Dental Digest Podcast with Dr. Melissa Seibert

Afleveringen

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  Demystifying Molar Endo with Dr. Matt Chesler 04.08.2026 27min

  Episode Title: Demystifying Molar Endo: Metallurgy, Apex Locators, and Safe Canal Negotiation Host: Dr. Melissa Seibert (Dental Digest Podcast) Guest: Dr. Matt Chesler, DDS, MS (Board-Trained Endodontist & Resident Faculty at Spear Education) Episode Summary For many general practitioners, molar endodontics presents high anxiety before ever reaching a canal . Staring into an access preparation, searching for the pulp chamber, and worrying about over-drilling or ledging can cause significant stress . In this episode, Dr. Matt Chesler breaks down these fears by sharing practical, evidence-based approaches to modern instrumentation, glide path creation, working length determination, and retreatment decision-making . Dr. Chesler discusses why hand files are often the true culprit behind ledges, how modern reciprocating files offer a safer envelope of motion, why apex locators far outperform 2D radiographs, and why coronal sealing and high-quality restorations dictate long-term success . Key Discussion Topics & Timestamps — Introduction & Elevated GP Study Club Overview of Dr. Matt Chesler's background and the Elevated GP virtual study club . — File Metallurgy & The Hand File Myth Debunking misconceptions around rotary file ledging . How active-tip C-files create apical zips, ledges, and transportation . — Glide Path Formation & Reciprocating Files Transitioning away from hand files as early as possible (#8 or #10 hand file) . Using reciprocating glide path files (e.g., WaveGlider) and dynamic movement protocols . — Orifice Openers & Hunting for MB2 How orifice openers (e.g., Dentsply Gold Sx) straighten 45-degree entry angles . Techniques for brushing outward toward line angles and locating tight MB2 canals . — Working Length: Apex Locators vs. Radiographs Why the anatomic apex and radiographic apex fail to coincide in 88% of cases . Modern Electronic Apex Locator (EAL) accuracy (100% within $\pm 1\text{ mm}$) vs. 2D radiographs (65%–84%) . Why obturation outcomes are 15% higher when kept short or flush rather than long . — Chemical Negotiation & EDTA Usage Using liquid EDTA early in calcified canals to deliver files without damaging root dentin . Viewing endodontics simply as "a really deep Class 1 filling" . — Orifice Barriers & The 45-Day Re-Contamination Rule Material choices for coronal seals (Fuji Triage / dual-cure Glass Ionomer) . Managing exposed gutta-percha and why 45 days is Dr. Chesler's go/no-go threshold for retreatment . — Selective Retreatment & Restorative Priority When to perform selective retreatment (treating the MB root alone for missed MB2s) . Why good restorations with suboptimal endo out-perform good endo with bad restorations . — Systemic Health Impacts & Closing Remarks Research from King's College showing endodontic treatment lowers systemic biomarkers (blood pressure, blood sugar, cholesterol) . Key Takeaways 1. Hand Files Are Often the Cause of Ledging, Not Rotaries Ledges and apical transportation frequently result from improper hand file use (e.g., using active-tip C-files without pre-curving) rather than modern rotary or reciprocating files . Moving to mechanized instrumentation early creates a safer and more forgiving outcome . 2. Trust Your Apex Locator Over 2D Radiographs Radiographs fail to show the true anatomic apex in roughly 88% of cases . Modern electronic apex locators offer near 100% accuracy within $\pm 1\text{ mm}$ . Keeping obturation short or flush is 15% better for outcomes than overextending past the apex . 3. Orifice Openers Save Time and Dentin An orifice opener combines multiple Gates Glidden sizes into one file . Brushing outward toward line angles straightens canal entry and facilitates MB2 location without excessive tooth structure removal . 4. The Coronal Seal Drives Success A well-restored tooth with average endo has a higher long-term success rate than perfect endo with a leaking restoration . Exposed gutta-percha re-contaminates quickly; if open to oral fluids past 45 days, retreatment should be strongly considered . 5. Systemic Health Benefits Resolving endodontic infections directly improves systemic biomarkers, including measurable reductions in blood pressure, cholesterol, and blood sugar levels . Resources & Materials Mentioned Guest Community: The Elevated GP (Virtual Study Club) Instruments & Files: Dentsply Gold Sx Orifice Opener, WaveGlider Reciprocating Glide Path File Materials: Fuji Triage (Glass Ionomer Orifice Barrier), Liquid EDTA Research / Organizations: American Association of Endodontists (AAE) & King's College Systemic Biomarker Study
