The Doctor Avi Show

Avi Patel

The Doctor Avi Show: Inside Modern Dentistry Dentistry is evolving — fast. Most people aren’t having honest conversations about it. Hosted by Dr. Avi Patel, this podcast brings together DSO leaders, solo practice owners, associates, and industry innovators to talk about what’s actually working in modern dentistry — from growth and retention to burnout, leadership, and influence. No fluff. No safe answers. Just real conversations about where the profession is headed — and how to position yourself to win.

  1. 4d ago

    How We Got Patients Excited To Go To The Dentist - Dr. Chris Salierno, Chief Dental Officer at Tend

    In 2010, Dr. Chris Salierno started a blog called The Curious Dentist, the same year he opened his own practice. That blog is what eventually led to him becoming Chief Dental Officer at Tend, a role that meant walking away from both his practice and his position as Chief Editor of Dental Economics. He took months to decide. Five years later, he hasn't looked back. But the real lesson he shares isn't about the blog. It's about failure. "The part of our brains that makes us excellent dentists can make us terrible business owners." Dentists are trained to fear the smallest error, fractions of millimeters. That same instinct kills experimentation in business. Chris's approach: fail fast, learn, iterate. Don't wait for the perfect plan before you try anything. Dr. Chris Salierno is a general dentist and Chief Dental Officer at Tend. In this conversation with Dr. Salierno you will learn: How a personal blog turned into a Chief Dental Officer role at a national dental brandWhy Tend requires a minimum of two years of experience before a dentist can even applyThe mindset shift between being a great clinician and being a great business ownerWhy "thoughtful experiments" beat waiting for the perfect plan every timeWhat it actually takes to build a brand patients trust enough to promise an elevated experienceWorth listening to if you're a dentist thinking about a path beyond ownership, or you're stuck waiting for the "perfect" plan before making a business decision. Comment below the one business decision you're overthinking right now instead of just testing it? Follow Dr. Chris Salierno on:Instagram: https://www.instagram.com/the_curious_dentist/LinkedIn: https://www.linkedin.com/in/chris-salierno-dds/ Shoutout to our sponsors:OrthoBrain: https://bit.ly/4vFk9OISprintRay Midas: https://bit.ly/SprintRay-PodcastNeer: https://bit.ly/4vzRFG3Clear Aligner Advisor: https://www.clearaligneradvisor.co/ 🔹General DentistsIf you're looking to implement clear aligners confidently and predictably:Free Training → https://www.clearaligneradvisor.co/ 🔹DSOs & Group PracticesIf you're exploring doctor activation, aligner adoption, or associate retention strategy:Learn more → https://www.clearaligneradvisor.co/al... About Dr. Avi:Dr. Avi Patel is a general dentist and founder of Clear Aligner Advisor. He works with solo practices and DSOs nationwide to bridge the gap between education and real-world execution — helping doctors grow with clarity and confidence. Connect with Dr. AviInstagram → / doctor.aviLinkedIn → / dr-avi-patel-clearaligner-advisor

