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Dentists Who Invest

Podcast Episode

Full Transcript

Dr James: 

Hey everybody, welcome back to the Dentist who invest podcast super special episode today, where we’re going to be talking about the profitability of clear aligners, something we’ve yet to cover. But there’s going to be a ton of value contained within, and we’ve got in front of us Dr Millie Morrison to help guide us via shining light through the crazy world of aligners, which I don’t know anything about, which I’m just getting my little disclaimer in the very start there, camilla how are you? I’m like your mum, camilla or Millie. Which do you prefer?

Dr Millie: 

Definitely definitely Millie. I’m only Camilla, if I’m being told off still.

Dr James: 

Yeah yeah yeah, yeah, yeah, yeah, yeah, yeah. Okay, cool, fair enough. So, millie, there’s lots of people who know you. There’s lots of people who have yet to meet you. Maybe it might be nice if you did a little bit of an intro for those who have, who are in the second category.

Dr Millie: 

Yeah, absolutely so. Hi, my name is Millie and I’m a general dentist working in London, though I have. I graduated in 2015 from University of Birmingham and moved back down to London after that, and I’ve been here ever since, started off as we all do, working in a very busy NHS practice, and those of you who do know me know that I like a slower pace of life, especially in clinic. I don’t like to be rushed and I also chat a lot, so me and my patients was like spend way too long talking, so I was always running behind and I was in surgery five and I used to run down the corridor to get my patients because, even though it’s like really precious few seconds really mattered because I was just seeing so many patients all day, every day. And then in 2017, I made a really conscious decision that I was going to say no, I really want to do clearer liners and I’m really going to implement them in the practice, because I’ve been doing some fixed before and I’d actually certified in in Visaline in the year before, in 2016, but hadn’t quite got to grips with the online thin check tool, the planning, and I felt like I didn’t have that much control because of it. But I made that conscious decision and thank goodness I did, because I always say that in Visaline changed my life, not because I got straight teeth, but because I really found my passion and I really fell in love with the. You know what it could do for patients and it gave me opportunities to educate, to teach, to mentor and you know that then became my other passion and now I really enjoy going into work like I really enjoy going to work, and work for me isn’t just in the clinic with patients. Work for me is also the educating, mentoring and I get such a buzz of doing what I do and, you know, pushing myself and pushing my colleagues, my friends, to be the best they can possibly be whilst doing that clearer liner, doing clearer line of therapy. So it’s changed my life and really found my passion.

Dr James: 

I flipping, love that so much. And you know what? It’s funny that you said that, because what you reminded me of when you were talking just then the most recent podcast on the Dennis University podcast, the one that I released two, three days ago it was on the Yin and Yang of success. Okay, and basically I’ll try to summarize that very succinctly. Tell me if I’m doing a good job or not, but basically the Yang of success, right, yang is the more aggressive, assertive energy, yin is the more receptive, passive energy. Right. So when we apply that to success, right, the Yang version of success is where you go out there and you just hammer, in a way, constantly trying to achieve things. But are you actually even doing the thing that you most enjoy? No, not necessarily, but you might be convincing yourself that you have to do that thing in order to be successful, to get the paycheck or whatever. Right, but inevitably, because you’re a human being, if you don’t enjoy something, you won’t be able to do it as much as you could, potentially, if you did enjoy it. Right. So that’s the Yang version of success. You basically grab on to something that could be a vehicle with two hands. The first chance you get, all right. Then you keep hammering away, and when I say hammering away, I don’t just mean short term, I mean potentially. You’re hopefully been life okay, because that’s what most people do in their jobs, don’t they? Most people don’t enjoy their jobs, or at least if they don’t enjoy it, at least if they do enjoy them they’d rather they would rather be doing something else, right most of the time. So there’s always a compromise in there somewhere, right? So what is the Yin version of success? The Yin version of success is where you’re. You’re quite passive, you’ve got an open mind, you’re a little receptive, you’ve got your eyes open, right until an opportunity comes to you. You try something that you like and you’re flipping love right, and actually a lot all that time that you spent waiting for that thing to come to you right, you still wind up getting to your objective at the same rate, or maybe even quicker, than the Yang person, even though from the outside, looking in, for a long time it looks and appears to a lot of people that you weren’t doing that much because you were just trying different things. Then you find the thing that you did like right. So obviously it’s a balance, you know, and once upon a time I never believed in all of that stuff, right until it happened to me. We’ve then soon invest right. And then look at you and when I see you talking about Invisalign I’m like whoa, the Yin version of success happened to Millie not to get too super hyper philosophical and all of that stuff. But I like that, I like those things they make you read. It just resonates with me and it’s important to realize that there’s these two possible routes that we can take. In the West we think it’s just about blindly hammering at the first thing that we can latch on to and vaguely resemble, something that we enjoy and potentially has the opportunity to get us to where we want to go. But it could be done smoother if we waited for something that we really did enjoy, potentially.

