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Men... Move At YOUR PAce!
We live in a world that wears exhaustion like a badge of honor. Our calendars overflow, our to-do lists multiply, and our devices never stop demanding our attention. Yet somewhere deep within us, a voice whispers that this wasn't how life was meant to be lived. That voice is right.__________Get more out of today's teaching by visiting our Church Online page for things like our community guide, a weekly devotional, and the teaching slides. EthosOH.com/churchonline
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Il piano di pace di 28 punti proposto da Trump per risolvere il conflitto russo-ucraino è ora stato ridotto a 19 punti. È un momento potenzialmente decisivo, ma il quadro resta confuso. Ne abbiamo parlato con il giornalista e storico Giuseppe D'Amato.
Quanti dei 20 punti del piano Trump per Gaza sono stati realizzati o sono in via di attuazione? E come procede la situazione sul campo nella Striscia di Gaza? Ascolta il nostro aggiornamento con il corrispondente de Il Manifesto per il Medio Oriente Michele Giorgio.
Pace per le vittime di Sarajevo Antonia Klugmann lancia un appello per la tutela del territorio Elly Schlein e Giorgia Meloni collaborano contro la violenza di genere La nave di Teseo festeggia il suo decimo compleanno La festa prima della festa
Winning feels great—until the adrenaline fades, the soreness hits, and you find yourself asking the question no one prepares you for: Now what? Show Notes – You are now listening to Shark Theory… In this episode, Baylor dives into the lesser-discussed side of achievement: the post-performance blues. After completing his first HYROX race, day two soreness hits hard—and with it comes the emotional crash that often follows big accomplishments. Whether it's a race, a promotion, a financial milestone, or a personal win, the "after" phase leaves many of us feeling deflated, directionless, or comparing ourselves to others. Baylor breaks down why this happens, how to recognize the difference between perception vs. reality, and how to stabilize mentally when you feel like your identity has been wrapped in a goal that suddenly… is gone. He also shares a powerful reminder given to him mid-race by a stranger: "Your race, your pace." A simple line that becomes a blueprint for how to step into your next season with confidence, clarity, and calm. This episode is for anyone who's hit a high… and unexpectedly crashed afterward. What You'll Learn Why day-two "post-effort soreness" hits so much harder What post-race or post-goal depression actually is (and why it's normal) The double-edged sword of success: the highlight reel vs. the hidden cost Why comparing your real life to someone else's curated wins is self-sabotage How to adopt the mindset: "Your race, your pace" Why giving 100% of what you have today builds real confidence How to answer the "Now what?" question after hitting a milestone The importance of putting your next meaningful goal on the calendar Featured Quote "You can't compare your real life to someone else's best six photos. Run your race—at your pace."
Stati Uniti, Ucraina ed Europa hanno discusso la proposta di pace avanzata da Donald Trump: un piano in 28 punti che prevede concessioni territoriali a Mosca e la neutralità di Kiev. Ma le parti restano distanti da un accordo sul cessate il fuoco.
Mentre i missili continuano a colpire Kiev, il ministro Lavrov dichiara che la Russia potrebbe non accettare la versione del piano di pace avanzata dall'Ucraina. Ma quali sono le differenze tra le due proposte? Ne parliamo con Carolina De Stefano, professoressa di Storia e politica russa all'Università LUISS Giudo Carli, e con il colonnello Orio Giorgio Stirpe, ufficiale dell'Esercito Italiano in riserva specializzato in intelligence operativa.
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
A Ginevra le trattative per la pace in Ucraina con Zelensky, Stati Uniti ed esponenti europei. Al piano americano in 28 punti ne è seguito uno a trazione europea, prima di una rielaborazione generale questa notte. Ne parliamo con Vittorio Emanuele Parsi, professore di Relazioni internazionali all'Università Cattolica di Milano. Un bilancio della Cop30 con Stefano Caserini, professore di Mitigazione dei cambiamenti climatici all'Università di Parma.
There's something deeply counterintuitive about generosity in our modern world. We've been taught that security comes from accumulation, that freedom is measured by our bank balance, and that the path to happiness is paved with purchases. Yet research in neuroscience, psychology, and happiness studies consistently reveals what Scripture has been declaring for thousands of years: when we give, we flourish.__________Get more out of today's teaching by visiting our Church Online page for things like our community guide, a weekly devotional, and the teaching slides. EthosOH.com/churchonline
Iniziamo la puntata parlando di tennis per farci raccontare da Stefano Meloccaro di Sky come sta andando la finale di Coppa Davis tra Italia e Spagna, con Berrettini che ha battuto Carreno Busta nella prima sfida del singolare.Poi facciamo il punto su un ricchissimo weekend di Serie A con mister Stefano Colantuono. Vincono Napoli e Bologna, frena ancora la Juve, stasera il derby di Milano.Con Guido Vaciago analizziamo più nel dettaglio il deludente pari degli uomini di Spalletti a Firenze. Contro la Viola, ancora ultima in classifica, i Bianconeri non riescono ad andare oltre l'1-1.Ci spostiamo poi a Bologna per discutere con Davide Cassani della squadra di Vincenzo Italiano. I Rossoblù ormai non sono più una sorpresa: dove possono arrivare?Stasera però è tempo di Derby di Milano, con due squadre che si contendono un posto al sole in classifica. Sentiamo cosa ne pensano Francesco Colonnese e Luca Serafini.Con Umberto Chiariello torniamo invece sul successo del Napoli, arrivato ieri con un netto 3-1 ai danni dell'Atalanta. Pace fatta tra Conte e l'ambiente?In chiusura la Formula 1 con Umberto Zapelloni. Verstappen vince a Las Vegas, ma il vero colpo di scena arriva a quasi cinque ore dalla fine della gara: Norris e Piastri squalificati, classifica accorciata e mondiale riaperto definitivamente.
