Dental Digest Podcast with Dr. Melissa Seibert

Épisodes

• Can SDF Be Used Instead of Sealants? with Dr. Peter Milgrom 08.06.2026 30min

  Elevated GP - Click here to join Elevated.GP Follow @dr.melissa_seibert on Instagram Dr. Peter Milgrom is Professor of Oral Health Sciences and Pediatric Dentistry in the School of Dentistry and adjunct Professor of Health Services in the School of Public Health at the University of Washington. He directs the Northwest Center to Reduce Oral Health Disparities. He holds academic appointments at Case Western University, University of Rochester, and University of California, San Francisco. He maintains a dental practice limited to the care of fearful patients and served as Director of the UW Dental Fears Research Clinic. Dr. Milgrom's work includes research on xylitol, the effectiveness of fluoride varnish and iodine in preschoolers, clinical efficacy and safety of diammine silver fluoride, motivational strategies to increase perinatal and well child dental visits in rural communities, and studies of cognitive interventions in pediatric and adult dental fear. The NIH, Maternal and Child Health Bureau, HRSA, and the Robert Wood Johnson Foundation support his work. Dr. Milgrom is author of 5 books and over 300 scientific articles. His latest book, Treating Fearful Dental Patients, was published in 2009.   Dr. Milgrom was Distinguished Dental Behavioral Scientist of the International Association for Dental Research for 1999. In 1999, and again in 2000, his work was recognized by the Giddon Award for research in the behavioral sciences in Dentistry. He received the Barrows Milk Award from IADR in 2000, recognizing his work for public health including the development of the Access to Baby and Child Dentistry (ABCD) program in Washington State. In 2003, Dr. Milgrom received a Special Commendation Award from the National Legal Aid and Defenders Association and the University of Washington Medical Center Martin Luther King, Jr. Community Service Award. In 2010, he received the Aubrey Sheiham Research Award for his work on xylitol. He serves on scientific review committees for the NIDCR, NIMHHD, NINDS, Center for Scientific Review at NIH and as a consultant to the FDA. In 2005, Dr. Milgrom was appointed the SAAD Visiting Professor of Pain and Anxiety Control at the King's College Dental Institute, University of London, UK for a six-year term. In 2008 he was awarded the degree of Doctor Honoris Causa from the University of Bergen, Norway in recognition of his work in social and behavioral dentistry. In 2012, he received the University of California, San Francisco Dental Alumni Gold Medal for his contributions to Dentistry. In 2012 he was also awarded the Norton Ross Award for Excellence in Clinical Research by the American Dental Association. In 2013, he was appointed to the Council of Scientific Affairs of the American Dental Association. In 2014, he received the Irwin M. Mandel Distinguished Mentor Award from the IADR. In 2015, he served as HMDP Expert in Dental Public Health for the Singapore Ministry of Health. Dr. Milgrom received his DDS from the University of California, San Francisco in 1972 and had a previous position at the National Academy of Sciences, Engineering, and Medicine. In the last few years, Dr. Milgrom has spoken to dental associations in Argentina, Colombia, Peru, Philippines, and USA and at major universities in USA and abroad.
• Veneer Planning with Dr. Gerald Chiche 01.06.2026 33min

  Join Elevated GP: www.theelevatedgp.com Register for the live meeting: https://www.theelevatedgp.com/ElevationSummit Download the Injection Molding Guide: https://www.theelevatedgp.com/IMpdf    What separates good veneer dentistry from truly exceptional aesthetic dentistry? In Part 2 of this in-depth conversation on Digital Dentist Digest, Dr. Melissa Seibert sits down with legendary prosthodontist and aesthetic dentistry educator Dr. Gerald Chiche to explore the clinical nuances, preparation strategies, and decision-making principles behind predictable porcelain veneer treatment.   Dr. Chiche, former president of the American Academy of Esthetic Dentistry and internationally recognized leader in aesthetic dentistry, shares decades of experience performing veneers with a strong emphasis on minimally invasive preparation design, enamel preservation, and long-term restorative success.    In this episode, Dr. Chiche walks through his additive veneer preparation workflow, including mock-up transfers, bisacryl matrices, depth-cut strategies, and techniques for staying predictably in enamel to maximize bond durability. He explains why preserving enamel remains one of the most important principles in adhesive dentistry and how thoughtful preparation design directly impacts the longevity of porcelain veneers.   The conversation also covers gingival management, cord packing techniques, impression accuracy, proximal preparation design, and margin placement in aesthetic cases. Dr. Chiche shares practical clinical pearls for managing difficult scenarios such as tetracycline staining, dark preparations, black triangles, and patients requesting highly translucent veneers despite significant discoloration challenges.   Beyond technique, this episode focuses heavily on clinical judgment and patient communication. Dr. Chiche discusses how to determine when veneers are the right treatment, when direct bonding may be a better option, and how informed consent and expectation management are essential in elective cosmetic dentistry. He also explains why collaboration with skilled ceramists and careful mock-up evaluation remain foundational to achieving natural, long-lasting aesthetic results.   This episode is ideal for general dentists, cosmetic dentists, prosthodontists, and clinicians interested in porcelain veneers, smile design, adhesive dentistry, and minimally invasive aesthetic treatment planning. Whether you are refining your veneer workflow or looking to strengthen your understanding of aesthetic case selection, this conversation offers practical insights grounded in decades of clinical excellence and evidence-based dentistry.
• Porcelain Veneer Preparation and Enamel Presevation with Dr. Gerald Chiche 25.05.2026 30min

