#313 Breaking Kayfabe — Alif Moosajee

What happens when a complaint over a scale and polish changes everything? For Alif Moosajee, a GDC investigation became the catalyst that transformed him from a dentist flying under the radar into the owner of Oakdale, one of Leicester's most distinctive private practices. This conversation charts his path from undergraduate struggles with imposter syndrome through the crucible of regulatory scrutiny to building a seven-surgery practice rooted in authentic patient care. Along the way, Alif shares hard-won insights about guided implantology, the perils of well poisoners, and why breaking kayfabe—wrestling's term for dropping the performance—might be the most honest thing you can do for your patients. It's a story about choosing growth over comfort, one calculated risk at a time.In This Episode00:01:00 - The Smiling Dentist origins 00:02:20 - Tony Robbins and the power of physiology 00:15:00 - Undergraduate struggles and fixed mindset 00:16:25 - The GDC complaint that changed everything 00:22:20 - Buying Oakdale practice 00:26:40 - Growing up in Slough and choosing dentistry 00:31:55 - Building the practice vision 00:35:20 - Firing the well poisoner 00:38:30 - Custodian of the vision 00:47:00 - The unmeasurable things that matter most 00:53:30 - Surprise and delight tactics 01:00:25 - Contentment versus ambition 01:06:00 - The Tony Robbins business mastery mistake 01:09:00 - Dark days in practice ownership 01:19:00 - Blackbox thinking 01:24:15 - Switching to fully guided implants 01:28:30 - Fantasy dinner party 01:33:55 - Last days and legacyAbout Alif MoosajeeAlif Moosajee studied dentistry at Birmingham and owns Oakdale Dental in Leicester, a seven-surgery private practice where he focuses on implant dentistry and digital workflows. Known as "The Smiling Dentist" from his book published over a decade ago, Alif has built his practice around immediate implant protocols and fully guided surgery following early clinical challenges that reshaped his approach to risk management.

Raj Ahlowalia's remarkable 33-year journey in a single practice reveals what true dedication to the craft looks like. From almost missing university entirely to becoming an internationally recognised authority on functional occlusion, his story challenges everything we think we know about dental careers. The son of a polyglot interpreter who hitchhiked from India to the UK, Raj stumbled into dentistry through a teacher's intervention, then methodically built expertise that took him from Biggleswade to the stages of Pankey and Spear. His time on Extreme Makeover taught him the crucial difference between patients who want cosmetic work and those who genuinely need rehabilitation—a distinction that shaped his entire philosophy of practice.In This Episode00:07:15 - Father's extraordinary hitchhiking journey from India00:19:20 - The accidental path to dentistry00:39:25 - First job and VT experience00:44:15 - Extreme Makeover TV breakthrough01:13:15 - Teaching at Pankey and Spear institutes01:28:00 - Blackbox thinking01:31:40 - Forced retirement due to spinal issues01:34:05 - Photography passion and flying adventures01:59:25 - Learning NLP and hypnosis techniques02:03:40 - Patient litigation experience02:15:00 - Fantasy dinner party02:15:25 - Last days and legacyAbout Raj AhlowaliaRaj spent his entire 33-year career at one practice in Biggleswade, evolving from VT to an internationally recognised expert in functional occlusion. He taught at both the Pankey Institute and for Frank Spear, appeared on the Extreme Makeover TV show, pioneering the first implant shown on British television, and developed a comprehensive approach to full-mouth rehabilitation that emphasises function over pure aesthetics.

Ashkan returns to reveal how Southcliffe Dental transformed from near-bankruptcy to unprecedented profitability through a revolutionary therapist-led model. From losing half his body weight to facing GDC proceedings, he opens up about the personal costs of rapid expansion and the dark period when £4 million in clawbacks nearly destroyed everything. His ex-wife's intervention during his lowest moment becomes a turning point, leading to a complete business overhaul that's now attracting attention from private equity firms across the sector. Raw, unfiltered, and brutally honest about the realities of corporate dental leadership.In This Episode00:01:25 - Quality over quantity mindset shift00:02:50 - The £4 million clawback crisis00:06:00 - Revolutionary therapist business model00:17:35 - Organisational restructure and delegation00:25:30 - Leadership philosophy and high standards00:30:50 - Physical transformation journey00:46:45 - GDC proceedings and workplace allegations01:04:25 - Blackbox thinking01:17:05 - Clinical errors and patient management01:23:15 - Business decisions and banking relationships01:33:15 - Fantasy dinner party01:08:45 - Last days and legacyAbout Ashkan PitchforthAshkan is the CEO and co-founder of Southcliffe Dental Group, which operates 24 mixed NHS practices employing around 400 people. He pioneered an innovative therapist-led delivery model that has revolutionised the group's profitability, taking EBITDA from zero to 7-8 million within two years. A clinical dentist turned entrepreneur, he's known for his direct leadership style and willingness to challenge conventional dental business models.

