This Is the Holy Grail of Dentistry

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...