Apriamo con la scomparsa di Ornella Vanoni, quindi Andrea Bulleri fa il punto sulle elezioni regionali con i possibili scenari, con Angelo Paura ci spostiamo sul fronte ucraino e per capire meglio se può funzionare la proposta di Trump, restiamo in America con Anna Guaita e il sorprendente incontro tra il nuovo sindaco di New York e il presidente americano, quindi la cronaca con l'analisi dell'inviata Claudia Guasco sulle violenze subite dalle donne, mentre con Michela Allegri capiamo Meglio le nuove regole per accedere ai b&b, con Laura Pace ci spostiamo nel primo bar al mondo dove incontrare il vostro fidanzato virtuale, con Gloria Satta andiamo al cinema per capire il sulle dell'ultimo film di Riccardo Milani, per lo sport la storia, Massimo Boccucci ci parla del successo di una nazionale che ci fa sognare.
Welcome to the Wholesale Hotline Podcast (Subto Edition), where Pace breaks down creative finance strategies like subject-to, seller finance, and novations in plain English. Today's episode is part of our Throwback Series where we re-air some of our most popular shows. This episode originally aired on 08/30/2024. Show notes -- in this episode we'll cover: Learn how to buy properties without cash, credit, or credentials—no gatekeeping. Deep dives into real deals, seller conversations, and deal structuring from A to Z. Tactical advice for scaling a portfolio with little to no risk using powerful creative tools. Community-driven, high-value episodes that help you solve problems most investors run from. ➖➖➖➖➖➖➖➖➖➖➖➖➖➖➖ ☎️ Welcome to Wholesale Hotline & Subto Breakout✌️✌️! ☎️ Need discounts and free trials!? Check this out for the softwares/websites/contracts/scripts/etc we use in our business: ✌️ https://shor.by/pace-youtube ✌️ ➖➖➖➖➖➖➖➖➖➖➖➖➖➖➖
Il 19 novembre l'Ucraina ha ricevuto la bozza di un piano di pace statunitense che prevede, tra le altre cose, la cessione di territori alla Russia e una limitazione delle sue forze armate. Con Davide Maria De Luca, giornalista, da Kiev.Il 19 novembre la camera dei deputati italiana ha approvato all'unanimità la proposta di legge che riscrive l'articolo del codice penale sul reato di stupro introducendo il concetto di “consenso libero e attuale”. Con Claudia Torrisi, giornalista.Oggi parliamo anche di:Film • Dreams di Michel FrancoCi piacerebbe sapere cosa pensi di questo episodio. Scrivici a podcast@internazionale.it Se ascolti questo podcast e ti piace, abbonati a Internazionale. È un modo concreto per sostenerci e per aiutarci a garantire ogni giorno un'informazione di qualità. Vai su internazionale.it/abbonatiConsulenza editoriale di Chiara NielsenProduzione di Claudio Balboni e Vincenzo De SimoneMusiche di Tommaso Colliva e Raffaele ScognaDirezione creativa di Jonathan Zenti
Il presidente ucraino non si tira indietro e davanti al piano di pace in 28 punti proposto dagli Stati Uniti attiva un piano per una controproposta, in collaborazione con i partner europei. Siamo davvero giunti alla fase finale della guerra? Ne parliamo con Federigo Argentieri, professore di Scienze politiche alla John Cabot University, e con Alessandro Marrone, responsabile del Programma "Difesa, sicurezza e spazio" dell'Istituto Affari Internazionali.
A Piccoli Sorsi - Commento alla Parola del giorno delle Apostole della Vita Interiore
Vorresti ricevere notizie, saluti, auguri dalle Apostole della Vita Interiore?Lasciaci i tuoi contatti cliccando il link qui sotto e con la nostra nuova rubrica digitale potremo raggiungerti.https://www.it.apostlesofil.com/database/- Premi il tasto PLAY per ascoltare la catechesi del giorno e condividi con altri se vuoi -+ Dal Salmo 9 +RIT: Esulterò, Signore, per la tua salvezza.Renderò grazie al Signore con tutto il cuore,annuncerò tutte le tue meraviglie.Gioirò ed esulterò in te,canterò inni al tuo nome, o Altissimo. RIT: Esulterò, Signore, per la tua salvezza.Mentre i miei nemici tornano indietro,davanti a te inciampano e scompaiono.Hai minacciato le nazioni, hai sterminato il malvagio,il loro nome hai cancellato in eterno, per sempre. RIT: Esulterò, Signore, per la tua salvezza.Sono sprofondate le genti nella fossa che hanno scavato,nella rete che hanno nascosto si è impigliato il loro piede.Perché il misero non sarà mai dimenticato,la speranza dei poveri non sarà mai delusa. RIT: Esulterò, Signore, per la tua salvezza.Parola del Signore.
Le reazioni al piano di pace segreto tra Stati Uniti e Russia con Marco Di Liddo, direttore del Centro Studi Internazionali. Cop30, dopo l'incendio di ieri riprendono i lavori. Ci colleghiamo con Belém dove c'è Jacopo Bencini, Presidente di Italian Climate Network. In testa alla classifica delle buone notizie di questa settimana c'è l'arrivo della neve a bassa quota, possibile toccasana per i bacini idrici italiani. Ne parliamo con Giulio Betti, climatologo e meteorologo del CNR - Consorzio Lamma.
Our conversation with Chad Kultgen and Lizzy Pace (from the Game of Roses podcast and authors of “How to Win The Bachelor”) continues! We explore if Ashley would have ever graced the shores of Love Island and what we can expect from her on The Real Housewives of Rhode Island! Plus, what do our Bachelor game experts think about Taylor Frankie Paul???See omnystudio.com/listener for privacy information.
