Episodios

  • The Best Present on a Day Full of Presents
    Dec 25 2025
    Merry Christmas and Happy Holidays from the Dental A-Team! Kiera encourages listeners to acknowledge and celebrate the people in their lives in real time. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: The Dental A Team (00:01) Hello, Dental A Team listeners. This is Kiera and Merry Christmas. I hope that you guys are so happy and I don't know, I feel so honored that you're sharing Christmas Day with me. I hope that you unwrapped your packages. I hope that you were able to give amazing gifts. I hope that you were not naughty this year and you were nice. I hope that like, my gosh, like I just wish that I was with you like walking down the stairs to your Christmas morning. I hope that you were with your friends, your family. And if you don't celebrate Christmas, I hope that you woke up today just feeling the special magic. of this time of year of anticipating our next year. And I just hope that you're surrounded by friends and family and that you just feel love. I hope you feel love for yourself and just Merry Christmas. I am so, I love this time of year. I love this holiday and I did not used to love this holiday. It was my favorite growing up. And then there was a short stint of time where I hated it. Like no Christmas music, no things. I don't even know how that was possible because I was Mrs. Claus. I worked for United Way of Utah County and I was Mrs. Claus for the year and we did Sub for Santa. And that was a year I realized that there is truly magic in our communities and in us serving each other. And gosh, I just like, I remember growing up like, yes, I loved presents and I love those things, but a lot of times it was just like my family being together and little things. And like in my family, had, when I was really, really little, we had these like dollars. don't know, they were called like. I to say scholar dollars, but that wasn't right. They were these like little dollars that my mom gave us. And it was like little things that we did that were kind gestures to our siblings, like helping each other out. My family was lawn mowing business. And so we'd help each other with that. And growing up and getting older, I think, well, yes, it's so fun to have gifts for my siblings. The real gift that I look forward to, and I'm sure a lot of you can relate to this is being with these people, being able to be present with them, being able to share special moments, to be able to share magic with them, that's what makes holidays magical. ⁓ And when I think about like this time of year, giving's not just about gifts, it's about like our presence. So not present, but presence, our impact, and how we're able to like show up for our families and for our teams and our practices. And so when I look at this, I just really think about like, in the spirit of Christmas, the spirit of giving, in the spirit of that, like leadership and team culture are so important of gifts that you can give your team. And this is what can help you guys thrive. So of course, it's the holidays. I'll make this short and sweet for you ⁓ because I really want you to think about like when we're looking at our families and we're looking at today, being present with our family. is one of the greatest gifts that we can give them. think of how many times are we scrolling on social media? How many times are we not present? I even think about me and Jason, like we're hanging out together and we are both knee deep in our phones. And I look up and like 45 minutes have passed by and I've been sitting by the person that I absolutely love. And the world is so obnoxiously annoying on asking for our time, asking for our attention. And I think that that's why we get so excited about holidays is we actually have this like Dedicated shutoff time where we can be with our families and holidays sometimes actually bring out the worst in us I know two Christmases ago It was absolutely one of the worst days and I felt so annoyed because I had to slow down and I couldn't go anywhere and I couldn't call anybody because people with their families and I felt stuck and I felt trapped and I was like this is not a good thing Kiera you clearly are operating at such a high velocity all the time that you slowing down was actually one of your worst days and so I think when I look at like being present in life I think being present for my team. How many times is my team talking to me and I'm slacking or I'm sending an email off or I'm not fully listening or I'm responding to a text message. I think the world today is craving people being present, of being intentional, of listening, of caring. And I think that that's like when my family gets together, yes, a gift is nice, but the gift of their time and attention is becoming more and more valuable because I think it's so hard to capture that from people. And also I think being present for yourself. showing up for ...
