Very Clinical: Dr. Matt Standridge Making Moves

[00:00:00] Welcome to the Very Clinical Podcast. In about the time it takes to do an M.O. on three, we

[00:00:21] will entertain and amaze you with tips and tricks on regular daily dentistry. Here's Kevin

[00:00:27] and Zach. Welcome back, Clinical Hacks listeners to another episode of The Clinical Hacks with

[00:00:33] you, Zach Miners from Kansas City, Moe. And as usual, I have my trusty co-host, Kevin

[00:00:41] Herr Friar. Kevin, how is the mistake by the lake?

[00:00:44] It's cold and snowy, very cold tonight. We're hitting a record, I think. Probably

[00:00:50] not a record, but it's pretty cold out there.

[00:00:52] What do you do out in the cold, Kevin? Do you have any cold weather activities you

[00:00:56] like to do?

[00:00:57] I like to ski, as we've talked about. So I'm going end of the month to Park City. You've

[00:01:03] been skiing lately too. I've heard through The Great Fire.

[00:01:06] I have. I've been on the local hill teaching my kids how to do it with the hopes that we

[00:01:11] can do the real deal out in Colorado next year and so far so good.

[00:01:15] Are they pizzaing and french frying?

[00:01:18] We are pizzaing in French, more pizzaing than french frying. But it is all good.

[00:01:22] They're both doing really well and most importantly, they like it. And it gives me something to do

[00:01:27] outside that is an approved activity in this apocalyptic world.

[00:01:32] You're teaching them a lifelong skill?

[00:01:35] I hope so. I really do. It's been a lifelong skill for me too.

[00:01:38] Trust me. I know.

[00:01:39] I booked a guest.

[00:01:40] Yes.

[00:01:41] What is it, Kevin? Because I'm sick of just talking to you.

[00:01:44] Yeah, I'm boring.

[00:01:47] Now, I have a guest that's actually closer to me than you, which is a rarity.

[00:01:52] I have from the great state of Kansas, we have Dr. Matt Standridge.

[00:01:57] Matt, what is up?

[00:01:58] How's it going, fellas? Good to be here.

[00:02:00] Let's see, Matt. What city exactly are you in in Kansas?

[00:02:05] Oh, the booming metropolis of Yates Center. You've probably heard of it before.

[00:02:10] Oh, yeah.

[00:02:11] Sure.

[00:02:12] Big tourist attractions and yeah.

[00:02:14] There's a lot of movies.

[00:02:17] It seems to be made about that area.

[00:02:18] You know, it's a big, it's an epicenter if you will.

[00:02:21] Yeah. People come from all over.

[00:02:23] How long would it take you to get to KC from where you're at by vehicle?

[00:02:30] About an hour and a half.

[00:02:32] Yeah.

[00:02:33] Right.

[00:02:34] Close.

[00:02:35] Yeah.

[00:02:36] So you're a chiefs fan then as well.

[00:02:37] Oh, yeah.

[00:02:38] Hopefully this, hopefully we won the Super Bowl. I don't know.

[00:02:40] It's being played this Sunday.

[00:02:42] So we'll see how it all shakes out.

[00:02:44] This is released in two weeks of swallage.

[00:02:47] Well, or not well. We'll see how it goes.

[00:02:49] Hey, congratulations ahead of time.

[00:02:51] Yeah, there we go.

[00:02:52] I'm from the future.

[00:02:53] I know what happens.

[00:02:54] I hope we beat Brady down.

[00:02:56] That is for sure. We'll see.

[00:02:58] Good happen.

[00:03:00] We're here to talk.

[00:03:02] Orthodox has been a popular topic on this podcast.

[00:03:04] And we have another orthodontic thing.

[00:03:06] I can get to that though.

[00:03:07] Oh yes.

[00:03:08] Our friend Matt also has a podcast.

[00:03:11] He does.

[00:03:12] The Keto Donnist in which he talks about

[00:03:16] the keto lifestyle and that sort of thing,

[00:03:18] which revolves around food.

[00:03:19] So before we get into it,

[00:03:21] I'm going to assume that you guys

[00:03:23] like a good hunk of meat.

[00:03:27] Love some good meat in my mouth.

[00:03:29] Yeah.

[00:03:30] That's what she said.

[00:03:31] Let's talk about our favorite cuts of beef.

[00:03:35] How's that?

[00:03:36] Since you guys are sort of out there.

[00:03:38] Oh, I guess we could chat about that a little bit.

[00:03:40] Matt, you go first.

[00:03:42] If you're going to have a good old keto time,

[00:03:44] what kind of meat do you want?

[00:03:46] It's a tough thing.

[00:03:48] I was just at implant pathways

[00:03:50] and we went to Dominix in Scottsdale

[00:03:52] and I had a YG rib eye tomahawk.

