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In the latest podcast episode featuring Dr. Mike Skramstad, a leader in digital dentistry, listeners are introduced to his unexpected journey into the field following his graduation from the University of Minnesota School of Dentistry in 2000. Skramstad shares insights into the evolution of CAD/CAM dentistry and the importance of adequate tooth preparation, advocating for preparation courses for new dentists. Additionally, he discusses cloud-based collaboration tools and various intraoral scanners, emphasizing a scanner-agnostic approach within the SPEAR curriculum. The episode also highlights Skramstad's personal interests, including a recent golf trip, and he concludes with key takeaways centered on focusing on fundamentals and investing in efficient workflows for dental practices.
🎙️ Introduction and Background
Graduated from University of Minnesota School of Dentistry in 2000 Certified advanced digital dentistry trainer Lectured internationally on technology, implantology, and digital dentistry Leader in development of CDOCS educational program Skramstad's journey into dentistry was unplanned Bought first CEREC machine in 2002 Focused on digital dentistry throughout career Became educator through online community involvement🖥️ Digital Dentistry Evolution
Discussed evolution of CAD/CAM dentistry materials Emphasized importance of proper tooth preparation Recommended preparation courses for new dentists Explained integration of digital technology in SPEAR education Discussed cloud-based collaboration tools like DS Core and Smile Cloud Highlighted importance of understanding treatment planning fundamentals🔬 Technology and Education
Discussed various intraoral scanners (Prime Scan, 3Shape, ITERO) Mentioned new A Oral Elite scanner with built-in photogrammetry Emphasized scanner-agnostic approach in SPEAR curriculum Talked about personal scanner preferences for clinical use Discussed golf as a personal hobby and recent competitions⛳ Personal Interests and Closing Thoughts
Discussed recent golf trip to Ozarks Mentioned daughter's artwork of Jordan shoesProvided key takeaway messages:
Slow down and focus on fundamentals Don't be afraid to invest in efficient workflows -
In the latest podcast episode featuring Dr. William Claytor, the discussion centers on the opioid crisis, specifically its historical context, alarming addiction rates, and the impact of prescription practices. Dr. Claytor highlights the tragic peak of overdose deaths reaching 112,000 in May 2023 and the recent 25% decline in North Carolina. The episode delves into the transition from prescription opioids to dangerous street drugs like fentanyl, emphasizing the risks faced by adolescents who are given opioids for dental procedures, often leading to long-term use. Alternatives to opioids, such as NSAIDs and acetaminophen for pain management, are recommended, along with improved patient communication strategies. The conversation also touches on the mental health challenges faced by dentists, with a significant number considering leaving the profession due to stress, underscoring the need for better support and education in dental practices. Action items include creating patient education videos and implementing follow-up calls to enhance post-operative care.
00:00 - Introduction and welcome
00:33 - Historical context of the opioid crisis
02:23 - Current statistics on overdose deaths
03:54 - Transition from prescription to street drugs
07:22 - Dental prescribing patterns and changes
13:52 - Adolescent susceptibility to addiction
21:00 - Alternative pain management solutions
29:34 - Pre-procedural anxiety management
38:18 - Dental professional stress and substance abuse
Key Takeaways
Understanding the Crisis
Opioid overdose deaths peaked at 112,000 in May 2023
Dental prescriptions have decreased from 18% to 4-6% of total opioid prescriptions
First exposure to opioids often occurs during dental procedures
Alternative Pain Management
NSAIDs and acetaminophen combinations prove equally or more effective than opioids
Long-acting anesthetics provide extended post-operative pain control
Patient preparation and communication are crucial for successful pain management
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Saknas det avsnitt?
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In the podcast interview with Dr. Rick Workman, the founder of Heartland Dental, he shares his remarkable journey in dentistry, starting with a small practice in Effingham, Illinois in 1980 and evolving into Heartland Dental, the nation’s largest DSO. Dr. Workman discusses dentistry in general, education, and Heartland Dental's model. The conversation highlights his commitment to enhancing dental education through working with institutions like Concorde University and the Workman School of Dental Medicine at High Point University and the importance of equipping new graduates with practical skills. Dr. Workman details the adoption of advanced tools like Itero scanners and AI-driven software, defending these investments as essential for service quality. He concludes with advice for dentists on nurturing leadership qualities, enhancing team communication, and establishing systematic practices to achieve productivity with minimal stress.
