Dentistry Uncensored with Howard Farran
Dentistry Uncensored with Howard Farran
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199 MacGyver Dentistry with Cory Glenn : Dentistry Uncensored with Howard Farran

199 MacGyver Dentistry with Cory Glenn : Dentistry Uncensored with Howard Farran

10/20/2015 12:00:00 PM   |   Comments: 0   |   Views: 1459




"I went rural. I think that's a big key. A lot of my classmates went to bigger cities and have really struggled."

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AUDIO - HSP #199 - Cory Glenn



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VIDEO - HSP #199 - Cory Glenn



Cory Glenn, DDS chose to set up shop in rural Tennessee. Generally a low income area, he shares how he keeps costs low and efficiency high. He calls the process: MacGyver Dentistry.

 

 

I’m Cory Glenn. I completed my DDS degree at the University of Tennessee Health Sciences Center and obtained my doctor of dental surgery degree in 2008. Upon graduation, I was accepted into the Advanced Education in General Dentistry Residency associated with Lutheran Medical Center at the University of TN. Since finishing my residency, I have operated a solo general practice in Winchester, TN where I focus on comprehensive dental care. 

As a continual student, I have completed the AAID Maxi Course in dental implants as well as the AOS Comprehensive Orthodontic Continuum. My areas of interest include dental implants, guided implantology, photography, composite resin, smile design, complex rehabilitations, and complete dentures. In particular, I enjoy developing innovative clinical techniques that can be applied to these various disciplines to achieve higher quality results with greater efficiency. I to share ideas and interact with other dentists through Dentaltown and numerous other dental forums. I also am on faculty for CADRAY and give other seminars on a number of topics.

 

 

N. Cory Glenn DDS

215 S. Jefferson St. 

Winchester, TN 37398

931-967-1933

www.glenndds.com

ncoryglenndds@gmail.com




Howard Farran: It is a huge honor for me to be [podcast 00:00:12] interviewing Cory Glenn. I think you are a rock star. I don't think of anybody who got out of dental school, and got on a trajectory for success faster than you do. You've been out of school. What year did you get out? 2008?

Cory Glenn: 2008 is when I graduated.

Howard Farran: This is only 2015. I don't know geometry or trig, but that's about seven years. You already do implants and ortho and … I mean I look at the cases on Dentaltown … I mean anybody that just looked at your work would say this is a 60-year-old dentist, and you’re half that age. I mean, just unbelievable, man. My hat’s off.

I wanted to start with you. I mean I don't know anything you don’t do. You do guided surgery, implant, place them with a CAD Ray, Blu Ray, Bio. You do CEREC. You laser. You’re a computer whiz. You do eight-minute [compound 00:01:07] impressions, two-visit implant placement, three-visit complete dentures.

You are everybody’s idol. You’ve got 2,400 posts on Dentaltown. When I go to the bar and watch a football game with my 50-year-old fat dental buddies, they’re always like, “That guy is amazing. How did he learn all that stuff?” I want to start off my interview with this. You’ve have only been out since 2008. It’s 2015. You’ve been out seven years.

What advice would you give to the kids who just got out of school? Five thousand just walked out of dental school. How can they, eight years out of school or seven years out of school, be a rock star like you? How did you get to be Mozart in seven years?

Cory Glenn: I don't know if I can deal with that. I appreciate the kind introduction. I don't know that there’s a secret to success. I would say you need to budget well. You need to not get out [inaudible 00:02:04] remains. I was fortunate to fall into a practice that I got for a really good deal. I went rural. I think that’s a big key.

A lot of my classmates went to the bigger cities and have really struggled because they’re just in environments where there’s too much competition. We got a good deal out of practice. We never had to market … I still, to this day, never marketed.

I don't think I had a sign with my name on it for the first two years. It just came easily because we were in a good market for it without a lot of pressure. I think that would be my number one piece of advice, is just go where you’re needed, not where you want to be. I mean [inaudible 00:02:41] work to any major metro town that I want to go to. I can still go do any of that stuff that I like.

Howard Farran: You went to Winchester, Tennessee. Was that an accident? Did you and your wife just happen to fall into a town that needed dentists? Was this big venture thinking?

Cory Glenn: I had no idea. I had never heard of Winchester until I came here for the first time. I just heard there was a practice for sale and another practice I’ve been looking at going into. That deal fell through. When we came here, the doctor’s actually sick. He had a brain tumor and he didn’t have a great prognosis.

We ended up meeting him once and he was dead very shortly thereafter. I ended up keeping the practice alive, my last two months of residency, by driving down and worked on a Friday and Saturday. When I finished residency, we went ahead and bought the practice and just took off from there.

Howard Farran: Now, you were already married at the time?

Cory Glenn: I was. Yeah.

Howard Farran: Do you think a lot of your classmates, whether they be men or women, are under pressure from their spouses? Is it hard to take a spouse to rural America because … as opposed to the big city? I went to [inaudible 00:03:48] city dental school. One of the biggest problems of Kansas City Dental School is all the kids, like me, come from the small towns in Kansas, Missouri, Oklahoma, I mean all of Midwest.

Then, you go to Kansas City that has the royals and the chiefs and the plaza. It’s seriously one of the greatest cities I’ve ever been in my life. It has over a thousand pounds. Nobody wants to leave. The school graduates a hundred dentists a year.

They’re on every corner, but all my friends that went rural, they were just rock stars because they were needed. Dentistry business is supply and demand. Were you and your wife from small rural towns? How many people live in Winchester?

Cory Glenn: I think there’s 8,000. We draw most of the county which is about 40,000. Thankfully, my wife is from a small town about an hour away from here. She was used to that. Neither one of us wanted to deal with traffic and all of that. Honestly, it’s usually my single friends that want to go to the bigger cities.

They thought there’s no night life or any chance just to meet anyone rural. Like I said, if you wanted to do that, you’ve got three-day weekends that you can go spend in the big cities, if that’s where you want to go.

Howard Farran: Yeah. Of course, the rate you’re having daughters, that town would be 16,000. You’ve already got three daughters in seven years. My God, you’re a machine. Are you going to do another course on how to make three babies in that short a time?

Cory Glenn: I don't know. That may not be a course that would be over too well.

Howard Farran: I had four boys. If you have three girls … I’d like to compare notes with you when we’re both grandpas in rocking chairs to see who had a harder life raising four boys or three girls.

Okay. You get out of dental school and you go into a residency. That’s probably the most asked question I ever get. It’s always, “Should I become a specialist or should I go into residency?” As far as a specialist goes, I always tell them, “First, do what you love.”

I would hate to go into a specialty because someone said, “Oh, they need pediatric dentists.” I’d rather shoot myself than be a pediatric dentist, if that was my only choice. Why did you not specialize? Answer that question, all the kids [inaudible 00:05:59] specialize. Why did you do a residency? Looking back, did you learn a lot about what you’re doing now in your one-year residency or in other places?

