Hap Gill takes us on a fascinating journey from his early days “bashing the Nash” to becoming a pioneer in comprehensive dentistry and communication. 

With characteristic honesty, he shares how a transformative experience at the Pankey Institute opened his eyes to occlusion and patient care, whilst his unexpected background as a dating coach revolutionised his approach to patient communication.

From team management crises to clinical breakthroughs, Hap reveals the mindset shifts that transformed both his practice and his patients’ lives, proving that being brave enough to step outside your comfort zone can lead to extraordinary results.

 

In This Episode

00:01:45 – Early career struggles and “bashing the Nash”
00:05:00 – Discovery of the Pankey Institute
00:07:00 – First day revelation: “Design your ideal day”
00:08:40 – Born brave or shaped by upbringing?
00:09:20 – Growing up in Hounslow with teacher father
00:11:45 – Privilege and parenting perspectives
00:17:40 – Career advice: Communication trumps clinical skills
00:23:25 – Dating coach secrets applied to dentistry
00:34:35 – Team management crisis: Three resignations in one week
00:40:30 – Blackbox thinking
00:49:45 – Clinical stories and treatment philosophy
00:57:20 – Occlusion aha moments: Anterior guidance revelation
01:06:25 – Biggest case: RTA patient reconstruction
01:11:05 – Best lecture ever
01:16:25 – Fantasy dinner party
01:21:40 – Last days and legacy

 

About Hap Gill

Hap Gill qualified as a dentist in 1991 and spent his early years working in NHS practice before discovering comprehensive dentistry through the Pankey Institute. Based in Richmond, he runs a private practice focused on restorative dentistry, occlusion, and exceptional patient communication. Known for his innovative approach to treatment planning and team management, Hap combines clinical excellence with business acumen, drawing from diverse experiences including an unexpected stint as a dating coach.

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[VOICE]: This [00:00:35] is dental Leaders. [00:00:40] The podcast where you get to go one on one with [00:00:45] emerging leaders in dentistry. Your [00:00:50] hosts Payman Langroudi and Prav Solanki.

Payman Langroudi: It [00:00:55] gives me great pleasure to welcome Hap Gill onto the podcast. I was just thinking about how [00:01:00] we’ve known each other 20 years, some 2005.

Hap Gill: I remember [00:01:05] I came, I was trying to figure it out, and it was. Yeah. Uh, as [00:01:10] you said, it was with rod. Yeah, that I think you brought him over. Yeah. And it [00:01:15] was a night out in town. Was it or was it a [00:01:20] lecture? And I think it was a really nice, cool place [00:01:25] called The collection. You were you were guys, you guys were there and we briefly met [00:01:30] there. And then I think there was a lecture that rod was doing the next day.

Payman Langroudi: Q clinic, we did what [00:01:35] you.

Hap Gill: Came to that. Oh my goodness. If you remember back in the day. Oh my goodness. Are they still here. [00:01:40]

Payman Langroudi: No no no no no.

Payman Langroudi: Um.

Hap Gill: 2005 and I was, I was you know, I was very happy [00:01:45] when you said that. Exactly the same.

Payman Langroudi: Reason.

Payman Langroudi: I it’s a pleasure to have you, man. I mean, one [00:01:50] one thing that I’ve always thought about you is you were always way ahead of your time. Um, [00:01:55] especially back then. Back then, when no one was talking about occlusion [00:02:00] very much, no one was talking about customer service. And [00:02:05] both you and Raj Ahluwalia, who you choose to work quite closely together. Yeah. [00:02:10] I just always think about, you know, that some dentists are good with their hands and some dentists are good at the, [00:02:15] um, other side, the practice management marketing side. But there’s a few [00:02:20] who are good at both.

Hap Gill: I know it’s kind of there’s two aspects of it. I think if [00:02:25] we were I don’t know if we were into banking or if we were sort of, I don’t [00:02:30] know anything, any other profession. And there’s a certain mentality. I don’t know whether [00:02:35] it’s your upbringing or not. It comes from your parents, uh, whether it’s nature or nurture. [00:02:40] Um, and one of the things you have to do is to be brave and to be [00:02:45] willing to make mistakes in business and in clinically as [00:02:50] well. Yeah. I mean, one of the things that, um, I mean, I’ve got to [00:02:55] tell you a story on my first day. My first day of qualifying [00:03:00] at work. At work as an associate. I had 40 patients booked [00:03:05] in first day. My first day there was an interconnecting door, and I was kind of numbing patients [00:03:10] in one room and going to the other one and I, you know, I was, you know, and then there were families that come in together [00:03:15] sort of through private. Right. So this this was VTE, VTE. This was [00:03:20] VTE. So I was on a salary. Um, and then the year after [00:03:25] that, I, um, got an associate job. And on [00:03:30] my first again on my first date. So this is the second year [00:03:35] I’ll be qualifying. Um, I had 50 patients booked in. It was. It was the [00:03:40] it was the day of, um, you know, there was no computers.

Hap Gill: You were writing, scrawling things. It [00:03:45] was like. So I had set 9 a.m., I had three patients, and, you know, it was like three [00:03:50] patients booked in not double, but but trouble. But I remember my old boss saying to me, I, you know, I wanted [00:03:55] you to be impressed by how busy we were in this diary. But on that first day, I [00:04:00] numbed someone up. I remember this, really. I numbed someone [00:04:05] up. And then I got him to sit in the waiting room. And I’ll be with you soon. And I. Half [00:04:10] an hour went by. An hour went by, an hour and a half went by. And I kind of forgotten [00:04:15] about him. So he, she, she, he sheepishly went to the front [00:04:20] desk and said, oh, I think, I think, uh, I think the dentist has forgotten about me. So [00:04:25] she knocked on the door not to know. Oh my God, oh my God, oh my God. So I treated him. But [00:04:30] the worst thing about that story in that two hours, it was there he had his bike stolen. But [00:04:35] you know, I, I learned I qualified 91. I kind of bashed the Nash. [00:04:40] I still know how to say that these days, you know. You know, I did that.

[BOTH] : How many years?

Hap Gill: Three years. [00:04:45] Maybe four years. Yeah. Um, and then instead of the the point of the story is, [00:04:50] you know, I after those 3 or 4 for years I was thinking, I can’t work [00:04:55] like this. I need to, you know, learn something different. So [00:05:00] I did start going on courses and it was Mervyn Drouin. Um, and [00:05:05] there was the, um, the other chap he had to his first name and [00:05:10] his last name were two first names. But I’ve forgotten what he’s what it was. But was it Lester [00:05:15] or something like that. But anyway, so those kind of openings. Yeah. So Ellis.

[BOTH] : Paul Ellis. [00:05:20]

Hap Gill: Paul.

Payman Langroudi: So Paul handed.

[BOTH] : Then.

Hap Gill: Yeah. So they open, you know, open up my [00:05:25] eyes to the kind of. Yeah. Yeah. To kind of the work that we’re doing. [00:05:30] Yeah. Um, and then I bumped into a [00:05:35] chap in Weybridge a few years later and um, [00:05:40] beautiful practice in Weybridge. It was above a coster, actually [00:05:45] a beautiful practice. And, um, I just saw the work he was doing, [00:05:50] his photography for photography was incredible. And I said, you [00:05:55] know, where did you learn how to do all this stuff? And he said, you know, I learned this at the Pankey Institute. [00:06:00] And one of the things about the Pankey Institute of Miami is that they, um, [00:06:05] you know, that brave side of you, it’s not really the clinical, the dental side [00:06:10] of that brave side of you. Yeah, they really sort of encourage that. And they kind [00:06:15] of they really get the ball rolling in regards to that. I remember being [00:06:20] the only Brit, um, sat in that room. Uh, so there was, there was, [00:06:25] um, one Canadian, 16 from the US, and it was me. Um. [00:06:30]

Payman Langroudi: And had you gone straight after your three year bashing the Nash? [00:06:35]

Hap Gill: Uh, no, it was a couple. It was a couple of years later. But, um, when I met, [00:06:40] uh, Milton over at, uh, Weybridge, it was literally I was looking at flights [00:06:45] and booking it the next day, and within the next course I was on there. I don’t [00:06:50] remember. I don’t remember the first day. Rich green was giving the lecture [00:06:55] and it was nothing to do with dentistry. He said, design your ideal day. And it [00:07:00] was basically what you’re doing when you wake up, where you wake up, [00:07:05] where you go to work, and then what you do when you get home and everything that happens in between. [00:07:10] And we kind of spent quite a bit of time on that. I remember, uh, Dave [00:07:15] was sitting next to me as he was telling his story. He started to cry. And I think, what’s going on here? Um, [00:07:20] so it was, you know, and I think, oh, these are just Americans. They just just.

[BOTH] : Just just [00:07:25] just just.

Hap Gill: The way they are. Um, I’m just here for the bite. I’m just here for the teeth. [00:07:30] That’s what I thought, you know, occlusion. Um, but I think it took me a few years [00:07:35] to realise what Rich was actually trying to get to. Um. You don’t, you [00:07:40] know, it’s. Some people think that they’re going to. They’re going to learn occlusion or anything. [00:07:45] Composite building or anything. Just sitting in a lecture and going. Going on a course, [00:07:50] um, doing a hands on and somehow you’re going to [00:07:55] have this sort of magical dust sprinkle on, you suddenly become this master [00:08:00] composite or master occlusion. But you’ve got to be brave, and you actually have [00:08:05] to go out there and implement this stuff and, and, you know, do things that are reversible. [00:08:10] So what I did was I did splints on my wonderful receptionist [00:08:15] Jan, at the time. And, you know, I was sort of grinding around sort of hours and hours [00:08:20] on this splint learning about occlusion. Um, but, you know, you know, [00:08:25] as I said in answer your question, way beyond my time, I think I was probably born like that. [00:08:30] Um. Born brave. Um, and, [00:08:35] you know, I do learn from my mistakes as well.

Payman Langroudi: Do [00:08:40] you think people are born brave? I mean, don’t you? Can’t you sort of think back to influences in your childhood [00:08:45] that Made you look outside the box, because I think back to [00:08:50] my childhood and yeah, you know, we had a revolution, ran away and then, you [00:08:55] know, went to school with people whose parents were doing all sorts of amazing [00:09:00] things. And that opened my eyes to that. Yeah, yeah. And I often think back and think, what? [00:09:05] I’ve done all of this. If it wasn’t for some kid when I was eight telling me about his.

[BOTH] : Dad’s [00:09:10] factory, you know.

Hap Gill: You’re right. I mean, there is I think there’s a certain sort of genetic component, but it is [00:09:15] your sort of your upbringing. Upbringing? Certainly.

Payman Langroudi: What did your parents do?

Hap Gill: Um, [00:09:20] we my dad, we lost about 18 months ago. We. He [00:09:25] was a retired teacher. And I’ve got to say, [00:09:30] he was. I’m not just saying he was by far the most popular teacher in his school. He’s. [00:09:35] He taught in Shepherd’s Bush at Saint Stephen’s School. What [00:09:40] subject? Um, it was a primary school. It was mainly maths, but you got to do everything, and I remember [00:09:45] it was right opposite the BBC TV studios. I think it’s [00:09:50] they’re putting a bunch of apartments up there.

Payman Langroudi: Yeah, it’s very cool now.

