The Very Dental Podcast Network

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Very Clinical: Caries Removal Concepts and Controversies! Aug 28, 2024

Show notes

Today is a throwback episode featuring Kevin, Zach and Al talking about how they've evolved on caries removal. It's a classic and I hope you enjoy it!

Original show notes:

Dr. Alan Mead of the DentalHacks podcast was gracious enough to join us again this week.

And we start off with old school internet videos:

Bonus: He got a web redemption!

Then we got into some hot caries removal talk.

What burs do you use?
To dye, or not to dye?
Do you "leave" any caries? Why or why not?

Caries removal is a divisive topic. Did we get it right? Wrong? Let us know in the Very Clinical Facebook group!

Please join the Very Clinical Facebook group to discuss this episode and much much more!

Join the Very Dental Facebook group using the password "Timmerman," Hornbrook" or "McWethy," "Papa Randy" or "Lipscomb!"

The Very Dental Podcast network is and will remain free to download. If you'd like to support the shows you love at Very Dental then show a little love to the people that support us!

Crazy Dental has everything you need from cotton rolls to equipment and everything in between and the best prices you'll find anywhere! If you head over to verydentalpodcast.com/crazy and use coupon code "VERYDENTAL10" you'll get another 10% off your order! Go save yourself some money and support the show all at the same time!

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AME: Unsustainable Aug 26, 2024

Show notes

"Horse people are nuts. They're all crazy." --Al

Al spins a tale of an industry that is self immolating right in front of him.

Nope. It's not dentistry. Not yet. It's horse boarding.

Join the Very Dental Facebook group using the password "Timmerman," Hornbrook" or "McWethy," "Papa Randy" or "Lipscomb!"

The Very Dental Podcast network is and will remain free to download. If you'd like to support the shows you love at Very Dental then show a little love to the people that support us!

Very Dental: Do What You Like with Dr. Rob Ritter Aug 23, 2024

Show notes

Today's throwback episode features the one and only Dr. Rob Ritter. Al talked to Rob back in late 2021 after having a couple of bad clinical beats and Rob has some pretty good advice.

Original show notes:

Alan is joined by Dr. Rob Ritter to talk about a couple of bad beats he had. Perfing an endo and punting a tough extraction had Al wondering if he should be doing these procedures in his office. Rob is a proud "restorative dentist" by choice and has described his approach as "from the gums up." How did he decide what he wanted to include in his practice? Why did he decide to leave a lot of "specialty" procedures out? Some topics we covered:

Rob's course, "The Protocol", the dates for 2022 are available and registration opens on September 14th. If you're interested, you better sign up fast because they'll sell out immediately! (limited to 14 people!)
No compromise treatment
"Just because you don't want to do the right thing doesn't mean I'm going to do the wrong thing."
"When you start feeling bad for patients, you start making bad decisions"
Late 90's "needs based" dentistry to "wants based" dentistry
Doing dentistry because you NEED to (financial constraints) is more common
Al's bad beats and walking away from endo and surgery (and why it didn't last)
Case selection...don't let your guard down!
You don't HAVE to do anything you don't want to
No shame in referring anything that you don't want to do
Find a referral network that is an extension of your practice
Rob ALMOST took a tooth out earlier this year...and then decided against it. It was a wise choice.
Vedder Society name drop (come in a couple weeks!)
Learning from Pat Allen...can I be Pat Allen?
How long had Rob been practicing before he had decided what he WANTED to do.
Remember that adding new stuff is hard to learn and REALLY hard to implement.
Developing a referral network and how to work in a rural environment
Rob on legacy
Your family >>> teaching dentists/doing dentistry
The most valuable thing is time!

Join the Very Dental Facebook group using the password "Timmerman," Hornbrook" or "McWethy," "Papa Randy" or "Lipscomb!"

The Very Dental Podcast network is and will remain free to download. If you'd like to support the shows you love at Very Dental then show a little love to the people that support us!

Very Clinical: The End of the Line (aka: Terminal Dentition) Aug 20, 2024

Show notes

Today's throwback episode features a discussion on when to throw in the towel. Keep restoring or moving to a different kind of plan is a big deal these days. The guys have thoughts.

Also...the baseball talk is 3 years out of date. FYI.

Previous show notes:

We open with a full 11 minutes on baseball so if you just want the dental chat, start the podcast a few minutes in.

This week we have a short chat on terminal dentition.

What is terminal dentition? How hard is it to make that call?

Is it harder to make that call when you've seen the patient for 10+ years then a new patient?

When do you quit restoring?

What clinical criteria vs. patients health vs. financial considerations go into the decision?

How is your comfort level with dentures, extractions, pre-prosthetic surgery, etc? Does that factor into your personal choice of whether to recommend dentures vs restorations.

Please join the Very Clinical Facebook group to discuss this episode and much much more!

Very Dental Student: A Contrast in First Years with Dr. Brandon Evert and Dr. Seth Braker Aug 19, 2024

Show notes

Mohammed is joined by Dr. Brandon Evert and Dr. Seth Braker! Brandon and Seth were classmates throughout dental school and have contrasting early dental career paths! Brandon is a military dentist and Seth went directly into private practice.

Brandon started the "Extracting Wisdom" podcast before he started dental school and later asked Seth to come on as a co-host where they contrast their experiences!

Some links from the show:

Extracting Wisdom podcast

Join the Very Dental Facebook group using the password "Timmerman," Hornbrook" or "McWethy," "Papa Randy" or "Lipscomb!"

The Very Dental Podcast network is and will remain free to download. If you'd like to support the shows you love at Very Dental then show a little love to the people that support us!

