Episode #119 - The New Frontier in Dentistry with Dr. DeWitt Wilkerson

April 23, 2018

Dr. DeWitt Wilkerson is here to talk about the new frontier in dentistry. This is one of the most exciting times to be a dentist, the future is looking bright for so many reasons. One of those reasons is how dentistry is evolving into the forefront of total healthcare for patients. Dentists spend longer periods of time with their patients than MDs and build ongoing relationships.

Dr. Wilkerson is on the forefront of this exciting dental revolution with his super popular Dawson Academy CE classes. We talk about how dentistry has shifted to focus on things that affect total health like airway health, prevention of inflammation, and pathogens from gum disease that can get into the bloodstream and create future problems.


You can find Dr. DeWitt Wilkerson here:

Dupont & Wilkerson

Dupont & Wilkerson on Facebook

Dr. DeWitt Wilkerson Dawson Academy



Show Notes

[01:47] Dr. DeWitt Wilkerson has been working in the practice of Peter Dawson since 1982. He has seen the Dawson academy evolve from three seminars to many seminars and hands-on courses and classes all over the world.
[03:17] How this is such an exciting time to be a dentistry, and how dentistry is going to be the leader in medical healthcare.
[03:42] How dentists spend so much more time being with patients than regular medical doctors and how it's an amazing opportunity for dentistry to aid in medical care.
[05:57] How there's a relaxing of the cosmetic revolution. The one thing that people are interested in in this country is help. People want to be healthy.

[06:48] We have a health care crisis, but it is a solvable one.

[07:10] Solving the healthcare crisis. Rationing healthcare or we could get rational and take personal responsibility for our own health. All of the answers are available.

[07:46] It's exciting to see dentistry related to the subjects of overall health in relation to what we do.

[08:03] The airway symposiums have been selling out.

[09:10] How dentistry has been making oral appliances in place of CPAP machines.

[09:54] How airway inbreeding is not a sleep problem but a 24 hour a day problem.

[10:07] Many children are born with airway problems.

[11:58] How esophageal cancer is the strongest growing cancer in the United States and there is a strong correlation with acid reflux.

[12:40] A common reason for acid reflux is a blockage in airway.

[13:00] Breathing in airway is critical for oral health and total health. Dentists can be on the front line to identify these problems.

[14:00] There is a change in the human skull and arches. Breastfeeding grows the maxilla. This can cause children struggle to breath and can also lead to asthma.

[18:21] How the orthodontist is going to play a much larger role than just occlusion and straightening teeth.

[18:34] There are orthodontist around the world identifying themselves as airway orthodontists. If the airway isn't open we need to understand why. We will also work closer with ENTs.

[20:02] When the box for the time is too small the tongue gets driven towards the back of the throat.

[21:07] The first phase for top restorative dentist is going to be expanding the dental arches to help encourage normal breathing.

[23:09] Integrative dental medicine or how it all fits together. Infection and inflammation. We also look at nutrition. Airway and breathing.

[31:51] Reversing airway problems by opening the upper airway. These solutions are coming right into the hands of dentistry in teaming up with medical colleagues.

[32:56] Airway is one of the hottest things in CE right now.

[33:33] Oral bacteria and cardiovascular disease. There is strong evidence that oral pathogens can get into the bloodstream and lead to problems.

[34:10] How cooling down inflammation can actually prevent having a heart attack.

[35:33] How dentists are no longer the stepchild of MDs. Go to an osteopath.

[37:56] 90% of people with diabetes can reduce it by eating healthy, sleeping, and exercising.

[38:43] Just taking prescription drugs to manage your problem without lifestyle changes your conditions will get worse.

[40:49] People in our profession want to see that they are part of something bigger that is growing and moving forward.

[42:41] Complete health is the direction that dentistry is heading.

[43:26] TMD and occlusion is the third leg of dentistry.


Links and Resources:

The Dawson Academy

Dr. Michael Roizen Cleveland Clinic

The Heart Attack Gene


The American Equilibration Society

Episode #118 - Live From Seattle Study Club Symposium 2018

April 16, 2018

I am live at the Seattle Study Club Symposium Legacy Tour with Bill Robbins and Bob Margeas. They are both great dentists and amazing educators. Dr. Robbins has a full-time practice and is an Adjunct Clinical Professor at San Antonio Dental School. He has also authored two textbooks.

Dr. Margeas is known as the dentists dentist. He also has a private practice, and he believes in dentistry built on relationships, honesty, and trust. He is an Adjunct Professor at the University of Iowa and has written numerous articles on esthetic and implant dentistry. The three of us have a great conversation about the symposium, the importance of mentors, communication, and the extremely bright future of dentistry.


