"I think we're reaching a breaking point where people are starting to reflect and say, 'Man, I don't know if the juice is worth the squeeze anymore.'" — Dr. Paul Etchison

Recorded live at Voices of Dentistry 2026 in sunny Gilbert, Arizona, Alan sits down with a VOD favorite, Dr. Paul Etchison of the Dental Practice Heroes podcast. They dive deep into the staggering reality of modern dental school debt, the "juice vs. the squeeze" of ownership, and why dentists should probably stay away from the restaurant business.

The Debt Wall

The financial landscape for new dentists has shifted dramatically. Alan and Paul compare the "then vs. now" of education costs:

• The 1997 Reality: Alan graduated with roughly $85,000 in debt.

• The 2009 Reality: Paul finished with around $235,000.

• The 2026 Reality: In-state tuition at schools like the University of Michigan can exceed $400,000 before living expenses, often resulting in $4,000–$5,000 monthly loan payments right out of the gate.

Ownership: The Only Way Out?

While ownership comes with "headaches," Paul argues it remains the most viable path to outrun massive debt.

• The Associate Cap: Even high-producing associates (doing $2M/year) are limited by their percentage. An owner doing the same production sees a significantly higher return.

• Value Creation: To be a top-tier associate or a successful owner, you must move beyond "bread and butter" dentistry and master communication and case presentation.

Building Skills and Getting "Reps"

• Deep Dive vs. Scattershot: Instead of taking random weekend courses, find a specialty you enjoy (Endo, Ortho, etc.) and commit to it.

• The Endo Struggle: Paul and Alan discuss the importance of "reps" and why waiting for the "perfect" case often prevents you from ever getting good at the procedure.

• The Microscope Factor: Using a scope can find the MB2, but it doesn’t necessarily make you faster without the volume of experience.

The "Curated" Business Model

If dentistry vanished tomorrow, what would these guys do?

• The Sausage and Bread Theory: Alan highlights small businesses in Northern Michigan that succeed through curation rather than volume.

• The Bourdain Warning: A nod to Anthony Bourdain’s Kitchen Confidential, which famously warns dentists against buying restaurants just because they "throw a good party."

Some links from the show:

• Paul's 3-Day Freedom Practice Workshop
• The Dental Practice Heroes Podcast
• Kitchen Confidential by Anthony Bourdain

Zach and Kevin welcome Alan back to the show by commiserating over those moments where you look at your schedule and wonder why you (or your past self) agreed to a specific procedure.

• Kevin’s #16 Crown Prep: Kevin recounts the dread of seeing a crown prep on a third molar (#16) at 8:00 AM. Despite the technical difficulty and the "Is this a joke?" feeling, it ended up being successful with a rubber dam.

• Zach's "Self-Extracting" Molars: Zach shares a cautionary tale from his early career working with his father. He attempted to crown a second molar that was tilted so far distally it was practically trying to extract itself. The result? A lost contact, a lost crown, and eventually, a lost patient.

• The Bioclear Pivot: Alan discusses a recent case where he planned a crown on #15 but found decay so deep it was near the crest. He pivoted to a side-by-side Bioclear composite, which was harder and more time-consuming but ultimately the right clinical choice.

Categorizing the "Resurrected" Patient

The main theme of the episode focuses on patients who reappear after years—sometimes a decade—away from the chair. Alan and the hosts break these down into tiers:

1. The S-Tier (The Best Case)

These are patients who didn't leave because of a conflict; they simply "had a gap in life."

• Examples: Moving away and moving back, going through a divorce, or the "COVID-12" (people who stopped coming in 2020 and are just now emerging).

• The Dynamic: They still feel like "your" patients. They often have a high follow-through rate because they are relieved to be back in a familiar, trusted environment.

2. The A-Tier (The "Grass Wasn't Greener")

Patients who left for a specific reason—usually insurance—and realized that "a dentist is a dentist" isn't actually true.

• The Insurance Trap: Many leave because the office went out-of-network, only to find that the "in-network" experience lacked the technology or relationship they valued.

• The Result: When they return, they often have a newfound appreciation for the higher level of service and clinical care provided.

3. The Lower Tiers (The Friction Cases)

• The Billing "B-Tier": Patients who disappeared because they owed money. They usually only reappear when they have an emergency and are suddenly willing to pay their old balance to get out of pain.