Episode SummaryWhat if peace wasn't just a feeling you occasionally experience but a person you follow daily? In this episode, Coach Alex sits down with author, speaker, and podcast host Michelle Brumgard to explore what she calls The Pace of Peace.Michelle shares how years of praying for calm—in her body, her marriage, and her home—revealed that true peace isn't found in quick fixes, quiet moments, or the absence of chaos, but in Christ Himself, the Prince of Peace.Through vulnerable stories of motherhood, marriage struggles, overwhelm, and the practical demands of daily life, Michelle helps us understand how to pause, pray, and invite Jesus into the middle of our messy days.Together, Alex and Michelle unpack how peace intersects with our health, fitness, and homes—and why striving for control only leads to more overwhelm. Whether you're a busy parent, a believer battling stress, or simply hungry for God's presence in your everyday life, this conversation will remind you to slow down, breathe, and walk at the pace of peace.Main Discussion Themes-Why peace is not just an emotion but a person (Jesus, the Prince of Peace)-Michelle's journey: from overwhelm, anxiety, and striving to living at God's pace-The difference between worldly peace (quick fixes, calm moments) and biblical peace-Overwhelm as the opposite of peace—and practical ways to reset-The P.A.C.E. acronym: Pray And Continue Earnestly-How overwhelm shows up in parenting, marriage, health, and the home-Simple daily practices for pausing, praying, and re-centering on Christ -Michelle's free resource: Five Proverbs to Pray When You Feel Overwhelmed-Her upcoming book The Pace of Peace (January release)Timestamped Outline00:00 – 05:00 | Pre-show: life on the farm, fiber internet, kids growing up05:00 – 12:00 | Introducing Michelle: mom of two, podcast host, relaunching her coaching ministry 12:00 – 20:00 | Why peace became her life's message (journaling, prayer, revelation)20:00 – 28:00 | What peace is not: quick fixes, pills, naps, or achieving goals28:00 – 40:00 | Biblical peace as presence with Christ—even in chaos 40:00 – 55:00 | Overwhelm: the opposite of peace (parenting, schedules, meals, body image)55:00 – 01:05:00 | Practical resets: journaling, prayer, prioritizing with God01:05:00 – 01:15:00 | The P.A.C.E. acronym: Pray And Continue Earnestly01:15:00 – 01:25:00 | Free resource: Five Proverbs to Pray When You Feel Overwhelmed01:25:00 – 01:30:00 | Final encouragement + closing prayerMove Forward Today✅Get Coach Alex's new book today! Faithful Fitness Devotional (40-Day Guide): https://faithfulfitnessdevo.com✅Join the BetterDaily community! Faith And Fitness Foundations: https://betterdaily.live/beginner ✅Download Michelle's free resource – Five Proverbs to Pray When You Feel Overwhelmed (link in show notes).✅Listen to The Pace of Peace Podcast for weekly encouragement and biblical guidance.✅Pause & Pray – When overwhelm hits, stop and bring your list to God.✅Look for Evidence of Peace – Write down small ways God is showing His faithfulness today. ✅Pre-order Michelle's book The Pace of Peace (January release).Featured Guest Resources-Free Resource: Five Proverbs to Pray When You Feel Overwhelmed-Podcast: The Pace of Peace Podcast-Book: The Pace of Peace (releasing January)Become a supporter of this podcast: https://www.spreaker.com/podcast/faithful-fitness-by-better-daily--5150768/support.
Is there anything the NBA can do to limit pace and keep players fresh? Probably not
The half-marathon distance is one of the best race distances to race, and it's also a race distance that many don't properly train for! In this episode, Coach Sara shares four common half-marathon mistakes and how to avoid them! How to Structure a Training PlanHow to get the most of the Long RunHow to Pace a Half MarathonHow to Avoid Running Too MuchWhere to Listen:Apple Podcasts | Spotify | Youtube MusicConnect with us:elevateyourrunning.comElevateyourrunning and sayrahrunshappyThe Elevate Coaching Team has 1:1 coaching spots open for spring and fall race season! If you love running and want to get better + faster at this sport, we'd love to have you join our team! You can find more information about our coaching packages at https://elevateyourrunning.com/virtual-coaching or email Sara at sara@elevateyourrunning.comIf you enjoyed this episode, please subscribe, rate, and leave a review! Share your thoughts on how coaching has impacted your journey on social media using #elevateyourrunning. Do you want to be an inclusive insider? Help support the Elevate Your Running Podcast! Get exclusive content, coaching advice, and more through this platform! PARTNER DISCOUNTS AND LINKS:Dynamic Runner: code SAYRAHRUNSHAPPY for 10% off your subscriptionCheribundi: code ELEVATE for 15% offRNWY: Use Code Elevate15 for 15% off your orderKETONE-IQ: Your post-run recovery ketones can be found hereCozy Zero: merino wool running clothes! Save 20% with code SARAM20LEVELLE GELS - Save 10% on all natural gels using code HAPPYRUNNING10
Matthew Tynan fields questions from subscribers over at the Corporate Knowledge newsletter (matthewtynan.substack.com), covering a wide range of topics. In the show: Would the Spurs consider playing at a slower pace to help prevent all these soft-tissue injuries moving forward? What if San Antonio leaned into Victor Wembanyama as a No. 2 option rather than a No. 1, allowing him to conserve energy and wear and tear? What do we make of the early seasons of Devin Vassell and Jeremy Sochan? Plus, more... Episode produced by Tyler Prince Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
Ben Anderson and David James go over Lauri Markkanen's hot start, the team's 5-9 record through 14 games, and other news about the roster. These podcasts are available on YouTube with video, typically one to two hours after the audio version is posted. Sign up for the new Jazz Notes newsletter! Receive game updates, exclusive analysis and chances to win Jazz tickets. Check out Ben and David's X profiles - @BensHoops +@DavidDJJames You can be a part of the Jazz Notes podcast by submitting questions for our mailbag through Ben's X on Mondays!