🏥 Dr. Workman's Journey
Started practice in 1980 with $32,500 loan Worked 50 hours/week in practice, 25-30 hours/week on improving skills Founded Heartland Dental to offer support to dentists Dental education costs increased from 5,000 total to over 400,000 now Aims to provide support for dentists at any level they want💼 Heartland Dental's Model
Offers better reimbursement rates and support for affiliated dentists Invests in training for all employees, including doctors and hygienists Proactively increased hygienist pay, improving retention from 75% to 82% Hygiene growth up 10% on average across 1800 locations Aims to solve workforce issues in dentistry🎓 Dental Education and Support
Partnered with Concorde University to start dental hygiene school in Florida Supports dental schools across the country including the Workman School of Dentistry at High Point University. Offers resources to affiliate practices like industry leaders in Invisalign education Believes in providing practical skills and knowledge to new graduates🖥️ Embracing Technology
Installed 1700 Itero 5D scanners in offices Implemented AI-driven clinical software in every office Introduced Curodont, an FDA-approved product for incipient decay Emphasizes the importance of basic skills before advanced procedures Justifies technology investments based on service engagement🚀 Advice for Dentists
Commit to becoming better, both technically and in leadership Focus on personality and leadership skills to grow practice Emphasizes importance of team communication and synergy Advocates for systematic approach to practice management Believes the highest productivity comes with the lowest stress when systems are in place -
In this episode featuring Rachel Wall, CEO and founder of Inspired Hygiene, the discussion revolves around enhancing dental hygiene services to promote healthier patients and more profitable practices. The conversation highlights common pain points in dental hygiene, including inconsistent care and economic challenges driven by rising hygienist wages amidst decreasing reimbursements. Rachel emphasizes the importance of developing standardized care protocols through collaboration between dentists and hygienists and the vital role of effective patient communication, especially concerning periodontal disease. The episode also addresses the current hiring difficulties due to a shortage of hygienists and the implications of recent ADA resolutions on the practice. Strategies for improving hygiene profitability involve reevaluating insurance plan participation, expanding services, and diligently documenting patient care. The discussion concludes with actionable items aimed at fostering team support and implementing best practices for a thriving hygiene practice.
🎙️ Introduction of Rachel Wall (00:00 - 01:20)
Rachel Wall is the CEO and founder of Inspired Hygiene.
The firm focuses on elevating hygiene services, systems, and profits.
Their goal is to achieve healthier patients, empowered hygienists, and profitable practices.
🔍 Common Pain Points in Dental Hygiene (01:20 - 03:10)
Dentists often reach out to Rachel for help with hygiene department challenges.
Common issues include inconsistent care among hygienists and profitability concerns.
Hygienist wages have increased while reimbursements have decreased.
📝 Need for Standardized Care (03:10 - 06:12) (03:10 - 06:12)
Lack of written clinical standards leads to inconsistent care.
Practices need to develop their own standard of care based on accepted guidelines.
Collaboration between dentists and hygienists is essential for creating these standards.
💬 Communicating with Patients (06:12 - 10:10)
Different approaches are needed for long-term patients versus new patients.
Hygienists should document patient history and previous treatments to guide conversations.
Effective communication is key to addressing periodontal disease.
📉 Challenges in Hiring Hygienists (10:10 - 14:00)
There is a shortage of dental hygienists, leading to difficulties in hiring.
Many practices are relying on temporary staffing solutions.
The landscape for dental hygiene training is changing.
⚖️ Impact of Recent ADA Resolutions (14:00 - 18:42)
Recent ADA resolutions allow internationally trained dentists to be licensed as hygienists.
Concerns about the quality of care and the impact on the profession.
The need for dental hygiene schools to expand and adapt to current demands.
💡 Strategies for Hygiene Profitability (18:42 - 29:34)
Practices should evaluate their network participation and consider dropping low-paying plans.
Expanding services beyond basic cleanings is essential for profitability.
Documentation must support claims for periodontal therapy.
