The Tooth Sleuth Podcast

Greg Essenmacher

The Tooth Sleuth podcast is hosted by Greg Essenmacher, Principal at GnA consult. "Helping Dentists and Dental Professionals Maximize Their Potential"—From vision to execution-creating business strategies that work! Want to Grow Your Full Arch Practice? -Book a Discover Call here: www.DentalConsult4u.com Or email: Greg@DentalConsult4u.com

  1. 3D AGO

    TTS- 154 DSO vs Private Group: Increasing EBITDA in Dentistry | TTS-154 w/ Rick Cromar

    Should dentists join a DSO, private dental group, or stay independent? In this episode of Tooth Sleuth, Greg Essenmacher sits down with Rick Cromar, growth strategist at Valeri Group and leader at Peak Dental Studio, to discuss the evolving landscape of dental practice consolidation, private equity partnerships, and building enterprise value in dentistry. They explore how private groups differ from traditional DSOs, why EBITDA has become a key metric in dental practice growth, and how the right operational structure can allow dentists to focus on clinical care while scaling the business side of their practice. Rick also shares insights from managing a network of dental practices and labs, as well as his work helping healthcare providers transition to independent ownership models and sustainable growth systems. If you're a dentist wondering whether to sell, partner, or scale, this conversation provides a practical look at how different business models impact practice value, autonomy, and long-term strategy. You'll learn: • The difference between DSOs and private dental groups • How EBITDA impacts dental practice valuation and growth • Why many dentists partner with groups to scale their practice • The role of labs, operations, and marketing in practice profitability • How consolidation is shaping the future of dentistry For dentists, practice owners, emerging groups, and DSOs looking to understand consolidation, valuation, and long-term growth strategy, this episode offers valuable insight into the business side of dentistry. Subscribe to Tooth Sleuth for expert conversations on dental practice growth, leadership, case acceptance, and the future of implant dentistry.

    27 min
  2. FEB 10

    TTS-151 – Wealth Protection: Advanced Planning, Confidence, and Making Your Hard Work Pay Off w/ Tim McNeely

    In this episode of The Tooth Sleuth Podcast, Greg Essenmacher sits down with wealth strategist and family office advisor Tim McNeely for a candid, eye-opening conversation about money, complexity, and why building wealth without protecting it often creates more problems than solutions. Tim shares how many high-performing dental entrepreneurs unknowingly lose 20–30% of their net worth over time due to fragmented advice, siloed advisors, and investment-only thinking. Together, Greg and Tim unpack what true wealth management really means—and why advanced planning, stress testing, and coordination matter just as much as growth. The conversation also turns deeply personal as Tim shares the moment he and his wife faced a life-altering health scare—and how proper wealth protection allowed him to stay emotionally present instead of financially panicked. This episode is essential listening for any dentist, owner, or entrepreneur who wants confidence, clarity, and control over their financial future.     Key Topics Covered Why "more money" often creates more complexity Wealth fragmentation and the hidden cost of siloed advisors Investment performance vs. true wealth management Advanced planning and the four pillars of wealth strategy Tax efficiency and keeping more of what you earn Stress testing your financial plan before it's too late Family office models and coordinated advisory teams Protecting income, lifestyle, and legacy Being financially prepared for life's unexpected moments     Key Takeaways ✔ Growth without planning creates risk ✔ Fragmented advice quietly erodes wealth ✔ Advanced planning creates confidence ✔ Protection enables presence during crisis ✔ Wealth should support your life—not complicate it     About the Guest Tim McNeely is a wealth strategist and family office advisor who helps dental entrepreneurs create more time, more money, and more confidence. He specializes in advanced planning strategies that go beyond investments—focusing on protection, coordination, and long-term outcomes. Tim is also the author of Dental Wealth Nation, a practical guide for dentists looking to turn income into lasting wealth. 🔗 Website: timmcneely.com 📘 Book: Dental Wealth Nation     About the Host Greg Essenmacher is the founder of GnA Consult and host of The Tooth Sleuth Podcast, where he explores the business, leadership, and human side of dentistry—helping practices grow with intention, clarity, and sustainability.

