Wealth-Building Investment Strategies (w/Justin Smith, CFA, CFP) [Ep.21]

Check out this great conversation with the amazing and brilliant Dr. Dave Singh.  Dave is a true expert in craniofacial growth and development, airway, and early orthodontic treatment, and we discuss:

• Dave’s background in craniofacial orthodontics and how it led to his understanding of the ability of dentofacial orthopedics to impact airway patency.
• The functional matrix hypothesis and what Dave asked Melvin Moss about it.
• How Dave developed the spatial matrix hypothesis to expound upon the functional matrix hypothesis and better explain malocclusion.
• The role of the cranial base phenotype in the etiology of malocclusion, and how that can be determined by looking at the bridge of the nose.
• How breathing impacts craniofacial growth and development.
• The role of diet in the development of malocclusion and the impact of our diets softening over time.
• What to feed children to minimize negative impacts on both growth and development and gut microbiome.
• The purpose of bruxing from an evolutionary standpoint.
• Dave’s approach to the diagnosis and treatment of pediatric patients, including skeletal posture, airway, breathing, and sleep.
• The importance of tongue posture.
• How to build a professional network around you to facilitate the coordination of care with your dental and medical colleagues.
• The devastating impact of pediatric sleep disruption, including that caused by screens and blue light.
• The primary reasons for the divide between academia and clinical practice and how AI may be able to help.
• Why the next generation of orthodontics must integrate orthodontics into human health.
• A study Dave conducted demonstrating that football players who had permanent teeth extracted were more prone to get concussions.
• The historical and biological reasons why we turn RPE screws 0.25mm at a time.
• The role that stem cells play in sutural homeostasis.

LINKS:

• Dr. Singh’s new book: Pneumopedics and Craniofacial Epigenetics (PACE) (https://www.amazon.com/Pneumopedics-Craniofacial-Epigenetics-Biomimetic-Disordered/dp/9811225346)
• To contact Dr. Singh directly: drsingh@drdavesingh.com

Don’t miss this amazing conversation with Dr. Jeremy Manuele.  Jeremy is a private practice orthodontist, a part-time faculty member at UNLV, and the creator of the MARPE 360 CE course.  In this episode, we discuss:

• The flaws with the current pediatric AHI scale and classification of pediatric obstructive sleep apnea (OSA).
• The importance of differentiating OSA from sleep-disordered breathing (SDB).
• The reason why the orthodontist, not the pediatrician, should be the quarterback of sleep-related breathing issues in pediatric patients.
• The reasons why so few orthodontists come out of residency understanding Phase I treatment, airway, or how to collaborate with our medical colleagues. 
• The 2017 ADA policy statement and the 2019 AAO White Paper on pediatric airway and orthodontics.
• The importance of bridging the gap between medicine and dentistry regarding the diagnosis and treatment of SDB.
• The flaws with the opinion article in the December 2023 AJODO saying that orthodontists should not be involved in treating younger children with the goal of improving airway patency.
• The importance of having open discussions and debates on the topic of airway and orthodontics.
• The role private practice orthodontists can play in bridging the gap between private/clinical practice and academia.
• The three types of expansion that we typically see when applying force to widen the maxilla. 
• What MARPE is, when it is indicated, how it can benefit your patients, and how it differs from SARPE.
• The primary reasons why Jeremy created his MARPE 360 course.
• IMPORTANT NOTE:  Dr. Manuele has agreed to offer 10% off his course enrollment for all DOC listeners!  Link and code are below!