Cory Glenn: Yeah, absolutely. All through college, I worked for an oral surgeon. I actually went to dental school thinking that that’s what I wanted to do. During dental school, I found I just really liked the general dentistry aspect and learned that you can do as much surgery as you wanted to as a general dentist.

That was my plan, is I wanted to do general dentistry and still focus on a lot of the surgical things. The residency that I chose actually had a big focus on implants and some of the harder, more complicated restorative cases. That got me a lot of training and let me hit the ground running when I got out with my own practice.

I thought the residency was very helpful. I know there’s a lot of them where it’s just like middle school, year five, and you’re still just doing routine fillings and that kind of thing. I wouldn’t think that would be too beneficial. If you pick the right residency where you can get to really focus on some more advanced things and you don’t get in dental school, I think it can be very helpful.

Howard Farran: You do that with the Lutheran Medical Center?

Cory Glenn: Yeah. It was actually there in Memphis. It was at the faculty practice of the dental school I attended. I still stayed in Memphis for that last year. It was an entirely different type of environment to practice in.

Howard Farran: Being raised Catholic and had gone to mass every single day of my childhood, Martin Luther is still my favorite Catholic priest of all time because I mean he’s just … what a rock star, just to stand up to that massive institution with his 99 problems he had with it. When they found out, they’re like, “Oh, yeah. He had to run all the way to England and hide from those guys?” The response was “I’m going to kill that.” I think I’ve loved rebels since I was a little kid. First time, Sr. Mary [Aloysius 00:07:47] told me about that guy, I’m like, “Man, that’s my favorite guy.”

Where do you want to start? Let’s start with … not everybody has CEREC, CBCTs, all that stuff. Let us start with … this got my mind, the eight-minute crown prep impression. The reason I want to talk about this is because dentists really sell time. I mean only six percent of our costs is supplies. All that markup is time, people. Everybody talks out … pharmacists are about right up in the chain.

Back when I was a kid, 70% of their cost was the prescription pills. That’s a perfect role model to get some leverage against these big pharmaceutical companies for pricing. Here’s what I don’t understand. I see dentists in Phoenix who aren’t busy. They will assign that with a PPO because they say, “I want $1,000 for a crown.”

I look on their schedule and they block 90 minutes for a crown. They have all these patients knocking on the door from Blue Cross and Blue Shield and everything. They say, “Take my PPO…” They’re like no. They only pay $800 for a crown.

I’m always saying, “If you went from doing a crown in 90 minutes, that ain’t one hour.” You’d actually be making more money on the PPO crown. The dentists always see the fee. They never see the time. They never see how much the fee is per minute. How the hell do you do an eight-minute crown prep impression?

Cory Glenn: If you actually break down what’s going on in a crown appointment, there’s very little time that we’re actually working on the tooth. It’s like the old [inaudible 00:09:23] video, which can be very helpful, just to see how he’d used things on being efficient.

Howard Farran: You still have that video?

Cory Glenn: I’ve got it on YouTube. I watch it from time to time.

Howard Farran: Will you send it to me and I’ll put in the notes?

Cory Glenn: Yeah, sure. Almost doing a different of prep than what we do now, but if you break it down, there’s really not that much to it. I’ll use a Meisinger occlusal reduction bur which will wipe out the entire occlusal surface in under a minute. You’ll have perfect reduction every single time.

Then I’ll switch to a 014 round tapered end bur and do my axial reduction and usually have that done within another two to three minutes. At that point, there’s just really not that much more to do. If you know you’ve got adequate reduction, you know now we don’t have to do a super-aggressive axial reduction because of zirconia crowns and that kind of thing. Honestly, it just evolved that way. There’s not just much more to it.

You could spend hours thinking around with a piezo and getting every little burn mark out of the tooth. I don’t really see that adding to the outcome of the preparation or the result of it. We use fast set-impression material. We use a preoperative impression to make our tip breathe which [inaudible 00:10:44] getting numb, a triple tray impression. Usually, you can get that done very quickly and efficiently.

Howard Farran: Name the brand. I was getting complaints of people who didn’t name their brand especially if it’s someone doing a composite or something. Fast set impression, what brand was that.

Cory Glenn: I’m using Genie on that. It’s a two-minute, 15-second set time. It’s a very affordable VPS, too. I’ve gotten great results. I’ve been using it for four or five years now. I really like it.

Howard Farran: Who makes Genie?

Cory Glenn: I think Sultan is the manufacturer.

Howard Farran: Sultans of Swing? Is it Dire Straits?

Cory Glenn: It may be.

Howard Farran: Genie from Sultan, and the fast-set temporary?

Cory Glenn: The temporary material I’m currently using is Integrity, which I think is a Dentsply product. We had the preoperative impression. We fill it up. The moment the impression comes out of the mouth, the triple tray impression, we put that back in the mouth before they even close down, pull it at a minute and 10 seconds and then trim it up. You’re ready to go. The assistant is doing that part.

Howard Farran: How long is the patient scheduled in a chair for a single crown for a first molar?

Cory Glenn: For the longest, we had an hour appointment time for that. Just recently, my assistant was like, “Why are we booking that much time?” Now I think we’re booking 30 to 40 minutes maybe. That’s just to give us a buffer of time in case we need to do buildups or the tissue’s in bad shape.

It isn’t always eight minutes. At 30 or 40 minutes, we usually got plenty of time to spare and the patient doesn’t feel hurried. Plus, we’ve got some anesthesia time built into that.

Howard Farran: What kind of anesthesia are you using?

Cory Glenn: Lower blocks, I’m typically doing a lidocaine with 100 epi, followed immediately by carbocaine. That’s given me really good results. I used to do the buffered anesthetic. Recently, I was doing a do-it-yourself approach with the buffered anesthetic. Recently, the price on that has gone way up. I backed off of that at the moment. Upper, we use Septocaine for an infiltration, lower, premolar, [inaudible 00:12:59].

Howard Farran: On the upper, you would use Septocaine, which is 4%. If you’re Canadian, it’s articaine, right? Is it just Septocaine in the U.S. or is it …? Because usually, the Canadians …

Cory Glenn: Septocaine is a brand name. I think articaine is the true name of it.

Howard Farran: Why do you use Septocaine or articaine upstairs and lidocaine downstairs? Why do you give carbocaine after the lidocaine injection downstairs?

Cory Glenn: I’m not an anesthesia guru, but I know a lot of people have had the experience of paresthesias. A lot of the people in the know say Septocaine is going to cause a higher rate of paresthesias with blocks. I actually had that experience. It wasn’t myself, but one of my hygienists’ favorite block was Septocaine that did result in permanent lingual paresthesia.

It wasn’t from the drug. I have no idea. I just feel better about blocking with lidocaine and carbocaine. I think the effects of using two independent anesthetics or additive … It does seem to get much more numb and numb quicker than just using one drug alone. It just makes me feel better that maybe I don’t have quite as high risk of paresthesia. Again, does that have any validity? I’m not for sure that it does. Once it’s happened to you, it does make you a little gun shy about blocking with Septocaine.

