The Very Dental Podcast Network

In this classic episode Dr. Mike DiTolla returns to the show to break down the clinical realities of working with zirconia. After sharing a humorous and humbling story about his recent shoulder surgery and the universality of missed nerve blocks, Mike shifts focus to the material science of modern dentistry. He details the specific use cases for full-strength versus translucent zirconia, explains why he treats cement margins like narrow Class V restorations, and offers precise protocols for adjusting and polishing without damaging the ceramic. From the "Lipscomb Scale" of removal difficulty to the critical importance of decontamination after try-in, this conversation offers practical, universal solutions for simplifying the zirconia workflow. Join the Very Dental Facebook Group using one of these passwords: Timmerman, Bioclear, Hornbrook, Gary, McWethy, Papa Randy, or Lipscomb! The Very Dental Podcast network is and will remain free to download. If you'd like to support the shows you love at Very Dental then show a little love to the people that support us! I'm a big fan of the Bioclear Method! I think you should give it a try and I've got a great offer to help you get on board! Use the exclusive Very Dental Podcast code VERYDENTAL8TON for 15% OFF your total Bioclear purchase, including Core Anterior and Posterior Four day courses, Black Triangle Certification, and all Bioclear products. Crazy Dental has everything you need from cotton rolls to equipment and everything in between and the best prices you'll find anywhere! If you head over to verydentalpodcast.com/crazy and use coupon code "VERYSHIP" you'll get free shipping on your order! Go save yourself some money and support the show all at the same time! The Wonderist Agency is basically a one stop shop for marketing your practice and your brand. From logo redesign to a full service marketing plan, the folks at Wonderist have you covered! Go check them out at verydentalpodcast.com/wonderist! Enova Illumination makes the very best in loupes and headlights, including their new ergonomic angled prism loupes! They also distribute loupe mounted cameras and even the amazing line of Zumax microscopes! If you want to help out the podcast while upping your magnification and headlight game, you need to head over to verydentalpodcast.com/enova to see their whole line of products! CAD-Ray offers the best service on a wide variety of digital scanners, printers, mills and even their very own browser based design software, Clinux! CAD-Ray has been a huge supporter of the Very Dental Podcast Network and I can tell you that you'll get no better service on everything digital dentistry than the folks from CAD-Ray. Go check them out at verydentalpodcast.com/CADRay!

This classic Dental Hacks episode features a long-form interview with Dr. Rella Christensen of TRAC Research (formerly CRA). The discussion covers the history of independent product evaluation, the challenges of maintaining objectivity in dental research, and significant findings regarding restorative materials and caries management. The original interview had really poor sound quality but a little help from an Adobe AI filter really cleared it up. This interview was worth another listen, I think! Key Interview Highlights 1. The Origins and Ethics of TRAC Research History: The organization began in 1976 (founded by Gordon Christensen) with the goal of collecting subjective data from clinicians to create objective "Consumer Reports" style rankings for dentistry. Unbiased Stance: Dr. Christensen emphasized that TRAC is a non-profit foundation that accepts no funding from manufacturers. If a company refuses to provide a product for testing (often fearing a negative review), TRAC purchases it on the open market to ensure the data is captured. The "File Drawer" Effect: They discussed how negative research is rarely published in journals due to corporate influence in dental schools and editorial boards. TRAC aims to publish the truth, even when it is negative. 2. Restorative Materials: The Zirconia Revolution 10-Year Study Results: Dr. Christensen detailed a 10-year study comparing various ceramic systems. The Failure: Zirconia substructures (like Lava) survived well, but the veneering ceramics (porcelain layered on top) had massive failure rates (chipping and cracking). The Winner: The study pointed toward monolithic zirconia (specifically BruxZir) and lithium disilicate (e.max) as the most durable options. Translucency Warning: She noted that as manufacturers push for more translucent (anterior) zirconia, they often lower the flexural strength (from ~1200 MPa to ~600 MPa). She cautioned that the long-term fracture toughness of these newer, "prettier" zirconias was still unknown at the time 3. The "Bombshell": Enamel Remineralization & Caries The Study: TRAC performed an in-depth clinical study on 330 orthodontic patients (high risk for white spot lesions). They tested various protocols including MI Paste, Fluoride Varnish, Ozone, and Xylitol against a control group. The Result: None of the products performed statistically