Dr Millie: 

Absolutely, and you know what’s really that really resonates with me, because I decided I wanted to be a dentist when I was four, so really really early on, and I latched onto it. My parents latched onto it throughout and you know I did well at school. I was academic but also very good at extracurricular. I was always a very busy kid all the way growing up and I really latched onto dentistry and then I got to dental school and graduated and I was like, do I even want to be a dentist? Like I really had this feeling like I’ve been going hard, going hard, going hard, you know, through early teens to get the work experience, to get the GTSEs, to get the A-levels, to get into university, to work through university. And then when I got there I was like, is this it? Like has it been worth it? And I’m actually going to enjoy it. And you know I came out of hospital and I didn’t want to be a dentist but I thought if I’m going to be a dentist, I’m going to do it in the most interesting way I possibly can. And I applied to go into the army to be a dentist and it was. You know I didn’t end up doing it in the end. But you know, thank goodness my parents, they know what I’m like and quite stubborn. If I get my, if I latch onto something, I’m probably going to do it. But you know they. But then I went into practice and I did start doing it and I did start enjoying it again and I think it was more to do with the hospital setting and perhaps I was just a bit disillusioned with what the whole career was going to be like. But again I found myself, you know, hammering away in the NHS. You know trying to do, trying to. You know really trying to work hard, trying to do my very best but really struggling with the. You know the high pressure of the time, the targets, et cetera, et cetera. And you know I made that conscious decision to do Invisalign and to be talking to my patients about it more. But I didn’t know I was going to enjoy it. I didn’t know I was going to really really love it Because at university my report card for orthodontics was disinterested in the subject. I mean for many reasons.

Dr James: 

But Is that literally what it said? Disinterested in the subject?

Dr Millie: 

Yeah, the first thing really seems to be disinterested. I was like, ooh, okay, might need to pull my socks up here, oh dear. But you know, I really really fell in love with it. And you know, my mum said something very interesting a few years ago when I was when I started doing, you know, started teaching and you know, looking at the bio and looking at the pathway and how to take those pieces and talk to other people about it, because my mum’s very good at that. So I’d asked her for help and she said, good, I hadn’t really realised that you actively did it, I thought you just fell into it. Thanks, mum. I mean I did actively do it, but that passion did come very passively and I found something. So there was definitely a bit of yin and yang working away there.

Dr James: 

It’s such a thing, isn’t it Right? So here’s my rule, here’s my rule of thumb. Okay, If it feels like you’re yanging it, we’re gonna. If yang could be a verb, right? If you feel like you’re yanging it, then you probably are right. Now, that’s not to say that you have to stop, but what it is to say is that if we’re more receptive to other things, that then at that point we are putting that yin energy out to the world and we’re leaving the door open for something to come along which we could enjoy more. But if we’re so focused on doing the same stuff, then actually we’re not even receptive to that potentially happening. But I think the first step to understanding that and to being receptive to it is to understand that actually both of those things exist. That’s me doing the yin and yang symbol with my hand.

