Episodes

  • "If We're Not Failing, We're Not Trying": How Turning Dentistry Into a Trade and Celebrating Failures Built a Multi-Location Powerhouse

    "If We're Not Failing, We're Not Trying": How Turning Dentistry Into a Trade and Celebrating Failures Built a Multi-Location Powerhouse
    Mar 24 2026
    What happens when someone who didn't know what a prophy was—or even understand what a root canal really involved—answers phones at a dental practice, falls in love with the leadership piece, and eventually becomes director of operations for a growing group practice with a weekly executive cadence focused on celebrating failures? Denae Black has turned dentistry into her trade over 20 years, climbing from front desk to office manager to director of operations, learning that the key to scaling from one location to multiple practices isn't about having perfect systems—it's about having consistent systems that everyone follows the same way, giving yourself grace for the 20% that will be different based on team and patient base, and getting comfortable with difficult conversations. After her husband's Air Force orders relocated them from Arizona to North Carolina, she joined a practice where she sat on the executive level team with Eric Roman as visionary, working alongside directors of marketing, hygiene, and finance in structured weekly meetings where the mantra was clear: if you're not failing, you're not trying. Now as owner and consultant of Dental DNA Consulting, she takes clients through a three-phase journey—Dream It (define what you're building), Narrate (create a customized plan), Accelerate (roll up sleeves and implement)—partnering closely with practices navigating transitions like expanding locations, dropping insurance, reducing clinical days, or preparing for retirement. In this conversation, Denae reveals why leadership is the most common barrier holding practices back (you know the hard conversations you need to have, you're just not prioritizing them), why annual performance reviews are useless (you're really only reviewing the last 2-3 months anyway), and why communication isn't just important—it's the difference between being a proactive leader versus a reactive one who has no idea the hygienist was unhappy until she puts in her notice. She shares her trust tracker system for managing weekly check-ins without formal calendar blocks, the paper airplane exercise that proves consistent systems beat perfect systems every time, and why her biggest wins aren't revenue numbers—they're when dentists finally take month-long international vacations because their practice works for them instead of them working for their practice. If you've ever wondered how to transition from operator to CEO, why quarterly reviews replace annual ones, or what it really takes to build a practice with intention rather than just reacting by default, this episode will give you the clarity and vision you've been missing. Denae Black never imagined dentistry would become her trade, but when she started answering phones at a group practice in Arizona—not knowing what a prophy was or really understanding what a root canal involved—the practice took her under their wing and taught her everything: phones, check-in, check-out, treatment planning, eventually office management. She fell in love with the leadership piece. When her husband got Air Force orders to relocate to North Carolina, she took a director of operations position that unlocked her passion for the business side of dentistry. This was where she learned the foundation of systems, best practices, and what it takes to scale from one location to two to three and beyond. She eventually consulted with various groups before launching Dental DNA Consulting independently in May 2024, turning her 20-year journey from knowing nothing into a comprehensive trade mastery. Her background with Eric Roman and Josie Sewell taught her that growing a group practice isn't about perfection—it's about structure, consistency, and culture. She sat on an executive team of five (visionary, director of ops, director of marketing, director of hygiene, finance) with structured weekly cadence meetings focused on one mantra: if you're not failing, you're not trying. Getting uncomfortable and celebrating failures was essential. The key insight: 80% of what happens in a practice can be duplicated, but 20% will be different based on team, patient base, and flow—so give yourself grace while maintaining strong systems. The DNA approach she developed takes clients through three phases: Dream It (D), Narrate (N), and Accelerate (A). The Dream It phase locks in what you're building—defining your vision and ensuring team structure supports that dream. Many dentists have ideas but don't know how to communicate them, so this phase creates clarity. The Narrate phase builds a customized plan to actually make it happen, and the Accelerate phase is where Denae rolls up her sleeves and partners with the team to bring everything to life. Her ideal clients are practices navigating transitions: expanding from one to two locations, dropping from five clinical days to three or four, navigating dropping insurance, or preparing for retirement. These clients are goal-oriented, which aligns ...