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  Demystifying Molar Access & Calcified Canals with Dr. Matt Chesler 27.07.2026 27min

  Host: Dr. Melissa Seibert Guest: Dr. Matt Chesler, Board-Trained Endodontist & Resident Faculty at Spear Education Episode Summary In this episode of Dental Digest, host Dr. Melissa Seibert sits down with endodontist Dr. Matt Chesler to break down the most intimidating aspects of molar endodontics . From overcoming access anxiety in deeply calcified teeth to navigating complex MB2 anatomy and proper hand-file selection, Dr. Chesler shares practical, evidence-based strategies to improve clinical confidence and prevent misadventures . Guest Bio Dr. Matt Chesler is a board-trained endodontist with over 20 years in the specialty and serves as resident faculty at Spear Education . He earned his DDS from the University of Southern California (USC), completed his endodontics residency at the Naval Postgraduate Dental School in Bethesda, and holds a Master of Science from George Washington University . He has been teaching clinical endodontics to dentists for over a decade . Key Takeaways & Clinical Pearls 1. Molar Access vs. Anterior/Premolar Access Greater Forgiveness: Molars offer significantly more space and room for minor access errors compared to anterior teeth or premolars, where the margins for error are much tighter . Magnification & Illumination: High magnification and proper illumination are mandatory for identifying heavily calcified canals . 2. Access Strategy for Calcified Canals Trajectory: Canals enter the pulp chamber at an angle rather than straight vertically . Search Laterally First: Before taking down the pulpal floor, expand the access preparation laterally . Look for color changes and the historical outline of the pulp chamber . Orifice Location: Orifices are typically located at the floor-wall junction . Ultrasonics Over High-Speeds: Put away high-speed handpieces early to avoid damage . Use end-cutting ultrasonic tips (such as the Buck II tip) to drop the pulpal floor safely . 3. Critical Depth Benchmarks Research Data (Dr. Alan Deutsch Studies): Average distance from occlusal surface to chamber roof: 6.25 mm . Average pulp chamber height: 1.5 mm to 2 mm . Safety Rule: You generally have roughly 6.5 mm of safe drilling depth from the occlusal surface before reaching the chamber . Radiographic Checkpoint: If you reach 6.5 mm to 7 mm in depth and have not entered the chamber, stop and take a radiograph to verify alignment and prevent perforation . 4. Workflow & Tactile Training Initial Access: Start with a small bur (e.g., #330 or #1931) to identify the safe zone while preserving tooth structure . Unroofing: Once inside the chamber, switch exclusively to non-end-cutting burs (e.g., Pulp Shaper or Endo-Z bur) to unroof without damaging the floor . Tactile Practice: Practice access preps on extracted teeth with your eyes closed to develop a refined tactile feel for dropping into the chamber and running burs along walls . 5. Radiographs & CBCT 3D vs. 2D Imaging: CBCT serves as an "open book test" . It helps determine whether a canal is truly occluded versus calcified, eliminating unnecessary structure removal . Follow Natural Pathways: Never try to create a new canal; always follow natural anatomy . 6. MB2 Anatomy & Canals Prevalence: Expect to locate an MB2 canal in approximately 75% of maxillary molars . Type 2 vs. Type 3 Systems: Type 2 System: Two separate orifices join into a single endpoint (V, Y, or lowercase h shape) . Type 3 System: Two completely independent canals from orifice to apex ("11" shape) . Instrumentation Tip: On Type 2 systems, your file may hit a wall where MB2 joins MB1 . When backfilling MB1 with warm gutta-percha, you will often see MB2 fill simultaneously via the confluence . 7. Hand File Selection & Pre-Curving Start Small: Use a #6 hand file rather than a #10 file to negotiate tight or calcified canals . A #6 file often glides through where a #10 file buckles . C-Files vs. K-Files: C-Files: Feature a stiffer shaft and active tip, making them ideal for finding and opening orifice tops . K-Files: Switch to K-files once the orifice is located to prevent ledging . Single-Use Files: Discard distorted hand files immediately to avoid file separation . Understanding Calcification: Canals calcify top-down, not bottom-up . Hitting a hard stop mid-canal (e.g., at 15 mm in a 20 mm canal) usually indicates a curve rather than calcification . Pre-Curving Technique: Place a smooth 30° to 55° bend on the last few millimeters of the file (acting like a mini explorer) using your fingers or an explorer handle to bypass curves . Avoid sharp kinks .  