Dr Millie: 

Does that work. Yeah, I know what you mean. Yeah, but with the educating, obviously the clinical part of it, the clinical part of my life, was there. And then I never dreamt that I could educate, I could mentor, I could have that world and that I was almost interviewed by people. Well, I was interviewed by people without even realizing I was being interviewed. So you know that maybe that energy was being put out by me, but it wasn’t the conscious thing. But it came and then it opened up this whole other world, this whole other experience which you know, when I was at university I couldn’t get up and speak in front of people. I went bright red and my knees shook. So it was quite a big change. And I remember the first time I went and I had to do like a little study club with a line and I was like gosh, I’ve got to show my cases and I’ve got to do this and I’ve got to do that. I was really nerve wracking but I loved it. And then you know, it’s just got better and better and better.

Dr James: 

Love that and this is an important thing that you said right, maybe we can do it, but not even be conscious that we’re doing it. Some people are subconsciously not open to it and then, therefore, there’s no door or opportunity for amazing things that they may enjoy more, to be even let in, because they’re so focused and watching the phone off them, and the only reason I say that is because that was 1000% me four or five years ago, and there might be people listen to the podcast who that resonates with and feel like they’re in that boat, and now they think slightly differently, which is amazing, which is why we do this. Anyway, we’re supposed to talk about aligners at some point today, please. So basically and, by the way, I am guilty of sidetracking the conversation massively, so that was totally on me let’s pull it back to what we’re supposed to be talking about. There’ll be people listening to this who’ve never done aligners before, milly. Let’s speak to those people first of all. Do you, why should, or do you even think that everyone should do aligners? And if you do think everyone should to at least some degree, why should they do it?

Dr Millie: 

That’s a really good question. I think one of the wonderful things about dentistry is that there’s so many aspects that you can go into. But I do believe you have to try different things that perhaps you’re not sure if you should do or not, because you might not find your passion. And I certainly hadn’t found my passion. I was doing fillings, I was doing composites, I was doing root channels, extractions, dentures, blah, blah, blah, blah, and then I hadn’t really explored that clear. I mean, I was doing fixed braces, but I hadn’t really explored clear aligners that well, and it was only when I explored it that I found that passion that really, really, really kindled. So I guess, from that aspect, yes, I believe everyone should try it if they’re interested, if they haven’t found their passion yet, because I think, well, I believe that maybe that will be your passion. But if it turns out that it’s not your passion, then that’s totally okay as well. What I would say is that it opens up opportunities to really serve your patients in a different way, in terms of giving them stability in terms of their occlusion, but also, outside of the clinical thinking, about what it gives the patient in terms of confidence, being able to have a camera at an event and they’re not worried about what side their teeth are being taken from. One of my patients came in the other day and she was like it’s just so nice because I was holding my friend’s newborn baby and she was taking photos of me and for once I wasn’t worried that, gosh, you might get my teeth in. I could just really enjoy the moment being with the newborn baby and being able to give someone. That is incredible, I suppose, as I need to be able to diagnose and talk to patients about root canal therapy, even though I haven’t done it in five years. We should all be able to talk about clear aligner therapy, even if we’re not delivering it to our patients, even if it’s someone else in the practice.

Dr James: 

Totally cool, makes sense, awesome. Thank you for that. Let’s jump straight in now to the second category of people who will be listening to this podcast people who do clear aligners. Maybe they enjoy it, maybe they love it. Maybe they’ve yet to see the light or understand the true potential of how it can help them. I feel that lots of those people probably aren’t aware of how potentially profitable aligners can be. And the reason that I say that is I sometimes I never did aligners. That never happened for me. I never I left clinical dentistry before I had the opportunity and I would have loved to at some point, but it never quite happened. But what I do see on forums is people talking about how they’re doing aligners. They like them, they’re okay, they love them, but they’re not quite as profitable as everybody was told that they were before they started doing them. Why do you think that is? Why do you think people say that?

