FROM MILLIMETERS TO MILES
MY JOURNEY AS A DENTAL ENTREPRENEUR
Dr. Aditi Agarwal
Empowering women in dentistry with smart, scalable solutions.
We simplify the complexities of practice management so you can dedicate more time to your team, your patients, and your vision for growth. Our all-in-one platform streamlines operations, boosts patient engagement, and fuels profitability, all without the overwhelm.
Key Benefits for Your Practice
Seamless Communications: Fully integrated tools keep your team and patients connected effortlessly.
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More Freedom, Less Admin. Say goodbye to manual busywork and hello to running your practice on your terms.
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Spring 2025
Editor and Publisher
Anne M. Duffy, RDH
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Spring Contributors
Dr. Nadia Afzal
Dr. Aditi Agarwal
Elizabeth Dooher-Anthony BeTrice Casada
Dr. Laila Hishaw
Laura Johnston
Robyn Ramirez
Jizal Seikali
Dr. Shannon Thorsteinson
Joyce Weeks
Dr. Valerie Woo
Amy Wood
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How
wonderful the women in dentistry are!
Once again, I’ve been deeply moved by the generosity, courage, and unwavering support of this community. Life, as it often does, threw a few curveballs my way recently—and without hesitation, you showed up. You stepped in, lifted the weight, and carried it with grace so that I could care for Tom. In those moments of vulnerability, I was reminded—yet again—of the extraordinary strength and love that reside at the heart of this sisterhood.
What started as a small circle of passionate women with a shared dream has blossomed into something far greater than I ever envisioned. DeW is no longer just an organization— it’s a movement. It’s a powerful, living force where women uplift each other, create spaces where none existed, and illuminate the path for those still finding their voice. It’s humbling. It’s inspiring. And it’s exactly what this profession—and this world—needs more of.
Our cover DeW, Dr. Aditi Agarwal, epitomizes all that DeW represents and more. Her story is a testament to what is possible when grit meets grace, when vision is backed by purpose, and when a woman chooses not to be limited by traditional boundaries. From the dental chair to the executive chair, her transformation is not just her own—it is all of ours. Because every mile she’s traveled is one more path cleared for the next woman to rise.
This shared sense of accomplishment can be felt in Dr. Laila Hishaw, Joyce Weeks, and BeTrice Casada’s respective stories as well. Dr. Laila Hishaw speaks on an oh-toofamiliar experience–burnout. She recounts her personal journey, breaking free from the grips of burnout and finding renewed purpose with the help of mentorship. Joyce Weeks shares an intimate look through chronic pain, something many women live quietly with. Her unwavering spirit and unbreakable determination led to relief, but not without the understanding, help, and camaraderie of other women. BeTrice Casada, a recovered People Pleaser, shares practical boundaries for protecting your peace. No surprise here, the support of a well-meaning community plays an integral role.
From our successes to our strengths, we conquer our personal mountains with the help of other women–whether we’re finding help in unexpected places, just as Jizal Seikali did on TikTok, or through a dream featuring an iconic spy like Laura Johnston, or through the constant effort of stepping out of our comfort zone like Dr. Nadia Afzal and Dr. Shannon Thorsteinsen. I can’t wait for you to find yourself in the stories of our vibrant community as you continue to plant your roots and get to know your fellow DeWs better, including Dr. Valerie Woo, Amy Wood, and Robyn Ramirez.
As I’ve found myself stretched in different directions, I’ve watched with awe and gratitude as leaders within this community stepped forward—not just to hold the line but to push it further. They reminded me that our strength isn’t in doing it all alone. It’s in knowing we never have to.
May these stories inspire us all to keep dreaming bigger, leading boldly, and defining our margins—by miles, not just millimeters. Let’s keep DeWing!
With Love,
Anne
“Behind every successful woman is a tribe of other successful women who have her back.” – Unknown
FROM MILLIMETERS TO MILES - MY JOURNEY AS A DENTAL ENTREPRENEUR
It’s 2:00 am on February 11th, 2011 and I have just retucked my 3-year-old son back into bed. I am 6 months into my start-up practice and, as usual, I can’t sleep. I toss and turn trying hard not to wake my husband up. How can this be? I’m mentally and physically exhausted yet sleep is a stranger. How long can I continue like this, I wonder. How long before my working capital runs out? How long before I have to throw in the towel? Why did I think I could do this? My grandma was right: “ This is a man’s world. It’s much safer being an employee” she used to say, and her words kept coming back to me.
I was never a good listener. I moved from Dubai, where I grew up, to India when I was 18 – leaving all that I knew behind with the ideals of making a difference in humanity. I struggled to fit into a culture and social ethos that was supposed to be mine but felt alien; not to mention carrying the burden of a full course load that starting dental school at 18 brings. My education in India left me wanting more. I moved again at the age of 23 for my DMD program at Boston University, leaving the metric system, the comfort of home and household help, and even the upside-down light switches.
I survived all this, but how was it that, at 33 years of age and after only 7 years as a dentist, I felt like I had failed? I had invested so much time, energy, and money and had never felt more lost. In life, we all have some pivotal moments, and mine came that night in 2011 as I wondered how I was going to make my next payment, how I was going to tell my parents that I failed, and how I was going to take time off from my practice to attend my brother in laws’ wedding in a month. It was then that my husband and I made a decision.
We have to find a solution. A better way forward.
That day we made a decision to give it our all, to work together as a team; to find the missing link that was hindering me in pursuing what I worked so hard to achieve. We started to comb through any resources that were available to us which were limited at the time. We gleaned our knowledge from business books and journals, blogs and groups, and by talking with other business owners.
The common thread we found was people said that we couldn’t find a solution to what was lacking in the business without figuring out the problem. Many business authors talked about “understanding the data within your business”. This seemed like a novel concept to me as we were never taught that in dental school. We were only taught about teeth and how it was our responsibility to be their saviors. “DATA!” I thought, but I didn’t even know where to begin.
In 2011/2012 looking for data was like searching for a gold mine. We did not have a map, we did not know where to look and we did not know what we were looking for. We spent hours, days, weeks, and months combing through reports in my Practice Management System looking through innumerable reports and tabulating them to find trends and discrepancies all while still seeing patients, being pregnant with my second child, and raising our son.
My husband worked his day job and then would spend quality time with me every night trying to understand these reports. He helped me understand the data by first creating spreadsheets and then creating dashboards. The clarity I got from understanding these dashboards was literally life-changing.
I slowly started to understand what was going wrong and started to put corrective measures in place by simply
Dr. Aditi Agarwal
tracking various key performance indicators. This led to an increase in my profitability and a decrease in my financial burdens. It was at this time that we realized that there weren’t too many resources that were dental specific that could help dental business owners like me understand and help boost our understanding of our business and hence profitability.
Practice By Numbers was born in an unused Operatory in my practice. It grew slowly and steadily over the next few years, helping practice owners get insights into their businesses and institute impactful changes to help improve their profitability and reduce stress.
Everything came to a standstill in March of 2020. All dentists not only lost their only source of income but many battled with identity crisis, debt, and a fear of the unknown.
I lost many staff members either due to new vaccination laws, health issues, or simply fear. Restarting my office without reliable and trained front office personnel was extremely hard. I felt shaken to my core. Witnessing my challenges firsthand, my husband, who has always stood solidly by my side, said to me, “ Don’t worry! We will find a solution, a way out.” And that’s exactly what we did at PbN.
It was in October 2020, that we started to pivot from just a business intelligence software to becoming a solution that can truly help a dentist run an office more smoothly, efficiently, and with less stress.
Automation became my love language and that of my team. We automated many everyday tasks like new patient forms and consents, online booking, online payments,
We have grown by leaps and bounds over the past four years, primarily because we approach problems with the goal of solving them for the end user – the dentist.
As our business has grown, so has my role within the company. I’ve transitioned from being a co-founder advisor to now serving as a co-founder relationship growth manager, all while continuing to oversee marketing efforts and support our team by providing a “dentist’s” perspective. At the same time, I still manage and work in my two dental start-up practices.
My journey from the dental chair as an Orthodontic patient at 10 years of age to becoming a dentist was long and arduous – one I worked tirelessly for, day and night. However, my journey from the dental chair to the executive chair has been nothing short of transformative. It has taught me that dentistry is not just about hand skills and perfect margins but about mindset and vision. I look forward to embracing the ever-changing landscape of dentistry through broadened horizons and renewed purpose as my margins are now defined by miles and not just millimeters.
About the author
Dr. Aditi Agarwal, a proud DEW member, is a dentist and entrepreneur with 20+ years in dentistry. A 2003 Boston University DMD graduate, she co-founded Practice By Numbers, an all-in-one platform for practice management and patient communication. After opening two successful practices, she became Chief Growth Officer, driving innovation in dental technology. Passionate about data-driven success, she empowers dentists to optimize clinical, financial, and patient engagement outcomes through smart, integrated solutions.
online review generation, and many more.