better than the control group (who did nothing special), with the exception of PreviDent 5000, which was only marginally better. The Conclusion: Dr. Christensen concluded that you cannot arrest caries or remineralize enamel if the patient's diet is not addressed. She stated that dental caries is "the only infectious disease we attempt to treat while allowing the cause [sugar] to continue." Join the Very Dental Facebook Group using one of these passwords: Timmerman, Bioclear, Hornbrook, Gary, McWethy, Papa Randy, or Lipscomb! The Very Dental Podcast network is and will remain free to download. If you'd like to support the shows you love at Very Dental then show a little love to the people that support us! I'm a big fan of the Bioclear Method! I think you should give it a try and I've got a great offer to help you get on board! Use the exclusive Very Dental Podcast code VERYDENTAL8TON for 15% OFF your total Bioclear purchase, including Core Anterior and Posterior Four day courses, Black Triangle Certification, and all Bioclear products. Crazy Dental has everything you need from cotton rolls to equipment and everything in between and the best prices you'll find anywhere! If you head over to verydentalpodcast.com/crazy and use coupon code "VERYSHIP" you'll get free shipping on your order! Go save yourself some money and support the show all at the same time! The Wonderist Agency is basically a one stop shop for marketing your practice and your brand. From logo redesign to a full service marketing plan, the folks at Wonderist have you covered! Go check them out at verydentalpodcast.com/wonderist! Enova Illumination makes the very best in loupes and headlights, including their new ergonomic angled prism loupes! They also distribute loupe mounted cameras and even the amazing line of Zumax microscopes! If you want to help out the podcast while upping your magnification and headlight game, you need to head over to verydentalpodcast.com/enova to see their whole line of products! CAD-Ray offers the best service on a wide variety of digital scanners, printers, mills and even their very own browser based design software, Clinux! CAD-Ray has been a huge supporter of the Very Dental Podcast Network and I can tell you that you'll get no better service on everything digital dentistry than the folks from CAD-Ray. Go check them out at verydentalpodcast.com/CADRay!

It's New Year's Eve Eve! Zach and Kevin return to close out the year with returning guests Dr. Gary Holtzclaw and Dr. Erin Elliott. In this final episode of 2025, the crew trades stories about their most memorable (and traumatic) New Year's Eve experiences—including a high school snowball fight that went terribly wrong and an intense dental school dodgeball tournament. Later, the conversation shifts from parties to protocols as the group discusses the major clinical and business changes they implemented in their practices this year. From AI integration and staffing shake-ups to battles with corporate CEOs and the rise of "Google Review extortion," they cover the highs and lows of practicing dentistry in 2025. Join the Very Clinical Facebook group! Join the Very Dental Facebook Group using one of these passwords: Timmerman, Bioclear, Hornbrook, Gary, McWethy, Papa Randy, or Lipscomb! The Very Dental Podcast network is and will remain free to download. If you'd like to support the shows you love at Very Dental then show a little love to the people that support us! I'm a big fan of the Bioclear Method! I think you should give it a try and I've got a great offer to help you get on board! Use the exclusive Very Dental Podcast code VERYDENTAL8TON for 15% OFF your total Bioclear purchase, including Core Anterior and Posterior Four day courses, Black Triangle Certification, and all Bioclear products. Crazy Dental has everything you need from cotton rolls to equipment and everything in between and the best prices you'll find anywhere! If you head over to verydentalpodcast.com/crazy and use coupon code "VERYSHIP" you'll get free shipping on your order! Go save yourself some money and support the show all at the same time! The Wonderist Agency is basically a one stop shop for marketing your practice and your brand. From logo redesign to a full service marketing plan, the folks at Wonderist have you covered! Go check them out at verydentalpodcast.com/wonderist! Enova Illumination makes the very best in loupes and headlights, including their new ergonomic angled prism loupes! They also distribute loupe mounted cameras and even the amazing line of Zumax microscopes! If you want to help out the podcast while upping your magnification and headlight game, you need to head over to verydentalpodcast.com/enova to see their whole line of products! CAD-Ray offers the best service on a wide variety of digital scanners, printers, mills and even their very own browser based design software, Clinux! CAD-Ray has been a huge supporter of the Very Dental Podcast Network and I can tell you that you'll get no better service on everything digital dentistry than the folks from CAD-Ray. Go check them out at verydentalpodcast.com/CADRay!