  Join Elevated GP: www.theelevatedgp.com Register for the live meeting: https://www.theelevatedgp.com/ElevationSummit Download the Injection Molding Guide: https://www.theelevatedgp.com/IMpdf 
• Composite VS. Ceramic in Wear Cases with Dr. Didier Dietschi 18.05.2026 35min

  Join Elevated GP: www.theelevatedgp.com Register for the live meeting: https://www.theelevatedgp.com/ElevationSummit Download the Injection Molding Guide: https://www.theelevatedgp.com/IMpdf    What does truly conservative, evidence-based dentistry look like when treating tooth wear patients? In Part 2 of this conversation on Digital Dentist Digest, Dr. Melissa Seibert continues her discussion with internationally respected adhesive dentistry expert Dr. Didier Dietschi, diving deeper into the clinical execution, biomechanics, and decision-making behind minimally invasive restorative dentistry.   Dr. Dietschi, senior lecturer at the University of Geneva and internationally recognized authority in adhesive and aesthetic dentistry, explains how dentists can move beyond "copy-and-paste" full mouth rehabilitation and instead develop individualized treatment plans based on patient age, risk factors, compliance, biomechanics, and long-term prognosis.    In this episode, Dr. Dietschi discusses how to evaluate tooth wear severity, determine when restorative intervention is actually necessary, and decide between composite, ceramic, or hybrid treatment approaches. He shares his philosophy on preserving tooth structure, avoiding unnecessary invasiveness, and understanding the biological cost of aggressive dentistry—especially in younger patients with bruxism, clenching, erosion, and parafunctional habits.   The conversation also explores the real-world challenges dentists face when managing wear patients, including nightguard compliance, restorative maintenance, patient communication, and the emotional burden clinicians often feel when restorations chip or fail. Dr. Dietschi offers a refreshingly honest perspective on responsibility, patient behavior, and why long-term success in restorative dentistry depends on far more than simply choosing a stronger material.   Listeners will also gain valuable insight into adhesive dentistry, vertical dimension management, composite layering and molding techniques, occlusal risk assessment, and the importance of tailoring restorative materials to specific clinical situations rather than relying on a one-material-fits-all philosophy.   This episode is ideal for general dentists, restorative dentists, and clinicians who want to think more critically about comprehensive treatment planning, minimally invasive dentistry, and long-term patient care. If you are interested in biomaterials, tooth wear management, occlusion, and evidence-based restorative dentistry, this conversation provides both practical clinical guidance and a broader philosophical framework for modern practice.
• Minimally Invasive Tooth Wear Management with Dr. Didier Dietschi 11.05.2026 33min

  Join Elevated GP: www.theelevatedgp.com Register for the live meeting: https://www.theelevatedgp.com/ElevationSummit Download the Injection Molding Guide: https://www.theelevatedgp.com/IMpdf    What if the future of treating tooth wear is not full-mouth ceramic rehabilitation? In this episode of Digital Dentist Digest, Dr. Melissa Seibert sits down with internationally recognized researcher and clinician Dr. Didier Dietschi for a thought-provoking conversation about minimally invasive dentistry, adhesive restorations, and the long-term management of tooth wear patients.   Dr. Dietschi, senior lecturer at the University of Geneva and a globally respected authority in adhesive and aesthetic dentistry, challenges the increasingly common "28-ceramic restoration" philosophy that has become prevalent in modern restorative dentistry. Instead, he advocates for a more individualized, interceptive, and biologically conservative approach to treatment planning.    Throughout the episode, Dr. Dietschi explains why dentists must focus on identifying the underlying etiology of tooth wear—including attrition, erosion, bruxism, clenching, occlusal anatomy, and parafunctional habits—before jumping to irreversible treatment. He discusses the long-term risks associated with aggressive full-mouth rehabilitation, particularly in younger patients, and why delaying invasive treatment is often the most ethical and predictable strategy.   The conversation also explores the advantages and limitations of composite restorations versus ceramics, how risk factors like heavy bruxism and poor compliance impact restorative longevity, and why prevention and patient education remain central to successful outcomes. Dr. Dietschi shares his clinical workflow for evaluating wear patterns, assessing biomechanical risk, implementing interceptive protocols, and improving patient compliance with nightguards and long-term maintenance.   This episode is packed with practical insight for general dentists, restorative dentists, and clinicians who want to improve treatment planning, preserve tooth structure, and think more critically about comprehensive rehabilitation cases. Whether you regularly manage wear patients or are trying to become more conservative and evidence-based in your restorative philosophy, this conversation offers a refreshing and clinically grounded perspective on modern dentistry.   
• How Autoimmune Disease Shows Up in the Dental Chair with Dr. Natalia Trehan 04.05.2026 39min