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    15 m
  • The Right Kind of Spice for Your Practice
    Dec 24 2025
    As the holiday cheer permeates our day-to-day, know that that same kind of energy and excitement can be found in your practice year-round! Kiera talks traditions, countdowns, and culture from a dentistry perspective. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: The Dental A Team (00:00) Hello, Dental A Team listeners. This is Kiera and it's Christmas Eve. You guys know that I'm obsessed with holidays. I'm obsessed with this time of year. I'm obsessed with just so many fun things. And I hope you guys are like, yes, listen to the podcast. Sure. But I hope that more than that, you're hanging out with your families. And if you don't celebrate the holidays, I hope you're taking this time to celebrate you and to just be there with you. guys, I just love the holidays. think that Christmas is more than just about present and like those traditions and all of that. I think it's just like the anticipation of what's coming next. And I think one of the greatest gifts we can give ourselves is like the excitement that we feel leading up to it. My husband and I were on a really fun trip this year, but we had to plan the trip in like two weeks and I actually missed the anticipation leading up to it. So with the holidays, I feel like every single year we get this anticipation, we get this gift, we get this same excitement that I really do hope that you guys are feeling that same excitement that hopefully you're feeling for Christmas Eve tonight, going into the excitement into your dental offices for 2026. Like just think about it, you guys, we are about to wrap a bow on 2025, roll into 2026. And I think that energy, that excitement, that fun, that zest, this is really what brings the magic of the season. This is why the holidays are so special. It's time for us to sit back. It's time for us to reflect. It's time to get out of our routines. And I really just hope that you guys are giving yourself the greatest gift of anticipation. but I hope that it's anticipation with a thought out plan. I know there can be anticipation for Christmas when I have not thought about family and it is a frantic scramble. And if you are that office for 2026, I would encourage you to not be that office. There are better ways where I actually like to have our entire year gets wrapped up by December 15th so I can go into the holidays, have a good time. ⁓ I like to have my Christmas gifts all bought usually around. Halloween. I like to just have it done and out of the way. And I would hope that the anticipation of how great the year is going to be how great the holidays will be how excited you are for people to get this rather than in the frantic scramble because both can be anticipation both can be great gifts. But I hope that you're giving yourself the gift of like true joy and anticipation of the excitement of the year to come rather than the frantic frazzles. So guys, if you don't know me, I'm Kiera Dent. ⁓ founder and CEO of Dental A Team. love all things dentistry. I love helping dentists and their teams find happiness. Life is my passion, dentistry is my platform, and truly to positively impact the world of dentistry in the greatest way possible. Like this is something where I just hope that teams and doctors have excitement for what's ahead and that your team and you feel energized and not exhausted. And if you feel exhausted, that's okay. We've got solutions for you and I'm here to help you with that ⁓ because I really do believe that you and your team can crush it. And as we're on Christmas Eve, you guys, my family is so fun. Jason said when he joined our family that Christmas and the holidays were just a good time. Like it has always been so magical. ⁓ Christmas Eve, we're going to be hanging out with family. And it's been fun because we shifted it up. I was selfish. And for the first several years of our marriage, I was with my siblings because my little sister is 15 years younger than me. And so I really want to be a part of my siblings' lives. I wanted to be there and be close to them. And Jason was so accommodating. He was the youngest of his family. And so all of his siblings were grown, that we went to my family for so many years. So Christmas Eve with his family is very different. And the anticipation and the excitement, I was a little disappointed last year when we were with his family versus my family, but it was so fun. And we were able to make new traditions and... we were able to create fun things and his dad, I made his parents who are much older, they Jason has a complete accident, ⁓ do family Christmas pajamas and matching with us and to be able to create new memories and new holidays. And I really do think that the energy and excitement and the love that we feel at this time of year can be something that you can also do with your own practices. So ⁓ I think that like, getting anticipation with clear goals ...