Howard Farran: I’ve had two paresthesias from an injection. Both of them went away after about a year, a year and a half. There were two different anesthetics. The only thing they both had in common is, while I was giving it, all of a sudden, out of nowhere, they just jumped. I just ran the needle right into the nerves.

Cory Glenn: I think that, more than likely, it’s the case. It’s just needle trauma. I think the hygienist had that experience when she was given it as well. I get them from time to time, too. Again, it could just be needle injury, but there’s been a few people that have taught me at implant courses, surgeons that do a lot of nerve repair, that do say that they see a higher incidence with Septocaine. I can’t say one way or another. I’m just [inaudible 00:15:10].

Howard Farran: You use a 27-gauge needle downstairs and 30-gauge needle upstairs?

Cory Glenn: I do.

Howard Farran: Yeah. I was wondering if that bigger needle is the issue. Why do they say we use a 27-gauge, because it’s [inaudible 00:15:26]?

Cory Glenn: Because it aspirates supposedly.

Howard Farran: For the aspiration?

Cory Glenn: Yeah.

Howard Farran: Amazing. Now, let’s go into a three-visit complete denture. I know everybody wants to hear implants and CBCTs. I’m making them wait because … I’ve always thought the problem with dentures is the problem with everything in dentistry. If you only do one molar root canal a month, you really never get good at it.

Every dentist is doing fillings and crowns every day, and [inaudible 00:15:54] cleaning. You’re really good at that stuff. The problem with dentures is a lot of the dentists, they don’t even do one a month. I have one friend who doesn’t even do one a year. How do you get good at something if you do one a year or …? How often would you do a denture? How regular is this?

Cory Glenn: We don’t do a ton of them. We probably do a couple a week maybe. It’s not …

Howard Farran: That’s a ton. I don’t know anybody doing two a week.

Cory Glenn: You’re right. You can’t do anything successfully if you never do it. That’s just like, I can do bone grafting and some of these intense implant procedures, but I don’t do them with enough frequency to make it predictable. It’s no longer low-hanging fruit for me. I’ll refer it out the door.

I would say the same thing for a practice that is only getting one denture a year. They have no business even doing it. It’s going to be productive. It will only frustrate the doctor. If you’re going to be a lower income, more rural area where there’s demand for it, I think it’s something you definitely going to be good at.

Again, it’s one of those procedures that, as a PPO provider, they really stick to the process on dentures. I was really trying to figure out ways that we can do those more efficiently without taking up a ton of chair time, and still get a good result. If we’re doing an immediate, that’s pretty easy. They’ve already got video. It’s just impressions and then deliver the denture after you extract.

Most people that you’re not doing an immediate on, they’ve already got an existing denture. Usually, it’s more. They’ve had it 20 years. There may not be that much valuable information in it as far as the shape of the teeth and the position of the jaw. What we started doing is just duplicating that denture.

Even if it’s not a great fit, we will duplicate it and then use it in that same appointment as a custom impression tray. Then, once we got the impression inside of it, we’ll actually add wax to it and use it as the background, too.

In that first appointment, you can actually accomplish your master impression and your wax records in a single visit. The next time is just a wax tray which is usually dead on. The third visit, you deliver. Then, you adjust them for 20 visits like you always do, but [inaudible 00:18:09].

Howard Farran: This is denture duplicating. What is the machine you use to … or the process to duplicate the denture?

Cory Glenn: A funny story there. I had the Lang denture duplicator which is a metal. It’s like a clam shell impression tray. It’s a very well-made piece of equipment. My problem with it was though that I had to have two assistants mixing full bowls of alginate to fill a single side of this impression tray. It was just a pain.

I saw the little appliance boxes that we get from Rodwell, that they send night guards and samples in. It’s a clam shell box and it’s the exact same shape. That actually works really, really well as a denture duplicator. That’s what I use. I duplicate most of my dentures just in a ...

Howard Farran: You’re talking about, when you get a night guard back from Rodwell, and [inaudible 00:19:02] snap-open case that you put the retainer in. That’s what you’re using?

Cory Glenn: Yeah, that’s what I use as a duplicator.

Howard Farran: You mix up all the alginate. You fill them both full. Then, you push the denture in.

Cory Glenn: One side first, and then press the denture to side down and push the alginate up to the borders. As soon as that sets, you mix up another bowl and fill the other side, and then close the box together. Then, when you crack it open, you’ve got this negative impression that you can pour acrylic into. When you close that back up and let it harden, you got a duplicate denture.

Howard Farran: You fill up the first half and you put the teeth face down and make sure the alginate’s all the way up to the borders?

Cory Glenn: Right.

Howard Farran: When that’s set, then you fill [inaudible 00:19:44] the other half and close it?

Cory Glenn: Yes.

Howard Farran: Alginates don’t glue together, they don’t fuse together?

Cory Glenn: You can put a little Vaseline, or I use Pam cooking spray, different things, just as a separating medium so it doesn’t stick to itself.

Howard Farran: You recommend Pam?

Cory Glenn: Yeah, Pam works great. Anything that’s a little bit oily, [inaudible 00:20:06] works.

Howard Farran: I personally would just fry me up some bacon and then use the bacon grease. Then, of course, I’d eat the bacon because I don’t want to waste food. You separate those and then what will you do?

Cory Glenn: Just mix up some acrylic. The most important thing is that you mix up the acrylic that really, really run. Because if you put in there stiff and try to close it, everything’s going to the store. It needs to be a really runny mix of acrylic and you pour it in to that negative impression and you close up. That’s it.

Howard Farran: What type of acrylic are you using?

Cory Glenn: Tree resin by Dentsply. It’s really cheap. It doesn’t set up all that fast. It’s about 15 minutes set time. It is really cheap. If you want it to do something faster, you can use any number … Any acrylic on the market on the market will work for this purpose. Some of them are more expensive than the others. It’s just a matter of how much you want to spend.

Howard Farran: That’s neat, Cory. I think you should make an online CE course on that.

Cory Glenn: I’ve been saying I would for a year, and it’s just not happened. I’m going to keep trying.

Howard Farran: Cory, a lot of people … a lot of dentists think that you could only do big quality cases if you live in Manhattan or Key of Biscayne or Beverly Hills. How do you do comprehensive dentistry in a rural low-income area? You talk about maybe not doing all at one time, but staging … Talk about how you do comprehensive dentistry in a small rural town of 8,000 in Tennessee? Where is Jack Daniels made? That’s Tennessee.

Cory Glenn: Yeah. That’s far down the road. That’s where we went when you came and visited. It’s about 10 minutes away.

Howard Farran: It’s 10 minutes away? What’s the city called?

Cory Glenn: Lindsborg, Tennessee.

Howard Farran: Did they name a parking stall after me or anything?

Cory Glenn: I think they did.