📈 Creating a Thriving Hygiene Practice (29:34 - 38:52)
Hygienists should build relationships with patients and conduct thorough evaluations.
Implementing a written standard of care is crucial for consistent practice.
Practicing at the top of their license enhances patient care and practice profitability.
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Join Dr. Mustafa Shah-Khan and co-hosts Dr. Murtuza Shah-Khan and Dr. Richard Offutt as they discuss the evolution of dental education, practice management, and group dentistry with Dr. Sameer Puri. From his pioneering work with CEREC technology to his current role revolutionizing the DSO model at Imagine Dental Partners, Dr. Puri shares insights on building dental communities, achieving work-life balance, and the future of group practice.
👤 Guest Expert Profile
Dr. Sameer Puri brings extensive expertise as:
Chief Clinical Officer at Imagine Dental Partners
Founder of CDOCS, the premier CEREC educational program
Former Vice President of Education at SPEAR Education
Graduate of USC School of Dentistry
AEGD graduate from University of Tennessee
⏱️ Episode Navigation
00:00 - Introduction and background
02:11 - Early career and CEREC journey
05:32 - Transition from practice to education
12:27 - Building dental communities
16:33 - Vision for Imagine Dental Partners
19:35 - Practice growth and partnerships
23:38 - MBA pursuit and continuing education
35:06 - Key takeaways and career lessons
💡 Core Topics & Insights
Educational Leadership JourneyEvolution from clinical practice to CEREC education
Building CDOCS from ground up to 250+ annual workshops
Balancing practice, teaching, and family life
Importance of delegation and team development
Building Dental CommunitiesCreating engaging educational content
Importance of consistent engagement
Leadership commitment to community growth
Value of authentic passion in leadership
Imagine Dental Partners ModelNo private equity funding approach
Focus on long-term practice growth
Partner-owned structure
Emphasis on clinical autonomy
Average 9-10% practice growth
🎯 Key Success Principles
Practice Growth StrategiesInvest in comprehensive support infrastructure
Focus on revenue cycle optimization
Maintain high collection rates (99%)
Support clinical autonomy while providing resources
Leadership PhilosophySurround yourself with smarter people
Plan five years ahead
Take calculated risks
Maintain work-life balance
🤝 Partnership Criteria
Ideal Practice PartnersMinimum five-year commitment horizon
Engagement in practice leadership
Interest in clinical excellence
Cultural alignment with organization
Support Structure120+ support staff for practices
Centralized administrative functions
Investment in future growth
Focus on practice optimization
📈 Future Vision
Organic growth of 20-30 practices annually
Focus on sustainable, long-term development
Commitment to clinical excellence
Investment in partner education and growth
🎓 Educational Philosophy
"Tiger Woods has a swing coach. Greatest golfer in the history of existence has a swing coach. You can always do better. No matter how good you are, you can always do better."
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Topics: dental education, CEREC technology, DSO model, practice management, dental community building, clinical excellence, practice growth, dental partnerships, continuing education, dental leadership
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🎙️ Episode Summary
Join hosts Simplify Dentistry hosts Dr. Mustafa Shah-Khan and Dr. Richard Offutt as they interview Jonathan White, CPA, founder of Jonathan W. White CPA PLLC, a dental-specific accounting firm serving over 300 practices. This episode dives deep into year-end tax planning, practice management strategies, and critical financial decisions dental practitioners face. From equipment purchases to DSO considerations, learn valuable insights for optimizing your practice's financial health.