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    27 mins
  • "You Do Teeth, Not Brain": Why Your Competitor for Talent Isn't the Practice Down the Street—It's Papa John's Pizza

    "You Do Teeth, Not Brain": Why Your Competitor for Talent Isn't the Practice Down the Street—It's Papa John's Pizza
    Mar 17 2026
    What happens when a vet tech with a certification gets less PTO than their friend bagging groceries at Papa John's? Or when dental assistants realize they can make the same hourly rate clerking at a grocery store without spending money on a certificate or dealing with office drama? Kara Kelley, CEO of Clinical HR and nationally recognized HR strategist, has spent her career helping dental practices navigate the uncomfortable truth that the hiring crisis wasn't created by the pandemic—it was compounded by it. After finishing her bachelor's in business with an HR concentration back in 2012, she landed at a dental CPA firm doing marketing (of all things), spent seven and a half years wearing multiple hats, then launched her own HR firm in February 2020—right before the world shut down. She immediately pivoted to helping practices lay off teams, bring them back, and navigate the "alphabet soup of compliance" that followed. Now with senior-level credentials including SHRM-SCP and SPHR, she partners with dentists and practice leaders to reduce risk, strengthen teams, and build practices worth working for—not just practices that desperately hire the first person who shows up on time and sober. In this conversation, Kara reveals why hygienists are choosing temp work over permanent positions (spoiler: dentistry created this problem by treating them like second-class citizens for decades), why working interviews don't actually work (you're just throwing people into workflow and hoping for the best), and why your biggest competitor for talent in 2026 isn't the dental practice down the street—it's every work-from-home opportunity and gig economy job that offers flexibility without requiring a degree. She shares the one interview question you absolutely cannot ask (mental health), the safe script for reference checks (last held title, dates of employment, eligibility for rehire—flat monotone, repeat if needed), and why the future of dental hiring requires thinking outside the dental box. If you've ever wondered why Gen Z and Gen Alpha will change everything, why unlimited PTO actually decreases time off, or how to partner with your marketing company on recruiting strategy, this episode will completely shift your perspective on what it takes to build a team in the modern dental landscape. Kara Kelley never planned to spend her career in dentistry—she was finishing her bachelor's in business with an HR concentration back in 2012, planning to climb the corporate ladder at a Fortune 500 HR department as a coordinator. But serendipity and adaptability intervened. Because 2012 wasn't like today's hiring market where practices sometimes hire "the first person who shows up on time and sober," she needed something on her resume beyond self-employment. She landed at a dental CPA firm doing marketing of all things, and stayed for seven and a half years, wearing multiple hats: marketing, business development, HR advisor, and internal HR for the firm itself. Like most dental practices who are small businesses, she lived the "wear a lot of hats" mentality from the beginning. After getting tired of being mistaken for an accountant, she decided to step out and lean into the HR side, launching Clinical HR in February 2020—right before the pandemic hit. Instead of building her firm the traditional way, she immediately pivoted to helping practices lay off teams, bring them back, and navigate the alphabet soup of compliance that emerged during that chaotic period. Since then, she's focused on making sure practices are compliant, building cultures where teams treat patients well (because teams who feel treated well treat patients well), and helping practices enjoy the dentistry they do while ensuring compliance won't come back to bite them later. With senior-level credentials including SHRM-SCP (Society for Human Resource Management, Senior Certified Professional) and SPHR (Senior Professional Human Resources Certification from HR Certification Institute), Kara now partners with practices on internal HR assessments, employee handbooks, job descriptions, and strategizing around finding and retaining top talent—the issue of the day for the last decade and still dominating 2026. One of the biggest hiring mistakes she sees is culture fit mismatches that could be avoided with better upfront conversations. She recently worked with a practice that brought on someone from a fee-for-service practice with big bonuses and high paychecks, but the new practice was a mission-driven, heavy Medicaid, community-focused operation. The economics didn't align with the passion project mentality, and the employee wasn't a fit. This happens because practices hire out of desperation—they need somebody there to maintain the patient schedule, prevent burnout from understaffing, so they hire the first person with availability who'll take the hourly wage without deep-diving on fit. Then even when they find the right person, they're not ready ...