  Join Elevated GP: www.theelevatedgp.com Register for the live meeting: https://www.theelevatedgp.com/ElevationSummit Download the Injection Molding Guide: https://www.theelevatedgp.com/IMpdf    What happens when a patient's oral symptoms are actually the first warning signs of a much larger systemic health issue? In this episode of Digital Dentist Digest, Dr. Melissa Seibert welcomes Dr. Natalia Trahan, Assistant Professor at the Medical University of South Carolina, for a deep and clinically relevant conversation on the relationship between systemic disease and oral health.   Dr. Trahan specializes in oral medicine, pathology, and radiology, with a strong focus on the intersection of oral and systemic disease. Together, they discuss how conditions like Sjögren's Disease, Rheumatoid Arthritis, Fibromyalgia, Ehlers-Danlos Syndrome, Juvenile Idiopathic Arthritis, and Postural Orthostatic Tachycardia Syndrome can present first in the dental office—often before a formal medical diagnosis is made.   This episode explores practical diagnostic strategies for identifying oral manifestations of autoimmune disease, including xerostomia, hyposalivation, chronic parotitis, recurrent candidiasis, increased caries risk, TMJ degeneration, trismus, hypermobility disorders, and inflammatory arthritis involving the temporomandibular joint. Dr. Trahan explains how she evaluates these patients clinically, what radiographic findings matter most, and when advanced imaging like MRI becomes essential for proper diagnosis and treatment planning.   The conversation also addresses the emotional and clinical complexity of treating patients with chronic pain conditions such as fibromyalgia and connective tissue disorders like Ehlers-Danlos Syndrome. Dr. Trahan shares how empathy, patient advocacy, and a deeper understanding of autoimmune and rheumatic disease can transform the way dentists approach patient care and prevent provider burnout.   For general dentists, restorative dentists, and clinicians interested in oral medicine, this episode offers actionable insight into how better understanding systemic disease leads to better dentistry. If you want to improve diagnosis, strengthen interdisciplinary care, and become a more comprehensive provider, this is an episode you won't want to miss.  
• Connecting Oral Medicine and Systemic Disease with Dr. Natalia Trehan 27.04.2026 32min

  Join Elevated GP: www.theelevatedgp.com Register for the live meeting: https://www.theelevatedgp.com/ElevationSummit Download the Injection Molding Guide: https://www.theelevatedgp.com/IMpdf    How often do systemic diseases first reveal themselves in the dental chair? In this episode of Digital Dentist Digest, Dr. Melissa Seibert sits down with Dr. Natalia Trahan, Assistant Professor at the Medical University of South Carolina, to explore the critical connection between systemic health and oral health.   Dr. Trahan shares her expertise in oral medicine, pathology, and radiology, with a special focus on how conditions like Sjögren's Disease, Rheumatoid Arthritis, Fibromyalgia, Ehlers-Danlos Syndrome, Postural Orthostatic Tachycardia Syndrome, and autoimmune disorders present with oral symptoms that dentists often encounter first.   The conversation dives into xerostomia, hyposalivation, parotitis, TMJ involvement, chronic pain conditions, inflammatory arthritis, and the importance of recognizing when oral symptoms are actually signs of larger systemic health concerns. Dr. Trahan also explains how dentists can improve diagnosis and treatment planning by looking beyond the oral cavity and considering the full patient picture.   This episode is especially valuable for dentists who want to strengthen their diagnostic skills, improve patient communication, and deliver more compassionate, comprehensive care for medically complex patients. From interpreting panoramic radiographs and MRI findings to understanding autoimmune disease progression and the role of empathy in patient care, this episode offers practical clinical insight every GP can apply immediately.   If you're looking to stay on the cutting edge of evidence-based dentistry, oral-systemic health, and comprehensive patient care, this episode is a must-listen.
• Rethinking Full-Arch Implant Therapy with Dr. Kim Schlam 20.04.2026 26min

  Join Elevated GP: www.theelevatedgp.com Download my free Injection Molding PDF Guide Follow @dental_digest_podcast Instagram Follow @dr.melissa_seibert on Instagram In this in-depth conversation, Dr. Melissa Seibert is joined by prosthodontist and Spear Education faculty member Dr. Kim Schlam to take a critical look at one of the most talked-about trends in dentistry: full-arch implant reconstructions and hybrid prostheses. Together, they explore the promises and pitfalls of these complex treatments, challenging the idea that hybrids should be considered a one-size-fits-all solution. Dr. Schlam shares candid insights from years of managing both the successes and failures of full-arch implant therapy. She reminds us of the original purpose of dental implants—addressing the devastating effects of mandibular edentulism—and contrasts that with today's market-driven push for hybrids as a default treatment. Their discussion highlights the importance of careful case selection, interdisciplinary planning, and viewing each patient as a human being rather than a set of "arches." Listeners will gain a deeper understanding of how digital workflows can support precision and predictability, but also why long-term maintenance protocols, prosthetic follow-up, and patient education are critical for lasting outcomes. From the ethical implications of overtreatment to the biomechanical realities that distinguish implants from natural teeth, Dr. Schlam advocates for a philosophy of dentistry that prioritizes rehabilitation, not just replacement. This episode is a must-listen for dentists who want to think critically about full-arch implant solutions, expand their understanding of restorative decision-making, and elevate their approach to truly patient-centered care
• Expert Secrets in Dental Bleaching with Dr. Van Haywood 14.04.2026 28min