In this candid episode, Alan announces he is taking a hiatus from recording new content for the Very Dental Podcast Network. Feeling momentarily "tapped out" after nearly 12 years of podcasting, Alan reflects on the evolution of the medium and his desire to avoid becoming repetitive. Starting in January, the show will move to a weekly Friday release schedule featuring remastered "Greatest Hits" episodes, beginning with a classic 2015 interview with Dr. Rella Christensen. While he plans to step back from the microphone for a bit, he will continue to produce episodes for hosts Kevin and Zach and intends to record at the upcoming Voice of Dentistry and Chicago Midwinter meetings. Alan concludes by asking the audience for feedback on future formats, including potential co-hosts or narrative storytelling. Message me on Facebook or email me if you've got thoughts. Some links from the show: Voices of Dentistry Go check out Bioclear from courses to gear to matrices, you can get 15% off your order with code: VeryDental8TON Crazy Dental: Get free shipping with code: VeryDentalShip Net32: Check out great pricing at net32.com/verydental Relevance Online Marketing: Mention "Very Dental" to get your setup fee waived. Join the Very Dental Facebook Group using one of these passwords: Timmerman, Bioclear, Hornbrook, Gary, McWethy, Papa Randy, or Lipscomb! The Very Dental Podcast Network is and will remain free; please support the people who support us! Crazy Dental has everything you need—from cotton rolls to equipment—at the best prices! Get an free shipping on your order by visiting verydentalpodcast.com/crazy and using coupon code VERYSHIP. Save money and support the show. The Wonderist Agency is your one-stop shop for marketing your dental practice and brand. They cover everything from logo redesign to a full-service marketing plan. Check them out at verydentalpodcast.com/wonderist Enova Illumination makes the very best in loupes and headlights, including their new ergonomic angled prism loupes. They also distribute loupe-mounted cameras and Zumax microscopes! Boost your magnification/headlight game and support the podcast at verydentalpodcast.com/enova. CAD-Ray offers the best service on a wide variety of digital scanners, printers, mills, and their own browser-based design software, Clinux. See the brand new scanner from Shining 3D, the Elf! Get the best service on all things digital dentistry at verydentalpodcast.com/CADRay!

In this throwback Dental Hacks episode, I am joined by Dr. Jason Lipscomb to welcome two absolute legends in dental education: Dr. Frank Spear and Dr. Gregg Kinzer. This interview was originally released back in 2018 and it marked the first time Jason, Frank, and Gregg sat down together on the podcast, delivering a conversation packed with history, philosophy, and actionable practice management advice. The conversation traces the evolution of dental continuing education, moving from Frank's early days of disjointed lectures to the structured, curriculum-based approach of the Spear Center today. The group discusses the dynamics of Frank and Gregg's successful 20-year partnership, emphasizing the importance of shared vision over finding a "clone." They provide deep insights into patient communication, specifically how to filter new patients using the "Emergency Room vs. Mayo Clinic" analogy and how to re-engage long-time patients in comprehensive care without making them feel neglected. Finally, they cover the importance of fighting burnout through clinical growth and the future of restorative dentistry, including the integration of airway health and online team education. Some links from the show: Periowise Periodontal Probes Jason: BeadSmith 3mm Hooked Dimple Pliers Alan: Ugly Delicious Join the Very Dental Facebook Group using one of these passwords: Timmerman, Bioclear, Hornbrook, Gary, McWethy, Papa Randy, or Lipscomb! The Very Dental Podcast network is and will remain free to download. If you'd like to support the shows you love at Very Dental then show a little love to the people that support us! I'm a big fan of the Bioclear Method! I think you should give it a try and I've got a great offer to help you get on board! Use the exclusive Very Dental Podcast code VERYDENTAL8TON for 15% OFF your total Bioclear purchase, including Core Anterior and Posterior Four day courses, Black Triangle Certification, and all Bioclear products. Crazy Dental has everything you need from cotton rolls to equipment and everything in between and the best prices you'll find anywhere! If you head over to verydentalpodcast.com/crazy and use coupon code "VERYSHIP" you'll get free shipping on your order! Go save yourself some money and support the show all at the same time! The Wonderist Agency is basically a one stop shop for marketing your practice and your brand. From logo redesign to a full service marketing plan, the folks at Wonderist have you covered! Go check them out at verydentalpodcast.com/wonderist! Enova Illumination makes the very best in loupes and headlights, including their new ergonomic angled prism loupes! They also distribute loupe mounted cameras and even the amazing line of Zumax microscopes! If you want to help out the podcast while upping your magnification and headlight game, you need to head over to verydentalpodcast.com/enova to see their whole line of products! CAD-Ray offers the best service on a wide variety of digital scanners, printers, mills and even their very own browser based design software, Clinux! CAD-Ray has been a huge supporter of the Very Dental Podcast Network and I can tell you that you'll get no better service on everything digital dentistry than the folks from CAD-Ray. Go check them out at verydentalpodcast.com/CADRay!

