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Everything You've Ever Wanted to Know About Zirconia (DHP283)

The Very Dental Podcast Network

Release Date: 03/13/2020

Very Clinical: Very Rock and Roll, part 1 show art Very Clinical: Very Rock and Roll, part 1

The Very Dental Podcast Network

In this special, off-topic feature of the Very Clinical Podcast, hosts Zach and Kevin trade dental bonding agent chat for guitars and grit. They welcome Alan to kick off a multi-part series on the cultural endurance of rock and roll music. Inspired by Alan’s recent trip to the Rock and Roll Hall of Fame, the trio dives deep into Kevin's theory of the "grocery store enigma"—the bizarre phenomenon of why 50-year-old classic rock from the 60s, 70s, and 80s still completely dominates grocery stores, dental offices, and sports stadiums today. The guys debate the historical shifts in music...

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AME: Pain Tolerance vs. Profound Anesthesia and Other Clinical Nightmares show art AME: Pain Tolerance vs. Profound Anesthesia and Other Clinical Nightmares

The Very Dental Podcast Network

Alan dives into the clinical and psychological mysteries of pain tolerance and the supreme value of profound anesthesia. Alan opens up about a humbling experience with a phobic patient who simply wouldn't go numb, his deep love for his trusty Septodont Perject "pencil" syringe, and why he fiercely stands by Itena DentoTemp for zero-failure provisionals. Wrap it all up with a passionate, unfiltered defense of the proud "regular ass dentist" in a world obsessed with full-arch overhauls, and you've got a classic, relatable session in the basement studio. Some links from the show: Join the ...

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Very Dental: Transparency vs. Tradition and the New Rules of Dental Supplies with George Khoury show art Very Dental: Transparency vs. Tradition and the New Rules of Dental Supplies with George Khoury

The Very Dental Podcast Network

Alan sits down with George Khoury, VP of Enterprise Sales at Net32, to discuss the evolution of the dental supply industry. Drawing on his 30-year career—spanning the early days of digital X-rays at Schick to nearly two decades at Henry Schein—George provides a candid look at why the traditional "high-touch" sales rep model is facing significant pressure. They explore how Net32 functions as a transparent marketplace, empowering independent "mom and pop" practices to access the same pricing advantages and catalog variety as large DSOs. The conversation highlights the shift toward...

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AME Redux: Joint Ventures and the Prophylaxis Problem show art AME Redux: Joint Ventures and the Prophylaxis Problem

The Very Dental Podcast Network

In this throwback episode from 2023 Alan revisits a long-standing "chip on his shoulder": the persistent and often unscientific demand for antibiotic premedication in joint replacement patients. Sparked by his own wife’s hip surgery, Alan dives into the disconnect between evidence-based ADA/AAOS guidelines and the "premedicate for life" culture maintained by many orthopedic surgeons. With his signature wit and candid frustration, he explores the risks of antibiotic resistance, the myth of dental-induced bacteremia, and the awkward "middle man" position patients are forced into when dental...

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AME: Caries Anonymous show art AME: Caries Anonymous

The Very Dental Podcast Network

Alan recovers from a Mother’s Day brunch—feeling a bit like a boa constrictor that swallowed a goat—to discuss a profound connection between the worlds of 12-step recovery and clinical dentistry. Drawing on his 24 years of recovery, Alan explores the "spiritual principles" of honesty, open-mindedness, and willingness, and how they apply to patients struggling with rampant tooth decay. He shares a refreshing story of a patient who, instead of blaming "soft teeth" or genetics for runaway caries, took total ownership of his Mountain Dew habit. From the isolation caused by social media to...

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Very Dental: Very Dental: "I Hate Dentists"

The Very Dental Podcast Network

In this special compilation episode of the Very Dental Podcast, Alan explores one of the most universal and uniquely blunt experiences in the profession: the "I hate dentists" phenomenon. Recorded live at the 2026 Voices of Dentistry meeting in Arizona, this episode features a wide-ranging roundtable of perspectives from doctors Eric Applesies, Alex Kantor, Paul Etchison, Tiana Hall, Abe Hoellrich, Mitch Hopkins, Matt Standridge, and Russell Schafer. From comparisons to auto repair and Starbucks to the psychological weight of performing "awake surgery" and navigating societal double standards,...

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VC: The Changing of Very Clinical Minds show art VC: The Changing of Very Clinical Minds

The Very Dental Podcast Network

This throwback episode from May 2024 brings together Zach, Kevin and Al for a candid look at how their clinical philosophies have evolved over decades of practice. From the baseball diamonds of the Midwest to the operatory, the guys dive into the "then vs. now" of daily dentistry. They tackle the shift from buried subgingival margins to biology-first placement, the transition from "last resort" handpiece extractions to proactive sectioning, and how digital workflows have turned "hail Mary" saves into predictable, high-level care. It’s a deep dive into the materials, tech, and hard-earned...

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AME: The Evolution of Online Reviews show art AME: The Evolution of Online Reviews

The Very Dental Podcast Network

Alan explores the shifting landscape of digital reputation, from the "gold rush" era of 2018 to the current state of consumer skepticism and review fatigue. He dives into how online feedback has largely replaced traditional SEO and Yellow Pages for dental marketing, specifically through its influence on the Google "three-pack." He balances his perspective as a practice owner—noting how automated systems like Podium drive high call volumes—against his skepticism as a consumer, highlighting how the system can be gamed through professional reviewers and paid removal services. The episode...

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Group Function: Reflecting on Efficiency with Kate and Brian from Zirc show art Group Function: Reflecting on Efficiency with Kate and Brian from Zirc

The Very Dental Podcast Network

Recorded live at the Chicago Midwinter Meeting,Alan is joined by Kate Reinert and Brian Shoberg from Zirc Dental Products to the podcast lounge. The trio discusses the evolving landscape of dental trade shows in the digital age and the enduring value of hands-on continuing education. Brian and Kate introduce Zirc's latest innovation: a double-sided, one-piece soft grip mirror designed to improve visualization, ergonomics, and dental assistant workflow. Kate delves into her specialty of dental office organization and efficiency, sharing "origin stories" from her days as an assistant and...

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AME Redux: Mental Hygiene and the Outrage Machine with Dr. Dawn Grimes show art AME Redux: Mental Hygiene and the Outrage Machine with Dr. Dawn Grimes

The Very Dental Podcast Network

In this throwback episode Alan and Dr. Dawn Grimes explore the unexpected parallels between physical and mental decluttering. Starting with the simple, visceral satisfaction of a "dump run," the conversation pivots to the "self-administered poison" of modern media. Alan shares his recent transition to a three-day clinical work week and the surprising discovery that has changed his morning routine: the silent commute. By trading outrage-driven podcasts for quiet reflection, he discusses how to combat the "morning scaries" and set a more intentional tone for the day. From the psychology of...

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More Episodes

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

ContacEZ 

Zir-Cut Burs

Microcopy VF finishers

Ceramir cement

Ivoclean

SpeedCEM Plus

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!

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

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!

If you would like to support the podcast you can check out our Patreon page! Although the show will always remain free to download, our Patreon supporters get access to special bonus content including (at least) one extra podcast episode every months! Also be sure to check out the Dental Hacks swag store where you can find t-shirts, stickers coffee mugs and all sorts of other things that let the world know you’re a part of the Hacks Nation.