Gaining knowledge through Mentorships and Shadowing with Dr. Moeman Metwally, DDS

Host: Ladies and gentlemen, this is The Dental Up Podcast, brought to you by Keating Dental Lab, a full-service award-winning dental laboratory. Each week, you’ll learn tips and techniques from real-world dentists, bringing you in-depth interviews, motivating stories, current events, and sports. Here’s your host, Shaun Keating.

Shaun Keating: Hey, everyone. Shaun here. Welcome to another episode of The Dental Up Podcast. Our guest this week graduated from the University of the Pacific in San Francisco, California, where he received his Doctor of Dental Surgery degree. He’s completed over 600 CE hours in the past six years and graduated from the Las Vegas Maxicourse Mini Residency in implant training, multiple sedation training, endo, and grafting. Currently practicing from Laredo, Texas, please welcome Dr. Moemen Metwally. How’s it going, Dr. Metwally?

Dr. Metwally: How’s it going, Shaun? I’m excited to be doing this with you guys.

Shaun Keating: That’s so cool, dude. Hey, thanks man, for your time. I appreciate it, and thank you for all the work, man. You’ve been with us for several years now, and heck, I never really even talked to you, I don’t think, man, and I remember it was a couple of weeks ago or something. One of my guys on social media, he was saying, “Yeah, there’s this little thread talk.” I think it was on the Dental Hacks or somewhere on Facebook I think, and I’m not real big on all of that. My guys do it here and stuff like that, but I guess someone was talking about just a bad lab or something. I dread that. I always worried about myself for years. Ever since that darn Interweb came around and I started getting involved with Dentaltown, I would worry, man, like Keating Dental Lab sucks. I take it to heart. So I never like it when a lab’s getting beat up.

Dr. Metwally: I hear you.

Shaun Keating: And my guy kind of jumped on with my name or something or saying, “Well, we could help you,” this and that, and I’m like, I thought to myself, “No, don’t do that.” Then I think you had popped up and just kind of said something about Keating Dental. I don’t remember it exactly, but kind of to the point where, “They’re a little more expensive, but are worth every penny of it.” And it was just from your heart, man, and I just looked at that, and I bounced on there when I seen that, and I said, “Oh, thank you, Doctor. And I just appreciate that, and I meant that too. So a couple days later, I said, “It’s just in my heart, man. I’m thinking of you, and I thought I’d give you a call. And we had a half and hour conversation. It was just great.

Dr. Metwally: Yeah, it was really longer than half an hour.

Shaun Keating: I think it was.

Dr. Metwally: Yeah, it’s kind of hard to keep me quiet.

Shaun Keating: No, that’s just so … but thank you so much for that. You made my day. You talked about our staff and stuff like that.

Dr. Metwally: Yeah, honestly, like I mentioned on the phone, we as dentists obviously, and you guys as lab techs, know this, we’re never wrong, right? Our preps are always perfect and our impressions are always amazing and anything that doesn’t work, it’s got to be the labs fault.

Shaun Keating: Exactly.

Dr. Metwally: We live in that world and it was just kind of funny that they were talking about this conversation online. I was telling my wife later that I thought that that group was closed to dentists only. So I had no idea that you guys had even come across it. And it was just an honest recommendation and I’ve recommended your lab to many, many people. But I’ve been with you guys for many years and probably above all, is your customer service.

Dr. Metwally: I think I mentioned to you that when we were going through some consultant agency stuff, I’m a huge believer in customer service. My background before dental school, was sales. So, we live and die by customer service and everything comes down to customer service. And I believe in dentistry, that we are health care providers, but we are in the service industry and if you’re going to have a hard time being in the service industry, you’re going to have a hard time with dentistry.

Dr. Metwally: So, I remember telling the office that I was working at at the time that they should call Keating Dental Lab and have a conversation with the people on the phone and listen in to how they talk and how they answer questions and their note-taking abilities and nobody’s ever throwing anyone else under the bus. And so many of these things you see on a daily basis in a dental office and I think we forget sometimes that dentistry is a people business.

Shaun Keating: Oh it is, for sure. You have to be part psychologist, part coach, part … There’s just so many hats you guys wear. It’s one thing I’ve-

Dr. Metwally: All day. You’ve got to all day. Playing the psychologist role sucks. But all day, yeah. As a matter of fact, I just had a patient yesterday, I was giving her a consultation, they put her on my schedule for an all onboard consult. And I walk in and half her teeth … She’s got a couple teeth that are slightly periodontically involved, but the rest of her mouth looks fine, and I just don’t understand, and she tells me that she doesn’t like her teeth and she just wants them all gone.

Shaun Keating: Oh man.

Dr. Metwally: And I’m having to sit there, and I can’t just tell someone, “Oh, listen, you’re crazy.” You can’t say that, right? So I’m having to sit there and tease it out. It’s like you’re trying to tease it out, what is it that you don’t like about your teeth? I can give you something else, you don’t have to take your teeth out. I love taking teeth out, and I love placing implants, but it’s just not the right way to go. And we do play the psychologist role which sucks because I don’t consider myself a psychologist. Trying to get into someone’s psyche and figure out what it is that’s going on. How did you get here? Why do you think your teeth suck?

Shaun Keating: Oh, no. I bet it’s so tough. I can’t even imagine. In all my years, you know, we work on models and they feel no pain, this and that, but I’ve been in a dental chair a lot and I have a dental operatory here so we do a lot of patients where we’re working in the mouth but it’s tough. I mean, some practices, they get joyful patients I’m sure, but a lot of times it’s just tough. They come to the dentist and each person, you’re either taking them out of pain or you’re trying to help them with function or you’re trying to help with aesthetics. It’s just so many different things on what it is that a patient needs for their mouth to be happy. It’s just … My hat is off. Some guys really get it and some guys can … It’s like when I was talking with you, you kind of get it.

Dr. Metwally: Yeah, and it’s a rewarding field. When I run across some of my colleagues, and they’re great guys or whatnot, or gals, and then I run across some dentists who are just not as dentist. And at that point, I really feel sorry for them because to me, there are so many other dentists out there that are like, “I really enjoy what I do.” Like a lot of my peers, we’d love to have more money, you want to have a passive income or whatnot, but at the end of the day, if I had all the money in the world, I’d still be doing what I’m doing. I’d just pick and choose a little bit more, but I’d still be doing what I’m doing. The idea of retiring and just sitting around the house all day would drive me nuts.

Dr. Metwally: And my wife and I love traveling, and it’s probably what we spend most of our money on, is traveling. But I always joke that right around day four, day five, I am itching to get in someone’s mouth.

