The Dr. Phil Klein Dental Podcast

When implant complications like peri-implantitis arise, do you reach for the same tools you'd use on natural teeth, or have you developed specific protocols for implant maintenance?
Dr. Jon Suzuki brings unparalleled expertise to this critical topic. With Presidential Appointments as Professor of Microbiology and Immunology and Professor of Periodontology and Oral Implantology at Temple University, he also serves as Chairman and Program Director of his department and Associate Dean for Graduate Education. Dr. Suzuki earned his D.D.S. from Loyola University of Chicago, Ph.D. in Microbiology from Illinois Institute of Technology, completed an NIH Fellowship in Immunology at University of Washington, received his Clinical Certificate in Periodontics from University of Maryland, and holds an MBA from the Katz Graduate School of Business. He previously served as Dean at University of Pittsburgh for a decade and was appointed Chairman of the FDA Dental Products Panel. Dr. Suzuki is a Diplomate of the American Board of Periodontology, Fellow of the American and International College of Dentists, and has published over 150 papers, chapters, and abstracts.
This episode provides a comprehensive approach to managing peri-implant complications, from early mucositis through advanced peri-implantitis. Dr. Suzuki explains why implant disease progression differs fundamentally from periodontal disease due to the absence of periodontal ligament and reduced vascularity. The discussion covers evidence-based protocols for both non-surgical and surgical interventions, with particular attention to when each approach is most appropriate and what outcomes clinicians can realistically expect.
Episode Highlights:
Local drug delivery systems like minocycline can achieve 50% or higher success rates in early-stage peri-implantitis when combined with improved oral hygiene, though these medications are FDA-approved for teeth rather than implants. The key determining factor for success is patient home care compliance, with circumferential drug dispersion occurring within 10-14 days of injection into the deepest pocket.
Stainless steel instruments create gouges and scratches on titanium implant surfaces that promote bacterial colonization and metal corrosion product release. Instead, clinicians should use resin scalers, titanium curettes, or ultrasonic tips with plastic sleeves, while waiting nine months post-placement before initial probing or scaling procedures.
Chlorhexidine substantivity varies significantly between delivery methods, with minocycline and doxycycline local delivery providing 10-14 days of antimicrobial activity, while chlorhexidine chips offer only 8-12 hours. Patients should continue 0.12% chlorhexidine rinses twice daily for 2-3 weeks following debridement and local drug delivery.
Surgical approaches include resective procedures that remove implant threads and recontour bone for cleanability, regenerative procedures using bone grafts and membranes in favorable defect morphology, and laser therapy using neodymium YAG at 1064 nanometers. The laser approach offers four mechanisms: pocket epithelium removal, antimicrobial action, anti-inflammatory effects through arachidonic acid pathway reduction, and biostimulation of wound healing cells.
Implant regeneration differs fundamentally from periodontal regeneration due to the absence of periodontal ligament, reduced immune response, and lack of biological width with only epithelial attachment present. This makes implants more susceptible to occlusal trauma, requiring night guard protection, and creates higher risk for disease progression that's more difficult to reverse than natural tooth periodontitis.
Perfect for: periodontists, oral surgeons, general dentists placing or maintaining implants, dental hygienists working with implant patients, and residents learning peri-implant disease management protocols.
Discover evidence-based strategies that could transform your approach to implant maintenance and peri-implantitis treatment.

