Join us for part 2 of our cosmetic dentistry special as we catch up with friends old and new at the 18th annual BACD Conference, held in Newport, Wales, from 10-12 November. 

 

This week, we hear from Neil Gerrard, Nicola Gore, Simon Chard and others. 

 

Enjoy!

In This Episode

01.38 Neil Gerrard

11.54 Nicola Gore

30.00 Rajiv Ruwala

40.05 Rupert Monkhouse

48.00 Simon Chard

Historically, we have been busy running our families, running all the part of our lives rather than the dentistry.

That’s the reason, isn’t it?

It is.

I think it’s partly that partly that there’s a second part that it’s almost like ladies are less likely to to put themselves up somehow. There’s a there’s a modesty or a like for a man to stand up and say, this is what I do and this is the size of my drill. It seems more natural than for some ladies.

Yes. Yes.

This is Dental Leaders, the podcast where you get to go one on one with emerging leaders in dentistry. Your hosts, Payman, Langroudi and Prav Silang.

So I’m with Alonzo. Two dentists. You would have seen their stuff on YouTube. Guys, it’s nice to have you at BC. Is this the first one you’ve done?

Yeah, this is. Yeah, the first. Definitely. Yeah. My first one is all coming to B.C.. I’ve been to a young student event before, but this is my first event. Yeah, that was the first one we ever went to together. First event we ever went to together as a young dentist. If you remember, it was like third and fourth year uni, maybe four years ago. Oh, yeah, yeah, yeah.

So what’s your reflection like now that you’ve been to the actual main conference? How do you feel about it? It’s a really.

Good fun, really enjoying it. Obviously the trade fair today, the course is yesterday.

Which one did you do?

Yesterday I did two biomimetic posterior composites and smile first in the afternoon. So, yeah, really, really interesting. Learn a lot. I remember when we went to the first BCD event back when we were students. No one else in our group Uni was mentioning this stuff and had gone and this was the first one that we actually went on. We went and it was a day of like amazing lectures and it was so revolutionary for us. And from then on I think that was the first one that kicked off all these events that we started going to, you know, the year after that we went to the London Dentistry, so Dentistry year, we were just constantly gagging for more. And I think.

I quite encouraged students to turn up and really smile over to watch. I mean, even if they don’t know, I don’t want them to pay to actually do the thing. But for me, if a student in their fourth year or something comes and watches that, it puts their career on another trajectory and they see what else is positive possible, you know.

I think the inspiration, like they become inspired by what dentists can actually do. Yeah, and because I imagine a lot of dental students, especially towards the final years, they get so bogged down with exams and revision and lecturers maybe being mean or supervisors being mean that they may even be put off from dentistry, but then come in to events like this or any event.

Really with the positivity of it.

The positivity of it, seeing how happy dentists are actually in person and, you know, communicating with one another and motivating is a big.

Big part of it. So how many years out are you guys now?

I’m two years out. This is my second year as an associate and this is my first year as an associate.

Oh, I see. So you weren’t even the same year graduated?

No, no, no, no. We grew up together, so, yeah, we went to high school. To primary school. Oh, in high school, sixth form. We split up for uni. I took a gap year and he didn’t. Yeah. So that’s why I’m one year behind him.

And where did you study then?

St I’m in Newcastle and I’m from Bristol. Yeah.

Oh so you go to dentist. You wasn’t even you weren’t in the same place at the same time from COVID.

It was really weird because our first year of uploading Ali was in Newcastle, still doing this final year and I was doing my foundation training. So I was in London, he was in Newcastle and he would come down to London for us to record and somehow we managed to upload a video every single week for a whole year with him even being in Newcastle.

The consistency I find with content consistency is the absolute key consistency because because the content will find its own audience, right? The audience that wants to watch YouTube. Yeah, it’s a, it’s a group of people, but they need to every Wednesday night, whenever every time they go for a run or every time whenever their, their particular rhythm is, you need to be there in that rhythm, you know. And I decided to do dental leaders one a week come what may. Yeah yeah. And you know, sometimes it’s a question of we haven’t got an episode, what should we do? And then sometimes they become the most valuable episodes of the whole year because I just sit with him and just talk. Yeah, Yeah. 100%. Did you see any of Frank’s beer? Yeah, I did. What do you think? Was it above your head or did you feel like you could relate to it?

Because as I said, I’m first year associate. No, I could definitely relate to most of it. And I was actually surprising. I was actually thinking, It’s funny you asked me that. I was thinking back to that very first time we went to young dentist and how lost I was as a student compared to how much I actually am now understanding. And also what’s actually above that is I’m also thinking, wow, the more I’m learning, the more I’m learning that actually there’s so much more to learn. Yeah, it’s so, so.

That is, that is dentistry in a nutshell, pardon the pun. But that, that is the more you learn the less you realise how little you know.

You realise how you know. Yes. Just I was, I was noticing how much Doctor Frank’s beer actually he dabbles in so many different things as well and he’s able to understand so many different things from his colleagues.

So experience for me out of the big guns, like the really top guns, maybe there’s like two or three in the world, right? I find him the most accessible, like the most easily understandable, you know, because different people at different stages of their career. Right. So some guys in there are doing full mouth rehabs every day. And then there’s other people like me or you or whoever, you know, who are different level. But out of the big boys, I’ve listened to most of the big boys. I just find him just more accessible, you know? And that’s a. Beautiful thing, man. That’s beautiful. The other thing is that the presentation style. Yeah. You know, Water, bro.

Yeah, I was going to say, he’s got it down to the tee. Yeah, he’s a good speaker. He’s really good at communicating. You can tell, because one sentence flows on to the next and the slide flows on with.

Yeah, yeah.

So smoothly. And I imagine if you open up his PowerPoint, it’s not tense. It’s like hundreds of slides where it doesn’t feel like a 100 slide. How seamless. It’s seamless.

Really? Well, I found that. So you’re not coming tonight to the gala? Yeah. Oh, you’re welcome.

But. Oh, I’ll be here tomorrow for the for the day. And so won’t actually gala will be there.

You’ll enjoy that. You’ll enjoy that look for when they tend to go all out a little bit. Yeah. And, but so I’m going to have you guys on the proper podcast as well. We’d love for sure. Can’t wait because I’ve been watching you guys from a distance for a long time now. Then we finally met on Minibar Maker. That was lovely as well, but we definitely have a full length, long form conversation. So nice to have you guys.

Thank you so much for having us.

I’ve got Chris McConnell, the president who is responsible for all of this from the back. Obviously, again, and I guess this particular event has been driven by.

Ucas this year. So we’re at the ICC in Wales and its 2022 conference. Headline Speaker Frank Spear, who is a massive, massive name in the world of dentistry. And yeah, it’s, it’s a big event in always the venues, big the speakers big delegates numbers are big trade support like yourselves fantastically really big. And yeah, it’s been a lot of hard work to get this through and over the line. I have to say slightly stress this morning, I’m nice and chilled now and it’s lovely to just sit down and have a chat. But it’s been. Yes.

So you know, I guess this kind of event is such a big event that it’s a year in the making in itself, at.

Least for.

At least a year. Right. So when did you have to book Spear? Was it more than a year?

About four years ago. Five years ago, Yeah. So we start quite a few years out. Yeah. Yeah. So this place was booked. Obviously, we’re now 20, 22, so we’re coming off the back of COVID. Yeah. So this was booked I think in 2017, 2018, and it was still being built. Wow. That’s that was a bit of a punt. But as you can see, it’s a great venue and it’s really, really fresh and new. So it’s it’s brilliant. So yeah, so that’s all been in planning for ages. Covid obviously muddle things around a little bit with Edinburgh because Edinburgh should have been the year before. We should have in London last year and all the speakers, everyone got a little bit muddled. But between those because we book everyone but we book everyone, you know, a year or two years ahead in advance. So this year is a kind of a bit of a mash up of what would have been 2021 and 2022.

But I mean, it must be is it only the headliner you have to book that far ahead or everyone does it? Isn’t there a risk of like your you’re perpetuating the same lectures because you don’t you’re working so far ahead, but whoever’s hot, you haven’t you’re not able to put in because you’re working.

Well, this is this is the beauty because we have a great team here. Yeah. And we all go to lots of conferences, lots of lectures, and we’ll keep our pulse, our finger rather on the pulse. And there’s a couple of guys on board who are phenomenal with this, and they really know what’s kind of kicking around, what’s what’s hitting the right mark.

So let’s say mission goes to a conference tomorrow and see someone, some Japanese guy who’s amazing. It’s going to be you’re telling me it’s going to be a minimum of two years. But these guys.

Have booked up Spears booked up for five years. Our speakers booked up 2 to 3 years ahead of time. Just the way we need to plan for it, because obviously we need to market it the year before. So we need to know by September of the year before who’s coming, because we’re putting to print to sell tickets for next year to engage. This is the headline act. So yeah, 18 months is an absolute minimum.

And how about how about the positioning of the conference as far as, you know, the stand at the level I mean, the tension between keeping it simple enough for for a newbie to sort of appreciate and making it complex enough for a veteran that must cross your mind.

All the time. Yeah, it does. And this year, we’ve this is one of the areas that we really wanted to focus on. So the BCD during COVID, everybody’s re-evaluated, haven’t we? So we’ve had time to sit down and look at it. And what we’ve gone is we really want to now have a fresh vision moving forward. And the vision really with the BCD is that we want to be core promoters of ethical cosmetic dentistry. We want to engage with our profession and we want our profession to be engaging in ethical cosmetic dentistry. We’re here to help support here to help educate, and we’re here to help get the message out about how to do things well. And then also we want to engage with the public and make the public aware and go look, ethical cosmetic dentistry is it’s not just, you know, what it’s like people nowadays who just go, Oh, I’ve done whitening, I’ve done six veneers on the front. Here we go. That’s cosmetic dentists. No, it’s not. You need to have the turkey teeth. And turkey teeth has kicked this off this year. So we’re trying to raise awareness with the public as well.

How are you doing that?

Are we doing this through lots of different media channels? We’re building relationships with all the media. But coming back to your point on how do we gauge for every single person? Yeah, we do that with the Thursday event specifically. So what we wanted to do first events are hands on days and there’s lots of different sessions where people can come along and get kind of they really get into the nitty gritty and the learning.

Choose the particular thing.

And that is where you get most of your learning. You know full well when you’re in sitting in a massive lecture theatre, you’re seeing the theatre that’s there. You, you learn, it’s inspirational. Yeah. When you actually doing a hands on this is stuff you learn that you’re going back in on. The next time you’re back in clinic you can implement. And so the first three sessions are really, really important and we have because there’s six seven this year though eight streams, it’s really easy to then cater for different abilities and skill sets. And that’s what we did this year, really focusing on the newbies who are coming in all the way up to, you know, the old farts like me who are going, we want that a little bit more. We want really to have our grey matter challenged. And we had a great session with Chris or Neil, Jerod, Ken Harris, where they were really picking apart cases that you only ever see once because only one ever walks in. And how do you deal with that? And it was great, the interaction. There was quite a lot of people on that one and interaction was fantastic. But you’ve got to be at a certain level to understand where they’re going from. So yeah, so that’s how we, we structure it.

So having, having done a lot of events myself, yeah, that one thing I almost let’s like a wedding or something isn’t it. That one thing I always think of in an event is that there’s going to be something that goes wrong in every event and you’ve got, you’ve got a kind of for me, at every event, when that thing goes wrong, I go, Oh, there it is. There it is. That’s the thing. So what’s gone wrong?

What’s gone wrong? We have managed to deal with everything, all right? We have had challenges. Everyone has challenges.

So what’s gone wrong on this particular one today? Probably give an example to running something this big.

Okay. The biggest one for me that’s really done my head in right is the doors between the theatre and the Trade Hall. They don’t say no, no, they stay open, but people keep going through them. And I’m sitting there moderating Frank’s beer and I have this door that opens and keeps opening closing with Frank Letts. You’re on the stage about 20 metres away, not even that ten metres away, and people coming through, chatting with their coffees. And I’m just I seriously, I was guilty. Am I allowed to swear I lost my shit? I’ve been going on all morning. Lock the door. Lock the door, lock the door. And, and everyone was. And at one point I went right. It got to the point I had to leave my moderating session and I was storming around using different certain emojis on on the WhatsApp, let’s put that way to get the people down and lock the doors. They couldn’t lock them. So then I got I said, Right, well, in that case, if you can’t lock them, then I want someone standing in front of them. So they had someone standing in front of them and then they bug it off and then and it went back to square one. So yeah, for me that was the the biggest headache today.

I was, I was talking about I looked at the, you know, the flag outside that says 18th annual conference and I think I’ve been to 17 of them. Yeah. And you have had a massive part in organising many of those. 17. What’s the difference being the President. Is it, do you feel the burden of that 100%. Is it because you’re the final decision maker? Well.

Look, when I’ve come into this, what I’ve always tried to do is I’ve tried to go, this is a team effort. This is not about I’m keeping the seat warm for a year. That’s all I am. I’m a custodian of the presidency. However, it’s kind of viewed that it’s kind of your conference as president, and so everyone puts that a little bit on you and they get you to make all those little decisions and they kind of almost step back and, well, I’ll let you make that decision. So you’ve got to make a lot more. And yet you do take ownership and you feel quite a lot of attachment to it and it gets quite personal. And so I’ve come here and I’ve gone. I really want everyone to have a great day like this morning. We spent a huge amount of time trying to get emotion in the opening ceremony because for me emotion is critical. If you have emotion, then you feel and you embrace and you become part of. So hopefully with the smoke, the the countdown, the Male voice choir, the very inspirational talk by Colin, it’s this all kind of brings it together. So so that for me is is was really personal but everything running running to clockwork and as it should does should do it never does but you know and gala dinner tonight. I’m glad you’re coming. It’s going to be amazing.

Can you can you when you might as well just tell me because by the time these guys are.

All right, massive big vodka luge. Oh, excellent. Covid safe vodka luge. And it’s going to be epic. Epic. So we’re looking forward to it. Yeah.

Fraser, thank you so much for taking the time. You’re very welcome. I know it’s your busiest day and you’ve taken the time to spend it with me, so.

I’m very appreciative as well.

Thanks a lot for doing it.

There you go. I’m being called back now. Cool, buddy. Thanks, buddy. Okay. Take care.

So this is the best Palmer.

Hey, buddy.

Hey, man. So, right at the end of day three, it’s. You know, I’ve been trying to get you all my podcasts for the last three years. And for some reason, nothing.

I’ve got nothing interesting to say. Yeah.

Yeah. Everyone’s got something interesting. But you just got accredited on this one. Yeah, me through. Why would you want to be accredited?

You know, I’ve been asked that question a few times this weekend.

Yeah.

I guess inspiration came from when I did Krystle’s course back in 2012. Yeah. And he introduced BCD and the accreditation process back then. Yeah. And when I looked at the pathway, I just thought, Oh, this looks pretty exciting. It’s a British Academy of Cosmetic Dentistry. You know, it’s not so much as just paying a monthly membership fee. And I spoke to James Russell and he said, look, you know, it’s it’s not the destination of getting the accreditation. It’s the journey and the learning, the learning aspects of that journey. So, yeah, once I started, I did. Three cases in one year, and then I got lazy and took a break for a couple of years. And then they emailed me saying, Look, we’re going to change your process, so you might as well stick to the old, old protocol and just hand in your last two cases. So yeah, we’re just sort of finish it off.

And so I guess I get the thing about sort of playing against yourself and, you know, achieving something. But is there more to it than that? Are you going to now market that to patients or do you think patients don’t get that?

I think to from a patients perspective, saying I’m the president of the BCD means. And sounds more than I’m an accredited member. It’s a very personal it’s a very Dental.

I’m sorry to say thank you, but you’re not going to be any time soon.

Being president of anything.

But they’re not many dentists very accredited. So it’s a communication story, right, to patients. You could you could communicate that one of the few dentists, you know what I mean? To me? That it would make sense to also have it as a patient story.

Yeah. Yes. Look, I know loads of dentists who who may not have the wards and these kind of posts behind their name, and they’re very, very successful because from a patient’s perspective, all they’re interested in is are your nice dentists. Are you going to hurt me and are you going to give me the result? I don’t care about the letter of your name and all the rest of it. Sure, this is more of a personal thing, isn’t it? And you know, I started that journey. It’s done now.

What about this? This event would like this particular one. How was Frank Spear? How was how was the education in general for you? To be honest.

Overall education, absolutely fantastic. Provided you control your your alcohol. You take the night.

Before.

In a frank spear world.

Class to speak before.

Yes.

So this was different. I thought.

It was certainly very.

Different.

Very different. I mean, that guy, well, he’s a is restorative trained prostate period. Trained as well. You know, world class, international, well seasoned lecturer is seen it all, done it all. I guess when you when I’ve seen him on other instances, it’s generally full math rehabs you know, reconstruction of advanced bone loss cases, you know, grafting and, you know, proper, proper dentistry.

No.

He is a composite veneer.

Not composer artistry. No.

They’re dealing with man’s dentistry.

Which you’re doing a lot of yourself. Right? You’re doing a lot of full, full mouth cases. Yeah. Do you find that more satisfying than the composite? Well, yes.

One, it’s more stimulating. Is it? Yeah. You mean makes you think a composite? Look, it’s. Yes. You know, when I first started off that was stimulating learning the science behind it. But a lot of it is art. Yeah, it’s very it’s very. There’s a lot of dexterity involved. Yeah. You know, especially for your simple aesthetic cases where function is not a huge. Factor in that case was more of a cosmetic case. When you’re starting to do full math, rehabs, minimal prep veneers or treating patients that are actually, you know, they want minimal prep stuff, that then becomes slightly more challenging.

So I think.

To get to the crux of it. I sometimes say that, you know, you love teeth. You know, you adore dentistry, right. But to get to the crux of what is it about dentistry that you adore? Yeah, because it’s not Emily yesterday who is very, very, very good with composite. And she says that she’d rather not ever do the composite. She’d rather do the. The aligning and parcel the composite to someone else. And so for you, what is it that is your love? Is it is your love? I know it’s a combination of many things, but is your love the problem solving, treatment, planning, piece of it, or is that is there a degree of carpentry meccano like the drilling part? And fitting things together part? Or is it the social side of the patient and how happy they are at the end of it? And I know it’s a combination. Yeah. Yeah. But but to go to like what you’re saying now, how, how much you like full mouth work or so and you’ve got this ortho MSC as well. Yeah. So you know because you know, you look at an ortho before and after and it’s profound, right. Okay. It’s a year between the two pictures. Yeah, but it is profound. So if we’re talking about profound change also makes profound change. The planning is very interesting. Yeah. There’s 11 ways to skin that cat, right? Yep. So why isn’t author your love? You know? I mean, so what is it about formal rehab that you like more than ortho? When I have a question.

Okay, so when I say full mat rehab, a lot of them do have orthodontic treatment.

As well.

As. Well, you know, when I first started off, I was doing composites and I kind of built a reputation on composites. It was generally about aesthetics, wasn’t it? Yeah. You know, getting that invisible class three, Class five, whatever it is, single veneer, multiple composite veneers, getting that invisible restoration. Shiny. Shiny. Yeah, of course. Microfilm, hashtag. And then I started my my M.S. in Ortho back in 2012, where I had to make a decision. It was either going to be surgical implants or ortho. My brother was replacing implants. He’s got a masters in implants and he’s a phenomenal surgeon. So it would have been quite daft for me to do it. So I thought, Right, is he got a master’s implant?

Amazing. I don’t know that.

He’s a he’s got those of the.

Talented Palmer boys.

That’s.

Gone.

Now. So yeah, back then when I first started off, it was all about creating that invisible restoration. That’s what kind of triggered, you know. Yeah. Stimulated me. Now, actually, and the main thing for myself is when I’m finished a case. I am going back to my and assessing whether my diagnostic and my treatment planning skills were on point.

What you could have done better like that that piece.

Yeah well that.

And did I diagnose a problem correctly and did I treat it in the most appropriate way? So when I do a big case ortho restorative perio, for example, if I’ve diagnosed it properly, treatment plan, do it properly, finish the case off. I’m more chuffed about my thought processes at the beginning than the actual end result, if that makes sense.

There’s a lot of it.

Might be lab influenced. Some things are at your control. Patients don’t wear their retainers, teeth start slipping. Yes. And the more complex cases you do, the more you know, the more complex the problems are afterwards as well. Yeah. So what stimulates me more now is, is was my diagnosis correct? And was the treatment plan appropriate for for that patient?

And, you know, like, you know, that thing tips is about staying in the same practice for a long time. And I think Frank said yesterday as well, it’s treating the same patient for 30 years. And you can see what you’ve been how many years and. The same fact in ACORN.

For 12 years graduate in 2010. I’ve been there, did my 12 years.

As I see those cases, you put up like seven year, eight year composite cases, right? Yeah. So we’re going to take you through a situation that you looked at something eight years on or ten years time on and realised you’d made a mistake.

I’ll tell you something even better than that. I get to see my brothers, what, 12, 12 years older than me? I get to see his records that he’s started off because he’s been.

But you’re not sure what he did.

I know. I can tell you when I can. I know which which are his composite.

Because what he used.

To do, because he’s kind of taught me so similar style and seeing his post ups and forget that even better, the principle that he brought the practice of I’ve got to see his records. So I’m I get to see 30, 40 year old wrinkles.

Yeah, but you don’t know what 40 years ago it looked like, Gillian. But that’s important. I get it.

The performance of materials.

I get it, I get it, I get it, I get it. I do get that. So. So tell me something you’ve learned then from from looking at that like a typical like.

You’ve got to be meticulous. Dr. Cooper was meticulous, my brothers. Meticulous. They’ve taught me to be meticulous. If you’re meticulous, if you’re precise, you’re going to get good results.

Yeah. Yeah. And the errors do compound, don’t they? Like small errors end up as is much bigger errors afterwards. And and, you know, we see that with composite like a tiny little, little little imperfection in the composite can amplify six months and 12 months amplifies a big black dot. Yep. And and as you always point out, in all these cases we see that where there haven’t been ultra meticulous and how that’s going to turn out and the upkeep of it and all that. But I was I was more after like you realised not to do something like what? What is it like a way of doing it that you, for instance, with me, we know we talk about proximal staining. Yeah. Because I saw it in the, maybe in the three years that I was in that same practice it was staining came up as the main issue. Yeah. And then to be more meticulous within the proximal. Yeah. Yeah. I saw that with my own eyes, you know. So what was there with you? Recession.

Recession. Soft tissue management, soft tissue control for indirect work, soft tissue management for implant work that we’ve seen with my brothers stuff, you know, pushing the boundaries of composite, for example. So the tooth where cases that are treated with composite and you start to realise actually was that the right material in that particular mouth, you know, if.

Americans would call it transitional bonding for that.

Reason. Yeah, but you could do that. It creates its own problems because quite often you open up a patient’s OCD, the where the composite away, you’ve lost the OCD, and then it’s like, what do I do now? So either becomes a darling or you’re doing a full set of restorations again.

You know, you teach composite, right? And I think there is a massive sort of lack of knowledge as far as shortened teeth that people lend them. And, you know, you put this out all the time that the teeth shortened for a reason and people lengthen them and then and then that’s can be an occlusal problem. Now, our responsibility in composite teaching to teach occlusion and then you see it a lot. You see cases with these Centrals that are worn and someone just lengthens them. Yep.

So you think they’re worn for a reason? They’re in that position for a reason.

They’re faster than the enamel. Or it could even be an early like problem, right, if it catches a lateral or something. But but it’s weird because competition doesn’t really have inclusion management as part of it. We do. Do we do? I know we do, but it’s still not that much, right? It’s like an hour, right?

That’s because. Because they’re coming to learn composite. I know. I know. And they can go on another collision course and we.

Can’t teach everything from and.

We’re pretty frank. You’ve got to also accept or you’ve got to you’re going to hope the the your delegate delegate is going to have some sound knowledge on occlusion and know what case do you treat and what not case not to treat. But you do have to give them give people some advice. But look, I know so many people that will quite happily slap composite everywhere. You know, the most dysfunctional of maths and are quite happy to treat the the results that the results of that for me, you know, being paralysed by perfection, you know, I’ve kind of been trained to be more comprehensive interdisciplinary work. So you might look at cases in a different way. And yeah, there are cases where the patients can say, No, I don’t want two years worth of author, no, I don’t want to stick an implant here and stabilise occlusion here. I just want that those six veneers please. But as long as you have consented for it, and more importantly as a dentist, you’ve got to acknowledge that these problems may arise. Hence going back to your diagnostic and treatment planning skills and then what decision is chosen thereafter? It’s it’s been made with intent.

Yeah. Yeah. On purpose, not by mistake. Yeah, well, you’re not lying about the parallels by perfection. Yeah, because many Smile Makeover part two is four years in the making, and it’s been loads and loads of lost hair in my head for that one. But hopefully we’ll have a big announcement on that soon. We will. We will. But thanks a lot for taking that in. It’s really hard for you to talk to me.

Any time, Buddy.

Says, You know, we’re sitting here on day two of BCD and Frank Spear’s been talking all day. We’ve been. We’ve been.

Watching.

Yes, yes, yes. Have you seen him before?

No, It’s the first time. Yes.

Oh, What do you think?

I’m very impressed. You know, I somehow had a little bit of I was questioning what type of dentistry he was going to talk about and how he was with her, his expertise, how he was going to bring the minimally invasive part of that, because.

He’s not known for.

Minimal innovation. He’s not he’s more about restorations, form of rehabilitation and the occlusion thing, you know, all the bits. But I’m super impressed. I’ve definitely taken tips that I can work with the next day.

Like what was the that kind of resonated with you?

One of the things I have always believed in is in being conservative, and I find it very frustrating when somebody else, another colleague especially, finds, for example, an apical lesion and they intend to re treat the tooth or extract the tooth. Yeah. One of the things that he was talking about this morning about just give it time, let’s see what happens in 12 months time, in 24 months time and so on. Just basically monitoring. I think that is a key thing that I would of course I’m practising it, but I will discuss with my colleagues as.

I hear someone like Frank say It makes it more real, isn’t it?

Exactly. But you feel that you’re doing the right thing.

Well, he said that I hadn’t ever considered was the idea that if if the patient manages to keep that tooth for another six years, technology will move forward. And it’s something you don’t really think about that know that’s actually true. In six years time, implant dentistry will be a different thing to what it is today is what’s possible will be different.

And also taking into consideration what the patient wants. Sometimes they don’t want to take it to that or they don’t have the means to pay for an implant. And we even win. Two or three years of the patient can be saving towards the implant towards that makes it possible. Is possible. Yeah. And as as he says he’s going to make it, well, it is believable that we care for the patient.

Yeah. So you’re now part of the BCD organisation, right?

Yes.

So what is it you’re doing? What’s your.

Particular. I’m a committee member for Educational Committee and I’m standing up as a board member tomorrow. So hopefully I will be.

I’ll get my vote in. I’ll get my voted yes, please. So. So up to now, what does it mean to be part of the Education committee? What does that mean?

Well, we meet to talk about potential speakers for future events. This year, for example, I was very fortunate to be the organiser of our female leaders in dentistry event that it was absolutely amazing. So is that. Type of events that we’re trying to bring at the same time that we bring education, we also want to bring the social aspect of it, you know, networking, having fun with our colleagues. At the same time that we were learning. So yes, that’s good teacher for.

The if you have to if you had to put like a three day event like this and think about what bit of it is the most valuable bit you take. Obviously you’re seeing Frank Spear that’s going to inspire you. Yeah. You go to a hands on thing, you can actually learn something that you could literally do the next week. Yes, but the thing, the bit that you often forget is this bit, you know, the soft part, like you said, the socialising bit not only to have fun, but also, you know, you actually end up asking questions and learning from people outside of the actual learning environment. That’s why, you know, on our composite course we have this social part that when people don’t turn up to that social part, actually they feel like they’ve lost out. Because there’s one thing watching Depeche all day on the stage, but a different thing totally over a drink, having an asking a specific question. And he’ll say at that point something that you just not going to say on stage.

Yeah. I think you also form a different relationship with a speaker. Yeah, they become more real to you, right? They are more approachable, accessible. I think that’s why the Bayezid is so determined to making these social events in the majority of our events. We would like to bring that social component.

So in that female leaders thing, what did you do socially? What was the say?

Well, it was super fun because we had a female deejay. Oh, did you? We had a female DJ. We had.

All. It was like.

Yeah, I used a bit of everything, you know, We had a little bit of everything. A seventies music, eighties, nineties, Yeah, more recent music. It was amazing. And of course it was some beer. And so we managed to, to, to get our hands in some very, really lovely English sparkling wine. So yeah, it was amazing.

So we had, we had this series called Leading Ladies. Yes. And part of it was I started counting the number of guests that we’ve had on this podcast who are men and women, and guess what the ratio was?

I can’t imagine. I would like to say equal.

No, no more Ladies. 4 to 1 men.

Oh, 4 to 1. Yeah.

And when I saw that and you know, I’m actually trying to have more women on, right? You know, I’ve changed my position on it now. We’re actually trying to have more women on I but even then when I counted, it was a 4 to 1 ratio of men to women. And that’s why I thought, Oh, let’s do these compilation ones of the ladies and put all of them together just to just to have some more inspiration that way. Now, for someone like you, who now you just sold your practice. Yes. Yeah. You you’re a strong leader. Like I’ve seen you in practice. I’ve been to your practice. People like you, you, you motivate people and all of that. Much of your journey in the educational piece would have been different, would have would have accelerated if there were more women teaching.

I think quite a lot. Because you want to be relatable.

To identify to the.

Teacher, you want to be identified, you want that person to understand what you go through when you’re a mother. But they at the same time, you have a business. When you have an inspiration, you want to be better. You want to spend time learning. It’s always nice to know that the other person knows what you’re going through because they go through the same thing. You know, it’s a little bit like menopause. We talk about that between women. There is something that you wouldn’t discuss with them. It’s the same thing in dentistry in what is to be a mom or what is to have all the things to do apart from your dentistry. But at the same time you want to be in dentistry. So it is it is harder for a woman to be considered, I think, as a as a leader or as inspirational professional because we have so much competition without with men. What I was.

What? What do you.

Mean? Yeah. Because when you go and for example, you, you are like the event that I organised, I will be approaching companies and saying, which are your top female speakers? And I will find companies that said, Oh, actually I don’t have any female speakers. So that that was maybe because historically we have been busy running our families, running all the part of our lives rather than. To dentistry. Yeah.

That’s the reason, isn’t it?

It is, I think.

I think it’s partly that. Partly that there’s a second part that it’s almost like ladies are less likely to. To put themselves up somehow. There’s a, there’s a modesty or a like for a man to stand up and say, this is what I do and this is the size of my drill. It seems more natural than for some ladies.

Yes. Yes. Because you want to be considered as an equal, but you see that in many lines in life you are not considered an equal.

I don’t think it’s about consent. You don’t? Do you honestly think that in this in this environment here, some people are saying, oh, this lady isn’t equal to that man like you just thought that amazing practice. Right? And James Gornik just sold his amazing practice as an outsider. Someone else looking at it, whether it’s a man or a woman looking at it, no one’s going to say, Oh, Jean is less than James in any way.

Well, I yes, I think I don’t think we do find anybody saying that. I really hope we never find somebody saying that. I think you’re believing.

You’re out of the ordinary. A little bit of of women in that you’re you’re out there. You’ve got you’ve got your practice. You’re doing all the things you’re doing. And now you’re doing this, for instance, you’re a little bit out of the ordinary that you’ve put yourself in. You know, someone coming over from Mexico?

Yes.

To do that in a second language, you’re not a bit special in that sense, right? Thank you. But is there something that’s holding other women back? I don’t think that the system is I don’t think the system.

I don’t think is the system. I think is is is is the first thing that The first.

Thing is that for sure. Right. You’re running a house, you’re running a practice. You run a lecturing career on top of those.

But this support this support is supporting your personal life, is supporting your business life. Like, for example, I have a very supportive husband, but in the practice I have an amazing team behind me so I can I don’t have to be in the practice for the practice to run properly. I don’t have to be at home for my house to be run properly. I have a nanny, you know, in support and believing that you can count with these people to support you. That gives you the confidence to say, Actually, I want to do this. I think I’m capable of doing that. Don’t take me wrong. I doubt sometimes myself, I sometimes feel that people believe more in me, that I believe in myself, that it’s like the imposter imposter syndrome.

Imposter syndrome is a feature of growing quickly, that if you’re doing if you’re doing something and growing quickly, imposter syndrome is one of the features of that. Yeah, I don’t know. Maybe, maybe, maybe women suffer with it more than men do. Maybe.

I think so. Yes, I will. I will think so. But one thing that I know is changing is that that perception of saying, yes, we want more female speakers I was talking to yesterday to to one of the lecturers and I, I was talking about my event and said we don’t want to call it female leaders in dentistry event maybe anymore because it doesn’t matter if you are female or male, you are a leader in dentistry. I said, Who will you put forward? I said, I don’t have anybody. But you know what? After speaking to you, I’m going to look in my network to see who will be perfect for us to work with. So I think it’s just it’s changing and it’s changing in a very positive way. I think that is one of my main inspirations to be in the back seat and become a board member, hopefully tomorrow.

Do you think one day you’ll be the president?

Well, yes, why not?

I love your style. Yes, I love your style. Why not?

Why not? Why not? Yes.

One thing one thing that’s been a bit of a bugbear of mine has been this question of, you know, women in dentistry. Yes. The the there are some women in dentistry having a really tough ride. Yes. And it’s not the dentists, it’s the nurses, the receptionists, the hygienist.

The.

Support team. And one thing in your practice, it’s actually it’s all female.

Yes, we are.

I seem.

To remember. Yes.

But in your practice, it was this sort of very career orientated sort of feeling about it. You know that your manager. What a professional.

Amanda. Amanda.

What a professional. And when we deal with her regarding Enlightened or whatever, or even when I see her, you know, I got the sense that she had career progression in her life she was proud of.

Or.

Proud of what she was achieving in work.

She she’s she.

Puts in a lot of.

Very hard working that that that’s.

In a lot of practices. You don’t get that in so much as practice seem to be centred around that and. And it’s almost like everyone else is there on minimum wage that you can possibly pay them to just do the little bits that they can and let this dentist carry on. And you hear some terrible stories about the way staff are treated. Oh, definitely. But you’ve managed to you know as well as making your patients happy, make yourself happy.

I think it’s because I give them the respect and the place that they deserve. You know, I, I always say to my to my staff, what would you like to do? Is there cause you want to go to let me know? We’re always happy to support you. You know, it’s is is progression. But not only my progression is your progression where you want to go. We have had team members that have left the practice because they have gone back to university or they have made a career change. You know, it is not because we’re not a good team to work with because they’re moving on and moving on. Exactly.

Yes. It’s a lovely example. Tell me about now that you’ve sold the practice. Yes. You’re still there, right? You still have. How many more years do you have to be there?

Four years. Four years in total, Yes.

How does it feel now that you’re not the boss anymore?

It’s odd, I have to say. It’s not that as easy as one thing. The transition. It is a transition. You have to get used to it.

You have to ask for permission.

You have to ask for permission.