• The Personality "C-Tier": Patients who left after a confrontation or a bad review.

Professional Growth & "Hard Nos"

Alan reflects on how his clinical confidence has changed over the years. When a patient returns after 10 years, they aren't seeing the same dentist; they are seeing a version of Alan that is more skilled, has better tools (like new Bioclear matrices), and more experience.

When is a "Resurrection" a "Hard No"?

• Abuse of Staff: Rudeness, yelling, or cussing out the team.

• Chronic No-Shows: People who are "constitutionally incapable" of making it to an appointment.

• The Dismissed: If a formal dismissal letter was sent, the door remains closed regardless of the patient's willingness to pay.

Join the Very Clinical Facebook group! 

Join the Very Dental Facebook Group using one of these passwords: Timmerman, Paul, Bioclear, Hornbrook, Gary, McWethy, Papa Randy, or Lipscomb! 

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

I’m a big fan of the Bioclear Method! I think you should give it a try and I’ve got a great offer to help you get on board! Use the exclusive Very Dental Podcast code VERYDENTAL8TON for 15% OFF your total Bioclear purchase, including Core Anterior and Posterior Four day courses, Black Triangle Certification, and all Bioclear products.

Are you a practice owner who feels like the bottleneck in your own business? If you’re tired of being the hardest-working person in your office, I’ve got something you need to hear. Dr. Paul Etchison, is hosting a virtual event that is a total game-changer. Paul is honestly one of the most brilliant minds in dental leadership today, and he’s hosting the 3-Day Freedom Practice Workshop from February 19th through the 21st. He’s going to show you exactly how to break through that two-million-dollar revenue ceiling while actually compressing your clinical week. It’s about building a leadership team that takes ownership so you can finally step into the CEO role you deserve. Head over to DentalPracticeHeroes.com/freedom to grab your spot. And do me a favor—mention the Very Dental podcast when you sign up. It’s 100% guaranteed, so you’ve got nothing to lose but the stress.

Crazy Dental has everything you need from cotton rolls to equipment and everything in between and the best prices you’ll find anywhere! If you head over to verydentalpodcast.com/crazy and use coupon code “VERYSHIP” you’ll get free shipping on your order! Go save yourself some money and support the show all at the same time!

The Wonderist Agency is basically a one stop shop for marketing your practice and your brand. From logo redesign to a full service marketing plan, the folks at Wonderist have you covered! Go check them out at verydentalpodcast.com/wonderist!

Enova Illumination makes the very best in loupes and headlights, including their new ergonomic angled prism loupes! They also distribute loupe mounted cameras and even the amazing line of Zumax microscopes! If you want to help out the podcast while upping your magnification and headlight game, you need to head over to verydentalpodcast.com/enova to see their whole line of products!

CAD-Ray offers the best service on a wide variety of digital scanners, printers, mills and even  their very own browser based design software, Clinux! CAD-Ray has been a huge supporter of the Very Dental Podcast Network and I can tell you that you’ll get no better service on everything digital dentistry than the folks from CAD-Ray. Go check them out at verydentalpodcast.com/CADRay!

Alan discusses his "whirlwind" travel plans for the Chicago Midwinter Meeting, reviews the new Bioclear TSS Matrix system, and shares his first impressions of the remarkably small Shining 3D Elf scanner.

Key Highlights

The Chicago Midwinter Strategy

Alan is opting for a surgical strike on Chicago this year:

• The Schedule: Working Thursday, driving to Indiana, hitting the McCormick Center all day Friday for recording, and driving back Friday night.

• The Goal: Maximizing "content in the can" by recording with attendees and exhibitors without the expense of a multi-day hotel stay.

• Connect: If you're at McCormick Place on Friday the 20th, reach out via Facebook to say hello.

Product Spotlight: Bioclear TSS Matrices

Alan breaks down the new Tooth Surface Specific (TSS) matrix system from Bioclear.

• The Workflow: Labeled by tooth number (6–11) and surface (mesial/distal), making it "assistant-proof."

• Performance: Stiffer than previous iterations with better gingival control and less "over-bulking," significantly reducing finishing and polishing time.

• Essential Accessory: QwikStrips(specifically the Red and White versions) for breaking contacts before matrix placement.

Listener Discount: Use code VERYDENTAL8TON at Bioclear for 15% off your order (includes courses and products).

