Guest: Dr. Spencer Ross
Thomaston Family Dentistry, Rural Maine
Dr. Spencer Ross is a solo general dentist in rural Maine who placed his first implant as a dental school sophomore and has since turned a GP practice he bought during COVID into a full-arch implant center doing cases at least once a week. In 11 months of advertising with The Implant Engine, he generated $633,000 in full-arch revenue on $52,000 in ad spend — a 12x return — while still running a full GP schedule. In this conversation, Dr. Ross breaks down exactly how he made room for full arch inside a busy general practice, why he believes most GPs are underestimating both the opportunity and the risk in this space, and what the advertising and lead-management process actually looks like from the inside.
IN THIS EPISODE
How a solo GP went from 2–3 weeks booked out to 2.5–3 months booked out in under a year — and what that scheduling shift actually required.
Why blocking half a day per week for full arch is the operational move most GPs resist, and how Dr. Ross got comfortable making it.
The team reality: neither of his two dental assistants had implant experience when he started. Both are in their early 50s. He trained them himself — and they picked up everything.
“Winter is coming” — Dr. Ross on why the full arch space is filling up with undertrained GPs, what a failed case actually costs a patient, and what proper training commitment looks like before entering the field.
What working with The Implant Engine’s call center and lead platform looks like for a busy GP who can’t hand lead follow-up to his front office — and why it was the piece he couldn’t have done without.
Chelsea Morrisey
Welcome to the Full Arch Growth Show. I am so excited about this episode, not because it’s the first published episode, but because Dr. Spencer Ross is wise beyond his years. He’s just 33 years old. He bought an office, GP office in rural Maine during COVID. His hygienist had been there longer than he’s been alive, but in 11 months of advertising Full Arch, he generated $633,000 on just $52,000 of ad spend. So for anyone counting, that’s a 12X return while still maintaining a full GP schedule every single day. Dr. Ross, let’s just start a little bit with background. You’re obviously a young guy and built something really which is why I wanted to bring you on and hear a little bit more about it. So tell me a little bit about your background and when you purchased the practice and how that kind of all went.
Spencer Ross
Yeah, sure. yeah, I graduated from the University of New England. So the start, I definitely had a little bit more experience in the field of implantology than most first year would because we were a new school. I was the ⁓ third class graduate from the University of England dental school.
Chelsea Morrisey
In this conversation, he really breaks it down, kind of how he did it, how he blocked his schedule without losing his GP patients, how he managed that transition, how he got his team sort of bought in when they had done things the same way for over 35 years, how he positioned himself against specialists in his area, and what he’d do differently if he had to start over. Now, he says something really interesting about where the full arch space is heading that I think every doctor should hear, and it’s not what most people are talking about.
Spencer Ross
Because of that, we had no post-doctoral programs. There were no dental graduates that were going to be oral surgeons or periodontists or like that for any type of specialty. So we got to handle all of those cases. So placed my first implant when I was a sophomore in dental school, which is pretty much unheard of. That’s when most people are just starting to touch a handpiece, let alone implants. So I definitely gained a lot experience there.
Chelsea Morrisey
This one is for the GPs who are curious about advertising full arch, they think they’re too busy, they’re too small of an office, or they’re too far from a major metro to really make it work. Let’s jump into it.
Spencer Ross
When I graduated, actually started working in public health about an hour and a half north from where we live now. And I was on the coast. And I, to be honest, the field of implantology was kind of on a back burner because the patients I was seeing was, you know, we were doing multiple extraction of the day. You know, I was, felt like a pediatric dentist as well because we were seeing a lot of kids being in nonprofit office, you know. if they didn’t get treatment with us and they weren’t getting treatment at all. So fast forward a year working there, I was seeing all of my patients. I was also teaching our fourth year dental students at the same time. So I’d be seeing their patients, seeing my patients. starting to, honestly, my first year get almost a little bit burnt out because of the sheer volume of patients that I was seeing. And then COVID happened. And so all offices got shut down and that’s when my opportunity to buy a practice turned up. And it was, like I said, about an hour and a half south on the coast from where we are now, or from where I was working then. And this doctor that was selling the practice, he owned a practice and then his wife actually owned another dental practice in the area as well. And so my older brother’s a dentist and the two of us came in and he bought her practice and I bought my practice.