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  Facilitating Success with Implants with Gustavo Avila-Ortiz DDS, MS, PhD 22.07.2026 41min

  Join Elevated GP at https://www.theelevatedgp.com/sales-page Dr. Gustavo Avila-Ortiz obtained a DDS degree and completed a PhD training program at the University of Granada (Spain), before moving to Ann Arbor, Michigan (USA) where he graduated with an MS degree and a Certificate in Periodontics from the University of Michigan. He is also a Diplomate of the American Board of Periodontology. Dr. Avila-Ortiz has over 10 years of experience as an educator and has worked to advance the profession in numerous institutional committees and scientific organizations. He is a former faculty member at the University of Michigan School of Dentistry and at the University of Iowa College of Dentistry, where he was the Phillip A. Lainson Professor and Chair of the Department of Periodontics until 2022. He currently serves as Editor-in-Chief of The International Journal of Periodontics & Restorative Dentistry. He has authored more than 100 articles published in peer-reviewed journals and numerous book chapters. He is the co-author of the book TISSUES: Critical Issue in Periodontics and Implant-Related Plastic and Reconstructive Surgery (Quintessence Publishing 2022), which has been critically acclaimed within the profession. Dr. Avila-Ortiz is currently a Visiting Professor in the Division of Periodontics at Harvard School of Dental Medicine and a member of Atelier Dental Madrid (Spain), a center for dental excellence where he maintains a private practice limited to Periodontics and Implant Dentistry and is regularly engaged in scholarly and continuing-education activities.
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  Warm Composite - Worth The Effort? With Dr. Richard Price 16.07.2026 33min

  Join Elevated GP: theelevatedgp.com Dental Digest Podcast | Episode 189: Mastering Dental Light Curing and Polymerization Host: Dr. Melissa Seibert Guest: Dr. Richard Price (Dentist, PhD, clinical scientist, and professor at Dalhousie University) Episode Overview In this episode, Dr. Melissa Seibert sits down with leading authority Dr. Richard Price to clear up the most common mistakes dental professionals make when light curing . From the truth about warming composites to the physics of energy delivery and the emerging realities of laser curing tech, this episode is a deep dive into evidence-based protocols that directly impact the longevity of your daily restorations . Key Discussion Points 1. Avoid the #1 Light Curing Mistake Follow the Minimums: The most common mistake in clinical practice is not curing for the manufacturer's recommended time . Read the Instructions: Always check instructions for both your specific bonding agent and the composite resin you are using . Minimum vs. Maximum: Remember that the manufacturer-recommended times are the absolute minimum requirements, not the maximums . 2. The Truth About Warming Composite Adaptation, Not Curing: Dr. Price is a major advocate for warming composite because it significantly improves material adaptation, leading to fewer voids and gaps . No Mechanical Upgrades: Warming composite does not actually drive the polymerization reaction further or improve final mechanical properties . Rapid Heat Loss: Because composite is a poor thermal conductor, it loses its heat incredibly fast . By the time a dentist squirts, inserts, and sculpts the material, it has already cooled down to mouth temperature, neutralizing any curing benefits . Pulpal Safety: Studies show that while warming composite itself does not cause pulpal damage, using curing lights that deliver heavy red and infrared light can produce the greatest temperature rises in the pulp . A temperature increase of 5°C to 6°C can lead to pulp necrosis . 3. Managing Deep 6mm Restorations The Bulk Fill Strategy: For a deep gingival floor (e.g., 6mm deep), Dr. Price recommends placing a 4mm layer of bulk fill composite as the first increment . Translucency Trade-offs: Bulk fill materials allow more light to pass through due to higher translucency, though this can sometimes make the restoration look gray in the mouth . The Hybrid Layering Technique: To achieve both an assured deep cure and optimal aesthetics, place a 4mm bulk fill base followed by a 2mm layer of conventional aesthetic composite on top . Shade Variations: Be aware that dentin or darker shades (like A6B) often require twice the curing time (e.g., 20 seconds vs. 10 seconds) and must be placed in thinner increments (e.g., 1.5mm vs. 2mm) compared to enamel and body shades . 