Podcasts about Orthodontics

In this season-finale episode of The Burleson Box, Dustin Burleson is joined by longtime collaborator and digital marketing pioneer Jimmy Nicholas for a wide-ranging conversation on how artificial intelligence is actively reshaping dentistry and orthodontics.Their story goes back more than a decade to the Dan Kennedy GKIC days, a marketer-of-the-year competition, and the early experiments that turned Google into one of Dustin's top sources of new patients. Now, after selling his agency and sitting out a non-compete, Jimmy returns with a new focus on AI, compliance, automation, and what he calls “simple alignment” across marketing, operations, and team communication.This conversation moves well past surface-level AI hype. Dustin and Jimmy unpack what is actually working right now inside real practices, what most doctors still misunderstand, and where real opportunity exists heading into 2026.You will hear why Answer Engine Optimization, or AEO, may soon matter more than traditional SEO, how AI is changing follow-up systems, phone automation, and patient communication, and why most medical and dental websites are still invisible to large language models. They also discuss the risks that come with careless AI use, including HIPAA violations, hallucinated data, and unreliable financial calculations.This episode is essential listening for any practice owner who wants to stay competitive, protect their team's time, and apply AI with discipline rather than guesswork.Resources Mentioned:AI Beta Group (Free Community)Wealthy Entrepreneur Strategy Consultations ***The Burleson Box is brought to you by OrthoFi:Grow More. Worry Less. Simplify Your Practice with OrthoFi.Did you know that practices using OrthoFi start more patients and reduce financial barriers without adding complexity to their operations? With OrthoFi, you can simplify the insurance and patient financial process, streamline collections, and free up your team to focus on patient care. OrthoFi combines smart technology with patient-friendly payment solutions to help you start more treatment, improve cash flow, and deliver a better overall experience. Patients love the flexibility. Practices love the results.Take advantage of a platform built specifically for orthodontists and dental specialists—helping you manage everything from eligibility verification to automated payment processing in one easy-to-use system. Grow your starts. Increase your efficiency. And reduce the headaches of insurance and collections with OrthoFi.Want to learn more? Schedule a demo today and see how OrthoFi can help your practice thrive.Click below to learn more:OrthoFi.com*** Go Premium: Members get early access, ad-free episodes, hand-edited transcripts, exclusive study guides, special edition books each quarter, powerpoint and keynote presentations and two tickets to Dustin Burleson's Annual Leadership Retreat.http://www.theburlesonbox.com/sign-up Stay Up to Date: Sign up for The Burleson Report, our weekly newsletter that is delivered each Sunday with timeless insight for life and private practice. Sign up here:http://www.theburlesonreport.com Follow Dustin Burleson, DDS, MBA at:http://www.burlesonseminars.com Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

"It's hard enough doing an ortho startup practice." Connect With Our SponsorsGreyFinch - https://greyfinch.com/jillallen/A-Dec - https://www.a-dec.com/orthodonticsSmileSuite - https://getsmilesuite.com/ Summary In this engaging conversation, Jill Allen speaks with husband-and-wife duo Drs. Lauren Carlson and Mike Seelig about their journey in starting an ortho-pedo practice together. They discuss their backgrounds, the challenges of balancing family life with a startup, and the importance of structuring their practice for efficiency. The couple emphasizes the significance of building a supportive team culture and enhancing patient experiences through convenience and communication. They also share insights on fostering relationships with referring doctors and the importance of clear expectations in collaborative care. Connect With Our Guest Shine Pediatric Dentistry & Orthodontics - https://shinepdo.com Takeaways Mike and Lauren met in dental school and started their practice together.They faced challenges balancing family life with their startup.Cross-training staff was crucial for their practice's efficiency.They emphasize the importance of a supportive team culture.Patient convenience is a top priority in their practice.Building relationships with referring doctors is essential.They aim to eliminate unnecessary appointments for families.Clear communication with referring doctors is vital.They encourage staff to grow within the practice.Their journey highlights the importance of teamwork.Chapters 00:00 Introduction01:41 Starting the Conversation: Lauren & Mike's Background02:01 The Journey to Opening a Practice03:37 Challenges and Benefits of Working Together07:28 Balancing Family and Business11:04 Structuring the Practice: Ortho and Pedo18:42 Building a Strong Team Culture26:10 Continuous Growth as Leaders29:37 Vision for In-House Patient Experience35:57 Building Relationships Between Orthodontists and Pediatric Dentists45:26 Final Thoughts and Contact InformationEpisode Credits:  Hosted by Jill AllenProduced by Jordann KillionAudio Engineering by Garrett LuceroAre you ready to start a practice of your own? Do you need a fresh set of eyes or some advice in your existing practice?Reach out to me- www.practiceresults.com.    If you like what we are doing here on Hey Docs! and want to hear more of this awesome content, give us a 5-star Rating on your preferred listening platform and subscribe to our show so you never miss an episode.    New episodes drop every Thursday!   

In this episode, I sit down with one of the sharpest minds in ortho consulting, Cathy Jugovic. If you've never heard of her, trust me—you're about to want her in your corner. Cathy has spent decades inside orthodontic and general dental practices, and she knows exactly where to look when something's off. Whether it's overdue accounts, patients who've vanished without a next visit, or that quiet employee pocketing your cash—she's seen it all. And she's helped over 400 doctors fix it.We talk blind spots, accountability, culture, and why your front desk could be quietly costing you more than you think. Plus, we unpack the real role of the founder-doctor, how to sniff out embezzlement, and the key reports you should be reviewing daily—even if you're short-staffed. If you want to understand how high-performing practices actually operate under the hood, this one's a masterclass.QUOTES"If you're not asking questions about the reports, your team will assume you're not looking. And when they think you're not looking—they stop doing the work." — Cathy Jugovic"It's your practice. You better know what's going on. That's Business 101." — Cathy JugovicKey TakeawaysIntro (00:00)Cathy's background: 23 years in GP, then ortho, then consulting (02:00)Scaling from 200 to 9,000 patients—and what she learned (03:00)The 6 reports every practice should be running weekly (06:34)How to monitor AR, over-treatment, and no-future-appointment lists (06:50)Why most front desks don't work their reports—and how to fix that (08:00)The role of the founder-doctor in practice ops today (11:28)How to structure your team's accountability systems (12:25)Embezzlement red flags (17:56)The $70K case Cathy helped uncover—and how they caught her (20:29)What not to do if you suspect theft (24:26)Don't take cash—and why your team watches how you handle it (22:02)Missed starts: how doctors unintentionally kill case acceptance (29:26)New patient sales: why most practices have no system (32:38)Cathy's "Orthodontic Money Map" seminar with Prosperident (37:21)Why 8 out of 10 practices are being embezzled—whether they know it or not (38:00)Additional ResourcesIf you think your practice is doing fine because the money's hitting your account, think again. Reports don't lie—but people might. If you don't know your overdue AR, unscheduled actives, and adjustment patterns, you could be bleeding money (or worse).

"Your people are your business." Connect With Our SponsorsGreyFinch - https://greyfinch.com/jillallen/A-Dec - https://www.a-dec.com/orthodonticsSmileSuite - https://getsmilesuite.com/ Summary In this engaging conversation, Cary Smith shares his journey in the orthodontic industry, emphasizing the importance of compliance, risk management, and team engagement. He discusses how business owners can navigate challenges, the significance of a strong team culture, and the need for proactive leadership. The discussion highlights the role of software in modern business practices and the necessity of investing in people to ensure success. Cary encourages listeners to take actionable steps towards improving their practices and achieving their desired outcomes. Connect With Our Guest Done Desk - https://www.donedesk.com/ Takeaways Cary Smith has been working with dentists for 15 years.Done Desk was created to help dental practices manage compliance and risk.Compliance should be viewed as a pathway to business success.Proactivity is essential to avoid burnout and stress in business.Team engagement directly impacts the success of a practice.Investing in people is crucial for business growth.Culture is an output of how well a team functions together.Leadership should empower team members to take initiative.Software plays a vital role in modern business operations.Business owners must prioritize their time effectively.Chapters 00:00 Introduction and Guest Introduction01:45 Cary Smith's Background and Done Desk Overview02:06 The Importance of Compliance and Training10:31 Proactivity vs. Reactivity in Business18:13 Investing in People and Processes23:15 Addressing Doctor Satisfaction26:36 Leadership and Team Culture30:04 Optimizing Employee Roles and Rewards34:34 The Importance of Culture in Business38:56 Final Thoughts and Contact InformationEpisode Credits:  Hosted by Jill AllenProduced by Jordann KillionAudio Engineering by Garrett LuceroAre you ready to start a practice of your own? Do you need a fresh set of eyes or some advice in your existing practice?Reach out to me- www.practiceresults.com.    If you like what we are doing here on Hey Docs! and want to hear more of this awesome content, give us a 5-star Rating on your preferred listening platform and subscribe to our show so you never miss an episode.    New episodes drop every Thursday!   

“Even though the panelistswere huge aligner users, the statements are not so in favour of aligners, they are surprisingly reasonable.” “It's very difficult to find a real aligner experts without a conflict of interest. Almost impossible.” “If you explain the differences honestly, most of my extraction patients choose fixed appliances. I'm not selling aligners.” “Direct printing is the real breakthrough, but right now it has too many shortcomings to be a standard technology.” “I am pessimistic. We must fight for our profession — against the idea that technology can replace orthodontists.” In this episode, I'm joined by Vincenzo D'Antò, lead author and contributing author of this year's two major consensusstatements on clear aligners. We explore the key findings from these landmark papers and how they translate into real-world clinical practice. Vincenzo shares his own views on aligners, their limitations, and his pragmatic approach to integrating hybrid mechanics, particularly skeletal anchorage, into alignertreatment. We discuss recent innovations in aligner therapy, distinguishing those with genuine clinical value from those that are ineffective. We also hear Vincenzo's candid concerns about the future of orthodontics.  03:00 – Why did youcreate this Delphi aligner consensus?05:03 – How were thealigner experts selected for the study?06:51 – Do conflictsof interest affect aligner consensus statements?11:49 – Crowding: Whydoes the Alharfi 2025 SR show better outcomes for aligners?15:49 – 7 vs 10 vs 14days: How often should patients change aligners?20:03 – Are complexmovement failures a design flaw or inherent to aligners?22:19 – What trulylimits clear aligner biomechanics?25:46 – Is hybridorthodontics the future of predictable aligner treatment?29:35 – What hybridmechanics do you use most in practice?32:05 – Can wereliably treat extraction cases with aligners?36:03 – Is betterOHRQoL worth compromised occlusal outcomes?39:11 – Do alignerswork for growing patients, or is this just marketing?41:34 – Why ishigh-quality aligner research still so weak?44:30 – Final advice:What should orthodontists focus on for the future? Click on the link below to view previous episodes, to refresh topics,pick up tricks and stay up to date.  Please like and subscribe if you find it useful! Please visit the website for this interview podcast:https://orthoinsummary.com/is-there-really-a-consensus-on-aligners-a-delphi-author-explains-orthodontics-in-interview-vincenzo-danto/ Spotify podcasts for other platforms YouTubehttps://youtu.be/jpMUbYINxzg #OrthodonticsInSummary#VINCENZOD'ANTO#Orthodontics#ClearAligners#AlignerTherapy#HybridOrthodontics#SkeletalAnchorage#TADs#OrthodonticEvidence#OrthodonticsInInterview#FarooqAhmed#VincenzoDAnto#OrthodonticBiomechanics#OrthodonticResearch  Farooq Ahmed

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

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:

"No two businesses are the same." Connect With Our SponsorsGreyFinch - https://greyfinch.com/jillallen/A-Dec - https://www.a-dec.com/orthodonticsSmileSuite - https://getsmilesuite.com/ Summary In this conversation, Jill Allen and Artin Safarian discuss the intricacies of starting a dental practice, focusing on project management, budgeting, and the importance of value engineering. Artin shares his journey from HVAC to dental project management, emphasizing the need for comprehensive management in dental practices. They explore the challenges of construction, zoning, and the necessity of due diligence, while also providing insights into effective budgeting for a successful startup. Connect With Our Guest Arminco Inc. - https://www.armincoinc.com/ Takeaways Artin Safarian's journey from HVAC to dental project management.The importance of comprehensive project management in dental practices.Value engineering can significantly reduce costs for dental startups.Understanding the unique needs of each dental practice is crucial.Zoning and due diligence are often overlooked but essential.Budgeting should include all aspects of the practice setup.Effective communication among team members is vital for success.Construction challenges can arise unexpectedly without proper management.Doctors should not assume that all necessary infrastructure is in place.Planning ahead can prevent costly mistakes during the startup phase.Chapters 00:00 Introduction01:54 Meet Artin Safarian: CEO of Arminco02:33 Artin's Journey into the Dental Industry04:33 Comprehensive Project Management in Practices09:11 The Importance of Value Engineering16:36 Real Estate Considerations for Practices18:21 Challenges with Post Tension Cables19:07 Importance of Project Management21:26 Common Assumptions and Oversights in Construction23:23 Zoning and Parking Issues29:01 Budgeting and Construction Costs32:27 Contact Information and Final ThoughtsEpisode Credits:  Hosted by Jill AllenProduced by Jordann KillionAudio Engineering by Garrett LuceroAre you ready to start a practice of your own? Do you need a fresh set of eyes or some advice in your existing practice?Reach out to me- www.practiceresults.com.    If you like what we are doing here on Hey Docs! and want to hear more of this awesome content, give us a 5-star Rating on your preferred listening platform and subscribe to our show so you never miss an episode.    New episodes drop every Thursday!   

Most practices are sitting on six figures in easy revenue. The cash is already inside your walls, hiding in three places: unscheduled observation patients, no-shows, and unanswered calls. Run reports. Set simple targets. Work a consistent follow-up cadence. You'll add new starts without chasing a single lead. The post The FOLLOW-UP Secret That Will CHANGE Your Orthodontic Practice appeared first on HIP Creative.

Our guest today is Dr. Yan Kalika, DMD, MS, a certified specialist in orthodontics and dentofacial orthopedics. He earned his dental degree with honors from Harvard School of Dental Medicine and completed his orthodontic training — along with a master's degree in oral biology — at the University of California, San Francisco. We'll be talking with him about how he leverages ClearCorrect, AI, and digital workflows to attract new patients, streamline operations, and grow a profitable practice — all while keeping patients at the center of care.

“We need to balance efficiency and humanity.” Connect With Our SponsorsGreyFinch - https://greyfinch.com/jillallen/A-Dec - https://www.a-dec.com/orthodonticsSmileSuite - https://getsmilesuite.com/ Summary In this conversation, Jill Allen chats with Amy Cromwell to discuss the critical role of communication in orthodontic practices, emphasizing the evolution of communication methods, the importance of adapting to different generations, and leveraging technology for better patient interactions. They explore the significance of first impressions, the use of analytics to improve communication, and the necessity of training and coaching for staff. The discussion also touches on the balance between efficiency and humanity in communication, the role of AI, and the importance of creating a positive patient experience through effective communication strategies. Connect With Our Guest Jill Allen & Associates - https://www.practiceresults.com/ Takeaways Communication is essential in orthodontic practices.Different generations require different communication styles.Technology has transformed communication methods.First impressions can significantly impact patient experience.Handling communication breakdowns is crucial for patient satisfaction.Analytics can help identify communication gaps.Training and coaching are vital for effective communication.AI can enhance communication but should not replace human interaction.Celebrating progress in communication is important for team morale.Understanding the patient's perspective is key to effective communication.Chapters 00:00 Introduction03:24 Evolution of Communication in Orthodontics05:43 Generational Communication Differences07:08 Effective Communication Techniques08:56 Importance of Positive Communication12:00 Leveraging Technology for Better Communication20:03 New Patient Call Strategies27:15 Analyzing Communication Analytics29:27 The Importance of Technology in Communication33:07 Celebrating Progress and Building Trust35:36 Coaching and Training Programs38:07 Balancing AI and Human Touch41:18 Communication Training and Coaching Packages48:24 Final ThoughtsEpisode Credits:  Hosted by Jill AllenProduced by Jordann KillionAudio Engineering by Garrett LuceroAre you ready to start a practice of your own? Do you need a fresh set of eyes or some advice in your existing practice?Reach out to me- www.practiceresults.com.    If you like what we are doing here on Hey Docs! and want to hear more of this awesome content, give us a 5-star Rating on your preferred listening platform and subscribe to our show so you never miss an episode.    New episodes drop every Thursday!   