Two Iranian dentists who took the scenic route to British dentistry, Sara Khandan and Mahan Mohaghegh's story reads like a masterclass in adaptability. From Tehran to Debrecen University in Hungary, then straight into the UK without ever having set foot in the country before, their journey showcases both the challenges and rewards of international dental careers. Now transitioning from NHS to private practice, they share candid insights about navigating visa dependencies, cultural differences between healthcare systems, and why being top of your class doesn't guarantee an easy path. Their conversation reveals how different countries approach dentistry, from Hungary's more invasive techniques to the UK's preventive focus, and why sometimes the most circuitous routes lead to the most rewarding destinations.In This Episode00:01:15 - Arriving in the UK without ever having visited before00:03:30 - Why they chose Hungary for dental education over Iran00:05:30 - First impressions of Hungary and cultural differences00:08:25 - Military service requirements forcing early departure from Iran00:10:15 - Financial challenges of studying abroad00:13:10 - Hungarian education system: oral exams and luck factors00:17:00 - Working in Hungary's NHS-equivalent system00:19:15 - Cultural differences: Eastern European "egg" vs Western "peach"00:25:15 - The decision to move to the UK post-Brexit00:29:50 - Landing NHS jobs sight unseen00:34:10 - Learning UK dentistry systems and mentorship importance00:38:30 - NHS complaint system challenges00:40:25 - The band system frustrations00:43:25 - Visa dependency limiting job opportunities00:47:00 - Transition to private practice00:52:55 - Future aspirations: cosmetics vs surgical specialisation00:59:15 - Darkest day: fear and uncertainty in early UK days01:03:25 - Blackbox thinking01:06:40 - TMJ dislocation during extraction01:10:25 - Being top of class vs visa reality check01:14:20 - Best dental lectures and mentorship value01:18:20 - Fantasy dinner party01:20:55 - Last days and legacyAbout Sara Khandan and Mahan MohagheghSara Khandan and Mahan Mohaghegh are Iranian-born dentists who graduated from the University of Debrecen in Hungary before relocating to the UK. After three years of practice in Hungary's public healthcare system, they moved to the UK and completed two and a half years in the NHS before transitioning to private practice. Sara is pursuing advanced cosmetic dentistry training, whilst Mahan is focusing on surgical procedures and implant dentistry. Both are planning to eventually open their own practice within the next five to six years.

From knife crime in East London to owning one of the capital's most successful dental laboratories, Kash Qureshi's story is one of remarkable transformation. At just 15, a violent altercation became the catalyst that changed everything, pushing him from a dangerous path towards an apprenticeship that would define his future. Now owner of Swiss Dent and a thriving denture clinic, Kash shares the raw realities of growing up on the streets, the technical mastery required in dental technology, and the leadership skills needed to build a business. This conversation explores how early adversity can forge unstoppable resilience, and why sometimes the most unlikely backgrounds produce the most determined entrepreneurs.In This Episode00:03:50 - Street life and knife incidents in Walthamstow00:07:10 - Finding dental technology through newspaper adverts00:11:15 - Apprenticeship training and specialisation paths00:14:25 - Why crown and bridge got outsourced to CAD/CAM00:17:00 - Clinical dental technician qualification and denture work00:26:05 - Transition from employee to business owner00:30:05 - Acquiring Swiss Dent with zero personal investment00:34:00 - Cold calling and door-to-door client acquisition00:39:30 - Clinical insights: overextended special trays revelation00:42:10 - Swiss system for aesthetic denture setups00:48:55 - Immediate loading implant techniques01:08:25 - Managing 100-200 cases daily at the laboratory01:18:25 - Blackbox thinking01:24:25 - Cash crisis: when payroll meets empty accounts01:26:40 - Fantasy dinner party01:39:35 - Last days and legacyAbout Kash QureshiKash Qureshi is the owner of Swiss Dent laboratory in London and operates a clinical denture practice. Starting as a 16-year-old apprentice at the very lab he now owns, Kash has grown the business from 7 to 18 employees whilst developing expertise in prosthetics and digital denture technology. He qualified as a clinical dental technician at 23, making him one of the youngest in the country at the time, and now trains dentists in digital denture techniques.

