Smile Makeover Consults, Body Dysmorphia & Crown Warranties | Dr. Hugh Flax
March 12, 2026
Should you sell warranties on crowns, and how do you spot a patient you shouldn't treat? Past AACD president Dr. Hugh Flax walks through his smile makeover consult, how he recognizes body dysmorphia, and why accountability on both sides beats any warranty. In this episode: - Crown warranties and third-party warranty plans: should dentists offer them? - How Dr. Flax runs a cosmetic consult and manages expectations - Spotting body dysmorphia, and how to say no to a patient - Accountability: what patients owe their new smile - Why dentists have to keep upgrading their equipment and skills Plus dental news: a $32 million fraud case, a dentist who burned down his office, Egyptian mummies and gum disease, and new state laws on AI giving health advice. Dr. Hugh Flax is a past president of the American Academy of Cosmetic Dentistry, a graduate of the Kois Center and the Pankey Institute, an author and educator, and has practiced cosmetic and comprehensive dentistry in the Atlanta area since 1987. Chapters: 0:00 Intro 0:48 Welcome, and tonight's sponsor Kettenbach 3:17 Should dentists sell warranties on crowns? 10:51 Confidence, and not owning the patient's risk 13:45 When a material fails: replacing the crowns 15:42 News: a $32 million fraud case 17:05 News: a dentist burns down his own office 18:08 News: Egyptian mummies, gum disease and heart disease 19:30 News: state laws on AI giving health advice 22:58 Welcome Dr. Hugh Flax 26:07 How he's stayed young in dentistry 27:29 Ron Goldstein and his mom's smile makeover 28:44 Accountability instead of warranties 32:01 Walking through a cosmetic consult 33:06 Spotting body dysmorphia 36:46 How to say no to a patient 39:11 The Kettenbach products he relies on 43:53 Dan Perilli and Kettenbach 45:31 Kettenbach's history in impression materials 47:41 The QuickSplint deprogrammer 51:47 Why dentistry has to keep evolving 55:07 Getting the patient's senses involved 59:44 Closing: manage expectations 🙌 Special shout out to Kettenbach for making this episode possible! 🎧 Listen to the podcast: Apple Podcasts: https://podcasts.apple.com/us/podcast/dentists-in-the-know/id1543254763 Spotify: https://open.spotify.com/show/2Elfj6LX0hCUyp0AgdTsij 📺 Make sure you subscribe to catch new episodes live every Wednesday at 8pm ET! https://www.youtube.com/@dentistsintheknow 🌟 Stay up to date on all the latest dental trends when you follow the DINKs: https://fanflet.com/dinks/social-2