Dental Digest Podcast with Dr. Melissa Seibert

Join Elevated GP: www.theelevatedgp.com Net32.com Follow @dental_digest_podcast Instagram Follow @dr.melissa_seibert on Instagram His interdisciplinary approach to dentistry is founded in both empirical research and clinical experience. He attended the University of Washington for both his undergraduate and graduate studies where he received his D.D.S. degree in 1995 and an M.S.D. and certificate in Prosthodontics in 1998. For his entire career, Dr. Kinzer has been committed to furthering the art and science of dental education. His unique ability to impart complex clinical processes in a logical, systematic and clear methodology differentiates him from other Prosthodontists and makes him a highly regarded educator nationally and internationally. He is a full-time teaching faculty at Spear Education in Scottsdale, AZ. where he is also resides as the Faculty Chairman and Director of Curriculum and Campus Education. Dr. Kinzer is an Affiliate Assistant Professor in the Graduate Prosthodontics Department at the University of Washington School of Dentistry and an Adjunct Faculty at Arizona School of Dentistry and Oral Health. Dr. Kinzer is a member of many professional organizations including the American Academy of Restorative Dentistry and the American Academy of Esthetic Dentistry, of which he is currently the sitting President. He serves on the editorial review board for several recognized dental publications and has written numerous articles and chapters for dental publication. He has been honored with the American College of Prosthodontics Achievement Award and in 2018, he received the Saul Schluger Memorial Award for Excellence in Diagnosis and Treatment Planning from the Seattle Study Club. In 2022 he was inducted into the World's Top 100 Doctors as part of the Interdisciplinary Cohort. In his free time, Gregg cherishes spending time his wife Jill and their 6 children. He enjoys anything that he can do outside: golfing, hiking, running, skiing, and biking, in addition to a nice glass of wine.

Injection Molding PDF Email me: dr.melissaseibert@gmail.com Join Elevated GP: www.theelevatedgp.com Follow @dental_digest_podcast Instagram Follow @dr.melissa_seibert on Instagram In this second installment of Dental Digest's conversation with Dr. Jonathan Esquivel, host Dr. Melissa Seibert and her guest push deeper into the artistry, biology, and discipline required to restore anterior implants that are as functional as they are beautiful. While Part 1 introduced Esquivel's framework of space, volume, and time, this episode focuses on the next frontier—provisionalization, emergence-profile design, and the E-B-C concept that defines the biologic foundations of aesthetic implant therapy. Dr. Esquivel begins by demystifying the provisionalization workflow for anterior implants—whether immediate or delayed. He walks listeners step by step through decision-making factors such as ridge healing, tissue phenotype, and the importance of minimizing the number of disconnections to protect the fragile mucosal seal. He stresses that efficiency in implant dentistry isn't about finishing fast—it's about achieving predictability in the fewest biologically respectful appointments. The discussion then turns to the team-based dynamics between the restorative dentist and the surgeon. Dr. Esquivel details how he coordinates cases digitally, sending STL files and mock-ups for joint planning before the first incision. His six-phase system—Acquisition, Blueprint, Confirmation, Design, Execution, and Follow-up—illustrates how restorative-driven implant dentistry must begin with facial and prosthetic design, not with a drill guide. From there, the episode dives into the chairside artistry of immediate provisionalization. Using a pre-milled shell and temporary cylinder, Dr. Esquivel describes how to "pick up" a provisional and sculpt the subgingival contours in real time. But as he emphasizes, the true challenge lies not in fabrication—but in understanding how material additions and reductions influence soft-tissue behavior. This insight leads to one of the most clinically valuable segments of the episode: Dr. Esquivel's E-B-C concept, an evolution of the classic critical- and subcritical-contour framework. The E-Zone (Esthetic Zone), roughly the first millimeter below the gingival zenith, governs margin stability and the visible pink–white transition. The B-Zone (Biologic or Boundary Zone) supports the mucosal seal and should remain concave to create space for healthy soft tissue. The C-Zone (Crestal Zone), the most apical 1–2 mm, must be slim and biologically quiet to preserve the crestal bone. Dr. Esquivel explains how even subtle over-contouring in these zones can trigger recession or bone loss, while proper shaping promotes long-term harmony between implant and tissue. Using tactile language, he describes his preference for pear-shaped acrylic burs to sculpt the concavity of the B-zone, and how digital workflows now allow clinicians to model these micro-contours virtually before any material is placed. The conversation culminates in a reflection on philosophy as much as technique. Dr. Esquivel urges clinicians to focus on mastering the basics—aesthetic symmetry, biologic respect, and patience—rather than chasing novelty. "An implant is not a tooth," he reminds us. "Our goal is to protect the bone, guide the tissue, and understand what we can't see." Listeners will leave this episode with a detailed understanding of: How to design, print, or fabricate custom provisionals that shape the soft tissue biologically The dimensional logic behind the E-B-C zones and how each governs tissue stability Why limiting abutment disconnections preserves the mucosal seal How digital and analog workflows can be integrated seamlessly And the mindset shift required to see implants not as prosthetic devices, but as biologic restorations Part 2 is both a masterclass in subgingival design and a meditation on restraint. Dr. Esquivel reminds us that excellence in implant aesthetics doesn't come from doing more—it comes from doing less, but with absolute intention.