Dr Millie: 

I have to say I mean obviously there’s the lab build side of it and when you’re learning a new skill. So if you are right at the very start of that journey, or maybe partway into that journey, it does take more effort at the beginning to learn, to understand, to feel like, to work out how it’s going to work for you and how you deliver it to your patients. And none of us are exactly the same and in our practices they’re all probably run slightly differently, even though we’re all dentists in a dental practice. So it takes time to figure out that path and it takes time to get your patient journey and your journey at that point where it’s making, where it’s profit. So my first thing I would say that if you’re not quite there yet, don’t panic because it does come. I mean, my God, if I think back to how I was doing the Liners when I first started, I wasted hours and hours and hours of time from a profitability point of view, but from a learning point of view, god, I invested tons of time into myself and I think that’s the difference. So it depends on what we’re looking at Is it money or is it learning? And then when you get to that sweet point. That’s when you also see the profitability in terms of what you’re taking home. And when I was doing this, I was working in the NHS and I did hit that sweet point quite quickly and actually allowed me to spend more time with my NHS patients because I had sort of that profitability from the Invisalign side of things. So then that concern like am I running my surgery effectively? Am I going to be able to pay my rent, pay my mortgage, all those things that we still have to think about, because we’re human, we have to live I could take away and it actually gave me the ability to spend more time with patients who, for money profitability, maybe weren’t spending that time wasn’t profitable from a money point of view, but that patient maybe have spent that extra five, 10 minutes could have changed their life, got them out of pain. We managed to get the treatment done in one session rather than having to spread it out. So I really think that from both sides it made a massive, massive difference.

Dr James: 

No, I hear what you’re saying. It balanced out more, which means you could be more generous with other aspects of your dentistry.

Dr Millie: 

Exactly, and I think that’s a really. I know it’s a difficult subject to talk about, because in an ideal world we would give everyone the time they deserve. But we don’t live in an ideal world, unfortunately, and I think this is where we really struggle as dentists, coming from university, from BT, to the real world, because all of a sudden we’ve got to juggle things that we didn’t need to juggle before and perhaps we haven’t been taught how to juggle, and it then becomes difficult and it becomes a rat race almost.

Dr James: 

I hear you totally. So you know that younger version of Millie. Naturally, as you progress through your career, you’ve learned lots of things right. And that version one of Millie when she was doing her first aligners versus version 10, she’s done a million. Okay, you can go back and talk to a version one and say, millie, tweak this, do this this way. Then you’re probably will go up this is what you’re doing, do it wrong, enhance it like this. All of these things, what would those tips be to that version one of Millie?

Dr Millie: 

So I think the first mistake, one of the mistakes I made, the first thing I did is I tried to take control of every single step, because I realized that these patients were high value patients and so I really wanted to give them the best journey possible. So I wanted to control everything. So I was trying to do my job nurses, job perceptions, job treatment, coordinated job and I was trying to do everything and ultimately there’s only one of us, so we’ve become our own self-limiting factor. So if I had, I could go back in time. It’d be like, you know, delegate quicker. And now I work with a fantastic team. I definitely don’t do everything. I do the bit that I’m there to do and I do that well, and I really let the rest of the team do do their bit, which they do really well, and I’m really privileged that I’ve managed to. I like maybe not collect people the wrong word to say, but you know, gather these people around me. So, for instance, my treatment coordinator is a really good friend of mine. She’s my next door neighbor and she was looking for a job after maternity leave and I was like you’ll be perfect for this. Please come on board. People work with us and she’s amazing. So you know, looking for those opportunities where you can work with people and you can delegate some responsibility out. And then I would say my second thing is that I didn’t spend enough time on the treatment planning, and there’s the saying that the more time you spend on the clinic check or the treatment planning software because you know, clear Align is obviously I do use Invisalign. There’s tons of other brands out there. So whatever system you’re using, the more time you spend on the planning, the less time you spend with the patient in the chair. And if we’re thinking about profitability the chair point of view you want to be seeing patients in your chair because you need to see them, not because you’re you know you’re going to do things that don’t need to be done in the chair. A lot of what I do now I do online and I do virtually with my patients and they love it because they don’t have to travel to CV, because even though I think I give them a pretty nice experience at the practice, they probably don’t want to come and see me every few weeks. They’d like those sessions again to be really efficient, really effective sessions, rather than me sort of like. Oh, I forgot to do this. So now you’ve got to come in for an extra session so I can give you some whitening gel, or I’ve got to do this or I’ve got to do that. And then you know, from the treatment planning side of it, the ClinCheck has this amazing ability, as long as we can read it properly and we can get the right plan for our patient and we’re making it predictable. So a lot of the time when I see tons of ClinCheck every week not only my own but a lot of other people’s and there are algorithms in the system which are there to achieve things which maybe not necessary, the patient needs, you know, sometimes it’s. You know, one of the things I often see is there’s extrusion of the upper anterior teeth and intrusion of the lower anterior teeth, but actually the patient doesn’t need that from a facial aesthetic point of view. So that whole movement that you’re trying to do is completely unnecessary. It takes time, it reduces the predictability of the movements we do need. So actually being able to spot those movements and understanding what’s happening means that we get more predictable and predictability in the movements we do want. So therefore, the patient has a better, patient moves better, so we finish quicker, patients happy and we’re happy.