[00:03:54] Wow.

[00:03:56] And it was probably the best thing I've ever eaten.

[00:03:58] So I would have to say most of the time

[00:04:00] because I'm trying to get to the point

[00:04:02] where I'm not sure what I'm eating.

[00:04:04] I'm not sure what I'm eating.

[00:04:06] I'm not sure what I'm eating.

[00:04:08] Most of the time because I'm trying to still lose weight

[00:04:11] and stuff, I go with leaner cuts like a sirloin.

[00:04:14] But as far as just overall flavor,

[00:04:17] I'd say rib eye is probably my favorite.

[00:04:20] All right, Zach, what kind of meat do you like, buddy?

[00:04:25] Well, I am from the barbecue capital of the world here,

[00:04:28] home of the World Series of Barbecues.

[00:04:31] So for my money,

[00:04:34] I am going to have some burnt ends

[00:04:36] from my favorite barbecue place, which I sent you

[00:04:39] and I don't know how they travel by mail.

[00:04:41] They were amazing.

[00:04:43] We had them two nights in a row

[00:04:45] because there's just two of us

[00:04:47] and that was a lot of burnt ends.

[00:04:49] So they were delicious

[00:04:51] and I thank you very much for that.

[00:04:53] Was that a consolation for the Browns

[00:04:56] that you sent that to?

[00:04:58] We made a wager, Matt.

[00:05:00] We made a wager and it was the best of both worlds for me.

[00:05:04] Well, we won the game,

[00:05:07] but I lost on the points.

[00:05:09] If you're gambling degenerate as I am,

[00:05:12] you know that they did not cover the spread.

[00:05:15] So I got to send barbecue to my good buddy, Kevin.

[00:05:18] I got some good meat.

[00:05:20] Still have to cook the brisket,

[00:05:22] but I'll get to that soon.

[00:05:24] How about you, Kevin?

[00:05:26] I do like myself a good filet.

[00:05:29] I have a big green egg

[00:05:32] that I've had for a while and I've sort of perfected.

[00:05:35] I do think steak is a very particular thing

[00:05:38] to the eater

[00:05:40] and what might be a good steak to me

[00:05:43] might not be a good steak to you,

[00:05:45] but I've sort of perfected what I like on the egg

[00:05:48] to my liking.

[00:05:50] So a good filet on the big green egg,

[00:05:53] little smoky.

[00:05:55] I love it.

[00:05:56] I did have an elk chop this weekend,

[00:05:58] which was very interesting.

[00:06:01] I love a good elk burger

[00:06:03] or a bison.

[00:06:05] One of those, oh man, those make great burgers.

[00:06:07] Those are good choices.

[00:06:09] Joe Rogan's discount code, Kevin?

[00:06:12] Yeah, I did.

[00:06:14] Young Jamie hooked me up and I got the discount code

[00:06:18] and my father-in-law paid for it

[00:06:20] since we were at a restaurant actually.

[00:06:22] But Joe stopped by, said hello.

[00:06:24] We did some DMT afterwards

[00:06:27] and woo!

[00:06:29] So we're going to go with our podcast.

[00:06:31] So Matt, you know a little bit about moving teeth,

[00:06:35] I assume.

[00:06:37] Let's start with your overall bio,

[00:06:40] your education and all that sort of stuff

[00:06:42] so then we'll get into the orthodontic

[00:06:44] portion of the podcast.

[00:06:46] Yeah, sure thing.

[00:06:48] So I graduated from UMK scene

[00:06:51] a little over a decade ago

[00:06:53] and...

[00:06:54] Go Roo's!

[00:06:56] And I never thought I would do orthodontics

[00:07:01] in my practice.

[00:07:03] It was funny, I had the chair of the ortho program

[00:07:10] as my bench instructor

[00:07:12] at dental school.

[00:07:14] And this is the first time

[00:07:16] that we're doing anything lab-related,

[00:07:19] bending wire and we were salt and peppering

[00:07:22] a haulie retainer.

[00:07:24] So we're salt and peppering the acrylic

[00:07:27] for the haulie retainer.

[00:07:30] And I go to turn it in

[00:07:33] and you know how if you don't have

[00:07:36] enough monomer how the acrylic

[00:07:39] is a little kind of cloudy?

[00:07:42] Right?

[00:07:43] And so mine was a little bit cloudy,

[00:07:45] I didn't add enough pepper to my salt I guess

[00:07:48] and she looks at it,

[00:07:52] she looks at me, she looks at it,

[00:07:54] she looks at me and she's like

[00:07:56] are you going into oral surgery?

[00:08:00] Like no ma'am.