Howard Farran: Okay. Good. I bought enough to at least have a parking stall. Dentists always look for complaints. I’m looking at the man in the mirror. They live for complaints. The huge complaint is, “We’re not going to do that kind of dentistry in Kansas. Maybe if you were in New York City.” How do you this comprehensive dentistry in a town of 8,000 in rural Tennessee?

Cory Glenn: Yeah. They’re right. It’s funny a lot of dentists will spend their entire CE budget to go learn full-mouth rehabs when they’re not going to do a single one the whole year. What we’ve had to do … in my area, I figured out pretty quick, if I wanted to do a lot of that fancy stuff that I’ve trained for, I had to figure out a way to make it affordable.

For example, if we’re doing a tooth-borne, full mouth reconstruction, we’re probably going to build the whole thing in composite first. We’ll do a full-mouth rehab entirely in composite. We’ll use templates like putty matrixes or [inaudible 00:22:55] material to meld it off the wax [inaudible 00:22:57].

We’ll get the patient stable in a composite full-mouth rehab. Then, it’s just a matter, over time, converting that into porcelain. Sometimes, they don’t convert it and it does just fine. As far as implants, you can … what I’ll try to do a lot of times …

Howard Farran: Okay, but I’ve got to stop you. What you just said, 99% of dentists have never even seen it before. What you just said … You’re a unicorn. You just said something where … I think we’re having about 7,000 downloads per show. Seven thousand dentists probably said, “What? What did you just say?” You’ve got to do a course on that. I would bet my car 99% of dentists have never even seen a PowerPoint presentation on it. That’s just amazing.

Cory Glenn: It’s not that difficult. The way you approach full-mouth rehabs is the exact same way that you do dentures. Dentures are the ultimate full-mouth rehabilitation. You figure out where [inaudible 00:24:00] position is. You figure out where the incisors need to go, your A and B point. Then you fill the teeth around it to correct the position and space.

It’s the exact same thing when we’re doing a full-mouth rehab. We’re going to find out where the teeth need to be. Then, we’re going to see if we can actually get them there. Now, you can’t always get them there. You might need orthodontics, but in most cases, with opening the bite with various methods, you can actually build the teeth with either composite or crown in the position they need to be.

When we do that, it’s with a diagnostic wax. You need a good lab that would do the wax up and put those teeth where they need to be. Then, from there, if you just make a putting matrix over that, where you can fill it with composite and lock it on to the teeth or if you make a suck down material that you can stick over the teeth, you can actually rebuild them into that final end point in composite.

Then, you’ve got a walking bite splint. You can try it out for as long as you need to. You can make sure that they’re comfortable, that they’ve got the correct guidance, that everything is going well, that Mama likes it, that the daughters like it. Then, again, from there, it’s just a matter of converting to porcelain. It sounds difficult, but it’s really not. You approach them just like a full … like a denture.

Howard Farran: It seems like when I got out of school, everybody was so afraid that if you open up a bite of millimeter or two millimeters, it was going to cause the dreaded TMJ. Now, it seems like, three decades later, I think a lot of people think the teeth almost never touch. They almost never touch when you’re sleeping, when you’re talking. They’re barely touching when you’re eating.

A lot of people think that TMJ is more muscular-skeletal spasms and trigger points and all that stuff. Where are you at an occlusion? When someone’s got a worn-down denture, I mean … and you’re opening up a bite, how was Cory’s mind thinking?

Cory Glenn: My mindset is open them as much as you need to, but as little as possible. Open them up however much you need to get an aesthetic result that’s going to look okay. You don’t want to just go opening them excessively high and creating an unnatural situation, because it probably will stress out their joints and their musculature.

I just open them enough to get them back to what I think nature originally had them with that. I have yet to have any problems with that. It’s yet another reason to do it maybe in composite first before you cut all the teeth down and commit yourself to porcelain because, if they can’t handle it in composite, we’ll just remove that. At least you know about the frontend before you invested a $10,000 lab bill.

Howard Farran: You’re doing each one of these teeth individually. Talk about the process in a little bit more detail, how you …

Cory Glenn: Let’s say, in the anterior … I’ve actually done this where you can create a putty stamp, just like you would do for temporaries, but I actually embed a mylar strip in between each tooth. When you fill this thing with composite and seed it, it’s going to actually keep all the teeth separate.

I think there’s a Dentaltown thread where I showed that, in the posterior, it’s a lot easier just to fill it up, let it all lock on, and then come back and just prep [inaudible 00:27:23] into every other tooth. Then, you just got a couple of MODs in each quadrant to restore, to break contact and make those pretty nice and can be flossed.

Howard Farran: Did you show an entire case on Dentaltown on a thread?

Cory Glenn: Yes. There’s an entire full-mouth rehab that I got in composite on there that we can look to if you want.

Howard Farran: Would you care if I push that out on social media?

Cory Glenn: What? Pardon?

Howard Farran: Will you email me the link to that?

Cory Glenn: Sure.

Howard Farran: I’m always very nervous about pushing out a case on social media because Dentaltown is a private community. I always ask permission. If you ever have a rocking hot case that you want to push out because I think a lot of people see that. It drives a lot of people at Dentaltown. They look at it and say, “Wow …”

There’s two million Dentaltown [inaudible 00:28:10]. I get this one group saying, “Oh, my God. How did you … That’s so awesome.” You’ve got 200,000 dentists in the community. I’m like, well, we’ve been out there since 1998 and there’s two million dentists. We just passed the 10% mark. That’s not very … I think when I go lecture in dental schools in Africa and Asia, they’re just blown away by those cases on Dentaltown.

I had one dentist in Africa that pretty much only talked about you. It was in Tanzania. You were his favorite person on Dentaltown. I thought the connection was that because you’re doing real world dentistry in rural America. So much of your cases applied to him.

Even though you do the CBCT and all the lasers and all the fancy stuff, in a lot of this other continents, they’re never going to have access to any of those toys. You just do a lot of amazing cases, where if you don’t have any high tech equipment, if you don’t have a … They like your composite work.

Cory Glenn: Dentaltown has built my career about people posting that kind of thing that I learned from. I’ve learned more on Dentaltown than I have from countless CE hours. It’s good to know that others are getting that benefit.

Howard Farran: It’s actually the entire dental school curriculum in several dental schools, because they’re low income. They’re poor countries. They do what they can. You would call that staging a treatment, do it in composite and slowly convert it to porcelain.

Cory Glenn: Yeah. On implants, again, very few people can attain a full-mouth implant rehabilitation. If as you go along, if a patient loses a tooth, say a first molar, go just replace that tooth, then for that time, maybe put in a temporary crown. If they’ve got a terminal incision, you could place one implant a year in strategic places until, eventually, they’ve got four or five implants.

Then, when they got those in place, it becomes a very simple matter to extract the teeth and make a full hybrid denture or whatever you wanted to do over a denture without having to break off the entire process in one go. We’ve got a lot cases where patients have a partial, and so again, a more strategically placed implants under that partial.

