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What is a DSO? (DHP280)

The Very Dental Podcast Network

Release Date: 02/21/2020

Very Clinical: Stepping Away with Dr. Frank Clayton show art Very Clinical: Stepping Away with Dr. Frank Clayton

The Very Dental Podcast Network

This episode features hosts Zach and Kevin, who welcome returning guest Dr. Frank Clayton to discuss the psychology and process of retiring from dentistry. Dr. Frank Clayton, who sold his practice and fully exited clinical work in July 2023, shares his insightful journey and the various phases of retirement he's experienced, including the "honeymoon phase." Kevin, who recently sold his practice in August and is now navigating the associate phase, offers his perspective on the initial mental shifts of stepping away from ownership. The hosts and Frank delve into the factors that drive the...

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AME: Entropy and Reading Directions show art AME: Entropy and Reading Directions

The Very Dental Podcast Network

Alan reflects on his recent return to the Bioclear Learning Center, an experience that served as a powerful system reset for his restorative dentistry. He connects the challenge of maintaining new techniques in the dental office to the physics concept of entropy—the natural tendency of a system toward disorder. Alan explains that his initial failure to fully implement the prescriptive Bioclear system (including key steps like "bioblasting") was due to the energy required to fight against this entropy, often manifesting as personal laziness or team resistance to change. He stresses that...

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Very Dental: An Evening with Dr. Lance Timmerman show art Very Dental: An Evening with Dr. Lance Timmerman

The Very Dental Podcast Network

This episode features host Dr. Alan Mead sitting down with his friend, Dr. Lance Timmerman, in the artsy Hotel Murano lobby in Tacoma, Washington, while Dr. Mead is attending a four-day Bioclear core certification course. The conversation flows between the excellence of the Bioclear hands-on CE curriculum and the company's continuous innovation in dental matrices (like the redesigned twin ring). Dr. Mead and Dr. Timmerman also share humorous and insightful anecdotes from their dental school days, discussing the crushing weight of modern student debt, the challenges of implementing new CE...

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Very Clinical: Tissue Issues: Grafting and Recession show art Very Clinical: Tissue Issues: Grafting and Recession

The Very Dental Podcast Network

Hosts Zach and Kevin put the sports talk (mostly) aside to dive deep into a critical area of everyday dentistry: various scenarios involving soft and hard tissue grafting and the management of periodontal recession. They discuss how to handle common cases like recession in post-ortho teens (especially on the lower anterior teeth) and the different approaches for the challenging chewing tobacco patient. Zach and Kevin share their experience with generalized recession, debating when to refer for a graft—often noting that patient concern over esthetics or sensitivity drives the decision more...

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AME: Recommendation Engine--Tacoma Edition show art AME: Recommendation Engine--Tacoma Edition

The Very Dental Podcast Network

Alan records from his hotel in Tacoma, Washington, after finishing day three of a four-day Bioclear anterior and posterior certification course. Despite the dark and rainy November weather in Tacoma, Alan shares his enthusiastically positive experience at the Bioclear Learning Center, highlighting the high quality of the instruction and hands-on training. He then offers a "recommendation engine" based on his trip, covering a specific Bioclear product, a movie he watched on the flight, an airport security service, a local restaurant, and a final endorsement of the learning center itself....

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Very Dental: Dr. Tim Anderson has the Midas Touch show art Very Dental: Dr. Tim Anderson has the Midas Touch

The Very Dental Podcast Network

Alan sits down once more with Dr. Tim Anderson to dive deep into the rapidly evolving landscape of digital dentistry. The episode begins with a hilarious, relatable discussion about the terrors of crashing recording software and the potential (and pitfalls) of AI, touching on everything from homework help to its role in revolutionizing clinical notes and reading X-rays. The conversation quickly pivots to Dr. Anderson's journey from engineering and architecture interests to his passion for the dental lab and in-house manufacturing, fueled by his residency and the purchase of a CEREC system. He...

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Very Clinical: Pickleball and Perio show art Very Clinical: Pickleball and Perio

The Very Dental Podcast Network

Zach and Kevin kick off this episode by catching up and discussing a shared, recent hobby: pickleball. They share their experiences, the learning curve, and their thoughts on why the sport has become so popular, acknowledging its accessibility compared to tennis. The conversation then shifts to a dental topic: periodontal disease. They reflect on the emphasis of perio in dental school and discuss their personal criteria for treating scaling and root planning cases in-office versus when to refer to a periodontist. Key referral points include cases with sudden, isolated deep pockets,...

