loader from loading.io

Very Dental: The GI-normous Benefits of Glass Ionomer with Dr. Zach Meiners

The Very Dental Podcast Network

Release Date: 10/03/2025

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...

info_outline
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...

info_outline
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...

info_outline
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...

info_outline
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....

info_outline
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...

info_outline
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,...

info_outline
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...

info_outline
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...

info_outline
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...

info_outline
 
More Episodes

Alan welcomes Dr. Zach Meiners, co-host of the Very Clinical podcast and restorative dentist extraordinaire, back to the Very Dental podcast. They dive deep into their shared passion for glass ionomer (GI) restorative materials. Sparked by Alan's recent solo episode on using glass ionomer for groove restorations the guys talk GI in depth. 


Key Takeaways

  • Glass Ionomer (GI) as a Primary Restorative: Both doctors advocate for GI (like Fuji 9 or Equia) as a legitimate, permanent restorative material for specific classes of restorations, moving past its traditional use as only a provisional or base.

  • Ideal Clinical Applications: GI is highly effective for:

    • Class I, III, and V restorations, particularly on posterior teeth where aesthetics are less critical.

    • Geriatric and Pediatric patients due to its forgiving nature, minimal technique sensitivity, and fluoride release.

    • Core Build-ups: Zach considers it his main build-up material, noting its reliable adhesion and stability against being pulled out by temporary crowns.

    • Crown Margin Repairs.

  • Material Benefits: GI offers several advantages over traditional resin or amalgam:

    • No Post-Operative Sensitivity and Minimal Shrinkage.

    • Forgiving Technique in less-than-ideal isolation situations, sticking particularly well to dentin.

    • Continued Hardening for months after the initial set, leading to excellent longevity and a surprisingly low failure rate.

  • Efficiency and Cost: While the initial cost of GI is relatively high, the efficiency gained from eliminating the need for separate etching and bonding steps (using only a cavity conditioner provided in the kit) and the speed of placement makes it a cost-effective choice in terms of time and materials.

  • Placement and Setting:

    • Placement Technique: For occlusal restorations (like in grooves), Alan recommends over-squirting the material and using a moist, gloved finger to push it into the grooves, or using an anti-stick agent like Stick Free for metal instruments.

    • Accelerating Set: Though not a light-cure material, applying the curing light can accelerate the chemical setting reaction via heat, cutting the two-and-a-half-minute set time down to about 90 seconds.

  • The GI "Dream": The doctors agree that a future GI material with the strength to reliably handle Class II restorations would revolutionize the entire direct restorative market, given GI's unique benefits.


 Some links from the show: