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EPISODE 1 | Changing Digital Dentistry

The Dental world is in a constant state of change. Digital technology is driving innovation with new hardware and software tools that are fun, fascinating and sometimes frustrating. Join me as I engage various dental professionals to learn from them as we go on this journey together.

PODCAST TRANSCRIPT

Summary: Digital Dentures are here! Many argue that they are still too early... but thats a different subject. This interview with Eric Kukucka seeks to answer the question "Why are Digital Dentures so valuable to the patient". Why should the Dr and Patient care about Digital Dentures? Take a look to find out!

[00:00:00] Hi Rob Laizure here with Eric Kukucka from Windsor Ontario. Thanks for joining us. We're going to dive into why digital dentures are so valuable how they benefit a patient. You know we talk a lot about materials as far as how these things are made and how they go together and the aesthetics of a digital denture and whether it's printed or whether it's milled and raw materials selection and different tooth molds and Eric I know you're a kale for IVOCLAR and you've got a lot of experience with their digital dangerous system. And you've got a ton of knowledge to share about a lot of things about digital dentures but today I just wanted to focus on why digital dentures are valuable to you and to your patients. Just for people who might not know you maybe you could share quickly just how many years you've been making digital dentures and maybe how many you've made over those years and just kind of what your experiences with digital dentures so far.

 

[00:01:01] So I've been involved with manufacturing digital removal prosthetics for just over four and a half years now.

 

[00:01:12] My first experience was utilizing the AvaDent system. I've also done the palace system and more exclusively and on a day to day basis now is just the I have a clear view that and digital denture system I've made over two hundred digital dentures may be more than that.

 

[00:01:29] I know Doug Roberts alone has about 50. So a kind of losing track here of how many we're at but it involves for for quite quite some time now.

 

[00:01:38] So awesome. So you've you definitely been involved in digital ventures more than most people and many people look to you as kind of one of the leading experts of it.

 

[00:01:50] Are there ever reasons clinically or pressure just preference that you would want to make a conventional denture Are there any any indications where digital maybe doesn't apply I think currently right now so the indications are the state in which you definitely need to really turn to conventional as giving you the optimal results still is in the partial denture workflows initially in the early stages of the 16 and 17 software we were tricking the software making anatomy bridges with ginger as our posterior eventually segments and anterior posterior designing the frames digitally whether you're doing a laser centered with 3D or PD or you are printing your wax your wax up of the framework and casting it and that method. So that was kind of the initial when we're doing a digital partial move over the last few years now with the the new 18 software and we can now design combination cases and partial dentures. I still think that when doing a cast partial with acrylic teeth you'd still be most ideal to process that with the injection molding system or. A press pack whichever type of heat process system you like to process the processes with just to get a really good chemical mechanical bond with with the partial processes so currently in the metal cast Chrome or laser centered prosthesis for partial definitely it still needs some tweaking some engineering and things like that for when we would go to conventional back. Let's talk previous in the early stages of digital denture with bonded or carded tooth manufacturing workflows. If you had a patient with extremely high aesthetic demands that has to see that shade has to see that mold. What's the laterals twisted easily in a disk distal twelve on this tilt excuse me on the central and all different types of aesthetic characterizations we all have those patients that need five six seven eight try and doing that with a card and tooth workflow for a milled wax or even a printed wax with carded teeth I would definitely contra indicate that in the highest static demand patient I know Valerie Cooper actually touched on that exact topic at the IBS clinics this past September.

 

[00:04:12] So definitely that I would see that as an indication.

 

[00:04:17] Currently with some hybrid workflows. So what we do in some instances we either mill print wax Miller print wax and we design a mesh framework whether it's 3-D or PD or whichever type of method you like to use for your mental framework. But some of these patients will present to your practice with a cast mesh framework in their existing processes. Now whether it's clinically relevant or not that patient mentally that patient wants that that mental framework. So this is a type of design where we would either mill wax print wax print the base whichever type of method you like to use take a wash impression and then we would do a conventional process with that mesh framework with a naval base I cap or whichever method of processing you like to use. There are still a lot of relevance to conventional processing. Some of the posting I do as well as showing hybrid. So printing lacks milling wax or printing a base taking a wash impression and doing a precision injection molding processing. I know there's many many labs out there that have ideal based systems. I look at Aspen Dental as one I think they have five hundred will base units and we look at affordable. So I don't think conventional processing is going away. I think we need to look at digital dentures overall as a tool and use it as much or as little as you want be in as much or as little as you want. So really to get back to your question before I keep rambling on yes I still use conventional processing for many many indications so I get that and that's a good point.

 

[00:05:50] Digital dentures are a great tool right. If the only tool you have in your tool box is a hammer then everything's a nail right. But obviously as a good practitioner you have more than one tool in the toolbox for the varying scenarios. So maybe you could maybe could answer this just so fully generalists cases that that walk in your door. I totally get the partial framework of indication there that for fully insulated cases maybe what percentage are you treating digitally bleed dangerous cases whether it's full up or full up or full lower.