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    17 m
  • Pay Attention to THIS When Purchasing an Additional Practice
    Dec 23 2025
    Tiff and Trish discuss the need-to-know info for the buyer of a practice, including team member transparency, new patient inflow, software use, and more. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: The Dental A Team (00:01) Hello Dental A Team listeners. We are back again I have Trish with me because I freaking adore her and I the we just recorded a podcast We record a few at a time. You guys know that I batch them It's called efficiency and that will be on my tombstone per Kiera. She tells me that every day It will it will if it's any vision. I'm like, oh my gosh, this is like grating cheese by hand like come on anyways We are here today and we just recorded a podcast. So these are kind of serendipitous that they're back to back and it ended up this way in a weird way. So I don't have to go down that rabbit hole, but we just recorded a podcast on this seller's perspective of how to ensure that you're always ready and prepped to sell no matter where you're at in your journey, making sure that 10, 20, 30, five, two years down the road, you can sell your practice and that it's not as... as stressful an event as it would be if you were unprepared. So I can't say we can remove all the stress. I can say that we can remove some stress that is just unnecessary. So today, now, I really wanted to look at the buyer's perspective. And we kind of hit on both a little bit on the last one, but this one's gonna be a little bit different. So make sure that you listen to both. Doesn't matter which order, I don't think. We'll find out by the end and I'll tell you if you should have listened to the other one first. I know, I know, inefficient, but it's okay. So Trish and I are here today. You guys know I adore Trish. If you just listened to the Sellers one, which you should, ⁓ you heard me just rave about Trish. And Trish, love, I realized when I was recording with Monica a couple of weeks ago, which those were fantastic, you guys, if you need information and ⁓ ideas on training your team and operations manual, et cetera, all those pieces, Monica has some stellar ideas over there. But I realized Trish, while I was Recording with Monica, I love podcasting. I love this aspect. I'm just a weirdo like that. But I love podcasting with you guys. And I realized in the beginning ⁓ with Monica, it was our first time podcasting together. And it was the first time that I got to rave about Monica and just really say all of the things that I love about her and I think is just so incredible about her with her consulting and just who she is as a human. And I get to do that with you guys here in this platform. And Trish, you're one of my favorite people to rave about. love all of our consultants. You guys hear me rave about them, but Trish is such an incredible human being. It is impossible to describe you. You're just multifaceted. And I realized this is my brag session time. And I'm like this, I love it. It makes me so happy inside. DAT Trish Ackerman (02:37) Thank I that. The Dental A Team (02:49) to just watch you guys thrive and to get to just tell the dental community how amazing you guys are and how special it is for them to get to hear from you and to get you guys in person with them and working with their teams and the leadership that changes the profitability that I've seen come out of everyone's work is so cool. And I realized with Monica, I'm like, this is why I love podcasting with them because I love getting to love on you guys. It's just so cool. So thank you for, I hope so. Dana's over there. just always like ask her about workout stuff, you know, and I'm like, she's, I love on her too, but I'm always like, what's your hair product? What's your, what's your workout? It's fine. It's fine. ⁓ so thank you for letting me have this space Trish and for, ⁓ always being open to all of the things that I need. ⁓ your, DAT Trish Ackerman (03:19) We'll take it. Thank The Dental A Team (03:43) one of those people that I know I can trust to just be myself. So thank you for that. Thank you for being here today. Of course, of course. I love my job. So with that said, number one piece of suggestion that I have before we get into this buyer side, Kiera and I, have been at this for a little while with the Dental A Team and DAT Trish Ackerman (03:46) You're welcome to attend, thank you. The Dental A Team (04:06) Carers Dental Consulting and Dental Masters and whatever name we decide it's been the Dental A Team for a long time and it's going to stick the Dental A Team, it's not changing. But we have had a couple of renditions and one piece that I know we have gotten really, really good at, but that we've really had to work hard at. And from a buyer's perspective, a seller's perspective, I think this is insanely relative, the people. We have worked really, really hard at the people aspect and pouring ourselves...
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    29 m
  • Does Your Practice Have THIS Hidden Gold Mine?