Shaun Keating: I bet.

Dr. Metwally: I’m just like … You just start feeling useless. And in dentistry, I remember, Dr. Degoni, he’s the one our school is named after, he’s just a phenomenal dentist. And I remember right when we started dental school, he said something about how you’ve got to be careful when you get out of dental school because dentistry will suck you in. And to a lot of people, you get good at dentistry, especially the ones that are really talented clinicians, and you get to meet some of these super talented clinicians … a lot of them are divorced, and there are not good relationships with their kids, and they’re on their third marriage and whatnot. And it’s not because they’re horrible people, it’s just, if you let dentistry suck you in, it will suck you in.

Shaun Keating: Absolutely.

Dr. Metwally: Certain fields are like that. Physicians, some physicians are like that. It’s rewarding, you get this instant feedback from patients, you get a high right away. You get rewarded financially, very well. Some of these guys make good money. Or if you’re on a lecture circuit and you’re standing up there and you’re lecturing a couple thousand doctors, and they look up to you. And then to be able to put that … To get yourself out of that, to voluntarily get yourself out of that and say, “No, I’m limiting my hours to this, and I’m not going to work Saturdays and I’m not going to travel this much and I’m going to spend more time with my kids and my family.” It gets kind of hard, and if you let it, dentistry will suck you in.

Shaun Keating: Absolutely.

Dr. Metwally: So, if you can find … the dentists that are out there and doing it right, I think they’re the ones that can find the balance. I have a couple buddies of mine that do a really good job at that. They make sure that they only work four days and they travel enough and they focus on family. But it’s a tricky balance to get.

Dr. Metwally: And it’s unfortunate when I run into dentists that are not happy being dentist, because it is such a rewarding lifestyle. When I run into those guys or gals, I’m like, you’ve just gone down a wrong hole. And you think that this is all dentistry has to offer but there are so many aspects to dentistry, between academia or research or just being an entrepreneur and focusing on opening offices or the guys that find a niche in dentistry and stick to that. So it’s unfortunate when I run into those that are not happy being dentists because there’s so much that dentistry can offer.

Shaun Keating: Yeah. That’s so true. And it’s almost like with the people too, they probably wouldn’t be happy in any other job. It’s just sometimes you just really need to work your life balance with what’s important. A lot of guys come out in that … I never did it where … I never did my job to make money. Money will come, it really does, and if you’re not thinking about that and you can pay your bills … I remember for the first 10 years of our lab, we made just enough to pay our bills and everything else. And I found out after awhile, because I was flat rating everything, like flat rate gold crowns and this and that, and at the end of the day when we did our calculations it was like, “Well Shaun, you’re just breaking even.” It was tough. And you’re trying to do what you think is right but it’s all balance and how you- [crosstalk 00:10:43]

Dr. Metwally: But to our listeners, the listeners out there that are listening to this can relate to that. And it will be the older guys that I bet are sitting there nodding their heads.

Shaun Keating: Yes.

Dr. Metwally: Because when you’ve gone through it, you realize that if you, right off the bat, your goal is I want to do the right thing and I want to learn as much as possible and I want to do the things that I enjoy doing, you’re going to realize that initially you’re not making a lot of money and then it will slowly progress to where you’re not even thinking about the money, but the money is just coming in.

Dr. Metwally: And I think to a lot of …I haven’t been around very long, so I know a lot of the older listeners might be thinking I don’t know what I’m talking about, but I talk to them, and they all have the same mentality. And personally speaking, when I first got out of dental school, I did a GPR and that’s a huge loss of income for the initial year. And then I relocated to somewhere that I would have a job where I’d make a little bit more money than where I was living. And even that job that I relocated to, I left it because if I wasn’t getting that personal satisfaction or if I wasn’t enjoying waking up to go to work every morning, it just wasn’t worth it. And I took a huge cut leaving that job and going to another job where I was enjoying doing what I was doing.

Dr. Metwally: And then to the guys that have invested hundreds of hours of continuing education, you realize that time away from your practice is expensive. Paying for those courses are expensive. Paying for your hotels is expensive. The tension that it puts on your marriage and your kids and your personal life. But in the end, it’s so worth it. And at this point in my life … again, I’ve only been out for eight years now, but at this point of my life, a good portion of my practice is based on sedation dentistry, and surgery, and implant dentistry and I don’t try to do everything under the sun. I’m not doing retreating molar endo’s and doing [aplico’s 00:12:34] and I’m not doing massive veneer cases and full mouth rehabs. I just found what I enjoy and I took more courses in that.

Dr. Metwally: But initially when you’re doing that, you’re saying no to other things, and you’re losing that income. But if you … And I’m sure it’s the same with you, as a general lab tech, if you got out there and you were trying to do everything that every lab tech was doing, you weren’t going to be where you are today.

Shaun Keating: Oh, absolutely.

Dr. Metwally: So you’ve just got to … You find that and you keep at it and you realize that, you know what, I’m not going to be the [pedo Medicaid 00:13:08] office. I’m not going to be the veneer guy. I’m not going to be the implant guy. You can’t be the everything guy. So you’re going to have to say no to some things and lose that income. And before you know it, and honestly in my situation, I felt like it wasn’t many years, it was probably a year or two and then it just kind of slowly rolled into it.

Shaun Keating: Absolutely. And what a story you’ve got. We’ll get to that. On what you’re traveling and stuff, it’s kind of a trip. I couldn’t believe it when I heard it. I always start off talking a little bit about sports, real quick, and I want to get that through-

Dr. Metwally: All right.

Shaun Keating: Because it’s quite a bit of stuff. Did you watch that Kentucky Derby last Saturday? What the heck happened there?

Dr. Metwally: I didn’t watch it but I saw the highlights. I guess it’s the first time, they were saying, the first time that’s happened.

Shaun Keating: Yeah, in like 150 some odd years. You know, I used to really like betting the ponies a little bit here and there and I’ve talked about it in years past, on my podcast and I just bet a favorite. And I came to find out, when you do your numbers, the favorite only wins a third of the time. I always thought it was like 50/50.

Dr. Metwally: Really?

Shaun Keating: So, no wonder I’ve been losing my butt a lot of times on these favorites. But anyway, I went into this place, because my wife was like, I haven’t bet on a horse in months and months because we have the local San Anita racetrack here in Hollywood, and up there and stuff. I don’t really go to that but there’s a little place called Sammy’s where you can bet on horses across the nation, whatever they’re running-

Dr. Metwally: So you can bet on the derby there-

Shaun Keating: Yeah, you can bet on the derby, you can bet in Gulfstream, you can bet all these things. But, I haven’t bet in a long time because there have been a lot of horses dying here in California, like 20 some odd horses and it’s kind of sad. And my wife’s like, “Why are you-” and as I thought about it, I’m like, “Yeah, I don’t really need to.” And it’s just kind of for fun and I’m not a real big … I just do one bet.