"Answer Engine Optimization is the future." Connect With Our SponsorsGreyFinch - https://greyfinch.com/jillallen/A-Dec - https://www.a-dec.com/orthodonticsSmileSuite - https://getsmilesuite.com/ Summary In this conversation, Jeff Slater discusses the evolving landscape of digital marketing, particularly in the orthodontic field. He emphasizes the importance of adapting to new trends such as Answer Engine Optimization (AEO) and Generative Engine Optimization (GEO), while still maintaining a strong foundation in traditional SEO practices. The discussion also highlights the critical role of Google reviews, content structuring for AI, and the necessity of leveraging technology to enhance patient engagement and streamline marketing efforts. Connect With Our Guest Kaleidoscope Orthodontic Digital Marketing - https://thekaleidoscope.com/ Takeaways AEO focuses on AI-driven search results and voice assistants.Content should be structured in a Q&A format to align with user queries.Google reviews significantly impact search rankings and visibility.Encouraging detailed patient reviews can enhance credibility.The traditional SEO foundation remains crucial amidst evolving strategies.Regularly testing website functionality is essential for user experience.Utilizing technology like NFC cards can simplify the review process.Marketing strategies must adapt to changing consumer behaviors.Creating engaging content for humans is key to successful marketing.Being proactive in your career can lead to greater opportunities.Chapters 00:00 Introduction01:58 Jeff Slater's Background and Role at Kaleidoscope03:53 AI in Orthodontic Marketing: AEO and GEO Explained12:04 Optimizing Content for AI: Strategies and Tips21:13 Importance of Google Reviews in AI and SEO27:44 Avoiding Review Contests28:43 Leveraging Staff and Close Contacts29:45 Using NFC Technology for Reviews34:30 The Importance of SEO and AI39:49 Testing and Optimizing Your Website44:09 Final Thoughts and Contact Information Episode Credits:  Hosted by Jill AllenProduced by Jordann KillionAudio Engineering by Garrett LuceroAre you ready to start a practice of your own? Do you need a fresh set of eyes or some advice in your existing practice?Reach out to me- www.practiceresults.com.    If you like what we are doing here on Hey Docs! and want to hear more of this awesome content, give us a 5-star Rating on your preferred listening platform and subscribe to our show so you never miss an episode.    New episodes drop every Thursday!   

Systematic Review Evaluates Initial Carious Lesion Rates Associated with Fixed Orthodontic TreatmentBy Today's RDH ResearchOriginal article published on Today's RDH: https://www.todaysrdh.com/systematic-review-evaluates-initial-carious-lesion-rates-associated-with-fixed-orthodontic-treatment/Need CE? Start earning CE credits today at https://rdh.tv/ce Get daily dental hygiene articles at https://www.todaysrdh.com Follow Today's RDH on Facebook: https://www.facebook.com/TodaysRDH/Follow Kara RDH on Facebook: https://www.facebook.com/DentalHygieneKaraRDH/Follow Kara RDH on Instagram: https://www.instagram.com/kara_rdh/

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/

Send us a textDr. Layne Martin is the Co-creator & lead faculty of the airVata appliance, a nightguard that opens airways to improve sleep quality. He also created the OpenAir Pillow, which helps reduce snoring and improve sleep performance, enabling a better, healthier lifestyle. Needless to say, he is one of the foremost ortho innovators with an invaluable focus on airway and sleep performance!✨Helpful Links: AirVata Website: https://www.airvata.com/OpenAir Pillow Website: https://www.openairpillow.com/LinkedIn: https://www.linkedin.com/in/layne-martin-95777a4/

Dr. Scott Schwartz joins Newly Erupted to speak directly to the prospective pediatric dentists going through the residency application process. Dr. Schwartz shares his experience and perspective as a program director, along with best practices for putting your best foot forward as a candidate. He emphasizes the importance of preparedness and an understanding that the interview is mutual – consider if this is the best program or location for you. This episode is a must-listen for anyone going through – or even considering – a pediatric dentistry residency program. Guest Bio: Scott B. Schwartz, DDS, MPH, is an Associate Professor at Cincinnati Children's Hospital Medical Center in the Division of Pediatric Dentistry and Orthodontics, where he also serves as Director of the Advanced Education in Pediatric Dentistry training program. After graduating from the University of Illinois – Chicago College of Dentistry, he completed a General Practice Residency at The Ohio State University. Continuing his journey to the Southeast, he obtained a certificate in pediatric dentistry and a Master of Public Health in Health Policy and Management at the University of North Carolina at Chapel Hill. Professionally, he has a strong focus on diversity, equity, and inclusion (DEI) and has served on related committees with the American Dental Education Association, the Cincinnati Children's Graduate Medical Education DEI subcommittee, and written extensively about the topic in both editorial and research publications.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

“Literally 20 million pounds.” Connect With Our SponsorsGreyFinch - https://greyfinch.com/jillallen/A-Dec - https://www.a-dec.com/orthodonticsSmileSuite - https://getsmilesuite.com/ Summary In this conversation, Jill Allen interviews Dr. Madeleine Goodman, an orthodontist who shares her journey from growing up in a dental family to starting her own dual specialty practice. They discuss the challenges and experiences of transitioning from an associate to a practice owner, the importance of innovative approaches in orthodontics, and the growing focus on sustainability within the industry. Madeleine introduces her initiative, the Tiny Changes Recycling Program, aimed at reducing plastic waste in orthodontic practices. The conversation highlights the significance of collaboration and the future of sustainability in orthodontics. Connect With Our Guest Tiny Changes Recycling Program - https://maso.org/tiny-changes-recycling/ tinygreenchanges@gmail.com Takeaways Sustainability is becoming a crucial focus in orthodontic practices.The Tiny Changes Recycling Program aims to reduce plastic waste in orthodontics.Collaboration between orthodontists and pediatric dentists enhances patient care.Younger doctors are more inclined towards sustainable practices.Educating patients about treatment options is essential in today's information age.The recycling program is a marketing tool that resonates with environmentally conscious patients.Small changes in practice can lead to significant impacts on sustainability.Chapters 00:00 Introduction01:53 Switching Gears: Sustainability in Orthodontics03:52 The Journey to Eliminating Plastic Bags04:58 Invisalign Recycling Initiative06:50 Challenges and Progress in Sustainability11:33 Tiny Changes Program Details17:35 Subscription-Free Box Program18:17 Sponsorship Challenges and Responsibilities21:11 The Impact of Recycling in Orthodontics23:01 Future Vision for Sustainability26:03 Expanding Tiny Changes29:28 Wrapping Up and Contact InformationEpisode Credits:  Hosted by Jill AllenProduced by Jordann KillionAudio Engineering by Garrett LuceroAre you ready to start a practice of your own? Do you need a fresh set of eyes or some advice in your existing practice?Reach out to me- www.practiceresults.com.    If you like what we are doing here on Hey Docs! and want to hear more of this awesome content, give us a 5-star Rating on your preferred listening platform and subscribe to our show so you never miss an episode.    New episodes drop every Thursday!   

 “The purpose of Dental Monitoringisn't to disconnect you from your patient, it's to make sure you see them atthe right moment for the right reason.” “Fix problems early andyou don't have problems. If you intercept an issue straight away, you can oftenavoid side effects altogether.” “If you don't change yourprotocol, DM won't reduce appointments, you do. The technology empowers smarterscheduling, not magic.” “AI isn't replacingorthodontists. It's replicating their eyes, helping you catch what you'd wantto see, every single week.” In this episode, I'm joined by PhilippeSalah, CEO and founder of DentalMonitoring. We explore the evolution of AI-based remote monitoring in orthodontics, how it aims to change the way we communicate with patients, provide data of our practice but also where the evidence remains mixed. Philippe addresses questions on reliability, patient compliance, and the impact on rapport when monitoring replaces in-personvisits. We discuss the real-world challenges of cost, protocol adaptation and workflow change, as well as the future role of AI, sustainability, and data-driven insight in clinical practice. 02:07 – How did youcome up with the concept of Dental Monitoring?08:50 – How accurateis Dental Monitoring, and what happens if the AI misses something?13:55 – Where do yousee the benefits of Dental Monitoring if studies show limited reduction invisits or treatment time?18:56 – Is remotemonitoring less able to build patient rapport compared to in-person officevisits?24:53 – DentalMonitoring comes at a financial cost, what is the return on investment forclinicians?29:48 – Is DentalMonitoring for every patient, given compliance and scanning challenges?33:02 – AI consumesglobal energy resources, how does Dental Monitoring address environmentalresponsibility?36:52 – Tell us aboutDental Monitoring Insights and how it impacts clinical practice.42:28 –What advicewould you give to orthodontists  Click on the link below to view previous episodes, to refresh topics,pick up tricks and stay up to date.

In this episode of the Orthopreneur Podcast, Dr. Jon Lambert shares his journey as an orthodontist who opened his practice during the COVID-19 pandemic. He discusses the challenges he faced, including financial struggles and the need to adapt quickly. Jon also talks about expanding his practice to multiple locations and his unique venture into cattle farming, highlighting the importance of side hustles for personal fulfillment and growth. His story is one of resilience, gratitude, and the pursuit of passion beyond traditional career paths.QUOTES“No one's coming to save you. So you gotta go make it happen.” — Dr. Jon Lambert“I go out in silence and listen to nature. It rebalances me and reminds me what's important.” — Dr. Jon LambertKey Takeaways00:00 Introduction to Dr. Jon Lambert02:44 Starting an Orthodontic Practice During COVID07:42 Expanding to Multiple Practices12:08 Managing a Growing Team13:55 The Journey into Cattle Farming25:28 The Importance of Side HustlesAdditional ResourcesIf you've ever felt like the odds are stacked against you—or wondered whether it's possible to build something great your way—this episode is your reminder that tough times can fuel extraordinary growth. Listen now, and be inspired by a guy who wears a cowboy hat, manages three practices, and still finds joy in feeding cows in silence.-Lambert Orthodontics: https://lambertortho.com Register for Ortho Vanguard: https://www.opvanguard.com - For more information, visit: https://orthopreneurs.com/- Join our FREE Facebook group here: https://www.facebook.com/groups/

Do all whitening gels work the same, or is the brand actually important? Are lights and in-office “power whitening” just marketing hype? And what's the deal with the infamous white diet - do your patients really need to give up coffee and red wine? In this episode, I sit down with Dr. Wyman Chan, the man who literally hung up his drills in 2002 to dedicate his career to whitening alone. With over 20,000 cases under his belt (and a PhD in the science behind it), Wyman shares his three golden rules for whitening success: trays, communication, and conscious bleaching. We're also joined by Dr. Niki Shah, who brings his own insights into whitening and patient care, making this a conversation packed with both science and clinical experience. Wyman introduces his latest invention—Magic 3, a fizzing gel that reveals and removes plaque while calming gums. Plus, Wyman busts some of the biggest whitening myths (sorry, “white diet”) and explains why he no longer bothers with internal bleaching. If you've ever wondered how to make whitening safer, more predictable, and less stressful for you and your patients—this is the episode you'll want to tune in for. Protrusive Dental Pearl Innovation in Hygiene with Magic 3 - What is Magic 3? A colorless plaque indicator gel developed by Wyman Chan. Fizzes on contact with plaque. Cleans teeth, removes superficial stains, and softens soft calculus. Clinical Application Alternative to scaling/polishing for routine patients. Nervous patients who dislike ultrasonic scalers. Children (6+) – safe as a Class I medical device. Orthodontic patients – helps prevent white spot lesions. Learn more at https://protrusive.co.uk/magic3 https://youtu.be/ImpHJP3Wxec Watch PDP245 on YouTube Key Takeaways: Teeth whitening success depends on tray design, formulation, technique, and compliance. Conscious bleaching helps minimise sensitivity. Sensitivity is due to peroxide reaching the pulp. Patients should adjust wear time gradually, starting short and increasing if comfortable. Communication and treatment planning are crucial to match whitening regimes with lifestyles. The “white diet” is not scientifically necessary - normal eating and drinking can resume within minutes. External bleaching alone can be effective, even for single dark teeth. Tetracycline-stained teeth can respond to whitening with the right protocols. The brand is less important than protocol consistency and clinician experience. In-office light-assisted whitening adds risk, cost, and chairside time without proven benefit. Allergic reactions are more likely caused by gel additives, not peroxide itself. Emerging products, such as peroxide-based gels for plaque disruption and gingival health, may complement whitening in the future. Highlights of this episode: 00:00 TEASER 1:00 INTRO 3:13 PROTRUSIVE DENTAL PEARL 07:05 Dr. Wyman Chan Introduction 13:32 Niki's Journey in Dentistry 17:03 Whitening Products and Techniques 23:09 Three Keys to Whitening Success 30:03 Addressing Sensitivity in Teeth Whitening 37:43 MIDROLL 41:04 Addressing Sensitivity in Teeth Whitening 46:15 Whitening as Treatment Planning 49:10 Myths and Misconceptions 01:00:27 Lights and In-Office Whitening 01:03:13 Introducing Magic3: A Revolutionary Dental Product 01:16:10 OUTRO Discover Magic3 and Dr. Wyman Chan's inventions If this episode piqued your interest, continue the whitening theme by listening to PDP199 “How To Eliminate Sensitivity During Teeth Whitening”. And don't miss the upcoming visual follow-up to this episode! #PDPMainEpisodes #BreadandButterDentistry This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance. This episode meets GDC Outcomes A, C, and D. AGD Subject Code: 780 – Esthetics/Cosmetic Dentistry Aim: To deepen dentists' understanding of teeth whitening by exploring evidenc...

