The Dentalpreneur Podcast w/ Dr. Mark Costes

2404: Why General Dentists Should Rethink Wisdom Teeth

Dec 18, 2025
Dr. Brandon Chapek, a fellowship-trained oral surgeon and co-owner of Capital Dental, shares insights on why general dentists should embrace wisdom tooth surgery. He discusses how his background as a Division I football player shaped his work ethic and time management skills. Brandon offers valuable tips on case selection, post-op complications, and the advantages of IV sedation. He emphasizes the financial benefits of integrating this procedure into general practice and highlights the importance of balancing mentorship with family life.
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INSIGHT

Predictability Is A Financial Advantage

  • Wisdom teeth are predictable procedures with defined time allotments and outcomes after proper training.
  • That predictability makes them an efficient way to convert clinical skill into reliable income.
ANECDOTE

Scaling Income By Focusing On Third Molars

  • Brandon scaled his individual production by focusing on wisdom teeth, reaching $3–3.5M projected production.
  • He reports average revenue per patient around $900–$1,200 when running efficient workflows.
ADVICE

Start Simple Before Offering IV Sedation

  • Start with nitrous/local or oral sedation and single-side extractions if you lack IV sedation certification.
  • Get IV sedation training before attempting efficient multi-quadrant surgery to meet patient expectations.
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