Shaun Keating: So anyway, I told my wife, “Well, it’s the Kentucky Derby babe, I’ve got to do one bet.” So, I didn’t even know because there was like four favorites. Bafford had three horses. And I always loved this one, it was one of the top favorites at the beginning. It was called Game Winner. So, I’m thinking I’m going to get in there. It’s like six to one odds or whatever. But anyway, I go in there, I wait in line … Me and my wife go there because we’re just going to make the bet and then we’re going to go eat lunch somewhere and then we’re going to come back later, around 4 o’clock when it runs. So I get in line, I go down and I talk to the guy and I said, “So dude, who do you think? I’m thinking Game Winner but I just want to bet on to win, no trifectas or anything like that.” And he goes, “Well man, a lot of money is going on this Mission Impossible.” … I think it’s Mission Impossible. Or no, Maximum Security.

Dr. Metwally: Maximum Security. That’s what it was.

Shaun Keating: And I’m like “Dude, what the heck is that one?” And it was like nine to two odds, and I’m an idiot, I don’t even know what that meant. But he was one of the top favorites or whatever. So I said what the hell and I put a nice little bet on that thing. And I’m sitting there, we’re at a little Mexican restaurant eating our food and all of sudden the race comes on and we’re sitting there watching it and I’m screaming, “Come on! Come on!” Because it was raining, messy course, everything. And the damn horse comes in winning and I’m like, “Yeehaw baby!” And it was crazy. I was really into it. I really felt the win. I was all good, “Hey, I’ll take another beer bartender.”

Dr. Metwally: And then got the rug pulled out from under you! Oh god.

Shaun Keating: Yeah. I enjoyed the joy of it. I won it all. And then I’m sitting … because there’s no noise to it because it’s muted because it’s a restaurant area. And I’m thinking what the heck is going on. And my boy Travis is texting me, he goes, “Dad, I think there’s a problem with that horse.” And I’m like, “What?” And sure enough, they fricking disqualified him because I guess he went out of his lane a little bit. But 60 some odd million dollars that was won on this horse, then all nothing. And it’s like they don’t even give your money back on your ticket or nothing. It’s kind of crazy.

Dr. Metwally: Yeah. I remember seeing the jockey’s reaction. He was heartbroken.

Shaun Keating: Devastating. And the dude that won was a hundred-

Dr. Metwally: Yeah they ran the race through puddles of mud. It was a crappy race.

Shaun Keating: It was. Even, I think, Trump got on there and said, “That’s horrible the way they disqualified him. It was a sloppy, wet track, it was a great race. He should have let the winner win it like he did.” And I’m thinking, “Oh god, don’t even say that Trump.”

Shaun Keating: But anyway, I’m sitting there and I’m fine with it, because I’m so blessed in everything else that I shouldn’t even be betting. There’s a lot of people just crying the blues. But anyway, the dude that won, Country Horse, this fricking 165 … Or no, I think it was 65 to 1 odds. So, you bet two bucks, it paid like 140 bucks.

Dr. Metwally: That should have been your bet.

Shaun Keating: Yeah! I’m saying if I would have-

Dr. Metwally: I wonder how many people bet on that.

Shaun Keating: Yeah, I think if I would have put the two grand on that one, I would have won like, 300 and some odd thousand dollars. So it was kind of crazy.

Dr. Metwally: Oh god man!

Shaun Keating: But that’s all … Shoulda, coulda, woulda.

Dr. Metwally: That’s a new milling machine.

Shaun Keating: Oh I was thinking, “I’m putting that down payment on my Honda jet, baby, I want that thing.”

Dr. Metwally: That’s right!

Shaun Keating: They’re a cheap bargain.

Dr. Metwally: Getting a new boat.

Shaun Keating: I already got that. I’ve got everything. I’m so blessed. So, I lost my ass on that but so did a lot of people. But yeah, I’m not betting anymore. That was just kind of telling me, “Shaun, don’t bet, you don’t need to do that.” And these poor horses-

Dr. Metwally: You gotta stop betting on these ponies.

Shaun Keating: Exactly. And then, so what about you, dude, with the NBA? You like any of the teams that are playing? Warriors or Houston? Or any of the … Portland?

Dr. Metwally: You know, I love watching basketball. I grew up in the Detroit area so I’m a Detroit Pistons fan but unfortunately, we’ve sucked for so many years now.

Shaun Keating: Yeah you have.

Dr. Metwally: It’s just been rough. And every year they’re like, “This is a rebuilding year.” If it wasn’t for the fact that the east is so crappy, I can’t believe we even made the playoffs.

Shaun Keating: I know.

Dr. Metwally: Honestly, looking at the west coast, it’s a hard run there and I think, finally, the Warriors might get a run for their money there.

Shaun Keating: Yeah, they’re tied at two games each with Houston.

Dr. Metwally: Milwaukee is killing it.

Shaun Keating: Yeah.

Dr. Metwally: Yeah, exactly. And I’m happy to see that. Those guys are so talented. The Warriors is just one of those teams. It’s like the Lakers back in the day. Where you’re just looking … it’s actually better than that. It’s unbelievable how talented those guys are. And for anybody to beat them, they should be proud of themselves for being able to beat a team like that.

Shaun Keating: Oh absolutely.

Dr. Metwally: Including the coach. Steve Curr is amazing. The guys that are jumping off of the bench are amazing. It’s just such an incredible team. It’s kind of cool to be living through it because I think we’re living through history watching those guys play. I don’t know if we’re ever going to see a team that talented again.

Shaun Keating: I don’t know either. And I don’t know if they’ve got it. But then again, they were tied two games to two games last year at this time with Houston and they came back and beat Houston. And Houston is looking pretty good but they’re kind of thuggish. They’re being out there and being all tough and mean. And Clay Thompson, he hasn’t hit … And the Splash brother’s aren’t doing anything together. Curry is still getting his 30 and stuff.

Dr. Metwally: And Duran.

Shaun Keating: Him and Duran.

Dr. Metwally: Duran has been carrying that team.

Shaun Keating: Yeah he has. There’s a guy that kept going, “New York Knicks!”, every time Duran would touch a ball, because I guess he wants him to go to New York, and there’s a rumor he might go there. But no, it’s kind of neat. We have games tonight. I’m excited. Wednesday night. Maybe mama will let me go to the pizza parlor or something.