In this recap, Lesley and Brad revisit their inspiring interview with Jill Allen, founder of Jill Allen & Associates and host of Hey Docs. They reflect on the lessons of grit, confidence, and letting go of the “do-it-all” mindset that keeps entrepreneurs stuck. Together, they share why delegation, structure, and brave decision-making matter more than perfection—and how asking “What's the worst that can happen?” can unlock fearless growth in both your business and in your life.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:Ankle and wrist weights in Pilates and when, if ever, to use them.How self-confidence builds credibility and trust with clients and teams.Why grit and resilience often outperform talent and quick success.How the “Superwoman Syndrome” creates burnout and stagnation.How time-blocking and brave choices create momentum toward success.Episode References/Links:Cambodia Retreat Waitlist - https://lesleylogan.co/retreatsWinter Tour - https://opc.me/eventsPilates Journal Expo - https://xxll.co/pilatesjournalAgency Mini - https://prfit.biz/miniContrology Pilates Conference in Poland - https://xxll.co/polandContrology Pilates Conference in Brussels - https://xxll.co/brusselsSubmit your wins or questions - https://beitpod.com/questionsPractice Results Website - https://www.practiceresults.comHey Docs Podcast - https://www.practiceresults.com/hey-docsGrit It Done by Reid Tileston - https://a.co/d/2rKh0ZcBrave, Not Perfect by Reshma Saujani - https://a.co/d/2jjcF9u 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:Brad Crowell 0:00  Something that I've told myself over the years is that I work better under pressure, or I work better under a deadline, right? And I think that it's, it definitely makes you go like, you have to get the, get it done. But what if you don't? I've been in that position where I've actually missed deadlines. I have failed because I waited until I needed that feeling of pressure, you know. So there's just so much that goes along with this Superman, Superwoman syndrome when we're trying to do it all.Lesley Logan 0:30  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 demystifying convo I have with Jill Allen in our last episode. If you haven't yet listened to that interview, feel free to pause us now and go back and listen to that one or you can listen this one and then see if you align with what we liked in that one. Maybe you like something different. Brad Crowell 1:32  Maybe. Lesley Logan 1:33  So today is October 23rd, 2025 and there was no good days. So yesterday, the 22nd was National Make A Dog's Day. And I'm going, I don't want to forget this, so pause. You guys, on the day that we're recording this is a month from when this is releasing, and so a month ago from when you're listening to this, and two days, was like National like Amazing Wife's Day and my husband did not know, and he didn't announce anything. No public displays of affection on Instagram, nothing. I'm just saying, it was a very important holiday, and it will never land on a Thursday, because it's always on the third Sunday of every month. Brad Crowell 2:12  What date was that? Lesley Logan 2:14  It was September 21st and if you look at 10 days, and the reason I know is because my and Rick. Rick posted about my and he said it was National Amazing Wife's day on the third Sunday of every month. He actually must have also gotten his day from the same exact same website. So anyways, back. Brad Crowell 2:33  That's pretty badass, Rick. Lesley Logan 2:35  Back, no, I don't think he listens. But anyway, he doesn't.Brad Crowell 2:38  You're showing me up. You're making me look bad over here. Lesley Logan 2:38  But just like that, we took him right back down, because he does not even listen to this. Anyways, I'm just telling you that we don't do this on the Sundays, and you're missing out on good holidays that could involve celebrating me, but today, but today, we are celebrating National Make a Dog's Day. And so October 22nd, yesterday, National Make a Dog's Day is how we use this day to ensure that the dogs around us enjoy themselves as best as possible. Oh, my Lord, this is a day to spread information about dogs importance in our lives and how much they can improve our days with love and loyalty. Brad Crowell 3:18  In case you didn't already. Lesley Logan 3:20  Is there any scientific, is there any scientific evidence of this, other than, like, it makes us feel good? Like, is there, I only know anecdotal. Like, yes, my dog is better because of my life is better because of my dog. But like, is there any science behind this? Did the day give us anything? No, so we're just, we're just gonna say it. We also use this day to encourage people to adopt from shelters and provide a better life for at least one puppy. May I suggest an older dog. Go to your local SPCA. We donate to the Nevada one, and we got to tour the facility. And it is amazing. OPC donates to them and the time of this release, Cody and Onyx better be adopted you guys, because it's, I'm really fucking struggling, like I just want, Brad, I think, wanted to invite Onyx in because she's 11 and she's like a little black version of Gaia. I'm not even kidding. Same underbite, same, same everything, very agile. Actually, Gaia was not that agile at 11. We'll say that. And I want Cody, and Cody is way too big, and we don't have time for that energy right now. But go to your local SPCA and go meet the dogs, go play with the dogs, become a volunteer and walk the dogs. You can even read to the dogs, right? Because clearly that is going to make your life better. And you can also foster, if you know, like, I'm only in town for a couple weeks at a time, you can become a foster, and you won't even fail, because you are like, oh no, I'm gonna be a professional foster. I'm only gonna take a dog for as long as I'm in town, or things like and they they supply the food and the medical, and you're just the house, you just get the love of the dog, and it's quite great. So we mean the world for a dog, and it's time we insure they get everything they deserve. I'm gonna say our dogs are so spoiled that this kind of holiday feels like a dog made it up. But, at any rate, we, our lives are better because they're in it. It's for sure.Brad Crowell 5:09  There's no question about that. Well, hey, I'm really excited to be home. We just got back from Cambodia and Singapore. Lesley Logan 5:15  We just got back and we're hugging our dog and making his life better. Brad Crowell 5:20  We're hugging our dog. Lesley Logan 5:21  How nice of us to come home just in time for this holiday. Brad Crowell 5:24  How nice of, yeah, you better feel special Bayon. We came home just for you. Yeah, he abandoned us. So it was, you know, look, Cambodia is magical. What an amazing experience. And you're missing out if you haven't joined us yet. So you should go get on the wait list for next year. Go to crowsnestretreats.com crowsnestretreats.com. We will be making the announcement pretty soon about next year's trip, but I'm going to tell you secret listener, insider info, it's in October of next year, and it's going to be.Lesley Logan 5:56  The dates are on the site. Brad Crowell 5:56  The 18th to the 23rd. Lesley Logan 5:56  Yeah and January is when we will announce the. Brad Crowell 5:56  I don't think the dates are on the site yet, so we're just telling you right now. Yeah. Lesley Logan 5:56  Okay, So you get the insider (inaudible). Brad Crowell 5:56  You get the insider info. Lesley Logan 5:59  If you are on the waitlist already, you got that information, and in January, only the waitlist people get the discount. So just saying, save some money, get on the waitlist and snag your spot. We already have released the Winter Tour event. We actually have, the time we're recording this, have not seen the whole schedule, but I have seen several cities, and I have approved several workshops. So I think with confidence I can say Lexington, Kentucky. I think with confidence I can say DC. Brad Crowell 6:38  Yeah. Lesley Logan 6:39  I think with confidence, I can say, Tampa.Brad Crowell 6:46  Here, let's just do this because this is a. Lesley Logan 6:48  This feels like a guessing game. You're not even helping me out.Brad Crowell 6:51  Well, because. Lesley Logan 6:52  What? What? With confidence, what can you say? Pensacola. Brad Crowell 6:56  All right, so Colorado Springs. Lesley Logan 6:57  Oh gay. Brad Crowell 6:58  Fayetteville, Arkansas. Lesley Logan 6:59  Oh so fun. Brad Crowell 7:00  Louisville. Lesley Logan 7:02  Oh, that's different than Lexington. Brad Crowell 7:03  Oh, sorry, I said it wrong. St Louis, I'm reading two things here, then Lexington, then Columbus, Ohio. Lesley Logan 7:11  Oh, oh, we're going back?Brad Crowell 7:15  We've never been to Columbus (inaudible). Lesley Logan 7:19  Oh, sorry, sorry. That was such a bad move that was like a California move, like, I've been there.Brad Crowell 7:27  That one's not locked in yet, Columbus, but we're close. We're going to be in Fort Wayne for a day off. Then we're going all up to Detroit. Lesley Logan 7:34  Whoa. Brad Crowell 7:35  Yeah, we're going to hit it this time. Finally, then it looks like we're swinging around. We are doing our best to line up a spot in Pittsburgh and possibly Rochester. So unfortunately. Lesley Logan 7:45  Sounds like these are these are not real. Brad Crowell 7:47  Canada is out. Canada is out. Lesley Logan 7:49  You guys, I'm hearing this for the first time. Brad Crowell 7:51  It's true. Lesley Logan 7:52  Don't, this is the thing, you can't get mad at, at us, and you can't get mad I don't think it's the Canadian government this time. I think this is a host issue. Brad Crowell 7:59  This is a host issue. We've been having trouble connecting with studios. It's insane. Like in Toronto and Ottawa, just like, nothing. (inaudible)Lesley Logan 8:07  And we know you want us to come and they're just not (inaudible). Brad Crowell 8:10  Like, really, can't understand that. But yeah, I mean, at this point we're having, we're gonna have to look at the following year, because this stuff has already been negotiated. Saratoga Springs a private event. Boston, Mass is public. Cape Cod Mashpee, Providence is a private event. New Haven, Connecticut is day off. Torrington, we're going to teach in Torrington, I think, which is Connecticut. Hershey, PA, then we got. Lesley Logan 8:35  I feel like we're not giving them insider on anything, because they're like, I could just go to the website and they can they're hearing days off. They're hearing this might be.Brad Crowell 8:42  Well, this is like, you started this. Lesley Logan 8:45  I know, but it was more fun the way I was doing it. It's like a guessing game. Brad Crowell 8:52  We're gonna be in Rehoboth Beach. Lesley Logan 8:56  Where the fuck is that? Brad Crowell 8:56  Yeah, we're gonna that's Delaware. Lesley Logan 8:56  Okay, Delaware. (inaudible)Brad Crowell 8:55  We're gonna be in D.C. Lesley Logan 8:56  It's just a small state if you say Delaware, Virginia. We're coming back. We love beach. Brad Crowell 8:56  We're gonna be in we're working on Charlotte right now, but not sure yet. We're still working that out. Lesley Logan 9:04  That was definitely been a problem. Brad Crowell 9:04  Savannah, Georgia. Then, Fort Lauderdale.Lesley Logan 9:06  Wow, we found something in Savannah. No way. Brad Crowell 9:09  I'm pretty sure. Lesley Logan 9:09  No, it didn't happen, like, the last two trips. Are you sure that's not like a day off, or we're just spending the night? Brad Crowell 9:14  Could be a day off. Then we're gonna go down to Fort Lauderdale. We are teaching. Tampa, we are teaching.Lesley Logan 9:14  You know what you can do everyone, go to opc.me/events and you can see which of these are days off and which of these are real stops.Brad Crowell 9:27  I'm just gonna read through the rest of this, Pensacola, New Orleans, Houston and Austin. Houston, we're still working on. And then Phoenix. We're probably most likely teaching Phoenix. Either Phoenix or Tucson. We're still figuring that out. But that's that's the path. Lesley Logan 9:40  We had some people in Tucson who wanted us to come so (inaudible). Well, there it is, folks, opc.me/events to get the actual lineup with the for sure, settle dates and snag what spots remain.Brad Crowell 9:52  We are recording this a month ahead of time. So by the time you're hearing this and seeing that, it will be a lot more clear. Lesley Logan 9:56  Now you can see it's really a lot of work. And it's really hard, because we got a ton of people when we were going to Canada the first time in the Toronto area, want us to come, but none of them have studios, and we can't, we, we specifically, because we're crossing the border, we actually have to be invited. Like, we can't just, like, wing it. And then when the tour ends, we come home, kick off, eLevate Six and then we head to Huntington Beach for the Pilates Journal Expo. Go to xxll.co/pilatesjournal. I've decided that's how I'm saying it xxll.co/pilatesjournal, and you're going to be able to get your tickets. There's a, it's a huge lineup. A lot of my friends are doing it. It was kind of fun. Like I knew I was doing it, but they didn't tell me who else is doing it. Like one of the girls that I train to be a teacher is doing it. So, like, so cool. So, so, so cool. And I did that so long ago. That's how long she's been a teacher. Because, like, that was a long time. It was almost 10 years ago. February, Agency Mini is happening. You want to get on the waitlist at prfit.biz/mini P-R-F-I-T that's profit without the O, dot biz slash mini, and that is for Pilates instructors and studio owners who would like to ditch all the chaos, the noise, the overwhelm, and get their business to work for them.Brad Crowell 10:07  A lot of people, a lot of people have been asking us, when are we doing it again y'all, so we're giving you a lot of a heads up here to get ready, get prepared. Go to prfit.biz/mini to get yourself on the waitlist so you can catch that early bird when we when we roll that out. In March, we are going to go to Europe, and we're really fired up about it. We're going to be in Poland, and then in Brussels. So go to xxll.co/poland xxll.co/brussels for those two events, and then in April.Lesley Logan 11:41  P.O.T. London, time of this recording, we don't have a link for you to go to. I'm sure it's already been announced. And I'm sure there's an early bird that you don't want to miss. And I am, for sure, doing the Joe's Gyms, and I still haven't signed the contract, so. Brad Crowell 11:42  It's a party. Lesley Logan 11:52  I am, I am pretty sure I am teaching two amazing workshops, which is super cool. They are not any workshops that I've ever taught in England before. So if you just came to the Mullet Tour, or you've been to a Mullet Tour, neither of these workshops have ever seen the light of day in that country. So you want to go. Okay, before we get into the lovely Jill Allen, we have a question to respond to.Brad Crowell 12:23  We totally do. The, let's see. Hold on. Mary star Pilates. Mary star Pilates. I'm on the wrong one. We're just gonna leave that in. We're leaving that in. Don't worry about it. DeniseStargazer said, hey, I would love your opinion about ankle and wrist weights while doing Pilates. How heavy, how often, is there a leg or ankle preference or brand?Lesley Logan 12:52  Well, I do love that both two questions in a row will have the name star in them, which is quite cool, but okay, so how do I answer this? Joe Pilates did mess around with some foot weights. They were the shape of a shoe, and my friend Joel Crosby made me a pair, and I think I still have them and. Brad Crowell 13:12  Oh yeah. Lesley Logan 13:12  They are really hard for me to do Pilates with. Brad Crowell 13:16  Oh yeah, they're hard. Lesley Logan 13:17  In fact, I think that they're.Brad Crowell 13:20  They're literally like a weighted sole that you strap onto the bottom of your feet.Lesley Logan 13:24  And I, and I'm going to preface this with both Brad and I are hyper mobile bodies. And so because of that, and I have the longest legs already, so because of that, I actually think that just a general statement of ankle or leg weights in Pilates is probably not necessary. I do see. Brad Crowell 13:49  The longest limbs. Lesley Logan 13:51  I do see how these things that Joe was creating, that Joel created, could be useful to someone who's not hyper mobile, someone who's already very strong in the practice. And also, if someone has a foot boot on, like a foot boot, that's a redundancy. A boot on like they have a foot injury, I think a weighted ankle weight on the other leg would be helpful, because then you have, like an evenness to what's happening distally on the leg. But in general, I think these things are a fitness fad that looks freaking cute on the skinny girlies, and they match their outfits, and it's just esthetically pleasing. But I think it is a waste of time. I think it's so easy for your joints to do the moves, whether you're doing Pilates or not. I think it's so easy for the joints to do the moves. I think it is asking a lot of the connections your body needs to have. So if you are a super strong, connected, non hypermobile person, and you don't feel your hip flexors take over, your back takeover, have the most fun. Bala makes super cute ones, by the way. I mean, if you're going to put these ankle weights on and look like a Jane Fonda, it should at least be cute. But I do think that the average person just needs to get started. And I feel like this is just another thing someone have to buy and invest in, get out, dust off, to get their movement practice in. So I'm a not fan of them, and I don't use them.Brad Crowell 15:11  Well, that's fair. Yeah. I mean, I think also too, just the just from cursory listening to y'all teaching and doing all that stuff. Most people are picking up two to five pound weights. And I know you every time you're like, just use ones.Lesley Logan 15:28  In Pilates, you're using one, and in the gym, you're going to pick up heavy weights, okay? And if you want to use ankle weights at the gym, that is not my my fortress. I go there and I work out. My trainer gives me things. If she told me I needed ankle weights, because she's so smart, I would listen to her. But in Pilates, like, if you have a super if you have a Michael Phelps torso and short legs, maybe ankle weights would help balance your torso to your leg situation, some exercises. But I really think before you add tools to things you might need to he was like a dolphin. Brad's looking at how long his spine was. He was like a dolphin. He had a ridiculously long spine. But, like, I just think that, like, it's just one more thing that we're. Brad Crowell 16:13  It still is. He's alive, right? Lesley Logan 16:14  Well, yeah, he's alive. Brad Crowell 16:14  Still is like a dolphin. Lesley Logan 16:12  He still is like a dolphin. So I just think that, like, you know, the other thing I'll say about this is ankle weights are like a prop. And Joe never used a prop throughout every single exercise. He used props as tools to teach a connection you needed, and got rid of them. So if you are a teacher who's like, oh my god, Lesley, I use the the ankle weights for this one exercise to help people. Great. Don't at me. I'm good. I celebrate you. I think it's wonderful. But I just think that, like, how often, how long? Like, it's just another thing out there that I don't think is as needed. I think, I think we can get so much out of Pilates without having to make it harder to do. That's my personal opinion. And I love this question so much. I want more questions like these. Send them to the beitpod.com/questions or what's the phone number, because it's not what I want. Brad Crowell 17:00  310-905-5534Lesley Logan 17:01  I mean, at least it's 310. Brad Crowell 17:05  Yeah, sure. Lesley Logan 17:06  Good area code. Brad Crowell 17:07  We'll take it. 310-905-5534 or go to beitpod.com/questions and send us your wins or your questions. Stick around. We'll be right back. We're gonna dig into this really heartfelt convo with Jill Allen and she, she coaches orthodontics offices.Lesley Logan 17:25  Are you not gonna take a break at all? Brad Crowell 17:26  Wait for it, she coaches orthodontics offices. And the thing that's crazy is that the conversation is applicable to people of all walks of life.Lesley Logan 17:36  It really is. We didn't even talk about orthodontists. Brad Crowell 17:39  Yeah, stick around. We'll be right back.Brad Crowell 17:41  Welcome back. Let's talk about Jill Allen. Jill is the founder of Jill Allen and Associates. Lesley Logan 17:47  Doesn't that look like she should be also a lawyer? Brad Crowell 17:50  Oh, a lawyer or like. Lesley Logan 17:51  Should be like a legal office. Brad Crowell 17:52  Luxary handbags. Lesley Logan 17:54  Oh, Jill Allen, I see that.Brad Crowell 17:56  Yeah. She's an orthodontic consulting firm. She's over 30 years of experience in the industry, and specializes in helping doctors launch their own, their own, their own orthodontic practices, focusing exclusively on