Give me an example of something you would have just actioned straightaway. Whereas now you have to ask for permission.

As simple as. We had a beautiful humidifier at the practice that, you know, with this aroma for your cigars. Not at all. But I said to Amanda, Amanda, we need to buy a table to put it on. Oh, yeah. I will ask permission to buy that. And it’s like, what? It’s just a £20 table from Amazon, you know? But it is what it is.

That must make you angry.

Another thing that. That that is is is going to be a big change is the way that we celebrate Christmas at the practice. Because I’m very old, you know oh I love champagne parties and things and that And now you’ve been told, well, you have only £50 per person and you know, what am I going to do with £50 per person? You know, but I’m sure we will. We will manage. Yeah. We’ll do something special for them.

That’s tough.

Man. It is.

Tough. Yes.

I guess you could always top it up like.

Oh, of course I will top it off. Yeah, yeah, yeah, yeah. I’m already saving for that.

But I hear you. But I hear you. I hear you. I’m trying to think about it. Enlightened. I had that. I mean, I think there’s one, one issue where it’s. It’s like at the £20 Amazon table where it’s annoying. Yes, but there is another issue that this bishopsgate would not have gotten to where it’s gotten and the way it’s got I mean, it’s just everything about that practice. I’ve been there a few times, right? I feel the vibe about that. You’ve made certain moves at certain times to get to where you got to. Exactly how much of those moves would have been delayed and not allowed if there was a third party saying yes, no, yes, no. And I know you you’re kind of a passionate kind of person and a bit like me, if I if I’m excited about something, I’m like, let’s do that now and then. Even if it doesn’t make sense. Yes. Yeah. Because I want to make that thing happen. And it’s interesting to reflect back and think going backwards, if you had to ask for permission for every move you made.

We would not be where we are.

Now. You wouldn’t be where you are now.

No, but that is the beauty of the years in a practice that you you grow it to a point when you think, okay, now I want to do something different, be involved more in the bhakti, do some more speaking for a line, you know, different things where I think, you know what? I need somebody now to help me. The progression of the practice because the practice is keeps progressing. One of the main the big examples of it is we I saw the practice in March. By September we had already two new dentists that I wanted to bring since last year, but I’ve been so yeah, journey and really and I’ve been so busy that I haven’t had the time to to think, okay, what is the next step? I know the next step is to bring more clinicians, but oh, I’ll do it tomorrow. I’ll do it tomorrow. Whereas now I said.

Could you expand it?

You made it bigger.

Yes. So I said, Guys, I want to four more days, clinical days. And they say, okay, do not leave it to us. And they do it. They help me with that.

You must have known you were going to sell it while you were making it bigger. And I have to be strangely honest.

My the first time I thought about selling it was when we were in the first lockdown. I enjoyed my home. I enjoyed spending time with my family. I. And I thought.

There’s another side to life.

There’s another side to life. I enjoy life. For example, the video consultations, the sort of things happening behind dentistry, let’s say. So that is the first time I thought, why not? So that is when the process started.

And then is there any aspect of responsibilities that being taken away from you that are actually good, that you’re happy?

I’m very pleased.

Like what?

We had a serious inspection.

You had nothing.

To do about six weeks ago. I didn’t have anything to do with it. Of course, I supported my my team. You know, I help out with the radiology folder. I was there to sign papers. I did my whatever they asked me to do. But the corporate was sold to I don’t know if I love to say dentists. They were there all the time. You know, They’re the ladies that they’re for. Yeah. What’s the compliance team was was there, and they didn’t let us alone. You felt. We felt that we were accompanied throughout and I didn’t have to even be the practice to on that secrecy inspection. But having said that, one of the comments that we got that Amanda was told by the inspector is I don’t doubt that your practice was already amazing before you sold to dentists and the secrecy of some of the audits that we run that were no dentistry. So he still said we Exactly. We did it. So yes, that was great.

Did you feel that loss feeling people talk about like you’ve sold your baby?

No yet, and I don’t think I will because.

Did you start it from school? What did you buy?

Was bankrupt when I bought it. So I had to build up an only patient.

And how many.

Years? The reputation? 12 years. 12 years for.

Such an amazing achievement.

He had a very bad reputation. The practice with all these pliers. Because the previous pain level pain. You reach a point that because directory will not sell me if I was in pain straight away.

Yes.

So because I remember you from when when we had our podcast episode, I remember asking you you’ve got you’re doing so many Invisalign like, what’s your marketing machine? And you kept on saying, just we just do good work and people recommend us. So like you turned that around from a bad reputation practice exactly where you got it. Yes. One of the busiest Invisalign centres in the country visits enlightened centres in the country. The bits are like.

Exactly, yeah, of course.

Massive achievement. You should be very proud.

Thank you.

You really should. So lovely speaking to you. Thanks a lot for taking the time.

No, thank you for inviting.

Me and are really already enjoying this. Hopefully tonight we’re going have a great.

Of course we will. And it’s always so nice to speak to you so And.

Thanks to you. Thank you.

So, Kayleigh, so thank you from Dental with me at BCD. K you kind of here on on behalf of dental beauty in a way as well. And you’ve sold what, 60% of of kids dental to them and now we’ve got this sort of new roll out of practices. And last time I spoke to you, you were about to open you were saying ten more practices. Was was the plan. How far are you with that?

Okay. So obviously, when the deal took place in March, the master plan was to grow and yeah, ten clinics is, is was all for me. It was a realistic number. And you know, it’s actually a little bit more difficult than you think doing that. Sure. And, you know, we’re now into the actual reality of the situation and we are now into November.

How many of you go.

And so we’ve got five up to.

Now, five new.

Ones. No. So we’ve got our original three. Yeah. We’ve now completed and opened two more and they’re running. Where are they. So they’re in Alderley edge and I’ve got two lovely partners for they’re a couple Colwell and Jade who are amazing and they’re running that clinic beautifully. And then we’ve got Knutsford now, and that literally opened only a couple of weeks ago and that was with our new partner, Andy McLean. And he’s an amazing clinician and I know that clinic is going to do super well.

Yeah, of course.

And then we’ve been trying to acquire a clinic in Liverpool for the last six months, believe it or not. And it’s just the property, it’s a squat property and it will be a complete greenfield site and it’s taken six months to acquire. Now we didn’t envisage that. So we’re in a situation where that should have been up and running by Christmas. It’s now going to probably be March, April and the timeline moves on.

And so what’s been holding that up?

Just the just property, old property issues. And it’s just like, kill me now because all I want to do is grow. You know, the funds are there, the money’s there, the clinicians are there. And Kosh, who’s one of our associates, you know, he’s going to be the partner of that clinic. And then we’ve got an agreed site in Bolton. Again, just going through the legals currently, it’s just things just take that little bit longer and you don’t envisage that when you when you start this journey and we’ve got a final clinic in Bramhall in Stockport.

Stockport.

And again I’ve been going, okay, but again we’re just going through the legals of acquiring the site first and then we need to build the clinic, which is generally formal, another squat, another squat. So what my model is, is literally based currently just purely on squats and.

Why.

Control and the ability to have a fresh start at that site. The patients understanding that this is what they’re signing into right from day one, I believe like there will be a time where I would really like to acquire existing clinics as well. But it’s tricky because you acquire existing clinics, you actually acquire existing problems and existing staff and sometimes they may not be aligned with what I want to do.

And so the partner person is is got skin in the game, right?

Yeah, 100%, 40%.

40% of that particular clinic.

That particular clinic.

And then so what are you thinking is going to be the time from when that a new squat launches to profitability. Is it very quick.

Yes. So to be honest with you, our progress has been a little bit slow initially as well, because, you know, our investors were very cautious because my my business plan was. Bullish. And, you know, I’m saying we’re going to make profit from not day one, essentially, but we’re going to make your maybe a positive profit month to month three in that, right? Yeah. And they’re like, he joking like and they’ve got 300 plus clinics around Europe. Every greenfield site they open, they’re like, we’re in profit month seven or month eight.

Which is still compared to real. Well, when I say real business compared to non dental businesses, six months seven months is extraordinary. Two weeks in profit. So so you’re in a hurry to get it into profit in month two. Well, yeah, asking a lot. It’s asking a lot of the marketing team. I think it is a squat.

And so we launched Altrincham Alderley Edge and that’s been launched now three months of we’re in positive EBITDA.

So what’s, what’s now your new role Because while it was your own three clinics, yes, you are definitely the producer, the one doing the most dentistry.

Yeah, of course.

And so when in a new clinic, is your role training the partners into that dental way of.

Yeah, of course. So like for me now I’m doing three clinical days. Yeah. Wanting to really put that down to two if I can in the next 12 months. Only because I love the dentistry and I don’t want to finish that and I don’t want to stop that. But yeah, heavily based on really spending time with the partners. You know, I’ve got some partners like we’ve spoken about, like Andy McLean, who, you know, he’s much, much.

More he’s going to hit the ground.

Running so he knows what he’s doing. I don’t need to hold his hand and get him through that process. But I’ve got other partners that have never run a clinic before. I’ve never been a part of anything apart from KISS. And so those guys are really want to kind of go, I’m here to support you, here to help you, and here to ensure that no matter what happens at this point now, you know, you you will be able to run this and I will be there. And so that’s a big part in what how.

Are you finding the transition for yourself as a as an operator? It’s transitioning to this new role.

Yeah, it’s it’s tricky because I’m a dentist and I just you know, I’m my biggest comfort area is just doing teeth sitting in my room, do my teeth. And, you know, when I’m having to deal with lots of meetings and partners and this and that and the other, I genuinely do feel sometimes like, just give me back my teeth really, because.

I find I find in life, though, when you when you do get out of your comfort zone like that, that sort of cliche that people talk about where you do get out of your comfort zone. Yeah, you only realise how important that was later, years later. Yeah. When when the when you reap the rewards of, of that when you’re actually going through it. Yeah. It’s, it’s, it’s, it’s uncomfortable. Right. It’s uncomfortable. You know you’re out of your comfort zone, you’re not doing what you’re used to. Yeah. And so I wouldn’t, I wouldn’t sort of worry too much about the fact that it’s uncomfortable. But, but yeah. That transferring the things about Kailash that are, that are special to this new role each you have to look at each new thing you do and think, why am I the right person to do this? Yeah. Yeah. Because if a patient is put in front of you and you’re going to talk to them about 20 veneers. Yeah, you do that, like with your eyes closed. Drinking water. Yeah. Why is that? Because you’re good with people. Because you’re good at presenting stuff. Yeah. Yeah. So then, so then it’s got to be when you now talk to a partner, a dentist, you have to now present the opportunity to the dentist, right? Yeah. And you know, I went through this myself. Yeah. I was very good with patients. I thought because I’m very good with patients, I’m going to be very good with dentists if there are two different animals.

Yeah.

But when a patient sits in your chair, he’s implicitly saying, I trust you. Yeah. Whereas we’re trained as dentists, we’re trained not to trust. That’s part of our training isn’t to question everything. Right? So, you know, I think you shouldn’t worry too much about it. You should just keep on doing what you’re doing.

Yeah. And I do think, like, you know, as as I’ve gone along and, you know, I think things like my private vet scheme at the clinics is really helped because it’s allowed these clinicians who are now becoming partners in my business, it’s allowed them to know whether they do trust me or not. So then when I sit down with them and I say, Oh, caution, Nabeel or Calum or whoever, listen, I think this clinic would be perfect for you. They they’re literally like, okay, that’s what you think, Let’s do it, you know? And that’s lovely. It’s like a.

Lovely. So let’s talk about career pathway because we were just discussing if someone’s just qualified. Yeah. How long does it take them to do your private scheme. Yeah. And let’s say they’re very good and they take on the way you train them and all that. How long will it take them to go from just qualified private vet to the point of becoming a partner. How long would you say was the shortest period that that could be? So if.

You look at for instance, Kush and Nabeel, who are probably my youngest partners, so Coach has been with us now nearly three years, So he started his private vet and.

Straight out of college.

Graduate is from Latvia. So like in the UK. Yeah. Came straight to. But to the UK and did year one with us, which was a salaried position and year two which was a salaried position and then to fee per item at the end of year two and just be prior to a normal kind of split 45, 55 split and a private clinic. And you know, at that point doing well, I would say quite, quite advanced dentistry from, from the offset really, and not initially from that but year one. Year two is where he learned that and specifically from myself and some of my key clinicians. So then year three, we’ve already we’ve offered him.

Yeah, he is rather special.

He is he is rather special. But then if we look at Nabeel, that’s the fastest he’s the fastest. Nabeel came towards again on the private VC scheme. He we only did one year of the private VC scheme, but he’d already graduated and worked in clinics previously, so his experience level was higher. Yeah. So then I say, Well, I want you to be with us. I want you to grow with our group. But I also want to don’t want to do is just throw you in the deep end. You don’t understand how this works. You don’t understand what we do and how we do it. I want you to have a salaried position for a year. I don’t want to worry about money. I want you to just me focus on the clinics, focus on dentistry, focus on doing things right. And he took that on board and he took a large pay cut, if you can imagine, to go from fee copyright.

Fee per item, associate.

Associate to to a salaried position of.

I’ll break it down. How much do you pay them. 5050 K Yeah, but I guess you’ve got to look at that as education, the education that you’re being paid for. That’s the way you have to look at it.

And that’s what I say. I said to anyone that even would ever consider it. If you consider it and you begrudge every day you’re there because you know you could earn more money and don’t do it. Yeah, because you’re not in the right mindset to learn to be there, to be present and to think I’m getting value for this. All your thinking is is paying me a measly 50 grand.

Yeah.

And that person isn’t right. But the person that does look at it and go, you know what? I’m going to put everything into this. It’s a year or two years out of my life, but at the end of it, I’m going to see massive value.

Yeah.

Then that’s the person.

I think Prav and I used to talk about this for years. If if it was teachable or not. And we and travel, as you say to me, because yes, he’s got so many clients. Right. You said of all of his clients, you’re the one who is converting more and all of this. And and it’s interesting because now you’re sort of proving that it’s teachable.

Yeah.

We take two people straight out of college who are now producing extraordinary amounts of work. Yeah, quality work.

Some of these guys pay, you know, a gross in a hundred K plus a month to.

Three years.

Out, two or three years out. And so and I’m not saying that’s all me, by the way, some of these guys are special in their own right as well.

It’s picking them to be seeing that potential in some ways.

For me, it’s seeing the potential. It’s giving them the right pathways, given the right educational approach and then keeping nurturing them. Like just this week, I got all my associates. There was like 15 of them, and we had an evening of just talking about treatment and treatment uptake and and talking about ethical approaches to to consultations. And and, you know, and I do believe that all these little things that you can kind of discuss, give them tips, give them tricks, give them the things that have worked for me over the years. And I’m not saying I’m a golden goose, but what I can do.

You’re a resource, your resource for a patient when let’s say I present you someone right now, one of these student reps and I say, look, this, this lady, she’s she’s interested in becoming one of your PhDs. How good do you think you are at seeing sort of spotting potential in someone? And what are you looking for? Is it purely like, astute?

Yeah.

So I think the dental part that’s that’s not here.

There they teach that. Yeah. I think the key thing is attitude and I think so.

What is the attitude?

So for me it’s difficult, isn’t it? I’ll be honest. I’ve had people come to me and I get contacted all the time. I want I want to do this. I want to do that. And the first thing is you talk them through the process and the ones that are bit like, Oh, but I didn’t expect the salaries to be so low. I didn’t.

Help outside. Outside of the money. Outside the money.

But that is. Yeah, but that being that first bit tells you a lot because they don’t see that there’s no value, they’re not seeing the volume what you’re offering. Yeah. Yeah. Because they’re tying it to a monetary figure. Yeah. And if I said to the right person I’m going to pay you nothing for this year, the right person would say, I’m still.

Got your hand off, I’m.

Still coming because I know the value I will get out of. It is colossal against not getting paid for a year. I’m not saying anyone would take that, but what I’m saying to you is that tells you a lot right from the offset.

One thing that’s interesting, not not, not that they’re actually comparable. Yeah, but you could go pay an institution 50 grand and get an MSI, or you could go work in one of your schemes, get paid 50 grand, and both are education. There’s no doubt they’re both education. Of course, they’re different types of education, but both are education. And if you look at it as education, suddenly it seems like an amazing deal that you’d be paid to be educated.

Exactly. And then.

You’re right. That’s a big thing.

It’s a big thing. But then the next thing I always say is really when I’m talking to them and I’m and I will always say, I will always go with that. The person who’s the least keen, not least motivated. It’s wrong to say that, but the person that’s not so full of themselves, a little bit more humble, a little bit more kind of reserved. I want that person. It’s funny.

Because that’s not.

You, is it? No, And.

I’m not looking for little, little K.

I’m not looking for me because ultimate little mes, I’ll want to do what I do. And that’s not that’s not good conducive for the growing business. And so the odd little me is fine if you can control them, but you can’t sometimes control those guys and they get What are you saying? What are.

You saying? If, if you turned up and applied for a job with you. Yeah.

You wouldn’t give them. Well, probably wouldn’t take it because I’d be like, this guy is killing me off. Like, you know. Yeah, he’s. He’s like a fucking carbon copy of me, you know? And that’s, that is difficult because I’m not after that type of person. What I’m after is someone that’s loyal. I’m after someone that will respect the brand, will respect what I say. It’s not it’s not a regime. It’s it’s, it’s always a discussion. But I also.

I think overall, you’re easy to work for. Yeah, because I’ve spoken to enough of your team that I can see people generally happy.

Yeah.

And I just you do you try hard on that right? You try to be happy workplace. That’s actually part of Dental whole thing. Yeah. As the patient walks in, everyone’s happy and you can’t. People can’t pretend to be happy. It’s one of those things they have to be happy. So let’s talk about exit. So you’ve done this sort of hybrid thing. Some people just sell their business. Yeah, and they’re out. Other people say they sell their business and they sort of have to stay for two or three years, even though they’re kind of out. Yeah, but you’ve done this sort of half way thing where you’ve sold kind of half your business. Yeah. And it’s an interesting thing because someone said to me, Here, take some money, cash off the table and here’s a cash injection and taken right into the next level. It’s kind of in a way, actually one of the best ways of doing it, because you still you’re still playing the game.

Exactly.

You’re not high risk in the game.

Yeah. Like, listen, I’ve high balled my life. I suppose you would describe it for 20 years. You know, Sole trader never went to limited. Literally everything was on a PG personal guarantee. Obviously over those years we’ve paid all the loans and things up. But when I first started KISS, there was a million quid in Dad, you know, when I was 24. So at that point, you know, you are there’s a lot of pressure and you get to a point in 20 years on you thinking to yourself, well, of course, like, listen, pay, I’ve had a great life. Dentistry has afforded me a lovely life and I’m super thankful for the profession for that. But I’ve also got to understand is at some point, you know, you want some security, you want some things, you want cash in the bank, you want to.

You want return on the.

Sweat. Yeah, you do. And but then what you also don’t want at the tender age of 42 is to be like packing it all in and thinking, what am I going to do now?

And that’s a thought experiment. What would you do? Let’s say you’ve won the lottery and $1,000,000,000 landed in your in your account.

What would it be?

Thought experiment. Yeah. What would you do?

I think obviously I’d able to take things off the back burner a little bit, but I’d probably I’m not geared that way, so I’d probably still do ability I’d probably go on probably slightly more lavish holidays, maybe get private jets.

How could it get more lavish?

Just more private jets, I think. Just more private jets and bigger yachts. Well, private, but essentially, like, you know, it’s one of those that I’d still want to do bits. I’d want to work.

I’d probably. I know, I know, I know. But look, I’ve asked this question many times and people say holidays and they say charity. Yeah, they say that I kind of want to take those two things off the table.

I’ll put charity in as well.

Just for.

Sure. I said, What?

People tend to say those two things, and once you take those two things, most of them, by the way, just haven’t had a break. They’re working so hard. They just need a break. Yeah, but once you take those two things off, off the table, you know, knowing yourself is quite interesting because what would it what would some guy, you know Indeed. My partner. Yeah. He’d go running. Yeah. He’d do yoga all day if he could. Yeah. And some, some of us like maybe me and you. I don’t know if it’s you, but we’re not sure. I’m not sure.

What I always.

Be happiness for me, if I didn’t.

I always think like time taking. Getting back a bit of time is be happiness for me. You know, like I always think about it and I always wake up in the morning and have a personal training session at 6:00 and I finish my gym session at seven and then I shower and get ready. I have a little bit of a minute in bed and then I get to work and then I’ll do my patience. I’ll have all my meetings and then I’ll finish that and then I’ll go and see my kids and they’ll spend a couple of hours with them. And then that’s done and I’ll come home and I’ll eat and I’ll repeat. And that’s my.

Life. What time do you go to bed?

Usually like 11, 12:00. So it’s a long day. And it’s one of those days that if I could then say, actually I’ll have a personal training session at 8:00 in the morning and I’ll, I’ll maybe go to work at 12. Yeah. And I’ll have a bit of a chill that morning and then I might do some patients till two or three and then I’ll go pick the kids up from school instead. And it allows me, I suppose.

The interesting thing is you could just do that.

And then I could. I could. But I think the pressure and as you’ve said it, you know, I’ve done the partial sell. And so from that side everyone’s like, Well set is solid now and you know, financially pay. Yeah, I suppose I am, but I’m not mentally and I’m not mentally there because I still feel there’s things that need to be done. And now I’ve got new goals and new aspirations with the business and I don’t want to be a failure. I’ve never been a failure in anything I’ve done, so I don’t want to fucking fail at this.

So how do you how do you feel not being the ultimate boss boss anymore?

Like for me, like it’s funny, like, you know, some of the guys, the laughing little joke and like, Devil be like walking down the corridor and they’ll be like, Oh, there’s your boss there. Okay. And, and I’m a bit like.

Is clever enough to when something’s working to to leave.

It. Yeah I guess And listen.

I’m like psychologically I’m not talking about in this particular situation with that.

Yeah it could be.

Anyone else the fact that it’s not you making because you’re the kind of cat that I remember. Sometimes you would do something just out of the box. Crazy thing that I’m sure now with Dev you’d have to. You couldn’t do that.

You’ve got to ask the question. Yeah, but like you said, he is a bit like you said. He’s very, very understanding.

He’s, he’s clever enough to.

Lead and he knows, like Kailash, if you think this is going to work, let’s do it. Let’s roll with it. But you got us the. You know? Uh huh. And that’s tough because it’s tough. Yeah, of course.

It’s nice to hear that.

Because, you know, I have been the king and ruler of all of all the things I’ve ever wanted and done in my business for ever. And like, if it went really well, then I got a lovely pat on the back by myself, and it went fucking terrible.

The thing is, though, the thing we were talking about those different ways of getting out and in a way we were saying, This is the best way. Yeah. Everything has a downside. And the downside of this particular thing is that that’s it. You do have to ask.

You’ve got to ask the question. And, you know, like for instance, we we wanted to do the Bramhall Clinic and, and you know, we put the business plan together and you now have to get approval for beauty and, and dental beauty needs get approval from EDG. And I’m like, I just want to fucking build a clinic. Yeah. I don’t understand why we can’t just build this clinic.

You know, and old.

That’s my old self going back, and let’s just sign the lease. I couldn’t understand what’s going on. And it’s those things that you kind of feel like not held back by because eventually it all goes through and they trust these guys. Now, trust me because the original, the last next two squat clinics have been doing really well. And so we’re in positive EBITDA with them and they’re like blown away by the figures and they’re saying, Hey, let’s roll with it now, which is great for me, because then it allows me to run with my idea and but I still had to prove myself. Yeah, And that’s the tough bit and that’s the tough bit that puts the pressure back on. And so I do have to wake up at 6:00 in the morning and I do still need to get to work for that clock. And so I don’t have an I can’t take back that time at all.

Well, it’s a massive pleasure to see you at an event again. I remember we used to come to practice all the time together.

Yeah.

I mean, you took a little break while you built this little, little empire, right? But as the world’s biggest enlightened user, I congratulate you for making it back. But now proud of you. Did proud of you for what you’re going for. You didn’t need to. You could just sit back on on a on a boat if you wanted to. So it’s interesting that you’re going for it.

Yeah. And I think that’s just my nature, isn’t it? And so I think when it’s in your nature, I’ll be bored. Or I’d be sad, actually, if I. If I sold the whole thing and then either saw it flourish, that would upset me without me or the other way or the other way. And then I think, like, that was a waste. It was a loss. I should have kept hold of that because that was my baby and and undermined realm. You know, it it grew and flourished.

So amazing, man. Thanks for doing that.

Do you this is Dental Leaders, the podcast where you get to go one on one with emerging leaders in dentistry. Your hosts. Payman, Langroudi and Prav. Solanki.

Thanks for listening, guys. If you got this far, you must have listened to the whole thing. And just a huge thank you both from me and.

Pay for actually sticking through and listening to what we had to say and what our guest has had to say.

Because I’m assuming you got some value out.

Of it.

If you did get some value out of it, think about subscribing and if you would share this with a friend who you think might get some value out of it too. Thank you so, so, so much for listening. Thanks. And don’t forget our six star rating.

From 10-12 November, dentistry’s great and good gathered at the International Conference Centre in Newport in Wales for the British Academy of Cosmetic Dentistry’s 18th annual conference.

This was our cue to catch up with old friends and hear from new voices, and we’ve captured the highlights for a BACD conference special.

Enjoy!   

 

In This Episode

00.57 –  Ali & Zoh

06.54 – Chris McConnell

16:18  – Dipesh Parmar

29.54 – Gina Vega

51.11 – Kailesh Solanki

Historically, we have been busy running our families, running all the part of our lives rather than the dentistry.

That’s the reason, isn’t it?

It is.

I think it’s partly that partly that there’s a second part that it’s almost like ladies are less likely to to put themselves up somehow. There’s a there’s a modesty or a like for a man to stand up and say, this is what I do and this is the size of my drill. It seems more natural than for some ladies.

Yes. Yes.

This is Dental Leaders, the podcast where you get to go one on one with emerging leaders in dentistry. Your hosts, Payman, Langroudi and Prav Silang.

So I’m with Alonzo. Two dentists. You would have seen their stuff on YouTube. Guys, it’s nice to have you at BC. Is this the first one you’ve done?

Yeah, this is. Yeah, the first. Definitely. Yeah. My first one is all coming to B.C.. I’ve been to a young student event before, but this is my first event. Yeah, that was the first one we ever went to together. First event we ever went to together as a young dentist. If you remember, it was like third and fourth year uni, maybe four years ago. Oh, yeah, yeah, yeah.

So what’s your reflection like now that you’ve been to the actual main conference? How do you feel about it? It’s a really.

Good fun, really enjoying it. Obviously the trade fair today, the course is yesterday.

Which one did you do?

Yesterday I did two biomimetic posterior composites and smile first in the afternoon. So, yeah, really, really interesting. Learn a lot. I remember when we went to the first BCD event back when we were students. No one else in our group Uni was mentioning this stuff and had gone and this was the first one that we actually went on. We went and it was a day of like amazing lectures and it was so revolutionary for us. And from then on I think that was the first one that kicked off all these events that we started going to, you know, the year after that we went to the London Dentistry, so Dentistry year, we were just constantly gagging for more. And I think.

I quite encouraged students to turn up and really smile over to watch. I mean, even if they don’t know, I don’t want them to pay to actually do the thing. But for me, if a student in their fourth year or something comes and watches that, it puts their career on another trajectory and they see what else is positive possible, you know.

I think the inspiration, like they become inspired by what dentists can actually do. Yeah, and because I imagine a lot of dental students, especially towards the final years, they get so bogged down with exams and revision and lecturers maybe being mean or supervisors being mean that they may even be put off from dentistry, but then come in to events like this or any event.

Really with the positivity of it.

The positivity of it, seeing how happy dentists are actually in person and, you know, communicating with one another and motivating is a big.

Big part of it. So how many years out are you guys now?

I’m two years out. This is my second year as an associate and this is my first year as an associate.

Oh, I see. So you weren’t even the same year graduated?

No, no, no, no. We grew up together, so, yeah, we went to high school. To primary school. Oh, in high school, sixth form. We split up for uni. I took a gap year and he didn’t. Yeah. So that’s why I’m one year behind him.

And where did you study then?

St I’m in Newcastle and I’m from Bristol. Yeah.

Oh so you go to dentist. You wasn’t even you weren’t in the same place at the same time from COVID.

It was really weird because our first year of uploading Ali was in Newcastle, still doing this final year and I was doing my foundation training. So I was in London, he was in Newcastle and he would come down to London for us to record and somehow we managed to upload a video every single week for a whole year with him even being in Newcastle.

The consistency I find with content consistency is the absolute key consistency because because the content will find its own audience, right? The audience that wants to watch YouTube. Yeah, it’s a, it’s a group of people, but they need to every Wednesday night, whenever every time they go for a run or every time whenever their, their particular rhythm is, you need to be there in that rhythm, you know. And I decided to do dental leaders one a week come what may. Yeah yeah. And you know, sometimes it’s a question of we haven’t got an episode, what should we do? And then sometimes they become the most valuable episodes of the whole year because I just sit with him and just talk. Yeah, Yeah. 100%. Did you see any of Frank’s beer? Yeah, I did. What do you think? Was it above your head or did you feel like you could relate to it?

Because as I said, I’m first year associate. No, I could definitely relate to most of it. And I was actually surprising. I was actually thinking, It’s funny you asked me that. I was thinking back to that very first time we went to young dentist and how lost I was as a student compared to how much I actually am now understanding. And also what’s actually above that is I’m also thinking, wow, the more I’m learning, the more I’m learning that actually there’s so much more to learn. Yeah, it’s so, so.

That is, that is dentistry in a nutshell, pardon the pun. But that, that is the more you learn the less you realise how little you know.

You realise how you know. Yes. Just I was, I was noticing how much Doctor Frank’s beer actually he dabbles in so many different things as well and he’s able to understand so many different things from his colleagues.

So experience for me out of the big guns, like the really top guns, maybe there’s like two or three in the world, right? I find him the most accessible, like the most easily understandable, you know, because different people at different stages of their career. Right. So some guys in there are doing full mouth rehabs every day. And then there’s other people like me or you or whoever, you know, who are different level. But out of the big boys, I’ve listened to most of the big boys. I just find him just more accessible, you know? And that’s a. Beautiful thing, man. That’s beautiful. The other thing is that the presentation style. Yeah. You know, Water, bro.

Yeah, I was going to say, he’s got it down to the tee. Yeah, he’s a good speaker. He’s really good at communicating. You can tell, because one sentence flows on to the next and the slide flows on with.

Yeah, yeah.

So smoothly. And I imagine if you open up his PowerPoint, it’s not tense. It’s like hundreds of slides where it doesn’t feel like a 100 slide. How seamless. It’s seamless.

Really? Well, I found that. So you’re not coming tonight to the gala? Yeah. Oh, you’re welcome.

But. Oh, I’ll be here tomorrow for the for the day. And so won’t actually gala will be there.

You’ll enjoy that. You’ll enjoy that look for when they tend to go all out a little bit. Yeah. And, but so I’m going to have you guys on the proper podcast as well. We’d love for sure. Can’t wait because I’ve been watching you guys from a distance for a long time now. Then we finally met on Minibar Maker. That was lovely as well, but we definitely have a full length, long form conversation. So nice to have you guys.

Thank you so much for having us.

I’ve got Chris McConnell, the president who is responsible for all of this from the back. Obviously, again, and I guess this particular event has been driven by.

Ucas this year. So we’re at the ICC in Wales and its 2022 conference. Headline Speaker Frank Spear, who is a massive, massive name in the world of dentistry. And yeah, it’s, it’s a big event in always the venues, big the speakers big delegates numbers are big trade support like yourselves fantastically really big. And yeah, it’s been a lot of hard work to get this through and over the line. I have to say slightly stress this morning, I’m nice and chilled now and it’s lovely to just sit down and have a chat. But it’s been. Yes.

So you know, I guess this kind of event is such a big event that it’s a year in the making in itself, at.

Least for.

At least a year. Right. So when did you have to book Spear? Was it more than a year?

About four years ago. Five years ago, Yeah. So we start quite a few years out. Yeah. Yeah. So this place was booked. Obviously, we’re now 20, 22, so we’re coming off the back of COVID. Yeah. So this was booked I think in 2017, 2018, and it was still being built. Wow. That’s that was a bit of a punt. But as you can see, it’s a great venue and it’s really, really fresh and new. So it’s it’s brilliant. So yeah, so that’s all been in planning for ages. Covid obviously muddle things around a little bit with Edinburgh because Edinburgh should have been the year before. We should have in London last year and all the speakers, everyone got a little bit muddled. But between those because we book everyone but we book everyone, you know, a year or two years ahead in advance. So this year is a kind of a bit of a mash up of what would have been 2021 and 2022.

But I mean, it must be is it only the headliner you have to book that far ahead or everyone does it? Isn’t there a risk of like your you’re perpetuating the same lectures because you don’t you’re working so far ahead, but whoever’s hot, you haven’t you’re not able to put in because you’re working.

Well, this is this is the beauty because we have a great team here. Yeah. And we all go to lots of conferences, lots of lectures, and we’ll keep our pulse, our finger rather on the pulse. And there’s a couple of guys on board who are phenomenal with this, and they really know what’s kind of kicking around, what’s what’s hitting the right mark.

So let’s say mission goes to a conference tomorrow and see someone, some Japanese guy who’s amazing. It’s going to be you’re telling me it’s going to be a minimum of two years. But these guys.

Have booked up Spears booked up for five years. Our speakers booked up 2 to 3 years ahead of time. Just the way we need to plan for it, because obviously we need to market it the year before. So we need to know by September of the year before who’s coming, because we’re putting to print to sell tickets for next year to engage. This is the headline act. So yeah, 18 months is an absolute minimum.

And how about how about the positioning of the conference as far as, you know, the stand at the level I mean, the tension between keeping it simple enough for for a newbie to sort of appreciate and making it complex enough for a veteran that must cross your mind.

All the time. Yeah, it does. And this year, we’ve this is one of the areas that we really wanted to focus on. So the BCD during COVID, everybody’s re-evaluated, haven’t we? So we’ve had time to sit down and look at it. And what we’ve gone is we really want to now have a fresh vision moving forward. And the vision really with the BCD is that we want to be core promoters of ethical cosmetic dentistry. We want to engage with our profession and we want our profession to be engaging in ethical cosmetic dentistry. We’re here to help support here to help educate, and we’re here to help get the message out about how to do things well. And then also we want to engage with the public and make the public aware and go look, ethical cosmetic dentistry is it’s not just, you know, what it’s like people nowadays who just go, Oh, I’ve done whitening, I’ve done six veneers on the front. Here we go. That’s cosmetic dentists. No, it’s not. You need to have the turkey teeth. And turkey teeth has kicked this off this year. So we’re trying to raise awareness with the public as well.

How are you doing that?

Are we doing this through lots of different media channels? We’re building relationships with all the media. But coming back to your point on how do we gauge for every single person? Yeah, we do that with the Thursday event specifically. So what we wanted to do first events are hands on days and there’s lots of different sessions where people can come along and get kind of they really get into the nitty gritty and the learning.

