The Tooth Sleuth Podcast

Greg Essenmacher

Details

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: [email protected]

Recent Episodes

OCT 28, 2026
Break-Fix Isn't a Security Plan | Ep. 172 | Chris Gibson
Most practices don't find out how weak their IT support is until something goes down in the middle of the night. This episode is about what real IT protection looks like for a dental practice, and how to tell the difference before you need it. Greg sits down with Chris Gibson, Market President of Ntiva's Dental Division, to grill him on dental IT and cybersecurity in plain language. They cover what to do in the first minutes after a security alert, how to vet an IT provider when you have nothing to compare it to, and why emerging groups that wait to standardize their technology pay for it later. They discuss: - The first moves after a "your account was compromised" alert: confirm the message is legit, change the password, then check for new user accounts, recent sign-ins, and unauthorized apps - Why a "man in a van" break-fix provider isn't enough for a practice running high-value cases - What a full-stack IT provider should have: network operations, security operations, help desk, professional services, and field services - Why a dental-specific provider matters, from HIPAA to knowing what a CBCT is when it's down with a big case in the chair - The questions that expose a weak provider: who watches your network overnight, what happens when the firewall goes down, and what their service level objectives are - Why groups usually start feeling their IT risk somewhere between 7 and 15 locations - Missing firewalls, scattered accounts, and multiple practice management and imaging platforms in acquired practices - IT diligence: integrating early under one consistent stack costs far less than reorganizing at 30 to 60 locations - A password manager tip, plus What the Sleuth is Going On: hotel bathroom lighting and the case for inventing the handpiece A practical guide to asking the right IT questions before a breach asks them for you. ABOUT THE GUEST Chris Gibson is Market President of Ntiva's Dental Division, serving dental organizations nationally from single-location practices to group practices and DSOs. Ntiva provides help desk, cybersecurity, network operations, and professional services, along with IT advisory, vCIO, and vCISO services for growing groups. Chris came up through the technical side of the business, including technical support leadership and later COO at MBS Secure, before its acquisitions by The Purple Guys and Ntiva. He brings a straight, no-nonsense view of where dental IT breaks down and what best-in-class groups do differently. LINKS & NEXT STEPS - Learn more: https://www.dentalconsult4u.com - Book a call: https://api.leadconnectorhq.com/widget/booking/du9K0a2re1K4eBBk8fI7 - Connect with Chris: https://ntiva.com | [email protected]
26 MIN
OCT 14, 2026
Live and Die by Your Core Values | Ep. 171 | Dr. Anushka Gaglani
Core values on a poster don't build a company. Core values you hire and fire by do. This episode is about holding a high standard while you grow, and getting people to follow you there. Greg sits down with Dr. Anushka Gaglani, co-founder and co-CEO of Areo Dental Group, a multi-location dental organization across Illinois and Indiana. They talk accountability without burnout, how Areo moved patient follow-up to a call center, the mentor and career-path structure behind their teams, and how her thinking on leadership and debt has changed as the group has scaled. They discuss: - Why Areo hires and terminates based on its core values, and what happens to the whole industry when practices lower the standard - Rolling out change one priority at a time: build the habit, hold people accountable, then move to the next thing - Moving follow-up on unscheduled treatment from the practices to a call center, and holding a 100% follow-up rate for months - The "handoff, hand up": why the follow-up call has to carry something specific from the patient's visit - Taking non-patient tasks out of the office so teams can deliver a boutique experience at group scale - A mentor for every new hire and a clear career path from assistant to patient care ambassador, and practice leader to director of operations - Moving from "tell" to "sell" to "collaborate," and why people get on board once they understand the why - How business school changed her view of debt, calculated risk, and growing fast enough to create careers, not just jobs - What the Sleuth is Going On: a puppy with a secret, smiles with character, and the case for calling it a teethbrush A candid look at what it takes to scale a dental group without losing the standard or the people. ABOUT THE GUEST Dr. Anushka Gaglani is the co-founder and co-CEO of Areo Dental Group, a multi-location dental organization serving communities across Illinois and Indiana. A dentist by training, she stepped away from clinical practice to focus on building and scaling the organization, developing leaders, and creating the systems that let teams and practices grow. She is pursuing her Executive MBA at the University of Chicago Booth School of Business and is known for LinkedIn content that makes operators stop and think. She brings an operator's view of accountability, culture, and the real pressure of being responsible for hundreds of team members' paychecks. LINKS & NEXT STEPS - Learn more: https://www.dentalconsult4u.com - Book a call: https://api.leadconnectorhq.com/widget/booking/du9K0a2re1K4eBBk8fI7
29 MIN
SEP 30, 2026
Hire for the Vision, Not the Vacancy | Ep. 170 | Brian Passell
Most practices hire to fill a gap. The ones that grow hire to build a future. This episode is about why the right "who" matters more than any system you'll ever install. Greg sits down with Brian Passell, PhD, an industrial-organizational psychologist with DDS Recruit and the son of a Phoenix periodontist. They dig into why recruiting should start with the owner's goals instead of a job description, what fear-based hiring really costs a practice, and why leadership at the top decides whether a great hire stays. They discuss: - Why Brian treats recruiting as a byproduct of strategy, starting every conversation with the owner's business and career goals, not the open role - Tossing out the "booked five weeks out" rule for adding an associate, and the many real reasons to bring on another provider - Creating optionality for doctor owners so they can think like a CEO, whether they're early career or planning an exit - Culture defined simply: what we value around here and how we do what we do - Why systems break, and how the right