  2. Sep 30

    How to Manifest a 10-Location Ortho Empire | Dr. Amer Hussain

    Dr. Amer used to hold the steering wheel of his beat-up car and visualize a different emblem on it. Feeling it before it was real.He didn't know it had a name yet, but that was manifestation. He calls it the reason he went from starting a single ortho practice in Edmonton in 2010 to now running 10 locations across Alberta and BC.But there's a mindset problem he says almost every dentist walks out of school with: scarcity.Dental school trains you for competition, limited spots, pass or fail. Business people operate the opposite way, in abundance. The dentists who actually scale are the ones who learn to turn that scarcity mindset off.Dr. Amer is an orthodontist and founder of Pure Orthodontics. In this conversation with Dr. Amer you will learn:  How visualization and manifestation directly shaped his business growth The scarcity mindset dental school trains into every graduate, and why it holds practices back How he built from one location to ten without forcing decisions that didn't flow naturally Why personal branding is one of the most underleveraged opportunities in dentistry What changed for him after leaning fully into content and sharing his day-to-dayWorth listening to if you've ever felt boxed in by the way dental school trained you to think, or you're scaling a practice and want to understand the mindset shift that actually makes growth possible.What's one belief from dental school you've had to unlearn to grow your practice?Follow Dr. Amer on:Instagram: https://www.instagram.com/p/DcJiZ8_SE0h/LinkedIn: https://www.linkedin.com/in/amer-hussain-97467120/Shoutout to our sponsors:OrthoBrain: https://bit.ly/4vFk9OISprintRay Midas: https://bit.ly/SprintRay-PodcastNeer: https://bit.ly/4vzRFG3Clear Aligner Advisor: https://www.clearaligneradvisor.co/🔹General DentistsIf you're looking to implement clear aligners confidently and predictably:Free Training → https://www.clearaligneradvisor.co/ 🔹DSOs & Group PracticesIf you're exploring doctor activation, aligner adoption, or associate retention strategy:Learn more → https://www.clearaligneradvisor.co/al...About Dr. Avi:Dr. Avi Patel is a general dentist and founder of Clear Aligner Advisor. He works with solo practices and DSOs nationwide to bridge the gap between education and real-world execution — helping doctors grow with clarity and confidence.Connect with Dr. AviInstagram → / doctor.aviLinkedIn → / dr-avi-patel-clearaligner-advisor

  3. Sep 23

    Why Solo Practices Are in Trouble, According to a Group Operator | Dalton Albertin

    Dalton Albertin played tennis at Ball State, interned with the Colts, and spent about five years selling spinal implants to neurosurgeons and orthopedic spine surgeons. Then Zimmer Biomet bought his company, and he pivoted into dental. Today he and his wife Mary run LADD Dental Group, a company founded by Dr. John Lad and Tisa Lad in Kokomo, Indiana in 1978. Neither Dalton nor Mary is a dentist. Mary is an attorney by background and now serves as CEO. They have been running the group for a little over 10 years, and it now includes 11 offices plus a denture and partial lab. What makes his perspective useful is where he came from. He watched hospital consolidation reshape the MD world and saw surgeons lose autonomy over which implants they could use. He brought those lessons into dental on purpose. Inside the conversation: - Why he thinks the solo practice model has real headwinds coming - The build out costs nobody warns you about, including a $1,000 Ethernet run just to keep the warranty on a $10,000 autoclave - Buck boosters for vacuum and compressor units, and another five to ten thousand dollars added to a de novo - Running the group on EOS with quarterly rocks and a Monday morning executive meeting - Moving the whole organization from Softdent to Denticon, and the conflict that came with it - An office level profit share for support staff, and what it did for retention This one is for group operators, multi location owners, DSO leaders, and any dentist heading into ownership who wants to hear what actually happens after you sign the lease. Comment with the build out surprise that cost you the most. Follow Dalton at @Dalton Albertin and LADD Dental Group at @ladddental. --- Shoutout to our sponsors: SprintRay Midas: https://bit.ly/SprintRay-Podcast OrthoBrain: https://bit.ly/4vFk9OI Neer: https://bit.ly/4vzRFG3 Clear Aligner Advisor: https://www.clearaligneradvisor.co/ --- 🔹 General Dentists If you’re looking to implement clear aligners confidently and predictably: Free Training → https://www.clearaligneradvisor.co/ 🔹 DSOs & Group Practices If you’re exploring doctor activation, aligner adoption, or associate retention strategy: Learn more → https://www.clearaligneradvisor.co/aligneradvantage About Dr. Avi: Dr. Avi Patel is a general dentist and founder of Clear Aligner Advisor. He works with solo practices and DSOs nationwide to bridge the gap between education and real-world execution — helping doctors grow with clarity and confidence. Connect with Dr. Avi Instagram → https://www.instagram.com/doctor.avi LinkedIn → https://www.linkedin.com/in/dr-avi-patel-clearaligner-advisor/