startups and supporting new owners who often lack formal business training. That sounds so familiar. She is also the host of Hey Docs, a podcast where she shares business fundamentals, and interviews experts to provide valuable insight for all entrepreneurs. Dr. Allen finds her greatest inspiration in seeing her clients grow their practices into thriving, multimillion dollar businesses, which is pretty epic. I love that, and I felt like I commiserated with her a lot, because we, obviously, service, you know, we serve the Pilates industry. And so it's really interesting to hear her talk about, when she started her consulting firm 19 years ago, there was no like people were not using the internet for this kind of stuff. Barely using the internet. Social media was barely starting, right?Lesley Logan 19:02  I know because I hadn't. I mean, I had an orthodontist when I was in June, like, sixth grade. And like, I mean, my parents had to, like, just find one in the yellow pages.Brad Crowell 19:11  Yeah, probably the yellow pages, or referral word of mouth, most likely. Lesley Logan 19:16  Like, maybe, and I, because I doubt our I don't, our insurance paid for Orthodontic work. You know what I mean? I, for sure, didn't, because my siblings didn't get the same situation as I did. So yeah, so which is something everyone likes to bring up, but, I mean, 19 years, even the coaching, but she coaches them has changed, because now.Brad Crowell 19:32  Oh yeah, everything has changed, but it's fascinating, because when we, you know, like there wasn't anybody doing what she was doing when she got started, and we felt the same way with Agency, there wasn't anybody coaching, you know, Pilates business owners. Lesley Logan 19:46  Yeah I felt a lot of same synergy. But I also want to say, like, everything I want to say to you applies to anybody who's got a dream or a goal or a business. She said, confidently stand in the space like you got to be confident in the space that you're in. You know, people, and this is so true, people are not going to walk around and believe in you more than you believe. I mean, I believe in our members. I think sometimes when they believe in them. But the reality is, is that like, like, random, random people an be like, oh my god, you're the like, you have to believe in you, like, people want to, especially when you are in a service-based business, orthodontics, Pilates, anything, people want the confident person they don't want the person like, I think I know what I'm doing. Like, we, just before we hit record, our car's in the shop, and we have a new mechanic because we have a new car, and you know, you're like, God how much they're gonna rip me off for. It's kind of like taking your dog to the vet. It's like, what's the bill gonna be? And you just, like, spin the wheel. And this guy is like, okay, here's a video of, here's where we saw this. We saw this. We're just gonna watch this. He was so he stood in his confidence. He could be bullshitting me. I don't know what I'm looking at, but like, he was so confident. I was like, I told Brad, I was like, I love these guys. These are our mechanics. We're not switching, like, just that, just that confidence in there. And so I just highly recommend that for anyone who is on a mission. She also stated that being a business owner requires grit and hard work. And there's an incredible, I can't think of her name, it's on the tip of my tongue, but there's an incredible TEDx talk on grit. And the truth is, is that the reason why most businesses, the businesses that become like successful, they found it's not like they hit lightning in the bottle. It's most of the time that people just had grit. They just kept going. They just kept going. And then she also said there is this pressure on business owners to hit these big financial goals, and then that leads to imposter syndrome. And we've had Brad Bizjack on a couple weeks ago, and he talks about how, like, he misses all of his goals, but he's the most confident person you've ever met because, like, how he talks to himself, how he pumps himself up, and how he has confidence, not in that he achieved a goal, but in a work that they he did. And so she says, like, you have to keep pumping yourself up, even if you don't believe it 100% yet, because that is going to help you with the confidence and showing up and doing the hard work. And we got to take pressure of ourselves to hit the goals yesterday or this, I mean, like, people are like, okay, I'm charging my rates, but I still don't have enough clients. It's like, right, one step at a time. Like, you know, I don't know. I just loved it. What did you think? What did you love?Brad Crowell 22:22  Yeah, the the okay, so actually, I was just going to bring up, I'm trying to remember if we had him on the pod, Reid Tileston. Do you remember Reid? Super, super tall professor who owned, like many, many gyms, gyms over the years. Lesley Logan 22:40  Oh, we never had Reid on. Brad Crowell 22:41  Okay, well, he wrote a book, and it's called Grit It Done, and it's, it's like, low risk entrepreneurial tips and stuff. So anyway, I know that's not, that's more for people who are starting a business, but you know, when you started talking about grit, it started making me think about Reid and. Lesley Logan 22:55  Hi, Reid. Brad Crowell 22:56  Yeah. Hi, Reid. But I really loved when y'all know exactly what I'm going to talk about here, because I keep coming back to this across different interviews, where we have the the idea of the Superman or the Superwoman syndrome. It's the solopreneur complex is another way to put it, right, where I have to be the one doing it. I'm the, you know, I'm I can do it better than everybody else. I don't have the money to do, to outsource, or any of that kind of thing. And she talked about, she specifically honed in on the the idea that it makes us feel like we're getting we are actually working. It validates our own internal feelings, right? I need to be doing it all. And she said, it's an internal conflict, and it also creates overwhelm, right? So it's this both thing, where, like that feeds our ego, but it also creates overwhelm, and it kind of gives us the idea that we are working so hard, right, that we're getting something, we're moving the ball forward somehow. Lesley Logan 24:00  But we're just treading water. Brad Crowell 24:01  But a lot of the time we're treading water. Lesley Logan 24:04  Which is really hard to do. Have you just tried treading water recently? Like. Brad Crowell 24:04  Oh, recently, no, but I used to have to do that. Lesley Logan 24:08  We had to do it in swimming lessons. Brad Crowell 24:12  Yeah, for like, 15 minutes, yeah. That was a long freaking time. Lesley Logan 24:16  Especially for you. Brad Crowell 24:18  No, to be a lifeguard or something. (inaudible)Lesley Logan 24:20  No, not like you don't have the strength or endurance. I mean, your attention span, like you couldn't do anything else, your usual. You couldn't, like, tap something or click something, or like you just had to do one thing. I just can't, it will the longest 15 minutes for you.Brad Crowell 24:38  Well, you know this idea of the Superman, Superwoman syndrome really creates, like, debilitating pressure on on you because when it's not getting done, when something isn't getting done, whose fault is it? It's always our fault. Why? Because we're in the middle of every single project, every single possible thing. And you know, it really it creates, sometimes we, like, I think something that I've told myself over the years is that I work better under pressure, or I work better under a deadline, right? And I think that it's it definitely makes you go, like, you have to get the, get it done. But what if you don't? I've been in that position where I've actually missed deadlines, have failed because I waited until I needed that feeling of pressure, you know. So there's just so much that goes along with with this Superman, Superwoman syndrome when we're trying to do it all. And she also talked about like, it, you know, the irony here is that that overwhelm of like, what if you don't actually know what you're doing? What if you don't get it done? Or, you know, the you can be overwhelmed by this realization that I don't know how to do it all, while thinking I have to do it all or I'm the only one that could do this.Lesley Logan 25:53  That sounds like a terrible torture room to be in your mind.Brad Crowell 25:58  She said, she said, how do you overcome this? Right? And ultimately, it comes down to trust, trusting others to be able to execute or implement in a way that you would be doing it or as close to you as possible, right? And she, she said, take it like eating a cookie, just one little bite at a time, and keep moving forward, but, but then be sure to look back and high five yourself. So in this case, what she's talking about is, as you're delegating, you know, go back and look at little pieces of it and make sure that it's up to the standard that you need. And then you get the high five them, high five yourself. I mean, if you're not running a business here, if this isn't like you're not trying to do that. What if it was walking the dog and you delegated it to a child of yours? Or what if it was cleaning the house? Chores.Lesley Logan 26:48  We used to have those neighbors, the Brazilians, who, like, legitimately, the child was, like, eight years old, and the other one might have been like, I don't know, six, and they walked that dog, and the dog is, like, way bigger than them. And we were like, oh my god, should they be doing this? But they did it every day. I watched them do it every day, you know. And so, like, I thought that was, what a great responsibility, it's an easy block, like, it was not on a dangerous road. They're not crossing any streets, you know.Brad Crowell 27:13  But you know, or, or it is, you know, it can be.Lesley Logan 27:18  I think also you may have said this, but, like, you also don't have to do some things, like, they just don't get done. Like, you can just park okay, you know what's gonna happen. We're going to do laundries on Sunday, and that means everyone has to have enough underwear to get to Sunday. That's how it's got to go. That's when laundry is going to get done. Like, I understand there's a story that a lot of people tell themselves it has to be clean for me to get my work done, bullshit. It does not have to be clean. You have to be able to sit at your desk. And there might be some, like, some interesting things about yourself that you might need things to be clean, but it's often an excuse to not do the thing, because you have another reason to not do the thing. And I would just challenge yourself to, like, figure out, like, like, so, like, there's a whole idea, like, so what, so, and then what, and then and like, follow the path and like, the reality is, a lot of the things that we busy ourselves doing do not lead to the actual goal that we have. And that's what I have to say about that.Brad Crowell 28:16  Yeah, I love it. Well, you know, I think, I think that we're setting ourselves up for failure when we attempt to do everything all by ourselves, and and you know, there are times in our world, in our life, whether that's just due to relationships or finances or whatever, where you know, we are kicking off a project and we are the one ideating and creating, but when it comes to executing and being creative, it's really hard to wear those two hats at the same time, and it really does help you to train someone properly, to help you get all the work doneLesley Logan 28:57  Well and the other thing I just want to say is or hire a coach to help advise you on what's the most like the thing that's priority right now? Brad Crowell 29:04  Yeah, sure. Lesley Logan 29:04  Because if you're trying, if you're actually not sure what you're supposed to be focusing on, you could hire help and then be focused on the wrong thing. And so Jill is a perfect example that there is a coach out there for every fucking niche. So if you are not a Pilates instructor and you're not an orthodontist, I promise you there is a coach out there for you. There is someone who coaches lawyers. There's someone who coaches social workers, or someone who coaches, you know, like. Brad Crowell 29:26  Pilates instructors. Lesley Logan 29:26  Well, yeah, I just said, I said, I said, if you're not one of those already, if you, there's someone who coaches yoga instructors, or someone who coaches, you know, managers of franchises. Like, there are people out there who coach all these things, and this is a matter of finding the one that resonates with you, that gets you. So don't just fall for a really good, you know, funnel. Talk with them. Ask them, like, what you're nervous about, share like, here's my biggest fear. I'm gonna sign up with you, and this is what's gonna happen. And like, you know, make sure that they have a money back guarantee, and then do the work. You know, but there's people out there who will help you. Brad Crowell 30:03  Yeah, well, stick around. We'll be right back. We're gonna dig into a couple of those Be It Action Items that we got from Jill right after this. Brad Crowell 30:05  All right, so 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 Jill Allen? She said, hey, you gotta block time schedule, yo. She strongly advocates for block time scheduling for any business owner, even for those who dislike rigidity, which would be me. Lesley Logan 30:30  Except for, we just looked up things that help ADHD CEOs, and one of them is a fucking block schedule.Brad Crowell 30:36  Yeah. Well, you know, because it's like a it's like a sandbox that you get to do whatever you want with within that time. So yeah, she explained that without a plan, a business owner can find 100 things to do with their day, which is the story of my life.Lesley Logan 30:52  I just watched you start to put together the towel thing during a work day. And I was like, that has nothing to do with the work today.Brad Crowell 31:02  I was just listening to things, and I had but then I got this. I got ADD because I, my drill stopped and I couldn't use it. Good times. So there's that. She said, explained, without a plan, business owners can find 100 things to do with the day. And by creating start and stop times, just for tasks, this prevents you from getting sidetracked, which helps manage an otherwise unstructured day. So we definitely.Lesley Logan 31:27  We love a kitchen timer. Brad Crowell 31:28  We love a kitchen timer. Lesley Logan 31:29  Like our time cubes are really great. I was just telling Agency members at some office hours we did the other day. I said, literally, I have to, especially when overwhelmed and I am in the reentry, because I'm always over when we get back to work, even though I am like, we did all the work I needed to do so I could start, you know, fresh. I still have to start. I'm not ahead. And I go, Oh God, I have to touch this inbox. And I set the timer for 15 minutes, and I scan for the most important emails, the timer goes off. Okay, 15 minutes in this Slack. Okay, 15, like, before you know it, you're caught up on things, the overwhelm starts to dissipate, because you actually have seen that. There's not really any fires that are going on and the stories in your head are not true, but time blocks. It's so because I won't work on other things because I'm on the timer of the first thing. Brad Crowell 31:29  Yep. Well, what about you? What was your biggest takeaway? Lesley Logan 32:01  She said before making a decision or starting a new venture ask yourself, what's the worst thing that's gonna happen? Brad Crowell 32:01  I really, I really appreciated this. Lesley Logan 32:01  I love this, because if you can, if you determine you can handle the worst case outcome, you'd move forward with it. I mean, I forget.Brad Crowell 32:01  I mean, she, she specifically said when, like, because she was working in the orthodontics industry, but wanted to start coaching new orthodontic business owners. She said, what's the worst that could happen is we could get no clients, and then I go bankrupt, and that will affect my credit score, and then, you know, what am I going to do? Right? She's like, but there is a path after that. She's like, so once I embraced that, then it wasn't as scary as this amorphous black hole of like, what if things just don't go right? Lesley Logan 33:01  Well, we have this, we have this idea we're talking about and and not that we have any time for it, but we were talking about doing this thing, and I kept just thinking, like, oh my god, there's so much uncertainty right now. It's gonna cost us so much money. I'm not gonna find this thing that I want, and if it doesn't work out, then we're like, fucked right? Like, it could actually cost us things. And then we came with this idea. We're like, oh, we could just build it in the backyard. And it's like, because the worst case is the idea sucks, it doesn't work, and we have a beautiful ADU in the backyard. And so I want to move forward with that. Brad Crowell 33:34  Yeah, I'm excited about it. Lesley Logan 33:38  All right, the other thing she said I want to bring up before we move on is, be brave, not perfect. And she was referencing a book. And I am sorry, guys, I am forgetting the name of that book but, be brave. Brad Crowell 33:46  I think the book is called Be Brave, Not Perfect. Lesley Logan 33:47  Brave not perfect. Brad Crowell 33:48  That's by Reshma Saujani.Lesley Logan 33:52  Oh, is it Reshma? Brad Crowell 33:53  Reshma Saujani.  Lesley Logan 33:55  But Reshma, the Reshma? Hold on. Brad Crowell 33:58  I don't know who the Reshma is, so. Lesley Logan 34:00  If it's the Reshma, she has the best, the best college graduating speech. If it's her.Brad Crowell 34:07  She's a lawyer, politician, civil servant, founder of the nonprofit Girls Who Code.Lesley Logan 34:10  This woman is absolutely incredible. She's the one who, like, talked about bike face. If you haven't, like, look her up, Google bike face college speech. And it's this whole thing that back when, like, bikes were invented, when bicycles were not just invented, but like more popular poor people can have them, they started telling women they were gonna have, they had bike face, because now women could just get around on their own. I kid you not. The number of times that women finally get like, a fucking inch of independence, and they're like, oh, let's just like, fuck this up. So what happened is, women couldn't ride the bicycles in their in their dresses, so they started wearing trousers. And people didn't like they're wearing trousers, that's a problem. And they also could get around without a male and they could be independent and they could, I don't know, have a fucking dream and life of their own. Anyways, they would tell them and be careful you're gonna have bike face. You won't be attractive, and then no one will marry you. Anyways, that is not it, but that is who Reshma is, and I am obsessed with her. So Brave, Not Perfect. Well, we should all read that book. We should have maybe next year, I should have a book club, a Be It Pod Book Club. I don't know that I can get the authors every time, but maybe I could figure that out.Brad Crowell 35:28  If you like that idea, let us know by texting 310-905-5534, what do you think about a Be It Pod Book Club, the Be It Pod squad. Lesley Logan 35:38  Yeah. Oh, that's what I want to call you guys instead. I call you Be It babes. And I kind of want to call you the Be It Pod squad. I just, I also need to know, like, does that sound good, or does that sound like I'm creating, like a cult. Just don't want to create a cult.Brad Crowell 35:51  You're not creating a cult, you're creating a squad.Lesley Logan 35:54  But, but if it was a, but if it is a book club, I do believe that I would want the somehow the club has to be a podcast episode, you guys, my team will freak out if we add another Zoom call that does not produce an episode or a class. So, so anyways, okay, well, Jill Allen, thank you for being you, and thank you for just reminding us that we should have grit and stand in confidence and just go for it. It was just such a wholesome, wonderful interview. And I'm really excited for every orthodontist who gets to work for you, because I'm sure most of our listeners' kids are going to benefit from that, including our listeners. You know what, adults with braces it's a thing now. Brad Crowell 36:17  It's true. Lesley Logan 36:18  And share this with a friend who needs to hear it and Be It Till You See It. Brad Crowell 36:35  Bye for now.Lesley Logan 36:36  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 37:18  It's written, filmed, and recorded by your host, Lesley Logan, and me, Brad Crowell.Lesley Logan 37:24  It is transcribed, produced and edited by the epic team at Disenyo.co.Brad Crowell 37:28  Our theme music is by Ali at Apex Production Music and our branding by designer and artist, Gianfranco Cioffi.Lesley Logan 37:35  Special thanks to Melissa Solomon for creating our visuals.Brad Crowell 37:38  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

