Are You STILL Doing “Old” Dentures?

One of the most common complaints of dentists offering dentures is how many appointments it takes.

Now there’s a better way. Here’s an excerpt of my recent interview with Dr. Lawrence Wallace, oral surgeon and inventor of the one-step denture:

Just going back to my practice, I remember that, in my practice, about 70% of the immediate dentures that I delivered, the dentist would send over the case with the patient, and I would do the surgery to deliver the immediate, and then they would go home. Most of them didn’t fit. And that bothered me. Also having the need to provide prosthetics for nursing home residents, assisted living home residents, even safety net clinic clients, there wasn’t access to care, and the costs were prohibitive. This is when I decided to develop this process. It took me a lot of years to develop this process. We went through many materials, many prototypes, and finally got to the point where we developed the ability to create the complete denture in a single visit of about an hour, that’s upper and lower. Its base was developed through measuring 1000s of edentulous models consecutively that came through a major dental lab. Putting those numbers together into a spreadsheet and coming up with the five sizes of our dentures that we have. I’m getting a little ahead of myself here. So, I developed this process, basically to give back to society to provide teeth for the hundreds of 1000s of teeth that I removed. 

The One Step Process

The natural process is based on a thermoplastic pre-formed denture template. It is made out of thermoplastic acrylic, which when heated in boiling water becomes malleable. So, the process is very intuitive. All of you know how to take vertical dimensions. You all know basic occlusion. It’s not utilizing any processes that you don’t already use in your office. 
So, the process is to take an alginate impression, pour up a Quick Set stone model, and then take that model and the denture template which fits the closest to that model. And now, as I said, there are five sizes, and it’s going to be close, but it’s not going to be perfect. It’s not going to fit right down on the ridge, but it will fit in the mouth. The next step is to put it in the boiling water pot and make it malleable 30-45 seconds, maybe a minute, if you’re a little higher elevation, and then from that model to that template. At that point, you take it to the mouth. Check patients with a fox plate to make sure you have the electrical line and the interocclusal line Frankford horizontal. But I like to go by the pupillary line. If you match the pupillary line, and that is not necessarily perfectly horizontal, you will get a more aesthetic look for your denture.So, if you try it in the mouth, you will trim off the flanges because you need two or three millimeters of flange space to do their line and then take it to the mouth and do a chairside reline. We do recommend a certain relying material, but any PMMA acrylic denture relines material will work. So, the upper is typically done. First, you get the smile line, the patient gets to look at it.The process is then repeated with a lower one. It is recommended that when you start the process and you want to measure the vertical dimension, on the nose and chin, measure that distance with the patient in a relaxed position. And then just put that aside for later on.
But an even easier way to determine vertical dimension is to take your four fingers, put them up underneath your nose. At the bottom of your fingers is your vertical dimension. It just couldn’t be easier. Here that on the chin point. There’s your vertical. And you’ll go back to that later. As long as you don’t lose a finger between now and when you get it. And then you will continue to do the upper denture first and get the smile line. Repeat the process with the upper one as well. Finish the denture which is a manual process that takes 10 to 15 minutes, and it’s done. Check with articulating paper. But it is recommended to use pressure indicating paste for the upper.


You don’t need an outside laboratory. So, it’s one visit of which you are in total control with no outside laboratory needed. There’s no time factor of waiting several days or a week between visits. So, you get to complete it on that first visit. You can complete it to patient satisfaction right there on the spot. They get to see the aesthetics when they finish it. If there are any high spots, you have adjusted them with the pressure indicating paste, or, and the articulating paper, which is always recommended.

Last time. Decrease cost. More patient satisfaction!

It’s been great for my practice and could be for yours too. (By the way, I have no financial interest in this product, just wanted to pass along something that I thought you could benefit from as well). 

Until next time, 

Dr. Tyler Williams

Pinecrest Practice Growth


In part 1, we covered four reasons why you should make your membership plans more valuable (valuable builder) and different than Dental Insurance. Not a “discount only” plan (profit killer).


In our office we sent out a lot of surveys and study local and national trends.

Knowing when and what your patients and prospects are looking for is key.

For example, if you offer sedation or laughing gas in your practice, it is never covered by dental insurance. Consider that as a benefit to be included within your membership plan/plans that patients can receive a discount, or for free as membership benefit.

For a lot of people, especially people who are really scared of the dentist or have extreme anxiety, that benefit alone will help them switch and join your membership plan because they know that you’re going to help them conquer their fear to get their dental care.

So remember to not fall into that rabbit hole and then don’t keep digging that hole deeper if you have already.

When you take a bad turn or make a bad business decision, remember it’s okay. We’ve all done it in one way or another. That’s how we learn. Sometimes it’s time to stop what you’re doing and change direction. Time to pivot. The same can be done if your membership plans aren’t as profitable or patient-centric as they could be.

Going forward, make it a resolve with your membership plans to create value and make it about offering services and products that are unique and interesting to your patients. Make it an apples to oranges comparison to insurance. Be insurance friendly, but not insurance driven. Don’t play a game that you won’t win. Play the game that sets you in a category of one to your ideal patients.

As Steve Anderson described in his book, The Bezos Letters:

Test – build – accelerate – scale

For more growth tips for your practice and personal life, listen to our Free, recent podcasts here. Recent interviews include: Patient marketing strategies, Practice Profits, and Botox.