    29 min
  3. FEB 4

    TTS-149 – Passion of the Procedure: Purpose, Grit, and the Art of Extraction w/ Extraction Jackson

    In this episode of The Tooth Sleuth Podcast, Greg Essenmacher sits down with Dr. Julia L. Jackson — better known as "Extraction Jackson" — for a powerful, deeply human conversation about passion, purpose, grit, and what it truly means to love the work you do. As a board-certified oral and maxillofacial surgeon, educator, and founder of the International Implant Institute, Dr. Jackson shares her journey of becoming one of the few female African-American OMS surgeons in the profession, navigating resistance, redefining success, and choosing clinical excellence over distraction. This episode goes far beyond extractions. It explores: Why loving the procedure matters How education, mindset, and faith fuel growth The evolution from clinician to teacher and leader Patient experience through empathy and connection Finding your own path — without shortcuts If you've ever questioned your next step, your purpose, or how to grow without losing yourself, this conversation will resonate.     Key Topics Covered Passion as the foundation of clinical excellence Being a female OMS and breaking industry barriers Grit, determination, and staying focused on the goal Teaching atraumatic extractions as the gateway to implants The evolution from clinician to educator Business of dentistry vs. ownership Patient-centered thinking: "remember the tooth is attached to a person" Faith, persistence, and stepping into your calling     Key Takeaways ✔ Passion fuels mastery ✔ There are many paths to success in dentistry ✔ Clinical excellence and empathy go hand-in-hand ✔ Education empowers confidence ✔ Growth is an evolution — not a pivot     About the Guest Dr. Julia L. Jackson ("Extraction Jackson") is a board-certified oral and maxillofacial surgeon, educator, and founder of the International Implant Institute. With nearly two decades of clinical experience, she is known for her passion for extractions, implant education, and empowering clinicians through hands-on and online learning. She also provides concierge chairside surgical services and international education programs focused on clinical excellence and professional growth. 🔗 Websites: http://intlimplantinstitute.com/ http://extractionjackson.com/ 📧 Email: toothtitans@gmail.com 📱 Instagram: @socket_grafting_girl     About the Host Greg Essenmacher is the founder of GnA Consult and host of The Tooth Sleuth Podcast, where he explores the leadership, business, and human side of dentistry—helping practices improve patient experience, case acceptance, and long-term sustainability.

    33 min
  4. JAN 29

    TTS- 148 Handpiece Repair w/Dicky Ball

    In this episode of The Tooth Sleuth Podcast, Greg Essenmacher sits down with Dicky Ball, co-founder of Summit Handpiece Express, for a refreshingly real conversation about dentistry's most overlooked "tool"—and why systems, maintenance, and team communication matter more than most practices realize. What starts as a discussion about dental handpiece repair quickly evolves into a deeper conversation about SOPs, handoff and hand-up communication, team accountability, and how small breakdowns behind the scenes can quietly destroy efficiency, profitability, and patient experience. Dicky shares how Summit Handpiece Express was built on speed, transparency, and education—not just repairs—and why their goal is actually to see fewer handpieces, not more. From common maintenance mistakes to real-world examples of how one missing protocol can cost practices thousands, this episode draws powerful parallels between operational discipline and long-term success. If you care about patient experience, profitability, and protecting your investments, this episode is a must-listen.     Key Topics Covered Dicky Ball's path from construction to dental entrepreneurship Why traditional handpiece repair turnaround times fail practices The real cost of poor maintenance and missing SOPs Autoclaving, lubrication, and why handpieces fail prematurely How staff turnover and poor handoffs destroy equipment (and margins) Educating teams to protect investments—not just fix problems The connection between tools, systems, and patient experience Preventing chairside failures before they happen     Key Takeaways ✔ Speed and transparency change the customer experience ✔ SOPs only work when they're shared, followed, and revisited ✔ Maintenance is cheaper than constant repair ✔ Team handoffs protect profitability ✔ Great vendors educate—they don't just invoice     About the Guest Dicky Ball is the co-founder of Summit Handpiece Express, a dental handpiece repair company known for fast turnaround times, quality parts, and a white-glove customer experience. Factory-trained and certified, Dicky and his team focus on helping practices extend the life of their equipment through education, proper maintenance, and clear communication. Summit Handpiece Express repairs high-speed, low-speed, surgical, endo, perio, air-driven, and electric handpieces—without the long waits and inflated costs common in the industry. 🔗 Website: summithandpieceexpress.com     About the Host Greg Essenmacher is the founder of GnA Consult and host of The Tooth Sleuth Podcast, where he explores the systems, leadership, and human behaviors that drive case acceptance, patient experience, and sustainable growth in dentistry. Greg helps practices capture, convert, and close more complex cases through clarity, structure, and intentional communication.