4. The Math of Curing: Total Energy Formula Energy Calculation: Total energy is calculated by multiplying the curing light's irradiance by the exposure time ($\text{Energy} = \text{Irradiance} \times \text{Time}$) . Joules Matter: If a manufacturer requires 10 Joules per centimeter squared ($\text{J/cm}^2$), a standard curing light emitting $1,000 \text{ mW/cm}^2$ requires a 10-second cure . High-Intensity Traps: To deliver that same energy in a abbreviated 3-second cure, a light must output at least $3,333 \text{ mW/cm}^2$ . Most conventional curing lights max out around $3,000 \text{ mW/cm}^2$ . Advanced Technology & Safety Concerns Laser Curing Lights Distance Resistant: Laser curing lights are highly effective over long distances and are relatively unaffected by the physical gap between the tip and the tooth . Pinpoint Limitations: The main downside to current laser technology is the narrow, pinpoint beam profile; it offers high irradiance at the dead center but fails to provide a broad, uniform cure across the edges of a restoration . Extreme Optical Hazard: If a laser light accidentally flashes into an operator's, assistant's, or patient's eyes, it can cause immediate, permanent blindness . Strict eye protection is mandatory . The Blue Light Hazard Photo Retinitis: While it is unproven if dental LED lights directly cause macular degeneration, they are highly documented to cause photo retinitis, which presents as lingering "after-images" or spots in your vision . Sleep Disruption: Exposure to intense blue light is proven to severely disrupt human circadian rhythms and sleep patterns . Protection Necessary: Dentists must actively protect their eyes by using orange shields or specialized protective glasses rather than looking away blindly . Dr. Price's Step-by-Step Clinical Curing Protocol Initial Hover: Start the curing cycle 2 to 3 mm away from the tooth for the first 1 to 2 seconds . This quickly hardens the top layer and protects your sculpted anatomy from being disturbed . Close Contact: Bring the curing light tip in as close as possible, making direct contact with the surface . Finger Stabilization: Use a two-handed technique, utilizing your fingers over the restoration to physically stabilize the curing tip so it cannot drift if the patient moves . Thermal Breaks: High-power lights generate intense heat . If using a powerful light for a mandatory 20-second cure, break it up (e.g., 10 seconds on, a brief pause, then 10 seconds on) to protect the tissue . Cooling Air: Blow a stream of air across the tooth between curing increments to actively mitigate heat buildup . Never use water, as unpolymerized composite is highly hydrophobic . Multi-Angle Curing: Once the matrix band is removed on a Class II restoration, always cure again from both the buccal and lingual aspects to eliminate shadows cast by prep walls or remaining matrices . Overlapping Exposures: Standard light tips should be at least 10mm in diameter . If a restoration is wider than your light tip, perform multiple overlapping exposures to ensure the peripheral margins are fully cured .
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  Are Sleep Appliances Misused in Dentistry? With Dr. Jeff Rouse 06.07.2026 31min

  Join Elevated GP: https://www.theelevatedgp.com/sales-page In this highly practical episode of Dental Digest, host Dr. Melissa Seibert sits down with Dr. Jeff Rouse to dive deep into the clinical realities of airway dentistry . Moving past high-level philosophies, Dr. Rouse explains how to identify specific airway patient phenotypes, the hidden biological costs of traditional sleep appliances, and the structural treatment adjuncts changing dentistry in 2026 . 🎙️ About the Guest: Dr. Jeff Rouse Background: A widely regarded leading voice in airway dentistry and a practicing prosthodontist based in San Antonio, Texas . Education & Faculty: He spent 12 years in family dentistry before specializing in prosthodontics, and currently serves as a resident faculty member at Spear Education . Leadership & Publications: Dr. Rouse is a past president of the Southwest Academy of Restorative Dentistry . He is widely published, including contributions to the Journal of Prosthetic Dentistry's annual literature review, and co-authored the textbook Global Diagnosis alongside Dr. Bill Robbins . 📋 Key Topics & Clinical Takeaways 1. The Three Primary Airway Patient Types Dr. Rouse simplifies airway classification by breaking patients down into three distinct groups that clinicians encounter daily : The Classic Apnea Patient: Typically categorized as the "fat old man" profile, presenting with traditional obstructive sleep apnea (OSA) and severe systemic complications . The Fit Young Woman: This patient profile often shows no classic signs of apnea on paper but suffers from extensive functional symptoms, including chronic fatigue, migraines, fibromyalgia, and anxiety . Dr. Rouse notes that post-menopausal women often transition to look exactly like classic apnea patients due to hormonal shifts . Children: Argued by Dr. Rouse as the most critical group of all . Symptoms like ADHD in children should immediately trigger a comprehensive breathing and sleep evaluation . 