Hap Gill: Um, and then I remember every [00:09:55] year in the summer fete, the whoever was Doctor Who at the time [00:10:00] would show up. And then I remember, um. Oh, was [00:10:05] it, was it Tom Baker? Yeah. And, and with the curly hair. So he would turn up with his booming voice and, [00:10:10] you know, as a, as a ten year old, I saw this guy that was about eight foot tall. Um, [00:10:15] but, you know, my dad was a teacher, but he [00:10:20] was always a he was also a mentor to all to those kids. And no one got [00:10:25] as many, uh, Christmas cards and, uh, sort of thank you cards, [00:10:30] uh, as presents on the last day of term. Uh, compared [00:10:35] to anyone else. I’m not just saying that. So I found him, um, you know, very inspirational, [00:10:40] especially with his kindness. Um, and he’s willing to a soft nature and is willing to [00:10:45] help, um, others. Uh, my mom was, um, [00:10:50] she was an accounts clerk for BA, so we took advantage of the, [00:10:55] uh, uh, the, the BA discounts for many, many years.

Payman Langroudi: Did you live in that part of [00:11:00] town?

Hap Gill: I was part of the Hounslow. Hounslow? Massive, you know. Yeah, exactly. And, [00:11:05] you know, I mean, thinking back, I had a I had a wonderful childhood, you know, it was it was great. Um, [00:11:10] it was sort of growing up in the 70s, uh, and [00:11:15] sort of early 80s with all the kind of, um, the, you know, the patchy bashing, [00:11:20] the sort of the racism and all that kind of stuff. You know, it’s I have no regrets regarding that. It’s character [00:11:25] building stuff. You know, it’s, you know, a lot of people think that I sometimes [00:11:30] can be a little bit standoffish and a little bit harsh and don’t take fools, you know, lightly, [00:11:35] really, but it’s kind of, I don’t know, I just don’t have time for that nonsense. You know, from. [00:11:40]

Payman Langroudi: Do you reflect on your kids now being sort of. I guess [00:11:45] more call it privileged and inverted commas. Do you reflect on the idea that they’re [00:11:50] not being formed?

Hap Gill: I mean, I don’t know. It’s funny because my, um, [00:11:55] my oldest is is just turned 13. Remember when we [00:12:00] were doing the, um, he had lots of tantrums [00:12:05] with difficulty when he was preparing for his, uh, 11 plus. Um, so one [00:12:10] of the things I used to do to inspire him was actually to drive him to where I used to, [00:12:15] where I grew up. So the thing is, in Hounslow West, I mean, you know, everyone [00:12:20] used to tend to their gardens. It was beautiful rose bushes, etc., but everything’s all tarmac off now. [00:12:25] There’s about three cars in the driveway and you know, there’s it’s it’s an interesting [00:12:30] place to be. So, um, I just said, look, you know, this is where I came from. [00:12:35] You do not live anywhere like this. And I used to say, you know, if you don’t study hard, Um, [00:12:40] you know, this is kind of, you know, where you’re going to end up. And then I [00:12:45] always used to take him to Filton rubbish dump as well. And I say, look, you know, this is a really, really [00:12:50] important job. Someone’s got to do it, but I don’t want you to do it. Um, I [00:12:55] think it still didn’t work. I think it was just really that it was just really the pressure [00:13:00] of. That was about six months before, I think three months before when he thought, oh, I’ve got to get my act together. [00:13:05] He started, you know, he started sort of getting, um, into that, um, [00:13:10] into his exams. And thankfully he did well. But, you know, I think, [00:13:15] I think the boys, they do. Um, I mean, [00:13:20] Adrian is ten and Dane is 13. And again, they [00:13:25] they do they do appreciate that they’re more they’ve got a better upbringing, the more privileged [00:13:30] than than myself and my wife. I mean, my wife, I mean, she grew up in. [00:13:35]

Payman Langroudi: Lithuania.

Hap Gill: In in a small village, um, is [00:13:40] sort of almost like a small hamlet in a small village in the middle of nowhere in, in Lithuania. And [00:13:45] and the boys say, you know, do you do you do used to hunt with spears. And did you used to point [00:13:50] at the sky when the, when the aeroplanes used to fly over. But, uh, you know, my [00:13:55] wife, you know, they didn’t always have running hot water and they, you know, their loo was in the [00:14:00] back garden. And, you know, she used to tell me lots of stories and, and the boys now, [00:14:05] you know, we were we were in Paris, um, a couple of weekends ago, just the beginning of [00:14:10] Easter. And they were really disappointed that the hotel did not have a swimming pool. So, you know, that’s [00:14:15] kind of the the difference these days.

Payman Langroudi: Yeah. Um, but [00:14:20] you how do they kids identify? Do they identify as British [00:14:25] or what do they.

Hap Gill: I mean, I always joke I mean, you know, you’re kind of you’re.

Payman Langroudi: Not Sikh.

Hap Gill: Are you? [00:14:30] Yeah. That’s my heritage. Um, and I always joke, and, you know, [00:14:35] I’m proud of my Hounslow upbringing. You know, that’s a really amazing [00:14:40] childhood. Made lots of wonderful friends that I still, you know, hang out with. Um, [00:14:45] and, um, I, you know, I tell them as a joke, you know, you’re not half Indian, half [00:14:50] Lithuanian, you’re half Hounslow Indian. Okay. You know, that’s that’s what you are. Um, and, [00:14:55] you know, we’ve taken them to India and they’ve, um, that, [00:15:00] you know, they, they, they do know that they are of Indian heritage and that they are of [00:15:05] Lithuanian heritage. And but I do tell them, you know, if England were playing, [00:15:10] um, Lithuania.

Payman Langroudi: Was that Norman Tebbit.

Hap Gill: Test in. This [00:15:15] is interesting. So if England were playing Lithuania, um, who would you [00:15:20] support in football? Who do you support? He says England. I said If England [00:15:25] playing Lithuanian basketball, who would you support? He says Lithuania. [00:15:30] And I said, okay, if England were playing India in cricket, who would you support? [00:15:35] He said India. And he and he and he says, you know, you’ve got to go with the winners. And and that’s [00:15:40] I’m quoting him and you know, but they are they they do know that that’s their heritage. [00:15:45] But they do see themselves as English and.

Payman Langroudi: They speak either of the other languages.

Hap Gill: No. Um, [00:15:50] we we took the boys to, um, it [00:15:55] always brings a smile to my face because they absolutely hated it. Um, they, um, [00:16:00] we took it to Lithuanian class on a Saturday morning. Um, [00:16:05] right up until lockdown. And, um, and then after lockdown, [00:16:10] it kind of kind of faded away. So we haven’t done that. So the eldest one can say [00:16:15] hello and sort of greetings and goodbye and thank you, that kind of thing. But the little one. No, it’s all kind of, you know, it’s [00:16:20] all it’s all gone now.

Payman Langroudi: And do you go once a year to Lithuania as well or.

Hap Gill: We try [00:16:25] and go there a couple of times a year, a couple of times a year, a couple of times. Yeah. I mean I really like it. I mean.

Payman Langroudi: I liked it a lot last. [00:16:30]

Hap Gill: Year when I went to Vilnius.

Payman Langroudi: It’s a wonderful.

Hap Gill: Time. You know, we, you know, we go to Vilnius. We go to [00:16:35] Kaunas. We’ve been to the the beach resorts. But I also like being in the village because [00:16:40] there’s absolutely nothing to do. And it’s like, you know, you literally it’s sometimes it’s good to have nothing to [00:16:45] do because you make your own entertainment and you’re, you know, sat in the backyard garden and, you know, um, [00:16:50] watching the world go by.

Payman Langroudi: I’m going to ask you a question. Right. And I want you to bear [00:16:55] in mind before you answer the question, I want you to bear in mind that we all, you [00:17:00] know, the filter that we all kind of tend to tell younger [00:17:05] dentists to do what we did.

Payman Langroudi: Yeah.

Payman Langroudi: I want you to bear that in mind. I want you to [00:17:10] discount for that. Yeah. So now if one of your kids decide [00:17:15] to be a dentist. Yeah. What would you advise them to do? Like, and [00:17:20] bear in mind, they don’t have to do the three years of age that you just because you did it. Do you see what I’m saying? [00:17:25] So if you had to design their career, if you wanted to design their career, yeah. How [00:17:30] would you where would you tell a young dentist Now to start and go and and which kinds of decisions [00:17:35] should they make? And what are the things that they should pay more attention to?

Hap Gill: I think I think personal [00:17:40] development is really, really important in whatever profession you go in. Um, I think communication [00:17:45] is extremely important and you have to learn it. Um, [00:17:50] I mean, even Tai I mean, it’s a skill that needs. It’s a skill. I mean, Tiger Woods has [00:17:55] got a coach. He’s a he was the best, uh, golfer in [00:18:00] the world, but he still had a coach. So people, um, you know, think they know how to communicate. So I think that’s [00:18:05] a really important skill. I mean.

Payman Langroudi: So when you say communication, what would you tell them [00:18:10] to learn?

Hap Gill: I think I think listening skills are really, really important. [00:18:15] There’s there’s hearing and then there’s listening. And one of the things about listening [00:18:20] is to really make sure that the patient [00:18:25] is understood is to actually repeat back what they just said. And, you know, [00:18:30] and ask them, is that is that what you’re you know what you’re talking about? Is that what you said? Well, [00:18:35] that’s a really important thing. Um, and then, you know, communication [00:18:40] also, um, you know, it helps with, you know, you [00:18:45] want to create a win win situation with your patients. Yeah. Um, not everyone that comes [00:18:50] into my practice drops 50 grand and sort of does a rehab. But the thing is, uh, you [00:18:55] know, there’s a certain way of communicating, um, that this work needs to be [00:19:00] done, and you have to at least have the balls to have that [00:19:05] conversation. Have the conversation with the patient exactly the [00:19:10] same as you would have with the loved one. You know, if you’re if you’re, um, if your mom or dad [00:19:15] or your, um, brother or sister in the chair, there’s a certain way you talk. [00:19:20] There’s, you know, you tell the, you know, the what’s wrong and what you want to do about it. [00:19:25] Yeah. Um, and then do that with all the, uh, with your patients, um, [00:19:30] with your non, uh, family member patients as well. Just talk to them [00:19:35] the same. Hopefully you understand what I’m saying.

Payman Langroudi: Yeah. Yeah. No, I actually teach that. I teach that for whitening. [00:19:40] You know, people have difficulty bringing up whitening with their patients. And I say, well, just if it was your daughter [00:19:45] or your mother, what would you tell them about whitening?

Hap Gill: Yeah, exactly. And the thing is, [00:19:50] um, you know, it’s it’s there’s [00:19:55] almost kind of like I tell my associates at my practice, uh, [00:20:00] the specialist. No one cares at your specialist. The only person that cares your specialist is you [00:20:05] and the GDC. But no one actually cares. You know, the patient wants you to be [00:20:10] listened to and they want to be treated well. They want to be seen on time. They want you to be kind. They want [00:20:15] you to have a painless, um, experience. The, um, [00:20:20] you know, it’s and the other thing that I, I tell [00:20:25] my And even my specialists are half my age. But, I mean, you know, my associates [00:20:30] at the practice. You know, I say, you know, be a doctor, okay? [00:20:35] You know, you’re the doctor. You’ve got to be a doctor. What I mean by that is, um, [00:20:40] you know, it’s I think one of the things you were talking about, young dentists, they’re fantastic [00:20:45] at writing notes, and they’re fantastic at giving the patient every single [00:20:50] goddamn option under the sun. But that poor sucker that sat in [00:20:55] your chair. It’s guidance. It needs guidance.

