Dr. Frost, good afternoon and welcome to the Dental Op Podcast.
Thank you, Bob. Glad to be here.
I've wanted to get you on this since Sean turned it over to me because you're one of our original customers and you've mentored so many of our other clients. In, your own office.
I do, I tell a lot of people about Sean Keating, about Bob Brandon, and all the great stuff that you've been doing and Steve, for so many years.
You've always been one of our biggest proponents and one of our largest influencers, really, before that was even a term.
And I can't thank you enough. It's great dentists like you that have always strived for, the highest quality work, the highest quality of service to your patients and really, Dr. Frost, we've modeled this business after yours.
And, I just wanna say that probably about 50 minutes ago, I just delivered an unbelievable implant case from Keating, and patient is immediately so happy.
That's awesome. And this doesn't happen by accident. Tell us, go back to the beginning cuz Frost Dental Group, it's a great story, an unbelievable history. And I don't think, , many dentists or offices in this country or even throughout the world have quite the history that you have.
Can you explain what Frost Dental Group is all about and how you got to this?
I will number one, my practice is 70 years old. . My, my dad was a dentist before me. He's still, we're in Rutherford, New Jersey, which is northern Jersey, right outside New York City in the metal lands where the Giants and Jets play.
And, really highly popularized, pop popular area with a lot of people. Living here and my dad opened a practice in 1955. Wow. And, I was always like in the dental office, fooling around when I was a little kid, , and, I said this was always very cool.
I always wanted to be a dentist from day one. My brother's a a big general surgeon. I never wanted to be in hospitals and, I. My dad mentored me, my dad handed me my diploma from Temple Dental School in 1984. So here I am, 38 years later, been doing this and the technology is just bursting every single day.
It's new. And we've just continued to educate ourselves. Becoming the, not only the best dentist, but the best people and friends and mentors of our patients, in, in this past 70 years,
I think you hit it on the head right there. You're actually friends with your patients.
And I remember my father who was a dentist also, and I know you and I have shared these conversations where you get invited to your patient's weddings and weddings of their children and that's really what being a healer is all about is you're connecting with the patient on a deeper level than just, treating a tooth.
And you know what? It's so interesting that word you used, okay. Because that's such an important word here is healing. Okay? And not only are we healers, Bob, but we are also kind. We're kind healers too. And we just, we respect our patients so much. We respect our staff so much. And you know it, Bob, we get it right back from everyone.
So it's really just a wonderful. And wonderful profession, and we do some great stuff.
You do 70 years of proof backs that statement up. It doesn't happen by accident. This is a conscious effort on your part and your father's part to, treat people the right way and to heal them.
It's a beautiful story. 70 years is fantastic. At Keating, we just celebrated our 20th and , we're happy. We have 50 more to go to catch you
we're beginning work on our fifth generation of patients right now. Wow. And all these patients and all the families, they're all still with us.
So this is one busy place, right?
You alluded to earlier, right outside New York City, right outside Manhattan, I you can see Wall Street from your office, right? Very competitive and very demanding. Tell us some of the other keys to staying ahead of your competition.
Number one, always moving with technology. Always learning, always networking, talking to. Not other people in the dental industry. Not only dentists, but labs, sales reps. Okay. About what's going on out there, what's new, what's hot, what's working, what's not working, right? What can I do to make myself a better doctor?
And we just keep pushing. We just installed a CT scan in the office. It took me 14 months to get this machine in the office. Ordered it Serona from Germany. And again, just another degree of technology that puts us ahead and makes us better doctors. And we do it quicker, we do it faster, and we do it with no pain.
And the work that we produce really last everybody. It does. We work on three objectives here on top of being nice. We work on function. Eating and chewing. We work on phonetics, being able to communicate and speak, and we work on aesthetics, always looking good and be able to smile. If we can really get all three of those objectives achieved, our patients are in a good place, Buck.