👤 Featured GuestJonathan White, CPA
Founder and President of Jonathan W. White CPA PLLC
Specializes in dental practice accounting and tax services
Former auditor supervisor at a regional audit firm
Eight years of service in the United States Marine Corps Reserve
Services over 300 dental practices across all specialties
⏱️ Key Timestamps00:01 - Introduction and guest background
01:34 - Q4 planning strategies and importance of accurate numbers
05:21 - Discussion of vehicle expenses and documentation
16:23 - Retirement planning and compensation strategies
31:39 - Equipment purchase considerations and tax implications
41:28 - Technology in accounting and practice management
45:22 - DSO considerations and valuation factors
🎯 Key TakeawaysYear-End Planning
Start Q4 planning early with accurate financial data
Work with your CPA on projections before major purchases
Consider both immediate and long-term tax implications
Equipment Purchases
Understand basis implications before making major purchases
Consider cash vs. financing impact on tax benefits
Plan for long-term payment implications
Practice Management
Staff costs trending around 27% of revenue post-COVID
Hygiene costs significantly increased since pre-COVID
Insurance reimbursement rates affecting profitability
Tax Documentation
Vehicle expenses require detailed mileage logs
Business use must exceed 50% for vehicle deductions
Maintain thorough documentation for all business expenses
DSO Considerations
Best for practices within 2-3 years of retirement
Count only upfront cash in valuations, not rollover equity
Consider lifestyle and long-term financial impacts
💡 Practice Management InsightsStaffing Costs:
Traditional target: 25% of revenue
Current reality: Trending higher due to increased hygiene costs
Post-COVID adjustments needed for profitability
Technology Integration:
Important for both practice and accounting
Modern dashboard reporting systems
Real-time financial tracking capabilities
📊 Financial Planning TipsEquipment Purchases
Consult CPA before major purchases
Understand S-Corp basis implications
Consider cash vs. financing impacts
Family Employment
Document duties and responsibilities
Set reasonable compensation levels
Consider retirement plan implications
Vehicle Expenses
Maintain detailed mileage logs
Track business vs. personal use
Document business purpose for travel
🔍 Practice Valuation ConsiderationsEBITDA Focus
Critical for practice valuation
Important for DSO negotiations
Monitor profitability metrics
DSO Sale Factors
Timing considerations
Upfront cash vs. rollover equity
Working period requirements
📱 Connect & Learn MoreWebsite: Contact Jonathan W. White CPA PLLC for dental-specific accounting services
Join: Simplify Dentistry Facebook community
Register: simplifydds.com for future episodes
Topics: dental accounting, tax planning, practice management, dental finance, DSO valuation, practice profitability, dental business, tax strategy, dental practice management, dental CPA
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🎙️ Episode Summary
Join hosts Dr. Mustafa Shah-Khan, Dr. Richard Offutt, and Dr. Murtuza Shah-Khan as they introduce Simplify Dentistry Podcast - a new platform dedicated to building community among dental professionals. Discover how these experienced dentists aim to break down the isolation of solo practice by bringing valuable insights, expert guests, and practical solutions directly to dental practitioners, all in a casual, judgment-free environment.
⏱️ Timestamps00:00 - Welcome and host introductions
00:09 - Dr. Richard Offutt's background and vision for Simplify
00:59 - Dr. Murtuza Shah-Khan shares his journey to dentistry
02:43 - Dr. Mustafa Shah-Khan's path and perspective on work-life balance
04:21 - Introduction to Simplify Dentistry's mission
05:21 - Addressing real practice challenges
06:05 - Discussion on practice evolution and growth
07:18 - Preview of expert guests and valuable insights
08:33 - Community benefits and free resources
09:59 - Call to action and how to join
🎯 Key TakeawaysCommunity Support: Creating a judgment-free space for dental professionals to connect and share experiences
Practical Solutions: Addressing real-world challenges in operations, staffing, practice management, financial management and clinical techniques
Expert Access: Leveraging decades of experience in the dental space to bring industry leaders' insights directly to practitioners.
Professional Growth: Focus on continuing education and practice evolution
Work-Life Balance: Emphasis on building a successful practice while maintaining a personal life
👥 Meet Your HostsDr. Mustafa Shah-Khan: UNC graduate and practicing dentist focused on work-life balance and community building in dentistry. Experience operating dental group purchasing organization. Bringing clinical, operational and industry experience. A contributing author for Dental Economics and other industry-leading publications.
Dr. Richard Offutt: Davidson College and UNC graduate with specialty training from the University of Pennsylvania. Experience operating dental group purchasing organization, built multi-location specialty practice, experience building a DSO as well as being a dental consultant.
Dr. Murtuza Shah-Khan: UNC graduate and practicing dentist who developed his passion for dentistry through shadowing and hands-on experience. A former researcher, he is active in continuing education and dental volunteering. Owns, and practices in a successful single-doctor practice in Charlotte.