    Dec 18 2025
    It's office autopsy time! Kiera shares the story of a practice that recently discovered $2.5 million going unnoticed. She talks about the doctors and their (very) busy schedules, the need for an additional hygienist, and what the cold, hard numbers told this practice about next steps. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: Kiera Dent (00:01) Hello, Dental A Team listeners. This is Kiera. And today I am excited. I was just in a practice and we were going through a lot of really fun things. And whenever I come from an office, I get so excited to come back and chat with our podcast family of things that you and your practice should and could be doing. I was told when I was in this office, this is the Dental A Team magic where we physically fly to your practice. We work with your teams. We work with you as a doctor. We uncover hidden pieces that maybe you didn't even know to bring to a call. I think it's so magical to be able to do this for practices. And so today is a little office autopsy of finding $2.5 million left behind on the table in ways that you would never expect. Sound interesting? Well, I hope you're ready because I wanna take you through and uncover hidden little cashflow pits that you might not even be looking at. So number one, we decided to go through... because this doctor is so busy. So many of you tell me I'm so busy, Kiera, my schedule is jam-packed, and I say congratulations, but what is the cost of that? So for example, if you have your hygiene department, you should be looking at your active patient base. So an active patient base for a general dentist should be 1,500 patients as an active patient for one doctor. High end, like where you can kind of get by is 1,900, but beyond that, that's very high. And we're talking 12 months and 18 months. So take a look at both of those numbers. and just look to see where are you at. So this practice, they have about 4,500 active patients with two full-time doctors. They're at capacity. So what's happening is we have options. We can add more hygiene, but then that's going to have our doctor to hygiene, AKA our exams at the wrong amount. What's happening is they're dropping periopatients because they don't have space for their... Regular prophy patients, then they're diagnosing SRPs, but they have nowhere to put them for six months. They're pushing new patients out for four to five months. So we did a little bit of fun math and we didn't even, this is just gonna be some hypotheticals, but I think for you just to hear like, what are some of the things that actually can hurt your practice and how much are you leaving on the table when we do things like this? So for this practice, when we went through and we looked at it, we thought, all right, let's take an average prophy and whatever it is for you. Maybe it's 150 up to 200 for an average prophy. We're talking prophy, x-rays, cleanings, or just even prophy and an exam. How much is that for you and your practice? Now, look to see how many active patients you have. If we've got 4,500, well guess what? You get a double that because those patients are coming in two times a year. So have fun with those numbers. We divide that by 12. We look at how many patients we're seeing per day. Now that doesn't necessarily mean how many you are, but that's how many you're going to need to see. Then we look to see how much hygiene we have right now today to see, we actually have enough hygiene spaces for it? But let's not forget that we also have to add new patients because in addition to our active base, we are constantly adding more patients. Yes, we are losing some patients, but my hope is that you at least are adding more than we're losing. So we've got to look at those two together and see how much time we actually have in a week, in a month that we need to be seeing patients. This is gonna then show you your gap. So for this practice, they had over 200 appointments that they were short every single month. That's at a minimum. So clearly they're ready to bring on another hygienist. This was great numbers to see, do I bring on a hygienist? Do I not bring on a hygienist? But the problem is they're already at five hygienists with two doctors. You can start to do the math. So it's like, well, great. Well, we're not diagnosing perio either. So options are we could bring on a sixth hygienist and that hygienist would just do SRP. That doesn't mean just that person, but we'd have eight hours of SRP in a given day. spread across all the hygienists. That means we don't increase our exam numbers, but we do increase our number of perio. We do increase our number of hygiene spots. That's going to help in some instances. But even if we fix that problem, remember we still have all these patients that we're not seeing. So this practice right now, they told me, hey, Kiera, we're pushing our patients out about eight months ...
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    14 m
  • Where Are You in Your Business's Life Cycle?
