prosthodontics

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Live from the AAID 2023 Central District Meeting in Chicago! Drs. Justin Moody and Danny Domingue chat with Naif Sinada, DMD, MS about the craftsmanship of dentistry, specializing in prosthodontics, and the future of implant dentistry.

The views expressed in this episode are those of the individual participants and not necessarily that of the AAID.

Links from this Episode:

To learn more about Dr. Sinada visit: https://ozarkpros.com/fayetteville/meet-the-doctors/ 

To learn more about the AAID visit: https://www.aaid.com/index.html 

Dr. Paul Springs is a prosthodontist who practices in Queens, NYC. The last time we heard from Paul, he was swabbing patients for COVID tests in 2020 to finish out his prosthodontics residency. 

As it turns out, there is quite a bit more to Paul than wearing massive PPE and swabbing peoples' brains. Paul is a self-proclaimed "smashodontist." His prosthodontic practice focuses on people who have been in car accidents and workplace accidents. It turns out that his practice has figured out a way to help these people which entails a combination of prosthodontic acumen and a deep understanding of paperwork. Paul and Al have a wide ranging conversation about COVID aftermath, scientific skepticism, how we know what we know and most importantly...smashodontics! 

• Will dental schools bounce back from COVID?
• Going back to specialize after 5 years of general practice and "being in over your head."
• Introspection and self awareness
• Instagram expertise and the reality distortion field
• Understanding the literature and the literature's weaknesses. Is dentistry "science based?"
• Our own prejudices may be more important than the "science" when it comes to what/how we treat stuff. See a recent Alan Mead Experience on "Confirmation Bias."
• Paul on "smashodontics"

Some links from the show:

• Dr. James Andrews (Al's favorite Australian orthodontist)
• Mugglecast
• Skeptic's Guide to the Universe
• Dr. John Witzig's wrestling site

Join the Very Dental Facebook group using the password "Timmerman," Hornbrook" or "McWethy," "Papa Randy" or "Lipscomb!"

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CAD-Ray offers the best service on a wide variety of digital scanners, printers, mills and even  their very own browser based design software, Clinux! CAD-Ray has been a huge supporter of the Very Dental Podcast Network and I can tell you that you’ll get no better service on everything digital dentistry than the folks from CAD-Ray. Go check them out at verydentalpodcast.com/CADRay!

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Dr. Lagreca is a Board-Certified Prosthodontist and fellow of the American Board of Prosthodontics. She received her first dental degree (DDS) from the Universidad Central de Venezuela in Caracas. She then received her certificate in Prosthodontics, Implant Fellowship training and currently Doctor of Dental Medicine (DMD) degrees from Tufts University School of Dental Medicine (TUSDM). Dr. Lagreca is the President of the American College of Prosthodontics Massachusetts section, where she collaborates with dental professionals from all three dental schools in MA. Dr. Lagreca enjoys rehabilitating patients from single teeth crowns to full mouth makeovers with veneers, crowns, implants and dentures. The first dentist on a family of engineers and designers, she truly understands the integration of aesthetics and function. She also enjoys the integration of facial esthetics including Botox to manage clenching, grinding and TMJ disorders.

Dr. Lagreca’s achievements have been recognized by the Incisal Edge Magazine 40-under-40 2021 Award, The American Dental Education Association and The American Dental Association.

At the intersection of science and construction is oral surgery, at least for Dr. Kyle M. Stein of North Liberty Oral Surgery and Dental Implants as he describes his appreciation for the meticulous attention to detail needed while being able to work with his hands. And though his clinic is brand new, Dr. Stein has been in the field for well over a decade now.

North Liberty is the headquarters of local media, regional financial and national transportation companies and home to solar energy and tech startups, and entrepreneurs getting their big ideas off the ground.

Get to know your new business community.

In this episode Ms. Angela Holland, the CEO of Preferred Dental Services will share her protips for having a profitable practice that takes dental insurance. She'll also explain how you can stay out of trouble and avoid insurance fraud. 