In the interim time, they’re just using it to snap their partial into place. They can get rid of clamps and that kind of thing. Eventually, they reach critical mass and they’ve got enough implants there that if they choose to, they can convert that into an implant support prosthesis.

Howard Farran: The guys that I see like you, they’re always crushing it. They only manage people, time, and money. You have good business acumen. You understand the reality. There are so many dentists that I know and you talk about. They just present the $50,000 case. Then they talk about their [inaudible 00:31:08].

Well, she didn’t accept it. What if you just presented her a Mercedes Benz? That was it? There was no Buick, Chevy, Pontiac, smart cars, used car, or … What you’re doing is you’re implanting the Mercedes Benz in stages. Let’s just put in nice little pieces and over five or six years, we’re going to have a really nice outcome.

Cory Glenn: No one pays cash for their car or their house. We shouldn’t expect them to pay all cash upfront for a $50,000 treatment plan. It’s not going to happen for most people.

Howard Farran: In fact, what’s funny is Americans buy their house on a 30-year loan. When you go to MBA school like I did, any loan over 24 years is technically called “interest only.” When someone buys a 30-year loan, the first six years, you look at the difference of the … how much they still owe as first principal, like the first time… let’s say it was $1,000. It would be like $3, the principal, and $997 interest.

You’re right. What’s funny is the average American moves every seven years. Just when they start to engage their principal, and this was corrected in the SVA loan. They come up with the SVA loan. The government said, “Let’s not do the stupid thing we did with that 30-year … culture of the 30-year.”

That’s right. Only 10% of Americans buy their car or house in cash. Ninety percent finance it. They’re financing it five to seven years on a car, 30 years on a house. You’re saying you don’t have to … Do you also finance dentistry, or are you mostly self-financed by staging?

Cory Glenn: If it’s a really, really big treatment plan that puts us at a significant risk, we’re going to use a service like care credit. For day-to-day dentistry, the bread and butter of the crown, single-tooth implant, we will do some in-house financing on that. It’s done very well for us. We got the idea from Tarun Agarwal and copied his model. Thus far, it’s really helped out a lot.

Howard Farran: Tarun didn’t talk about that on this podcast. Now you’re going to have to tell us all of Tarun’s model.

Cory Glenn: Basically, you would … you’ve got to have recurrent billings set up in your credit card company. You can just go on online and you come to terms with the patient. For example, if they’ve got a … This is great for the insurance patient because almost half of it is paid for upfront. Your out-of-pocket risk on this is very, very low.

Let’s say your crown is $1,000. $500 is covered. You’re already sitting pretty good. The remaining $500 you might set up with them to do a $100 a month over the next five months. The first payment will be due at the time they schedule the treatment. You’d still not touch the [inaudible 00:33:47]. Now, you’ve collected $600.

Then, again, by the time you prep it and then get them back for delivery, you’ve probably collected $700. You’ve got most of your cost already covered at that point. It really works out well. You did take a little bit of risk on patients, but again, with an insurance patient that, that risk is really mitigated by the fact that a big portion of it is being covered by their insurance.

Howard Farran: You’re saying it’s an automatic credit card …

Cory Glenn: Yes. One, you’ve got to sign a contract with the patient. Two, they’ve got to give you a credit card. That’s going to be set up to have an automatic draft at a certain time every month for whatever amount of money you’ve agreed to withdraw. At this point, I’m not that comfortable enough to extend that to a year or two years. Six-month, eight-month for amounts bearing from $500 to $1,000, I have no problem doing that at this point.

Howard Farran: Tarun has been doing this for a long time?

Cory Glenn: I assume he has. I heard him speak about it first on a different podcast. He’s been doing it a little while. I think he’s starting to take a little bit more risk on how far out he’ll go with it. It’s worked out well for me.

If I do care credit and try to find something over 10 years, I want to take a huge hit right off the bat because they’ve got to [inaudible 00:35:10] that full amount of cash right at the front. Whereas me, if totally get stiffed, I’m not getting stiffed of huge amount cash. I might be getting stiffed a little lab bill and some of my chair time. I have a lot less to lose.

Howard Farran: What was the name of the other podcast?

Cory Glenn: It was the Dental Hacks. There’s Alan Mead and Jason …

Howard Farran: Alan Mead? I love this guy. Those are great guys. Tarun posts something the other day where I swear to God I almost cried. He went back and showed the hotel that he grew up in. His parents were hard-working immigrants. Here’s the hotel he lived in. When he was just a little boy, someone came, a traveler came and [inaudible 00:35:50]. They jumped up and go make the room and this and that. Now, he’s one of the most successful people in the education and dentistry and prestige.

Cory Glenn: That’s a great video.

Howard Farran: God, he’s the American Dream. I have so much love and respect for that guy. He’s got the most amazing wife, too. She’s a psychiatrist. I think every dentist in America should visit her.

Cory Glenn: She’s got to work for him.

Howard Farran: Yeah. I think every dentist in America should consider Mona as their part-time wife. I think every dentist in America probably needs a shrink at one day or another.

We’re talking about this because this is one of the most controversial columns ever in my life, to use a splint or not a splint. What I was doing is … I never write a column unless I feel like a rant is coming on. You’re you, I’m me.  We have two separate paths. I have all these older … because I’m 53. A lot of my friends are 60 or 65. They’re oral surgeons and periodontists and they’ve had some 10,000 implants.

They’re always growling at me saying, “If you don’t know how to … you’re messing up, first of all. You’ve got to [inaudible 00:36:59]. You’ve got a second molar behind. God dang, you just peel the tension back like a banana. You’ve got to see that white bone and drop an implant right down the middle. You just need to pack up and go home.”

They get so mad when they see it’s about surgical guides and because they think they’re going to … you’re going to be an implantologist. You’re not going to be a surgeon. You don’t know how to handle blah, blah, blah.

Then, you’ve got all these new young pups who are jumping on new 3D technologys, CBCTs, CERECs, CAD cam, has a big block [inaudible 00:37:29]. The young kids are jumping on this. I wrote this column, to use a splint or not to use a splint. I love how [inaudible 00:37:37] that you’re recovering freehand implantologist. I want you to talk about … you can do either. You can go either way.

Cory Glenn: Right. I spent the first probably three, four years doing completely freehand. That’s how I was trained. In general, I’ve not had a difference in my success rate. They’ve all integrated. I think we have avoided any severe complications. When I started posting implant stuff, Armen Mirzayan who I speak with, he’s with CAD Bluray.

He made a bet that when you scan your first 20 implant patients that you previously done, and you [inaudible 00:38:15], you’re going to find a perforation. I made it through 20, but about 25, I did find one. I had half the implants sticking out the facial plate of number 10.

That opened my eyes. I saw that I wasn’t always doing exactly what I thought I was. The guided surgery thing has just made life so much easier. While your surgeon friends may be right, hey, it’s just surgery, flap the tissue or whatever, for me, it’s a matter of convenience and efficiency.