Tech Review: The Shining 3D "Elf" Scanner

Purchased through CAD-Ray, this new scanner is making waves for its form factor.

• Size: Comparable to a curing light or intraoral camera; it plugs directly into USBC with no external power brick.

• Speed: Extremely fast full-arch scans with high accuracy on soft tissue (ideal for removable cases).

• Ease of Use: "Plug and play" installation with immediate functionality, even for those used to the Medit ecosystem.

Some links from the show:

• Bioclear TSS Matrix Kit (Use code VERYDENTAL8TON at Bioclear for 15% off your order (includes courses and products)
• Qwikstrips (white and red)
• Shining 3D Aoralscan Elf from CAD-Ray

Join the Very Dental Facebook Group using one of these passwords: Timmerman, Paul, Bioclear, Hornbrook, Gary, McWethy, Papa Randy, or Lipscomb! 

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

I’m a big fan of the Bioclear Method! I think you should give it a try and I’ve got a great offer to help you get on board! Use the exclusive Very Dental Podcast code VERYDENTAL8TON for 15% OFF your total Bioclear purchase, including Core Anterior and Posterior Four day courses, Black Triangle Certification, and all Bioclear products.

Are you a practice owner who feels like the bottleneck in your own business? If you’re tired of being the hardest-working person in your office, I’ve got something you need to hear. Dr. Paul Etchison, is hosting a virtual event that is a total game-changer. Paul is honestly one of the most brilliant minds in dental leadership today, and he’s hosting the 3-Day Freedom Practice Workshop from February 19th through the 21st. He’s going to show you exactly how to break through that two-million-dollar revenue ceiling while actually compressing your clinical week. It’s about building a leadership team that takes ownership so you can finally step into the CEO role you deserve. Head over to DentalPracticeHeroes.com/freedom to grab your spot. And do me a favor—mention the Very Dental podcast when you sign up. It’s 100% guaranteed, so you’ve got nothing to lose but the stress.

Crazy Dental has everything you need from cotton rolls to equipment and everything in between and the best prices you’ll find anywhere! If you head over to verydentalpodcast.com/crazy and use coupon code “VERYSHIP” you’ll get free shipping on your order! Go save yourself some money and support the show all at the same time!

The Wonderist Agency is basically a one stop shop for marketing your practice and your brand. From logo redesign to a full service marketing plan, the folks at Wonderist have you covered! Go check them out at verydentalpodcast.com/wonderist!

Enova Illumination makes the very best in loupes and headlights, including their new ergonomic angled prism loupes! They also distribute loupe mounted cameras and even the amazing line of Zumax microscopes! If you want to help out the podcast while upping your magnification and headlight game, you need to head over to verydentalpodcast.com/enova to see their whole line of products!

CAD-Ray offers the best service on a wide variety of digital scanners, printers, mills and even  their very own browser based design software, Clinux! CAD-Ray has been a huge supporter of the Very Dental Podcast Network and I can tell you that you’ll get no better service on everything digital dentistry than the folks from CAD-Ray. Go check them out at verydentalpodcast.com/CADRay!

In this episode of the Group Function podcast, host Alan Mead sits down with Dr. Alex Kantor and Dr. Eric Applesies from the Just a Couple of Dentists podcast to unpack the "regular ass dentist" experience of buying, starting, running and selling dental practices! Fresh off their presentation at the 2026 Voices of Dentistry conference, the Eric and Alex (a married couple of dentists) dive into the logistics of optimizing a practice for sale, emphasizing that maximum value is built in the 18 to 24 months before a transition by tightening systems and improving hygiene "show rates." The conversation balances technical advice on EBITDA and overhead reduction with a candid—and occasionally spicy—critique of the post-COVID hygiene labor market, ultimately highlighting how dentists can prepare their businesses for a successful handoff to either a private buyer or a DSO.

In their session and conversation with Alan, Dr. Alex Cantor and Dr. Eric Applesies highlighted several key levers to pull when prepping a practice for sale. Their core philosophy is that "a dollar saved is $4 to $6 earned" during a valuation.

Key Optimization Strategies

• The 12-to-24-Month Runway: Valuations are typically based on the last 12 months of profit (EBITDA). To ensure your systems are fully "flushed out" and consistent, start implementing changes 18 to 24 months before you intend to sell.