Dr James: 

That’s cool as hell and that makes total sense, because some people have a high-signal line, some people have a low, but the software doesn’t know that, right, exactly, exactly Cool, really, really, really cool, really interesting. Let’s say we were to make those hyper actionable. So if we were to take those points and we were to say okay, like say, for example, the first one, which was about seeing certain aspects of the treatment virtually, doing certain aspects of the treatment virtually rather than in the chair, right, what specific points are those? Or those are the conversations that happen during the treatment. I’ve never done aligners before. I know vaguely how it’s done, so imagine you were like explaining it to me and you were saying okay, james, here’s what you’ve got to, here’s what will happen and here’s what you’ve got to change. Actionable bullet points.

Dr Millie: 

So before the page. So one of the practices we work manual referrals. So before the patients come to see me they have a conversation with the treatment coordinator over Zoom, and I used to do that before I had the treatment coordinator. What that meant is that I know that when the patient gets to my chair they’re going ahead.

Dr James: 

Boom.

Dr Millie: 

They’re going ahead. That’s amazing, right, and that half an hour call that we had before to pre-qualify them but also to let them know what the treatment is, what it means, because a lot of patients they hear about in this align but they don’t really understand. They’ve got to wear the aligners 22 hours a day, they’re going to have to have retainers and some people that’s a barrier and they’re like, oh no, I can’t do that, I don’t want to do that, and you’re like, okay, that’s fine, then you’re not going to be right for this treatment potentially. So you can either look at other options. And then for the people who are coming into the chair they’ve heard all that information, they’ve understood the information because my treatment coordinator or me, because I used to be a treatment coordinator, I used to do it myself and they have that opportunity to ask those questions that qualify them to want to go ahead or means they will go ahead. It means the chair time. Yes, I have slightly longer for those. We call them record taking appointments, so we have 45 minutes for those, but they are going ahead, like we know. They’re going ahead because they all that uncertainty, all that stuff before, has completely gone. And then the other things we do online is we do the clinch check. When I go through the clinch check, when I show them the plan, that’s all done online through lunch breaks after work. So again, the chair time isn’t being taken out. The chair time is really being used for what we need it to be used for, and when I’m monitoring patients, my monitoring is done virtually. I’m still quite hands on so I don’t quite give patients all their aligners and see them later, but I used to see them every four weeks and now I’ll see them less frequently as long as they’re sending me the photos every week. So you know, those three things just give us so much more chair time. It’s freed up so much time in the chair that then we can see more patients and do other things at the same time. So our chair time is much more profitable.

Dr James: 

Flipping awesome. That was the hyper juicy stuff that I really, really wanted to extract, because people listen to this podcast will get so much value from those things. And here’s the thing you know, to someone who’s been doing it for a long time those might be obvious things. Someone who’s new to it, they’re like oh this, that is a stroke of genius. Are you with me, I think? I think the basic thing to understand is that chair time is absolutely golden and really, if there is any way that you can reduce the amount of time that that patient needs while still getting the same outcome, that’s fundamentally it. Right. How do we do that? We have to have ideas, which is what you’ve just given us, which is wonderful.

