The Dental Digest podcast is a show dedicated to discussing the latest trends, topics, and innovations in the field of dentistry. The podcast was created and is hosted by Dr. Melissa Seibert, a practicing dentist, and features interviews with leading experts in the field of dentistry, including dentists, researchers, educators, and industry professionals.
Topics covered on the show range from clinical techniques and technology to practice management and marketing strategies, with a focus on providing actionable insights and practical advice for dental professionals at all stages of their careers.
The Dental Digest podcast is available on all major podcast platforms and is a valuable resource for dental professionals looking to stay up-to-date on the latest trends and best practices in the field of dentistry.
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Données mises à jour le 10/11/2026
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The 10-10 Sequence for Full Mouth Rehab with Dr. Mitch Hopkins
lundi 9 novembre 2026 • Durée 28:43
JOIN ELEVATED GP: theelevatedgp.com
Full mouth rehabilitation doesn't have to take a decade of courses before you can start. Dr. Mitch Hopkins shares the 10-10 Sequence: ten steps, treating ten teeth at a time from second premolar to second premolar in each arch. It's a practical, repeatable framework that helps general dentists evaluate, deprogram, plan, and restore generalized wear cases while screening out the red light cases that are likely to fail.
In this episode, you'll learn:
The 10-10 Sequence explained, and why treating premolar to premolar first removes molar interferences and simplifies finishing the occlusion
Step one, evaluation: teeth, joints, muscles, airway, and medical history
Why generalized wear is usually muscle driven, and why your dentistry has to survive the patient
Step two, deprogramming: establishing a repeatable, muscle-neutral bite position and a pain-free baseline
Centric relation as a target, not a bullseye
Kois deprogrammer versus Lucia jig versus quick splint, and how to make or order one
Recording the bite with an intraoral scanner and a rigid bite registration material at an opened vertical
Molar control bites: locking in the new vertical dimension before you prep
Using CEJ-to-CEJ measurements to plan how far to open the vertical dimension
Why you should verify the design on the patient's face and collaborate closely with your lab
Questions answered in this episode:
What does a deprogrammer do? An anterior-only appliance like a Kois deprogrammer keeps the posterior teeth apart so the muscles relax and the patient can close into a consistent, repeatable position.
How long should patients wear a deprogrammer before recording the bite? Dr. Hopkins has patients wear it every night for two weeks, and during the day when possible.
Does centric relation have to be perfect? No. What matters most is a repeatable, comfortable home for the new occlusion.
About the guest: Dr. Mitch Hopkins has about 20 years in practice and focuses on comprehensive dentistry and full mouth rehabilitation. He recently wrote about this sequence in Inside Dentistry and presented it to Elevated GP.
Hosted by Dr. Melissa Seibert, DMD, MS, FAGD, ABGD. The Dental Digest Podcast is a top 1% podcast for general dentists focused on clinical dentistry: restorative dentistry, occlusion, endodontics, implants, imaging, and practice growth. For CE, case discussions, and a community of GPs who love clinical dentistry, join Elevated GP at theelevatedgp.com.
Opening Vertical Dimension and Full-Arch Composite Bonding with Dr. Dennis Hartlieb
lundi 2 novembre 2026 • Durée 31:40
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How much should you open the vertical dimension of occlusion, and how do you actually build it chairside? In part two, Dr. Dennis Hartlieb breaks down the lab and clinical steps of his CPR for the Worn Dentition workflow: setting VDO by restorative space and aesthetics rather than a formula, coordinating aesthetic crown lengthening with a periodontist, building full-arch direct composite prototypes efficiently, and helping patients decide whether to keep their prototypes or move to porcelain.