[00:08:02] Are you going to try to be a periodontist

[00:08:06] or you know like no ma'am

[00:08:08] just planning on being a general practice

[00:08:11] or oh good, good.

[00:08:14] Because I don't think ortho is for you.

[00:08:16] Wow, love it.

[00:08:17] Savage burn.

[00:08:19] Super.

[00:08:22] And so...

[00:08:23] Public encouragement.

[00:08:25] Yeah, so it really wasn't on my radar

[00:08:27] so okay I guess that's it.

[00:08:30] Anyways and so I really didn't,

[00:08:33] of course I graduated dental school

[00:08:35] like most of us graduate dental school

[00:08:37] not knowing a damn thing about ortho

[00:08:39] we learned about hand and wrist

[00:08:43] x-rays more than we did actually

[00:08:45] how to put a fricking bracket

[00:08:47] on a tooth.

[00:08:49] So ortho is just a big mystery to me

[00:08:53] and all that stuff

[00:08:54] and I really had no reason or desire

[00:08:57] to learn it.

[00:08:58] And then was until I went through

[00:09:01] private practice I started seeing teeth

[00:09:06] and especially as a private practice

[00:09:08] that sees kids

[00:09:10] I get questions from parents about

[00:09:13] their kid's teeth and all that stuff

[00:09:16] and I had no answers for them

[00:09:18] and it will just go to the orthodontist.

[00:09:20] And then I started getting interested

[00:09:24] in my continuing education path

[00:09:29] and so I started reading Dawson

[00:09:32] watching spears videos

[00:09:36] listening to Koi stuff like that

[00:09:39] and then there was a lot

[00:09:42] and so and I also started getting

[00:09:44] interested into aesthetics

[00:09:46] and so that was about the time

[00:09:49] that I was on Dental Town

[00:09:51] and Rick DePaul back in the day

[00:09:53] was big on Dental Town

[00:09:55] and I think we're all friends with Rick.

[00:09:57] He lives right over there.

[00:09:59] For real.

[00:10:00] Yeah.

[00:10:01] And so I started following his stuff

[00:10:05] loved how good he was at teaching

[00:10:08] and that's where

[00:10:11] so I took a class with him

[00:10:13] in Chicago and that's what kind of

[00:10:17] got me on the whole

[00:10:19] that was my first dipping my toe

[00:10:22] into orthodontics

[00:10:24] and it just kind of snowballed from there

[00:10:27] I came back and started doing short-term ortho

[00:10:31] on adults and I had hits and misses

[00:10:38] with that and because I learned

[00:10:41] enough about how to move teeth

[00:10:44] but there's still a lot

[00:10:46] diagnostically that I didn't understand

[00:10:48] but it was nice because it opened my eyes

[00:10:52] to orthodontics and things to look for

[00:10:55] and then so it was about that time

[00:10:59] that I didn't do any comprehensive orthodontics

[00:11:02] but I started seeing a lot more with kids

[00:11:07] and so I started referring kids a lot more

[00:11:09] now where I'm at it's pretty rural

[00:11:12] and we don't have a specialist nearby

[00:11:17] I'm a good hour away from any orthodontist

[00:11:19] and so I would refer these kids to the orthodontists

[00:11:23] and they'd go for their consults

[00:11:25] and six months or a year later

[00:11:27] I'd see them again and nothing's being done

[00:11:29] and I'm like did you guys go to the orthodontist?

[00:11:33] Yeah, we went.

[00:11:34] Okay.

[00:11:35] So what's the plan?

[00:11:37] I'm like, oh, we're just not going to do it.

[00:11:40] Really?