I assume you don’t take a cart and buggy to work each day, because now you’ve got a lot better option. You’ve got a car that will get you there quicker, safer, and it’s the same way with guided surgery. When I’m doing a guided surgery, I have absolutely no worries that I’m going to hit a nerve.

I have absolutely no worries about the lingual undercut, which is in the first moment that you mentioned could be very substantial. I’m going to place a little bit shorter implant if I’m near vital structures. The guided surgery, we’ve gotten the cost … I use Blue Sky Bio software on this. I do it all in-house.

My average case cost me about $60 to be guided. Anyone with access to a cone beam, whether they own it or they referred out can do it at that price. For $60, I can’t imagine not doing it. It would be crazy to. My average implant is about eight to 10 minutes. Again, I have no worries about vital structures or any of that.

The flap issue is a non-starter. I flap every single case because I want to get the most [inaudible 00:39:53] gingiva. It’s unfortunate that people equate guided surgery with flap [inaudible 00:39:58]. It’s really not the case at all.

Howard Farran: That’s a great point, and because you’re laying a flap because you want to save all the attached gingiva?

Cory Glenn: Yeah, and I also want to visualize the crest of the bone. If there’s a little defect, you can always make everything with a [inaudible 00:40:13]. If there’s a little defect, I want to be able to graft it. I want to say that [inaudible 00:40:17] gingiva, I want to be able to completely bury it for [inaudible 00:40:20] closure because that’s what’s given me the most predictable results. There’s a lot of benefits to flapping.

Howard Farran: Say Armen’s last name?

Cory Glenn: Mirzayan.

Howard Farran: Say it again?

Cory Glenn: Mirzayan.

Howard Farran: Spell it. M-I-R …

Cory Glenn: M-I-R-Z-A-Y-A-N.

Howard Farran: You know what? I don't think I’ve heard anybody say it right. I think you’re the first guy …

Cory Glenn: I may have said it wrong, so I have to ask …

Howard Farran: It’s Armen Mirzayan?

Cory Glenn: I think that’s how you say it, yeah.

Howard Farran: His wife’s a dentist, too. Adorable lady. How often are you guys lecturing together?

Cory Glenn: Let’s see. We’re doing it fairly often. It’s probably every month or every other month right now. I think our next one is in Atlanta on December 4th and 5th. We’re really looking forward to that one.

Howard Farran: You’ve got Phoenix on the dock? Phoenix has a …

Cory Glenn: [Inaudible 00:41:09].

Howard Farran: Phoenix has a 3.7 million person metro with 3,800 dentists. Every rock concert and the Rolling Stones, they go to towns half of their size. Everybody forgets this monstrous city in the dessert. You know what I mean?

Cory Glenn: Find us a venue and we’re coming.

Howard Farran: What kind of venue do you want?

Cory Glenn: The course that we’re typically doing is a hands-on course, because we’re teaching all of implantology, but then we’re actually doing a lot of work on computers teaching you to do the software manipulation and to make the guides …

Howard Farran: How many people do you like?

Cory Glenn: If people bring their own computers, we could accommodate up to 50. The average class, if we supply the computers, is more around 30 to 35.

Howard Farran: Send me a group email. Definitely put on the venue. The other thing is that Tucson’s only 90 minutes away. In fact, it’s hard to [inaudible 00:42:06], but Tucson … There’s [inaudible 00:42:08] in Tucson that are closer to my dental than the people who are on the other side of north Phoenix.

I mean I’ve got patients who … some of them from north Tucson can drive to my office in 90 minutes, some of them from north of here or 100 minutes away. It’s a big drawing area. I think we could be drawing from all 6,000 dentists. It’s a hot topic. A lot of you ask me, how does Blue Sky Bio make money if they give all that software for free?

Cory Glenn: The software is entirely free. The only time you would incur an expense is after you’ve designed your guide and you’ve done all the model manipulation and planned your guide. You’ve got to export that guide out of the software to send it off to be 3D printed. If you’ve got your 3D printer to print it, you’ll just be charged a per unit basis on that.

Depending on the volume you buy those exports, it’s $15 to $20 per export. Right now, I’m having a pretty [inaudible 00:43:03] in two days from now. Right now, what I do is I export it. It cost me about $18 usually in the volume that I buy it. It cost me another $35 to have it 3D printed and mailed back to me. I’m at roughly $55 to do all that.

Howard Farran: Where’s your 3D printer at? Is there a dental lab doing that for you?

Cory Glenn: Blue Sky Bio was selling. It’s the Juell 3D printer. It’s made by Park Dental Research. That’s Ron Bulard who started the IMTEC mini-implants many years back and sold out to 3M. This is his company and they’re manufacturing this 3D printer. It’s pretty affordable.

Howard Farran: Ron Beuller, B-E-U-L-L-E-R?

Cory Glenn: I think it’s B-U-L-A-R-D.

Howard Farran: B-U-L-A-R-D?

Cory Glenn: Yes.

Howard Farran: Do you have his email?

Cory Glenn: I can get it.

Howard Farran: Can you email me and him?

Cory Glenn: Sure.

Howard Farran: That would be interesting because 3D printing, this is something they talked about 10 years ago, somebody. Now, who would have guessed, Cory’s ordered one. How much is this going to cost you?

Cory Glenn: The 3D printer, I think the manufacturer suggested retail is about $15,000. Depending on what you can do with it, you can make that up very quickly. One of the things that I intend to get into is that you can basically do your own [inaudible 00:44:28] orthodontics.

You print out these models and you would do the [inaudible 00:44:34] downs and create the trays. You can feasibly do a [inaudible 00:44:37] ortho case at an overhead of $50 to $100 versus this huge lab bills that you’re going to get from [inaudible 00:44:46] and groups like that.

Howard Farran: Those places are coming down rapidly, right, because basically the patents are expiring and all the Invisalign stuff. Ryan, can you pull up the stock chart on Invisalign so I’m not saying anything too crazy? Yeah, a lot of that stuff is expiring. Once those patents expire, there’s going to be a lot of interest in the market. Very, very interesting. God, Cory, you’re just [inaudible 00:45:16]. Now, talk about this affordable implant techniques. Obviously, that’s what you’re talking about. Talk about affordable implant techniques.

Cory Glenn: Implantology, the biggest factor that’s in your control is how much you’re paying for the implant. One of the reasons I’ve aligned myself so much with Blue Sky Bio is that they are very value-minded. Their implants are extremely affordable.

The one I’m buying, I buy, if I had enough time, and I pay $89 an implant. It’s every bit as high quality as any of the big boys that are on the market. When I can buy my implant at a price like that and then I can use stock abutments or I can use my CEREC to do the restoration, it brings the price way, way down on this.

I can have the entire implant abutment and crown done for right around $225. Most of the bigger name implants you’d not even pay for half the implant at that point. That’s the biggest thing that’s within your control.

The other thing is how many appointments are you going to take to do this? I just told you about guided surgery. Guided surgery is my first placement visit to being to being about a 10-minute appointment. It’s going to go there where it needs to go predictably.