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    30 mins
  • From COVID Grad to $8M in 5 Years: How a New Dentist Built a Group Practice with Christmas Cookies and Negotiation Power

    From COVID Grad to $8M in 5 Years: How a New Dentist Built a Group Practice with Christmas Cookies and Negotiation Power
    Mar 10 2026
    What happens when a brand-new dentist graduates in the middle of COVID, can't find an associateship because everything's closed, and decides to buy two practices within four months—then turns a million-dollar skeleton practice into a $5M operation after buying it for just $60K? Dr. Rehan Shahid calls himself "the business guy who just happens to be a dentist"—and in five short years since graduating in 2020, he's built a four-location group practice generating nearly $8M annually, all 100% privately owned with zero private equity involvement. But here's what makes his story remarkable: he didn't rely on expensive ad campaigns or fancy marketing firms. Instead, he stood outside with tooth-shaped balloons, delivered Christmas cookies to 25 local businesses with personalized letters (creating instant social media domination), and built relationships with ER departments and cardiologists who needed dental clearances. His mission was simple but powerful: "Be so ridiculously famous in my town that everyone can't help but know about me." Now through Practice Success Academy, he's coaching dentists and their managers together—because he learned that dentists are "lazy people" and "horrible operators" who have amazing ideas but need strong managers to actually implement them. If you've ever wondered how to scale without burnout, why coaching the manager is more important than coaching the dentist, or how $100 worth of cookies beats any digital ad campaign, this conversation will completely shift your perspective on growth, systems, and what it really takes to dominate your market. Dr. Rehan Shahid never planned to be an average dentist—he planned to be "the business guy who just happens to be a dentist." But when he graduated in 2020, COVID had other plans. Two months after graduating, everything closed, eliminating any chance of working as an associate. So he did what any entrepreneurial-minded new grad would do: he bought a practice. Then two months later, he bought another one. Within four months of graduating dental school, he owned two practices and had to learn extremely quickly how to survive and thrive in business. The silver lining of COVID was all the free time it created—time Rehan used to devour books, listen to podcasts, and self-educate on business fundamentals that dental school never taught. His mindset was simple but powerful: "I know I'm going to have to make mistakes to learn. Let me just make them as fast as I can so I can pass that route and move forward." From day one, he knew he wanted to be a multi-practice owner, and his ambition was to make mistakes rapidly, extract lessons, and scale quickly. His growth strategy defied conventional wisdom about expensive digital marketing campaigns. Instead of pouring money into Facebook ads and Google PPC, Rehan focused on community domination. He stood outside with tooth-shaped balloons introducing himself as the local dentist. He attended every community event. His mission: "Be so ridiculously famous in my town that everyone can't help but know about me." The Christmas cookie strategy became legendary—delivering personalized letters and cookies to 25 local businesses, taking selfies with entire teams, knowing they'd post it on social media. Total cost: $100 for 25 boxes at $5 each. The result: 25 businesses sharing on their social platforms, dominating the community in one day—better ROI than any digital ad campaign. He repeated the strategy with Thanksgiving pies, built relationships with ER departments (who see patients needing dental treatment), and connected with cardiologists and orthopedic surgeons who need dental clearances before procedures. The second practice was a stroke of luck combined with savvy negotiation: a million-dollar practice in his hometown where the doctor passed away, the wife never sold it, and it sat closed for six months until all patients left. Texas law says you can't own a practice long without a dentist, giving Rehan enormous negotiation power. He bought it for $60K—now it's a $5M practice. Through building this four-location group (aiming for 25 in three years, all 100% privately owned with no private equity), Rehan discovered something crucial: dentists are "lazy people" and "horrible operators" with amazing ideas but poor implementation skills. The real key to success isn't coaching the dentist alone—it's coaching the dentist AND the manager together. If a practice has a great manager, the dentist flourishes. If the manager isn't strong, the dentist becomes only as strong as their weakest link. Through Practice Success Academy, Rehan now helps dentists buy back their time and scale by developing managers into true leaders who can implement systems, establish metrics, and drive accountability. He meets managers one-on-one without the dentist present to identify real bottlenecks, then serves as the third-party voice delivering respectful feedback neither side wants to give directly. The biggest ...