[00:11:41] And they're like yeah, it's an hour away

[00:11:44] two hours round trip doing that every month

[00:11:46] for two years it just doesn't really make sense

[00:11:49] they can't miss that much school

[00:11:51] I can't miss that much work

[00:11:53] I'm like okay so it was about that time

[00:11:56] that I learned of a comprehensive orthodontic program

[00:12:01] not too far from me it was down at Tulsa

[00:12:04] at the time the Garrity Orthodontic Seminars

[00:12:08] and I had also heard that they focused on non-extraction therapy

[00:12:16] which kind of piqued my interest

[00:12:18] because just inherently I was like

[00:12:20] it doesn't make sense to be taking out all these teeth

[00:12:23] like if we're meant to have teeth

[00:12:27] we probably should keep them

[00:12:29] and so I was just kind of interested in learning modalities

[00:12:34] that would minimize the need for extractions

[00:12:37] and I just loved it

[00:12:39] it opened my eyes even more diagnostically

[00:12:42] and then I ended up repeating that course

[00:12:47] for about four years

[00:12:50] and I was showing my cases

[00:12:52] I was showing my work every year that I went back as a monitor

[00:12:56] and it finally got to the point that on my fifth year

[00:13:00] or so of going back fifth or sixth year

[00:13:02] they were like hey you're doing pretty good at this

[00:13:05] you want to teach with us

[00:13:07] so then yeah so I got to be a lecturer for them

[00:13:13] for a few years

[00:13:15] and then ultimately that led to me kind of starting my own thing

[00:13:22] but yeah that's kind of the nuts and bolts of it

[00:13:25] so I've always thought that once

[00:13:28] we've had a similar path in terms of learning from Rick

[00:13:33] and you mentioned sort of your eyes being open

[00:13:39] to the cosmetic realm of orthodontics

[00:13:42] shouldn't you talk a little bit about that

[00:13:44] because that really was in my mind the epiphany

[00:13:47] of taking his class

[00:13:49] and seeing how ortho really relates to our aesthetic cases

[00:13:54] and really opens the door to a lot of other things

[00:13:57] yeah absolutely so I mean how many times

[00:14:02] you know how many times do we

[00:14:05] see teeth in positions where

[00:14:10] like if you know we could yeah sure we could do veneers

[00:14:14] we could shoot from the hip

[00:14:15] and you know just do veneers on all these teeth

[00:14:18] but maybe getting these teeth in a better position

[00:14:25] maybe not so rotated to where we could you know

[00:14:29] keep some enamel and some dentin and not have to

[00:14:33] root out all these teeth in three years

[00:14:36] you know just setting just rounding out the arch wire

[00:14:39] just derotating some of these teeth

[00:14:42] intruding or extruding these teeth a little bit

[00:14:46] with how much more predictable

[00:14:49] and less invasive with that setup are aesthetic cases

[00:14:54] and so to me that's really it

[00:14:57] I mean you know how Rick back in the day

[00:15:01] he used to say that we're just you know

[00:15:04] around derotating leveling and lining these cases

[00:15:07] and our cosmetic results are to be on par

[00:15:12] with you know with veneers basically

[00:15:15] so you're out looking for we're not looking

[00:15:17] for perfect occlusion and all that stuff

[00:15:20] but we're just trying to get things rounded out

[00:15:23] and leveled and getting people feeling good

[00:15:26] about their smile and I think that's where

[00:15:29] it really kind of started started for me

[00:15:32] and now that I when I was looking when

[00:15:36] I was down at implant pathway shout out to them

[00:15:38] I was at their fast track this last week

[00:15:40] and I'm seeing so many cases

[00:15:43] now I'm just like man if we could just spend

[00:15:45] a couple of months getting the teeth next to this space

[00:15:49] in a better position

[00:15:51] it would it would set up the implant for

[00:15:54] just even better or why did this number 10

[00:15:58] break off in the first place and now need an implant

[00:16:01] oh it's because of this deep bite

[00:16:03] and if we could just intrude and open that bite

[00:16:05] a little bit for a few months

[00:16:07] you know that will make the surgery better

[00:16:10] and this the long-term success of the case

[00:16:12] better and so that's where it just I really

[00:16:14] started snowballing in my head about all this

[00:16:17] yeah so we've said it on the podcast before

[00:16:19] but doing veneers with the patients own teeth

[00:16:22] in terms of ortho is really you know

[00:16:24] the fundamental of what Rick taught me

[00:16:27] and what I try to do in my own practice

[00:16:30] sometimes I need to augment that with actual

[00:16:32] veneers after things have been rotated

[00:16:35] you know due to previous restorations

[00:16:38] or discoloration or whatever it is

[00:16:40] but setting yourself up for success by putting

[00:16:43] the teeth in the proper position

