Tuesday night I attended the opening meeting of the 2009 season of the Advanced Dental Study Club. This is the fourth year that I have participated in the monthly meetings of this club. We are a diverse group of general dentists of varying background, age and experience. The interesting mix provides an opportunity to get my head out of the box that I practice in daily. We are an informal group and the meetings are loosely structured. We usually begin with a social session to catch up on the latest news in our lives and then slide into discussion of practice management challenges. The balance of the evening is consumed by discussion of interesting dental cases. We might bring models and pictures of our patients and discuss treatment options at one meeting and return later in the year with pictures of the work at completion. The energy is high and opinions fly as we all have our own idea of how something can best be done. In the end, we are all the better for the sharing of ideas.