You can find Bill and Bob here:

Bill Robbins

Bob Margeas


Show Notes

[02:09] Bill Robbins is a restorative dentist in San Antonio, Texas.

[02:30] Bob Margeas has a full-time practice in Des Moines, Iowa. He has been practicing for 32 years.

[03:21] Bill thinks the legacy tour is an interesting program because there are amazing lecturers. The content has been leaning towards the heart side of dentistry.

[04:20] The people here are our mentors. The ones we grew up looking at. It's almost surreal to be on the stage with them.

[04:46] It's important to be a continual student. You can't think that you know everything.

[05:26] Bill likes to go to study clubs and get his CE in small doses.

[06:19] How going to the Seattle Study Club is like going to a big family reunion.

[07:27] There has never been a more exciting time to be a dentist especially with airway and other things going on with orthodontics.

[08:08] What orthodontists can do today actually allows us to do less dentistry.

[08:18] We can be conservative and think about what's right for the patient.

[09:36] Using bonding and minimally invasive dentistry.

[10:32] How are thinking gets challenged. It's not just the technology but it's also the thinking.

[10:58] The implications of the ortho and restorative interface. We can now intrude posterior teeth.

[13:38] Simple high-quality restorative and telling the truth really works.

[14:29] How the patients decide when they want the crown done. Don't biopsy a patient's wallet.

[15:46] Diagnosis is neutral. Sometimes when we try not to overwhelm a patient, we actually underwhelm them.

[16:19] The importance of communication and how leaders aren't born they are created.

[17:09] The importance of spending your CE money on leadership training and communication skills.

[18:00] Getting into the arena with the best thinkers and not getting overwhelmed.

[18:25] How young dentists are overwhelmed with debt and having to pay off student loans or a house or a car.  You also need to communicate. You're already in debt, so you might as well spend money learning how to communicate.

[18:46] The importance of finding a mentor to help you and guide you.

[19:36] How bill has an amazing gift for breaking things down.

[20:29] When people spend their whole lives writing a book it's worth it to pick it up.

[21:16] The smartest way for a young dentist to get their CE credits is to join a study club. A study club is also the best place to find a mentor.

[22:45] There are no limitations on how well you think.

[23:50] Using the systematic approach to look at more complex problems. Treatment planning in a study club will force people to think.

[25:49] Everyday dentistry and how popular Bob Margeas is in the Seattle Study Club circuit.

[27:28] How the whole key is to share knowledge. There is really no competition.

[27:59] How teaching is actually enjoyable.

[28:16] When you are looking at smiles it's the eyes that smile. When you get that perfect video it's all about the eyes.

[29:29] The greatest gift to being a teacher is when one of your students becomes your teacher.

[30:55] The most frustrating thing is seeing what can be done but not having the whole team that can help you do that.  That is why it is important to bring your whole team to the Seattle Study Club.

[34:22] An honest meaningful lecture often shows the things that go wrong.

[36:41] If you're not nervous at the Seattle Study Club when you're giving a presentation, you just might not be really prepared.

[37:40] Start out with great integrity. Think about the patient as if they are one of your family members. Tell the truth, be honest, and know your limitations.

[39:18] A cool thing about the Symposium is that we also get outside speakers that aren't just dentists.

[40:16] If you start out from a place that does not have integrity it is very hard to move the pendulum back to a place of integrity. Start out with integrity and always stay there.


Links and Resources:

Global Diagnosis: A New Vision of Dental Diagnosis and Treatment Planning

Christian Coachman

Digital Smile Design

Bill Robbins

Bob Margeas

Episode #117 - Live From Seattle Study Club Symposium 2018 with Dr. Jeffrey Boone

April 9, 2018

I am live at the Seattle Study Club Symposium 2018 speaking with Dr. Jeffrey Boone. Dr. Boone is a cardiologist who believes that cause of death by heart disease is largely preventable. He runs the Boone Heart Institute where they perform exams and patented tests to provide a comprehensive view of your cardiovascular function.

Once you know what your risk factors are, you can start working on risk prevention factors. Dr. Boone believes in using the latest prescription medicines along with supplements and lifestyle change which includes diet, exercise, stress reduction, and a healthy mindset. He is sometimes controversial, but if you really want to live a long quality life he sheds groundbreaking information that not everyone knows or accepts.


You can find Dr. Jeffrey Boone here:

Boone Heart Institute


Show Notes

[01:39] Dr. Jeffrey Boone is a cardiologist who runs the Boone Heart Institute. Their focus is on the complete eradication of heart attack and stroke.

[02:02] Their goal is for no one to have heart attack or stroke and to further prevent dementia, cancer, and other issues.