🔍 Featured Discussion TopicsPersonal journeys into dentistry
Solo practice challenges and solutions
Practice management strategies
Continuing education opportunities
Financial success
Work-life balance in dentistry
Community building
Digital dentistry innovations
Clinical success
Landscape of dentistry and current trends
💡 Industry Experts MentionedSameer Puri - Accomplished industry leader. Educator, community builder, and current Chief clinical office of Imagen Dental partners.
Mike Skramstad - Digitial Dentistry educator. Involved in product testing and development in the digital world.
Ryan Molis - Invisalign educator
Meena Barsoum- Cerec training leader
💪 Value PropositionAccess to industry experts
Practical, implementable advice
Peer-to-peer learning opportunities
Case sharing and feedback
Non-judgmental Q&A environment
Regular expert guest appearances
📱 Connect With Simplify DentistryWebsite: https://simplifydds.com/
Facebook Group: Join for case discussions, operational help, real time feedback and community support
Topics: dental community, dental practice management, dental continuing education, dental technology, practice growth, dental podcasts, dental consulting, dental practice solutions, dental professional development, dental industry experts, DSO insights, digital dentistry
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A conversation with Kiera Dent - Founder and CEO of The Dental A-Team 🎙️ Episode Summary
Join hosts Dr. Mustafa Shah-Khan and Dr. Richard Offutt as they interview Kiera Dent, founder and CEO of The Dental A-Team. In this engaging discussion, Kiera shares insights from her journey from the "2AM Crazy Lady" to becoming a leading dental consultant, offering practical strategies for practice growth, team development, and work-life balance. Learn how simple, consistent actions can transform your practice while maintaining personal fulfillment.
👤 Featured GuestKiera Dent
Founder and CEO of The Dental A-Team
National dental consulting firm leader
Host of The Dental A-Team Podcast
Expert in practice growth and team development
Advocate for work-life balance in dentistry
⏱️ Key Timestamps00:00 - Introduction and welcome
01:15 - Current initiatives at The Dental A-Team
04:58 - The "2AM Crazy Lady" story and lessons learned
09:15 - Discussion of life passion vs. dental platform
14:27 - Team development and handling staff challenges
20:08 - Building effective mastermind groups
23:31 - Evolution of business vision
37:43 - When to seek consulting help
40:54 - Implementation of NDTR system
🎯 Key TakeawaysSimple Solutions Work Best
Focus on basic systems like morning huddles
Implement NDTR (Next visit, Date, Time, Recare)
Track key performance indicators
Maintain consistency in execution
Work-Life Balance
Success without fulfillment is failure
Regular breaks increase productivity
Quarterly time off benefits practice growth
Focus on personal development alongside practice growth
Team Development
Standards matter more than staff shortages
Rise up or rise out philosophy
Importance of cultural alignment
Investment in leadership development
Practice Growth Stages
Under $1.5M: Focus on basic systems
$2M-10M: Leadership development crucial
$10M+: Emphasis on consistent training
Different solutions for different practice sizes
💡 Practical Implementation TipsNDTR System
Next visit scheduling
Specific date and time
Treatment plan clarity
Recare appointment confirmation
Morning Huddle Excellence
Review daily opportunities
Set clear goals
Team communication
Track progress
Team Development
Clear performance standards
Regular training
Leadership development
Cultural alignment
📊 Practice Management InsightsSigns You Need Consulting
Cash flow challenges
Team morale issues
Growth plateaus
Leadership gaps
System inefficiencies
Success Indicators
Consistent systems
Team buy-in
Clear communication
Balanced lifestyle
Sustainable growth
🌟 Motivation for ChangePain-Driven Changes
Financial struggles
Team conflicts
Work-life imbalance
System breakdowns
Growth-Driven Changes
Optimization goals
Expansion plans
Leadership development
System refinement
📱 Connect With Kiera DentThe Dental A-Team Consulting
Think Tank Tuesday Mastermind
In-person events starting 2025
Business and leadership development programs
📱Learn MoreJoin: Simplify Dentistry Facebook community
Register: simplifydds.com for future episodes
Topics: dental consulting, practice management, team development, dental systems, practice growth, work-life balance, dental leadership, morning huddle, case acceptance, dental business growth
