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In this powerful continuation of their two-part conversation, Dr. Melissa Seibert and Dr. David Attia dive beyond digital workflows to confront the deeper philosophical questions shaping modern implant dentistry. Building on last week's discussion of data stacking, SmileCloud integration, and biologically driven design, this episode explores the nuanced realities of aesthetic-zone decision-making, ethical treatment planning, and the human side of high-level clinical care.

Dr. Attia opens with an unflinching look at when—and why—implants may not be the ideal solution. Using examples from his collaboration with renowned prosthodontist Dr. Tony Rotondo, he explains why lateral incisors often perform better with resin-bonded fixed partial dentures (FDPs) rather than implants, especially in cases with limited mesiodistal space or compromised interproximal bone. He and Dr. Seibert examine the synergy between partial extraction therapy and resin-bonded FDPs, illustrating how biologic preservation can achieve long-term aesthetic stability with less surgical intervention.

From there, the conversation transitions to Attia's mastery of provisionalization strategies in the aesthetic zone. He details how he designs custom healing abutments and Maryland-style bridges that provide patients with fixed provisionals—even when primary stability is limited. Listeners gain an inside look at his precision-driven process for contouring the subcritical zone, controlling soft-tissue architecture, and creating minimal yet functional clearance between the pontic and abutment. His philosophy is simple but profound: every anterior patient should leave the chair with something fixed—even if it isn't load-bearing.

The discussion then widens to tackle the moral tension between commercial dentistry and biologic integrity. Dr. Seibert asks the hard question: How do clinicians reconcile high-quality, time-intensive dentistry with the economic pressures of high-volume practice? Dr. Attia's answer is unequivocal—ethical dentistry may take longer and require greater effort, but the money follows the mastery. He critiques the growing trend of overtreatment in both restorative and surgical spheres, warning of a coming wave of revision cases born from expedience and over-commercialization.

Attia advocates for a "longevity-first" mindset—prioritizing preservation over replacement, patient education over production, and sustainable outcomes over speed. Drawing from his own follow-ups across fourteen practices, he reflects on the humility and evolution that come with long-term case review: what he did six months ago wasn't wrong—but it can always be better.

The episode concludes with a candid meditation on values alignment in practice. Both clinicians emphasize the importance of knowing one's philosophy, communicating it transparently, and being comfortable acknowledging that "you're not everyone's dentist." Attia urges younger practitioners to resist the social-media allure of aggressive full-arch cases, reminding them that truly exceptional dentistry begins with sound biologic principles, refined communication, and disciplined restraint.

Listeners will leave this episode with:

• A framework for choosing between implants and resin-bonded FDPs in the aesthetic zone

• Strategies for designing custom provisionals that maintain soft-tissue integrity

• Guidance on educating patients about biologic and financial "costs" of treatment

• Insight into navigating the ethical crossroads of modern dentistry

This conversation is both technical and deeply human—a masterclass on how to balance innovation with integrity and how to practice dentistry that endures not just biologically, but ethically.

Injection Molding PDF

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In this first of a two-part series, Dr. Melissa Seibert sits down with Dr. David Attia—an international educator leading the charge in digital and implant dentistry—to explore how advanced technologies are revolutionizing multidisciplinary care. Together, they unpack how tools like SmileCloud, CBCT segmentation, and 3D facial scanning are allowing clinicians to "stack" digital data for unparalleled treatment precision. Dr. Attia shares how virtual patient workflows have streamlined his implant and aesthetic planning, transforming coordination between surgical, restorative, and laboratory teams. The discussion also dives into biologically driven implant concepts, the evolution of partial extraction therapy, and the philosophy that "preservation is the ultimate form of regeneration." This episode will reshape how you think about digital integration and tissue preservation in the aesthetic zone.

Dr. David Attia completed his undergraduate training at Griffith University, Queensland. Following graduation, Dr. Attia completed a Post Graduate Diploma in Orthodontics and Dentofacial Orthopedics through the City of London Dental School.

David's passion for surgery led him to complete a Master's in Oral Implantology through Goethe University in Frankfurt, Germany. His Master's thesis focused on a novel approach in full-arch implant rehabilitations and he presented his research at the 6th Annual Congress of Innovation Jumps in Oral Implantology. Dr. Attia now holds a teaching appointment with Goethe University as a surgical mentor for Australian students completing the program. He has also presented on the implementation of photography into clinical practice, as well as the importance of soft tissue management around implants both locally and abroad.

Dr. Attia is a core faculty instructor for the Australasian College of Dental Practitioners Graduate Diploma in Oral Implants and is also involved in live surgical training of dentists looking to begin or advance their journey in dental implantology.