Join hosts Zach and Kevin for the annual Very Clinical holiday wrap-up! This week, they welcome back the recurring year-end duo, Dr. Erin Elliott and Dr. Gary Holtzclaw. It is officially a tradition as Erin and Gary join the guys to break down how they are spending the holidays and what has changed in their lives over the last twelve months. In this festive episode, the group shares their unique Christmas traditions, ranging from Icelandic rice pudding games to seafood feasts and tongue-in-cheek "virgin sacrifices." Beyond the holiday cheer, they dive into significant life updates. Kevin discusses the transition of selling his practice to become an associate and his growing obsession with pickleball. Erin shares the joys of empty nesting and her quest to visit every NFL stadium. Gary reveals why he deleted his social media accounts to reclaim his attention span and his commitment to taking real vacations, while Zach opens up about the realities of taking over full ownership of his family practice. It is a candid look at the personal and professional evolution of four dentists at different stages of their careers. Join the Very Clinical Facebook group! Join the Very Dental Facebook Group using one of these passwords: Timmerman, Bioclear, Hornbrook, Gary, McWethy, Papa Randy, or Lipscomb! The Very Dental Podcast network is and will remain free to download. If you'd like to support the shows you love at Very Dental then show a little love to the people that support us! I'm a big fan of the Bioclear Method! I think you should give it a try and I've got a great offer to help you get on board! Use the exclusive Very Dental Podcast code VERYDENTAL8TON for 15% OFF your total Bioclear purchase, including Core Anterior and Posterior Four day courses, Black Triangle Certification, and all Bioclear products. Crazy Dental has everything you need from cotton rolls to equipment and everything in between and the best prices you'll find anywhere! If you head over to verydentalpodcast.com/crazy and use coupon code "VERYSHIP" you'll get free shipping on your order! Go save yourself some money and support the show all at the same time! The Wonderist Agency is basically a one stop shop for marketing your practice and your brand. From logo redesign to a full service marketing plan, the folks at Wonderist have you covered! Go check them out at verydentalpodcast.com/wonderist! Enova Illumination makes the very best in loupes and headlights, including their new ergonomic angled prism loupes! They also distribute loupe mounted cameras and even the amazing line of Zumax microscopes! If you want to help out the podcast while upping your magnification and headlight game, you need to head over to verydentalpodcast.com/enova to see their whole line of products! CAD-Ray offers the best service on a wide variety of digital scanners, printers, mills and even their very own browser based design software, Clinux! CAD-Ray has been a huge supporter of the Very Dental Podcast Network and I can tell you that you'll get no better service on everything digital dentistry than the folks from CAD-Ray. Go check them out at verydentalpodcast.com/CADRay!