Injection Molding PDF Email me dr.melissaseibert@gmail.com Join Elevated GP: www.theelevatedgp.com Follow @dental_digest_podcast Instagram Follow @dr.melissa_seibert on Instagram In this episode of Dental Digest, Dr. Melissa Seibert sits down with prosthodontist and educator Dr. Jonathan Esquivel for part one of an enlightening two-part series that explores the biologic and aesthetic complexities of implant restoration. Known for his meticulous approach and his evidence-based framework of space, volume, and time, Dr. Esquivel brings clarity to one of dentistry's most challenging frontiers: the anterior aesthetic zone. They begin by examining why restoring a single anterior implant is often considered the ultimate test of restorative mastery. Dr. Esquivel explains that implants behave fundamentally differently from natural roots—they lack the periodontal ligament and its vascular support—making soft tissue far less forgiving. Even slight changes in tissue contour or bone volume can compromise long-term success. He introduces his four cornerstones for implant predictability: luck (biologic variability), three-dimensional positioning, emergence-profile design, and patient maintenance, emphasizing that precision and patient education are inseparable. The conversation then turns to three-dimensional implant positioning and the role of reverse-engineered planning. Dr. Esquivel insists that every implant must begin with the end in mind—by first visualizing where the tooth should be. He details how ideal placement, roughly 4 mm apical to the planned incisal edge and aligned toward the cingulum, forms the foundation for natural emergence and long-term stability. But true success, he notes, depends equally on interdisciplinary collaboration—sometimes requiring orthodontic repositioning or periodontal modification before an implant is ever placed. Dr. Esquivel and Dr. Seibert next tackle the aesthetic challenge of adjacent implants and the pursuit of symmetry. Perfect papillae between centrals are notoriously difficult to maintain, and Dr. Esquivel discusses techniques—from soft-tissue grafting to orthodontic extrusion—to preserve harmony between the pink and the white. He stresses that treatment planning is as much about patient selection and expectation management as it is about surgical technique: "The hardest part isn't the implant—it's finding a patient willing to go through the process." The discussion deepens into the critical role of soft tissue in achieving lasting aesthetics. Dr. Esquivel explains his distinction between margin-preservation therapies (maintaining existing tissue contours) and margin-re-establishment therapies (rebuilding lost dimensions). He makes a compelling case that most anterior implants benefit from connective-tissue grafting, since thicker tissue phenotypes promote margin stability, mask restorative materials, and protect against recession. From there, the episode explores ridge dimensional changes after extraction—why bone and soft-tissue collapse are inevitable without intervention, and how provisional restorations can slow this process. Dr. Esquivel cautions against relying on removable flippers, which may accelerate resorption, and instead advocates for properly designed Essix retainers or fixed provisionals that maintain space without transmitting occlusal pressure. His guiding principle: space, volume, and time—allowing tissue to heal in an environment that supports both biological integrity and aesthetic form. The conversation culminates with an in-depth reflection on the biological and prosthetic purpose of provisionalization. Drawing on insights from Dr. Todd Schoenbaum, Dr. Esquivel reframes the provisional phase not as optional, but as biologically mandatory. The provisional guides tissue healing, allows for gradual adaptation, and provides essential information for the ceramist—ensuring that the final crown replicates the ideal emergence contours established chairside. As Dr. Esquivel puts it, "Dentists should take credit not for the white, but for the pink—the transition zone we've designed and stabilized." By the end of this episode, listeners will gain a detailed understanding of: How to apply Dr. Esquivel's space–volume–time model to aesthetic implant planning The biologic reasoning behind connective-tissue grafting and margin-preservation therapies Why provisionalization is central to both soft-tissue stability and prosthetic accuracy How to communicate healing timelines and realistic expectations to patients Part one of this series is both technically rigorous and refreshingly human—an exploration of how aesthetic implant success lies not in speed or convenience, but in respecting biology, sequencing, and time.