DeW Dish
DR. VALERIE WOO
Founder of NOVA Pediatric Dentistry & Orthodontics and CEO of Valerie Woo Consulting www.novapdo.com; www.drvaleriewoo.com; @novapdo; @drvaleriewoo
WHAT IS THE BEST PART OF YOUR JOB?
What I love most is the human connection — building meaningful relationships with patients, families, my team, and the dentists I coach. Whether it’s helping a child feel at ease or guiding a dentist into confident leadership, being a part of someone’s growth is deeply fulfilling. I’m so grateful I get to do both: care for kids and lead in my practice, while also mentoring others to thrive.
WHO HAS BEEN THE MOST INFLUENTIAL WOMAN IN YOUR LIFE?
Hands down – my mom. She showed me what courage, resilience, hard work, and unwavering love look like. I now understand and appreciate the dedication she poured into her work and our family, and the strength it took to balance them so gracefully.
HOW DO YOU MEASURE YOUR SUCCESS?
Success is the freedom to live life on your own terms –measured not just in financial wealth, but in time, health, relationships, and purpose.
WHAT DO YOU DO TO TURN AROUND A BAD DAY?
When I am having a bad day, I reset by stepping away for a bit – whether it’s going for a nature walk with my dogs, listening to a great podcast in an infrared sauna, or spending time with my family. I also look for glimmers throughout the day – those moments in your day that make you feel joy, happiness, peace, or gratitude. A good glass of wine and a home-cooked meal prepared by my husband, Mike, never hurt either!
WHAT ADVICE DO YOU HAVE FOR THE NEW PERSON IN YOUR OFFICE?
Be open to learning and be curious. Dentistry is as much about relationships as it is about clinical and administrative skills, so take the time to understand your team and your patients. And don’t be afraid to bring new ideas to the table – innovation comes from fresh perspectives!
WHAT “DEW” LEADERS DO?
They lead with clarity, confidence, and compassion. They don’t manage people; they inspire them. They build businesses that align with their values, create cultures of accountability, gratitude, and trust, and set the standard for what’s possible.
WHAT IS YOUR FAVORITE INDOOR/OUTDOOR ACTIVITY?
I love nature–whether it’s a great run, a hike, or a walk along the beach watching the sunrise. Being outside, soaking up the sun, and moving my body gives me energy and clarity. It’s my favorite way to reset and recharge!
AMY WOOD
CEO, Compliance Expert
Social Media: crystallovesdental | Crystal Nelsen Spring
Website: copperpennyconsulting.com
WHAT IS THE BEST PART OF YOUR JOB?
Seeing the panicked look in the doctor’s eyes when I tell them the current state of patient safety, then the relief when I tell them I will make it easy to fix.
WHO HAS BEEN THE MOST INFLUENTIAL WOMAN IN YOUR LIFE?
My mom, who taught me what resilience and perseverance are.
HOW DO YOU MEASURE YOUR SUCCESS?
When my biggest competition is yesterday’s version of me. It’s so easy to compare ourselves to others or look at how far we have to go, instead of how far we have come. When you stop doing those two things, it is so freeing, because you are the only one you are competing with and that is so incredibly motivating.
WHAT OBSTACLES HAVE YOU OVERCOME IN YOUR CAREER?
Misogyny, sexism, cattiness, rudeness. You name it, I’ve had it at some point, but that is when resilience and a sharp mind come into play.
WHAT DO YOU DO TO TURN AROUND A BAD DAY?
Either dance to 80’s music or rage with 2000’s rock bands – depending on my feelings towards the situation.
WHAT IS YOUR GUILTY PLEASURE?
Conspiracy theory and murder show and trashy romance books. You can always find me on travel days with my Kindle, or listening to an Audible.
WHAT ADVICE DO YOU HAVE FOR THE NEW PERSON IN YOUR OFFICE?
We swear a lot, but we care deeply about each other and our clients.
WHAT “DEW” LEADERS DO?
Look out for each other through good and bad times.
WHAT IS YOUR FAVORITE INDOOR/OUTDOOR ACTIVITY?
Outdoors–blech. That requires too much sunscreen and bug spray. The introvert in me is always down for a snuggle-up with a book day or working on a home renovation. The 1876 Victorian I live in requires a lot of those and they are so much fun.
WHAT FAMOUS PERSON LIVING OR DEAD WOULD YOU LIKE TO HAVE LUNCH WITH AND WHAT WOULD YOU ASK THEM?
Helen Mirren. She is someone who has paved her own way and says what she wants. My favorite quote from her is, “If I could give my younger self one piece of advice, it would be to use the words ‘f*** off’ much more frequently.”
THEY ARE PLAYING YOUR THEME SONG AS YOU WALK ON STAGE. NAME THAT TUNE!
Either Welcome to The Jungle by Gun N’ Roses, or Kickstart My Heart by Motley Crue. They both have the perfect intro music. What can I say? I’m an 80’s baby.
ROBYN RAMIREZ, FOUNDER, CPQC
Leadership, Communication, and Mental Fitness Coach
Website: www.LetsTalk-Results.com;
SM: Robyn Graham Ramirez; Lets Talk Results
WHAT IS THE BEST PART OF YOUR JOB?
Seeing lives transformed, including my own–having the freedom to shape and evolve my work to align with my vision, values, and life.
HOW DO YOU MEASURE YOUR SUCCESS?
By how strong my position is–mentally, physically, and spiritually–to maintain love, joy, hope, and peace for myself and have an uplifting, positive impact on everyone within my circle of influence.
WHAT OBSTACLES HAVE YOU OVERCOME IN YOUR CAREER?
I don’t feel like I’ve truly overcome any of my biggest obstacles–I’m still overcoming them, a little at a time. Self-doubt, fear of failure, the tension between wanting to serve others and needing to run a successful business, learning to trust my instincts, own my value, and step into opportunities even when I don’t feel ready–those are all ongoing battles, but ones I continue facing head-on. 1% better every day!
WHAT DO YOU DO TO TURN AROUND A BAD DAY?
Loud music and erratic (read: bad) dancing and singing–not on purpose; I’m just not a great dancer or singer, which somehow makes it even better.
WHAT IS YOUR GUILTY PLEASURE?
Irish cream in my coffee
WHAT “DEW” LEADERS DO?
They inspire and develop others. They ask great questions, foster meaningful connections, and discern rather than judge. They embody grace, hope, and encouragement, always operating from a place of love rather than fear.
WHAT IS YOUR FAVORITE INDOOR/OUTDOOR ACTIVITY?
Looking at, listening to and, if it’s warm, being in or on water–rain, ocean, river, stream, lake, shower–you name it!
WHAT IS YOUR DREAM VACATION?
Countless to choose from. Next big one on the list is a European Viking River Cruise.
WHAT DOES BALANCE LOOK LIKE?
It looks more like a blend. Many fine wines are blends–beautiful not because they follow a rigid formula, but because they shift and evolve. Adding a little more of one varietal or less of another can still be exceptional–just different. Life is the same. Different seasons call for different blends, and small adjustments rarely ruin the whole. Where balance feels fragile and stressful–always on the verge of being thrown off–blending allows for flexibility, adaptability, and a more grace in the process.
WHAT MOVIE ALWAYS MAKES YOU LAUGH?
So many good ones. First that comes to mind–Uncle Buck.
EMPOWERING THROUGH EXPERIENCE: MY JOURNEY AS A DENTIST INTO DENTAL SLEEP MEDICINE
Some parts of life fall into place easily, while others require resilience, adaptation, and confidence in the unknown. My path in sleep and airway dentistry has been shaped by persistence and a willingness to step outside my comfort zone. Each challenge has pushed me to grow, learn, and redefine the way I approach patient care.
A DEFINING MOMENT
Several years ago, I attended an airway symposium via the Dawson Academy, expecting to learn about oral appliance therapy to help manage sleep apnea. I anticipated a straightforward educational experience that would enhance my ability to help manage patients suffering from obstructive sleep apnea. However, what I encountered was something far more impactful. As I absorbed the information presented, I began to recognize symptoms described in my own daughter, who was just five years old at the time.
She struggled with restless sleep, constant fatigue, and an overall sense of discomfort—issues that conventional medicine had overlooked. Realizing that her problems could be linked to airway issues was both eye-opening and validating. It confirmed my gut instinct that something was wrong despite being told otherwise. At that moment, my role shifted from just a regular attendee participating for continuing education to bring back to my patients–to a determined advocate. I dedicated myself to learning everything I could, not just for my daughter but
By Dr. Nadia Afzal
for the many others who were suffering without answers.
