In Memory of Dr. William Wei Hsu

February 3rd, 2017

Last night at around 8:00 pm, I sat at my desk in my group practice, looking at a pile of about 50 patient charts that I needed to finish up. I was thinking, how in the world was a going to write the closing eulogy for my dad’s funeral, taking place tomorrow? My thoughts were interrupted with the beeping of my cell phone. I looked down on my screen and saw that my sister, Serena, had sent me a text with a copy of her speech. My sister has always been the better writer in our family. Seeing how incredible her eulogy was made me feel proud, but at the same time, it made me apprehensive because I knew I would have to follow. Then as I scrolled further down my phone, I saw that Serena was trying to help me, by writing a rough draft of my closing eulogy. If  Dad was with me last night; I could already imagine the look on his face – frowning down at me for trying to find the easy way out. That thought was all the encouragement I needed to throw out my sister’s draft and get to work.

Today, this morning on the day of the funeral, I was contemplating about what to say, while driving in the rain to a job site to pump and work on a feasibility plan to re-route or replace some septic tanks. It was ironic because when I was a kid, I remember my dad telling me, “You better work hard or you’ll be a garbage man.” I hope Dad would not be disappointed that this was one of those rare times that I proved him wrong. I was indeed working very hard … on preparing to oversee and design the septic system for a house. However technically since I was still working with sewage and garbage, I guess I could be misconstrued as a doctor who on his off days worked as a “garbage man.”

My dad’s relationship with me was not one of many words– he didn’t have to say a whole lot to get me going, just a simple look maybe a short statement and that would be enough. My father was a great man backed by an overwhelming number of accomplishments and yet he refused to accept his own greatness. To this day, I still remember the time he was helping me with my High School AP Physics class homework. He had come back from work late at night, had a small dinner and at around 11:00 PM, he was trying to teach me how to go about solving a complicated physics problem, without actually doing the work for me.  I was frustrated and said something to the effect of, “I can’t do it on my own, I’m not smart like you.” There was an immediate pause as my dad lowered his head ever so slightly, looked directly up at me. Letting his glasses slide just barely down the bridge of his nose, he used those stern eyes to erase my last words. He then told me that he was not a very smart man, that he had above average intelligence and that he was only able to get by in life because he worked hard. As he said those very words, I looked up at the wall to see his PHD, various Masters degrees and other accolades. My dad had so many awards and patents that there was literally a pile of  plaques stacked  next to him because there was not enough wall space to hang everything.  I think my dad was right; he was not a “smart man” … he was a genius.

In regards to that physics homework that he helped me with; well a problem similar to that appeared later when I attended college. I was sleeping and snoring obnoxiously loud in a chair during one my physics lecture at USC. This particular physics professor had a habit of embarrassing disruptive students. So he threw an eraser at me, to wake me up. The professor then told me to come up to the front and solve a difficult question on the board. So I got up, strode confidently to the front of the class and in my head I thanked my dad. I took that marker and with no hesitation, I  solved that physics problem with ease. Afterwards, as I went to sit back down, most of the class went silent with astonishment - except of course for my friends, who were laughing and trying to high five me – they said something like, “Holy [blank], you are one smart [blank].” I just shook my head in denial and said, “I’m not smart, I just had a genius teacher.”

Fast forward to only a few weeks ago. I still remember when Dad was laying in his bed, fighting against all his ailments with more strength and courage than I could ever imagine. That day his mantra of telling me to work hard had changed. While by his bed side, he told me to not work as hard as him because life was short. Behind that simple statement, I knew he meant that he wished he could have spent more time with us as family, instead of always being out all day, working so hard to provide for us. In his final days at the hospital, the doctors were amazed that even though Dad looked deceivingly frail, he was incredibly strong and continued to fight, working hard for every breath ... until the very end.

Dad would be extremely uncomfortable with all of us sharing these remarkable things about him. So, as we say goodbye to him, please remember the things we love so much about Dad. I know in his afterlife, he would be standing there with that great big smile and he would be so proud to see all the people here, who loved and admired him. I love you, Dad, and I’ll miss you more than any words can say.

Xie  xie  Fa Shi  min,  Hui Zhang  Shao Yifu,  Xiao Ai Yi,

gen  Jin Zhong Shehui  da  hui renmen.

Xie xie dajai bang mang , hai you suoyou da qin qi gen pengyou. Xie Xie nimen lai.