 

[00:06:27] I have to say I refuse to make it conventionally. I know. Yeah you saw one hundred percent. Yeah. I know how how efficient the digital model is. I know the results of the digital model. I know that if my midline is off by even half a millimeter that takes me about five minutes to go back into the software change my midline let's say little more than five minutes three shape needs to get the calculations a little bit quicker as we go through the module and maybe I take a step over but now being able to do those changes and know that and even in the finalization of the wax up in the investing in the boiling out trimming in the polishing and I like to dress nice at work you know I don't like getting dirty trimming polishing I've done my time and I'll still do that. But knowing what it can do and I think you know we'll we'll just reference crown and bridge for a minute. I mean there's the boutique out there and there are some guys that love to sit at the bench and hand carbon wax up that crown. But we know we can do it a lot more efficient more accurate digitally and that's how I personally feel about complete removal.

 

[00:07:37] Prosthetics that's awesome.

 

[00:07:39] So we're fully generalists you know 100 percent and then maybe a few edge cases in rare scenarios Reid talked about the high static demands or whatever but that's cool that's interesting that's exciting.

 

[00:07:54] So next thing I want to talk about is just the benefit to the patient right. So just I'm a patient in a chair and you're going to start talking to me about this denture that you're going to make for me. It's a full denture. And what are the benefits you're going to tell me about this digital denture that you're going to make from me why why should I be interested. How is it going to benefit me as a patient.

 

[00:08:16] It's a great question and I do this every day. And when I talk to a patient I sit down and I start with the best and I go all the way to the lowest option. So you know you talk about a good better best. And I do the same thing we're talking about full rehabilitation with implants. So when we talk about digital denture we sit with a patient and say okay Mrs. Smith could you imagine having a denture that no matter what happens whether you drop it lose it in the ocean your dog takes a bite out of it you left it in a napkin at the dinner table and someone ended up throwing it out that within two to three days I can have that exact same process this is replicated for you without having to take an impression. How would that make you feel. And immediately the patients how do you do that. And then I have some demonstration models and I explain to them all this is a digital denture. This is how it's produced. And believe it or not the senior citizens of today let and senior citizen geriatric population the adventure released the denture wearers of today are more savvy. My grandmother is a 78 year old Yugoslavian lady that has Facebook patients are interested in technology and in digital denture. But data preservation to me is one of the most essential conversations that need to happen with a patient to know that they feel safe and comfortable with that denture note. Then all of us do with photos on our computer. Oh my God if I lost this while you have a photo or I cloud that let's talk about comfort uniform thickness of a removal prosthesis provides a patient an unparalleled comfort that I can explain every digital denture that I've ever created when the patient comes back for post-operative assessments.

 

[00:10:00] This feels so nice. I can't believe how nice they feel because as incredible as a lot of us and many of you out there listening are incredible dental technicians and then tourists and clinicians. You cannot replicate that palette like a cad cam produce prostheses. You can get close but you can't provide 2.5 or two point three or two point seventy five millimeters of uniform thickness in the palette in the buckle extensions in the buckle flange. So that feels very very comfortable to a patient and the fit. Whether you're printing milling or not going to get into which one fits better etc. etc. but we use ideally in a male base with a zero percent volumetric shrinkage the dentures do fit more accurately there are no assessing deficiencies. So patients find the fit and function as again and we'll get back to how great a lot of dental technicians dental professionals are out there at setting denture teeth. These teeth are designed with cash to have that beautiful bilateral balanced occlusion that we all look for whether it's a normal occlusion 20 degree lingual eyes semi and atomic fully and atomic. These teeth are calibrated in that software to be exactly the way that they want and that is one thing that is another thing excuse me that my patients come back and say I can't believe how great I can eat these teeth function.

 

[00:11:23] I'll remember you. Doug Roberts one of your your patients that you work a lot with. He was eating corn on the cob with one of his dentures that you made him. You know it might as well been implant retained the way he was to and through that corn Yeah.

 

[00:11:39] Yeah that's really cool.

 

[00:11:41] I wanted to highlight I really think the first question you asked the patient was genius and I want to make sure people capture this and then clinicians and labs understand that the first question you ask the patient what was if I could replace this denture for you.

 

[00:11:56] How would that make you feel.

 

[00:11:58] Right and I think that's a really important question because you know people buy with emotion and when they get emotionally excited and feel emotionally secure about something then then price doesn't become an option.

 

[00:12:13] Right. And then then they're just like yeah I want to I want that security I want that.

 

[00:12:18] That that feeling of security that I can call you on the phone and say my mom I was swimming in the ocean and a shark eat my denture and I need you to fuck me can you ship me a new one. And I didn't want to ask that actually. Is there ever a scenario where you can't see a patient or for whatever it is you just reproduce adventure and mail it to him.

