in the eye. There are simple acts of kindness you can do every day. In fact, Kim Scott wrote a book, 100 Acts of Love, which you can put kindness in there. There are things you can do for people. Obviously, that book was written for people going through a loss, but there are things you can do. And it's really funny, art, art. My dad is like, he like acts like he hates talking to people. But then we go to the gym, which is through a casino, and he talks to everybody. He knows the name of every security guard. He knows every he knows the name of every parking attendant, right? He we now know the names of several dealers at the casino. And you know what I think makes them their day is that we just like, say hi. They're not they're staying there, waiting for someone to come to their booth or whatever, and we're like, morning, good morning. It just makes people feel seen. Like even just acknowledging people with an eye contact and a wave makes people feel seen. And I think that if we did more of that, the world will be a better place. So I think. Maslow hierarchy of needs is really real. Maslow's hierarchy, hierarchy of needs. It's a hard word for me tonight. And we judge people based on like, Oh my God. I can't believe they did that. But if they don't know where their food or meal or health care is coming from, of course they did that. You are in the Enlightened level because. You have some privileges to your life, and I'm not saying that to make you feel bad about yourself, but it is, we have to stop judging people who have less than us. We have to have more kindness. I I'm in. Okay, you take us through the first half of this list. It's long. Brad Crowell 5:13  All right, we're gonna move real quick through our upcoming events and travel y'all so come join us, if you, if we're gonna be near you. Okay, in November this no, this month we are going to do.Lesley Logan 5:22  Right now the month we're in. Brad Crowell 5:24  Thanks. This month we're gonna go, we're gonna have a Black Friday, Cyber Monday sale for OPC only. Okay, for OPC only. It's gonna be the 26th through December 1st. So check your email for more information. We're gonna send you an email on the 19th. Lesley Logan 5:35  We're not gonna tell you what it is, you just have to find out. Brad Crowell 5:37  So that's six days from now. Then next is winter tour. We are actually going to be on the road in December, and we've already made the announcements go to opc.me/tour for tickets, all the things.Lesley Logan 5:50  Days are already sold out, so you got to get in there quick. Brad Crowell 5:53  Yep. Okay. So next is while we're not doing a Black Friday, Cyber Monday sale in for Profitable Pilates at the end of December, we are going to have a sneak peek option offer for you to join Agency. We haven't really made this announcement anywhere except for the pod, so you are the enlightened ones. As we were talking about, we're giving you a heads up if you've ever considered joining Agency, but you weren't quite sure if it was for you. We got we're going to do just a short month where you can, like, figure it out, see if it's your jam, and join us. Lesley Logan 6:24  Well, it's a full month, but it's a short commitment.Brad Crowell 6:27  Short commitment. I mean, it'll be a month. So anyway, it'll be the end of December, December 26th through the 31st and then in January, Les?Lesley Logan 6:35  I'll be the Pilates journal Expo in Huntington Beach. It's the first one that they're doing in the US. And I've got a world premiere of a workshop that they were like, we love that people really want to, just like, ask you questions. And don't worry, there's an actual workshop to it, but it's a space where you can ask me questions. And so you want to go to xxll.co/pilatesjournal to get your tickets to that. Then also, in January, we're going to open up the early bird discount for our retreat for 2026 and many of you asked about it, you need to be on the waitlist if you want the discount. If you want to pay full price, don't get on the waitlist. It's fine. Go to crowsnestretreats.com and February, Agency Mini is happening. It is you want to get on the waitlist for that as well. Different waitlist link. It's prfit.biz/mini. What is Agency Mini? It's like three days of us digging into your business and on like a problem. So you can see what it's like to coach with us. That's for Pilates instructors and studio owners and anyone who's like in that service-based industry. And then in March, we are going to Poland, and we're going to Brussels with Karen Frischmann. There are different workshops at each they are on different days, because we cannot be in two places at once. So if you are interested in Poland, it's gonna be the one that happens before Brussels. And I can't remember the dates of it, but it's xxll.co/poland it's like the third weekend in March, and then the last weekend of March is Brussels. Not only we there with Karen Frischmann, we're gonna be there with Ignacio, whose last name I can't remember at this moment, but he's amazing, and the most beautiful eyes and the most incredible kind instructor. xxll.co/brussels and then in April, P.O.T London will be there with Claire Sparrow and some amazing other people. You're not gonna want to miss it. So there's your links they're in the show notes. Brad Crowell 8:20  Ignacio Rodriguez. Lesley Logan 8:22  Oh, Ignacio Rodriguez, yes, well, anyways, he is a special soul. I mean. Brad Crowell 8:26  He's from Spain, yeah. Lesley Logan 8:27  I know he's like, a Pilates Buddha. Brad Crowell 8:29  Yes, he's awesome. Lesley Logan 8:31  That's what I like. Whenever I was around him, I just was like, oh my God, he's the calmest person. Like his energy is so calm you cannot be anything but that around him, he doesn't listen to this podcast. So he wouldn't hear the compliment. Okay, before we get into Rachel's episode, who, what is our question this week?Brad Crowell 8:50  Okay this week, with a question on YouTube from @BodyFlexZone, all about the OPC Flashcard Deck series, they asked, Hey, could you possibly include the exo chair and the springboard in your flashcards?Lesley Logan 9:07  So BodyFlexZone, I'm sorry to tell you the news, but this is exciting too, so don't turn it off. We're not going to do that.Brad Crowell 9:15  No. Lesley Logan 9:16  No. Brad Crowell 9:17  Here's why. Lesley Logan 9:18  Here's why. They're included already. How do I explain this? The I write the cards as a classically trained instructor with classical equipment. They are edited by a contemporary trained instructor who has contemporary equipment, including she is has an exo chair and was trained on a springboard, and the measurements for how to use the hooks on your springboard exist in the Cadillac deck now.Brad Crowell 9:46  So, so while we are not creating a special deck for the exo chair or a special deck for the springboard, if you get the Chairs Deck, the exo chair information would be applicable. It's applicable. You know the information of the Chairs Deck is applicable to the exo chair. And in the same vein, the Cadillac Tower Deck is applicable. It includes information about springboard informationLesley Logan 10:09  Correct, because some springboards have pushed through bars, some springboards don't. There are cards that will say it's pro like they're marked that they might not be available on a tower, which means they're definitely not available on a springboard and so. But also, there's a card in each deck on how to use the deck, and it explains, if you have an Exo chair, like how to it doesn't say exo chair specifically. It's like, if your chair has four hooks, here's how to think about it. So both decks are very useful. And if you get those decks, if you ever have access to a full Cadillac or tower, you have a bunch of cards you get to use. You don't have to take a special training for it, because you've already been trained. So you can get our flash cards at opc.me/flashcards. All six decks are out. Oh, you might want to go to the website during the Black Friday, Cyber Monday. Brad Crowell 10:56  For those of you who were unable to hear what she said, you might want to go to the website during the Black Friday, Cyber Monday sale. Just a heads up.Lesley Logan 11:03  Don't miss it, because if you ask us later, no, we're not the we're only doing it for five days.Brad Crowell 11:09  Hey, send in your questions to the pod. Go to beitpod.com/questions where you can leave a win or a question, or you can also text us at 310-905-5534. Stick around. We'll be right back. We're going to dig into this really interesting conversation we have with Rachel Varga, all about rejuvenation. Brad Crowell 11:27  Welcome back. Let's talk about Rachel Varga. Okay. Rachel is a registered nurse and an aesthetic specialist who's been in the field of non surgical rejuvenation since 2011. She's published research on eye and jawline rejuvenation, teaches doctors and nurses internationally, and now blends her expertise with biohacking to help people age well. Rachel is the founder of the School of Radiance, and also hosts the School of Radiance podcast, where she shares how skincare, lifestyle and self-care can create lasting beauty from the inside out.Lesley Logan 12:01  Yeah, I've been on her pod. You should go listen to our episodes together there, and if you like it, then you have another podcast to listen to. She's, it's, I really enjoy this because, okay, I have been wanting to have someone, an expert like this, on for a while, but I didn't want it to be a vanity, like, I didn't want people to be like, Oh, it's so vain, you know, like so many people are like, I don't know, raw milking it. So they're not going to want to talk about Botox or things like that. And I well, you know, some people get granola and they're like, I gotta not do anything to my body. But also, if something's really, like she said, if something is really bothering you, like specific lines or scars or jowls, addressing it is beneficial, because oftentimes if you feel you look better, you feel better, and if you feel better, you actually just look better, like if you actually feel good about yourself, you walk around taller, you engage with people in a different way. And so it's kind of like a chicken or the egg thing, and I appreciate her approach. If you listen to the episode, it's not like, everyone needs Botox. There's always something wrong with you. No, it's like, okay, what are some of the things you can do that are non surgical, that actually do work? I, I have, I will say you're going to want to listen to her second episode, which we're not going to talk about today, but we talk about a lot of things that are like, a waste of your money and waste your time. She's very, very intelligent and doesn't waste her time. But I do think that what she talked about is people are not viewing rejuvenation as being vain anymore. They're actually seen as a form of self-care. And I do think there's a balance of what can we do as part of our self-care routine that makes us feel better about how we look, so we feel better about how we look.Brad Crowell 13:46  Yeah. That's what I was gonna say, hardcore.Lesley Logan 13:51  Well, I don't know, like, here's the thing, I really appreciate, I forget which actress it was, what's that beautiful woman? Not Diane Lane is beautiful, but she also did one of the Fast and the Furious. She's like a dame, gray hair actress.Brad Crowell 14:06  There were 10 or 11 Fast and the Furious movies. Lesley Logan 14:09  I know the more of the recent of them, and she is like, she also was in like a beautiful bathing suit in the tabloids. And I was like, I want to look like her when I'm when I'm 80. I can't think of it. Everyone's yelling at her in their car right now, but you know who I'm talking about. She talked about how, like, she said, don't like, she's letting wrinkles happen. And I also would like to let those things happen. And there are some things that just bother me, and I don't want them to, and they become a distraction for me, being it till I see it. So I do think that if like how you look is affecting how you're operating your day. It is, there is a point where you do need to actually address, like, what is going on here, because it's becoming an obstacle. I'll look it up while you say what you loved. Brad Crowell 14:52  Yeah. So one thing I thought was important was this conversation of. Lesley Logan 14:58  Helen Mirren. Brad Crowell 14:59  That was really fast. And I'm very impressed. Brad Crowell 15:01  Do you know what I looked up? I said, older actress, stunning, fast and the furious. She's on top of the searches.Brad Crowell 15:12  I went to IMDb and I started with Fast and the Furious. I was like, there's so many actors. Lesley Logan 15:17  You gotta go with my, my way.Brad Crowell 15:23  Yeah, I just, I just thought I wanted to comment about what you had said about what your topic was, that we beat ourselves up over this idea that we're gonna like focusing on how we look is somehow wrong, and I, and I think that.Lesley Logan 15:39  But then also, everything your entire life is based on how you look. You know, like we're told not to focus on how we look. However, especially if you were raised as a woman in the church, how you look could make your brother stumble, so you better figure that out. But then also, you better be sexy for your husband, or he's gonna wander. And then, oh, if you look too old, you're not going to get the job, because they don't want an older woman, like, like, so there's all this stuff about how we're not supposed to care how we look, but actually, everything is about how we look. And if you're a dude, you just get fucking hotter as you get older. And it's really annoying.Brad Crowell 16:14  Well, I love that you took all the words right out of my mouth. So here's what I was going to say, is that I think it's important to that it when we are holding ourselves to this idea that feeling like we want to care about how we look is wrong, somehow. What she mentioned was confidence, and I liked that because I thought, Hey, why do we buy a nice shirt or buy some, you know, dress shoes, you know, for the office, because we like the way that we look in those and it gives us this idea that we got it together. And I don't know why we would think that it's okay to buy a nice blouse or blazer or shoes but not do the same thing for our face or our skincare or our weight or our working out, or whatever.Lesley Logan 17:14  The food we eat or the yeah, yeah, yeah, the things that we do to make ourselves feel good. I agree. I think that makes a lot of sense.Brad Crowell 17:22  Yeah. So, you know, anyway, my point is that it is I think it's okay. I think it's okay. Lesley Logan 17:31  I, here's the thing, I really have come to a place where it's like, if the thing that you do for yourself doesn't affect anyone else negatively, it's none of my fucking business.Brad Crowell 17:43  Okay, here's, here's, let's actually start with, because I'm logical, let's actually start with the definition of vanity. Lesley Logan 17:50  Okay, let's do that. Brad Crowell 17:52  Excessive pride. Well, excessive pride in or admiration of one's own appearance or achievements. Excessive pride, right?Lesley Logan 18:01  So walking around telling everyone I'm so fucking stunning.Brad Crowell 18:02  I'm so amazing. Look how awesome I am. Look how beautiful I am, right? That is vanity, but giving a shit about how you look is not vanity, right? That we've conflated this idea and we beat ourselves up. Lesley Logan 18:17  Brad, you're fucking brilliant. It's like the word selfish, like, how self-care has become selfish care, like the fact that you'd spend any extra amount of time thinking about yourself instead of your children, the people you work for, the people you do things for the people you love. Like, that's selfish. This is amazing. And I do love this because, okay, Amy Cuddy, whose TED Talk is where the title of this podcast came from, and if anyone knows her, I would love that interview. But she talked about how she does study about the power stance, the Wonder Woman stance, when you do it for five minutes, you actually appear and feel more confident in an interview. They did a literal scientific study, and they had people not stand in a power stance and sit slumped for five minutes, bad posture. And then go in, and then they ask them, how confident you feel. They ask the interviewers, how confident did they seem? Did they appear? You figuring out what rejuvenation and as a form of self-care that works for you, which is very different, that works for me, very different than anyone else, that is like staying in the power stance. It's an action. It's something that you're doing so that you can show up as your whole self and give the world like the version of you that that will make an impact. Yeah, that cannot be bad. I'm in. Brad Crowell 18:37  Yeah. And I think that, you know, when we have confidence, obviously it allows us to deliver our, you know, purpose in life better. It makes us enjoy what we're doing more. It definitely just changes the way we show up in our community and the way that we see ourselves. Right? So, you know, and the world sees that too. You know, when we put effort into ourselves, we show the world that we are valuable because we value ourselves. And I think that is also important, is that we that that belief in yourself, right, the knowledge that you are worthy, even though it seems internal, it is very visible to other people. When you know that you belong there to do the thing you know, or you believe you belong there, to do the thing other people perceive that they pick up on that. Lesley Logan 20:25  Well, yeah, and also, like, and just, I'm gonna tell you one of your points, she we're talking about this. We're talking about rejuvenation, way that looks natural and feels good, that builds confidence. We're not talking about like, go overdo it. We know the people who look like they're overdone, you know, like, you know, we're not talking about getting a new face like the Kardashian mom. We're talking about like, just like, and it's we're not talking about doing Botox or or surgery. It can be as simple as, like, massaging your face, or the type that money you spend on the moisturizer that makes you feel good, like, these are, we're talking non surgical approaches.Brad Crowell 21:03  Yeah, yeah. So, you know, I think when you are that, because we think that self-care equals vanity, that's where we're going wrong. But when we, when we can separate the two and understand that vanity is excessive. You know, celebration of your beauty or your achievements, that is obtuse, that is annoying, that is like, you don't want to listen, you don't want to be around somebody like that. We all know people like that. (inaudible)Lesley Logan 21:31  There's the song you're so vain, you probably think the song is about you. That is a definition.Brad Crowell 21:43  But when you care about yourself, you know it's okay to to put yourself first and make that part of your self-care routine and you know. Lesley Logan 21:53  Well, I also think you're I'm not (inaudible) you up. I'm so sorry. This is our ADHD problem. I think if something is keeping you from showing up and making the impact in your world, and it has to do with your looks. It is not vain or selfish to do something about it, if it's if, if that thing is keeping you from actually showing up as your whole self to make the impact you so desire to make, the world is missing out. Brad Crowell 22:18  Yeah. Actually, a great example would be braces, or Invisalign, or, you know, even, like surgical, surgery, surgery on your teeth. Like it comes across as, like a crazy expense sometimes, but, you know, night and day difference we, we've had, I've had a really close friend of mine growing up who had surgery in his 20s, and he smiles now, you know. And I remember seeing the difference in him because he never he was no longer judging himself, you know, (inaudible).Lesley Logan 22:19  I watched something where this girl, every time she'd smile, she or laugh out loud, put her hand in front of her mouth, because she doesn't want people to see her teeth and and then, through this one organization, they fixed them. And no one would say that she's being fucking vain. No one would. And because we're now.Brad Crowell 23:12  I mean that was surgery, that was surgery. This subject, we're not necessarily talking about it, but like Invisalign, or braces (inaudible).Lesley Logan 23:18  If it's going to make you smile a little brighter, going back to World Kindness Day and making people feel seen, I would hate for someone to not get the joy from your smile. When people smile at me, I'm like, Oh, hi. Like it just brightens your day, like it snaps you out of the whirlwind that's in your mind. And I just, I was really excited to have her on because I thought it was a really honest conversation about about inner beauty and what we what would make us feel good. And I just don't think there's anything wrong. And I think it's really important you hear this, there is nothing wrong with doing things for yourself that make you feel beautiful. And if you were ever told that focusing on what makes you feel beautiful is wrong. There's some deconstruction and some, I really, when we took my eyelashes, my fake eyelashes off, it was really hard for me. It was extremely hard. I didn't look the same anymore. I had to do a lot of self-talk, but I went to Sephora, literally the next day, I was like, you have to help me. I look like a molten like a mole rat. And that is an actual thing that exists. And yes, I did look like a mole rat, if you look it up, but I she taught me, okay, the best makeup starts with the best skincare for you, she said to me, and that's what Rachel's also talked about, the non surgical approaches. And then the second thing is, by that girl teaching me a couple tricks with makeup, I could show up and do my tour as my whole self in a non-distracted way. Because I was like, Oh, my God, people are gonna be staring at me. Talk about the braces and the weird things. I have no eyelashes. That is not what people are used to seeing. Okay? So, so I just think that, like, I if it's okay, I believe it, because I felt it. I've been there. I've been there when you're like, Oh my God, my face is numb from the dentist. Like, I don't even want to see me. If things like that are keeping you from showing up on a daily basis, you owe it to yourself and the people that you can impact on this world to find some way to fill that natural confidence by taking care of yourself. So that's what I think.Brad Crowell 25:24  All right, awesome. Well, I think we've, we've talked through that pretty exhaustively. Lesley Logan 25:28  I feel good about it. Brad Crowell 25:29  Yeah, stick around. We'll be right back. We have some more tips from Rachel and the Be It Action Items. We'll be right back. Brad Crowell 25:36  Welcome back. Finally, let's talk about those Be It Action Items. What bold, executable, intrinsic or targeted action items can we take away from your convo with Rachel Varga? She said, Hey, high protein and creatine, right? High protein intake, one gram to one and a half grams of protein per pound of body weight. Now, you probably heard Lesley mention this a lot. She definitely is on board with this. She said. Lesley Logan 26:00  It's so hard. Just be kind to yourself. Brad Crowell 26:02  It's hard, but, but, you know, there's, there are ways, and actually, a lot of it had to do with changing the food that we're eating. For example, I had a high protein bagel today, you know. And you know, it was, I don't even know what it was, a lot of protein for a bagel. And so they're, you know, eggs, and all those extra beans.Lesley Logan 26:18  I, we're not sponsored by them. But hi, Owyn, they have a 32 gram protein shake, and it's only what you need. There's nothing weird about it, I'm sure. Like, look, the biohackers would not like that we're talking about processed food, but it takes time to switch your diet around. And if you're trying to do this, it does take time. So pick a meal a day and kind of work your way towards her. But I wanted to say, I fucking love that her, Be It Action Items have nothing to do with like, going to a med spa. Brad Crowell 26:45  Right, to do beauty stuff or whatever. Yeah, I mean, because it's just like your your your Sephora experience, she said the best way to fix your eyelashes is your skincare, right? So the in this case, she's Rachel's talking about high protein and creatine, because when you she started lifting heavy and focusing on high protein, it gave her more inner power activation, and that was great for her skin, right, So that's, that's, that's.Lesley Logan 27:14  And there's tons, ladies who are listening, we have a lot of perimenopausal women. There's a ton of research on doubling up on that creatine.Brad Crowell 27:20  Yeah. And she also talked about collagen, because collagen will also help your skin. If you're watching YouTube, you can laugh along with me.Lesley Logan 27:31  I've been doing collagen since, like, religiously, since 2016 because in 2015 I did a test, and the guy's like, you have no collagen. And then a year later I did the test, he's like, okay, so you you're off the charts in collagen. And I was like, is that a bad thing? Should I, like, slow it down? And he's like, I think you could be okay. And I have not slowed it down.Brad Crowell 27:48  So we've got a call to action for you here if you want to go to theschoolofradiance.com theschoolofradiance.com, you can use a promo code, LesleyLogan15, L-E-S-L-E-Y Logan15 for 15% off one of her membership. She said there's also a free 30-minute biohacking lesson you can get on there that has a checklist, her skincare checklist, and it's available on her site. Lesley Logan 28:11  And also, like, depending on where you live, the seasons change your skincare routine has to as well. Brad Crowell 28:16  Yeah. What about you? Lesley Logan 28:18  Okay, another interesting non-meds related, Be It Action Item, which is just why I love her, right? Like you don't like, it doesn't have to always be like, get this moisturizer. She recommended breath work, specifically during exercise, to keep cortisol down and remain in a parasympathetic rest and digest state, which helps slow aging and collagen loss. So this is what I love, because in the like, people are gonna try to sell you stuff all the time, and this is fucking free. So breathe in for four seconds, hold it for four seconds, exhale for four seconds, and do that four to five times, by the way, it's called Box breathing as well. And she explains that elevated cortisol results in a drop in estrogen. When estrogen falls, collagen, elastin fall too. So you want to breathe, because it's going to help slow your aging down, and that costs $0.Brad Crowell 29:14  Yeah, she said, you two were specifically talking about lifting in the gym. And she said the guys will try to spike their cortisol. And she said, I don't want to do that. Lesley Logan 29:23  Yeah, also, and I know there's and I being a woman today, it's like, what are we listening to? Look, keeping your cortisol down is always going to be a good thing, especially if you're in perimenopause or post it'll help your sleep, which is going to help you age better. But also, when you're doing Pilates, this is something that people struggle with. You got to breathe in and out through your nose, because that keeps you cool. It keeps you calm, it keeps you grounded, keeps that cortisol down, which helps you age slower. I love this. She's coming back because I was like, Oh my God, I didn't even get to all the tools. Like, do I need to buy this? Do you buy this? Do I need to buy this? And she is going to change her life with that. I'll let you know when the episode's coming out, of course, but until next time, I'm Lesley Logan. Brad Crowell 30:08  And I'm Brad Crowell. Lesley Logan 30:08  Share this with a friend who needs to hear it, leave us a review. Tell Rachel Varga how these tips and tools helped you. And until next time, Be It Till You See It. Brad Crowell 30:13  Bye for now. Lesley Logan 30:13  That's all I got for this episode of the Be It Till You See It Podcast. One thing that would help both myself and future listeners is for you to rate the show and leave a review and follow or subscribe for free wherever you listen to your podcast. Also, make sure to introduce yourself over at the Be It Pod on Instagram. I would love to know more about you. Share this episode with whoever you think needs to hear it. Help us and others Be It Till You See It. Have an awesome day. Be It Till You See It is a production of The Bloom Podcast Network. If you want to leave us a message or a question that we might read on another episode, you can text us at +1-310-905-5534 or send a DM on Instagram @BeItPod.Brad Crowell 30:57  It's written, filmed, and recorded by your host, Lesley Logan, and me, Brad Crowell.Lesley Logan 31:02  It is transcribed, produced and edited by the epic team at Disenyo.co.Brad Crowell 31:06  Our theme music is by Ali at Apex Production Music and our branding by designer and artist, Gianfranco Cioffi.Lesley Logan 31:13  Special thanks to Melissa Solomon for creating our visuals.Brad Crowell 31:16  Also to Angelina Herico for adding all of our content to our website. And finally to Meridith Root for keeping us all on point and on time.Support this podcast at — https://redcircle.com/be-it-till-you-see-it/donationsAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