Chelsea Morrisey
You
Spencer Ross
And we’re about 15, 20 minutes away from each other. So in the same exact area. And so that’s when, you know, I got back into the field of implantology. know, starting out at the office, I was obviously just doing restorations. The that I had bought, he was referring all patients down to Southern Maine, which is about an hour and a half, two hour drive for a lot of patients to have, you know, extractions done or implants. a lot of back and forth for those procedures. So that’s when I really started taking more courses in the field of implantology. And I took what’s called ⁓ Maxi course, ⁓ I the is like 1 % of dentists have taken it. It’s 300 credit hours. end up going down to Boston for five days every month.
Chelsea Morrisey
Hmm.
Spencer Ross
So it was a pretty big commitment. know, I obviously can’t see patients during those days that I’m down there. But that’s where I developed the basis of everything that I have gone forward with in the field. It was with Dr. Brian Jackson. He was actually the president of the American Implant Association at the time that he was teaching us. Awesome guy. Couldn’t recommend learning from him anymore. So I took that course and towards the end of it, I felt comfortable to start placing implants in my practice. And so I can still remember my first implant patient that I had placed out of school. ⁓ time that I come in, she’s blown away. ⁓ likes to keep up with the cases that I’ve been doing since the single implant that I placed on her. Gosh, it’s probably four or five years ago now. And she’s blown away by it, you know, now that we’ve jumped into the full arch cases. after I took that maxi course and, started placing implants, I got more involved in the, in the field. And I’ve, I’ve flown all over the country from California, Arizona, Florida. I’ve taken a class in, we went to Portugal for a hands-on course. And, and of just, yeah, like dove straight in. ⁓
Chelsea Morrisey
the
Spencer Ross
And so now like you alluded to, you a general dentist. do fillings every day. I do crown and bridge. ⁓ do extractions. You know, I have my hygiene checks that I need to do for my hygienist every day. But now are you know, a full arch case, you know, once a week, at least, at least a couple of times a month. And, you know, starting out, it was, you patients in my practice that had been in the practice for a while that I recognized a service like this. But didn’t want to travel down to Portland and do this. And there weren’t really a whole lot of offices that ⁓ were hybrid or full arch surgeries. And if they were, they got to go to a specialist and have implants placed. And then they bounce back to ⁓ their GP get the restoration. And you have to go back to their surgeon for checkups. Like I said, for my patients that was traveling an hour and a half, two hours down to Southern Maine. my first handful of cases that I did in the office were patients that had been at the office for years, ⁓ didn’t have this option available to them. And so in the meantime, all of these classes that I take, I take with my older brother. ⁓ So lack of better word, I mean, he’s a competing office in the area. ⁓ So had noticed that he was definitely doing an influx of
Chelsea Morrisey
Yeah.
Spencer Ross
of these full arch cases and I started having my staff come in and be like, see your brother is advertising and doing ⁓ and doing that. So, you know, I owe him a lot on being my older brother. He’s gotten to take some of these classes and stuff and come and jump out of my comfort zone. ⁓ But, you once I heard that he was advertising a little bit, I was like, all right, you know, he’s helped me enough with everything.
Chelsea Morrisey
Mm-hmm.
Spencer Ross
Now I need to step out and figure out my own way to start advertising. And so after doing a little bit of research, that’s when I ended up coming upon you guys. And right after our first interview, I mean, I don’t think I hesitated and was like, all right, let’s get going. So fast forward to now and I have an exact count of our cases, but I just had Colson thin me. Yeah.
Chelsea Morrisey
Mm-hmm. Yeah, for sure. actually brought that just in case we would need looks like, just kind of reading my notes, it looks like we’ve been together about 11 months. You about $52,000 and you’ve generated about $633,000, which represents about a 12x return on ad spend. When you those what does that actually mean for your practice day to day? For folks that might be listening to this wondering, Can I do this? Can I start advertising for full arch? What does it look like? Because a lot of people are really busy in their GP office. Can I start doing that? What does that look like in your day to day? Those kind of numbers.