A Piccoli Sorsi - Commento alla Parola del giorno delle Apostole della Vita Interiore
Vorresti ricevere notizie, saluti, auguri dalle Apostole della Vita Interiore?Lasciaci i tuoi contatti cliccando il link qui sotto e con la nostra nuova rubrica digitale potremo raggiungerti.https://www.it.apostlesofil.com/database/- Premi il tasto PLAY per ascoltare la catechesi del giorno e condividi con altri se vuoi -+ Dal Vangelo secondo Luca +In quel tempo, Gesù, entrato nel tempio, si mise a scacciare quelli che vendevano, dicendo loro: «Sta scritto: “La mia casa sarà casa di preghiera”. Voi invece ne avete fatto un covo di ladri».Ogni giorno insegnava nel tempio. I capi dei sacerdoti e gli scribi cercavano di farlo morire e così anche i capi del popolo; ma non sapevano che cosa fare, perché tutto il popolo pendeva dalle sue labbra nell'ascoltarlo.Parola del Signore.
We all watch The Bachelor as if it were a professional sport, but Chad Kultgen and Lizzy Pace from the Game of Roses podcast and authors of "How To Win The Bachelor" take it to an entirely different level. They’re hanging out with Ben and Ashley and sharing their expert opinion on who “played” the game of The Bachelor the best.They share their thoughts on how much impact producers should have on the decisions of the cast, and how much true “manipulation” can steer someone’s journey of love. Plus, Chad reveals his personal connection to some people from Bachelor Nation!See omnystudio.com/listener for privacy information.
Welcome to the Wholesale Hotline Podcast (Astroflipping Edition), where Jamil reveals the exact systems, mindset and strategies he used to build a multi-million dollar wholesaling empire. Show notes -- in this episode we'll cover: The go-to place to master comping, with expert-level insights on valuing properties the right way. Step-by-step guidance on finding and comping deeply discounted off-market deals—even in competitive markets. Real-world breakdowns of the AstroFlipping model to scale virtually with little to no overhead. Proven tips to build a rock-solid buyer's list, dominate dispositions, and grow your deal flow. No fluff—just high-level mindset, marketing, and tactical advice for real estate success. ➖➖➖➖➖➖➖➖➖➖➖➖➖➖➖ ☎️ Welcome to Wholesale Hotline & Astro Flipping breakout
Get ready for an emotional and inspiring ride as Matthew Starobykhovskiy shares his story with Pace - from being homeless to closing creative deals in SubTo and joining Owners Club! You'll hear about his multifamily properties in Texas the mindset shift that made it all possible, and the exciting things he's working on now - including including his own upcoming Mastermind! If you've ever doubted what's possible, this episode is for you... Real talk. Real transformation. Real wins!!! Matthew's Multifamily Mastermind is coming soon. Don't miss out! http://telosmastermind.com Follow Matthew: / househuncho ➡️ Meet Pace on the Creative Nation Tour: https://bit.ly/GetCreativeNationTour ➡️ Download the Free SubTo A-Z e-book: https://subto.sjv.io/qzd0Vb ➡️ Get the CRM that will take you further: https://www.gohighlevel.com/pace ➡️ Use Creative Listing for FREE to buy and sell creatively: https://bit.ly/CreativeListing ➡️ Join the SubTo Community: https://subto.sjv.io/RG6EDb ➡️ Become a Top Tier Transaction Coordinator: https://toptiertc.pxf.io/yqmoxW ➡️ Discover the Gator Method: https://gator.sjv.io/6yYWBG ➡️ Get to the SquadUp Summit Conference: https://bit.ly/GetToSquadUpSummit COMMUNITY MEMBERS! ➡️ Get Featured on the Get Creative Podcast: https://bit.ly/GetCreativeGuestForm Refer a Friend to SubTo: refer.nre.ai/subto Refer a Friend to TTTC: refer.nre.ai/tttc Refer a Friend to Gator: refer.nre.ai/gator PLUG IN & SUBSCRIBE Creative Real Estate Facebook Group: https://www.facebook.com/groups/creativefinancewithpacemorby Instagram: https://www.instagram.com/pacemorby/ YouTube: https://www.youtube.com/@PaceMorby TikTok: https://www.tiktok.com/@pacemorby X: https://x.com/PaceJordanMorby The Pace Morby Show: https://www.youtube.com/@thepacemorbyshow
Stephen Wolfram answers questions from his viewers about the future of science and technology as part of an unscripted livestream series, also available on YouTube here: https://wolfr.am/youtube-sw-qaTopics discussed: AI bubble, trajectory, scaling & hardware - Tech reliability, control & agency - Pace of progress & our ability to keep up - AI in math & research practice
Tech stocks continue to sell off Stateside while Europe's Stoxx 600 ends yesterday's session at a one-month low and the DAX plunges to its lowest level since June. Chip giant Nvidia results are due after the bell today with analysts anticipating a sharp rise in sales amid any signs of an A.I. bubble. President Trump hosts Saudi Arabia's Crown Prince Mohammed bin Salman at the White House, calling the Kingdom ‘a major non-NATO ally'. Trump also struck an optimistic tone regarding the expansion of the Abraham Accords to foster stability in the Middle East. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
A Piccoli Sorsi - Commento alla Parola del giorno delle Apostole della Vita Interiore
Vorresti ricevere notizie, saluti, auguri dalle Apostole della Vita Interiore?Lasciaci i tuoi contatti cliccando il link qui sotto e con la nostra nuova rubrica digitale potremo raggiungerti.https://www.it.apostlesofil.com/database/- Premi il tasto PLAY per ascoltare la catechesi del giorno e condividi con altri se vuoi -+ Dal Vangelo secondo Luca +In quel tempo, Gesù, quando fu vicino a Gerusalemme, alla vista della città pianse su di essa dicendo:«Se avessi compreso anche tu, in questo giorno, quello che porta alla pace! Ma ora è stato nascosto ai tuoi occhi.Per te verranno giorni in cui i tuoi nemici ti circonderanno di trincee, ti assedieranno e ti stringeranno da ogni parte; distruggeranno te e i tuoi figli dentro di te e non lasceranno in te pietra su pietra, perché non hai riconosciuto il tempo in cui sei stata visitata».Parola del Signore.
