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What is a DSO? (DHP280)

The Very Dental Podcast Network

Release Date: 02/21/2020

Very Clinical: Pain Prevention for Dentists with Dr. Jessica Merhar show art Very Clinical: Pain Prevention for Dentists with Dr. Jessica Merhar

The Very Dental Podcast Network

Dentists are prone to neck and back pain. It comes with the job. But are there things you can do! Kevin and Zach bring on Dr. Jessica Merhar, a physical therapist trained in the McKenzie Method!  Oof...repetitive movements Prevention is key...movement and balance Increased stiffness/soreness happens before injury Directional preference and patient response Each patient will have a specific preference of balancing movement! Our body likes a neutral spine Some links from the show: Become a member of the   Join the  using the password "Timmerman," Hornbrook," McWethy," "Papa...

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AME: Burnout in Dentistry show art AME: Burnout in Dentistry

The Very Dental Podcast Network

Recently I got a terrific query from a dental student. I decided to put it in the Very Dental Facebook group for discussion and here are some of the answers we got! "For my final in our program I’m doing an academic enquiry/ presentation on high rates of burnout in dentistry. As a dentist have you ever felt burned out? If so what did you do to overcome it? If you haven’t, why do you think that is? If you were to give advice to young students/dentists on how to manage a career in dentistry and to avoid burnout what would it be." One answer worth highlighting was from Dr. Deanna Snitzer: 1)...

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Very Dental: Embracing the Airway with Dr. Marianna Evans show art Very Dental: Embracing the Airway with Dr. Marianna Evans

The Very Dental Podcast Network

Today's throwback episode features Dr. Marianna Evans! Al spoke with her at the Spear Summit back in 2022 and her message was so good, you should hear it again!  Marianna Evans is a dual specialty trained (perio/ortho) dentist who practices outside of Philadelphia! Marianna presented on the main stage at the 2022 Spear Summit on diagnosing and identifying the hypoplastic maxilla. Marianna's practice has a strong focus on treating the airway in children and they had a wide ranging conversation about airway, early orthodontic intervention and the "why" of airway developmental...

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Very Clinical: Disgusting Teenage Mouths show art Very Clinical: Disgusting Teenage Mouths

The Very Dental Podcast Network

This throwback episode features a guest spot by Dr. Alan Mead.  Once again Kevin and Zach are joined by Alan Mead to talk about the struggles (and triumphs?) that come along with the dental treatment of teenagers! Fear not, loyal listener! This episode is a little bit more upbeat and optimistic than last week! Some links from the show: Become a member of the   Join the  using the password "Timmerman," Hornbrook," McWethy," "Papa Randy" or "Lipscomb." The Very Dental Podcast network is and will remain free to download. If you’d like to support the shows you love at Very Dental...

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Very Dental Student: Going All In on Ownership with Dr. David Rice show art Very Dental Student: Going All In on Ownership with Dr. David Rice

The Very Dental Podcast Network

Mohammed is joined by the one and only Dr. David Rice! These two dive in HARD talking about dental practice ownership.  David's history of bad associateship, good associateships and buying in Going all in on ownership Acquisition vs. startup How does IgniteDDS work? The 90 Day Jumpstart and mentorship David's complete care journey Integrating your continuing education Location, location, location Become the dentist to the dentists Have everything in writing, but build a relationship with those that you work with Advice for dental students in school you don't have as much time as you...

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Very Dental: DSO 2.0 with Brannon Moncrief show art Very Dental: DSO 2.0 with Brannon Moncrief

The Very Dental Podcast Network

Alan is joined by Brannon Moncrief of McLerran and Associates to talk about practice sales/purchases and transitions of all types.  The difference between dentists and other business owners The traditional way of practice ownership vs. now How student loan debt has changed ownership trajectory How are banks feeling about loaning money to dentists? Younger dentists need to buy bigger practices (?) How private equity changes things...valuation on EBITA vs. straight revenue How DSOs have changed in the last 10 years DSOs now work "behind the veil." The doctors are now part of the...

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Very Clinical: WWVCD? show art Very Clinical: WWVCD?

The Very Dental Podcast Network

Kevin and Zach welcome Al back on the show for a rousing round of "What Would You Do?" After the boys revel in the finale of "Curb Your Enthusiasm" we got down to business. What do you want patients to refer to you as? Does it bother you if they call you by your first name? Why do we always assume stuff is our fault? Do physicians do this? Who is your dentist? What does "reprepping" an existing crown look like in your office? How do you remove old crowns? Become a member of the   Join the  using the password "Timmerman," Hornbrook," McWethy," "Papa Randy" or "Lipscomb." The Very...

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AME: The AME: The "Shoulds"

The Very Dental Podcast Network

A little rant on should vs. could and social media. Some links from the show: Join the  using the password "Timmerman," Hornbrook" or "McWethy," "Papa Randy" or "Lipscomb!" The Very Dental Podcast network is and will remain free to download. If you’d like to support the shows you love at Very Dental then show a little love to the people that support us! -- Crazy Dental has everything you need from cotton rolls to equipment and everything in between and the best prices you’ll find anywhere! If you head over to and use coupon code “VERYDENTAL10” you’ll get another 10% off your...

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Group Function: Is Guided Biofilm Therapy the Future? show art Group Function: Is Guided Biofilm Therapy the Future?

The Very Dental Podcast Network

How well are we doing for our recall patients? How can we do better? Today Alan is joined by Melissa Obrotka and Dr. Ryan Martz to do a deep dive into the the new science and technology of biofilm therapy! What is it? How does it work and what can it do for your practice? Can this technology change the culture in your office? Can it really make patients more healthy? Today's guests say "YES!" Some links from the show: Join the  using the password "Timmerman," Hornbrook" or "McWethy," "Papa Randy" or "Lipscomb!" The Very Dental Podcast network is and will remain free to download. If...

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Very Clinical: A Very Clinical Recommendation Engine! show art Very Clinical: A Very Clinical Recommendation Engine!

The Very Dental Podcast Network

Zach and Kevin were joined by Al for a rousing recommendation engine episode! After some hot eclipse talk the fellas recommend a dental thing, a nondental thing and a podcast. We hope you love our recommendations! Some links from the show: Kevin's recommendations The Restaurant Club (TRC) Zach's recommendations ("man, that stuff sticks.") Al's recommendations Become a member of the   Join the  using the password "Timmerman," Hornbrook," McWethy," "Papa Randy" or "Lipscomb." The Very Dental Podcast network is and will remain free to download. If you’d like to...

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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 [email protected]!

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 [email protected] 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.