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22 AUG 2025
Dr. Dan and Nadia Davis explain why the best full-arch surgeries feel “boring”: standard steps, clear roles, and tools that prioritise patient comfort. They discuss how consistent protocols reduce stress for the team, limit avoidable complications, and make follow-up easier for restorative clinicians. You’ll also hear how their approach to bone reduction evolved toward simpler, lower-irrigation techniques to keep procedures efficient and patients more comfortable — and why not every flashy tool improves outcomes.
What you’ll learn
When new tech helps — and when it only adds complexity without better results.
Hello and welcome to another episode of Beyond the Arches. I'm Dr. Daniel Noorthoek, your host, and with me today is Nadia Davis. Welcome, Nadia. Thanks, Doc. Nadia is my original surgical assistant from my first job out of school, first day, first interview, first all of that. I pretty much taught him everything he knows. We have Nadia today and we’re discussing why surgery should be boring—why it should
Hello and welcome to another episode of Beyond the Arches. I'm Dr. Daniel Noorthoek, your host, and with me today is Nadia Davis. Welcome, Nadia.
Thanks, Doc.
Nadia is my original surgical assistant from my first job out of school, first day, first interview, first all of that.
I pretty much taught him everything he knows.
We have Nadia today and we’re discussing why surgery should be boring—why it should be straightforward, not overcomplicated, and how if you make it boring, it goes well because it's simpler. Some things in surgery need complexity, of course, because it is surgery and should be performed at the highest level, but overall it should be straightforward and boring.
Nadia’s past here—well, I'll let you tell it, in terms of working together, getting to work again this past week.
It started back in 2013—teeth in a day cases, converting them same day. That was chaotic.
Absolute chaos.
How long did we work together? Seven years you worked with me.
Six, seven, something like that.
Then you went off to another office and started doing teeth there.
Worked with you—strictly surgery for seven years.
And then got interested in restorative dentistry. I started out in surgery, but restorative full-arch had changed so much, it was fascinating.
Since we’re talking about surgery being boring, did you like the idea of the teeth being more straightforward and easy to expect?
It was the wow factor of finishing the first set of teeth—the patient’s reaction. Surgery doesn’t have as much “wow”; sometimes it has more “ow.” Sometimes there are wows, but I got pulled into the restorative by finishing that first print. That patient wow was huge.
You worked somewhere else for two years, and now you’ve been here for almost three.
Now you still do teeth—hard to get you into surgery. We had a little window where you were my surgical assistant for a few more minutes. It was like falling back into normal; didn’t skip a beat.
Did you feel a big difference in surgery over the past twelve years? Has it become more straightforward, more boring?
Yours has mostly stayed the same. I remember sweating a lot back in the early days, but those days were case by case—extracting a difficult tooth, for example—but similar steps overall.
That’s key—standard steps for a complicated workflow. Having a recipe lets you veer off as needed. We've followed recipes and gone off them. But a stepwise, straightforward recipe gets you through efficiently.
I spent most of my career looking at past surgeries, taking pictures: what works, what doesn’t, what’s overwhelming or underwhelming for patients. One of the biggest things is bone reduction—vilified in the world, but it’s like clipping nails, just the very top portion that will die anyway. Mainstream techniques involve bone saws with irrigation—overcomplicates the case under sedation, extends surgery time and patient discomfort.
Choking on water, uncomfortable, loud, feels like drowning. When you cut bone with water, you get more bleeding—nick tiny arteries/veins. Now we use nail clippers—crush bone, keep blood supply intact. Simplifying means not having to calm the patient who's drowning in water, makes surgery easier.
At all costs, avoid anything resembling waterboarding or torture for patients. They appreciate that.
Surgery now looks boring, like a root canal—seen as boring and predictable—but for us, straightforward equals better patient outcomes.
Boring surgery is more predictable for everyone involved. No fights, no problems, easier set-up, less stress for assistants and surgeons. We use patterned systems—a few things that work, make things efficient and interchangeable. Abutments: if they’re not aimed with teeth, it’s a bad spot for looks. But if we follow the system, everything is stocked and interchangeable, restorative doctors can fix things without me.
The better the system, the less you need me. That’s my goal—make Nadia’s work, surgery and restorative, as calm and easy as possible.
We tried fancy technology: electroscalpel/radio scalpel. Smell of burning tissue—didn’t bleed much, but burned the surgical site. Sometimes high-tech isn’t better; simplifying is the lesson.
Every case can be summed up by what I've learned: how simple can you make it, how straightforward for the patient? Less calls, less confusion, everyone understands the system.
The more boring, the better. The show goes on with or without me—the system is consistent, patient doesn’t need overcomplicated treatment. Simple, predictable, repeatable is best. Keeping things boring livened up the staff, made things better for patients, complications easier to solve.
Keep it simple, stupid. Thanks for listening, and see you next time on Beyond the Arches.
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