[02:09] Unfortunately, most healthcare and funding is at the end of life when things are already going on.

[02:16] Our whole practice is based on the early anatomic biologic and physical identification of abnormalities and correcting them.

[02:59] How disease prevention takes an entire different mindset and goal set.

[03:05] I went to medical school with the dream in mind to eradicate heart attack and stroke.

[03:10] It's very complicated to fix and save heart issues once the damages done, but it's very easy to implement things that will help prevent heart issues.

[03:32] Dr. Boone defines significant disease as detected abnormalities that need to be embraced early. Aggressive care is to reverse those identifies problems.

[04:13] Patients want to be told that they are healthy. I will find things wrong with you. Embracing abnormalities and correcting them reverses the process.

[04:56] Our treatment plans improve every six months and keeps getting better and better.

[05:06] We are on the way to eradicate heart attack and stroke, and the next frontier is working on the aging brain.

[06:42] Misconceptions with heart health include not diagnosing or recognizing problems early enough and beginning treatment before the problem becomes life-threatening.

[08:50] Attacking plaque and not letting it grow and actually shrinking it or reversing it a person will never have a heart attack or stroke.

[09:14] The brain can be saved while saving the blood vessels and the heart.

[09:25] Statin drugs reverse plaque. Plaque causes heart attack and strokes.

[10:45] Blood pressure medicines, aspirin, and clock controlling medicines also help. Along with diabetic medicine, and lifestyle changes.

[11:03] If the individual embraces all of that they will have a fabulous success.

[11:25] Protecting the lining of the arteries also prevents the heart muscle from getting stiff. The same things that prevent heart disease also prevent cancer.

[12:24] Early detection and prevention is really chasing health. Healthcare is totally different than health.

[13:34] Dr. Boone has been on this crusade for a long time. Kirk went to Dr. Boone and he spent a long time going through everything with Kirk.

[14:50] How in a few years it will be possible to use technology to create an entire personalized program for someone faster and more economical.

[15:48] On one hand there are going to be incredible technologies to fix the sick heart. The ability to actually prevent these things from happening is going to be much more prevalent.

[16:25] There is a new drug that  is going to prevent plaque buildup with an injection. That is what is possible for the future.

[16:58] Dr. Boone looks forward to a time when we are working on our valves pumping longer. Clean out the arteries and clean out the brain and have a great life.


Links and Resources:

Boone Heart Institute

Seattle Study Club

Episode #116 - Live From Seattle Study Club Symposium 2018

April 2, 2018

I am live at the Seattle Study Club Symposium 2018. Today, I am joined by six good friends and amazing oral surgeons. Dr. Matt Koepke, Dr. Daron Praetzel, Dr. Robert Naples, Dr. Marty Wade, and Dr. Richard Oakley are here to talk about the present and future state of oral surgery.

There has never been a better time to be a dentist, and this is an amazing time to be an oral surgeon. There are things happening in the future with genetics that will allow us to grow teeth and do amazing things. The impact of how we change people’s lives is also expanding. This is an awesome episode with six oral surgeons who share their unique perspectives.


You can find the panel here:

Dr. Matt Koepke

Dr. Daron Praetzel

Dr. Robert Naples

Dr. Marty Wade

Dr. Richard Oakley


Show Notes

[01:35] Dr. Matt Koepke is an oral surgeon practicing in Morgantown, West Virginia at his Appalachian Oral Surgery Center.

[01:42] Dr. Daron Praetzel is an oral surgeon in Hot Springs, Arkansas. He does a lot of facial surgery and oral surgery. He also owns a firetruck.

[02:07] Dr. Robert Naples is an oral and maxillofacial surgeon in Round Rock,Texas.

[02:17] Dr. Marty Wade practices at True North Oral Surgery & Implants in Maplewood, Minnesota. He has been in practice for 32 years.

[02:37] Dr. Richard Oakley is an oral surgeon who practices in Kansas City, Kansas. He has been in practice since 1993. He has also been the director of the Seattle Study Club for 20 years.

[04:09] The importance of the team approach and the value of what everyone can offer.

[05:28] We keep coming back to the Seattle Study Club because of the people and the feel of the place. There are a lot of places where you can take classes, but this place is special.

[06:08] How important it is to build relationships along with hearing world-class speakers.

[06:23] The evolution of the study club and the referring doctors based on the information that we bring back.

[06:43] By working together, there is huge Improvement in the overall dental community.

[07:19] What an honor it is to build true relationships while gaining that important experience.

[08:53] How being an oral surgeon is the best profession in the world. We get to work with great people. It's also amazing the way we change people's lives.

[09:44] In the future we will be able to take a genetic seed and grow a tooth.