That's a great model to have and it's simple and concise. When Steve Jobs ran Apple and, he had, managers with 50 to a hundred ideas, he's like, Nope, let's focus on three. Let's make three perfect and we'll have success. And you were way ahead of them on that too.
You have to keep moving forward we feel the same in this laboratory. You have to keep moving forward or your competition is gonna catch you. And that scares me to death. I never want a competition to catch us.
And, what we do with all our patients is we try to, save their.
And again, enable them to, chew and eat to provide nutrition for this amazing machine. They call it the human body. All right. And we try to get all our patients to at least 100 years old. Okay. If we can get them eating and chewing and to that age, then, once they hit a hundred, we'll go.
Okay. Once you get there, we'll talk again, but let's get to this point first in our lives. Ok. We can create a healthy mouth and a healthy environment. You know what? There's a good chance we can get them there, Rob.
Absolutely. that's a great goal. I think all healers should have that as a goal.
We, we are doing our best ,
so take us back to the early days. And you are, as I said before you're one of our originals and I can't thank you enough for staying with us but how did you meet Sean and what keeps you coming back?
I thought love Sean. Before he'd opened Ke Dental, he was working for different lab and I just loved what he was doing for me, the work he was producing, the knowledge he was getting from me. And then all of a sudden he. I'm starting my own lab. I said I'm number one. I'm gonna be the first guy.
And we just moved, we moved with Sean, wherever Sean is. And now he's been here for 20 years. And we've just stayed with Sean the entire time and, through fixed, through removable, through implants, through veneers, cosmetics, Everything that lab has to. And yeah, it's been awesome.
And then Bob, the advent of zirconia, that was just huge. Okay.
That was one of the milestones I go back in this laboratory that, when we were able to achieve our own line of zircon or KD z line of products, that really, that moved us ahead
You were one of our test accounts and you guided us along the way. This doesn't fit, this doesn't look good, and we had to make improvements. But yeah, it was through your input and your evaluation of the product that really helped us to achieve what we've got today.
And then going from KD Z BRS to KD Z aesthetic brs, Oh my God. The. The results are beautiful and strong and falls my philosophy that these things can last forever. Sure. Yeah, I'm a huge Zircon fan now. It's huge.
Yeah, absolutely. Me too. And it wasn't like that, I'm like you in the beginning I was a PFM guy and, conservative tried and true.
Zirconia the applications have advanced, the materials have gotten better. Just like you mentioned the KAZU Brooks are aesthetic, to me. And you still do a lot of emax. What's your opinion of Katie z Ubr or aesthetic? Does it rival m.
It does. It's beautiful. It's strong, stays in place, and patients are so comfortable especially with function and aesthetics.
You described with me over the phone last week, and then you mentioned, the CT scan coming over from Germany. Take us through the evolution of your practice and how you've, migrated into a heavy implant.
Okay. My dad was one of the original implant surgeons from a long time ago.
Were they were the flat top brand marks.
Yes. And even before that with Leonard Link out and Blade Oh, Blades. Sure. Dad, Blaze. So anyway, I just went with it and went with technology, surrounded myself with just incredible surgeons out. Who taught me the best way to do implant dentistry and the shape of the implants, the the makeup of the implants, the titanium the osteointegration.
It's just the technology has made implantology so much better and so much easier. All right, and predictable. And predictable. Correct. Now with CT scanning, we create surgical guides. It gives us the exact perfect diameter, perfect length, and exact perfect direction of where the best bone is to put the implants in.
And you know what we do it all flatless now and there's no bleeding. There's no pain, and there's no postop issues at all.
And the results are fantastic. You shared with me via email a couple days ago, that anterior case and I was blown away. If you could real, briefly just walk us through the steps from.
Treatment planning to scans to, surgical placement and then to final delivery. Because you've created a really, a foolproof system.
Yes. 80 year old woman who's anterior teeth six to 11 were just failing. Broken off, infected, and took a little convincing because she didn't think that she was gonna be, A long time to really sustain or deserve a case like this.