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    31 mins
  • "A No Isn't a No—It's a Not Right Now": Why Following Up on Unscheduled Treatment Is Patient Advocacy, Not Pestering

    "A No Isn't a No—It's a Not Right Now": Why Following Up on Unscheduled Treatment Is Patient Advocacy, Not Pestering
    Mar 3 2026
    What happens when a marketing major lands an externship at a dental practice, falls in love with operations more than marketing, and spends the next decade discovering that most practices are bleeding thousands in unscheduled treatment simply because they never follow up? Olivia Smith has worked with over 100 practices across the country—from the West Coast to Florida to New York—and she's witnessed the same pattern repeatedly: teams rush through treatment presentations, quote numbers over the counter while phones are ringing, then wonder why nobody's scheduling. As founder of OS Dental Consulting, Olivia brings a unique perspective born from being treated like a colleague rather than just a team member, learning to read x-rays and understand the clinical side while mastering the operational systems that turn practices into well-oiled machines. In this eye-opening conversation, she reveals why your website saying "24-hour emergency care" is sabotaging your high-end cosmetic vision, how a practice that looked like it was "still from the seventies" transformed with a facelift, and the critical question every treatment coordinator should ask when patients decline: "May I ask what's keeping you from getting the treatment that you need?" If your team is stuck in transactional mode instead of advocacy mode, this episode will revolutionize how you think about case acceptance, culture, and what it really means to align your brand with your patient experience. Olivia Smith never intended to spend her career in dental operations—she was a marketing and business management major who needed an externship to graduate. Landing at a dental practice that needed marketing help, she quickly discovered operations was where her true passion lived. What made all the difference was working for a dentist who treated her like a colleague rather than just a team member, investing the time to teach her how to read x-rays and understand both the clinical and operational sides of dentistry. After expanding and growing that practice while helping the dentist's friends with their practices, Olivia was recruited by Spear Education for consulting work. While she appreciated working with the bulk of her practices through Spear, she discovered something crucial: she loved private practice more. The hands-on, boots-on-the-ground work of being in offices with practices and teams, helping them overcome obstacles in real-time—that's what fueled her. Several years ago, she launched OS Dental Consulting as a boutique firm focused on helping practices reach their individual goals and lifestyle vision, not cookie-cutter solutions about what practice ownership "should" look like. Across 100+ practices spanning the West Coast to Florida to New York, Olivia has identified two dominant challenges: case acceptance and leadership development. The case acceptance problem isn't usually about the treatment coordinator's skills—it's about the system. Before blaming individuals, Olivia gets curious: What does the process actually look like? Where are the handoffs breaking down between front and back? How are teams communicating with patients without feeling insurance-driven? The breakdown typically happens in three places: insufficient training on patient communication, rushing through presentations (quoting thousands of dollars over the counter while phones ring), and complete failure to follow up. Treatment plans aren't just about going over numbers—they're patients' time to ask questions and feel confident about their decisions. But when offices are busy and overwhelmed, they skip the photo review, skip the education, and wonder why nobody schedules. The leadership challenge is equally pervasive: most doctors never went to school for management or leadership, yet they're expected to hold teams accountable (the biggest hurdle), manage staffing decisions, and communicate effectively. Some are natural leaders, but most struggle—even in corporate DSO settings. Olivia's approach starts with alignment: What's your mission and vision? What message are you actually sending patients? She encounters practices whose websites advertise "24-hour emergency care" while doctors complain about emergency visits and want to be high-end cosmetic offices open 3-4 days weekly. The SEO keywords say "emergency dental" but the brand aspiration is boutique concierge service. She examines the entire patient journey: Does your first phone call feel rushed and unimportant, or like white-glove service? Do you have the right people in the right seats? One practice was doing great dentistry but the office looked "still from the seventies"—after a facelift, the appearance finally matched the quality. If you want people to spend money, the hole-in-the-wall aesthetic works for Chinese food, not dentistry. Culture is equally critical: patients can tell when team members are having bad days or resenting staying late for add-on treatment. If culture isn't solid, all the...