• Hygiene "Show Rates": Increasing your show rate from 70% to 90% is considered "low-hanging fruit." Because hygiene has low variable costs (mostly just prophy paste and floss), nearly every dollar of a kept hygiene appointment goes directly to the bottom line, which is then multiplied during a sale.

• Aggressive Appointment Confirmation:

  • Use automated texts to keep appointments top-of-mind.

  • The "48-Hour Rule": If a patient hasn't confirmed 48 hours out, inform them they will be removed from the schedule.

  • Follow Through: Actually remove unconfirmed patients to give your team two days to fill the spot with someone who wants to be there.

• Overhead Reduction (The "Spend" Side):

  • Supplies: Move away from the "old school" model of buying through a single rep who brings donuts. Use platforms like Crazy Dental or Net 32 to treat supplies as a commodity and secure the lowest price.

  • Labs: Look for efficiency gains through model-less workflows and digital scanning, which can reduce lab fees and turnaround times.

• Clinical Extraction: If you want to retire immediately after the sale, stop working clinically one year prior. This proves to a buyer (especially a DSO) that the practice's revenue is sustained by systems and associates, not just your individual production.

• Know Your "Game":

  • Private Buyer: Better if you want a quick exit (6–12 months) and have a smaller practice.

  • DSO Buyer: Better for high-revenue practices ($5M+ range), but usually requires you to stay on for several years as an associate.

Some links from the show:

• Just A Couple of Dentists Podcast

Join the Very Dental Facebook Group using one of these passwords: Timmerman, Paul, Bioclear, Hornbrook, Gary, McWethy, Papa Randy, or Lipscomb! 

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

I’m a big fan of the Bioclear Method! I think you should give it a try and I’ve got a great offer to help you get on board! Use the exclusive Very Dental Podcast code VERYDENTAL8TON for 15% OFF your total Bioclear purchase, including Core Anterior and Posterior Four day courses, Black Triangle Certification, and all Bioclear products.

Are you a practice owner who feels like the bottleneck in your own business? If you’re tired of being the hardest-working person in your office, I’ve got something you need to hear. Dr. Paul Etchison, is hosting a virtual event that is a total game-changer. Paul is honestly one of the most brilliant minds in dental leadership today, and he’s hosting the 3-Day Freedom Practice Workshop from February 19th through the 21st. He’s going to show you exactly how to break through that two-million-dollar revenue ceiling while actually compressing your clinical week. It’s about building a leadership team that takes ownership so you can finally step into the CEO role you deserve. Head over to DentalPracticeHeroes.com/freedom to grab your spot. And do me a favor—mention the Very Dental podcast when you sign up. It’s 100% guaranteed, so you’ve got nothing to lose but the stress.

Crazy Dental has everything you need from cotton rolls to equipment and everything in between and the best prices you’ll find anywhere! If you head over to verydentalpodcast.com/crazy and use coupon code “VERYSHIP” you’ll get free shipping on your order! Go save yourself some money and support the show all at the same time!

The Wonderist Agency is basically a one stop shop for marketing your practice and your brand. From logo redesign to a full service marketing plan, the folks at Wonderist have you covered! Go check them out at verydentalpodcast.com/wonderist!

Enova Illumination makes the very best in loupes and headlights, including their new ergonomic angled prism loupes! They also distribute loupe mounted cameras and even the amazing line of Zumax microscopes! If you want to help out the podcast while upping your magnification and headlight game, you need to head over to verydentalpodcast.com/enova to see their whole line of products!

CAD-Ray offers the best service on a wide variety of digital scanners, printers, mills and even  their very own browser based design software, Clinux! CAD-Ray has been a huge supporter of the Very Dental Podcast Network and I can tell you that you’ll get no better service on everything digital dentistry than the folks from CAD-Ray. Go check them out at verydentalpodcast.com/CADRay!

In this episode Alan sits down with Dr. Abe Hoellrich in Scottsdale, Arizona, during the Voices of Dentistry conference! Abe’s practice focuses on sedation dentistry in Columbus, Ohio. He offers an insider’s perspective on the "turf battles" surrounding anesthesia privileges, weighing the tensions between general dentists, oral surgeons, and medical doctors. The discussion highlights the nuances of patient safety versus access to care, with Abe arguing for the superior safety of reversible IV sedation compared to oral methods and emphasizing the need for stringent training to preserve the future of dental sedation.