THE INVISALIGN DATE_HANG UP OR HANG OUT PT2 by 101.9POR

THE INVISALIGN DATE_HANG UP OR HANG OUT PT1 by 101.9POR

Ansley Hutchinson, Tess Menzies, and Gabe Sanchez, from the Boredwalk content team reunite to discuss all the most recent salacious scandals marring the U.S. political landscape (and distracting from the FULL, UN-REDACTED RELEASE OF THE EPSTEIN FILES), including: • The very cozy public embraces between very married (and very "Christian") Vice President J.D. Vance and very recently widowed (and very "Christian") trad-wife Erika Kirk, and Second Lady Usha Vance's apparently sanguine acceptance of being publicly cuckqueaned • The state of the U.S. economy heading into the busiest shopping season of the year (spoiler alert: it's suboptimal!) • Mass layoffs in the private sector and the ongoing shutdown of the federal government impacting spending power and consumer confidence • Speaker of the House Mike Johnson's ongoing refusal to swear in recently-elected U.S. Representative Adelita Grijalva in a thinly-veiled attempt to keep the aforementioned Epstein Files from being released • Trump's shoulder shrugging over his own supporters losing access to SNAP benefits and facing the specter of exploding health insurance costs come January 1st 2026 as a result of the expiring Affordable Care Act subsidies that the GOP's One Big Beautiful Bill does not renew • The gross inhumanity of wealthier members of the MAGA movement celebrating and mocking other people — including fellow MAGA voters — who can no longer afford groceries due to the frozen SNAP benefits We then check in with the latest dispatch from Troll-sylvania, which features Kenny Murdoch's hilarious "insult" wherein he accuses us of making "AI" content because our teeth are "too perfect," because he simply cannot fathom a world in which regular dental visits, braces, Invisalign, and basic oral hygiene are a thing that exist.  Not only do we have impeccable dental situations, we also design and sell high-quality vinyl stickers, per a recent customer review. Nice! In an effort to take things out on a high note, our hosts wrap up the episode by trading answers to questions pulled from our Delve Deck conversation card sets! This week we answer the questions "what two foods are people always putting together that ruin them for you?", "what was the least useful class you ever took in school?", and "what is your favorite local spot in town?" Thanks for stopping by to hang out, commiserate, and (hopefully) laugh with us! FOLLOW US: FACEBOOK ► facebook.com/boredwalktshirts INSTAGRAM ► instagram.com/boredwalk THREADS ► threads.com/boredwalktees YOUTUBE ► youtube.com/boredwalk.los.angeles BLUESKY ► bsky.app/profile/boredwalk.com TIKTOK ► tiktok.com/@boredwalk.lol SNAPCHAT ► https://snapchat.com/t/aCh1aSey

Sometimes, confidence begins with a smile. For Dr. Ingrid Murra, a first-generation daughter of Salvadoran immigrants, that smile became the foundation for a purpose-driven career. From growing up in a hard-working blue-collar family to earning her degree in orthodontics at Harvard, Ingrid has built her life around one belief: transforming your smile can transform your confidence, your health, and your future.In this episode of Amiga, Handle Your Shit, Jackie sits down with Dr. Ingrid Murra, founder and CEO of Two Front, a company revolutionizing how dentists deliver Invisalign treatment. Ingrid shares how her family's story of grit and determination shaped her drive, how a childhood insecurity led her to discover her calling, and what she learned about the truth behind orthodontic care and marketing myths.You'll also hear Ingrid's insights on how to choose the right Invisalign provider, the link between oral health and longevity, and the mindset shifts that helped her move from self-doubt to leadership. Her story is a masterclass in hard work, humility, and staying true to one's mission. It's proof that when you follow purpose over fear, extraordinary things happen.Tune in to episode 256 of Amiga, Handle Your Shit to learn how to align your purpose, your passion, and yes, your smile.Episode Takeaways:Ingrid's story as a first-generation Salvadoran American and how her parents' sacrifices inspired her drive (3:40)The childhood insecurity that sparked her passion for orthodontics (5:20)About an experience at Harvard and how success doesn't always look like achievement (6:40)The truth about Invisalign certifications and why most providers aren't properly trained (7:50)How marketing myths shape patient expectations (8:40)What inspired her to launch Two Front and redefine orthodontic access (10:20)Why proper alignment is essential for long-term dental and overall health (13:40)A mission to make preventive care accessible nationwide (19:20)Dr. Ingrid Murra and her vision to scale Two Front across the U.S. and beyond (20:50)Running a company forces you to "handle your shit" every day (22:30)Connect with Dr. Ingrid Murra:Visit the Two Front websiteLinkedInInstagramLet's Connect!WebsiteFacebookInstagramLinkedInJackie Tapia Arbonne's websiteBook: The AMIGA Way: Release Cultural Limiting Beliefs to Transform Your Life Hosted on Acast. See acast.com/privacy for more information.

On this episode, I chat with Dr. Maggie Barnard, an ortho from Nova Scotia who went from managing two large practices to creating a side business that solves one of the biggest pain points in modern orthodontics: Invisalign clinchecks. After spending years doing dozens of setups every night—not just for herself, but for her associates too—Maggie realized something: she was really good at it, and even better, she actually enjoyed it.So she launched MGC Align, a boutique clincheck service where she handles each case herself—no AI, no assistants, just another orthodontist with experience, precision, and obsessive attention to detail. In this episode, we explore her startup journey, the origin of the hilariously named “MGC Align,” her post-practice career, and what it takes to stay sharp—on and off the court (yep, she's also a competitive tennis player).Whether you're burned out by clinchecks or curious how another doctor is creating value with a side hustle, this one's a gem.QUOTES“I literally spent two hours every night doing clinchecks—for myself and all the associates. That's when I realized… this is what I want to offer others.”— Dr. Maggie Barnard“I think orthodontists forget—we're problem solvers at heart. Clinchecks are just puzzles. And I happen to love solving them.”— Dr. Maggie BarnardKey TakeawaysIntro (00:00)Maggie's origin story: from GP to ortho practice owner (02:44)Growing two big offices through mentorship and opportunity (04:19)Selling to an OSO and transitioning out (06:30)The clincheck problem: why she launched MGC Align (07:00)What makes her service unique (17:41)How she tailors setups to each doctor's preferences (18:49)Why she never uses AI or techs—just her own hands and brain (19:20)The training and CE behind her protocols (20:00)How to get started and turnaround time (22:32)Clincheck setups in 2–3 days—including revisions (23:13)Additional ResourcesIf clinchecks are eating up your nights—or causing friction in your practice—stop doing them yourself. Maggie's service, mgcalign.com, lets you hand off your setups to someone who actually enjoys the work and knows what excellent outcomes look like.