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    26 mins
  • Why Lottery Winners Return to Baseline Happiness (And What Dentists Can Learn From It)

    Why Lottery Winners Return to Baseline Happiness (And What Dentists Can Learn From It)
    Feb 10 2026
    What if the problem isn't that you need to achieve more—but that you're chasing achievement in the first place? Dr. Martin Mendelson, founder of Metamorphosis Coaching and former Spear Education resident faculty member, has worked with thousands of dental professionals who are working harder every year but not moving forward. In his groundbreaking book "One Move Makes All the Difference," he reveals a startling truth backed by research on 275,000 people worldwide: satisfaction and happiness don't come from achievement, but from the people you're with and the journey that got you there. This changes everything for an industry built on achievement ladders—dental school, boards, first job, first practice—that leave practitioners asking "now what?" when they reach each rung. In this powerful conversation, Martin unpacks the concept of hedonic adaptation (why lottery winners spike in happiness then return to baseline), introduces the TEAM framework (thoughts drive emotions that create actions that manifest results), and reveals why dentists are 17 times more likely to take their own lives than the general population. If you've ever felt stuck, burned out, or wondered whether you hate dentistry or just hate certain things about running a practice, this episode will fundamentally shift how you think about success, fulfillment, and what truly moves the needle. Dr. Martin Mendelson returns as the Marketing 32 Show's first-ever repeat guest to dive deep into his book "One Move Makes All the Difference"—a labor of love that readers say resonates on every single page. The foundation of Martin's work addresses a crisis in dentistry: professionals working harder every year but not moving forward, feeling stuck despite achievement after achievement. The problem, as Martin explains, is that dentists work IN their practices rather than ON them. The first "one move" is deceptively simple but profoundly difficult: schedule uninterrupted time to ask yourself where you want to go in the future, where you are now, and what needs to change to bridge that gap. If you don't have a vision of where you want to go, how do you expect to get there? It's like trying to book an airline ticket without knowing your destination. For those who genuinely don't know where they want to go, Martin offers an alternative: write out your ideal day in extraordinary detail—from waking up in your dream house to the types of cases you're doing in practice. When he revisited his own 2016 ideal day exercise in 2024, he was shocked by how many details had come true. The deeper issue plaguing dentistry is rooted in what researchers call hedonic adaptation—the phenomenon where lottery winners experience a spike in happiness then return to their baseline level. Sean Acor's work in "The Happiness Advantage" introduced Martin to research involving 275,000 people worldwide that revealed a stunning truth: satisfaction and happiness don't come from achievement, but from the people you're with and the journey that got you there. This is devastating for an industry built entirely on achievement ladders: getting into dental school, graduating, passing boards, getting first job, buying first practice. The goalposts keep changing, and when you reach each milestone asking "now what?"—clinical depression can follow. The problem isn't achieving goals; it's focusing exclusively on achievement rather than enjoying the nights, weekends, blood, sweat, and tears that facilitate reaching those goals. Martin demonstrated this at the Seattle Study Club symposium when he told the audience he wasn't happy about being invited to speak—he was happy about the financial risk he took for certifications, the business risk of going full-time, and the nights and weekends spent learning that resulted in the invitation. That mindset shift evens out the manic highs and lows of achievement-focused living. Martin introduces two powerful frameworks that transform how dental professionals approach life and leadership. TEAM is an acronym for Thoughts drive Emotions that create Actions that Manifest results—based on Victor Frankl's quote that between stimulus and response, there's a space where our freedom to choose lies. Everything that happens is neutral; it's your thought that gives it power. While TEAM is often linear, powerful stimuli can kick emotions or actions into motion immediately (like rolling your eyes at a late team member). The companion tool is NBCA: Notice you're getting squirrely in thought/emotion/action, Breathe and take a minute, Choose an action between your ears, then Act upon it. The secret: just because you think something doesn't mean you do it—choosing and acting are separate steps. For dentists who feel trapped or stuck, Martin's first diagnostic question is crucial: Is it dentistry you don't want to do anymore, or things IN dentistry you don't want to do? Often the answer isn't clinical—it's team management, payroll, ordering supplies, or ...