David thoroughly enjoys the multi-disciplinary approach to dentistry. His unique combination of education and training allows him to implement cutting-edge treatment, offering patients comprehensive, predictable and long-term treatment solutions. He is passionate about sharing knowledge and is regularly involved in training and mentoring recent graduates.

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In this episode of Dental Digest, host Dr. Melissa Seibert sits down with Dr. Marcella Alvarez, prosthodontist and educator, to explore one of the most transformative ideas in modern interdisciplinary dentistry—pre-orthodontic bonding.

Dr. Alvarez explains how this restorative-driven approach flips the traditional sequence by establishing anatomy and function before orthodontic treatment. The result: improved collaboration, reduced guesswork, and highly predictable outcomes for patients with severe wear and collapsed bites. Together, they discuss practical workflows—analog and digital—diagnostic frameworks from Robbins and Rouse's Global Diagnosis, and the critical role of airway-conscious planning in long-term success.

Whether you're a GP, prosthodontist, or orthodontist, this conversation reframes how you think about sequencing, diagnosis, and comprehensive, minimally invasive care.

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If you've ever restored an anterior implant and thought, "Something about this looks… off," this episode is for you.

Join Dr. Melissa Seibert as she breaks down the key concepts behind predictable, aesthetic implant restorations—especially how to finally make sense of why your gingival zenith might look unnatural and what to do about it.

We'll dive deep into platform switching, soft tissue management, and Dr. Seibert's powerful E–B–C framework for developing the ideal emergence profile—so your anterior implants don't just function beautifully, but look like they truly belong.

Plus, you'll hear how small design choices and precise positioning can dramatically change your aesthetic outcomes—and your confidence as a restorative dentist.

Whether you place implants or just restore them, this episode will give you the clarity to elevate your work from "good enough" to "exceptional."

🎧 Tune in now—and transform how you see anterior implant esthetics.

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Taxes are one of the biggest expenses a dentist will ever face—but most aren't taught how to navigate them. In this episode of Dental Digest Podcast, host Dr. Melissa Seibert sits down with dental CPA Travis Slade of Allure Dental Accounting to unpack how dentists can stop leaving money on the table and start keeping more of what they earn.

Whether you're an associate paid as a 1099 or W2, or a practice owner managing overhead, this episode gives you the clarity you need on entity structures, deductions, and retirement strategies. Travis breaks down:

• The real difference between 1099 vs W2 compensation—and why it matters for your taxes.

• What an LLC actually does (and doesn't do) for dentists, and when an S-corp makes sense.

• The write-offs you should be taking (CE, insurance, supplies, even your dental school kit) vs. the ones that could get you into trouble.

• How to avoid red flags that increase audit risk, and what happens if the IRS does come knocking.

• Practical guidance on automobile deductions, home office use, travel expenses, and meals.

• The power of a SEP IRA and other retirement accounts for lowering your tax bill while building long-term wealth.

Travis' advice is built on years of working almost exclusively with dentists, which means you'll hear exactly what's "ordinary and necessary" in the eyes of the IRS for your profession. You'll walk away with actionable insights to protect yourself legally, maximize deductions ethically, and structure your finances to support both your practice and your future.

If you've ever wondered whether you're missing deductions, overpaying in taxes, or confused about what entity type to choose—this episode is a must-listen.

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In this in-depth conversation, Dr. Melissa Seibert is joined by prosthodontist and Spear Education faculty member Dr. Kim Schlam to take a critical look at one of the most talked-about trends in dentistry: full-arch implant reconstructions and hybrid prostheses. Together, they explore the promises and pitfalls of these complex treatments, challenging the idea that hybrids should be considered a one-size-fits-all solution.

Dr. Schlam shares candid insights from years of managing both the successes and failures of full-arch implant therapy. She reminds us of the original purpose of dental implants—addressing the devastating effects of mandibular edentulism—and contrasts that with today's market-driven push for hybrids as a default treatment. Their discussion highlights the importance of careful case selection, interdisciplinary planning, and viewing each patient as a human being rather than a set of "arches."

Listeners will gain a deeper understanding of how digital workflows can support precision and predictability, but also why long-term maintenance protocols, prosthetic follow-up, and patient education are critical for lasting outcomes. From the ethical implications of overtreatment to the biomechanical realities that distinguish implants from natural teeth, Dr. Schlam advocates for a philosophy of dentistry that prioritizes rehabilitation, not just replacement.

This episode is a must-listen for dentists who want to think critically about full-arch implant solutions, expand their understanding of restorative decision-making, and elevate their approach to truly patient-centered care