Tiff and Kristy provide guidance on how to assess your practice's financial health as 2025 begins to wrap up (and what to start thinking about for 2026). They touch on… Reviewing those P&Ls monthly Aligning spending habits Keeping emotions in check And more! Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review The Dental A Team (00:01) Hello, Dental A Team listeners. I am so excited to be here with you today. I truly love this portion of what we get to do in our worlds and getting to get you so much valuable information out to the masses is something that Dental A Team has worked and strived just so hard to achieve in our.   consulting world of just getting you all this information and I have with me today one of my faves. I seriously, I have the most amazing consulting team and if you guys haven't heard from all of them yet, you soon will and if you don't know them personally yet, they're not your consultants. I hope that you get to meet every single one of us even if you're just coming to the events, however it is, but I...   have a personal favorite here for recording podcasts with. She calms me, she just keeps the energy light and fresh and I love any time that we get together. Kristy, thank you so much for being here today. How are you doing? The weather is like weird today. I always tell everybody about the Arizona weather and it's so much fun to have everybody here in the same place. We all live in Arizona in the Phoenix area. Jane is down in the Tucson area, but.   We really love it. And Kristy, how's your world over there? You're just in the beautiful little pocket of Phoenix. And how is it?   DAT Kristy (01:23) Yeah, it's awesome. I love that you say that because we do pride ourselves on the weather here, right? But even with that, this weekend we got a lot of rain, what they say the most in like seven years. Yet all of us, even as close as we are, we experience it so different, right? Like some places flooded. I didn't get flooding, thank goodness, but it downpoured. It was fun and it's made it for cool mornings. So we're taking it.   The Dental A Team (01:42) Yeah.   I agree. I agree that humidity is hitting us hard. So we're not super used to that, but it is making for some, some really beautiful mornings. totally agree. And yes, Britt and I were actually in Reno at our quarterly in-person traction event where we have a, implementer who comes in and leads it for us. And he helps us to build out the company structure and,   teaches and trains us on how to run large meetings like that. So it's always super cool. But we were up in Reno with Britt and or with Kiera Shelbi and Britt and I actually got stuck. Jenna got out. She got back to Denver, which is crazy because Denver always shuts down. And so she got back to Denver. But ⁓ we got stuck until Saturday because the airport was shut down. And then there was a storm in Vegas because we thought, OK, well, we'll fly to Vegas because it's only a five and a half hour drive from there and we'll still get home. And then ⁓   that flight got canceled too. So it was wild. was meant to be, got more time in Reno and got to spend a little bit more time with Kiera. So that was great, but it was kind of crazy. It's not usually Phoenix that disrupts the flight patterns. And it was a hundred percent Phoenix. There were so many flights canceled because so many planes were stuck here and other planes couldn't get in. So it was wild, Kristy. It was wild to watch it from afar. We just got like TikTok notifications and you know, news articles are like, my gosh, all the Waymo's stuck in the puddles and things like that. So.   DAT Kristy (03:15) Yeah,   they just stopped in the middle of the road like what the heck.   The Dental A Team (03:18) Yeah,   that's why whenever somebody says, you use the way most? I'm like, heck no, I have seen them stuck in the middle of intersections far too many times. I'm sure one day it's going to be fantastic, but I haven't built that trust muscle just yet.   DAT Kristy (03:30) Yeah, agree. Well, I'm glad you made it home safe. And ⁓ yeah, the humidity is odd for us too.   The Dental A Team (03:34) Thank you.   Yeah,   yeah, it totally is. And my son was like, Oh, you go to the East Coast enough, Mom, you're fine. Stop complaining. And I was like, Yeah, that's fair. That's fair. But but in the spirit of planning, we we truly had an amazing time really just one getting the time together as a leadership team and then to really looking and projecting like where are we at? What's Q4 going to look like? And then also kind of prepping and planning for 2026. So super relevant in this conversation here.   today and really looking at ⁓ practice health from a financial standpoint. And this is something that your CPAs and your financial advisors and all of those professionals should be looking at with you as well. This is the time of the year that we're really looking at what is this last year? Because we get to Q4 and it's like, well, it's kind of like the end of your senior year, right? You get to the end of your senior year of high school or college and you're like, well, everything's kind of basically submitted. So from here,   It's really just like, let's do our best and make sure that we really cross that finish line strong, but there's not a ton of pivots to be made to really change the game. So kind of prepping and planning. And I think looking ahead at 2026, putting in some really solid ways of checking in on that financial health, something that I've seen that, Kristy, I know you do this as well, but something I've seen a lot of clients really ramp up is a monthly pulse and even like,   weekly sometimes pulse on what the financials of a practice actually look like has really been beneficial in helping them to really reach those goals. And Kristy, you are really fantastic at figuring those financial goals out and then like backtracking them to see, okay, well, what do we need to do to get there? And how do you help practices really keep that financial pulse top of mind and that   running that way so that they're constantly looking at those numbers without feeling overwhelmed and also without losing sight of it. Because you know sometimes you do something too often, you start glazing over it. What's that fine balance that some some tactical tips that you have that you and your practices are working on right now?   DAT Kristy (05:52) Yeah, well, first and foremost, I believe that you have to be getting your P &Ls from your accountant monthly, right? We can't be waiting. I have seen some clients where they're begging for them for three months ago, you know, and it makes it really hard to stay on top of it if we're not getting them monthly. So first and foremost, make sure you're getting them from them monthly so that we can take a look at them and evaluate. And I like what you said, Tiff. ⁓   you can be, you can go over the top. It's a fine line, right? So I love looking at them every month and I'm not going to freak out if something's out of whack one month, but certainly let's look at the quarter, right? And make sure that those metrics are in alignment for the quarter. And to your point, I always like to speak in terms of like, we're going to crawl before we walk and we're going to walk before we run. Like,   In the crawling stage, let's just make sure where's your overhead, right? What percentage are we at there and what is our profit or EBITDA, so to speak, right? Where are we ranging there? That would be my first little steps to take and start looking at it.   The Dental A Team (07:10) Yeah, yeah, I totally agree. And I think what time of the month do you usually push for those PNLs to be received? I have my judgments, but what are yours?   DAT Kristy (07:21) like to say by the 15th. I'll give you a little grace and give you by the 20th, but the 15th is my ideal target.   The Dental A Team (07:28) Yeah, yeah. I think I'm a little stricter. If I don't have those CPAs reaching out to us by like the eighth to the 10th, I'm like, my gosh, how are we supposed to work with this? There's a lot of, and I ask that because there's a lot of clients out there that are getting them like the first week of the next, next month. And so maybe December, we're finally looking at October.   DAT Kristy (07:35) Thank   The Dental A Team (07:53) And that is like, gosh, such a lag that we've got these questions floating around of like, where's my cashflow TIF and how do I fix this, Kristy? And it's like, I don't know, because I don't have eyes on what's happening. The P &Ls should be much quicker and much cleaner than that. And realistically, it's just it's the bookkeeper going in and allocating the certain expenses to the category that they should be in. So it's time consuming.   but it shouldn't be too crazy. And if yours is too crazy, then we probably need to look at your spending. Do we need to dial back the number of orders that you're placing every month? Do we need to make sure that things are a little bit more simple on that side, that it can be done quicker? Because we wanna be able to make real-time adjustments as quickly as we can. If we're on a two-month lag.   then we're adjusting for two months ago, it could look totally different. And then next month we get two months ago and it's like, it was totally different. We didn't need to change it. And so we're just constantly spinning our wheels in that way if we're not getting the data fast enough. And that is, in my opinion, one of the easiest ways to ensure that you're financially healthy is really just ensuring, like you said, Kristy, that on an overtime basis, things are consistent and they're clear, that they make sense.   DAT Kristy (09:08) 100%. I like that you said push to the 10th, because obviously if, you know, in the walk or crawling stage, we're just learning, right? We have a little bit of buffer, but as we get to the top of our game, it should be more. And if everything is electronically done, it really is in there already. It's just a matter of organizing it, right?   The Dental A Team (09:30) Yeah, and I like to give myself the grace because I know or give them the grace. I typically know if we ask for it by the 10th, we're getting it by the 15th to the 20th. If I give them that leeway, they'll take it. And we know that's just how it works in that world. That's fine. We work with what we've got and figure it out. And I think it's a massive place to start, Kristy, is those P &Ls. And I think the P &Ls really outline   DAT Kristy (09:39) Thank   The Dental A Team (09:56) the financial health in so many different areas because it gives us insight to what is actually happening. Having those categories split out, we've talked about that a ton, we've done a ton of webinars on it and if you need help with that, reach out. We've got really simple sheets and documents that you can even send over to your bookkeepers and your CPAs that kind of outlines what we like it to look like so that it's simple to review.   But being able to see those over time is huge. I know I have a client that like one month was 48 % overhead and that's before Dr. Pay, that's before loans, right? And it's like, holy cow, we killed it. But then it's like, okay, but hold on, because the next month was 64%. So taking an average there because likely something got shifted, payments got posted, or I don't know, I've had some clients that's like, my gosh, I forgot to pay Henry Schein for two months. So then it's like that third month had this massive Henry Schein payment.   but over the quarter, it wasn't that bad. So making sure that we're looking at it month by month and over the quarter is huge. ⁓ Something that we've done, that we've ramped up ourselves and that we do ramp up with a lot of clients is really looking at our bank accounts constantly. And I know that Kiera and our financial team, they look at our bank accounts weekly on a weekly basis to make sure that everything makes sense, that things are.   where they're supposed to be that, you know, that we're not getting charged for things we shouldn't have been, et cetera, but then also that we're staying in alignment with the budget that we had set. And those budgets come from those P &Ls and those total numbers. Kristy, something I've realized recently in the recent years is while I was in practice, I would build our budgets for our spending. like our...   you know, five to 8 % for supplies or what have you or ortho budget, things like that. I would build it based off of our collections, air quotes on that word, and it would be our collections from Dendrix. I'd pull the collections for the last month. I'd build that budget based on the collections. And then Doc would be like, where's all the money? Like, well, I don't know, it should be there. But there's such caveats to what's been posted in Dendrix or your operating software.   compared to what's actually in QuickBooks, I found that I was running this like ragged race of trying to play catch up all the time with like even just the percentages for credit card fees and third party financing being taken out of our payments, just those simple tweaks make a massive difference. So building those budgets, Kristy, off of our actual P &L numbers, our actual QuickBooks collections has...   made a massive difference, I know, for a lot of my clients. How do you see that working for clients? And also, how do you see that working with a leadership team that maybe doesn't have access to or not looking at those P &Ls together? How do you suggest for financial stability and health in the practice, they really get that information down to the people that need it?   DAT Kristy (13:08) Yeah, absolutely. One of the things, ⁓ well, there's a couple things. We at Dental A Team keep scorecards for our clients and it could be as simple as adding that line in there and having the doctor put that dollar amount and having the budget calculate right there. Everybody can see it. They know what to spend. The other thing to that point Tiff is,   You know, a lot of times we look at the practice management, we see our collections, but how many times do we reconcile it with our QuickBooks? Like, really look at that and see. And obviously, just like you said, it could be a matter of when something was posted or when it came in, right, to the bank account. But I think that's an area that sometimes is overlooked. You know, there can be variance in there, obviously, for when things post, but...   what is that variance and how consistent are we having that variance? again, depending on which method you're using, if you're using the collections from your PMS or the collections that are posted in the P &L, we better be clear what that difference is and ⁓ account for it for sure. Right.   The Dental A Team (14:25) Totally agree.   And you actually reminded me just last week, I was in an office and I was like, what is happening here? I was going through their P and L and I'm like, okay, we've got, we've had some changes in the office. We've got some places that it was decreasing. Some places we spent more, some places we actively spent more on purpose. Like, but things just weren't adding up with what was coming through from the software. And I realized after an hour and a half of digging, I'm like, why is...   I put a line items, I updated the scorecard and I put a line item for like QuickBooks collections and then the PMS collections. And in comparison, I had it subtract and like tell me the difference in numbers. And there were months that were coming up $30,000 different that it looked like we collected $30,000 more in their software than what QuickBooks was showing us. Luckily, I know this office manager very well personally, like familiarly.   And I'm like, I know there's no conclusion to jump to here. Like something is not reporting correctly. And what I realized is they specifically use Dentrix. Dentrix will allocate any positive write-off or adjustment. if there's an adjustment that's adding money, it'll allocate it to production. If there's an adjustment that's removing money, it automatically adds it to collections.   So when you pull up the adjustment space in Dentrix, it'll show all positive production, all negative collections. So it was showing drastic differences. And so I was like, gosh, I totally forgot about this space in Dentrix that it does this. It's just, I call them the Dentrix-isms. It's just a Dentrix thing. It's very frustrating, but it just is what it is. So when I went through, I reallocated where the write-offs should be coming from. Now, caveat, messes up.   production collections for forever because it's now correcting it. So what you thought you had done, you didn't, and it fixes it. So the new numbers are more accurate, but you're going to be frustrated because it's different. But what it did when I did that and re-put in the collections numbers is that it brought that $30,000 difference down to a more manageable $1,200 to $3,000 difference, which is what we tend to see with the   care credit fees and all those different credit card processing fees, we typically see, I say like 5,000 or less, I'm not going to freak out about too much as long as it's inconsistent. I don't want to see consistency. I want to see really low numbers. And then again, sometimes some of that money is going to be pushed over to the next month. So quarterly, it made sense. Quarterly, it was beautiful. Month by month, it was a little wonky, but just making that   change because we were checking the financial health of the practice because things didn't feel like they were making sense. So we, the office manager and I pulled the full year's PNL and we did line item by line item comparison 2024 to 2025 percentage change on each space, went through and figured out where the spending was, went through and line itemed everything and then added it like you said to the scorecard to see those differences, massive.   massive improvements where the docs were feeling like cashflow was like, ⁓ we were freaking out. And it was like, well, these are the areas where you intentionally spent money and were actually only a 16 % difference overall year to year. And they were like, ⁓ so we didn't increase enough, but their spending was purposeful for taxes. We just didn't look that way yet on paper.   Regarding financial health of the practice, that was exactly what we did, but adding it, like you said, to the scorecard and looking at, I think the scorecard's just really cool because it allows you to see over time. Whereas a new sheet is I'm only dealing with today. So I'm only looking at today. I might look at it and say, oh my gosh, my employee percentage was 42%. That's real life, I've seen that in an office. It was 42 % this month, and you're like, cut hours. But over the quarter, it was,   30 % or 31%. We had a spike because we had a collections dip or whatever. So I think adding it where you're seeing that kind of comparison allows you to see what is the trend here or is this an abnormality? Does this level itself out? Am I on track for over time or do I need to jump and hot fire? And Kristy with that said, like, you think, as I'm saying that I'm thinking,   Is that a space where we could even tame our emotions around finances? Because we're seeing so much data in a bigger spectrum where we can see trends, uptrends or downtrends, rather than this like, my gosh, payroll was so high, I've got to tackle that. It's allowing us to see a broader picture. Do you think that helps reduce some of the emotional, like just quick fixes?   DAT Kristy (19:34) Absolutely. And we don't want to react, right? Many times we go to that mindset of cut, cut, cut. you, and you know, one of the things that I learned a long time ago is you can't focus on the opposite. So if we're focused on cutting, then we're not focused on producing, right? And so yeah, you're 100 % right, Tiff. I think it does calm the reactionary, right? It's good to know, notice, but then look at the bigger picture.   The Dental A Team (19:48) Yeah.   Mmm.   Yeah, gorgeous. As I was talking like, my gosh, Kristy, that's why you do so well with coaching in my opinion, because you are very, very good at being data and results driven, acknowledging the emotional aspect and not discrediting that by any means, but being able to focus back to what the drivers are and then being able to acknowledge and address any emotions that are still present. But you do well removing that because   we're looking at data and data is non-emotional. You can come up with something and there's been so many times where I could think of so many offhand where I've data-drivenly discussed something with a client and they're like, ⁓ and the emotion kind of disintegrates, it dissipates because it was attached to what they thought to be true. And when they saw the reality, there was no need for that emotion anymore.   DAT Kristy (20:59) Exactly. Well, and to be honest with you, it goes both ways, right? It's the same thing as if we're only looking at the practice numbers, sometimes they think they're doing very well or not doing well, either one. And then once we look at the overhead numbers, it's like, actually, you're here, you know? So ⁓ it goes hand in hand both ways. I always like to say, you know, if I had a pizza business and I was going to sell pizzas,   The Dental A Team (21:18) Yeah. Yeah.   I love that.   DAT Kristy (21:29) I need to break it down and figure out what it cost me to make the pizza, then I can go sell the pizza. But so many times we don't do that and we just put it out in front of us, right? And then on the back end of it, we do have to measure how many pizzas did we sell and how much did we actually spend. Sometimes we forget to go back and look at the cost too.   The Dental A Team (21:34) Yup.   Yeah, wow, that's a very good point. Very good point, which is where the P &Ls come in handy and the line items. And I think the P &Ls will group it and lump it into categories, but every now and again, maybe like once a quarter or so, really looking at what are they putting in those categories so that one, you're making sure they're still super accurate from the bookkeeper and two, that you're not like Amazon spending. There was a couple clients that I saw.   DAT Kristy (21:56) Mm-hmm.   The Dental A Team (22:19) I'm like, what is going on? Why is this category so jumpy? One month it's massive, another month it's not, and they get lumped into office supplies and front office supplies, and all of a sudden it's $3,000 when realistically budgeting-wise it should be $1,200. I'm like, what is in here? And they're like, Amazon goes in there. Every time we want something or Doc says something, we just press the order. And I was like, ⁓   Got it, we need some systems around Amazon or Walmart. I've seen like, I just run to Walmart and I grab what we need every week. And I'm like, my gosh, there's weekly ordering will hurt you every single time. Any kind of weekly ordering. If you can't budget the ordering in a monthly fashion or maybe twice a month, I'll give leniency on twice a month, then we need to talk. Cause that weekly ordering will hurt you every single time.   I think this is all really good, Kristy. I love this. I love this. And I go ahead.   DAT Kristy (23:16) Yeah. I was   to say, I agree with you. mean, we can liken it to our own space if we go to the grocery store with a list or without a list. What is our end result when we pay? You know, so I'm with you. I'm with you. I'm like for dental supplies, we can go to twice a month, but have it fixed and then make sure you're staying within the confines of the budget.   The Dental A Team (23:27) Yeah.   Yes, yeah, that's actually brilliant. Yeah.   Yeah, I agree. And I think that was that was a super great thought process there. Because if you're not planning even your dinners, right, I'll plan my dinners for the week. So then I know what ingredients I need and what ingredients if I know what ingredients I need for specific dinners, I know what I can reuse as well. Otherwise, I'm going to the grocery store just kind of getting random things that I think I can make into something. And I'm ending up at the grocery store a couple times a week to replenish or, you know, supply those missing pieces.   And so if you know what your schedule is, if you know on average how many crowns you're doing, how many fillings you're doing, how many implants you're doing, you can have an average guesstimate of how much of each supply you need to keep on hand, which is then going into your budget for your ordering. So that was beautiful. Yeah, good job. All right, guys, financial health is massive. And it's something that I think all of us, Kristy,   Trish, Monica, Dana, myself, we all just work really, really hard to ensure that it's top of mind for all of our clients. But if you're here listening and you're not yet a client of ours and you're a Dental A Team podcast listener for life, we love you and we wanna make sure you have this information too. please, by all means, somewhere around the 10th of the month, because we know it's probably gonna go longer, make sure you've got those panels in there. Talk to your bookkeeper. If you are the bookkeeper, I have a couple clients like that.   Put it your calendar, you guys. If you are your own bookkeeper, that's fine. I'm not gonna judge you. I think it is a task that you can easily pay for, but I'm not here for that. If you are your bookkeeper, put it in your calendar and you should have that sucker done by like the fifth or the eighth of the month because everything should be closed out. Review your PNLs monthly and quarterly and yearly. Review your spending habits constantly. I have a lot of practices that'll look weekly.   I have a lot of practices that'll look monthly, whichever works best for you. Just make sure you're reviewing those spending habits and then budget for your team. So your supplies ordering, your front office, those are the easiest places to budget. Make sure that you've got an ortho budget added in there. If you have ortho fees and ortho costs that are outside of like Invisalign, things like that. I have a lot of practices that do bracket style ortho and they need a lot of supplies that has to be separated out.   Those are your pieces, you guys. Those are the easiest ways that you can tackle real life, real life, in time, financial health. And we want you to go do that. Kristy, thank you so much for your insight. You truly do so well with your clients and we get to see their progress constantly and those needles are always moving. And I know that it's because you can take that black and white results driven perspective. So thank you for everything you do for your clients and everything that you bring to Dental A Team every day.   DAT Kristy (26:33) Thank you, it's fun.   The Dental A Team (26:35) I know,   I know, I love watching you do it. You really do love it. And it makes me really happy. All right, guys, that's a wrap for today. Go leave us a five star review. Let us know what was super helpful. Maybe there's some tips and tricks you've got that you can share with the world. I'm telling you, people really do go read those. So if you have things in there, they will see them. You can drop us an email, Hello@TheDentalATeam.com. We'll be happy to get you over any documents that might help. We do have some.   budgeting information, we do have some overhead spreadsheets, things like that. If you need help with that, just reach out and we'll catch you next time on the Dental A Team podcast. Thanks guys!