2. The Realities of Mandibular Advancement Appliances (MADs) While widely prescribed, Dr. Rouse cautions that MADs are often used as a superficial fix rather than a true cure : Symptom Masking vs. Anatomy: MADs do not improve or fix the underlying airway anatomy; they merely alter sleep breathing temporarily while worn at night . Once removed in the morning, the deficient structural anatomy remains, leaving patients fundamentally sick during the day . Bite Alteration: Traditional sleep appliances function as orthodontic and orthopedic devices, meaning they will change the patient's bite 100% of the time, varying from minor shifts to major occlusal changes . The Compliance Illusion: Though dental professionals historically marketed MADs to sleep surgeons as having double the compliance of CPAP therapy, recent data reveals lowered compliance standards that merely mimic CPAP (defined as 4 hours a night for 70% of the time) . However, literature indicates that patients actually need to wear MADs much longer to capture genuine health benefits . Root Resorption Risks: To combat bite changes, patients are often given a morning jig to bite into . This creates an "orthodontic jiggling effect" (on-and-off forces) that data shows causes root resorption in an average of 1.8 teeth per long-term MAD patient . 3. The Seattle Protocol: A Phased Diagnostic Approach Instead of starting with a aggressive traditional sleep appliance, Dr. Rouse utilizes The Seattle Protocol—a systematic, 5-appliance sequence combined with mouth taping to find the least invasive solution : Mouth Taping: Approximately 40% of airway patients do not actually need an appliance; they simply require their lips to remain closed to facilitate nasal breathing throughout the night . Stabilizing Appliance: A flat, lower orthotic that opens the vertical dimension, allowing the jaw to relax and creating oral volume so the tongue can naturally clear the back of the airway . Mandibular Advancement Appliance: A flat lower appliance featuring a conservative 3 mm of advancement . Double Thick Appliance: Designed to open the vertical dimension further, providing necessary oral volume for patients with larger tongues or crowded, narrow arches . Traditional Sleep Appliance: Utilized only as a final resort if all prior steps fail to resolve the issue . "Making a sleep appliance—the classic sleep appliance that comes with all the problems associated with it—it's not where I want to start, it's where I want to end. Prove to me you need that." — Dr. Jeff Rouse 4. Veneer Failures and "Pathway Wear" Dr. Rouse warns against using cosmetic dentistry to hide underlying structural deficits : The Veneer Trap: Placing cosmetic veneers to mask a structural ortho/airway problem leaves patients stuck, as correcting their actual anatomy later requires cutting off the restorations . Daytime Clenching: Airway-compromised patients frequently clench during the day and thrust their jaws forward to open their airways, often getting caught on a tooth edge and fracturing restorations . Constricted Envelopes: Patients with tight "pathway wear" patterns experience severe functional conflicts because chewing and respiration are neurologically linked through nasal breathing . When eating dense foods (like a tuna salad sandwich), a patient who cannot breathe nasally loses chewing coordination and violently bangs into their anterior teeth . Skeletal expansion resolves this by allowing them to breathe normally while eating . 5. Advanced Treatment Adjuncts When a patient presents with a narrow maxilla or deficient transverse plane, several cutting-edge structural adjuncts can be utilized : Minimally Invasive Orthognathic Surgery: Emerging techniques (such as those pioneered in Brazil) utilize tiny incisions and a single-piece maxilla approach to dramatically reduce downtime, pain, and swelling compared to traditional down-fracture surgeries . Custom MARPE (Micro-implant Assisted Rapid Palatal Expansion): Modern protocols favor custom-designed MARPE over old-school, stock MSE (Maxillary Skeletal Expanders) . Custom units allow clinicians to expand the palate more slowly, minimizing or completely preventing the massive midline diastemas common in past procedures . SFOT (Surgically Facilitated Orthodontic Therapy): Also widely known as Wilcodonics, this underutilized interdisciplinary approach adds cortical bone graft and soft tissue to alter the patient's phenotype, providing a thicker, safer foundation for substantial orthodontic movement . Early Childhood Intervention: Airway deficiency is fundamentally a newborn and childhood problem . Research shows infants born with high-vaulted palates or low myofunctional tone develop sleep-disordered breathing rapidly by 6 months of age . Introducing myofunctional exercises, prolonged breastfeeding, harder foods early on, and bone-borne pediatric expanders prevents permanent skeletal issues . Dr. Rouse warns that traditional dental-borne Rapid Maxillary Expanders (RMEs) result in 30% to 50% pure tooth-tipping, which quickly relapses once the teeth are leveled . 💡 Closing Thought Dr. Rouse challenges the dental profession to look past tooth-by-tooth dentistry and break free from old concepts . Because physicians are not trained to spot these structural oral deficiencies, dentists are the primary line of defense in diagnosing the anatomical deviations that make patients chronically ill .