DJ & PK deabted if reducing the regular season games for NBA teams from 82 to 72 as Golden State Warriors coach Steve Kerr would help reduce wear and tear on NBA players.
On this episode, host Sima Vasa talks to Tim Wragg, CEO of Human8, who shares insights on leadership, AI's role in research, and maintaining human connection in a rapidly evolving digital landscape. Tim discusses how trust, empathy and timing remain vital in an industry defined by data abundance and technological transformation.Key Takeaways:00:00 Introduction.02:54 Behavioral science background shaped leadership in insights.05:56 Strong networks consistently drive new business opportunities.08:58 Human-led insights, AI-enabled, define the mission.11:26 East-to-west innovation now reshapes brand strategies.15:20 Synthetic data accelerates low-risk performance decisions.17:50 Leaders should regularly meet real customers in person.20:49 Cultural context often determines new product success.24:32 Pace transformation carefully to protect teams and stakeholders.27:26 AI changes slowly, then suddenly accelerates across organizations. Resources Mentioned: Human8 | WebsiteThanks for listening to the “Data Gurus” podcast, brought to you by Infinity Squared. If you enjoyed this episode, please leave a 5-star review to help get the word out about the show, and be sure to subscribe so you never miss another insightful conversation.#Analytics #MA #Data #Strategy #Innovation #Acquisitions #MRX #Restech
In this week's podcast, I share a clip from The Kelly Sheffield Show where Coach Sheffield talks about the importance of Wednesday's matchup against Purdue and what's at stake for the Badgers. I also catch up with Madison College head coach and former Badger Mallory Stone, who discusses her team qualifying for the NJCAA DII National Tournament and how freshman are helping make this run.We take a look at Mimi Colyer's incredible pace, as she learns she's tracking toward a potential Wisconsin school record in kills per set, and hear from graduate assistant Johnny Pulver on what he brings to the team behind the scenes.The episode also shifts to Badger women's basketball, where the team has introduced some unique approaches as the season gets underway. You'll hear from transfer Laci Steele and sophomore Reese Jaramillo as they share their thoughts on this year's squad and the energy surrounding the program.
Do you have to schedule boundaries or is it a free-for-all? Learn how to be more productive by regaining control of your day-to-day calendar. #ThePitch #INICIVOX #VirtualMentorship
European markets are sharply in the red amid an accelerating global sell-off. Investors are now awaiting economic data prints Stateside following the recent re-opening of the federal government. Big technology stocks remain under pressure as fears of A.I. over-valuations show no signs of abating. In crypto news, Bitcoin sees its gains for the year wiped out and there are concerns a bigger rout still lies ahead. The European Commission hikes its growth forecast for the year despite predictions that government deficits are set to rise over the next few years. European Economy Commissioner Valdis Dombrovskis warns CNBC any downturn in markets would knock investor confidence in the bloc.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
A Piccoli Sorsi - Commento alla Parola del giorno delle Apostole della Vita Interiore
Vorresti ricevere notizie, saluti, auguri dalle Apostole della Vita Interiore?Lasciaci i tuoi contatti cliccando il link qui sotto e con la nostra nuova rubrica digitale potremo raggiungerti.https://www.it.apostlesofil.com/database/- Premi il tasto PLAY per ascoltare la catechesi del giorno e condividi con altri se vuoi -+ Dal Vangelo secondo Luca +In quel tempo, Gesù disse una parabola, perché era vicino a Gerusalemme ed essi pensavano che il regno di Dio dovesse manifestarsi da un momento all'altro.Disse dunque: «Un uomo di nobile famiglia partì per un paese lontano, per ricevere il titolo di re e poi ritornare. Chiamati dieci dei suoi servi, consegnò loro dieci monete d'oro, dicendo: "Fatele fruttare fino al mio ritorno". Ma i suoi cittadini lo odiavano e mandarono dietro di lui una delegazione a dire: "Non vogliamo che costui venga a regnare su di noi". Dopo aver ricevuto il titolo di re, egli ritornò e fece chiamare quei servi a cui aveva consegnato il denaro, per sapere quanto ciascuno avesse guadagnato.Si presentò il primo e disse: "Signore, la tua moneta d'oro ne ha fruttate dieci". Gli disse: "Bene, servo buono! Poiché ti sei mostrato fedele nel poco, ricevi il potere sopra dieci città".Poi si presentò il secondo e disse: "Signore, la tua moneta d'oro ne ha fruttate cinque". Anche a questo disse: "Tu pure sarai a capo di cinque città".Venne poi anche un altro e disse: "Signore, ecco la tua moneta d'oro, che ho tenuto nascosta in un fazzoletto; avevo paura di te, che sei un uomo severo: prendi quello che non hai messo in deposito e mieti quello che non hai seminato". Gli rispose: "Dalle tue stesse parole ti giudico, servo malvagio! Sapevi che sono un uomo severo, che prendo quello che non ho messo in deposito e mieto quello che non ho seminato: perché allora non hai consegnato il mio denaro a una banca? Al mio ritorno l'avrei riscosso con gli interessi". Disse poi ai presenti: "Toglietegli la moneta d'oro e datela a colui che ne ha dieci". Gli risposero: "Signore, ne ha già dieci!". "Io vi dico: A chi ha, sarà dato; invece a chi non ha, sarà tolto anche quello che ha. E quei miei nemici, che non volevano che io diventassi loro re, conduceteli qui e uccideteli davanti a me"».Dette queste cose, Gesù camminava davanti a tutti salendo verso Gerusalemme.Parola del Signore.