On behalf of my family, I would like to thank everyone for being here today. We appreciate the Buddhist monks, the Amida Society president Uncle Jason Chen and Aunt BT Chen, Amida Society members, our relatives, and friends for spending the time to come out to honor our Dad. Burial services will be held this afternoon after 2:30 PM in my family’s burial grounds, at the Gardens of Contemplation. Thank you again.

3D Cone Beam CT Technology

Sunday, November 15, 2015
Recent advances in technology has allowed many dentists to apply 3D Cone Beam CT imaging to patient care in private practice. I took the plunge late in 2014, investing in one of the top rated 3D Cone Beam CT scanners in order to improve the quality of dental care for my patients. While most hospitals will charge around $1000 for a single scan, we charge only a small fraction of that cost. Less than one percent of the dentists in the world have this technology - in fact none of my current fellow cosmetic and general dental colleagues in my known network have one of these machines (as of November 2015). I'm sure most dentists may think it highly impractical to allocate such a large monetary sum towards technology that will not give an immediate return on investment. However in my humble opinion, the peace of mind that I am providing the best dental care for all my patients outweighs any monetary reward. I have been very impressed with the accuracy of our imaging technology thus far. Below is a sample case of one of the methods of how we utilize our 3D Cone Beam CT in our practice. In these images we are maximizing both the length and diameter of each implant, thereby improving the retention and therefore the longevity of the implant.  Please note the close proximity to the IA and mental nerve. Without  this technology, many dentists may run the risk of damaging a nerve when placing implants of this size.
In February 2015, Dental Products Reports, one of the nation's leading dental magazines interviewed our office to discuss our thoughts on this technology. More information can be found at
A copy of the article published in Dental Products Reports can be found below:

ADA Annual Session Las Vegas

In the month of October 2011, a colleague and I visited the American Dental Association Convention in Las Vegas at Mandalay Bay. It never ceases to amaze me as to how may dentists and auxiliary staff attend these annual sessions. Every year the ADA rotates the site for this convention – and this year it happens to land in Las Vegas. The typical set up of these large annual meetings are the first floor containing exhibits on new dental technology and materials and on the floors above, classes are held for dental related continuing education. This year there must have been over forty thousand attendees … perhaps many of them here because they wanted to gamble afterwards? In total I spent 2 days at this convention – which I felt was not enough. Visiting the many booths help me upgrade all my necessary dental materials such as my dental composite materials and prepared me with a list of many other dental upgrades to come in our new office that was currently under construction. The classes I took up on the 2nd and 3rd floor, as always, were helpful in broadening and improving my knowledge on my dental surgery skills and education. Posted by Dr. Brien Hsu at 9:13 PM

Dangers of Whitening Toothpaste

A patient came in about a month or so ago, having sensitivity to cold on several upper and lower teeth.  The symptoms started roughly about one year ago. One dentist had recommended doing fillings on several teeth, while another even recommended a root canal and replacing several fillings. Looking for a third and final opinion the patient sought out my services. After x-rays and several tests, I determined that no fillings or root canals were necessary. I advised the patient to stop using any form of whitening toothpaste and prescribed a medicated paste to apply daily for a few weeks. On their follow-up appointment, the patient no longer had any more symptoms of sensitivity. They were thankful that I had saved them a lot of money by not doing any fillings. My response was, “Money you can always replace, but tooth structure cannot be replaced once they have been drilled on. While I’m happy you saved some money, I feel even better that you were able to save your tooth structure.” So how was I able to determine that there was no need for fillings or even a root canal? The tests and x-rays did not show decay or faulty fillings and after conversing with the patient, I discovered that they had been using a new whitening toothpaste for about one and a half years. I could not be certain that this was the main cause of the patient’s problems, but from my past experience with many other patients having similar symptoms, I decided to proceed with stopping the usage of all whitening products and to prescribe the medicated paste. And just like many of my other patients the problem was solved. I find that, with the on-going trend of desiring whiter teeth, a craze for whitening products is developing – everything from over the counter take home kits to special whitening toothpastes. Many patients have been experiencing sensitivity to cold after using these products. Most of these patients have less dense or thinner enamel and the chemicals that manufacturers use to whiten teeth are in essence damaging the tooth structure. These same chemicals have been modified by various companies and are now being used in all whitening toothpastes. Luckily if caught in time, these symptoms are reversible by following some simple protocols. It makes me wonder sometimes, what will happen in the future as more and more of these cases become more prevalent? Slowly I am seeing the number of whitening toothpastes increase in the market, while the number of regular toothpastes diminish.