  Join Elevated GP: www.theelevatedgp.com Connect with me on Instagram at @dr.melissa_seibert on Instagram Van B. Haywood, D.M.D., is Professor Emeritus in the Department of Restorative Sciences, Dental College of Georgia @ Augusta University.  A 1974 alumni of the Medical College of Georgia School of Dentistry, he was in private practice 7 years in Augusta, Georgia and taught at the University of North Carolina School of Dentistry in Chapel Hill, NC in Operative and Prosthodontics for 12 years before coming to Augusta University in 1993. In 1989, he co-authored the first publication in the world on Nightguard vital bleaching (at-home tray bleaching) with Dr. Harald Heymann, and in 1997 co-authored the first article on extended treatment (six-months) of tetracycline-stained teeth using this technique.While he is most known for his research and articles on tray bleaching, he taught in the Fixed Prosthodontics courses, the Occlusion courses,and the Esthetics course, as well as in sophomore and junior Operative and Fixed student clinics. After over 29 years at the Dental College of Georgia, he retired from full-time teaching in December 2022. The DCG Class of 1997 initiated a scholarship in his name for clinical excellence and compassionate care.
• Reimagining Hygiene with Biofilm Management With Dr. Pam Maragliano 06.04.2026 28min

  Join Elevated GP: www.theelevatedgp.com Register for the live meeting: https://www.theelevatedgp.com/ElevationSummit Download the Injection Molding Guide: https://www.theelevatedgp.com/IMpdf    In this episode of The Digital Dentist Digest, Dr. Melissa Seibert is joined by board-certified prosthodontist Dr. Pam Maragliano for Part 2 of their conversation, focusing on preventive dentistry systems, guided biofilm therapy (GBT), and modern hygiene workflows that drive both clinical outcomes and practice growth.   Dr. Maragliano shares a detailed, step-by-step breakdown of how her practice approaches biofilm management using air polishing technology, subgingival therapy, and piezoelectric instrumentation, and how these systems improve efficiency, ergonomics, and patient comfort. The discussion explores how transitioning from traditional prophy models to evidence-based, biofilm-focused care can significantly increase hygiene production while elevating the standard of care.   A major focus of the episode is patient engagement and behavior change, including how to communicate periodontal findings in a way that resonates with patients' broader health goals. Dr. Maragliano explains how aligning oral health with systemic health—such as cardiovascular disease, diabetes, and cognitive decline—can improve case acceptance and long-term compliance.   The conversation also dives into risk-based preventive care, challenging the traditional six-month recall model and advocating for individualized hygiene intervals based on disease risk and clinical findings. Listeners will learn how to implement adjunctive therapies such as fluoride varnish, silver diamine fluoride (SDF), hydroxyapatite, and antimicrobial agents, as well as how to integrate these services into a sustainable and ethical fee structure.   Additionally, this episode addresses practical challenges dentists face daily, including:   Communicating the value and limitations of SDF Managing patient expectations and financial concerns Establishing clinical boundaries and maintaining treatment integrity Building a high-performing hygiene team aligned with periodontal goals     Dr. Maragliano also shares real-world insights into how adopting the right systems and team structure led to significant increases in hygiene production and overall practice profitability, without sacrificing patient-centered care.   This episode is ideal for general dentists, hygienists, and practice owners looking to modernize their approach to preventive dentistry, periodontal care, and hygiene-driven growth using practical, evidence-based strategies.   Key topics include:   Guided biofilm therapy (GBT) protocols and workflow Air polishing and piezoelectric instrumentation in hygiene Risk-based recall intervals vs. traditional six-month model Patient communication strategies for periodontal disease Adjunctive preventive therapies (fluoride, SDF, probiotics, hydroxyapatite) Increasing hygiene production and efficiency Case acceptance, patient motivation, and behavioral change Clinical boundaries and ethical treatment planning  
• Modern Hygiene Systems in Dentistry with Pam Maragliano 30.03.2026 24min

  Join Elevated GP: www.theelevatedgp.com Register for the live meeting: https://www.theelevatedgp.com/ElevationSummit Download the Injection Molding Guide: https://www.theelevatedgp.com/IMpdf    In this episode of The Digital Dentist Digest, Dr. Melissa Seibert sits down with Dr. Pam Maragliano for Part 2 of their conversation, focusing on how to build a modern, prevention-driven dental practice through guided biofilm therapy (GBT), risk-based hygiene systems, and effective patient communication.   Dr. Maragliano provides a detailed look at how her practice has transitioned from traditional hygiene models to a biofilm-centered approach, utilizing advanced technologies such as air polishing systems, subgingival biofilm removal, and piezoelectric instrumentation. She outlines how these tools not only improve clinical outcomes but also enhance patient comfort, efficiency, and team ergonomics.   A key theme of the episode is patient engagement and behavior change. Dr. Maragliano explains how connecting oral health findings—such as bleeding points and periodontal inflammation—to broader systemic conditions like cardiovascular disease, diabetes, and cognitive decline can significantly improve patient understanding and case acceptance. The discussion emphasizes moving beyond routine care toward personalized, risk-based treatment planning.   The episode also explores the limitations of the traditional six-month recall model and introduces a more individualized approach to hygiene scheduling based on each patient's risk profile. Listeners will gain practical insights into implementing adjunctive preventive therapies, including fluoride varnish, silver diamine fluoride (SDF), hydroxyapatite, chlorhexidine, and probiotic treatments, and how to integrate these into everyday clinical workflows.   In addition, Dr. Maragliano shares real-world strategies for:   Increasing hygiene production and efficiency without compromising care Structuring a high-performing hygiene team aligned with periodontal goals Communicating the role and limitations of SDF in caries management Setting clear clinical boundaries with patients while maintaining trust Balancing prevention, minimally invasive dentistry, and long-term outcomes     This episode is especially valuable for general dentists, hygienists, and practice owners seeking to improve periodontal outcomes, patient compliance, and practice performance through evidence-based preventive dentistry.   Key topics include:   Guided biofilm therapy (GBT) workflow and technology Air polishing and subgingival biofilm removal Risk-based hygiene intervals vs. traditional recall Patient communication and case acceptance strategies Preventive and remineralization therapies (fluoride, SDF, hydroxyapatite) Hygiene-driven practice growth and profitability Clinical decision-making and patient boundaries in dentistry  
• Back-to-Back Class IIs with Dr. Matt Burton 23.03.2026 59min