Spencer Ross
Yeah. So I mean, there’s certainly a lot more commitment when you’re jumping in and doing that sheer volume in 11 months. I mean, that’s on top of, like I said, I’m a general dentist. I have a lot of patients that I take care of and obviously the majority is not full arch. you need to kind of weigh situations. I learned very quick off the bat that I needed to start blocking off.
Chelsea Morrisey
Mm-hmm.
Spencer Ross
half a day of schedules, which gets a little tough with being a general dentist. I have somebody come in and break a tooth and I’m like, okay, you need a crown. I can see you in two months or so. But then back on my brain, like, ⁓ I have these slots that are blocked off for full arch. that’s a commitment because these other patients that are coming in and their needs are, I don’t wanna say are. are more important or surpassed, know, a broken tooth or something like that. But a lot of these patients have been searching for help for a while, ⁓ in my area, and just don’t really know about these options of ⁓ arch implants. And so, you know, that’s one, like I said, I certainly had to weigh the different situations, but I’ve found it very beneficial to block off, you know, a half a day, you know, once a week. whether we’re filling that with a hybrid case or, you know, I have certainly, like I said, several other patients, you know, with broken teeth or something that we’re able to bring in sooner and fill those slots within like a day or so. ⁓ It’s definitely doable for, you know, any ⁓ GP. like I said, you know, there’s a big commitment between the amount of reviewing cases, planning these cases.
Chelsea Morrisey
Mm-hmm.
Spencer Ross
you know, keeping up with on my end of updating things on you guys’ website, the Implant Engine, which is an awesome resource and it’s very user friendly. But yeah, I mean, ⁓ I bought my office, that revenue that we’ve generated, just by working with you guys, we were only doing a little bit better than that total. So to be able to boost that amount of revenue is, it’s huge.
Chelsea Morrisey
Mm-hmm.
Spencer Ross
I’m a young doctor still out of school. I mean, I’ve been out of school for six years now, but it’s an expensive world that we live in. And investing in the equipment that we have to do these cases is substantial. But it’s been totally worth it. When we finish up these cases and these patients get their final teeth, it’s life changing. Most of them end up crying. I just had one that… Once we got his teeth in there, he was, I think, mid-40s and he hadn’t had any teeth, no dentures or anything for two years. And was in deep depression. And ⁓ the after we did his surgery and got his teeth in there, he started a diet, he started eating healthy, he started working out. He looks a completely different person. ⁓ and that was just by putting teeth that you’d think that, you know, once we got teeth in there, he might even put on some weight because he’s got something to chew with and stuff, but he decided right from the get-go, you know, he’s bettering his life and, and started doing it all around. so it’s, it’s pretty amazing what these cases do. ⁓ it’s cool. You can see in their pictures too, you know, before pictures and then, you know, it’s not just a bigger smile. Like the, their entire complexion changes, you know. Yeah.
Chelsea Morrisey
Thank They look 10 years younger. mean, sometimes they seem 20. I mean, it’s unrecognizable that it’s even the same person. And I think it’s not just the smile, it’s the energy change of the individual. Their energy changes. And that’s on their face. Yeah. And in their body language. Yeah.
Spencer Ross
Yeah, easily. Yeah. Exactly. Yeah, so it’s become an addiction, you know, just by the sheer feeling of, you know, helping somebody like that. You know, I got into the field because dad’s a dentist. And since like kindergarten, I’ve wanted to be a dentist. And that was the same for my older brother. And it was just because we wanted to be like our dad. He was never one to be like, hey, you guys should be dentists or, you know, follow me in this career path. But. He just enjoyed what he did so much. you know, us just wanting to be like dad turned into ⁓ we are now. So still practicing too in ⁓ our hometown in Rumford, Maine. He doesn’t any of this implant stuff at all. ⁓ So he’s away by ⁓ what we’re ⁓ I think sometimes he’s still in a little bit of awe and kind of shock that like we’re doing these things.