[11:11] The future of what we can do is limitless, and we are also fascinated with digital dentistry.

[12:04] How being an oral surgeon allows you to get your medical fix. We are all dentists, but we just have a little more of a whole body type of avenue.

[14:28] All of our practices are unique, and we all have different training.

[16:33] How being a solo practitioner and working fewer days in a year works for some oral surgeons.

[17:49] The different dynamic of practicing solo and practicing in a group.

[19:10] How amazing it is to come to a common agreement and work together. Seeing different techniques and having open minds while working with diverse practioners.

[20:59] Interdisciplinary versus multidisciplinary dentistry. Being a super dentist who does everything is a tremendous amount of pressure. We value the interactions with other specialists.

[22:10] Think what would you do if the person in the chair was your son or your daughter. Seek out the best from the different disciplines to provide the best care.

[22:51] If what we do has value, then it is going to have staying power.

[24:00] Don't be limited by not knowing what you don't know. How it's not okay to just take a course and then become an expert in that.

[26:10] If we are greedy, the person who ultimately suffers is the patient.

[27:07] The best way to practice and learn is to talk to each other and do some simple cases together before we get into the really hard cases.

[29:48] This is America. As a practicing dentist or oral surgeon, you get to choose your procedures, and you get to choose what type of practice you have.

[33:07] If you're considering becoming an oral surgeon, it would be a good idea to shadow someone and see what it's all about.

[35:30] Once you've made a decision about what you want to do make sure your decision and your perception are the same.

[39:27] The importance of belonging to a club like the Seattle Study Club. There is a need for it because there's not enough education that teaches people how to collaborate and share. There is enough work to go around for everyone.

[42:22] Being part of the Seattle Study Club can vastly change the way you practice dentistry.

[43:06] It's not about referrals. It's about relationships. Relationships are important especially when something goes wrong.


Links and Resources:

Seattle Study Club Symposium

Dr. Matt Koepke

Dr. Daron Praetzel

Dr. Robert Naples

Dr. Marty Wade

Dr. Richard Oakley

Episode #115 - Live From Seattle Study Club Symposium 2018 with Dr. James Woodyard, Dr. Pat Allen, and Dr. Jason Stoner

March 26, 2018

It has been an incredible week at the 25th Anniversary Legacy Tour of the Seattle Study Club Symposium in Palm Springs, California. Today, I have three amazing clinicians here to talk about the perio aspect of dentistry. They are all three periodontists. Jason Stoner is a periodontist in Columbus, Ohio. Pat Allen is a periodontist in Dallas, Texas. James Woodyard is a periodontist in Newburgh, Indiana.

We talk about the future of perio and how technology is changing everything. We discuss the importance of having a mentor and belonging to a study club. We talk about taking a holistic view of dentistry and incorporating medical into the practice. This is a great discussion where we get the point of view of three unique practitioners.


You can find the panel here:

Dr. James Woodyard

Dr. Pat Allen

Dr. Jason Stoner


Show Notes

[01:34] Jason Stoner is a periodontist in Columbus, Ohio.

[01:34] Pat Allen is a periodontist in Dallas, Texas.

[01:35] James Woodyard is a periodontist in Newburgh, Indiana

[02:01] Today, we talk about the future of perio and uniqueness that each different doctor brings to the practice.

[02:08] Dr. Allen has been in practice for more than 40 years. He has seen a lot of changes. He has noticed that technology is pushing forward and changing what is done in the office.

[02:53] Dr. Stoner thinks that the new technologies and diagnostic tools that are coming in the next decade are unbelievable.

[03:09] The focus is coming back to saving teeth again. Stem cells and biologic agents from our own bodies are going to make this a very different landscape.

[03:57] When Dr. Woodyard first read about these new technologies, they were too expensive to implement for most patients, but as the technology increases the cost actually goes down making a bright future for perio and advanced technology.

[04:36] Dental implants are wonderful, but nothing we do lasts forever. Teeth are easier to fix than anything, so maybe we need to spend more time trying to save the tooth.

[05:06] We are lucky to have a specialty system. Being able to collaborate with specialists opens a whole new opportunity.

[06:08] Multidisciplinary care means treating more than one discipline on a patient. Interdisciplinary is interacting and coordinating with other disciplines.

[06:37] Common knowledge is important even if you're not the one actually doing the procedure.

[07:00] Creating an interdisciplinary team takes work and communication.

[07:21] Introducing medical into the dental interdisciplinary team is part of the future.

[08:25] Everything that we do is really about inflammation. Inflammation is the enemy.

[09:55] In the 80s there was a multidisciplinary approach to dentistry which has now become more of an interdisciplinary approach.