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...

Today's episode is all about expanding your expertise and setting yourself apart in the ever-evolving world of dentistry. As a general dentist, you have the opportunity to transform your practice by sub-specializing in airway and TMJ conditions—two critical areas that are often overlooked but deeply impact patient health. Our guest today is Dr Stephanie Vondrak. She owns and operates a private practice in Elkhorn, Nebraska. Dr. Vondrak is a prime example of how expanding a practice with specialized services in airway and TMJ disorders can elevate the standard of care across all phases of restorative dentistry. In doing so, she has not only enhanced patient outcomes but also found immense fulfillment in her career. Thanks to our episode sponsors: NSK America - https://www.nskdental.com/ Shining 3D- https://www.shining3ddental.com/ GUM - https://www.sunstargum.com/us-en/

"We decided to start our own practice." Connect With Our SponsorsGreyFinch - https://greyfinch.com/jillallen/A-Dec - https://www.a-dec.com/orthodonticsSmileSuite - https://getsmilesuite.com/ Summary In this conversation, Jill Allen interviews Dr. Madeleine Goodman, an orthodontist who shares her journey from growing up in a dental family to starting her own dual specialty practice. They discuss the importance of early treatment and airway management and the challenges of navigating differing opinions in the dental community. The conversation highlights the need for collaboration, education, and innovative practices in the field of orthodontics. Connect With Our Guest Tiny Changes Recycling Program - https://maso.org/tiny-changes-recycling/ tinygreenchanges@gmail.com Takeaways Dr. Goodman'ss journey into orthodontics was influenced by her father's career.She started her own dual speciality practice after gaining experience in various orthodontic settings.Maddie emphasizes the importance of early treatment and airway management.She highlights the challenges of navigating differing opinions in the dental community.Chapters 00:00 Introduction02:04 Dr. Goodman's Journey into Orthodontics04:26 Starting a Dual Specialty Practice06:59 Challenges and Decisions in Practice Ownership09:53 Focus on Early Airway Intervention14:47 Collaborative Care and Practice Philosophy16:21 Navigating Patient and Professional Relationships31:30 How to Get in Touch and Learn More33:49 Speed Round and Closing RemarksEpisode Credits:  Hosted by Jill AllenProduced by Jordann KillionAudio Engineering by Garrett LuceroAre you ready to start a practice of your own? Do you need a fresh set of eyes or some advice in your existing practice?Reach out to me- www.practiceresults.com.    If you like what we are doing here on Hey Docs! and want to hear more of this awesome content, give us a 5-star Rating on your preferred listening platform and subscribe to our show so you never miss an episode.    New episodes drop every Thursday!   

Injection Molding PDF Join Elevated GP: www.theelevatedgp.com Follow @dental_digest_podcast Instagram Follow @dr.melissa_seibert on Instagram   In this first of a two-part series, Dr. Melissa Seibert sits down with Dr. David Attia—an international educator leading the charge in digital and implant dentistry—to explore how advanced technologies are revolutionizing multidisciplinary care. Together, they unpack how tools like SmileCloud, CBCT segmentation, and 3D facial scanning are allowing clinicians to “stack” digital data for unparalleled treatment precision. Dr. Attia shares how virtual patient workflows have streamlined his implant and aesthetic planning, transforming coordination between surgical, restorative, and laboratory teams. The discussion also dives into biologically driven implant concepts, the evolution of partial extraction therapy, and the philosophy that “preservation is the ultimate form of regeneration.” This episode will reshape how you think about digital integration and tissue preservation in the aesthetic zone.   Dr. David Attia completed his undergraduate training at Griffith University, Queensland. Following graduation, Dr. Attia completed a Post Graduate Diploma in Orthodontics and Dentofacial Orthopedics through the City of London Dental School. David's passion for surgery led him to complete a Master's in Oral Implantology through Goethe University in Frankfurt, Germany. His Master's thesis focused on a novel approach in full-arch implant rehabilitations and he presented his research at the 6th Annual Congress of Innovation Jumps in Oral Implantology. Dr. Attia now holds a teaching appointment with Goethe University as a surgical mentor for Australian students completing the program. He has also presented on the implementation of photography into clinical practice, as well as the importance of soft tissue management around implants both locally and abroad. Dr. Attia is a core faculty instructor for the Australasian College of Dental Practitioners Graduate Diploma in Oral Implants and is also involved in live surgical training of dentists looking to begin or advance their journey in dental implantology. David thoroughly enjoys the multi-disciplinary approach to dentistry. His unique combination of education and training allows him to implement cutting-edge treatment, offering patients comprehensive, predictable and long-term treatment solutions. He is passionate about sharing knowledge and is regularly involved in training and mentoring recent graduates.

In this episode of the Orthopreneurs Podcast, Dr. Jordan Lamberton shares his journey into orthodontics, influenced by his family's legacy in dentistry. He discusses the transition from traditional brackets to aligners, the challenges of adopting new technologies, and the importance of digital workflows in modern practices. Jordan also explores his entrepreneurial ventures, including car flipping and real estate investments, and his involvement with OrthoBerry, a tech startup aimed at enhancing practice management. Additionally, he shares insights on owning a pediatric dental practice and the value of consulting in navigating this field. The conversation emphasizes the need for unity and open dialogue within the orthodontic community.QUOTES"My practice went from 10% to 80% aligners in six months. Once I committed, I went all in." — Dr. Jordan Lamberton"I bought a house for $700K and sold it for $1.6M in three years. But it wasn't about the money—it was about giving my wife a project she loved." — Dr. Jordan LambertonKey Takeaways00:00 Introduction to Jordan Lamberton02:56 Jordan's Journey into Orthodontics06:03 Transitioning from Brackets to Aligners08:43 Challenges in Technology Adoption12:02 The Importance of Digital Workflow15:08 Exploring Side Hustles: Car Flipping and Real Estate17:59 Investing in OrthoBerry20:44 Owning a Pediatric Practice24:04 Consulting and Support in Pediatric Dentistry26:56 The Future of Orthodontics and Professional UnityAdditional ResourcesIf you've ever felt like you're stuck in a cycle of burnout, indecision, or just too many “what ifs,” this episode is for you. Jordan shows that with clarity, guts, and a few side projects, you can shape a practice—and a life—that works on your terms.

"Hiring for fit is crucial; training can follow."Connect With Our SponsorsGreyFinch - https://greyfinch.com/jillallen/A-Dec - https://www.a-dec.com/orthodonticsSmileSuite - https://getsmilesuite.com/ Summary In this conversation, Jill Allen and Alan Twigg discuss the challenges of hiring and retaining employees in the tight labor market, emphasizing the importance of workplace culture, reference checks, and performance management. They explore best practices for onboarding, the necessity of background checks, and the complexities of HR compliance in today's evolving landscape. The discussion highlights the need for introspection when addressing employee performance issues and the significance of regularly updating HR policies to ensure compliance. Connect With Our Guest Bent Ericksen & Associates - https://bentericksen.com Takeaways Most people don't enter business to deal with HR issues.Hiring for fit is crucial; training can follow.A strong workplace culture helps retain employees.Reference checks should focus on former employers, not personal references.Background checks are essential in today's labor market.Addressing poor performance early is key to retaining good employees.Introspection is important when dealing with underperforming staff.A structured approach to performance management can yield positive results.HR compliance is increasingly complex and varies by state.Regularly updating employee manuals is essential for compliance.Chapters 00:00 Introduction and Guest Introduction01:38 Welcoming Alan Twigg02:13 Background of Bent Ericksen and Associates 05:27 Challenges in Hiring and Retaining Employees09:33 Importance of Reference and Background Checks23:08 Addressing Poor Performance in the Workplace24:37 Addressing Toxic Employees25:31 Introspection and Onboarding27:05 Performance Standards and Expectations29:04 Commitment to Change33:25 HR Compliance and Legal Nuances37:07 Staying Updated with Employment Laws38:16 The Value of HR Compliance42:04 Final Thoughts and Contact InformationEpisode Credits:  Hosted by Jill AllenProduced by Jordann KillionAudio Engineering by Garrett LuceroAre you ready to start a practice of your own? Do you need a fresh set of eyes or some advice in your existing practice?Reach out to me- www.practiceresults.com.    If you like what we are doing here on Hey Docs! and want to hear more of this awesome content, give us a 5-star Rating on your preferred listening platform and subscribe to our show so you never miss an episode.    New episodes drop every Thursday!   

In this episode, I'm joined by the always insightful and globally-minded Dr. Vas Srinivasan, who recently built one of the most stunning orthodontic spaces in Southeast Queensland—right when the world said “don't.” From battling banks post-COVID to doubling down on patient experience, Vas shares the inspiring story of why he took the leap, what he learned, and how he's now positioned to dominate his local market—even against corporate competitors.We talk about fear, growth, AI-powered offices, why silent front desks are the future, and how to turn brushing stations into monitoring hubs. We also get into real estate side hustles, building partnerships outside of dentistry, and the importance of having income streams that work while you sleep. This is a must-listen for any orthodontist who's wondering if now is the time to play biggerQUOTES“If someone says they weren't scared building a practice like this—they're lying. I had to re-mortgage my house. But this dream had to come together.”— Dr. Vas Srinivasan“Side hustles are great. But please—don't do a restaurant. Don't do a nightclub. Find something that works even when you're asleep.”— Dr. Vas SrinivasanKey TakeawaysIntro (00:00)Vegemite vs. Tim Tams and Aussie hospitality (01:26)Vas's global journey: India → Minnesota → Sydney → Sunshine Coast (04:19)Why he rebuilt his practice at 48—and made it huge (08:27)Fear, funding struggles, and re-mortgaging his house (09:50)Building for the wow: concierge front desks & AI systems (14:06)Turning brushing stations into Grin monitoring hubs (15:45)A shift away from aligners—and why patients are saying no (17:09)Don't confuse patients: how to present treatment options better (19:27)Real estate side hustle with his ex-TC as a partner (21:35)The “low-cost braces clinic” model that fuels his main practice (23:15)Why now is the time to invest in yourself and your future (25:47)The Vanguard announcement + what's next (26:59)Additional ResourcesIf you've been waiting for the “perfect time” to level up your space, your systems, or your side hustle—this episode is your permission slip. Fear and growth go hand in hand, but so does freedom when you build it intentionally.

Laura Arroyo speaks with Dr. Vitorela about groundbreaking craniofacial orthodontics program and its impact on cleft treatment. Brought to you by the ACPA — the American Cleft Palate Craniofacial Association, improving outcomes for people with cleft and craniofacial conditions. Links and Resources: Patreon Subscription Tiers for Exclusive Content Our Forever Smiles Merch Store NC Cleft Mom FB Group Our Forever Smiles FB Group ______________________________________________________________________________ Today's sponsor is sienna dawn media Integrated Marketing Agency  sienna dawn media is more than just a marketing agency—they are your partners in progress. Their mission is simple — to alleviate marketing bandwidth, allowing creative business owners to focus on what they set out to do: create. sienna dawn media empowers creatives to thrive without the burden of managing their own social media and marketing campaigns. So, if you're ready to set sail toward new horizons, let sienna dawn media chart the course and steer your business toward success. Visit siennadawnmedia.com.