Website: https://www.preferreddentalservice.com/

Instagram: @preferreddentalservices

Podcast IG: @dental_digest_podcast

Dr. Seibert: @dr.melissa_seibert

One of the greatest ways dentists lose money or get into trouble is not knowing how to deal with Dental insurance companies. Sometimes dentists hire a front office manager to do the billing and manage insurance, but oftentimes they’re undertrained in this area or they can’t devote the time to constantly being up to date on all the changes in dental insurance. So, effectively you’re losing a lot of money. Well, the CEO of Preferred Dental Services is here with us today to share her expertise. Preferred Dental Services is a company where you can entirely outsource insurance to a Billing Specialist so you and your office never have to sweat it again. Hiring a Billing Specialist is like hiring an OUTSTANDING Assitant to your Practice Manager. However, they are paid based on how much money they make you, and NEVER request PTO or uses sick leave. Your Preferred Billing Specialist also doesn’t require medical insurance and  removes the threat of embezzlement, and NEVER has to go home early. Angela is phenomenal to work with and once you listen to this episode you’ll realize very quickly she knows what she’s doing. If you want to make your practice more profitable, I recommend you go to preferred dental services.com.

legwork.com/dentaldigest 

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MOD institute: https://www.themodinstitute.com/

Topics: digital printing, digital dentistry, digital workflows, implant dentistry, digital smile design

Dr. Wally Rene is back this week and we’ll be talking about digital dentistry. If you missed last week’s episode, I recommend you start there first. Dr. Rene is someone who has truly been a vanguard in the digital dentistry revolution. He was one of the earliest adopters before digital dentistry even took off. He formerly served as a Professor and Assistant Dean of Innovation and Digital Dentistry at the Medical University of South Carolina and has won several national and regional awards for his efforts both pre-clinically and clinically. He’s also the founder of the MOD Institute and leads all learning and innovation initiatives at the organization.

The Modern Optimized Dentistry (MOD) Institute is a dental continuing education center focused on blending evidence-based practices with the latest technology and techniques in order to optimize patient outcomes. The MOD institute seems pretty incredible. They teach dentists how to incorporate cutting edge dentistry, such as digital implant planning, digital smile design, printing a prosthesis, into their practice. 

Instagram: @dental_digest_podcast

Website: https://dentaldigestinstitute.com/

Sponsor: https://www.meetdandy.com/melissa/

MOD Institute: https://www.themodinstitute.com/

Dr. Wally Renne is the founder of the MOD Institute and leads all learning and innovation initiatives at the organization. He is a contributing member of MOD Aesthetics, the private practice arm of MOD.

He also serves as a Professor and Assistant Dean of Innovation and Digital Dentistry at the Medical University of South Carolina and has won several national and regional awards for his efforts both pre-clinically and clinically.

He is also an active dental researcher and has published over 30 studies on scan and milling accuracy using various systems. Dr. Renne also has several patents including a patent for a platform of long-term antimicrobial dental materials.

Facebook: Wally Renne
Instagram: @dr.wallyrenne
YouTube: Wally Renne

Sponsor: Click here for Dandy Labs or go to https://www.meetdandy.com/melissa/

Instagram: @dental_digest_podcast 

Dr. Matthew Chesler is a native of Wayzata, Minnesota, near the Twin Cities. After high school, he left the “frozen tundra” behind for sunnier days in Southern California, where he earned a Bachelor’s degree in Psychology at UCSD and then moved on to USC School of Dentistry for his DDS degree in 2004. During his studies he received a faculty award for excellence in Endodontics. 

While at USC, Dr. Chesler received a full scholarship from the US Navy. He first reported for active duty to Camp Pendleton where he completed a one year residency in Advanced Education in General Dentistry. Shortly afterwards, he became one of the youngest residents to ever be selected for the Endodontics residency program at the Naval Postgraduate Dental School in Bethesda, MD. He completed the program in 2008 and concurrently earned a postdoctoral Master of Science degree from The George Washington University, Washington, DC. 

After graduation, he reported to Pearl Harbor, Hawai’i as the Endodontics department head. Lieutenant Commander Chesler was transferred back to the San Diego area in early 2011 where he served as the head of the Endodontics department at Marine Corps Air Station, Miramar. In 2015 he separated from the Navy after eleven years of active duty, but is currently a naval reservist.

Dr. Chesler has remained academically active. In Hawai’i he was chairman of the annual Tri-Service Dental Symposium, providing lectures to all Oahu-based dental officers.  He is successfully mentoring promising junior officers to follow his training path. Annually, he attends the American Association of Endodontists continuing education program and stays abreast of the latest research by keeping up with multiple endodontic publications. He holds professional memberships with the American Dental Association, American Association of Endodontists, California Dental Association, and the San Diego County Dental Society.