LINKS:
·         To enroll in Dr. Manuele’s MARPE 360 course, click the link below and enter the code ‘DOC’ at checkout to receive a 10% discount!  https://www.innovatorortho.com/marpe-360

·         To learn more about archwire expansion in Phase I, visit the DOC website: https://theorthocoach.com/ce-courses/

Don’t miss this amazing conversation with author, entrepreneur, and dental practice consultant Kirk Teachout!  In this episode, we discuss:

• How Kirk went from building a company in the music industry to becoming a dental consultant.
• Kirk’s unique approach to dental practice management that helps maximize efficiency and minimize physical time in the office.
• The key to taking his wife’s dental practice from $300k in revenue to over $1mil in revenue in 2 years’ time – all while only seeing patients 7 hours/day, 3 days a week!
• The grueling nature of dentistry and how to prevent burnout.
• How to eliminate a day of patient hours without decreasing revenue.
• Building a schedule that places procedures at times that work for the doctor, the team, and the patients.
• The KPI that Kirk focuses on the most when he looks at dental practices.
• How to define the ideal patient and recruit more of them to your practice, and how to define the problem patient and dismiss them from your practice.
• Using the new patient call to screen patients and filter out those who are not a good fit for your practice.
• The challenges associated with balancing the demands of work and family, especially for female docs.
• The importance of delayed gratification, keeping your expenses below your income, and saving, saving, saving.
• The number one secret to developing wealth.
• How to go from being a go-getter to a go-giver and servant leader.
• The two things younger docs need to do to get ready for practice ownership.
• Strategies to help your kids develop discipline.
• The books that Kirk recommends all his clients read before he starts working with them.

LINKS:

*To Contact Kirk:

Instagram: @KirkTeachout

Email: Kirk@IVQuarterCoaching.com
*Kirk’s Books:  https://www.amazon.com/dp/B0C7NQJV95?binding=paperback&ref=dbs_dp_rwt_sb_pc_tpbk

*Link to the DOC Balance Sheet:  www.TheOrthoCoach.com

*Link to DOC Coaching:  https://michael-deluke.mykajabi.com/offers/KBUuSTLa/checkout

*DOC Podcast on Delayed Gratification:  https://youtu.be/AjCd3OYbJVY?si=ydou-6Gx8kDYXt11

Don’t miss this fascinating episode with orthodontist and entrepreneur Dr. Rael Bernstein!  In this interview, we discuss:

·         How Rael expanded his practice from renting one chair in a colleague’s office to owning and operating 11 orthodontic practices!

·         The way Rael is able to maintain a work-life balance with such a busy schedule.

·         What Rael believes are the best marketing strategies to grow and sustain a practice.

·         The importance of starting to diagnose the patient before you even look at the teeth.
·         Why so many docs don’t like performing Phase I treatment.
·         How to make Phase I treatment enjoyable and profitable!
·         How to know when you are approaching burnout and what you can do about it.

·         How Ricketts’ Bioprogressive Technique helped Rael begin to understand the importance of airway in the development and management of malocclusion.

·         The importance of looking at your patient from the outside in, versus focusing on the teeth.

·         The role the orthodontist can play in the management of airway obstruction and why so many orthodontists elect not to embrace the concept of airway management.

·         How Rael transitioned from using traditional “expanders” to using braces and wires to expand the arches of preadolescent patients in the early-mixed dentition.

·         Why he developed the Bernie Tube for Phase I Treatment

·         The tremendous psycho-social benefit of performing arch development and aligning the teeth on preadolescent patients.

LINKS:

-To learn more about how to do archwire expansion in Phase I, go to: https://theorthocoach.com/ce-courses/

This is a re-posting of an awesome episode on enamel recontouring that was released in June 2023.  Our audience has grown so much since that time and I'd like for all our new viewers to be able to provide this amazing service to their patients!  In this episode, I review the art and science of recontouring anterior teeth that will set your work apart from your competitors and have your patients raving about how their teeth look!

Important points that will be discussed include:

• Which teeth to recontour to achieve the best results.
• The differences between recontouring in Phase I and Comprehensive Treatment.
• At what stage of treatment to perform recontouring and how this differs for patients in braces versus those undergoing clear aligner therapy.
• How to set the teeth up to be recontoured.
• How to avoid tooth sensitivity.
• Technique to use to perform the recontouring, including what handpiece, burs, and disks to use.