In this holiday edition, Alan starts off feeling the weight of the Winter Solstice and a bit of "podcasting burnout," questioning whether an audio veteran needs to pivot to video to stay relevant. However, he refuses to stay in a funk. Alan shares his real-time strategy for getting his head straight for the holidays, including a change of recording venue, hacking his own social media algorithms to remove toxicity, and finally getting back to the gym. He also shares updates on his practice's workflow, his renewed passion for Bioclear, and why you need to be in Arizona this January. Some links from the show: Voices of Dentistry Go check out Bioclear from courses to gear to matrices, you can get 15% off your order with code: VeryDental8TON Crazy Dental: Get free shipping with code: VeryDentalShip Net32: Check out great pricing at net32.com/verydental Relevance Online Marketing: Mention "Very Dental" to get your setup fee waived. dr.mike on lemon water Join the Very Dental Facebook Group using one of these passwords: Timmerman, Bioclear, Hornbrook, Gary, McWethy, Papa Randy, or Lipscomb! The Very Dental Podcast Network is and will remain free; please support the people who support us! Crazy Dental has everything you need—from cotton rolls to equipment—at the best prices! Get an free shipping on your order by visiting verydentalpodcast.com/crazy and using coupon code VERYSHIP. Save money and support the show. The Wonderist Agency is your one-stop shop for marketing your dental practice and brand. They cover everything from logo redesign to a full-service marketing plan. Check them out at verydentalpodcast.com/wonderist Enova Illumination makes the very best in loupes and headlights, including their new ergonomic angled prism loupes. They also distribute loupe-mounted cameras and Zumax microscopes! Boost your magnification/headlight game and support the podcast at verydentalpodcast.com/enova. CAD-Ray offers the best service on a wide variety of digital scanners, printers, mills, and their own browser-based design software, Clinux. See the brand new scanner from Shining 3D, the Elf! Get the best service on all things digital dentistry at verydentalpodcast.com/CADRay!

This throwback Dental Hacks episode features one of Alan and Jason's classic airway discussions with Dr. Jeff Rouse. This was recorded at the 2018 DS World held in Orlando. Dr. Rouse elaborated on the Seattle Protocol and the essential approach to airway management in dentistry. Jeff broke down the differences between airway issues and sleep apnea, emphasizing the importance of nasal breathing and the role of night guards. He also addresses screening techniques using high-resolution pulse oximetry and cardiopulmonary coupling and the importance of interdisciplinary collaboration involving ENT specialists and orthodontists. Some links from the show: Jeff's links: Spear Education The Seattle Protocol Links from the show: Al's article in the November issue of Dental Economics: "7 tips to make anterior composites more predictable, profitable and fun" Go Hack Yourself: Jason: Mindnode 5 Alan: Foamies by Piksters Join the Very Dental Facebook Group using one of these passwords: Timmerman, Bioclear, Hornbrook, Gary, McWethy, Papa Randy, or Lipscomb! The Very Dental Podcast network is and will remain free to download. If you'd like to support the shows you love at Very Dental then show a little love to the people that support us! I'm a big fan of the Bioclear Method! I think you should give it a try and I've got a great offer to help you get on board! Use the exclusive Very Dental Podcast code VERYDENTAL8TON for 15% OFF your total Bioclear purchase, including Core Anterior and Posterior Four day courses, Black Triangle Certification, and all Bioclear products. Crazy Dental has everything you need from cotton rolls to equipment and everything in between and the best prices you'll find anywhere! If you head over to verydentalpodcast.com/crazy and use coupon code "VERYSHIP" you'll get free shipping on your order! Go save yourself some money and support the show all at the same time! The Wonderist Agency is basically a one stop shop for marketing your practice and your brand. From logo redesign to a full service marketing plan, the folks at Wonderist have you covered! Go check them out at verydentalpodcast.com/wonderist! Enova Illumination makes the very best in loupes and headlights, including their new ergonomic angled prism loupes! They also distribute loupe mounted cameras and even the amazing line of Zumax microscopes! If you want to help out the podcast while upping your magnification and headlight game, you need to head over to verydentalpodcast.com/enova to see their whole line of products! CAD-Ray offers the best service on a wide variety of digital scanners, printers, mills and even their very own browser based design software, Clinux! CAD-Ray has been a huge supporter of the Very Dental Podcast Network and I can tell you that you'll get no better service on everything digital dentistry than the folks from CAD-Ray. Go check them out at verydentalpodcast.com/CADRay!