Choose the particular thing.

And that is where you get most of your learning. You know full well when you’re in sitting in a massive lecture theatre, you’re seeing the theatre that’s there. You, you learn, it’s inspirational. Yeah. When you actually doing a hands on this is stuff you learn that you’re going back in on. The next time you’re back in clinic you can implement. And so the first three sessions are really, really important and we have because there’s six seven this year though eight streams, it’s really easy to then cater for different abilities and skill sets. And that’s what we did this year, really focusing on the newbies who are coming in all the way up to, you know, the old farts like me who are going, we want that a little bit more. We want really to have our grey matter challenged. And we had a great session with Chris or Neil, Jerod, Ken Harris, where they were really picking apart cases that you only ever see once because only one ever walks in. And how do you deal with that? And it was great, the interaction. There was quite a lot of people on that one and interaction was fantastic. But you’ve got to be at a certain level to understand where they’re going from. So yeah, so that’s how we, we structure it.

So having, having done a lot of events myself, yeah, that one thing I almost let’s like a wedding or something isn’t it. That one thing I always think of in an event is that there’s going to be something that goes wrong in every event and you’ve got, you’ve got a kind of for me, at every event, when that thing goes wrong, I go, Oh, there it is. There it is. That’s the thing. So what’s gone wrong?

What’s gone wrong? We have managed to deal with everything, all right? We have had challenges. Everyone has challenges.

So what’s gone wrong on this particular one today? Probably give an example to running something this big.

Okay. The biggest one for me that’s really done my head in right is the doors between the theatre and the Trade Hall. They don’t say no, no, they stay open, but people keep going through them. And I’m sitting there moderating Frank’s beer and I have this door that opens and keeps opening closing with Frank Letts. You’re on the stage about 20 metres away, not even that ten metres away, and people coming through, chatting with their coffees. And I’m just I seriously, I was guilty. Am I allowed to swear I lost my shit? I’ve been going on all morning. Lock the door. Lock the door, lock the door. And, and everyone was. And at one point I went right. It got to the point I had to leave my moderating session and I was storming around using different certain emojis on on the WhatsApp, let’s put that way to get the people down and lock the doors. They couldn’t lock them. So then I got I said, Right, well, in that case, if you can’t lock them, then I want someone standing in front of them. So they had someone standing in front of them and then they bug it off and then and it went back to square one. So yeah, for me that was the the biggest headache today.

I was, I was talking about I looked at the, you know, the flag outside that says 18th annual conference and I think I’ve been to 17 of them. Yeah. And you have had a massive part in organising many of those. 17. What’s the difference being the President. Is it, do you feel the burden of that 100%. Is it because you’re the final decision maker? Well.

Look, when I’ve come into this, what I’ve always tried to do is I’ve tried to go, this is a team effort. This is not about I’m keeping the seat warm for a year. That’s all I am. I’m a custodian of the presidency. However, it’s kind of viewed that it’s kind of your conference as president, and so everyone puts that a little bit on you and they get you to make all those little decisions and they kind of almost step back and, well, I’ll let you make that decision. So you’ve got to make a lot more. And yet you do take ownership and you feel quite a lot of attachment to it and it gets quite personal. And so I’ve come here and I’ve gone. I really want everyone to have a great day like this morning. We spent a huge amount of time trying to get emotion in the opening ceremony because for me emotion is critical. If you have emotion, then you feel and you embrace and you become part of. So hopefully with the smoke, the the countdown, the Male voice choir, the very inspirational talk by Colin, it’s this all kind of brings it together. So so that for me is is was really personal but everything running running to clockwork and as it should does should do it never does but you know and gala dinner tonight. I’m glad you’re coming. It’s going to be amazing.

Can you can you when you might as well just tell me because by the time these guys are.

All right, massive big vodka luge. Oh, excellent. Covid safe vodka luge. And it’s going to be epic. Epic. So we’re looking forward to it. Yeah.

Fraser, thank you so much for taking the time. You’re very welcome. I know it’s your busiest day and you’ve taken the time to spend it with me, so.

I’m very appreciative as well.

Thanks a lot for doing it.

There you go. I’m being called back now. Cool, buddy. Thanks, buddy. Okay. Take care.

So this is the best Palmer.

Hey, buddy.

Hey, man. So, right at the end of day three, it’s. You know, I’ve been trying to get you all my podcasts for the last three years. And for some reason, nothing.

I’ve got nothing interesting to say. Yeah.

Yeah. Everyone’s got something interesting. But you just got accredited on this one. Yeah, me through. Why would you want to be accredited?

You know, I’ve been asked that question a few times this weekend.

Yeah.

I guess inspiration came from when I did Krystle’s course back in 2012. Yeah. And he introduced BCD and the accreditation process back then. Yeah. And when I looked at the pathway, I just thought, Oh, this looks pretty exciting. It’s a British Academy of Cosmetic Dentistry. You know, it’s not so much as just paying a monthly membership fee. And I spoke to James Russell and he said, look, you know, it’s it’s not the destination of getting the accreditation. It’s the journey and the learning, the learning aspects of that journey. So, yeah, once I started, I did. Three cases in one year, and then I got lazy and took a break for a couple of years. And then they emailed me saying, Look, we’re going to change your process, so you might as well stick to the old, old protocol and just hand in your last two cases. So yeah, we’re just sort of finish it off.

And so I guess I get the thing about sort of playing against yourself and, you know, achieving something. But is there more to it than that? Are you going to now market that to patients or do you think patients don’t get that?

I think to from a patients perspective, saying I’m the president of the BCD means. And sounds more than I’m an accredited member. It’s a very personal it’s a very Dental.

I’m sorry to say thank you, but you’re not going to be any time soon.

Being president of anything.

But they’re not many dentists very accredited. So it’s a communication story, right, to patients. You could you could communicate that one of the few dentists, you know what I mean? To me? That it would make sense to also have it as a patient story.

Yeah. Yes. Look, I know loads of dentists who who may not have the wards and these kind of posts behind their name, and they’re very, very successful because from a patient’s perspective, all they’re interested in is are your nice dentists. Are you going to hurt me and are you going to give me the result? I don’t care about the letter of your name and all the rest of it. Sure, this is more of a personal thing, isn’t it? And you know, I started that journey. It’s done now.

What about this? This event would like this particular one. How was Frank Spear? How was how was the education in general for you? To be honest.

Overall education, absolutely fantastic. Provided you control your your alcohol. You take the night.

Before.

In a frank spear world.

Class to speak before.

Yes.

So this was different. I thought.

It was certainly very.

Different.

Very different. I mean, that guy, well, he’s a is restorative trained prostate period. Trained as well. You know, world class, international, well seasoned lecturer is seen it all, done it all. I guess when you when I’ve seen him on other instances, it’s generally full math rehabs you know, reconstruction of advanced bone loss cases, you know, grafting and, you know, proper, proper dentistry.

No.

He is a composite veneer.

Not composer artistry. No.

They’re dealing with man’s dentistry.

Which you’re doing a lot of yourself. Right? You’re doing a lot of full, full mouth cases. Yeah. Do you find that more satisfying than the composite? Well, yes.

One, it’s more stimulating. Is it? Yeah. You mean makes you think a composite? Look, it’s. Yes. You know, when I first started off that was stimulating learning the science behind it. But a lot of it is art. Yeah, it’s very it’s very. There’s a lot of dexterity involved. Yeah. You know, especially for your simple aesthetic cases where function is not a huge. Factor in that case was more of a cosmetic case. When you’re starting to do full math, rehabs, minimal prep veneers or treating patients that are actually, you know, they want minimal prep stuff, that then becomes slightly more challenging.

So I think.

To get to the crux of it. I sometimes say that, you know, you love teeth. You know, you adore dentistry, right. But to get to the crux of what is it about dentistry that you adore? Yeah, because it’s not Emily yesterday who is very, very, very good with composite. And she says that she’d rather not ever do the composite. She’d rather do the. The aligning and parcel the composite to someone else. And so for you, what is it that is your love? Is it is your love? I know it’s a combination of many things, but is your love the problem solving, treatment, planning, piece of it, or is that is there a degree of carpentry meccano like the drilling part? And fitting things together part? Or is it the social side of the patient and how happy they are at the end of it? And I know it’s a combination. Yeah. Yeah. But but to go to like what you’re saying now, how, how much you like full mouth work or so and you’ve got this ortho MSC as well. Yeah. So you know because you know, you look at an ortho before and after and it’s profound, right. Okay. It’s a year between the two pictures. Yeah, but it is profound. So if we’re talking about profound change also makes profound change. The planning is very interesting. Yeah. There’s 11 ways to skin that cat, right? Yep. So why isn’t author your love? You know? I mean, so what is it about formal rehab that you like more than ortho? When I have a question.

Okay, so when I say full mat rehab, a lot of them do have orthodontic treatment.

As well.

As. Well, you know, when I first started off, I was doing composites and I kind of built a reputation on composites. It was generally about aesthetics, wasn’t it? Yeah. You know, getting that invisible class three, Class five, whatever it is, single veneer, multiple composite veneers, getting that invisible restoration. Shiny. Shiny. Yeah, of course. Microfilm, hashtag. And then I started my my M.S. in Ortho back in 2012, where I had to make a decision. It was either going to be surgical implants or ortho. My brother was replacing implants. He’s got a masters in implants and he’s a phenomenal surgeon. So it would have been quite daft for me to do it. So I thought, Right, is he got a master’s implant?

Amazing. I don’t know that.

He’s a he’s got those of the.

Talented Palmer boys.

That’s.

Gone.

Now. So yeah, back then when I first started off, it was all about creating that invisible restoration. That’s what kind of triggered, you know. Yeah. Stimulated me. Now, actually, and the main thing for myself is when I’m finished a case. I am going back to my and assessing whether my diagnostic and my treatment planning skills were on point.

What you could have done better like that that piece.

Yeah well that.

And did I diagnose a problem correctly and did I treat it in the most appropriate way? So when I do a big case ortho restorative perio, for example, if I’ve diagnosed it properly, treatment plan, do it properly, finish the case off. I’m more chuffed about my thought processes at the beginning than the actual end result, if that makes sense.

There’s a lot of it.

Might be lab influenced. Some things are at your control. Patients don’t wear their retainers, teeth start slipping. Yes. And the more complex cases you do, the more you know, the more complex the problems are afterwards as well. Yeah. So what stimulates me more now is, is was my diagnosis correct? And was the treatment plan appropriate for for that patient?

And, you know, like, you know, that thing tips is about staying in the same practice for a long time. And I think Frank said yesterday as well, it’s treating the same patient for 30 years. And you can see what you’ve been how many years and. The same fact in ACORN.

For 12 years graduate in 2010. I’ve been there, did my 12 years.

As I see those cases, you put up like seven year, eight year composite cases, right? Yeah. So we’re going to take you through a situation that you looked at something eight years on or ten years time on and realised you’d made a mistake.

I’ll tell you something even better than that. I get to see my brothers, what, 12, 12 years older than me? I get to see his records that he’s started off because he’s been.

But you’re not sure what he did.

I know. I can tell you when I can. I know which which are his composite.

Because what he used.

To do, because he’s kind of taught me so similar style and seeing his post ups and forget that even better, the principle that he brought the practice of I’ve got to see his records. So I’m I get to see 30, 40 year old wrinkles.

Yeah, but you don’t know what 40 years ago it looked like, Gillian. But that’s important. I get it.

The performance of materials.

I get it, I get it, I get it, I get it. I do get that. So. So tell me something you’ve learned then from from looking at that like a typical like.

You’ve got to be meticulous. Dr. Cooper was meticulous, my brothers. Meticulous. They’ve taught me to be meticulous. If you’re meticulous, if you’re precise, you’re going to get good results.

Yeah. Yeah. And the errors do compound, don’t they? Like small errors end up as is much bigger errors afterwards. And and, you know, we see that with composite like a tiny little, little little imperfection in the composite can amplify six months and 12 months amplifies a big black dot. Yep. And and as you always point out, in all these cases we see that where there haven’t been ultra meticulous and how that’s going to turn out and the upkeep of it and all that. But I was I was more after like you realised not to do something like what? What is it like a way of doing it that you, for instance, with me, we know we talk about proximal staining. Yeah. Because I saw it in the, maybe in the three years that I was in that same practice it was staining came up as the main issue. Yeah. And then to be more meticulous within the proximal. Yeah. Yeah. I saw that with my own eyes, you know. So what was there with you? Recession.

Recession. Soft tissue management, soft tissue control for indirect work, soft tissue management for implant work that we’ve seen with my brothers stuff, you know, pushing the boundaries of composite, for example. So the tooth where cases that are treated with composite and you start to realise actually was that the right material in that particular mouth, you know, if.

Americans would call it transitional bonding for that.

Reason. Yeah, but you could do that. It creates its own problems because quite often you open up a patient’s OCD, the where the composite away, you’ve lost the OCD, and then it’s like, what do I do now? So either becomes a darling or you’re doing a full set of restorations again.

You know, you teach composite, right? And I think there is a massive sort of lack of knowledge as far as shortened teeth that people lend them. And, you know, you put this out all the time that the teeth shortened for a reason and people lengthen them and then and then that’s can be an occlusal problem. Now, our responsibility in composite teaching to teach occlusion and then you see it a lot. You see cases with these Centrals that are worn and someone just lengthens them. Yep.

So you think they’re worn for a reason? They’re in that position for a reason.

They’re faster than the enamel. Or it could even be an early like problem, right, if it catches a lateral or something. But but it’s weird because competition doesn’t really have inclusion management as part of it. We do. Do we do? I know we do, but it’s still not that much, right? It’s like an hour, right?

That’s because. Because they’re coming to learn composite. I know. I know. And they can go on another collision course and we.

Can’t teach everything from and.

We’re pretty frank. You’ve got to also accept or you’ve got to you’re going to hope the the your delegate delegate is going to have some sound knowledge on occlusion and know what case do you treat and what not case not to treat. But you do have to give them give people some advice. But look, I know so many people that will quite happily slap composite everywhere. You know, the most dysfunctional of maths and are quite happy to treat the the results that the results of that for me, you know, being paralysed by perfection, you know, I’ve kind of been trained to be more comprehensive interdisciplinary work. So you might look at cases in a different way. And yeah, there are cases where the patients can say, No, I don’t want two years worth of author, no, I don’t want to stick an implant here and stabilise occlusion here. I just want that those six veneers please. But as long as you have consented for it, and more importantly as a dentist, you’ve got to acknowledge that these problems may arise. Hence going back to your diagnostic and treatment planning skills and then what decision is chosen thereafter? It’s it’s been made with intent.

Yeah. Yeah. On purpose, not by mistake. Yeah, well, you’re not lying about the parallels by perfection. Yeah, because many Smile Makeover part two is four years in the making, and it’s been loads and loads of lost hair in my head for that one. But hopefully we’ll have a big announcement on that soon. We will. We will. But thanks a lot for taking that in. It’s really hard for you to talk to me.

Any time, Buddy.

Says, You know, we’re sitting here on day two of BCD and Frank Spear’s been talking all day. We’ve been. We’ve been.

Watching.

Yes, yes, yes. Have you seen him before?

No, It’s the first time. Yes.

Oh, What do you think?

I’m very impressed. You know, I somehow had a little bit of I was questioning what type of dentistry he was going to talk about and how he was with her, his expertise, how he was going to bring the minimally invasive part of that, because.

He’s not known for.

Minimal innovation. He’s not he’s more about restorations, form of rehabilitation and the occlusion thing, you know, all the bits. But I’m super impressed. I’ve definitely taken tips that I can work with the next day.

Like what was the that kind of resonated with you?

One of the things I have always believed in is in being conservative, and I find it very frustrating when somebody else, another colleague especially, finds, for example, an apical lesion and they intend to re treat the tooth or extract the tooth. Yeah. One of the things that he was talking about this morning about just give it time, let’s see what happens in 12 months time, in 24 months time and so on. Just basically monitoring. I think that is a key thing that I would of course I’m practising it, but I will discuss with my colleagues as.

I hear someone like Frank say It makes it more real, isn’t it?

Exactly. But you feel that you’re doing the right thing.

Well, he said that I hadn’t ever considered was the idea that if if the patient manages to keep that tooth for another six years, technology will move forward. And it’s something you don’t really think about that know that’s actually true. In six years time, implant dentistry will be a different thing to what it is today is what’s possible will be different.

And also taking into consideration what the patient wants. Sometimes they don’t want to take it to that or they don’t have the means to pay for an implant. And we even win. Two or three years of the patient can be saving towards the implant towards that makes it possible. Is possible. Yeah. And as as he says he’s going to make it, well, it is believable that we care for the patient.

Yeah. So you’re now part of the BCD organisation, right?

Yes.

So what is it you’re doing? What’s your.

Particular. I’m a committee member for Educational Committee and I’m standing up as a board member tomorrow. So hopefully I will be.

I’ll get my vote in. I’ll get my voted yes, please. So. So up to now, what does it mean to be part of the Education committee? What does that mean?

Well, we meet to talk about potential speakers for future events. This year, for example, I was very fortunate to be the organiser of our female leaders in dentistry event that it was absolutely amazing. So is that. Type of events that we’re trying to bring at the same time that we bring education, we also want to bring the social aspect of it, you know, networking, having fun with our colleagues. At the same time that we were learning. So yes, that’s good teacher for.

The if you have to if you had to put like a three day event like this and think about what bit of it is the most valuable bit you take. Obviously you’re seeing Frank Spear that’s going to inspire you. Yeah. You go to a hands on thing, you can actually learn something that you could literally do the next week. Yes, but the thing, the bit that you often forget is this bit, you know, the soft part, like you said, the socialising bit not only to have fun, but also, you know, you actually end up asking questions and learning from people outside of the actual learning environment. That’s why, you know, on our composite course we have this social part that when people don’t turn up to that social part, actually they feel like they’ve lost out. Because there’s one thing watching Depeche all day on the stage, but a different thing totally over a drink, having an asking a specific question. And he’ll say at that point something that you just not going to say on stage.

Yeah. I think you also form a different relationship with a speaker. Yeah, they become more real to you, right? They are more approachable, accessible. I think that’s why the Bayezid is so determined to making these social events in the majority of our events. We would like to bring that social component.

So in that female leaders thing, what did you do socially? What was the say?

Well, it was super fun because we had a female deejay. Oh, did you? We had a female DJ. We had.

All. It was like.

Yeah, I used a bit of everything, you know, We had a little bit of everything. A seventies music, eighties, nineties, Yeah, more recent music. It was amazing. And of course it was some beer. And so we managed to, to, to get our hands in some very, really lovely English sparkling wine. So yeah, it was amazing.

So we had, we had this series called Leading Ladies. Yes. And part of it was I started counting the number of guests that we’ve had on this podcast who are men and women, and guess what the ratio was?

I can’t imagine. I would like to say equal.

No, no more Ladies. 4 to 1 men.

Oh, 4 to 1. Yeah.

And when I saw that and you know, I’m actually trying to have more women on, right? You know, I’ve changed my position on it now. We’re actually trying to have more women on I but even then when I counted, it was a 4 to 1 ratio of men to women. And that’s why I thought, Oh, let’s do these compilation ones of the ladies and put all of them together just to just to have some more inspiration that way. Now, for someone like you, who now you just sold your practice. Yes. Yeah. You you’re a strong leader. Like I’ve seen you in practice. I’ve been to your practice. People like you, you, you motivate people and all of that. Much of your journey in the educational piece would have been different, would have would have accelerated if there were more women teaching.

I think quite a lot. Because you want to be relatable.

To identify to the.

Teacher, you want to be identified, you want that person to understand what you go through when you’re a mother. But they at the same time, you have a business. When you have an inspiration, you want to be better. You want to spend time learning. It’s always nice to know that the other person knows what you’re going through because they go through the same thing. You know, it’s a little bit like menopause. We talk about that between women. There is something that you wouldn’t discuss with them. It’s the same thing in dentistry in what is to be a mom or what is to have all the things to do apart from your dentistry. But at the same time you want to be in dentistry. So it is it is harder for a woman to be considered, I think, as a as a leader or as inspirational professional because we have so much competition without with men. What I was.

What? What do you.

Mean? Yeah. Because when you go and for example, you, you are like the event that I organised, I will be approaching companies and saying, which are your top female speakers? And I will find companies that said, Oh, actually I don’t have any female speakers. So that that was maybe because historically we have been busy running our families, running all the part of our lives rather than. To dentistry. Yeah.

That’s the reason, isn’t it?

It is, I think.

I think it’s partly that. Partly that there’s a second part that it’s almost like ladies are less likely to. To put themselves up somehow. There’s a, there’s a modesty or a like for a man to stand up and say, this is what I do and this is the size of my drill. It seems more natural than for some ladies.

Yes. Yes. Because you want to be considered as an equal, but you see that in many lines in life you are not considered an equal.

I don’t think it’s about consent. You don’t? Do you honestly think that in this in this environment here, some people are saying, oh, this lady isn’t equal to that man like you just thought that amazing practice. Right? And James Gornik just sold his amazing practice as an outsider. Someone else looking at it, whether it’s a man or a woman looking at it, no one’s going to say, Oh, Jean is less than James in any way.

Well, I yes, I think I don’t think we do find anybody saying that. I really hope we never find somebody saying that. I think you’re believing.

You’re out of the ordinary. A little bit of of women in that you’re you’re out there. You’ve got you’ve got your practice. You’re doing all the things you’re doing. And now you’re doing this, for instance, you’re a little bit out of the ordinary that you’ve put yourself in. You know, someone coming over from Mexico?

Yes.

To do that in a second language, you’re not a bit special in that sense, right? Thank you. But is there something that’s holding other women back? I don’t think that the system is I don’t think the system.

I don’t think is the system. I think is is is is the first thing that The first.

Thing is that for sure. Right. You’re running a house, you’re running a practice. You run a lecturing career on top of those.

But this support this support is supporting your personal life, is supporting your business life. Like, for example, I have a very supportive husband, but in the practice I have an amazing team behind me so I can I don’t have to be in the practice for the practice to run properly. I don’t have to be at home for my house to be run properly. I have a nanny, you know, in support and believing that you can count with these people to support you. That gives you the confidence to say, Actually, I want to do this. I think I’m capable of doing that. Don’t take me wrong. I doubt sometimes myself, I sometimes feel that people believe more in me, that I believe in myself, that it’s like the imposter imposter syndrome.

Imposter syndrome is a feature of growing quickly, that if you’re doing if you’re doing something and growing quickly, imposter syndrome is one of the features of that. Yeah, I don’t know. Maybe, maybe, maybe women suffer with it more than men do. Maybe.

I think so. Yes, I will. I will think so. But one thing that I know is changing is that that perception of saying, yes, we want more female speakers I was talking to yesterday to to one of the lecturers and I, I was talking about my event and said we don’t want to call it female leaders in dentistry event maybe anymore because it doesn’t matter if you are female or male, you are a leader in dentistry. I said, Who will you put forward? I said, I don’t have anybody. But you know what? After speaking to you, I’m going to look in my network to see who will be perfect for us to work with. So I think it’s just it’s changing and it’s changing in a very positive way. I think that is one of my main inspirations to be in the back seat and become a board member, hopefully tomorrow.

Do you think one day you’ll be the president?

Well, yes, why not?

I love your style. Yes, I love your style. Why not?

Why not? Why not? Yes.

One thing one thing that’s been a bit of a bugbear of mine has been this question of, you know, women in dentistry. Yes. The the there are some women in dentistry having a really tough ride. Yes. And it’s not the dentists, it’s the nurses, the receptionists, the hygienist.

The.

Support team. And one thing in your practice, it’s actually it’s all female.

Yes, we are.

I seem.

To remember. Yes.

But in your practice, it was this sort of very career orientated sort of feeling about it. You know that your manager. What a professional.

Amanda. Amanda.

What a professional. And when we deal with her regarding Enlightened or whatever, or even when I see her, you know, I got the sense that she had career progression in her life she was proud of.

Or.

Proud of what she was achieving in work.

She she’s she.

Puts in a lot of.

Very hard working that that that’s.

In a lot of practices. You don’t get that in so much as practice seem to be centred around that and. And it’s almost like everyone else is there on minimum wage that you can possibly pay them to just do the little bits that they can and let this dentist carry on. And you hear some terrible stories about the way staff are treated. Oh, definitely. But you’ve managed to you know as well as making your patients happy, make yourself happy.

I think it’s because I give them the respect and the place that they deserve. You know, I, I always say to my to my staff, what would you like to do? Is there cause you want to go to let me know? We’re always happy to support you. You know, it’s is is progression. But not only my progression is your progression where you want to go. We have had team members that have left the practice because they have gone back to university or they have made a career change. You know, it is not because we’re not a good team to work with because they’re moving on and moving on. Exactly.

Yes. It’s a lovely example. Tell me about now that you’ve sold the practice. Yes. You’re still there, right? You still have. How many more years do you have to be there?

Four years. Four years in total, Yes.

How does it feel now that you’re not the boss anymore?

It’s odd, I have to say. It’s not that as easy as one thing. The transition. It is a transition. You have to get used to it.

You have to ask for permission.

You have to ask for permission.

Give me an example of something you would have just actioned straightaway. Whereas now you have to ask for permission.

As simple as. We had a beautiful humidifier at the practice that, you know, with this aroma for your cigars. Not at all. But I said to Amanda, Amanda, we need to buy a table to put it on. Oh, yeah. I will ask permission to buy that. And it’s like, what? It’s just a £20 table from Amazon, you know? But it is what it is.

That must make you angry.

Another thing that. That that is is is going to be a big change is the way that we celebrate Christmas at the practice. Because I’m very old, you know oh I love champagne parties and things and that And now you’ve been told, well, you have only £50 per person and you know, what am I going to do with £50 per person? You know, but I’m sure we will. We will manage. Yeah. We’ll do something special for them.

That’s tough.

Man. It is.

Tough. Yes.

I guess you could always top it up like.

Oh, of course I will top it off. Yeah, yeah, yeah, yeah. I’m already saving for that.

But I hear you. But I hear you. I hear you. I’m trying to think about it. Enlightened. I had that. I mean, I think there’s one, one issue where it’s. It’s like at the £20 Amazon table where it’s annoying. Yes, but there is another issue that this bishopsgate would not have gotten to where it’s gotten and the way it’s got I mean, it’s just everything about that practice. I’ve been there a few times, right? I feel the vibe about that. You’ve made certain moves at certain times to get to where you got to. Exactly how much of those moves would have been delayed and not allowed if there was a third party saying yes, no, yes, no. And I know you you’re kind of a passionate kind of person and a bit like me, if I if I’m excited about something, I’m like, let’s do that now and then. Even if it doesn’t make sense. Yes. Yeah. Because I want to make that thing happen. And it’s interesting to reflect back and think going backwards, if you had to ask for permission for every move you made.

We would not be where we are.

Now. You wouldn’t be where you are now.

No, but that is the beauty of the years in a practice that you you grow it to a point when you think, okay, now I want to do something different, be involved more in the bhakti, do some more speaking for a line, you know, different things where I think, you know what? I need somebody now to help me. The progression of the practice because the practice is keeps progressing. One of the main the big examples of it is we I saw the practice in March. By September we had already two new dentists that I wanted to bring since last year, but I’ve been so yeah, journey and really and I’ve been so busy that I haven’t had the time to to think, okay, what is the next step? I know the next step is to bring more clinicians, but oh, I’ll do it tomorrow. I’ll do it tomorrow. Whereas now I said.

Could you expand it?

You made it bigger.

Yes. So I said, Guys, I want to four more days, clinical days. And they say, okay, do not leave it to us. And they do it. They help me with that.

You must have known you were going to sell it while you were making it bigger. And I have to be strangely honest.

My the first time I thought about selling it was when we were in the first lockdown. I enjoyed my home. I enjoyed spending time with my family. I. And I thought.

There’s another side to life.

There’s another side to life. I enjoy life. For example, the video consultations, the sort of things happening behind dentistry, let’s say. So that is the first time I thought, why not? So that is when the process started.

And then is there any aspect of responsibilities that being taken away from you that are actually good, that you’re happy?

I’m very pleased.

Like what?

We had a serious inspection.

You had nothing.

To do about six weeks ago. I didn’t have anything to do with it. Of course, I supported my my team. You know, I help out with the radiology folder. I was there to sign papers. I did my whatever they asked me to do. But the corporate was sold to I don’t know if I love to say dentists. They were there all the time. You know, They’re the ladies that they’re for. Yeah. What’s the compliance team was was there, and they didn’t let us alone. You felt. We felt that we were accompanied throughout and I didn’t have to even be the practice to on that secrecy inspection. But having said that, one of the comments that we got that Amanda was told by the inspector is I don’t doubt that your practice was already amazing before you sold to dentists and the secrecy of some of the audits that we run that were no dentistry. So he still said we Exactly. We did it. So yes, that was great.

Did you feel that loss feeling people talk about like you’ve sold your baby?

No yet, and I don’t think I will because.

Did you start it from school? What did you buy?

Was bankrupt when I bought it. So I had to build up an only patient.

And how many.

Years? The reputation? 12 years. 12 years for.

Such an amazing achievement.

He had a very bad reputation. The practice with all these pliers. Because the previous pain level pain. You reach a point that because directory will not sell me if I was in pain straight away.

Yes.

So because I remember you from when when we had our podcast episode, I remember asking you you’ve got you’re doing so many Invisalign like, what’s your marketing machine? And you kept on saying, just we just do good work and people recommend us. So like you turned that around from a bad reputation practice exactly where you got it. Yes. One of the busiest Invisalign centres in the country visits enlightened centres in the country. The bits are like.

Exactly, yeah, of course.

Massive achievement. You should be very proud.

Thank you.

You really should. So lovely speaking to you. Thanks a lot for taking the time.

No, thank you for inviting.

Me and are really already enjoying this. Hopefully tonight we’re going have a great.

Of course we will. And it’s always so nice to speak to you so And.

Thanks to you. Thank you.

So, Kayleigh, so thank you from Dental with me at BCD. K you kind of here on on behalf of dental beauty in a way as well. And you’ve sold what, 60% of of kids dental to them and now we’ve got this sort of new roll out of practices. And last time I spoke to you, you were about to open you were saying ten more practices. Was was the plan. How far are you with that?

Okay. So obviously, when the deal took place in March, the master plan was to grow and yeah, ten clinics is, is was all for me. It was a realistic number. And you know, it’s actually a little bit more difficult than you think doing that. Sure. And, you know, we’re now into the actual reality of the situation and we are now into November.

How many of you go.

And so we’ve got five up to.

Now, five new.

Ones. No. So we’ve got our original three. Yeah. We’ve now completed and opened two more and they’re running. Where are they. So they’re in Alderley edge and I’ve got two lovely partners for they’re a couple Colwell and Jade who are amazing and they’re running that clinic beautifully. And then we’ve got Knutsford now, and that literally opened only a couple of weeks ago and that was with our new partner, Andy McLean. And he’s an amazing clinician and I know that clinic is going to do super well.

Yeah, of course.

And then we’ve been trying to acquire a clinic in Liverpool for the last six months, believe it or not. And it’s just the property, it’s a squat property and it will be a complete greenfield site and it’s taken six months to acquire. Now we didn’t envisage that. So we’re in a situation where that should have been up and running by Christmas. It’s now going to probably be March, April and the timeline moves on.

And so what’s been holding that up?

Just the just property, old property issues. And it’s just like, kill me now because all I want to do is grow. You know, the funds are there, the money’s there, the clinicians are there. And Kosh, who’s one of our associates, you know, he’s going to be the partner of that clinic. And then we’ve got an agreed site in Bolton. Again, just going through the legals currently, it’s just things just take that little bit longer and you don’t envisage that when you when you start this journey and we’ve got a final clinic in Bramhall in Stockport.

Stockport.

And again I’ve been going, okay, but again we’re just going through the legals of acquiring the site first and then we need to build the clinic, which is generally formal, another squat, another squat. So what my model is, is literally based currently just purely on squats and.

Why.

Control and the ability to have a fresh start at that site. The patients understanding that this is what they’re signing into right from day one, I believe like there will be a time where I would really like to acquire existing clinics as well. But it’s tricky because you acquire existing clinics, you actually acquire existing problems and existing staff and sometimes they may not be aligned with what I want to do.

And so the partner person is is got skin in the game, right?

Yeah, 100%, 40%.

40% of that particular clinic.

That particular clinic.

And then so what are you thinking is going to be the time from when that a new squat launches to profitability. Is it very quick.

Yes. So to be honest with you, our progress has been a little bit slow initially as well, because, you know, our investors were very cautious because my my business plan was. Bullish. And, you know, I’m saying we’re going to make profit from not day one, essentially, but we’re going to make your maybe a positive profit month to month three in that, right? Yeah. And they’re like, he joking like and they’ve got 300 plus clinics around Europe. Every greenfield site they open, they’re like, we’re in profit month seven or month eight.

Which is still compared to real. Well, when I say real business compared to non dental businesses, six months seven months is extraordinary. Two weeks in profit. So so you’re in a hurry to get it into profit in month two. Well, yeah, asking a lot. It’s asking a lot of the marketing team. I think it is a squat.

And so we launched Altrincham Alderley Edge and that’s been launched now three months of we’re in positive EBITDA.

So what’s, what’s now your new role Because while it was your own three clinics, yes, you are definitely the producer, the one doing the most dentistry.

Yeah, of course.

And so when in a new clinic, is your role training the partners into that dental way of.

Yeah, of course. So like for me now I’m doing three clinical days. Yeah. Wanting to really put that down to two if I can in the next 12 months. Only because I love the dentistry and I don’t want to finish that and I don’t want to stop that. But yeah, heavily based on really spending time with the partners. You know, I’ve got some partners like we’ve spoken about, like Andy McLean, who, you know, he’s much, much.

More he’s going to hit the ground.

Running so he knows what he’s doing. I don’t need to hold his hand and get him through that process. But I’ve got other partners that have never run a clinic before. I’ve never been a part of anything apart from KISS. And so those guys are really want to kind of go, I’m here to support you, here to help you, and here to ensure that no matter what happens at this point now, you know, you you will be able to run this and I will be there. And so that’s a big part in what how.

Are you finding the transition for yourself as a as an operator? It’s transitioning to this new role.

Yeah, it’s it’s tricky because I’m a dentist and I just you know, I’m my biggest comfort area is just doing teeth sitting in my room, do my teeth. And, you know, when I’m having to deal with lots of meetings and partners and this and that and the other, I genuinely do feel sometimes like, just give me back my teeth really, because.

I find I find in life, though, when you when you do get out of your comfort zone like that, that sort of cliche that people talk about where you do get out of your comfort zone. Yeah, you only realise how important that was later, years later. Yeah. When when the when you reap the rewards of, of that when you’re actually going through it. Yeah. It’s, it’s, it’s, it’s uncomfortable. Right. It’s uncomfortable. You know you’re out of your comfort zone, you’re not doing what you’re used to. Yeah. And so I wouldn’t, I wouldn’t sort of worry too much about the fact that it’s uncomfortable. But, but yeah. That transferring the things about Kailash that are, that are special to this new role each you have to look at each new thing you do and think, why am I the right person to do this? Yeah. Yeah. Because if a patient is put in front of you and you’re going to talk to them about 20 veneers. Yeah, you do that, like with your eyes closed. Drinking water. Yeah. Why is that? Because you’re good with people. Because you’re good at presenting stuff. Yeah. Yeah. So then, so then it’s got to be when you now talk to a partner, a dentist, you have to now present the opportunity to the dentist, right? Yeah. And you know, I went through this myself. Yeah. I was very good with patients. I thought because I’m very good with patients, I’m going to be very good with dentists if there are two different animals.