It’s going to be in the correct prosthetic emergence that I’m not having to pay big money for custom abutments or special parts or anything like that. We’ve just removed all question marks of the entire process. It’s just so predictable. I charge very little for implants and it’s still one of the most profitable things I do.

Howard Farran: I just think you’re amazing. I’m serious, dude. You’re just amazing. Do you own your own CBCT?

Cory Glenn: I do, yes. The first thing that I started using cone beam, I have a friend who’s nearby had bought one. I was referring to him. I pretty quickly figured out I didn’t want to practice implantology without it. I ended up buying one. I went from just that first year, I did about 20 implants when I was referring to him, to 50 the next year. That was the only difference with having [inaudible 00:47:37].

Howard Farran: What did you buy?

Cory Glenn: I’ve got a Sirona XG 3D.

Howard Farran: Sirona XG 3D?

Cory Glenn: Yes.

Howard Farran: XG 3D.

Cory Glenn: [Inaudible 00:47:49] smaller volume. It’s an eight by eight field of view so I’m not picking up the base of the skull and spine and a lot of the anatomy that I’m not really comfortable with. I think that field of view is the one that almost any dentist can feel comfortable navigating. It shows me everything I need to see for what I do.

Howard Farran: That merges in with … you have the CAD cam, too, right?

Cory Glenn: I do. I’ve got a CEREC although, to be honest on that, I’m using the Blue Sky software. That, to me, is a more affordable option for doing guided surgery. I love my CEREC for my [inaudible 00:48:22] crowns that I’m not using a lot for the implantology.

Howard Farran: Why would you need a CEREC for a crown if you can do an impression and when you can prep an impression, temporary, in eight minutes?

Cory Glenn: It’s good question that I’ve been wrestling with lately. The advantage is, one, it distinguishes you in your patient’s eyes that you’ve got this technology available. It will do like single-visit dentistry. I still think there’s a big place for doing it in-house if you’ve got the capacity to have people sitting around while that all goes on. If you’ve got capacity problem and you’ve only got one or two doctor ops, you’re really better off [inaudible 00:49:04] impression and do it quickly and then get the patient back.

Howard Farran: Exactly. The problem with the human condition is there are always extremists. It’s always they turn left or right, up, down, yes, no, black, white, red … They don’t think over a spectrum. What I do is … you’re right. It’s great marketing, same day dentistry. Some people love it, but I’ll just be upfront with them.

I want you to be completely honest and upfront. If I came into your office and I said I want two-visit, and it’s first molar, how long would I be in the chair? You said earlier, you’re scheduling 30 to 40 minutes?

Cory Glenn: Yes.

Howard Farran: You’d schedule me 30 to 40 minutes and I’d come back, what, in two weeks?

Cory Glenn: Two weeks.

Howard Farran: For how long?

Cory Glenn: Five to 10 minutes.

Howard Farran: That 30 to 40 minutes, come back in two weeks for 10 minutes. If I want to have it done, all in one appointment, how long will that appointment be?

Cory Glenn: It’s going to be, in my office, two hours.

Howard Farran: There’s so many people out there saying, “I do more than an hour.” Okay, yesterday, I was attacked by a unicorn, and he left a $100 and drove off in my Lamborghini. I don’t ever see that. When I’m talking to real dentists in real bars, watching the real NFL, and by that, I mean only the Arizona Cardinals, it’s a two-hour appointment. What I do …

Cory Glenn: [Inaudible 00:50:30] always. You’re committed to find [inaudible 00:50:33]. It’s a two-hour visit. We may finish a little earlier than that, but we’re going to schedule two hours.

Howard Farran: Yeah. I have eight operatories. I have extra chairs. If you don’t have an extra chair, then this is going to be an issue. What I always do is I just ask the patient. I say, “You could be here 45 minutes today, come back in two weeks, and we’ll [inaudible 00:50:56] in 20 minutes.” You can say you’re two hours and never have to come back. Totally up to you.

It seems like most people are really excited about it. It’s like, “Oh, my God. That’s perfect. I need to get out of here. Today’s a crazy day. I need to get to work and drive all my kids.” Then other people are like, “Oh, my God. That would just be perfect. Do it all today because I have the day off. I have nothing going on. That would be great not to have to come back.”

Dentists don’t seem to think in moderation. They’re just extremists. It’s like, “Oh, yeah. I bought a CEREC and I don’t use a lab anymore,” or “I don’t have a CEREC.”

Cory Glenn: [Inaudible 00:51:30] my first year having it. As you say, I come to this same position as you. Sometimes, it’s great. There’s other times that it’s just not worth the hassle of it. I’m going to use the lab at that point. I’ve got great labs that give me predictable results. The lab bill issues with [inaudible 00:51:49] crowns now. The lab bill is not so much of an issue anymore. I really do think it comes down, like you said, to what your patient wants. You can feel both into the spectrum, awesome. If you can only do one, that’s no big deal either.

Howard Farran: What great labs do you use? A lot of them … I always try to guess-timate their questions. Every dentist, probably 10% of them, are in the “looking for a new lab” market on any given day. Are you rounding out the names your labs?

Cory Glenn: Yeah. Absolutely. I use a lot of different labs. I use American Made Dental for a lot of my implant stuff. They do a very affordable PFM work over implants. I still like to use PFM a lot of times on implant.

Howard Farran: Where is American Made Dental at, out of?

Cory Glenn: It’s down in the Keys. I forget exactly.

Howard Farran: Really? Florida Keys?

Cory Glenn: Marathon, Florida.

Howard Farran: Marathon, Florida?

Cory Glenn: Marathon, Florida, yeah. For my just day-to-day single tooth zirconia crowns and bridges, I’m using Triple Tray Express or King Dental Arts, the same owner. He’s just started Triple Tray Express. He’s given me very predictable great results as well.

Howard Farran: Where is he at?

Cory Glenn: He is in Bristol, Tennessee.

Howard Farran: Bristol, Tennessee. What is the other name for Bristol, Tennessee. Triple Tray Express was also called what?

Cory Glenn: King Dental Arts.

Howard Farran: King Dental Arts.

Cory Glenn: Dennis King is the owner. He’s a great guy. He’s been great to work with.

Howard Farran: Dentist King …

Cory Glenn: Dennis.

Howard Farran: Dennis King?

Cory Glenn: Yeah. I use Burbank Dental Lab. It’s an awesome lab for a lot of your higher end implant hybrids. They’re a full-service lab. They are really good at their implant stuff. They’ve got the most technology of any lab I’ve ever seen. It’s amazing.

Howard Farran: They’re in Burbank, California.

Cory Glenn: Right, California.

Howard Farran: Where Johnny Carson … Isn’t that where filmed Johnny Carson?

Cory Glenn: I think it is, yeah.

Howard Farran: What’s that guy’s name, Tony Sedler?

Cory Glenn: Sedler.

Howard Farran: Tony Sedler. He is the nicest guy …

Cory Glenn: A great guy.

Howard Farran: … in the world. He’s so cool.