Chelsea Morrisey
Yeah, what does he think about it?
Spencer Ross
But he obviously recognizes the amount of time. I out of the ⁓ mean, at least every other month, probably. Well, that was a couple of years ago. We took a little break this past year and I’ve been focusing on ⁓ in cases and stuff and sticking around. I think that my education has been pretty thorough. But again, I’m flying out next month to take another course down in Miami.
Chelsea Morrisey
⁓ huh.
Spencer Ross
It’s been great. You make a lot of connections at these classes and I’ve trained with some of the top surgeons in the country and these guys are awesome resources to have. blown away at the cases that they do. So it’s a nice, like I said, resource to have. Any case you have questions about, I’m able to bounce off from these guys. And it you feel a lot more comfortable the more you know, obviously.
Chelsea Morrisey
Yeah. And I think there’s an aspect, you know, I like to go to conferences of other agency owners because I think there’s an aspect of it’s nice to know that you’re not the only one struggling with this problem and to be around people that have the same kind of ambitions and goals and desires and hopes and dreams and, know, that they have the same passions as well is really nice.
Spencer Ross
Yeah, definitely, definitely. It’s nice to connect with somebody on that level and somebody that has a complete understanding of what you’re going through. Like you said, why, you know, I talked to my older brother every single day after work. ⁓ the same exact stuff in our offices. it’s, it’s, you know, dentistry an awesome career and I absolutely love it. It’s my passion. ⁓ But it takes a toll on you for sure. You know, we’re working in a small environment all day, every day, you know, a half a millimeter is our limit, whether something is good or bad. That’s like a Harris width sometimes. ⁓ So it definitely takes a toll on you, that’s I enjoy ⁓ bouncing and doing different things. ⁓ as general dentist, it keeps things interesting. And like I said, these cases ⁓ have just extremely rewarding. We started out doing them on
Chelsea Morrisey
Yeah.
Spencer Ross
on Fridays and typically we’re not open on Fridays. So it’d be me and my two assistants coming in on an extra day during the week. And at first I felt like a little bad that I was having them come in for an extra day. But I soon learned that they enjoy doing these just as much as I do. And then once we got into a rhythm with it, like, all right, let’s just start putting these in the regular schedule. You know, we can do a half day and we have no problem.
Chelsea Morrisey
Yeah.
Spencer Ross
⁓ But that’s like I said, know, with quite a bit of an investment into the equipment that we needed so that we can, you know, we give people teeth in a day. Coming in on Monday and leaving in afternoon with a full arch of teeth. So it’s pretty amazing.
Chelsea Morrisey
Mm-hmm. Yeah. Mm-hmm. Yeah, incredible. you came into the office, it was GP office that you purchased and you have shifted this in this office into having, you know, pretty significant implant focus. What did you need to do in terms of coaxing the team that was there? Or did you hire a new team? You’ve talked about your assistants being as excited about this as you were they already in the office or did you need to go out and find that board with you?
Spencer Ross
no, ⁓ the two assistants I have now we’re, we’re not with the office. ⁓ I hired one of them actually, I think probably a month or two months after I bought the office. and it was for no reason about implants or anything. I was still, wasn’t placing implants at that time. she’s, she’s a rock. I rely on her for a lot. So it was very easy to train her in, in everything that we do. ⁓ I’ve bounced around with. Geez, three or four different types of implant brands and stuff. you know, every implant has a different kit. And so then I’m like, all right, Tammy, well, we’re learning a new one now. And she’s been wonderful with that. newer assistant, actually just hired this past August she had, I mean, she was a dental assistant actually like 25 years ago. And she trained my assistant that I have now back then.
Chelsea Morrisey
you
Spencer Ross
And then she got out of the field to raise her kids and then got into teaching. And then I was kind of full circle and I hired her at the office. And so she had zero background in implantology at all. And so I’ve just kind of trained them.