Yeah.

But when a patient sits in your chair, he’s implicitly saying, I trust you. Yeah. Whereas we’re trained as dentists, we’re trained not to trust. That’s part of our training isn’t to question everything. Right? So, you know, I think you shouldn’t worry too much about it. You should just keep on doing what you’re doing.

Yeah. And I do think, like, you know, as as I’ve gone along and, you know, I think things like my private vet scheme at the clinics is really helped because it’s allowed these clinicians who are now becoming partners in my business, it’s allowed them to know whether they do trust me or not. So then when I sit down with them and I say, Oh, caution, Nabeel or Calum or whoever, listen, I think this clinic would be perfect for you. They they’re literally like, okay, that’s what you think, Let’s do it, you know? And that’s lovely. It’s like a.

Lovely. So let’s talk about career pathway because we were just discussing if someone’s just qualified. Yeah. How long does it take them to do your private scheme. Yeah. And let’s say they’re very good and they take on the way you train them and all that. How long will it take them to go from just qualified private vet to the point of becoming a partner. How long would you say was the shortest period that that could be? So if.

You look at for instance, Kush and Nabeel, who are probably my youngest partners, so Coach has been with us now nearly three years, So he started his private vet and.

Straight out of college.

Graduate is from Latvia. So like in the UK. Yeah. Came straight to. But to the UK and did year one with us, which was a salaried position and year two which was a salaried position and then to fee per item at the end of year two and just be prior to a normal kind of split 45, 55 split and a private clinic. And you know, at that point doing well, I would say quite, quite advanced dentistry from, from the offset really, and not initially from that but year one. Year two is where he learned that and specifically from myself and some of my key clinicians. So then year three, we’ve already we’ve offered him.

Yeah, he is rather special.

He is he is rather special. But then if we look at Nabeel, that’s the fastest he’s the fastest. Nabeel came towards again on the private VC scheme. He we only did one year of the private VC scheme, but he’d already graduated and worked in clinics previously, so his experience level was higher. Yeah. So then I say, Well, I want you to be with us. I want you to grow with our group. But I also want to don’t want to do is just throw you in the deep end. You don’t understand how this works. You don’t understand what we do and how we do it. I want you to have a salaried position for a year. I don’t want to worry about money. I want you to just me focus on the clinics, focus on dentistry, focus on doing things right. And he took that on board and he took a large pay cut, if you can imagine, to go from fee copyright.

Fee per item, associate.

Associate to to a salaried position of.

I’ll break it down. How much do you pay them. 5050 K Yeah, but I guess you’ve got to look at that as education, the education that you’re being paid for. That’s the way you have to look at it.

And that’s what I say. I said to anyone that even would ever consider it. If you consider it and you begrudge every day you’re there because you know you could earn more money and don’t do it. Yeah, because you’re not in the right mindset to learn to be there, to be present and to think I’m getting value for this. All your thinking is is paying me a measly 50 grand.

Yeah.

And that person isn’t right. But the person that does look at it and go, you know what? I’m going to put everything into this. It’s a year or two years out of my life, but at the end of it, I’m going to see massive value.

Yeah.

Then that’s the person.

I think Prav and I used to talk about this for years. If if it was teachable or not. And we and travel, as you say to me, because yes, he’s got so many clients. Right. You said of all of his clients, you’re the one who is converting more and all of this. And and it’s interesting because now you’re sort of proving that it’s teachable.

Yeah.

We take two people straight out of college who are now producing extraordinary amounts of work. Yeah, quality work.

Some of these guys pay, you know, a gross in a hundred K plus a month to.

Three years.

Out, two or three years out. And so and I’m not saying that’s all me, by the way, some of these guys are special in their own right as well.

It’s picking them to be seeing that potential in some ways.

For me, it’s seeing the potential. It’s giving them the right pathways, given the right educational approach and then keeping nurturing them. Like just this week, I got all my associates. There was like 15 of them, and we had an evening of just talking about treatment and treatment uptake and and talking about ethical approaches to to consultations. And and, you know, and I do believe that all these little things that you can kind of discuss, give them tips, give them tricks, give them the things that have worked for me over the years. And I’m not saying I’m a golden goose, but what I can do.

You’re a resource, your resource for a patient when let’s say I present you someone right now, one of these student reps and I say, look, this, this lady, she’s she’s interested in becoming one of your PhDs. How good do you think you are at seeing sort of spotting potential in someone? And what are you looking for? Is it purely like, astute?

Yeah.

So I think the dental part that’s that’s not here.

There they teach that. Yeah. I think the key thing is attitude and I think so.

What is the attitude?

So for me it’s difficult, isn’t it? I’ll be honest. I’ve had people come to me and I get contacted all the time. I want I want to do this. I want to do that. And the first thing is you talk them through the process and the ones that are bit like, Oh, but I didn’t expect the salaries to be so low. I didn’t.

Help outside. Outside of the money. Outside the money.

But that is. Yeah, but that being that first bit tells you a lot because they don’t see that there’s no value, they’re not seeing the volume what you’re offering. Yeah. Yeah. Because they’re tying it to a monetary figure. Yeah. And if I said to the right person I’m going to pay you nothing for this year, the right person would say, I’m still.

Got your hand off, I’m.

Still coming because I know the value I will get out of. It is colossal against not getting paid for a year. I’m not saying anyone would take that, but what I’m saying to you is that tells you a lot right from the offset.

One thing that’s interesting, not not, not that they’re actually comparable. Yeah, but you could go pay an institution 50 grand and get an MSI, or you could go work in one of your schemes, get paid 50 grand, and both are education. There’s no doubt they’re both education. Of course, they’re different types of education, but both are education. And if you look at it as education, suddenly it seems like an amazing deal that you’d be paid to be educated.

Exactly. And then.

You’re right. That’s a big thing.

It’s a big thing. But then the next thing I always say is really when I’m talking to them and I’m and I will always say, I will always go with that. The person who’s the least keen, not least motivated. It’s wrong to say that, but the person that’s not so full of themselves, a little bit more humble, a little bit more kind of reserved. I want that person. It’s funny.

Because that’s not.

You, is it? No, And.

I’m not looking for little, little K.

I’m not looking for me because ultimate little mes, I’ll want to do what I do. And that’s not that’s not good conducive for the growing business. And so the odd little me is fine if you can control them, but you can’t sometimes control those guys and they get What are you saying? What are.

You saying? If, if you turned up and applied for a job with you. Yeah.

You wouldn’t give them. Well, probably wouldn’t take it because I’d be like, this guy is killing me off. Like, you know. Yeah, he’s. He’s like a fucking carbon copy of me, you know? And that’s, that is difficult because I’m not after that type of person. What I’m after is someone that’s loyal. I’m after someone that will respect the brand, will respect what I say. It’s not it’s not a regime. It’s it’s, it’s always a discussion. But I also.

I think overall, you’re easy to work for. Yeah, because I’ve spoken to enough of your team that I can see people generally happy.

Yeah.

And I just you do you try hard on that right? You try to be happy workplace. That’s actually part of Dental whole thing. Yeah. As the patient walks in, everyone’s happy and you can’t. People can’t pretend to be happy. It’s one of those things they have to be happy. So let’s talk about exit. So you’ve done this sort of hybrid thing. Some people just sell their business. Yeah, and they’re out. Other people say they sell their business and they sort of have to stay for two or three years, even though they’re kind of out. Yeah, but you’ve done this sort of half way thing where you’ve sold kind of half your business. Yeah. And it’s an interesting thing because someone said to me, Here, take some money, cash off the table and here’s a cash injection and taken right into the next level. It’s kind of in a way, actually one of the best ways of doing it, because you still you’re still playing the game.

Exactly.

You’re not high risk in the game.

Yeah. Like, listen, I’ve high balled my life. I suppose you would describe it for 20 years. You know, Sole trader never went to limited. Literally everything was on a PG personal guarantee. Obviously over those years we’ve paid all the loans and things up. But when I first started KISS, there was a million quid in Dad, you know, when I was 24. So at that point, you know, you are there’s a lot of pressure and you get to a point in 20 years on you thinking to yourself, well, of course, like, listen, pay, I’ve had a great life. Dentistry has afforded me a lovely life and I’m super thankful for the profession for that. But I’ve also got to understand is at some point, you know, you want some security, you want some things, you want cash in the bank, you want to.

You want return on the.

Sweat. Yeah, you do. And but then what you also don’t want at the tender age of 42 is to be like packing it all in and thinking, what am I going to do now?

And that’s a thought experiment. What would you do? Let’s say you’ve won the lottery and $1,000,000,000 landed in your in your account.

What would it be?

Thought experiment. Yeah. What would you do?

I think obviously I’d able to take things off the back burner a little bit, but I’d probably I’m not geared that way, so I’d probably still do ability I’d probably go on probably slightly more lavish holidays, maybe get private jets.

How could it get more lavish?

Just more private jets, I think. Just more private jets and bigger yachts. Well, private, but essentially, like, you know, it’s one of those that I’d still want to do bits. I’d want to work.

I’d probably. I know, I know, I know. But look, I’ve asked this question many times and people say holidays and they say charity. Yeah, they say that I kind of want to take those two things off the table.

I’ll put charity in as well.

Just for.

Sure. I said, What?

People tend to say those two things, and once you take those two things, most of them, by the way, just haven’t had a break. They’re working so hard. They just need a break. Yeah, but once you take those two things off, off the table, you know, knowing yourself is quite interesting because what would it what would some guy, you know Indeed. My partner. Yeah. He’d go running. Yeah. He’d do yoga all day if he could. Yeah. And some, some of us like maybe me and you. I don’t know if it’s you, but we’re not sure. I’m not sure.

What I always.

Be happiness for me, if I didn’t.

I always think like time taking. Getting back a bit of time is be happiness for me. You know, like I always think about it and I always wake up in the morning and have a personal training session at 6:00 and I finish my gym session at seven and then I shower and get ready. I have a little bit of a minute in bed and then I get to work and then I’ll do my patience. I’ll have all my meetings and then I’ll finish that and then I’ll go and see my kids and they’ll spend a couple of hours with them. And then that’s done and I’ll come home and I’ll eat and I’ll repeat. And that’s my.

Life. What time do you go to bed?

Usually like 11, 12:00. So it’s a long day. And it’s one of those days that if I could then say, actually I’ll have a personal training session at 8:00 in the morning and I’ll, I’ll maybe go to work at 12. Yeah. And I’ll have a bit of a chill that morning and then I might do some patients till two or three and then I’ll go pick the kids up from school instead. And it allows me, I suppose.

The interesting thing is you could just do that.

And then I could. I could. But I think the pressure and as you’ve said it, you know, I’ve done the partial sell. And so from that side everyone’s like, Well set is solid now and you know, financially pay. Yeah, I suppose I am, but I’m not mentally and I’m not mentally there because I still feel there’s things that need to be done. And now I’ve got new goals and new aspirations with the business and I don’t want to be a failure. I’ve never been a failure in anything I’ve done, so I don’t want to fucking fail at this.

So how do you how do you feel not being the ultimate boss boss anymore?

Like for me, like it’s funny, like, you know, some of the guys, the laughing little joke and like, Devil be like walking down the corridor and they’ll be like, Oh, there’s your boss there. Okay. And, and I’m a bit like.

Is clever enough to when something’s working to to leave.

It. Yeah I guess And listen.

I’m like psychologically I’m not talking about in this particular situation with that.

Yeah it could be.

Anyone else the fact that it’s not you making because you’re the kind of cat that I remember. Sometimes you would do something just out of the box. Crazy thing that I’m sure now with Dev you’d have to. You couldn’t do that.

You’ve got to ask the question. Yeah, but like you said, he is a bit like you said. He’s very, very understanding.

He’s, he’s clever enough to.

Lead and he knows, like Kailash, if you think this is going to work, let’s do it. Let’s roll with it. But you got us the. You know? Uh huh. And that’s tough because it’s tough. Yeah, of course.

It’s nice to hear that.

Because, you know, I have been the king and ruler of all of all the things I’ve ever wanted and done in my business for ever. And like, if it went really well, then I got a lovely pat on the back by myself, and it went fucking terrible.

The thing is, though, the thing we were talking about those different ways of getting out and in a way we were saying, This is the best way. Yeah. Everything has a downside. And the downside of this particular thing is that that’s it. You do have to ask.

You’ve got to ask the question. And, you know, like for instance, we we wanted to do the Bramhall Clinic and, and you know, we put the business plan together and you now have to get approval for beauty and, and dental beauty needs get approval from EDG. And I’m like, I just want to fucking build a clinic. Yeah. I don’t understand why we can’t just build this clinic.

You know, and old.

That’s my old self going back, and let’s just sign the lease. I couldn’t understand what’s going on. And it’s those things that you kind of feel like not held back by because eventually it all goes through and they trust these guys. Now, trust me because the original, the last next two squat clinics have been doing really well. And so we’re in positive EBITDA with them and they’re like blown away by the figures and they’re saying, Hey, let’s roll with it now, which is great for me, because then it allows me to run with my idea and but I still had to prove myself. Yeah, And that’s the tough bit and that’s the tough bit that puts the pressure back on. And so I do have to wake up at 6:00 in the morning and I do still need to get to work for that clock. And so I don’t have an I can’t take back that time at all.

Well, it’s a massive pleasure to see you at an event again. I remember we used to come to practice all the time together.

Yeah.

I mean, you took a little break while you built this little, little empire, right? But as the world’s biggest enlightened user, I congratulate you for making it back. But now proud of you. Did proud of you for what you’re going for. You didn’t need to. You could just sit back on on a on a boat if you wanted to. So it’s interesting that you’re going for it.

Yeah. And I think that’s just my nature, isn’t it? And so I think when it’s in your nature, I’ll be bored. Or I’d be sad, actually, if I. If I sold the whole thing and then either saw it flourish, that would upset me without me or the other way or the other way. And then I think, like, that was a waste. It was a loss. I should have kept hold of that because that was my baby and and undermined realm. You know, it it grew and flourished.

So amazing, man. Thanks for doing that.

Do you this is Dental Leaders, the podcast where you get to go one on one with emerging leaders in dentistry. Your hosts. Payman, Langroudi and Prav. Solanki.

Thanks for listening, guys. If you got this far, you must have listened to the whole thing. And just a huge thank you both from me and.

Pay for actually sticking through and listening to what we had to say and what our guest has had to say.

Because I’m assuming you got some value out.

Of it.

If you did get some value out of it, think about subscribing and if you would share this with a friend who you think might get some value out of it too. Thank you so, so, so much for listening. Thanks. And don’t forget our six star rating.

Dr Hatem Algraffee has gone from being a confessed lazy student to one of the busiest clinicians in the profession.

After completing two master’s degrees as one of the UK’s first periodontal specialists, Hatem took on 13 jobs simultaneously—and then things got even busier!

He discusses some of the niche and specialist skills needed to get ahead in perio, reveals why you don’t need to specialise in 2022, and predicts a bright holistic future for the discipline.  

In This Episode

01.32 – Being busy

02.44 – Backstory and dental school

10.47 – Why periodontics?

22.33 – Specialist and niche skills

39.45 – New periodontal grading

44.30 – Periodontics and physical health

50.57 – Grafting and predictability

54.53 – Regulation and the future of perio

01.00.50 – Blackbox thinking

01.06.08 – Practice, training and family life

01.14.44 – If I had $1BN

01.19.29 – Fantasy dinner party

01.22.22 – Last days and legacy

 

About Hatem Algraffee

Hatem Algraffee graduated from the Royal London Hospital in 1996 and went on to specialist training at Guy’s Hospital and King’s College, where he completed two master’s degrees.

In 2004, Hatem founded the Perio Academy centre for periodontal training. He now divides his time between specialist practice and training. 

[00:00:00] There must be a whole a whole lot of skills that to be a good person to refer to.

[00:00:05] I think to be a specialist, that those days are gone. You don’t need to be a specialist. I think you need to have the respect of your colleagues because they have faith and trust in what you’re doing. I think that’s the most important thing. You know, whoever you are, whether your dentist hygiene especially, it doesn’t really matter. And I think it’s communicating to that person. I’m here to look after your patients. This is what I can offer you. These are the parameters in which we can hopefully work together.

[00:00:38] So being available.

[00:00:39] Yeah.

[00:00:44] This is Dental Leaders, the podcast where you get to go one on one with emerging leaders in dentistry. Your hosts, Payman, Langroudi and Prav Solanki.

[00:01:02] It’s my great pleasure to welcome Hatem al Graphy to the podcast, the third periodontist we’ve had on. And this time I want to make sure I answer the period questions that I have in my head because I do get a bit stuck in life and times. Of course I do want to go through life and times with you. It was a massive pleasure to have you. How are you, man?

[00:01:20] Thank you. Be great. I’ve been listening to your podcast well before the invitation, so it’s it’s strange to be on it.

[00:01:32] From the outside looking in. You seem to me like one of the busiest guys I’ve seen in dentistry. I mean, the I was. I was doing research for this. I was I was on your premiere Academy site. And the number of courses that you guys do, you do a diploma, a certificate de courses in Ireland, here, there. And then on top of that, you’re a proper full on periodontist in three locations. Busy man. Busy.

[00:01:58] Energetic man.

[00:02:01] I enjoy it. I’m quite lucky. I think a lot of people think I just do courses. No, I do four days clinical work and I enjoy it. I’m one of those. I have a wet finger. I don’t wanna be one of those people. Sort of. You know what I use like me that I’m sort of, you know, I enjoy what we do. I love the clinical aspect, I hate the paperwork, and the courses are additional thing which we do Fridays. We do some Thursdays in between clinics, but we stop the weekend courses near enough. Did you.

[00:02:44] Yeah. Did you? Did you? I’m away. I’m away every other weekend. My situation? I think so. Where did you grow up, buddy?

[00:02:53] So. Oh God, my parents are from the Yemen. So that’s. That’s my heritage. We moved to the UK when I was, I think four or five.

[00:03:04] Do you remember moving?

[00:03:06] I remember certain bits of moving or exciting moving to new apartment. Don’t remember any upheaval as such. It was. It was just fun, you know? I had a great childhood. Went to the local school.

[00:03:22] Whereabout. Whereabouts did you move to?

[00:03:24] From the. We were. We. We recently moved to, I think, for the first year, as you ever did. In those days, you had martial arts. That was. That was the. And we moved. I think they just shipped you from the aeroplane to your marble arch and then find a place to stay. So we were there, I think, for the first year or so. Then we moved to Lancaster Gate. My plans to live in the same place. It’s a great, great, great child and just played play park. It was literally.

[00:04:03] So where did you go to school?

[00:04:05] I went to the local school. I didn’t know this. It was a Church of England or Catholic. I honestly can’t remember.

[00:04:14] You would have remembered if it was Catholic.

[00:04:19] Yeah.

[00:04:20] Probably I wasn’t. That was church.

[00:04:24] For whom?

[00:04:25] Because I went to Catholic school. That’s what I’m saying.

[00:04:28] Not at all. It was. It was great. It was a good mix of kids did that at the age of 11, went to international school after that for a few years.

[00:04:42] And Camden, That one.

[00:04:43] Camden. Yeah.

[00:04:45] Oh, really?

[00:04:47] More and more.

[00:04:48] Yeah, I. No more ever.

[00:04:50] Of course. Yeah, The late.

[00:04:52] Great guy. Were you with him?

[00:04:55] Well, we became friends, but we were not friends at school. We didn’t know we went to the same school until. I’ll tell you the story later. But a lovely guy. Lovely. Lovely. Always is in love. It’s a sad story. We lost him, unfortunately, just over a year ago. But I went into national school. Then we transferred to. What was that? Some American school. I did my international Baccalaureate again. Didn’t do much work. I was a lazy, so I literally just did enough to pass whatever I could just, you know, just had a lot of fun. Sports watch, a lot of TV. Then you had the usual decision. It was a family decision. You become a doctor, the usual thing. You have to become a doctor. My brother was a medic.

[00:05:50] What did your dad do?

[00:05:51] That was diplomat. That was a diplomat.

[00:05:54] Oh, really?

[00:05:55] Yeah. And then less than me. You know, he sort of. His career was based on travelling, but with us once, because the education aspect was so good. We’re lucky in that point of view. And he just kept on renewing his extended position here, which became a bit difficult for me. And, and then my brother said, Don’t do medicine. So the nearest thing was dentistry didn’t get my grades. I was close, but not close enough. And they went through clearing, went through clearing.

[00:06:26] To London Hospital.

[00:06:27] Yeah. Yeah. I think yeah, I think Jason’s a few of us. Jason was here above. He had me a year ahead of me.

[00:06:34] Jason Smithson.

[00:06:35] Yeah, yeah, yeah. But me and my principal at that time, I didn’t know what he did. I think he picked up the phone, literally picked up the phone to admissions and said, look, you’ve got to, you’ve got to get this guy. And he was amazing. And I literally got food, fire, literally got in after me, and I just got into dental school, which is good. It was it really was probably the most amazing training we had in those days. It was 50 of us.

[00:07:10] It was it was a very good school. It still is a very good school. But I remember back then it was a very, very good school. They had a great reputation. Did you have Ed Lynch teaching? Teaching you then.

[00:07:19] Eddie? Oh, yeah. Eddie Lynch. He didn’t teach me, but I was one of his clinics. I’ll never forget this. I contradicted him once like that. So he basically. He basically like you go sit down here, read this book. And then I my teacher at that time, I think was Agent Liam. She’s amazing. And she sort of stuck up and he said, no. Then I we would have some. But no, we had, we had the old surgeon, also the orthopaedic, also orthodontic paediatric, every single department was just amazing, really was.

[00:07:58] How were you as a dental student? Were you scraping through as a dental student as well, or did you become serious?

[00:08:04] The first year I failed, I failed, I think, to at for exams. And I thought, God, I can’t. I can’t, I can’t I can’t make any more doing the bare minimum. So that was the biggest kick up the backside. I mean, I think because I think it was the year of the Olympic Games somewhere in the Madrid or Barcelona. I remember now. I just love sport and I failed two exams. I thought, gosh, after that, another for an exam ever. And after that taught me lesson. I sort of knuckled down, got myself together, really put a lot of effort in, and then after that it was just literally a nerd. I was literally a clinical clinical nerd.

[00:08:49] All.

[00:08:50] Afternoon. Wednesday afternoons was off. I was always on clinic doing everything in the summer. I was always there doing extra sessions. I did a lot, probably bit too much. So did that. Yeah, Got off a day. I had Adrian on again. She was amazing. She said, Look, do do has a job with me. So no, I wanted to leave. So I sort of had enough of five years. So did that did beat, did community beat because I was thinking I enjoyed, I enjoyed, I enjoyed surgery, I enjoyed paediatric, I enjoyed ortho. So I thought, hang on, let’s go and do paediatric community has amazing trainer is now I can’t remember that lovely lady she she she she said Look I love working with you but I’m just bored. I don’t think that dentures for me did the job to kill me in Southend and that was on call every other night. And I think one and two, one and three and weekends Max. Yeah. Did that That was a killer. Really was a killer doing things that I had no idea what to do, you know. Yeah.

[00:10:05] And back then there was, there was no, like working European working Directive thing. Was it used to work? If someone was on holiday, you’d be like one one in two.

[00:10:14] Yeah.

[00:10:16] She was. You’d be up to 1:00, 2:00. And I just, I remember just these people who sort of hover around those hovers on the floor, hovering, polishing the floors.

[00:10:29] Cleaning the floor.

[00:10:31] To glass, or gosh, I sort of envy that job in a sense. Bless them, because, you know, I was just reading things are doing catheters, doing bizarre things, but great, great experience when I look back. So did that.

[00:10:47] So when did Perio come onto you? Like why why Perry or how were you thinking Perio at this point or not.

[00:10:53] At this point? I then did NHS Dentistry and Practice. I did it for I think about three six months and I literally was doing composites for taking 45 minutes and just, just taking my time and then realising my paycheque was just literally nothing. I thought, I can’t do this. And then at that time Julian Perry and Graham Barmby were setting up or a dental group was one of the things I remember. I remember I joined them and it was och it was, you know, they were starting off and then I thought, hang on, I’m really bored, you know, so much dentistry by this stage, so much. And I remember I spoke to, I think this doctor at the time he was the dean and I said, Look, I’m bored and what would you like doing? I said, Well, I enjoy surgical aspects. I don’t do PE, don’t do ortho. So I went to go and see when to go and see. Richard Palmer Oh really? Roy London So him went to the Eastman also to check that out, spoke to somebody at Royal London. So by that stage I thought yeah, the one I wanted to go to was those guys, which it sort of had the best of everything to do. So again, luck, I thought I’d enrol on that because I was desperate to get out the NHS private aspect of dentistry. I want something a bit different. So they were fully booked, those spaces. So I said, Please put me in the reserve. Somebody dropped out, got on to the four year program, which is again.

[00:12:34] Part time programme.

[00:12:36] Part with three days a week literally. So we did see two years implement another two years. But in those days, literally I came out doing hundreds, hundreds of surgical, did implants, did a sort of training, did so much and we had this course training, basic training and everything. It was a phenomenal course really. What was it that got my specialist brain?

[00:13:03] So you had pull, pull. Cuomo Was one of your teachers then, I guess.

[00:13:06] Obama That’s awesome. Yeah, yeah, yeah, yeah. For Parma, yeah, we had this strange relationship. I just wanted to get down to do some work. I was literally in that stage, you know, And Paul was is like a lot of fun. And, and I was just literally like, I come to work and make peace and, you know, he was there. Zach. He was there. I was doing that training. It was it was literally the golden years of post graduate training, the care of. Andy Yeah, it was. And maybe there was two of us in condensed, just two of us. So literally, whatever we want to do, we could do so did that best training ever, you know, it’s phenomenal. Really, really couldn’t recommend high enough did that.

[00:14:00] And were you paying were you paying for your life with your other two days a week and paying for the course? How would you how did the finances work in that bit?

[00:14:08] So I actually saw my my apartment because I decided to do because I just I just go a bit extreme. I mean, community. I did community, period because I wanted to try things out. So my training, I did community for about four or five years, I think during my training and the other day was private work. So I wanted to do as much as I could, really, I just literally could. And they let me do what I wanted to try things out and it was just brilliant. And then it came and it came in hand because by the time I finished my training and you had lots of committees, unfortunately they determined whether you could go, whether you could get you access to.

[00:14:52] The specialist list or not.

[00:14:53] Yeah. So we did our exit exam before the content, which lets us do that. We did that and then because of a technicality, I didn’t get my meds on time. You got another six months. Unfortunately, five, six months, which I went just absolutely berserk. So luckily and it goes back to who you know, luckily my consultant community knew the SEC chairman eventual training so I finished on time. So it’s good. And then in those days we were the first one of the first specialist come through, I think with the second third groups come through. And by that stage I think I had about 13 jobs. Literally, I had 13 as a visiting specialist around the whole of the Southeast. Wow. Literally. And again, it’s brilliant, brilliant. I have no complaints. It was just literally every single day I remember working in Oxford, turning up there, and I said, What are you doing? I said, I’ve come to work. You’re not due here till tomorrow. Because my diary was. But now it was, it was quite, quite did that started doing a lot of teaching. Did a lot of teaching for dinner. We started doing our own courses, which is great and enjoyed the clinical aspect. Sort of found out hang on, I needed a bit more. So we started pushing the courses and that sort of kicked off quite nicely. Really meant my wife was also paid on and she said, Look, come on, this is proper structure. You have Protestant to write anything regimental, so come on. So then Academy kicked off, you know, over ten years ago.

[00:16:48] So let’s be one. Does you want a bit Let’s rewind a bit. Right. So you qualified as a periodontist, right. And then you suddenly had loads of work. And so is that situation that there was just not enough periodontist?

[00:17:01] Oh, yeah, there’s hardly any.

[00:17:02] There’s still isn’t enough, right?

[00:17:04] There wasn’t enough. There wasn’t enough. I mean, there’s more than we had in 2004. There were probably dozen, I guess, you know, literally everybody’s like, come on, hats and we’re going to pay for your transport. We paid on the day. Here’s your check. In those days since 2004, Dick Cheney was that we were treated and treated well. So we treated a bit over the top. Days because everyone’s desperate to get periodontist on board to do perio implants. And again, it’s 2000 2004 years ago. Thankfully, there’s a lot more out there now. In those days, there were a lot of specialist practices starting to come in the market as such. And these days there’s a lot of in house. So a lot of people in house, patients don’t want to travel. They want to keep their business. So the numbers have increased significantly really? Well, the universities are producing, you know, 4 to 6 at least per year. So I’m not sure the numbers are, but it must be in the hundreds easily compared to this ago.

[00:18:09] Would you say? I mean, I get the feeling that education generally gets better for everyone. Yeah. So in a way.

[00:18:19] It’s I mean, when we qualified 90, 96, we had no courses literally, I think had one or two courses run by the same people who taught you. And it was pretty backward. Nowadays education it’s it’s you know.

[00:18:35] So, so so my question my question is that the quality of the referral in 2004 compared to the referral you get now, are you getting now much more complex cases because people are taking care of the more basic stuff themselves or not similar? Is that other patients the same?

[00:18:56] Yeah, I think it’s similar. I think the only difference is awareness of the referring colleagues, whereas a dentist, they tend to be quick on the mark and also treating. So you know, what we do is we teach, we, we teach dentists and hygienist so they can do the bulk of the work. That’s how it should be. I think everything should be kept in house. But if you look at when we qualify the specialists I was going to America regularly to do to get educated. Yeah, to get educated. And nowadays I would say nearly everything is nearly there in the UK in terms of how many courses we’ve got. The amount of courses are phenomenal. The only thing I would probably say put my foot in it is probably true in planning and I think people talk about choice and all these other I think they’re good at really good in planning cases. I think here we still probably lack that amazing and perio process, whatever, whatever you want is out there. But I think what’s lacking is, is the full comprehensive, comprehensive planning of how we should do things and what stage. And that’s coming up. There’s one or two people are doing that. I think a few others are doing that quite nicely, but I think that’s lacking. But compared to when I qualified, well, it’s true because.

[00:20:21] I found that when I was a dentist I used to refer to Pete Strand. Yeah. And I used to find the value in that referral was, okay, number one, he was going to take care of the site. But number two, he would sort of reconfirm back to the patient what I was saying. And if I said, I would say to Pete, Look, I want to crown this, this and this, but I’m not sure if that one is going to take the crown or the bridge or whatever it was. And and he would say, Yeah, okay, yeah, you can do that crown or bridge or whatever. But then he would pretty much sell the treatment plan to the patient once. Once the patient had got it from the expert guy, then it was a sold plan. The patient would come back and I’d, number one, do it with confidence because the periodontist said the teeth could take it. But number two, the patient had a new confidence. And that sort of that relationship between the referral and the referral for RE is that that’s.

[00:21:17] I.

[00:21:17] Mean I think you’re right, but I remember when I was doing general dentistry, I was doing my specialist training and I think my time was pretty good in those days. And I do plan to the patient, I need this, that crown, that this and the patient will, I’m not sure. And then the patient actually goes to see our hygienist and I put everything in my nose quite clearly. And the hygienist was phenomenal. She was phenomenal. She would say, Oh, he’s planning this. And the patients always come back and say, Well, I’m ready to go now. Well.

[00:21:57] Because I do this.

[00:21:58] Yeah.

[00:22:00] I just think it’s a reinforcement, isn’t it? I think it doesn’t matter. Is it’s that professional person sort of saying, hang on, I think I agree with this. And I think like everything else, if you sing from the same hymn who works really, really well, I think we always have different plans, There’s no doubt about it. But I think if you’re similar in that reinforcement, but I think when you get a referral, if we get referrals, which can be really detailed and others can be brief. The more detail you put in, the more you can sort of say, Hang on, I think we’re going to engage with the patient better that way.

[00:22:33] So look, if there’s someone listening to this who wants to look at becoming a specialist. Okay. Number. Number one, where to train and all of that that that that I get. But the what are the skills that you’ll need as someone who gets referred patients. I mean that there must be a whole a whole lot of skills that that to be a good person to refer to I guess you know let’s take it from the basics. You don’t steal that patient. You turn that patient.

[00:23:01] Back.

[00:23:03] To a specialist, that those days are gone. You don’t need to be a specialist. You know, I think you need to have the respect of your colleagues because they have faith and trust in what you’re doing. I think that’s the most important thing. You know, whoever you are, whether your therapist, dentist, hygiene, especially, it doesn’t really matter. And I think it’s it’s communicating to that person. I’m here to look after your patients. This is what I can offer you. These are the parameters in which we can hopefully work together.

[00:23:37] So being available, yeah.

[00:23:39] I mean, all our work is basically right. This is who I am. As soon as I see the patient, I’ll communicate how that communication is Writing would be. In writing, you need to whatsapp your phone. You and we and especially the last few weeks, we’ve had two colleagues who unfortunately had something’s gone wrong. Unfortunately, I need some help and it’s fine. We just said, Look, don’t tell me, tell me the story, and then we’ll put the patient in as soon as we see them, will communicate what we found and do that way. Really, I think it’s the trust A not poaching for you to do what’s best for the patient and then communicate back to everybody. Really? Did we get it right? No, we don’t. You know, it’s a similar scenario a few weeks ago where I said the patient, I’m sorry, I can’t fulfil what you want me to do. I don’t think I’m the best person for you. You know, he’s a refund. And and we do that about once a year, twice a year where we talk. No, I don’t think it’s a communication back to the dentist or hygienist saying, look, I don’t think I can help this patient for whatever reason.

[00:24:52] Really.

[00:24:54] It comes down to trust competency, really. And again, it comes with experience Again, I’ve been doing this for ten, 20 years now, so I’m way ahead in terms of.

[00:25:06] So you get a sixth sense for the type of patient that’s going to be a problem.

[00:25:10] I do Now. I get a sense now I’m sorry, I can’t do what you want me to do or can’t write what you want to do. I don’t think I can fulfil your expectations. And it’s the best way to say, Look, I’m sorry. I think you learn that from experience because everyone should be the hero. We want to be here. We will learn from our mistakes. Oh, I can do this. I can get this person off twice and hang on. This is this is not going to work out for any of us. I think the best way to learn as you get older and wiser with no sort of say no, sorry, there is nothing to be embarrassed about. It’s best way. I think we tried to. We tried to please. That’s what we try to do. We’re carrying fresh and we want to please people. But sometimes you want to be able to go to sleep at night.

[00:26:08] All right, let’s get into some period, man. Let’s let’s let’s start with this question, right? You know, your wife, Zainab, is a periodontist as well within Perio. What’s your chosen sort of field that you I mean, tell me tell me, both of you, what? So what’s her area and what’s your area? And and is that a thing? Is that a thing that in perio one guy’s like super into pre implant itis and the other guy must be right into some sort of grafting or whatever.