Join the Very Dental Facebook Group using one of these passwords: Timmerman, Bioclear, Hornbrook, Gary, McWethy, Papa Randy, or Lipscomb! 

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

I’m a big fan of the Bioclear Method! I think you should give it a try and I’ve got a great offer to help you get on board! Use the exclusive Very Dental Podcast code VERYDENTAL8TON for 15% OFF your total Bioclear purchase, including Core Anterior and Posterior Four day courses, Black Triangle Certification, and all Bioclear products.

Crazy Dental has everything you need from cotton rolls to equipment and everything in between and the best prices you’ll find anywhere! If you head over to verydentalpodcast.com/crazy and use coupon code “VERYSHIP” you’ll get free shipping on your order! Go save yourself some money and support the show all at the same time!

The Wonderist Agency is basically a one stop shop for marketing your practice and your brand. From logo redesign to a full service marketing plan, the folks at Wonderist have you covered! Go check them out at verydentalpodcast.com/wonderist!

Enova Illumination makes the very best in loupes and headlights, including their new ergonomic angled prism loupes! They also distribute loupe mounted cameras and even the amazing line of Zumax microscopes! If you want to help out the podcast while upping your magnification and headlight game, you need to head over to verydentalpodcast.com/enova to see their whole line of products!

CAD-Ray offers the best service on a wide variety of digital scanners, printers, mills and even  their very own browser based design software, Clinux! CAD-Ray has been a huge supporter of the Very Dental Podcast Network and I can tell you that you’ll get no better service on everything digital dentistry than the folks from CAD-Ray. Go check them out at verydentalpodcast.com/CADRay!

In this episode of the Very Clinical podcast, Zach and Kevin explore the evolution of social media within the dental profession, tracing the landscape from the early days of message boards like Dentaltown to the current era of Facebook groups, Reddit, and X. The hosts reflect on their personal experiences as digital observers and participants, discussing the culture of online communities—ranging from the valuable exchange of clinical tips to the unfortunate prevalence of "dunking" and trolling. They wrap up the conversation by sharing their favorite positive resources for dental content, including specific Instagram accounts and YouTube channels that offer genuine educational value.

Join the Very Clinical Facebook group! 

Join the Very Dental Facebook Group using one of these passwords: Timmerman, Bioclear, Hornbrook, Gary, McWethy, Crazy, Papa Randy, or Lipscomb! 

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

I’m a big fan of the Bioclear Method! I think you should give it a try and I’ve got a great offer to help you get on board! Use the exclusive Very Dental Podcast code VERYDENTAL8TON for 15% OFF your total Bioclear purchase, including Core Anterior and Posterior Four day courses, Black Triangle Certification, and all Bioclear products.

Crazy Dental has everything you need from cotton rolls to equipment and everything in between and the best prices you’ll find anywhere! If you head over to verydentalpodcast.com/crazy and use coupon code “VERYSHIP” you’ll get free shipping on your order! Go save yourself some money and support the show all at the same time!

The Wonderist Agency is basically a one stop shop for marketing your practice and your brand. From logo redesign to a full service marketing plan, the folks at Wonderist have you covered! Go check them out at verydentalpodcast.com/wonderist!

Enova Illumination makes the very best in loupes and headlights, including their new ergonomic angled prism loupes! They also distribute loupe mounted cameras and even the amazing line of Zumax microscopes! If you want to help out the podcast while upping your magnification and headlight game, you need to head over to verydentalpodcast.com/enova to see their whole line of products!

CAD-Ray offers the best service on a wide variety of digital scanners, printers, mills and even  their very own browser based design software, Clinux! Al literally just bought (and is still waiting for delivery) of the new Elf scanner from Shining 3D and CAD-Ray helped make it happen! CAD-Ray has been a huge supporter of the Very Dental Podcast Network and I can tell you that you’ll get no better service on everything digital dentistry than the folks from CAD-Ray. Go check them out at verydentalpodcast.com/CADRay!

Recorded live from VoD 2026 in Gilbert, Arizona Alan is joined by Jay Glazer from Crazy Dental to tackle the rising costs of running a dental practice. Together, they dismantle the outdated model of relying on sales reps and "special" pricing lists, advocating instead for the transparency and efficiency of online ordering. Jay shares his philosophy on overhead control using the "14-dollar milkshake" analogy, illustrating how small savings on supplies can compound into massive wealth over time. Tune in to learn how to ditch the donuts, stop overpaying for the same products, and utilize exclusive promo codes to slash your overhead immediately.