[00:16:46] is really you know that's when the light

[00:16:50] bulb went off for me yeah if we think of

[00:16:53] veneers or we think of crowns if we just

[00:16:56] see them as enamel replacement which

[00:16:59] is what they are then it makes more

[00:17:02] sense to get the body of the tooth where

[00:17:05] it needs to be first and then finish up

[00:17:09] with any adjunct therapies that we need to do

[00:17:12] bonding porcelain whatever after we get

[00:17:17] the whole of the tooth the whole body

[00:17:20] of the tooth where it needs to be first

[00:17:23] so in your practice right now what percentage

[00:17:26] of your patients do you think are adult

[00:17:29] ortho versus you know teens or you know

[00:17:33] comprehensive ortho yeah so I actually

[00:17:36] have because I do I because I do

[00:17:40] comprehensive ortho I would say more of

[00:17:43] its comprehensive I don't think that's

[00:17:45] where people need to start out by any

[00:17:47] means I actually wouldn't I would start

[00:17:50] off with adults by far but because

[00:17:54] I do so much orthodontics I would say

[00:17:58] it's about oh I would say it's about

[00:18:02] 65 percent kids and teenagers and about

[00:18:07] 35 percent adults so I started off

[00:18:11] alone since I have no interest in treating

[00:18:14] teenagers at all with any orthodontics

[00:18:16] but I do a lot of adult ortho let's

[00:18:19] talk about the parameters for adults

[00:18:22] goals for treatment and you know what

[00:18:26] we're really looking for in terms of

[00:18:28] adult cosmetic orthodontics let's put it

[00:18:31] out and you know we talk about that

[00:18:34] anybody who's been now they teach with

[00:18:36] 3D Dennis with our buddy Tarun T bone

[00:18:40] you know he and a lot of his cases

[00:18:45] that I agree with a lot of his like

[00:18:48] implant training and stuff like that

[00:18:50] kind of talks about green light yellow

[00:18:52] like red light right and we've done

[00:18:55] something similar with orthodontic

[00:18:58] cases to green light yellow light red

[00:19:00] like cases and so in ways of looking at

[00:19:04] that from aesthetic standpoint you

[00:19:06] know there are things that like

[00:19:09] slam dunk to start off with we can do

[00:19:11] it with brackets you can do a lot with

[00:19:13] the liners or like simple relapse

[00:19:15] cases yes they had braces or a liners

[00:19:19] years ago they didn't wear their retainer

[00:19:22] blah blah and so they had relapse of

[00:19:26] like their lower incisors perfect that

[00:19:30] is a slam dunk case to get started with

[00:19:33] right and I really recommend looking for

[00:19:35] these and everybody has them in your

[00:19:37] office where you're at

[00:19:39] everybody has them in their office

[00:19:42] and I'm of the believer that

[00:19:46] GPs if they have the gumption to do so

[00:19:49] should be able to offer a lot of

[00:19:51] variety of services in their practice

[00:19:54] to the comfort that they

[00:19:57] feel well trained and skilled I

[00:20:01] hate people who can you know

[00:20:05] sell the sizzle but can't deliver the

[00:20:07] stake you know but everybody has these

[00:20:12] like simple relapse cases in their

[00:20:14] practice and that's a that's a green light

[00:20:16] all day and then just simple

[00:20:20] things to things to look out for are

[00:20:23] normal over by normal over jet and

[00:20:28] you know stuff like that not crazy class

[00:20:30] two cases where they're you know

[00:20:33] incisors are flared out to next

[00:20:35] Tuesday or anything like that but

[00:20:38] simple class one mild class two cases

[00:20:41] average over by deep by they can be up

[00:20:46] to maybe 50% deep by it's still okay

[00:20:49] if we're just focusing on the cosmetic

[00:20:51] stuff but that's those are kind of

[00:20:55] green lights to be on the lookout for

[00:20:57] yeah but then after that depending on

[00:21:01] what people present with then we

[00:21:04] start getting into the yellow light

[00:21:06] so yellow lights would be

[00:21:09] oh class two cases that might need

[00:21:14] more adjunct therapy to get things in

[00:21:17] the proper position like if you just

[00:21:19] rounded out their arches and

[00:21:22] straighten out their arches yeah their

[00:21:24] teeth would be straight but they would

[00:21:26] have like six millimeters over and so

[00:21:30] that's going to be harder it's harder

[00:21:32] to treat now at overtime absolutely

[00:21:36] treatable but that's not a case to start

[00:21:40] off with same thing if somebody has

[00:21:43] starting off with with an end-to-end

[00:21:45] bite or an open bite though like so

[00:21:50] maybe not fully open but has the

[00:21:53] potential of opening as you level on

[00:21:56] they start off open that's kind of

[00:21:59] a that's kind of more of a red flag

[00:22:01] and and see so all of this stuff that

[00:22:05] we're talking about you can't