Payman Langroudi: Agreed. I feel that with lawyers. [00:21:00] Right. I’ve got a difference in a good lawyer and a great lawyer. Yeah. Is that a good lawyer? Will tell you. These are the three options. [00:21:05] The great lawyer would say. These are the three options. I would pick option two.

Hap Gill: Yeah, yeah. And, you know, [00:21:10] it’s it’s a fantastic, you know, uh, profession. Um, I was certainly not [00:21:15] discouraged. My kids. Um, but I think there’s the dental part of it is almost [00:21:20] kind of the easiest part of it. You know, it’s it’s dealing with the human side of [00:21:25] the patient, and, you know, your internal sort of, um, limits as to, [00:21:30] you know, what you can accomplish, uh, clinically. Um, you know, that that [00:21:35] is more you know, what I think you should be working on. So for my boys, I would [00:21:40] not discourage them. I would, you know, I would.

Payman Langroudi: That’s refreshing to hear.

Hap Gill: Because I would encourage them to, [00:21:45] you know, to do it if that. You know, if, if that is what they want to do. But I [00:21:50] mean, my older son, he’s a, he’s a I can always already see it. I mean, he’s kind of he’s more of an entrepreneur. [00:21:55] He’s, you know, buying his big bags of Haribo and kind of splitting it and then flogging it to his mates. [00:22:00] Is he there? Sugar free, of course.

Payman Langroudi: But yeah.

Hap Gill: Yeah, yeah, but they’re not, uh, and the [00:22:05] little one at the moment, he’s extremely creative. So you know, is that kind of, you know, where’s, [00:22:10] where’s this going to lead the business side of the creative side. But I just, you know, I will encourage [00:22:15] them whatever they want to do. But it’s a it’s it’s an amazing profession.

Payman Langroudi: So you say that though because [00:22:20] whatever they want to do, it’s often turns into they have no idea.

Hap Gill: Yeah, well, [00:22:25] at the moment it’s no idea.

Payman Langroudi: But even a 15 year old. 16 year old. Yeah, yeah, a lot of [00:22:30] them. I know there’s some who do. Yeah, yeah. But a lot of them, in my experience, my kids are a bit older [00:22:35] now. Yeah. They have no idea. And then the weird thing about it is that all this worthy [00:22:40] talk about let them do what they want to do. Yeah. Sometimes you end up giving the same [00:22:45] advice as your parents gave you. Just study and you’ll be okay as a dentist. [00:22:50]

Hap Gill: So you can’t become a doctor.

Payman Langroudi: Yeah. And it’s a little bit sad because I can see [00:22:55] with you you’re quite an evolved character. You’re not, you’re not. You’re not the typical [00:23:00] person like you. Look at you. You like dressed differently. You think differently.

Hap Gill: In which [00:23:05] way am I dressed differently?

Payman Langroudi: Yeah. Do. You always think differently. [00:23:10] That’s one thing I always think about you. Um, but. But at the same time, [00:23:15] it’s amazing how much of those things still stay in you.

Hap Gill: I mean, I mean, the thing [00:23:20] is, I’ve got to I’ve got I’ve got to I’ll tell you something. And the thing is, I’m not entirely sure [00:23:25] what I should say, but I’m going to say it anyway. The one of the things about being brave [00:23:30] is, and sort of learning from others is I was once [00:23:35] at a friend of mine, had a PR company, and he [00:23:40] was unfortunately, we lost him in 2008, [00:23:45] but he was one of the most inspirational people [00:23:50] that I I’ve ever met. But I [00:23:55] don’t know, I should tell this story, but I’m going to say it. You can cut it if you want to. So, um, so [00:24:00] we were we were at lunch, so it was me and, uh, my buddy al, and, uh, [00:24:05] my friend, and he he said I was just going to the loo. He disappeared [00:24:10] for half an hour, and I was thinking, you know, you [00:24:15] know, um, and then he sort of turned up, we’ll look into sort of hot and sweaty and whatever. And I was thinking, Harry, [00:24:20] what the hell you do? You know, we’re having lunch. What you doing? You went for a dump in this. You know, a wrestle [00:24:25] or whatever. Yeah. No no no no no, I, I, you know, I met this girl [00:24:30] as I was going to the loo, and I took her downstairs and I was shaking [00:24:35] her and then I came back upstairs as you do the deed. Go on. And then and [00:24:40] then and then the thing is. But he’s he’s always been like this. He’s always kind of. [00:24:45] He was, you know, um, he had millions invested, you know, with [00:24:50] a.com bubble and, um, you know, the ladies used to just fall to [00:24:55] his feet. So. And the other thing is from being brave, um, [00:25:00] and again, this is, you know, whether you’re a dentist or, uh, [00:25:05] in the dating world or anything, it’s all kind of quite similar. You have to step out your [00:25:10] comfort zone. So I actually started studying dating, and actually [00:25:15] after a few years of study, I actually became a dating coach for a few years. So really fast [00:25:20] forward I was.

Payman Langroudi: In how.

Hap Gill: Interesting. I was in Sweden, um, in Stockholm, [00:25:25] and I was my special area was, uh, but you [00:25:30] didn’t think you were going to hear this out of my voice? Um, so my special area of interest, [00:25:35] uh, my speciality, not GDC qualified. My speciality, um, [00:25:40] was something called day games. So basically is where you seduce, um, girls [00:25:45] when you meet, um, you know.

Payman Langroudi: In the.

Hap Gill: Street, basically.

Payman Langroudi: Anyway, the pickup [00:25:50] artist.

Hap Gill: Things that you watch, all that kind.

Payman Langroudi: Of stuff on YouTube.

Hap Gill: And funnily enough, what [00:25:55] I learned there and the communication is when my business really [00:26:00] took off as well. It’s almost like this. It’s kind of like as [00:26:05] the dentist as as the, um, you know, as the guy [00:26:10] trying to pick up the girl. Um, it’s a lot of times when you grow up, you almost kind [00:26:15] of think that you have to impress the girl or patient comes in for a consultation. You have to impress them by [00:26:20] your qualifications. But no, it’s like I choose you as a patient coming to this [00:26:25] practice and there are certain things that you. But I’m a bit older and grumpier now, so I can [00:26:30] do.

Payman Langroudi: I never thought the Dental Leaders podcast would give us these skills, but take me through some of the Dating [00:26:35] Day game, uh, principles and then relate them to dentistry like [00:26:40] the one you just said.

Hap Gill: The thing is, you know what? You, um.

Payman Langroudi: Let’s say you see a girl in the street. Let’s [00:26:45] start there.

Hap Gill: There’s a couple of approaches. Okay. So one, the [00:26:50] approach that I don’t like, which is basically go up to her and say, you know, what’s the time? And, [00:26:55] you know, just kind of like that’s called an indirect approach. And that’s really about, um, [00:27:00] sort of it’s almost kind of like linking into what your, your, what you’re going to actually what you [00:27:05] actually want to say. And my preferred way of doing it is, um, going up [00:27:10] to goal and just kind of always kind of you have to go from the front because it’s from the, from the back, [00:27:15] you kind of cause surprising surprise him. So you just, you know, you’re just going to stop them [00:27:20] like that, and you say, you know, I just couldn’t. I couldn’t let you walk by. But, you know, without telling you [00:27:25] that I think you’re the most beautiful girl I’ve seen all day. And, um, [00:27:30] it kind of stops them in their tracks. It’s a very alpha trait, very manly trait that you need to have. [00:27:35] And then from there, you can link into, um, [00:27:40] you know, what are you up to today? And then what you need to do is you need to communicate [00:27:45] that you are successful, and a leader of men is the other thing. [00:27:50] And the way that you communicate that is that. Oh, I you know, I’m [00:27:55] just off to.

Payman Langroudi: Um, see my crew.

Hap Gill: Yeah. You say that. I’m [00:28:00] just. You can say that I’m off to my dental practice. I’ve got, you know, appointment. My patient is [00:28:05] waiting for me. Or you can say, you know, I’ve got a lecture to prepare for is that kind of thing. Um, [00:28:10] and then, um, you know, you link to, um, [00:28:15] what you like about them. Okay. And again, relating to this to the patients [00:28:20] is, um, you know, you’re listening to the patient. You’re telling [00:28:25] them. Um, it’s almost as though right at the beginning [00:28:30] you’re almost saying, you know what? I don’t even know whether I can help you or not. And you have got to be really, [00:28:35] really genuine with it. Uh, does that make sense?

Payman Langroudi: Yeah.

Hap Gill: Of course. You know, it’s not saying, you know, [00:28:40] I can do this and show you a whole bunch of before and afters. It’s kind of, you know what, don’t you? And you have to [00:28:45] communicate. You know, I don’t even know whether I can help you or not. And, you know, all of these, you know, I [00:28:50] told you that I met, uh, Deville on a, um, my wife had [00:28:55] a sort of, you know, drunken Friday night out in vodka revolution. And the thing is, um, [00:29:00] I actually went out. Funny is when we first started dating, within a month, I [00:29:05] was actually out in Stockholm doing this kind of thing, and she just did not understand what I was saying. But anyway, that’s another [00:29:10] story. Um, but the thing is, she always said to me, you never did any of those lines on [00:29:15] me. You never did any of those. So I said, did I do this? I said, yes. Did I do this? Yes. So I went [00:29:20] through it all. But you were talking to my friend. You had your back turned to me and I said, [00:29:25] this is. This is what happens. This is the game. You know, this is what you do. And again, when it’s treated [00:29:30] to patients, it’s that lack of desperation. Yeah. That sort of air [00:29:35] of sort of, you know, um, it’s not arrogance because you’re actually listening, but, you know, there is [00:29:40] no there’s no desperation for you to, you know, take this, uh, uh, patient [00:29:45] on. And I remember, um, and the thing is, [00:29:50] you know, beauty is very common.

Hap Gill: Okay. You know, there’s beautiful girls [00:29:55] everywhere, but, you know, there’s always got to be a reason and [00:30:00] and why, you know, you choose a girl, and the girl has to convince you, [00:30:05] um, why you should choose her. And it’s the same with sort of with, with [00:30:10] patients as well. And one of the things that one of the things that I say, it’s an [00:30:15] Invisalign consultation. Um, one of the questions that I would [00:30:20] ask is, um, you know, I would explain [00:30:25] the system, what my TCO would explain the system, and, and, um, [00:30:30] and she would ask, you know, do you think you can do this? Okay. [00:30:35] And then the patient says, yes, that they they can do this. And then but [00:30:40] she follows up that question by saying, um, why do [00:30:45] you think you can do this? What is it about this system that you like? So they almost justifying it in their [00:30:50] brain as to why they can do this. And then it’s things like we will show, um, [00:30:55] samples of completed cases and say, you know, is that kind of what you’re looking for? Yeah. [00:31:00] And, uh, and then the patient says, yes, but again, uh, [00:31:05] you know, my tissue would say, um, what is it about these [00:31:10] these patients smiles that you like. So. It’s kind of getting really into their. Sort of [00:31:15] emotional side. And at the end of the day, this is not manipulation because the patient is the one that [00:31:20] really wins. Yeah. Always.

Payman Langroudi: Yeah. Does it extend [00:31:25] to the practice itself as well? I mean, is there is there like [00:31:30] a, um, idea that, you know, you know, we we’re not [00:31:35] we’re we’re fully booked sort of this sort of thing.