Some links from the show:

• Crazy Dental
• use VERYSHIP for free shipping or VERYDENTAL10 for 10% off of your first order!

Join the Very Dental Facebook Group using one of these passwords: Timmerman, Bioclear, Hornbrook, Gary, McWethy, Papa Randy, or Lipscomb! 

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

I’m a big fan of the Bioclear Method! I think you should give it a try and I’ve got a great offer to help you get on board! Use the exclusive Very Dental Podcast code VERYDENTAL8TON for 15% OFF your total Bioclear purchase, including Core Anterior and Posterior Four day courses, Black Triangle Certification, and all Bioclear products.

Crazy Dental has everything you need from cotton rolls to equipment and everything in between and the best prices you’ll find anywhere! If you head over to verydentalpodcast.com/crazy and use coupon code “VERYSHIP” you’ll get free shipping on your order! Go save yourself some money and support the show all at the same time!

The Wonderist Agency is basically a one stop shop for marketing your practice and your brand. From logo redesign to a full service marketing plan, the folks at Wonderist have you covered! Go check them out at verydentalpodcast.com/wonderist!

Enova Illumination makes the very best in loupes and headlights, including their new ergonomic angled prism loupes! They also distribute loupe mounted cameras and even the amazing line of Zumax microscopes! If you want to help out the podcast while upping your magnification and headlight game, you need to head over to verydentalpodcast.com/enova to see their whole line of products!

CAD-Ray offers the best service on a wide variety of digital scanners, printers, mills and even  their very own browser based design software, Clinux! CAD-Ray has been a huge supporter of the Very Dental Podcast Network and I can tell you that you’ll get no better service on everything digital dentistry than the folks from CAD-Ray. Go check them out at verydentalpodcast.com/CADRay!

This throwback episode was originally recorded live from the main stage at Voices of Dentistry 2022 where the original Dental Hacks—Dr. Alan Mead and Dr. Jason Lipscomb—reunite for a hilarious and nostalgic session. The duo kicks things off by catching up on life since their "breakup" and going head-to-head in a competition to determine who has endured the worst patient horror story of the pandemic era. Later in the show, the classic Brain Trust format returns as Dr. Mark Costes and Dr. Justin Moody join the stage for a round of "Ask Us Anything." The panel covers a wide range of topics, including their surprising hobbies outside of dentistry, pandemic takeaways, and critical advice regarding practice startups versus acquisitions for the next generation of dentists.

Join the Very Dental Facebook Group using one of these passwords: Timmerman, Bioclear, Hornbrook, Gary, McWethy, Papa Randy, or Lipscomb! 

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

I’m a big fan of the Bioclear Method! I think you should give it a try and I’ve got a great offer to help you get on board! Use the exclusive Very Dental Podcast code VERYDENTAL8TON for 15% OFF your total Bioclear purchase, including Core Anterior and Posterior Four day courses, Black Triangle Certification, and all Bioclear products.

Crazy Dental has everything you need from cotton rolls to equipment and everything in between and the best prices you’ll find anywhere! If you head over to verydentalpodcast.com/crazy and use coupon code “VERYSHIP” you’ll get free shipping on your order! Go save yourself some money and support the show all at the same time!

The Wonderist Agency is basically a one stop shop for marketing your practice and your brand. From logo redesign to a full service marketing plan, the folks at Wonderist have you covered! Go check them out at verydentalpodcast.com/wonderist!

Enova Illumination makes the very best in loupes and headlights, including their new ergonomic angled prism loupes! They also distribute loupe mounted cameras and even the amazing line of Zumax microscopes! If you want to help out the podcast while upping your magnification and headlight game, you need to head over to verydentalpodcast.com/enova to see their whole line of products!

CAD-Ray offers the best service on a wide variety of digital scanners, printers, mills and even  their very own browser based design software, Clinux! CAD-Ray has been a huge supporter of the Very Dental Podcast Network and I can tell you that you’ll get no better service on everything digital dentistry than the folks from CAD-Ray. Go check them out at verydentalpodcast.com/CADRay!

