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April 10, 2025 11 mins

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Free Resources: stan.store/escapehygienehell

In this episode of Practice on Fire, Graham tackles the all-too-familiar patient question: “Can’t you just fill it, doc?” and shows how to turn moments of resistance into opportunities for trust, clarity, and case acceptance. You’ll learn how to reframe crowns as good news—not a financial burden—by helping patients understand what not needing a root canal or implant really means. Plus, Graham responds to a YouTube critic who accuses this strategy of being an “upsell,” and explains why strong case acceptance actually makes you more ethical—not less.

From flipping the treatment script to navigating the economics of PPOs, overhead, and out-of-control hygiene wages, this episode dives deep into the hidden traps of the old family dentistry model—and what it really takes to build a high-performing, high-integrity private practice. If you’re ready to attract patients with real problems, escape the hygiene hamster wheel, and finally take control of your practice and your income, this episode will fire you up.

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