Dr. David Attia, an experienced implantologist and educator, dives deep into the nuances of modern implant dentistry with Dr. Melissa Seibert. They discuss why implants aren't always the best choice, especially for lateral incisors, favoring resin-bonded bridges instead. Attia shares insights on provisionalization strategies that preserve soft tissue and emphasizes the importance of managing occlusion to avoid complications. He also addresses ethical dilemmas in dental care, advocating for a philosophy that values longevity and conservatism in treatment.

Injection Molding PDF Join Elevated GP: www.theelevatedgp.com Follow @dental_digest_podcast Instagram Follow @dr.melissa_seibert on Instagram In this first of a two-part series, Dr. Melissa Seibert sits down with Dr. David Attia—an international educator leading the charge in digital and implant dentistry—to explore how advanced technologies are revolutionizing multidisciplinary care. Together, they unpack how tools like SmileCloud, CBCT segmentation, and 3D facial scanning are allowing clinicians to "stack" digital data for unparalleled treatment precision. Dr. Attia shares how virtual patient workflows have streamlined his implant and aesthetic planning, transforming coordination between surgical, restorative, and laboratory teams. The discussion also dives into biologically driven implant concepts, the evolution of partial extraction therapy, and the philosophy that "preservation is the ultimate form of regeneration." This episode will reshape how you think about digital integration and tissue preservation in the aesthetic zone. Dr. David Attia completed his undergraduate training at Griffith University, Queensland. Following graduation, Dr. Attia completed a Post Graduate Diploma in Orthodontics and Dentofacial Orthopedics through the City of London Dental School. David's passion for surgery led him to complete a Master's in Oral Implantology through Goethe University in Frankfurt, Germany. His Master's thesis focused on a novel approach in full-arch implant rehabilitations and he presented his research at the 6th Annual Congress of Innovation Jumps in Oral Implantology. Dr. Attia now holds a teaching appointment with Goethe University as a surgical mentor for Australian students completing the program. He has also presented on the implementation of photography into clinical practice, as well as the importance of soft tissue management around implants both locally and abroad. Dr. Attia is a core faculty instructor for the Australasian College of Dental Practitioners Graduate Diploma in Oral Implants and is also involved in live surgical training of dentists looking to begin or advance their journey in dental implantology. David thoroughly enjoys the multi-disciplinary approach to dentistry. His unique combination of education and training allows him to implement cutting-edge treatment, offering patients comprehensive, predictable and long-term treatment solutions. He is passionate about sharing knowledge and is regularly involved in training and mentoring recent graduates.

Injection Molding PDF Join Elevated GP: www.theelevatedgp.com Follow @dental_digest_podcast Instagram Follow @dr.melissa_seibert on Instagram In this episode of Dental Digest, host Dr. Melissa Seibert sits down with Dr. Marcella Alvarez, prosthodontist and educator, to explore one of the most transformative ideas in modern interdisciplinary dentistry—pre-orthodontic bonding. Dr. Alvarez explains how this restorative-driven approach flips the traditional sequence by establishing anatomy and function before orthodontic treatment. The result: improved collaboration, reduced guesswork, and highly predictable outcomes for patients with severe wear and collapsed bites. Together, they discuss practical workflows—analog and digital—diagnostic frameworks from Robbins and Rouse's Global Diagnosis, and the critical role of airway-conscious planning in long-term success. Whether you're a GP, prosthodontist, or orthodontist, this conversation reframes how you think about sequencing, diagnosis, and comprehensive, minimally invasive care.

