The Dental Handoff

Episode 217 | Add First, Subtract Second: The Composite Philosophy Behind Minimally Invasive Dentistry | Dr. Michael Morgan, DDS

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Show Notes


It is much easier to destroy tooth structure than to conserve it.

In this episode of The Dental Handoff, Dr. Michael Morgan, DDS, shares the minimally invasive and direct composite philosophy that has shaped 25 years of his clinical work.

Dr. Morgan explains his “add first, subtract second” approach, why preserving natural tooth structure can keep future treatment options open, and how he applies this philosophy to complex clinical cases.

He takes us inside a hypocalcification case and a fractured central incisor case while discussing:

  • Why preserving tooth structure takes more skill and patience   • His “add first, subtract second” philosophy   • Direct composite for younger patients   • His three-part composite “secret sauce”: dentin, enamel, and white tint   • Hypocalcification and peg lateral cases   • Digital versus analog workflows   • Clinical photography and self-evaluation   • Building referral relationships with orthodontists and pedodontists   • The ethics of treating the whole patient   • The business reality of high-level composite dentistry

Dr. Morgan’s philosophy ultimately comes down to one principle:

Add first. Subtract second.

Because once natural tooth structure is removed, you can’t simply give it back. Subscribe to The Dental Handoff on Apple Podcasts and Spotify.  New episodes every week.

Connect with Dr. Michael Morgan, DDS

Website: hinsdalefamilydentist.com

Instagram: @dentistrybydesignhinsdale

LinkedIn: Michael Morgan on LinkedIn 

Where to Find Dr. Kelly:

Let’s Connect! Book a Call today to see how I can help you create high-performance teams, discuss educational programs, or how I can be of assistance.

https://calendly.com/drkellytanner/30min

Visit us at https://www.nextleveldentalhygiene.com


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