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The problem with incremental change is that it’s incremental in its change.

What I need from my business is 100% increase in turnover in 1 year with a 75% increase in the profit margin.

I need to put in 600 implants a year and increase the size of my team to 35 to 100.

Within 2 years we need to be at 100 different sites around the country and that’s where my happiness will be.

Garbage. Absolute garbage.

Everything good was built slowly and incrementally. There is very little that lasts that starts quick.

I’ve worked with Andy Legg now for more years than I care to remember and our relationship has developed beyond friends and colleagues, to just an instinctive understanding of each other.

But, I am writing this immediately after a conversation that we’ve had in my office about a case whose complexity (on reflection) is beyond anything I could ever have imagined I would have seen in dentistry.

I would like to post a panoramic radiograph but I don’t have permission yet, but let’s just say it’s a monument to man’s endeavour and a history of implant dentistry from the 1960’s to the present.

We discussed the possible treatment of that case in such a relaxed and blasé manor that, on reflection, it’s staggering.

I don’t know where we ever learned to look at these cases this way and how to think about how we might deconstruct and rebuild them, but the discussion was free and easy and we know how to do it; it’s fine if the patient doesn’t want it but we can fix it for them if they want.

This didn’t happen overnight and it didn’t happen in a month or a year. Andy and I have been on this pathway for decades and have different experiences and different areas of expertise (Andy Legg is truly the full arch implant dentistry master) which collide together for this person (in my opinion).

This is a recipe which takes years to bake and continue to grow and grow until that time that you hang up your scalpel.

It’s for that reason that I am not looking to hang it up any time soon, not for another few decades yet.

Blog post number: 1772