EP 342: The MARPE Experience – Bodywork, Diet, and the Mind-Body Connection in OrthodonticsIn this engaging conversation, Hallie Bulkin and Jeannie Nelson discuss their upcoming Marpe procedures, sharing their personal experiences, expectations, and the challenges they anticipate. They delve into the intricacies of the Marpe process, the importance of bodywork and therapy, dietary considerations post-procedure, and the psychological aspects of pain management. The discussion also touches on the impact of hormonal changes on pain perception, the significance of airway health, and the aesthetic changes they hope to achieve. Throughout the conversation, they emphasize the journey of orthodontics as a holistic process that goes beyond just physical changes, highlighting the interconnectedness of body, mind, and health.In this episode, you'll learn:✔️Both hosts are undergoing Marpe procedures within 24 hours of each other.✔️The Marpe procedure involves local anesthesia and is not a surgical procedure.✔️Personal goals for the procedure include improved airway health and aesthetics.✔️Orthodontics is more than just straightening teeth; it involves overall health.✔️Bodywork and therapy play a crucial role in the orthodontic journey.✔️Dietary changes will be necessary post-procedure to accommodate healing.✔️Pain management strategies are important for both hosts as they prepare for their procedures.✔️The journey of orthodontics is a holistic process that requires patience and understanding. RELATED EPISODES YOU MIGHT LOVEEp 331: Inside My MARPE Journey with Hallie Bulkin, MA, CCC-SLP, CMT®, CPFT™Ep 333: Transforming airway health & smiles with MARPE featuring Dr. Svitlana Koval, DMD, MSc, BDSOTHER WAYS TO CONNECT & LEARNVisit : https://www.breatheeatsleeptalk.com/

"Staffing is the most challenging part." Connect With Our SponsorsGreyFinch - https://greyfinch.com/jillallen/A-Dec - https://www.a-dec.com/orthodonticsSmileSuite - https://getsmilesuite.com/ Summary In this episode of Hey Docs, Dr. Dan Pan and Dr. Fiona Shi from Emerald City Orthodontics share their inspiring journey from residency to starting their own practice. They discuss the challenges and triumphs of launching a startup in a competitive market, the importance of branding and patient experience, and the financial realities of their first year. The couple emphasizes the significance of teamwork, adaptability, and leveraging technology to create a unique practice that stands out in the orthodontic field. Connect With Our Guest Emerald City Orthodontics - https://www.ecortho.io Takeaways Both Dan and Fiona met during their residency and share a strong background in dentistry.They decided to start their practice together after gaining experience in various settings.The couple emphasizes the importance of having a clear vision for their brand and patient experience.They took an unconventional approach by diving 100% into their startup without maintaining associate jobs.Building a strong online presence and community engagement was crucial before opening their practice.They faced significant challenges in staffing and training new team members without prior experience.The couple believes in the importance of a seamless patient experience to stand out in a competitive market.They chose to go digital from the beginning to streamline operations and enhance scalability.Dan and Fiona highlight the need for continuous learning and adaptation in their practice.They aspire to create a strong referral network by collaborating with other dental professionals.Chapters 00:00 Introduction to Emerald City Orthodontics01:07 Journey from Residency to Practice04:52 Deciding to Start a Practice Together10:53 Navigating Competition in a New Market18:52 Building a Unique Brand Experience21:59 Financial Realities of Year One26:54 Building a Trusting Team29:35 Hiring for Potential Over Experience31:48 Training and Developing Staff35:07 Lessons Learned in the First Year36:15 Embracing Digital Transformation42:30 Connecting with Emerald City OrthodonticsEpisode Credits:  Hosted by Jill AllenProduced by Jordann KillionAudio Engineering by Garrett LuceroAre you ready to start a practice of your own? Do you need a fresh set of eyes or some advice in your existing practice?Reach out to me- www.practiceresults.com.    If you like what we are doing here on Hey Docs! and want to hear more of this awesome content, give us a 5-star Rating on your preferred listening platform and subscribe to our show so you never miss an episode.    New episodes drop every Thursday!   

In this episode of the OrthoPreneur's Podcast, Dr. Melissa Bailey shares her unique journey from a piano performance major to an orthodontist and entrepreneur. She discusses the challenges she faced in her early career, including the decision to sell her practice and the development of her app, Treyminder, designed to improve patient compliance with clear aligners. The conversation also delves into marketing strategies, the importance of listening to customers, and the evolving landscape of orthodontics.QUOTES“I realized I'm only as successful as my patients' compliance and their biology. So I thought—what tools can I give them to make this easier?”— Dr. Melissa Bailey“If you're spending your weekends thinking about staff problems and a bracket that broke—ask yourself: is this really what I want?”— Dr. Melissa BaileyKey TakeawaysIntroduction to Orthodontics and Side Hustles 00:00Melissa's Journey to Orthodontics 03:00Navigating Early Career Challenges 05:59The Birth of Treyminder App 08:57Marketing Strategies and Content Creation 12:05Understanding the Orthodontic Market 15:04Listening to Customers and Adapting 18:04Conclusion and Future Aspirations 20:06Additional ResourcesYou don't need to be a coder to create a product that changes lives—or builds an entirely new income stream. You do need to stop waiting for permission. Melissa's story is proof that innovation can happen at 10 p.m. with zero budget, a problem worth solving, and the courage to take the first step.

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.

Clear aligners, digital workflows, and orthodontics shape the future of dental care. Dr. Leon Klempner and Amy Epstein, hosts of the Golden Age of Orthodontics podcast, explore innovations like clear aligners and lab partnerships with Darren Buddemeyer, CEO of DynaFlex. How do technology and trust-based relationships drive practice efficiency? You will hear the answer to that question and discover how labs evolve from vendors to partners, supporting orthodontists with advanced tools and collaboration to thrive in a competitive landscape.What you will Learn in this Episode:✅How digital orthodontic workflows enhance practice efficiency in modern orthodontics.✅ The role of clear aligner systems and AI in overcoming corporate competition and practice consolidation.✅ Benefits of lab partnerships with advanced 3d printing and CAD/CAM technology.✅ Building trust-based relationships for innovation in remote monitoring.✅ Evolving from vendors to partners using in-house printing and digital workflows.Subscribe 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 Clear aligners, AI, and digital workflows in orthodontics09:13 Darren's journey at DynaFlex emphasizes trust-based relationships and team growth in orthodontics16:52 Digital orthodontic workflows driving practice efficiency amid corporate competition and DSOs20:40 DynaFlex and proprietary product development25:33 Lessons on adopting 3d printing, AI, and clear aligner systems ahead of the curve for lab partnerships29:50 Trust-based relationships are key to a successful practiceKEY TAKEAWAYS:

"Learn it till you earn it." Connect With Our SponsorsGreyFinch - https://greyfinch.com/jillallen/A-Dec - https://www.a-dec.com/orthodonticsSmileSuite - http://getsmilesuite.com/ Summary In this engaging conversation, John D Marvin shares his extensive experience in healthcare and leadership, emphasizing the importance of understanding consumer behavior, building strong teams, and the mindset necessary for success. He discusses the misconceptions young professionals have about leadership, the significance of mentorship, and the need for continuous learning. John also highlights the role of personal reflection in developing a positive mindset and effective leadership skills. Connect With Our Guest John D. Marvin - john@themarvingroup.netTakeaways Understanding consumer behavior is crucial for success in healthcare.Building a strong team is essential for a thriving practice.Leadership is a team sport, not a one-man show.Young professionals should seek mentorship and be coachable.Customer service is often the key to patient satisfaction.Investing in your team leads to long-term success.Mindset plays a critical role in overcoming challenges.Personal reflection helps in developing leadership skills.Continuous learning is necessary for growth in leadership.It's okay to admit you don't know everything.Chapters 00:00 Introduction to John D Marvin06:09 Understanding the Role of Young Professionals14:56 The Importance of Team Dynamics22:54 Investing in Your Team for Long-Term Success26:42 Building a Team for Success27:29 Leadership Lessons for New Professionals35:30 Mindset: The Inner Game of Leadership42:02 The Importance of Reflection in LeadershipEpisode Credits: Hosted by Jill AllenProduced by Jordann KillionAudio Engineering by Garrett LuceroAre you ready to start a practice of your own? Do you need a fresh set of eyes or some advice in your existing practice?Reach out to me- www.practiceresults.com.    If you like what we are doing here on Hey Docs! and want to hear more of this awesome content, give us a 5-star Rating on your preferred listening platform and subscribe to our show so you never miss an episode.    New episodes drop every Thursday!   

“Will AI it replace the orthodontist? No. Will it replace the bad orthodontist? Hopefully, yes.”  “With AI, you could probably get prediction accuracy down to less than 10% , because it can analyze what the human brain cannot” “Computers are designed to crunch data. That's all they do. The rest is up to you.”  “AI is not going away. There are billions invested in this technology. You better get on with the program.”  “Don't drive your car inreverse… Don't go backwards.”   In this episode of Orthodontics in Interview,I'm joined by Jean-Marc Retrouvey, researcher and innovator in AI-drivenorthodontics. We explore the concept of the “virtual patient” and how artificial intelligence is reshaping orthodontic diagnosis, biomechanics, and aligner staging. Jean-Marc shares his candid thoughts on the pace of change inacademia versus industry, the role of AI in predictions within orthodontics, and how clinicians can embrace AI without losing their judgment. With insightsfrom his work in both universities and industry projects, Jean-Marc offers a compelling vision of how orthodontics will evolve in the AI-era. ·      01:47 What isthe “virtual patient” concept?·      03:39 Wherewill AI impact clinicians, diagnosis vs outcomes?·      07:21 Can AIbe our biomechanics co-pilot?·      10:34 Why arealigner companies behind in AI?·      12:57 Whatpractical changes will AI bring to aligner staging?·      15:20 Why didyou say academia is too cautious for AI's pace?·      19:24 Shouldorthodontic AI education come from industry, and is that biased?·      22:13 DoesRicketts' 1983 “judgment over computers” still hold?·      25:13 Will AIreplace clinician experience and literature in EBP?·      30:44 Are weat risk of data overload with 3D/CBCT integration?·      35:01 How dowe use AI responsibly given its environmental costs?·      37:59 Why movefrom academia to industry, and what are you building at LuxCreo?·      41:11 Whitepapers vs peer-review: what's the real difference?·      44:35 Your one piece of advice toorthodontists? Click on the link below to view previous episodes, to refresh topics,pick up tricks and stay up to date.  Please like and subscribe if you find it useful! Please visit the website for this interview podcast:https://orthoinsummary.com/will-ai-change-orthodontics-orthodontics-in-interview-jean-marc-retrouvey/  Spotify podcasts for other platforms  YouTubehttps://youtu.be/UDfDTtLZm4A #orthodontics #farooqahmed #jeanmarcretrouvey#AIorthodontics#clearalignertherapy #orthodonticsinsummary#orthodonticsininterview  Farooq Ahmed

"Identify where you don't want to go." Connect With Our SponsorsGreyFinch - https://greyfinch.com/jillallen/A-Dec - https://www.a-dec.com/orthodonticsSmileSuite - http://getsmilesuite.com/ Summary In this engaging conversation, Jill chats with Kent Miller to dive into the intricacies of demographics and market analysis within the dental industry, particularly focusing on orthodontic practices. Kent shares his journey from urban planning to founding Dentagraphics, emphasizing the importance of understanding market needs, sustainability, and competition when planning for startups or acquisitions. They discuss the significance of evaluating potential locations, the role of data in decision-making, and the innovative tools offered by Dentagraphics to assist practitioners in making informed choices. Connect With Our Guest Dentagraphics - https://www.dentagraphics.com/ Takeaways Kent Miller is the founder of Dentagraphics, specializing in market analysis for the dental and orthodontic industry.Understanding the market for care is crucial for orthodontic practices.Sustainability and alignment with personal vision are key for practice success.Saturation in a market does not necessarily mean failure for practices.Identifying areas to avoid is as important as finding good locations.New construction does not guarantee growth; infrastructure matters.The right demographics must align with the practice's target audience.Data should inform decisions, but it is not the only factor to consider.Dentagraphics offers innovative tools for demographic analysis and market insights.Entrepreneurship in the dental field requires careful planning and data-driven decisions.Chapters 00:00 Introduction to Kent Miller and Dentagraphics03:09 Understanding Market Analysis in Orthodontics06:00 Key Concepts for Startup and Acquisition Planning09:01 Evaluating Potential Locations for Practices12:06 The Role of Real Estate in Practice Success15:03 Analyzing Competition and Market Dynamics18:14 Metrics for Success in Orthodontic Practices22:25 Understanding Demographics in Orthodontics26:07 The Importance of Growth and Infrastructure30:29 Navigating Urban vs. Suburban Practices34:40 Data-Driven Decision Making for Practices38:16 Innovative Tools for Demographic Analysis43:05 Final Thoughts and ResourcesEpisode Credits: Hosted by Jill AllenProduced by Jordann KillionAudio Engineering by Garrett LuceroAre you ready to start a practice of your own? Do you need a fresh set of eyes or some advice in your existing practice?Reach out to me- www.practiceresults.com.    If you like what we are doing here on Hey Docs! and want to hear more of this awesome content, give us a 5-star Rating on your preferred listening platform and subscribe to our show so you never miss an episode.    New episodes drop every Thursday!   

What if I told you your side hustle could teach you more about systems than your main practice ever did?In this episode, I sit down with Dr. Darin Ward, an orthodontist with an unconventional journey—from growing a $2.5M practice in Canada, to downsizing into a lifestyle practice in rural Michigan, to roasting thousands of pounds of organic coffee out of his garage. Darin's story is a masterclass in knowing what you want, building it intentionally, and embracing entrepreneurship in and out of the operatory.We talk about the real cost of rapid growth (spoiler: it's not just financial), why he walked away from a thriving practice to prioritize family, and how that shift led him to discover his passion for coffee roasting. If you've ever wrestled with burnout, wondered how much growth is enough, or dreamed of turning a hobby into something more—this episode is going to resonate hard.Oh, and did I mention he owns six vintage wooden rowing shells and was once an Aztec rower at SDSU? Yeah… this one's got range.QUOTES"I was doing dentistry to support my orthodontic habit. That's when I knew I had to sell my practice and go all in."— Dr. Darin Ward"You don't really own a business until you can get yourself out of it. Until then? You own a job."— Dr. Darin WardKey TakeawaysIntro (00:00)From general dentist to ortho: Darin's winding path (01:00)How he built a $2.5M ortho practice in just 3 years (02:56)The power (and price) of aggressive grassroots marketing (06:31)Scaling quickly vs. profiting slowly—what's the tradeoff? (07:27)Why Darin pivoted to a lifestyle practice in rural Michigan (08:42)From 25–40 patients a day: how lean can you go? (09:01)Why all new patients get a custom-roasted pound of coffee (18:16)Turning a garage into a full-blown roastery (19:39)The logistics wall: when passion meets scale (21:26)White-labeling beans for dentists and ortho friends? (23:26)The E-Myth and owning your systems, not just your hustle (25:45)Rowing, racing shells, and a rowing club in the Upper Peninsula (28:50)Additional ResourcesTune in and get inspired to build a practice—and a life—that fits you.If you've ever dreamed of doing something outside of ortho—whether it's roasting coffee, starting a business, or simply working less and living more—this episode will hit home. Darin's story reminds us that growth doesn't always mean bigger... sometimes it just means better.☕️ Oh, and grab a bag of his beans at upwardcoffee.net- 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. 

"It's about that team mentality." Connect With Our Sponsors GreyFinch - https://greyfinch.com/jillallen/A-Dec - https://www.a-dec.com/orthodonticsSmileSuite - http://getsmilesuite.com/ Summary In this conversation, Dr. Scott Sakowitz shares his entrepreneurial journey from starting escape rooms to opening multiple dental practices. He discusses the challenges and lessons learned from managing multiple locations, the importance of delegation, and building a strong practice culture. The conversation also touches on work-life balance, hiring practices, and the significance of continuous education in maintaining growth. Dr. Sakowitz emphasizes the need for a supportive team and the value of celebrating successes together. Connect With Our Guest Sakowtiz Smiles Orthodontics - https://orlandoorthodontics.com/heydocs@sakowtizsmiles.com Takeaways Dr. Sakowitz's journey began with escape rooms before transitioning to dental practices.Opening multiple practices simultaneously can lead to accelerated growth.Delegation is crucial for managing multiple locations effectively.Work-life balance is essential for maintaining personal well-being.Building a strong practice culture requires intentional effort and team engagement.Hiring the right employees is a process that evolves over time.Celebrating team successes fosters a positive work environment.Continuous education is vital for business growth and adaptation.Understanding the importance of time management can enhance productivity.Creating a supportive team dynamic is key to overcoming challenges.Chapters 00:00 Introduction and Background02:30 Entrepreneurial Journey and Practice Ownership04:42 Challenges and Triumphs of Opening Multiple Practices10:18 Lessons Learned from Startup Experiences14:50 Expanding to a Satellite Practice20:03 The Importance of Delegation and Team Structure23:41 Continuous Growth and Improvement25:56 Balancing Work and Personal Life32:21 Building a Strong Practice Culture34:30 Hiring for the Right Fit35:40 Evolving Employee Dynamics40:48 Empowering Team Members for Success Episode Credits:  Hosted by Jill AllenProduced by Jordann KillionAudio Engineering by Garrett LuceroAre you ready to start a practice of your own? Do you need a fresh set of eyes or some advice in your existing practice?Reach out to me- www.practiceresults.com.    If you like what we are doing here on Hey Docs! and want to hear more of this awesome content, give us a 5-star Rating on your preferred listening platform and subscribe to our show so you never miss an episode.    New episodes drop every Thursday!   