[00:26:39] I, I don’t think yes some people are better than others in some things. I mean, I love surgery. Know probably when we first qualified I think we were doing too many surgical. To be fun, to be honest. And we again, we change our protocols significantly. What do I love? I love this generation. I love. I love doing the grafting session and also regenerating defects. So sad. So that’s why I. That’s what I enjoy, I think.

[00:27:13] So go and talk us through. Talk us through that. Talk us through that. The sort of the end again.

[00:27:17] The. The outlook. Okay.

[00:27:19] So is that what regeneration is? Is that what you mean?

[00:27:22] Yeah. So we’ve been using and again God since, since we were staring God 2002 in 2001. 2002. Been using it so we were using a lot of colleagues just saying, Oh come on man, this is not going to work. This is rubbish. Doesn’t work in my hands. And it’s that it’s that mentality. If it’s not going to, as you say, it’s not going to work. It’s not going to work. If you’ve got the mentality, we’re going to try this. Let’s see if we can get this right. So it took us years and years and years. So we’ve got the protocol pretty good in terms of. Right. We’ve got any defect. We know it’s going to be very simple to break down. If you don’t do it, it’s going to potentially become a daunting problem, the ability to become that. So over the years, we we’ve been known now to be able to regenerate cases that some colleagues don’t want to do or can’t do, whatever the case may be.

[00:28:17] But what it what’s the process? What do you.

[00:28:18] Do? So the process is changed a lot now because it used to be put on just surgery. So so we’ve now gone to flappers, so empty, been a surgical procedure. So, you know, you open the site, you clean it out, you put the MD again, you may put a filler in whether bovine. And you know, we’ve been teaching. So I’ve got my academy colleagues in general, dentists not doing cases, sending us cases, and we put them on Facebook, we put them on social media saying these what these guys can do. So it’s not a specialist, you know, treatment without anymore.

[00:28:51] Your students do it as well.

[00:28:53] Well, they don’t use their dentist. Yeah.

[00:28:55] No, but your students like Perry Academy students.

[00:28:57] Yeah.

[00:28:58] Your delegates.

[00:28:59] Yeah.

[00:29:00] They do the regeneration work as well.

[00:29:02] They do all the he said they do everything we do. We teach which is non surgical, which is surgical recession grafting and we’ve got no value for them. Forgive us on your podcast isn’t it. Really. Yeah. Yeah. It’s phenomenal glance. It’s been a few, we’ve just, Wow, I can do this when I first qualified and did So.

[00:29:34] How long does it take for how long does it take for regeneration, for bone bony infill and all that? How does that take?

[00:29:39] Nine months.

[00:29:41] Nine months?

[00:29:43] So it’s nine months surgical procedure. We’re now moving on to non surgical, so we’re now using Flight-plus. And again, we haven’t got that right yet. So we’re the same situation. When we started off in 2002, 2001 where we like playing around with them to get this does not work. So the first course went correct and we’re now changing the protocols for the flat plus to get it right because it’s an issue of getting it dry, bloodless, etc., etc.. So we’re now teaching dentists and hygienists, but have we got the protocols 100% correct? No, we haven’t. So I suspect we’ll get it right in the next year or so because it came out just before COVID and COVID cocktail bar data. Now we’re using. Yes, that’s what I enjoy. Pam Titus, I did a lot of cases. We’ve got our own protocols. Are they good enough? No, they’re not. Brian Titus. So we’re struggling with getting that correct. Really, The surgical blood testing, we’ve got that correct. So again, I’m lucky enough I started this years ago. So everything we do, we teach. It’s all protocol. So this is what you do. It’s what you have to do, like the aeroplane pilot pencil, all these buttons, do all this. And even before this podcast, one of the guys from the Irish group had I’m doing this recession defect.

[00:31:06] These steps are going to do. So again, it’s it’s in your manual search of what we’ve taught. So that’s how we do it. And I think I wish I although I had phenomenal training, phenomenal training, we sometimes went man houses, which wasn’t a bad thing. This whole point of training, you try everything, see what works in your hands is so we know we have anything between 6 to 10 days to teach our colleagues to get this right. And, you know, some of them come back and say, Oh, I know this rubbish, this B.S. teaching, it probably works. So that’s why we teach it. So it’s it’s getting that. And I think I heard one of your podcasts where you got for your own courses, you get good numbers. And some of them some of them do the cases, some of them don’t. Yeah. So we’re slightly different from you because we have a WhatsApp group all our courses. So for courses we have a WhatsApp group and we physically push everybody come on, do the cases. And on a daily basis we’ve got cases being shown highlighted. Again, we’ve got about 30 over 30 groups now as a WhatsApp. Can you share your cases, any difficulties, what went wrong? And we learn, so do we get everybody?

[00:32:29] We’ve got we’ve got a we’ve got a Facebook group. But but it’s just what I’m saying. Not every one participates, you know, not everyone does. I mean, maybe with yours it’s more I don’t know, maybe, maybe, maybe you’re better at getting people to go ahead and implement what we saw. But I’m super interested in why some do in some way. Some don’t.

[00:32:45] I. I think you did a mistake. It has to be within that group. So each group trust each other, knows each other because they they and even now and again, I’ll get I’ll get in once a month and say, do I need to ask these questions? So why are you asking me separately in WhatsApp? You need to be asking me in the group. I’m a bit.

[00:33:05] Yeah, that happens a lot.

[00:33:08] You change it. So we change it to each group, which is more of a more of a pain for us because it’s more groups, but we get to realise more people are actually engaging a lot better than having in one whole.

[00:33:23] Group, one massive group. You’re right, you’re right. Because our Facebook group is one and a half thousand people now.

[00:33:29] Yeah.

[00:33:29] And it seems like a big audience, isn’t it?

[00:33:32] And we changed it. So the WhatsApp group is we’ve got certain rules, you know, few years ago stopped it, you know, Friday night, Saturday night, Sunday night. No messages, please, because we’re getting to 9:00.

[00:33:46] That’s a.

[00:33:47] Strange bunch.

[00:33:49] That’s it. So I’ve got I’ve got a mini spa makeover coming this weekend. I’m going to do a WhatsApp group with them and see what happens.

[00:33:54] Yeah, do what? And, you know, we sort of say, look, come on, you know, do we get with our group such a small age group, anything between 8 to 10, usually you’ll do 12, no more. And again, whatever you put in, you get out. And each time we do a course, we start the course. We shared not all cases. We share them all the cases, we share the finishes. Douglas Whatever it was, we share all these people who they might know because they’re well known, who’ve done our course and say, This is what they did. They’re no different to you.

[00:34:29] That’s a good idea, too. That’s a good idea to know.

[00:34:31] Different to any of us haven’t got super hands. They just got on with it. And there is a difference. I think the youngsters are amazing. The youngsters tend to what? I’m going to go for it. Take it easy, and then I think you’d be too educated. Mature. You tend to swear. You tend to overanalyze things when you know. And some of the youngsters, the cases they’ve done, just like, wow, again, this is and again.

[00:35:02] Is that is that what drives you? Is that what drives you in the teaching that that moment when the somewhat one of the delegates ends up doing something amazing?

[00:35:10] Yeah, that’s right. Because it’s good fun. It’s good fun. I love it and I love people coming back to and this is and also I get to see what they do and where they practice and we mentor them and quite a few become our friends. Literally, some of you become close friends. Now you just follow their path. And we’ve had to do suspicious training to want to do special training to just about, oh yeah, too bad to start. A few have gone to do. I think this two have gone on to do their own implant course and I do that there’s Yeah. So it’s you know I did Douglas. Douglas what.

[00:35:53] Yeah. Good great good.

[00:35:55] Yeah he did of course. And now he’s teaching me the digital flow. So we’ve worked at the district level, so I.

[00:36:04] Have a stent.

[00:36:05] Now. It’s more than that. Yeah, it’s the same. So we’re trying to do it. So a CBC led. So the future.

[00:36:10] Oh, I.

[00:36:10] See. The future is going to be sort of chronic. It’s going to be, you know, close. No surgical approach is just going to be like this. We need some institution to take away. It’s going to take away like a guided implant surgery, short or flap, whatever you want.

[00:36:25] To take me through that because I want people to get value as well. I want people to learn something from this rather than just about you. I’ve been I’ve been guilty of that before. Yeah, I’ve been guilty of that before. So take me through that. Just the basics of of crown lengthening. What amount of, of, of gum can I just shorten with a laser or with a, with a electro surge without impinging on the biological width.

[00:36:52] So there’s two ways to look it. So we teach it as you have to do it as an aesthetic. So if it’s aesthetic is a non aesthetic functional case. So if it’s a cosmetic as you’re talking about, you need to work out what the bullet for that case is. So the first thing to look at and the difficulty that we have is knowing not just how much tissue you take away is how much tissue do you have. So it goes back to the boring thing of have I got enough nice tissue? So we go we go little to the basics and it is difficult to sort of say, why is the freedom an issue? Is it freedom in the way? Have you got inflamed tissue? Have you got crowns in place? Have you got veneers in place? If you have, it changes things completely. So when we teach this, it literally is what do you have in terms of soft tissue, hard tissue? Are you planning to veneer these cases? So if you’re going to try and veneer these cases, you need to try and finish them onto tooth, not onto root. That means. So it sounds easy, but it’s not. And then you need to look at, have you got thin tissue, have you got thick tissue? If you’ve got thin tissue, it’s going to recede more. If you’ve got thick tissue new to it, you’re going to get inflamed tissue. Then you go look at is it high smile line? If it’s a high small line case, you’re going to have to leave it 3 to 6 months with temporaries in there.

[00:38:17] So it’s again, I think we’ve nailed it in terms of saying, right, this is the crib sheet that you use. This is what you have to look at. It is based on that. How much tissue are you going to take away and it all based on your diagnostic setup, etc., etc.. So it’s the DSD in terms of trying to work out hang on based on this, how much tissue do I take away? But it’s not that straightforward in terms of I want to just take away two millimetres of tissue. It depends what you do, how you temporise it. So again, some of the cases, some of the colleagues do are just phenomenal because they follow the protocol of Temporising it’s leaving it longer. And then even that you have to look at your papillae. We teach papillae preservation, so some of the Americans will literally have few horror stories where they’ll just chop chop things off and then restorative they do for martinis or crowns because you’re going to try and create the papillae. We don’t teach that hours. It tends to be quite simple. Follow these steps. That way you won’t lose anything for me, so you won’t make any mistakes from that point of view. So it’s a question which is a huge one. Sorry, if I’m going round.

[00:39:39] That’s more nuanced than it’s more nuanced than. What does he believe.

[00:39:43] He’s.

[00:39:44] Actually.

[00:39:45] Like? Like everything else. Right. What about this new classification, man? Because to me, it feels like they’ve made it more complicated. Or my mind is not paying attention because you’ve got now you’ve got staging and you’ve got grading. Is that right?

[00:40:00] Yeah, there’s lots of things they’ve changed. There’s there’s staging, there’s grading, there’s classification and when to treat, you know, certain things when not to. So it’s a huge problem because I think as soon as as soon as that came out, everybody’s like, I need to take Radiographs. Well, why are you taking away the gloves? Because I’ve got to do classification. So we teach or say we teach, we’re doing this affect system to group of patients and cepstrum where there’s a difference between classification diagnosis, every obsessive classification. And we tend to say, what is classification? Does it affect your diagnosis? No, it doesn’t. It’s two different entities. And it’s that it’s that confusion where we teach it to different entities. Diagnosis is what’s going to affect your treatment. It’s what you’re going to get in trouble medically, legally, if you don’t record classification. So a diagnosis because that’s going to affect the patient. But if you’re going to tell the patient in the letter, you’ve got staging and grading, it means absolutely nothing to the patient. And that’s what it means in the day is what the patient’s understood. Have you just done it just to satisfy some ivory tower person who’s saying to you, you’ve got to do staging grading based on, you know, cancer? Because that’s what it’s based on. It’s based on that. For me, it doesn’t change that. It’s basically you’re going to get a diagnosis. Say, is the patient susceptible? What are the risk factors that we’ve been doing teaching it for decades. So do I.

[00:41:32] Do it.

[00:41:34] In the.

[00:41:34] World of period? For instance, did you feel like the old system was was lacking and so you needed a new system?

[00:41:42] I don’t think we need a new system. I just think, you know, when we were taught period, it was phenomenal. We had phenomenal undergraduate and postgraduate. We had amazing and depending on which type of UK and I can identify which dental schools. Really. Yeah I mean it’s there’s just for my experience tends to be you know the Glasgow you know Dundee the New Castle graduates are just are different level in terms of really clinically knowledge and skill wise and you sort of know after a while based on their pay is not really taught that well in this place or that place. And it’s going back to basics to all these people. So we spend the whole day literally on the courses just going back to basics, not not the anatomy. We do the basic clinical anatomy or we sort of say, What are you looking for? What do these numbers mean? What are the centimetre pocket? Still people don’t know, unfortunately, what eight millimetres seven millimetres pocket model advance. So it’s getting back to basics and it’s sort of like, Oh wow, I didn’t know that. So it’s hard to judge. We just need to sort of say, Look, come on guys, this is what you should be doing. Please do it for your own sake, for patients sake, and you don’t get it. It’s going back to the basics. And again, I was taught we do well. So we do in a simple, basic way. Day one, just on that. Now, before we move on to the.

[00:43:17] It’s interesting, it’s interesting you say that because we even see it with composite. Yeah, there’s a couple of dental schools that they stand out as very good at teaching composition. I haven’t really paid attention to the ones that are really bad, but but I have paid attention to a couple for for me. Birmingham Yeah, I think Louis McKenzie had a lot to do with that because you put the students into hands on composite courses in, in undergrad and I think Peninsula’s being very goth and Jason might have had something to do with, with that, I don’t know. I’m not sure. I see some really good work.

[00:43:50] Hope we see. Good, good from there. Good, good number from there. But we get a few. Unfortunately, again, we sort of say, look, you know, we have some people who do our courses at the beginning sort of say, I’ve got a I’m a bit embarrassed to ask this or have some what do you think I should do? I so don’t worry. You know, we have different stands where people are just amazing, really good one level and others do a bit more, which is fine. It doesn’t, you know, I struggled education wise in certain aspects. So we just said, look that, well, you’ll get there. You could go down a bit more, pay attention a bit more because you are really.

[00:44:30] So noticed in your research interests. There was there was the connection between perio and cardiovascular disease.

[00:44:40] Yeah. Yeah.

[00:44:40] And and it’s such an exciting time, isn’t it, now that, you know, we’ve got this link between P gingivalis and Alzheimer’s, that it’s become a hot, hot topic, right? And diabetes and cardiovascular disease. Do you get that feeling? I get the feeling now that, you know, it could be that suddenly the oral microbiome or whatever is is is super important, or because it’s becoming super important, our understanding of its effect on systemic disease. And, you know, Perrier would be at the forefront of that. Right. And I notice you get all your your delegates to do blood testing.

[00:45:22] Yeah, yeah, yeah.

[00:45:23] Your Perrier patients.

[00:45:25] We do trouble that. That’s not quite that Not quite you know.

[00:45:29] Yeah we.

[00:45:34] Know. Yeah. If you have. So again we go back to we, we do risk factors with donkeys. So if you risk factors one of them is in medical. So if you’ve got generalised advanced severe disease and you haven’t got the level factors of plaque and anything else. Yeah. One of the things we’ve been doing for 15 years, so I did my M.S., I had mercy on the cardiovascular and impair disease.

[00:46:00] I mean, so you mean if the disease is aggressive, but the oral hygiene seems okay, that’s when you do it.

[00:46:06] Yeah. And again, we pick up head of a lot. We pick up, you know, thyroid anaemia, diabetes, the whole shebang. And patients come back and come back. Wow. Thank you so much. You know, others come back with tablets. Look, look, I’m on now so much, okay? And yeah, we when we’re with them, we tell them, look, you may lose a bit of time, bit of blood, but I need to make sure you know, we’re not going to waste your time starting treatment knowing. Hang on. And again, we started this with implants years ago. And I think our colleagues in the you know, when I see lots of implants, we were doing that. And why did we get failure? Is this due to something, you know, prediabetic, etc., etc.? So we did that. So I remember seeing that. So I was I was I was like, Wow, this is really fascinating. So I got into that again years ago for many years to be We’ve got to be careful. It’s an association. Yeah, it isn’t.

[00:47:09] Yeah. Yeah. But I’m really excited about this idea. Of course we What I say, of course, is if this is even new, right, isn’t it that, that you can, you can, you can help someone’s gum disease if, if, if their diabetes is sorted. Right. That’s one thing. But the other way round is what’s exciting. The idea that you could help their diabetes with their gum disease fixing their their gum problems. Yeah, that that’s such a crazy notion.

[00:47:35] Lots of I mean there’s lots of k you know, if you read that there’s lots of cases of, you know, women not being pregnant because their thyroid, you know, is the easiest little mini things. You know, they don’t seem a big thing, but they are all because they’ve got why somebody’s not healing, why are getting pregnant, why you know, this is not happening. It tends to be underlying systemic issue. And the good thing about it is a hygienist, dentist therapist are going to know about it. And so our patients so I’ve got patients who turn up in sitting, as I say, I’m planning to have a baby I’ve heard about I may because I’ve got gum problems, I may have premature know. And that was that’s.

[00:48:17] That’s what they’ve just read that on the Internet somewhere.

[00:48:19] Yeah it’s they now they read about it And that’s that’s actually good in a sense because it’s amazing. Yeah. You’re getting it’s the social media people thank God you need to look after your gums because your health is set to smoking, etc. So the awareness is brilliant and it’s coming up thankfully. Are we pushing it enough? I don’t I don’t think we are. Do we have.

[00:48:43] This link, this link with Alzheimer’s? You must be aware of that, right? The Do you know about Zuckerberg’s dad? Did you hear about this?

[00:48:51] Yeah. I mean, my father in law’s got my father in law. Bless him. He’s got Alzheimer’s.

[00:48:57] And has he?

[00:48:59] It’s. I think we’ve got to be slightly careful where we are. I know they found bugs and bacteria and brains and etc., etc., but I think it is important. Are we there in terms of identifying this as the cause? No, we’re definitely not there. We know there’s a relationship, but you see lots of patients who who hyper who over the years have developed cancer and all of a sudden their their mouth does deteriorate but. Mick thing is, it’s a huge it’s every single pathway you can think of and it’s exciting. Yes. But we’ve known this again, this has been going for 20 years, but we haven’t, I think, publicised enough. We haven’t.

[00:49:43] Yeah.

[00:49:43] Because for, for a long time period to the to the outsider like me would seem like well right, you know, you’re kind of cleaning away and once in a while it’s going to be a surgical going to refer that and you know, that’s the first. It felt like it wasn’t getting anywhere. You know, now, though. Yeah. I mean, maybe I’m looking into it more. I don’t know.

[00:50:07] Honestly, if we go back to our first thing, first thing I say to to anybody who does our cause is I say thank you. Thank you. Because it’s not a sexy it’s not like you’re a composite. It’s not, you know, it’s.

[00:50:20] Who.

[00:50:21] Are. I just always say thank you because it’s not a sexy subject. It’s something I don’t think was talked well to a lot of people, unfortunately. And we’re trying to change that. But it’s like, thank you so much because people just think, as you said, it’s just going to be, you know, gum gardening, cleaning a bit here, doing that. It’s not. And there’s so much in it. So whether it’s crowning thing, whether it’s recession, whether you’re grafting, you know, implant implants, really. And again, it’s it’s so much more now and again, it’s how.

[00:50:57] Predictable is grafting.

[00:50:59] Well, a good question. Got again the case is pick your cases. So since alignment you know since the alignment kicked off the massive recession beginnings Huge, massive, massive could be thankful for that too. But again, the cases, the cases that we’re doing in the upper anterior, they tend to be stable in the lower. We’ve changed it now. So we’re now doing a lot of CBC. So again, where we’re doing CBCs is we’re seeing a lot of cases where there’s no buccal bone left, there’s no buckle bone and teeth are out because.

[00:51:39] Of because the aligners is pushed the tooth too far.

[00:51:42] Yeah. And I think if you look at I think it’s coming up, if you look at most entire onion, most in the he’s a big aligner guy and he’s now I think one of the first people to do CBC and alignment. So you actually looking at where the teeth are where you want to put in the bone. Yeah. And in the bone which said we’ve been saying that for quite some time now, know sort of saying, hang on, you need to be looking at this. And one of the issues that we have is going to put my foot in it now is some groups, let’s just put this way. So some groups sort of saying, well, no, you should not be doing it. The gold standard for is is a panel, which I think those days are gone. You know, if you look at Indian context, they’re pushing CBC implant dentistry perio was still not there and trying to fight that and also it hasn’t got there either. And those kind of cases are going to tell you so much before you even start aligning them. And it’s those cases where sort of saying, hang on, if the tooth is out of neutral zone, are you going to have orthodontic treatment aligned or have you had it? If you have and there’s no buccal bone? I personally think stability in our case is not there. Then you sort of say, hang on, should I be doing connective tissue grafting? No, I probably should be doing epithelium grafting because I think a tissue. So we’re tending to do a lot more of those in the in the lower end. So if the teeth are out of the neutral zone and again, making it super interesting.

[00:53:14] Yeah, super interesting.

[00:53:16] And when we show our cases, we show our cases to colleagues and say, Oh, hang on, sugar. I didn’t look at it. I didn’t think of that.

[00:53:24] And that’s so so the groups, the groups that say that, are they basing it on the x ray dose of a CBC? Is that what they mean?

[00:53:34] Yes, they are. But those days are going or gone. I mean.

[00:53:38] With the dose isn’t as big as.

[00:53:43] What? What can you see on a lower end? My opinion that this is going to be a small volume and I think the same issue is being said for implant dentistry, same issues being said for endo. So you should not be doing this. But if you if you ask my medical colleagues, I think they laugh. I always speak to my colleagues and say, look, I.

[00:54:03] Think the other thing is a CBC is different to a.

[00:54:06] Ct. Yes.

[00:54:07] And not enough people realise that. Yeah. People people know a CT scan is 100 chest x rays or whatever that is. Yeah. Like a big, big dose. A CBC is a different thing. It’s a different technology. So it’s a much, much lower dose.

[00:54:22] Yeah. Dentistry is.

[00:54:25] Is.

[00:54:27] Phenomenal compared to 20 years ago. It’s bloody exciting. There’s so much going on. But I think we should sort of start pushing the parameters and saying, come on, let’s just do you know the negativity there or you mustn’t do this, you mustn’t do it, has to go. Some of it is due to unfortunately regulation and or we too scared and we mustn’t do this. And the other other other is to do with the ivory tower still having a bit of power.

[00:54:53] But how do you feel? How do you feel about how do you feel about the regulation and the culture of patients? I mean, I think I often think that there’s many things that we did at Enlighten that I’d be too scared to do today, you know, tests, the different gels we were trying and all of that back in the day, back in 2001, 2004, 2006. We’re trying things out that today is a dentist. I’d be like a little bit like so worried about being sued all the time. They are, aren’t they? They’re always worried about what you see. How do you deal with that?

[00:55:27] That’s sad. And we will doing it like it’s really sad. You know, I half my days writing up letters, defensive dentistry and.

[00:55:38] Dentists, but, you know, like you said, you said you said we’re not there yet on on peri implant itis. You know, we’re getting there and we’re not there yet on the flap. Less regeneration. We’re getting there. All of those, you know, every single movement forwards in dentistry happened because someone said, what if.

[00:55:57] Yes. Yeah. So really the days of us, especially from a referral point of view, you know, I would engage patients say, look, can we try this? And patients say, yes, and you know, again, on a regular basis, you know, every month I’m getting a colleague saying, How can you write me reference for I’ve got a I’ve got a case going to GDC case. Did you see. Yeah. Or I’ve got it. And it’s, it’s I had one last week before and it’s a regular thing and it’s not I think a lot of colleagues have COVID gave up or given up or just say, is it worth it? And I think that’s so bloody sad. We’re coming to a stage where, you know, we’re losing colleagues.

[00:56:43] Well, the lawyers are winning.

[00:56:45] Yeah. I mean, I’ve gone as a as a witness, especially expert witness, and I’ve gone to years ago to watch some. And it is scary. It’s not nice, but, you know, at some stage there needs to be change whether that will happen. But we’ve been saying that for good. You know, in.

[00:57:07] 20 years.

[00:57:08] Patients will suffer. You know, the patients will pay more. They won’t have the tumour that, you know, we’re not pushing the bands like we used to, but I’ve got the answers to that. It’s just that we’ve got all this amazing technology, facilities, courses, everything. It’s amazing stuff that out there and you sort of say, Well look, can, can we utilise some of this without. No, I haven’t got the answer. It’s good and bad. Unfortunately.

[00:57:41] Well, let’s dream this dream a little This dream let’s all let’s say let’s say that you are the king of the world And you you could make a make a bet on the future of period. Like, like in ten years time. What do you think could happen? Because Zuckerberg’s dad was talking about investing in the company where these little nano robots go into the periodontal pocket and you wear this virtual reality thing and drive the robot into the first nation and.

[00:58:11] He’s.

[00:58:13] Like, He’s investing in that company. Yeah, he’s investing in that company.

[00:58:19] I don’t think the future is going to be more medically related. You think it’s going to be, you know, patients coming in and getting blood tests, getting blood pressure, getting their pulse all done.

[00:58:36] It’s more holistic understanding, holistic understanding of what’s going on.

[00:58:40] Exactly. I think it’s going to be right. We need to make sure you’re physically, mentally, well before we go on to. And I think that’s that’s exciting. I think that would be in terms of I think the implant dentistry is amazing. And I see a big part of my work was to do some implant dentistry. I think people are saving more teeth now, which is great. It’s still a lot of implants and there’s still, but I think a lot more cosmetically driven recession cases, grafting cases bit like what they’re doing in America. Hopefully I think there’ll be a lot more regeneration, which be great, and I think there’ll be a lot more CVC saying, Right, this tooth is saved. We need to be doing this less surgery, I think, because I think regeneration would be stem cell related, I don’t know, be ten years, I think be 20 years. To be honest, I don’t think we’re there yet. Yeah, I think that’ll be about 28, 20 years time. But if you look at CAD cam, if you look at some of the things coming out, implant dentistry, we used to struggle, you know, 15, 20 years when we were doing implants and then it’s totally different now and again those people coming through the new graduates, they’re just, you know, unfortunate because they’ve got so much debt, but they’re fortunate. So in terms of having the facilities and technology that we didn’t have, so I think.

[01:00:10] We didn’t have you said before we didn’t have any courses here. We didn’t have the Internet. The Internet didn’t exist. You know, that’s a massive thing.

[01:00:18] I asked my son, my son, I would be grateful you got one for kids. I know. Of course you had one. You kind of go on different channels. No, no, of course you didn’t have that. We have four channels that exchange, and I think we embrace. There’s some old farts. I call them old farts complaining about this. I think it’s. If you’re coming out of dentistry now, it’s amazing, really.

[01:00:50] So let’s talk about darker times. We like to discuss errors, you know, mistakes that you’ve made, mistakes that maybe someone else can learn from. Can you think of something? Maybe a oh, shit moment, maybe a management management mistake with a patient that lost confidence, something like that. Can you think of something that you did?

[01:01:12] Yeah, I remember. And she still sees me. I remember really, really, really, really hot summer and relining a coat, chrome denture. But there were teeth and she had precision attachments on them. An amazing work done in Germany years and years ago. So I realised it. First time I thought, hang up, I know I don’t get stuck. So first time I took it out, that took that too early. Second time to get to mine. My nurse sent me. Oh, God. And the third time it gets stuck. Literally, I couldn’t get it. I couldn’t get snow danger out. Literally, it got stuck.

[01:02:00] It’s what it went to the undercut or something.

[01:02:02] Completely undercut.

[01:02:05] So what, you had to drill it out?

[01:02:06] No, I gave a local and I you know, the brilliant move was that the tap.

[01:02:13] The one with the juice, with the hammer and the way. Yeah. Yeah. So you took it out like.

[01:02:18] That.

[01:02:21] Section by section. It didn’t break, but she was amazing. I know. She’s in a lot of pain. Even I gave a local. It was a pressure. And she still. So I’ve had. I’ve had that. I’ve had I’ve treated, you know, don’t treat dentists treat. We treat families. Their families don’t treat dentists.

[01:02:40] You must treat a lot of dentists, though.

[01:02:41] No, actually I treat quite a few. And usually. Gosh, and this might help because you might put them off. Now I’ve had yeah, I’ve had bleeds so I’ve treated period before. I don’t take the teeth out of dentists because I love to do that. Not just generally enjoy taking these out. Bled You know, I had some bleeding and scenario of graft go after me. I’ve got black bleeding, my nose bled my face and it never happens.

[01:03:18] Don’t get nosebleeds.

[01:03:20] Doing facial swelling. But when you to pay a dentist. So I’ve had a few of those. I’ve, you know, I’ve clocked up in terms of finances over the years. You know, I always say I always say to colleagues, look, don’t just get mental. You don’t just get a clinical get a damn financial mental. I think business mental. Yeah. Try and get as much as you can. One clinical one for your personal, one for your finances, because you learn the hard way. You make so many mistakes.

[01:03:55] Go on, go on. Tell me. Tell me a business mistake you’ve made, then.

[01:03:58] Business. Oh, God. Few go. We’ve done property, I think during COVID. During COVID. So COVID is great because again, over the years since it took off, it’s just been I had no time to do anything. So COVID was not.

[01:04:15] Nice, time to reflect.

[01:04:17] But also time to go through accounts. We literally went through, dissected all our accounts. We went through what we’re spending on, what were we doing right in terms of this, where the overheads were. You know, we went through everything, which is great and there was five, it was five figures. Mistake. I know that you and then then you speak to colleagues, you speak to you speak to colleagues, and it’s like, wow, yeah, this is you know, it’s you’re bound to get there. I said, I know, but, you know, it’s and I sort of learn now. I go through everything myself. Now I tend to I tend to I’m a bit of a control freak, unfortunately. I tend to find out everything about accounts and this and this and that. So I know I check everything, really. And it’s a bit. Pitt said The.

[01:05:12] Problem with going through everything yourself is it’s not scalable, you know? That’s that’s the problem with it.

[01:05:18] I’m not into the big corporate, you know, Pokémon is great in terms of what we do and we’ve got.

[01:05:26] It’s pretty big, but it’s pretty big, but it’s pretty big whatever, whichever way you want to look at it, it’s pretty big.

[01:05:32] Yeah, I try and stay up and look at everything I physically can to make sure we know we’re covering all the bases. Whether that’s a good management skill, I don’t think it is, but at least it gets us to find out where we’re going wrong, unfortunately. But it’s it’s it’s a learning curve. And I’d say to anybody, look, from a financial point of view, whether it’s property, dentistry or other things, you’re going to make mistakes. But I think try and get a mentor because it will save you a lot of money and bother me.

[01:06:08] So you work four days a week in London and Sire Ancestor and in Orpington, and then on the fifth day teaching every week, is it? No, no. Friday. So was it once, once a month or what is it.

[01:06:23] Twice. Two times a month. So usually on a monday. My schedule is Monday. It’s Mondays are kids. Mondays. Okay, so I do the kids.

[01:06:33] Just Do you sit at home on Monday?

[01:06:35] If I can. Either that or I’ll go and see my parents. So I see my parents if I can take the kids, do paperwork, non dental and dental, pick up the kids, feed the kids, get sleep. So she comes home late on a monday at her. And typical works, finishing late Tuesdays and Wednesdays and Thursdays, usually London working and then Fridays with scientist courses. So the courses are back to twice a month, sometimes three times a month. So this month think we’re doing more. Last month we had so varies. We used in Saturdays are cool We were we were doing courses every Saturday morning. Literally was a lot. And I think one day we were running out courses and I think I was doing about, I think 1 to 25 days non-stop. I think it was 25 or 24 days, literally non-stop clinical, everyday courses.

[01:07:41] Saturday was science. What science is the team who takes care of the academy apart from you and Zainab, is it? How many people is that exactly? Three others or one other. That’s pretty good. That’s. That’s that’s that’s that’s pretty good going, man.

[01:07:57] And then it’s the courses are great. And, you know, it’s a dilemma now because my clinical work I’ve got a waiting list waiting. So two months whenever it’s a bit long in other places. So it’s do we reduce the clinical do we increase the courses? And my kids are too important. So I think my son said to me a few years ago, going in the usual moment, Daddy, can we be a family? Can you be at home? You know, so that was a killer. And I said, No more Saturdays, no more Sundays. But the exception is this month where I’m actually doing two because I had no choice to do two said one Saturday, one Sunday, in fact. Otherwise we stopped the course of the weekend. So it’s just whether we we scale the courses more and there’s demand. We’re lucky. We’ve got waiting lists and we’ve got them here. They’re everywhere. So it’s just whether we do more courses or we cut down the clinical work really. And I enjoy clinical work, I hate the paperwork, but I enjoy clinical work. So it’s.

[01:09:11] And how about ZAYNAB, Does she work in practice now?

[01:09:14] So yes.

[01:09:15] She’s a consultant.

[01:09:15] Yes. As a clinical consultant, teaching three days a week. She’s not doing PhD for two days. So she’s she’s another machine and she does private work about two or three days a month when she can.

[01:09:35] So but where does she teach?

[01:09:38] She’s a guy, She, she’s, she’s dating so she, she, they’re training at guys. So she did her training. All right guys with the usual perio mafia. We’re talking about session. And she stayed and she loves it. She loves the the hospital environment. So. Yeah.

[01:09:57] And what about what about if let’s say, let’s say Zainab and the kids went off to see someone in Paris or whatever and you had a weekend to yourself, what would, what would fun be like for you? Like, what would you do with you? So.

[01:10:11] I.

[01:10:13] I’ve got that feeling. Yeah.

[01:10:20] I’ve got a you know, I started gardening, so I said to you earlier.

[01:10:23] I.

[01:10:24] Just Beaconsfield.

[01:10:27] I bought a lawnmower. What is it called? Electric lawnmower. So summer, I started the gardening. Bloody desert.

[01:10:42] It’s not here.

[01:10:44] I’ve started gardening, so I enjoy that and that. But I’m one of those people. Unfortunately, I don’t switch off when I used to. I think before the kids were born, I would read a lot. I would read a lot. A lot of politics. That’s my obsession because of Dad and everything else. So literally when we got married, my bookshelf was literally Middle Eastern politics. Everywhere I put it, I bought a few cook cookery books, which we used just just to sort of, you know, just think, Oh my God, he’s a hardcore, you know, Middle Eastern politician or such.

[01:11:23] So how do you feel how do you feel when you look at Yemen now?

[01:11:27] Oh, God, this is tragic. I mean, the such.

[01:11:31] A tragedy.

[01:11:32] Yeah. The Middle Eastern thing is wherever you go, God, it’s in other countries, you know that It’s.

[01:11:38] Yeah, I mean, right now in Iran, we’ve got everything going on in Iran. Right?

