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Very Clinical: The End of the Line (aka: Terminal Dentition)

The Very Dental Podcast Network

Release Date: 08/20/2024

Very Dental Student: Real Life Dentistry with Dr. Alan Mead show art Very Dental Student: Real Life Dentistry with Dr. Alan Mead

The Very Dental Podcast Network

As a 3rd year dental student, Mohammed wonders if the protocols that he's learning in dental school are applicable to real life. He sat down to interview Alan Mead about "real life dentistry."  Bonding protocols in real life Etching vs. self etch Alcohol vs. acetone based bonding agents Composite wedging and matrices Heated composite and "snowplow" Indirect workflow and lab communication Diagnosing cracked teeth/cracked tooth syndrome How do you know when a tooth is unrestorable? Some links from the show: and Join the  using the password "Timmerman," Hornbrook"...

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Very Dental: Learning to Like Dentistry with Dr. Melissa Seibert show art Very Dental: Learning to Like Dentistry with Dr. Melissa Seibert

The Very Dental Podcast Network

Alan is joined by Dr. Melissa Seibert: a podcaster, educator and clinical dentist extraordinaire! Our conversation covered a lot of ground! Podcasting talk between podcasters Melissa's take on how to read and find literature On research and the desk drawer bias Melissa's origin story How well does dental school prepare us? How Melissa became an educator Knowing your reason why you're doing it What is burnout and what can help with burnout? Is burnout transient or chronic and long term? Podcasting at meetings...go to the Chicago Midwinter! Time becomes precious...travel time is limited when...

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Very Clinical: 8 Columns of Hygiene* with Dr. Lance Timmerman show art Very Clinical: 8 Columns of Hygiene* with Dr. Lance Timmerman

The Very Dental Podcast Network

*not Dr. Lance Timmerman joins Kevin and Zach again, this time to talk about what he's changed his mind about business. It turns out that Lance isn't fond of a giant, hygiene-centric practice. After COVID he found that dental hygiene barely covered its own overhead and he definitely didn't enjoy it. 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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AME: The Generalist's Curse show art AME: The Generalist's Curse

The Very Dental Podcast Network

Al riff's on a listener's suggestion. The listener suggested that specialists seem to get very gentle treatment and reviews on social media platforms, but somehow whenever general dentists or pediatric dentists come up, people seem to lose their minds. Why is the image of generalists so much worse than specialists? Some links from the show: (enter at your own risk!) 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...

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Group Function: Closing the Loop with Michael Anderson and Laura Maly show art Group Function: Closing the Loop with Michael Anderson and Laura Maly

The Very Dental Podcast Network

What does it mean when a patient tells you that "I found you from the internet?" Well, practically nothing. Did they see your website? Did they read a review? Did they see a social media post? Unless your front desk is REALLY good at figuring this stuff out, you may not be able to tell where your marketing is really working and where it might be missing. Michael Anderson and Laura Maly of the Wonderist Agency join Alan to talk about this problem and a solution that they will be rolling out. What if you could automatically connect your marketing result and your practice management software to...

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Very Clinical: Changing Dr. Lance Timmerman's Mind About Heroic Dentistry show art Very Clinical: Changing Dr. Lance Timmerman's Mind About Heroic Dentistry

The Very Dental Podcast Network

Dr. Lance Timmerman joins Kevin and Zach to talk about things we've changed our minds about. Today's episode continues the series for Zach and Kevin where they talk to some experienced dentists about what things they've changed their mind about over the years. Today's episode features a discussion with Lance about heroic dentistry. Lance does significantly LESS heroic dentistry. Today's episode includes a great description of the "tipping point" about terminal dentition that includes newer technlogies like All on 4 as well as age and health considerations. Become a member of the   Join...

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AME: They're All Around Us show art AME: They're All Around Us

The Very Dental Podcast Network

Social media tells the story of influencers that are killing it while living their best lives. But here in the real world, some people are living in crises. There are people suffering with mental health issues all around us and it's not always obvious who is.  Al received a couple of pretty scary anonymous letters that tell a story of mental illness and anger at the dental industry that's worth thinking about.    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 Dental: Meeting the Patient Where They Are with Dr. Mike Melkers show art Very Dental: Meeting the Patient Where They Are with Dr. Mike Melkers

The Very Dental Podcast Network

Alan welcomes back Dr. Mike Melkers for a wide ranging conversation. Mike and Al go WAY back (DentalTown in the "oughts" anyone?) and we catch up a little bit. Al was affected by a video Mike recorded earlier this year contrasting "comprehensive" care vs. "appropriate" care.  What is comprehensive care? What is appropriate care? Mike is the guy to help us understand appropriate care for the dentist and the patient. Meet the patient where they are, for what their goals are The shame of not doing all FMR's Do patients have "goals?" Values vs. ethics Think about the "why?" ...

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Very Clinical: Caries Removal Concepts and Controversies! show art Very Clinical: Caries Removal Concepts and Controversies!

The Very Dental Podcast Network

Today is a throwback episode featuring Kevin, Zach and Al talking about how they've evolved on caries removal. It's a classic and I hope you enjoy it! Original show notes:  Dr. Alan Mead of the DentalHacks podcast was gracious enough to join us again this week. And we start off with old school internet videos: Bonus:       Then we got into some hot caries removal talk. What burs do you use? To dye, or not to dye? Do you "leave" any caries? Why or why not? Caries removal is a divisive topic. Did we get it right? Wrong? Let us know in the Very Clinical Facebook...

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AME: Unsustainable show art AME: Unsustainable

The Very Dental Podcast Network

"Horse people are nuts. They're all crazy." --Al Al spins a tale of an industry that is self immolating right in front of him.  Nope. It's not dentistry. Not yet. It's horse boarding. 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...

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More Episodes

Today's throwback episode features a discussion on when to throw in the towel. Keep restoring or moving to a different kind of plan is a big deal these days. The guys have thoughts.

Also...the baseball talk is 3 years out of date. FYI.

Previous show notes:

We open with a full 11 minutes on baseball so if you just want the dental chat, start the podcast a few minutes in.  

This week we have a short chat on terminal dentition.

What is terminal dentition?  How hard is it to make that call?

Is it harder to make that call when you’ve seen the patient for 10+ years then a new patient?

When do you quit restoring?

What clinical criteria vs. patients health vs. financial considerations go into the decision?

How is your comfort level with dentures, extractions, pre-prosthetic surgery, etc?  Does that factor into your personal choice of whether to recommend dentures vs restorations.

Please join the Very Clinical Facebook group to discuss this episode and much much more!