A LEAP OF FAITH
For years, my career was centered around traditional dentistry—routine checkups, restorative procedures, and the rewarding work of helping patients maintain their oral health. But the symposium opened my eyes to a more critical connection between oral health, airway function, and overall wellness. That realization became a turning point in my professional and personal life.
Entering this field was both exciting and overwhelming. I had to move beyond general dentistry, learn new concepts, collaborate across specialties, and rethink my approach to patient care. The early days were filled with uncertainty, self-doubt, and frustration. Often, alone in my perspective, I pushed myself to fully understand these concepts so I could challenge my colleagues to think differently. Quality patient care requires collaboration, yet finding like-minded professionals isn’t always easy. I sought mentorship, pursued advanced training, and worked with other healthcare providers, even when advocating for an airway-focused approach which was met with skepticism. Challenging conventional medicine was necessary, and over time, I found a community of mentors, colleagues, and peers who shared my vision and reinforced my commitment to bridging dentistry and sleep medicine.
FINDING STRENGTH IN ADVERSITY
One of the most rewarding aspects of my journey has been witnessing the profound impact that dental sleep medicine can have on people’s lives. From helping exhausted mothers regain sleep and energy to seeing infants thrive after airway-focused interventions and aiding adults who have silently suffered from chronic issues—each case has reinforced the importance of this work.
I have met patients who had spent years struggling with undiagnosed airway issues, unaware that solutions even existed. Children labeled as hyperactive or inattentive found a new sense of calm and focus after their sleep and breathing were addressed. Parents who had spent endless nights worrying about their little ones finally found relief knowing their child’s health was improving. These moments of transformation remind me that pushing beyond familiar boundaries was necessary and essential.
BALANCING MOTHERHOOD AND PURSUING KNOWLEDGE
Pursuing education while balancing the responsibilities of being a mother has been one of the greatest challenges of my journey. There were countless nights of studying after putting my children to bed, long weekends spent at conferences while missing family moments, and the constant tug-of-war between professional ambition and maternal guilt. Sacrificing time away from my family was
never easy, but I reminded myself that in doing so, I was setting an example for my children—showing them the importance of lifelong learning, resilience, and pursuing one’s passion with unwavering determination.
Motherhood has taught me patience, adaptability, and the ability to navigate challenges with grace. These qualities have seamlessly translated into my professional life, allowing me to approach my work with a sense of balance and perspective. More importantly, it has reinforced that women can be both devoted mothers and dedicated professionals—our ambitions need not be sacrificed; they can coexist and even complement each other.
THE POWER OF EMPOWERMENT
My desire to educate and empower others grew as my expertise in dental sleep medicine grew. I knew firsthand the struggles of learning a new specialty while balancing an existing practice, and I wanted to create opportunities for fellow dentists to integrate airway-focused care into their work. I started mentoring colleagues, sharing my story at invited talks, and advocating for a more comprehensive approach to dentistry that considers the airway and sleep health.
I discovered that empowerment is contagious. When you show others that growth and transformation are possible, you ignite a spark in them to explore new possibilities. Some of the most fulfilling moments of my career have been witnessing other dentists take the leap into this field—seeing them embrace new knowledge, implement life-changing treatments, and elevate the standard of
care for their patients.
THE JOURNEY CONTINUES
Looking back, I realize that my journey has never been just about expanding my dental expertise; it has been about evolving as a person and a professional. Every challenge, every victory, and every lesson has contributed to the clinician I am today. And if there’s one thing I know for sure, it’s that the journey is far from over.
Not too long ago, I had the privilege of hearing the story of an extraordinary adventurer—one of only twenty people in the world to have summited the highest peaks on all seven continents and traversed the North and South Poles. What struck me most was not his list of achievements but that he did not start as an expert climber. In fact, he had little experience and lacked the resources to climb his first peak. But what he did have was an unwavering will and trust in the process.
His account of scaling Mount Everest resonated deeply with me. The climb is not a single, uninterrupted ascent. Instead, climbers reach base camp and then push to Station #1 before returning to base camp to acclimate. They ascend to Station #2, come back down, and repeat the process, going higher each time while continuously returning to lower altitudes to adjust. It is a slow, deliberate, and sometimes frustrating journey, but each cycle strengthens the body for the ultimate push to the
summit.
This process mirrors my own professional path. I have taken steps forward—learning new techniques, expanding my practice, and treating more complex cases—only to find myself returning to foundational principles to refine my approach. There have been moments where I felt like I was repeating steps, revisiting lessons I thought I had mastered. But just like the climber who must descend before ascending again, these cycles of progress and reflection propel me forward.
I have realized that in this journey my need for perfection or mastering everything before taking steps needs to be put aside. Too often, we delay action, thinking we need everything in place first. But the truth is growth happens in motion, not in waiting. Trusting the process, even when the path ahead was unclear, became one of the most valuable lessons of my path.
To any dentist considering a leap into dental sleep medicine or another uncharted area of healthcare, I say: go for it. The road may be uncertain, and you may not have all the answers at the start, but trust the process. Growth and transformation happen when you take action, even if all the pieces are not perfectly aligned. Like the climber making his way to the summit, progress isn’t always linear. But with perseverance, adaptation, and a belief in the journey itself, the path forward is always upward.
Dr. Nadia Afzal is a dentist and diplomate of the American Board of Dental Sleep Medicine. She is currently practicing in Bethlehem, PA in a practice dedicated to treating tongue ties and sleep apnea. She is an affiliate with The Breathe Institute and a fellow with the American Laser Study Club. Her passion for treating airway health as it relates to overall health has placed her as a community leader. Not only is Dr. Afzal a recurring speaker at the teaching hospital of Temple University School of Medicine at St. Luke’s Hospital, she is also at the forefront of bringing about collaborative care in the Lehigh Valley.
In her free time, Dr. Afzal keeps herself busy with her 4 kids, traveling, gardening, and advocating for better health for all her patients.
Social Media Handles: Instagram: https://www.instagram.com/dr.nadiaafzal/ LinkedIn: https://www.linkedin.com/in/nadia-afzal-dmd-89992995/
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Piedmont Regional Dental Clinic, Orange, VA
BREAKING FREE: MY JOURNEY TO OVERCOMING CHRONIC PAIN
By Joyce Weeks
For as long as I can remember, I lived with pain. It was my constant companion—so much so that I didn’t recognize how severe it was until I was finally freed from it in November 2024. After 29 years, I found a doctor who not only believed me but also understood my condition and knew how to treat it. This is the story of my journey to reclaim my life.
THE BEGINNING OF THE PAIN
It all started when I was eight years old. If women’s health topics make you uncomfortable, consider this your warning—because my story is deeply intertwined with them.
I’ll never forget the first time I got my period. I had just returned home from the dress rehearsal of my elementary school’s production of The Lion King, where I was playing Adult Nala. Still in costume, I went to the bathroom and discovered what every young girl is told will one day arrive: my first period.
Luckily, my mom—a nurse—had prepared me for this moment. My parents were supportive and encouraging, and I went about my young life. But by the time I turned 10, periods became a source of agony. The pain was extreme, but manageable with ibuprofen and, eventually, birth control pills—standard treatment for painful periods.
HIGH SCHOOL AND THE PAIN THAT STOLE MY YOUTH
By high school, my symptoms worsened. I began to experience debilitating migraines alongside the severe menstrual pain. At times, it felt like my body was rebelling against me. My migraines were so severe that they left me bedridden for days. They didn’t just affect my health; they affected my entire life.
In my junior year, the pain became so intense that I missed six weeks of school. Falling behind academically was a massive blow to my confidence. Eventually, I had to make the difficult decision to drop out. This was heartbreaking for me, but it felt like the only option. I earned my GED and transitioned to community college, trying to make the best of my situation.
Doctors dismissed my concerns, offering the same tired advice: “Use a heating pad,” “Take NSAIDs,” or, most frustratingly, “Have a baby—it’ll help.” These were actual words from an OB-GYN as she tried to place an IUD without anesthesia. I was just 19.
The official diagnosis was dysmenorrhea—medical jargon for painful periods. But deep down, I knew there was something more going on. My body was trying to tell me something, and I wasn’t being heard.
SUSPICIONS CONFIRMED
Fast forward to 2019. After having my youngest child, I experienced a brief reprieve from the pain during
pregnancy, but it came back worse than ever. At this point, the pain was no longer limited to my periods. It was constant, and I was tired of suffering in silence.
I scheduled appointments with both my OB-GYN and a gastroenterologist. After ruling out gastrointestinal issues, I pushed for a laparoscopy—the only definitive way to diagnose endometriosis, a condition I had long suspected.
When I woke up from surgery in 2022, my doctor confirmed it: endometriosis. Finally, I had an answer. It felt validating to know that my pain wasn’t imaginary. But relief was fleeting. The ablation surgery I underwent (one of the two primary treatments for endometriosis) failed to alleviate my symptoms. Within months, the pain returned with a vengeance.