Dr. Chesler (“Matt”) and his wife, Trang Chesler, also a dentist, have two sons.  Matt’s hobbies include 3-putting the greens of various San Diego golf courses, hiking, and posing as potential shark bait when he’s scuba diving.  His main interest is in all things automotive, where he is doing his best to get his two young sons as car crazy as he is.

In this episode Dr. Chesler will discuss topics related to endodontics and pain management. 

Instagram: @dental_digest_podcast

Dr. Melissa Seibert Instagram: https://www.instagram.com/dr.melissa_seibert/ 

Linkedin: https://www.linkedin.com/in/dr-melissa-ratliff-seibert-dmd-37230873/

About Dr. Chesler: Dr. Matthew Chesler is a native of Wayzata, Minnesota, near the Twin Cities. After high school, he left the “frozen tundra” behind for sunnier days in Southern California, where he earned a Bachelor’s degree in Psychology at UCSD and then moved on to USC School of Dentistry for his DDS degree in 2004. During his studies he received a faculty award for excellence in Endodontics. 

While at USC, Dr. Chesler received a full scholarship from the US Navy. He first reported for active duty to Camp Pendleton where he completed a one year residency in Advanced Education in General Dentistry. Shortly afterwards, he became one of the youngest residents to ever be selected for the Endodontics residency program at the Naval Postgraduate Dental School in Bethesda, MD. He completed the program in 2008 and concurrently earned a postdoctoral Master of Science degree from The George Washington University, Washington, DC. 

After graduation, he reported to Pearl Harbor, Hawai’i as the Endodontics department head. Lieutenant Commander Chesler was transferred back to the San Diego area in early 2011 where he served as the head of the Endodontics department at Marine Corps Air Station, Miramar. In 2015 he separated from the Navy after eleven years of active duty, but is currently a naval reservist.

Dr. Chesler has remained academically active. In Hawai’i he was chairman of the annual Tri-Service Dental Symposium, providing lectures to all Oahu-based dental officers.  He is successfully mentoring promising junior officers to follow his training path. Annually, he attends the American Association of Endodontists continuing education program and stays abreast of the latest research by keeping up with multiple endodontic publications. He holds professional memberships with the American Dental Association, American Association of Endodontists, California Dental Association, and the San Diego County Dental Society.

Dr. Chesler (“Matt”) and his wife, Trang Chesler, also a dentist, have two sons.  Matt’s hobbies include 3-putting the greens of various San Diego golf courses, hiking, and posing as potential shark bait when he’s scuba diving.  His main interest is in all things automotive, where he is doing his best to get his two young sons as car crazy as he is.

Dr. Bill Robbins, is back this week. If you didn’t get a chance to listen to his first episode, which aired last week, I highly recommend you do so. Also, if you’re loving what you’re learning this week, I suggest you come check out his study club, Global diagnosis education.

Link to global diagnosis education: https://www.actdental.com/gde-home

Dr. Robbins has coauthored the textbook we’re all familiar with, Fundamentals of Operative Dentistry and a new textbook “Global Diagnosis.” He’s also past president of the American Board of General Dentistry, the Academy of Operative Dentistry,  American Academy of Restorative Dentistry and more.  And whether he realizes it or not, he’s been a role model for me for years. As I’ve mentioned before, there have been a few educators that have been my inspiration for wanting to create this podcast, and Dr. Robbins is one of them. 

My guest for my next two episodes is comprehensive dentist, renowned educator, treatment planning master extraordinaire, Dr Bill Robbins. He coauthored the textbook we’re all familiar with, Fundamentals of Operative Dentistry and a new textbook “Global Diagnosis.” He’s also past president of the American Board of General Dentistry, the Academy of Operative Dentistry,  American Academy of Restorative Dentistry and more.  And whether he realizes it or not, he’s been a role model for me for years. As I’ve mentioned before, there have been a few educators that have been my inspiration for wanting to create this podcast, and Dr. Robbins is one of them. 