[00:22:08] necessarily there are ways to kind of

[00:22:13] systemize your screening process to make

[00:22:16] this and that's what we do at the 3D

[00:22:19] dentist course but when the whole thing

[00:22:21] that made me want to start teaching on

[00:22:25] this is because you know especially with

[00:22:28] aligners being all the rage right now

[00:22:31] everybody and their mom has a has

[00:22:35] their own a liner company right it's not

[00:22:38] in business line anymore it's not clear

[00:22:40] correct there's sure smile there's

[00:22:43] reveal there's ace there's blue sky

[00:22:46] bio I mean there's I rocks I mean

[00:22:49] there's everybody under the sun has

[00:22:52] their own brand of aligners but what

[00:22:57] I what I I I hate about that is

[00:23:00] that nobody's teaching how these teeth

[00:23:03] move right so do the liners move how

[00:23:06] does a bracket work one of my favorite

[00:23:09] comments on dental hex nation is that

[00:23:13] Invisalign doesn't work and I know

[00:23:16] one says someone says that what they

[00:23:19] really mean is they haven't had

[00:23:21] unfortunately they haven't had the

[00:23:23] fundamental orthodontic education to

[00:23:25] know how teeth move that's why I'm

[00:23:28] so thankful for what Rick taught me I

[00:23:30] can translate that over to a clear

[00:23:33] liner case fairly easily but it's not

[00:23:36] that they don't work you need to know

[00:23:38] how to work them if that makes sense

[00:23:40] right and you know it's we can't

[00:23:43] rely on a computer algorithm to say

[00:23:48] this is how the case is going to end

[00:23:51] we can't rely on 17 year old lab

[00:23:54] texts in a foreign country to set up

[00:23:57] the case for you you have to know how

[00:24:00] teeth work and that goes with any

[00:24:02] company that you're working with right

[00:24:04] my biggest beef with all these

[00:24:07] companies is that they're just selling

[00:24:09] the sizzle without learn teaching you

[00:24:12] how to deliver the steak so they're

[00:24:15] saying this is how you talk to

[00:24:17] patients this is how you close cases

[00:24:19] this is how you submit to our lab

[00:24:21] or upload into our portal and then

[00:24:24] that's it right and this is how you put

[00:24:26] on you know this is how you put on

[00:24:28] attachments but like there's no there's

[00:24:32] nothing diagnostically there's nothing

[00:24:34] as far as troubleshooting and

[00:24:36] understanding how how this stuff is

[00:24:39] going to work in the first place

[00:24:41] and so when I was looking at that

[00:24:43] I'm looking around and it's like man

[00:24:46] there is nobody teaching orthodontics

[00:24:50] right they're teaching systems right

[00:24:52] they're teaching this a liner or

[00:24:54] this proprietary bracket or whatever

[00:24:57] but nobody's just teaching orthodontics

[00:25:00] where's all the stuff that we should

[00:25:02] have learned right and that's

[00:25:05] what I set out to do with my

[00:25:07] ortho foundations course a little

[00:25:10] over a year and a half ago I just

[00:25:12] got started with that and then

[00:25:14] the rona hit and everything just got

[00:25:17] shut down so but luckily I since

[00:25:21] joining up with 3D Dennis I was able

[00:25:24] to go out to their studio and record

[00:25:27] all of my foundational stuff online

[00:25:29] so I don't have I'm still going to do

[00:25:32] live courses of that one but I wanted

[00:25:35] to make that one online because it's

[00:25:37] all the didactic stuff that we need

[00:25:39] to know you know what I mean but

[00:25:41] that's the thing is we have to kind

[00:25:43] of learn well if there's crowding

[00:25:46] well these are the things that lead

[00:25:48] to crowding so what's the what's the

[00:25:51] cause of this so that way we know

[00:25:54] how to best to resolve that you know

[00:25:58] what I mean yeah absolutely do so

[00:26:02] right in your practice right now

[00:26:04] what percentage do you think are

[00:26:06] clear liners versus brackets for adults

[00:26:09] for adults yeah oh I'm 80% 80%

[00:26:13] 80% of liners yeah I'm about 90% right

[00:26:16] now I've got just a few cases out there

[00:26:18] and in brackets I just it seems like

[00:26:21] talking about the stake in the sizzle

[00:26:23] it's just easier to you know get

[00:26:27] people into aligners in my neck of the

[00:26:30] woods but there's certainly those cases

[00:26:32] that come along that it's just not

[00:26:34] going to work well and I tell my

[00:26:37] folks you know one of the things

[00:26:40] that I talked about with the liners

[00:26:42] because I give them both the option

[00:26:44] yeah I'm both the liners or brackets

[00:26:47] and so the people who choose brackets

[00:26:51] are typically they might want it done

[00:26:54] a little bit faster yes and there's

[00:26:57] some movements I can just get done

[00:26:59] faster with brackets I don't care

[00:27:01] what the folks over at a line and

