Podcast/Blog Posts

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Deal Structuring:  Just what is “market” these days?
Ok, we’ve covered a lot in recent weeks - debt, equity, TopCo/JV, partnership considerations, etc.   So what about deal structuring?   Deal structuring lays out the components of a deal and how the parties intend to fund or finance them.  The most bandied about term is “cash-at-close” (“CAC”)  -...  Read More
New Partner Considerations
New Partner Considerations The purpose of this article is to provide an overview of the puts and takes of bringing a new partner into your practice or group. Valuation Considerations There has been a marked increase in independent dentists using groups for “stalking horse” valuations to boost...  Read More
A Valuation Without Context Is Worthless
When it comes to business valuation, everyone loves to rush to “the multiple” discussion - i.e. what multiple of revenue or unlevered free cash flow (EBITDA) is used to arrive at the Total Enterprise Value (“TEV”). While this approach can be directionally accurate and helpful for “swagging”...  Read More
“What’s Your Equity Story?”
The contemporary forms of group practices (DSO, DPO, DMO, ABC, DGO, LOL) are approaching their sixth decade of operations.  As the labels and models proliferate, an increasingly common conversation is: “So, what’s your equity story?” Fantastic question. I encourage anyone curious about...  Read More
Children’s teeth go through many changes as they grow. From learning to chew to forming speech sounds, healthy teeth play an important role. When tooth decay appears, choosing the right filling material can make a big difference. Tooth-colored fillings are now widely used for treating cavities in...  Read More
Orthognathic jaw surgery is a corrective procedure used to fix jaw alignment problems. It is recommended when the upper and lower jaws do not fit together properly. These issues can affect chewing, speaking, breathing, and facial balance. In many cases, braces alone are not enough to correct...  Read More
Many people want a brighter smile, but sensitive teeth often make whitening feel risky. A simple sip of cold water can already cause discomfort, so the idea of whitening products may feel intimidating. The truth is that sensitive teeth do not rule out whitening. They only require smarter...  Read More
The shape of a child’s upper jaw plays a big role in dental health. When the upper jaw is too narrow, teeth may not fit properly. This can affect how a child bites, breathes, and even speaks. A palatal expander is designed to gently widen the upper jaw at the right stage of growth. Parents often...  Read More
A maxillary skeletal expander is a modern orthodontic device. It helps widen the upper jaw. This jaw is also called the maxilla. When the upper jaw is too narrow, it can cause many dental and health problems. A skeletal expander works directly on the jawbone. This makes it different from...  Read More
Our Ongoing Staffing Conundrums
Optimizing the staffing model for any practice always seems to be a work-in-progress.   Dentistry is certainly not getting any easier, and top line pressures only exacerbate the need to identify pockets of opportunity in practice overhead. You can only wring out so many efficiencies in supply...  Read More
In a busy dental practice, urgent patient needs are common. When a patient calls with pain, swelling, or a broken tooth, immediate attention can prevent further damage and build trust in care. A dental team that is prepared for urgent situations improves patient satisfaction and helps the...  Read More
More adults are choosing braces today than ever before. Many want to improve their smile, correct bite issues, or protect long-term oral health. While braces work for all ages, adult treatment comes with unique challenges. Teeth can still move at any age, but the body responds differently over...  Read More
The idea of removing a tooth can feel alarming. Many people assume that saving every tooth is always the best option. In reality, there are situations where extraction protects the mouth from bigger problems. When crowding, infection, or structural imbalance threatens long-term health, careful...  Read More
Tooth alignment rarely changes overnight. The most stable improvements happen through small, controlled movements. These subtle shifts may seem minor at first, but they play a major role in creating long-lasting results. Orthodontic treatment is designed around this principle. Even a single...  Read More
Invisalign has changed the way many people think about orthodontic treatment. Clear aligners offer flexibility, comfort, and a discreet appearance. However, Invisalign is not a one-size-fits-all solution. Its success depends on how well the technology matches the dental condition being treated. In...  Read More
Severe tooth misalignment is more than a cosmetic issue. It can affect chewing, speech, and long-term oral health. In many complex cases, metal braces remain one of the most reliable solutions. Their strength, precision, and adaptability make them effective for difficult alignment problems. For...  Read More
Braces are often seen as a fixed journey with a clear end date. Many people expect similar timelines once treatment begins. In reality, orthodontic treatment length can vary widely from one person to another. Even with similar dental problems, progress may differ. This happens because tooth...  Read More
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