[10:43] The common theme is that there has never been a more exciting time to be a dentist.

[12:22] Raising awareness in a way that is beneficial to working together. It’s great to collaborate and learn with mentors.

[13:48] Jason believes in coming from a place of abundance. He doesn't understand the scarcity mindset when it comes to technology and working with other specialists.

[14:59] Misconceptions about perio include that it is a dying specialty. When it is really one of the most dynamic specialties. What they have to do to offer a standard of care to their patients now is ever-increasing.

[16:24] Periodontist were becoming associated with being implant specialists. Periodontists take care of patients and do more than just perform implants.

[17:44] Everything a periodontist does the foundation for the mouth.

[18:33] The consequences of nontreatment could be communicated a little better. This is a misconception of the public and sometimes a misconception of the dentist.

[19:40] Technology is making things easier and more affordable and everybody benefits from that.

[20:04] The new diagnostic tools that are coming out are doing what we are supposed to be doing and that is comprehensive care of the patients.

[23:41] Making the effort to find mentors and teachers.

[24:16] Decide and write down what you want from your career and what is going to satisfy you. Then seek out those opportunities and that knowledge.

[26:39] When Pat was looking for mentors, he actually read academic articles and then sought out places where these people were speaking. He made an effort to meet these people.

[27:38] Pat advises young people to go to meetings and to not be afraid to meet these people.

[30:05] The importance of study clubs and meetings and the friends you make there.

[30:38] A study club is a group or community created by dentists to help each other. They put all the knowledge in a bowl and watch it grow.

[32:47] The different disciplines add to a deeper richer treatment plan and they all complement each other.

[34:04] Having continuing education courses every month. They organize them and have a different area of dentistry as a theme each year. Members pay a flat fee.

[34:54] A study club is a group of people coming together to learn as a group. The Seattle Study Club model is a formula for that. It's primarily educational. Although there is a social aspect, you need to be knowledgeable to participate.

[37:17] More headway with the medical community in the future would be good. Things are moving more towards a health model as opposed to a reaction model.


Links and Resources:

Seattle Study Club

Dr. James Woodyard

Dr. Pat Allen

Dr. Jason Stoner

Episode #114 - Live From Seattle Study Club Symposium 2018 with Dr. Steve Carstensen

March 19, 2018

I am at the Seattle Study Club Symposium with Dr. Steve Carstensen. Steve is on the forefront of one of the most exciting things happening in dentistry today. We are going to talk about the importance of the airway in dental and medical health. We talk about how the airway can affect someone’s health, airway health for children, and how a young dentist can get started on this today.

Steve has been treating sleep apnea and snoring since 1998. He specializes in sleep education and airway health. He lectures and directs sleep education at notable institutes and universities. He is a good friend of mine, and it’s really exciting to have him here today to talk about one of the hottest topics in modern dentistry.

You can find Steve here:

Pankey Institute

Spear Aesthetics

Dental Sleep Practice Magazine

Seattle Sleep Education

Show Notes

[01:50] Steve is a restorative dentist. About 20 years ago, he started paying attention to the airways. He started helping people breathe better at night time.

[02:18]  He became an educator about airway and dentistry.

[02:37]  Now I see patients and write and teach about airway health & dentistry.

[02:46] Why is airway such a big topic in dentistry right now?

[03:29] When there is a problem we now start looking back in the patient's history and try to find the cause.

[03:45] It frequently focuses on the airway issue.

[04:51] With airway health we get a chance to improve how everybody feels.

[05:38] When patients have chronic conditions often asking them how they sleep at night is the first step to getting to the root cause.

[09:11] The importance of sleep and breathing and how they are interconnected.

[09:31] Melatonin makes us sleepy. Bluelight interrupts our production of melatonin.

[10:19] Sleep deprived children. Kids should get 12 to 13 hours of sleep during the night. Lack of sleep combined with medications is not good for kids.

[11:46] It's likely that the kids aren't sleeping well at night because they're not breathing well because of a closed airway.

[12:12] Not breastfeeding starts a child off at a bad position. Feeding kids soft foods is another factor that leads to more narrow pallets.

[13:14] Children should be breathing through their nose. If they are breathing through their mouth that is something that needs to be looked at.

[14:05] How would a young dentist incorporate airway health into his practice? How would he monetize this?

[15:36] We don't need a sleep test to know that a kid's jaw isn't developing correctly.

[16:03] Young dentists should start to pay attention to the kids in their practice and be on the lookout for airway issues.

[16:43] Airway appliances are usually covered by medical insurance.

[16:54] The total treatment cost is also less than a couple of crowns in most offices.

[17:17] Sleep courses are a hot topic right now in the world of dentistry.