[01:11:42] Right.

[01:11:43] I mean, most countries tend to tend to progress. But yeah.

[01:11:48] It’s not not Middle East.

[01:11:52] It’s yeah, it’s, it’s it’s tragic. It’s it’s always it’s always the children. It’s always it always innocent ones that suffer. It’s not the politicians always have the money, always have their kids sent abroad. And so it’s it’s your basic personal to live. So you know, I would love to love to go there I’m British but I can’t my British I’m British Middle Eastern. But I’d love to go do some charity work events in the future. Do do some of that. I mean, I’d love to go back and do some more reading, but do I get any free time? Not much. And if I do, is is it Dental? Is it non Dental business? Is it the courses? It’s just trying to juggle, juggle everything and then the kids. The kids now take priority and everything. So the kids are, you know, before, before this I said to you before taking them and you know, how do we where we’re going? So the kids are taking part in that because they’re young, they’re under ten. How old are they? Seven. Three. So a bit too young. And so I’ve got a few more years to go. Yeah. Before they become teenagers. And it’s fun. The good thing is you have a lousy day at work or whatever. You get stuck in the train traffic, you go home, all the kid wants you. They just want, you know, affection, entertainment, food and time. That’s what they want. And that’s the great thing, you know? So it’s it’s there’s also guilt. It’s always like if you do extra work or you’ve got to travel for a day to Scotland or whatever it is, you miss the kids and it’s that guilt. And I find.

[01:13:34] Yeah, I feel I’m on a mission of, of taking guilt out of it, man. I mean, I don’t know. I’ve had this conversation so many times with my guests. Yeah, but. But take guilt out of it, man. I mean, if you’re guilty, you’re at work one day less than if you really guilty. Yeah, Yeah.

[01:13:49] But there’s always work that you’re not guilty. Yeah, I know, but.

[01:13:53] Double your price. Triple your price and work one day. You know what I mean? If you really guilty. Yeah. Yes, of course you could. But what I’m saying that’d be guilty. To be guilty was guilt. Yeah. Like, was your dad guilty that he was diplomatic around what you learnt a lot by looking at that guy.

[01:14:08] I know, but, I mean, I look at my childhood. I had a great childhood and my responsibility as a parent to sort of say, well, look, I will do everything I can for my kids, you know, And it’s not. And I don’t mean that in a financial point. I don’t mean it does everything. Yeah. It’s just being there. And I actually enjoy it. I love being with the kids and they’re great fun. And if you ask me, although I love my clinical work and I love teaching, you know, the other in the family life is the most important bit. At the end of the day, it’s what counts, really.

[01:14:44] I’ve got a question. Do you? Imagine if I gave you $1,000,000,000. What would you do every day? Would you do?

[01:14:52] What I do. I, I, I take, take, take, take family. Probably go to this and charity work and just get get other people to do bits and pieces for me so I can just, you know.

[01:15:08] See even charity. Where I was, I was discussing this. I was discussing this with Sandra. I don’t know if you heard the the podcast with Sandra Garcia Marti, but we were talking about charity work here. And she does this thing. She goes away and and and helps it drills in in this really poor place in the Caribbean where they haven’t even got electricity and all of this. Yeah. And, and I was saying, you know, that there’s an element of charity work here that is self is for you if not for the not. Yeah.

[01:15:38] Yeah. So it’s giving something back. I mean you know.

[01:15:42] It is, it is, is but, but I’m giving you, I’ve given you a billion. Right. So you could, you could take that billion and give it to charity if you really want it you could, you could give half of it away to charity. You know what I mean? The actual doing of the work itself is what would you do with yourself? You know what I mean? What would you do every day?

[01:15:58] I’m quite cynical because that charity one, I want to see where it’s going.

[01:16:03] Sure, sure. You’d set up a whole charity, right? I like that. I like that you’d give back something, though, but. Okay, let’s say you’ve done that. And you know, I never asked this question. Everyone says charity, and they say I’ll go on holiday. Yeah, see, you’ve done that. And you you’ve been on the holidays as well.

[01:16:17] The holiday? I can’t see that you. I’m one of those. I can’t sit down. I’m always answer my pants, as they call it. I’ve got the with the kidney thing.

[01:16:24] Okay. But you could go on holiday to the North Pole and you know, whatever, climb the mountain. But. But what I’m saying is, okay, after you’ve done the holidays and you’ve done the charity, what would you do? It’s an important question to answer. I don’t mean you need you have to answer it right now. Yeah, but it’s an important question to know the answer to because you know why? Because it could be that the thing you could just do tomorrow. That thing you don’t need $1,000,000,000 to like. And if it’s I’ll spend one day with my kids a week, you could do it.

[01:16:57] You know, it’s a beautiful thing. I know.

[01:17:00] But I mean, from a selfish point of view, I would do things for my family. My kids is no doubt about if you ask for something dental, you probably open a dental school or dental clinic and do this. I want to do, you know, sort of pioneer things, if I could. But other than that.

[01:17:18] That would be cool. That would be cool. That would be cool, wouldn’t it pioneer some some something in in interior like some some inkling that you had you could put money behind it and put like these PhD’s on it.

[01:17:30] Like making sure that money was used. Well other than I’m like, I’ve wasted all this money as such.

[01:17:36] True, true.

[01:17:37] I never I never I’m one of those who doesn’t have regrets. I tend to sort of say, well, look, if I can do something, I’ll do it. If I haven’t done it, I don’t think it’s my priority list as such if I’m getting the answer to that question. So but I mean, I do know I really don’t know. I’d probably give it to Zainab to do. She comes up with it with the best ideas. I do. She’s one of, you know, Right. Let’s do this. Let’s do that. Typical to know who can can.

[01:18:16] That.

[01:18:17] Kind of analyse things, get a cookbook and say, let’s do that. And they tend to be right. It’s a it’s a we say between us is a verse is it prefers crystal ball. Some people have and I’m not one of those people she does she sees that person, not me.

[01:18:34] Because you got an Iranian woman. Iranian women are hard. They rule, they rule the roost. So that’s why I married a Lebanese.

[01:18:48] But that’s it, isn’t it? Is that the.

[01:18:53] That’s the Lisa that’s the Lisa connection. Yeah.

[01:18:56] I actually watch the watch side thing. I watch the what’s the the Nissan Vino chap, Lebanese guy who made it run up.

[01:19:05] Yeah. Yeah, yeah. Got Rosner.

[01:19:07] Yeah. Yeah. That was a really good Netflix program about that.

[01:19:12] I was there was it called.

[01:19:14] It just came out last week it’s about him look like.

[01:19:17] It just look up his name. Yeah yeah I well, I’m really interested in him.

[01:19:21] Fascinating, interesting character. But anyway that’s, that’s another political thing is that I guess.

[01:19:29] It’s been a massive pleasure talking to you, but we’ve kind of come to the end of the time, so we always end this with the same two questions. So it’s kind of I know perhaps not here, but it’s perhaps in my mind is fantasy dinner party. Three guests. Dead or alive. How would you. Who would you. Who would you.

[01:19:51] Have? One is Muhammad Ali. Amazing. I think if you go through what you went through the struggle and he’s also bloody witty, sarcastic, witty sarcasm, that’s that’s why I love that.

[01:20:07] But if you if you go down the if you go down a YouTube rabbit hole of Muhammad Ali, you just see so much at one. I did do that one.

[01:20:15] That is marvellous. If you take away the boxing, you know, he’s a phenomenal, fascinating, fascinating.

[01:20:25] Political guy, too. Yeah.

[01:20:28] Very, very, very smart. You think he’s just a boxer? He’s not. This is a very intelligent, intelligent chap. Robert Fisk.

[01:20:40] Oh, really?

[01:20:42] Yeah. I went to listen to him years ago. He’s so brilliant. He lived in your wife’s father. He, you know, British. Irish lived in. And he’s. He’s knowledge of Middle Eastern politics is just. Yeah, brilliant, unfortunately. And it’s.

[01:21:00] Something. I didn’t know that.

[01:21:02] Yeah, he died year two years ago. Phenomenal. Literally suck his brain out in terms of because he’s witnessed everything he witnessed the Afghanistan war we know to what’s been happening recently. So I went to listen to him Fascinating. Offered these books and these books. And then he’s the greatest. I think if you listen to me, much more books are the I’ve read them but I can’t read enjoy them. It’s yeah I think somebody can write well I put my foot in there so. Yeah. Fascinating. Really, really sad. Oh, really shock. He died, unfortunately. And then Nelson. Nelson Mandela.

[01:21:46] Another one. You’re not the first.

[01:21:48] Yeah, he’s. He’s a lady’s book to pick. And again, just to go through what you know, and to forgive, forgive and forget. My God. Yeah. Yeah. Extraordinary. I think you need to forgive and forget. I can’t forget that person. To do what he was able to do is phenomenal. And with a smile on his face. Yeah, it’s. Yeah.

[01:22:22] And the final question then. On your deathbed. So all your friends and family around you. Your nearest and dearest around you?

[01:22:32] Yeah.

[01:22:33] Three pieces of advice. It. Give them.

[01:22:37] A fun. Have fun. We have fun. And I teach my kids, if you have fun, if you come into work or whatever you do, you’re smiling. It’s half the battle, you know? Come with a positive attitude and enjoy what you do. I always think if you enjoy what you do, you’ll excel at it. You do better to engage with people, not better. It’s having that positive attitude. I can do this. You know, this is great, you know? And if you don’t, I start to change. I always. Oh, my God, I’m not happy. I’ll need to change something about it. So have fun.

[01:23:16] It’s a theme. It’s a theme that’s run through everything you’ve said. You said. You said you enjoy work. You said you enjoy teaching. You said you enjoy your kids. I think I can see.

[01:23:26] That whenever I’ve enjoyed working. I’ve got to go. Sorry. I need to leave. And that’s you know, I’ve had that before, either the Monday morning or choose whatever it is. Oh, God. I’ve got to get to this place. That’s the time you’ve got to say so. Have fun. Enjoy what you do. Life. Life’s gone too fast. I turned 50 this year. You know, it’s. Yeah, me too. Yeah. But look. Both. You can’t see them both bald. I got more.

[01:23:59] Have you still got your eyesight? I’m blind, but soon.

[01:24:07] I’m not joking by that point of view. Can I just say, look, let’s have fun. Don’t ignore what people say. You’ve got mentors, but you know, you’ve got haters. People tell you, don’t do this. Can’t do this. You mustn’t do this. Go out and prove them wrong. You know, listen to your instincts. If you think what I know, I can do this. I’m going to do this. I need to do this. Just go out and do it. So have fun. And then really, from the point of view, don’t look back to regret. Don’t regret. You never make mistakes. Everybody makes mistakes. That’s all part of learning. As long as you know, that’s politics and history, isn’t it? Really? People don’t learn from from mistakes. They repeat the same cycle. So learn the mistakes. You’re going to make mistakes we all do to that point of view. I think one of the podcasts I think I listened to you guys was the amazing book. God, who’s that table tennis player? You read that.

[01:25:15] Book? Yes. Say it. Yeah.

[01:25:17] Yeah. Let’s think outside the box.

[01:25:21] Black box.

[01:25:22] Thinking. Yeah. Yeah. That’s amazing. So, look, you kind of make mistakes. You know, we shouldn’t be condemned to it. We all make mistakes. Just learn from it. So learn from the mistakes. Don’t be ashamed by it and just move forward. Don’t have any regrets. And I think that’s the most important thing, right? Those are my three items.

[01:25:47] That was only two. That was only two. Have fun. Don’t look back. What was the third one?

[01:25:51] Regrets?

[01:25:52] It’s the same.

[01:25:53] One. Same thing. He wasn’t there.

[01:25:58] 1111111. One moment.

[01:26:04] I don’t know.

[01:26:09] Probably just be patient. You know? Be patient in life. Everything comes. Comes to good. I honestly think. You think. Oh, God, I made it all comes to you. You know, you go round in circles as such, but at the end of the day, things will work out for the best. They always do. I know you got to go through a bit of hell and shit and this kind of thing, and you just got to say, Look, there’s good days. You have more good days and you have more dark days. And I think if you’re having dark days, get some help. We’ve all been there. So truly, just find somebody who will guide you. That’s what we look forward to in Barrows. I think in the UK, it’s the it’s the Scottish thing of saying I’m too vast to have physical mental health. And it’s sad. I think if you look back when we were kids, Smarties was everywhere. If you want help, you’ve got it really quickly. There’s not a lot of peer pressure. I did identify everything I’ve got to achieve. This must do this. If I don’t do this, I’m a failure now. And I think if you look at even our colleagues that we teach, some people just they work in nowhere, but they’re so content and happy. They just, you know, but nice simple life things go well, but I get it. Get up, get on with it. That’s why.

[01:27:37] It’s.

[01:27:39] Have you have you heard anything by that Mo Gaudet?

[01:27:43] No.

[01:27:45] He was we used to work in, in Google or something and then his his son passed away and then he was talking about is he going to be sad forever or is he going to try and be happy? And he looked into the science or whatever of happiness and he talks about it’s a bit sad today. Truth is a bit sad, but it works. Yeah, it’s still like kind of lower your expectations on stuff, you know? But it just works because it’s very easy to sort of raise your expectations. Oh, this, this, this event, this course, this whatever this this thing is going to be amazing. And then you can only get disappointed from that point.

[01:28:28] You know, don’t have too much expectations really because.

[01:28:31] Yeah, yeah, yeah, yeah.

[01:28:32] You won’t be disappointed if that makes sense.

[01:28:35] Yeah, it plenty works slowly. Your expectations a little bit really does work, man. It’s sad that it works, but it does work. But I’m going to throw in one more question. This might become a regular. What’s your favourite book?

[01:28:46] What’s my favourite book?

[01:28:48] Got some of them.

[01:28:50] Political or just, you know, any book?

[01:28:53] Sure, sure, sure. Yeah. I’m interested in politics, but. But whatever. Whichever. What’s your favourite period?

[01:28:59] But no.

[01:29:01] Don’t answer that.

[01:29:03] I read the book 22 books, one of it by Edward Said, Because I’m fascinated, because he again so political and he was going about the Middle East process and you know, he, he again, he, he died to leukaemia and I read his book, one of his books and it’s just like, you know, too much war, too many things going on and for no apparent reason, comedy. So one particular book, I said, wow, to us, what.

[01:29:36] Was what was that book called This Side one?

[01:29:38] I don’t know. To be honest. It’s I love him to death. But one of the things that she did was to put a lot of my political, political books away, because I tend to be obsessive by reading a lot of them. And then you sort of you sort of you don’t get depressed. You just you just think, hang on. You feel like kicking somebody and saying, come on, change the politics in there. He wrote several books.

[01:30:05] Orientalism.

[01:30:07] Yes.

[01:30:08] I’m looking it up as. I didn’t know that. I just looked.

[01:30:11] Up.

[01:30:12] I should have pretended to have known that.

[01:30:16] I thought you’re looking out for us. Yeah. I can’t really say this one particular book, I i Perrineau. I mean, it’s. I think as soon as you read the book, it becomes old. If that makes sense.

[01:30:36] Yeah, of.

[01:30:36] Course. Yeah. You know, I. If I have any free time, it will tend to be more political books that I, I like to read than anything else. Really?

[01:30:49] That’s amazing. I’ve really, really enjoyed this conversation. Thank you so much for taking the time. I know you’re such a busy guy. And today, busy with Halloween. I thought. I thought my kids were over it, but it turned out they were. My my daughter still wasn’t. So that’s why I was.

[01:31:08] Thankful it’s not raining at 6:00 because I think. Yeah, yeah, yeah, yeah, yeah. Science is still just bucketing with with like, oh God. So we went out with my kids and then some neighbours. It was just, it was great, it was brilliant and thank you so much.

[01:31:26] It’s been a real pleasure. Thanks so much for taking the time.

[01:31:28] Hotel Nice.

[01:31:29] Lovely to have you.

[01:31:32] This is Dental Leaders, the podcast where you get to go one on one with emerging leaders in dentistry. Your hosts. Payman, Langroudi and Prav. Solanki.

[01:31:48] Thanks for listening, guys. If you got this file, you must have listened to the whole thing. And just a huge thank you both from me and pay for actually sticking through and listening to what we had to say and what our guest has had to say, because I’m assuming you got some value out of it. If you did get some value out of it, think about subscribing and if you would share this with a friend who you think might get some value out of it too. Thank you so, so, so much for listening. Thanks. Don’t forget our six star rating.

In part two of his conversation with Payman, Adam Nulty continues his chat with Payman about all things digital.

Adam reveals his worst black-box moments, including a near-fatal mistake outside the clinic that forced him to take time off from the profession.

Enjoy!

 

In This Episode

00.53 – Invisalign, AI and machine learning

08.37 – DSD

18.56 – Blackbox thinking

39.08 – Diet and health

44.06 – Fantasy dinner party

47.40 – Last days and legacy

52.59 – $1BN

 

About Adam Nulty

Prof. Adam Nulty graduated from Leeds University in 2006 and completed a master’s degree in aesthetic and restorative dentistry in 2013.

In 2019, Adam became a professor of digital dentistry at the College of Medicine and Dentistry in Birmingham. He is co-founder and president of the IDDA and principal dentist at Dentist on the Rock in Bury, Manchester.

[00:00:00] The key is as well, I think more than anything is just being honest with things. And for us, the main thing that we’ve tried to do more than anything with, with everything that we’ve done with support, with education and and it’s a fine, fine balance, let me tell you, is tried to be tried to be as as as honest and unbiased as you can, which I can say it’s a fine balancing act because we have our own preferences, you know, and you get some things. Sometimes you try things out. Companies will say, Oh, don’t try this out, we’ll give you a discount with this stuff like that. It you know, so you try things out. Sometimes you love it, but then then you question yourself and you’re like, Well, do I love it? Because I was given it and you shouldn’t do. So you try and then be honest and say, well, actually it’s probably not going to make that much difference to you rather than maybe something else or whatever. And we’re not going to go down that road and dig myself into, oh, it’s sort of the manufacturing. But basically it’s a it is a fine balance because like anything, you have your own preferences.

[00:01:08] This is Dental Leaders, the podcast where you get to go one on one with emerging leaders in dentistry, your hosts Payman, Langroudi and Prav Solanki.

[00:01:26] It gives me great pleasure to welcome Adam, multi author of the podcast. Adam is a practice principal from Bury. He’s got a practice called Dentist on the Rock, probably best known for his digital side, He’s a founder member of the EDTA, which stands for International Dental, Digital, Dental.

[00:01:47] Digital.

[00:01:47] That idea just flows off the tongue. And also now a principal, a co-principal in a London practice in the West End that there’s digital trials. Yeah. So I’ve been wanting to get you on this podcast for a long time too. And you said you haven’t listened to an episode before, but this tends to be a kind of life and times type podcast with you. I just want to ask you this question just from the get go. You’ve got this sort of it’s almost an obsession. With digital. And it’s not only it’s not only the fact that it’s digital, but your output is. I’ve seen it once before in my career. I’ve got a guy called Julian Holmes. Do you ever come across him?

[00:02:40] Oh, no, I don’t actually. I don’t know the name.

[00:02:43] He was. He was big in, in, in the sort of ozone dentistry and unfortunately passed away. But yeah, lovely guy, lovely outside the box thinker as well. But he had this similar thing, just massive output. What is it man. That is that. Is that something you’ve always done or is it just like digital? It’s just completely taken you over and Yeah.

[00:03:08] I mean, you know what? Whenever if I’m doing a long introduction, I’m like a couple of day course or whatever, I’ll probably bore them to death with giving them a big long introduction to me that I’ll give you now if you’d like. Yeah, but basically I’ve always been a bit of a geek and when I was a kid I’d be chipping, I should say, about soldering consoles and obviously fixing them and that sort of thing, putting pieces together from 12. So, you know, doing all that sort of thing. I’ve always been a bit of a geek and I know it sounds cliche, but I’ve always found technology easy. So in not just relating to it, just using it, I, I’m good with programming, I’m good with using it. The intuitive side clicks with me, so I’m good with it. And plus as well, when I was a kid, I really wanted to do art, to be honest with you. I wasn’t even going to do dentistry. I wanted to do art, really. And then I was architecture, which kind of I wanted to meld in the technology side of things, but I didn’t have the right combination of things for doing A-level in the right combination to do architecture. So I kind of didn’t plan ahead enough with that. And I wanted to dentistry because my dad so my dad’s a dentist, a completely different type of dentist thought process, everything.

[00:04:27] I’m probably a lot more like a lot of ways. No disrespect to my dad, just, you know, my, my mum’s a French teacher, and so when I went to uni, I went, I went into it just because my dad did well and went in with that and being a, you know, not being able to do all the technology and outside of things, I probably just skated along. I was never a high flyer. I never really pushed myself hard. So have I always just been driven? Probably not, to be honest with you. At school I was pretty naughty. I got in trouble a lot and you know, all of those things I didn’t really weren’t really the type of person I am now in any way, shape or form after uni. You know, the thing that got me going was two things really. I was doing my set and I liked doing some mentoring at uni and helping at uni and things and I went to do my simply not my page, so sorry, the GDF. So a demand material first because I wanted to go and do Vtt. I was working at my dad’s with, with full NHS practice for a long time and so I was going through my JDF and going in with the teaching side and as I was going, you know, picking up little things, doing a little bit of very, very early cad comes messing around on computers and things and getting into looking at digital X-rays.

[00:05:51] My wife, by the way, is a radiographer, so and she went specialised very early with that. So it’s a CT. So for me, being with her or being with her since I was 19, you know, I understand in CT and getting in with the radiography site itself very easily to me again with the technology. And that kind of led into me with my masters and wanted to do implants. And then it clicked. And ever since that with doing my implants, as soon as I heard about guided surgery, I wanted to get in there and I wanted to use that technology. And as soon as that was, that was probably 11 years or so ago. As soon as that was the case, getting in there was strong. There was me messing around with things with a lady from Strathalbyn at the time that was just awesome. And there was Craig Parker that was obviously doing things over on the East Coast and things with with go to surgery there and you know, obviously looking into him because he was a year or two ahead. But you know, in general it was guided surgery that got me into it.

[00:06:59] So I thought, I’ve seen the future.

[00:07:03] Yeah. And I wanted in, you know, and basically I was that was it dildo straight in everything digital and that kind of coincided with me. Wanted to set my own practice up as well so that when I set my own place up, which is a years ago now. So when I was setting that place up I. Wanted to set it up completely digitally and realistically now completely digitally. But that isn’t anywhere near what digital is for me now. But but it was at the time I wanted everything digital and I even put my solar panels on the roof to make it easy. So I was just kind of there at the beginning, really, which was nice. I mean, not as early as some people like Chris, who I work with. Sorry, do. Yeah, he uses serac a bit earlier with Cirque three and stuff, but I kind of went in through a different way with guided surgery than.

[00:07:57] People, normal people. I was going to ask people, Go get into digital from different angles and serac seems to be one of them 100%. And as you said, guided surgery seems to be another one. And then and then some people, they just want a scanner. Right. And I think we should talk about all of these things. I think we should talk about scanning. I think we should talk about printing. We should talk about milling. We should talk about DSD and the like, all of those other what they call the skin and so forth. But let’s get back to your childhood. And you were you were into computers. Did you not consider becoming a computer geek guy?

[00:08:36] Listen, being completely honest, my dad was did well for himself. And we lived in a nice house. And I obviously wanted to do something successful and do well financially. So and I wanted to do something at first where I was passionate about, which was, you know, designing things. And and like I said, one of the one of the things that made me so driven is the fact that I could really put that into practice. Now, what I really enjoyed back then, so the computer side designing things to me, when I’m designing teeth, I’m doing mock ups. A lot of people think I’m mad with doing so much that I do in terms of basically being a dentist and a lab technician. I mean, I’m not officially a technician, but I do everything. I do literally everything. So with everything there, I love it because it’s I’m using the technology, I’m creating things. And I love when I’ve milled out restorations, you know, finishing them. And I genuinely I’ve had I’ve been a very lucky to have got an early enough that I’ve worked with and partnered with and been friends with some very, very gifted people. So technicians wise, dentist wise, and some of which are very close friends, people like Quintus is a is phenomenal at surface texture. So I look up to them a lot. Phil Redington We’ve done loads of them on years. It’s just awesome, awesome guys, very, very clinically talented. So for me to I, I liked doing that sort of thing. And so I always saw those guys as somewhere to strive to head towards trying to be as good as and I don’t think I’m in there yet, but I think I do nicer work now than I did ten years ago. So yeah, everybody’s on a learning curve, right?

[00:10:27] Especially with digital, right? Because it keeps changing so quickly. You know, I was talking to Andrew Dorward and he was talking about the sort of the technology adoption lifecycle. And, you know, he was he was one of the first people, the first person to get a CT scanner. And then and then he’s got a printing company. He’s got this happening. And he was saying he was saying that this this moment when you get all excited about the technology and then you get it and then there’s this chasm of light, you suddenly realise there’s all these other things you haven’t thought of and new problems and issues. And I can say we’ve got a lab now in enlightenment and the number of things that no one tells you about, calibration of printers and different resins and just so many different questions. So you must have come across this so many times.

[00:11:18] I mean, that’s 100% why we, we started doing what I was doing with, you know, again, being lucky to have met people like Chris Quince and Patrick way back when. And you know, back then the support was pretty poor really. And I mean, you know, I was doing all these digital things and I knew what I wanted and I wanted to be able to export textiles, combine them and guide surgery software and what have you, and the rest would be like, Yeah, yeah, you could do that. Yeah, you can do that, but you couldn’t. And because it was a closed system and they would tell you one thing and you’d find it the other, then you have to jump through hoops, convert it. And I was finding all sorts of ways of programme software that weren’t even related to dentistry, trying to, you know, convert things out of Surrey and which was interesting. But things have opened up now and you can do whatever. But you know, these sorts of things were what we’re frustrated is when we first got going, what we said of the day that we made friends with people around the world and what became the idea basically through frustration and again, the same thing. With why we started doing the whole bigger course. The PGA said Diploma and masters and things and why we started providing scanners again. Born through frustration.

[00:12:35] You know, we recommend in different things to to students. And let me be clear, we are for anybody who is under any illusion, you know, it is all about the students for us. We really support them Well, and that’s the key to it all. Support an education. And we you know, we started doing that because we’d recommend, say, one brand to one person, one brand to another person. They’d go and get that from one reseller and have a great time and be great support and then go through someone else and be completely deserted. Or they would they would fail the smallest of things and we would end up picking up the pieces anyway and providing that support. So we thought, well, why are we not doing that part? Why? Why not just provide it directly? And there’s some really good examples of people worldwide who’ve I think hit similar, similar levels of frustration and ended up creating amazing companies. You know, in in America, there’s, you know, almond with Cadbury and, you know, companies like that all across the world, built through, you know, frustration and passion and wanted to help people. And that’s a lovely thing because, you know, that that if you turn a negative into a positive, then that’s always going to Well, I think, you know, you turn to a positive and that’s good for everybody right now.

[00:13:57] How long this idea been going?

[00:13:59] So I met I met Chris and Chris and Patrick for us, and that was 2016. So about six years ago, just maybe before that, I think it was maybe the November before that.

[00:14:13] That shit, the sheer volume of of just stuff coming out of idea. Is that the four of you?

[00:14:21] Yeah, not really. I mean, a lot of people say this and there’s me with Jason. You know, I’m, I’m good with my jazz hands, but no, I mean, the four of us do work on things a lot. I’m obviously not. I’m up to long. I don’t sleep much. I’m always I’m an ideas and those are also.

[00:14:43] Executing executing as well you know ideas one thing yeah I mean the number of course I was just on the website a number of courses diplomas events.

[00:14:51] Yeah we’ve got we’ve got a load of people we work with now across the world with things and you know, that’s why the I came from with, you know we’ve, we’ve again been lucky to make some really good friends and that we’ve developed in Portugal like how some in Italy Fredricka Iceland and Sweden and America South America and stuff and and all of these people do things for us in different ways or speaker and things run courses, you know, conferences. We used to have a chap in Egypt that we did a conference with there, so it built bigger than just the four of us by far. And now we’ve got remote designers of technicians that work either with us or beyond. One guy stayed working with us and moved to Portugal, now goes to swap. Hugo is an awesome, awesome guy. So you know, all, all of these people, it’s been a hell of a journey and yeah long may it continue. Right? Such good.

[00:15:45] And so what is what’s the structure of it? I mean what’s what Let’s start with the business model if you like. Yeah. What’s that? Is it.

[00:15:53] Education? You know what we’ve been through at different phases. We’ve we’ve been through a different phases of just the four of us running smaller courses. We’ve got we’ve built that through partnerships with different universities, with places like Camden, Ulster University and what have you, with different people who do parts of the admin phase, a few names behind the scenes that do secretary work or admin work or what have you. So, you know, there’s, there’s a fair few people you don’t see that obviously we wouldn’t be able to do without them. And you know, realistically they keep the ball moving. Even partners and wives, you know, there’s a lot of there’s a lot of support with that sort of thing, a lot of forgiveness. You know, we’re here, there and everywhere. So it is what it is really these days. We’ve kind of we tried to get to a phase going back maybe about a year and a half, two years ago, maybe just before COVID, we were trying to step back from the limelight a little bit and bring in elections and stuff like that. The problem with that and the difficulty with that was, was the level of commitment and passion. And the stage wasn’t really ready for that. It was, I think, maybe, maybe in the future. But I mean, for me, as much as you see me, like I say, with a jazz sense, I more and more. Try and manage my time smarter so that I’m not taking too much time away from family and kids. And I see you as a good inspiration to them. I’ll tell you another thing later, which which ties in with this where you say about biggest mistakes with things. The one chap who his words always, always play on my mind.

[00:17:44] He was an awesome guy, always doing things with digital, passed away way too young. So Anoop, that with all the things that he was doing. Yeah, we used to do loads of different things then. Would courses used to teach him MSC with things? And one of the last things that I spoke to him about was the time which we spend away from families and kids. And, and he told me a story about how he was cutting down his time on courses and things because his son glued his laptop together and he he realised that that was it. He needed to sort things out. And I thought, I’ve got to get to grips with this. And this hit home probably a year or so ago with the thing I’ll talk about, but the with I don’t want to get to the point where it’s too late and I’ve got a ten year old and a seven year old and literally I’m away a lot over the next eight months. I think we’re in eight or nine different countries doing different courses with things or meeting people for different things here, there and everywhere. And so from January I minimise my time a little bit with Barry and spend a bit more time focusing in the daytime on things. I don’t know how that’s well is going to work financially, so I’m hoping that I’ll be able to manage that well. But, but we’ve got a few of the plans of things that I need to spend a bit of time on. Things I’ve done other things behind the scenes with patents and things like that. So we’ll we’ll see.

[00:19:18] We’ll see. So we had Anoop was the first guest on this podcast shortly before he passed away. Yeah.

[00:19:26] That’s right.

[00:19:27] Yeah, yeah, yeah. I remember him telling telling that story. You know, I’m involved in education, right? And anywhere on the level that you are. But I’m away basically every other weekend, basically. But at the same time, I don’t really, really do that much work during the week. I do, of course I work, but I don’t have to work. I have to turn up anywhere. And this thing you’re saying about your kids, obviously the subject comes up a lot on this podcast, right? Yeah. And for me, it’s like if your kids watching you doing the extraordinary things you’re doing. That’s a massive inspiration to your kid.

[00:20:08] Yeah, I hope so.

[00:20:09] Oh, it is. It is, Yeah. And if you if you think back to your dad when he was I don’t know the story, but maybe he was on opening up the practice on a Sunday to help someone with a toothache or something.

[00:20:21] Yeah.

[00:20:22] He could have been beating himself up about that and saying, I’m not spending time with Adam and the family. Yeah, but you learn something by watching him do that. Yeah. And this thing that you’re doing now, this thing, you know, like, maybe if you had watched your dad grind and work as hard as he did for the good life that he had, maybe you wouldn’t be this obsessed guy whose, by the way, it’s not just about what you contribute to your family, right? It’s what you contribute to the to the profession. Yeah. And especially in this area of digital where it’s so difficult for you know, most people aren’t like you. Most people hate change. And most people are very scared of technology. By the way, I’m one of them. When we when we were we were setting up our lab, I was like, do we really have to do the digital? I don’t want to get into it. And and I think you should you should stop, stop punishing yourself on that front because your your kids will see what you achieved and they’ll, they’ll learn the hard work. How important that is, hopefully, for sure. I wouldn’t bother yourself too much about it, but how often are you in?

[00:21:40] Probably more at the minute. So obviously today, tomorrow I’m in Birmingham teaching CMD last Tuesday night to start tonight I was in Madrid with DSD. The weekend before that we just got back. Didn’t have the weekend free. It was a week before we were in. Oh, no. Yes, sorry. The week before the Wednesday night to the Saturday night, I was at the London dance show with the theatre we did there. Then the Sunday to the Wednesday. Before that I was in Palmer because we were education partners for X got insights. So I’ve had probably in the last three weeks, maybe four nights at home. Three nights.

[00:22:34] Wow. Yeah. Okay. That might be a bit too much.

[00:22:39] Yeah. So I vowed now, next year, with all these places, I’m going to try and take my kids to as many of them as possible. So at least if I’m doing things, I can show them the world of it, you know? The problem is in the school, you know, the school. So there’s.

[00:22:53] Also also, you know, it feels like you guys have been around for ages because of just the output. But six years is still very early days.

[00:23:02] Yeah, well, very long time. It’s crazy. Yeah, I think technology changes so fast and. Exactly. I think, again, we’re lucky that we’ve because we got into things pretty early and made friends so many places. It’s actually a really close community, the digital community. So yeah, not just at the bottom because of with, with the groups that we’ve got on Facebook and what’s up and stuff. But the actual the people at the top who do education, you know, across the world, you know, we speak to them a lot and they there’s, there’s so many lovely, lovely guys who like guys and girls. I made that clear The really the shared stories plan things together. But the more importantly, they recommend each other for different things. So because they know somebody who might be good at doing something else in their place. So it’s, you know, there’s been opportunities because of that for sure. But the key is as well, I think more than anything is just being honest with things. And for us, the main thing that we’ve tried to do more than anything with, with everything that we’ve done with support, with education and and it’s a fine, fine balance, let me tell you, is tried to be tried to be as as honest and unbiased as you can, which I can say it’s a fine balancing act because we have our own preferences, you know, and you get sent things. Sometimes you try things out. Companies will say, Oh, don’t try this out, we’ll give you a discount with this stuff like that. It you know, so you try things out. Sometimes you love it, but then then you question yourself and you’re like, Well, do I love it? Because I was given it and you shouldn’t do. So you try and then be honest and say, well, actually it’s, you know, probably not going to make that much difference to you rather than maybe something else or whatever. And we’re not going to go down that road and dig myself into, oh, it’s sort of the manufacturers. But basically it’s a it is a fine balance because like anything, you have your own preferences.

[00:25:03] And are you on the radar of all the manufacturers now? They all try they all bang your door trying to do you know.