How do you balance the rigorous demands of clinical dentistry with the life-changing responsibilities of motherhood? For many women in the profession, this question creates anxiety, guilt, and career uncertainty that's rarely discussed openly.
Our guest is Dr. Christina Blacher, a general dentist with 11 years of experience based in Frisco, Texas, and founder of Christina Blacher Consulting. Dr. Blacher is an Align Global Faculty member and international keynote speaker for Invisalign who has trained over 20,000 doctors worldwide and treatment plans over 2,000 ClinChecks annually. She has successfully transitioned from full-time general dentistry to exclusive clear aligner therapy while building a thriving consulting business and raising two young children.
This conversation explores the realities of maintaining a dental career while navigating early motherhood. Dr. Blacher shares her personal journey from working four days a week in general practice to becoming more successful after having children, despite initial concerns about career interruption. The discussion covers the unique challenges dental professionals face, including the absence of traditional maternity leave benefits and the mental load of managing both patient care and family responsibilities.
Episode Highlights:
Female dentists often don't receive traditional maternity leave benefits since practice income depends on active clinical work, requiring creative solutions for maintaining practice revenue during recovery periods. Dr. Blacher developed her online consulting platform during maternity leave, creating content while her newborn slept beside her, demonstrating how career pivots can emerge from necessity.
Clear aligner therapy offers significant practice advantages beyond orthodontic correction, particularly for ortho-restorative treatment planning where proper bite relationships prevent complications in cosmetic cases. Case selection remains critical for general practitioners, with the principle that no dentist has ever regretted referring a case they weren't comfortable managing.
Effective support systems are essential for balancing clinical practice with motherhood, including outsourcing household tasks like cleaning, meal preparation, grocery shopping, and childcare assistance. Weekend help can provide quality family time without the stress of managing all domestic responsibilities simultaneously.
Identity management becomes crucial when transitioning between high-functioning professional leadership roles and parenting demands, such as negotiating with toddlers over simple decisions. Developing techniques to reset your nervous system quickly benefits both patient interactions and family dynamics.
Monthly therapy sessions provide valuable non-judgmental support for processing career stress, parenting challenges, and relationship dynamics. Professional mental health support helps maintain the emotional capacity needed to serve patients, manage staff, and nurture family relationships effectively.
Perfect for: Female dentists considering starting a family, mothers returning to practice, practice owners supporting team members through pregnancy and early parenthood, and any dental professional seeking work-life integration strategies.
Discover how motherhood can actually enhance your dental career rather than derail it.

Our guest today makes a bold claim: that the intraoral scanner is the single most important piece of technology a dental practice must invest in to remain competitive and to gain patient trust, especially during that critical first visit. It is also critical to achieving the exceptional patient experience. Our guest is Dr. Rob Ritter, a general dentist, practicing cosmetic dentistry for over 30 years. He is a sought after speaker and writer and currently runs his own training program in Jupiter Florida. For more information visit protocollive.com.

Thanks to our episode sponsors:

Shofu Dental - https://www.shofu.com/en
Shining 3D- https://www.shining3ddental.com/
Flow Dental - https://flowdental.com/

How many times have you ended a long clinical day with neck pain, tight shoulders, or that familiar ache in your lower back? If you're thinking "that's just part of dentistry," this episode will change your perspective entirely.
Stephanie Botts brings over 14 years of clinical dental hygiene experience and certification as an Ergonomics Assessment Specialist to this critical discussion. She provides both in-office and virtual ergonomics consulting to dental professionals nationwide, teaches continuing education courses on ergonomics for dental and dental hygiene associations, and founded Polished Posture to help clinicians practice pain-free and ensure career longevity. Her unique combination of hands-on clinical experience and specialized ergonomics training gives her deep insight into the physical challenges dental professionals face daily.
This conversation reveals why pain rates remain dangerously high in dentistry despite significant equipment advances, and more importantly, what clinicians can do about it right now. Stephanie breaks down the connection between patient positioning, equipment design, and clinician posture, showing how small daily compromises quietly build into career-threatening injuries. The discussion covers practical solutions for common operatory limitations, the importance of alternating between sitting and standing positions, and why basic ergonomic education should be as routine as infection control training.
Episode Highlights:
Musculoskeletal symptoms can develop in as little as two years of practice, with some dental students experiencing pain before graduation. The most common injuries include carpal tunnel, wrist tendonitis, tennis elbow, rotator cuff problems, and low back issues, requiring both proper operatory setup and strength-building exercises outside of work.
Patient positioning drives good or bad posture more than any other single factor in the operatory. For maxillary work, the headrest should be declined to tip the chin toward the ceiling, positioning the upper teeth 10-20 degrees behind vertical, while the patient's mouth should align with the clinician's elbow height when in neutral posture.
Essential dental chair features include an adjustable headrest with proper contouring, a narrow backrest that tapers toward the head, and sufficient height adjustment for alternating between sitting and standing positions. Wide-winged chair backs and thick cushioned backs encroach on the clinician's workspace and force compensatory postures.
Hand passing techniques eliminate the need to twist across the body when working with rear delivery systems, while mobile carts can retrofit challenging operatory layouts. The most frequently used instruments and controls should be positioned within easy reach to prevent extended arm reaching throughout the day.
Micro breaks lasting 20-30 seconds every 20 minutes during patient care introduce blood flow to overworked muscles and prevent stiffness. This simple intervention can dramatically improve how clinicians feel both during work and at the end of the day, becoming increasingly important as practitioners age.
Perfect for: General dentists, dental hygienists, specialists, recent graduates experiencing early career discomfort, practice owners evaluating operatory design, and any dental professional concerned about career longevity and injury prevention.
Don't wait until pain becomes your daily reality—the strategies discussed in this episode can help you practice comfortably for decades to come.