Numerous sample cases will be presented as will a detailed, narrated, step-by-step video where I demonstrate recontouring the teeth of one of my patients!  

-Visit the DOC website for more great information:  www.TheOrthoCoach.com
-For information on the CE course referenced:  https://theorthocoach.com/ce-courses/

How would you rate your hiring process?  Do you feel you consistently attract A-players who develop into outstanding team members?  If you’re like most of us, the answer to that question is “no!”  Dr. Mike Neal and his wife had the same issue and that’s why they created Build My Team – a hiring service that provides highly qualified candidates for hire in medical and dental practices throughout North America.

In this episode, we discuss:

·         What motivated Dr. Neal and his wife to start Build My Team (BMT).

·         How they systematized the hiring process to take the guesswork out of hiring.

·         Why you should never communicate with a job applicant via email.

·         Why it is neither necessary nor beneficial to look at an applicant’s resume.

·         The “funnel approach” that BMT uses to attract dozens of applicants and narrow it down to present the practice with 2-3 outstanding candidates for the position.

·         The way BMT evaluates an applicant’s strengths and talents to determine what role in your practice an applicant is best suited for and how they will perform in that particular role.

·         The specific information that BMT gets out of the applicant to help you determine if they will be a good fit for your practice.

·         The fact that many of the best team members do NOT have prior experience in the field.

·         How a practice can hire an A-player team member while only spending approximately an hour of their time.

·         How practices are losing A-players by not responding to applications quickly enough.

·         How BMT can guarantee that the team member they help you find will remain employed in your practice for a minimum of 90 days, or they’ll find another candidate for you free of charge!

·         Why BMT uses a fixed-fee model for clients instead of a commission-based model. 

·         How Dr. Neal used BMT to decrease his total number of team members by 40% and more than double his practice’s net income in 2 years.

·         The way you can use BMT to help you solve your hiring problems and develop a team of all A-players!

LINKS

·         Build My Team:  www.BuildMyTeam.com

·         The OrthoCoach:  www.TheOrthoCoach.com

AT DOC, WE'RE ABOUT HELPING YOU ACHIEVE SUCCESS BOTH PERSONALLY AND PROFESSIONALLY!

If you want to know how to reach financial freedom, THIS is the episode you MUST SEE!!  Dr. Mike will review the steps that he and his wife took to go from zero cash flow and a negative net worth to attaining financial freedom in less than 20 years, including:

• The importance of filling out a balance sheet to gain a better understanding of your current financial situation.
• The different components that make up a balance sheet.
• How to fill a balance sheet out.
• Using the information you enter in the balance sheet to calculate your cash flow and net worth. [The DOC Balance Sheet will do this for you automatically!]
• How to use your completed balance sheet to determine what you need to do to achieve financial freedom.
• The one step that is absolutely essential to achieving financial freedom.
• How often you should revisit/update your balance sheet.

 You’ll also get a FREE formatted and customizable balance sheet by going to www.TheOrthoCoach.com and clicking on the popup.  Just enter your email address and you’ll receive a copy of the balance sheet delivered directly to your inbox!

LINKS

• Website for Balance Sheet – www.TheOrthoCoach.com
• Motivational Monday on Delayed Gratification: https://youtu.be/cWIPqWPk_mo?si=LXPnlmlFSJSjXToY

John Vento, CPA, CFP Podcasts

• Tax Strategies for Dentists: https://youtu.be/1-EXO-IlQgs?si=Z95gfArxXffDOy8U
• Taxes & Practice Ownership – Part a: https://youtu.be/tyQTdCy2DxA?si=GlyFh1X3AAz5jALR
• Taxes & Practice Ownership – Part b: https://youtu.be/Tt0yneFair0?si=TayfvAQR0rHNfAGg
• Tax-Smart Retirement Savings – Part a: https://youtu.be/QFB2DJksISg?si=tpKbjYIQJaH60F7f
• Tax-Smart Retirement Savings – Part b: https://youtu.be/cWIPqWPk_mo?si=LXPnlmlFSJSjXToY