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

This week on Sibling Rivalry, Bob and Monét debate the right room temperature, Invisalign etiquette at the table, and whether teeth are technically bones. Bob talks about almost getting scammed during a dental visit and recalls his vending machine investment, while Monét shares how she was duped over custom wigs, grills, and an Uber scam. They compare plant knowledge, discuss bulls and bullfighting, and test what they know about pH balance. Plus: doxy-PEP in the UK, people who call every ex a narcissist, and whether they've ever scammed anyone themselves. Stop putting off those doctors appointments and go to https://Zocdoc.com/RIVALRY to find and instantly book a top-rated doctor today! Want to see exclusive Sibling Rivalry Bonus Content? Head over to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.patreon.com/siblingrivalrypodcast⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ to be the first to see our latest Sibling Rivalry Podcast Videos! @BobTheDragQueen @MonetXChange Learn more about your ad choices. Visit ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠megaphone.fm/adchoices⁠⁠⁠⁠⁠⁠ Learn more about your ad choices. Visit podcastchoices.com/adchoices

Dr. Tiffany Green is a pediatric dentist from the Jackson, Mississippi area. We have a great lunchtime conversation regarding a variety of topics including:- Why dropping Delta Dental was the right move for her practice- How her love for running keeps her sharp as a pediatric dentist- Why DSOs are struggling- Dr. Green's experience and appreciation for Invisalign First, and how she incorporates ortho into her practice

In this episode of the Untethered podcast, Hallie Bulkin and her daughters, Lily and Mia, share their experiences with dental expanders and clear aligners. They discuss the feelings associated with getting and removing expanders, the transition to Invisalign, and the daily challenges and funny moments that arise during their orthodontic journeys. Hallie also provides an update on her own dental treatment, emphasizing the importance of airway health and the overall benefits of these dental appliances for both children and adults.In this episode, you'll learn:✔️The experience of getting an expander can be uncomfortable but is manageable.✔️Removing the expander can feel liberating and improve speech.✔️Clear aligners offer more flexibility compared to fixed expanders.✔️Daily life with Invisalign includes challenges like remembering to wear them.✔️Kids can adapt well to orthodontic treatments with the right support.✔️Funny stories often arise from the challenges of wearing dental appliances.✔️Maintaining good hygiene and care for aligners is crucial.✔️Airway health is an important aspect of orthodontic treatment.✔️Parents should encourage kids to share their experiences with peers.✔️Open communication about dental treatments can help alleviate fears. RELATED EPISODES YOU MIGHT LOVEEp 331: Inside My MARPE Journey with Hallie Bulkin, MA, CCC-SLP, CMT®, CPFT™Episode 322: Child Expansion Journey: Real Talks with Lily and MiaOTHER WAYS TO CONNECT & LEARN

