The Secret Weapon – Part Two

In Part One, we explored how salivary analysis changes the patient conversation – helping patients better understand their health and why treatment matters. But its impact goes even further – empowering both the clinical team and the practice, which we explore below in Part Two. The Real Secret Salivary analysis isn’t powerful because it’s advanced. It’s powerful because it changes the story. It moves dentistry from:“Here’s what you need.” To: “Here’s what your body is telling us—...
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The Secret Weapon – Part One

Every practice owner I know is chasing the same three outcomes—whether they admit it out loud or not. Better patients. Higher acceptance of the right care—free from insurance constraints. And referrals that happen naturally, because marketing has become expensive, exhausting, and unpredictable. Yet most practices are still reaching for the same familiar tools to get there: Better scripts. Prettier brochures. Tighter financial conversations. Hel...
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How Did They Do That?

I was at dinner with my friends from OralDNA Labs — Amanda and Diane — talking about stories from my book Undeniable Hospitality. Little did we know, we were about to live one. The setting was spectacular — the kind of architectural beauty you might expect in the Museum of Modern Art. Elegant. Minimal. Intentional. But ambiance alone doesn’t create magic. The servers were polished. Smiling. Attentive. I did notice that no one introduced themselves by name — a miss in my world, be...
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Throwback: Why? What? How?

WHY?…WHAT?…HOW? This is a philosophy that is often taught in dental and hygiene schools: Diagnose, Treatment Plan, then Treat. And yet, immediately after this is taught, a focus is placed on learning treatment, or the HOW. And then upon graduation the focus also becomes on treatment and production. The diagnosis (WHY) and planning (WHAT) become secondary. They’re only an avenue to an end…Production, a means to an end. That’s where the money is. In a nutshell, that’s the problem with our...
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“Dental Hygienist Pay Up 20% Since 2020”: What That Really Means for Your Practice

Why This Should Concern Every Dentist and Hygienist Hygienist pay has risen 20% since 2020. That sounds great—until you realize that hygiene collectible production (not projected, not on paper, but truly collectible) must also rise by 20% just to keep pace. If reimbursements and fees haven’t increased by that much—and let’s be honest, they haven’t—then hygiene risks becoming a loss leader rather than a profit center. And if hygiene isn’t profitable, opportunities for growth—for both den...
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Throwback: It’s Not JUST About the Science

At a time when “evidence-based” everything is all the rage; I would like to share my experience and philosophy in regard to salivary diagnostics.  My approach comes from a non-scientific perspective garnered from my 40+ years of clinical experience.  I come at it from both a trained scientific, human, psychological, patient management and pragmatic mindset. Several years back, I had a discussion with a well-respected career academic and journal editor about “evidence-based” medicine.  He ...
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Flying Blind: A Wake-Up Call – Part Two

In Part 1 of this series, Dr. Michael Goldberg urged dental professionals to return to their scientific roots and rethink their diagnostic habits. Now, in Part 2, he turns his attention to another critical gap in care: what happens once the patient leaves the chair. Diagnosis without follow-through leaves patients—and practices—vulnerable. In this installment, Dr. Goldberg explores how to bridge that gap with personalized care, modern tools, and the right conversations that truly empower ...
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Flying Blind: A Wake-Up Call – Part One

When I say “Flying Blind” no, I’m not talking about the air-control issues at Newark Airport. I’m talking about how we practice oral health care. Having taught in two universities, I have a pretty good idea of the curriculum dentists and hygienists receive. “Basic Sciences” dominate those early years: microbiology, immunology, physiology, anatomy, and pharmacology. Why? Because understanding the why behind disease matters. So here’s the real question: Why are those sciences all but aba...
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The Hidden Threat to Dental Implants: Why Ignoring Bacteria is a Risky Gamble – Part 2

  In Part 1, we uncovered a hidden threat to dental implants—bacteria—and explored why so many providers overlook the critical step of testing for harmful pathogens before placement. Despite the clear risks, common objections like cost, insurance coverage, and lack of awareness often stand in the way. In Part 2, we’ll break down how to shift the conversation, overcome objections, and use ethical influence to help patients make the best decision for their long-term health. The truth i...
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The Hidden Threat to Dental Implants: Why Ignoring Bacteria is a Risky Gamble – Part 1

    Dental implants are everywhere these days. But you know what else is popping up more often? Implant failures. Here’s the title of a recently promoted CE course: “Peri-Implantitis Badlands: Surviving the Wasteland of Failing Implants” It’s like Einstein said: Doing the same thing over and over and expecting a different result is the definition of insanity. So, when a patient loses teeth due to periodontal disease, why in the world would we expect implants to be immun...
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