    Dec 17 2025
    Kiera compares the stages of a business to the stages of the human life cycle, from the infancy of a startup, to the chaos of money flow without systems, to the growing profitability of early adulthood, and so on. The goal is, of course, to reach maturity, where the business can run on its own, there's work-life balance, money flow, and more. Kiera gives listeners the common factors for each "age group," and what needs to be done for practices to reach their prime. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: Kiera Dent (00:00) Hello, Dental A Team listeners. This is Kiera and I hope you are having an amazing day. I hope it's an epic day. I hope you're loving your life. I hope you're having just so much fun. ⁓ I love dentistry. I love podcasting. I love connecting with so many of you. I just met people this week that are Dental A Team fanatics and it's always fun. And it's funny on calls when I get to chat with you in real life, people are like, Kiera, you sound just like you do on the podcast. And I'm like, that's great because guess what? It is me. So I am so excited to podcast with you guys today. Welcome. If you're new to Dental A Team podcast. Hello, I'm Kiera Dent. Dent really is my last name. And it's because I love all things dental. ⁓ I love my husband, even though he's not a dentist. ⁓ I love, I just love life. I love helping people. We had a, in our consulting, we have what we call our doctor mastermind. It's a doctor only mastermind and it's on ⁓ Tuesday, the first Tuesday of the month. And we call it Think Tank Tuesday for our doctor mastermind. We had all of our doctors there this week and we had several doctors come. It was just a really, really fun time. And as I was sitting there, I tell everybody that this think tank is supposed to feel like you're sitting in my living room, hanging out with me. We're all just here having like a good time. I love to see there's one doctor pushing her daughter on a swing. There was another doctor making dinner. There's another doctor sitting at the office, another doctor driving home. It truly is a like, let your hair down, come be, let's come hang out, let's all be together, let's all work together. Cause honestly, dentistry can be super hard and challenging. And ⁓ as I walked away from that, we were talking about the life cycle of a business and people were just talking about where they were and here's where I am and how do I get to the next phase of my business? What are some easy moves? And it was crazy because it's actually not that hard to move from one part of the business to the next part. ⁓ A lot of times it's just having somebody pointed out to you. ⁓ giving you the confidence that you can do that. ⁓ And then having a group of people around you that are just like you. And as I walked out of that meeting and that just fun hangout time, there's always Kiera's after party, which is not recorded. It is Kiera unfiltered. I just thought, I'm so blessed to get to know these human beings, these people that we get to work alongside with, that we get to collaborate with. I get to see them go through all the phases of business from where they were to where they are. working with us, get to see their production increase, I get to see their ROI ⁓ tenfold, I get to see how happy they are in life, I get to see when they were once stressed to where now they're exuberant and happy and fulfilled and that is why Dental A Team exists. That is why the podcast exists is because I want all of you to feel like you have ⁓ someone in your corner, someone who is rooting for you, someone who has answers where you feel like there are none, someone who sees the path more clearly than you can. someone who's created a community of like-minded doctors that are either where you are or have been where you are and can help you get to the next step. We have doctors who mentor each other. have ⁓ masterminds in person. have where we come to your practice. So if you're listening to this podcast and you're feeling like, gosh, I just don't even know what to do. The answer is there's actually always the what's next to do. There's always somebody who can help you. It's just you having the courage to book the call to ⁓ invest in your practice in yourself and decide that you're worth having the life and the practice that you know, you're capable of having. And so if that resonates with you, reach out, come join our doctor mastermind, come meet us in person, come hang out with me in real life. I would love to have you be a part of it. ⁓ my mission truly is to change people's lives. and that's luckily I get this amazing platform of dentistry. So, reach out, Hello@TheDentalATeam.com because honestly, I believe that it is so fun and so powerful. ⁓ to go from that. And so I teased out a little bit of a life cycle of a business. This came from Tony Robbins. I really ...
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    22 m
  • Are You Looking Ahead For Your Practice?