Kiera joins the Raving Patients Podcast to talk about obtaining that CEO mindset to systematize your practice. This mindset does not mean doing it all yourself, but leaning on others to maximize their skillsets. Kiera also discusses with Dr. Len Tau how to separate yourself from having your entire identity associated with dentistry. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: Speaker 1 (00:00) Hello everybody and welcome to another episode of the Raving Patients Podcast. As you know, I'm your host, Dr. Len Tau, and I am super excited today for multiple reasons. Well, first, before I get there, I want to first thank my sponsors, both Dental Intelligence, CallRail, and a new one, Net32. You'll be hearing their commercials as well, so check out those companies. And again, the only reason I'm able to do this every single week is because of their support. I also want to remind everybody about   my event, is only one week away. One week from now we'll be gathered in Fort Lauderdale for Supercharge with Dental Practice 2025. If you wanna be a come out last minute registrant, you can reach out to me. I will be glad to add you as a guest of me. So please reach out to me. You can check out the content at SuperchargeYourDentalPractice.com So I said I was super excited and I'm super excited because of our guest today. And she's been a guest before and I just recorded an episode with her on her podcast. ⁓   We're talking about Kiera Dent, who is from the Dental A Team, and we're gonna be talking the CEO mindset systematizing your practice for freedom and growth today. So before I let ⁓ Kiera take it off, I'm gonna go ahead and introduce her. So she is the founder and CEO of the Dental A Team, an entrepreneur, consultant, speaker, and podcast host dedicated to helping dental professionals reach their highest potential. Through customized in-office and virtual consulting,   She empowers dentists and their teams to cultivate an ownership mindset and achieving lasting growth. With experience spanning every role in the dental practice, front office, dental assistant, regional manager, and even practice owner, here brings unique first-hand perspective to her coaching. Alongside her team of expert consultants, she has partnered with hundreds of practices nationwide, leading them to greater efficiency, profitability, and fulfillment. As she often says, we don't just understand you, we are you.   So please welcome to the Raving Patients podcast, Kiara Dent. Kiara, thank you so much for being a guest on my podcast today.   Speaker 2 (02:03) Oh, Len, thank you so much. so excited to be here. I loved our podcast we did together. I love the podcast we did in the past together. I'm super excited about Supercharge. Everybody should go. We're going to like sneak peek, be there in 2026. Like Len, huge fan of you guys. Just excited to be here with you. So thank you. Thanks for having me. And yeah, it's always a little weird and fun to hear your bio read right before you get on. So just grateful to be here and just like have a good time with you. It's always a great time when we podcast together.   Speaker 1 (02:30) Well, I'm excited to spend the next 30 minutes or so with content from you. So I always like to ⁓ start off for people that don't know who you are. I obviously read your bio. Can you just tell dentists and other people reading or listening and watching this episode how you help dental practices?   Speaker 2 (02:50) Yeah, absolutely. So with the bio you heard, I started out as a dental assistant and then went throughout and I've owned practices. My first practice I took from 500,000 to 2.4 million in nine months and opened our second location. And that was with a Midwestern grad. I worked at the dental college there. And so helping practices, what I learned was   I've been a team member, I've been in so many of the team roles. And then in addition to that, I've owned dental practices and I understand the business and I've run multimillion dollar practices and businesses. so bringing that perspective, I feel like there's the dentist perspective, there's the owner, the CEO of the practice, and then there's the team perspective. And both are necessary for practices. And so Dental A Team, say like, it stands for dentist and team. So what we really do for practices is whether it's virtual or in person, it's...   I call it the yes model line is what I like to say is number one, you as a person, we're going to focus on your vision, where you want to go as a doctor. Like what is your vision? The practice should serve your life. ⁓ because I believe that when you're supported, you're actually a better owner, a better boss, a better dentist. And then we go to E stands for earnings and profitability. We've got to make sure it's a profitable practice. And then we use those things, the vision and the numbers to then tell us what systems and team development we need to put into place. I'm really much a custom.   Let's see kind of like dentists do with patients. Like let's do a comp exam. Let's see where we're at. And then let's go for what's going to make the biggest impact with the least amount of effort. And being team members ourselves, I really think that we're able to like, Hey dentists, we want to hear your vision. We need to know where you're going and then go do your like favorite thing. It's dentistry. And then let's help your team be empowered to learn how to run the practice. So it truly is like a self-managing team, utilizing every single player in the team to their highest potential, but doing it with a ton of fun and ease. Like as a team member, I didn't want more hard work.   As an owner, do not want you to give me more homework. I'm already busy. So I feel like we really come in and bridge that gap of like where we are to where we want to go and do it in the easiest, most efficient and most fun way possible to help like team and patient experience be the top that it can be.   Speaker 1 (04:48) So I guess someone's listening to this podcast and they say, you know, want to, I want to change the culture in my practice, but I'm very much a micromanager.   So which means they're not focused on their dentistry, they're focused on managing the team. Do you help with that? Because there are so many micromanagers out there. I always wanted them for a very long time. And honestly, wasn't until I gave up that micromanaging and I just did the things I was going to do that my practice excelled. So ⁓ that's something, if someone's a micromanager, do you get them off doing that? Or how do you deal with that?   Speaker 2 (05:19) Yes, and I'm so glad you said that because I think most   Founder owners are micromanagers. think leadership we believe I I think so many there's this belief out there that we just come into this world as great leaders and we should just know it like you went to dental school you should just know how to be a leader and leadership is a journey and so for those micromanagers I think it's really fun to have the doctor and the team perspective and to be able to help both of them say like no doctor like these are the things but what I found is doctors micromanage because there's a lack of communication feedback loops so it's a lot so it's either a lack of communication and feedback   loop, a lack of knowledge, or they just like genuinely want to be a manager and they don't want to be an owner. And I'm like, great, let's just figure out what the the reasoning is. And then let's find the solution to that. So if team members have doctors that are micromanaging, first question I'm looking at is like, where's the feedback loop and what are we missing? Next is like, hey, doctor, I understand that this is where we're at. This is where I need you to be for the growth of the practice. What do you need to feel confident to be the dentist, to be the like not micromanaging like   there's a lack. And when I realize there's a lack and when teams can realize that there's a lack, like there's just something missing, we fix that, dentist is now able to be happy, team's able to flourish, everything starts to move in in a good motion. absolutely. I think being team members ourselves, we're not doctors, we're not dentists. Like, Len, I'm gonna lean on you for clinical. Like, that's not my world. I'm not here to even discuss it for one minute. But what I am here to do is to bridge that gap between doctors and teams.   Because ultimately it's same team, like everybody wants the best experience for the patient. We want the practice to flourish. So if we're all same team, let's help get people right seat, right person, help them understand what they should and could be doing. But also like office managers, there's this whole weird world for them too, where they've never been taught to be managers. They've never been taught what they should or shouldn't be doing. They've never been taught like what the difference between an office manager is and a biller and a scheduler and a treatment coordinator and how all those roles are different. And so helping people understand even what their job entails.   I think really can cut that micromanagement passion project. It's just a lack of knowledge and so teaching teams and teaching people, but we're very hands on. I really don't like fluff. That's why think when you and I get along well, I want it to be tactical. I want it to be practical and I want it to be something that's sustainable as well.   Speaker 1 (07:34) And that makes a lot of sense. And that was a great answer, by the way.   We're talking about, obviously you're very systematized. You put systems in place, the team follows, everybody knows what they're doing, runs like a well-oiled machine. Okay. And that's how my practice was when I left, when I was traveling. ⁓ I knew things, I didn't worry. I knew that things were going to be done like this. They knew the roles, team members didn't need to be scolded. They just knew what their role was in the practice. So, ⁓ I know there are things, I like a term here you use the chaos creators. So there are chaos creators in the, in the office. So what are some of these, these common chaos creators?   ⁓ that actually can be helped by putting systems in place.   Speaker 2 (08:13) Yes, and I love that you brought that up because that's the ultimate goal. That's why I wanted this to be called like the CEO mindset. Like doctors, like you should be a dentist and you should own your business. You should not be the one managing. And when you recognize that this actually can be one of the biggest chaos creators in the practice of doctors trying to be the doctor, the dentist, the CEO visionary, plus the manager, plus all the other parts of the practice. Like that is a chaos creator, not knowing right person, right? See is a massive chaos creator. Number one thing I hear every time I go into an office or I work with someone,   is it's communication. And communication is again just a system that needs to be put into place. So how do team members know? Like what is our true morning huddle? It's not a time for us just to hang out. Like why do football players huddle? Why do basketball players huddle? They huddle to win the game. So what does winning on our practice even look like? Making that very clear for our team. Other things like handoffs. That's another communication drop that's a chaos creator. What doctor says to the patient, to the hygienist, to the front office,   It's such fun. I feel like we play a game of telephone. So putting in a little simple system there where we've got a great communication handoff and a process. I know Len, you and I are very big on this case acceptance process of just really having a great clean experience for the patient. These are chaos creators. Also, team members even knowing what their job should be, understanding how they go from where they were hired to how they can get raises. Those are chaos creators. The scheduling. How do we schedule? Let's have block schedules in there. Let's have   a way that we do this in our practice. I remember when I was a scheduling coordinator, my office manager said, Kiera, do not even think about scheduling outside of the blocks until you learn why we schedule the blocks the way we do. And you're right, like when team members know the rules of the game, so much chaos gets eliminated from the practice. like quick things are have great meetings and truly great meetings. If you don't know how to run a great meeting, Traction by Gina Wickman.   It's a little bit of a dull book. However, there are so many paramount pieces in that book and great meetings could be in there. Doctors and OMS have a same page meeting where we're looking at it. Get our KPIs in place where we know where is the practice even going? What is each person's number that they can like impact and improve in the practice? Have like set job descriptions, have protocols of how we treat a patient. What's our hygiene period protocol? Let's just have like really simple systems and I'm big on I don't like to remember things.   Like I love holidays, holidays are on a cadence. So how can we actually get cadences within your practice to where things really can run on more of an autopilot rather than trying to constantly like catch all the balls and remember things? That's the chaos. The chaos comes from the like not knowing and trying to scramble and being in reactive rather than proactive modes.   Speaker 1 (10:53) But that's really good, that's really great. So another question I have for you, there are dentists who are just dentists, and I don't mean that negatively, but they go in with the expectation that they're either gonna be an associate forever, or they're just going to practice and let everybody run the practice and they're just gonna come and do the dentistry, okay? Versus having the mindset of and acting like the CEO, okay? And there's a big difference. One, I believe, has a lot more stress.   I like to talk about it because I was the CEO of the practice. I handled everything. I handled the marketing. I handled the HR. I handled all of the things that makes it different than just being a dentist and putting your hands in the mouth and treating a patient. So if someone wants to act and think like a CEO, what does it really mean to do that versus just practicing dentistry and doing the dental work?   Speaker 2 (11:51) Yes, I'm so glad you brought this up. I've been like crushing on this idea. We actually just ran a three day CEO dentist workshop. like.   obsessing on this right now because there is nothing wrong. And I think that there's a few hats that people wear. I wear a consultant hat. I also wear a CEO hat. And they're actually and I think about big companies like let's look at Google. I know that CEO is not coding. They're not. They're not building it. They're truly in a CEO realm. And so when we look at like what does a CEO do, they are the chief executive officer. Like their job is to execute. Their job is vision. Their job is culture.   and their job is to like really steer and guide the ship and to come up with great ideas. And so when I look at that, I think that there's two hats for CEO dentists to wear. There's the true clinical dentistry, if that's what you want to do and continue to do. And then we really do need somebody who's guiding and leading this business. And I think when dentists, I know this can be a little like not favored, ⁓ dental practices are multimillion dollar businesses and they are. when we realize that they're   They are businesses and like you said, the HR and the marketing. But when you look at large businesses outside of dentistry, they have other players in the realm and in the rink with them to make it actually run as a very successful business. And so I believe that when we understand the business portion of dentistry and we have great clinical care, that's when we're able to serve and help more patients and more team members. And so helping these dentists realize what does a CEO do? And I actually pulled from Dan Martel.   the author of Buy Back Your Time, like obsessed with his book, met him in person, like raving fangirl. It was like slightly embarrassing, like how big of a fan I was of him. ⁓ But he has his delegation ladder in there for businesses and actually created a delegation ladder for dental practices of when CEO dentists go from like your right line, a lot of them do it all. And that's, think, where the burnout is and the chaos is to where when can we start to delegate? Like, do you have a personal assistant who answers all of your emails for you? And if not,   Administrative tasks are one of the best things to delegate. Then we move into like our scheduling and then into our customer service and the patient experience. And then we move into treatment planning. A lot of doctors do that on their own. And I'm not here to say you have to give up anything, but I am here to say that when you truly take on the role of CEO, trying to do it all actually creates chaos. And you actually, you're the bottleneck of the business. And so then we start to delegate out the case acceptance if you want to. You're allowed to keep whatever you want, whatever you're great at.   Then we delegate out the marketing, then we delegate out the, actually, me and my operations manager were talking that I believe that there's two spaces within leadership. There's the executive side, that's these big picture visionary pieces. And then there's the management side, which is the HR, the protocols, the accountability of the team. And when we had that like, and I believe that there's, it's like a black and a white, yin and yang, perfect whole, you need both sides of this leadership within that CEO realm.   But when you're trying to do all the pieces as a CEO, you need to know every aspect going on in the business. But that does not mean you need to do every aspect of the business. And so I think it's like figuring out which colors you like to paint with, which ones really are your zone of genius and then starting to then delegate in strategic manners, delegate and elevate, not abdicate ⁓ really are how you can make this where you become truly the CEO of your business and your practice. And you're able to have great players around you that are able to then.   Make sure every other part of your business is thriving and flourishing too.   Speaker 1 (15:19) Got it.   Speaker 2 (15:20) So   much line, I hope it wasn't lying.   Speaker 1 (15:22) No, that was great. That was great. I mean, they should replay that because I think there was some really good nuggets and pearls that they can take back. So, you know, I want to talk about delegation. ⁓ you know, Invisalign is a great product ⁓ to bring into the practice or aligners in general. doesn't have to be Invisalign, just aligners. And aligners are really good, but they become really profitable ⁓ when a dentist is willing and able to delegate the tasks to other team members.   And personally myself, I used to do it all. And then I took a class by somebody, can't remember who it was, but it was all about giving the empower your team to do things and delegate the services to them where you're literally kind of just doing the initial consultation and whatever is required by your license in the realm of the things. But the team is able to do mostly everything else. And once you do that, ⁓ Invisalign becomes a very, profitable procedure.   So what advice do you have about delegation to somebody, to a dentist who really feels like they need to do it all and does not want to give up control of anything?   Speaker 2 (16:28) Len, I'm so happy you asked me this question and I'm so happy that I'm a team member and I'm gonna put on a team member hat, not a CEO hat on this one. ⁓ Number one, I really, really hope, and dentists, if you need to pause, replay, record this and listen to it every single day, I really hope you do. ⁓ As a team member, my number one job, genuinely speaking, and doctors have told me so many times when they've heard me say this, it...   hopefully will strike you to your heart as well. As a team member, my number one, like genuine number one objective was to make my doctor happy and to make their life easier. And that was honestly what I did every single day. As a dental assistant, I'm looking ahead. I want to be seven steps ahead of you and I want to make sure that you're truly like set up for success. I want to make sure that patient's back on time. I want to make sure that hygiene exams are on time. And I think that while yes, you might have some team members that make you question this statement.   I think 95 % of the population is genuinely good and they want you to thrive and they want the patient experience to be great. So when you hear that and you truly honor that and you respect that and you trust that, you then will realize that one of the best things you can do is, I don't believe in delegating. So like I can empower, but if I empower and don't hold accountable, then I've created entitlement within my practice. So I want to empower through delegating of this like.   As a dental assistant, do know how happy I'd be if you gave me, can fit a line. I understand I'm going to make a few mistakes, but oh my gosh, the growth, growth equals happiness. So for your team to be happy, give them opportunities to progress. Like that's what creates the happiness and the sparkle and the zest in life. And so really when you empower your team and hold accountable, you don't get this entitlement. When you empower and don't hold accountable, that's when we get these entitled teams that genuinely then it just becomes mayhem in your practice.   So like you said, delegate these tasks that one, either you're not good at, or I do think about everybody should be working at the top of their license. What are you able to produce per hour? If there's a task that I can hire somebody for less than you can produce an hour, it's probably something that we shouldn't be using your time for. And I know as a CEO, as an owner, this is actually hard for me because you strip me of things that I'm actually really good at, but reality is there's better uses of my time. And when you can recognize   giving everybody the best use of their time. Me as a dental assistant being able to do Invisalign, you've now just lifted and elevated me to the highest level of my license as well. And so I really do believe like doctors, one, believe that your team is truly here to support you. And if they're not here to support you, they're not your right team players. they like, great, let them graduate to somebody else and you bring somebody else in. Two, empower them and hold accountable to ensure that it's like how you want it done. And team members like,   You can share this with your team. I'm happy to share this one reason I like to do this. Team members, give the feedback to your doctor. They are going to trust you so much more when you come back to them and you show them the things you listen to what they say, you create the protocols, you do it exactly how they want you to do it. That will build trust and confidence so quickly. Team members lose doctor's trust so quickly when they like lacked to follow through and like truly do what the doctors have given them like stewardship and ownership over. So for those doctors and like you said, Len.   You won't understand until you try. And when you do try, you will make mistakes. But I believe, this is my philosophy, anything that I've delegated never gets to come back to me. And I think when you have that notion and that idea, well, I know it could never come back to me. You actually make it really, really great. You train your team. You help them have this. ⁓ And I then believe everybody's able to flourish so much higher. So hopefully that answered of like, one, you need to delegate and you should delegate.   Two, what are the tasks that you can be doing that are like helping you work to the highest level of your license? Everybody working at that is going to make a better team experience, a better patient experience, and all around a better practice for you as well.   Speaker 1 (20:20) I think you, I mean, the content you're providing, the listening and viewing audience is spectacular. you know, one of the, I guess, negatives about being a dentist is a feeling of being overwhelmed. A lot of stress. You know, that's part of the reason why I think you've got, you know, dentists with the highest, one of the highest suicide rates out there is that, you know, it's a very stressful job. I mean, you've got a lot of debt, you've got a lot of, you know, people relying on you for income as well. So what mindset   do you think exist ⁓ that or traps do you mindset traps do dentists fall into that that keep them feeling overwhelmed and and what do do about that?   Speaker 2 (21:00) Yeah, this is something so real to me. My first practice, I mentioned it briefly at the very beginning of we took our practice from 500,000 to 2.4 million in nine months. And when I present and I speak, I often will bring up like the success story and I list off my stats of our practice. I asked the audience, said, who wants this practice? And like hands go up and people are like shouting like, yes, I want this.   And then I say the other side of success is that this person, is me, like, spoiler alert, I was 98 pounds and I'm 5'8". I ⁓ had divorce papers on the line. I remember like I walked out of my practice that like one day and I remember just like standing on the sidewalk and being like one step and all this could be over. Like it was, and I'm not a dentist. I didn't even have the pressure of having to be in the exam rooms, but I do understand the pressure of business. And that's actually what's like fueled my passion in consulting is.   Because I thought like if this is how so many of us feel to get to success, Tony Robbins has a quote that success without fulfillment is the ultimate failure. And that was curidant in a nutshell. We had success on paper, but fulfillment was lacking and my entire life was falling apart. And so when you ask like, what are some of these zones that keep people in this mindset is one, I think that we believe that to get to success, we have to grind it out. We have to hustle. We have to do it all. Like it's this hustle mentality that I believe is so false.   Yes, I do believe that hard work is required, but I don't believe you have to do all of the work. Just like we talked about before, also think delegations paramount. I think so many of the doctors that I see there in this burnout are just, it's like grippy. Like they want to hold on to everything and they're not willing to let go and they're not like, also you're telling your team that you don't trust them and you don't believe in them when you do that as well. So you're actually causing like this double-edged sword on it. And then third, I think ⁓ we just don't take time to stop and pause and realize like what really is necessary.   I think so much like when I sold out of the practices, my whole identity was associated with that. if we have our identities associated with these practices and with the success, well, I can imagine that that feels like chopping off your arm and your leg if you were to fail. therefore, if it's literally my physical body and I feel like it's my whole identity, I literally remember the day that I sold out of the practices. I felt who is cura dent, who is she? Like I have no purpose in this world anymore. Nothing is important. Like I don't even have a family. I have no practice.   I felt nothing and I think when people's identities are associated with this rather than having something else. So I talk about like what makes all of you up and I remember like like looks like this weird little doll. Like it's such a weird outline that I make people do but I'm like draw to me like how your life is and when I do this usually it's like from your neck to like your ankles that's work and if that much of your identity is associated with work in your practice.   What could we shift this to more so your whole identity is not associated with that? So that's like we go work out, we have time with family, we book the vacations and when you start to realize that there's more life outside of the chair, more life outside of it and you being a well-rounded human that truly and I don't like the word balance, I just love the word well-rounded and fulfilled. When we start to add some of those pieces in which again feels contradictory, it feels like if I give this up that I'm not making money. I used to say I don't want to sit on the couch and watch TV with my husband because I'm literally not making money.   That's one of the the grossest statements I've ever said, but Len, it's truth. I really truly felt this way. Like the only purpose is to be producing and to be productive. But I didn't realize that. Like you look at that athletes have to take a break and they have to reset. They have to recharge. They have to like the best time is actually the recovery off season. ⁓ no, no person can continue operating at 110%. And when they are operating, they're actually not their best self. So there's just as much beauty in the recharge off time.   as there is on the productive on time. So when we can delegate, when we have more purpose beyond just our practice, and it's okay, work to me is very fulfilling. It's such a big part of my life. I love it. ⁓ But it's not all of Kiera's identity. So if I were to lose work, Kiera and hopefully you can still exist outside of that. ⁓ And then truly having shut off time. A lot of clients when they come on board, I tell them, I'm like, I'm giving you the greatest gift. You're out of work today at 4.30 and I don't want you to talk about work. Close the laptop, walk out and literally leave it at work.   And what's crazy is people don't realize that you can actually get a lot done within your four or five hour, like four or five day a week work week. And to be home with your kids, to be home with your family, to go to the gym, to replenish your bucket that gives out so much every single day ⁓ really is what you actually need to be doing rather than trying to produce more. And it sounds contradictory, but it's true. You will actually produce more and be a better producer and happier business owner if you will do that.   I know that was a long-winded answer, Len, but I really hope that people can see there are two sides of success. The word itself of success has a portion of suck. Like there is a side of business that is really hard that does require that grind and that hard work, but there's also a beautiful side. And I think when people can dance in that, can see that their whole identity is not the practice. It's not all dependent on that and they fill themselves and fuel themselves. Literally, I feel like the burnout can be dissipated very quickly.   If you've been going on it for a long time, it will probably take a little bit longer, but these small, simple steps will make you so much more fulfilled. And honestly, I hope nobody listening to this podcast hit success without fulfillment. I hope all of us commit that while we're giving the great patient care, we're giving back to all these people, we equally get to deserve and we should deserve to have a beautiful life of our own as well.   Speaker 1 (26:39) So nicely said, very eloquent in way you said that as well. last thing I want to cover is, we talked about being overwhelmed. stress is also part of being overwhelmed. very stressed. What are some ways that you think a dentist can reduce the stress on a day-to-day part of his practice? If someone said, hey, I'm so stressed, I don't know what I'm going to do. And you hear it a lot. I I talk to dentists all the time. And one of the common denominators is that they're   You know, when I sold my practice, I was never truly, truly stressed out. The stuff that stressed me out, honestly, was stupid stuff. But since I sold my practice and retired, I don't really have much stress in my life anymore. It's very interesting. But what are some things that dentists could do to reduce those stress they see on a day-to-day basis?   Speaker 2 (27:29) Yes. Okay. And I said, yes, because I'm to go back to the S model. The S model is literally like my stress booster buster for you. Number one, where do you want to go and why? Like figure out you that truly if you don't have a North star, you don't know what you're going for and reassess to make sure that's really where you want to go. So many people put this like, I want to have four practices and I want to have this. And I'm like, why? You got to be able to tell me why I'm making sure it's your dream, not the dream you think you should be living.   That's like number one to get rid of stress, like truly living your dream. And I will tell you, you're allowed to like, it's in pencil, it's not in permanent ink. You can erase it, you can recraft it, you can recreate it. That's going to cut stress. I was chasing after a mountain, I didn't want to climb anymore. And when I realized that, that was a pivot shift. So number one is like, make sure you're actually truly going where you want to go. And that's the you. Earnings like profit, like Len, so much stress comes from not knowing the numbers.   And I know people sometimes want to avoid it. They don't want to look at it. Like I'm just going to go do production. I want to do ethical dentistry and I will tell you both exist. It's not an or like you will you as a human are going to naturally do ethical dentistry. Like you can't go against that. That's who you are at your core. And by knowing the numbers, you're not going to go and overdiagnose like I promise you it will not happen. But knowing the numbers and actually like looking at your cash, what are you spending money on? What do you need to produce to be able to afford the business?   Doctors learn the numbers and they actually use the numbers to make their decisions. Stress dissipates. I have so many doctors that reach out to me because they're cash flow poor and I'm like, you're producing 200,000 a month, how are we broke? ⁓ So actually understanding how to use numbers and not to be used by numbers and knowing how you actually can get money and like what can you live on and understanding tax brackets and savings like that discipline might seem constrictive, but I will tell you it is the most freeing stress free piece that you can have.   And then third, our systems and team. Like I'm going to like just really keep like painting this picture for you. Delegate to your team, use your team, put the systems into place. And we don't go for the whole elephant. We don't do the entire thing in one night shift. What we do is we look at the numbers. Where are numbers low on the KPIs? Let's go fix a system over there. So we fix that part of the leaking bucket. Just that alone, like even myself, I felt it like the hoosh of reducing that stress for you. ⁓ Start with your vision.   know your numbers and then put systems into place and team delegation and elevation ⁓ that will immediately reduce stress. And then like just quick, what is the one or two hot pain points right now causing the bulk of your stress? Let's figure out how we can eliminate those right now. And I want to, everybody always says, Kiera, there's no way like I can't do this. The answer is yes, you can. Yes, you can. And when we get out of this, I can't get that, I can't do this. We actually find the true core of what we can solve. Usually the answer is pretty simple and it's pretty immediate.   if we're willing to just let go and take action. So those would be kind of my like four little steps to reduce stress quickly and easily. And if you can't see it, sometimes having an outside voice and outside perspective, sometimes you're too far in the weeds, that can be very beneficial for you as well to like take you by the hand and say, here's step one, two, three, four, and they're there to guide you as well, rather than you trying to figure it out yourself.   Speaker 1 (30:35) amazing. This is great. ⁓ I want to shift for the final few minutes that we have together. I want to shift to my lightning round Q and a that I like to do with guests. We're going to get through eight to 10 of these. Okay, ready? The rule of thumb for this one, you like long winded answers, which is great. But for this one, it's very, fast. No long, no long winded. We'll never get through this.   Speaker 2 (30:47) So   You got it, Len.   Speaker 1 (30:58) So I opened my app up. First question, what book do you want to go back and reread as it's made a great impact on you the first time you read it?   Speaker 2 (31:07) I would go back and reread Bye, Your Time by Dan Martell. I feel like there's a lot that I could relearn from that where I'm at today.   Speaker 1 (31:14) repeat that one more time.   Speaker 2 (31:17) Yep, buy back your time by Daniel.   Speaker 1 (31:19) Buy back your time. I'm just writing it down. All right. Who has been your greatest inspiration?   Speaker 2 (31:25) Gosh Tony Robbins hands down. I love Tony so much. I look up to him a lot. I've been in his Lions group ⁓ the reason I look up to him is because He said one time the Tony you see in front of you is the Tony I created it's not from my parents It's not from business. It's not from anybody else It's who I want to be and who I esteem to be and he said life is always happening for you and not to you and those two pieces have Resonated with me so much in my life ⁓ truly one of the like   biggest, greatest mentors and I've been really blessed and lucky to have him directly mentor me, which have truly changed the trajectory of my course, of my life as well.   Speaker 1 (32:04) Awesome, amazing. ⁓ If you could take a class to learn anything, what would it be on?   Speaker 2 (32:10) marketing. Len, hate marketing. Call my Achilles heel. I learned so much and I think I know more. But man, if I could like understand it on a really high level easily all day every day and I take a lot of them. But man, one like magic one that would teach me everything. Yeah, it'd be amazing.   Speaker 1 (32:26) Amazing. Do you believe there is some sort of pattern or formula to becoming successful?   Speaker 2 (32:33) Yes, I do. It sounds like cliche. I didn't like, I think the yes model came from what I believe success is like you having a vision, looking at your numbers and then putting systems into play and using your team ⁓ and surrounding your yourself with people that are living and doing the life you want. I really do believe we become like the people we surround ourselves what we listen to. So that's what I would say is the path to success.   Speaker 1 (33:01) Amazing too. Has anyone in your network other than Tony Robbins, has anyone in your network been important in your journey or to your journey?   Speaker 2 (33:09) Absolutely. There's a lot of people. think my husband, that's a huge support for me. He believes in me, even though maybe he shouldn't believe in me, but having that rock. And then also my team, truly, I look at all the variations of Dental A Team and where I've gone as me as a person, they've evolved me as a human and they've also evolved our company and the good and the bad that have gone through.   They have truly shaped me, every single one of them, and I'm very, very grateful for the trust they put in me to create what we've built.   Speaker 1 (33:42) amazing. How do you develop how have you developed key partnerships?   Speaker 2 (33:47) Ah, that's fun. You go to events, you talk to people, you look to see how can you add value to their world, to their life. And I think partnerships, partnerships to me, I don't try to figure out like how to do something. I look to see like, who do I know that knows how to do this? That's how I use partnerships in life and vice versa. Like bring more to the table than you take from people. But I look at people have just like, what's their secret sauce? How can I like, like connect them to other people? To me, it's a fun connect the dots of just getting great people together. That's how I believe that like.   To me, that's how all boats rise is through partnerships like hands down. One of the best things was networking and meeting people. You will learn more from the minds of men than you will be able to like mine out of this world. Like there is more gold there than anywhere else in this world.   Speaker 1 (34:32) Got it. What has been your most satisfying moment in business?   Speaker 2 (34:39) Most satisfying moment? There have been a lot. I think recently my most satisfying moment was when I wanted to give up and I really was so burnt out and I was exhausted and I was tired and I hit that breaking point again in my life. And for the first time in my entire career, I took an entire month off and I reset and it was the most scaring. There was a lot of really bad backlash that came from it.   But me as a human, re-centered, refocused, re-prioritized. And I think that that was one of the most satisfying moments to realize, at the end of the day, CEOs and business owners have to show up for themselves first to be able to give to their entire team. And I'd never, ever, ever, ever done that. So like me personally, that was one of them. But man, like the hundreds and thousands of clients lives, Glenn, you and I both know, I think as consultants, when you hear people's lives changing,   like clients who are broke and literally had no money and now they're buying their kids their dream lives, that to me will always be the clincher of everything but like beautiful and why I show up every single day to do it. So there's a personal and a professional win that was like just super satisfying.   Speaker 1 (35:47) That's really great. All right, three questions left. Let's get through these quickly. What deserves all your attention but seldom gets it?   Speaker 2 (35:57) I would say probably my body like working out.   Speaker 1 (36:00) Okay, what three adjectives describe your strengths?   Speaker 2 (36:06) Adjectives. ⁓ I would say grit. would say fun. And I would say passion.   Speaker 1 (36:16) Great answers. Last question I ask is to everybody. So it is one subscription, either business or personal, so something you pay for either monthly or annually, that you simply cannot live without.   Speaker 2 (36:33) ⁓ Len.   I would say I can't live without, honestly, boomerang. That sounds so ridiculous. I would not be able to follow up with all the millions of things that I do day in and day out without boomerang as a person, like professional. Like I would pay for that all day every day. ⁓   Speaker 1 (36:53) I haven't heard that one before, that's a good one. you go. ⁓ So Kiera, how can people learn more about how you can help them if they want to learn more about your consulting agency? What's the best way for them to reach out and find out more?   Speaker 2 (37:03) Yeah, thank you so much Len. Best way is listen to the podcast, the Dental A Team podcast. Reach out on our website, TheDentalATeam.com. You can book a call with us or you can always reach out. You can text us directly, 775-243-5100. Like we will get back to you. I'm happy to share any tips, any insights. Find us on Instagram, Dental A Team. Truly, we try to be just like you are Len, available in all aspects and just really, really grateful for this opportunity today.   Speaker 1 (37:30) Well, this was great. Thank you so much for ⁓ spending 30 plus minutes with me, really educating the audience on things you're passionate about. And just like I did on yours, you can see the passion when you talk, you can see the passion in how you answer the questions. So I truly appreciate you kind of giving it all to us. So thank you again for being part of the Raving Patients podcast. ⁓ Guys, if you like the episode, please like us, please review us. If you think you or yourself or one of your colleagues can use what the Dental A Team can do for your practice, please reach out.   let them know you heard about them through the podcast that I just did with Kiera. ⁓ And as I end ⁓ every single one of my episodes, remember your reputation matters until the next episode. Thank you so much for joining me and we'll talk to everyone soon.  