Justin Smith CFA, CFP Podcasts

• Planning for Financial Freedom: https://youtu.be/swJNr52Lqe4?si=jY8Wdk5M1JlgYqNq
• Wealth-Building Investment Strategies: https://youtu.be/2mASImQq5w8?si=XsBi5gj0Jz-85b5T

Don’t miss this amazing conversation with Dr. Shereen Lim – author of the book “Breathe, Sleep, Thrive” and practicing dentist from Perth, Australia!   In this episode, we discuss:

• The origin of Dr. Lim’s passion for early interceptive orthodontics.
• The impact of early maxillary expansion on airway and breathing.
• Why Dr. Lim feels that starting treatment even before the age of 7 years old can be beneficial.
• What motivated Dr. Lim to write her book, “Breathe, Sleep, Thrive” and why it took 6 years to publish.
• The reasons why Dr. Lim wrote her book in a manner that can be understood by lay people.
• The flaws with the OSA scale as it applies to children and why polysomnography is not a good barometer of pediatric sleep-related breathing disorders.
• The importance of detecting mouth breathing and snoring in our pediatric patients and how the numbers lie when it comes to AHI and children.
• The reasons why nasal breathing is essential to good health and good sleep, and its impact on craniofacial growth and development.
• Common reasons why pediatric patients become mouth breathers.
• Why so many patients remain mouth breathers even after adenotonsillectomy.
• The relationship between palatal width and nasal breathing.
• The incidence of allergic rhinitis and subsequent turbinate hypertrophy in pediatric patients, and the impact it has on sleep-disordered breathing.
• One major reason why Dr. Mike thinks many orthodontists aren’t comfortable treating younger children.
• The numerous benefits of interceptive orthodontic treatment to expand the arches in young patients who present with a transverse deficiency, even in the absence of posterior crossbite.
• What Dr. Lim and Dr. Mike see as the future for airway-focused interceptive orthodontic treatment.

LINKS:

• Get a copy of Dr. Lim’s book, “Breathe, Sleep, Thrive” - https://www.amazon.com.au/Breathe-Sleep-Thrive-Discover-potential/dp/0645553212)
• DOC Podcast episode w/parents of 6yo with Sleep-Disordered Breathing - https://www.youtube.com/watch?v=wJFP_9NFnv0&t=7s&ab_channel=DeLukeOrthodonticCoaching
• Enroll in Dr. DeLuke’s comprehensive, 5-part CE course on interceptive orthodontic treatment - https://michael-deluke.mykajabi.com/offers/JwPTtF2z/checkout  
• Dr. Mike’s OrthoTown articles on interceptive orthodontic treatment:

o   Part I: https://www.nxtbook.com/farran/orthotown/orthotown-june-2023/index.php?startid=54#/p/54

o   Part II: https://www.nxtbook.com/farran/orthotown/orthotown-november-2023/index.php?startid=52#/p/52

This week’s episode is a re-release of an interview with my first guest on The DOC Podcast - Dr. Jeff Rothenberg! Our audience has grown so much since this was released back in June 2023 that I wanted to give everyone a chance to hear our amazing conversation!

SUMMARY:

Don't miss this amazing interview with Dr. Jeff Rothenberg!  Jeff is an orthodontist who has an awesome practice in his hometown of Aventura, FL.  He has been developing the arches of preadolescent patients in the early mixed dentition for approximately 10 years and not only has he seen some amazing results, but it has grown his practice significantly.  We discuss:

o   The etiology of dental crowding and why we see so much crowding at such a young age.

o   The role of airway in the development of dental crowding in preadolescent patients.

o   The questions to ask parents to determine if their child has sleep-disordered breathing.

o   How to comfortably and efficiently expand the arches of preadolescent patients in the early mixed dentition without using expanders.

o   How to present this unique approach to patients and parents and how to implement it into your practice.

o   How to dramatically decrease the severity and duration of Phase II treatment by using this unique approach in Phase I.

o   How to set your practice apart from your colleagues by providing a service others aren’t offering.

o   How taking this unique approach to Phase I treatment will both grow your practice and change patients’ lives.

o   How using digital technology such as LightForce can further simplify the placement of Phase I braces by increasing efficiency, maximizing patient comfort, and improving treatment results. 