Very Dental: DSOs Defined with Brian Colao Aug 16, 2024

Show notes

This throwback episode features a replay of a Dental Hacks episode featuring Brian Colao of Dykema! Brian Colao knows DSOs. He's an attorney that helps people create and administer DSOs. He's been a frequent guest on the Dental Hacks and he gave Jason and Alan some of his time at the recent Voices of Dentistry meeting. We went deep on the topic of DSOs and covered a lot of information:

What is a DSO? (spoiler: "A DSO is an entity that provides nonclinical administrative support services to a dental practice that is owned by a licensed dentist.")
From one practice to thousands
When did we start to really see DSOs take hold
The episode where we met Brian, "DSOs and Digital Smile Design (DHP186)"
Was there a DSO bubble?
Denovo vs. Acquisitions
What to do if a DSO approaches you?
How do you research a DSO that might want to acquire your office?
Brian thinks that there is probably a DSO that could fit most any office...go to a conference
What are DSO deals looking like for selling dentists?
The facts from Brian's mouth to your ears: DSOs are at 23% market penetration in the U.S. dental market right now. He predicts that there will be 80% market penetration in 7-10 years. He feels that you should plan accordingly.
EBITA: "Earnings Before Interest, Taxes, and Amortization"
What does a DSO look like?

Some links from the show:

Dykema's website

Go Hack Yourself

Jason: The Toys That Made Us

Alan: NSK Forza M5

Join the Very Dental Facebook group using the password "Timmerman," Hornbrook" or "McWethy," "Papa Randy" or "Lipscomb!"

The Very Dental Podcast network is and will remain free to download. If you'd like to support the shows you love at Very Dental then show a little love to the people that support us!

VC: When Very Clinical Were Hacks Aug 13, 2024

Show notes

Today's throwback episode is the VERY FIRST VERY CLINICAL podcast...back when we called it Clinical Hacks! You'll hear Kevin, Zach and Mac talk about composite. Were they completely polished out the gate or have they gotten better over the years? You be the judge!

Original show notes:

Welcome to season 1, episode 1 of the Clinical Hacks Podcast!

Our first episode comes from a live recording at Voices of Dentistry in sunny Scottsdale, Arizona. We sat down in the tent, put on some headsets and a podcast was born!

Introducing the Clinical Hacks:

Dr. Kevin Fryer

Dr. Mac Jones

Dr. Zach Meiners

Highlights today include:

What composites do we use? Why?
How do these choices affect inventory control and procedure predictability?
Do different composites accomplish different things?

Products talked about in the episode:

Mac:

Kevin:

Zach:

If you want to interact with us, head over to the closed Facebook Group Clinical Hacks

We want to produce episodes about the questions you have, it's a great place to post a clinical topic, you don't even have to post a photo!

AME: Price Anchoring (aka: One Reason Dental Benefits Suck) Aug 12, 2024

Show notes

Al riffs on the concept of "price anchoring." If you can plant a dollar amount in the brain of your customer, you can manipulate what they believe a product or service is worth. It works with iPads as well as dental care and insurers are way better a this stuff than we are.

Some links from the show:

"What is Price Anchoring"

Join the Very Dental Facebook group using the password "Timmerman," Hornbrook" or "McWethy," "Papa Randy" or "Lipscomb!"

The Very Dental Podcast network is and will remain free to download. If you'd like to support the shows you love at Very Dental then show a little love to the people that support us!

Very Dental: Is the Grass Actually Greener? with Dr. Gary Holtzclaw Aug 09, 2024

Show notes

Alan is joined by return guest Dr. Gary Holtzclaw to talk about different models of dental practice. Gary and Al have a Facebook chat that's been going for awhile about a lot of different models of practice that they've thought about and they hash some of them out on today's podcast! Some of the highlights:

Where did the "hygiene driven" model come from?
Can an emergency only model work?
"Wants-based" models vs. "needs based" models
The landscape for new dentists in 2024 vs. 20+ years ago
Who can pull off a startup?
Is assisted hygiene the future?
Will "biofilm management" become the new "hygiene?"
Why can medicine get away with such poor service?
Are financial conversations required for informed consent? If yes, how does that work in medicine?
Do orthopedic surgeons talk to their colleagues about different models of orthopedic surgery delivery?

And so much more!

Some links from the show:

"Dentists Are Bad" by Matt Yglesias

Join the Very Dental Facebook group using the password "Timmerman," Hornbrook" or "McWethy," "Papa Randy" or "Lipscomb!"

The Very Dental Podcast network is and will remain free to download. If you'd like to support the shows you love at Very Dental then show a little love to the people that support us!

Very Clinical: Dr. Randy Houska Smells the Roses Aug 06, 2024

Show notes

Dr. Randy Houska joins Kevin and Zach to talk about things we've changed our minds about.

Today's episode continues the series for Zach and Kevin where they talk to some experienced dentists about what things they've changed their mind about over the years. Today's episode features a discussion with Randy about life in general!

Randy has stopped worrying about taking time off. You can't get that time back.
Take more time off!
You can't get time back

Some links from the show:

Become a member of the Very Clinical Facebook group!

Join the Very Dental Facebook group using the password "Timmerman," Hornbrook," McWethy," "Papa Randy" or "Lipscomb."

The Very Dental Podcast network is and will remain free to download. If you'd like to support the shows you love at Very Dental then show a little love to the people that support us!

Crazy Dental has everything you need from cotton rolls to equipment and everything in between and the best prices you'll find anywhere! If you head over to verydentalpodcast.com/crazy and use coupon code "verydental10" you'll get another 10% off your order! Go save yourself some money and support the show all at the same time!

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