Brews and Tiny Teeth, The Unfiltered Pediatric Dentistry Podcast cover image

Brews and Tiny Teeth, The Unfiltered Pediatric Dentistry Podcast

Latest episodes

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Apr 19, 2022 • 1h

Building a Full Time Pediatric Surgery Center, with Dr. Jason Bresler

Dr. Jason Bresler is a pediatric dentist practicing out of the Philadelphia, Pennsylvania area. His father originally started and grew the practice in 1982, and now Jason and his siblings and their spouses (5 Dr. Brasslers in total) own and operate this large practice.  They have grown the practice to include eight pediatric offices, four orthodontic offices, over 30 associate dentists, 250 staff members, and along the way built their own surgery center. This stand-alone surgery center operates five days a week, with a full time nursing staff, pediatric anesthesiologists, and CRNAs. This allows two dentists to see 15 or more GA cases every day.  We spent the majority of our conversation discussing how to set up a surgery center, regulatory differences, surgery center fees, and how a practice of this size is structured and operated. We also talk about what makes for a good associate pediatric dentist. 
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Apr 12, 2022 • 55min

Busting Common Radiation Myths in Pediatric Dentistry, with Dr. Juan Yepes

Dr. Juan Yepes is a man who needs no introduction. He is a pediatric dentist, radiologist, physician, masters of public health... I'm sure I'm forgetting something. Let's just say he's smarter than I am. Dr. Yepes joins us on the podcast to talk about radiation safety in pediatric dentistry.  We had a great conversation highlighting the importance of being responsible with how much radiation we are prescribing in the office. Some topics we discuss: - Modern digital sensors vs traditional film x-rays, and why digital has its drawbacks - Rectangular beam collimation and why we need to consider it - Updates to wearing a lead apron, and how to change public perception - Background radiation doses and how we practically apply it This was a great conversation that made me stop and think about how many times my staff hits that x-ray button in the office on a daily basis, and it definitely stimulated some critical thinking. Dr. Yepes can be reached at jfyepes@iupui.edu.
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Apr 5, 2022 • 54min

Partnerships, Associateship Challenges, and a Transition Story, with Dr. Mitch Kramer

Dr. Mitch Kramer is a pediatric dentist, partner, and soon to be 100% owner of a busy pediatric practice in central Minnesota. Dr. Kramer comes on the podcast to share his story about how he structured his initial buy-in in 2016. After helping grow the practice to four-locations, an associate, and 12,000 active patients, Dr. Kramer will be transitioning towards buying out the remaining practice equity from his partner Dr. Dennis Carreras this year.  It was great catching up with Dr. Kramer, as this was the office that I associated with between residency and the start of the COVID pandemic. We were able to reflect on our opportunity to work together, along with the challenges of finding and retaining both good staff members as well as associate pediatric dentists. We talk about the financial practice opportunities that can be found outside of the urban setting, how to keep team members motivated, when can you afford another dental assistant, and batting clean-up for restorative work from previous associates that doesn't go as planned. 
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Mar 29, 2022 • 45min

Dial in Your Local Anesthesia and Nitrous Game

This episode is a boards-review style solo episode, where I take some time to review the AAPD guidelines, current literature, and throw in a little personal opinion on key topics in pediatric dentistry. In today's episode, I review: - Amides vs esthers, - Is septo really better? - When to give an IAN block and when to infiltrate - Buffering and computerized delivery - How to manage a local anesthetic overdose - Pharmacokinetics and contraindications to N20 - MTHFR, should we avoid N20 in these patients?
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Mar 21, 2022 • 56min

Opening 6 Offices in 5 Years, with Dr. Tim Richardson

Dr. Tim Richardson is a pediatric dentist and the owner of Acorn Dentistry for Children in the greater Portland, Oregon area. After residency, Dr. Richardson bought and grew three offices in a five year period. After feeling the stresses of burnout coming on, he decided to sell these offices and start over with both a goal and team-oriented mindset. He has since started six pediatric offices in a five year period, and leads a team of nine pediatric dentists as partners and associates. In this episode, we discuss: - Where is the line drawn between "corporate" dentistry and large group practices - How to reinvest equity into growth to make other people's money work for you - Why Dr. Richardson went with a growth and volume model over being a sole practitioner - How to use real estate to minimize taxes - Why he doesn't put money into traditional investments like the stock market, and instead invests that money into his practice
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Mar 15, 2022 • 51min

Smokey Mountain Sedations, with Dr. Adam Priestwood

Dr. Adam Priestwood is a pediatric dentist who practices in eastern Tennessee and treats a high-risk population. Dr. Priestwood comes on the podcast to talk about how he uses oral sedations to help manage shortages with his access to OR time. We talk about what the patient population is like in the Appalachia region of eastern Tennessee, oral conscious sedation strategies, Equia Forte for hypoplastic molars, when to graduated teenage medicaid patients, and personality styles of pediatric dentists. Dr. Priestwood is also a big deer and turkey hunter, so at the end we get a little off track talking about hunting. This was a great, very chill conversation for pediatric dentists in the eastern portion of the United States, or those that provide oral sedation. 
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Mar 8, 2022 • 45min

Tough Cases and Talking Shop

Nothing fancy in this episode, just a couple of pediatric dentists talking about some of the tough cases and mistakes they've made in their respective practices. Sometimes you just need to vent a little about work over a beer, and that's exactly what this episode is for. Thank you to Dr. Nate Green from Denver, Colorado for joining me on this episode. 
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Mar 1, 2022 • 1h 1min

Let's Talk Some Big Numbers, with Charles Loretto of Cain Watters

Charles Loretto is a partner at Cain Watters and Associates, a firm which needs no introduction in the world of dentistry. Charles oversees the practice transition department for CWA, and is founder of affiliate company, National Dental Placements, that assists doctors in the buying, transitioning and valuation of a practice. He and his team help hundreds of clients and non-clients with their transition goals annually.
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Feb 22, 2022 • 49min

The Most Remote Pediatric Dentist in America

Dr. Dallin Young is a pediatric dentist and the owner of Young Smiles Children's Dentistry in Fairbanks, Alaska. After starting a practice in a competitive area of Idaho, he decided to sell and move to the interior of Alaska. In this podcast we discuss: - How Dr. Young settled on the interior of Alaska as a location to practice pediatric dentistry. - Challenges of the weather and remoteness of the area - What does the patient population look like in Fairbanks, Alaska? - How does treatment planning change when kids are flow in from 6+ hours away for full mouth rehab? - Marketing and insurance participation considerations for practicing in such a remote area.
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Feb 16, 2022 • 48min

Similarities of Ortho and Pedo Startups, with Dr. Kirsten Frazier

Dr. Kirsten Frazier is an orthodontist who recently started her own practice in South Carolina. She practiced in Chicago for several years out of residency before determining that she needed to be her own boss, and made the decision to move to a new city and plant roots in her dream practice. I wanted to bring Kirsten on to discuss and compare her start up journey to my own, to get a better sense of what challenges orthodontists face. Many pediatric dentists have spouses and significant others who are orthodontists, so this should be a great podcast for those listeners as well! In this episode, we discuss: - Growth expectations of a new ortho office - Dealing with competition and saturation - Collection systems, cash flow, and payment plans in an ortho office - The importance of social media in orthodontics, and how it differs from pediatric dentistry - What things Dr. Frazier would do different in her startup, and what advice she has for other dentists

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