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  Evidence-Based Airway Dentistry with Dr. Jeff Rouse 29.06.2026 31min

  Episode Summary Do you ever feel like you're practicing on an island, unsure of who to trust for quality CE or where to turn when you hit a wall with a complex case ? In this episode of Dental Digest, host Dr. Melissa Seibert introduces a masterclass in shifting your perspective from single-tooth dentistry to systemic health . Joining the show is Dr. Jeff Rouse, a preeminent authority on airway dentistry, prosthodontist, and Spear Education resident faculty member . Dr. Rouse completely reframes the airway conversation, arguing that most practitioners are getting it wrong by trying to force patients into prefabricated appliance boxes or focusing solely on end-stage sleep apnea . Instead, he explains why airway is fundamentally an anatomical problem . By pushing Frank Spear's facially-generated treatment planning into three dimensions—vertical, transverse, and sagittal—Dr. Rouse demonstrates how a compromised smile design is often a cry for help from an unhealthy upper airway . If you have ever bulked up veneers to camouflage a structural issue that actually required skeletal correction, this conversation will completely change how you treatment plan . Key Takeaways From This Episode Airway vs. Sleep: Why Dr. Rouse deliberately abandoned the word "sleep" in favor of "airway" back in 2008 to focus on early anatomical intervention before long-term neurological damage occurs . The Pitfalls of One-Size-Fits-All Appliances: A critical look at corporately and financially-driven prefabricated appliances in pediatric dentistry that prioritize practice profit over scientific, individualized diagnosis . The 3 Dimensions of Airway Anatomy: How the vertical, transverse, and sagittal boundaries of a traditional denture wax rim mirror the exact dimensions required for healthy nasal breathing . The Numbers Behind the Health: A look at clinical benchmarks, including Eric Doolan's research showing that a bone-to-bone palatal measurement under 30 millimeters guarantees illness, while 34 millimeters or greater promotes health . Recognizing the "Sick" Patient Typologies: The Apnea Patient: Often characterized by snoring, daytime sleepiness, high blood pressure, AFib, and a lack of deep sleep required to clear brain toxins, which is closely linked to dementia and Alzheimer's . Young, Fit Patients: Toned individuals (particularly pre-menopausal women protected by progesterone) who do not exhibit apnea but suffer heavily from functional somatic syndromes like chronic fatigue, IBS, fibromyalgia, migraines, and TMJ disorders . Pediatric Patients: Growing children whose airway deficiencies directly correlate with ADHD and ADD diagnoses, yet are routinely given medications rather than a proper breathing and sleep evaluation . Anatomy Wins the Day: Why normalizing skeletal and dentoalveolar housing should always be the priority, ensuring patients finish treatment not only healthier but with beautiful faces, perfect bites, and stunning smiles . Featured Guest Dr. Jeff Rouse is a prosthodontist in private practice in San Antonio, Texas, and a member of the resident faculty at Spear Education . He previously practiced alongside dental icons Dr. Greg Kinzer and Dr. Frank Spear in Seattle . Dr. Rouse is the co-author of the textbook Global Diagnosis: A New Vision of Dental Diagnosis and Treatment Planning alongside Dr. Bill Robbins, and he lectures internationally on dental aesthetics and airway prosthodontics . Resources & Links Mentioned Elevated GP: Elevate your dental practice by joining Dr. Melissa Seibert's virtual study club. Get twice-monthly CE, access a comprehensive on-demand course library, and connect daily with an elite community of general dentists pushing each other to the next level . Sign up at theelevatedgp.com . Leave a Review, Get a Course: Want free access to Dr. Seibert's short course on class two restorations ? Simply leave a rating and review for Dental Digest, take a screenshot, and email it to doctor.melissacybert@gmail.com.