Anyway, we removed all her teeth and we do a lot of bone grafting here, which is so important. We removed her teeth, we grafted her with 50% can tells 50% cortical bone graph membrane suture. Put a beautiful flip her in which was made by Keating and we waited because it was in maxilla, five months for Osteointegration.
She came back when we exposed all the implants and I'm sorry. She came back and everything was healed. Alright. We took CT scans on her. We, so we had good d1 deep D two bone. We got a CT scan of her from the CT scan. We've made this incredible implant surgical guide that just fits right in as pilot holds right in there.
I love that. Yeah. And we ended up using nav body implants 13 millimeters long 3.3 millimeters in diameter. And Bob, they went right in. It takes me about 12 minutes, Bob. From start to finish to put an implant in, no bleeding, all Flatless leave the tissue punch so we can actually see the bone right there.
And we sewed her up, put her flipper right back in and waited five months. She comes back. Five months later, we exposed the implant. Now we have tools that measure the isq implant stability quotient. The tools called a. We had unbelievable readings way into the seventies and eighties on Wow. Which we were fine to restorative them.
Okay. We did great close train impressions. We sent them to Keating. We used UCLA custom hex abutments, and got these beautiful buttons. Abutments came back, Zirconium Bridge came right back, and Bob, everything goes right in. Patients been wearing a removable for maybe. Six, seven months. She was so happy. She couldn't believe the aesthetics and what, how tight they were.
And the function. And now she's so happy in life and she's back in eating, normally.
And you're right. She's gonna live to be a hundred, she's gonna get 20 years out of this prosthesis I love the planning and the painstaking steps and time that, you allowed to give a successful result.
We see so many cases, unfortunately, where there's too many implants placed and they're too close together, one implant is placed in an Embraer space because that's where bone is. And then we've gotta get super creative on either the abutment level or the framework level or even the porcelain level.
But yours was so easy.
The treatment planning off CAT scans, we've already set the team Yeah. Off the cascade, doing trip planning so we know. Where the final product is gonna be before we even put the implants in. Yeah. So there's we all gray area.
Did you use that flipper that we made first in the design for final tooth length and position?
Yep. And we used the flipper. Yeah. We actually designed only two.
That's the key there is taking more time really preoperatively and planning before you go in and cut. Because and I know you love talking to Steve, I love talking to Steve and Most of Steve's day is actually coming up with creative solutions because the surgery isn't planned out well enough and because the implants aren't placed in the right position.
But you make our job easy, and I thank you for that.
I even talked to Steve this morning where, we're starting to move toward more pain cases. Sure. But it's nice cause it gives you retrie.
The restorations that we cement here, we can polish off and remove 100% of any excess cement versus in the mouth, obviously it's a little bit, wetter bloodier and you don't have that access.
So we prefer it.
But so important is that when you are delivering. That are cement, retain, You cannot leave any cement near the implant. You cannot, you've gotta focus, you've gotta use bender brushes, you have to use floss. We use high stream of air, all, within that first minute of cementation.
So there is no cement near the implant or the abutment, which is your best way to get per implantitis.
Per implantitis is a real thing. 70 years and your practice has evolved and obviously stayed ahead of the times, and you're providing a, just a brilliant service to the people of Northern New Jersey.
Tell us what the future holds for Frost Dental Group.
We're gonna start bringing other doctors in and mentor them and. Let them, I'm gonna, I'm gonna be here maybe 10 more years , but after that, let them take off with Frost Donald group. Yeah. And let them shine and, let them expand with technology and just, again, just bring Frost Donald group even to a higher place than it is right now.
And with your leadership skills and daily mentorship they will get there. Absolutely.
I've mentored many doctors already, so I just, it's just all part of the program.
And dr. Mike ela, he still mentions you almost every time we talk
dennis, you guys have your dental school education, but getting out there in the real world, getting gloves on and being that wet finger dentist and getting in people's mouths, it take young dentists needs somebody like you to really show them the ropes.