people carry a team through the internet going down, a missing case, or a full shutdown - The most common hiring mistake: grabbing the first warm body out of fear, and the damage it leaves behind - The hard truth that sometimes the problem is the boss, and why leadership starts at the top - What the Sleuth is Going On: a Tex-Mex barber, experience lines, and the plaque disclosing tablets Brian wishes he'd invented A clear look at why the people you choose, and the leader you become, shape the practice you end up with. ABOUT THE GUEST Brian Passell, PhD is an industrial-organizational psychologist with DDS Recruit, where he helps dental practice owners reach their business goals by finding associates, specialists, and team members who fit their vision and culture. Before focusing on dentistry, he spent 10 years in Big Four consulting and management in the energy sector. Brian grew up in the industry as the son of a periodontist who practiced in Phoenix for decades. He brings a psychologist's lens to hiring, culture, and leadership, and a straight answer on why the owner's goals should drive every hire. LINKS & NEXT STEPS - Learn more: https://www.dentalconsult4u.com - Book a call: https://api.leadconnectorhq.com/widget/booking/du9K0a2re1K4eBBk8fI7 - Connect with Brian: https://ddsrecruit.net | [email protected]
29 MIN
SEP 16, 2026
Risk Before Reward: Building Real Partnerships in Dental Education | Ep. 169 | Dr. Rick Kapitan
He renamed his own academy mid-conversation and it says everything about how he picks partners, trains surgeons, and decides who gets access to his cell phone number. Real partnership isn't about filling a room, it's about matching philosophy before you match calendars. Greg sits down with Dr. Rick Kapitan, oral maxillofacial surgeon and founder of the Clinicians Implant Academy (CIA), to unpack what separates a real educational partnership from a transactional one. Rick shares his "risk before reward" filter for choosing collaborators, his approach to building an academy around ongoing mentorship instead of one-off lectures, and the personal journey that reshaped why he gives back both in his Charlotte practice and on mission trips abroad. They discuss: - Why Greg suggested Rick rename his program from Clinicians Implant Academy to Connections Implant Academy - The "risk first vs. reward first" filter Rick uses to decide which companies and platforms are worth partnering with - Why one-off lectures create "data transmission" but not real education and how a curriculum-based academy changes that - How consistency across a whole team (not just the founder) signals a partnership is built to last - Rick's shift from viewing mission work as a "penance" to doing it from a place of joy - What his cadaver lab partnership with Endurance Experience Anatomy looks like behind the scenes - CIA's 2027 roadmap: more course offerings, live patient participation, and regional roadshows - Why Rick puts his personal cell phone and email on every slide he presents Bottom line: the practices and partners who last are the ones who choose relationship over transaction, every time. ABOUT THE GUEST Dr. Rick Kapitan is an oral maxillofacial surgeon based in Charlotte, North Carolina, and the founder of the Clinicians Implant Academy (CIA), a hands-on training program for oral surgeons and clinicians. He also serves as director of the Carolinas Center for Cleft Lip and Palate Surgery and is a new partner of GnA Consulting. Rick is known for building education around long-term mentorship rather than one-off lectures, and for a partner-selection philosophy rooted in shared values over shared logos. Outside the OR, he's spent years doing cleft-palate surgical mission work internationally, including recent trips to Guatemala. LINKS & NEXT STEPS - Learn more: https://www.dentalconsult4u.com - Book a call: https://api.leadconnectorhq.com/widget/booking/du9K0a2re1K4eBBk8fI7
32 MIN
SEP 2, 2026
Why DSOs Are Leaving Patient Volume on the Table | Ep. 168 | Sam Gaynes
Patients don't choose org names. They choose people. And yet most dental groups are building brand equity at the organization level while leaving their individual doctors invisible online. In this episode of Tooth Sleuth, Greg sits down with Sam Gaynes, Enterprise Account Executive at rater8, for a sharp conversation on online reputation, AI search, and why the way DSOs think about doctor visibility is costing them new patients and full arch cases they don't even know they're losing. They discuss: - Why DSOs under-invest in individual doctor profiles and why that's a strategic mistake - The 10-20% of patients who search specifically for a provider -- not a location -- and what happens when that doctor is invisible online - How rater8's algorithm automatically distributes patient reviews across multiple platforms to match where they're most needed - Why AI is now reading Healthgrades, WebMD, Vitals, and verified listings -- not just Google -- and what that means for practices - The shift from Google as a search engine to Google as an answer engine, and how AI overviews are changing where patients land - How sentiment signals across the web -- not just star ratings -- determine what AI recommends to prospective patients - Why 95% of patients rate five stars but only the unhappy 1-2% are motivated enough to leave a review without being asked - The order of operations in healthcare marketing: reviews are not a final step, they are the foundation everything else builds on This episode is a clear-eyed look at what dental groups are missing in their online strategy -- and the practical framework to fix it. ABOUT THE GUEST Sam Gaynes is an Enterprise Account Executive at rater8, a healthcare reputation platform that helps dental practices and DSOs build provider visibility, generate consistent patient reviews, and increase discoverability across both traditional and AI-driven searches. Based in Venice, CA, Sam has spent over a decade in healthcare technology, holding roles from sales to VP of Partnerships at rater8, giving him a ground-level view of how online reputation is built, lost, and recovered at scale across multi-location dental groups. Sam is also a videographer, which shapes how he thinks about storytelling and how providers present themselves to the world. He brings a rare combination of operational understanding and marketing insight to a topic most dental groups underestimate until it starts costing them cases. LINKS & NEXT STEPS Learn more: https://www.dentalconsult4u.com Book a call: https://api.leadconnectorhq.com/widget/booking/du9K0a2re1K4eBBk8fI7 Learn more about rater8: https://www.rater8.com
24 MIN