No-Prep Veneers & Invisalign Smile Architect | Dr. Michael DiTolla

Can you turn a prep veneer case into a no-prep case just by moving teeth first? Dr. Michael DiTolla explains how he uses Invisalign and Smile Architect to plan orthodontically driven restorative dentistry, how to seat no-prep veneers without errors, and how his own sleep apnea diagnosis changed his practice. In this episode: - How a fishing trip led to his own obstructive sleep apnea diagnosis - "How did you sleep last night?": screening every patient for OSA - Using aligners to develop arches and give the tongue more room - Smile Architect: no-prep veneers, gummy smiles and patient conversations - Why to finish aligner cases with 1.5 mm of incisal clearance - A step-by-step method for seating no-prep veneers - Abfraction lesions are pathological, and how tooth position fixes them Plus dental news: the SALT cap and pass-through entity tax for practice owners, unregistered dental assistants in Iowa, and alpha-gal syndrome. Dr. Michael DiTolla practiced for 15 years before spending 15 years as director of clinical education at Glidewell Laboratories, where he led the clinical team that developed BruxZir solid zirconia. He received the 2011 Most Effective Dentist Educator award and the Gordon J. Christensen Award for distinguished speaking from the Chicago Dental Society, and his education videos have more than 16 million views on YouTube. He practices in Lodi, California, focusing on clear aligners, veneers and obstructive sleep apnea. This episode is sponsored by Align Technology (Invisalign and iTero). More from the Giants in Dentistry playlist, including Dr. John Kois and Dr. Adamo Notarantonio. Listen on Apple Podcasts: https://podcasts.apple.com/us/podcast/dentists-in-the-know/id1543254763 Listen on Spotify: https://open.spotify.com/show/2Elfj6LX0hCUyp0AgdTsij All our links: https://fanflet.com/dinks/social-2 Join us live every Wednesday at 8pm ET for Humpday Happy Hour. Subscribe: https://www.youtube.com/@dentistsintheknow Chapters: 0:00 Intro 1:42 Jeff's sleep meeting takeaways: oral appliances vs CPAP 6:00 Wearables and at-home sleep titration 8:56 Chad's Dr. Pepper mouth TikTok 11:23 News: the SALT cap and pass-through entity tax 15:18 News: unregistered dental assistants in Iowa 16:22 News: alpha-gal syndrome and dental products 18:08 News: check your dentist's license 19:26 Chad's alpha-gal patient and the morning huddle 23:04 Introducing Dr. Michael DiTolla 25:08 Lodi wine country and Buc-ee's 28:56 How he found out he had sleep apnea 32:25 "How did you sleep last night?" 33:07 From restorative to arch development 35:31 Invisalign for airway and arch expansion 39:08 Patients are ready for wellness dentistry 41:04 Tonsils, ablation and kids who snore 44:36 Smile Architect and no-prep veneers 48:35 Case: fixing a gummy smile with intrusion 50:57 Showing patients their options 54:20 Finish with 1.5 mm of incisal clearance 55:48 How to seat no-prep veneers 59:47 When aligners and whitening are enough 1:01:11 Abfraction lesions are pathological 1:07:30 Closing: don't be so quick to pick up the handpiece 📺Subscribe to our YouTube channel to make sure you catch the live event! https://www.youtube.com/@dentistsintheknow Special thanks to Align for making this episode possible!