  Join Elevated GP: www.theelevatedgp.com Register for the live meeting: https://www.theelevatedgp.com/ElevationSummit Download the Injection Molding Guide: https://www.theelevatedgp.com/IMpdf  Dr. Matt Burton, DDS is a clinician, educator, and internationally recognized speaker whose work centers on elevating the clinical precision and decision-making of the modern general dentist. Known for his articulate teaching style and clinically grounded philosophy, Dr. Burton has developed a reputation for translating complex restorative and prosthodontic principles into practical, reproducible workflows that can be implemented immediately in everyday practice. Clinical Philosophy and Focus Dr. Burton's approach to dentistry is rooted in a comprehensive, systems-based model of care, where diagnosis precedes intervention and treatment planning is guided by long-term biologic and mechanical stability rather than short-term procedural convenience. His clinical interests primarily include: Restorative dentistry and prosthodontics Occlusion and functional diagnosis Treatment planning for worn dentition Adhesive dentistry and material selection Interdisciplinary case management He emphasizes that predictable outcomes are less about isolated technical execution and more about correct sequencing, risk assessment, and biomechanical understanding. This perspective resonates strongly with dentists seeking to transition from "bread-and-butter" dentistry to more comprehensive, high-level care. Education and Teaching Impact Dr. Burton is widely respected for his ability to deconstruct complex topics—such as occlusion, vertical dimension, and full-mouth rehabilitation—into clear, structured frameworks. His teaching is characterized by: A strong emphasis on first principles Clear visual and conceptual models for diagnosis and planning Case-based learning grounded in real-world scenarios A focus on clinical decision-making, not just technique
• Zirconia, Digital Impressions, and Restorative Accuracy with Dr. Michael Skramstad 16.03.2026 30min

  Join Elevated GP: www.theelevatedgp.com Register for the live meeting: https://www.theelevatedgp.com/ElevationSummit Download the Injection Molding Guide: https://www.theelevatedgp.com/IMpdf  In Part 2 of this two-part conversation on Dental Digest, Dr. Melissa Seibert continues her discussion with digital dentistry educator and CAD/CAM expert Dr. Michael Skramstad. While Part 1 focused on the foundations of digital workflows, this episode explores the clinical nuances where digital dentistry either enhances precision or quietly introduces risk. The conversation begins with one of the most under-recognized challenges in restorative dentistry: the accuracy of digital bite registrations and full-arch scanning. Dr. Skramstad explains that while intraoral scanners are highly capable, their accuracy is heavily dependent on clinician awareness and workflow management. In cases where patients struggle to find a repeatable bite position, digital or analog records may both become unreliable. In these scenarios, techniques such as deprogramming with a leaf gauge and capturing an open CR bite digitally can improve reproducibility and clinical outcomes. DDP SkramstadP2 First Edit Dr. Skramstad then discusses one of the most important factors affecting digital impressions: margin management. While scanner technology has improved dramatically, the accuracy of digital impressions still depends primarily on the quality of the tooth preparation and effective hemostasis. He emphasizes that meticulous preparation design remains the single most important determinant of restorative fit, regardless of the digital system used. DDP SkramstadP2 First Edit The discussion also explores practical strategies for managing subgingival margins. Techniques such as ViscoStat Clear for hemostasis, selective use of retraction cord, and careful isolation protocols can significantly improve scan accuracy and margin visualization. Importantly, workflow decisions may differ depending on whether restorations are fabricated in-house or sent to a laboratory, since file formats such as STL lack color information and can make margin identification more difficult for technicians. DDP SkramstadP2 First Edit The episode then shifts to material selection in contemporary restorative dentistry, particularly the evolving role of zirconia. Early zirconia restorations were often criticized for poor esthetics, but recent material innovations have dramatically improved translucency and optical properties. Dr. Skramstad explains why modern zirconia systems—such as multi-layered zirconia materials—are increasingly used in both posterior and selected anterior applications, while still maintaining the exceptional strength that originally drove zirconia's adoption. DDP SkramstadP2 First Edit The conversation also addresses: • The clinical differences between bonding vs. cementing zirconia restorations • How preparation design influences retention and restorative longevity • The impact of speed sintering on zirconia optical and mechanical properties • When digital workflows simplify restorative dentistry—and when they introduce hidden complexity One of the most important themes reinforced throughout the discussion is that digital dentistry does not replace clinical fundamentals—it magnifies them. Technology can improve efficiency and accuracy, but it cannot compensate for poor preparation design, inadequate isolation, or imprecise clinical technique. For dentists exploring or expanding digital workflows, this episode provides a grounded perspective on how to integrate digital tools responsibly while maintaining the biological and mechanical principles that underpin successful restorative dentistry. Topics discussed include: • Digital bite registration and centric relation records • Margin management in digital impressions • Hemostasis techniques for intraoral scanning • STL vs PLY file formats in digital workflows • Zirconia vs lithium disilicate restorations • Speed sintering and modern zirconia materials Whether you're already practicing chairside CAD/CAM dentistry or simply evaluating digital systems for your practice, this conversation offers a thoughtful look at how technology intersects with clinical judgment in modern restorative dentistry.
• Digital Dentistry Workflows with Dr. Mike Skramstad 09.03.2026 29min