Hap Gill: Like, I mean, the thing is, we [00:31:40] one of our sort of, um, when we do our communication days, [00:31:45] uh, we do our team training days or our team meetings, one of the things that I [00:31:50] always say to, um, all of the team is, you know, you can say [00:31:55] no to a patient. You know, we are, um, you know, we don’t, um, [00:32:00] we only do dentistry. The patients need or want. Okay. [00:32:05] Um, we are proud of our fees. Um, [00:32:10] you know, we were blowing hard for it. We got very, very high standards. [00:32:15] Uh, but one of the things about, you know, I, you know, the point I do want to make [00:32:20] is especially with the new team that kind of start on. And I do [00:32:25] my philosophical induction, um, is that, you know, we’re not desperate, [00:32:30] you know, and we should never communicate this. As I said, [00:32:35] it’s a bit like dating.

Payman Langroudi: So Patty Lundy says to have some stuff about that. You take the [00:32:40] sign off the door and lock the door and. Yeah. And only accept patients [00:32:45] by referral.

Hap Gill: Yeah. We’re not, we’re not, we’re not quite like that. Yeah, we’re not quite like that.

Payman Langroudi: But it’s interesting, [00:32:50] it’s an interesting thing. And you know the non Dental cuz. [00:32:55] Yeah I mean I find it very interesting that what you’re saying in such as, I like the [00:33:00] idea of looking at other industries and trying to pull over things that [00:33:05] you learn from those other industries. And for me, now, I like food and restaurants and all that. [00:33:10] Right? So I’ve gone really deep into the whole, you know, hospitality world. Yeah. And [00:33:15] amazing lessons. You learn very similar lessons. You know, you get the old chefs complaining that the new [00:33:20] chefs are only interested in sous vide cooking or something, you know, like a kind of composite bond that, [00:33:25] you know.

Hap Gill: Have you ever watched. And this is our guilty pleasure below deck?

Payman Langroudi: No. [00:33:30]

Hap Gill: What’s that? Okay. You got to watch it. So it’s basically a superyacht worth probably about £200 million. [00:33:35] And then you pay. I think it must be about 100 grand for [00:33:40] every night that you so. So people hire it. Um. And it is. [00:33:45] So you’ve got the captain, and then you’ve got the crew that services [00:33:50] the guests, and then you’ve got the crew that services the boat. And the dynamics [00:33:55] I find is very much like working in a dental [00:34:00] practice. And, you know, yes, we do the five star service in, in [00:34:05] our practice. But if you ever watch that, it’s going to make you chuckle because you’ll see [00:34:10] so many of your of yourself in the captain and [00:34:15] so many of your team, team in the crew. And there’s lots of lessons [00:34:20] to be learned, um, from, from watching that. So yeah, you can extrapolate that into a dental practice. [00:34:25]

Payman Langroudi: So let’s talk about team management and communication with the team. Um, [00:34:30] you know, you must have been in practice for 30 years or more even.

Hap Gill: I’ve got to tell you a story. [00:34:35] So I think this is around about sort of November, about seven and a half years ago. Yeah. Um, [00:34:40] three of my team resigned in one week, so one resigned on a.

Payman Langroudi: Monday purpose [00:34:45] or.

Hap Gill: One resigned on a Monday. One one resigned on a Tuesday. The [00:34:50] one the last one was on Friday.

Payman Langroudi: But they do it together at the same time on purpose. No separate.

Hap Gill: Separate [00:34:55] thing. Completely separate. Yeah. And I thought, you know, I thought I was a running a great team and sort [00:35:00] of everything was hunky dory. And you know, we all got on really well. And, you know, I used to buy them cake and, you know, [00:35:05] take it for a drink and all that kind of stuff. Yeah. Um, but you know, the feedback. So I got [00:35:10] the last one was on Friday is, um, so [00:35:15] basically, um. So [00:35:20] the last night on Friday, I said, look, you know, I said, why, you know, what’s going on? And she [00:35:25] said, you know, I, you know, this is not for me anymore. It’s the the I’m [00:35:30] not getting on with this girl and I’m not getting on with that person. I’m not getting on with this person. And then [00:35:35] I called up the one that finished on Tuesday, and then she said the same thing. She wasn’t getting on with [00:35:40] the same the the same person, and they did not want to be in that environment. [00:35:45] Yeah. Um, and I was thinking, oh my God, I thought they were all getting on. So I thought, I’ve got [00:35:50] to do something about it. And then so what, what we did, um, from there [00:35:55] is I kind of sat down and I thought, [00:36:00] you know, we’ve got to kind of build a team that gets on, that [00:36:05] has a common purpose and a reason as to why they’re doing it.

Hap Gill: Um, [00:36:10] so we did. I thought we’d do a, um, a, um, morning [00:36:15] together. So we went to the, um, uh, I had, um, [00:36:20] the, uh, what is it called? One of the board rooms at the Peacham Hotel. Uh, just [00:36:25] up the road in Richmond. Um, and one of the most important things that [00:36:30] we worked on was getting to know each other. Okay. And then what [00:36:35] we do is we partner up, and then we, um, there’s a [00:36:40] list of questions. Who’s in your family, where you grew up, why [00:36:45] you work, and you’re not allowed to give the reason for money. Okay. Um, what [00:36:50] would your ideal job be? And then, um, what lessons did you [00:36:55] learn from growing up? And there was another question. I think it was something like, what? What what do you want from [00:37:00] your team-mates? Okay. So, um, so the you [00:37:05] get paired up and then you interview each other. Okay. Yeah. So this is actually [00:37:10] a trust exercise. And it was a listening exercise as well because your partner. [00:37:15] So they would stand up and you would introduce them and you would read your notes. [00:37:20]

Payman Langroudi: To.

Hap Gill: The group. To the group. Okay. So this is really did you, did you understand [00:37:25] what what the other person was about? Yeah. Okay. And then the two things that blew me away. Not everyone [00:37:30] always got the accurate information down. The other thing is, it’s the first time they found [00:37:35] out about stuff in each other. Even though they’ve been working for years. Yeah. This is the first time they knew [00:37:40] how interesting, you know, and it’s things and it’s little things. Like one of them, you know, had a, you know, a 605 [00:37:45] train. And then she was always late for it. And she got in the hunt because the next train was at six. [00:37:50] So it was little things like that. So sometimes if she could just get off a little bit early. Okay. [00:37:55] So it was just little things like that. And there was other little things like, you know. You know, I’m not in [00:38:00] this day. Please, can you check the workers in? You know, little things like that? Yeah. [00:38:05] And then one of the things that I did, um, also was [00:38:10] I just, I really wanted my team to understand why [00:38:15] I do this stuff.

Hap Gill: Okay. And then I played a video of, um, [00:38:20] a few smile reviews and, and, um, some testimonials. [00:38:25] Then I then I asked, you know, how did you feel watching that? And they all basically [00:38:30] felt warm, gooey feeling. And it’s good to do this for our patients. Um, [00:38:35] and I said, that is why I do it. Okay. There’s lots of ways to make money, [00:38:40] but that is the reason why I do it, because you’re making a little bit of a difference to people’s lives. Um, and they [00:38:45] continuously that’s the feedback that we get from our patients, whether [00:38:50] we improve their smiles or they can eat steak again or whatever. Um, [00:38:55] so that’s the other thing that we, um, worked on. And the other thing is we tend [00:39:00] to work on is the financials as well. Um, you know, everyone in the practice knows [00:39:05] how much it costs to run the practice. And again, it blows them away. Uh, [00:39:10] you know what we’re actually paying for, you know, sort of, you know, everything from the rates to, [00:39:15] you know, all the materials and and so on.

Payman Langroudi: Do you are you open with the Ebit [00:39:20] number.

Hap Gill: The.

Payman Langroudi: The [00:39:25] profit.

Hap Gill: Um, we we [00:39:30] do well.

Payman Langroudi: Know you open with the team on the Ebit.

Hap Gill: Number. Oh, the Ebit number. Oh [00:39:35] yes. Yeah.

Payman Langroudi: Yeah.

Hap Gill: So the team stability and the profitability. Yeah. They know all about that. Yeah [00:39:40] I.

Payman Langroudi: Find.

Hap Gill: That useful. Yeah they do that. And we and we do um exercises [00:39:45] about sort of uh, one of my, um, the [00:39:50] ones we did last years, you know, you’re running a, you’ve got a, you’ve got a costume shop, it’s Halloween. You’re [00:39:55] really, really busy and you need to employ one more person. It will [00:40:00] cost you. Um. You know that much to employ this person for the two weeks run up to Halloween? [00:40:05] Would you employ them? So they all said yes at the beginning. Okay, but when I gave the numbers of the [00:40:10] of the of that costume store and what actually how much extra revenue they need to generate [00:40:15] to employ that person, they all said no. Yeah. So it’s interesting for them to get into [00:40:20] the dynamics of, you know, the, uh, actually, you know, what it costs to run [00:40:25] a, uh, you know.

Payman Langroudi: Oh, well, while we’re here in this part of the port, let’s [00:40:30] get to the errors part. Yeah, we like mistakes. I want to hear management [00:40:35] errors you’ve made in your time and what you learned from them.

Hap Gill: Business management errors, management errors. [00:40:40] So I think that’s what I was sort of saying. Um, referring to earlier [00:40:45] on I wasn’t I wasn’t sort of in there managing as much as I, um, [00:40:50] should be. Um, hence I didn’t know what was going on with the team dynamic. So that’s one [00:40:55] of the things that, you know, mistakes I mentioned before.

Payman Langroudi: Do something about that person who is pissing [00:41:00] everyone off.

Hap Gill: Um. So [00:41:05] on Jazz’s first day, my first [00:41:10] day of work, I find that person. And she was [00:41:15] shouting and swearing at me, and, uh, jazz is in the room next door. It was about quarter [00:41:20] nine. And you’re saying, what the hell is going on here? So. But I mean, I you know, the thing is, I [00:41:25] always, you know, um, firing people. I think you have to do [00:41:30] that in a in a nice way as well. And I, and I hope I, I’ve done that over the years [00:41:35] and in a, in a sort of.

Payman Langroudi: It’s a tough part.

Hap Gill: Of it. It’s a tough part of the job. But you know I, you know, necessary. [00:41:40] Yeah. Necessary part of the job. But the thing is, you know, I always kind of I’m paraphrasing here now, I always [00:41:45] kind of say, you know, um, it’s, you know, you know, [00:41:50] we’re we’re this is just not the right place for you. You know, I’m hoping we can remain [00:41:55] friends at the end of all this, but this is not the right environment for you. You know, that’s how [00:42:00] we tend to.

Payman Langroudi: You ever had to fire someone who laid their life down for you?

Hap Gill: Uh, no.

Payman Langroudi: I [00:42:05] have, and I was talking I interviewed the of of fear from uh, uh, [00:42:10] Pearl. Pearl. I yeah, he he his first company, they sold [00:42:15] for $3 billion or something. And then this one, he’s growing. And [00:42:20] I asked him that question and he said every single person he’s fired. Yeah, has laid down their lives [00:42:25] for the company because by the time it gets to him. Yeah, that’s that’s the [00:42:30] person that they’re having to fire. Yeah. And it’s tough man.

Hap Gill: It’s it’s it’s really [00:42:35] difficult.