[18:32] It's exciting for dentists to get a chance to work on the whole body. This is the most exciting time in dentistry.

[19:48] Now dentists have a chance to help children develop better airways.

Links and Resources:

Why We Sleep

Pankey Institute

Spear Aesthetics

Dental Sleep Practice Magazine

Seattle Sleep Education

Episode #113 - Live From Seattle Study Club Symposium with Drs. Jeff Rouse and Gregg Kinzer

March 12, 2018

This is day three of the Seattle Study Club Symposium Legacy Tour. This is the place where dentists get to learn, grow, and network with some of the best clinicians in the world. Today, I am speaking with Dr. Jeff Rouse a prosthodontist in San Antonio and Dr. Greggory Kinzer who is a prosthodontist in Seattle. 

We talk about some of the great things about the Seattle Study Club Symposium experience. For instance, being a dentist can be a lonely solo experience. Even though, you are surrounded by staff and patients having another clinician to weigh in on your cases and bounce ideas off of is really useful. The Seattle Study Club Symposium is the perfect place to get new ideas and fresh perspectives from peers and colleagues. 


You can find Jeff and Gregg here: 

Jeffrey S. Rouse, DDS 

Greggory kinzer, DDS, MSD 

Spear Aesthetics 


Show Notes 


[01:29] Jeff Rouse is here today he's a prosthodontist in San Antonio. 

[01:36] Greggory Kinzer is also here today and he is a prosthodontist in Seattle, Washington. 

[01:58] Today, we are going to talk about key moments in Jeff and Gregg's can careers when they were the most productive. 

[03:37] How having another person or a forum to bounce ideas off of really makes the job of being a dentist easier. 

[04:36] Using a study Club format enables you to get different viewpoints and ideas. 

[05:20] You have to find mentors. You have to get into a club and an environment where you can find people to mentor you. 

[06:13] Everybody has a voice with the true Study Club format. 

[06:23] When you're setting up a new study Club you have to go into it with the right idea. They shouldn't be set up by an authoritarian or person looking to gain a personal benefit from it. 

[07:09] The importance of engaging with your teachers. 

[08:00] Life is about experiences and you need to be in the moment and get as much out of the moment as you can. Especially, as a dentist. 

[09:31] Jeff shares how he has become a better dentist by observing Gregg work on his patients. 

[10:05] You don't have to be in a partnership just find opportunities to pick up pointers by osmosis. 

[10:55] Gregg points out how Jeff is actually changing dentistry with his new work with oxygen and airways. 

[11:22] The four pillars of diagnosis are different now. 

[13:42] How the airway peace actually needs to come before the generalized treatment plan. 

[14:36] You need to understand how the airway piece will impact your treatment plan and how you converse with your patients. 

[15:54] There has never been a more exciting time than now to be a dentist. 

[16:27] How they have an airway mockup to show patients how they will feel after their treatment. 

[17:08] Treating towards airway and the importance of evaluation. 

[18:08] Airway is the piece that brings the dental field and the medical field together. 

[18:58] Make yourself better than you were yesterday. Push yourself and find the information. 

[19:23] Find a cohesive facility that will help grow you by putting all of the pieces together. 

[19:46] Restorative dentists have to have a foundation. 


Links and Resources: 

Seattle Study Club Symposium 

John Kois 

Episode #112 - Live From Seattle Study Club Symposium with Dr. Christian Coachman, Dr. Kyle Stanley

March 5, 2018

Dr. Christian Coachman and Dr. Kyle Stanley are here with me today broadcasting live from the Seattle Study Club Symposium. Today, we are talking about the lip factor. We all know that Christian is the man behind Digital Smile Design. His unique digital techniques has made dental aesthetics easier and more possible when doing restorative work.

Dr. Kyle Stanley has a practice in Beverly Hills. He also works with Christian and Digital Smile Design and focuses on the lip factor and the Orofacial Club. Often times with a full mouth makeover the relationship between the teeth and the lips are focused on. When a more holistic focus that includes the entire face and the position of the lips would give a better result. We discuss this and more in this interview.

You can find Christian and Kyle here:

Digital Smile Design

Christian Coachman on Instagram

Dr. Kyle Stanley

Dr. Kyle Stanley on Instagram

Show Notes

[01:52] Dr. Kyle Stanley has a practice in Beverly Hills California. He works on the surgical and restorative side of dentistry. He was trained in Brazil and has close contact with Christian. He has also been involved with Digital Smile Design for a while.

[02:19] Kyle is also focusing on the Orofacial Club where they focus on full facial aesthetics.

[02:29] Christian is from São Paulo. Brazil. He is the developer of the Digital Smile Design technology. He is a dentist and a technician.

