We start off with two quotes from American proverbs and then continue on the breakdown of Good to Great by Jim Collins digging deeper on the Hedgehog Concept. Chapter 6 is focused on a culture of discipline on how to create that environment in your practice. Create a STOP DOING list. Technology accelerators are also discussed. How do you evaluate tech? 960 B dollars of debt has gone up greatly since the last survey and this review goes through student debt and the influence this debt has on choices for new dentists. The case review is on a case of excess gingival tissue around an anterior dental implant and resolution using the CO2 laser.