  Join Elevated GP: www.theelevatedgp.com Register for the live meeting: https://www.theelevatedgp.com/ElevationSummit Download the Injection Molding Guide: https://www.theelevatedgp.com/IMpdf    Digital dentistry has transformed restorative workflows over the past decade—but many clinicians still struggle to understand where digital tools truly improve accuracy and where limitations remain. In this episode of Dental Digest, Dr. Melissa Seibert sits down with digital dentistry educator and CAD/CAM expert Dr. Michael Skramstad to explore how intraoral scanners, digital bite registration, and AI-assisted articulation are actually performing in modern restorative practice. Dr. Skramstad has spent decades working at the intersection of clinical dentistry and digital innovation. As a longtime CAD/CAM educator, CEREC trainer, and product consultant for major dental manufacturers, he has stress-tested many of the technologies shaping today's digital workflows. In this conversation, he shares practical insights into how scanners perform in real-world restorative dentistry—not just under ideal conditions. The discussion begins with one of the most persistent challenges in digital workflows: occlusion accuracy. While intraoral scanners can capture highly detailed digital impressions, digital bite registrations can still introduce discrepancies. Dr. Skramstad explains the multiple factors that influence digital occlusal accuracy—including scanner technology, scan strategy, tooth mobility, the number of teeth captured, and even how firmly a patient bites during the scan. He notes that while single-unit restorations tend to be forgiving, larger cases such as full-arch restorations demand far greater precision. The conversation then explores emerging tools designed to address these limitations, including AI-based articulation software such as BiteFinder, which analyzes tooth morphology and wear patterns to algorithmically re-articulate digital models and improve occlusal alignment.   Dr. Skramstad walks through how clinicians can integrate these tools into their workflows when sending cases to the lab or designing restorations with Exocad. Dr. Seibert and Dr. Skramstad also compare leading intraoral scanners and discuss how different systems perform depending on the clinical application. Some scanners excel at capturing tooth structure, others capture soft tissue more effectively, and certain systems may provide advantages when scanning full-arch cases. The discussion highlights why scanner field of view, scan stitching algorithms, and scan path protocols all influence the final digital model accuracy. Beyond technology itself, the episode also touches on clinical workflow and team integration. Dr. Skramstad shares how responsibilities such as scanning, designing restorations, and fabricating surgical guides can be delegated within the dental team. He discusses why some aspects of digital dentistry benefit from delegation while others require direct dentist oversight—especially when precision and aesthetics are critical. Finally, the conversation broadens into leadership and practice management. Dr. Skramstad shares lessons from running a large dental team and explains why hiring for character and adaptability often matters more than prior experience. These insights offer a valuable perspective for clinicians building teams in modern digital practices.
• Adhesion Beyond the Myths with Prof Bart Van Meerbeek 02.03.2026 34min

  Join Elevated GP: www.theelevatedgp.com Register for the live meeting: https://www.theelevatedgp.com/ElevationSummit Download the Injection Molding Guide: https://www.theelevatedgp.com/IMpdf  In Part 2 of this series, Dr. Melissa Seibert and Professor Bart Van Meerbeek transition from foundational adhesive science into the nuanced clinical decisions that shape long-term outcomes. If Part 1 established the biological and material principles behind durable bonding, this episode addresses the gray zones clinicians navigate daily: contamination, enzymatic degradation, substrate variability, polymerization stress, and postoperative sensitivity. The discussion confronts several widely accepted assumptions and asks a more rigorous question: what does the evidence actually support? Professor Van Meerbeek offers data-driven clarity on topics that are often ritualized rather than critically examined. From the debated role of chlorhexidine and MMP inhibition to the thermal effects of curing lights, air particle abrasion, C-factor management, and the true value of flowable composites, this conversation reframes bonding as a system rather than a single step. The message is consistent: simplification may be attractive, but substrate awareness, technique sensitivity, and respect for hydrophobic layering remain central to predictable outcomes. The episode concludes with a forward-looking reflection on where adhesive dentistry stands today. According to Van Meerbeek, modern multi-step systems may already be operating above 90% of their theoretical potential. The future, therefore, is not merely about bonding harder but bonding smarter—possibly integrating bioactivity without compromising performance. For clinicians committed to practicing with intellectual precision rather than procedural habit, this episode provides both reassurance and recalibration.  
• Universal vs. Multi-Step Bonding with Prof. Bart Van Meerbeek 23.02.2026 31min