Dr. Metwally: Yeah, it’s a good time of the year. Getting to watch all the NBA playoffs.

Shaun Keating: Oh man, I’m into it. But I would like that Gianiss, that Greek freak from the Milwaukee Bucks … I would like Milwaukee to win it all. I would like to see them go-

Dr. Metwally: That guys is nuts.

Shaun Keating: Yeah he is.

Dr. Metwally: He’s probably the closest to Duran’s style. Where he’s a guy that’s like … What is he, like 6’8″ or something ridiculous like that but he can handle the ball like Curry and shoot-

Shaun Keating: He’s got like a 12 foot wingspan I think. His arms are … it’s something ridiculous.

Dr. Metwally: He’s kind of nuts to watch play. I was actually looking up … because he’s kind of an odd guy. He’s Greek right, but he’s clearly like an African American guy, or African. And I remember looking him up because you don’t see a lot of that type of diversity in Greece and I guess he was a migrant. He grew up as a refugee in Greece, from Nigeria.

Shaun Keating: Oh you’re kidding.

Dr. Metwally: Yeah, he only got into basketball in high school or something crazy like that. He didn’t grow up playing basketball since he was a tiny kid and he was … People paid attention to him really quickly and he just moved through the ranks real quick and he was scouted into the NBA and he’s just been killing it.

Shaun Keating: Oh, heck yeah. And he was kind of unknown for awhile but this is the first time this year that I’ve watched him. Probably a lot of people. But I’m very impressed with his personality and just his athletic ability.

Dr. Metwally: Yeah, he’s so … he’s a freak.

Shaun Keating: The Greek freak. I love that man. That’s cool.

Dr. Metwally: Yeah, the Greek freak. That’s a great nickname. Watching him play, he’s amazing. He can move, he can shoot.

Shaun Keating: Yeah he can.

Dr. Metwally: It’s a good time of the year.

Shaun Keating: And he’s a great person. Lebron was asking him to go in his Space Jam 2 movie and he said, “No, I’m not interested in Hollywood or movies. I’m a basketball player and I just want to fine tune my skills in the NBA because that’s what I do for a living.”

Dr. Metwally: Oh really? I didn’t know that.

Shaun Keating: Yeah, I liked that when he said that. Give him another five years and a couple MVPs and a couple of championships and he’ll be going Hollywood probably then. He’ll probably say, “Oh, I’ll do some movies now.” You never know.

Shaun Keating: All right dude, hey, lets dental up. So, tell me doctor-

Dr. Metwally: Lets do it.

Shaun Keating: Why did you get into dentistry and at what point did you think, “I want to be a dentist.”?

Dr. Metwally: I actually stumbled into dentistry on accident. I always say that I just got really, really lucky, because had I not liked dentistry, it would have been a miserable career. Because if you don’t like dentistry, it can be stressful-

Shaun Keating: Oh yeah.

Dr. Metwally: You’ve got to work in someone’s mouth all day and you’ve got to deal with people that most of the time don’t want to see you. So, I actually … In high school, I went through high school … I quickly mentioned that I did sales. So pretty much, right around grade 9, grade 10, I got my first job in sales and I worked on commission and I never looked back and I never understood how anybody could work and hourly waged job. I started doing the oddest … I was like 14, 15, and you do these credit card applications and you’d get paid on the applications and I did door to door gas sales where you get paid by people you sign up. Anything where I got paid on commission, I was in for it.

Dr. Metwally: And I worked … in Canada it’s called Tim Horton’s, you know, the coffee shops. So I worked there for two years. But pretty much all my young years, I knew I wanted to do something in sales or with people. I’m not a paper pusher, I can’t sit behind a desk for the rest of my life. I just knew that wasn’t for me.

Dr. Metwally: And then in high school, I worked a lot on cars. I wasn’t sure if I wanted to go into engineering. My dad is an engineer and my mom is an engineer. And they pretty much talked me out of it. They told me it’s a rough lifestyle and no one appreciates you and you’re working for the man for the rest of your life. They kind of talked me out of it.

Dr. Metwally: And I had some uncles and aunts that were physicians and they introduced me to the physician lifestyle and I kind of liked that. And then I met someone who was a dentist, through my aunt, and I really enjoyed that. And then right when I got into undergrad, I played a lot of sports in high school and when I got into undergrad, I didn’t know what I wanted to do, so I was studying kinesiology and I quickly switched over to chemistry. But I figured I wanted to do something with medicine and sports.

Dr. Metwally: So I was trying to get into med school. And I figured I was going to go to med school and I was going to sub-specialize in some sort of sport medicine. Or I was going to go into physiotherapy and work with athletes for the rest of my life. I just wanted to be involved in sports.

Shaun Keating: Beautiful.

Dr. Metwally: And then literally, a few weeks into undergrad, I ran into some guys from my high school that were … they were two and three years older than me, so these guys were third year and fourth year undergrad and they were just applying and interviewing, and they were like, “No, medicine sucks. You’ve got to go to dental school. Dental school is where it’s at.” I was like really? And literally, within a conversation, they talked about how awesome dentistry is as a lifestyle and how I should check it out.

Dr. Metwally: So I left, and I went and contacted a few dentists in the city … I was in Windsor, Ontario at the time, where I was from … So I contacted a few dentists, and I went and shadowed them, and I really liked it. I liked the fact that you work with your hands. I liked the fact that you’re with people all day, and it was still sciences. But I had no idea what dentistry really was and I should have spent more time shadowing those guys because I really didn’t spend a ton of time shadowing.

Dr. Metwally: And one of the offices that I did most of the shadowing at, the dentist actually had me working with a denturist. So in Ontario, there’s an occupation called a denturist. So the majority of the work that I did when I was quote unquote shadowing, was working with this guy. So I was pouring up models and I was trimming models and I was working in a lab.

Shaun Keating: Okay.

Dr. Metwally: So the majority of my time in that dental office was in this lab. They had a denturist in the lab so I worked with him, helped him set teeth in wax, worked with some wax and I liked it. But I didn’t really know what a root canal was, didn’t know what a crown was, didn’t know what a bridge was, until I got into dental school. And when I got into dental school, I realized I really didn’t know anything about dentistry, but I liked it.

Dr. Metwally: So, I feel like I kind of stumbled my way into dentistry and it wasn’t until we started getting into the clinical portions in dental school that I realized I really like this stuff. And a lot of times in dental school, when we had downtime, I would go shadow some of the other clinics, whether it was the oral surgery clinic or I spent a little time with the special needs clinic. And I liked that kind of stuff.