    Dec 16 2025
    Tiff and Trish discuss the often ignored practice transition — are you looking ahead for your practice? Ten years out? Thirty years? The two consultants discuss what to keep in line now so that any changes on the horizon are received with minimal panic and damage. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: The Dental A Team (00:01) Hello Dental A Team listeners. We are here today with some really, really just fantastic information. We're rounding out the year, if you can believe that. It's almost 2026, so whatever year you're listening to this in, hopefully it's also still super relevant, but we are heading into 2026 here soon. And we thought that it would be really fun to just wrap the year with a couple of different practice strategy kind of. don't know, just like how to progress where you're at, from where you're at to where you wanna go. Strategy podcast. So I'm just super excited. I have one of my favorite human beings in the world here with me today. I have Ms. Trish Ackerman. She is a prized possession on the Dental A Team team here. She is a traveling dental consultant with our team, which means that she does virtual consulting. So we do. coaching calls, video calls, we team training calls, all those pieces, you guys know that, but she also travels to practices and sees different practices in person, kind of helping them strategize and train the team and get things working again, kind of oiling that machine. And something I like to say is, I always tell my practices, Trish, and I think you probably feel the same way, I always tell my practices that we have the most incredible practices that join the Dental A Team. We really attract the most incredible people, but more than anything, I always know that I'm coming into a practice that's running really well. And my job is to find the areas where they just kind of feel a little bit stuck. Maybe something's a little bit inefficient. Maybe there's just something that's like, gosh, if we tweak this a centimeter to the left or a millimeter to the right, kind of I think of like implants, like, you know, you gotta just get them just right. And if we can make that little tweak ⁓ with them in office and find those areas, then their lives become. less stressful. like to remove the stress. So I always tell practices, gosh, like I just don't get invited to practices that aren't doing well. I'm always, I'm always just so shocked at how well practices are doing. And Trish, I know you've consulted for a while. You've been here with our team for a little while, but you have just so much, there's like a wealth of knowledge behind you and all of the aspects of everything that you've done. And I'm so excited for you to be on this team. I know your practices are thriving because you're here. We are thriving because you're here and we're all better people because of it. So Trish, thank you so much for being here today. I'm excited to pick your brain on these practice strategies. How are you? Your hair, we already talked about your hair is stellar. I had a weird hair dream. So hair is on the mind. It's like, it's a thing today. So welcome with your beautiful glasses and your beautiful hair. And it's 8 a.m. in the morning. What were we thinking? But this is a great way to start our day. Trish, how are you today? DAT Trish Ackerman (02:44) I'm doing great. Thanks, Tim. I always like doing this with you. The Dental A Team (02:47) Okay, thank you. Thank you. That makes it much easier ⁓ when I schedule it that you enjoy doing it. So thank you. I appreciate that. ⁓ I do enjoy life with you. You shed a lot of perspective for me. So thank you. ⁓ Yeah, definitely team listeners. I had this, okay, start over. Marketing, our marketing department, they help us come up with a lot of topics. And then the consulting team, we kind of look at them more like, hey, is this relevant? Is this something that DAT Trish Ackerman (02:55) Welcome. Thank you. The Dental A Team (03:17) we're seeing pop up in our worlds of consulting with our clients and our listeners is this something that's going to be super beneficial. And this topic came up and I was like, gosh, actually, it's kind of super cool to end the year with this because now we get to look into what next year is going to be. And this could be a lot of strategy that helps build, I think, Trish long term visions. It might not be something that someone's thinking about today. Just like I know we have. you know, lot of new graduates who listen and, a lot of doctors who've been in practice for 20, 30 years, or even three years, five years, wherever they're at on their journey, I feel like this is information that we like to shed light on for all of our practices. That's like, always be prepared. Just like, I don't feel like, I don't feel like we buy houses. We don't have a home and not know the value always. Like we're ...