In this episode, you'll learn:
The myth that general dentists shouldn't open vertical dimension, and the condylar rotation math behind it
Why the amount you open VDO depends on the restorative space you need, not how much was lost
Waxing like setting denture teeth: facially generated treatment planning, lower incisor length and width, and incisal edge position relative to the lower lip
Crown lengthening guides, reducing the stone model, and his sequence of a laser or electrosurgery gingivectomy before the periodontist's osseous surgery
Bonding to root surfaces versus orthodontic intrusion, and how to present that trade-off to patients
His two-day sequence: maxillary arch first, mandibular arch next, usually without anesthesia and with little to no tooth preparation
Using the new lower anterior bonding as an anterior deprogrammer to seat the condyles before posterior buildups
Posterior composite cusp buildups in about 15 minutes per quadrant using a bite block and guided closure
Freehand bonding versus injection molding versus printed restorations, including wear concerns
The three paths after prototypes: keep them, enhance with porcelain (veneers, crowns, or a sandwich technique), or resurface with layered enhanced bonding
Questions answered in this episode:
Is it safe for a general dentist to open the vertical dimension? In a healthy joint, opening a few millimeters at the incisal edge stays within the rotational path and changes condylar rotation by only about a degree. Understanding the patient's joint anatomy is what matters.
CPR for the Worn Dentition with Dr. Dennis Hartlieb
lundi 26 octobre 2026 • Durée 26:18
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How do you restore a severely worn dentition without committing a single bur to the tooth? Dr. Dennis Hartlieb walks through CPR for the Worn Dentition (Concept, Prototype, Restoration), a reversible, additive composite bonding workflow that lets patients test drive a new vertical dimension, tooth length, and smile design for months before any definitive dentistry. After nearly 40 years in practice, he explains why prototyping in direct composite is safer for both the patient and the dentist than going straight from a wax-up to porcelain veneers or crowns.
In this episode, you'll learn:
What CPR means for worn teeth: concept, prototype, restoration
Why direct composite prototypes on unprepared teeth are reversible, faster, and more affordable (single-shade composite, no layering)
How a three-month prototype phase exposes bruxism, parafunction, failing bonding, loose teeth, and TMJ-related bite changes before you prep
Why porcelain veneer provisionals can't reliably test anterior guidance and function
Night guards during the prototype phase, airway considerations, and patients who won't wear an occlusal splint
The habits that break bonding and porcelain, and how he coaches patients that teeth are not tools
Why repairable composite beats chipped lithium disilicate or feldspathic porcelain in high-risk patients
His records workflow: photographs, intraoral scan, facebow, analog wax-up, CBCT when joint or airway issues are suspected, and a centric relation bite with a leaf gauge
Using a bis-acryl trial smile to test aesthetics and phonetics, including catching a lisp before treatment
Bonding prototypes over existing crowns, zirconia, lithium disilicate, gold, and amalgam with the right surface treatment
Questions answered in this episode:
Can you open vertical dimension reversibly? Yes. Additive composite on unprepared teeth can be removed with carbide burs and discs if the patient isn't happy, returning them to where they started.
How long should a patient wear composite prototypes? Dr. Hartlieb asks patients to live with them for at least three months to watch for failures, bite changes, and aesthetic concerns.
Reading CBCT for Endo, Implants, and Pathology with Dr. Chris Matessi
lundi 26 octobre 2026 • Durée 21:34
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In part two, oral and maxillofacial radiologist Dr. Chris Matessi shows general dentists how to read a CBCT more like a radiologist: the best views for endodontics, the limits of CBCT for cracks and caries, how to tell benign from malignant lesions, how to measure accurately for implants, and how to interpret common TMJ findings.
In this episode, you'll learn:
The views he uses to evaluate endodontically treated teeth and find missed canals like MB2
Assessing canal configuration, calcification, dilacerations, and apical anatomy
Why CBCT is poor at detecting cracked teeth, and its limits for diagnosing caries
Benign versus malignant lesions: zone of transition, displacement, root resorption, and the floating tooth appearance
Why you should review the teeth last when reading a scan
Placing the virtual implant before measuring bone to avoid parallax error
Is CBCT the standard of care for implants and endodontics, and where to find position papers
Why ear pain and TMJ pain are so easily confused
Condylar osteophytes, beaking, and flattening: what they mean and when to act
Bifid condyles and other anatomic variants
Why clinicians and radiologists should collaborate more closely
Questions answered in this episode:
Can CBCT detect a cracked tooth? Not reliably. Incomplete cracks limited to the crown are a clinical diagnosis. Imaging helps once there is bone loss or a separated fragment.
Why place the implant in the software before measuring? Measuring along the planned implant axis avoids parallax errors that can overestimate available bone.