  Join Elevated GP: www.theelevatedgp.com Register for the live meeting: https://www.theelevatedgp.com/ElevationSummit Download the Injection Molding Guide: https://www.theelevatedgp.com/IMpdf  In Part 1 of this two-part series, Dr. Melissa Seibert sits down with Professor Bart Van Meerbeek, one of the most influential figures in adhesive dentistry worldwide. From dentin permeability to hybrid layer degradation, Professor Van Meerbeek's research has fundamentally shaped how clinicians understand the biological and mechanical realities of bonding. This conversation moves beyond product marketing and into the core science: what we truly know, what remains uncertain, and why durability in adhesion continues to require deliberate clinical judgment. Together, they unpack the "adhesion degradation paradox," the hydrophilicity trade-off inherent in universal systems, and the persistent performance gap between simplified one-step adhesives and multi-step gold standards. The discussion explores film thickness, hydrophobic layering, stress distribution, and the biomechanical role of flowable composites as stress-relieving buffers. They also examine why 10-MDP concentration matters, why not all universal adhesives perform equivalently, and how bonding strategy should be tailored to substrate conditions—from young permeable dentin to sclerotic or amalgam-affected substrates. This is not a discussion about shortcuts. It is a rigorous, clinically grounded examination of what evidence-based adhesive dentistry actually demands. If you are striving to practice with greater clarity, confidence, and scientific defensibility, this episode will recalibrate how you think about bonding protocols in everyday practice. Part 2 will continue the conversation, moving deeper into contamination management, clinical troubleshooting, and long-term durability.
• Fixed vs Removable Solutions for the Edentulous Arch with Dr. Darin Dichter 16.02.2026 44min

  JOIN ELEVATED GP Follow @dr.melissa_seibert on Instagram   Dr. Dichter brings nearly 20 years of clinical, research and teaching experience — as a general practitioner and prosthodontist — to his position with Spear. He serves as an instructor in the Treating the Terminal Dentition and Fully Edentulous Patient seminar, in addition to multiple Spear Workshops. Dr. Dichter has served as a guest lecturer and clinical instructor at Oregon Health and Science University School of Dentistry, teaching occlusion and esthetics. He has been a Spear faculty member since the company's inception, as well as a contributing author for Spear Digest. He is passionate about education and is involved with multiple study groups in the U.S. and Canada. After earning his D.M.D. from OHSU in 1995, Dr. Dichter practiced general dentistry and eventually joined a startup practice in his hometown in coastal Oregon before moving to a practice in Portland. He brought 16 years of restorative dental experience into UCLA's world-renowned, full-time advanced prosthodontics residency, which he completed in 2014.
• Risk-Based Treatment Planning with Dr. Brian Vence 03.02.2026 27min

  Join Elevated GP: www.theelevatedgp.com Register for the live meeting: https://www.theelevatedgp.com/ElevationSummit Download the Injection Molding Guide: https://www.theelevatedgp.com/IMpdf  Episode Description In part two of this two-part conversation, Dr. Brian Vence moves from philosophy into execution, offering a clear, ethical, and highly practical framework for how comprehensive dentistry is diagnosed, discussed, and ultimately chosen by patients in a successful fee-for-service practice. This episode is a deep dive into how dentists can guide patients through complex decisions without pressure, persuasion, or procedural selling. Dr. Vence outlines his structured yet flexible approach to patient intake, record gathering, diagnosis, and treatment planning—centered around what he calls the Pathway to Essential and Meaningful Treatment. Rather than dictating solutions, he emphasizes co-discovery: helping patients see, understand, and articulate their own problems before ever discussing procedures. A central theme is risk reduction over procedures. Dr. Vence explains how he frames treatment options not as products to purchase, but as graduated ways to lower biological, structural, functional, and aesthetic risk over time. From stabilizing compromised teeth to sequencing orthodontics, restorative care, and provisional solutions, the focus remains on sustainability—not urgency. You'll hear practical insight on: How to structure patient intake from the first phone call through diagnosis and case presentation Why allowing patients to ask for solutions is more powerful than proposing them How to use analogies and visual co-discovery to explain complex problems without overwhelm The difference between short-term stabilization and long-term structural correction Why timelines, pacing, and emotional safety matter more than closing treatment plans Dr. Vence also addresses real-world concerns around fees, financing, and practice sustainability. He discusses why fee structures should reflect time, complexity, and overhead—not insurance schedules—and how this approach supports both clinical integrity and business stability. Importantly, he underscores that dentists cannot want treatment more than the patient does—a mindset shift that allows for clarity, calm, and long-term success. The episode closes with a candid reflection on leadership, emotional resilience, and the inner work required to sustain a fee-for-service practice over decades. Dr. Vence shares why confidence doesn't come from certainty or volume, but from having a clear vision, strong values, and the ability to remain grounded as conditions change. Together, parts one and two provide a comprehensive roadmap for dentists who want to practice at a higher level—clinically, ethically, and relationally—while building a practice that is both financially stable and deeply fulfilling. This is not about faster dentistry. It's about better decisions, made well, over time.
• Building a Fee-for-Service Practice Through Trust, Diagnosis, and Meaningful Conversations with Dr. Brian Vence 27.01.2026 37min