Dr Millie: 

And the other thing that you know a lot of people do free and busy line consultations and you know that works really well because patients do shop around from busy lines but if they have FTA or they don’t turn up, you’ve just wasted half an hour chair time. But if you’ve spoken to them even for 15 minutes before they come in, then they you’ve built a little bit of rapport, you’ve built that little bit of trust and it’s much more difficult for that patient not to show up to that appointment because they should like you already a little bit and they don’t want to. You know it’s part of human nature but that you know we’re far less likely to not to not turn up to something when we already know the person got that little bit of relationship. And the other thing that’s been instrumental, I have to say, is what’s that business Meaning? We all have it and we all communicate with patients that way and you know we can export it, say which, the patient’s files. So from you know GDPR, gdc side, it’s all OK, but we communicate that. So sometimes you know, like the little questions where they want to call you and they want to book in a phone call, that doesn’t happen because they can just pop over a quick message and you can reply to them or, you know, by by a message, or you can give them a voice note. Again, those touch points save you so much time in the chair because they’re not new. Sometimes we’ve all had the patient who turns up and they’ve got 50 pages of questions they have to ask you written down. You’re like, okay, let’s go through. And they ask more and more and more questions. You’re like, okay, my next patient’s coming in, but if you’ve given them the opportunity to ask those questions before they see you or when they come up, then you can manage that out again outside the chair time. Love that, love that Love that and just so people know, like we’re not crazy, people can’t contact us 24 seven, what that business is as a separate line on the same phone, but you can pop out of office on. There we go and that’s a valid. You still have that bad.

Dr James: 

Love that. Well, there’s little gems like that. We don’t get taught that in university. Hyper useful and gives us a life back, while still giving the same outcome for the patient In fact, giving them an enhanced outcome because they can contact you as and when, and frequently within certain boundaries that we set, of course.

Dr Millie: 

Yeah, so still having that professional, professional boundary. But I mean, I find it so much easier in emails as well. Just pop it off and off you go.

Dr James: 

Boom, love that, love that so much. That, for me, is the whole business side that we’ve covered. We seem to have covered a lot of business side off in Vizalign and clear liners and making it more profitable. What about if we were to focus on things in the chair? I know we talked about the movements, making sure that all the movements are necessary versus the ones that the software sometimes prescribes us but are unnecessary. Extended treatment Any more bits of tidbits, gems along those lines?

Dr Millie: 

So in like the actual clinical, clinical bit of it. I mean to be honest with you, the most of the clinical bit, weirdly, is the treatment planning. That’s where you know like your brain really has to be engaged and I spend, you know, if I’ve got a more complex case that’s pushing my competency, then I, you know, I speak to mentors and sometimes if I’m, you know, doing something, I’ll send a quick video to one of my mentors and I’m like, can you just check the movements If I plan this right for predictability, and normally they come back and say, yeah, all. They’ll come back and say, oh, yeah, but have you thought about X, y and Z? And then I can, you know, do add something. So that aside in the chair is making sure that your appointments are really efficient. Not, yeah, but not efficient I can’t think of the word I’m thinking I think I need to use but quality. Like it’s quality time that you’re spending in the chair, because you know, to be honest, when I first started I’d see a patient for review. There’s no attachments to put on, there’s no IPR to do, and I’m like, hi, it’s just a quick chat and you’re sort of like sitting there trying to fill 15 minutes. Oh yeah, the aligner looks like it’s fitting well, and then sending them off like that’s not quality time, it’s not quality for me, it’s not quality for the patient. That could have been done online, that could have been done in a different way. So you know it’s making sure that those appointments are really quality appointments and you know we talk. You know a big part of aligner treatment is IPR, so the interproximal reduction, and I find, speaking to other dentists, that this is one of the most time consuming things, not just physically but mentally, to get your head around, because you’re stripping a pannamal and it takes a lot of head space and I do progressive IPR. So I’ll do a little bit at the start, a little bit a few weeks later, a little bit later on as the teeth are moving. I don’t try and do it all in one mammoth session because again you become less effective because you’re tired. I like to use strips, I don’t. I’ve tried birds and oscillating handpieces and didn’t really like them. So I do all of it by hand and you get tired. So if you’re trying to do loads of IPR in one session, honestly I work from right to left. My right side IPR was way better than my left hand side IPR, because by the time I got to the left, instead of making 0.3 millimeters of space, I’ll be making 0.2 because I’m you know, it’s just how it happens if you do it in a mammoth session. So actually splitting it up over shorter appointments, spaced out when you need to see the patient, for me maybe much more efficient, much more effective, and instead of spending an hour doing it, I now spend two or three, five to 10 minutes on it. So you save yourself half an hour, which is crucial.