NAVIGATING THE MEDICAL MAZE
Over the next two years, I tried everything, including hormonal IUDs to slow the regrowth of endometriosis lesions. I was referred to specialists, but their lack of empathy and ineffective solutions left me feeling hopeless. I vividly remember leaving one appointment in tears, feeling more defeated than when I arrived. It’s an indescribable pain to feel unheard by the very people who are supposed to help you.
The emotional toll was as significant as the physical one. Chronic pain isolates you. It makes you question your sanity and your worth. I began to doubt myself and wonder if I was being dramatic, as some doctors subtly implied. It’s a cruel reality that many women with endometriosis face—their pain is often minimized or dismissed altogether.
By the summer of 2024, I’d had enough. After talking with a friend who was planning a hysterectomy, I knew it was
time to take control of my body and my pain. I was done waiting for someone to offer me a solution; I needed to advocate for myself.
THE DOCTOR WHO CHANGED EVERYTHING
In 2024, I met with a gynecological surgeon. From the moment I walked into her office, I felt understood. She listened to my story, empathized with my struggles, and presented a clear plan for surgery. For the first time, I felt hopeful.
The surgeon recommended a total hysterectomy. While the decision was daunting, I knew it was the right one for me. Just two weeks later, on November 12th, I underwent the procedure. She removed my uterus, cervix, fallopian tubes, and the tissue surrounding my ovaries along with all of the endometriosis she could. The surgery took three hours, and the extent of my endometriosis—now stage 3— was evident.
LIFE AFTER PAIN
The difference was almost immediate. Within a week, I could tell something had changed. By two weeks post-I spent time playing with my youngest in his room, building with Magna tiles, and playing kitchen. For the first time, I was truly present. I could sit on the floor without wincing in pain, fully engaged in the moment, enjoying his laughter and the joy of simply being there.
The impact extended beyond my physical health. Mentally and emotionally, I felt lighter. Chronic pain takes a toll on your mental health, and removing that burden allowed me to focus on things I hadn’t been able to enjoy in years. I began to rediscover hobbies, reconnect with friends, and set new goals for my future.
Now, I wake up each day with energy, free from the relentless pain that once defined my life. It’s a feeling I can only describe as miraculous.
A MESSAGE TO OTHERS
If you’re struggling with chronic pain—whether it’s endometriosis or another condition—don’t give up. Keep advocating for yourself. There are doctors out there who will listen, who will believe you, and who will help you find relief.
It’s not an easy journey, and it often requires immense patience and persistence. But your pain is valid, and you deserve answers. Surround yourself with supportive people who lift you up, and don’t hesitate to seek second (or third, or fourth) opinions if needed.
My journey took 29 years, but I finally found freedom. And it feels incredible. The lessons I’ve learned along the way are ones I hope to share with others so that they, too, can find the help and healing they deserve.
About the author:
Joyce Weeks, B.S., M.Sc., is an immunology and global health expert with a background in biology. A 2014 graduate of the National University of Ireland, Maynooth, she joined Dental Ed, Inc. that same year, eventually becoming Owner in 2023. Raised by a dentist and infection control educator, Joyce combines academic expertise and personal experience to advance dental education in PPE, disease prevention, and safety. Her passion drives improvements in care standards within the dental community.
Mark your calendars:
Smiles at Sea April 25 - 28, 2025 smilesatsea.com
Ce on the Beach June 26 - 28, 2025 Cayman Islands
ThriveLive by Henry Schein Las Vega, NV April 30 - May 3
Mommy Dentist in Business CEO Roundtable: Cohort A Scottsdale, AZ May 1-2
WEvolution 2025Phoenix, AZ May 2-3
Speaking Consulting Network Annual Summit Providence, RI June 5-7
RDH Under One Roof, Dallas, TX July 18-20
If you want to arrange a meetup, please email anneduffy@dew.life for a complete updated list of dew dates go to the private FB DeW Life crew page.
Who, Where, When
LIVING YOUR STRENGTHS
FROM BURNOUT TO PURPOSE: HOW MENTORSHIP REKINDLED MY LOVE FOR DENTISTRY
Iknew I was sick—I had cancer. But the real wake-up call wasn’t the diagnosis; it was the moment I actually looked forward to my bilateral mastectomy, just so I could finally rest. That’s when I realized just how deep my burnout had sunk.
Dentistry is hard. Add the weight of running three practices, raising three young kids, and running on empty, and you’ve got the perfect storm for exhaustion. I wasn’t just tired—I was disconnected. I dreaded going to work, snapped at my team, grew impatient with the parents in my pediatric dental practice, and avoided my charts as skillfully as my tween patients avoided flossing. The passion that once fueled me had flickered out, leaving behind only stress and resentment.
I had lost my purpose.
And then, on one of those late nights of mindless Facebook scrolling—just trying to numb the overwhelm— something unexpected happened. Something that would change everything.
In 2018, I came across data from the ADA Health Policy Institute revealing that only 3.8% of all dentists in the U.S. are Black, only 5.2% are Hispanic, and a mere 1.1% are American Indian, Alaska Native, or Pacific Islander. I was shocked. Nearly two decades had passed since I graduated from dental school, where I was one of only four Black students and among just a handful of students of color in my class. Had nothing changed? I felt compelled to act.
I posted the statistics on my personal Facebook page in bold letters and wrote: “According to the American Dental
By Dr. Laila Hishaw
Association, only 3.8% of all dentists are Black. We need to raise that number! Whose kid may I mentor?”
The response was overwhelming. Friends, colleagues, and even strangers began commenting, sharing, and tagging others. Comments poured in: “Can you mentor my niece?” “Can you speak to my granddaughter?” “My son is interested in medicine—do you think dentistry would be right for him?” It was a turning point.
Maybe it was the mother in me or my deep commitment to serving children as a pediatric dentist, but I knew that if we truly wanted to increase diversity in dentistry, we had to reach students early. That realization sparked an idea— to create a Facebook community where parents, teachers, school counselors, and colleagues could connect, share resources, and mentor aspiring dentists.
I named it Diversity in Dentistry Mentorships (DIDM) with the tagline: “I D.I.D. It—So Can You!” As more mentors across the country joined this movement, the tagline evolved into: “We D.I.D. It.” Because this mission isn’t just about representation—it’s about health equity and expanding access to care. Mentors inspire, guide, and champion those coming behind them. They help others imagine a future they once dreamed of for themselves. And for me, mentorship didn’t just ignite a movement—it rekindled my own love for dentistry.
What surprised me most about mentorship was how much it gave back to me. By investing in others, I began to heal from my own burnout. Guiding mentees through their struggles reminded me of my own journey—the resilience it took to get where I am today. Each success story— whether it was a mentee acing the Dental Admissions
Test (DAT) or overcoming academic challenges—felt like a shared victory. Through mentorship, I reconnected with the core values of dentistry: compassion, service, and human connection. I started to see my young patients in a new light, approaching each interaction with the same enthusiasm and patience I brought to mentoring. The act of giving back had reignited my love for the profession.
One of the most powerful moments I’ve experienced was when a pre-dental mentee, now a third-year dental student, expressed her heartfelt gratitude for the encouragement that kept her from giving up on her dreams. She shared how having someone who believed in her, who took the time to guide her, share experiences, and open doors to shadowing opportunities, made all the difference. Today, she’s not only thriving in dental school but also serving as an officer on our Board, paying it forward by mentoring the next generation of pre-dental students.
This is the ripple effect of mentorship—one act of guidance can transform a life, spark confidence, and unlock leadership potential. Through the many mentorship connections our nonprofit has fostered, countless stories like hers continue to unfold—a testament to the power of investing in others.
After two years of growth, I took DIDM to the next level, assembling a Board of Directors and incorporating it as a 501(c)(3) nonprofit. I wanted to introduce a cornerstone initiative that would bring middle and high school students to dental schools, allowing them to meet dental students, gain hands-on experience in the simulation lab, and see themselves in the future of dentistry.
In 2021, we hosted our very first Diversify Dentistry
Youth Summit™, and since then, we have presented eight Summits, with eight more slated this year—thanks to a generous grant from the Delta Dental Institute’s Oral Health Diversity Fund. By the end of 2025, we will have directly impacted over 800 teens and countless more lives indirectly.
It’s an incredible sight when students step off the school bus and walk into the dental school, their eyes lighting up with curiosity and excitement. Once gathered in the auditorium, I stand before them and ask: “Raise your hand if you’ve ever seen a dentist who looks like you.” I watch as only three or four hands hesitantly lift into the air. Knowing the lack of representation in the dental workforce, I am never surprised. But after the Summit, that all changed.