Londinium 91 AD: The Aging Emperor's Urgency. Gaius and Germanicus discuss the physical and mental state of emperor Trump, noting his senior age and frantic, restless pace as potentially signs of an aging brain or alternatively adrenaline and confidence. Germanicus believes the emperor is acutely self-aware of his limited time, driven by tremendous brutal urgency to secure a lasting legacy including fiscal stability, border control, and eliminating principles like DEI. However, the stress of this frantic pace combined with age could cloud his judgment, making him more impulsive or desperate. The emperor's focus on revenge cycles, such as indicting former directors, is typical of historical emperors against their enemies. Germanicus worries this could lead to physical decline and reckless action. A critical marker of a republic's collapse into an emperor system is when the incoming president pursues and imprisons his predecessor, an easy push into civil war seen in places like Brazil. They conclude the transition is quietly happening, with the question of whether the U.S. will experience violence remaining unknown. 81 BCE SULLA Retry
Go to www.LearningLeader.com for full show notes This is brought to you by Insight Global. If you need to hire one person, hire a team of people, or transform your business through Talent or Technical Services, Insight Global's team of 30,000 people around the world has the hustle and grit to deliver. My guest: Nicholas Thompson is the CEO of The Atlantic and former editor-in-chief of WIRED. He's the author of the best-selling book (and one of my favorites of the year), The Running Ground. Nick shares why great leaders must balance being decisive with staying open to being wrong, how to build teams that challenge your thinking without creating chaos, and why the most important skill for the next decade is knowing what questions only humans can answer. Key Learnings Consistency Over Intensity Creates Results - If you go out there every day, six or seven days a week, and a couple days you push yourself really hard, you get faster. There's no two ways about it. If you don't do that, you don't get faster. It's a very good reminder that you can get a lot done if you just go and allot time to pushing yourself. Recommendation letter written by the Stanford faculty about Nick's dad to be a Rhodes Scholar: "Scotty Thompson is the kind of young man that comes along only once in approximately ten years. I cannot recall ever having known a student who possessed the same combination of intelligence, creativity, energy, drive, and dedication. He has attempted more, achieved more, than anyone we have studied– including some who now hold high office. He is generally conceded among those who have observed the student body since World War II to be the outstanding leader of the era. I think it likely that in the entire history of Stanford campus life, he has had no near rival since Herbert Hoover as an undergraduate." Also about Nick's Dad: Tracy Bennett, one of his graduate students, said, "He was flamboyant, gently endearing, annoyingly arrogant, piercingly intelligent, entertaining, and more. I'd never met a man, nor had a professor, who was clearly so brilliant and at the same time so precariously insecure." His grandfather, Frank Thompson, placed second in the Southern California extemporaneous speaking contest held at Whittier College. First place was Richard Nixon. Parenting — "Nothing makes me more worried about failure than parenting." "Parenting is suffused with regrets, confusion, and mistakes. But when I run by, I know my children are rooting for me to succeed with infinite love and enthusiasm." Running hard... Pushing yourself. Why do it? "Discipline builds discipline. Discipline is cumulative." Sometimes You Have to Trick Yourself - I ran 10:48 because the track was bigger than I thought, and I didn't realize how fast I was going. If I had known I was running at a 5:23 pace, I would've shut down. My body would've started to hurt. Sometimes you can't let yourself know what you're actually doing, or you'll get scared. Hiring at The Atlantic - The people he hires at The Atlantic share four must-have attributes: A spirit of generosity. A force of ideas. They're relentlessly hard workers. And they have an edge: an anxiety about getting great work done. That last one stuck with me. The best people aren't just talented... They're driven by a productive anxiety to do work that matters. Becoming CEO of The Atlantic: The Search & Selection: The Atlantic conducted a yearlong search after President Bob Cohn left in fall 2019. When owners Laurene Powell Jobs and David Bradley announced Thompsont in December 2020, they said "Nick is singular; we've seen no one like him" and that he brought "a surround-sound coverage of relevant experience." Move at an Uncomfortable Pace - You don't get anything you want by being comfortable. If you're working in a way that feels easy and setting deadlines where everything seems smooth, you're not growing, you're not learning, you're not getting there. That's a lesson from running, and it's a good lesson for work. Set Audacious Goals - We're setting two extremely big goals at The Atlantic. Our projections don't suggest we're going to hit them. But the same was true last time when I said we're gonna get profitable and a million subscribers in three years. We got there. Sometimes having a really big goal motivates you and forces all the tough choices. Continuous Forward Motion Matters Most - When I realized yesterday's marathon was going badly, I kept