Does a condylar osteophyte need treatment? Usually not. It is often an adaptive remodeling response. Treatment is driven by symptoms, but it's worth weighing before major occlusal or orthodontic changes.
About the guest: Dr. Chris Matessi is an oral and maxillofacial radiologist who practiced clinical dentistry for seven years before specializing in radiology. He reads CBCT scans for general dentists and specialists and built a collaborative case-sharing platform for referring clinicians.
What a CBCT Can and Can't Show You with Dr. Chris Matessi
lundi 19 octobre 2026 • Durée 25:38
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SPONSOR: Garrison Dental Solutions. Use code 26PODCAST for 10% off your order at https://www.garrisondental.com/ (valid for one purchase made directly through Garrison, through December 31, 2026).
Oral and maxillofacial radiologist Dr. Chris Matessi answers the cone beam CT questions general dentists ask most. From TMJ imaging and crown-root fractures to airway screening and legal liability, this episode clarifies what CBCT can reliably tell you, where it falls short, and how to choose the right scan for the right question.
In this episode, you'll learn:
Open-mouth versus closed-mouth CBCT scans for TMJ assessment, and why a chin cup beats a bite stick for joint position
Scan positioning for implant planning and full arch cases
The limits of CBCT for the TMJ and when to order an MRI for soft tissue, disc position, and inflammation
The narrow, U-shaped bone loss pattern that points to a crown-root fracture when you can't see the fracture line
Why a brand-new fracture can look completely normal on a CBCT
What affects image quality: manufacturer, resolution, field of view, metal and motion artifacts
The CBCT units he likes for endodontics and general practice, and why
Airway screening with minimum cross-sectional area, and why CBCT cannot diagnose obstructive sleep apnea
Your legal responsibility for everything in the scan volume, and the value of a radiology report
Choosing the smallest appropriate field of view for better resolution and lower radiation dose
Questions answered in this episode:
Can a CBCT diagnose sleep apnea? No. OSA must be diagnosed by a physician with a sleep study. CBCT is a screening and risk stratification tool.
Am I responsible for incidental findings on a full field scan? Yes. You are responsible for everything in the volume, so review it thoroughly or have it read by a radiologist.
Reviews, Referrals, and Word of Mouth for Dental Practices with Stephen Taylor of Delmain
lundi 12 octobre 2026 • Durée 23:31
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The best marketing a dental practice can get is patients talking about you. In part two, Stephen Taylor, Director of Marketing at Delmain, and Dr. Melissa Seibert dig into social media, reviews, community presence, and patient experience, and why fixing the leaks in your practice often beats spending more on ads.
In this episode, you'll learn:
Using social media for branding and validation rather than as a primary patient acquisition channel
Aligning your content with your ideal patient and your brand
Why platforms penalize inconsistent posting
Facebook groups and becoming a pillar of your community
How to ask for reviews and referrals without being slimy, and why your team is your biggest asset
Low-key community marketing ideas that build goodwill
Recommended reading: Influence by Robert Cialdini and The 1-Page Marketing Plan
Marketing as a force multiplier: how front desk training turned more phone calls into new patients without more ad spend
Why understanding patient behavior, like how many still prefer to call, shapes where you invest
AI answering services at the front desk: the patient experience and HIPAA considerations
Questions answered in this episode:
Is organic social media worth it for a dental practice? It helps with branding and validation, but consistency and alignment with your ideal patient matter. Patient word of mouth usually drives more new patients than your own posts.
How do I get more Google reviews? Train your team to ask, especially the people who spend the most time with patients, and make the ask simple and sincere.
Should I spend more on ads if marketing isn't working? Not first. Fix leaks like unanswered calls and poor phone conversion, then scale what's working.
About the guest: Stephen Taylor is Director of Marketing at Delmain, a dental marketing company that supports practices with websites, SEO, paid ads, and patient acquisition. Learn more at delmain.co.
Dental Marketing That Works in 2026 with Stephen Taylor of Delmain
lundi 5 octobre 2026 • Durée 26:21
JOIN ELEVATED GP: theelevatedgp.com
You can be the best clinician in town, but if new patients can't find you, your schedule stays empty. Stephen Taylor, Director of Marketing at Delmain, explains what actually brings new patients into a dental practice in 2026, from the fundamentals that still work to AI search, SEO, Google and Meta ads, and the measurement that separates real ROI from wasted ad spend.