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

Too toxic for the dump but just fine for your mouth. Yes, that's the logic of mainstream dentistry. But things are changing. As doctors Ben and Shawn Javid from Smilebody in LA testify, their practice is booming because people from far and wide want to find another way, a holistic, technology driven approach to oral health. Because oral health is the start of all health, from heart disease to your gut. Dr. Ben and Dr. Shawn Javid are the co-founders of Smilebody, a holistic dental and medical wellbeing practice, who are on a mission to transform dentistry as the pathway to overall wellness. They are advocates for ethics and quality dentistry with a focus on biological and functional full-mouth rehabilitation.  Dr. Ben Javid is a biological dentist is passionate about health, vitality, and longevity, who has  pursued extensive continuing education in cosmetic dentistry, sedation, implants, orthodontics, Invisalign, and sleep medicine, earning Diplomate status with the American Sleep and Breathing Academy. Recognized as one of “America's Top Dentists” since 2007 and named among Los Angeles Magazine's “Top Dentists of 2021”. Dr. Shawn Javid is also a biological dentist with a deep expertise in cosmetic dentistry, oral surgery, sleep medicine, and integrative biological protocols, and he operates with a philosophy that the mouth is the gateway to systemic health. He is known for leading a wellness-centered clinic that offers advanced diagnostics, biologically compatible treatments, and a range of holistic services like safe implant work, detox-oriented therapies, and whole-person care. Contact:Website - https://mysmilebody.com/about/Join us as we explore:Why Ben and Shawn's biological dentistry practice is exploding, with patients flying in from all over the world to work with a holistic oral health philosophy.The lunacy of regulating that mercury filings are too toxic for the environment but still perfectly acceptable for human mouths, and why Smilebody uses specific high tech safety equipment  to remove mercury amalgams.The top 5 ways to avoid cavities, and no, it's far more than brushing and flossing!Bruxing, fringing, clenching - the difference, why people do it and how to build back the bite the biological dentistry way.Mentions:Person - Westen A Price, https://www.westonaprice.orgProduct - iTero, https://itero.comSupport the showFollow Steve's socials: Instagram | LinkedIn | YouTube | Facebook | Twitter | TikTokSupport the show on Patreon:As much as we love doing it, there are costs involved and any contribution will allow us to keep going and keep finding the best guests in the world to share their health expertise with you. I'd be grateful and feel so blessed by your support: https://www.patreon.com/MadeToThriveShowSend me a WhatsApp to +27 64 871 0308. Disclaimer: Please see the link for our disclaimer policy for all of our content: https://madetothrive.co.za/terms-and-conditions-and-privacy-policy/

There's something about meeting someone who's truly hungry to learn. Payman spotted it straight away when Sanaa Harroussi walked into his Mini Smile Makeover course—that rare fire in the belly. But here's the thing: Sanaa's journey from Rabat to Paris to West London isn't just about collecting qualifications. It's about a woman who aced the ORE first time, built a fifteen-year career in the same practice, and then had everything turned upside down when her second son received a six-month life expectancy. What follows is a masterclass in resilience, the art of not taking anything for granted, and learning when perfectionism helps and when it hurts.In This Episode00:00:45 - Introduction and first impressions 00:01:25 - Growing up in Rabat 00:02:20 - Competitive entry into dental school 00:02:50 - How dentistry happened 00:03:50 - The serious student 00:06:25 - Postgraduate training in Paris 00:07:15 - Paris versus London 00:09:20 - The ORE challenge 00:11:20 - Blackbox thinking 00:17:10 - Finding her first job 00:20:30 - NHS reality check 00:21:55 - Patient expectations 00:24:25 - Family life begins 00:26:30 - The diagnosis 00:29:45 - Fighting for treatment 00:32:00 - Life with disability 00:33:40 - One day at a time 00:38:20 - The improvement obsession 00:40:00 - Retreats and self-care 00:40:30 - Clinical loves and methods 00:43:25 - Rubber dams and labs 00:48:40 - The digital question 00:51:10 - Invisalign journey 00:57:15 - Fantasy dinner party 00:58:45 - Last days and legacyAbout Sanaa HarroussiSanaa Harroussi trained in dentistry in Morocco before completing postgraduate studies in prosthodontics in Paris. She's been practising in West London for fifteen years, building her career in the same practice whilst raising three sons. When her middle child was diagnosed with spinal muscular atrophy, Sanaa fought to secure him a place in a clinical trial that would save his life.

Reviews are one of the most powerful levers for your dental practice's visibility — but not always in the way most dentists think. In this episode, I sit down again with local SEO thought leader Colan Nielsen from Sterling Sky to cut through the noise about Google reviews, rankings, and how to actually get found by more patients. Colan and his team run ongoing SEO testing (so you don't have to) and bring real data on what matters — and what's just hype. We discuss what moves the needle on your Google Business Profile, how review quantity and recency affect map pack rankings, and why hitting that “magic 10” review milestone matters more than you realize. If you've been guessing at local SEO or feel stuck competing with practices with hundreds of reviews — this conversation will give you clarity and actionable next steps.   What You'll Learn From This Episode The truth about keywords in reviews — why telling patients to mention “dental implants” or “Invisalign” doesn't help you rank. The magic number to hit first — how going from 9 to 10 reviews gives a measurable boost in local rankings. Why recency beats volume — keeping a steady stream of new reviews is more important than chasing huge totals. Primary vs. secondary categories — how your Google Business Profile category choices impact visibility. Tools & metrics that matter — see how Sterling Sky measures you against top competitors month to month. When (and when not) to run branded Google Ads — stop wasting budget where it's not needed. — Key Takeaways 00:46 Introduction to Google Reviews and SEO 04:50 The Importance of Customer Service in Rankings 07:50 Understanding Local SEO and Google Business Profiles 12:57 The Impact of Review Text on Rankings 22:24 Review Velocity and Its Effect on Rankings 25:38 The Magic Number: 10 Reviews 27:58 The Role of Review Recency in SEO 34:35 Primary and Secondary Categories in Google Rankings 39:13 The Future of Reviews and AI in SEO 40:44 Branded AdWords and Their Effectiveness   — Connect with Colan Website & Newsletter: www.sterlingsky.ca YouTube Channel: Sterling Sky Inc   — Learn proven dental marketing strategies and online reputation management techniques at DrLenTau.com. This podcast is sponsored by Dental Intelligence. Learn more here. This podcast is sponsored by CallRail, call tracking & lead conversion software for dentists. Find out more here. Raving Patients Podcast is your go-to place for the latest and best dental marketing strategies that will help you skyrocket your practice. Follow us for more!

Atlanta dentists reveal how video conferencing sparked a surge in adult cosmetic dentistry, examining when to choose Invisalign versus veneers for your perfect smile transformation.For more, visit https://smilemidtown.com/ Midtown Dental City: Atlanta Address: 999 Peachtree St NE, STE 715, Website: https://smilemidtown.com/

Hosts Jack and Kevin banter about painting, life, and an in-depth personal look at orthodontics — from ancient Egyptian techniques to modern fast braces. Kevin shares his long history with braces, recent struggles with an open bite, a failed home Invisalign kit, and his progress with new orthodontic treatment. They discuss how braces affect eating, self-image, and dental care over a lifetime, and reflect on how orthodontics has evolved from an elite procedure to a common, accessible treatment.

We only podcast when we're happy and we're podcasting right now! Kylan Savage and Valentine Hellman (hosts of the In Defense of Kesha podcast) guest for a special extra long ep where we experience the new Kesha album Period, which happens to be Kesha's first indie record on her own label. It's also our first crossover with In Defense of Kesha, and Nate and Kelly's first full Kesha album listen. Join us for 2025's Period, and Don't, don't, don't, don't even try to gi-give us shit. Oh and enjoy a special MouthGarf Report and another installment of I See What You Did There! Listen to Period: https://www.youtube.com/playlist?list=PLxA687tYuMWiog8uIcTrsAw19EdHUGS2VListen to In Defense of Kesha: https://podcasts.apple.com/us/podcast/in-defense-of-kesha/id1760009078Please give us a 5 star rating on Apple Podcasts! Want to ask us a question? Talk to us! Email debutbuddies@gmail.comListen to the archives of Kelly and Chelsea's awesome horror movie podcast, Never Show the Monster.Get some sci-fi from Spaceboy Books.Get down with Michael J. O'Connor and the Cold Family and check out his new compilation The Best of the Bad Years 2005 - 2025Next time: First Credit Card (For real this time! We promise!)

Get a free audit of your indemnity cover here >>> https://quote.allmedpro.co.uk/dental-indemnity-2025-new-proposal-dwi/———————————————————————Collect unlimited free verifiable CPD for UK Dentists here >>> https://www.dentistswhoinvest.com/videos/heres-how-to-get-more-patients-and-minimise-white-space-with-marius-satraru———————————————————————Empty chairs aren't fixed with louder ads; they're fixed with smarter systems. We dive into the real reasons diaries have white space and map a practical route from first click to accepted treatment, together with Marius Satraru of Align Media, who builds lead engines for dental practices. Rather than throwing money at SEO or Google Ads, we explore how to repair the funnel: a website that looks human and loads fast, multiple ways to convert (booking, forms, click‑to‑call, chatbot), and a CRM that treats your database as an asset instead of an afterthought.We get specific about the moments where leads leak. Missed calls after hours quietly erase demand, so we talk through AI reception as a night‑shift helper that books or sends links, speeding response without replacing your front desk. Follow‑up time matters just as much; personalised auto‑replies that reference the enquiry keep attention and reduce comparison shopping. We also unpack why fee pages cause exits, how a deposit policy can be tested to lower friction, and why clear finance options and next steps turn price browsing into bookings. For campaigns like Invisalign open days, we show how to start with your existing database: targeted emails, plain‑English benefits, strong subject lines, and simple booking paths.Once foundations convert, then scale. That's when SEO earns clicks and ads make sense, especially with focused landing pages that mirror ad promises and track results beyond leads to booked revenue. Throughout, we use a simple rule: stop self‑diagnosing. Audit answer rates, response speed, website conversion, CRM automation, and email cadence; fix the largest drop‑offs first, then widen the top of the funnel with the right channels. Want the full checklist and examples you can act on today? Listen now, subscribe for future deep dives, and leave a quick review with your biggest bottleneck—we'll tackle it next.———————————————————————Disclaimer: All content on this channel is for education purposes only and does not constitute an investment recommendation or individual financial advice. For that, you should speak to a regulated, independent professional. The value of investments and the income from them can go down as well as up, so you may get back less than you invest. The views expressed on this channel may no longer be current. The information provided is not a personal recommendation for any particular investment. Tax treatment depends on individual circumstances and all tax rules may change in the future. If you are unsure about the suitability of an investment, you should speak to a regulated, independent professional. Investment figures quoted refer to simulated past performance and that past performance is not a reliable indicator of future results/performance.Send us a text

Click here to schedule free consultation with New Patient Group and/or WrightChat  Click here to subscribe and watch on The Brian Wright Show YouTube Station  Click here to subscribe to The Brian Wright Show Podcast  Thank you to our Sponsors New Patient Group WrightChat Click here to Book Brian Wright to Speak at your Next Event  About your Host "Brian Wright is a combination of Marcus Lemonis from the Profit and the entire Shark Tank Team." Dr. Staci Frankowitz Welcome to The Brian Wright Show. A podcast dedicated to entrepreneurs, their team members and their families but for anyone wanting to transform their life, career and/or business in the new economy. After eight seasons as the host of The New Patient Group Podcast, the show has been rebranded to The Brian Wright Show. The Brian Wright Show Audio Experience is hosted by globally renown motivational speaker, business consultant and life coach, Brian Wright. He is a trusted consultant and speaker for some of the biggest name entrepreneurs and corporations in the world, including AlignTechnology, the makers of Invisalign. He has been featured in Forbes, CNBC and The National Journal. He is currently the Founder & CEO of New Patient Group and also WrightChat. He is married and has two children. "Brian Wright is the Tony Robbins of the new economy." Stephanie Solomon - Author What if I told you the most powerful marketing you already own costs nothing, sits inside your front door, and can be deployed the moment you finish this episode? In this episode Brian Wright pulls back the curtain on a simple, overlooked advantage—being family-owned—and shows how that single truth can turn casual customers into lifelong fans who will happily pay more and spread your name through the community. Brian opens by painting a scene from the road: standing after a headline event, hearing the same worries—corporations buying practices, rising competition, the panic to slash prices. Then he points to the counterintuitive truth: when you can't control the economy, you can control your message and the experience inside your doors. He uses sharp, real-world examples—restaurants that never ask for five-star reviews, waiting lists of patients who were told “let me think about it”—to show how millions in revenue are left unclaimed because businesses don't know how to ask or tell their own story. Drawing on surprising studies and crisp anecdotes, Brian layers in data that brings the strategy to life: consumers perceive family businesses as more authentic, trustworthy, and worth paying for, with younger generations especially motivated by shared values and purpose. He cites research that shows willingness to spend more to keep local shops thriving and reminds listeners that 91% of people remain loyal because of experience—proof that how you communicate matters far more than how much you spend on ads. But this is not theorizing. The episode drills into exact ways to use the family-owned message: put it on your website, your social videos, your first phone call, your welcome tour, even a QR code on a postcard that pops up a short owner-led message. Train your team to articulate benefits—consistent care, investments in top-quality materials and technology, transparency about sourcing—and turn those statements into emotional reasons to choose you over a corporate alternative. Brian reframes leadership as the ability to change behavior: it's not enough to have the idea—great leaders implement, repeat, hold people accountable and obsess over hospitality verbiage. He shares tactical prompts you can use today—scripts for phone calls and welcome tours, hospitality-driven statements about investment and community impact, and simple giveback ideas that connect purchases to local outcomes—so you can start converting loyalty immediately. As the episode closes, the message is urgent but empowering: you can reduce ad spend, raise prices, and build a referral machine simply by telling the right story—passionately, transparently, and consistently. If you're a family business, a restaurant, a clinic, or any people-first business, this episode hands you a free marketing blueprint you can implement now to dominate your market without competing on price. Press play, take notes, and then go change the way your people speak to customers—because inside your doors is where reputation is made, prices are justified, and lifelong fans are born.

What if I told you the biggest threat to your orthodontic practice isn't GPs doing Invisalign—it's your silence?In this episode of Five Minute Friday, I take on a controversial and pressing issue in our field: orthodontists enabling GPs to deliver treatment through outsourced setups—and worse, not stepping up to educate them. When screenshots from an Orthopreneurs thread started showing up on a startup's social feed to validate their GP-led model, it hit a nerve. This isn't just a fringe problem. It's a full-on shift in how ortho is being delivered—and too many of us are sitting on the sidelines, complaining but not acting.If you want to protect your turf, complaining in Facebook groups won't cut it. In this episode, I break down the real-world impact of poorly diagnosed “simple” cases, what we should be teaching our GP colleagues, and how you can take back control—by becoming the educator, not the victim. Whether you agree with the new model or not, you'll walk away with practical steps to safeguard your practice, elevate your relationships, and remind the world why orthodontists matter.QUOTES“But if you really want to make a difference, get out there and educate—but educate in a way that creates awareness that you just don't know enough to be doing this in most cases."— Dr. Glenn Krieger"If you're listening to this and you're pissed off about at-home aligners or orthodontists helping GPs... then get off your butt and start educating your GPs."— Dr. Glenn KriegerKey TakeawaysIntro – The controversy brewing in the ortho world (00:00)The GP-ortho model and why it's not going away (01:15)A real example: misunderstood case complexity (03:00)The two types of GPs doing ortho—and why most aren't malicious (04:30)What I teach my referring dentists (06:00)Why education, not outrage, is our best defense (07:40)Creating presentations that actually stick (08:50)Call to action: stop complaining, start leading (10:20)Additional ResourcesI've seen firsthand how educating your GPs can completely change the dynamic—and bring complex cases back to your chair.If you're tired of watching others erode our profession, start doing something about it. Want more ideas like this and the support to execute them? Join me at the final Orthopreneurs Summit this September. Go to opSummit2025.com to see if tickets are still available. Time is running out. Don't miss your chance to be part of the solution.- For more information, visit: https://orthopreneurs.com/- Join our FREE Facebook group here: https://www.facebook.com/groups/OrthoPreneurs

Welcome to Oconee's Own, a podcast production of The Oconee Enterprise. In this episode, we sit down with Dr. Russell of Russell Orthodontics & docaligners Studio, to learn more about his new Watkinsville office, how he got into orthodontics and all-things Invisalign! You can find our publication at OconeeEnterprise.com and. We hope you will join us each Tuesday to learn more about Oconee's own community members. If you have any questions for Dr. Russell, you can contact his office at (706) 549-0110. You can find their website at https://russell-orthodontics.com/. For questions about sponsoring an episode, podcast commercials or general podcast suggestions, please email Podcast@OconeeEnterprise.com. 