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  Soft Skills - The Real Ticket to Case Acceptance with Dr. David Wong 23.06.2026 25min

  Join Elevated GP by visiting THEELEVATEDGP.COM   In Part 2 of his conversation with Dr. Melissa Seibert, periodontist Dr. David Wong unpacks why patients actually decline treatment — and it's rarely the money or the dentistry. It's the connection you failed to build. He walks through the soft-skill work that's defined his career: reading where a patient sits on the decision-making scale, designing a separate consultation room so he can sit beside patients instead of across from them, and disarming fight-or-flight by finding common ground fast. He also shares one of the most underrated networking moves in dentistry — joining your local Chamber of Commerce — and how it helped him launch a practice from scratch. The second half pivots to the clinical: ridge preservation as a high-ROI skill for general dentists, how to think about bone graft material selection without getting overwhelmed by terminology, membrane selection for beginners through advanced users, and the specific brands David reaches for day to day. About the Guest Dr. David Wong is a board-certified periodontist and Fellow of the International Congress of Oral Implantologists — the only periodontist in Oklahoma to hold that distinction. He completed his periodontal training at the University of Missouri-Kansas City as chief resident, earned advanced implant and oral plastic surgery credentials from Temple University and the Misch International Implant Institute, and has published in the field of oral plastic surgery. Beyond his clinical work, he has spent his career studying the art of case presentation and patient communication. Chapter Markers Time Section 00:00 Pre-roll: Elevated GP 00:49 Welcome and episode preview 02:14 Why patients decline treatment — the connection problem 04:24 The mistake of trying to build trust in one appointment 05:06 Recommended books and resources on soft skills 06:44 Why David joins mastermind groups outside dentistry 08:35 The Chamber of Commerce — an untapped networking resource 10:41 How the Chamber helped David launch his practice from scratch 11:20 Ridge preservation as a high-ROI skill for GPs 12:30 Honest take on dental photography ROI 13:27 Bone graft material selection — keeping it simple 14:38 Allografts vs. xenografts and the global supply reality 15:18 Membrane selection: beginner, intermediate, advanced 16:19 The handling reality of amnion-chorion membranes 17:19 When primary closure matters 17:53 Non-resorbable / PTFE membranes — when they help, when they hurt 19:04 Subscribe CTA 19:20 The specific brands David uses day to day 20:35 The one thing David has invested most in: case presentation 21:09 Inside David's consultation room setup 23:04 Three resources for learning case presentation Key Takeaways On why treatment plans get declined. When patients say "I'll go home and think about it," dentists default to "they don't value the dentistry" or "they can't afford it." David's argument: the most common reason is that you didn't build trust or form a connection. People will spend $20,000 on a European vacation but not on asymptomatic dental work — that's a comparison about trust and felt need, not budget. Connection is a long game, not a five-minute pitch. New dentists try to close trust in a single appointment. David's reframe: you'll see this patient over years. Foster the relationship as long as it takes, and they will do the treatment — maybe not all at once, but eventually. The "I'm the doctor, you're the patient" model breaks in fee-for-service. Patients in a fee-for-service practice are decision-makers, not compliant subjects. You have to meet them as one. Design the room around the conversation. For any case over roughly $1,500, David moves the patient to a dedicated consultation room and sits side-by-side at a table — not across the operatory chair. He pays attention to where he's seated relative to the patient and the door. He has even recorded his own case presentations on camera and had them coached. The Chamber of Commerce is one of the most underused networking moves in dentistry. Every city has one. Dues are minimal or free. You get a room full of local entrepreneurs — publishers, contractors, surgeons, service providers — solving the same problems you are, just in different industries. When David launched his practice from scratch, the Chamber funded part of his open house, ran his ribbon-cutting, and brought a crowd. Get your CE ROI right. Start with skills that pay dividends immediately — molar endo, ridge preservation/socket grafting. They have low downside (a missed socket graft is no worse than not grafting at all), short learning curves, and you'll actually use them weekly. "Sexy" CE without immediate clinical application sits unused. Keep ridge preservation simple. Don't get lost in the 70/30 vs. 50/50 mineralized/demineralized debate. David teaches just two categories: mineralized cortical bone, or mineralized cortical-cancellous bone. That's it. For membranes, beginners should default to a long-lasting resorbable collagen membrane. The fancier options (cross-linked, titanium-reinforced, amnion-chorion, PTFE) are handling-skill problems before they're outcome problems. Case presentation isn't about "salesy words." It's about reading non-verbal cues, responding appropriately, and conducting the conversation — not delivering the right script. Notable Quotes "It's not necessarily just because they don't want it. It's not necessarily just because of financial constraints. It's because we didn't build the trust. We didn't form that connection." "You're