Shameek Popat takes us on a remarkable journey from his early days as a Ugandan-born dentist to becoming a serial entrepreneur disrupting the oral care industry. After 23 years of successful practice ownership, Shameek sold to Portman Dental and launched Tooth Angel, a luxury, eco-friendly oral care brand that's challenging the sustainability narrative in dentistry. Now he's back with Disruptive Smiles, partnering with renowned educators to bring premium composite materials to UK dentists. This conversation reveals a man who's never lost his childhood curiosity, whether he's crafting whisky blends, designing sustainable toothbrushes, or simply asking the big questions about contentment versus pleasure.In This Episode00:02:35 - Philosophy and losing senses 00:05:10 - Personal adaptability 00:07:40 - Contentment versus pleasure 00:09:10 - Beauty in imperfection 00:11:40 - Tooth Angel sustainability mission 00:16:50 - Research-backed product development 00:20:15 - Manual versus electric preference 00:24:30 - Dentist-made products 00:34:25 - Investment and funding strategy 00:50:35 - Uganda origins and Idi Amin 00:53:15 - Education journey to Manchester 00:57:50 - Dental school with Avi Banerjee 01:00:30 - Early practice ownership 01:04:30 - Kois transformation 01:15:20 - Team retention philosophy 01:20:10 - Whisky passion projects 01:24:00 - Practice sale emotions 01:26:40 - Disruptive Smiles launch 01:35:40 - Blackbox thinking 01:47:00 - Fantasy dinner partyAbout Shameek PopatShameek Popat is a Kois-trained dentist who spent 23 years building and running successful practices before selling to Portman Dental. He's the founder of Tooth Angel, a luxury eco-friendly oral care brand, and co-founder of Disruptive Smiles, which distributes premium composite materials alongside clinical education. Born in Uganda and educated across three continents, Shameek brings a unique global perspective to everything he creates.

This fly-on-the-wall conversation between Kailesh Solanki and Dev Patel, founder and CEO of Dental Beauty Partners (DBP), captures the remarkable 20-year journey of Kiss Dental, from a risky startup in a Flixton suburb to an eight-clinic powerhouse.Kailesh Solanki reveals how he mortgaged himself to the eyeballs at just two years post-graduation, survived near-bankruptcy, weathered a catastrophic flood, and built one of the UK's most respected dental brands. The discussion explores his unique VT scheme that's producing the country's top-earning young dentists, the partner model that's breaking industry boundaries, and why keeping things "stupid and simple" might just be the secret sauce to sustainable growth.In This Episode01:15 - Starting Kiss Dental in 2005 02:15 - Taking the entrepreneurial leap after graduation 03:05 - Going fully private from day one 05:15 - Team as the key to longevity 06:30 - Most difficult periods in business 07:40 - Near bankruptcy from marketing spend 09:25 - Brother Prav's marketing transformation 11:40 - Vision for multiple practices and branding 14:15 - Growth expectations versus reality 20:05 - The VT scheme philosophy 21:25 - Partner model development 25:10 - Expansion plans26:30 - Five-year aspirations for 15+ clinics 28:15 - VT scheme versus traditional associates 35:25 - Two-year VT program structure 41:55 - Biggest hurdle: the 2012 flood disaster 46:50 - COVID and the 2020 rebrand 50:25 - Technology, passion and innovation 53:45 - Advice for young dentistsAbout Kailesh Solanki and Dev PatelKailesh Solanki is the founder and CEO of Kiss Dental, which he established in 2005 at just 25 years old after completing his dental training. Having built the practice from a single Flixton clinic to eight locations across the North West, he's become recognised for his innovative VT training scheme and partner model. His approach combines high-end private dentistry with accessible suburban locations, creating one of the UK's most successful dental brands over the past two decades.Dev Patel is the founder and CEO of Dental Beauty Partners (DBP), a UK-based dental group that has grown rapidly by acquiring and partnering with dental practices to scale their businesses through a people-focused investment approach. DBP operates a large network of dental practices across the UK and is known for its partnership-based corporate model.