Dr. Robbins's study club: https://www.actdental.com/gde-home

Join me on Instagram: @dental_digest_podcast

Some things we'll discuss in this episode: 

1. What is the Global Diagnosis System for Treatment Planning

2. What does it mean for treatment plans to be facially generated 

3. Causes for excessive gingival display

Connect: @dental_digest_podcast

Website: https://dentaldigestinstitute.com/

In 1983 Dr. Brian P. LeSage earned his doctor of dental surgery degree from the University of Maryland, Baltimore College of Dental Surgery. He graduated magna cum laude and was inducted into the Omicron Kappa Upsilon National Dental Honor Society. And he completed a general residency program at the University of California, Los Angeles, School of Dentistry.

He began private practice in Washington, D.C., with an emphasis on esthetic and reconstructive dentistry. He relocated to Beverly Hills and, in 1990, established the Beverly Hills Institute of Dental Esthetics, where he practices with his wife, Dr. Afsaneh Malaekeh.

Jeffrey S. Rouse, D.D.S. maintains a private practice in San Antonio, Texas and practiced with Drs. Gregg Kinzer and Frank Spear in Seattle, Washington. In 2017, he became a member of the Resident Faculty at Spear Education in Scottsdale, AZ. He was also an Adjunct Assistant Professor in the Department of Prosthodontics at the University of Texas Health Science Center at San Antonio from 2004-2019. After graduation from dental school in San Antonio, Dr Rouse completed a 2-year General Practice Residency at the University of Connecticut Health Science Center. He practiced family dentistry for twelve years before returning to school. Dr Rouse received his specialty certificate in Prosthodontics from the University of Texas Health Science Center at San Antonio in 2004. He is a member of the American Academy of Restorative Dentistry, the American College of Prosthodontists, and past president of the Southwest Academy of Restorative Dentistry.

Dr. Rouse has written numerous journal articles including a portion of the “Annual Review of Selected Dental Literature” published each summer in the Journal of Prosthetic Dentistry. He has a textbook published in 2016 by Quintessence titled "Global" Diagnosis: A New Vision of Dental Diagnosis and Treatment Planning written with his teaching partner, Dr. Bill Robbins. Furthermore, he has contributed chapters on porcelain veneers and anterior ceramic crowns to three editions of a dental textbook. Dr. Rouse lectures nationally and internationally on a wide variety of topics ranging from dental esthetics to airway prosthodontics.

I have gotten so many requests to have some episodes be about practice management and how to have a thriving dental practice, whether you’re a practice owner or associate. Dentists deserve to be compensated for their hard work. We do have a service based-profession, but we work very hard. We’ve spent so many years of our lives being disciplined to keep learning when perhaps others have been able to play. So, my guest this week came to me highly recommended by the creator of the keep cerecing facebook group, Dr. Dhaval Patel. My guest is Dr. Tarun Agarwal. He’s been featured on CBS, NBC, ABC, and FOX. He is regularly invited to teach other dentists around the world and recently built a training center which is dedicated to sharing his expertise. And today, he’s going to give us a lot of wisdom on how to be a financially successful dentist. Whether you're an associate or practice owner, you’ll learn some relevant pearls about how to have a financially successful dental practice.

About Dr. Agarwal:

Dr. Tarun Agarwal, DDS is considered one of the top dentists in the country. He is a recognized speaker, author, and dental leader. He has been featured on CBS, NBC, ABC, FOX, and News 14 Carolina. Dr. Agarwal has been awarded '40 under 40' Business Leaders by the Triangle Business Journal.

He is regularly invited to teach other dentists around the world and recently built a training center within the practice dedicated to sharing his expertise.

Most importantly he is a loving husband and dedicated father of three wonderful children. His biggest accolade was being voted 'Best Dad in the World' by 2 of his 3 kids.

In this episode, board certified oral maxillofacial surgeon Dr. Jay Platt will discuss analgesics, how to prescribe antibiotics, antibiotic resistance, new guidelines related to antibiotics, MRONJ, oral pathology and more. 

Jay Platt, DDS is originally from Fort Wayne, graduating from high school in 1979. From there he spent three years at Indiana University in Bloomington and entered Indiana University School of Dentistry in 1983.

After graduating from IUSD in 1986 he did a one-year general practice residency at the Indiana University Medical Center. From 1987-1990 he did an Oral & Maxillofacial Surgeon Residency at the IU Medical Center, gaining his certificate in 1990. In 1992, Dr. Platt became Board Certified by the American Board of Oral and Maxillofacial Surgeons and has maintained it since. 