[02:38] He's trying to go beyond teeth and gums and focus on taking care of the patient as a whole.

[02:46] The need for differentiation and outside the box thinking.

[03:00] How human behavior, the world of dentistry, and people are changing.

[03:08] Consumers want harmony between all of the facets, so dental offices will become orofacial clinics.

[03:22] First we become facial experts and improve our relationships with plastic surgeons. We need to know everything we can to improve harmony on the face. [03:49] This new area is like an empty canvas. We are not going to learn from others, we are going to create solutions.

[04:00] This is a clinically  exciting time for dentists and an emotionally beautiful time for patients.

[05:27] Have a plan and the business after dental school.

[06:04] It's Kyle's vision to understand the face better.

[08:14] Digitally we can do all of the movement before actually touching the patient.

[09:00] We want to kill a patient virtually on the computer instead of killing them for real. We want to virtually simulate the solutions before working on the patient.

[10:04] The lip factor and the missing link in beauty is the lip. Bringing the lip into the correct position and then planning traditionally.

[12:20] The importance of finding a good mentor if you have the energy to do something new and amazing.

[13:28] Mentors don't find you a you have to find mentors. A mentee has to offer something, as well.

[14:59] The Orofacial Club is closing the gap between plastic surgery and dentistry.

[17:45] The future will be a collaboration with projects like this.

Links and Resources:

Orofacial Club


The Lip Factor

Digital Smile Design

Christian Coachman on Instagram

Dr. Kyle Stanley

Dr. Kyle Stanley on Instagram

Episode #111 - Live From Seattle Study Club Symposium with Dr. Christian Coachman, Dr. Rucardi Mitrani, Dr. Jeff Rouse The Future of Dentistry

February 26, 2018

I talk with three dental experts Dr. Christian Coachman, Dr. Rucardi Mitrani, and Dr. Jeff Rouse about the future of dentistry. We are at the Seattle Study Club Symposium in Palm Springs at the La Quinta. At the Symposium, I am surrounded by some of the best clinicians in the world and these three guys are amazing.

We talk about the amazing opportunities in dentistry today. We also talk about how young dentists have to decide whether they want to work for a corporation or if they want to have their own practice. We touch upon the all-important topic of dentists needing to understand how to run a business. Along with the opportunities provided by amazing new tools and technologies. Plus, the expense involved in acquiring or getting access to all of these new tools.


You can find our panel here:

Dr. Christian Coachman

Dr. Rucardi Mitrani

Dr. Jeff Rouse


Show Notes

[01:02] Day 2 of the Seattle Study Club Symposium.

[01:25] Dr. Jeff Rouse is a prosthodontist from San Antonio, Texas. Dr. Rucardi Mitrani is a prosthodontist from Mexico City. Dr. Christian Coachman is from Sao Paulo, Brazil, and he is a dentist and the developer of Digital Smile Design.

[02:16] Dr. Jeff Rouse has had great mentors and as always have the opportunity to be around what is cutting-edge.

[02:51] Dentists today not only have an opportunity to change people's lives aesthetically,we have the opportunity to create treatment plans at a higher level. The challenges they have are deciding what tools to actually use.

[03:31] In order to implement something like Christian's Digital Smile Design you have to practice at a much higher level.

[04:06] There are a ridiculous amount of opportunities for new dentists today. We have been trained similarly, but our focuses are different. A young dentist would be excited with all of the cool possibilities, but overwhelmed and scared with all of the new information they need to learn.

[06:38] Building a career for a young clinician on their first year out of school.

[07:02] Young dentists will often join corporate dentistry because of dead. This is a demanding and tough way to go. They could also go deeper in debt and buy a practice.

[08:23] The importance of giving back. Finding mentors and practices for young dentists to spend time in and watch and learn.

[09:09] How there are people everywhere who are willing to train.

[10:32] Everyone on stage challenges us to be a better dentist. It's exciting but scary.

[10:54] Choices we have today teach us to be better clinicians and better operators.

[11:44] Tools and technologies do help, but there is an additional cost to all of these new technologies.

[12:03] We need more centers providing support for dentists, so they can incorporate this type of technology into their practices.

[14:33] How the names and brands in corporate dentistry that we see today, won't be the names and brands of corporate dentistry in the future.
[15:14] Young dentists will have to choose whether they want to be the best, or if they want to work for one of these corporate models.

[16:02] The concept of choice and choosing to choose.

[16:25] Both options can be great. Corporations will need people running their business.

[17:08] The future model of corporate dentistry will change. It won't be seen as cheap, low-quality, and low pay.

[17:36] For this model to change, the dentists that are brought in need to be able to grow instead of just being used as as a tool.