Content creators Kay & Tay Dudley join Avery for a sweet catch-up on love, parenting, and life in the third trimester. They revisit their small-town meet-cute, how filming one video a day turned into a full-time career, and why their channel feels more like a daily documentary than a performative “family vlog.” Kay opens up about this pregnancy, what's felt different from her first two, wild cravings, and navigating lupus remission while she soaks up work and travel. Avery and Tay also connect over blended-family life as stepparents, and what's shaped the kind of parents Kay and Tay are to their daughters and soon-to-arrive “Baby Bug.”The trio get candid about showing kids online and how the Dudleys will adapt as the girls grow. They talk mental health around comments, real-time posting vs. batch filming, and making space for their marriage amid nesting and nursery plans. They also get into Invisalign tray confessions, a Backstreet Boys surprise, Taco Bell orders, and Avery's spray-tan plug that Kay immediately bookmarks. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

If it were ONLY yoga pants and Invisalign interfering with our hormonal health, it might not be too hard to avoid them and move on. But there are many more products and protocols--including plastic, pesticides, and mammograms--that throw our health out of whack. Patricia Luccardi today exposes numerous sources of toxins, PFAs (forever chemicals), and radiation that disrupt healthy hormonal function.   Patricia also offers solutions and suggestions for avoiding these things in the first place and flushing them out once we've been exposed. She shares the benefits of going braless, the power of broccoli sprouts and seeds for clearing out hormonal interference, and practical tips for supporting the lymphatic system and overall well-being.   Visit Patricia's website: PatriciaLuccardi.com Become a member of the Weston A. Price Foundation (and use code pod10) Check out our sponsors: Optimal Carnivore and Lumiram  

In today's narration of Reddit stories, OP tells us about how their father keeps throwing away items that they're still using. 0:00 Intro0:19 Story 13:59 Story 1 Comments / OP's Replies8:30 Story 1 Update10:03 Story 1 Comments / OP's replies15:20 Story 216:52 Story 2 Comments / OP's Replies20:12 Story 2 update21:34 Story 2 Comments / OP's RepliesFor more viral Reddit stories, incredible confessions, and the best Reddit tales from across the platform, subscribe to the channel! I *try* :) to bring you the most entertaining Reddit stories, carefully selected from top subreddits and narrated for your enjoyment. Whether you love drama, revenge, or heartwarming moments, this channel delivers the most captivating Reddit content. New videos uploaded daily featuring the best Reddit stories you won't want to miss!#redditupdate #redditrelationship #redditstoriesreddit Hosted on Acast. See acast.com/privacy for more information.

Click here to schedule free consultation with New Patient Group and/or WrightChat  Click here to subscribe and watch on The Brian Wright Show YouTube Station  Click here to subscribe to The Brian Wright Show Podcast  Thank you to our Sponsors New Patient Group WrightChat Click here to Book Brian Wright to Speak at your Next Event  About your Host "Brian Wright is a combination of Marcus Lemonis from the Profit and the entire Shark Tank Team." Dr. Staci Frankowitz Welcome to The Brian Wright Show. A podcast dedicated to entrepreneurs, their team members and their families but for anyone wanting to transform their life, career and/or business in the new economy. After eight seasons as the host of The New Patient Group Podcast, the show has been rebranded to The Brian Wright Show. The Brian Wright Show Audio Experience is hosted by globally renown motivational speaker, business consultant and life coach, Brian Wright. He is a trusted consultant and speaker for some of the biggest name entrepreneurs and corporations in the world, including AlignTechnology, the makers of Invisalign. He has been featured in Forbes, CNBC and The National Journal. He is currently the Founder & CEO of New Patient Group and also WrightChat. He is married and has two children. "Brian Wright is the Tony Robbins of the new economy." Stephanie Solomon - Author Today's Episode Walk into an orthodontic practice that looks like any other—friendly faces, steady appointments, yet stuck in the old ways. This episode follows a leader who refused to accept “we've always done it that way” as an answer. After a powerful onsite training, ideas meant to reshape the patient experience were quietly ignored—until one doctor chose to act. Instead of shrugging and hoping for change, she carved out one hour each week: a hard-edged, purpose-built Operational Success Meeting. She gathered her team, set a clear expectation, and promised support while demanding immediate implementation. She role-played, stumbled through scripts, held people accountable, and pulled the team through the discomfort of change. What followed was not overnight perfection but steady, visible progress: new greeting rituals, high-value welcome tours, practiced phone calls, and confident treatment conversations that started to move the needle. This episode reads like a leadership masterclass disguised as a single case study. It shows how the real work of transformation is less about clever ideas and more about disciplined practice, ruthless clarity, and courageous accountability. The doctor's decision to lead from the front—practice first, refine later—turned theoretical strategies into daily habits that staff adopted and patients felt. Whether you run a clinic, a restaurant, or a startup, this story is a blueprint: set the vision, time-block practice, role-play relentlessly, implement fast, and then perfect with consistency. Hear how small, deliberate leadership choices created momentum, stopped pushback cold, and began building a truly famous brand—one interaction at a time.

Rick A. Mars, DDS, Dental Care Group President and Align (Invisalign) Global Faculty Member, joins the podcast to share insights on the latest trends in the dentistry space. He emphasizes the critical role oral health plays in overall wellness, explores the growing use of AI in dentistry, and raises concerns about the risks of DIY dentistry.

Rick A. Mars, DDS, Dental Care Group President and Align (Invisalign) Global Faculty Member, joins the podcast to share insights on the latest trends in the dentistry space. He emphasizes the critical role oral health plays in overall wellness, explores the growing use of AI in dentistry, and raises concerns about the risks of DIY dentistry.

We all have them—the nagging, unfinished tasks that have been sitting on our list for months, sometimes years. They weigh us down, drain our energy, and quietly whisper that we're falling behind. For me, it was finally starting Invisalign after years of thinking, “I should do something about my teeth.” It's a year-long commitment, but the simple act of beginning has already lifted a huge mental load. In this episode of Tales from The Lane, I challenge you to choose your “one thing” and commit to tackling it this year. We'll explore why unfinished tasks drain our focus (hello, Zeigarnik Effect), how finally starting creates momentum, and why clearing that lingering to-do is often more powerful than adding something new to your plate. If you've been carrying around something you keep saying you'll do “someday,” this is your sign to make someday today.

This is The Zone of Disruption! This is the I AM RAPAPORT: STEREO PODCAST! His name is Michael Rapaport aka The Gringo Mandingo aka aka The People's Pickle aka The Jewish Brad Pitt aka Captain Colitis aka The Disruptive Warrior aka Mr. NY aka Mr. Nantucket is with Dean Collins aka Dean Cuddles aka The Young Shooter aka The Fake Kurt Cobain aka Deuce Collins aka Deuce Cuddles & they are here in the flesh to discuss: Dean being back from Europe, Mike Rap gets Invisalign, Dean seeing Oasis by himself, the food in Slovania, Dean being sick & needing batteries, what they've been watching, movies to get excited about, & a whole lotta mo'. This episode is not to be missed! Rate & Review on Apple Podcasts or Spotify Send questions & concerns to: iamrapaportpodcast@gmail.com Subscribe to Rapaport's Reality Feeds: iHeartRadio: https://www.iheart.com/podcast/867-rapaports-reality-with-keb-171162927/ Apple Podcasts: https://podcasts.apple.com/us/podcast/rapaports-reality-with-kebe-michael-rapaport/id1744160673 Spotify: https://open.spotify.com/show/3a9ArixCtWRhfpfo1Tz7MR Pandora: https://www.pandora.com/podcast/rapaports-reality-with-kebe-michael-rapaport/PC:1001087456 Amazon Music: https://music.amazon.com/podcasts/a776919e-ad8c-4b4b-90c6-f28e41fe1d40/rapaports-reality-with-kebe-michael-rapaport Stand Up Comedy Tickets on sale at: MichaelRapaportComedy.com If you are interested in NCAA, MLB, NBA, NFL & UFC Picks/Parlays Follow @CaptainPicksWins on Instagram & subscribe to packages at www.CaptainPicks.com www.dbpodcasts.com Produced by DBPodcasts.comFollow @dbpodcasts, @iamrapaport, @michaelrapaport on TikTok, Twitter & InstagramMusic by Jansport J (Follow @JansportJ) www.JansportJMusic.comSee omnystudio.com/listener for privacy information.

On The Debbie Nigro Show, I like to dig into stories that make you go, “Wait, what?!” This week's head-turner: “Ozempic Teeth.” Yep, that's the headline making waves, and I knew I had to call in my go-to expert, Dr. John Castanaro of Castanaro Dental in Yonkers, NY, to help get to ‘the tooth of the matter'. What Are “Ozempic Teeth”? GLP-1 medications like Ozempic and Wegovy have taken the world by storm for their weight-loss benefits. But dentists are warning about side effects showing up in the mouth. According to Dr. Castanaro: “It's not the drug itself causing problems—it's the side effects like acid reflux, nausea, vomiting, dry mouth, and sometimes malnutrition.” Those issues can lead to enamel erosion, cavities, swollen gums, and even gingivitis. In short: less saliva = more dental drama. Prevention Is Key The good news? Simple changes can protect your smile: Drink more water. Dehydration is a big culprit. Use products like Biotene (a rinse that coats and protects against dry mouth). Chew sugar-free gum or candies to stimulate saliva. Stay active. Even light walking helps reduce reflux and nausea. Stay on top of dental visits. Dr. Castanaro recommends some patients schedule three cleanings a year instead of two. As he put it: “Prevention and being on top of it—being educated about it—is everything. You can't ignore these signs.” Dentistry's Big Trend Beyond Ozempic teeth, Dr. Castanaro noted a bigger shift: younger generations with fewer cavities are turning to cosmetic upgrades like Invisalign and whitening. Thanks to new tech (hello, 3D printers!), straighter, whiter smiles are now easier and less invasive than ever. My Takeaway Ozempic teeth might sound scary, but the fix is refreshingly simple: hydrate, care for your teeth, and don't skip the dentist. As always, knowledge is power—and I'm glad Dr. Castanaro was here to drop some wisdom (and a little humor). “At the end of the day, prevention and awareness go a long way.” Thanks, Doc. Enlighten yourself in the short podcast of my live conversation with Dr. John Castanaro on The Debbie Nigro Show.

Click here to schedule free consultation with New Patient Group and/or WrightChat  Click here to subscribe and watch on The Brian Wright Show YouTube Station  Click here to subscribe to The Brian Wright Show Podcast  Click here to register you and your team for NPG Iconic.  Click here to view and purchase The Three/Five Steps to Overcoming Price Inquiries on the Phone Click here to listen to Why your Marketing Strategy Sucks!  Lights, studio, truth. Brian Wright and returning co-host Dr. Robert Barton open this episode like a frank conversation between business partners who refuse polite platitudes. What begins as a backyard reunion — complete with whitewater rafting and a busted plantar fascia — quickly becomes a case study in missed opportunity: Dr. Barton's urgent call to a nearby clinic goes unanswered, and what follows is a forensic tour of why that single moment represents a universal epidemic in customer acquisition. Through anecdote and data, Brian and Robert unpack five stealthy ways practices and small businesses quietly lose new patients and customers: inconsistent Google hours that push prospects away before they even dial, voicemails and web leads that die in a queue, missed calls that never get returned, undertrained front-desk staff who can't sell value over price, and the mindset that confuses cheaper with smarter. They don't sugarcoat the truth — this episode will make you uncomfortable if you're not ready to act. Every story is a lesson. Dr. Barton's snapped plantar fascia and the failed local clinic become the entry point into startling statistics — nearly half of inbound medical/dental calls go unanswered — and a vivid metaphor: your practice is a leaky boat, and plugging those holes is far more effective than bailing water with more advertising. Brian and Robert show how tiny operational shifts (adjusting your Google hours, answering web leads in under 10 minutes, owning the voicemail follow-up) convert casual searchers into loyal fans — the people who drive referral streams and exponential growth. But this episode is not just technical advice; it's a leadership story. They challenge owners to stop asking staff if calls are being answered (staff rarely tell the boss when things fail) and instead take ownership: observe, mystery-call, measure, and train. Real-world vignettes — from Whole Foods baggers to treatment coordinators and back-office chaos — illustrate how experience and hospitality can command higher prices and deeper loyalty, while penny-pinching on operations leaks annual revenue that never shows up on the balance sheet. Listen for practical takeaways you can act on immediately: how to rethink your Google profile, why rapid lead response matters, the scripts and mindset that make front-desk conversations convert, and why outsourcing or backup answering services can be a surgical fix the moment you implement them. If you want blunt, evidence-backed advice delivered with humor, urgency, and a co-host who's been in the trenches, press play — and bring a notepad.   "Brian Wright is a combination of Marcus Lemonis from the Profit and the entire Shark Tank Team." Dr. Staci Frankowitz  Welcome to The Brian Wright Show. A podcast dedicated to entrepreneurs, their team members and their families but for anyone wanting to transform their life, career and/or business in the new economy. After eight seasons as the host of The New Patient Group Podcast, the show has been rebranded to The Brian Wright Show. The Brian Wright Show Audio Experience is hosted by globally renown motivational speaker, business consultant and life coach, Brian Wright. He is a trusted consultant and speaker for some of the biggest name entrepreneurs and corporations in the world, including AlignTechnology, the makers of Invisalign. He has been featured in Forbes, CNBC and The National Journal. He is currently the Founder & CEO of New Patient Group and also WrightChat. He is married and has two children. "Brian Wright is the Tony Robbins of the new economy." Stephanie Solomon - Author Learn invaluable life and leadership lessons to build a better culture. Learn advanced  strategies and techniques around sales, hospitality, customer service, psychology, verbiage, presentation, communication and more to grow your business. Learn essential  online marketing  strategies and techniques to attract new customers, new patients, etc.. Entrepreneurs that learn and implement the above will see an increase in new customers, new patients, sales, revenue, referrals, efficiency and profit, while reducing stress, chaos and ad costs.  For many years this podcast was known as the New Patient Group Podcast. It was dedicated to orthodontists, dentists and other doctors that owned their own business. This is still our niche and we want you to know this podcast is still for you. A podcast dedicated to improving the lives, careers and businesses of Orthodontists, Dentists and other doctors that own their own practice. Learn fresh new ways to improve your leadership skills to create a unique culture. Learn innovative ways to create an online marketing presence to increase new patients.  Learn forward thinking ways to increase production, collections, treatment conversion, profit and more. Learn how to lessen advertising and marketing costs to increase profit. Learn inspiring ways to improve your life and career. Learn mind blowing ways to improve customer service, hospitality, presentation skills, verbiage and much more.  New patient phone call skills, patient experience, treatment coordinator presentation topics and so much more. This podcast is listened to by orthodontists, dentists, plastic surgeons, reps, executives and anyone else wanting the most out of their life, career and business. Topics that dive deep into business, marketing, advertising, culture, leadership, and hundreds of other topics. This podcast is also for Treatment Coordinators, Receptionists and other employees wanting to advance their career and help the practice they work for thrive. 

In this "throwback" episode recorded live at Voices of Dentistry 2023, hosts Kevin and Zach are joined by guest Dr. Craig Harder to debate and discuss dental myths and tips. The main topic of conversation is the dental myth that Invisalign is a great value for dentists. Craig argues that Invisalign is not a good value because it eats up a significant portion of the fee, especially for dentists who don't do a high volume of cases and therefore don't qualify for discounts. Kevin, a high-volume provider, counters that the value of Invisalign is not just in the cost per case but in its powerful marketing engine. He explains that Invisalign's massive ad campaigns drive patients directly to dentists' offices, a level of promotion that individual practices could never achieve. The conversation also touches on the user experience of other clear aligner companies versus Invisalign, with Kevin stating he finds the Invisalign user interface to be far superior. Craig's tip: Always use Vivera retainers after aligner therapy! Join the Very Clinical Facebook group! Join the Very Dental Facebook group using the password "Timmerman," Hornbrook" or "McWethy," "Papa Randy," "Lipscomb" or "Gary!" The Very Dental Podcast network is and will remain free to download. If you'd like to support the shows you love at Very Dental then show a little love to the people that support us! -- Crazy Dental has everything you need from cotton rolls to equipment and everything in between and the best prices you'll find anywhere! If you head over to verydentalpodcast.com/crazy and use coupon code “VERYDENTAL10” you'll get another 10% off your order! Go save yourself some money and support the show all at the same time! -- The Wonderist Agency is basically a one stop shop for marketing your practice and your brand. From logo redesign to a full service marketing plan, the folks at Wonderist have you covered! Go check them out at verydentalpodcast.com/wonderist! -- Enova Illumination makes the very best in loupes and headlights, including their new ergonomic angled prism loupes! They also distribute loupe mounted cameras and even the amazing line of Zumax microscopes! If you want to help out the podcast while upping your magnification and headlight game, you need to head over to verydentalpodcast.com/enova to see their whole line of products! -- CAD-Ray offers the best service on a wide variety of digital scanners, printers, mills and even  their very own browser based design software, Clinux! CAD-Ray has been a huge supporter of the Very Dental Podcast Network and I can tell you that you'll get no better service on everything digital dentistry than the folks from CAD-Ray. Go check them out at verydentalpodcast.com/CADRay!