  4. Sep 16

    Dentistry Just Became One of the Safest Jobs in America

    For 15 years, Shreyas watched his mom run her dental practice alone with no systems in place. Then she got breast cancer, and the whole thing fell apart almost overnight.He had a computer science degree from Stanford. He figured, how hard could revenue cycle actually be?938 days later, building Daydream Dental taught him exactly how wrong he was.Shreyas Parab is the co-founder of Daydream Dental. What started as stepping in to help his mom's one-person practice turned into a company built to fix the revenue cycle problems that quietly drain practices everywhere.In this conversation we talk about:➡️How much money is quietly disappearing from associate paychecks due to bad RCM practices, and why it's so hard to catch➡️How one practice improved production by $70,000 in a single month using AI to surface unscheduled treatment➡️Why dentistry just became one of the safest professions on earth as AI reshapes everything else➡️What it actually took to go from "how hard could this be" to building a company around solving it➡️Why he believes knowledge, not just tools, is what shifts power back to dentistsWorth listening to if you've ever felt like your practice's revenue cycle is a black box, or you're a DSO leader trying to understand where AI actually helps versus where it's just noise.What's the one billing or RCM issue that's quietly costing your practice the most?Follow Shreyas Parab on:Instagram →   / daydream_billing  LinkedIn →   / sparab18  Shoutout to our sponsors:Daydream Dental: https://daydream.dental/Clear Aligner Advisor: https://www.clearaligneradvisor.co/Dr. Avi Patel shares real conversations and practical insights on modern dentistry — including DSO growth, associate retention, clinical execution, aligner implementation, leadership, and personal development in the profession.This channel is built for dentists, leaders, and operators who want clarity on what’s actually working today.---🔹 General DentistsIf you’re looking to implement clear aligners confidently and predictably:Free Training → https://www.clearaligneradvisor.co/🔹 DSOs & Group PracticesIf you’re exploring doctor activation, aligner adoption, or associate retention strategy:Learn more → https://www.clearaligneradvisor.co/al...About Dr. Avi: Dr. Avi Patel is a general dentist and founder of Clear Aligner Advisor. He works with solo practices and DSOs nationwide to bridge the gap between education and real-world execution — helping doctors grow with clarity and confidence.Connect with Dr. AviInstagram →   / doctor.avi  LinkedIn →   / dr-avi-patel-clearaligner-advisor

  5. Sep 9

    My Family of Dentists Never Taught Me This | Stephen Thorne CEO of PDS Health

    Stephen Thorne's mom died at 65. A heart attack, three weeks after her cardiologist told her she'd probably live to 100. Her scores were perfect. She'd done everything right. Her death sent him looking for answers. What he found was research connecting oral health to overall health, especially cardiovascular health, something none of the dentists in his own family (his grandfather, his father, two of his brothers) had ever mentioned to him. Stephen is CEO of PDS Health, formerly Pacific Dental Services. He started the company with his father in 1994, hit his first real growth ceiling in 1999, and has spent decades building it into the organization it is today. That personal loss changed the direction of the whole company. In this conversation with Dr. Avi: ➡️Why he believes dentists can be the point person for a patient's overall health, not just their teeth ➡️The four chronic disease categories tied to inflammation, and why gingivitis sits at the center of all of them ➡️How PDS Health started integrating physicians and nurse practitioners directly into dental practices ➡️Why saliva diagnostics are coming, and what changes once chairside testing gets approved ➡️What it took to rebuild the company's org structure around this shift, and why COVID set that timeline back years. Worth listening to if you're a dentist trying to understand where the industry is heading, or a DSO leader thinking about medical-dental integration. Comment with what you think dentistry's role in overall healthcare should look like. Follow Stephen Thorne on: LinkedIn @stevethornepdshealth Instagram @stevethorne_pdshealth --- Shoutout to our sponsors: SprintRay Midas: https://bit.ly/SprintRay-Podcast Neer: https://bit.ly/4vzRFG3 Care Credit: https://www.carecredit.com/providers/dental-practice-growth/ Clear Aligner Advisor: https://www.clearaligneradvisor.co/ --- 🔹 General Dentists If you’re looking to implement clear aligners confidently and predictably: Free Training → https://www.clearaligneradvisor.co/ 🔹 DSOs & Group Practices If you’re exploring doctor activation, aligner adoption, or associate retention strategy: Learn more → https://www.clearaligneradvisor.co/al... About Dr. Avi: Dr. Avi Patel is a general dentist and founder of Clear Aligner Advisor. He works with solo practices and DSOs nationwide to bridge the gap between education and real-world execution — helping doctors grow with clarity and confidence. Connect with Dr. AviInstagram →   / doctor.avi  LinkedIn →   / dr-avi-patel-clearaligner-advisor