They do in many facets of dentistry, Not just actually clinical procedures, but also, just as important.
Bob is the business. The business model of running a dental practice in today's challenges. Okay. That's important. And I offer this to all young doctors who are who are making their way through now.
It is just as important. And I I think that's where a lot of young dentists get in trouble and, maybe get underwater and feel the panic to sell out to a DSO is because even though they're all great dentists, they don't have the business acumen to, really , keep the business running moving forward.
So many facets. Of the entire practice that are important. And I think after 38 years, Bob, I think I finally got it. .
You do have it. Absolutely. You do . So other than that, I what advice would you give to a young dentist that is just starting out on their career?
Really the most important is be mentored by a doctor who's been doing this for a long. All right. And ask a lot of questions. Become a great surgeon. Become a great cosmetic dentist, right? Become a great implantologist. It takes years, right? It does. And become a great leader. Always keep your energy levels up.
Always remain kind to your staff, to your patients, to your family, and really, and learn. It's become a great business man. Okay. All of those, all those are so important. Okay? And one last thing is you don't, you have to get involved with insurance companies, Bob. You don't ready, you have the ability and you have the confidence.
Look you can go your own way.
I think a lot of dentists are pressured to take and accept every insurance, and that's, that's okay if that fits their business model. But if you want to truly strive for excellence and have. Direct communication with the patient and really take care of them as a person.
You can't be overworked with, treating 60, 70 patients a day, which, yeah, you cannot do this profession and and treat that in men, people. Yeah. On a daily basis you can't. Too challenging. Yeah. Finally What do you like to do in your free time? I know you and I have talked a lot about some of your passions, but tell the rest of the dental up audience what you like to do in your free time.
Okay. Number one, I'm a big New York giant fan. Yes. And my daughter went to Penn State, so I love Penn State football and I love giant football. I'm a big golfer. I have a place at the beach and I'm a big skier and I live out west too. So in the winter I'm in Utah, skiing In the summer, I'm at the beach.
Playing golf and yeah, just keeping healthy and keeping my mind active and keeping my energy levels, as high as possible. Because there's one thing about dentistry is you can't do it virtually, so you gotta be here in the office.
I'm gonna meet you out in Park City this year. It's been too long since I've been out there, You let me know the dates you're there.
I'm gonna meet you and I'm gonna take you and Allison out and we're gonna have a great time.
It's fantastic place.
Awesome. Dr. Frost, thank you so much. I know you're incredibly busy. You're so generous with your time. You've been great. So great to keeping dental arts and now keeping dental lab for all these years.
And I just from everybody here and Sean, definitely I just can't thank you enough for everything you've done for.
And I will tell you that if you ever have a doctor you know who wants to know more about Keating LORs, please have them reach out to me immediately, right? Oh, thank you. I'm here for 20 years, you guys.
I'm here from day one. You are awesome. In my practice, you, Keating dentals makes me successful. Takes away the stress in dentist. And makes me happy. And yeah, it's, And you know what, And keeping s is very good for our revenue potential also here.
We're a good team. This is a good fit.
Like we talked at the onset. Your business model aligns with our business model very well. I think we patterned a lot of things. Sean did he patterned this business after. A lot of his most successful customers and his original customers like you. My, hat's off to you.
My congratulations on 70 years of success. We have 20, we have a ways to go, but man, just keep moving forward. Dr. Frost.
Thank you, Bob. I really appreciate today.
On this episode of the Dental UP Podcast, we interview Dr. Lee Frost, owner of Frost Dental Group, which has been in business continuously for 70 years! That’s right, 70 years!! Located in Rutherford, NY, Dr. Lee Frost took over the practice from his father 38 years ago, and has faithfully served the patients of Northern New Jersey since 1984. His business model and treatment philosophy is something every young dentist needs to hear, and his lessons on longevity are extremely important in this current business environment. Check back with the Dental UP Podcast every week as we provide tips from the most experienced and successful dentists from across the USA.