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    32 mins
  • "I'm Happy to Discuss Our Fees": The 3-Word Phrase That Transforms Price Objections Into Consultations

    "I'm Happy to Discuss Our Fees": The 3-Word Phrase That Transforms Price Objections Into Consultations
    Feb 3 2026
    What happens when a secondary education teacher who "didn't do good science" accidentally gets recruited into dentistry and spends decades discovering that most practices are losing patients before they ever get scheduled? Debra Engelhardt-Nash has witnessed the damage firsthand: front desk staff creating so many "gates and barriers" that potential patients would need to "bring in a magic show and a dog that does tricks" just to book an appointment. As an internationally recognized consultant, past president of both the Academy for Private Dental Practice and the Academy of Dental Management Consultants, and recipient of the Gordon Christensen Top Lecturer Award (plus short-listed for the 2026 Denobie Award), Debra has spent her career teaching one foundational truth: build the relationship first, and the transaction will follow. In this game-changing episode, she reveals why saying "we don't quote fees over the phone" instantly kills your conversion, how a $60,000 case can turn into three $22,000 payments with one simple question, and why telling patients what they "need" is sabotaging case acceptance. If your team is still running through checklists asking for social security numbers before finding out what inspired the patient to call, this conversation will revolutionize your entire approach. Debra Engelhardt-Nash never planned to enter dentistry. With a degree in secondary education and a geology science credit (because she didn't want to cut into a frog), she was substitute teaching in the Pacific Northwest when bond issues failed and liberal arts teachers weren't getting hired. Her dentist recruited her, and despite her protests about not being good at science, he told her something profound: "It is a science, but before the science comes the people. And you have got some really innate people skills." After having her take a Myers-Briggs assessment, he trained her as a certified dental assistant in Washington state. Debra eventually moved to the front desk—the role she truly loved—and from there managed a unique four-man "solo group" (four independent practices under one roof). One of those doctors told her prophetically: "Someday you're going to outgrow my practice." While attending continuing education meetings, she was recruited from an audience by Pride Institute to become their Pacific Northwest consultant for Washington, Oregon, Northern California, and Idaho. In 1985, Debra left Pride (along with about nine other consultants in a six-month period) to start her own independent company. By 1987, she and other consultants founded the Academy of Dental Management Consultants because while they wanted independence, they also craved collaboration—asking each other "Has this happened to you? What did you do in this situation?" This was back when consultants were generalists handling everything from OSHA to HIPAA to technology, not the specialists we see today. What drove Debra then and drives her now is making a difference in the lives of people she touches—whether through her volunteer work against human trafficking or her dental consulting work helping dentists serve patients better. She's passionate about creating the win-win-win: client wins, she wins because her client wins, the patient wins, and the team wins. But she's also witnessed devastating marketing failures, like practices spending $55,000 on loss-leader $49 cleaning promotions when they're actually fee-for-service cosmetic practices—completely incongruent strategies that attract patients who don't stay. The program "Excuse Me, Doctor, Your Team is Showing" was born from a nightmare Debra witnessed in a Pacific Northwest office where the receptionist put up so many gates, barriers, rules, requirements, and restrictions that patients would practically need to bring a magic show and a dog doing tricks just to qualify for an appointment. The kicker: "After you do all this, call me back and I'll make that appointment." When the doctor complained about not getting new patients, Debra had to explain they were getting them—but losing them at the phone because of how they were being treated. The foundational problem: teams run through checklists asking about social security numbers and sexually transmitted diseases before ever finding out what inspired the patient to call. Debra's approach transforms this: get permission first ("May I ask you a few questions?"), then ask the magic opener ("What inspired you to call today?"). The patient who wants teeth cleaned needs a different conversation than the one wanting veneers or seeking insurance acceptance. When patients ask about fees, most offices kill the conversion with "We can't quote fees over the phone"—but Debra's three-word game-changer is "I'm happy to discuss our fees with you." Before quoting, ask why they chose you, then qualify: "If you're looking for the dentist with the lowest fee possible, we may not be the dentist you choose because that's not typically why ...