    24 min
  5. JAN 21

    TTS 147 – NBA to M&A: Building, Failing, Scaling, and Selling with Elijah Desmond

    In this episode of The Tooth Sleuth Podcast, Greg Essenmacher sits down with entrepreneur, hygienist-turned-broker, and co-CEO of Dental Pitch Brokerage, Elijah Desmond, for a candid conversation about business, failure, partnerships, and preparing dental practices—especially implant and full-arch practices—for successful exits. From Elijah's early days in dentistry to building (and failing) multiple businesses, this episode explores the real lessons behind entrepreneurship and what it actually takes to scale with intention. Elijah also shares practical insights into today's M&A landscape, including what buyers are looking for, how owners should prepare years in advance, and why systems, hygiene, and diversification dramatically impact valuation. The conversation closes with Elijah's powerful "why"—using business success as a platform to save kids' lives through youth motivational work around the world. This is a must-listen for practice owners who want to grow smart, lead well, and build something that lasts.     Key Topics Covered Transitioning from clinical dentistry into entrepreneurship Lessons learned from building—and failing—multiple businesses Why friends-and-family money can complicate startups Choosing the right business partners (and avoiding the wrong ones) Preparing implant and full-arch practices for sale Why hygiene increases buyer demand—even in implant-focused practices Avoiding single-provider risk and building scalable systems Realistic expectations for today's M&A market and exit structures Turning success into impact beyond dentistry     Key Takeaways ✔ Failure is tuition, not defeat ✔ Partners should complement—not duplicate—your skill set ✔ Exit planning starts years before the sale ✔ Systems and hygiene create leverage ✔ Purpose-driven leadership changes everything     About the Guest Elijah Desmond is the co-CEO of Dental Pitch Brokerage, a sell-side advisory firm helping dental professionals maximize practice value and negotiate ideal exit terms. A former dental hygienist and lifelong entrepreneur, Elijah has built, scaled, and exited multiple businesses and is the founder of Backstage Mastermind. Beyond dentistry, Elijah is a motivational speaker dedicated to saving kids' lives through youth outreach and nonprofit work. 🔗 Website: dentalpitchbrokerage.com 📧 Email: elijah@dentalpitchbrokerage.com     About the Host Greg Essenmacher is the founder of GnA Consult and host of The Tooth Sleuth Podcast, where he explores the business, leadership, and human side of dentistry—helping practices grow with intention, alignment, and sustainability.

    41 min

About

The Tooth Sleuth podcast is hosted by Greg Essenmacher, Principal at GnA consult. "Helping Dentists and Dental Professionals Maximize Their Potential"—From vision to execution-creating business strategies that work! Want to Grow Your Full Arch Practice? -Book a Discover Call here: www.DentalConsult4u.com Or email: Greg@DentalConsult4u.com