In this episode, you'll learn:
The marketing fundamentals that still work in 2026: a website and a phone that gets answered
How one practice dramatically increased new patients from Meta ads by running them only during business hours
How patients are using AI tools like ChatGPT, Gemini, and Claude to choose a healthcare provider, and how to show up
Whether Google Ads are still worth it when so many people search with AI
Why SEO still matters and overlaps heavily with AI visibility
How a practice in a competitive New Jersey market grew patient opportunities with SEO alone
The biggest way dentists waste marketing dollars, and why you must connect marketing data to your practice management system
Realistic new patient benchmarks and how to build a plan around your goals
A startup marketing plan: website, Google Business Profile, Apple Maps, reviews, ad timing, and ongoing content
Organic social media, micro-influence, and why your patients are better influencers than you
Questions answered in this episode:
Do dental practices still need a website in the age of AI search? Yes. The website is essential for visibility, AI citations, and meeting patient expectations.
Is SEO still worth paying for? Yes. The work that helps you rank in traditional search also helps you appear in AI overviews and AI assistants.
How do I know if my marketing is working? Track beyond clicks to booked appointments, kept appointments, and collections by connecting marketing data to your practice management software.
Vital Pulp Therapy and Endo Essentials for GPs with Dr. Judy McIntyre
lundi 28 septembre 2026 • Durée 39:42
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Should you perform a pulpotomy, a direct pulp cap, or a full root canal on a mature tooth with deep caries? Endodontist Dr. Judy McIntyre gives general dentists a candid, practical guide to vital pulp therapy, when a preoperative CBCT is essential, what separates a well-done root canal from a compromised one, and how to know your limits and build a real partnership with your endodontist.
In this episode, you'll learn:
What vital pulp therapy is and isn't, from open-apex teeth to mature adult teeth
Why preoperative symptoms matter when choosing between vital pulp therapy and root canal therapy
Her pulpotomy technique: diamond bur, hemostasis, sodium hypochlorite, and a bioceramic or MTA cap
Why you lose cold testing after vital pulp therapy, and the follow-up system to catch failures early
Annual radiographs on endo-treated teeth and pulp testing before crowns
When a preoperative CBCT is a must: molars, retreatments, apicoectomies, premolars with fast breaks, and two-canal canines
Endo-resolution CBCT versus large field of view scans, and why she dislikes image filters
Minimally invasive and ninja access cavities: when conservation stops serving the patient
Avoiding the cowboy mentality and building a reciprocal relationship with your endodontist
The elements of a well-done root canal: anesthesia, rubber dam, full armamentarium, irrigation, obturation, and a sealed restoration
Single-cone technique versus lateral and hybrid obturation, and why bioceramic sealer should not replace gutta-percha
Questions answered in this episode:
Pulpotomy, pulp cap, or root canal on a mature tooth with deep caries? It depends on symptoms, your true abilities, and whether the patient will return for follow-up. Frank expectations and a recall system are essential.
Which endo cases need a preoperative CBCT? Dr. McIntyre recommends it for all molars, retreatments, and apicoectomies, and for premolars or anteriors when 2D imaging shows fast breaks, curvature, or resorption.
Our Evolving Understanding of Occlusion with Dr. Jim McKee
lundi 21 septembre 2026 • Durée 32:53
JOIN ELEVATED GP: theelevatedgp.com
Jim McKee is in private practice in Downers Grove, Illinois. Jim has a restoratively based practice with an emphasis on occlusion and temporomandibular joint disorders. In addition to private practice, Jim is a published author who has lectured national and internationally for over 25 years. Jim provides a new perspective on occlusion and TM joints that helps increase the predictability of occlusal, orthodontic, restorative, orthognathic and airway treatment options for both the patient and the dentist. He is the founder of the Chicago Study Club program and has extensive experience in directing study clubs in the United States and Canada.
He is a ResidentFaculty member at Spear Education in Scottsdale, Arizona. Jim is a past president of the American Academy of Restorative Dentistry and the American Equilibration Society.