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    26 m
  • This Is the Holy Grail of Dentistry
    Dec 11 2025
    Dr. Pia Lieb returns for a second part on the podcast. In this episode, she talks about being obsessed with your craft, and why that extra 10% for patients will take you miles. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: Kiera Dent (00:10) I love that you, ⁓ I think this is probably what's made you really great. I don't know. I've heard a lot about you. But I think what you do is you make sure that the patients are obsessed with the results and not that Dr. Pia is obsessed. Like you're obsessed with the craftsmanship of what you've done. You're really talented at that. But like hearing that you let people walk out and go try these on and what is it going to be like before you do it? That to me says that you are so obsessed about the outcome and the result for the patient. And then your job is to make sure you have the most excellent craftsmanship, the best product, the best techniques, the best method to get them the outcome they want. And I think hearing that, I'm just so proud of you. And I'm so grateful to hear that there are clinicians in our industry that are obsessed about that rather than the reverse. Because I think some people are obsessed about maybe the dollar, maybe about doing these types of cases, but they're not the best at it, or this is what I think that they should look like. You really want to make sure that that patient is like a walking raving fan of you before you even do the work on them. And that I think is very special about you. Dr Pia (01:17) Thanks, but you know, I like to say that, you know, like, the thing that people don't understand is I'm technically the Hermes of dentistry because I, it takes a long time to make a Birkin, right? It's all made by hand. So are the veneers, hence why it's so hard to get one. But look, I Kiera Dent (01:39) Mm-hmm. Dr Pia (01:42) 22 years old and it still looks brand new because it's the quality of the craftsmanship you know and I tell all my patients you should get anywhere between 20 and 25 years out of the mirror okay this whole nonsense of five years and ten years that's because they want to redo the case and for you to pay them again if you're doing good quality work the only reason they should be replaced is because you have recession due to old age Kiera Dent (01:55) Wow. Mm-hmm. Wow. And you don't have any issues with these super, super thin ones popping off. Dr Pia (02:17) No, because okay, let me let me explain to you. Let me explain to you physics. Okay. Okay, do you know why they pop off? Kiera Dent (02:19) Let's talk about this. I'm so, cause a lot of people haven't popped off and it's so scary. So I'm like, let's talk about this. You know, this is why I'm asking you. Cause I don't like, feel my guess is that they were not bonded on correctly. And that's my guess. Okay. I'm ready. Dr Pia (02:28) Okay. No, it's, two things. There's two things. That's one, but that's the second one. Right. But let me explain to you. Do you remember when you were in high school and we went to, ⁓ Kiera Dent (02:37) Okay. Dr Pia (02:43) ⁓ chemistry and we had the microscope with the two glass slabs and we were looking for amoebas and all that stuff. Okay, remember how we were all a painting that you know what and we all tried to pry those two glass slabs apart and it never worked? Well that's the same principle with veneers. The thinner they are the stronger they are. Kiera Dent (02:51) Yep. Yeah Fascinating. Dr Pia (03:06) Okay and I'll tell you why because teeth you know because you're in the business so teeth we all have ligaments right the teeth are hard it's a hard structure the bone is a hard structure so we have the dental ligaments right they're horizontal they're transversal so those are like the shock absorbers that hold the tooth inside the bone socket. Now Kiera Dent (03:12) Mm-hmm. Right. Mm-hmm. Mm-hmm. Dr Pia (03:30) when you're speaking and when you're eating those teeth move microns not visible to the eye but your teeth have mobility just like trees have mobility in the wind right we don't see the trees move unless it's a hundred mile an hour winds but if you have a five mile an hour wind you don't see that tree moving right but it does move Kiera Dent (03:44) Mm-hmm. Right. Mm-hmm. Mm-hmm. Dr Pia (03:56) So when you're doing these 3D print and you're filing like the turkey teeth where you have the little pegs left and the ratio of tooth to porcelain is 50-50 or you're having 60-40 or 70-30 that 3D printed porcelain does not flex. Kiera Dent (04:05) Yep. Makes sense. Mm-hmm. Dr Pia (04:23) but your tooth does. So that's the number one issue why they pop off. The thicker they are, the easier they'll pop off. And the number two reason is the dentist has no idea about occlusion. Because if you have a premature contact or you have lateral excursions or a...