Dr. Metwally: And I had a mentor of mine from dental school who was really involved in the special needs community. And he was part of the accreditation board for the GPR program. And he told me about this program that was run by one of his colleagues and his friend, and he said, “This guy just started this program and if you want to go a good program and you don’t care where you live, I would say follow him. Go where he’s going. He’s going to have a great program going there.”

Dr. Metwally: So, I applied to that program and it was in Canton, Ohio and it’s in the middle of nowhere. But if you’re a football fan, you’ll know that Canton is where the football hall of fame is-

Shaun Keating: Yeah baby!

Dr. Metwally: The football hall of fame is in Canton, Ohio. And actually, coincidentally, I lived literally across the street from it. So I got to go there a few times when I lived in Canton, Ohio.

Shaun Keating: Oh, cool.

Dr. Metwally: But I ended up going to Canton, Ohio and I did the random GPR program that’s not associated with a fancy school or a big fancy hospital or anything. But I had the, in my opinion, the best education someone could ask for. We had great faculty and we didn’t have an oral surgery program associated with the hospital so we were in the O.R. multiple times a week and any mid-facial trauma, you got to go. So we’d be first scrub in with any mid-facial trauma whether it was classic, EMT, or OMFS, we got to go to the O.R.

Dr. Metwally: Got great exposure to surgery and I got to do a ton of stuff that I’ll never do in my life again but it just laid the foundation for surgery for me.

Shaun Keating: That’s so cool.

Dr. Metwally: I knew I loved surgery but this was a great exposure to it. Got to do a little bit of everything really. But it was a great year. And I got out and that was pretty much it. I was hooked. I started moonlighting when I was in the GPR program. I used to go to a corporate dental office in the area called [Medianet 00:29:26] that I would just go in … They pretty much hired us. You know, when you’re a resident you barely make any money right?

Shaun Keating: Yeah.

Dr. Metwally: And these guys would pay us 700 bucks a day to go in and take wisdom teeth all out. And we just got paid per day.

Shaun Keating: No kidding?

Dr. Metwally: So to them, this was a great deal and to us, I was killing it. I was making so much money.

Shaun Keating: Yeah! 700 bucks a day baby, that’s not bad!

Dr. Metwally: 700 bucks! Sign me up! And it wasn’t just me. From the year before me there was a couple residents that did it. And in my year there was me and another resident that would do it. And I’m sure it continued after us. These guys would get us. We were allowed to moonlight after December. So you’d do the first six months and you weren’t allowed to moonlight, and then the next six months you were. So we’d go in there on the weekends. Part of my residency was five days on and then if you weren’t on call, I’d spend Saturday and Sunday working at this corporate office digging out wisdom teeth. And we used to joke that it was part of our residency training. That we’d go in there to take out wisdom teeth.

Dr. Metwally: But it really laid the foundation. Because I got out of my residency program and I just knew that for the rest of my life I was going to be doing a lot of surgery in it. It was part of my dentistry from that point on.

Shaun Keating: That’s so cool.

Dr. Metwally: And one thing led to another, where, probably around four or five years ago, it just kind of narrowed down to where a lot of what I do is just implant dentistry and digging out teeth. So, I’d say about 80, 90% of what I do now is somewhat surgery related. Which is very fortunate for me because I really … I never really liked the restorative dentistry very much, and I figured if I found something else that I was better at, I wouldn’t have to do a lot of this as much. And I work with … Every office that I work with I have a team or other colleagues that I’m with that are really good at it, so I’m happy that I have someone else that I can send that stuff to.

Dr. Metwally: So, we just figured out a way that someone else will do the things that I’m not as good at and they send me some of their stuff that they don’t want to do and I’ll do that. But so far, eight years, it’s been a good ride and I can’t wait for the next 60 years, because I’m never going to retire. I’m going to die in a dental office somewhere.

Shaun Keating: Yeah, wait until you turn 50. It might change. You get little wiser and you might be thinking nah. No, that’s just with me, but I’m 36 years in now. It’s just something you’ve got to have … You have a passion for this and I could just feel it when I talked to you the first time I talked to you. And a ton of CE that you’ve done and I just think that’s so important as a younger dentist starting. The more CE you can do, the better. I mean, you with your implants, you sink in and you’re doing so much with it. Heck, you were even talking about some sinus lifts. I can’t even watch a sinus lift on a video. That’s scary stuff!

Dr. Metwally: I wish all I could do is sinus lifts, honestly. But there aren’t that many sinuses in the world. It’s kind of a fun little technique, sensitive procedure. But you go a little bit slow, and I don’t know … I remember the first time someone, it was Dr. Stuart Horton Jones, was the first time we were talking about it and he said that. He said that if he could just work two days a week and just do nothing but sinus lifts, he’d be a very happy man.

Shaun Keating: Can you believe it?

Dr. Metwally: And I thought it was really odd for someone to say that. Until I started getting more comfortable at them. The first few that you do, you’re definitely nervous, but I remember, the very first few sinus lifts that I did, I did in residency. We kind of helped out in dental school, when you watch people do them and stuff. But the first few times we did them was in residency and it was kind of cool. We had an oral surgeon that we worked with in our residency, that was a little bit of … I don’t want to say … he wasn’t a cowboy, he was an oral surgeon. You know, oral surgeons are a certain way.

Shaun Keating: Yeah they are.

Dr. Metwally: And I remember, we took out a tooth and we were right nest to the sinus and I wasn’t sure if we expose the sinus or not and he was like, “Oh yeah. Well what happens if you expose the sinus?” And I was like, “I don’t know, I thought it was a bad thing.” And he just grabs an explorer and he pokes through the membrane and he goes, “Uh oh, we just poked through the membrane. What’s going to happen now?” And I was like, “I don’t know!” And he was like, “Nothing!”

Dr. Metwally: And working in that mentality, or the first time we knocked a root in the sinus and you have to go grab it or draining a sinus with an oral surgery. So a lot of these things I got to do really early on in my career, where now, in private practice, if one of my colleagues knocks a root into a sinus, he’ll send them over and I can remove it, it’s not really the end of the world.

Dr. Metwally: A few weeks ago … I haven’t pushed a tooth in a sinus since probably residency, and a few weeks ago, I was removing a wisdom tooth and I popped it into the sinus and I had to … Luckily it wasn’t very far in and I could just open it a little bit and get it out. But I feel like having that basic education that you get from spending time. You do things that you’re never going to do in private practice but it prepares you for the smaller things that you do in private practice.

Shaun Keating: Oh absolutely.