Anterior Implants Aren't Always the Gold Standard with Dr. Ashley Hoaders
lundi 7 septembre 2026 • Durée 27:24
Episode Overview In part two of this two-part series on Dental Digest, host Dr. Melissa Seibert and dual-boarded periodontist/prosthodontist Dr. Ashley Hoders challenge the conventional assumption that implants are always the gold standard in the anterior aesthetic zone . They explore why maxillary laterals and mandibular incisors are biologically hazardous sites for implants, how to choose mechanical over biologic failure, and how root submergence preserves vital bundle bone and papilla architecture .
Guest Information
Guest: Dr. Ashley Hoders, DDS, MS
Credentials & Affiliations: Dual board-certified diplomate and fellow of the American Board of Periodontology and the American Board of Prosthodontics; MS from the University of Texas Health Science Center at San Antonio . Clinical researcher with the McGuire Institute, co-creator of Spear Hygiene, visiting faculty at the University of Washington Graduate Periodontics Department, and active member of the American Academy of Restorative Dentistry .
Key Clinical Takeaways
1. The Fallacy of the Anterior Implant "Gold Standard"
Maxillary lateral incisors and mandibular incisors represent non-strategic implant locations due to narrow space, thin facial bone, and continuous lifetime craniofacial changes .
Natural adjacent teeth and jaws continue to move, erupt, and remodel across a patient's lifespan, whereas ankylosed/osseointegrated implants remain static, causing mismatched incisal edges and uneven gingival zeniths over time .
2. Mechanical Complications vs. Biologic Disasters
Conservative cantilevered or single-retainer resin-bonded bridges achieve a $\approx 98\%$ success rate over 10+ years in properly managed occlusal schemes .
Fixed tooth-supported alternatives fail through mechanical inconvenience (e.g., wing debonding or connector fracture), which is easily repaired .
Do patients keep their composite prototypes long term? About half do, often for around seven years, with occasional repairs that are quick because the bite is already established.
Freehand or injection-molded composite? Any method can work. Dr. Hartlieb prefers freehand bonding for control and speed and cautions that printed restorations may wear faster than expected.
About the guest: Dr. Dennis Hartlieb has practiced restorative dentistry for nearly 40 years. His approach blends facially generated treatment planning, joint-based occlusion, airway awareness, and composite artistry learned from mentors including Frank Spear, Pete Dawson, Jim McKee, John Kois, Jeff Rouse, Buddy Mopper, and Corky Willhite.
Hosted by Dr. Melissa Seibert, DMD, MS, FAGD, ABGD. The Dental Digest Podcast is a top 1% podcast for general dentists focused on clinical dentistry: restorative dentistry, occlusion, endodontics, implants, imaging, and practice growth. For CE, case discussions, and a community of GPs who love clinical dentistry, join Elevated GP at theelevatedgp.com.
Why not go straight to veneers or crowns? Once a bur touches the tooth, you are committed. Prototypes let the dentist and patient find common ground on function, aesthetics, and phonetics first.
About the guest: Dr. Dennis Hartlieb is a restorative and cosmetic dentist who has practiced for nearly 40 years and teaches the CPR for the Worn Dentition approach to prototype-driven, minimally invasive rehabilitation.
Hosted by Dr. Melissa Seibert, DMD, MS, FAGD, ABGD. The Dental Digest Podcast is a top 1% podcast for general dentists focused on clinical dentistry: restorative dentistry, occlusion, endodontics, implants, imaging, and practice growth. For CE, case discussions, and a community of GPs who love clinical dentistry, join Elevated GP at theelevatedgp.com.
Hosted by Dr. Melissa Seibert, DMD, MS, FAGD, ABGD. The Dental Digest Podcast is a top 1% podcast for general dentists focused on clinical dentistry: restorative dentistry, occlusion, endodontics, implants, imaging, and practice growth. For CE, case discussions, and a community of GPs who love clinical dentistry, join Elevated GP at theelevatedgp.com.
When should I order a TMJ MRI instead of relying on CBCT? When conservative TMD therapy hasn't worked and you need to evaluate the disc, joint spaces, or inflammation.
About the guest: Dr. Chris Matessi is an oral and maxillofacial radiologist who practiced clinical dentistry for seven years before specializing in radiology. He reads CBCT scans for dentists and specialists and taught a CBCT course for Elevated GP.
