Everything You've Ever Wanted to Know About Zirconia (DHP283)
The Very Dental Podcast Network
Release Date: 03/13/2020
The Very Dental Podcast Network
In this throwback episode of the Very Dental Podcast, Alan sits down with his long-time friend and dental school classmate, Dr. Bart Schultz, for a wide-ranging, candid conversation that blends nostalgia with clinical reality. Celebrating their entry into the 50-year-old club, the duo reflects on the evolution of their careers from green, baby-faced associates to seasoned clinicians. They swap unforgettable stories from the trenches, ranging from a "barbaric" old-school practice that recycled extracted teeth as autograft pontics to the historical misuses of Miracle Mix as a permanent...
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Alan discusses the distinct economic realities of general dentistry, focusing on why the industry relies almost exclusively on a traditional flat-fee structure rather than complexity-based or hourly pricing. While individual clinical procedures exist on a vast continuum—ranging from effortless five-minute wins to grueling, unpredictable clinical nightmares—general practitioners routinely charge the exact same fee for both extremes. Alan breaks down how profitability structurally relies on "the averages," where highly efficient, straightforward procedures inevitably subsidize the...
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Alan welcomes Erez Druk, the co-founder of Freed.ai, and returning guest Dr. Giles Damron to explore how artificial intelligence is revolutionized clinical documentation. Giles shares his firsthand experience of using Freed’s AI-scribing software over the last two years to write thorough, accurate, and highly detailed dental notes in a fraction of the time. Erez dives into the heartwarming origin story of Freed—which began as a tool to help his family medicine physician wife fight burnout—and explains how the technology seamlessly filters out dental operatory noise, handles multiple...
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In this throwback episode, Kevin and Zach feature Dr. Chris Salierno talk about the real-world operational realities of implant dentistry. Moving past the textbook "before and after" presentation, Chris shares valuable lessons learned from his early residency clinical errors, examining how aesthetic, functional, and hygienic complications ultimately shape a successful final restoration. The conversation highlights the value of beginning with the end in mind and showcases the practical workflows of the Neoss implant system, demonstrating how a streamlined design and smart component features can...
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Alan gets real about a major pet peeve that’s been festering on his Instagram feed: the rise of the "sobriety influencer." Celebrating over 24 years of clean time himself, Alan breaks down why the highly curated, aesthetic world of online recovery culture—full of sunny morning routines, mocktails, and six-month "experts"—feels completely detached from the gritty, anonymous reality of church basements and smoky bingo halls. He then flips the camera onto the dental world, revealing the exact same "pink cloud" script being run by young, inexperienced dental influencers. From flawless...
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This episode of the Very Dental podcast is actually a terrific throwback to the Dental Hacks days! Step into the time machine as Al and Jason welcome Dr. Steve Ratcliff from the boardrooms overlooking the impressive Spear Education auditorium. This candid conversation delves into Dr. Ratcliff's early days at Spear, his role in developing their revolutionary study club modules, and the philosophy behind "layered learning." But this episode goes far beyond dentistry! Dr. Ratcliff opens up with incredible vulnerability about his past, including his firing from an oral surgery residency due to...
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In this throwback episode from the 2023 Voices of Dentistry summit in Scottsdale, Arizona, Kevin and Zach sit down with "Papa Randy" himself, Dr. Randy Houska. The South Dakota solo practitioner shares his rogue dental journey before diving deep into classic patient myths—including the persistent tale of babies "sucking the calcium" out of a mother's teeth and wisdom teeth causing orthodontic relapse. Plus, Dr. Houska delivers a pro tip on dealing with stubborn upper first molars, prompting a great debate on when to walk away for a hygiene check and when to start sectioning. Join the ...
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Alan kicks off the July 4th holiday week by diving into the psychological relief of "hard endpoints" in dentistry. From the binary satisfaction of an extraction to the gamified progress bar of using disclosing solution during hygiene, he contrasts these clean wins with the existential anxiety of restorative work—like chasing deep caries or dropping crown margins on a difficult second molar. But in a twist of ultimate podcasting irony, the dental gods decide to test his philosophy mid-recording. After literally just cementing a crown on a patient with limited opening, Alan returns to the...
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Alan welcomes Beth Parkes, a clinical dental hygienist and educator from Canada, to break down the evolving world of hygiene instrumentation. Beth challenges the common "ultrasonics-to-completion" mindset, advocating instead for a balanced marriage of 80% power scaling and 20% intricate hand instrumentation for optimal tactile feedback. The duo dives into the resurgence of guided biofilm visualization, the absolute game-changer that is the "Vision Butler" (hilariously rebranded as Spandex Advanced in the US) lip and cheek retractor, and the critical metallurgical differences between...
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This throwback episode from 2023 features Dr. Meylinda Meredith. Zach and Kevin welcome back special guest Meylinda, as they kick things off with some hilariously relatable (and occasionally creepy) bad neighbor stories. The conversation then shifts to the front lines of dental education, diving into the post-COVID realities of dental school, the controversial shift to pass/fail and typodont-based board exams, skyrocketing tuition costs, and the critical decline of clinical "reps" for incoming graduates. Some links from the show: Join the using one of these passwords:...
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Zirconia is widely used. Many love it, some hate it. But there aren't many people that know more about it than the one and only Dr. Mike DiTolla! Mike joins Jason and Alan to answer questions from the Dental Hacks Nation about all things zirconia! Some topics we cover:
- Mike's shoulder surgery experience and why you shouldn't feel too bad about missing a block again.
- How Mike invented zirconia (Al's word, not his)
- Is zirconia too strong?
- Can you bond zirconia? And how does that work?
- How does the lab approach zirconia (e.g.--die space, etc.)
- 30 micron margins! Crown margins = really narrow class V restoration
- Best ways to adjust zirconia (water on, very fine diamond)
- Mike and Josh Austin's AMAZING performances at VoD 2020!
- What is zirconia's Kryptonite and why do we have to clean zirconia before cementing/bonding?
- Best way to open an access/drill a hold into a zirconia crown and how to repair
- Blended zirconia materials
- Will zirconia eventually take over?
- Cementing vs. bonding
- The Lipscomb Scale of how much it sucks to remove zirconia crowns
- How to get some free polishing and cementing tools from Ivoclar-Vivadent
Some links from the show:
Glidewell Laboratory
Optragloss Universal polishers
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Organization is so important in all facets of your dental office. You have systems for your front desk. But what about systems for how you handle your clinical set ups? There are a ton of systems for organizing instruments, but our friends at Zirc make it easy for you to pick what’s exactly right for you! Zirc has a process that they call ZOBE. That stands for Zirc’s Organizational Box of Efficiency. They send a big box full of their different instrument organization options to YOUR OFFICE. You get to try it all out. Snap the tops on the tubs. Put cassettes in your own sterilizer. Try out YOUR instruments in whatever cassette you like! Plus, Zirc sets you up with your own organizational expert to help you determine what’s right for you. Also, if you do a ZOBE consultation by April 17, 2020...you’ll be in the running for a $300 Amazon gift card! Find out more at dentalhacks.com/ZOBE!
Happy St. Hacky's Day! YAPI is celebrating this grand holiday with an iPad giveaway! All you have to do is head over to the Dental Hacks Nation and "like" or comment on the thread featuring the adorable YAPI puppy in his St. Patrick's Day finest! Everyone knows that YAPI are the paperless people and they want to help you get paperless with this amazing iPad giveaway! Go check it out on the Dental Hacks Nation!
Go Hack Yourself
Jason: Mevo Start streaming camera
Alan: Woebot.io
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