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    33 mins
  • "I'm Just the Dental Assistant": Why the Industry's Most Undervalued Role Holds the Key to Patient Trust

    "I'm Just the Dental Assistant": Why the Industry's Most Undervalued Role Holds the Key to Patient Trust
    Jan 13 2026
    What happens when a sports publicist loses his job and accidentally stumbles into dental journalism—then spends 25 years becoming the industry's most vocal advocate for dental assistants? Kevin Henry's journey from covering small college athletes to editing Dental Economics and launching the Dental Assistant Nation podcast reveals a career built on championing the underdog. With more than a quarter-century in dental publishing and experience as editor-in-chief for DrBicuspid.com, Kevin has witnessed firsthand the critical gap: dental assistants are the ones patients turn to when the doctor leaves the room to ask "Do I really need that crown?"—yet they're still introducing themselves with "I'm just the dental assistant." In this powerful conversation, Kevin exposes the two biggest pain points facing assistants (lack of pay and lack of respect), reveals why Colorado doesn't even have a state dental assistant association, and introduces a revolutionary "Jeffersonian Dinner" format coming to the Rocky Mountain Dental Convention. Kevin Henry never planned to spend his career in dentistry. As a born-and-raised Tulsa sports publicist working with small college athletes in 1999, he loved his job—until his boss announced the company was relocating to Kansas City. With a three-month-old daughter who was the only grandchild, Kevin knew his parents would kill him if he moved their granddaughter away. So he left the sports world and, needing a job, landed the managing editor position at Dental Economics. Publisher Lyle Hoyt told him something that would shape his entire career: "We can teach you dentistry. I want you to be a good journalist." Over 13 years at Dental Economics, Kevin learned the industry inside and out. He only left when they refused to let him work remotely so he could move to Colorado with his now-wife Dayna—fortunately, Dental Products Report said yes to remote work, and he found both Colorado and the love of his life. While at Dental Economics, Kevin noticed a critical gap: dentists had their publication, hygienists had the powerhouse RDH magazine, but dental assistants had nothing. He launched the Dental Assisting Digest e-newsletter reaching over 28,000 assistants monthly. In 2005, the Oregon Dental Assistant Association reached out asking him to speak at their meeting, noting there weren't many people focusing on assistants. Kevin hasn't stopped since—speaking at Chicago Midwinter, Hinman, and Rocky Mountain Dental Convention, hosting the Dental Assistant Nation podcast, and now introducing a revolutionary format at RMDC 2026. Inspired by Thomas Jefferson's dinner parties where eight people from different backgrounds answered one question each without interruption, Kevin is launching "Jeffersonian Dinners" for dental assistants. The opening question: "Are you more concerned today about your health, your career, or your relationships?" Connecticut and Florida state meetings are already adopting the format because assistants desperately need these peer learning opportunities. The two biggest challenges Kevin hears from assistants: lack of pay and lack of respect. He constantly encounters assistants who introduce themselves with "I'm just the dental assistant"—a devastating self-image problem compounded by the fact there's no national dental assistant association and states like Colorado don't even have state associations. Unlike hygienists who often work in teams, most assistants are solo in their practices with no peer support system. Practice management systems don't even have columns to track assistant financial contributions to the bottom line. Yet Kevin knows the critical truth: when doctors leave the room, patients turn to assistants and ask "Do I really need that crown?" Assistants close cases, drive acceptance conversations, and build the patient trust that determines whether treatment gets scheduled. Kevin's work with DISC personality assessments in practices reveals transformational moments—like the Oregon hygienist who pointed at her dentist after the assessment and said "That's why you act that way!" Understanding these personality differences (Kevin is a quiet S married to Dayna's strong D) changes everything about team communication. His golden nugget: understand how valuable every team member is, embrace your differences, and stop the eye rolls. Because at the end of the day, we're all just people on this marble floating through space together. This episode is brought to you by Marketing 32—the only dental marketing team with a performance guarantee where if you're not growing, you don't pay. It's that simple. Marketing 32 truly invests in every practice they work with, proving measurable value and impact through new patient acquisition and getting existing patients back into the chair. If you need help with growth or marketing, reach out at marketing32.com to schedule a quick conversation and see if you're a great fit to work together.