Students get a crash course in dental anatomy and cariology, drill and fill on typodonts, take impressions, learn to suture on a banana, and are mesmerized by the latest advancements in digital dentistry. And then—the day culminates in a White Coat Ceremony, a traditional rite of passage for dental students, symbolizing their entrance into the profession. For these young minds, it plants a seed of possibility—a powerful, visual reminder of what they can achieve.
I am busier than ever—balancing full-time private practice, Youth Summit planning meetings over lunch, evening mentoring sessions, fundraising, managing social media, and traveling nationwide for Summits and speaking engagements. Through it all, I am striving to be the best mother, wife, and daughter I can be.
I’ve learned that I can’t do it alone. In the whirlwind of busyness, I must lean on my village, stay grounded in my
values, and be lifted to my purpose. We are more than our titles. We are teachers, mentors, and role models. Sharing our gifts with others matters—they were never meant to be ours alone.
When we embrace our gifts, values, and passion, we find our purpose.
What is yours?
About the author:
Dr. Laila Hishaw is a board-certified pediatric dentist, speaker, best-selling author, and thought leader in dentistry. She founded Diversity in Dentistry Mentorships, Inc. to enhance representation in the profession. Through her nonprofit work, lectures, and consulting, she advocates for mentorship and belonging in the workplace. As a leadership coach, she empowers healthcare professionals to lead with confidence and purpose. Dr. Hishaw lives in Tucson, Arizona with her family and rescue pets. Discover more at DrLailaHishaw.com.
Surround yourself with trusted support
CHRONICLES OF A CHRONIC PEOPLE PLEASER
When reflecting on my journey, one thing becomes clear: it’s through trials that we discover our truest selves. Some of my biggest life lessons have also been the scariest ones, but it’s what I chose to do with these lessons that have taught me the most. I’ve had to decide whether to let my fears take me under or to rise above, learning and adding these lessons to my toolbelt.
For my 20+ year journey in dentistry I quickly learned that for those in health care and service-oriented roles, the weight of expectations can be incredibly overwhelming. We are conditioned to be caregivers, to anticipate the needs of our patients over our own, and to go above and beyond to prove our worth. After 20 years in the service industry, experiencing the immediate gratification that you receive from patients for doing a job well done—the people-pleasing bug began to take root and carry over into regular life. Throw in friends, a husband, kids, and pets, I was well on my way on my chronic people-pleasing journey.
I’ve always been a natural nurturer. My first job in dentistry, as a high school dental assistant for an oral surgeon, was a challenging yet rewarding experience. Despite fainting three times initially, I quickly adapted and found immense satisfaction in making patients feel welcomed and comfortable. I anticipated the doctor’s needs and often worked long hours to support my team. This sense of accomplishment and motivation to excel became a core part of my identity.
When I transitioned to dental hygiene, I savored the independence it offered without the stress of being in charge. However, it magnified my people-pleasing tendencies. Balancing schedules, calming anxious patients, maintaining a positive attitude, and supporting the dentist kept me constantly on my toes. Despite
By BeTrice Casada, RDH, BA, MA
my efforts, I began to feel a slow burn of resentment, questioning why others didn’t put in the same effort to care for me.
CLIMBING THE MOUNTAIN
As I continued to give my all, my company, at the time began to notice me and an opportunity arose to move into a leadership role. Could I take on more responsibility? Would I be able to balance leading others while continuing to keep up appearances of being everything to everyone?
As I stepped into the role of Director Of Operations, it truly was a defining moment for me. I was no longer responsible solely for patient care, a one-on-one experience. I was now responsible for an entire team, ensuring they had the resources, support, and leadership to succeed.
Initially, I approached leadership with the same mindset as before: if I gave my all and showed up for others, my team would recognize my hard work and respond positively. I answered emails late into the evening, handled team conflicts, and shielded everyone from stress. However, I soon realized that the higher I climbed, the more demands were placed on me. Could I handle it all? No, I could not.
The stress started to take its toll. Anxiety, sleepless nights, weight gain, burnout, and I focused more on my team than my own family, this was not the life I wanted to lead. I climbed the mountain only to find it was not the view I expected.
LEARNING TO PRIORITIZE MYSELF
I realized that as a woman in leadership, I felt the need to work twice as hard to prove myself. Was I too soft? Too hard? Did my team believe in my competence? I
internalized these concerns for years but eventually realized that leadership isn’t about perfection—it’s about sustainability.
I had to start prioritizing myself over others, a foreign concept to me. This was not a simple flip of the switch. It took numerous attempts, and I still struggle, but I’ve learned that this is part of being human. The joy in life often comes from our hardest times, and it’s the rise of the hero within ourselves that makes life worth living.
PROTECTING MY WELL-BEING
My story is not unique. Women in business often juggle responsibilities that span both personal and professional life. The expectation to be “always on” can lead to burnout, and without proactive stress management, we risk running on empty.
I’ve realized that prioritizing self-care is not a luxury but a necessity. Here are some tips that have made my life joyful again:
Setting Clear Boundaries without Guilt
As a chronic people pleaser and high-performing woman, I also struggle to say no. I do not want to let anyone down, but boundaries are essential for long-term success. Setting limits on work hours, being clear about my availability, and delegating responsibilities are critical:
Blocking off time in the calendar for deep work–mornings are my prime time.
Setting “no work” zones–no checking emails after 7 pm. (Still working on this one)
Communicating my expectations with my team so they understand my availability and understand my response time.
2 . Self-Care is a Leadership Strategy
On my yearly development plan for my company, I listed self-care as an area I wanted to continuously develop. I took on the mindset that self-care should not be viewed as a reward but as a daily focus and part of my professional success.
Morning mindfulness and meditation–starting my morning with a minimum of 15 minutes of meditation or deep breathing has been a game changer. I notice that if I skip this critical step in my morning, stress bothers me, more often than not.
15-20 minutes of physical movement, such as yoga, a walk, or a workout, which boosts my energy even before coffee
Scheduled breaks throughout the day to recharge instead
of pushing through.
3. Support Systems
Community is one of the best strategies I have incorporated. When I’m stressed, I tend to pull away from the world and throw myself into work. However, I quickly realized that I’m my best when I have a community of women around me who can resonate with what I am going through and can be a simple sounding post during my toughest times.
I work from home when not traveling. Working from a friend’s home occasionally does wonders for my focus and overall mood. Despite working on different tasks, the company helps.
DEW-ing it together. The community and people I have come to know in the DEW family have been one of my lifesavers. Being part of DEW-life has exposed me to a network of like-minded women. I am so blessed to be part of this community.
Professional coaching, provided by my company, has been a game-changer. My coach helps to keep me accountable and challenges me to look at situations differently.
HEALTHY LEADERSHIP
Many women strive to balance ambition and self-care. When I shifted my focus from overworking to well-being, I found that I could thrive in leadership and create a healthier, more productive workplace. Work isn’t about how much we can sacrifice but about how well we take care of ourselves along the way. Ultimately, change and transformation must come from within. I encourage you to prioritize and advocate for yourself. Remember, selfcare in leadership is not a luxury—it is a necessity.
About the author:
BeTrice Casada, RDH, BA, MA is a seasoned dental hygienist with over two decades of experience in the field. Her passion for dentistry extends beyond clinical care—she now serves as the Director of Practice Onboarding at Imagen Dental Partners, where she leads with a deep understanding of the dental team’s mindset. Committed to preserving clinical autonomy, she ensures a seamless and empowering integration experience for new partner practices.
Beyond dentistry, BeTrice a dedicated yoga and meditation practitioner, she incorporates mindfulness into both her personal and professional life. She is also a proud backup singer in a band, embracing creativity and balance in all aspects of her journey. Currently, she is developing a wellness program for dental professionals, integrating mindful techniques with accessible physical movement to support overall well-being in the profession.
LinkedIn: (32) BeTrice Casada, RDH, BA, MA | LinkedIn
HOW RESILIENCE AND A SIMPLE DISCOVERY SAVED ME FROM SURGERY
By Jizal Seikali
Life has a way of throwing unexpected challenges at us, and for me, one of those challenges came in the form of Fat Necrosis and Oil Cysts in my breast. These complications stemmed from the impact of the airbag that deployed during a car accident in 2017, a moment that set me on a journey I never anticipated. What I’ve learned along the way is something I’m compelled to share with you, my fellow women in dentistry, entrepreneurs, and beyond. It’s a story of resilience, resourcefulness, and the power of seeking alternative solutions.
A JOURNEY THROUGH CHALLENGES
The car accident left me with injuries that I initially thought I could overcome quickly. But as the months turned into years, complications surfaced. By 2020, I underwent surgery to remove Fat Necrosis and Oil Cysts, hoping it would mark the end of that chapter. Unfortunately, by 2024, the cysts began to return, bringing with them not only physical discomfort but also the emotional toll of potentially needing another surgery.