Two remarkable women share their extraordinary journey from India to building three thriving NHS practices in the UK. Gauri Pradhan and Shivani Bhandari discuss their innovative therapist-led model that's revolutionising NHS dentistry, creating happy workplaces where staff genuinely want to be. From navigating the brutal ORE exam process to developing a groundbreaking patient app, they reveal how genuine friendship and shared values can build something remarkable. Their refreshing take on NHS dentistry challenges every assumption about what's possible in modern practice.In This Episode00:01:05 - Practice ownership journey and location in Cheltenham00:03:20 - Family background in dentistry and choosing oral surgery00:06:25 - Decision to move from India to the UK00:09:25 - Shivani's path from dentist to dental nurse to management00:12:15 - Team culture and treating staff like family00:20:45 - First practice acquisition during COVID00:28:15 - Innovative therapist-led NHS model00:35:20 - Making NHS dentistry work profitably00:50:00 - DPS UK app development and technology innovation00:58:45 - Blackbox thinking - learning from clinical mistakes01:08:20 - ORE exam struggles and eventual success01:26:20 - Future expansion plans and business philosophy01:34:40 - Fantasy dinner party guests01:37:15 - Last days and legacy adviceAbout Gauri Pradhan & Shivani BhandariGauri Pradhan is a qualified oral surgeon who moved from India to the UK, eventually transitioning to general dentistry after completing her ORE qualification. Shivani Bhandari made the bold decision to pivot from dentistry to practice management after working as a dental nurse with Oasis. Together, they own three mixed practices in the Bristol and Cheltenham area, pioneering an innovative therapist-led model that's making NHS dentistry both profitable and enjoyable for their teams.

Fresh from Barcelona's dental schools and thrust into the realities of UK practice, Patric Saraby brings a refreshing perspective on what it truly means to start a dental career. This Iranian-born, multilingual dentist shares his journey from A-level disappointment to Spanish success, and now to the coalface of NHS dentistry in Bournemouth. With brutal honesty about clinical mistakes, cultural observations that'll make you think twice about British attitudes to success, and insights on why communication trumps technical skill, Patric offers a masterclass in adaptation and resilience. His story isn't just about dentistry—it's about the immigrant mentality that drives excellence, the power of manifestation, and why sometimes the best path forward isn't the one you originally planned.In This Episode00:01:35 - First job realities and the deep end experience00:02:20 - What surprised him most about practice life00:05:05 - NHS time pressures and appointment constraints00:08:25 - Amalgam versus composite: the material debate00:09:05 - Communication as half the job00:15:15 - Persian philosophy and karma beliefs00:18:30 - Religious perspectives and greater powers00:23:05 - A-levels disappointment and plan B moments00:28:40 - Spanish warmth and cultural connection00:36:05 - Barcelona application process00:42:30 - Language barriers and learning curves00:53:50 - Blackbox thinking00:59:40 - Corporate practice experience with Bupa01:12:30 - Patient reviews and building reputation01:16:15 - Manifestation and goal achievement01:27:10 - Favourite periodontics lecture01:34:15 - Fantasy dinner partyAbout Patric SarabyPatric is an Iranian-born dentist who qualified from Barcelona after initially being rejected from UK dental schools. He currently works at a Bupa practice in Bournemouth, balancing NHS and private work whilst navigating his first year in practice. Coming from a dental family and speaking multiple languages, he brings a unique international perspective to UK dentistry.

Hap Gill takes us on a fascinating journey from his early days "bashing the Nash" to becoming a pioneer in comprehensive dentistry and communication. With characteristic honesty, he shares how a transformative experience at the Pankey Institute opened his eyes to occlusion and patient care, whilst his unexpected background as a dating coach revolutionised his approach to patient communication.From team management crises to clinical breakthroughs, Hap reveals the mindset shifts that transformed both his practice and his patients' lives, proving that being brave enough to step outside your comfort zone can lead to extraordinary results.In This Episode00:01:45 - Early career struggles and "bashing the Nash"00:05:00 - Discovery of the Pankey Institute00:07:00 - First day revelation: "Design your ideal day"00:08:40 - Born brave or shaped by upbringing?00:09:20 - Growing up in Hounslow with teacher father00:11:45 - Privilege and parenting perspectives00:17:40 - Career advice: Communication trumps clinical skills00:23:25 - Dating coach secrets applied to dentistry00:34:35 - Team management crisis: Three resignations in one week00:40:30 - Blackbox thinking00:49:45 - Clinical stories and treatment philosophy00:57:20 - Occlusion aha moments: Anterior guidance revelation01:06:25 - Biggest case: RTA patient reconstruction01:11:05 - Best lecture ever01:16:25 - Fantasy dinner party01:21:40 - Last days and legacyAbout Hap GillHap Gill qualified as a dentist in 1991 and spent his early years working in NHS practice before discovering comprehensive dentistry through the Pankey Institute. Based in Richmond, he runs a private practice focused on restorative dentistry, occlusion, and exceptional patient communication. Known for his innovative approach to treatment planning and team management, Hap combines clinical excellence with business acumen, drawing from diverse experiences including an unexpected stint as a dating coach.