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AME: Intentional Culture show art AME: Intentional Culture

The Very Dental Podcast Network

Alan gets candid about the concept of intentional culture, reflecting on his own experience taking over a dental practice where the culture was largely unintentional. He explains how he inherited a laid-back, reparative-dentistry-focused office, a product of the previous owner's lax style and the robust GM insurance benefits of the time. Alan admits that while his practice's culture has been adequate, making changes now is incredibly difficult because the unintentional status quo is deeply ingrained. He argues that new owners or startups have a massive advantage in establishing an intentional...

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Very Dental: Confessions of a CE Junkie with Dr. Lance Timmerman show art Very Dental: Confessions of a CE Junkie with Dr. Lance Timmerman

The Very Dental Podcast Network

Alan welcomes his first-ever podcast guest, Dr. Lance Timmerman, back to the show for a candid look at the life of a "CE Junkie." Lance shares his extensive, and often scattershot, journey through continuing education—from early courses in sleep apnea and Botox to implants and orthodontics—and the key lesson learned: it's hard to dabble in specialty procedures. The discussion evolves into a broader reflection on how dentistry has changed, especially for new dentists facing massive student debt. Ultimately, Lance describes his successful transition to a semi-retired, three-day-a-week...

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Very Clinical: More Value, Less Grind with Dr. Sully Sullivan show art Very Clinical: More Value, Less Grind with Dr. Sully Sullivan

The Very Dental Podcast Network

This throwback episode of the Very Clinical Podcast features hosts Kevin and Zach welcoming back Dr. Sully Sullivan to discuss his involvement with 3D Dentists. Sully details the Mastermind program, which focuses on business strategy for successful dentists, advocating for a shift toward comprehensive diagnosis and "fewer, well-planned visits" through the foundational use of full DSLR photography. He then describes the Digital Implant Continuum, highlighting its unique, all-encompassing curriculum that teaches everything from extraction and grafting to guided implant placement and restoration...

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More Episodes

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

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

Some links from the show:

Dykema DSO conference (use coupon code: VOD2020 for a discount), July 15-17th at the Omni Hotel in Dallas.

Dykema's website

The Dental Hacks Nation closed Facebook group has 28,000 members! Head over there to interact with other Dental Hacks listeners, guests and Brain Trust members every day, all day! Remember…if you don’t have anything “dental” on your FB page, we might decline your membership request. So IM the group or email us at info@dentalhacks.com!

Our friends at Cosmedent are offering a course by Dr. Rhodri Thomas called “The Art of Resin.” It’s this coming May 14th and 15th at the Cosmedent Center for Esthetic Excellence in Chicago overlooking Michigan avenue! Rhodri is a dentist and artist who has an interesting take on resin and cosmetic dentistry. Rhodri will demonstrate step-by-step simple and complex Class IVs,  a direct resin veneer, how to mask a discolored tooth and the steps for mastering finishing and polishing. You will be able to practice all the exercises live with Dr. Thomas and gain invaluable feedback as you work. There will also be pre-recorded instructional videos of each stage to ensure everyone is supported regardless of clinical speed. Go check it out at dentalhacks.com/Rhodri!

Are you in one of those offices where the system for team communication consists of “yelling down the hallway?” Come on guys, that’s so late 90’s. It’s time for you to get up to speed and get your team on the same page! Our friends at YAPI have figured intra office communications out! YAPI understands that a team that communicates is a team that’s happy and productive! Check out YAPI’s intra office messaging and all of the other great features YAPI has to offer at dentalhacks.com/YAPI. YAPI. It’s a funny name, but it’s serious software!

OK CAD/CAMmers...I want you to imagine a workspace so clean and organized that you won’t even recognize your operatory. Our friends at Zirc are really good at organization. And they really GET you CAD/CAMmers. They have a new product out called the Block Organizer. It’s like the adorable little brother of their amazing block lockers and it’s meant to help organize your CAD/CAM blocks in a drawer or on a desktop. It keeps your blocks right at your fingertips and Zirc offers you a bunch of different labelling options at zirc.com/labels.The coolest thing about the Block Organizer is how it was created to fit within existing cabinets! You won’t need to change anything in your workflow except the extra time that you’ll save! Check them out at dentalhacks.com/blockorganizer and be sure to use coupon code: DHBlock on their website for a special buy 3, get one free deal!

Go Hack Yourself

Jason: The Toys That Made Us

Alan: NSK Forza M5

If you have any questions or comments for us please drop us an email at info@dentalhacks.com or find us (and like us!) at www.facebook.com/dentalhacks. Or, if you prefer…give us a call at (866) 223-5257 and leave us a message. You might be played in the show! If you like us, why not leave us a review on iTunes? It helps us get found by like minded people and might even help us get into “What’s Hot” in the iTunes store! Go to this link and let the world know about the Dental Hacks! Finally, if you aren’t an Apple person, consider reviewing us on Stitcher at: stitcher.com/podcast/the-dentalhacks-podcast!

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