Hosted by Dr. Melissa Seibert, DMD, MS, FAGD, ABGD. The Dental Digest Podcast is a top 1% podcast for general dentists focused on clinical dentistry: restorative dentistry, occlusion, endodontics, implants, imaging, and practice growth. For CE, case discussions, and a community of GPs who love clinical dentistry, join Elevated GP at theelevatedgp.com.
Hosted by Dr. Melissa Seibert, DMD, MS, FAGD, ABGD. The Dental Digest Podcast is a top 1% podcast for general dentists focused on clinical dentistry: restorative dentistry, occlusion, endodontics, implants, imaging, and practice growth. For CE, case discussions, and a community of GPs who love clinical dentistry, join Elevated GP at theelevatedgp.com.
About the guest: Stephen Taylor is Director of Marketing at Delmain, a dental marketing company that partners with more than 200 practices on websites, SEO, paid ads, and patient acquisition.
Hosted by Dr. Melissa Seibert, DMD, MS, FAGD, ABGD. The Dental Digest Podcast is a top 1% podcast for general dentists focused on clinical dentistry: restorative dentistry, occlusion, endodontics, implants, imaging, and practice growth. For CE, case discussions, and a community of GPs who love clinical dentistry, join Elevated GP at theelevatedgp.com.
Is the single-cone technique acceptable? Yes, when the cone intimately fits the prepared canal. Sealer is a vehicle, not the filling, and gutta-percha keeps the canal retreatable.
About the guest: Dr. Judy McIntyre is an endodontist and educator who teaches general dentists about CBCT, vital pulp therapy, and endodontic setup, and is known for encouraging GPs to love their endodontists.
Hosted by Dr. Melissa Seibert, DMD, MS, FAGD, ABGD. The Dental Digest Podcast is a top 1% podcast for general dentists focused on clinical dentistry: restorative dentistry, occlusion, endodontics, implants, imaging, and practice growth. For CE, case discussions, and a community of GPs who love clinical dentistry, join Elevated GP at theelevatedgp.com.
Implants carry biologic risk: at least 50% of implants exhibit inflammation or peri-implant disease, introducing chronic inflammatory challenges into an avascular environment where treatment is unpredictable .
3. Two-Layer Diagnostic & Treatment Planning
Dual perio-prosthodontic diagnostics require planning not just for the immediate edentulous site, but predicting what happens when adjacent teeth compromise (e.g., adjacent traumatized central incisors) .
3D planning dictates restorative pathways before surgery, verifying whether crestal morphology necessitates cement-retained versus screw-retained solutions .
Placing an anterior implant too shallow or too facial is the ultimate "kiss of death" for long-term peri-implant tissue stability .
4. Biologic Tension and Muscular Equilibrium
Bone stability relies on eliminating tension from the surrounding musculature (lips, cheeks, and tongue) and establishing a robust collar of keratinized mucosa .
Genetic cell turnover rates and masticatory function continuously challenge crestal bone margins .
5. Root Submergence & Partial Extraction Therapy
Anterior facial bone is frequently $<0.8\text{ mm}$ thick; removing the tooth and its periodontal ligament (PDL) causes rapid resorption of the bundle bone, resulting in horizontal and vertical ridge collapse .
Root submergence retains the submerged root structure inside the alveolus, tricking the body into maintaining the PDL, preserving bundle bone volume, and sustaining interproximal papilla height for adjacent restorations .
"Pro-tooth" dentistry prioritizes buying time with natural root structures (via posts, ferrule optimization, or partial extraction therapies) over premature implant placement .
Notable Mentions & Literature
Bill Robbins, DDS: Commentary in the International Journal of Periodontics & Restorative Dentistry (IJPRD) on avoiding lateral incisor implants; single-retainer RBFDP designs utilizing the mesial of the canine .
Matthias Kern, Dr. med. dent.: Long-term evidence supporting single-wing cantilever resin-bonded bridges (using the distal of the central incisor) .
Frank Spear, DDS, MSD: Clinical philosophy on valuing natural tooth retention: "I'm not anti-implant, I'm pro-tooth."
Mike Gunson, DDS, MD: Research surrounding facial aging, craniofacial growth, and implant positioning discrepancies .
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