[00:25:08] What again, it’s a mix. We’ll have we have so many that we love working with and they are they have some really, really nice people that you work with. And sometimes it surprises you. Sometimes it’s surprising both in terms of some of the big companies that they will, I think, shy away from you a little bit because they’re a bit wary of the fact that you are. So you try and be so unbiased and you working with so many different things that probably where either have seen have you seen some a negative. Right. But on the other side of the coin, sometimes it’s really surprising when you start working with a company that you really like and then they just don’t I don’t know whether they just want to have you on a leash or what, I don’t know. But they they just don’t do that much then. And you’re like, But I really like you. I want to do more with you. And. And he’s not Can you with him really? Well, it’s a it’s a big mixed bag of tricks. I’ll tell you who really surprised me recently. And and listen, I’m going to I’m going to turn Anita into a positive again. Right. So. The line. So I think they get a bit of a bad rep in terms of reputation and people doubting them. On the other role, you know, and because it’s such a big corporate structure.

[00:26:30] So the fact is that this this company is mega megabit megabit, bigger than many of the other companies combined, Right? Yeah. So, you know, you kind of wary of that for yourselves. And then we did this because we work with Exocad. We were doing a smart trade course at the Allied conference, me and Patrick going back four weeks ago. So the weekend before all those weekends I was away again. So we’re in London for that. And you know what? We went out with a couple of the guys who were like the manager of like this sales for America and whatnot from Europe and stuff. And we had a meal with them the night before and and genuinely they were such a nice crew of people. It was rare that I’ve actually dealt with a company that was as nice as them, and I genuinely don’t say this to flirt with them because we none of us have it. Heroes. And I say this in the nicest way, but we don’t I don’t use Invisalign, so I don’t need one. I’ve got every other scanner under the sun. But they are. They were awesome. They were so organised and it was a real pleasure to be at the event with them. So I think it was surprising.

[00:27:45] The mistake we make sometimes is that we could think of a company as a person. Yeah, and I’ve had this experience, I don’t know, with so many different big companies, so I align being one of them, by the way, or Henry Shine or something. Let’s say I talk to Henry Shine 12 years ago about distributing something by Enlightened. And for the sake of the argument, let’s say it didn’t go well. Yeah. Then. Then last year I contact Henry Shine again. The people are completely different people now.

[00:28:20] Yeah, Yeah. You probably had a totally different experience, right?

[00:28:23] Totally different experience here. But you do you do get yourself, you think of the company as a human, as person, and you actually you.

[00:28:32] Put emotion into it.

[00:28:33] Yeah, you put emotion into the company. Whereas in these huge places, often people change a lot with a line. I think the big thing with them is just the rate of growth of that company. It’s growing so quick that it’s difficult to keep up with the growth when you’re growing that quick. It’s a bit like, I don’t know if you deal with Facebook at all for for ads and things. I mean, they’re a nightmare to deal with. They’re not new. Yeah, they’re really difficult to deal with. Anything goes wrong with your Facebook account real time. But then at the same time, it’s such a beast. Yeah, but a lot of times, Yeah, a lot of times you’re talking to robots, right? And people get pissed off about that. But yeah, it’s a funny one, but I notice you’re quite close to it, I guess, right? Because you give away.

[00:29:24] You know what? So we we’ve done a load of things with them. But before that, I mean we, I didn’t really and again, I’m going to, I’m hopefully not going to annoy them now by saying something else and things. So I didn’t really write them. It, it’s kind of as when it was just the 500, it was okay. It wasn’t at the same level as the other scanners that we use in the we at the time. We would just get in a prime scan when they very first came out and that was an awesome scanner. So the prime scan, I mean, I’ve done a study on it, right? So the primes kind of statistically at the time Superior, it was statistically in a in a group in a war zone. So and not actually dissimilar to lab scanners that accurate. It was an awesome, awesome scanner but that was before the release of the 700 and everything since. And again we had a lot of people a lot of people requesting, you know, who do I get it through and what have you. And and at the same sort of frustrations that we’d had before. So we just thought and this was at the start of when we were on this journey to just about to launch Scan Club and, and the whole thing was club was basically we wanted to provide a way to get on board with the, the sell the diploma but not pay thousands upfront because we wanted to make the education accessible. And I mean it’s a good cost.

[00:30:52] There’s a there’s one or two negative Nazis. I want to be polite and say that have been a little bit unprofessional at times. I’m not going to say any more than that, that I’ve said that to YouTube. It is not. It’s not. There are YouTube videos that we put the some of the short tutorials on both the platform and the thing, but they’re not on the course. So the course is it’s a it’s an ethical level seven course. It’s got, you know, lectures which are an hour and a half or whatever, 120 hours. But the the whole of that thing, realistically, there was a demand for it. The people wanted to get involved with it. So with everything and we saw that from the start of COVID. So the start of COVID, we had a massive uptick in people joining that course. And we thought this is the right time for people to start learning how to do things with digital. And so we did a couple of surveys and things. And for members of how what puts you off joining the course you’ve been on some of the smaller courses, what puts you off during the bigger cost and it was the cost. So realistically we thought, well, let’s make it remote, let’s let’s take away the hands on and let’s get it so you can join on at any time, anywhere and made it so that it was on demand. We still do the shorter tutorials that do go on the platform outside of it and on YouTube and stuff like that.

[00:32:09] But that’s cetera. And so the cost was to improve your knowledge and not kind of led into itself with the whole support side of things. And and that led into looking at the different scanners to partner with. And it just ended up where just through chance really, we were introduced to one of their reps who said, well, do you distribute that side of things? So that’s the only one that we actually provide direct. The rest is all through partners. So it’s all just goes through other people. And I think I’m really glad we did simply for the fact that it’s been incredible watching the journey of of of made it last year, especially because the software not particularly the scanners the scanners are good, don’t get me wrong, but it’s the software more than anything. And the the evolution of that, I think it’s I think it’s probably made a lot of the other companies nervous because they have to step up the game. And you can see that very clearly with with people like Trish, bring them more apps and things like that. And plus as well, they drop the price a lot. So, you know, it makes it more and more accessible all the time. So do we still recommend other scanners? Of course. You know, it’s not right for everybody. And even though we don’t really have anything to do with a line, you know, we still send a lot of people that way if they’re just Invisalign users, you know.

[00:33:29] Let’s let’s let’s let’s break it up then. Let’s start with scanners. Let’s start with scanners. Let’s let’s start with the beginner person. Yeah, sure. So is knows that it’s probably about time to get into scanning.

[00:33:42] Yeah.

[00:33:43] You must get asked this question every day, right. I do. Right. Where do I start. Where do I start. What question. Which, which scanner do I go for? How much? Where do you where do you start on on. So I guess you’re asking them, right? What kind of dentist are you. What kind of treatments do you do? Right.

[00:33:56] Yeah. Yeah. So about 14 to 16 months. Gone now, maybe less. I. I programmed an algorithm on a website. It’s like a choose your adventure style thing called which colour dot com. So you go on there and you it asks you different questions about your clinic. In fact, it was less than that. Sorry, maybe about ten months ago. And it takes you on a journey of asking you different questions about the size of your clinic, whether you’re a social principal, Do you work in different do you work in different parts of the different clinics? Do you travel? Is your clinic called different floors? You know, all sorts of questions. There’s about 23 different paths that they can take and then finish it off with budget if it wants to limit it a little bit more. So the reason why I did that was to just try and keep as as unbiased as possible with that. And I wrote a white paper at the end that kind of gives you a little bit more info and stuff points in the direction of us, obviously, if you need more information, but it’s generally you can just go on it. It doesn’t cost anything. You don’t have to contact us. You can just go through it and work out what are.

[00:35:08] The results, what are the results of that, what percentage you’re ending up with, what percentage of ending up with?

[00:35:15] Good question. I can look up for you if you’d like.

[00:35:18] Okay, here’s your special, exceptional piece of work. All right. I know it’s a silly question, but. But sort of in a nutshell, Yeah. If I’m doing Invisalign and got.

[00:35:34] Invisalign, you can make more sense to make sense to it, because at the end of the day, it’s your bread and butter. Right?

[00:35:40] But what about the restorative side of it? How is it for crowns, bridges that sort of.

[00:35:45] Do you know what? I think it’s improved a lot. And I think if you if you stepped in because of the Invisalign, but then decided to go down the road to Restorative as well, I don’t think you’d regret it. There’s some excellent legs now with Exocad because obviously align bought Exocad and also we’ve got the issue with they’ve just brought in this new smile architect side to basically have a restorative version of clinic. So to do a smile design that sort of thing and, and that looks pretty good. I’ll have to say look pretty good. So I don’t think you regret it either way. My personal take on the article personally and this is, again, just my personal opinion, no to service to anybody who chooses wisely. I personally find that that’s kind of a bit big. So if you’ve got little hands, you don’t like the way to it, then it might not be fit. And there’s the Trace three is still an excellent, excellent scanner for Senator Invisalign because you can use it for that. There’s only the Itero scanners and Vice Chair three and the Omnicom you can send to send to Invisalign. Realistically, I doubt you picking on the cam. It’s all the technology now and you’d end up going with three. But Trista is still really nice and you can get it in the move units, the wireless units, that sort of thing.

[00:37:09] There’s four or five different ecosystem. So it’s a bit like looking at things like Apple and Samsung in a way, you know, these different ecosystems, you know, everybody everybody’s going to be different in terms of which one they prefer. And you can’t say really one’s better than the other in terms of shape or media and that sort of thing. In terms of that, they all do different things. The metaphor, I’d say, for people who do a lot of implants is a great scanner for that, simply for the fact that there’s so many tools to help out with your with your choice of bringing in the eye scan very much in and, you know, colour, colour filtering all all these very cool little software features that make it easier to scan on a on a full dental case. But then there’s prime scan. Right. And it’s a lot more expensive, no doubt. But if your main thing is is cad cam or you want to get into in-house dentistry as of yet and I think next year is probably going to be an interesting year for this because I think it’s going to be on it. I think three shape are going to be on more familiar. We’re going to be in house. I don’t even know if Millie may be printing who will see but but I think in house is where they all want to get through with CAD cam easy so I think but the minute full stop if you get it started or if you used to it.

[00:38:37] The Sirona system is a beautiful, streamlined system and it’s very hard to beat the easy workflow that is sirona when it comes to simple restorations of just inlays on nice crowns, you know, even veneers doing in-house same day appointments. It’s very hard to beat. And the only way you can get close to that realistically is using a stroke. M.s. Excel on unlocking it in effect with using in lab cam and and then having your choice of scanner exocad whatever type of CAD software and being able to mill the saddle. Then just simply for the fact that the MSI Excel is a workhorse. It is. It’s a two motor machine. It’s not the most accurate. It’s not the most accurate in terms of the Fisher patterns and stuff, but it’s better than it used to be with smaller birds. But it’s just fast. So you can, you can mill a crown or an inlay or whatever on a straw on a nail for under 10 minutes with something like a VHF set fall or anything like that. You’re looking at you’re looking at realistically at least 15 to 20 minutes plus, depending on the size of restoration. And that makes a big difference if you’re trying to do things in-house. So what you see.

[00:39:53] What you see, the tension between doing things in-house or letting the technician take care of. The bit that they don’t want.

[00:40:04] I think, you know what we were talking about time before. I actually think that and this kind of leads into a little bit the DSD thing that we were away with them and the. For me. I’ve always wanted to do my own thing, but I don’t know whether it’s age. I don’t know whether it’s that guilt thing with the weird thing with my kids always telling me about whether I feel like I’m too much time away from them. But time wise, I kind of feel like now I want to not step back from doing it all myself, but just manage some aspects of it a little bit more wisely. And this probably started when I was doing things, going back a few months ago with with a character and a company in America with doing some remote design services. And we were in the middle of a four hour run for DDA lab, and we’ve launched that now. So for that side of things, we’re having an in-house lab tech and we just hired a lady who works in London with us to do that side of things, do in-house. So I’m probably going to let her do things a little bit more. And I think that’s probably the future of where everything’s heading with with dentists and laptops. I think there was a point where laptops were afraid that they were going to get replaced by in-house, But I actually think that it’s the other way around. I think not entirely, but I think that more than likely over time, we’re going to see dentists join in labs, maybe with a chair in a clinic. And I think we’ll see lab tech shown in dentists. And I think that gradually they’ll merge into work and intrinsically in-house in the same team. But obviously the big centres, the big, big production centres and things that where you need the big machines to to produce. But realistically for the small things and even for us in Bury, we’ve got, you know, for all that we do some things in house, there’s some things you can’t do in know dentures and stuff like that.

[00:42:04] But my point is look you do make your own surgical guy, right? He’s pretty surgical, but you could have a lab do that, right? Yeah. So what’s the advantage of doing it yourself?

[00:42:17] It’s got to be preference, control, cost. Being a kid, being a control freak probably more than anything is probably a good thing that a lot of people want. They just want to control the whole system, you know?

[00:42:29] Yeah, but. But I don’t know. I mean, dentists are obsessed with chair time and your chair. I mean, a surgical guy doesn’t take that much time. But. But what I’m saying is, if you ideologically go on this route of chair side. Yeah, you can use a lot of chair time.

[00:42:49] Yeah. It depends what it is and it depends how fast you get. And I’ll tell you where things are changing for me that I’ll probably relate more to people who want to save the chair time. Say for example, the same day smile design that me and will do in house. I’ll only see one patient that day. So that one patient is the only thing that I’m doing for a same day. Smile design where I’ve already done planning sides before. I’ve already consented with things I’ve already done, mock ups and smile, test drives and that sort of thing. So this is just purely the actual manufacturing of veneers. So say a ten unit case of veneers or crowns or whatever it is, then I’ll start with them. And nine I end up finishing all of the preps and stuff by say, 11, 1130 I’ll be doing the scans and design. They’ll take me to, I don’t know, let’s say half 12. So I’ve got four mils in buried so I’ll mirror over the four mils. And why did I buy four mils for simple cases like that where, you know, it’s just pure time buying with buying those mils. So I’ll churn out all ten or 12 restorations in an hour. So those restorations then tear them all out, I’ll glaze them by three half three. They’re all out of the oven. Already have printed a model. Everything’s ready to go check the fit, make sure the margins are all good and fit them same day. So on a big smile design case, that’s as extreme as it gets. Where it’s becoming.

[00:44:20] What would you charge for that shot?

[00:44:22] It depends where I am, to be honest with you. If in London and Barry, the prices are higher than we charge in London. So I think so very it’s gone up this year. So I think we charge 6 to 5 in London. Seven, nine, five. So per, per tooth. Yeah.

[00:44:41] Because that worth. Is that worth it though. Not worth to spend your whole day on that. I guess it is for 10 minutes. 12.

[00:44:50] It’s so bad. That’s not bad.

[00:44:53] No, no, you’re right. You’re right. But my point is, could you have done two of them if you were using a lab like that? Look, of course, there’s patient issues.

[00:45:02] Patients do that. No, I agree. But 100% you could. And that’s why I think the future is. And that’s what makes me think the future is. Is that the reality of having all of these different components time and using that time efficiently is is becoming more and more important, especially as things become more competitive with it. So you you’ll see prices drop or you’ll see more competition and you people look at work at the same things that always happen with competition. So where will that head? I think you’re exactly right. I think you’ll end up with in-house lab technicians that you’ll have maybe two patients in the morning doing the preps with your maybe one or two lab techs will do all of that work in between the middle of the day, and then you’ll set them in the afternoon. So I think that 100% you’re spot on. I think that’s exactly where.

[00:45:53] Okay, let’s let’s move on. Let’s move on to printers and printing. And you guys do a whole course on printing, don’t you?

[00:45:59] We do. It’s our most popular cost. Is it 100%? Is that.

[00:46:05] I suppose it’s the first thing people want to purchase.

[00:46:08] I don’t know what it is. We just fill them up quickly every single time.

[00:46:14] Let’s start from the beginning. Start from the beginning for a beginner. Okay. What are the things that get printed in dental surgeries?

[00:46:21] So. Okay, so there’s a big range of 3D printers you realistically can step in very quickly and cheaply, cheaply and easily. You can pick up a printer that is an excellent printer now for sub £1,000, possibly even for some of the really nice ones now for like £300. So you can pick up £300 for an algo mas pro three, you know, £300 or whatever on Amazon. What is the difference between that and printers which are thousands of pounds, you know, literally ten times the price, no more. There are a few things. So realistically.

[00:47:05] If we get into if we get into that, what are the things that get printed? Well, the things.

[00:47:11] So to the kind of lends itself with the different type of princess. So we we’ve got models, surgical guides, splints like guides. You can improve bleach and trays. You can now actually print the aligners direct. There’s resins which are literally put it out with that. You can print teeth, you can print crowns, inlays on laser permanent resin, temporary resin. This pretty much everything under the sun. I was doing a lecture about that today actually, with with the different resins that crown resins that you’ve got with things like bigger resin and stuff like that, that you can print permanent restorations with their license for use as crowns. So that kind of lends itself in then with deciding how far down the rabbit oh you go and how much you spend. There’s a big.

[00:48:01] And also also you’re going to need a printer, you’re going to need a washer and a curing.

[00:48:07] 100%. And that again, lends itself to what you’re going to do with it, because there’s a big debate. The minute 3D printing dentistry kind of got divorced maybe six months ago and I say that very apt. They there was a big 3D printing group. Some people were on it, some people split apart from it. We tried to keep separate away from it and be in in between in the middle with an open group. And and there’s on one end you’ve got Rick Ferguson advocating the cheapest appliances of know you can use them for everything. Then you’ve got a lot of other people like while there are any over in America who just purely advocate you know deadly validated workflows to for clinically applicable reasons and and you’ve got different people in between. So who’s right? And I think the reality is, for someone looking at it, they want to find who’s right and they want to know what they’re doing. But the both right, really, because you can do anything on any of them. And there are reasons which are validated for different printers, for open printers. It’s if you if you use everything you have to forever for all of those different purposes, you need to know damn sure that what you’re doing and the work we’re using is going to be safe for the patient more than anything. So a clinically validated workflow is one that’s been tested, that is approved, and that is known to be safe by compatibility wise and also for the purposes of which that material. This fall. So whether it be surgical guides, crowns or whatever.

[00:49:50] So can you program the cheap princes to do those things yet? Should you? Well, I guess it depends on the resume and it depends on your purpose. But for me, the cheaper resin, the cheaper princess are there for printing, specifically for models and for some of the resin, very few far between resins that don’t specify a printer as long as you post process properly and as long as you do things according to the instructions of that specific resin. Right. So then you’ve got more expensive printers and they again range from a couple of thousand up to ten plus. And you’ll get different. It’s like scanners, you’ll get different people telling you this is the best one, this is the best one or whatever. So let’s give you a sneak peek. The which kind of thing. You can probably guess what’s coming next. Right. So we’re going to we’re going to we’re going to end up I’m just in the middle of programming, but it’s a lot more complicated than choice, so. Right. Oh, man. Exactly. So. So yeah. So I mean, he was right with that. The there’s different printers, the different people use and different people advocate. And again, it depends on you as a user what you’re going to do. So the form of print is great. And they were one that really broke the market with with cheaper printers. Yeah, cheaper, accessible, validated dental printers. Pretty good. Do plug and play. Yeah. Yeah. They’re not the fastest anymore. A lot of these are the printers are a lot faster and that was what.

[00:51:23] We started with Formlabs. But that was the problem. The speed was the problem.

[00:51:26] Exactly. So these days now accurate to Sprint Sprint. Ray Sega, you know, desktop health, they’re all great printer systems. They all have their own little reasons why you might use one over the other, what reasons they are. The difficulty, the main difficulty you’ve got as a choice as a user now is looking at that system and seeing whether the system’s resins are constrained to that system in terms of their own resins and also external resins. Can you use external resins all? Is the system an open system? In which case is it a validated or validated system? So for all of those different printers, it has to be a personal choice. And based on what you need in your clinic for the purposes to which you want.

[00:52:18] And have you gotten yourself into the whole the different types of printing, or is that one of the other guys?

[00:52:26] Do you want to be my way?

[00:52:27] Sorry, they’re like SLA and DLP and all that.

[00:52:30] Oh, yes. I mean, you know, listen, I’ve got a ridiculous addiction to 3D printers. I’m trying to get I’ve tried touch them like Pokémon, you know, it’s about catching them all. So I’ve got listen, I at the at the probably the midpoint of my journey with with guided surgery I was messing with blue sky bio and, and I had got this back then before the Formlabs printer it was a filament printer that was a cell robot printer. And you could sort of get biocompatible resins that would food safe, nice, but it wasn’t really proper. So then Formlabs came out and things. But before the Formlabs I was teaching smart at the time, so I’ve been doing guidance over a few years and I’d kind of gone into Smart Mechanic, gone back with that now, which is totally different story. But with Swap at the time is great was cloud based with things and I was speaking to Florian a lot. We were doing a lot of courses with him, Florian Schober, who’s head honcho over at AdMob and you know, he’s a I’m going to be rude here. He’s either German or Austrian, but he lives in Basel and he’s got this accent and he’s going to probably listen to this and kill me. But he was like, Why do you want to pretend? No, nobody wants to bring it. And I was like, Well, I do. And I’m sure a lot of other people would rather, you know, and have it done in house and stuff.

[00:54:01] And I’ve got this cheap Chinese transfer just bought and I’ve got some resin for it. Can I get my sales and print it myself? No, you can’t read them. And then that was basically one of the reasons why we ended up doing less with Swap at the time was we wanted to we wanted to get them to do a model like Blue Sky Bio where you could you could have your own exports and we moved on to other systems with things and the whole, the whole printing side of things is evolving from there. And I’ve ended up with form labs with weird Chinese ones, which again, no disservice to anything or anybody from China. My goodness, those those guys, they just evolve fast. They’re just constantly constant. William Bates, an apprentice, so you can have one. And then literally a few months later, it’ll be another one totally different again and evolve it. So all of these different prints, we keep trying and then at the same time going for more expensive ones and the validated workflows about them actually vs about the accurate ones. We’ve we’ve got a D for K from Vision Tech in London, which is now the desktop health brand, you know, all these different principles. I think over time I bought three peak printers that I gamble with to try and print implant frameworks, all sorts of silly printers, which which didn’t work out very well.

[00:55:22] Have you ever printed metals, Titanium.

[00:55:25] So I’m, I have actually. So yeah, one of the things that I’ve been doing my PhD the last seven years, I’ve been trying desperately to get it finished, which the hope. David Wood and the chaps that leads listen to this, because I saw them last December and I would really like to finish my PhD now, but, but that’s a different story and I won’t go on at that one. But yeah, I really need to get it to the external examples. Anyway. So my PhD is on guided surgery and adventurous guided surgery and improving the accuracy of it. So one of the things which are patented, these little things I won’t go into, it’s not ready for market yet, but it will be soon. But that we were for the prototypes I was getting printed with like an online printing service a few years ago, which they printed them on the left printer to to get them. But it’s not, it’s not the same level as as machined metal. It’s just it’s not there yet. It’s not the same resolution. It’s cool. It’s very cool. But but the screw pads weren’t very good. So good for things maybe for, like, I don’t know, chrome frameworks, maybe you could do with it and polish it up after that might be a cool thing and frameworks if you polish it up after.

[00:56:39] But how are the aligners?

[00:56:42] Good question. We’re in the process of trialling those minutes. So with Patrick’s little baby as the deadline deadline is lop side of things.

[00:56:52] So before you go on so so there was the way of printing the models. Yeah. And then pressure forming onto the models the old way. Yeah right. That was, that was one form of making your own aligners. Right. Yeah. But now you’re telling me we can print the aligner itself in a practice, in dental practice? Does it make sense.

[00:57:14] In the future? I make 100% because if you think about it, cost wise and time wise, yeah, someone loses in a Line-Up, you can print a new one in 30 minutes. They can then wash it again. And. And the amount of resin that you would use is a very thin. It would be a mess. Not to say that it was cheap. I think one of the big, big, big, big.

[00:57:36] How worried is the client? How worried are the guys at the line about this? You must have I think.

[00:57:42] They’re already on this, you know, right? I think so. And I’ll tell you why I think so is there’s so much development with the resin that if they’re not, they’d be silly because the resins that that we’re testing, the reason why we’re trialling them is I want before we recommend anything, I want to know that it works well. Right? So you have to think about Aligners in a different way using principle liners, because it’s like any resin is flexible. So a thermal forms aligner, when it’s thermal formed gradually over time, it loses that pressure on the teeth and it distorts. Whereas the things that they put into some of these 3D printed resins like fibres and carbon fibres or whatever it is, I need to look it up. So forgive me for being wrong with that, but they, they introduce the whole concept of four dimensional stability in the in the actual shape of the aligner. So body heat heating it up will return it to its original shape a little bit like the nightie files that we have with Endo so that that metal is supposed to heat it up, supposed to go back to the original shape. So the whole thing with these is going to change the way that we design aligners, the number of aligners and all of that, because potentially you might be able to put more stress on the tooth or rather more of a change in the position because it’s going to put a more gentle pressure over longer, but actually try and return it to that shape that you’ve printed that line of two. So. I think the whole line of workflow is going to change with 3D printing, not just in terms of number of lines, but the actual thinking of the mechanics. So we’ll see. It’s going to be an interesting one with them.

[00:59:36] This is Dental Leaders, the podcast where you get to go one on one with emerging leaders in dentistry. Your hosts. Payman, Langroudi and Prav. Solanki.

[00:59:52] Thanks for listening, guys. If you got this file, you must have listened to the whole thing. And just a huge thank you both from me and pay for actually sticking through and listening to what we had to say and what our guest has had to say, because I’m assuming you got some value out of it. If you did get some value out of it, think about subscribing and if you would share this with a friend who you think might get some value out of it too. Thank you so, so, so much for listening. Thanks. And don’t forget our six star rating.

If you have burning questions about digital dentistry, this episode is for you. 

Payman is joined by International Digital Dentistry Association (IDDA) founder and self-confessed geek Prof. Adam Nulty, who lets us in on the rationale behind setting up the IDDA.

Adam chats all things digital, advises choosing scanners and 3D printers, and discusses the pros and cons of in-house Vs lab production.

Stick around for part two of the conversation coming soon.

Enjoy!   

 

In This Episode

01.47 – Digital dentistry

11.18 – IDDA

19.27 – Work ethic and inspiring the next generation

22.53 – Community and networks

33.29 – Scanners

39.53 – Lab Vs in-house

45.53 – 3D printing

 

About Prof. Adam Nulty

Prof. Adam Nulty graduated from Leeds University in 2006 and completed a master’s degree in aesthetic and restorative dentistry in 2013.

In 2019, Adam became a professor of digital dentistry at the College of Medicine and Dentistry in Birmingham. He is co-founder and president of the IDDA and principal dentist at Dentist on the Rock in Bury, Manchester. 

[00:00:00] The key is as well, I think more than anything is just being honest with things. And for us, the main thing that we’ve tried to do more than anything with, with everything that we’ve done with support, with education and and it’s a fine, fine balance, let me tell you, is tried to be tried to be as as as honest and unbiased as you can, which I can say it’s a fine balancing act because we have our own preferences, you know, and you get some things. Sometimes you try things out. Companies will say, Oh, don’t try this out, we’ll give you a discount with this stuff like that. It you know, so you try things out. Sometimes you love it, but then then you question yourself and you’re like, Well, do I love it? Because I was given it and you shouldn’t do. So you try and then be honest and say, well, actually it’s probably not going to make that much difference to you rather than maybe something else or whatever. And we’re not going to go down that road and dig myself into, oh, it’s sort of the manufacturing. But basically it’s a it is a fine balance because like anything, you have your own preferences.

[00:01:08] This is Dental Leaders, the podcast where you get to go one on one with emerging leaders in dentistry, your hosts Payman, Langroudi and Prav Solanki.

[00:01:26] It gives me great pleasure to welcome Adam, multi author of the podcast. Adam is a practice principal from Bury. He’s got a practice called Dentist on the Rock, probably best known for his digital side, He’s a founder member of the EDTA, which stands for International Dental, Digital, Dental.

[00:01:47] Digital.

[00:01:47] That idea just flows off the tongue. And also now a principal, a co-principal in a London practice in the West End that there’s digital trials. Yeah. So I’ve been wanting to get you on this podcast for a long time too. And you said you haven’t listened to an episode before, but this tends to be a kind of life and times type podcast with you. I just want to ask you this question just from the get go. You’ve got this sort of it’s almost an obsession. With digital. And it’s not only it’s not only the fact that it’s digital, but your output is. I’ve seen it once before in my career. I’ve got a guy called Julian Holmes. Do you ever come across him?

[00:02:40] Oh, no, I don’t actually. I don’t know the name.

[00:02:43] He was. He was big in, in, in the sort of ozone dentistry and unfortunately passed away. But yeah, lovely guy, lovely outside the box thinker as well. But he had this similar thing, just massive output. What is it man. That is that. Is that something you’ve always done or is it just like digital? It’s just completely taken you over and Yeah.

[00:03:08] I mean, you know what? Whenever if I’m doing a long introduction, I’m like a couple of day course or whatever, I’ll probably bore them to death with giving them a big long introduction to me that I’ll give you now if you’d like. Yeah, but basically I’ve always been a bit of a geek and when I was a kid I’d be chipping, I should say, about soldering consoles and obviously fixing them and that sort of thing, putting pieces together from 12. So, you know, doing all that sort of thing. I’ve always been a bit of a geek and I know it sounds cliche, but I’ve always found technology easy. So in not just relating to it, just using it, I, I’m good with programming, I’m good with using it. The intuitive side clicks with me, so I’m good with it. And plus as well, when I was a kid, I really wanted to do art, to be honest with you. I wasn’t even going to do dentistry. I wanted to do art, really. And then I was architecture, which kind of I wanted to meld in the technology side of things, but I didn’t have the right combination of things for doing A-level in the right combination to do architecture. So I kind of didn’t plan ahead enough with that. And I wanted to dentistry because my dad so my dad’s a dentist, a completely different type of dentist thought process, everything.

[00:04:27] I’m probably a lot more like a lot of ways. No disrespect to my dad, just, you know, my, my mum’s a French teacher, and so when I went to uni, I went, I went into it just because my dad did well and went in with that and being a, you know, not being able to do all the technology and outside of things, I probably just skated along. I was never a high flyer. I never really pushed myself hard. So have I always just been driven? Probably not, to be honest with you. At school I was pretty naughty. I got in trouble a lot and you know, all of those things I didn’t really weren’t really the type of person I am now in any way, shape or form after uni. You know, the thing that got me going was two things really. I was doing my set and I liked doing some mentoring at uni and helping at uni and things and I went to do my simply not my page, so sorry, the GDF. So a demand material first because I wanted to go and do Vtt. I was working at my dad’s with, with full NHS practice for a long time and so I was going through my JDF and going in with the teaching side and as I was going, you know, picking up little things, doing a little bit of very, very early cad comes messing around on computers and things and getting into looking at digital X-rays.

[00:05:51] My wife, by the way, is a radiographer, so and she went specialised very early with that. So it’s a CT. So for me, being with her or being with her since I was 19, you know, I understand in CT and getting in with the radiography site itself very easily to me again with the technology. And that kind of led into me with my masters and wanted to do implants. And then it clicked. And ever since that with doing my implants, as soon as I heard about guided surgery, I wanted to get in there and I wanted to use that technology. And as soon as that was, that was probably 11 years or so ago. As soon as that was the case, getting in there was strong. There was me messing around with things with a lady from Strathalbyn at the time that was just awesome. And there was Craig Parker that was obviously doing things over on the East Coast and things with with go to surgery there and you know, obviously looking into him because he was a year or two ahead. But you know, in general it was guided surgery that got me into it.

[00:06:59] So I thought, I’ve seen the future.

[00:07:03] Yeah. And I wanted in, you know, and basically I was that was it dildo straight in everything digital and that kind of coincided with me. Wanted to set my own practice up as well so that when I set my own place up, which is a years ago now. So when I was setting that place up I. Wanted to set it up completely digitally and realistically now completely digitally. But that isn’t anywhere near what digital is for me now. But but it was at the time I wanted everything digital and I even put my solar panels on the roof to make it easy. So I was just kind of there at the beginning, really, which was nice. I mean, not as early as some people like Chris, who I work with. Sorry, do. Yeah, he uses serac a bit earlier with Cirque three and stuff, but I kind of went in through a different way with guided surgery than.

[00:07:57] People, normal people. I was going to ask people, Go get into digital from different angles and serac seems to be one of them 100%. And as you said, guided surgery seems to be another one. And then and then some people, they just want a scanner. Right. And I think we should talk about all of these things. I think we should talk about scanning. I think we should talk about printing. We should talk about milling. We should talk about DSD and the like, all of those other what they call the skin and so forth. But let’s get back to your childhood. And you were you were into computers. Did you not consider becoming a computer geek guy?

[00:08:36] Listen, being completely honest, my dad was did well for himself. And we lived in a nice house. And I obviously wanted to do something successful and do well financially. So and I wanted to do something at first where I was passionate about, which was, you know, designing things. And and like I said, one of the one of the things that made me so driven is the fact that I could really put that into practice. Now, what I really enjoyed back then, so the computer side designing things to me, when I’m designing teeth, I’m doing mock ups. A lot of people think I’m mad with doing so much that I do in terms of basically being a dentist and a lab technician. I mean, I’m not officially a technician, but I do everything. I do literally everything. So with everything there, I love it because it’s I’m using the technology, I’m creating things. And I love when I’ve milled out restorations, you know, finishing them. And I genuinely I’ve had I’ve been a very lucky to have got an early enough that I’ve worked with and partnered with and been friends with some very, very gifted people. So technicians wise, dentist wise, and some of which are very close friends, people like Quintus is a is phenomenal at surface texture. So I look up to them a lot. Phil Redington We’ve done loads of them on years. It’s just awesome, awesome guys, very, very clinically talented. So for me to I, I liked doing that sort of thing. And so I always saw those guys as somewhere to strive to head towards trying to be as good as and I don’t think I’m in there yet, but I think I do nicer work now than I did ten years ago. So yeah, everybody’s on a learning curve, right?

[00:10:27] Especially with digital, right? Because it keeps changing so quickly. You know, I was talking to Andrew Dorward and he was talking about the sort of the technology adoption lifecycle. And, you know, he was he was one of the first people, the first person to get a CT scanner. And then and then he’s got a printing company. He’s got this happening. And he was saying he was saying that this this moment when you get all excited about the technology and then you get it and then there’s this chasm of light, you suddenly realise there’s all these other things you haven’t thought of and new problems and issues. And I can say we’ve got a lab now in enlightenment and the number of things that no one tells you about, calibration of printers and different resins and just so many different questions. So you must have come across this so many times.

[00:11:18] I mean, that’s 100% why we, we started doing what I was doing with, you know, again, being lucky to have met people like Chris Quince and Patrick way back when. And you know, back then the support was pretty poor really. And I mean, you know, I was doing all these digital things and I knew what I wanted and I wanted to be able to export textiles, combine them and guide surgery software and what have you, and the rest would be like, Yeah, yeah, you could do that. Yeah, you can do that, but you couldn’t. And because it was a closed system and they would tell you one thing and you’d find it the other, then you have to jump through hoops, convert it. And I was finding all sorts of ways of programme software that weren’t even related to dentistry, trying to, you know, convert things out of Surrey and which was interesting. But things have opened up now and you can do whatever. But you know, these sorts of things were what we’re frustrated is when we first got going, what we said of the day that we made friends with people around the world and what became the idea basically through frustration and again, the same thing. With why we started doing the whole bigger course. The PGA said Diploma and masters and things and why we started providing scanners again. Born through frustration.