Chelsea Morrisey
⁓ wow. Okay.
Spencer Ross
So, I mean, again, it’s very doable. I’ll add and for no judgment at all, ⁓ they’re not necessarily younger assistants. They’re both in their early ⁓ and picked up on everything, you know, no problem at all. ⁓ And do a full digital workflow for these cases too. So we’re full arch scanning. I do photogrammetry with a micron mapper.
Chelsea Morrisey
Mm-hmm.
Spencer Ross
watch me do some of it and I’m sure they’re like, ⁓ he’s definitely the one that’s gonna handle that and I’m not sure exactly what’s going on. But ⁓ they’ve up ⁓ on and I wouldn’t be able to do what I’ve been doing without them, that’s for sure.
Chelsea Morrisey
Yeah. Yeah, did anything else have to change about kind of the structure of your practice when you decided to kind of push more into implants? Did you have a conversation with everyone or did you just kind of say, hey, here’s what we’re doing did you have to identify a treatment coordinator? Like how did that go for you?
Spencer Ross
So yeah, I mean, we definitely had to change things a bit. My hygienists have been at my office for two of them have been there for geez, 34, 35 years. That’s, I’m only 33 years old. So that’s longer than I’ve been alive. So they’ve, you know, they’re connected with their patients. You know, some of them are some of their very good friends, you know, they.
Chelsea Morrisey
Thank
Spencer Ross
They see them twice a year and they catch up every, you know, sometimes we joke and we’re like, geez, is there a clinic going on down there? Or are they just talking about life? Like, but that’s because of the connections they’ve built. So, you know, when I started out, it was heavily relying on them feeling confident with me and talking to these patients, you know, somebody comes in with a broken tooth and they used to be referred to a specialist and that specialist would extract it and do the implant. Why is this younger?
Chelsea Morrisey
Yeah. Mm-hmm.
Spencer Ross
Most of my patients say, well, geez, are you out of high school or like, ⁓ why is this younger patient or this younger dentist going to be the one extracting my tooth and he’s going to do the implant too? Like, yeah, I mean, it definitely took some, I didn’t necessarily have to convince my team. They knew all ⁓ the that I’ve been taking and everything. you know, that I’m a-
Chelsea Morrisey
Mm-hmm.
Spencer Ross
a well-rounded person, I wouldn’t jump into something if I didn’t feel confident doing it. But I had to rely on them. I obviously present things to a patient, but ⁓ some these patients, like I said, I’ve been seeing them for 30 years. And so in the end, I step out of the room, they’re gonna look at the hygienist and say, what about going back down to Portland? So that had to change a little bit, which honestly worked out really well. well, I don’t think I really had any issues. There were a couple of patients that, you know, they had like three implants with the specialist in Portland and they felt comfortable with them. And I never would question or push anything about that, you know, because God forbid, you know, it is a surgery in the end and there’s any type of complication that could arise. So if I’m sitting there trying to convince somebody to see me when they want to see the specialist, you know, God forbid their implant fails, they’re a part of the 2 % or something.
Chelsea Morrisey
you
Spencer Ross
Um, I just didn’t want that, that feeling or anything like that, but most of them had no issues. mean, they’re like, Oh, I don’t gotta go to Portland. Are you serious? Like, um, so yeah, it’s worked out really well. I mean, I, I joke with my older brother that, know, I feel like, I feel like most of my patients are like 65 plus, like I have an older practice for sure. I’m like, geez, I, do I have like that reputation? Like come see him. have a lot of younger patients too, but so a lot of my patients don’t like to travel like that, of course. ⁓ know, two hour drive is a long drive. ⁓ Plus we’re in Maine and you know, a lot of people really don’t travel a whole lot. You know, we’re comfortable in a beautiful place that we live and don’t feel need to travel. ⁓ So I ⁓ ⁓ benefit of me not having a specialist in the area at all helped out quite a bit. Because that’s obviously not
Chelsea Morrisey
Yeah. Mm-hmm. Mm-hmm. Yeah.