He was awarded fellowship in the American College of Dentists and he is a member of the American Association of Oral and Maxillofacial Surgeons, American Dental Association, Indiana Society of Oral and Maxillofacial Surgeons, the Northwest Indiana Dental Society, he is a diplomate of the National Dental Board of Anesthesiology, and a member of the International College of Oral Implantologists. He is a past member of the Board of the Northwest Indiana Dental Society and past President of the Indiana Society of Oral and Maxillofacial Surgeons. He is on faculty at Spear Education and speaks regularly at the AAOMS annual meeting in addition to the AAOMS Dental Implant Conference. 

Dr. Platt practices all phases of oral and maxillofacial surgery concentrating on all types of extractions, placement of dental implants, exposure of impacted teeth, pathology and corrective jaw surgery. He has great interest and experience in intraoral bone grafts and placement of dental implants. As the founder of the Northwest Indiana Dental Implant Study Club he has been a leader in the area of dental implants for many years. He maintains two Spear Study clubs as well. The use of Nitrous Oxide and IV anesthetics in the office to allow for maximum patient comfort is a big part of his practice.

Dr. Platt currently resides in Munster with his wife Bobbie.

I'm a big fan of Dr. Jeff Rouse's work with occlusion and airway prosthodontics. In this two part series Dr. Rouse will delve into misconceptions in occlusion, airway prosthodontics, obstructive sleep apnea, bruxism, the Seattle Protocol, TMD, TMJ, nasal breathing and so much more. 

Instagram: @dental_digest_podcast

Website: https://dentaldigestinstitute.com/

About Dr. Rouse:

Dr. Rouse is recognized as a pioneer in the field of airway prosthodontics — the impact that a compromised airway has on the stomatognathic system. Along with fellow Spear Resident Faculty member Dr. Greggory Kinzer, he developed the "Seattle Protocol" to recognize, control and direct resolution of airway distress in a restorative dental practice.

Dr. Rouse maintains a private practice in San Antonio, Texas, and practices with Dr. Kinzer and Dr. Frank Spear in Seattle. He is also an adjunct assistant professor in the Department of Prosthodontics at the University of Texas Health Science Center at San Antonio. Among his dental accolades, he has written numerous journal articles, including a portion of the “Annual Review of Selected Dental Literature” published each summer in the Journal of Prosthetic Dentistry. Most recently, he co-wrote a textbook by Quintessence titled "Global Diagnosis: A New Vision of Dental Diagnosis and Treatment Planning.”

After graduating from dental school in San Antonio, Dr. Rouse completed a two-year general practice residency at the University of Connecticut Health Science Center. He practiced family dentistry for 12 years before returning to school to earn his specialty certificate in prosthodontics from the University of Texas Health Science Center at San Antonio in 2004. He is a member of the American Academy of Restorative Dentistry and American College of Prosthodontists and past president of the Southwest Academy of Restorative Dentistry.

This episode features Dr. Frank Milnar and he'll provide you with a sneak peak into what he'll be discussing at the American Academy of Cosmetic Dentistry's (AACD) Annual Scientific Session in Orlando. 

Website: https://aacd.com/

About Dr. Milnar:

Frank J. Milnar DDS, AAACD is a graduate from the University of Minnesota, School of Dentistry in 1976. He is an Accredited Member of the American Academy of Cosmetic Dentistry, Board Examiner for the Accreditation process.

Dr. Milnar maintains a full-time practice in St. Paul, Minnesota emphasizing Minimally Invasive and appearance-related dentistry. He has published over 50 peer-reviewed articles about the direct placement of composites, shade selection and porcelain materials and is on editorial review boards for dental journals. Dr. Milnar is co-founder of the Minnesota Academy of Cosmetic Dentistry and has lectured extensively within the US Armed Forces as well as internationally on the subject of direct composite restorations, shade selection and porcelain materials.

He has been voted “Top Dentist” and voted into the” Top Dentist Hall of Fame” for the last five years by his peers in the Minneapolis/St. Paul Magazine. He has been voted by Dentistry Today as one of the top 100 dentists contributing to dental education. Most recently, Dr.Milnar was nominated to the University Of Minnesota School Of Dentistry Continuing Education Advisory Board. He is a Visiting Faculty Member for the BIOCLEAR Learning Center and received the BIOCLEAR Mastership Award.