Payman Langroudi: There’s someone who’s done something gone way above and beyond. Yeah, yeah, that [00:42:40] I remember when when that thing happened, I thought, this person is going to be with us till the end. Yeah, but then [00:42:45] the job outgrew that person. Yeah. And, and and, you know, it’s it’s even harder. And yet, [00:42:50] if you want to be the leader, that’s one of the roles, right?

Hap Gill: That’s one thing. Are you friends with any [00:42:55] of your employees?

Payman Langroudi: Yeah, yeah. Unfortunately, I’m too friendly with all of my employees.

Hap Gill: Yeah. So [00:43:00] that’s what I mean. So, you know, with friends, have you had them around for dinner and sort of. Yeah. So.

Payman Langroudi: But then we’re a partnership. [00:43:05] Yeah. So in a partnership, it’s different because you can have a good cops and bad cops. Yeah. And [00:43:10] and and all of that. Yeah. You know, we’ve had people stay here for 15 years or 16 years. [00:43:15] You end up becoming friends. Right? There’s no doubt about that. But I don’t know. So, man, that [00:43:20] that was one era. Um, did you ever think. I mean, did you ever think of [00:43:25] having more than one practice? Because if you’ve got more than one practice, you certainly haven’t got [00:43:30] oversight over everything that’s going on.

Hap Gill: I mean, one of.

Payman Langroudi: Are you too much of a perfectionist [00:43:35] for that?

Hap Gill: So you know what it is. It’s quite often [00:43:40] I do I do hear, you know, bandied around that you can brand certain [00:43:45] types of dentistry. I mean, I don’t think you can. Uh, there is branding [00:43:50] in dentistry, but if you look at, say, an orthopaedic surgeon, uh, if you look at [00:43:55] an obstetrician, um, you know, how do you brand that? You [00:44:00] know, it’s there is a certain type of patient that will seek you out, and [00:44:05] that’s for what you do in your reputation. I remember going back to when, [00:44:10] um, Arian was, was, you know, uh, was pregnant with Arian, and we were [00:44:15] looking for an obstetrician. And our criteria wasn’t this sort of branding or who [00:44:20] the cheapest guy is in town? I was asking my doctor mates, you know, who would you recommend? [00:44:25] Um, so having another practice, um, [00:44:30] unless it is very, very local, you kind of walk in between. And you did a couple of days here and [00:44:35] a couple of days. It would be very, very difficult to replicate your, your service, um, in both [00:44:40] those practices.

Payman Langroudi: I hear you, I hear you and and by the way, there’s nothing wrong [00:44:45] at all with one A perfect one. One place that you’re perfecting, continually [00:44:50] perfecting. Yeah, yeah. It’s one of the wonderful things about our our job that [00:44:55] you can in one practice. Have a great life, wonderful life. But [00:45:00] you accept that if I walk into a Louis Vuitton in [00:45:05] Mumbai. Yeah, or in Los Angeles shop, I [00:45:10] don’t give a damn. But let’s imagine I’ve never been to a Louis Vuitton show. But you [00:45:15] accept the experience will be the same.

Hap Gill: And that’s what.

Payman Langroudi: I’m saying in that.

Hap Gill: Limited field. That’s [00:45:20] why I say you can brand the practice.

Payman Langroudi: Yeah, no, but I agree with you because I’ve had I’ve [00:45:25] had someone sitting here a corporate type, and he was saying, yeah, the experience [00:45:30] is the same in all whatever number of sites it was. And then it came [00:45:35] down to when I asked the questions, it turned out the experience before you get to the dentist. Yeah, [00:45:40] it’s the same. But once, once they’re through that door, the experience he’s got, [00:45:45] he goes. And he abdicated it into total clinical freedom. Yeah. So [00:45:50] so, you know, the experience could be all sorts of different things based on based on that. So I accept.

Hap Gill: That. [00:45:55] I mean, the thing is you can have systems for how to how to answer the phone, how to welcome someone, how to [00:46:00] say.

Payman Langroudi: Hi, clinical systems to.

Hap Gill: Know. Yeah, you can have clinical systems.

Payman Langroudi: I’m sure you’ve got loads of clinical [00:46:05] systems, right. That you’re teaching your associates.

Hap Gill: Yeah. They I mean you know what to do in [00:46:10] say, you know, an attachment and delivery appointment. This is the way that I do it. How to do retainers and [00:46:15] so on. I do you know, try and.

Payman Langroudi: You know, photography co diagnosis all [00:46:20] the first parts anyway you can.

Hap Gill: So TCO tends to handle that. So [00:46:25] she’s got all the forms and she’s fantastic.

Payman Langroudi: Uh but then there we are. So, so we could, we [00:46:30] could copy and paste your practice if we wanted to. I know I’m not saying you want to, but [00:46:35] if you wanted to. Do you think it’s possible?

Hap Gill: Yeah, I think I think you could, depending on who the clinicians [00:46:40] are. And, you know, hopefully they’ll be better than me. So.

Payman Langroudi: Yeah. Do you think [00:46:45] you’re good at hiring?

Hap Gill: Oh my goodness. Um. I’m getting better. [00:46:50] Um, I used to do it on a kind of like a like a gut [00:46:55] feeling, and, you know, not always check the references and all that kind of thing, but I’m a lot stricter [00:47:00] now, and, you know, we had to. I’m always insisting on a trial period now. And we had [00:47:05] to, uh, let someone go a couple of months ago because she just wasn’t was [00:47:10] that front desk. And she just wasn’t just wasn’t getting what we were, what we were.

Payman Langroudi: What about dentistry? [00:47:15]

Hap Gill: Uh, dentists?

Payman Langroudi: Um, is it easy? Is it? Can you can [00:47:20] you tell quite quickly when you’re talking to, let’s say, a young dentist or a specialist that [00:47:25] they, they, they’re the right kind of person? Or have you made mistakes in that area?

Hap Gill: So [00:47:30] can we chat as an example? So jazz um, I first [00:47:35] met on Twitter of, you know, um, back in the day. That’s got to be [00:47:40] when he was a dental student. Oh, really? So he asked me a few questions, and, uh, apparently [00:47:45] he was asking lots of dentist questions, and, um, he was, [00:47:50] um, you know, he was asking lots of questions. I was the only dentist that replied [00:47:55] to him. I can’t even remember what it was. I think it was something to do with what shall I do? And I basically said the [00:48:00] same thing. I said, learn communication, you know, learn business before you develop [00:48:05] your clinical skills. So we had a bit of turn for England Twitter. And then I think [00:48:10] he popped in one summer holiday just to hang out with me as well. So I [00:48:15] knew he was a lovely guy. I knew he was a really nice guy, and he was really keen on [00:48:20] learning and doing dentistry to the best of his ability. So, uh, [00:48:25] once he qualified, he was kind of hinting at wanting to [00:48:30] work with me and what I, what I actually did with him was I encouraged him to work [00:48:35] elsewhere, uh, basically make some mistakes elsewhere.

Hap Gill: And then you come back to see me. So he actually went to [00:48:40] Singapore and had a great time, and then he came out and joined that practice. But [00:48:45] in answer to your question, I’ve never had to advertise for a role. I [00:48:50] do put posts on Facebook, but it’s always from word of mouth. Um, you know, drew [00:48:55] normally recommends someone or somebody that I know recommends [00:49:00] somebody or, you know, one of my associates recommended an endodontic, uh, that work [00:49:05] for us and so on. It’s that kind of thing. And we’re looking, uh, we were looking for an orthodontist. One [00:49:10] of our therapists recommended the orthodontist. So, you know, there’s lots of things. Sort of, um, [00:49:15] that’s the kind of the way that I’ve kind of found clinicians. [00:49:20] Um, and, you know, we are gently, sort of softly [00:49:25] looking for another associate at the moment. But, you know, you know, I will, you know, [00:49:30] I will, um, again, you know, we’re not advertising for one. [00:49:35] Uh, we’ll if I bump into someone interesting at a meeting [00:49:40] or, you know, an event or someone. I will certainly pursue that. [00:49:45]

Payman Langroudi: What about clinical errors?

Hap Gill: Clinical errors? Oh my goodness. How [00:49:50] long you got?

Payman Langroudi: Not that one. Let’s get the juicy ones.

Hap Gill: Um, [00:49:55] so I suppose that the only real kind of error [00:50:00] I’ve made really, is there was a [00:50:05] a lady. Um, this is going back probably about [00:50:10] 15 years ago, and she had, um. Org Laurentia was [00:50:15] Laurentia was really, really poor prognosis. And, um, [00:50:20] so and the funny thing is, one of these patients didn’t have a lot of money. So we [00:50:25] we had helped her out with perio treatment and she said, look, you know, you just don’t worry about, you know, paying, [00:50:30] you know, when you’ve got money, just, just you can sort it out. And then it just came to [00:50:35] a head where we needed she needed treatment. See, these lower centres were just going to be gone. [00:50:40] They were just. You can almost like, play them like piano keys. And I said to her, look, you know, we [00:50:45] can do. I mean, she needed, you know, them out. She needed full period treatment. She implants it. I [00:50:50] said, look, as it kind of like an interim. What we can do is, um. So my [00:50:55] plan is to make a Maryland, um, but to use the actual her teeth as [00:51:00] the kind of the pontic. So, Nick, nip off the ends of the teeth.

Payman Langroudi: Okay. 3 to. [00:51:05]

Hap Gill: 3. Uh, so it was actually 2 to 2. Okay. So I was gonna keep the twos [00:51:10] and then nip off the end of the of the ones. So I did that. Proud of my work. Was [00:51:15] solid for many years.

Payman Langroudi: So what do you do? You send that tooth to the technician?

Hap Gill: No, no, I [00:51:20] did an impression. Yeah. Uh, which is not easy in in in wobbly teeth. So lots of wax, [00:51:25] etc.. And then I got the plate made. So the plate, you know, the wings on the four teeth. [00:51:30] Yeah. And then I bonded them on. Oh, um, [00:51:35] you know, the usual Panavia. And then I nipped the ends off, the roots off, and then that was [00:51:40] it. Okay. And I said, you know what? When you have the money, when your parents have the money, just we’ll sort it out properly. And [00:51:45] I’ve got an email five years later complaining five years later, what [00:51:50] I’ve done was nicking those two teeth. I nicked the laterals as well [00:51:55] to notch them. So she had her dentist tried to save them and, uh, [00:52:00] ended them. But those were failing as well. And, you know, I rang up and definitely [00:52:05] put my hands up and said, look, I made a mistake. Just sort this out. And they they [00:52:10] just dealt with it. That’s the worst, uh, mistake that I can, you know, think [00:52:15] of, uh, clinically that I’ve.

Payman Langroudi: I will accept.

Hap Gill: That.

Payman Langroudi: It’s nice [00:52:20] when it’s interesting. Yeah, it’s interesting, but nicking a tooth, man, with all [00:52:25] the treatments you’ve done. Yeah. Nicking a tooth can not be your worst story.

Hap Gill: No, [00:52:30] I mean no. All the treatments I’ve done. No, I can’t think of any sort of mistakes. [00:52:35] I mean, you know, yeah, sometimes treatment doesn’t work out, but it’s not actually a human [00:52:40] error. It’s, you know, stuff happens, but this is my error.

Payman Langroudi: You haven’t made a bigger mistake than nicking [00:52:45] the tooth next door to something.

Hap Gill: No, I can’t think of it.

Payman Langroudi: I’m going to leave you to reflect [00:52:50] on that.