In this classic episode Dr. Mike DiTolla returns to the show to break down the clinical realities of working with zirconia. After sharing a humorous and humbling story about his recent shoulder surgery and the universality of missed nerve blocks, Mike shifts focus to the material science of modern dentistry. He details the specific use cases for full-strength versus translucent zirconia, explains why he treats cement margins like narrow Class V restorations, and offers precise protocols for adjusting and polishing without damaging the ceramic. From the "Lipscomb Scale" of removal difficulty to the critical importance of decontamination after try-in, this conversation offers practical, universal solutions for simplifying the zirconia workflow.

Join the Very Dental Facebook Group using one of these passwords: Timmerman, Bioclear, Hornbrook, Gary, McWethy, Papa Randy, or Lipscomb! 

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

I’m a big fan of the Bioclear Method! I think you should give it a try and I’ve got a great offer to help you get on board! Use the exclusive Very Dental Podcast code VERYDENTAL8TON for 15% OFF your total Bioclear purchase, including Core Anterior and Posterior Four day courses, Black Triangle Certification, and all Bioclear products.

Crazy Dental has everything you need from cotton rolls to equipment and everything in between and the best prices you’ll find anywhere! If you head over to verydentalpodcast.com/crazy and use coupon code “VERYSHIP” you’ll get free shipping on your order! Go save yourself some money and support the show all at the same time!

The Wonderist Agency is basically a one stop shop for marketing your practice and your brand. From logo redesign to a full service marketing plan, the folks at Wonderist have you covered! Go check them out at verydentalpodcast.com/wonderist!

Enova Illumination makes the very best in loupes and headlights, including their new ergonomic angled prism loupes! They also distribute loupe mounted cameras and even the amazing line of Zumax microscopes! If you want to help out the podcast while upping your magnification and headlight game, you need to head over to verydentalpodcast.com/enova to see their whole line of products!

CAD-Ray offers the best service on a wide variety of digital scanners, printers, mills and even  their very own browser based design software, Clinux! CAD-Ray has been a huge supporter of the Very Dental Podcast Network and I can tell you that you’ll get no better service on everything digital dentistry than the folks from CAD-Ray. Go check them out at verydentalpodcast.com/CADRay!

This classic Dental Hacks episode features a long-form interview with Dr. Rella Christensen of TRAC Research (formerly CRA). The discussion covers the history of independent product evaluation, the challenges of maintaining objectivity in dental research, and significant findings regarding restorative materials and caries management. The original interview had really poor sound quality but a little help from an Adobe AI filter really cleared it up. This interview was worth another listen, I think!

Key Interview Highlights

1. The Origins and Ethics of TRAC Research

• History: The organization began in 1976 (founded by Gordon Christensen) with the goal of collecting subjective data from clinicians to create objective "Consumer Reports" style rankings for dentistry.

• Unbiased Stance: Dr. Christensen emphasized that TRAC is a non-profit foundation that accepts no funding from manufacturers. If a company refuses to provide a product for testing (often fearing a negative review), TRAC purchases it on the open market to ensure the data is captured.

• The "File Drawer" Effect: They discussed how negative research is rarely published in journals due to corporate influence in dental schools and editorial boards. TRAC aims to publish the truth, even when it is negative.

2. Restorative Materials: The Zirconia Revolution

• 10-Year Study Results: Dr. Christensen detailed a 10-year study comparing various ceramic systems.

  • The Failure: Zirconia substructures (like Lava) survived well, but the veneering ceramics (porcelain layered on top) had massive failure rates (chipping and cracking).

  • The Winner: The study pointed toward monolithic zirconia (specifically BruxZir) and lithium disilicate (e.max) as the most durable options.

• Translucency Warning: She noted that as manufacturers push for more translucent (anterior) zirconia, they often lower the flexural strength (from ~1200 MPa to ~600 MPa). She cautioned that the long-term fracture toughness of these newer, "prettier" zirconias was still unknown at the time

3. The "Bombshell": Enamel Remineralization & Caries

• The Study: TRAC performed an in-depth clinical study on 330 orthodontic patients (high risk for white spot lesions). They tested various protocols including MI Paste, Fluoride Varnish, Ozone, and Xylitol against a control group.

• The Result: None of the products performed statistically better than the control group (who did nothing special), with the exception of PreviDent 5000, which was only marginally better.

• The Conclusion: Dr. Christensen concluded that you cannot arrest caries or remineralize enamel if the patient's diet is not addressed. She stated that dental caries is "the only infectious disease we attempt to treat while allowing the cause [sugar] to continue."

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