telling myself: continuous forward motion. Sometimes the goal becomes just finishing. It's better to make a full drop in pace and hold that than to slowly slide backwards every mile once you know you won't hit your goal. Every Extra Word Is an Opportunity to Lose People - Every extra word, every extra thought, every extra detail that doesn't propel the story needs to be removed. This book is 75,000 words, but there's 60,000 words I cut. Is this sentence absolutely essential? No? It's gone. That's storytelling, and that's leadership communication. The Cocktail Party Test for Storytelling - If you describe what you're writing at a cocktail party, do people come towards you or walk away? I can talk about my 2005 cancer diagnosis and 2007 marathon, and people lock in. I talk about my 2009 marathon, and no one cares. Test what has emotional resonance with your friends. Write and Speak To Help People SEE a Movie - When somebody's reading, they're visualizing it in their mind's eye. Can you see it? Can you feel it? If you can't run a movie in your head about what I'm writing, it shouldn't be on the page. Help them visualize it—the little white house in Concord, walking around Walden Pond. Hiring: Spirit of Generosity and Force of Ideas - Spirit of generosity means can they work with people? Will they be territorial or figure out what's best for the org? Force of ideas means are you smart and sharp? I also want edge—a little bit of productive paranoia. Not complacent, but kind to everybody. Discipline Can Show Up in Different Ways - My editor-in-chief hasn't run a mile in 25 years. Is he disciplined? Hell yeah. Works all the time, focused on every sentence. You can have mental discipline without physical discipline. I try to get the most out of different kinds of people with different strengths. Keep Going - This is the hardest time to graduate because of AI and uncertainty. Find things you're passionate about and really focus on them. My twenties weren't great professionally. I found journalism, but I wasn't good at it yet. Keep pushing, and eventually things turn out for the best. Reflection Questions What would happen if you moved at an uncomfortable pace in your most important work? Where are you setting deadlines that feel too easy and smooth? Are you ruthlessly cutting everything that doesn't propel your story forward? What sentence, meeting, or project exists simply because it always has, not because it's essential? Former Episodes Referenced #603 - Michael Easter - The Comfort Crisis #611 - Codie Sanchez - Main Street Millionaire #654 - Jake Tapper - Be So Good They Can't Ignore You Time Stamps: 02:05 Nick's NYC Marathon Experience 03:35 Nick's Father's Legacy 11:43 Running and Leadership 17:08 Overcoming Cancer and Running Again 19:24 The Importance of Setting "Stretch" Goals 21:30 Marathon Challenges and Lessons 27:09 The Warrior Athlete and Early Lessons 28:54 Nick's Role as CEO of The Atlantic 29:30 Unique Talents for a CEO Role 30:42 Balancing Multiple Interests 32:30 Writing 'The Running Ground' 37:37 Crafting a Compelling Story 41:24 Storytelling Tips for Leaders 44:15 Hiring the Right People 51:55 Running and Parenting 54:06 Advice for New Graduates 56:07 EOPC
When that hotline bling, hop on and ask all your wholesale questions LIVE with Brent Daniels, Pace Morby, and Jamil Damji - three of real estate's TOP investors bringing you nothing but straight answers and value all about WHOLESALE! Catch us LIVE on Brent, Pace, and Jamil's YouTube pages or LIVE in our Wholesale Hotline Facebook group EVERY MONDAY!
Message from Pastor Adam Bishop on November 16, 2025
What if the work we do every single day—whether in an office, at home, in a classroom, or behind a counter—is actually an act of worship?__________Get more out of today's teaching by visiting our Church Online page for things like our community guide, a weekly devotional, and the teaching slides. EthosOH.com/churchonline
How do you scale from nothing to nearly half a billion dollars in real estate? In this episode of The Rich Somers Report, Rich sits down with Pace Morby, real estate investor and creative finance expert, to break down the low and no money down strategies he used to acquire over $450 million in real estate.Rich and Pace discuss:Why creative financing, seller financing, and sub-to deals are game-changers in today's market.How Pace built a massive real estate portfolio without relying on traditional bank loans.The biggest mistakes new investors make when trying to scale.How to leverage expired listings, motivated sellers, and seller financing to buy properties with little cash.Why boutique hotels, RV parks, and mobile home parks are prime opportunities in the current real estate cycle.Pace shares the exact playbook he uses to acquire high-value assets, structure deals that minimize risk, and build long-term wealth. If you're serious about real estate investing and want to learn how the top investors are closing deals in today's market, this episode is packed with actionable insights. Join our investor waitlist and stay in the know about our next investor opportunity with Somers Capital: www.somerscapital.com/invest. Want to join our Boutique Hotel Mastermind Community? Book a free strategy call with our team: www.hotelinvesting.com. If you're committed to scaling your personal brand and achieving 7-figure success, it's time to level up with the 7 Figure Creator Mastermind Community. Book your exclusive intro call today at www.the7figurecreator.com and gain access to the strategies that will accelerate your growth.