I spent many sleepless nights worrying about the possibility of going through another surgery. The idea of enduring the pain, long recovery, and the disruption to my professional and personal life was overwhelming. Despite my fears, I knew I had to explore alternative options that might lead to a solution. I also reflected on how these challenges were shaping my perspective on health, resilience, and innovation.
A TIKTOK REVELATION
Sometimes, answers come from the most unexpected places. In this case, my sister stumbled across something
on TikTok that would change everything for me: Hydrocolloid Dressings. At first, I was skeptical. Could something so seemingly simple hold the answer to my problem? But as I dug deeper, I learned that Hydrocolloid Dressings are designed to absorb exudate—a mass of cells and fluid that seeps out of blood vessels—and form a hydrated gel over the affected area, promoting healing.
Encouraged by my sister and armed with cautious optimism, I decided to give it a try. For over a month, I used the dressings faithfully, following all instructions. The results were nothing short of miraculous. When I went in for an ultrasound, the results confirmed what I had hoped for: the cysts were no longer visible. The relief I felt was indescribable, and I was overjoyed to have avoided the pain and uncertainty of another surgery. This simple solution gave me a renewed sense of agency over my health and a deeper appreciation for exploring unconventional remedies.
LESSONS LEARNED
This experience taught me several valuable lessons, and I’m eager to share them with you:
Empower Yourself with Knowledge: While doctors are invaluable in guiding us, sometimes additional research and exploration can uncover solutions that complement medical advice.
Be Open to Alternatives: It’s easy to dismiss something that seems too simple or unconventional. But as I’ve learned, alternative solutions like Hydrocolloid Dressings can sometimes work wonders.
Resilience Pays Off: Navigating health challenges can be
exhausting, but perseverance and a willingness to explore new avenues can make all the difference.
Value Support Networks: Whether it’s family, friends, or professional communities like DeW, having a strong support system is crucial for overcoming life’s challenges.
SHARING TO EMPOWER
When I shared my story with my peers in the Dental Entrepreneurial Women (DeW) group during a recent Zoom meeting, their reactions reaffirmed the importance of speaking out. Up until that point, I had been hesitant to share my struggles. Although Fat Necrosis is benign and has different stages, I didn’t want to inadvertently insult any of the women in our group who have had to deal with breast cancer. Their encouragement to share my experience more widely reminded me that our stories can resonate in unexpected ways and provide support to others who may be quietly facing similar struggles.
It was a reminder that our stories hold power—power to inspire, educate, and uplift. Sharing openly also helped me process my own journey, transforming vulnerability into strength and action.
For me, this journey was about more than just finding a solution. It was about reclaiming my agency, finding strength in the face of adversity, and realizing that surgery isn’t always the only answer. My hope is that this story will resonate with anyone navigating their own challenges and looking for a way forward.
THE ROLE OF COMMUNITY IN HEALING
One of the most profound aspects of this experience was realizing how much strength I drew from my community. The women in the DeW group reminded me that vulnerability is not a weakness but a bridge to connection. Through their support, I was able to confront my fears and find the courage to share my story. This connection is a reminder that our collective experiences create a tapestry of resilience and hope.
Additionally, my sister’s discovery on TikTok underscores the importance of staying curious and open to new information. Social media often gets a bad reputation for spreading misinformation, but in this case, it served as a lifeline. This experience has inspired me to approach every challenge with an open mind and a determination to seek solutions wherever they may be found. It also reinforced the value of sharing these findings within a trusted circle to amplify their impact.
A MESSAGE TO MY FELLOW WOMEN
To my fellow women in dentistry, entrepreneurship, and life: remember that resilience is a skill we build with every challenge we overcome. Whether it’s in our personal lives, our businesses, or our health, our capacity to persevere is what shapes us into leaders and innovators.
If you’re facing a difficult situation, know that you are not alone. Seek out knowledge, lean on your community, and never underestimate the power of sharing your story. Sometimes, the solutions we need are closer than we think.
LOOKING AHEAD
As I reflect on this journey, I’m filled with gratitude—for the unexpected discoveries, the unwavering support of my community, and the resilience that kept me going. This experience has not only healed my physical health but also deepened my understanding of what it means to navigate challenges with grace and determination.
For anyone reading this who might be struggling with their own obstacles, I want you to know that there is always hope. Whether it’s finding a new treatment, leaning on your loved ones, or sharing your story, every step forward brings you closer to a brighter future. I’ve also gained a renewed passion for exploring ways to improve how communities, like DeW and DenTemp, can support women in balancing health, work, and personal growth.
About the Author
Jizal Seikali is the founder and CEO of DenTemp, a B2B SaaS platform connecting dental offices with qualified professionals. With nearly two decades of dental experience, she has dedicated her career to addressing the unique challenges of dental staffing and creating opportunities for professionals in the industry. DenTemp is more than a platform; it’s a growing community focused on fostering collaboration, innovation, and growth within dentistry. Inspired by organizations like DeW, Jizal aims to build a supportive network where dental professionals can connect, share, and thrive together. She is committed to empowering women in dentistry by providing resources, mentorship opportunities, and a sense of belonging through her work. Outside of her professional endeavors, Jizal is an advocate for resilience and empowerment, encouraging others to pursue their passions and embrace the power of community. Connect with her on Instagram @dentemp_llc.
HOW MY PERSONAL JOURNEY AFFECTED MY PRACTICE
By Elizabeth Dooher-Anthony, RDH
In 1985, I was working at Pier 1 Imports. A year or so earlier, I had graduated from college with a BA in English and a minor in Theater Arts. I had dreams of being on a stage, of becoming a published writer, or something else noticeable. I have always craved attention.
At the same time, I was looking for fulfilling work. I was in search of employment stability so I could marry my boyfriend and support him in his endeavors. I did not realize this until many years later. The Universe has a way of directing me, sometimes resulting in a very winding path!
One day, an “older” gentleman (in my 22-year-old eyes) purchased a Charlie Chaplin print that I admired. I said that I loved it. He said it was going to go in his office.
“Oh, you have an office?” I blurted out. “Would you like to give me a job?”
“As a matter of fact, I am looking for a receptionist,” he replied. I launched into a hard sell of my great telephone skills. He gave me his card. It said Dr. Robert Rosen, a dentist.
I showed up at his office in the business suit I had received for graduation. I was hired and thus began my almost 40-year career in oral health care. I had no experience in the dental profession or office management of any kind. I am eternally grateful to the man who took a chance on a brash sales clerk.
I worked at the desk for about a year. The Hygienist enjoyed her job, and the patients loved her. I heard they made a decent wage. I had toyed with the idea of nursing school, as I come from a lengthy line of nurses.
I was accepted to Dental Hygiene School in 1986. It was
much harder than I was expecting, but it showed me that I am much smarter than I think I am. I graduated in 1988 and went back to work for Dr. Rosen.
My first tasks were getting my boyfriend to marry me and cure periodontal disease. I now realize this is part of a lifetime pattern of looking outside myself for happiness.
My first few years of practice flew by as I tried everything to find “it.” I had a baby, and we moved to Colorado. I would find moments of peace that were short-lived, but I was continually frustrated and unhappy. I blamed my husband, my circumstances, and my patients for not cooperating in my happiness.
I was happy at work if every patient was on time, friendly, and had good oral hygiene. Naturally, I was unhappy a good deal of the time. I took complaints personally. Sure, I was “rougher than the other girl.” I was trying to help them! This forced me to develop an instrumentation philosophy of “less pressure, more strokes” that I used my entire career. My patients told me repeatedly that I was “gentle but thorough.” I got to teach one semester at the Hygiene School and drilled that into my students.
I sought counseling in 1994. One of the first things my therapist emphasized was “How are you taking care of yourself?” I would call her in a tizzy about something my husband was doing. Those were always her first words. I had no idea what she was talking about.
She had me learn about PTSD and trauma responses. She also had me read “Peace, Love and Healing” by Dr. Bernie Siegel. That book taught me about body/ mind communication. It also spoke strongly to me as a healthcare provider. Siegel described instances of how patients were made sicker because of how they were
treated. I did not want to make my patients sicker.
At the same time, I noticed that I was personalizing every interaction with patients. My therapist said, “Everything you hear is a direct reflection of how you feel about yourself.”
It all came together one day when a woman came into the office. She was visibly upset with what I now know is hypervigilance. The hygienist next to me was trying her best to soothe her. As soon as she reclined her, the woman “freaked out.” She was crying and yelling. She had to leave the office. I suddenly realized that she had suffered a PTSD reaction from a previous experience! My patients were not reacting to me as much as they were to their prior experiences!
At once, I decided that any interaction with me would not be part of the problem for any patient. The next day, I was driving toward the mountains to work, and I said aloud, “I’m gonna spread love today, even if it kills me!” That stayed with me for the rest of my career.