Dr James: 

Boom Top tips. Thank you for all these gems, Milly.

Dr Millie: 

That’s all right. These are things. These are just big top tips, Sorry. Clinical.

Dr James: 

Oh, no, it’s wonderful. No, this is it. I’m loving it, I’m loving it.

Dr Millie: 

So other thing is, I’m trying to think of all the things we do, but because we do them every day, I’m like is that what we do Not? Is that what we do? But does it save time? You don’t need to cure your bond when you’re putting attachments on. So you know, put the bond on, put the attachment tray in which is full of the composite, then cure the bond and the composite at the same time. That’s saved at least 10 to 20 seconds per tooth. Again, much more efficient. And also, if you can, you and your nurse have a separate light cure so you’re curing at the same time. You’re nurse curing and I know that we all know we need to hold in the attachment tray, sometimes the template, because to fully seat it. But you can and that normally takes your hands, so you can’t hold a cure in light. But if you get the patient to bite down on cotton wool, then that pushes everything up occlusively and we know it’s fully seated and then that gives you your hands back.

Dr James: 

I Love that. You know what I can feel, your energy and excitement for this Profusing out of you, because you just want to give, give, give more, more and more. I think I’ve heard that with Bonding before and composite, that when you’re bonding to enamel, actually you get a stronger bond. If you don’t cure the comp, you don’t cure the Bond first. And the reason is that if you cure it I think I could be wrong, maybe who the heck knows? All we know is All we know is that for the attachments is sufficient and it saves time. Yeah, I actually thought so maybe, but maybe I’m wrong.

Dr Millie: 

I thought it gave a less bond strength. But we don’t need a terribly high bond strength, because we want to take the attachments off at the end and we want them to come off. We want them to come off.

Dr James: 

Okay, yeah, probably not best to quote me on what I’ve just said. I think I thought I heard that. I thought I heard that from I’m all you don’t do it, but then denting you do because you want to see the tribules. Anyway, all we know is that for the purpose of what we’re talking about today, it’s sufficient and it makes life easier boom.

Dr Millie: 

Milly, you know I’m gonna have to go away and read, read up on that. No, I want to know.

Dr James: 

Dentist always a flipping dentist. I’m actually really curious. But, um, milly, I know that you help dentists with this stuff. You have courses and one-to-one and all of those things. Is there any way that dentists here, just in this podcast, can find out more about you?

Dr Millie: 

Yeah, absolutely so and absolutely absolutely so With a. You know, I often find that when you go on a course, you know you’re really excited because you’ve been on the weekend course and you know you’re like, yeah, I can’t wait to do it. And then you get on Monday and and life comes back. You’ve got that emergency booked in, or three emergencies booked in, you haven’t got your lunch and all of a sudden it all grows out the window. So trying to change that in terms of doing long term or longer term mentorships, but yeah, if anyone’s interested, then either through Instagram so just at Dr Milly Morrison or the website is alignoconfidencecouk.

Dr James: 

Cool, and you’re also on the dentist who invests Facebook group, I believe.

Dr Millie: 

Well, I am, I am, I am.

Dr James: 

Milly Morrison is your Facebook profile name, right?

Dr Millie: 

Yeah, I hope so, because that is my name. What? No, no, no, it’s Milly I used to have. I used to have my name as Milly Amy because I had a patient who, try it, was trying to contact me through Facebook. So I changed it to Milly Amy because so Amy’s my middle name. And then I Went and I was doing some. I was helping out on, you know, depeche Palmer. He was doing a composite at the AACD and they’ve printed us off Name tags. Anyway, they’ve obviously got my name from Facebook. They introduced me as Dr Milly Amy. I was like oh dear.

Dr James: 

There we go, using a Facebook alias. There we are. There we are, milly. Thank you so much for spending some time with us today. Some flipping, incredibly invaluable, invaluable gems there for the dentists who are listening. Looking forward to get you back Once more very soon on the podcast.

Dr Millie: 

Thank you, thank you everyone, you.