Cory Glenn: Let’s see. I’ve got several more. For partial dentures, I use Oral Arts, which is a local lab in Huntsville here. They do a lot of good work on partials. That’s what I prefer. I’m forgetting his lab name, but Roger Nelson is my denture guy and he does a lot of great PFM work as well in the next town over. Nelson did a lab. I think it’s his labs name …

Howard Farran: We’ll have all this in the transcript, right? We’ll have all these notes. My listeners, every one I’ve ever talked to, they’re listening to my podcast. They’re always going to commute to work. [Inaudible 00:54:36] know how to take notes. We send it all to our transcripts. We’ll try out all those notes. If you want to send me the email with any other lab names or addresses or whatever, because my whole goal is that, with the use of the internet, now the smartphone, and I know Dennis will never have to practice solo again.

Seriously, I can’t think of a more amazing guy. I want to switch gears to that. Mentoring, being mentored, being part of the mastermind groups. That was my whole key. In fact, there’s a thread I bumped up today on Dentaltown, because I’m trying to write my next column. My next column was going to be, “What does a successful dentist do that the non-successful ones don’t.”

Then, they will say, “What is success?” Success, I think it’s pretty obvious to me. You have a nice practice. You keep your long-term staff. You keep long-term patients. You make the kind of money to take care of your family and all that kind of stuff.

What do they do? That was one of the reasons I started this podcast was because I always notice out of the gate that the dentist who took $100 plus CE every year, 10, 20 years later, usually have their fellowship in AGD or they’re diplomat in something or something.

Once they got off on the continued ed track, they just twice as successful as the ones who just take the minimum requirement to get their license renewed. What I was thinking is that, if I did two podcasts a day, one they’re our community, two from work, 10 hours a week, 52 weeks a year, I can slip 500 of them into their brain without them even knowing it.

You know what I mean? What do you think about mentoring? You’re mentoring everyone now. How are you mentored? What is your thought on mentoring?

Cory Glenn: As I mentioned earlier, Dentaltown has been a huge mentoring site for me. All this guys, they don’t even know if I ever looked at their posts, but I’m just soaking it all in. That’s a huge benefit of what you’re doing with that. I think it’s beneficial if you’re an older dentist that’s got some wisdom and either you’ve done a lot of things really right, or if you’ve done a lot of things really wrong and have the experience or wisdom to share it out with some younger dentist, it’s incredibly beneficial if you pass that along.

Three years ago, I spoke at my study club. It’s one of the first speaking things I ever did. It’s just a local study club, about 40 dentists. There’s a guy in that study club named Roy Thompson. He’s a big name in organized dentistry, a great clinician. He actually brought me into a little email group that he’s got within and five other 60-plus-year-old dentists.

These guys are rock starts of organized dentistry. I’ve exchanged five emails with them already today. We’re talking about dentures and this and that, financial advice, stocks, all this kind of stuff. We just banter back and forth, bouncing ideas off each other. It’s a mastermind. I’m in another mastermind group with Graham Dersley who’s done a ton of serial practice transitions. We’ve got some amazing minds in that group.

Howard Farran: What’s his name?

Cory Glenn: Graham Dersley.

Howard Farran: G-H-R-A-M …

Cory Glenn: G-R-A-H-A-M D-E-R-S-L-E-Y. He puts out the Practice on Fire newsletter. He’s got a few different mentoring mastermind-style group. We’re actually doing a conference at the first weekend of November, if I’m not mistaken, called Practice on Fire down in San Antonio.

It’s actually [inaudible 00:58:16] mastermind getting together and putting on a CE because we just felt like, listen, stuff we’re putting together between us is just too good to keep together. We’re going to just actually put on a meeting where we can present our best stuff, TED talk style. Each of us will get an hour or two, and we’ll just put our best stuff.

I’m excited about that, but it’s just amazing how isolated we can get as dentists. If you’ve gotten no fresh ideas coming in, it’s like the Dead Sea. Everything just comes in there and dies. You’ve got to have some outflow when you’re feeding that to others and you’ve got to have some fresh stuff coming in from other people as well.

Howard Farran: That’s a nice analogy. I’ve never heard that analogy, but that is so well done. How many are in that Practice on Fire group?

Cory Glenn: There’s probably 40 or so of us in the little group itself. I think there’s going to be 15 or so of us speaking at that, like I’m speaking on clinical techniques. We’ll have Scott [Linney 00:59:15] speaking on some practice management stuff. We’ve got several other practice management speakers, a lot of big names from Dentaltown that everyone would recognize.

Howard Farran: Are they going to tape it of film it?

Cory Glenn: I don't know yet. I’m sure if they’ll do it. It may already be filled up. We’ll put a light to it. I’m not sure if there’s room there.

Howard Farran: They want to film it or tape it. I would do that to put it on Dentaltown or whatever. That just sounds like the most amazing content in the world, I mean, just to …

Cory Glenn: I’ll pass that along. I think that will be put online.

Howard Farran: Yeah. I could send a cue person, cameral person down there, and capture all of that. We could make it a Dentaltown course or whatever. That’s sharing and caring. It’s all hand in hand. You learn something from someone else. You share it to someone else.

I was always go with the analogy of a kid, like when you’re in the first grade. When I was in kindergarten, my idol is my older sister telling me about what it’s going to be like going from kindergarten to the first grade. When I was in kindergarten, I was the mentor until my older sister came [inaudible 01:00:19] scared about going into pre-school. You know what I mean?

We’re always at different stages of the journey. Man, I can’t I believe that was the fastest hour ever. Seriously, any time you’ve got a case that you don’t care if I push on social media, please email me the link howard@dentaltown.com. What if someone listening wants to ask you a question? Is there any way they can contact you?

Cory Glenn: Send it to my email, coryglenn81@yahoo.com.

Howard Farran: What’s the 81?

Cory Glenn: That was the year I was born.

Howard Farran: You’re born in 1981?

Cory Glenn: Yeah.

Howard Farran: Oh, my God. You just ruined my whole day. I graduated from high school in ’80. Now, every time I look at your post, I’ll say, I’m old enough to be Cory’s dad. It’s coryglenn81@yahoo.com. What is your practice website?

Cory Glenn: It’s GlennDDS.com. It needs work. I haven’t done much with it lately.

Howard Farran: Will they find a contact information on there if they …?

Cory Glenn: You can send an info request which [inaudible 01:01:35] at via email on that. You can find me on Facebook. Of course, Dentaltown, I’m on there a ton.

Howard Farran: Dentaltown, he has 2,400 posts. I mean it’s just amazing. I don't think I repost anybody more than you. I just …

Cory Glenn: I appreciate that.

Howard Farran: It always blows my mind when I’m looking at your stuff and I think you graduated in 2008. You truly are the Mozart or Beethoven of dentistry. On that note, have a rocking hard day. Good luck raising those three daughters.

Cory Glenn: Thanks, Howard. I appreciate it, man.

Howard Farran: Bye-bye.

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