“The biggest variable with any clear aligner treatment is the patient themselves — not the plastic.” “We must remain the conductors of the orchestra, not the technicians of an algorithm.” “Aligners are not inferior to fixed appliances — but neither are they magic. The truth lies somewhere in between.” “Research often lags years behind reality, so we're not judging today's aligners with today's evidence.” In this episode of Orthodontics in Summary,I'm joined by Guy Deeming, orthodontist, business leader, and Director of Professional Development at the British Orthodontic Society We dive into the reality of clear aligner therapy, discussing the recently published Delphi Consensus Statements and if theyagree with his clinical practice. Guy discusses  compliance and where the orthodontist role has changed in the era of algorithms. Guy shares candid insights into alignerlimitations, clinical pearls for complex cases, and his vision for orthodontic education.   ·      01:12– Are aligners now the go-to appliance for mild to moderate crowding?·      03:22– Delphi consensus statement:What are aligners' limitations?·      05:16– Why do clinical results differ so much from research findings?·      11:08– “no-go” cases for aligners?·      15:28– Extreme cases on social media: genuine progress or misleading?·      17:56– Are orthodontists just technicians of aligner companies' algorithms?·      24:57– Profitability, corporate influence, and the in-house aligner movement.·      28:30– Extraction cases with aligners: realistic or flawed?·      32:52– Distalisation: predictable movement or just tipping?·      36:31– Should orthodontic training programmes include formal aligner training?·      44:50– Direct-to-print aligners: fad or the next revolution?·      48:08– Guy's one piece of advice to orthodontists on approaching aligner therapy.  Click on the link below to view previous episodes, to refresh topics, pick up tricks and stay up to date.  Please like and subscribe if you find it useful! YouTubehttps://youtu.be/wITGxEw1ZNs  #orthodontics #farooqahmed #guydeeming#aligners#clearalignertherapy #orthodonticsinsummary#orthodonticsininterview  Farooq Ahmed  

Alan is once again joined by Dr. Matt Standridge. The episode was recorded live at a Voices of Dentistry event following Matt's presentation on "Simplified Smile Design." Matt and Alan explore how a person becomes an expert, from their beginnings on forums like Dentaltown to Matt's current role as an industry educator. They discuss the difference between genuine experience and the illusion of expertise created by social media, and how both can impact the way dentists learn. Matt shares valuable lessons learned from his own journey, including the importance of setting boundaries and the value of detaching from the stress of a clinical practice. He also opens up about his recent decision to sell his practice and what it's like to transition from an owner to an associate. Some links from the show: Voices of Dentistry Matt's website with all his course info Matt's "Clear Aligner Therapy" course at 3D Dentists The AOS Clear Aligner Bootcamp Matt's Instagram   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!

"You need to understand what you're about to sign." Connect With Our SponsorsGreyFinch - https://greyfinch.com/jillallen/A-Dec - https://www.a-dec.com/orthodonticsSmileSuite - http://getsmilesuite.com/ Summary In this conversation, Rob Montgomery shares his extensive experience in legal work focused on the dental and orthodontic space. He emphasizes the importance of legal guidance for young dentists, particularly when navigating contracts, lease agreements, and partnerships. Rob discusses common pitfalls in lease agreements, the significance of understanding personal guarantees, and the challenges associated with associate agreements and partnerships. He also addresses the misconceptions surrounding DSOs and encourages young dentists to pursue ownership opportunities while being mindful of the legal implications of their decisions. Connect With Our Guest Robert H. Montgomery, III, Esquire, P.C. - https://www.yourdentallawyer.com Takeaways Rob Montgomery has been practicing law for 30 years, focusing on the dental field.Young dentists must understand the importance of legal guidance when entering contracts.Lease agreements can be complex and often favor landlords, requiring careful review.Personal guarantees in leases can pose significant risks for practice owners.Associate agreements should clearly outline paths to partnership to avoid future disappointments.Partnerships and buy-ins are often the riskiest transactions in dental practices.Minority buy-ins in DSOs can lead to unfavorable conditions for dentists.Dentists should not feel pressured to work for DSOs; ownership opportunities still exist.Having a strong legal and financial team is crucial for success in dental practice ownership.Understanding the business side of dentistry is as important as clinical skills.Chapters 00:00 Introduction and Background of Rob Montgomery02:53 The Importance of Legal Guidance for Young Dentists06:00 Understanding Lease Agreements and Common Pitfalls09:11 Navigating Associate Agreements and Partnerships11:58 The Risks of Practice Buy-Ins and Partnerships24:04 Understanding DSO Partnerships and Their Implications31:17 Navigating Associateship Agreements and Partnership Promises38:40 Advice for Young Dentists in a DSO-Dominated Market  Episode Credits: Hosted by Jill AllenProduced by Jordann KillionAudio Engineering by Garrett LuceroAre you ready to start a practice of your own? Do you need a fresh set of eyes or some advice in your existing practice?Reach out to me- www.practiceresults.com.    If you like what we are doing here on Hey Docs! and want to hear more of this awesome content, give us a 5-star Rating on your preferred listening platform and subscribe to our show so you never miss an episode.    New episodes drop every Thursday!   

Join Elevated GP: www.theelevatedgp.com Net32.com  Follow @dental_digest_podcast Instagram Follow @dr.melissa_seibert on Instagram   Dr. Mandelaris attended the University of Michigan from undergraduate through dental school.  He completed a post-graduate residency program at the University of Louisville, School of Dentistry, where he obtained a certificate in the speciality of Periodontology as well as a Master of Science (M.S.) degree in Oral Biology.  Dr. Mandelaris is a Diplomate of the American Board of Periodontology and Dental Implant Surgery and has served as an examiner for Part II (oral examination) of the American Board of Periodontology's certification process. He is a Clinical Assistant Professor in the Department of Graduate Periodontics at the University of Illinois, College of Dentistry (Chicago, IL) and an Adjunct Clinical Assistant Professor at the University of Michigan, Department of Periodontics and Oral Medicine (Ann Arbor, MI).  Dr. Mandelaris is a Fellow in both the American and International College of Dentists. Dr. Mandelaris serves as an ad-hoc reviewer for the Journal of Periodontology and the International Journal of Oral and Maxillofacial Implants. In 2021, he was appointed as an Editorial Consultant to the International Journal of Periodontics and Restorative Dentistry. He has published over 40 scientific papers in peer-reviewed journals and has authored eight chapters in seven different textbooks used worldwide on subjects related to computer guided implantology, CT/CBCT diagnostics and surgically facilitated orthodontic therapy (SFOT). Dr Mandelaris is one of the recipients of the 2017 and the 2021 American Academy of Periodontology's (AAP) Clinical Research Award, an award given to the most outstanding scientific article with direct clinical relevance in Periodontics. A nationally recognized expert, he was appointed by AAP to co-chair the Best Evidence Consensus Workshop on the use of CBCT Imaging in Periodontics as well as co-author the academy's guidelines. In 2018, he was recognized with American Academy of Periodontology's Special Citation Award.  Dr. Mandelaris is the 2018 recipient of The Saul Schluger Memorial Award for Clinical Excellence in Diagnosis and Treatment Planning. Dr. Mandelaris currently serves on the American Academy of Periodontology Board of Trustees and has served as a Past President of the Illinois Society of Periodontists. He has served on several committees for the American Academy of Periodontology and is one of the AAPs recommended speakers on topics related to periodontics-orthodontics and imaging/implant surgery. He is a key-opinion leader for several industry leaders and holds memberships in many professional organizations, including the American Academy of Periodontology, Academy of Osseointegration, American Academy of Restorative Dentistry and the American Society of Bone and Mineral Research. Dr. Mandelaris is in private practice at Periodontal Medicine & Surgical Specialists, LLC. He limits his practice to Periodontology, Dental Implant Surgery, Bone Reconstruction and Tissue Engineering Surgery. He can be reached at 630.627.3930 or gmandelaris@periodontalmedicine.org.

Crooked teeth have always been a thing, but it took us a long time to do something about it. Learn about the twisted history of orthodontics today!See omnystudio.com/listener for privacy information.

Join Elevated GP: www.theelevatedgp.com Net32.com  Follow @dental_digest_podcast Instagram Follow @dr.melissa_seibert on Instagram   Dr. Mandelaris attended the University of Michigan from undergraduate through dental school.  He completed a post-graduate residency program at the University of Louisville, School of Dentistry, where he obtained a certificate in the speciality of Periodontology as well as a Master of Science (M.S.) degree in Oral Biology.  Dr. Mandelaris is a Diplomate of the American Board of Periodontology and Dental Implant Surgery and has served as an examiner for Part II (oral examination) of the American Board of Periodontology's certification process. He is a Clinical Assistant Professor in the Department of Graduate Periodontics at the University of Illinois, College of Dentistry (Chicago, IL) and an Adjunct Clinical Assistant Professor at the University of Michigan, Department of Periodontics and Oral Medicine (Ann Arbor, MI).  Dr. Mandelaris is a Fellow in both the American and International College of Dentists. Dr. Mandelaris serves as an ad-hoc reviewer for the Journal of Periodontology and the International Journal of Oral and Maxillofacial Implants. In 2021, he was appointed as an Editorial Consultant to the International Journal of Periodontics and Restorative Dentistry. He has published over 40 scientific papers in peer-reviewed journals and has authored eight chapters in seven different textbooks used worldwide on subjects related to computer guided implantology, CT/CBCT diagnostics and surgically facilitated orthodontic therapy (SFOT). Dr Mandelaris is one of the recipients of the 2017 and the 2021 American Academy of Periodontology's (AAP) Clinical Research Award, an award given to the most outstanding scientific article with direct clinical relevance in Periodontics. A nationally recognized expert, he was appointed by AAP to co-chair the Best Evidence Consensus Workshop on the use of CBCT Imaging in Periodontics as well as co-author the academy's guidelines. In 2018, he was recognized with American Academy of Periodontology's Special Citation Award.  Dr. Mandelaris is the 2018 recipient of The Saul Schluger Memorial Award for Clinical Excellence in Diagnosis and Treatment Planning. Dr. Mandelaris currently serves on the American Academy of Periodontology Board of Trustees and has served as a Past President of the Illinois Society of Periodontists. He has served on several committees for the American Academy of Periodontology and is one of the AAPs recommended speakers on topics related to periodontics-orthodontics and imaging/implant surgery. He is a key-opinion leader for several industry leaders and holds memberships in many professional organizations, including the American Academy of Periodontology, Academy of Osseointegration, American Academy of Restorative Dentistry and the American Society of Bone and Mineral Research. Dr. Mandelaris is in private practice at Periodontal Medicine & Surgical Specialists, LLC. He limits his practice to Periodontology, Dental Implant Surgery, Bone Reconstruction and Tissue Engineering Surgery. He can be reached at 630.627.3930 or gmandelaris@periodontalmedicine.org.