Dr. Metwally: And you get that from being in a hospital setting for a year with these guys. But what I ran into in u-grad and they talk about classes, I’m a huge fan of taking and learning about everything, because when you first get out of dental school you really don’t know what you like and what you don’t like.

Shaun Keating: Exactly.

Dr. Metwally: One of my biggest pet peeves is talking to new grads that tell me, “I’m great at surgery and all I want to do is surgery.” Or, “I love endo and that’s all I want to do.” There’s a very, very small chance that you actually know what you want to do. Because when you’re in dental school, you’re barely exposed to anything. You’ve just barely learned. And when you get out, just keep an open mind, you never know what you’re going to like. You might be the next TMJ guy, or the next LEEP dentistry guy, or the guy who just love bread and butter family dentistry.

Dr. Metwally: There’s a ton of money to be made in bread and butter family dentistry. Doing good, well rounded, bread and butter family dentistry. You could make a great living doing that and I think a lot of people forget that. They think, “I’ve got to do veneers to make money. I’ve got to do nothing but veneers. I’ve got to do nothing but aesthetic dentistry to make money.” I’m like, “No, you’re wrong.”

Dr. Metwally: The smaller the specialty gets, the harder you’re going to get hit if the economy takes a hit.

Shaun Keating: Yeah, absolutely.

Dr. Metwally: So, if you’re the guy that just does veneers all day and all of a sudden the economy takes a little hit, a bump, you’re going to be the first one to feel it because people aren’t getting veneers when they can’t pay the bills.

Shaun Keating: Oh I know. I lost 80% of my cosmetic business after 2008, 2009. I used to do so many veneers. All the non-prep veneers or the minimal prep veneers. And I had so many doctors limited to cosmetics and full rehabs and full veneer cases and then it’s gone. And it’s like the people didn’t have all that flush money and they’re like, “What do I do?” But probably 80% of my doctors are just onsie, twosies, little bridge here and there. But they’re sleeping well at night and there’s plenty of dentistry in the mouth but that you don’t have to go and push it and everything else. It’s just something that you’ll be through the good times and the bad times. You’ll practice this good dentistry and just keep people’s function right with onesies, twosies. A lot of guys, that’s all I get but then I still get guys that, they get the bigger stuff too that comes through every once in awhile because they have the experience to do it. And it’s just-

Dr. Metwally: And that’s where the education comes in. That’s really where the education comes in.

Shaun Keating: And with trial and error.

Dr. Metwally: A buddy of mine calls it low risk dentistry. And he goes, “I don’t need to do that stuff.” And he makes a great living. He’s got a very successful practice now and he’s been at a practice straight out of dental school and he’s doing very well for himself. And you know what, he calls it low risk dentistry, and I don’t have to put myself through that. I want to sleep at night and he’s making a great living working four days a week.

Shaun Keating: Oh absolutely.

Dr. Metwally: And I think a lot of the young guys forget that. That’s why having mentors in life is so important. Unless they see these guys that have been doing this for 20 or 30 years and they’re just absolutely crushing it, and they’re not doing anything crazy fancy. They’re just doing good, honest dentistry, for years. Like you said, the money will come. Just keep at it and the money will come.

Shaun Keating: Exactly. And have that customer service and treat your patients like family. And in way, it’s not a job. There’s so many dentists that get through dental school, and I think they didn’t realize what it’s all about once they get into it. And they work for an associate or whatever it is, they never had any idea it was going to be like that. So, I see a lot of the people, they’re not sure they really are into it. After you go through all the learning and then you get into the real world and it’s just a mindset. And how you … that predictable dentistry is the best road to go, I think. Because I’ve got a lot of guys that are just two days a week. You know, they’re like, “Two days and I’m still fine.”

Dr. Metwally: Yep.

Shaun Keating: And then, my younger guys are, they’re four, five, six days a week, which I think you should.

Dr. Metwally: That’s me.

Shaun Keating: You need to be a worker bee. Yeah. And you’re flying all over dude. You live in Canada-

Dr. Metwally: I am.

Shaun Keating: And you fly in. Man we need to get you-

Dr. Metwally: But my weeks really change. My schedule is all over the place. I don’t represent … It’s funny, I had a dental student that was shadowing me … In our office in Texas, we almost always have dental students or students that are trying to get into dental school that will come around and shadow. So one of them was shadowing me and I just told him, “Listen, this isn’t traditional dentistry.” I don’t think I live a regular lifestyle. But most likely, I won’t be like this forever, but I have the energy for it, I have the passion for it, my back is still not broken. Unlike so many dentists out there, my shoulder is still working, so I’m doing it while I can. But I probably won’t be doing this for the rest of my life and at some point I’ll slow down and try to simmer down a little bit. Calm down a little bit.

Shaun Keating: No kidding.

Dr. Metwally: I’ve been all over the place for awhile.

Shaun Keating: No absolutely. Tell me a little bit about Laredo, Texas. What’s it like there and what’s the practice like? Laredo, Texas, is that on the border of Mexico or no?

Dr. Metwally: It’s right on the border, yeah. If you don’t like Mexican food, don’t go to Laredo, Texas.

Shaun Keating: Oh, I love Mexican food! Give me some chili killies baby!

Dr. Metwally: Yeah. That’s right. When my wife and I, when we first went down there, it must have been six and half years ago, like December six years ago. When we first went down there, we thought it was the coolest thing ever because we walked into an HEB. HEB is like, the grocery store in Texas, and there was fresh salsa and fresh tortillas. Like you can buy fresh salsa and fresh tortillas there. And we were sold, like, we’re moving here! You can get the best Mexican food, we’re moving here. That was one of the biggest selling points. But the culture there is primarily a Mexican culture because it’s a border town. Neither one of us has a Mexican background. My wife’s name is Maria and she’s brown so everybody thinks she’s Mexican, but she’s not.

Dr. Metwally: My wife is an Indian so she could easily pass for Mexican. And actually, matter of fact, when we go out for dinner, they’ll come up and no one will ever speak to me, they’ll always look at her and speak to her in Spanish and they just assume I’m her gringo husband or something. It’s the funniest thing. They just always speak to her and assume I don’t speak Spanish.

Dr. Metwally: But it’s predominantly a Mexican population, or Mexican ethnicity population. It’s a very odd place. It’s a little bit isolated. It’s a two hour drive from San Antonio but it’s a great place. It’s been good to us. We’ve been there for awhile and it’s been good to us. And honestly, the only reason, I guess I haven’t said this yet, but I actually currently, most of the time I live in Toronto, Canada and I fly to Texas. But the reason we kind of made that little switch over to Toronto has been because of our kids. We had a kid and we just recently had our second child, so now we have two kids, and we wanted to be a little bit closer to … We wanted the kids to be closer to their grandparents so we kind of moved back. But if it wasn’t for that, we probably would have never left Laredo, or at least never left Texas.