Spencer Ross
not the same for most people. We’re ⁓ rural Maine, which is completely than most of the cities and stuff where lot of this full arch surgery is going on. Which I is what’s helped me quite a bit too, ⁓ not being in city. ⁓ I was born raised in a rural area. I feel like a lot of these patients feel a little bit of a more of a connection ⁓ with me when talking and stuff. A lot of it is connecting with your patient to seal some of these cases. You got to make them feel comfortable with the person that you are. This is a huge thing that they’re investing. It’s not just, however, this is $20,000, $40,000. This is what I’m going to do. See you later. We try to connect with our patients. What you doing for work? How are your kids doing? Simple questions. that a lot of patients or lot of docs don’t take the time to do. And that’s what I really enjoyed about when I did transition from that non-profit office where I was just like non-stop on the go. I’ve really enjoyed making connections with my patients. And that’s the beauty of being in a rural area and a private practice, being your own boss.
Chelsea Morrisey
Yeah.
Spencer Ross
Sometimes I have my assistants being standing in the corner and being like, on, you got somebody next door. But I’m standing there talking to this patient about hunting or where they’re going this summer. like I said, building those relationships ⁓ having those small conversations with patients, make feel ⁓ important. the only ones sitting there in the room. ⁓ You what they’re going through. You’ve been through it with several other patients.
Chelsea Morrisey
Yeah.
Spencer Ross
what the end result can be for them. Like I said, it ⁓ addicting almost.
Chelsea Morrisey
⁓ has been the hardest part of this journey for you?
Spencer Ross
the time for these cases. Being solo GP, when I bought the office, we were booking out like two and a half, three weeks. ⁓ Last before I started advertising with you guys, I was probably booking out ⁓ four to weeks. I’ve just gotten busy between some of the consults I have turned into, I don’t want to extract all your teeth. You definitely don’t need this, but I’d love to have you become a new patient. then that turns into obviously another appointment with them. ⁓ a year or 11 months after advertising with you guys, I’m booking out like two and a half, three months, which tough sometimes. I work through every single lunch. Luckily my assistants are really good with that. They rotate with me. you know, coming from that nonprofit office, I never had time for lunch. So that’s when I got in the routine of doing that. ⁓ And then when started working with you guys, the only console time that I could really allow was, putting something in a lunchtime or putting something at the end of the day. So, so management, I think has been the hardest, the hardest part for sure. Because like you said, you know, I’m a GP, but I’ve also turned this into ⁓ a full practice.
Chelsea Morrisey
Mm-hmm. Mm-hmm.
Spencer Ross
I’m trying to do both worlds.
Chelsea Morrisey
Yeah, you’ve mentioned a couple of things I think are interesting. it’s almost like there’s obviously you’re busy, so time management is very difficult. But there’s this other aspect of it where you almost have to take a leap of faith and block your schedule. even though you know you could fill it with something because you know you can fill it with something more profitable. And I think that initial thought for some GPs is like, how do I make the time for this or should I make the time for this? And should I take this risk in blocking my schedule for this thing that I don’t have yet? It’s one of the reasons why they struggle to start full arch marketing. you, is that kind of what you were saying was a struggle for you is just kind of blocking that time off for full arch and how has that paid off for you?