Are you dealing with that nagging feeling that something just isn't right with your office manager, or are you dreading the process of hiring a new one? Most doctors don't wake up one morning ready to fire their office manager — it's usually a slow buildup of small frustrations that eventually signal bigger problems.
Dr. Philip Klein, DMD, brings over 40 years of dental profession experience spanning private practice, education, and industry innovation. With his background as an endodontic specialist and founder of multiple successful dental companies including Viva Learning LLC — the world's largest dental CE entity — Dr. Klein understands the critical role office managers play in practice success. As Chairman of the Board at Viva Learning and host of a podcast drawing over 30,000 monthly listeners, he has witnessed countless practices struggle with this exact challenge.
This episode tackles one of the most uncomfortable yet crucial decisions practice owners face: recognizing when it's time to replace your office manager and how to hire the right replacement. Dr. Klein breaks down the systematic red flags that indicate a change is needed, from chronic defensiveness and lack of ownership to declining team morale and broken communication patterns. More importantly, he provides a comprehensive framework for attracting, screening, and hiring an experienced office manager who can truly lead your practice forward.
Episode Highlights:
Chronic defensiveness is an early warning sign — when every concern you raise is met with excuses, blame, or pushback rather than problem-solving, you're dealing with resistance instead of leadership. Strong office managers view feedback as information and take ownership of issues rather than deflecting responsibility to team members or patients.
Your job posting should function as a filter, not a flyer — experienced office managers are interviewing you too, so clearly state required experience levels, software systems, leadership responsibilities, and practice culture. Speak directly to quality candidates by emphasizing clear authority, supportive leadership, and organized growth-focused environments.
Pre-interview questionnaires serve as one of the most effective screening tools before live interviews. Ask specific questions about systems management experience, team supervision history, key performance indicators they value, and reasons for leaving their current role — strong candidates provide clear, thoughtful, specific responses.
Online interviews should focus on leadership assessment through targeted question groups covering decision-making authority, conflict resolution, upward communication skills, systems management, scheduling optimization, billing responsibilities, and patient experience philosophy. The goal is confirming communication skills and professional presence, not selling the position yet.
In-person interviews reveal emotional intelligence and cultural fit through deeper conversations, practice tours, and team interactions. Pay attention to how candidates interact with your staff, their natural leadership presence, and ask questions about their first 90 days, accountability approaches, and doctor-manager relationship preferences to understand their thinking process.
Perfect for: Practice owners struggling with office manager challenges, dentists preparing to hire their first office manager, and dental professionals seeking to understand the critical role effective practice management plays in overall success.
Stop letting office management issues drain your practice energy — learn the systematic approach to getting this crucial hire right the first time.