On this week's episode of The Therapy Crouch, Abbey Clancy and Peter Crouch dive headfirst into another Ask Me Anything, with hilarious listener dilemmas to behind-the-scenes truths about their own marriage, nothing is off-limits.Abbey tests her footballer name pronunciation skills, as well as recalling losing her Invisalign in restaurant bins, while Peter admits to being spotted cruising along a French promenade on a lime bike.The pair weigh in on moving in with a partner too soon, whether it's ever acceptable to make wedding guests pay for food, and why kids nearly ended their love life this summer.Expect plenty of laughter, a few awkward confessions, and a surprising debate you'll never forget.00:00 – Intro01:02 – “Funny words” game spirals into absurd flap debates.03:25 – Do school holidays kill romance? Abbey and Peter confess.05:03 – The couple reflect on their beloved cats and relationship milestones.07:16 – Listener asks: how to ask your girlfriend to move in. Abbey reveals how Pete got it wrong.11:07 – Pete recalls the infamous “tree necklace” disaster.12:00 – Listener question: who would they shaba if not each other?13:01 – Abbey tests her footballer name pronouciations18:32 – The wedding food debate: should guests pay at a festival wedding?19:24 – A fan spots Peter riding a lime bike in Nice?!22:11 – Why Abbey and Peter had kids before marriage.26:04 – Invisalign horrors: Abbey's tips (and bin-digging disasters).28:40 – Would Abbey rather watch Peter play golf or model lingerie?30:25 – Flashback: A friend in a swimsuit and thigh-highs… Pete approves.Email: thetherapycrouch@gmail.com Instagram: https://www.instagram.com/thetherapycrouchpodcastTikTok: https://www.tiktok.com/@thetherapycrouch Website: https://thetherapycrouch.com/ For more from Peterhttps://twitter.com/petercrouchFor more from Abbeyhttps://www.instagram.com/abbeyclancyOur clips channelhttps://www.youtube.com/channel/UCZntcv96YhN8IvMAKsz4Dbg#TheTherapyCrouch #AbbeyAndPete #RelationshipAdvice #Podcast Hosted on Acast. See acast.com/privacy for more information.

In this episode, I am joined by one of the POWERHOUSES of the orthodontic practice, Dr. Bob Skopek.He has practiced orthodontics for over 20 years in North Barrington, Illinois. His practice focuses on customer experience, exceptional clinical care, and business efficiency.Talking of efficiency, he transitioned from a practice of 15 team members and 11 chairs to 3 team members and 3 chairs.And guess what happened to his revenue after the transition….. it DOUBLED.This is HUGE from an efficiency perspective, but how did he achieve this.He credits a few things:✅Learning to move teeth with plastic – (he is a top 1% Invisalign provider)✅Remote monitoring through DentalMonitoring App✅OrthoFi to do the heavy lifting (insurance and patient processing & collection, finance, follow up with patients, etc.)✅Transitioning to an almost text-only office with the help of the Rhinogram AppThis is a value-packed episode for anybody trying to be more efficient in their practice. Tune InKey TakeawaysMeet Dr. Bob Skopek (01:38)Doing great technical Ortho (08:06)From 15 team members to 3 and doubling revenue (13:11)Clear aligner orthodontic efficiency (14:46)Remote monitoring to decrease office time (18:01)How OrthoFi has helped Skopek orthodontics be more efficient (21:45)Transitioning from a phone call to a texting office (26:38)Remote new patient exams (29:54)Running a practice entirely on technology (31:45)Quotes"But the biggest thing I found with OrthoFi is that I minimized staff so much. I used to have two financial coordinators and one part-time person on the phone with insurance companies" Dr. Bob Skopek"We're a texting office. We've eliminated probably 90% or more of our phone calls. We communicate through our DentalMonitoring and Rhinogram apps" Dr. Bob Skopek"We just kept saying it over and over, and now all of us don't say, give us a call, we say shoot us a text" Dr. Bob SkopekDr. Skopek on how they transitioned from phone calls to text messages. "The first step for me if I'm going to do clear aligner orthodontics was I have to be able to do the same level of orthodontics that I can do with braces and wires" Dr. Bob SkopekDr. Bob Skopek is speaking at this year's  https://opSummit2025.com register now while tickets are still available. Go to https://opSummit2025.com and grab your spot today.- For more information, visit: https://orthopreneurs.com/- Join our FREE Facebook group here: https://www.facebook.com/groups/OrthoPreneurs

Winnie updates her Invisalign journey - how do we think she's been doing?

DON'T MISS the dental event of the year, November 7-8. Nowak Dental Supplies (https://www.nowakdental.com/) is hosing NOLA Lab Fest (https://www.nolalabfest.com/) in New Orleans, Louisiana. Head over to nolalabfest.com to see the line up and to register. A HUGE thanks to Aidite North America (https://www.aidite.com/) for hosting the podcast at their booth. Come find us and be on the podcast! Yet even more conversations that Elvis and Barb got while in the exocad (https://exocad.com/) booth at IDS 2025..... back in MARCH!! First up is a visit from on one our favorite companies that make bars, Panthera (https://pantheradental.com/). Instead of our usual guest we get to meet Pierre-Luc Duchesne and Dereck Donnelly. PL is their Director of Marketing and Derek is head of Global Customer Experience. Together the talk about being at their second IDS show, how they make their product an experience for the customer, the Fusion Bar (https://pantheradental.com/products-solutions/panthera-fusion-bar/) that only needs 5mm of clearance, their partnership with VITA (https://pantheradental.com/vita-and-panthera-distribution-partnership/), and the second coming of The Master Cup (https://pantheradental.com/three_finalists_of_the_2023_masters_cup/). Then we got to talk to an Irish dentist that practices in Scotland, Dr. Eimear O'Connell. She was plastered on the walls of the exocad booth 20 feet tall because she was one of the "Heroes of Digital Dentistry" and her journey is astounding. Dr. O'Connell talks about learning that Cerec was harder than it looks back in 2007, learning to work with amazing labs, using exocad to help her sell treatment by using the ART function (https://exocad.com/our-products/exocad-art), and a very concerning trend in the UK that makes it harder to be a dentist. Let's be honest. There are a LOT of zirconia on the market these days. How do you know which is which? Is one better than another? Is there one that can handle every situation? Check out a FREE webinar from Ivoclar (https://www.ivoclar.com/en_us) called Zirconia Unboxed with Jeff Smith, CDT. (https://www.ivoclar.com/en_us/course/zirconia-unboxed/246115?utm_source=External+-+Voice+from+the+Bench&utm_medium=QR+code&utm_campaign=Academy&utm_term=August) "This introductory webinar is the first in a five-part series designed to address the most frequently asked questions by dental labs when selecting zirconia for their restorations. With a focus on practical guidance, this session explores the key considerations in choosing the right zirconia, including material properties, esthetics, and processing techniques. This introductory webinar is the first in a five-part series designed to address the most frequently asked questions by dental labs when selecting zirconia for their restorations. With a focus on practical guidance, this session explores the key considerations in choosing the right zirconia, including material properties, esthetics, and processing techniques." Check it out at: https://www.ivoclar.com/enus/course/zirconia-unboxed/246115?utmsource=External+-+Voice+from+the+Bench&utmmedium=QR+code&utmcampaign=Academy&utm_term=August Special Guests: Dereck Donnelly, Dr. Eimear O'Connell, and Pierre-Luc Duchesne.

In this Ask Me Anything episode, Dr. Will Cole and his clinical team answer your top health questions - from the safety of Invisalign retainers and peptide protocols to long COVID recovery and gut health support. Plus, Dr. Cole breaks down the poop talk you didn't know you needed. For all links mentioned in this episode, visit www.drwillcole.com/podcast.Please note that this episode may contain paid endorsements and advertisements for products and services. Individuals on the show may have a direct or indirect financial interest in products or services referred to in this episode.Sponsors:Take proactive care of your health and head to OPositiv.com/WILLCOLE or enter WILLCOLE at check out for 25% off your first purchase.For 20% off your first purchase visit linnebotanicals.com/willcole.Shop now at weareohho.com and use code WILLCOLE for 20% off.Get your free sample pack at DrinkLMNT.com/artoeingwell. Timeline is offering my audience a 20% discount on all first time purchases at timeline.com/willcole. Produced by Dear Media.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Kevin and Zach are joined by star hygienist Maryann McFarland. They kick things off with a competitive discussion about their favorite games, from Maryann's professional-level Scrabble skills to Zach's past as a ranked online poker player. The conversation then shifts to the clinical topic of the day: how Maryann champions the Invisalign workflow in the practice. She provides a masterclass on her process, detailing every step from initial patient contact and leveraging in-office marketing to using photos on a big-screen monitor, discussing financials, and performing the digital scan—all while emphasizing the crucial role of teamwork and efficiency. Key Takeaways: Empower the Hygiene Team: A trained and motivated hygienist can be the primary driver for Invisalign cases, from the initial conversation to the digital scan, freeing up the doctor's time and boosting production. A System Creates Efficiency: The practice utilizes a highly systematic, team-based approach. While one person engages the patient, others prepare financial plans or manages imaging in the background, eliminating bottlenecks and making the process fit within a standard appointment. Visuals Drive Acceptance: Using large, high-quality photos on a monitor is a powerful tool. Showing patients their own crowding, wear, or abfractions and then asking, "Are you happy with your smile?" is more effective than just describing the problem. Make it Easy to Say Yes: Streamline the financial conversation by having payment options prepared in advance. Presenting clear solutions immediately after the patient expresses interest removes a major barrier to starting treatment. Create Urgency (and Follow Up): Offering to scan an interested patient on the spot capitalizes on their motivation. For those who need to think about it, sending them home with a signed financial plan and following up creates a clear path to starting their case. Join the Very Dental Facebook group using the password "Timmerman," Hornbrook" or "McWethy," "Papa Randy," "Lipscomb" or "Gary!" The Very Dental Podcast network is and will remain free to download. If you'd like to support the shows you love at Very Dental then show a little love to the people that support us! -- Crazy Dental has everything you need from cotton rolls to equipment and everything in between and the best prices you'll find anywhere! If you head over to verydentalpodcast.com/crazy and use coupon code “VERYDENTAL10” you'll get another 10% off your order! Go save yourself some money and support the show all at the same time! -- The Wonderist Agency is basically a one stop shop for marketing your practice and your brand. From logo redesign to a full service marketing plan, the folks at Wonderist have you covered! Go check them out at verydentalpodcast.com/wonderist! -- Enova Illumination makes the very best in loupes and headlights, including their new ergonomic angled prism loupes! They also distribute loupe mounted cameras and even the amazing line of Zumax microscopes! If you want to help out the podcast while upping your magnification and headlight game, you need to head over to verydentalpodcast.com/enova to see their whole line of products! -- CAD-Ray offers the best service on a wide variety of digital scanners, printers, mills and even  their very own browser based design software, Clinux! CAD-Ray has been a huge supporter of the Very Dental Podcast Network and I can tell you that you'll get no better service on everything digital dentistry than the folks from CAD-Ray. Go check them out at verydentalpodcast.com/CADRay!

In this episode, Kevin and Zach return from a hiatus and catch up on their summer adventures before introducing a special guest: Kevin's hygienist, Maryann McFarland. Maryann shares her journey through a 32-year career in hygiene, from a frustrating first job in a "prophy mill" to finding her work home in Kevin's practice. She discusses how embracing new challenges like sleep apnea treatment, clear aligner therapy, and administering local anesthesia has reinvigorated her passion for dentistry and transformed her job satisfaction. Key Takeaways Find Your "Work Home": A positive and supportive work environment is crucial for long-term career satisfaction. Maryanne's story shows the stark contrast between a high-turnover practice and one that invests in its team. Trust Empowers Your Team: Practice owners who trust their team members with new responsibilities and encourage them to develop their skills can unlock a higher level of engagement and satisfaction. As Maryanne says, Kevin "finds what we're good at and he lets us run with it." Hygiene is More Than Cleaning Teeth: Expanding a hygienist's role beyond traditional prophies to include comprehensive care like sleep apnea, orthodontics, and implants can combat burnout and foster significant professional growth, even for a 30+ year veteran. Embrace Lifelong Learning: Being open to learning new skills, like when Maryanne took on local anesthesia after 30 years without it, can be challenging but ultimately become one of the most rewarding parts of the job. Join the Very Dental Facebook group using the password "Timmerman," Hornbrook" or "McWethy," "Papa Randy," "Lipscomb" or "Gary!" The Very Dental Podcast network is and will remain free to download. If you'd like to support the shows you love at Very Dental then show a little love to the people that support us! -- Crazy Dental has everything you need from cotton rolls to equipment and everything in between and the best prices you'll find anywhere! If you head over to verydentalpodcast.com/crazy and use coupon code “VERYDENTAL10” you'll get another 10% off your order! Go save yourself some money and support the show all at the same time! -- The Wonderist Agency is basically a one stop shop for marketing your practice and your brand. From logo redesign to a full service marketing plan, the folks at Wonderist have you covered! Go check them out at verydentalpodcast.com/wonderist! -- Enova Illumination makes the very best in loupes and headlights, including their new ergonomic angled prism loupes! They also distribute loupe mounted cameras and even the amazing line of Zumax microscopes! If you want to help out the podcast while upping your magnification and headlight game, you need to head over to verydentalpodcast.com/enova to see their whole line of products! -- CAD-Ray offers the best service on a wide variety of digital scanners, printers, mills and even  their very own browser based design software, Clinux! CAD-Ray has been a huge supporter of the Very Dental Podcast Network and I can tell you that you'll get no better service on everything digital dentistry than the folks from CAD-Ray. Go check them out at verydentalpodcast.com/CADRay!

I am thrilled to connect with Dr. Staci Whitman today. She is a leading authority in functional dentistry, on a mission to revolutionize oral healthcare with a unique blend of scientific expertise and compassionate care, dedicated to creating a knowledgeable and cavity-free world. In our discussion, Dr. Staci explains how the oral microbiome functions as a gatekeeper for systemic health, and we examine the impact of chronic mouth breathing and the significance of nitric oxide production. We explore allergies, myofascial symmetry, physical therapy, sleep disorders, and breathing as a continuum, and discuss changes during menopause that impact the oral microbiome, affecting salivary flow, bacterial diversity, risk for gum disease, changes in taste, oral pain, and impaired immune defences. Dr. Staci shares her thoughts on how dentistry needs a reboot, whether fluoride should be in drinking water and toothpaste, and the impact of veneers, braces, and Invisalign. She also offers tips and tools for optimal oral health.  This discussion with Dr. Staci Whitman offers powerful insights, and I look forward to having her join us again after her book comes out in 2027. IN THIS EPISODE, YOU WILL LEARN:  Why is the oral microbiome so important? Why chronic mouth breathing is not benign The steps middle-aged women can take, from a dental perspective, to help navigate hormonal changes during menopause  How oral dysbiosis affects various organ systems How hormone replacement therapy can save the quality of your jawbone and teeth Why women must optimize their diets to support midlife hormonal changes How common dental advice can sometimes be more harmful than beneficial for the long-term health of your microbiome. Ways to optimize your oral microbiome The benefits of tongue scraping and oil pulling Popular dental trends that concern Dr. Staci, as a dental expert Bio: Dr. Staci Whitman, a leading authority in functional dentistry, is on a mission to revolutionize oral healthcare. With a unique blend of scientific expertise and compassionate care, she's dedicated to creating a cavity-free world. Dr. Staci is board-certified in pediatrics, integrative dentistry, and naturopathic dentistry and is one of the only dentists in the world to have her Functional Medicine Certification from the Institute of Functional Medicine. She founded one of the leading Functional Pediatric Dental offices in the country, where she takes a whole-body and holistic approach to her care. She is the co-founder of the Institute for Functional Dentistry, launching in summer 2025, and lectures globally on Functional Dentistry and the Oral Systemic Connection. She is also the co-founder of Feed Your Good Guys (Fygg), a microbiome-friendly oral care. With a passion for optimizing the oral microbiome, hormonal health, nutritional status, and sleep and airway health, she is a sought-after expert and educator with a heavy focus on preventative dentistry, cavity arrest, and remineralization, and the oral-gut-brain axis. Dr. Staci passionately shares her knowledge and insights on creating happy teeth and healthy lives. Connect with Cynthia Thurlow   Follow on Twitter Instagram LinkedIn Check out Cynthia's website Submit your questions to support@cynthiathurlow.com Connect with Dr. Staci Whitman On her website Instagram