Spencer Ross
I said, I mean, ⁓ was definitely, I didn’t do it to start, because I wasn’t sure how this was going to go, you know, what, and that’s when I, when I first started out, we were only Monday to Thursday. and so that’s when I’d put cases on Fridays. number one, because I was newer to it. I had done before I started advertising with you guys. I I had done a handful of cases and stuff, but I still just felt more comfortable doing them on a Friday. You know, if there’s any issues with anything else, you know, I’m not worried about hygiene checks or anything like that. that was easy starting out. But once I realized that, ⁓ this advertising really works and, you know, ⁓ not going to be, you know, ⁓ can do this in a four hour time slot or something, you know, we don’t need to come in on Fridays. That’s when I started, you know, taking that leap and blocking off those days. And like I said, you know, I’m, I’m an extremely busy GP. ⁓ so even I think it’s only happened like once, even if we get to a day that was blocked off and it’s typically, we by the beginning of the week, if I’m going to be doing a full arch case or something like that, if it’s a Monday, we still have a Thursday blocked off. It’s, it’s pretty easy for me to fill that schedule. So I wasn’t as worried about that aspect, but you’re totally right, you know, taking an entire half a day and just putting a block there and being like, all right, yeah, I’m going to book something else there. It should work out. And then seeing, you know, this emergency patient, you know, and then another emergency patient and be like, yes, you need a crown. Like we’ll do it in a month and half, two months. It gets a little stressful. But yes, mean, the profitability of these cases is certainly, you know, helps out quite a bit. But, you most of these patients, like I said, are in a lot more of a ⁓ need somebody with just a broken tooth or something like that. You know, if it was a true emergency and somebody’s in pain or something like that, trust me, I’d bend over back the door and jump through hoops to get somebody in. You know, I wouldn’t be booking them out two months. But ⁓ worked in my office so far.
Chelsea Morrisey
Yeah, you’re making that decision of what needs to be done now and what can wait. And maybe that wouldn’t be a decision you previously. So just one kind of hypothetical question here. Where do you think the industry is headed? You go to these conferences, you talk to folks all over the industry. is, in 10 years, what does the full arch space look like and what opportunities are there for people that maybe haven’t started marketing yet?
Spencer Ross
Yeah. Yeah, definitely. full arch space is getting ⁓ busy, with lot of, ⁓ a of GPs that are jumping into it. there’s a guy that learned from a lot, ⁓ Dr. Simon he’s amazing surgeon. he has this saying he posts cases because all he does is revisions. cases that have failed, you know, and his saying is from, what’s it called? Game of Thrones. Winter is coming because there’s a lot that are jumping into this field not having the background, not taking the training and just, you know, going for it.
Chelsea Morrisey
Mmm.
Spencer Ross
without the right background, without knowing, you know, simple tips that just add up on top of each other, you know, these cases fail. And they, a lot of them are catastrophic because, you know, to start, you’re removing everybody’s teeth, you’re removing bone that’s viable, you know, and then you’re placing implants in the only bone that’s available. And then when those implants fail, you know, where do you go next? So I think that ⁓ full arch space is. is going to turn into a lot of remote anchorage cases, which is what I’ve been doing a lot more of my training in. You know, these patients that have, whether they have failed cases or they’ve just been missing their teeth for a really long time, you don’t have that bone available that, you know, for some of these slam dunk full arch cases you do. So, know, you’re going to the pterygoid plates, you’re, I’m going to try not to jump into the field, but zygomatic implants and going up to the cheekbone. I ⁓ that the full arch space unfortunately is going to turn into a lot of revision cases. ⁓ that’s just because…
Chelsea Morrisey
when
Spencer Ross
There aren’t a lot of limitations. don’t need to ⁓ in for your license ⁓ to start doing these cases. So lot of ⁓ doctors and the profitability of them and then just start to try and bust these cases out. But like I without the right background, without the right training, you get yourself into messy situations. a lot don’t really think about that’s a human that you’re working on. know, it’s, think, know, there’s going to be a lot of good things to come from it in the future, but I think that a lot more revision cases are going to happen. I, ⁓ you know, that are looking to jump into it, you know, I would definitely recommend to take, you know, take a maxi course where you learn all about implantology, you know, from start to finish, and then start off from that and, you know, take the advanced courses where it’s. remote anchorage and you know, biggest thing is knowing complications, you know, what are you, what are you going to do when ⁓ do this case and the patient comes in and you know, they have XYZ like, you know, you’re going to refer to the specialist at that point. You know, you just did this full arch case, but now you’re going to send them to a specialist to manage your complication. so yeah, like I said, you know, it’s, it’s definitely doable for any GP that wants to make the commitment, but you have to commit, like you have to do that training. Not only for you to help you sleep at night after you do some of these things, but for your patients. Because it’s a huge investment for them. A lot of people are taking out loans and that’s a loan equal to buying a vehicle or down payment on a house. If you mess that case up and they have to go back through it and then they’re kind of tapped on funds and then they end up
Chelsea Morrisey
Yeah. Mm-hmm.