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    16 m
  • A Conversation With the Michelangelo of Dentistry
    Dec 10 2025
    Kiera is joined by renowned cosmetic dentist Dr. Pia Lieb to talk about Dr. Lieb's journey in her field, as well as her insights into what the rich and famous ask for (and pay for) when it comes to their teeth. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: Kiera Dent (00:00) Hello, Dental A Team listeners. This is Kiera. And today I am so excited. I have an incredible doctor on our podcast. Dr. Pia is coming to from New York, Manhattan. And this woman is incredible. She has been able to build and sustain a high-end cosmetic practice. She's figured out how to be, you guys are gonna love this, a referral only destination for patients seeking discretion, innovation, and ultra-personalized care. This woman has been named the Michelangelo of dentistry and I am so excited to welcome her on the podcast. Welcome Dr. Pia, how are you today? Dr Pia (00:32) Thanks for having me, Kiera. Kiera Dent (00:34) Of course. Well, I have been so excited about this podcast. I don't often get to bring clinical guests onto the podcast. And so to just kind of hear of how you do your cosmetic dentistry, how did you become this practice of being so sought after? ⁓ How did you become the Michelangelo of dentistry? So kind of just walk the listeners through how did Dr. Pia go from where she was to where she is today? Kind of just give us a background on, on who you are and what your story has been. Dr Pia (01:04) Well, I'm gonna start with, it all started in dental school. There was a lecturer by the name of Dr. Gallup Evans who has passed away since. And he was giving a PG, which is obviously post-doctoral course on cosmetic dentistry. And his reputation was he was the one who did. the supermodel Polina Povaskova's veneers back in the early 90s. And I went up to him after the lecture and I basically said, I'm a sponge, teach me, tell me what to do so I can do the same thing that you're doing. I've completely fell in love and cut out a class to go to that course. And after the course, he turned around to me and said, well, sweetheart. You're either born with it or you're not. So I went home and I cried for five days. and he completely tore me to shreds and that really got me upset and ⁓ I was a great student. was the youngest in NYU as a student. I graduated high school at 16. I was the nerd, right? And basically what I did is I was asked to start teaching after residency and that was my... Kiera Dent (02:03) Absolutely. Dr Pia (02:26) way to make sure that I would never allow anyone to speak to a student like that. And my whole point was, I want to empower the dental students. I don't want anyone to feel the way I did by this particular person. And basically I had nowhere to start. So I started taking all of these courses, these PG program courses, and I met up. Kiera Dent (02:37) Mm-hmm. Dr Pia (02:53) When I was actually in dental school, I went and I met the holy grail ceramist who invented veneers in America. And I went up to him and I said the same thing, I'm a sponge, please teach me. And he was like, great. Okay. You have a car. And I'm like, yes, I do. He goes, all right, come to the lab every Friday after school and every Saturday, let me teach you how to prep and how to do veneers. And this man who also passed away has taught me everything. Kiera Dent (03:12) I'm Dr Pia (03:23) that I know because the doctors were not doing it and there was only two guys in New York that were doing veneers in the 80s and in the 90s and those were older men in their 40s and they were not going to take a young 20 year old female and teach her what to do because they were you know insecure that we were going to take over the business from them. So that's how it all started. And obviously, I taught for 18 years and I did do that what I set my mind to do. I wanted to give every one of my students the best experience that they can have with dentistry and with cosmetic dentistry. And we're still friends after all these years. So I must have done something right, that they still love me to invite me for dinners into their houses. Kiera Dent (04:10) Thank ⁓ I think that you're speaking to my own heart. mean, having that love being in the dental colleges, of to give back, like that's the whole reason Dental A Team exists was because of those students that you just fall in love with. And kudos to you because I got really lucky and I worked at Midwestern University's Dental College in Arizona. And I have been told that the culture there and the experience there is not like most dental schools. It was a very empowering, very enriching. There was no smashing of models. There was no... ⁓ destroying people's dreams, but I know that that's not everywhere. so kudos to you for ⁓ making a stance and also not giving up on your dream. And I think something I took from that is how often are we maybe told something ...
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    34 m