Hap Gill: I can’t, I can’t think of anything. I’ve not filled the wrong tooth. I’ve not taken [00:52:55] the wrong tooth out.

Payman Langroudi: No, no. But like you made a decision. You know, you said be brave. Yeah. Okay. [00:53:00] You be brave. Sometimes that goes the wrong way. Yeah. So let’s talk about that. You did something. [00:53:05] You were being brave. It didn’t work out.

Hap Gill: I just cannot think [00:53:10] of anything. Honestly, I would, you know, honestly, I.

Payman Langroudi: It’ll [00:53:15] come.

Hap Gill: It’ll come. I don’t know what I mean. I mean, the thing is, [00:53:20] I’ve, um. You know, I’ve been doing this a long time. Or maybe the patience kind of [00:53:25] just kind of. That’s true. Politely sort of disappeared and went to see another dentist.

Payman Langroudi: I think, you know, after. [00:53:30] How long do you think it takes to get to that level of not your level of mastery, but the first. [00:53:35] Level of mastery, I’d say ten years.

Hap Gill: I would agree [00:53:40] with you. Ten years. Um, and the other thing is payment. You got you got to [00:53:45] be in the same practice. You’ve got to see your patients come back. That’s really, really important.

Payman Langroudi: Think about that. [00:53:50] Tell me about treatment modalities. I mean, surely during the, um, Rosenthal days, you were [00:53:55] cutting veneers that then came back even, let’s call it 15 years later, [00:54:00] with failure and veneers, failure tends to tends to be sort of a [00:54:05] staining failure.

Hap Gill: The funny thing is I there [00:54:10] were teeth being prepped that should not have been prepped. It was ortho that they [00:54:15] really needed. Yeah. Um, and.

Payman Langroudi: Not that adults were accepting training.

Hap Gill: Textbooks. [00:54:20] They weren’t. They weren’t they weren’t accepting it. So, um, [00:54:25] yeah, we, I mean, I, I’ve done the thousands of veneers over the years and, you know, [00:54:30] there is a really steep learning curve. And yes, we had. Excuse [00:54:35] me. Um, we had, um, you know, endo flare ups, um, here [00:54:40] and there. Um, but.

Payman Langroudi: I’m interested in this thing in the same practice for a long time [00:54:45] thing, there weren’t mistakes. But what things did you learn by seeing your own patients work? [00:54:50]

Hap Gill: Oh. Come back. So it was. It was things like, [00:54:55] um, it was, it was teeth where, you know, you were [00:55:00] heavily prepping the teeth. And a few years down the road they become non vital. And then [00:55:05] at the time you think you should really have sort of effectively done the endo on this tooth. [00:55:10] Uh, there were things like sort of when you were being really heroic on heavily filled teeth. [00:55:15] Yeah. Where you should have, uh.

Payman Langroudi: Pull something.

Hap Gill: Yeah. Put a post [00:55:20] in there. Uh, on endodontics, it was mainly endodontic teeth. And [00:55:25] the teeth kind of came off in there in their cause. Um, it was mainly that [00:55:30] kind of thing. Um, and you have a patients also, um, [00:55:35] that suddenly develop caries between the teeth. Um, that was, [00:55:40] that was another one. We’ve got one at the moment where we did the veneers. Maybe around about. [00:55:45] Uh, well, actually, that was a full mouth case about ten years ago. And for [00:55:50] personal reasons, you’re not looking after himself. And now he’s got caries between each tooth, and he’s [00:55:55] got perio issues, things like that. But I think I must have done an okay job [00:56:00] if most of the veneers are still there. Most of the crowns are still there. Yeah. [00:56:05] Or as I said, you know, maybe it’s that they’ve just kind of moved and and not, not come [00:56:10] back. But the thing is, you know, you’re you’re going to do stuff that doesn’t work. You know, [00:56:15] implants don’t always work, you know? And, uh, you know, being [00:56:20] at the same practice, I think one of the things that [00:56:25] you have.

Hap Gill: I’m not sure whether you can relate to this, but it’s kind of there’s [00:56:30] this like this family trust, this bond that you have with patients. Of course. Um, [00:56:35] and then, you know, if you do screw up, the patients are, um, [00:56:40] I’m not saying they’re going to forgive you, but, you know, one of the things that you should do is the right [00:56:45] thing. You know, and you know, whether it’s a year under the guarantee or whether it’s five [00:56:50] years later, you would know what the right thing to do is for your patient. For sure. Um, you know, we’ve had [00:56:55] associates left, um, and their work hasn’t failed, and [00:57:00] it’s sort of 3 or 5 years down the rent. It’s on me. I mean, I’m not going to chase the associate for it. I’m just [00:57:05] going to redo it, and that’s that’s absolutely fine. That’s just the way that I am. Mhm. Um, [00:57:10] you know, I think one of the beauties of being in the same place for [00:57:15] generations is, is that trust and that relationship you have. Uh.

Payman Langroudi: We [00:57:20] can’t let you go without talking about occlusion. You know, I, I’d like a [00:57:25] couple of sort of aha moments, you know, one, 1 or 2, your [00:57:30] own aha moments and occlusion. And 1 or 2 that, you know, you’ve talked to so many dentists [00:57:35] about occlusion things that most dentists didn’t know, or things that sort of tweak someone’s [00:57:40] understanding of occlusion because it’s such a giant subject. And it’s a very unfair question. [00:57:45] Yeah, it’s a giant subject, but at the same time, it isn’t [00:57:50] rocket science, right?

Hap Gill: Yeah. I think one of the things that I, um, [00:57:55] the aha moment was when I really understood anterior guidance. [00:58:00] Um, not necessarily canine or group or whatever. Just make sure that it’s smooth. [00:58:05] And, you know, I’ll give you an example. We talked about bonding earlier. You know, the [00:58:10] sort of the the the upper right one distal angle you put a composite on, it [00:58:15] just keeps on chipping. Yeah. It just keeps on chipping. You don’t know what the hell’s going on. And then, um, [00:58:20] of course you go to pinky. You think you can cure cancer when you come back? One of the things that you do [00:58:25] learn is about, um, anterior guidance, which I think is more important [00:58:30] than than basically getting all the teeth to touch the teeth. Touch is important, of course. [00:58:35] Um, but one of the, one of the, um, things [00:58:40] about smooth interior guidance and these composites and these crowns that were chipping [00:58:45] was basically they were the patient was guiding and then getting beyond [00:58:50] the canine point. And there was a sudden thump like that. It was a crossover [00:58:55] point. So one of the things that I was not checking was what happens beyond which, which teeth do they [00:59:00] land on once they go beyond that? So you’re doing it? I’m trying it.

Payman Langroudi: You’re doing it.

Hap Gill: So. [00:59:05] And then and then of course I’m looking. So once I got this after [00:59:10] pain, um, pancreatitis. Radar, you know that something’s switched on. So I’m looking. [00:59:15] And then, of course, you know, these composites and these crowns are chipping you. [00:59:20] The patients are struggling to to to to to get how [00:59:25] that canine and when they get when they go across that it’s just suddenly going on the other side. So if you imagine [00:59:30] that’s a canine. Yeah. It’s struggling this steep guidance and then it gets the other side and it’s doing [00:59:35] that.

Payman Langroudi: Kind of force.

Hap Gill: Yeah. And then and then it all bashes on the front there. Okay. So it’s [00:59:40] I think anterior guidance, um, the pitch and the bevel of the [00:59:45] incisors, making sure that everything’s all smooth. I taught jazz that it was blown away, so. [00:59:50] Oh, my God, my composites are going to work now. Um, so again, you know, just looking at the [00:59:55] sort of the, the sort of, uh, microscopic, the micro anatomy of the teeth [01:00:00] in creating smooth sort of, um, um, you know, as [01:00:05] opposed to a square in size or ledger. It’s just sort of just smoothing those ends off so you can kind of [01:00:10] get that smooth sort of guidance across. So hopefully that makes sense to you.

[BOTH]: Yeah. [01:00:15] Yeah yeah yeah.

Payman Langroudi: You know I love I love you know the idea that you know that form follows function [01:00:20] sort of you know, the reason why the smile.

[BOTH]: Is the smile.

Payman Langroudi: Is.

[BOTH]: Really.

Hap Gill: Good. [01:00:25]

[BOTH]: Looking to.

Hap Gill: Uh, work well as well.

Payman Langroudi: Yeah. Yeah, yeah, yeah. Um, unless, of [01:00:30] course, it’s the common mistake of where we were talking about composite bonding. Yeah. Someone’s got a few chipped [01:00:35] teeth, and the dentist just fixes those.

[BOTH]: Yeah.

Hap Gill: And [01:00:40] why are they chipping?

[BOTH]: Why are they chipping?

Payman Langroudi: Chipping and.

[BOTH]: Much.

Payman Langroudi: Much weaker than [01:00:45] tooth.

[BOTH]: Raising.

Payman Langroudi: Yeah, it is going to break.

Hap Gill: Yeah. Composite bonding is. [01:00:50] I mean, composite resin restorations. Uh, I know it’s been branded as a composite bonding now, but it’s [01:00:55] a wonderful material. But, you know, you can’t just go slapping [01:01:00] this stuff on willy nilly. Um, as I’m sure you’ve seen on.

[BOTH]: Yeah. [01:01:05]

Hap Gill: On your feet.

Payman Langroudi: What about other things in occlusion that that dentists kind of [01:01:10] that when you talk to a dental, when you explain it to a dentist, it kind of switches their [01:01:15] mind and understanding.

Hap Gill: I think these are real, simple principles. One [01:01:20] is smooth interior guidance. The other thing is getting properties properly [01:01:25] seated condyles in the central relation position. And classically you [01:01:30] may have one tip is check for interferences. Okay, so [01:01:35] get the patient into an arc of closure and which tooth is [01:01:40] which tooth hitting first okay. Especially important when you’re prepping [01:01:45] that tooth because if you’ve got rid of that interference the condyles are going to see. [01:01:50] So all the teeth are going to be touching more evenly. And guess what? Your crown [01:01:55] is going to be high when you come to fit it because you’ve lost that clearance and you always blame that. [01:02:00]

Payman Langroudi: So that’s the seven generally right?

Hap Gill: Seven. Yeah. Premolars as well. [01:02:05]

Payman Langroudi: He really really oh really.

Hap Gill: It happens in.

[BOTH]: I remember.

Hap Gill: As well. In sevens [01:02:10] you can get um horizontal slide in premolars. It’s kind of more of sort [01:02:15] of a lateral. Yeah. Lateral side really. Yeah.

Payman Langroudi: I had.

Hap Gill: No idea. And then, you know, how many, [01:02:20] um. You know any dentists that are listening to this? You know, premolars, the [01:02:25] virgin upper, uh, first premolar, vertical fracture. You [01:02:30] know, a lot of times you will see a wear facet on it. You [01:02:35] know, it’s it’s, you know, and that could be contributing. So it’s really anterior guidance [01:02:40] and just check for first point of contact if there’s any, you know, you know new patient comes in recall [01:02:45] exam. Just a little bit of sort of you know checking um a couple of things [01:02:50] like that. And then, you know, the, um, you know, and [01:02:55] again, they taught us, you know, in panky. Just start introducing a few of these concepts [01:03:00] to your patients. Otherwise, you know, your patient. What the hell is he up to? Just do a little bit, you know, at [01:03:05] a time, and then you. And then it’s part of your system, part of your examination.