  6. Sep 2

    Why Dentists Struggle With Invisalign | Bryan Smits

    Bryan Smits got a call from Align about a product called iTero. He had no idea what it was. So he asked his wife, a general dentist, and she told him it was the scanner she had used on him when she treated him with Invisalign. He had not been paying attention. He started paying attention fast. Bryan is now General Manager of Special Markets at Align Technology. He came from hospital and diagnostic sales at Abbott Laboratories and Thermo Fisher, joined Align in 2017 running iTero for the central US, and got turned down the first time he interviewed for the Special Markets team. Nine months later they came back and asked him to build the iTero side of it. Watching his wife move from a DSO to private practice to Heartland gave him something most executives never get. He saw the clinical day from the inside before he ever sold into it. In this conversation with Dr. Avi: - Why he thinks the dental market today looks like the hospital market did in 2005, right before consolidation - The three attributes he screens every hire for, and how he tests for work ethic in an interview - What his wife noticed about patients thanking her for Invisalign, and why that reaction is different from any other procedure - Why Align invests in restorative education and lab work that has nothing to do with aligners - The emerging DSO segment, three to 15 locations, and why Align built a dedicated team for it this year Worth listening to if you sell into dental groups, lead one, or are trying to understand how a manufacturer decides where to put its support. Comment with the one thing your group standardized that made the biggest difference. Follow Bryan Smits on Likedin at @BryanSmits1a330925 and Align Technology at @aligntechinc. --- Shoutout to our sponsors: SprintRay Midas: https://bit.ly/SprintRay-Podcast Neer: https://bit.ly/4vzRFG3 Clear Aligner Advisor: https://www.clearaligneradvisor.co/ --- 🔹 General Dentists If you’re looking to implement clear aligners confidently and predictably: Free Training → https://www.clearaligneradvisor.co/ 🔹 DSOs & Group Practices If you’re exploring doctor activation, aligner adoption, or associate retention strategy: Learn more → https://www.clearaligneradvisor.co/aligneradvantage About Dr. Avi: Dr. Avi Patel is a general dentist and founder of Clear Aligner Advisor. He works with solo practices and DSOs nationwide to bridge the gap between education and real-world execution — helping doctors grow with clarity and confidence. Connect with Dr. Avi Instagram → https://www.instagram.com/doctor.avi LinkedIn → https://www.linkedin.com/in/dr-avi-patel-clearaligner-advisor/

  7. Aug 26

    Everyone Wants to Be a Cosmetic Dentist… Here’s the Reality | Dr. Clement Kairouz