Spencer Ross
possibly stuck with like the worst denture of their life if they’re not to be able to afford to have a revision done. So it’s a, not not a great outlook on what I see for some of the future of full arch implantology, but it’s also kind of stressing like, you know, cross your T’s and dot your I’s before you jump into the field, make sure that you feel fully comfortable with what you’re doing. then just, you plan for the worst because it can happen. unfortunately.
Chelsea Morrisey
Yeah, it’s really interesting. Thank you. ⁓ Kind of just last few questions here, just kind of about your experience with us. ⁓ has been, what has your experience been like working with the implant engine so far?
Spencer Ross
Yeah, yeah. I think it’s been great. Colson’s been my go-to guy for everything. I texted him this morning. was like, hey, I my meeting with Chelsea. Can you send me all my numbers that I need? And of course, he did immediately. And then anything that needed to change with our platform, questions about patients, he’s gone back me within minutes every single time. The Treatment Setters™’s worked really well. I think that’s an important thing to mention too.
Chelsea Morrisey
Ha ha.
Spencer Ross
to lot of doctors if they are looking to sign up. a busy GP practice, I couldn’t just put this on my front office to reach out to these leads and everything. So been awesome where ⁓ the Setters™ reaches out to these leads, decides whether they’re a decent candidate or not, and then schedules from there. And then on the platform, obviously I see all my opportunities. I see the notes that they’ve taken. And so that’s been a huge, huge benefit for us. So like I said, know, overall it’s been extremely fluid and easy, you know, process, you know, getting signed up with you guys, you know, getting you my information. I’ll admit to start out, I didn’t give a whole lot of pictures or anything like that because I didn’t have a whole lot of material to give you guys. And the ads that you came up with were amazing. They were perfect for our area. I guess one of the most appealing things is that I’m from a rural town. a lot of these patients in Maine are from rural town and know small town and love small town things. And so, you know, the first ad was, don’t go to the city for your, don’t you need, you don’t need to go to the city for this treatment. You can stay in a small town. blah, blah, blah. Like, I you guys have been able to take the information I gave you and made it relevant for. for our ads and it’s worked out really well for us. Right from the get go, I was kind of blown away at the amount of whether they were just the surveys that were filled out and then the leads that came from them. I just remember going on the platform after the first few weeks and being like, wow, this is actually working. This is probably going to work. Fast forward 11 months and… that revenue that we’ve generated is more than a third more than what we did last year. it’s amazing.
Chelsea Morrisey
Yeah, I’m so happy that we could go on this journey with you. It’s been so fun. If someone was on the fence out working with us, what would you say to them?
Spencer Ross
I was on the fence for advertising and you just said all my, I mean, 12 X, 12.16 X return on ad spend lifetime. my lowest month we spent, you know, or I made four times return on the ad spend, you might start out slow but things are going to ramp up. I think that you guys have made a. Anytime I had questions about, I think August I to Colson, was like, what’s going on? Things have been slow. And he was great rationalizing that with me. Told that other areas have certainly been a little bit slow too. Don’t worry next month, reshare and everything. And it’s turned off the next month. I think I had like the most consults I’d ever had. So anybody on the fence. Trust your gut, you I can tell you from experience, know, just, just go for it. You know, going to work out.
Chelsea Morrisey
Yeah. Yeah. It’s so awesome to see how bold and brave you’ve been in the start of your career to just take all this training and really jump into it when you inherited a busy practice. I mean, you could have probably just continued on and been successful, but you did take a risk and you did do invest in equipment. You did do all this extra training and it’s really wonderful to see it paying off for you. Yeah.
Spencer Ross
Thank you. Yeah, we appreciate it.
Chelsea Morrisey
Thank for joining me today.
ROAS
Revenue Returned
Every month you wait, patients who should have been yours are choosing someone else. Not because they’re better doctors — because they built the system.