Shaun Keating: Oh, I hear Toronto-

Dr. Metwally: Yeah, Toronto is a beast.

Shaun Keating: I heard it’s so beautiful.

Dr. Metwally: It’s like the third largest city in North America. It’s a culture shock.

Shaun Keating: Yeah. Me and my wife want to go.

Dr. Metwally: Anytime man! Come on up here and we’ll host you.

Shaun Keating: Oh, I’m ready.

Dr. Metwally: You come stay with us for a week. Just come in the summer, because you southern Californians won’t survive out here in the winter.

Shaun Keating: I have high blood pressure, I like it when it’s cold! My wife, she’s different, she needs to put the jackets on. Kind of crazy.

Dr. Metwally: In the summer, it’s kind of like Chicago. If you know anyone from Chicago, they’ll tell you the same. You get that summer, it’s like eight weeks or so of summertime and the city is just completely different, you don’t recognize it. Downtown is gorgeous. Every single weekend, I can’t say there’s one thing going on, there’s like ten things going on, because it’s such a short season. So you’ll have the Greek Fest, and the Italian Fest, and the Jazz Fest, and the Film Fest, and there’s so much happening all over the city in the summer. So it’s been fun. It’s been fun living out here and we both love food, and you can’t think of any kind of culture or food that doesn’t exist in Toronto. It’s a little bit like New York in that sense. You know, Indian food and Chinese and Italian and Portuguese and anything you can picture or want, exists out here in Toronto, and it’s pretty fun in that sense.

Shaun Keating: That’s what I hear. Drake’s from there. Isn’t Drake a Toronto guy?

Dr. Metwally: Drake’s from here, yeah, that’s right. Apparently he’s built a mansion … We live in North York. It’s like one of the Burroughs of Toronto, so it’s like Queens in New York. So we’re like 15 minutes north of downtown. And apparently he’s got a mansion that’s built out here near where we live. I was shocked that he’s even got place out here but apparently he’s got a mansion out here.

Shaun Keating: Yeah something like 30,000 square foot monster of a unbelievable thing or something. It’s crazy. For singing songs man.

Dr. Metwally: Yeah.

Shaun Keating: Not even singing. Talking.

Dr. Metwally: For singing songs man.

Shaun Keating: They’re talking songs. It’s not even singing. It’s like [ba-ba-ba-da-yo 00:44:09]. I don’t know. I’m more of a-

Dr. Metwally: That’s Drake. I’m in the wrong field, man. I’m here trying to stop people from bleeding and stuff. It’s like, I can’t handle my blood pressure, I’m all stressed out all day.

Shaun Keating: Oh, that’s funny. Well, hey, what’s some of your thoughts on some of the new technology? The CAD cam, scanner, stuff like that? What are your thoughts on it?

Dr. Metwally: Oh, I love it. You know, I haven’t adapted to all of it yet. I know there are guys out there that just live in this stuff, but I would love to get there. I do some guided implant surgery every once in a while. And we do have a CDCT in the office in Laredo, and I’ll scan a lot of my … I’d say about 80% of my implant patients, I’ll get them scanned first, so I do use some of that stuff. We have a E4D, the mill and the scanner over in Laredo and we scan crowns and some in the offices out here so I’ll scan some of my implant cases as well. So, I’ve dabbled in it and I’m aware of it, but I want to get into it. I know there are the guys that are printing their models and they’re printing their skulls and they’re doing their surgeries before they do them in the mouth. And I can’t wait to see where it’s going to be in 10 years.

Shaun Keating: Yeah, it’s crazy.

Dr. Metwally: And it’s funny because we were just chatting about it with a friend … I want to say about five or six years ago, I ran into one of my dental school faculty, and this guy was all about the tech stuff, and I asked him if he’s got a [steric 00:45:42] in his office and he said he doesn’t. And I said, “Why?!” And he goes, “The steric as we know it is going to be gone. That technology is not going to be around very long because it’s all going to be about printing. Printing is coming, and large scale milling. So it makes no sense for me to buy this tiny little mill machine for a hundred thousand dollars because these large scale milling machines and printing are going to change the game.”

Dr. Metwally: And that wasn’t that long ago and look where we’ve come. Printing, you at the lab know how far printing has come. And it just progressively, the rate that the printing is going at is incredible.

Shaun Keating: Yeah, it’s quite amazing.

Dr. Metwally: When you see what they’re doing in oncology … Even in the surgery, the oncology cases when they’re doing these facial rehabs and stuff, it’s crazy how they have the whole skull printed out and you know, you meld whatever bar you’re going to meld to reconstruct the jaws with and the combination of milling titanium and printing stuff is just crazy.

Shaun Keating: Oh, absolutely. It’s come a long way.

Dr. Metwally: I want to see where it’s going.

Shaun Keating: Let me know if you want anything printed.

Dr. Metwally: And I’m not old! Some of these skulls, to have them printed first. You know, I’m not very old, again, it’s only been eight years and in just my short eight year journey, it’s crazy how far along it’s come.

Shaun Keating: You’ve had more in the last 10 years than it was in the last 30 years before it. So it’s just crazy and you young guys, you guys are the young adopters and adapters and it’s just a neat thing. It’s becoming more and more predictable and like you said, we did something … Or, Dr. Tupe, last week on our podcast show, he’s from Louisiana, and he goes, “Shaun, we do stuff and man, there’s a lot of variables, things can go wrong.” And I’m like, “Dude, you’re telling me! I know that! There’s a lot of moving parts.” But now, it’s kind of getting more and more predictable and from shade matching to fit to strength, it’s really come a long way and it’s joyous.

Shaun Keating: That’s why we’re so happy on the darn phone with all of our doctors because most of doctors that work with us, kind of get it. We don’t have a lot of guys that fly by night and use us a little bit and go. If they try us and use us, they usually stick with us and we usually are a variable in their practice that is eliminated in stress … it used to be a lab could bring lot of stress to a dental office, where us, we kind of get it and there’s a lot of other things a dentist can worry about. It’s just something-

Dr. Metwally: If you think about, even simple things like the full house casing. If you remember, back in dental school, you’d do these bridges that you’ve got to do your metal framework try in, take an impression, a full, large impression on multiple implants. That was a day thing. You would find a way to glue all your bitements together. You’d do your open tray impressions. And then you’ve got to do your framework try in, you’ve got to cut them and solder them. And there were so many steps and now when I do those, you scan them. You scan the body and whatnot, you send them out and things have just moved in a completely different direction. The amount of things-

Shaun Keating: I can nail it now without even-

Dr. Metwally: It’s so much easier.