    The patient says "I want white teeth." You know white is the wrong call for their face. What do you actually do? Dr. Clem deals with this constantly. He works alongside Dr. Apa and Dr. Rosenthal doing high end cosmetic cases, and he is direct about where the tension lives. Patient expectation and patient education are two different things, and the job is finding the spot where both people are happy. His rule on shade is specific. If you are making the teeth bigger, you usually cannot also make them whiter. Pick one. Both at once will overwhelm the face. But he also lost that argument with a patient once, redid an entire full mouth case in a shade he disagreed with, and watched her become one of his happiest patients. What comes up: - Why he says the shave-teeth-to-nubs fear is a misconception, and why social media keeps it alive - Choosing between bigger and whiter, and how to explain that to a patient - What changed when he got his own veneers and went through the process as a patient - Why he thinks a smile changes perception, not identity - His one non-negotiable, which is not aesthetic at all - The advice he gives students: learn photography, and let it humble you Useful for general dentists adding cosmetic work, associates building case acceptance, and anyone who struggles with the shade conversation. Share the shade conversation that went sideways on you and what you would do differently. Follow Dr. Clem at @doctor.clem on intagram and @clementkairouz on LinkedIn and his Apa Aesthetic at @apa.aesthetic --- Shoutout to our sponsors: SprintRay Midas: https://bit.ly/SprintRay-Podcast OrthoBrain: https://bit.ly/4vFk9OI Neer: https://bit.ly/4vzRFG3 Clear Aligner Advisor: https://www.clearaligneradvisor.co/ --- 🔹 General Dentists If you’re looking to implement clear aligners confidently and predictably: Free Training → https://www.clearaligneradvisor.co/ 🔹 DSOs & Group Practices If you’re exploring doctor activation, aligner adoption, or associate retention strategy: Learn more → https://www.clearaligneradvisor.co/aligneradvantage About Dr. Avi: Dr. Avi Patel is a general dentist and founder of Clear Aligner Advisor. He works with solo practices and DSOs nationwide to bridge the gap between education and real-world execution — helping doctors grow with clarity and confidence. Connect with Dr. Avi Instagram → https://www.instagram.com/doctor.avi LinkedIn → https://www.linkedin.com/in/dr-avi-patel-clearaligner-advisor/

  8. Aug 20

    Why Dentists Think DSOs Are Bad, and What Actually Makes One Good | Dr. Garg

    Dr. Garg spent 12 years as a dental attending at Bronx Care, running one of the hospital's satellite clinics. Then she left academia for a DSO. Five years later, she is still there. That is not a common story. Most dentists do not stay in one group that long. In this conversation, Dr. Garg walks through why she made the move, how she picked the organization, and what she looked for in the interview process. She wanted a long term career, not a job. She wanted the digital side of dentistry. And she wanted to know the promises were real before she signed. She also talks openly about the moment she was offered the aligner program and thought, "I hope this is not another marketing gimmick." Inside the conversation: - What she looked for in a DSO interview, and why "run by a dentist" mattered - The Infusion onboarding program at Dentsply Sirona headquarters - A two phase leadership program that changed how she talks to her team - Why she felt like a "one man army" when she started offering aligners - The one shift that took her from a handful of cases to eight in a month - How getting hygienists and front staff on board changed her case acceptance This one is for associates weighing a DSO offer, dentists who feel stuck at a few aligner cases a year, and anyone deciding whether a group can actually deliver on what it promised in the interview. If you have ever wondered whether a DSO can really invest in a clinician, drop a comment with what you would want to see in writing before you signed. Follow Dr. Garg at @Ridhima1227 the North American Dental Group (NADG) at @northamericandentalgroup. --- Shoutout to our sponsors: SprintRay Midas: https://bit.ly/SprintRay-Podcast OrthoBrain: https://bit.ly/4vFk9OINeer: https://bit.ly/4vzRFG3 Clear Aligner Advisor: https://www.clearaligneradvisor.co/ ---🔹 General DentistsIf you’re looking to implement clear aligners confidently and predictably:Free Training → https://www.clearaligneradvisor.co/🔹 DSOs & Group PracticesIf you’re exploring doctor activation, aligner adoption, or associate retention strategy:Learn more → https://www.clearaligneradvisor.co/aligneradvantageAbout Dr. Avi: Dr. Avi Patel is a general dentist and founder of Clear Aligner Advisor. He works with solo practices and DSOs nationwide to bridge the gap between education and real-world execution — helping doctors grow with clarity and confidence.Connect with Dr. AviInstagram → https://www.instagram.com/doctor.aviLinkedIn → https://www.linkedin.com/in/dr-avi-patel-clearaligner-advisor/

About

The Doctor Avi Show: Inside Modern Dentistry Dentistry is evolving — fast. Most people aren’t having honest conversations about it. Hosted by Dr. Avi Patel, this podcast brings together DSO leaders, solo practice owners, associates, and industry innovators to talk about what’s actually working in modern dentistry — from growth and retention to burnout, leadership, and influence. No fluff. No safe answers. Just real conversations about where the profession is headed — and how to position yourself to win.

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