Payman Langroudi: And do [01:03:10] you follow the panky ideas regarding sort of [01:03:15] breaking it to a patient that they might you might have to do full mouth dentistry compared.

Hap Gill: To [01:03:20] I mean, one tooth that is kind of like panky. Um, it’s [01:03:25] not all about full mouth, you know. It’s not. It’s not a [01:03:30] cult. Uh, you know, a lot of people think.

Payman Langroudi: People love it, man. I think that’s that’s a great [01:03:35] thing, right? Yeah. And the fact that they talk about personal development.

Hap Gill: Yeah, yeah, yeah. And the thing is, [01:03:40] I mean, you’re starting lectures at eight. Sorry. 745. Yeah. And [01:03:45] then your break for lunch, you’ve probably finished about six, a couple of hours off, and then you’re in the labs [01:03:50] grinding on teeth or splints or you’re in sort of group discussions and you’re completely [01:03:55] immersed in it. Um, and one of the things they do, you know, um, stress [01:04:00] is, as we were talking about earlier on, just talk to your patient like you [01:04:05] would do a family member. Give them the opportunity. Tell them that there’s [01:04:10] a whole bunch of stuff going on in your mouth. You’re not just doing your BP and then charting. Which amalgams. [01:04:15]

Payman Langroudi: I mean, would you say, look, if a dentist isn’t aware of all these things? Yeah, he might be [01:04:20] guilty of supervised neglect of that breakdown, that collapse of that bite. But would [01:04:25] you say the on the other side, there is overtreatment in some cases, like the the US way [01:04:30] of looking at all this is a bit different to the European way. Do you think that’s a thing or. No. [01:04:35]

Hap Gill: I don’t think I mean not not in the people, not certainly with the colleagues that [01:04:40] I hang out with. No.

Payman Langroudi: But in the US they tend to prep way earlier don’t they. [01:04:45] And there’s this almost idea of prep it while you can, while there’s still enough tooth there.

Hap Gill: Oh [01:04:50] yeah.

Payman Langroudi: And over here we kind of wait for things to break before we prep them and so on. Yeah. So [01:04:55] that can that way of thinking can.

Hap Gill: Lead you into, I think is I do know [01:05:00] what you’re saying. You know, you’ve got there’s a, there’s a I don’t know, let’s just say an upper for the, you know, a [01:05:05] cusp has pinged off, um, and what you want to do, you want to just replace that crown. You [01:05:10] want to do customer coverage on that tooth or is it other stuff going on. But you’ve got to have that knowledge. You’ve [01:05:15] got to have that radar switched on that, you know, there could be other [01:05:20] things that are happening. Um, maybe it’s insurance based. While [01:05:25] why they have more of the sort of extensive dentistry done over there, maybe [01:05:30] it’s a legacy of the NHS and people still have that mindset over here. But the thing is, if you’ve got [01:05:35] that knowledge, it could be, you know, just doing that crown could be neglect. [01:05:40] Yeah. Yeah. Okay. You know, they may need more work. They’ll they [01:05:45] may say no to you. They may say no. You know, no to your treatment plan. But at least you’ve got you’ve [01:05:50] had that conversation. You’ve given the opportunity that there’s there’s other stuff going on. And if [01:05:55] we just treat this you’re only going to be back. I mean, all my sort of rehabilitative. [01:06:00] Well, actually, most of it is done on my patients. I planted a seed on at [01:06:05] some point in the past. And then, you know, it’s kind of they’ll say happy now is the time. [01:06:10] You know, the kids have finished uni or, you know, they paid off their mortgage [01:06:15] or whatever. Um, you know, it’s that you’ve got to have that conversation. [01:06:20] If you can see it, you’ve got to tell the patient.

Payman Langroudi: Yeah. And [01:06:25] so when you think of your biggest case, you’ve done well. What comes to mind? What [01:06:30] kind of case is that for mouth rehab.

Hap Gill: Um, so I would say. I [01:06:35] would say it’s probably my [01:06:40] patient told me he doesn’t mind me sharing the story. Um, [01:06:45] so. He was involved in an RTA. [01:06:50] So he’s one of these, uh, triathlete type, uh, [01:06:55] people. He’s got ten grand. Bike head down is bombing it around sort of the corner [01:07:00] in, um, Petersham, which is the next town to, uh, Richmond. [01:07:05] And a van pulled out in front of him, and he went headfirst Us and [01:07:10] he had all sorts of injuries. He’d lost teeth [01:07:15] as lying on the road. He broke his jaw in a few places. Um, [01:07:20] broken a rib. It’s severed his penis as well. But the [01:07:25] only thing he. When he tells the story, the only thing you think of was missing was laying in bed for a week. And the only thing [01:07:30] I could think of was his missing teeth. So, um, you know, we always [01:07:35] start at the beginning examination. What’s the starting point? I know what it’s going to end look like at the end, [01:07:40] but this is a starting position. So how are we going to get these teeth fitting together? So [01:07:45] I mean, the surgeon did a in a great job putting the teeth back together. But there [01:07:50] was bits of jawbone missing. So he had open bites and symmetry. So [01:07:55] um the starting point and we know what the end point is. How [01:08:00] are we going to work it out?

Payman Langroudi: How long did it take?

Hap Gill: It took me about 3 or [01:08:05] 4 years to do so. We did everything, you know, we did trial equilibration, so we did. Um, [01:08:10] I did three sets of mounted models. So one was purely [01:08:15] if we removed his wisdom teeth, well, his teeth meet together. One was purely additive. [01:08:20] Um, and there was a sort of like, a bit of both. We [01:08:25] we ended up doing, uh, we didn’t want ortho author would have benefit, but he didn’t [01:08:30] ortho. So it ended up being purely additive. And then where are we going to get the bone from? So, [01:08:35] uh, what I found really interesting for, um, Tom was we actually, [01:08:40] I worked with a maxillofacial surgeon, went into the operating theatre in, uh, [01:08:45] Kingston. So, you know, he was taking bits of iliac crest out, putting [01:08:50] it into his, um, onto his jaw. And, you know, a [01:08:55] few months later, I put the implants in, and then we restored him. But, you know, he was in long [01:09:00] term temporaries. Thumbs up for the smile and the occlusion. Um, and then [01:09:05] I think we must have done that. Just [01:09:10] before I opened the practice in 2008 and we’re [01:09:15] cemented his lower bridge, we were cementing them on in those days a couple of times, but [01:09:20] that’s the only maintenance he’s required in all that time. Um, so, you know, that’s [01:09:25] probably the biggest case, um, most complex one [01:09:30] that, you know, I, I’ve done. But, you know, we’ve got like, you know, just as you know, it’s just as rewarding [01:09:35] doing, um, I tell another story.

Hap Gill: A [01:09:40] patient of mine came in with her mum about [01:09:45] 20 years ago, and I never forget what the the [01:09:50] mum said to me. Not the not the daughter. So the mum and daughter, as the mum said can [01:09:55] you help us not can you help her. Is can you help us. Because the girl was getting bullied [01:10:00] and so when she had missing lateral, the other one was lateral, she had a diastema, [01:10:05] so I wasn’t doing that much also. So that was referred to [01:10:10] an orthodontist who put the teeth where they’re supposed to be. And now [01:10:15] the. And then I did some veneers and a, uh, [01:10:20] zirconia resin bonding bridge back in the day. Probably on the first one in the universe. I [01:10:25] know, I know, but the thing is, again, being brave, you know, I thought, you know, let me just do it. And it’s. And and [01:10:30] again, it’s still there. Yeah. Um, and then now. You [01:10:35] know, from being this timid thing, she is, you know, she bounces [01:10:40] into the practice with a lot of confidence and she’s actually become a counsellor for sort of goes [01:10:45] around schools and bullying and sort of drugs and all that kind of thing. So I found [01:10:50] I, you know, we didn’t do a lot physically to her teeth, but that made a huge difference. So I find [01:10:55] this really rewarding as well as a complete sort of full mouth.

Payman Langroudi: The one that you had the most sort of [01:11:00] effect on? Yeah, yeah yeah yeah. What comes to mind if I say what was the best lecture you’ve ever been to? [01:11:05]

Hap Gill: Oh my goodness. I know you asked me this an hour ago, and I was thinking the best lecture [01:11:10] I’ve ever been on. The best couple of days. Um, [01:11:15] the lecture, the course is Frank Speer, um, [01:11:20] at the Pankey Institute. So it wasn’t Pankey, but he basically did [01:11:25] his course at, uh, at the pancreas. He spent two days on his mistakes.

Payman Langroudi: Oh, [01:11:30] nice.

Hap Gill: So. And this is, like, this incredible [01:11:35] titan of dentistry. Um. And he spent two years, [01:11:40] uh, two days on his mistakes. And I probably learned more on that. And [01:11:45] it was inspirational. And he kept saying, be brave, be brave. And one of the mistakes [01:11:50] was on a dentist, actually, that he did. And again, [01:11:55] he did it. It was it was sort of T-2. He was being overambitious of [01:12:00] where he should have done more build ups and that kind of thing. Uh, or he missed something [01:12:05] during the occlusal exam. Um, but that is by far and away the [01:12:10] best. Um, a couple of days I spent sort of listening to anyone. [01:12:15]

Payman Langroudi: You’ve been on so many courses, but is there one that you haven’t been [01:12:20] on yet and you’re desperate to.

Hap Gill: Oh, [01:12:25] you know, this this probably sounds a little bit. Sort of. I do want to learn about Tad’s. [01:12:30] You know, I just want to up my game regarding, um, Invisalign. I [01:12:35] mean, I’ve been doing Invisalign since the early days, 2004, and it’s a different animal [01:12:40] to. Yeah, 20 years ago. Yeah, yeah. And I love doing it. I still work with the orthodontist. [01:12:45] Um, but, you know, I love ortho. Um, I love that. Um, the banter [01:12:50] I have with that sort of demographic. 20s and 30s. Um, maybe [01:12:55] mentally on that age. Um, so I think one of the things, I mean, it’s just simple. I want to learn [01:13:00] tabs with Invisalign.

Payman Langroudi: The brand?

Hap Gill: Yeah.

Payman Langroudi: Yeah.

Hap Gill: You [01:13:05] know, it’s it’s funny, there’s, um, you [01:13:10] know, there’s the plastic. There’s the plastic matter. I think it does [01:13:15] a little bit. Um, you know, I love their software, and they’ve been around for many, many years. Of course, the [01:13:20] most important thing is the clinician that is planning and is monitoring, [01:13:25] uh, the treatment. But I’m still very much with, uh, Invisalign. Yeah.

Payman Langroudi: Good. [01:13:30] And if I say what’s your favourite dental resource?

Hap Gill: My [01:13:35] favourite dental resource.

Payman Langroudi: Book, podcast. Whatever someone [01:13:40] you.

Hap Gill: Follow is probably Drew Shah’s brain. [01:13:45] Drew. Yeah. Drew’s brain. Uh, I love the community [01:13:50] that he has built. Um, you know, we’ve got a team day, [01:13:55] uh, coming up, and I was kind of scratching my head with a few exercises to do and [01:14:00] I messaged him. And on a Sunday he got back to me with a whole kind of essay of, you know, sort of [01:14:05] exercises.

Payman Langroudi: Dude reads a.