On today's Wholesale Hotline (Subto Edition), Pace walks us through a creative finance deal and breaks it all down. Today's episode is part of our Throwback Series where we re-air some of our most popular shows. This episode originally aired on 10/25/2024. Show notes — in this episode we'll cover: Pace breaks down a real estate deal where he expects to make $300,000 by connecting people. How Pace went from a blue-collar contractor to structure high-value deals like this. Olivia, a real estate agent, seeks help for a 1031 exchange client looking for single-family properties -- listen in as Pace helps her navigate the deal. Why deal-finding and networking are the most important keys to success in real estate, far surpassing traditional saving and investing approaches for big financial gains. ➖➖➖➖➖➖➖➖➖➖➖➖➖➖➖ ☎️ Welcome to Wholesale Hotline & Subto Breakout✌️✌️! ☎️ Need discounts and free trials!? Check this out for the softwares/websites/contracts/scripts/etc we use in our business: ✌️ https://shor.by/pace-youtube ✌️ ➖➖➖➖➖➖➖➖➖➖➖➖➖➖➖
In today's Wholesale Hotline (Astroflipping Edition) Jamil is joined by David Parray, who shares his journey from military life to successful real estate investing. Today's episode is part of our Throwback Series where we re-air some of our most popular shows. This episode originally aired on 10/30/2024. Show notes -- in this episode we'll cover: David discusses strategies for military members to maximize VA benefits, avoid debt, and start building wealth. He talks about diversifying into tax liens, boutique hotels, and how he transitioned from wholesaling to community building. Jamil and David break down an exciting 130-unit boutique hotel deal in Tennessee and why it's a unique investment. Insights into the mindset shifts needed for military veterans to find purpose and financial freedom through real estate after active duty. ➖➖➖➖➖➖➖➖➖➖➖➖➖➖➖ ☎️ Welcome to Wholesale Hotline & Astro Flipping breakout
In this live episode filmed in a NYC studio of The CLS Experience, Craig converses with transformative real estate expert and investor Pace Morby. They delve into Pace's journey from a construction worker to a highly successful investor, emphasizing the importance of taking actionable steps, seeking mentorship, and navigating the changing landscape of AI in various industries. The duo also shares actionable advice for starting in real estate, the significance of spirituality and energy in personal growth, and anecdotes of transformative success stories. Additionally, they discuss upcoming events and initiatives aimed at fostering community and personal breakthroughs, like Pace's nationwide tour and Craig's exclusive 'The Portal' event. Pace is a trailblazer and the go to expert in his arena. Let's go deeper. 2:09 Pace Morby's Real Estate Journey16:05 Finding Deals and Taking Action29:32 The Power of Subject Two: Taking Over Payments34:24 The Impact of AI on Various Industries38:54 The Rise of AI-Powered Customer Support43:35 The Urgency of Affordable HousingCheck out Pace on Instagram HERE:Check out Pace's Website HERE:Check out our brand new RISE Framework to unlock your purpose HERE.Check out our partner Belay using our custom link HERE to find the best help available to grow your business!To join our community click here.➤ To connect with Craig Siegel follow Craig on Instagram➤ Order a copy of my new book The Reinvention Formula today! ➤ Join our CLS texting community for free daily inspiration and business strategies to elevate your day, text (917) 634-3796➤ INSTAGRAM➤ FACEBOOK➤ TIKTOK➤ YOUTUBE➤ WEBSITE➤ LINKEDIN➤ X
You don't need more time, you need a moat. In part two of this conversation with Pace Morby, we dive into how to turn fear into forward momentum, future-proof your income as AI reshapes entire industries, and why masterminds and proximity are the fastest way to reinvent yourself. He also shares where to put money now (and what to avoid), how to replace the average U.S. income with three co-living rentals, and the rule for getting in rooms that will change your life. Get ready to invest only where demand is undeniable. Check out our Sponsors: SKIMS - I finally tried SKIMS and I get all the hype. Shop SKIMS Fits Everybody collection at SKIMS.com and let them know we sent you in the dropdown after checkout. Brevo - the all-in-one marketing and CRM platform designed to help you connect with customers and grow your business. Get started for free today - go to www.brevo.com/happy Blinds.com - Blinds.com makes it easy to get the designer look without the showroom markups. Get an exclusive $50 off when you spend $500 or more with code EARN at checkout. Shopify - Try the ecommerce platform I trust for Glōci, Sign up for your $1/month trial period at Shopify.com/happy Headway - the #1 daily growth app that delivers key insights from the world's best non fiction books in bite sized 15 minute reads and audio. Save 25% off when you go to makeheadway.com/happy. HIGHLIGHTS 00:00 How do you outsmart your brain when it wants to play safe? 08:45 The one belief Pace wants his kids to inherit. 17:15 Where to start investing if you have $0 to $200K. 21:00 Why should you learn to buy without using your own money? 24:00 How universal income could reshape the housing market. 29:45 Tips to build wealth in the automation era. 34:00 How stipends and assistance intersect with real-estate strategy. 38:15 The co-living playbook that replaces a full income with three homes. 46:00 The rooms and relationships that expand your future. RESOURCES Learn more about Creative Nation Tour HERE Join the Audacity Challenge HERE! Join the most supportive mastermind on the internet HERE! Check out our FREE 90-Day Business Blueprint HERE! Listen to my free SECRET PODCASTS SERIES - Operation: Rekindle This B*tch Get glōci HERE Use code: HAPPY at checkout for 25% off! FOLLOW Follow me: @loriharder Follow Chris: @chriswharder Follow glōci: @getgloci Follow Pace: @pacemorby
Most people freeze when they feel fear. The successful ones use it as jet fuel. In part two of this conversation with Pace Morby, we dive into how to turn fear into forward motion, invest where AI can't compete, and build income streams that last. Pace shares where to put your money now, how three co-living rentals can replace the average household income, and why getting in the right rooms is the ultimate shortcut to growth. Get ready to protect your freedom, multiply your momentum, and future-proof your wealth starting today. HIGHLIGHTS 00:00 How do you outsmart your brain when it wants to play safe? 08:45 The one belief Pace wants his kids to inherit. 17:15 Where to start investing if you have $0 to $200K. 21:00 Why should you learn to buy without using your own money? 24:00 How universal income could reshape the housing market. 29:45 Tips to build wealth in the automation era. 34:00 How stipends and assistance intersect with real-estate strategy. 38:15 The co-living playbook that replaces a full income with three homes. 46:00 The rooms and relationships that expand your future. RESOURCES Learn more about Creative Nation Tour HERE Join the most supportive mastermind on the internet - the Mentor Collective Mastermind! Make More Sales in the next 90 days - GET THE BLUEPRINT HERE! Check out upcoming events + Masterminds: chrisharder.me Text DAILY to 310-421-0416 to get daily Money Mantras to boost your day. FOLLOW Chris: @chriswharder Lori: @loriharder Frello: @frello_app Pace: @pacemorby