Kristy and Tiff discuss the new treatments they're seeing practices adopt these days and how to successfully start the process (if you want to). They touch on the best ways to gauge interest, training and implementation tips to start off, how to track results, and more. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript The Dental A Team (00:01) Hello, Dental A Team listeners. We are so happy to be back here with you. We are recording today from the comfort of our own homes with the ACs blasting. I am about to bust out my fan. is on the charger right now. I don't know if you know this or not, but Kristy and I come to you from the sweltering desert of Phoenix, Arizona. And I have to say, I'm crazy. My boyfriend is like, it is hot. We're getting out of here. We're moving to Prescott. And one day I'm sure we will, but.   I love where I live and every time I go travel to an office and I'm gone for like a week, I'll see two, three offices at a time. I come back in and just coming into Tempe on that plane over in the mountains, you can see the Buttes, you can see South Mountain, you can see the city and just like the buzz of it all makes me so incredibly happy every single time. I love where I live. I cannot at this point in my life imagine living anywhere else. So when I say that out loud,   People think I'm crazy. And I'm like, listen, it's beautiful here. My best friend, bless her heart, she's like, Tiff, it's brown. It's all desert. And I'm like, it's not. Do you see these colors, like the saguaros and the pink flowers that bloom and the yellows? And like, I don't know, Kristy, am I crazy? Or what are your thoughts? You came back to Arizona. So obviously, there's something to be told about that.   DAT Kristy (01:25) It's too funny that you say that because it's so true. I'm you know when I moved to Idaho everybody's like Arizona it's a desert and I'm like but there's desert here. I have to agree the Arizona desert is much prettier. ⁓ Southwestern Idaho is very deserty and we're talking brown. There's where the brown is but Arizona desert is very beautiful. Even this time of year like come on Palo Verde's aren't brown they're green.   The Dental A Team (01:35) Yeah.   Yeah.   Bye.   Right? Literally   in their name, right? Palo Verde. My boyfriend always says, yeah, Arizona is like so inventive, the green stick. And I'm like, well, it's green. It is green, okay? That's our state tree and it's green. Yeah, I agree. I agree. I just think it's beautiful. And there's nothing like a desert rain. I know that sounds so cliche. Everyone says it, everyone hears it, but I swear to you, the smell in the desert after a good rain or even a light sprinkling is magical.   There is something about it that just changes the composition of your body and you become a much happier individual. just, can't be, you can't be angry in the desert rain. So.   DAT Kristy (02:33) agree with you Tiff   and if you and I can figure out a way to bottle that stuff I've always said we'd be millionaires.   The Dental A Team (02:39) Yeah, well, you know,   I just, my friend just told me this a couple months ago. There's actually a bush out there. I need to just take a picture of it and figure out what it is. We were hiking one day. There's a bush out there that you, when you pick the leaf and you like put it between your fingers, it smells like the desert rain. I'll find it. Yeah, I'll find it and take a picture. I don't know what the bush is, but I'll find it and take a picture and Google it so that we can, we could bottle it. My point there. Yeah. I actually had a friend in town.   DAT Kristy (03:02) Yeah.   The Dental A Team (03:06) Um, he lives in North Carolina and he was visiting and he was like, I'm taking some of this home so that other people can smell it. Cause it is incredible. And I'm like, yep, that's what Arizona desert rain smells like. So anyways, everybody who wants to come visit, we are here for it. We aren't taking any new visitors like to stay. I'm just kidding. You can move here. It's just, it's just getting crowded, you know, but visitors are welcome. Come.   share in the heat. I know most people come in the month of February for the Waste Management Open and you just let us know when we're here and Kristy and I will pop over and say a little hello to you. So Kristy, getting on to business, I love talking about Arizona and I would do it forever, ⁓ but we're kind of rounding out the year right now. We're heading into quarter four. This is the time of year I'm like, well,   we can still make massive movements, we can still make massive changes and hit those goals, but really we need to start thinking about what are we doing ⁓ after these goals are hit. So lot of people don't think about the next year, which is 2026 until December, but I'd like to start talking about it here in August. So one of those pieces, Kristy, I really wanted to chat today about offices that we've seen implement new treatment. And I know right now, ⁓ fillers, Botox, I've seen   a ton of practices doing like facial aesthetics and the lasers and I don't even know what they're called the ones and like all of these amazing things and takes me back to when I was ⁓ working in office gosh when I first started I was like 19 and my doctor's like where are those paraffin wax things can we get those and I was like you're crazy we are not a spa like we're not doing paraffin wax for our patients I have enough to do   chair side, have enough to clean up, we're not doing this, right? But he really wanted it and so we did at least, we did warm towels. So it's like, I can handle warm towels, it's all you got. But now, there is really like this spa aesthetic feel to a lot of dental practices. And I know there's plenty of us out there that are like, no, not doing that. I am a dig my heels in kind of girl. So I dig my heels in until the very end. But I'm kind of getting on board with it. I kind of like it. And it's adding a different sense and a different value.   And honestly, I love marketing and it's adding a different marketing avenue because it's a different demographic of people who can come for the aesthetic side and see, I love these people. Let me switch my dental as well. They may not, that's okay. They may love their dentist. But if you can come to one place and get multiple things, that's kind of cool. So, Kristy, I just wanted to chat a little bit about some of the things that we've seen. We've worked, you guys, just so you know, we worked with a ton of practices on adding aesthetics.   Botox fillers, ⁓ implants, just like simple single tooth implants, multi-tooth implants, all on fours. Gosh, what else? Orthodontics, making sure that the marketing is there, making sure that the treatment coordinating aspect is there, making sure that case acceptance is working, the schedule is working, the block scheduling. We have helped implement this in so many practices. So as we're talking today, just know we're speaking from that implementation experience and what we've seen really work for practices.   from our experience working one-on-one with doctors. If you're someone who's looking to implement new products or new services in your practice and you're not really sure on the how-to, please reach out. We would love to help you on a one-on-one basis. Hello@TheDentalATeam.com. Again, we have a ton of experience in this. have five experienced consultants ready to work one-on-one with you. ⁓ Kristy, Monica, and Trish are...   freaking incredible you guys. I have just seen them move mountains for clients in very short amount of time. if you are ready to take that step, let us know. Hello@TheDentalATeam.com. But Kristy, I know you've had a lot of clients. You've actually had, you've had some fun clients that I can think of off the top of my head that are kind of fresh and new and starting out. And I know one in particular I can think.   probably is this like go-getter wants to add everything, wants to take all the CE, wants to implement everything and wants to just run with it. And then you've got some others that are like, I'm going to like take my time. I'm going to buy it my time. I'm to take the CE. Maybe in a couple of years, we'll be able to implement it. Like there's like such drastic differences there, but what kind of ⁓ procedures have you seen implemented recently? And what do you feel like your clients are doing really well?   to implement them within their practice with your support.   DAT Kristy (07:45) Well.   like you, the med spa thing has really taken off in dentistry. So adding in the Botox, the laser ⁓ and sleep, even for little kiddos, the tongue ties has been an area of exploration. with that being said, Tiff, think first and foremost, yes, you're right. I have one client that's kind of a go getter and and honestly him bringing the energy has worked really well for him because his excitement is   driving it, right? But one thing that I would say in the very beginning, if you're exploring this and you aren't that go getter, energetic, I'm going to do this attitude and you're kind of thinking about it, start to take a pulse with your patients. know, explore, hey, if we offered this service, is this something you'd be interested in? See if people are interested in it because you may be leaving room on the table, right?   And maybe you'll find out they're not interested and it will drive you in a different direction But with that being said, like I said take a pulse of your own patients, but I also doctors recommend that you ⁓ Get your admin team ⁓ Keeping a list of things that patients are calling in and asking for and they have to say no we don't do that because that's an area of opportunity that perhaps if you have a hundred people calling and asking   The Dental A Team (09:10) That's a great idea.   Yeah.   That's a great idea. I have never in my life thought of that. That's beautiful. I love that you said to ask the patients themselves as well. If I started offering this, is this something you'd be interested in? And that one's kind of an easy one when it comes to like Botox and things like that, because you can tell when someone has utilized that procedure before. So I've even had doctors say, where are you going for your Botox? Like, do you like where you go? Are you happy there? What are they doing well that keeps you coming back? even as far   is   to ask what they're paying because it really helps them to figure out.   how they can generate that within their own practice based on a scale of like, know, chatting with a couple of different patients, because you really can tell fillers as well. And all of that stuff, you guys, to be redone at some point. So I think that's a great idea. apnea is huge. I think the kiddo stuff is massive. I have a couple of doctors, couple of doctors, but then also I have a GP doctor that does a ton within the lip tie, the sleep apnea, all of those pieces for the toddlers and children.   She's so passionate about it that her team is behind her as well on it. So I think that's a really good point. And I think, Kristy, something you touched on was that passion and how excited that specific doctor we're thinking of is about everything he does, everything he does he's excited for. And so I just feel like walking into his practice, you're just amped up. Like the energy's got to be so high. But for...   everyone no matter what anytime you go take a CE, anytime you have an idea, anytime you're like I want to implement this and you go get trained on it, I think the biggest missing piece that I've always seen myself as a consultant and then myself even as a dental assistant or for an office is that information lapse between you taking the course and coming back with the information and that ⁓   I get from a business standpoint and a doctor's standpoint, it's hard to take your team to the CE with you. And sometimes it's not even offered to bring your team. So I get that, but that's where training comes into play. And I think that's where having someone on your side, a coach and a consultant, someone who's working hand in hand with the team who really can help create protocols, who can help with the verbiage because you're over there implementing. And I don't know, Kristy, if you've ever experienced this, I remember my doctor, he would get so deflated.   because he'd go do this thing, he'd be rammed up sleep. He wanted to sleep so badly and I hope to this day that he's doing it, but it was so difficult and we didn't get the training, we didn't get the courses, he was training us which was great, but it was like also we are doing everything we were doing before you took this course. So the space for me to learn how to add this, for me to take the time out of my day,   to implement this just isn't always there. And so the space to do the training is sometimes lacking if you can't take your team with you. So I know I've got a practice that I've helped a ton with sleep just in general at their practice because they needed the protocols put in place, but they didn't have the time to even sit down and type them. So it was like,   We're going to do this together real quick. Our tips got these ideas. We've got templates that we utilize with our clients that we're like, hey, these are my ideas. And we go back and forth. And we figure out what's working, what's not working. And Kristy, I know you've done that too. What have you seen work really well with practices for that training and implementation?   DAT Kristy (12:57) It's kind of funny because the ways you're talking I'm thinking of a client right now that literally just went she did take her team to Vegas for clear liner course and Thank goodness. were blessed to go right because you're you're right getting the whole team behind them and the energy coming back in is huge the energy really does propel the momentum as you're Trying to ramp up and to your point not everybody can take the whole team So so I get that yet if you can get one or two chances   to go and help you wonderful. If not, would definitely recommend coming back and having the conversation and have doctors speak to their why. You know, why do they want to implement this? What is their vision for it? And then create benchmarks. Like how will we implement this and what can we do? So if we want to do more clear aligners, what is   The Dental A Team (13:37) Yeah.   video.   DAT Kristy (13:56) something we can do every day to help that outcome, right? Is it add one more scan to a patient? You know, get those commitments from team and buy in and then have fun with it. We're always talking about the sprinkles and adding the fun. So find a way to gamify it. And if I do this action every day, it's going to create a better chance of my outcome, right?   The Dental A Team (14:00) Yeah.   Mm-hmm.   Yeah,   yeah, and to that point, you're then tracking your results, right? Which is something that we have all of our practices tracking their results consistently for that reason, because we want to see the things that you're doing every day. Are they creating the result that you wanted? Are we moving closer to the goal that you were set after? Or are we moving further away from it? Because then we can see what we want to tweak or change or what needs to be added. And then again, to your point as well, what's one thing that we can add?   A lot of times we come in with all of the things and it's like, that's too much and we can't process it all. So if you do that, like one thing, so for sleep apnea or Botox or any of those spaces or though it's like, what's one thing you would change aesthetically if you had the opportunity? Like what's one question? You can start asking every patient that walks through your door. Do you find yourself waking up a lot at night? Do you find yourself, know, do your partner say that you're snoring?   Do you have a hard time falling asleep? Do you have a hard time waking up? What are the key factors? What's one question, two questions you add onto it? How can we layer this and stack to get things done? And like you said, maybe we're taking one more scan today than we took yesterday. We're gamifying it, we're tracking the results, and we're making sure that it's fitting. And that's something that I think as consultants, we've been able to really help teams get excited about.   and really be able to help them break it down because for doctors, for our visionaries, it's sometimes difficult for a visionary to see the path. They see the end result. They see what it is that they're after. They see the dream and the finality. We have to take it layers backwards and say, how do we get there?   The visionaries have a hard time figuring out how we're going to get there. And when they're the only ones who are trying to figure that out or there's no one on the team that's like, okay, I got it. I will figure it out from here. That's where the consultants come into play or training office managers to see that space to say, okay, what are the steps it's going to take to get there? And how do we incrementally layer and add onto those steps to ensure that we do? So, Kristy, I think you're hitting some massive spaces there.   with the tracking the results, the just one thing and making sure that we are training the team as we can. I also think don't wait too long.   If you've gone to a course and you've learned something, you need to start practicing it because you learned it. And then if you're waiting a year to implement it, you're going to need to go back for a refresher course because you haven't been doing it. And I've seen that happen. I don't know if you have. I've seen that happen, especially with like Botox, where they go get the training, but they're just like dragging their feet, probably out of fear and actually implementing it. And then they're like, well, shoot, I need to go get a refresher course because I haven't done it since I did it at   my training. Have you seen that too, Kristy?   DAT Kristy (17:27) Absolutely.   I love that you mentioned that because I think one realm where we're really good at this if you think about it is ⁓ Milling same-day crowns because they force you to find patients, right? They're like, okay have your patients lined up because we're gonna do it in those other realms We don't necessarily do that. So a component that I think we miss a lot is we plan the CE we schedule it we go the course But we didn't block out time to meet with team coming back, right?   The Dental A Team (17:36) Yeah. ⁓   Yeah.   DAT Kristy (17:57) So make sure that time dedicate the time to make sure it happens and Hey, let's line up the patients. Let's get them in the chair and start because you're right Otherwise, we just get back into routine and it's gone to the wayside and you know See is wonderful and it's all knowledge. But unless we're interpreting it into something It's just money spent right? Yeah   The Dental A Team (18:22) Agreed. Yeah, agreed.   And it makes me think of two of ⁓   Like you said, they tell you to have patients ready for the crowns, but same thing for implants, right? Same thing for Botox, same thing for any of those, but implants especially. I always tell doctors, before you go to the course, I say take inventory, look at how many outgoing referrals you had to oral surgeons. How much revenue did you feed oral surgeons in your area of that thing that you're going for? Because they have had practices in areas of their city   that it was like it didn't make sense financially to implement the thing because they weren't getting it in their doors, right? They were a younger demographic, they were college demographic, and they really just weren't getting a lot of need for the implants or for whatever it was that they were looking at. And so they actually decided, you know what, like that was just, there's so much that we see that we're supposed to do. ⁓   like all on four, all on X. Like there's so many GP dentists that are like, well, I just felt like I heard that that was what was going to change my life forever. And I'm like, yes, in a lot of ways, it's really hard. So don't do things just because it's what you're supposed to do. And it's like the next best up and coming thing. Cause I have seen doctors who have taken inventory and they're like, actually, like I was going to do it because I thought I needed to, but I don't think my patient demographic shows me that I need to. I may actually focus   in on this and they switched their CE focus completely because they saw the need wasn't there and for me that's massive because now you're you are getting an ROI on what you're doing. Now for a lot of dentists they want to learn the thing because they want to know it and that's totally cool. don't I don't I have no ifs, ands, or buts about it but just make sure you know what you're getting into and then like Kristy just said I love that idea of making sure you've got people lined up to get the service.   once you come back. And it's an easy conversation. It's not, I'm going to go get trained on implants. And so when I come back, I'd love for you to be one of the first people I place an implant on. That's uncomfortable, right? But it's just like, hey, I don't have the tools for this right this second. ⁓ You can go to an oral surgeon if you want it sooner, but I am going to be equipped with those tools here in the next six months. I'd be happy to revisit this with you at your next re-care or call you as soon as I get the stuff in.   Same statement, different words. so vulnerability on one hand. If it's family, like shoot, I've had plenty of doctors that's like, hey, I'm testing this on you and you're getting it for free. Or I'm testing it on you and you're gonna pay for the lab fee, like fine.   whatever, but patients maybe be a little bit more tactful with. But Kristy, I think those were some great points. Those are all wonderful things that I've seen you help doctors implement. I've seen Dana, Kristy, or Trish. I've seen all of you guys. Monica, know she's done it too. We've all implemented on some level some of these systems and protocols with practices for things that feel really hard when you're in it. The great part about consultants,   I'm not attached to it, you guys. Kristy's not attached to it. We're attached to you seeing results and we're going to bird's eye view it and see where the missteps are happening, where the gaps are that can be filled to create a different result because Kristy's not emotionally attached to it. So they do really, really well. Kristy, Trish, Monica, Dana, all of them do really well at being able to see those gaps and see how you as a team can fill them and then train you guys on how to fill them. Our job is not to do   it for you because then I'm not teaching you anything, right? Kristy is not, she becomes your regional manager and that's not what we signed up for. But what her job is to do is to show you the path, train you how to do it, watch those benefits, you reap those benefits at the end. So we're excited to help you guys. Kristy, I know you're excited. You love implementing and Kristy loves nothing more than finding the money, finding the money, finding the production and helping you implement structures that really work to make a difference in your practice.   Kristy, thank you for your words of wisdom today. Those were fantastic. think my biggest nugget today is the idea of duh.   have people lined up and ready to go for whatever it is prior to you ever going and getting the course. And I think as I say that, Kristy, there's a lot of protocols and a lot of training that can be done prior to the CE to get your team ready too. Because otherwise the team's just upside down trying to figure it out. But those protocols and things can be put into place before you actually get trained to place and plan. So Kristy, thank you for being here with me today. ⁓   Everyone, I hope you took some solid nuggets from this and you can see how beneficial this can be. Drop us a five star review below. We'd love to help you. Hello@TheDentalATeam.com. We can't wait to hear from you guys. Thanks.  

THANK YOU TO OUR SPONSORS! Visit https://cornbreadhemp.com/drg and use code DRG for 30% OFF your first order. Visit https://jaspr.co/DRG and use code DRG for $300 OFF for a limited time Sign up for our newsletter! https://drchristiangonzalez.com/newsletter/ Most clear aligner treatments fail because providers can only move tooth crowns, not roots - leading to relapse and patients wondering if they wore their retainer enough. The clear aligner industry continues despite poor outcomes while patients blame themselves.In this eye-opening episode, Two Front CEO Ingrid Murra exposes the shocking truth about orthodontics and reveals her journey from practicing orthodontist to building a $7M company with 40+ team members. Orthodontics isn't cosmetic - it's health treatment preventing tens of thousands in future dental work. Misaligned bites cause permanent enamel wear, leading to crowns, root canals, and expensive procedures starting in your 40s. Ingrid identifies a key barrier for Latino entrepreneurs: cultural programming that doesn't emphasize emotional intelligence or effective communication. As Latinas earn less than other demographics, communication becomes economic empowerment. Her framework for business evolution includes deep commitment to serving others, strong self-belief, and staying present in each moment. With Latino Americans set to represent 30% of the US population in 5-10 years, breaking cultural patterns becomes an economic necessity. Business becomes a vehicle for personal growth when built on service and authentic leadership. Be sure to like and subscribe to #HealThySelf Hosted by Doctor Christian Gonzalez N.D. Timestamps: 0:00 - Introduction 1:50 - The Invisalign Deception 6:00 - Why Pulling Teeth Is Dangerous 11:15 - From Angry Entrepreneur to Conscious Leader 19:35 - The Three Hardest Challenges Every Entrepreneur Faces 29:15 - How Psychedelics Saved Her from Burnout 36:50 - Two Front: Revolutionizing Orthodontic Care 45:45 - The Communication Code for Success 50:10 - Empowerment Through Communication