Hap Gill: Lot. Oh my goodness. And he and he, you know, pings over a lot [01:14:10] of books, you know, recommendations to me. But I mean, he is that is a big [01:14:15] resource for me. I don’t go to that many courses. I never [01:14:20] ever were talking about the the Dental show earlier on. I try and avoid those places at all costs. I [01:14:25] kind of, I rather just hang out with the with the family on my weekends.

Payman Langroudi: But you [01:14:30] still, you’re very up with technology. Yeah, right. So I guess Dental shows are kind of one [01:14:35] place where you can see technology. Yeah, yeah. Did you manage to stay up with technology [01:14:40] because you were a geek?

Hap Gill: I think there’s definitely a geeky, um, side [01:14:45] of me.

Payman Langroudi: Um, because I had Basil Mizrahi, for instance. Right. I had Basil [01:14:50] Mizrahi. Oh, yeah. Yeah. And he said, look, I, I can deliver. [01:14:55] Yeah, yeah, I know what I can deliver. Yeah. And, um. Even though it hurt him to [01:15:00] say he’s now becoming a dinosaur. Yeah. He didn’t want to digitise. Yeah, he’s got he’s [01:15:05] got your guitar in the practice. You do? Yeah. Takes care of that sort of thing. But he didn’t want [01:15:10] him. That’s almost right. Yeah. Yeah. So are you always looking for improvements and [01:15:15] particularly tech improvements?

Hap Gill: The thing is, you always kind of, you know, online Facebook, uh, various [01:15:20] groups. Um, there’s there’s always kind of everyone’s kind of looking at, you know, [01:15:25] everyone’s kind of looking at the new stuff and sort of posting information. So there’s [01:15:30] a little bit of a cynic in me. Okay. Um, but I do. And [01:15:35] we’ve got three ideas of the practice, you know, and we use it on in exams, hygiene [01:15:40] as well as sort of, you know, restorative and.

Payman Langroudi: The new internal.

Hap Gill: Cameras. Yeah. It’s, you [01:15:45] know, and and the, I mean, the face, um, [01:15:50] simulation software is incredible these days as well. Um.

Payman Langroudi: Oh, I.

Hap Gill: Ii. [01:15:55] Tarot? Oh, really? Yeah. I mean, about a year ago, I kind of have to have to sort of look at it first [01:16:00] before I kind of flip the screen around to the patient because it’s like, oh, that’s nanny McPhee. That [01:16:05] ain’t my patient. So, you know, but it’s it’s really good. Um, at the moment. And that’s [01:16:10] all, you know. That’s all part of their system. But I’m always going to try [01:16:15] and, uh, keep up to date.

Payman Langroudi: You’re kind of coming [01:16:20] to the end of our time. Unfortunately, I could talk for so much longer with you. Um, but let’s [01:16:25] start with the fantasy dinner party. Three guests. [01:16:30]

Hap Gill: Three guests.

Payman Langroudi: Dead or alive.

Hap Gill: So, um, [01:16:35] first was Larry David.

Payman Langroudi: Oh, really?

Hap Gill: Larry. David. I’m sure you’ve seen kerb.

Payman Langroudi: I love.

Hap Gill: It. [01:16:40] Um, I never really, really, really got into Seinfeld, but, yeah.

Payman Langroudi: Me either. Kerb.

Hap Gill: Kerb. Oh [01:16:45] my.

Payman Langroudi: Goodness.

Hap Gill: This guy has no filter. And then, you know, the thing [01:16:50] is, all of the characters in the show play themselves. Yeah. And this is I mean, the [01:16:55] thing is, you know, um, that they’re filtering the headgear. That isn’t the right [01:17:00] thing to say. That is the right thing to do. He just does it.

Payman Langroudi: The Palestinian chicken shop.

Hap Gill: Yeah. The palace [01:17:05] is a chicken shop. And, I mean, there are so many. I mean, there are so many things, you know, in it. And [01:17:10] he takes the Mickey out, the Jewish as well. He hires a crappy, uh, Jewish [01:17:15] lawyer because he’s he’s a Jew. And, you know, it’s just it’s just so funny. [01:17:20] So I think he’ll be, you know, uh, fun company. Uh, second one [01:17:25] is, um, I had to think about this. So that [01:17:30] one is my dad’s uncle. Uh, he died. I think it was about 100 years old. [01:17:35] Um, very, very interesting man. The thing about him, I want him [01:17:40] there because he always used to tell amazing stories. He took a boat from. [01:17:45] I mean, he’s a village boy. And it took about. Landed in New York in 1928. [01:17:50]

Payman Langroudi: I boat from India?

Hap Gill: Yeah. From India. Took about six months in 1928. And he used to [01:17:55] tell us stories about the Wall Street crash. And, um, in those days, you know, there was segregation [01:18:00] and the blacks and the and the Asians and the Browns, you know, they weren’t getting jobs [01:18:05] unless, like servants, that kind of thing. But, um, his first job. Yeah. [01:18:10] The Henry Ford gave me his first job. So and there’s lots of stories about dinner [01:18:15] parties with Henry and that kind of thing. And there’s there’s a, um, a photo [01:18:20] of, um, Henry and lots of black and brown faces [01:18:25] around him. And Henry sort of had laid out this sort of, um, this kind of like [01:18:30] everyone was in tuxedos. And I’m sure this is the first time all of those black and brown faces [01:18:35] had ever worn a tuxedo in their life. And, and, you know, um, ah, [01:18:40] uh, my dad’s mama, G, as we used to call him, to tell lots of wonderful, um, [01:18:45] stories regarding that he used to after the Wall Street crash, you know, Indian [01:18:50] boy reading about people throwing themselves off these buildings. He was thinking, what’s what’s going [01:18:55] on? What’s going on? So he actually started investing in shares. Well, in the 30s, and I remember [01:19:00] when he used to come over in the summer holidays from the US. Um, he’ll be sitting there. [01:19:05] Um, you know, just looking at his, you see, you couldn’t read, [01:19:10] um, couldn’t hear or see very well. But he was, uh, actually, when we used to go there in the [01:19:15] summer, he had a magnifying glass. He was scanning the paper at all the share prices. So he [01:19:20] was. I mean, I could listen to him for for hours.

Payman Langroudi: Did he pass [01:19:25] away when you were a kid?

Hap Gill: Um, I was probably in my 20s. We [01:19:30] had. We had a surprise party when he was 19, and he nearly killed over when he walked into the pool.

Payman Langroudi: And. [01:19:35]

Hap Gill: He thought, oh, my God, not now, not now. And I think the final, the final guest, um. [01:19:40] I where we used to live in Richmond, where [01:19:45] we parked my car. Ah, ah, the fence. They’re backed onto [01:19:50] this guy’s, uh, garden. Um, and it’s funny because, [01:19:55] um, every time we heard the lawn mower, we’d all kind of, you know, the boys would get excited, and we were sort [01:20:00] of run to sort of peer over the garden fence. But it was never there. It was David Attenborough. [01:20:05]

Payman Langroudi: Oh.

Hap Gill: So. And, you know, the funny thing is, live [01:20:10] right next door to us. I never met him.

Payman Langroudi: Well.

Hap Gill: I used to [01:20:15] see him kind of pop in and out of the Jeep or getting into his car. I never met him, but his brother, who used to live. [01:20:20] Uh, Richard, who used to live around the corner from the practice. I’ve spoken to him twice. He used [01:20:25] to, you know, walk up and down the river with a river with his cane. So I [01:20:30] saw more of his brother. Met him a couple of times compared to, um, [01:20:35] David. But the thing about David, I know it’s kind of you’ve kind of grown [01:20:40] up with that voice and that kind of. I mean, he could be. He could have a dung beetle sort [01:20:45] of crawling on him.

Payman Langroudi: He could be prime minister.

Hap Gill: Yeah. Yeah. Like, I mean, the thing.

Payman Langroudi: Is universally.

Hap Gill: Loved and [01:20:50] then universally loved. Yeah. It transcends generations. My boys, you [01:20:55] know, when they hear his voice, they just like we were watching a blue planet again yesterday. And you were just like. They were just [01:21:00] sort of sitting. He looked up from his YouTube and we were watching it. And the thing is, you know, he’s [01:21:05] he’s in his 90s. He’s seen so many changes and, you know, and it will be nice [01:21:10] to listen to him. But you know what I would really like to do with David at [01:21:15] a dinner party is give him a little bit of tequila and get him getting really talking. And, [01:21:20] um, I can’t say, you know, and then, um, I would have my wife there, of course, [01:21:25] as well for, um.

Payman Langroudi: And there’s only three.

Hap Gill: Yes. Yeah. Well, on this [01:21:30] occasion.

Payman Langroudi: Someone’s gonna do.

Hap Gill: Someone’s gonna do the cooking. You know. So. No. No, [01:21:35] seriously. We love cooking. So it’s, uh.

Payman Langroudi: Yeah, we too. We see. And [01:21:40] the final questions around. It’s a deathbed question on your deathbed. [01:21:45] But surrounded by your loved ones. Three pieces of advice.

Hap Gill: Three [01:21:50] pieces of advice. I think one of the things [01:21:55] you know. Any sort of. Sane [01:22:00] and loving parent, you kind of almost don’t want to be without your kids. [01:22:05] But one of the things that you need to do is to actually get them [01:22:10] ready for the big bad world, get them actually used to not being, you know, in your [01:22:15] in your home anymore. So one of the bits of advice that I would definitely [01:22:20] give them is always do [01:22:25] the best job that you can, the best whatever you want to, whatever task you want to do, do the best [01:22:30] that you can, whether you’re going to you’re sweeping the driveway or anything professional. So, you [01:22:35] know, do things to the best of your ability. The other thing is really, um, [01:22:40] don’t take advice from people [01:22:45] that have a negative energy that don’t actually know what they’re talking about. So [01:22:50] someone giving business advice has never had a business. That’s one of the things as well. And people do have a mindset [01:22:55] about money, and money is bad. And I’ve had lots of sort of really terrible advice [01:23:00] regarding that over the years. So one of the things is, um, you know, [01:23:05] keep away from people with negative energy, you know, surround yourself with people that [01:23:10] are, um, your peers or someone that you kind of aspire [01:23:15] to. Um, I think those are, um, [01:23:20] the main things really, you know, be be kind, be honest, try [01:23:25] and do you know the best that you can. I mean, our practice ethos, um, and we [01:23:30] sort of genuinely, genuinely believe it. And it’s part of our induction is, you know, um, [01:23:35] take care of the patient, you know, uh, take care of your [01:23:40] colleagues, take care of the community, See, but never, ever forget to take care of yourself as well. [01:23:45] So again, that’s kind of all encompassing, kind of, you know. Uh, my advice [01:23:50] I would give, uh, on my deathbed, do your best. Take a good, good advice. [01:23:55]

Payman Langroudi: It’s been a massive pleasure, man.

[VOICE]: This is [01:24:00] Dental Leaders, the podcast where you get to go one on one with [01:24:05] emerging leaders in dentistry. Your [01:24:10] hosts, Payman Langroudi and Prav Solanki.

Prav Solanki: Thanks [01:24:15] for listening, guys. If you got this far, you must have listened to the whole thing. And just a [01:24:20] huge thank you both from me and pay for actually sticking through and listening to what we had to say and [01:24:25] what our guests had to say, because I’m assuming you got some value out of it.

Payman Langroudi: If you did get [01:24:30] some value out of it, think about subscribing, and if you would share this with [01:24:35] a friend who you think might get some value out of it too. Thank you so so, so much for listening. Thanks.

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