going to see this patient more than one time. Hopefully ten years from now they're still your patient — so you have to foster that relationship as long as it takes." "We'll spend $20,000 on a European vacation. We won't spend $20,000 on dentistry when we're asymptomatic and have no known issues." "You spend all that money [on a photography setup] and you still use your intraoral camera to sell single-tooth dentistry. Good job." "Two, three years later, I am the guy where they're just like, 'Dr. Wong, just take my money and do it.'" "A lot of times dentists think that case presentation is using the right words — salesy words. That's not it at all." Resources Mentioned Books on influence, communication, and mindset Influence — Robert Cialdini Pre-Suasion — Robert Cialdini (the "second one" referenced in the conversation) Vanessa Van Edwards' work (and her courses on the Masterclass app) How to Win Friends and Influence People — Dale Carnegie How We Decide — Jonah Lehrer Books by Jonah Berger The E-Myth Revisited — Michael Gerber As a Man Thinketh — James Allen (~50 pages, mindset) Organizations and programs Your local Chamber of Commerce Local Toastmasters (for speaking) Spear Study Club masters program The Elevated GP (Dr. Seibert's virtual study club) Paul Homoly's case presentation program Clinical products David uses day to day Membrane: Mem-Lok resorbable collagen (BioHorizons) — current default Membrane (when available): OsseoGuard / Ossix Plus (Dentsply Sirona) — currently on hold Bone graft: MinerOss mineralized cortical or cortical-cancellous (BioHorizons) Bone graft (alternate supplier): Symbios mineralized cortical (Dentsply Sirona)
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  To Graft or Not to Graft with Dr. David Wong 15.06.2026 24min

  Join Elevated GP: https://www.theelevatedgp.com/  Do you ever feel like you're on an island in this profession, unsure of whether to monitor a case or hit the panic button? You are not alone. In this episode of Dental Digest, host Dr. Melissa Seibert sits down with board-certified periodontist Dr. David Wong to clear up the confusion surrounding soft tissue defects, gingival recession, and grafting thresholds. If you've ever looked at a patient with root exposure and wondered if a connective tissue graft is truly necessary, this deep dive into evidence-based periodontics is exactly what you need. Dr. Wong breaks down his exact clinical decision-making framework, detailing how to evaluate tissue phenotypes, measure keratinized vs. attached tissue thresholds, and factor in radiographic bone height. They also tackle the notorious "sensitivity trap" and outline exactly when a prominent root or complex defect requires an advanced ridge rebuild versus a conservative watch-and-wait approach. 🚀 What You'll Learn in This Episode: The Grafting Checklist: How to confidently make the call on whether a soft tissue defect requires surgical intervention. Phenotypes & Recession: Understanding the structural thresholds (in millimeters) that signal a high risk for progressive recession. Attached vs. Keratinized Tissue: How much attached tissue is actually enough to maintain long-term periodontal health? The Sensitivity Trap: Why treating root sensitivity with a connective tissue graft might have clinical limits, and what to look for instead. Interproximal Bone Loss: How radiographic height influences your soft tissue prognosis and surgical outcomes. 👨‍⚕️ About the Guest: Dr. David Wong is a board-certified periodontist who completed his training at the University of Missouri-Kansas City. He serves as a chief examiner, holds an advanced credentials certificate from the Misch International Implant Institute, and is a Fellow of the Congress of Oral Implantologists. With decades of clinical experience, Dr. Wong is a leading expert in rebuilding ridges and advanced implant plastic surgery. This episode is brought to you in partnership with Elevate GP—the premier virtual study club for general dentists striving for clinical excellence. Stop practicing alone and join a live community getting their toughest case questions answered every single day.     Dental podcast, Dr. Melissa Seibert, Dental Digest, Dr. David Wong, soft tissue grafting, gingival recession, periodontist, general dentists, connective tissue graft, keratinized tissue, dental implant surgery, Elevate GP.
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  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.
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  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.
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  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 
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  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.
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  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.   
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  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.  
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  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.
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  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
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  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.
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  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  
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  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  
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  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