Shaun Keating: I’ve got a doctor that said, “No, Shaun, I’ve got to do a metal try on, and then we’re going to pick up an impression and we’re going to solder it and all this.” And I tell these doctors, “Dude, you send me a good impression, you make sure that thing is contemporized, and I got straight to finish.” And 99% of the time, those things drop right in. And they say, “I want a bisque bake.” And I say, “Treat it like a bisque bake. I want to fully glaze it, send it to you so you can get the full depth of color, and then let me know. Go ahead and grind on it.” You can go ahead and say, “Shaun, I need a little more width on the laterals, I need little height here and there.” Grind on it, do everything you want, then send it back, I’ll reglaze it but I don’t want to send it to you unglazed and just for you to do your things.

Shaun Keating: We don’t need to do that anymore. You want to take those temps off once because those teeth like to move more than we think and if you start moving those temps on and off every three weeks, things are moving more than we’d like to think they do and it’s not right. So pull it off one time-

Dr. Metwally: Yeah, the technology.

Shaun Keating: It’s crazy. So, dude-

Dr. Metwally: The technology, it’s changed but I love it.

Shaun Keating: Oh totally man. So, tell me … Let’s wrap this up here with, what advice can you give some of our new dentists, newer dentists starting out? We’ve got a lot of younger people like yourself but you’ve just been in the trenches so much with surgery and you do a lot of it, but what kind of advice can you give to some of our newer people though?

Dr. Metwally: You know, I run into a lot of new grads actually at a lot of conferences and stuff and I love working with new grads. I love being around some of the seniors and the new grads. I love hanging around with them because I love their energy and their passion for dentistry but they’re still coming out, they haven’t been scarred, they haven’t had the crappy job yet, they haven’t been burned by the bad patient yet, but it’s still a lot of positive energy in them. And I love working with those guys and I always, always, always tell them that my biggest piece of advice is, find mentors.

Shaun Keating: Yes.

Dr. Metwally: I know when I first got out of dental school, I kept in touch with a lot of my faculty from my dental school and I still keep in touch with my attendings from my residency and if I’m at a random conference and I run into an older dentist, that just wants to talk to me … And as you can see, I talk a lot … I will literally take down a phone number and I will call him, and I will email him, and I will keep in touch with him for years.

Dr. Metwally: And there are many people out there that I can look to that I still touch base with because we all need mentors in our life because dentistry is challenging and you’re going to come across those cases that you want to just bounce ideas off of. And it doesn’t matter how many cases you’ve done in your life, it doesn’t matter how good you are, there’s always someone out there that’s better than you and it’s great to have mentors to bounce things off of. To me, it’s like there’s nothing that we need more in the field of dentistry when we first get out, especially because we’re not like physicians, you don’t do a five year residency. You’re getting out and you’re just good enough not to kill someone.

Shaun Keating: Exactly.

Dr. Metwally: And a lot of the new grads, they come out and they feel like they’re really good and it’s like, “Dude, you’re good, but you’re dental school good.” A good day in private practice, you might do all of your clinical requirements in one day. You know what I mean?

Shaun Keating: Yep.

Dr. Metwally: And it’s like, when you get out, you’re doing yourself such a disservice by feeling like, “I’m good.” No, you’re not good. You don’t know anything. I’ve been out for eight years and whatever many hundreds of ROC hours, however many implants I’ve placed, I still know nothing, because literally the more you know, the more you realize how much you don’t know.

Shaun Keating: Exactly.

Dr. Metwally: The more people you run into, the more you realize … My wife gives me hell because I’m a totally CE junkie and my wife gives me hell about how much time off am I going to take for travel and for learning. Because there is never enough. There is never enough learning. You’re never going to get to a point where you’re like, “Oh, all right, I’ve got it all now.” Never going to happen. You’re doing yourself a disservice if you feel like you know you like or you know what you’re doing. You don’t know what you’re doing. You’re just good enough to not kill someone.

Dr. Metwally: I go into work every day and I learn something new every day. Every single day. There’s not a single day where I’m going to work and I feel like, just like yesterday. Nope. Every day you learn something new. And I work with plenty of talented clinicians and talented dental lab techs, and denturists, and I have something to learn from all those people.

Dr. Metwally: So, if you don’t focus on the idea that I don’t know anything and I’m here to learn, and just keep an open mind all the time and find these older guys that have done it. Some of these old guys that are in their 70s and 80s, those guys have been through the trenches. Clamp onto those guys and shoot them an email, every once in a while, and give them a call, every once in a while, and look for them at your dental conferences and just befriend them and you’re going to learn a ton from those guys.

Dr. Metwally: And to me, I’ve been very, very lucky and I’ve been very blessed to have good mentors all along my whole dental journey so far. It’s definitely my biggest advantage in life honestly. I’ve been lucky to have good mentors.

Shaun Keating: Oh, and so have I and that is so true. That’s great advice Dr. Metwally and dude, I can’t thank you enough for your time here and I know how busy you are-

Dr. Metwally: Oh, it’s really been fun. Thank you, this has been fun.

Shaun Keating: That’s so cool. God bless you and your family and if there’s anything you need, just call me directly.

Dr. Metwally: Thanks Shaun, I will.

Shaun Keating: Just say, “Hey Shaun, I’ve got this implant case. Hook this up baby!” No, I’ll take care of you. I appreciate it though.

Dr. Metwally: I’ve got to swing by next time I’m in southern California, I’ve got to swing by and say hello.

Shaun Keating: Absolutely. You’re always welcome here. Part of the family and we’ll have our open arms for you and anyone else that comes. We love when dentists come here. Well hey, thanks again. Appreciate it and we’ll talk to you real soon.

Dr. Metwally: Take care Shaun. Have a good day.

Shaun Keating: All right doctor, you too. Bye, bye.

Dr. Metwally: Bye, bye.

Host: Thanks for joining us on the Dental Up podcast show this week. Make sure to follow us on Facebook, Instagram and Twitter. Or search the Dental Up podcast on iTunes for our weekly feed. Don’t forget to visit keatingdentallab.com/promo for exclusive offers. Keating Dental Lab is a full service dental laboratory and we’re nationwide. We’d love for you to send us a case so we can show you the Keating difference. If you dig what you heard, please leave a review on iTunes and we’ll be back next week.