Special List #11: How I Built a Thriving Perio Practice From Nothing with Dr. Lee Cochrane

For Dr. Lee Cochrane, clarity came through doing: learning on the fly, adjusting quickly, and letting the early chaos shape better systems. He talks about what it really takes to build a periodontal practice from the ground up, and why you often have to start before you feel “ready.”A big part of his story is culture. Lee is honest about how much a practice depends on the people inside it. He describes the power of a team that feels safe, supported, and respected—both in their internal interactions and in how they show up for patients. Standard operating procedures, consistent communication, and clear roles create room for better patient care. When excellence is repeatable, Lee says the entire practice feels lighter and more focused.Mentorship shaped his career, and now leadership shapes his daily life. At the end of the day, Lee sees the team as the most valuable asset he has, and building an environment where they can thrive is the real marker of a successful practice. He explains how team empowerment, positivity, and trust ripple outward into every patient experience. GUESTLeonard Cochrane, DMDPeriodontist + Owner of Coastal PeriodonticsLee Cochrane is a periodontist and the founder of Coastal Periodontics in Myrtle Beach, South Carolina. A native of Greenville, Lee graduated from Clemson University with a degree in Bioengineering before completing both dental school and a periodontics residency at The Medical University of South Carolina in Charleston, South Carolina. After launching his practice from scratch in 2022, Lee has grown it into one of the area’s most trusted specialty practices through a relentless focus on team culture, operational excellence, and patient experience.Learn more about Myrtle Beach periodontist Dr. Leonard CochraneFollow Coastal Periodontics on Instagram @coastal.periodonticsThe Special Lists, presented by Referral Lab, is the podcast for dentists and dental specialists.Running a dental practice isn’t easy, and if you’re in private practice, it can sometimes feel like you’re on an island. That’s why finding your people—those who’ve been in your shoes and can share real, lived experience—changes the game.Referral Lab was built specifically for dental specialists, helping you track, manage, and convert every referral. It’s about improving case acceptance, boosting team performance, and strengthening relationships with referring providers so your whole practice runs smarter.This spirit of connection fuels The Special Lists podcast. Hosted by the team behind Referral Lab, we bring you wisdom from practice owners and dental professionals, sharing the wins, mistakes, and lessons that shape how they run their businesses today.Got a question for us? Send us a message at speciallists.com Transform your referral workflow with Referral Lab, the purpose-built platform for dental specialists to track, manage and convert every referral. Request a demo at referrallab.io Cameron FullCo-Founder of Referral LabCameron Full, co-founder of Referral Lab, is a strategic problem-solver with expertise in business management and digital solutions. He combines leadership, creativity, and technology to drive success across various industries.Connect with Cameron on LinkedInJason Souyias, DDSPeriodontist and Co-Founder of Referral LabDr. Jason Souyias is a periodontist, educator, and co-founder of Referral Lab software. He teaches dentists and hygienists, including as a Pikos Institute faculty member. In his Port Huron private practice, he's known for excellent patient communication and experience. He's passionate about his work and dedicated to helping other dentists.More about Port Huron, Michigan periodontist Dr. Jason SouyiasMichael Seda, DMD, MSPeriodontist and Co-Developer of Referral LabA clinician and entrepreneur, Dr. Seda brings 19 years of private practice experience to his periodontal and implant surgery practice in the San Francisco Bay Area.Dr. Seda’s interests are rooted in evaluating and influencing private practice management systems in dentistry. He wants to increase practice efficiency, establish a greater sense of collaboration and trust among practice team members, and enhance quality of care and service delivered—all while maximizing and growing profitability.Through associateship opportunities early in his career, Dr. Seda was exposed to various private practice leadership and business models. He witnessed first-hand inconsistencies in the degree of success and failure owners experienced in private practices. This ignited his passion for learning what empowers practices to thrive and grow successfully while delivering a highly satisfying patient experience. He is particularly interested in using cutting-edge analytics platforms to measure advanced practice metrics. He leverages these to design data-driven strategies to enhance referral patterns, scheduling systems, case acceptance rates, and other key performance indicators that lead to practice growth and patient satisfaction. His education spans several disciplines, including a degree in Psychobiology from the University of California, Los Angeles, a Doctorate degree from Harvard University (DMD), and a Master’s degree in Periodontics and Oral Medicine from Columbia University.More about Bay Area periodontist Dr. Michael SedaFollow Dr. Seda on Instagram @sedaperioCo-hosts: Cameron Full, Jason Souyias, DDS & Michael Seda, DDSProducer: Eva Sheie @ The AxisAssistant Producers: Mary Ellen Clarkson & Hannah BurkhartEngineering: Cameron LairdTheme music: Papa Funk, spring gangCover Art: Dan ChildsThe Special Lists is a production of The Axis: theaxis.io