This episode is the final episode in our 3 part series on treatment planning and occlusion with Dr. Frank Spear. We'll discuss when to restore in centric occlusion (CO) versus MIP. 

Check out this episode's sponsor at https://www.meetdandy.com/melissa/

Instagram: @dental_digest_podcast

Website: https://dentaldigestinstitute.com/

About Dr. Spear:

As co-founder and director of Spear Education, Dr. Spear continues to be recognized as one of the premier educators in esthetic and restorative dentistry in the world. He earned his dental degree at the University of Washington in 1979 and an M.S.D. in periodontal prosthodontics in 1982.

Dr. Spear has been recognized by numerous associations for his contributions to dentistry. In 1993, he was awarded the Christensen Award for Excellence in Restorative Education from the Chicago Dental Society. In 1995, the American Academy of Cosmetic Dentistry presented him with a special award for having advanced the art and science of cosmetic dentistry in the U.S. In 1996, he received the Saul Schluger Memorial Award for Excellence in Diagnosis and Treatment Planning from the Seattle Study Club. In 2003, he and colleague Vincent G. Kokich were awarded the first-ever President’s Award for excellence in education from the American Academy of Esthetic Dentistry.

In 2004, Dr. Spear earned the Distinguished Alumnus Award from Pacific Lutheran University, where he earned his undergraduate degree. In 2013, he was named Distinguished Alumnus for the University of Washington School of Dentistry. In 2018 he received the first-ever Charles Pincus-Ronald Goldstein Lifetime Achievement Award in Esthetic Dentistry from the American Academy of Esthetic Dentistry.

In addition to his work at Spear, Dr. Spear is an affiliate professor in the graduate prosthodontics program at the University of Washington. He and fellow Spear Resident Faculty member Dr. Greggory Kinzer maintain a private practice in Seattle limited to esthetics and fixed prosthodontics. In addition to his faculty and practice responsibilities, Dr. Spear maintains a busy lecture schedule, presenting dental continuing education in North America, Europe and Asia.

Dr. Spear belongs to multiple dental organizations, including the American Academy of Esthetic Dentistry, the American Academy of Restorative Dentistry and the American College of Prosthodontics. He is also a past president of the American Academy of Esthetic Dentistry.

Dr. Frank Spear is back for our 3 part series on treatment planning and occlusion!

Check out https://www.meetdandy.com/melissa/

About Dr. Spear:

As co-founder and director of Spear Education, Dr. Spear continues to be recognized as one of the premier educators in esthetic and restorative dentistry in the world. He earned his dental degree at the University of Washington in 1979 and an M.S.D. in periodontal prosthodontics in 1982.

Dr. Spear has been recognized by numerous associations for his contributions to dentistry. In 1993, he was awarded the Christensen Award for Excellence in Restorative Education from the Chicago Dental Society. In 1995, the American Academy of Cosmetic Dentistry presented him with a special award for having advanced the art and science of cosmetic dentistry in the U.S. In 1996, he received the Saul Schluger Memorial Award for Excellence in Diagnosis and Treatment Planning from the Seattle Study Club. In 2003, he and colleague Vincent G. Kokich were awarded the first-ever President’s Award for excellence in education from the American Academy of Esthetic Dentistry.

In 2004, Dr. Spear earned the Distinguished Alumnus Award from Pacific Lutheran University, where he earned his undergraduate degree. In 2013, he was named Distinguished Alumnus for the University of Washington School of Dentistry. In 2018 he received the first-ever Charles Pincus-Ronald Goldstein Lifetime Achievement Award in Esthetic Dentistry from the American Academy of Esthetic Dentistry.

In addition to his work at Spear, Dr. Spear is an affiliate professor in the graduate prosthodontics program at the University of Washington. He and fellow Spear Resident Faculty member Dr. Greggory Kinzer maintain a private practice in Seattle limited to esthetics and fixed prosthodontics. In addition to his faculty and practice responsibilities, Dr. Spear maintains a busy lecture schedule, presenting dental continuing education in North America, Europe and Asia.

Dr. Spear belongs to multiple dental organizations, including the American Academy of Esthetic Dentistry, the American Academy of Restorative Dentistry and the American College of Prosthodontics. He is also a past president of the American Academy of Esthetic Dentistry.