[20:56] One of the red flags of technology is that we see a lot of crappy dentistry on Instagram.

[23:38] If you don't please people, you are going to be online with a bad reputation.

[25:57] Committing to be excellent and creating relationships.

[28:59] There's a lot of room at the top. It's not the top that's crowded, it's the bottom that is crowded. When you're at the top, you can create your own future and transform your vision into reality.

[32:33] Making choices as a dentist and putting yourself in the right places.


Links and Resources:

Seattle Study Club Symposium

Dr. Christian Coachman

Dr. Rucardi Mitrani

Dr. Jeff Rouse


Episode #110 - Live From Seattle Study Club Symposium with Dr. Brian Schroder, Dr. Robert Ritter, Dr. Joshua Austin

February 19, 2018

This is a very special edition of the Best Practices Show. We are at the Seattle Study Club Symposium in Palm Springs at the La Quinta. It is incredibly gorgeous, and I have an amazing team of experts here today. This is the 25th anniversary of the symposium and some of the best clinicians in the world are here. If you haven't been to the symposium, you should definitely check it out.


I have three very special friends and guests today. Dr. Joshua Austin practices in San Antonio, Texas and loves how special the symposium is. Dr. Brian Schroder Has a practice in San Antonio, Texas, and he is the director of The Alamo Collaborative Dental Forum. Dr. Robert Ritter has a practice in Jupiter, Florida. He has been coming to the Seattle Study Club for 10 years. Today, we share a small portion of our symposium experience with you.

You can find my expert panel here:

Dr. Brian K. Schroder

Dr. Robert Ritter

Dr. Joshua Austin


Show Notes


[01:42] Dr. Joshua Austin practices in San Antonio, Texas. He says that everything about this event is special. There is no better continuing education. There is a vision behind the way this great Symposium is put together.

[02:33] Dr. Brian Schroder Has a practice in San Antonio, Texas and he is the director of The Alamo Collaborative Dental Forum. He likes the Seattle Study Club concept so much that as a general dentist, he took over the directorship of a club.

[02:45] The concept is very special it's based on excellence and relationships. It's also based on friendships when you come to these meetings you get to catch up with people that you haven't seen in awhile.

[03:06] The phenomenal clinical education is special to Dr. Brian Schroder, but one of the things that has stood out to him is the non-clinical education. We focus so much on the clinical aspect of dentistry when we need a lot of help in the non-clinical aspects.

[03:47] Dr. Robert Ritter has a practice in Jupiter, Florida. He has been coming to the Seattle Study Club for 10 years.

[04:41] Dr. Ritter explains how dentists need help with the acquisition and business phase of dentistry.

[04:45] Dental business is a challenging environment and the Seattle Study Club provides that business acumen that we need.

[04:56] A lot of other meetings don't have all of the components that this Symposium has.

[05:09] The Symposium is like going on a cruise and whatever you want to learn can be done for you here.

[05:21] There is also so much willingness to share information here at the symposium. There are so many knowledgeable people in the industry that are willing to share without judgment.

[05:56] If you want to know something about one procedure or one idea that person is usually here, and you can ask them right to their face.

[06:32] It's great to be together and get to see the people that we actually interact with.

[07:03] How Dentistry can be incredibly lonely. Collaboration is key for improved outcomes.

[07:51] The element of sharing works incredibly well at making you perform better and feel better.

[08:30] The philosophy of utilizing specialists. Collaboration among specialist and getting everyone involved is great as well.

[09:29] Dentists can't really do everything themselves. There is no point in being the master dentist and not including anyone else in your life. Dentistry is so much more complex now.

[09:58] The future of dentistry is going to be a multi-specialty group practice. There is no way a solo practitioner could afford all of the things that you are going to need in the future.

[12:35] To avoid being in some type of DSO, you could build some type of group practice structure.

[13:04] We need to accept responsibility to seek out mentors and work collaboratively.

[14:08] There are mentors everywhere at the Seattle Study Club.

[15:01] Barriers for young dentists joining the Seattle Study Club include the time and maybe the money.

[16:33] Parents need to get over the guilt of not being with their kids every minute.

[18:09] It really comes down to building a better life for your family and also filling your tank so you can be a better person.

[19:46] Seattle Study Club is an investment and you get a huge return on your investment coming here.

[20:44] It's nerve-wracking speaking in front of the best dentists in the world, but the key is to talk about what you know.

[22:08] If you're thinking about coming to the symposium, do it now.

Links and Resources:

Seattle Study Club Symposium

Dr. Michael Cohen

Dr. Brian K. Schroder

Dr. Robert Ritter

Dr. Joshua Austin