…read more about practice building topics on this week’s blog post here.

Have a great week!

Dr. Tyler Williams, D.D.S.


This week we are sharing with you a tip about membership plans in your office.

You know, there’s a lot of talk these days about membership plans, and dental savings plans.

Unfortunately, most of them are done wrong.

Done incorrectly, you actually may be losing money, or setting yourself up for failure. If you’ve ever heard of sunk cost syndrome, which is when you have a big hole, and you continue to dig and try to get out of that hole, and really just get into a deeper pit. This is a disappointing game that many practice owners get ensnared with.

If you’re trying to make your membership plan work like insurance, then let me share a secret with you.

We’ve had the best success doing it the opposite of conventional thinking. If you design it as a flat rate discount, you’re just becoming a commodity and will be compared to insurance.

“Sign up for our dental savings plan and you’ll save 20% on all fillings, wisdom teeth and crowns.” WRONG!


Why should you setup your plan different than flat rate discounting, or worse yet trying to mimic dental insurance? Here are 4 reasons: 

1. Your profit margin in different services you offer varies. 

2. Be selective. You don’t have 20% give on every service you offer. You get to decide what is discounted down vs. valued up.

3. The other problem with flat discounting is that starts to look, feel and sound like insurance. Then you are just trying to play a game you won’t win. Your membership patients see you for the relationship and personal value you offer, not because of deductibles and coverages.

4. Add unique value. Create more value that’s not included with insurance. Like extra exams, X-rays, free laughing gas, etc. 

Now take this information, go out, and boost the value you offer your patients, rather than discounting it down to nothing. 

In part 2, we will cover how to set fees for your membership plans.

For more growth tips for your practice and personal life, listen to our Free, recent podcasts here. Recent interviews include: Patient marketing strategies, Practice Profits, and Botox.

…read more about practice building topics on this week’s blog post here.

Have a patient-profitable week!

Dr. Tyler Williams, D.D.S.

Are You “Addicted”?

As a practicing dentist, you’ve probably seen the effects of patients who have addictions to narcotics. I’ve never had any problem like that myself, but I’ve treated a few patients over the years who formerly had those problems and have shared with me how much it ruined their life, and how much work it was to turn that around for them.

So just like a muscle, you’ve got to get out of your comfort zone and be able to do things differently and work with people who will challenge your ideas and talk with you about what you are doing.

Just think – maybe there’s a better way to do this, maybe you should be thinking about working on or doing things in your practice in a different way so you don’t get stuck in the comfort zone of complacency.

When you work out, that’s when growth hormones are released. So whether it’s weighted, or running, cycling, or whatever it is, between workouts or when you rest, your body releases growth hormone, and that impacts your mind and your body allows its muscles to grow.

Now there’s a certain point that you don’t want to go beyond, which is overworking your muscles. This could tear a muscle or damage a muscle, but as long as you’re working in an environment that causes you to stretch a bit each day, and work a little bit harder each day, that’s the kind of people and business you should spend your time in.

And celebrate your accomplishments and wins!

In our upcoming Membership growth mastermind, we’ll be talking about getting off the insurance bandwagon, so you can still be insurance friendly like we are. But you’ll discover how to be insurance dependent and how to attract patients who want to see you for the value you offer, not because you’re the discount dentist or the insurance-driven dentist.

You want to have a purpose-driven practice, not an insurance-driven practice. More to come soon on this topic in our upcoming blogs, but if you’d like more information about the growth mastermind, we’d be happy to share that with you.

Until next time. Have a fantastic week!

What Are You Investing In Today?

There are many things you can invest in.

Your Practice (of course), real estate, the stock market, bitcoin, and much more!

Recently I interviewed Michael Zuber, author of One Rental at a Time.

Here is a quick excerpt from our podcast (

“You know, that was about an 18-month journey from trough to peak to trough, and I realized that it wasn’t Warren buffet, even though in the middle of that, I felt like I was smarter than everybody else. So I humbly walked to a Borders bookstore in early 2000.

And I found a little purple book, and it was called Rich Dad, Poor Dad.

I read (it) 10, 11, 12 times back to back. And it changed my mindset. It introduced a concept that I am still embarrassed to say I didn’t know and that was a rental property. But it didn’t tell you how. It doesn’t tell you how to do it. It just talks about a condo in Oregon and a condo in Hawaii that Kim and Robert got at the beginning.

So I spent the next year trying to figure it out and ultimately started buying rental properties… I happen to live in the most expensive part of the world, the Bay area. And I couldn’t make it work here. So I ended up finding a market two and a half hours away in Fresno, California.

And I have been investing there ever since the book. So the book gives you more details about our beginning but tells you the 15-year journey from the first purchase. Through financial freedom, which for us was 15 years, we replaced two six-figure incomes. We started, before the crash, we got out of housing, into apartments (using) 1031 exchanges.

We were buying hand over fist in 2010… The wife exited about six years ago now, and I left about three years ago now. And you know, I have spent the last three or four years trying to help people see the power of, you know, rental properties.”

The moral of the story? You can invest in many things, but whatever you invest in, be patient and follow the process.

Then return the favor and teach others how to do it. That is why we enjoy sharing this blog with you.

Have a great week!