I started working in an office that allowed me to create the atmosphere I wanted. I used aromatherapy, soothing music, and massage, and patients were thrilled with the experience. Unfortunately, personality conflicts in the office made that situation short-lived. Hindsight showed me that I should never have left the position I was in initially. Hindsight is always 20/20 in the rearview mirror.
Not long after I realized my drinking was a problem, I joined AA, and the Serenity prayer became part of my daily lexicon. That was what created “Serdentity,” my philosophy of practice. I desired a peaceful experience for my patients, which led to a serene experience for me. I began to desire to teach others. I published an article in the local newspaper. I presented a course for the local dental study club.
At the time I was working for periodontal practice. I longed to recreate the atmosphere I had before. I began to make changes in my treatment room, first bringing in my own music and closing the door while treating patients. This went over great with the patients. I did not realize I was creating a feeling of apartness from my boss and coworkers. They were good people, and they liked me. I was so focused on “doing right” that I missed cues from them that there was trouble. I had a feeling of superiority. Many years later, I understood that I was setting up a situation that was bound to come to conflict.
I was eventually terminated from that job. I was outraged. How could my boss do this to me? Didn’t he see I was helping?! Eventually, there was a hearing for unemployment benefits. My boss’s lawyer portrayed me as a bipolar know-it-all who forgot it was not my practice. I was denied benefits. The experience stung deeply. It
was a long time before I could accept that the lawyer was entirely accurate.
I learned a basic lesson in communication. What I say and do is filtered through the lens of the person receiving it. My boss was decidedly non-spiritual and not open to the “woo-woo” concepts I believed in. I tried to force them on him and he naturally rebelled. I felt justified by my good intentions.
This led me to a fundamental precept of Serdentity: The patient’s perception of what we are doing drives them. Their emotional perception may be quite different from ours, and it is created by previous experiences.
Once I became interested in orofacial myofunctional therapy, I realized that previous bad experiences are strongly related to not being able to breathe in the dental chair.
This has led me to explore trauma more deeply. I have studied the neurobiology of trauma, and I realize I cannot expect a person to use their executive brain when they are stuck in the primitive brain. This applies to patients, coworkers, and bosses.
This led me to advocate for trauma-informed care. I must meet my patients where they are, not where I wish they were. I must meet my coworkers and bosses where they are. I can try to lead them, but I cannot force them. I must lead by example. When they see me succeeding with difficult patients, they want to know how.
I created a seminar, a book, and a podcast to spread my message. I have presented my seminar at several conferences. I hope to speak more. I love talking with fellow professionals on my podcast. I have learned a lot from my guests. Innumerable people have helped me along the way. I hope that I have been helpful to some as well.
Please reach out to me if you have questions. dentadiva@gmail.com Facebook: www.facebook.com/Serdentity Instagram: @dentadiva
About the author: Elizabeth Dooher-Anthony, RDH became a dental hygienist unexpectedly. She was supposed to be a rock star. After working at a dental office front desk, she attended dental hygiene school. She developed a positive mindset that enhances patient experiences. Elizabeth’s philosophy is called Serdentity. She has presented it since 2006, published as a book in 2013. Her articles appear in RDH magazines, and she hosts the “Serdentity Podcast” on YouTube. Elizabeth resides in Rochester, NY with her husband, Michael.
THE SPY WHO STREAMLINED ME: TRANSFORMING YOUR PRACTICE FROM WITHIN
People tell me SOPs are not sexy! I tend to disagree. True, they may not be a sleek new piece of tech like a Trios 4 Wireless POD or an iTERO Element 5D Intraoral Scanner, or even the shiny attention-grabbing marketing campaign.
But I think sexy SOPs are the James Bond of business tools: smooth, efficient, and always saving the day. Instead, they often resemble that dusty binder in the corner that no one wants to open. Yet, beneath the cover lies the key to a thriving and successful practice.
WHY SOPS MATTER MORE THAN YOU THINK
I was born an entrepreneur’s daughter. Let me tell you it was quite a ride. No one had bigger ambitions than my dad and he was able to get about halfway there each time. Halfway where? Good question! As a child in the middle of an entrepreneur’s ambitions, it was pretty fun. Ya know, roller coaster ride kind of fun. I always had what I needed, the foundations of a good childhood: love, food, clothes… a mostly-finished home to live in.
What I learned about being an entrepreneur was that it was either feast or famine. Big houses, fancy cars, or living in a single-wide, eating pancakes with nothing on them for breakfast and dinner, thank goodness for school lunch, said no one ever!
My dad was growing a large family he had to feed and he had learned early on, that if you want to have control over
By Laura Johnston
your income, you had to be in sales or an entrepreneur. And he could talk to anyone! You know the saying: “Talking an Eskimo into buying ice.”
That was the salesman inside my father! So, blessed with the salesman's gift of gab, and the fearlessness of an entrepreneur, he went about a variety (big variety) of get-rich-quick schemes and adventures. He became a land developer, a building contractor, and a countrywestern band owner (yes, child labor with his daughters with Osmond family dreams), which of course led to a recording studio. Next came an auto body shop and so the story goes….
THE ETERNAL ADVENTURER
Dad jumped into businesses with both feet. Not once did he stop to ask himself if he had the skills, connections, or even the faintest idea of what he was doing. “I’ll figure it out,” was his mantra, and it had served him well enough to keep his family fed—most of the time.
THE ONE-MAN BAND BUSINESS MODEL
My dad’s business model was simple: do everything himself. It wasn’t because he didn’t trust others—he did. It was because he couldn’t bring himself to delegate. Or just didn’t have time to figure out who to delegate it to (excluding his children!). He couldn’t manage money and he would often say he “had to rob Peter to pay Paul.”
Fast forward many years. My father had long passed and I found myself an entrepreneur. I vowed never to be the one-man-band business my dad had run. One night, in the thick of trying to figure out how I was going to pay my team, I had a dream….
James Bond adjusted his tie, casually leaning against the sleek Aston Martin as M briefed him on his next mission. This wasn’t about a megalomaniacal villain or a ticking doomsday clock—it was a sabotage case involving MI6’s own operational playbook: their SOPs. Someone had stolen them.
“You see, Bond,” M explained,
“Our SOPs are the backbone of MI6. They ensure everyone— from field agents to analysts—operates efficiently and consistently. Without them, chaos ensues. Missed deadlines. Miscommunication. Even Q’s gadgets are going out untested.” Bond raised an eyebrow.
“I thought we thrived on chaos, M.” M shot him a sharp look.
“Not the wrong kind of chaos, Bond. Get those SOPs back.” Bond tracked the thief to a high-rise tech firm—Quantum Logistics. The CEO, a man named Clive Matheson, had a sinister grin and a reputation for corporate espionage.
“You’re telling me MI6 is crumbling because someone took their to-do list?” Matheson taunted. Bond smirked.
“It’s not just a to-do list. It’s the playbook for success. Even you wouldn’t dare run this empire without SOPs. Without them, you’re vulnerable—missing steps, wasting time, and putting your operation at risk. Sound familiar?” Matheson’s smirk faltered.
After a daring escape involving a coffee spill, an elevator ride, and a witty quip about “standard operating escapes,” Bond returned the SOPs to M. M nodded approvingly.
“Well done, 007. A reminder that even the best agents—or businesses—can’t function without clear, reliable systems.”
As Bond walked away, he muttered, “Who knew a set of instructions could save the world?” The moral? Whether you’re saving the world or running a business, SOPs ensure smooth operations, keep teams aligned, and prevent chaos—even for James Bond…
THE BROCCOLI OF BUSINESS
When you hear “SOPs,” you might groan and think of long, tedious manuals collecting dust. Trust me, I get it.
SOPs are the broccoli of business—you know they’re good for you, but they’re rarely anyone’s first choice. But here’s the kicker: SOPs are the tools that keep your practice from falling into chaos. They:
• Provide Clarity: Ensure every team member knows their role and responsibilities.
• Boost Consistency: Patients expect reliable care
• Streamline Onboarding: Set new team members up for success from day 1
• Foster Accountability: Ownership, employees feel empowered to execute
• Enhance Business Growth: Scale by providing a replicable framework for success.
CONSULTANTS: STANDARD OPERATING PROCEDURES (SOPS) - YOUR SECRET WEAPON FOR SUCCESS
Here’s a confession: I once had an SOP that included the phrase, “Make sure the thingy is turned off.”
Needless to say, that’s not helpful. This is where consultants come in. Their expertise allows them to:
• Identify Gaps
• Customize Solutions
• Facilitate Implementation
Why do I know this? I was a coach/consultant, for half a
second. I had several clients that I helped. But what left me frustrated was trying to leave them set up for success with the tools we put in place. All it took was another employee turnover, and things would fall quickly back into the old way of doing things. Ugh, it was painful and I felt guilty for not having a more permanent impact.