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    25 mins
  • Stop Drowning in Post-It Notes: How a Bank Bankruptcy Led to Transforming Dental Practice Technology

    Stop Drowning in Post-It Notes: How a Bank Bankruptcy Led to Transforming Dental Practice Technology
    Dec 9 2025

    What happens when a 20-year-old college student loses her banking internship to bankruptcy and ends up stringing wire through ceilings to install computers in dental offices? For Dayna Johnson, that unexpected detour in 1989 launched a 35-year journey that would revolutionize how dental practices use technology. From working with DOS-based software and paper charts to becoming a certified Dentrix trainer who has delivered 187 podcasts and transformed countless practices, Dayna has witnessed—and driven—the evolution of dental practice management. In this eye-opening episode, she reveals why 60% of patient appointments are booked after hours (and what you're missing without AI receptionists), how redundant software is quietly draining your budget and efficiency, and why that "we're booked six months out" excuse is actually a scheduling problem, not a marketing victory. If your team is still using three-ring binders for unscheduled treatment or hunting for notes in 12 different places, this conversation will change everything.

    Dayna Johnson's path to becoming a dental technology expert began with an unexpected crisis. As a 20-year-old college student in Washington state pursuing marketing and business, she was six months into a paid internship at a local bank when it filed bankruptcy. Suddenly jobless with a mortgage and bills to pay, she went to work for her uncle Dave's computer company that installed computers, networks, and software into medical and dental offices. This was 1989-1990, and Dayna found herself literally building computers and stringing wire through ceilings and floors with screwdrivers. Her introduction to dentistry came through the technology side, and she quickly discovered she had a knack for it. After working at two dental practices in Washington, she encountered a practice in 1994 that felt like stepping back in time—only two computers (one in the doctor's office, one at the front desk), DOS-based software requiring colon backslash commands, and file cabinets full of paper charts.

    Dayna made it her mission to upgrade that practice with modern computers and software, but the doctor resisted for nearly a decade. Finally in 2003, he agreed to upgrade and put Dayna in charge of leading the transition. They purchased Dentrix, but Dayna struggled enormously due to complete lack of training, onboarding, and resources—something that simply wasn't available at that time. Determined to master the software, she became a certified Dentrix trainer in 2005, originally just wanting to be an expert in her own office rather than planning to train others. But what transpired changed her career trajectory entirely: she started the Dentrix Office Manager blog, began speaking from stages, and trained offices on transitioning from paper charts to electronic health records. By 2014, she left the dental practice entirely to focus full-time on software onboarding, workflow optimization, live events, and speaking—a career that has now produced 187 podcasts and transformed countless practices nationwide.

    The challenges Dayna sees today mirror her own early struggles but are amplified by massive industry turnover and staffing shortages. New team members—often from outside dentistry—are told to "just start doing it" with no real onboarding process, leading to persistent use of manual systems like Post-It notes everywhere, three-ring binders for patients wanting earlier appointments, and notebooks for unscheduled treatment follow-up. Practices are also bleeding money on redundant third-party software that overlaps functionality, forcing teams to log into multiple dashboards when their PMS could handle much of it. The data entry inconsistency creates legal vulnerabilities (the PMS is a healthcare record that must withstand audits and subpoenas) and breaks marketing attribution when notes are scattered across Dentrix's 12 different documentation locations. At the Greater New York Dental Meeting, Dayna witnessed AI's explosive integration into 60-70% of daily dental tasks—from insurance verification that contacts carriers and syncs benefits automatically, to AI receptionists capturing the 60%+ of appointments booked after hours, to five-star x-ray ratings that prevent claim payment failures, to transcription services that convert dictation into polished SOAP notes. Her golden nugget for office managers clinging to paper systems and manual appointment control: embrace automation and technology. And for practices claiming they're "booked six months out" so they don't need marketing—that's a scheduling problem requiring block scheduling for new patients, perio maintenance, and SRP appointments, not an excuse to stop telling the world what makes you different.
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    32 mins