  Join Elevated GP: www.theelevatedgp.com Register for the live meeting: https://www.theelevatedgp.com/ElevationSummit Download the Injection Molding Guide: https://www.theelevatedgp.com/IMpdf  Episode Description In part one of this two-part conversation, Dr. Brian Vence shares a deeply thoughtful and experience-driven perspective on what it actually takes to build a successful fee-for-service practice—one rooted not in persuasion or sales tactics, but in trust, diagnosis, and meaningful human connection. With more than three decades of clinical experience and a career dedicated to interdisciplinary, comprehensive care, Dr. Vence reframes treatment planning as a behavioral and relational process, not a transactional one. He challenges the idea that comprehensive dentistry is something that must be "sold," and instead positions it as a process of helping patients clarify their own values, goals, and tolerance for risk—at their pace, not ours. This episode explores how dentists can meet patients where they are without abandoning ideal diagnosis. Dr. Vence explains why patients often fixate on a single tooth or isolated concern, and how honoring that starting point—when done thoughtfully—can open the door to deeper, more comprehensive care over time. Rather than overwhelming patients with full-mouth solutions on day one, he advocates for sequencing conversations, building psychological safety, and creating space for patients to envision what's possible. A major theme of the discussion is the concept of "Pathways to Essential and Meaningful Treatment." Dr. Vence walks through how environment, language, and timing directly influence patient decision-making—and why treatment planning conversations are often better held outside the operatory, away from the fight-or-flight associations many patients carry with dentistry. In this episode, you'll hear: Why fee-for-service dentistry begins with mindset and culture—not insurance policies How to stop "convincing" patients and instead become a clear, unbiased sounding board Why comprehensive treatment planning is fundamentally about behavior, not procedures How environment and language influence whether patients feel safe enough to future-focus The importance of honoring patient autonomy while still holding space for ideal diagnosis Dr. Vence also shares practical insights into new patient workflows, from the first phone call to in-office consultations, emphasizing the value of curiosity, listening, and slowing down. He highlights why efficiency often crowds out effectiveness—and why the most productive clinical days are rarely about volume, but about depth of connection. This conversation is especially relevant for dentists who feel tension between practicing the dentistry they know is right and navigating patient hesitancy, financial concerns, or insurance-driven expectations. If you've ever felt frustrated trying to align comprehensive care with patient readiness, this episode offers a grounded, humane, and sustainable way forward. Part one sets the philosophical and relational foundation. In part two, the conversation continues into diagnosis, case presentation, and how to guide patients through complex decisions without coercion. This is not an episode about selling dentistry. It's about helping patients—and clinicians—make clearer, more meaningful choices.  
• Dr. John Kois's Clinical Decision-Making Regarding Wear Patients 20.01.2026 32min

  Join Elevated GP: www.theelevatedgp.com Register for the live meeting: https://www.theelevatedgp.com/ElevationSummit Download the Injection Molding Guide: https://www.theelevatedgp.com/IMpdf     Episode Description In part two of this in-depth conversation, Dr. John Kois moves beyond theory and into clinical application, tackling the questions every restorative dentist eventually faces: Who is actually a high-risk occlusal patient? How do we distinguish past adaptation from active breakdown? And why do so many "standard solutions" fail to prevent restorative complications? Building on the foundational concepts from part one, this episode focuses on how occlusion shows up in day-to-day practice—and how dentists can make more informed decisions before committing to complex restorative or implant treatment. Dr. Kois explains why visual wear alone is an unreliable predictor of risk, how to identify whether wear is active versus inactive, and why patient symptoms often tell a more important story than what we see on models or scans. A major theme of this conversation is closing the gap between chairside evaluation and real-world function. Dr. Kois challenges common habits—such as adjusting restorations with patients fully reclined, relying solely on articulating paper marks, or reflexively prescribing nightguards—and explains why these approaches often miss the true etiology of failure. Instead, he emphasizes evaluating occlusion in positions and movements that reflect how patients actually chew, speak, and function throughout the day. In this episode, you'll learn: How to identify true high-risk occlusal cases before restorative treatment begins Why active wear and patient-reported change matter more than historical attrition How muscle symptoms, mobility, and joint loading influence predictability When nightguards and Botox may mask symptoms rather than solve the problem Why larger restorative and implant cases demand a deeper understanding of jaw position, tooth fit, and functional pathways Dr. Kois also shares candid insights on emerging technologies such as jaw tracking—where they add value, where they fall short, and why they are most impactful in comprehensive and full-arch cases rather than routine dentistry. The discussion highlights an important truth: many restorative failures are not material failures, but diagnostic failures rooted in incomplete occlusal assessment. The episode closes with a powerful reflection on learning, clinical growth, and professional development—distinguishing information from knowledge, and knowledge from wisdom. Dr. Kois outlines the progression from skepticism to commitment, underscoring why true clinical mastery requires not just understanding concepts, but applying them consistently over time. Together, parts one and two form a cohesive framework for thinking differently about occlusion—one grounded in physiology, adaptation, and long-term predictability. If you're aiming to move beyond bread-and-butter dentistry and into more complex, fulfilling clinical work, this conversation provides essential perspective on how to do so more thoughtfully and successfully.