That is how My Dental SOP came to be. I didn’t plan on mass distribution. I thought it was something I could do for my clients. Many consultants create beautiful systems and help put great processes in place. It’s not just about creating SOPs… It is about being able to access, train to, and use those SOPs in a powerful way. It just isn’t done very often. Many businesses, not just dental practices, struggle with this. A successful business cannot be run without SOPs.
WALKING THE WALK: LEADING THE CHARGE AS A DENTAL ENTREPRENEUR
As a dental entrepreneur, it’s not enough to tell your team or clients what to do—you have to lead by example. Walking the walk means demonstrating the value of SOPs in your own practice or business. It’s about showing your team that clarity, consistency, and accountability aren’t just buzzwords but the cornerstones of success. That’s simple. But, like anything great, it is not easy. We help our clients with it, and we work on it with our team as well.
When you embrace SOPs and champion their implementation, you create a culture that prioritizes efficiency and excellence. Whether you’re leading your team or guiding clients, you set the standard for how operations should run—and inspire others to follow suit.
Growing up with my dad, the ultimate one-man-band entrepreneur, was like living in a real-life circus act. He juggled 27 different hats, turned paperwork into an Olympic sport, and somehow managed to keep everything mostly together with a big dose of grit and a little duct tape.
Fast forward to me—his daughter, who took that wild entrepreneurial spirit and paired it with a love for order and systems (chaos is not my love language). While Dad thrived in the “just wing it” era, I discovered my happy place in building SOPs that turn the chaos into calm. By the way, it is a journey, not a destination!
From my dad’s school of hard knocks to my world of checklists and flowcharts, the journey has been one part heart, one part hustle, and a lot of coffee. I guess you could say I took his entrepreneurial spirit and gave it an SOP upgrade!
PRACTICE OF DREAMS ?
If your SOPs are outdated, half-baked, or totally MIA, welcome to The Nightmare Zone. It’s all smooth sailing… until chaos sneaks up and snowballs into major operational meltdowns. But here’s the plot twist: this mess is 100% fixable—and faster to fix than you’d think!
We have very effective and intelligent team members all over the country in all kinds of practices. Many get a bad rap. They carry a lot of experience and knowledge around in their heads that can and should be shared. And I am proud of creating a great way to do it!
SOPs may not be sexy, but they’re the unsung heroes of a successful practice. They’re the quiet force that ensures your business runs smoothly, your patients are happy, and your team isn’t secretly Googling “How to quit my job without burning bridges.” I know it is a little weird to love SOPs so much. I need it. My ADD needs it. My team needs it. A thriving business needs it.
So, if SOPs were sexy? They’d be confident, dependable, and downright indispensable. Isn’t it time to give them the attention they deserve?
About the author:
With over 15 years of experience in the dental industry, Laura Johnston is the visionary behind My Dental SOP, a pioneering software solution designed to streamline employee onboarding and cross-training in dental practices. Laura’s journey in the dental field has been extensive and varied, encompassing roles such as dental coach, office manager, and insurance specialist for both dental anesthesia and general dental practices.
MY JOURNEY TO OPENING A WELLNESS AND AIRWAY GENERAL PRACTICE STARTUP AFTER 10 YEARS AS AN ASSOCIATE DENTIST
As many other entrepreneurs can attest, my journey to owning my practice isn’t what I expected it to be. Associateships that did not manifest into ownership and a shift in my focus led me to the start-up path, which I never expected. I’ve been fortunate to be surrounded by amazing people throughout my career, and I’m so grateful for the path I’ve taken. I wanted to share a little about my story in case it helps someone else thinking about making a change themselves.
I have wanted to be a dentist since my freshman year of high school. I loved that I could apply geometry to moving teeth, art in sculpting restorations, engineering in bites, and owning a business. After dental school, I was so fortunate to work in an amazing office as an associate for 6 years. I had full autonomy of what I did, mentors, a great team, and strong ties to the community–it was the kind of office where you stay and retire. During that time I was also starting my family, and I became particularly focused on healthy pregnancies, breastfeeding, and balancing my “mommy dentist” life.
There were a few events that happened around the same time that led to a shift in my focus. The first was that a patient brought me an article about forever chemicals in dental floss. I had no idea about this, and wanted to educate myself more. This led me to find the International Academy of Oral Medicine and Toxicology, the IAOMT. The second defining experience was that my mom had a dental infection when I was on maternity leave.
By Dr. Shannon Thorsteinson
Since I had begun learning more about the mouth/body connection I wanted my mom to have PRF and ozone in her treatment. Seeking out the care I wanted for her led me to see I should provide the same standard of care that I wanted for my mom to all of my patients.
The third was attending a pediatric airway CE course at the same time as my son experiencing speech challenges as a toddler. This led me to learn more about airway health and tongue ties. All during this time, I was in my traditional study clubs, going through the Spear curriculum, and learning about comprehensive care, occlusion, and managing the joints/muscles and teeth. I saw that many offices would focus on occlusion, biologic dentistry, or sleep/airway, but to me, it was hard to separate one from the other and I wanted to combine all of these concepts into how I practice.
When it became clear there was not a path to ownership in that job, I began looking for offices to purchase. It was difficult to even learn about offices for sale, and I had a specific area where I wanted to live due to my children’s language immersion schools. I was concerned if I purchased a traditional practice and implemented biologic and airway dentistry that patients would not be on board, and I’d be purchasing just a space and equipment rather than a patient base. That made the purchase option high risk for me, since I wanted to make philosophical changes to any office I saw, and it was unlikely the patient base would align with my desired style
of practice. That may have been a wrong assumption, and I do know dentists who shifted their existing practices as well as purchased in this situation and did fine.
I sent mailers out to dentists in the area saying I was looking to purchase an office, and one of those dentists responded with a job offer. We had similar interests in airway dentistry, so I ended up choosing to work there and develop my skills further rather than purchase at that time.
That ended up being a great decision both because I had a great team and mentor there, and because it was January of 2020 and I’m grateful I wasn’t a new practice owner at the beginning of the COVID pandemic. I was encouraged to develop new skills there and given a safe space to do so. I became SMART certified in safe amalgam removal, earned my fellowship in biologic dentistry, and invested in some equipment myself. I was already an Invisalign provider and took many more orthodontic courses as well. I began treating friends and family for early intervention orthodontics and loved the impact we could see on their health and development. The most significant equipment investment I made was a CO2 laser, and that helped me connect with lactation consultants and speech therapists in the area looking for a provider who treated tongue ties. After some time, I developed a niche within that practice focusing on infants and pediatric airway. When purchasing there didn’t seem like the right option, it became clear start-up was my only path to ownership.
While it was the hardest and longest route, in my situation it made the most sense. I actually told the office where I was working early on that I was planning a start-up, and I was able to continue working there during my buildout. They were kind, understanding, and welcoming, and I am grateful for this very unique situation. I was even able to purchase some equipment from them as they did their own new buildout. I know this particular part of my journey is unusual, and largely because the leaders of the office had a true growth mindset. I also like to think it was because we had a mutual foundation of trust early on, and our culture of transparency helped foster a positive
transition where we all wanted the best for each other.
Now that I have my own office I’ve been able to build my vision to focus on the microbiome, breathing, and bite as pillars of health with our patients. I’m learning, growing, and changing all the time, and adapting to what the business needs at different phases is both challenging and fun. I like that I can set up systems to be able to focus on the things I care about and want for my patients, and that in turn attracts the type of people who align with that philosophy. Things go so much smoother when we start with common ground, and this is what I am most grateful for and makes it worth it.
While in my associateships I was able to develop my technical skills in a safe environment, but I wish I would have been more intentional about learning to run a business. Learning a new practice management software and taking on the human resources side of owning a business were probably the two steepest learning curves for me at the beginning. I also recognize there are so many things we can’t control when making these big life decisions, like if there will be a shift in the economy or a pandemic. We can only make educated decisions with the information we have, and take a leap of faith when the time feels right.
There’s a lot about my story that makes me uniquely fortunate, and it’s not the path for everyone. I hope by sharing some of my journey it can help others see examples of what’s possible.
About the author:
Dr. Shannon Thorsteinson is a general dentist practicing in Atlanta, Georgia. She earned her bachelor’s degree in Biomedical Engineering from Georgia Tech, and attended Dental School and General Practice Residency at Augusta University. Her office is focused on Wellness and Airway Dentistry for infants, children and adults. She specializes in restorative dentistry, tongue ties, skeletal expansion, safe amalgam removal, saliva testing, and early intervention orthodontics. You can follow her at @ wellspringdentalatl @myogrowairwaycenter and @shannonTdmd
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