Injection Molding PDF Join Elevated GP: www.theelevatedgp.com Follow @dental_digest_podcast Instagram Follow @dr.melissa_seibert on Instagram 🦷 Episode Description If you've ever restored an anterior implant and thought, "Something about this looks… off," this episode is for you. Join Dr. Melissa Seibert as she breaks down the key concepts behind predictable, aesthetic implant restorations—especially how to finally make sense of why your gingival zenith might look unnatural and what to do about it. We'll dive deep into platform switching, soft tissue management, and Dr. Seibert's powerful E–B–C framework for developing the ideal emergence profile—so your anterior implants don't just function beautifully, but look like they truly belong. Plus, you'll hear how small design choices and precise positioning can dramatically change your aesthetic outcomes—and your confidence as a restorative dentist. Whether you place implants or just restore them, this episode will give you the clarity to elevate your work from "good enough" to "exceptional." 🎧 Tune in now—and transform how you see anterior implant esthetics.

Join Elevated GP: www.theelevatedgp.com https://gouluru.com/ Net32.com Follow @dental_digest_podcast Instagram Follow @dr.melissa_seibert on Instagram Episode Description Taxes are one of the biggest expenses a dentist will ever face—but most aren't taught how to navigate them. In this episode of Dental Digest Podcast, host Dr. Melissa Seibert sits down with dental CPA Travis Slade of Allure Dental Accounting to unpack how dentists can stop leaving money on the table and start keeping more of what they earn. Whether you're an associate paid as a 1099 or W2, or a practice owner managing overhead, this episode gives you the clarity you need on entity structures, deductions, and retirement strategies. Travis breaks down: The real difference between 1099 vs W2 compensation—and why it matters for your taxes. What an LLC actually does (and doesn't do) for dentists, and when an S-corp makes sense. The write-offs you should be taking (CE, insurance, supplies, even your dental school kit) vs. the ones that could get you into trouble. How to avoid red flags that increase audit risk, and what happens if the IRS does come knocking. Practical guidance on automobile deductions, home office use, travel expenses, and meals. The power of a SEP IRA and other retirement accounts for lowering your tax bill while building long-term wealth. Travis' advice is built on years of working almost exclusively with dentists, which means you'll hear exactly what's "ordinary and necessary" in the eyes of the IRS for your profession. You'll walk away with actionable insights to protect yourself legally, maximize deductions ethically, and structure your finances to support both your practice and your future. If you've ever wondered whether you're missing deductions, overpaying in taxes, or confused about what entity type to choose—this episode is a must-listen.

Join Elevated GP: www.theelevatedgp.com Net32.com 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

Join Elevated GP: www.theelevatedgp.com Net32.com Follow @dental_digest_podcast Instagram Follow @dr.melissa_seibert on Instagram In this episode of Dental Digest, Dr. Melissa Seibert sits down with Dr. Kim Schlam, prosthodontist and Spear Education faculty member, to explore how thoughtfully integrated digital workflows can transform clinical practice. Dr. Schlam shares her journey from traditional analog techniques to leveraging digital tools like intraoral scanning, photogrammetry, and in-house printing, emphasizing not just efficiency but also precision and predictability. She highlights how these technologies—when paired with intentional delegation and structured team roles—streamline data collection, improve patient onboarding, and reduce chair time, all while maintaining a focus on aesthetics and patient-centered outcomes. A central theme of the conversation is collaboration—both within the dental team and across specialties. Dr. Schlam describes the power of "co-discovery," using visual tools such as full-face photography and SmileCloud's AI-driven smile design to engage patients in their own treatment planning. She also details how cloud-based platforms enhance interdisciplinary communication with surgeons, orthodontists, and lab technicians, ensuring alignment from diagnosis through execution. Listeners will come away with practical insights into how digital workflows can elevate dentistry beyond technology for its own sake, serving instead as a catalyst for better communication, stronger teamwork, and superior patient care.