Kevin and Alan are joined again by Dr. Dhaval Patel to discuss the significant shifts occurring in digital dentistry, moving beyond the traditional CEREC workflow. Dhaval explains that his highly popular online group, "Keep CERECing," was recently renamed "Keep CAD/CAMing" after he consulted with Dentsply Sirona's legal team regarding trademark usage, which prompted him to broaden the group's scope. This change has led to a natural expansion in technology focus, now encompassing the wider CAD/CAM landscape including 3D printing and 5-axis milling. Dhaval details how he uses 3D printing for models, surgical guides, and night guards, and leverages a 5-axis mill for larger, multi-unit cases and zirconia restorations, highlighting the cost efficiency and ability to run large jobs overnight. The conversation also explores the rise of dedicated, outsourced digital designers and the potential for artificial intelligence (AI) to handle design in the near future. Some links from the show: Keep CADCAMing Facebook group Dhaval's Instagram Keep CADCAMing website (where you can find information about their upcoming meeting October 15-17th, 2026!) Join the Very Clinical Facebook group! Join the Very Dental Facebook Group using one of these passwords: Timmerman, Bioclear, Hornbrook, Gary, McWethy, Papa Randy, or Lipscomb! The Very Dental Podcast network is and will remain free to download. If you'd like to support the shows you love at Very Dental then show a little love to the people that support us! I'm a big fan of the Bioclear Method! I think you should give it a try and I've got a great offer to help you get on board! Use the exclusive Very Dental Podcast code VERYDENTAL8TON for 15% OFF your total Bioclear purchase, including Core Anterior and Posterior Four day courses, Black Triangle Certification, and all Bioclear products. Crazy Dental has everything you need from cotton rolls to equipment and everything in between and the best prices you'll find anywhere! If you head over to verydentalpodcast.com/crazy and use coupon code "VERYSHIP" you'll get free shipping on your order! Go save yourself some money and support the show all at the same time! The Wonderist Agency is basically a one stop shop for marketing your practice and your brand. From logo redesign to a full service marketing plan, the folks at Wonderist have you covered! Go check them out at verydentalpodcast.com/wonderist! Enova Illumination makes the very best in loupes and headlights, including their new ergonomic angled prism loupes! They also distribute loupe mounted cameras and even the amazing line of Zumax microscopes! If you want to help out the podcast while upping your magnification and headlight game, you need to head over to verydentalpodcast.com/enova to see their whole line of products! CAD-Ray offers the best service on a wide variety of digital scanners, printers, mills and even their very own browser based design software, Clinux! CAD-Ray has been a huge supporter of the Very Dental Podcast Network and I can tell you that you'll get no better service on everything digital dentistry than the folks from CAD-Ray. Go check them out at verydentalpodcast.com/CADRay!

Alan explores the state of prevention in dentistry, inspired by his constant sense of smelling periodontitis everywhere. He argues that while the profession talks a good game about prevention, its core focus remains surgical intervention. Alan stresses that the success of dental health hinges on the 363 days of patient home care outside the office, yet dentists often fail to properly educate patients on effective techniques beyond generic instructions to "brush and floss." Drawing on insights from hygiene experts, he calls for a radical shift to front-load prevention—moving past a reliance on periodic exams to actively equipping patients with the customized tools and knowledge needed for effective, daily self-care. Some links from the show: Michelle Strange's Instagram Join the Very Dental Facebook Group using one of these passwords: Timmerman, Bioclear, Hornbrook, Gary, McWethy, Papa Randy, or Lipscomb! The Very Dental Podcast Network is and will remain free; please support the people who support us! Crazy Dental has everything you need—from cotton rolls to equipment—at the best prices! Get an free shipping on your order by visiting verydentalpodcast.com/crazy and using coupon code VERYSHIP. Save money and support the show. The Wonderist Agency is your one-stop shop for marketing your dental practice and brand. They cover everything from logo redesign to a full-service marketing plan. Check them out at verydentalpodcast.com/wonderist Enova Illumination makes the very best in loupes and headlights, including their new ergonomic angled prism loupes. They also distribute loupe-mounted cameras and Zumax microscopes! Boost your magnification/headlight game and support the podcast at verydentalpodcast.com/enova. CAD-Ray offers the best service on a wide variety of digital scanners, printers, mills, and their own browser-based design software, Clinux. See the brand new scanner from Shining 3D, the Elf! Get the best service on all things digital dentistry at verydentalpodcast.com/CADRay!