SHOW NOTES:

·         Visit the DOC website at www.TheOrthoCoach.com for more great content!

·         For access to the series of CE courses on Phase I Treatment:  https://michael-deluke.mykajabi.com/offers/JwPTtF2z/checkout

·         To enroll in one-on-one coaching with Dr. Mike: https://michaeldeluke.mykajabi.com/offers/KBUuSTLa/checkout

·         Breath by James Nestor (https://www.amazon.com/Breath-New-Science-Lost-Art/dp/0241289122/ref=asc_df_0241289122/?tag=hyprod-20&linkCode=df0&hvadid=532597683340&hvpos=&hvnetw=g&hvrand=16510346258553406966&hvpone=&hvptwo=&hvqmt=&hvdev=c&hvdvcmdl=&hvlocint=&hvlocphy=9012267&hvtargid=pla-984701754398&psc=1)

I had another amazing conversation with Dr. Stacy Ochoa!  In this episode, we discuss:

·         Stacy’s lecture at the Winds of Change meeting in St. Louis (organized by Maz Moshari).

·         References from the early-mid 1900s that discussed the role that environmental factors play in the development of malocclusion and the value of performing arch development in the primary and/or early-mixed dentition.

·         The divide that exists between academia and private practice.

·         Reasons why research and academia so often lag behind clinical practice. 

·         The fact that change typically comes from the fringe, not from academia.

·         The challenges associated with formulating and funding research on the impact of interceptive orthodontic treatment on pediatric sleep-disordered breathing.

·         Why it is neglectful to ignore airway issues and wait until patients are older to perform orthodontic treatment.

·         The reasons why many orthodontists feel threatened by general dentists and pediatric dentists who are addressing airway issues and performing interceptive treatment in preadolescent patients.

·         Whether it is appropriate to treat kids at 4 years old and, if so, what can be done.

·         Craniofacial Respiratory Complex.

·         The 2017 ADA Position Statement on Sleep Related Breathing Disorders (SRBDs) and the role of the dentist in the recognition and treatment of these issues.

·         The stance of the American Academy of Sleep Medicine regarding the role of dentists in the management of breathing disorders.

·         Amazing stories of patients whose lives we’ve transformed with an airway-centered approach to interceptive orthodontic treatment.

LINKS/REFERENCES

·         Change Comes From the Fringe: https://www.facebook.com/story.php?story_fbid=pfbid0SrWRzPvHCFMebEmHHNhxLN2G1PWot9yZAnMBguNFzsuSam2eAy4LKe2LzuzY6fpql&id=100000076810084&mibextid=qC1gEa&paipv=0&eav=Afa9ouZazZsmeYFIlEaMWpdQ-aJd5pXaRxcFVQMBOP9WdBl6XW2VpYTa6ykL4TEZy38&_rdr

·         DeLuke OrthoTown Article Part 1 (Permission to Intercept): https://www.nxtbook.com/farran/orthotown/orthotown-june-2023/index.php?startid=54#/p/54

·         DeLuke OrthoTown Article Part 2 (Expand Your Reality): https://www.nxtbook.com/farran/orthotown/orthotown-november-2023/index.php?startid=52#/p/52

·         Holtzman AC. Orthodontia of Deciduous Teeth. AJO; May 1928:390-392.

·         Weber FN. Prophylactic Orthodontics. AJO; August 1949:611-35.
·         ADA Position Paper on The Role of Dentistry in the Treatment of Sleep Related Breathing Disorders: https://www.ada.org/-/media/project/ada-organization/ada/ada-org/files/resources/research/the-role-of-dentistry-in-sleep-related-breathing-disorders.pdf