[00:12:35] You know, we recommend in different things to to students. And let me be clear, we are for anybody who is under any illusion, you know, it is all about the students for us. We really support them Well, and that’s the key to it all. Support an education. And we you know, we started doing that because we’d recommend, say, one brand to one person, one brand to another person. They’d go and get that from one reseller and have a great time and be great support and then go through someone else and be completely deserted. Or they would they would fail the smallest of things and we would end up picking up the pieces anyway and providing that support. So we thought, well, why are we not doing that part? Why? Why not just provide it directly? And there’s some really good examples of people worldwide who’ve I think hit similar, similar levels of frustration and ended up creating amazing companies. You know, in in America, there’s, you know, almond with Cadbury and, you know, companies like that all across the world, built through, you know, frustration and passion and wanted to help people. And that’s a lovely thing because, you know, that that if you turn a negative into a positive, then that’s always going to Well, I think, you know, you turn to a positive and that’s good for everybody right now.

[00:13:57] How long this idea been going?

[00:13:59] So I met I met Chris and Chris and Patrick for us, and that was 2016. So about six years ago, just maybe before that, I think it was maybe the November before that.

[00:14:13] That shit, the sheer volume of of just stuff coming out of idea. Is that the four of you?

[00:14:21] Yeah, not really. I mean, a lot of people say this and there’s me with Jason. You know, I’m, I’m good with my jazz hands, but no, I mean, the four of us do work on things a lot. I’m obviously not. I’m up to long. I don’t sleep much. I’m always I’m an ideas and those are also.

[00:14:43] Executing executing as well you know ideas one thing yeah I mean the number of course I was just on the website a number of courses diplomas events.

[00:14:51] Yeah we’ve got we’ve got a load of people we work with now across the world with things and you know, that’s why the I came from with, you know we’ve, we’ve again been lucky to make some really good friends and that we’ve developed in Portugal like how some in Italy Fredricka Iceland and Sweden and America South America and stuff and and all of these people do things for us in different ways or speaker and things run courses, you know, conferences. We used to have a chap in Egypt that we did a conference with there, so it built bigger than just the four of us by far. And now we’ve got remote designers of technicians that work either with us or beyond. One guy stayed working with us and moved to Portugal, now goes to swap. Hugo is an awesome, awesome guy. So you know, all, all of these people, it’s been a hell of a journey and yeah long may it continue. Right? Such good.

[00:15:45] And so what is what’s the structure of it? I mean what’s what Let’s start with the business model if you like. Yeah. What’s that? Is it.

[00:15:53] Education? You know what we’ve been through at different phases. We’ve we’ve been through a different phases of just the four of us running smaller courses. We’ve got we’ve built that through partnerships with different universities, with places like Camden, Ulster University and what have you, with different people who do parts of the admin phase, a few names behind the scenes that do secretary work or admin work or what have you. So, you know, there’s, there’s a fair few people you don’t see that obviously we wouldn’t be able to do without them. And you know, realistically they keep the ball moving. Even partners and wives, you know, there’s a lot of there’s a lot of support with that sort of thing, a lot of forgiveness. You know, we’re here, there and everywhere. So it is what it is really these days. We’ve kind of we tried to get to a phase going back maybe about a year and a half, two years ago, maybe just before COVID, we were trying to step back from the limelight a little bit and bring in elections and stuff like that. The problem with that and the difficulty with that was, was the level of commitment and passion. And the stage wasn’t really ready for that. It was, I think, maybe, maybe in the future. But I mean, for me, as much as you see me, like I say, with a jazz sense, I more and more. Try and manage my time smarter so that I’m not taking too much time away from family and kids. And I see you as a good inspiration to them. I’ll tell you another thing later, which which ties in with this where you say about biggest mistakes with things. The one chap who his words always, always play on my mind.

[00:17:44] He was an awesome guy, always doing things with digital, passed away way too young. So Anoop, that with all the things that he was doing. Yeah, we used to do loads of different things then. Would courses used to teach him MSC with things? And one of the last things that I spoke to him about was the time which we spend away from families and kids. And, and he told me a story about how he was cutting down his time on courses and things because his son glued his laptop together and he he realised that that was it. He needed to sort things out. And I thought, I’ve got to get to grips with this. And this hit home probably a year or so ago with the thing I’ll talk about, but the with I don’t want to get to the point where it’s too late and I’ve got a ten year old and a seven year old and literally I’m away a lot over the next eight months. I think we’re in eight or nine different countries doing different courses with things or meeting people for different things here, there and everywhere. And so from January I minimise my time a little bit with Barry and spend a bit more time focusing in the daytime on things. I don’t know how that’s well is going to work financially, so I’m hoping that I’ll be able to manage that well. But, but we’ve got a few of the plans of things that I need to spend a bit of time on. Things I’ve done other things behind the scenes with patents and things like that. So we’ll we’ll see.

[00:19:18] We’ll see. So we had Anoop was the first guest on this podcast shortly before he passed away. Yeah.

[00:19:26] That’s right.

[00:19:27] Yeah, yeah, yeah. I remember him telling telling that story. You know, I’m involved in education, right? And anywhere on the level that you are. But I’m away basically every other weekend, basically. But at the same time, I don’t really, really do that much work during the week. I do, of course I work, but I don’t have to work. I have to turn up anywhere. And this thing you’re saying about your kids, obviously the subject comes up a lot on this podcast, right? Yeah. And for me, it’s like if your kids watching you doing the extraordinary things you’re doing. That’s a massive inspiration to your kid.

[00:20:08] Yeah, I hope so.

[00:20:09] Oh, it is. It is, Yeah. And if you if you think back to your dad when he was I don’t know the story, but maybe he was on opening up the practice on a Sunday to help someone with a toothache or something.

[00:20:21] Yeah.

[00:20:22] He could have been beating himself up about that and saying, I’m not spending time with Adam and the family. Yeah, but you learn something by watching him do that. Yeah. And this thing that you’re doing now, this thing, you know, like, maybe if you had watched your dad grind and work as hard as he did for the good life that he had, maybe you wouldn’t be this obsessed guy whose, by the way, it’s not just about what you contribute to your family, right? It’s what you contribute to the to the profession. Yeah. And especially in this area of digital where it’s so difficult for you know, most people aren’t like you. Most people hate change. And most people are very scared of technology. By the way, I’m one of them. When we when we were we were setting up our lab, I was like, do we really have to do the digital? I don’t want to get into it. And and I think you should you should stop, stop punishing yourself on that front because your your kids will see what you achieved and they’ll, they’ll learn the hard work. How important that is, hopefully, for sure. I wouldn’t bother yourself too much about it, but how often are you in?

[00:21:40] Probably more at the minute. So obviously today, tomorrow I’m in Birmingham teaching CMD last Tuesday night to start tonight I was in Madrid with DSD. The weekend before that we just got back. Didn’t have the weekend free. It was a week before we were in. Oh, no. Yes, sorry. The week before the Wednesday night to the Saturday night, I was at the London dance show with the theatre we did there. Then the Sunday to the Wednesday. Before that I was in Palmer because we were education partners for X got insights. So I’ve had probably in the last three weeks, maybe four nights at home. Three nights.

[00:22:34] Wow. Yeah. Okay. That might be a bit too much.

[00:22:39] Yeah. So I vowed now, next year, with all these places, I’m going to try and take my kids to as many of them as possible. So at least if I’m doing things, I can show them the world of it, you know? The problem is in the school, you know, the school. So there’s.

[00:22:53] Also also, you know, it feels like you guys have been around for ages because of just the output. But six years is still very early days.

[00:23:02] Yeah, well, very long time. It’s crazy. Yeah, I think technology changes so fast and. Exactly. I think, again, we’re lucky that we’ve because we got into things pretty early and made friends so many places. It’s actually a really close community, the digital community. So yeah, not just at the bottom because of with, with the groups that we’ve got on Facebook and what’s up and stuff. But the actual the people at the top who do education, you know, across the world, you know, we speak to them a lot and they there’s, there’s so many lovely, lovely guys who like guys and girls. I made that clear The really the shared stories plan things together. But the more importantly, they recommend each other for different things. So because they know somebody who might be good at doing something else in their place. So it’s, you know, there’s been opportunities because of that for sure. But the key is as well, I think more than anything is just being honest with things. And for us, the main thing that we’ve tried to do more than anything with, with everything that we’ve done with support, with education and and it’s a fine, fine balance, let me tell you, is tried to be tried to be as as honest and unbiased as you can, which I can say it’s a fine balancing act because we have our own preferences, you know, and you get sent things. Sometimes you try things out. Companies will say, Oh, don’t try this out, we’ll give you a discount with this stuff like that. It you know, so you try things out. Sometimes you love it, but then then you question yourself and you’re like, Well, do I love it? Because I was given it and you shouldn’t do. So you try and then be honest and say, well, actually it’s, you know, probably not going to make that much difference to you rather than maybe something else or whatever. And we’re not going to go down that road and dig myself into, oh, it’s sort of the manufacturers. But basically it’s a it is a fine balance because like anything, you have your own preferences.

[00:25:03] And are you on the radar of all the manufacturers now? They all try they all bang your door trying to do you know.

[00:25:08] What again, it’s a mix. We’ll have we have so many that we love working with and they are they have some really, really nice people that you work with. And sometimes it surprises you. Sometimes it’s surprising both in terms of some of the big companies that they will, I think, shy away from you a little bit because they’re a bit wary of the fact that you are. So you try and be so unbiased and you working with so many different things that probably where either have seen have you seen some a negative. Right. But on the other side of the coin, sometimes it’s really surprising when you start working with a company that you really like and then they just don’t I don’t know whether they just want to have you on a leash or what, I don’t know. But they they just don’t do that much then. And you’re like, But I really like you. I want to do more with you. And. And he’s not Can you with him really? Well, it’s a it’s a big mixed bag of tricks. I’ll tell you who really surprised me recently. And and listen, I’m going to I’m going to turn Anita into a positive again. Right. So. The line. So I think they get a bit of a bad rep in terms of reputation and people doubting them. On the other role, you know, and because it’s such a big corporate structure.

[00:26:30] So the fact is that this this company is mega megabit megabit, bigger than many of the other companies combined, Right? Yeah. So, you know, you kind of wary of that for yourselves. And then we did this because we work with Exocad. We were doing a smart trade course at the Allied conference, me and Patrick going back four weeks ago. So the weekend before all those weekends I was away again. So we’re in London for that. And you know what? We went out with a couple of the guys who were like the manager of like this sales for America and whatnot from Europe and stuff. And we had a meal with them the night before and and genuinely they were such a nice crew of people. It was rare that I’ve actually dealt with a company that was as nice as them, and I genuinely don’t say this to flirt with them because we none of us have it. Heroes. And I say this in the nicest way, but we don’t I don’t use Invisalign, so I don’t need one. I’ve got every other scanner under the sun. But they are. They were awesome. They were so organised and it was a real pleasure to be at the event with them. So I think it was surprising.

[00:27:45] The mistake we make sometimes is that we could think of a company as a person. Yeah, and I’ve had this experience, I don’t know, with so many different big companies, so I align being one of them, by the way, or Henry Shine or something. Let’s say I talk to Henry Shine 12 years ago about distributing something by Enlightened. And for the sake of the argument, let’s say it didn’t go well. Yeah. Then. Then last year I contact Henry Shine again. The people are completely different people now.

[00:28:20] Yeah, Yeah. You probably had a totally different experience, right?

[00:28:23] Totally different experience here. But you do you do get yourself, you think of the company as a human, as person, and you actually you.

[00:28:32] Put emotion into it.

[00:28:33] Yeah, you put emotion into the company. Whereas in these huge places, often people change a lot with a line. I think the big thing with them is just the rate of growth of that company. It’s growing so quick that it’s difficult to keep up with the growth when you’re growing that quick. It’s a bit like, I don’t know if you deal with Facebook at all for for ads and things. I mean, they’re a nightmare to deal with. They’re not new. Yeah, they’re really difficult to deal with. Anything goes wrong with your Facebook account real time. But then at the same time, it’s such a beast. Yeah, but a lot of times, Yeah, a lot of times you’re talking to robots, right? And people get pissed off about that. But yeah, it’s a funny one, but I notice you’re quite close to it, I guess, right? Because you give away.

[00:29:24] You know what? So we we’ve done a load of things with them. But before that, I mean we, I didn’t really and again, I’m going to, I’m hopefully not going to annoy them now by saying something else and things. So I didn’t really write them. It, it’s kind of as when it was just the 500, it was okay. It wasn’t at the same level as the other scanners that we use in the we at the time. We would just get in a prime scan when they very first came out and that was an awesome scanner. So the prime scan, I mean, I’ve done a study on it, right? So the primes kind of statistically at the time Superior, it was statistically in a in a group in a war zone. So and not actually dissimilar to lab scanners that accurate. It was an awesome, awesome scanner but that was before the release of the 700 and everything since. And again we had a lot of people a lot of people requesting, you know, who do I get it through and what have you. And and at the same sort of frustrations that we’d had before. So we just thought and this was at the start of when we were on this journey to just about to launch Scan Club and, and the whole thing was club was basically we wanted to provide a way to get on board with the, the sell the diploma but not pay thousands upfront because we wanted to make the education accessible. And I mean it’s a good cost.

[00:30:52] There’s a there’s one or two negative Nazis. I want to be polite and say that have been a little bit unprofessional at times. I’m not going to say any more than that, that I’ve said that to YouTube. It is not. It’s not. There are YouTube videos that we put the some of the short tutorials on both the platform and the thing, but they’re not on the course. So the course is it’s a it’s an ethical level seven course. It’s got, you know, lectures which are an hour and a half or whatever, 120 hours. But the the whole of that thing, realistically, there was a demand for it. The people wanted to get involved with it. So with everything and we saw that from the start of COVID. So the start of COVID, we had a massive uptick in people joining that course. And we thought this is the right time for people to start learning how to do things with digital. And so we did a couple of surveys and things. And for members of how what puts you off joining the course you’ve been on some of the smaller courses, what puts you off during the bigger cost and it was the cost. So realistically we thought, well, let’s make it remote, let’s let’s take away the hands on and let’s get it so you can join on at any time, anywhere and made it so that it was on demand. We still do the shorter tutorials that do go on the platform outside of it and on YouTube and stuff like that.

[00:32:09] But that’s cetera. And so the cost was to improve your knowledge and not kind of led into itself with the whole support side of things. And and that led into looking at the different scanners to partner with. And it just ended up where just through chance really, we were introduced to one of their reps who said, well, do you distribute that side of things? So that’s the only one that we actually provide direct. The rest is all through partners. So it’s all just goes through other people. And I think I’m really glad we did simply for the fact that it’s been incredible watching the journey of of of made it last year, especially because the software not particularly the scanners the scanners are good, don’t get me wrong, but it’s the software more than anything. And the the evolution of that, I think it’s I think it’s probably made a lot of the other companies nervous because they have to step up the game. And you can see that very clearly with with people like Trish, bring them more apps and things like that. And plus as well, they drop the price a lot. So, you know, it makes it more and more accessible all the time. So do we still recommend other scanners? Of course. You know, it’s not right for everybody. And even though we don’t really have anything to do with a line, you know, we still send a lot of people that way if they’re just Invisalign users, you know.

[00:33:29] Let’s let’s let’s let’s break it up then. Let’s start with scanners. Let’s start with scanners. Let’s let’s start with the beginner person. Yeah, sure. So is knows that it’s probably about time to get into scanning.

[00:33:42] Yeah.

[00:33:43] You must get asked this question every day, right. I do. Right. Where do I start. Where do I start. What question. Which, which scanner do I go for? How much? Where do you where do you start on on. So I guess you’re asking them, right? What kind of dentist are you. What kind of treatments do you do? Right.

[00:33:56] Yeah. Yeah. So about 14 to 16 months. Gone now, maybe less. I. I programmed an algorithm on a website. It’s like a choose your adventure style thing called which colour dot com. So you go on there and you it asks you different questions about your clinic. In fact, it was less than that. Sorry, maybe about ten months ago. And it takes you on a journey of asking you different questions about the size of your clinic, whether you’re a social principal, Do you work in different do you work in different parts of the different clinics? Do you travel? Is your clinic called different floors? You know, all sorts of questions. There’s about 23 different paths that they can take and then finish it off with budget if it wants to limit it a little bit more. So the reason why I did that was to just try and keep as as unbiased as possible with that. And I wrote a white paper at the end that kind of gives you a little bit more info and stuff points in the direction of us, obviously, if you need more information, but it’s generally you can just go on it. It doesn’t cost anything. You don’t have to contact us. You can just go through it and work out what are.

[00:35:08] The results, what are the results of that, what percentage you’re ending up with, what percentage of ending up with?

[00:35:15] Good question. I can look up for you if you’d like.

[00:35:18] Okay, here’s your special, exceptional piece of work. All right. I know it’s a silly question, but. But sort of in a nutshell, Yeah. If I’m doing Invisalign and got.

[00:35:34] Invisalign, you can make more sense to make sense to it, because at the end of the day, it’s your bread and butter. Right?

[00:35:40] But what about the restorative side of it? How is it for crowns, bridges that sort of.

[00:35:45] Do you know what? I think it’s improved a lot. And I think if you if you stepped in because of the Invisalign, but then decided to go down the road to Restorative as well, I don’t think you’d regret it. There’s some excellent legs now with Exocad because obviously align bought Exocad and also we’ve got the issue with they’ve just brought in this new smile architect side to basically have a restorative version of clinic. So to do a smile design that sort of thing and, and that looks pretty good. I’ll have to say look pretty good. So I don’t think you regret it either way. My personal take on the article personally and this is, again, just my personal opinion, no to service to anybody who chooses wisely. I personally find that that’s kind of a bit big. So if you’ve got little hands, you don’t like the way to it, then it might not be fit. And there’s the Trace three is still an excellent, excellent scanner for Senator Invisalign because you can use it for that. There’s only the Itero scanners and Vice Chair three and the Omnicom you can send to send to Invisalign. Realistically, I doubt you picking on the cam. It’s all the technology now and you’d end up going with three. But Trista is still really nice and you can get it in the move units, the wireless units, that sort of thing.

[00:37:09] There’s four or five different ecosystem. So it’s a bit like looking at things like Apple and Samsung in a way, you know, these different ecosystems, you know, everybody everybody’s going to be different in terms of which one they prefer. And you can’t say really one’s better than the other in terms of shape or media and that sort of thing. In terms of that, they all do different things. The metaphor, I’d say, for people who do a lot of implants is a great scanner for that, simply for the fact that there’s so many tools to help out with your with your choice of bringing in the eye scan very much in and, you know, colour, colour filtering all all these very cool little software features that make it easier to scan on a on a full dental case. But then there’s prime scan. Right. And it’s a lot more expensive, no doubt. But if your main thing is is cad cam or you want to get into in-house dentistry as of yet and I think next year is probably going to be an interesting year for this because I think it’s going to be on it. I think three shape are going to be on more familiar. We’re going to be in house. I don’t even know if Millie may be printing who will see but but I think in house is where they all want to get through with CAD cam easy so I think but the minute full stop if you get it started or if you used to it.

[00:38:37] The Sirona system is a beautiful, streamlined system and it’s very hard to beat the easy workflow that is sirona when it comes to simple restorations of just inlays on nice crowns, you know, even veneers doing in-house same day appointments. It’s very hard to beat. And the only way you can get close to that realistically is using a stroke. M.s. Excel on unlocking it in effect with using in lab cam and and then having your choice of scanner exocad whatever type of CAD software and being able to mill the saddle. Then just simply for the fact that the MSI Excel is a workhorse. It is. It’s a two motor machine. It’s not the most accurate. It’s not the most accurate in terms of the Fisher patterns and stuff, but it’s better than it used to be with smaller birds. But it’s just fast. So you can, you can mill a crown or an inlay or whatever on a straw on a nail for under 10 minutes with something like a VHF set fall or anything like that. You’re looking at you’re looking at realistically at least 15 to 20 minutes plus, depending on the size of restoration. And that makes a big difference if you’re trying to do things in-house. So what you see.

[00:39:53] What you see, the tension between doing things in-house or letting the technician take care of. The bit that they don’t want.

[00:40:04] I think, you know what we were talking about time before. I actually think that and this kind of leads into a little bit the DSD thing that we were away with them and the. For me. I’ve always wanted to do my own thing, but I don’t know whether it’s age. I don’t know whether it’s that guilt thing with the weird thing with my kids always telling me about whether I feel like I’m too much time away from them. But time wise, I kind of feel like now I want to not step back from doing it all myself, but just manage some aspects of it a little bit more wisely. And this probably started when I was doing things, going back a few months ago with with a character and a company in America with doing some remote design services. And we were in the middle of a four hour run for DDA lab, and we’ve launched that now. So for that side of things, we’re having an in-house lab tech and we just hired a lady who works in London with us to do that side of things, do in-house. So I’m probably going to let her do things a little bit more. And I think that’s probably the future of where everything’s heading with with dentists and laptops. I think there was a point where laptops were afraid that they were going to get replaced by in-house, But I actually think that it’s the other way around. I think not entirely, but I think that more than likely over time, we’re going to see dentists join in labs, maybe with a chair in a clinic. And I think we’ll see lab tech shown in dentists. And I think that gradually they’ll merge into work and intrinsically in-house in the same team. But obviously the big centres, the big, big production centres and things that where you need the big machines to to produce. But realistically for the small things and even for us in Bury, we’ve got, you know, for all that we do some things in house, there’s some things you can’t do in know dentures and stuff like that.

[00:42:04] But my point is look you do make your own surgical guy, right? He’s pretty surgical, but you could have a lab do that, right? Yeah. So what’s the advantage of doing it yourself?

[00:42:17] It’s got to be preference, control, cost. Being a kid, being a control freak probably more than anything is probably a good thing that a lot of people want. They just want to control the whole system, you know?

[00:42:29] Yeah, but. But I don’t know. I mean, dentists are obsessed with chair time and your chair. I mean, a surgical guy doesn’t take that much time. But. But what I’m saying is, if you ideologically go on this route of chair side. Yeah, you can use a lot of chair time.

[00:42:49] Yeah. It depends what it is and it depends how fast you get. And I’ll tell you where things are changing for me that I’ll probably relate more to people who want to save the chair time. Say for example, the same day smile design that me and will do in house. I’ll only see one patient that day. So that one patient is the only thing that I’m doing for a same day. Smile design where I’ve already done planning sides before. I’ve already consented with things I’ve already done, mock ups and smile, test drives and that sort of thing. So this is just purely the actual manufacturing of veneers. So say a ten unit case of veneers or crowns or whatever it is, then I’ll start with them. And nine I end up finishing all of the preps and stuff by say, 11, 1130 I’ll be doing the scans and design. They’ll take me to, I don’t know, let’s say half 12. So I’ve got four mils in buried so I’ll mirror over the four mils. And why did I buy four mils for simple cases like that where, you know, it’s just pure time buying with buying those mils. So I’ll churn out all ten or 12 restorations in an hour. So those restorations then tear them all out, I’ll glaze them by three half three. They’re all out of the oven. Already have printed a model. Everything’s ready to go check the fit, make sure the margins are all good and fit them same day. So on a big smile design case, that’s as extreme as it gets. Where it’s becoming.

[00:44:20] What would you charge for that shot?

[00:44:22] It depends where I am, to be honest with you. If in London and Barry, the prices are higher than we charge in London. So I think so very it’s gone up this year. So I think we charge 6 to 5 in London. Seven, nine, five. So per, per tooth. Yeah.

[00:44:41] Because that worth. Is that worth it though. Not worth to spend your whole day on that. I guess it is for 10 minutes. 12.

[00:44:50] It’s so bad. That’s not bad.

[00:44:53] No, no, you’re right. You’re right. But my point is, could you have done two of them if you were using a lab like that? Look, of course, there’s patient issues.

[00:45:02] Patients do that. No, I agree. But 100% you could. And that’s why I think the future is. And that’s what makes me think the future is. Is that the reality of having all of these different components time and using that time efficiently is is becoming more and more important, especially as things become more competitive with it. So you you’ll see prices drop or you’ll see more competition and you people look at work at the same things that always happen with competition. So where will that head? I think you’re exactly right. I think you’ll end up with in-house lab technicians that you’ll have maybe two patients in the morning doing the preps with your maybe one or two lab techs will do all of that work in between the middle of the day, and then you’ll set them in the afternoon. So I think that 100% you’re spot on. I think that’s exactly where.

[00:45:53] Okay, let’s let’s move on. Let’s move on to printers and printing. And you guys do a whole course on printing, don’t you?

[00:45:59] We do. It’s our most popular cost. Is it 100%? Is that.

[00:46:05] I suppose it’s the first thing people want to purchase.

[00:46:08] I don’t know what it is. We just fill them up quickly every single time.

[00:46:14] Let’s start from the beginning. Start from the beginning for a beginner. Okay. What are the things that get printed in dental surgeries?

[00:46:21] So. Okay, so there’s a big range of 3D printers you realistically can step in very quickly and cheaply, cheaply and easily. You can pick up a printer that is an excellent printer now for sub £1,000, possibly even for some of the really nice ones now for like £300. So you can pick up £300 for an algo mas pro three, you know, £300 or whatever on Amazon. What is the difference between that and printers which are thousands of pounds, you know, literally ten times the price, no more. There are a few things. So realistically.

[00:47:05] If we get into if we get into that, what are the things that get printed? Well, the things.

[00:47:11] So to the kind of lends itself with the different type of princess. So we we’ve got models, surgical guides, splints like guides. You can improve bleach and trays. You can now actually print the aligners direct. There’s resins which are literally put it out with that. You can print teeth, you can print crowns, inlays on laser permanent resin, temporary resin. This pretty much everything under the sun. I was doing a lecture about that today actually, with with the different resins that crown resins that you’ve got with things like bigger resin and stuff like that, that you can print permanent restorations with their license for use as crowns. So that kind of lends itself in then with deciding how far down the rabbit oh you go and how much you spend. There’s a big.

[00:48:01] And also also you’re going to need a printer, you’re going to need a washer and a curing.

[00:48:07] 100%. And that again, lends itself to what you’re going to do with it, because there’s a big debate. The minute 3D printing dentistry kind of got divorced maybe six months ago and I say that very apt. They there was a big 3D printing group. Some people were on it, some people split apart from it. We tried to keep separate away from it and be in in between in the middle with an open group. And and there’s on one end you’ve got Rick Ferguson advocating the cheapest appliances of know you can use them for everything. Then you’ve got a lot of other people like while there are any over in America who just purely advocate you know deadly validated workflows to for clinically applicable reasons and and you’ve got different people in between. So who’s right? And I think the reality is, for someone looking at it, they want to find who’s right and they want to know what they’re doing. But the both right, really, because you can do anything on any of them. And there are reasons which are validated for different printers, for open printers. It’s if you if you use everything you have to forever for all of those different purposes, you need to know damn sure that what you’re doing and the work we’re using is going to be safe for the patient more than anything. So a clinically validated workflow is one that’s been tested, that is approved, and that is known to be safe by compatibility wise and also for the purposes of which that material. This fall. So whether it be surgical guides, crowns or whatever.

[00:49:50] So can you program the cheap princes to do those things yet? Should you? Well, I guess it depends on the resume and it depends on your purpose. But for me, the cheaper resin, the cheaper princess are there for printing, specifically for models and for some of the resin, very few far between resins that don’t specify a printer as long as you post process properly and as long as you do things according to the instructions of that specific resin. Right. So then you’ve got more expensive printers and they again range from a couple of thousand up to ten plus. And you’ll get different. It’s like scanners, you’ll get different people telling you this is the best one, this is the best one or whatever. So let’s give you a sneak peek. The which kind of thing. You can probably guess what’s coming next. Right. So we’re going to we’re going to we’re going to end up I’m just in the middle of programming, but it’s a lot more complicated than choice, so. Right. Oh, man. Exactly. So. So yeah. So I mean, he was right with that. The there’s different printers, the different people use and different people advocate. And again, it depends on you as a user what you’re going to do. So the form of print is great. And they were one that really broke the market with with cheaper printers. Yeah, cheaper, accessible, validated dental printers. Pretty good. Do plug and play. Yeah. Yeah. They’re not the fastest anymore. A lot of these are the printers are a lot faster and that was what.

[00:51:23] We started with Formlabs. But that was the problem. The speed was the problem.

[00:51:26] Exactly. So these days now accurate to Sprint Sprint. Ray Sega, you know, desktop health, they’re all great printer systems. They all have their own little reasons why you might use one over the other, what reasons they are. The difficulty, the main difficulty you’ve got as a choice as a user now is looking at that system and seeing whether the system’s resins are constrained to that system in terms of their own resins and also external resins. Can you use external resins all? Is the system an open system? In which case is it a validated or validated system? So for all of those different printers, it has to be a personal choice. And based on what you need in your clinic for the purposes to which you want.

[00:52:18] And have you gotten yourself into the whole the different types of printing, or is that one of the other guys?

[00:52:26] Do you want to be my way?

[00:52:27] Sorry, they’re like SLA and DLP and all that.

[00:52:30] Oh, yes. I mean, you know, listen, I’ve got a ridiculous addiction to 3D printers. I’m trying to get I’ve tried touch them like Pokémon, you know, it’s about catching them all. So I’ve got listen, I at the at the probably the midpoint of my journey with with guided surgery I was messing with blue sky bio and, and I had got this back then before the Formlabs printer it was a filament printer that was a cell robot printer. And you could sort of get biocompatible resins that would food safe, nice, but it wasn’t really proper. So then Formlabs came out and things. But before the Formlabs I was teaching smart at the time, so I’ve been doing guidance over a few years and I’d kind of gone into Smart Mechanic, gone back with that now, which is totally different story. But with Swap at the time is great was cloud based with things and I was speaking to Florian a lot. We were doing a lot of courses with him, Florian Schober, who’s head honcho over at AdMob and you know, he’s a I’m going to be rude here. He’s either German or Austrian, but he lives in Basel and he’s got this accent and he’s going to probably listen to this and kill me. But he was like, Why do you want to pretend? No, nobody wants to bring it. And I was like, Well, I do. And I’m sure a lot of other people would rather, you know, and have it done in house and stuff.

[00:54:01] And I’ve got this cheap Chinese transfer just bought and I’ve got some resin for it. Can I get my sales and print it myself? No, you can’t read them. And then that was basically one of the reasons why we ended up doing less with Swap at the time was we wanted to we wanted to get them to do a model like Blue Sky Bio where you could you could have your own exports and we moved on to other systems with things and the whole, the whole printing side of things is evolving from there. And I’ve ended up with form labs with weird Chinese ones, which again, no disservice to anything or anybody from China. My goodness, those those guys, they just evolve fast. They’re just constantly constant. William Bates, an apprentice, so you can have one. And then literally a few months later, it’ll be another one totally different again and evolve it. So all of these different prints, we keep trying and then at the same time going for more expensive ones and the validated workflows about them actually vs about the accurate ones. We’ve we’ve got a D for K from Vision Tech in London, which is now the desktop health brand, you know, all these different principles. I think over time I bought three peak printers that I gamble with to try and print implant frameworks, all sorts of silly printers, which which didn’t work out very well.

[00:55:22] Have you ever printed metals, Titanium.

[00:55:25] So I’m, I have actually. So yeah, one of the things that I’ve been doing my PhD the last seven years, I’ve been trying desperately to get it finished, which the hope. David Wood and the chaps that leads listen to this, because I saw them last December and I would really like to finish my PhD now, but, but that’s a different story and I won’t go on at that one. But yeah, I really need to get it to the external examples. Anyway. So my PhD is on guided surgery and adventurous guided surgery and improving the accuracy of it. So one of the things which are patented, these little things I won’t go into, it’s not ready for market yet, but it will be soon. But that we were for the prototypes I was getting printed with like an online printing service a few years ago, which they printed them on the left printer to to get them. But it’s not, it’s not the same level as as machined metal. It’s just it’s not there yet. It’s not the same resolution. It’s cool. It’s very cool. But but the screw pads weren’t very good. So good for things maybe for, like, I don’t know, chrome frameworks, maybe you could do with it and polish it up after that might be a cool thing and frameworks if you polish it up after.

[00:56:39] But how are the aligners?

[00:56:42] Good question. We’re in the process of trialling those minutes. So with Patrick’s little baby as the deadline deadline is lop side of things.

[00:56:52] So before you go on so so there was the way of printing the models. Yeah. And then pressure forming onto the models the old way. Yeah right. That was, that was one form of making your own aligners. Right. Yeah. But now you’re telling me we can print the aligner itself in a practice, in dental practice? Does it make sense.

[00:57:14] In the future? I make 100% because if you think about it, cost wise and time wise, yeah, someone loses in a Line-Up, you can print a new one in 30 minutes. They can then wash it again. And. And the amount of resin that you would use is a very thin. It would be a mess. Not to say that it was cheap. I think one of the big, big, big, big.

[00:57:36] How worried is the client? How worried are the guys at the line about this? You must have I think.

[00:57:42] They’re already on this, you know, right? I think so. And I’ll tell you why I think so is there’s so much development with the resin that if they’re not, they’d be silly because the resins that that we’re testing, the reason why we’re trialling them is I want before we recommend anything, I want to know that it works well. Right? So you have to think about Aligners in a different way using principle liners, because it’s like any resin is flexible. So a thermal forms aligner, when it’s thermal formed gradually over time, it loses that pressure on the teeth and it distorts. Whereas the things that they put into some of these 3D printed resins like fibres and carbon fibres or whatever it is, I need to look it up. So forgive me for being wrong with that, but they, they introduce the whole concept of four dimensional stability in the in the actual shape of the aligner. So body heat heating it up will return it to its original shape a little bit like the nightie files that we have with Endo so that that metal is supposed to heat it up, supposed to go back to the original shape. So the whole thing with these is going to change the way that we design aligners, the number of aligners and all of that, because potentially you might be able to put more stress on the tooth or rather more of a change in the position because it’s going to put a more gentle pressure over longer, but actually try and return it to that shape that you’ve printed that line of two. So. I think the whole line of workflow is going to change with 3D printing, not just in terms of number of lines, but the actual thinking of the mechanics. So we’ll see. It’s going to be an interesting one with them.

[00:59:36] This is Dental Leaders, the podcast where you get to go one on one with emerging leaders in dentistry. Your hosts. Payman, Langroudi and Prav. Solanki.

[00:59:52] Thanks for listening, guys. If you got this file, you must have listened to the whole thing. And just a huge thank you both from me and pay for actually sticking through and listening to what we had to say and what our guest has had to say, because I’m assuming you got some value out of it. If you did get some value out of it, think about subscribing and if you would share this with a friend who you think might get some value out of it too. Thank you so, so, so much for listening. Thanks. And don’t forget our six star rating.