[00:27:03] sure smile will tell you like

[00:27:05] there are certain things that's going

[00:27:07] to be faster more predictable with

[00:27:09] brackets so they just want their

[00:27:12] a just but they don't care about having

[00:27:14] brackets on for a while they just want

[00:27:16] it done as efficiently as possible

[00:27:19] or be they're busy and they don't

[00:27:22] trust themselves to to remember to put

[00:27:26] their aligners back right because I

[00:27:28] tell my folks the blessing and the

[00:27:30] curse with aligners is that they're

[00:27:32] removable yep so it's awesome that

[00:27:34] you can take them out to eat blah

[00:27:36] blah but you have to remember to put

[00:27:38] them back in you have to wear them 22

[00:27:40] out of 24 hours of that and you know

[00:27:43] if you're if there's any part of you

[00:27:46] that thinks you're going to slack on

[00:27:48] that then we may want to look at

[00:27:50] brackets and the people who I have a

[00:27:53] decent amount of people who have that

[00:27:55] sort of self-realization be like yeah

[00:27:58] I just want something a little bit

[00:27:59] more said and forget it so my joke

[00:28:02] always is they don't work when

[00:28:04] they're in your pocket so keep them

[00:28:06] in your pocket and I hammer that home

[00:28:08] a couple times during the whole

[00:28:10] presentation and further along in

[00:28:12] treatment absolutely so anything

[00:28:15] burning question are we going to get

[00:28:17] you to do orthodox in 2021

[00:28:19] actually I really liked the idea of

[00:28:22] Matt's course I mean I think that I

[00:28:24] think there's a lot of people like

[00:28:26] that want to get like you said the

[00:28:28] Invisalign doesn't work crowd they

[00:28:30] just want to offer it but really

[00:28:32] don't want to think about the

[00:28:34] ortho or do the ortho you know and I

[00:28:36] think that and I think that the

[00:28:38] whole the I was just nodding in

[00:28:40] agreement the whole time with the

[00:28:42] stake and sizzle thing I think so many

[00:28:44] people want to take that weekend a

[00:28:46] liner course that they can come back

[00:28:48] and offer it and and then just

[00:28:50] check start rolling it you know and

[00:28:52] they just hey some assistant can do it

[00:28:54] and I'll just sign a lab script

[00:28:56] and we'll move on with my life

[00:28:58] like a lot of other things to you

[00:29:00] sometimes learn from your mistakes

[00:29:02] sometimes with ortho it's it's a

[00:29:04] long mistake because then you've got

[00:29:06] to correct something and you know it's

[00:29:08] not like you can just replace the

[00:29:10] crown in a visit or two

[00:29:12] so there's no I like

[00:29:14] I like that I the main

[00:29:16] question I had I guess

[00:29:18] you know Matt I could tell that you

[00:29:20] were a lot of your journey

[00:29:22] was inspired by the fact

[00:29:24] that you needed to take control

[00:29:26] of some of these kids and

[00:29:28] adolescents cases because they

[00:29:30] were either you or nothing

[00:29:32] I guess what would

[00:29:34] your message be to someone

[00:29:36] like myself who has great orthodontist

[00:29:38] downstream I don't really have a need

[00:29:40] or desire to take take on any

[00:29:42] those adult that allows me I feel like

[00:29:44] there's better better people than I would

[00:29:46] ever get it or though to do those

[00:29:48] where's what's like the low

[00:29:50] hanging fruit for the the GP

[00:29:52] I meant you mentioned the relapse

[00:29:54] types of cases is

[00:29:56] what's what would be where do you

[00:29:58] think that would be

[00:30:00] yes yes so I I mean I would

[00:30:02] look at I would be looking

[00:30:04] at yours fairly simple relapse

[00:30:06] cases lower crowd or lower

[00:30:08] incisor crowding and stuff like

[00:30:10] that those are great ways then

[00:30:12] also if you're into

[00:30:14] restorative

[00:30:16] at all and

[00:30:18] just need like simple

[00:30:20] tooth movement to set a case up

[00:30:22] restoratively those are good

[00:30:24] I this is

[00:30:26] an experience I have not had the best

[00:30:28] of luck referring

[00:30:30] to orthodontist to set up a case

[00:30:32] for restorative I know

[00:30:34] terrible I don't know what the hell

[00:30:36] I'm talking about right and so they don't

[00:30:38] know what I'm asking for

[00:30:40] and to double down on that I would say

[00:30:42] that in addition to that

[00:30:44] it's like you just want like a couple

[00:30:46] things moved around and if you send

[00:30:48] it to an orthodontist

[00:30:50] no no friends are all more orthodontist friends

[00:30:52] but like it's like they can only see

[00:30:54] the full case for the full fee

[00:30:56] there's no

[00:30:58] there's no partial case partial

[00:31:00] fee that I just can't

[00:31:02] I seem to not be able

[00:31:04] to get those jobs then so I'm kind of

[00:31:06] giving up on that which is kind of a bummer

[00:31:08] but yet I can also see it from

[00:31:10] their end like they don't they don't want to dabble

[00:31:12] in something that's doesn't maybe

[00:31:14] meet their business model as well

[00:31:16] you might get it those cases

[00:31:18] are probably easy enough

[00:31:20] you know to to help yourself out

[00:31:22] and do them yourself sure you know

[00:31:24] sure yeah and I see

[00:31:26] I mean I see the GP as

[00:31:28] the quarterback now

[00:31:30] I don't want them to get overextended

[00:31:32] but it's just like how I believe

[00:31:34] most GP should be able to

[00:31:36] do a single tooth implant

[00:31:38] in a healed site with

[00:31:40] abundant bone

[00:31:42] I

[00:31:44] we don't refer out all of our crowns

[00:31:46] to prostodontist we don't refer out

[00:31:48] all of our

[00:31:50] implants to periodontist or oral surgeons

[00:31:52] we don't you know

[00:31:54] refer out all this stuff

[00:31:56] I mean so I think with

[00:31:58] the proper training and there's

[00:32:00] also there's yeah there's

[00:32:02] the there's the profit side of things

[00:32:04] once you get efficient

[00:32:06] that's that's all well and good

[00:32:08] but there's also the fact that

[00:32:10] people want to

[00:32:12] stay in house

[00:32:14] they want to stay they don't want

[00:32:16] to the inconvenience of going

[00:32:18] to another office meeting another

[00:32:20] doctor you know going

[00:32:22] through that whole rigmarole

[00:32:24] and so

[00:32:26] there's that aspect and then also

[00:32:28] because it's assistant driven

[00:32:32] it's a way for me to

[00:32:34] kind of get

[00:32:36] some some production

[00:32:38] that

[00:32:40] and

[00:32:42] in service to patients that

[00:32:44] isn't tied to my

[00:32:46] you know having to do 100%

[00:32:48] of the work yeah that's always been

[00:32:50] a big part of the appeal for me

[00:32:52] so Matt we need to sort of

[00:32:54] wrap things up now can we

[00:32:56] get the dates of your courses

[00:32:58] with 3D Dennis or any other

[00:33:00] course is happening out there give us the whole run down

[00:33:02] yeah can you

[00:33:04] do the pimp your course

[00:33:06] bumper music oh you forgot it again

[00:33:08] thank you very much go ahead Matt

[00:33:10] oh man

[00:33:12] so

[00:33:14] this is where exhibit needs to come in

[00:33:16] with the whole pimp your ride thing

[00:33:18] yep and so

[00:33:20] so

[00:33:22] course that I have coming up

[00:33:24] the February one we ended

[00:33:26] up having to

[00:33:28] postpone because

[00:33:30] my wife as of recording is super

[00:33:32] pregnant right now and

[00:33:34] I can't really be gone anymore

[00:33:36] since I was just gone for a week

[00:33:38] anyway so

[00:33:40] but the next one coming

[00:33:42] up is August 6th and 7th

[00:33:44] in Raleigh, North Carolina

[00:33:46] and the information for

[00:33:48] that is at the 3D Dennis

[00:33:50] website 3D-dentist.com

[00:33:52] and you'll see

[00:33:54] my handsome mug

[00:33:56] under the adult cosmetic orthodontics

[00:33:58] on their courses page

[00:34:00] ooh the adult section

[00:34:02] yeah

[00:34:04] I like it

[00:34:06] and your course is online

[00:34:08] and your online

[00:34:10] you have an online course so is it

[00:34:12] up and running now

[00:34:14] we're getting it edited up

[00:34:16] and it'll be

[00:34:18] good to go in a couple weeks

[00:34:20] and that will be the foundations course

[00:34:22] my didactic course

[00:34:24] and it's actually the precursor to

[00:34:26] our hands on

[00:34:28] so if you buy the hands on

[00:34:30] you get access to the foundations

[00:34:32] courses kind of like the prerequisite

[00:34:34] so that way

[00:34:36] you can get all the didactic

[00:34:38] and diagnostic stuff

[00:34:40] on the front end so that way when we

[00:34:42] meet in person we're really

[00:34:44] ready to go on going through cases

[00:34:46] and getting hands on exercises

[00:34:48] and stuff like that

[00:34:50] Thanks a lot Matt

[00:34:52] thanks for moving our teeth

[00:34:54] around today

[00:34:56] clinical hacks listeners

[00:34:58] go take an ortho class from Matt

[00:35:00] go check out 3D Dennis

[00:35:02] thank you so much for listening

[00:35:04] go to our clinical hacks facebook page

[00:35:06] you'll find some great information

[00:35:08] there lots of cases posted

[00:35:10] you know some cool stuff

[00:35:12] any rules there Zach

[00:35:14] for our clinical hacks page

[00:35:16] there are not

[00:35:18] currently any rules

[00:35:20] and Matt is definitely there

[00:35:22] and is an active

[00:35:24] you know active poster

[00:35:26] in the clinical hacks so if you have a question

[00:35:28] for Matt about ortho stuff

[00:35:30] I bet you'll find him there

[00:35:32] love it, alright for

[00:35:34] Sandwich and Zach Miners

[00:35:36] I'm Kevin Fryer thank you so much for listening

[00:35:38] and we'll see you next time

[00:35:40] See ya!