 

[00:12:39] I mean is that something that you would do. Last year a patient of ours who was a snowbird so she vacations in Florida. So then the story about the dog eating adventure actually happened. So the patient's dog actually the patient had their denture soaking overnight on the nightstand and the dog actually came in and chewed up the dentures. So the patient told us and within three days we had a FedEx package to the patient's house and told her you have to see a dentist to go have this seated in Florida just to make sure that everything's accurate. You get no sore spots. And then like that and we we made sure we called the dentist and to make sure that she did she was seen and that there was no issues. But within three days overnight across the border I don't know if that's legal by the way with how the patient was shipped her exact replication of set of dentures and seen by a dentist locally and in Sarasota and fitted with her prosthetics. So that's that's the story I tell the patients but that is a true story it has happened. One of my associates. Part of what he does is house calls nursing homes which I didn't even touch on. And ironically a really funny story. This patient now today has lost her dentures that he's made her three times. And of course this time they did not for digital denture because they thought it was too expensive. The second time they still did not pay for it. And I can tell you now the third time that the patient lost her denture they definitely opted for it and she hasn't lost it yet. Look at that scenario of nursing homes and how many visits that takes and forget about nursing homes. Just look at the geriatric population that either has to have their their children or their grand grandchildren bring them in and if they lost the denture that's not read or produced digitally you're three to four appointments M..

 

[00:14:32] So I'm hearing this this is common thread. It's almost like we can't say it enough the value of being able to replace the denture for the patient. And so many other values as well. But I think it's important that a doctor approach that topic well and they have a well thought out narrative and a dialogue with the patient and really capture the you know how this is going to help you feel better about your life. And then it was interesting the second point you made is how it feels physically right. So it's first it's how it feels emotionally and then it's how it feels physically in the mouth which I think is really important to highlight as well. I wanted to move on to the next question which was talking about how a dental laboratory should approach their doctor with the benefits of digital dentures right. So a lot of labs are getting excited about digital dentures there's some benefits to the labs as far as processing and producing digital dentures that help their laboratory out and maybe their their doctors don't really quite know much about it or the kind of scared about it or they're some of the labs are trying to educate the doctors and have an intelligent conversation. What type of dialogue or narrative do you think the dental labs should have with this clinician when the lab is approaching him trying to get him excited about digital dentures.

 

[00:15:49] That's a great question and I'll go back to your comment earlier about a hammer in the tool. Less we forget that hammer coming down on that full contours or Konya. Many many yes. Yes. He's got an allergy just to get into this a little bit. You know when you look at it from not that I'm a ceramics or a fix technician whatsoever but I do like using analogies and we look at zirconia and you know speaking to the dental labs do the dental labs go to the doctor and say you know this is how I post process miser Konya. This is how a center miser Konya. This is my layering technique. This is what I do. This is what I do. I don't necessarily think many doctors really have an interest in the post-processing the centering and staining in the glazing the veneer and so on and so forth. What they do care about really is that one thing is full contour zirconia or zirconia as a whole. So how do labs diversify. What do you do to make this doctor pick you versus lab ABC down the street that's also doing full contours or Konya.

 

[00:16:53] So let's take digital ventures for that instance. And the lab needs to approach the dentist on the matter of K.. Doctor how is this going to benefit you. How is this going to benefit your practice. The one thing that I think is not talked about enough. But it is extremely clinically relevant is the accuracy and precision of record taking with a digital denture. So whether it's billed or printed a try. So whether it's a model block trying that's shaded or white or gray for all that matter that model block Tryon is more retentive than a standard light cured or photo polymerase resin base or a wax based plate for an accused rim registration then we look at assessing a try it. So whether printed or milled Montblanc try and which literally it fits like the final prostheses. So now the doctor can evaluate function aesthetics phonetics in a very very comfortable fitted state the exact replication of that denture. The clinician can now at that point evaluate and say wow this map sorry processes really isn't seated properly or it is loose.

 

[00:18:09] Well then you can take a wash impression and know that. OK now I know that this process is going to fit well I think in the past week.

 

[00:18:16] I remember myself saying OK Mrs. Smith we're going to do these wax trials now please bear in mind this is not how the final denture is going to fit it's going to be loose immediately put it in the patient. Well this is loose. This how my denture is going to fit. Yeah.

 

[00:18:33] You're having to apologize for your try and better get started.

 

[00:18:36] You know I preamble it. It still turns on now today when I do try and and mostly printed printed monologue try and patients. Wow this feels great. This fits really nice. And let's go on to that topic and I'll really focus on the try and right now for the clinician if the centric relation is off I can take a round pair grind off the posterior teeth and take a very nice accurate check bite instead of taking off the posterior teeth melting wax making myself a little posterior by block and having the patient bite into centric relations. So there's a lot of benefits clinically that are not talked about a lot today yet Yes I know Valerie Cooper talks about this a lot in lectures and I do see your posts about that lets you know what's talked about all the time right now is you know oh I mailed I printed. Look at this I did that a it worked. How is it relevant. Patient like what you're trying to get at today. So I think that's the good introduction of how a lab can really get into their doctor and how does it make their life easier. That's what a clinician wants. How does this make my life here. How does it make my product better. Then once you've kind of game and talked to the lab should talk to Dennis also about the reproducibility like I did earlier in our conversation. Well hey doctor you know not to worry if this patient loses their denture we can get it to guaranteed within a few days. Let's talk about five to seven to 10 years depending on what you're telling your patients and that type of materials you're using when the doctor needs to make a new prostheses for this patient.

 

[00:20:17] So let's say it's seven years down the road Mrs. Smith's teeth are completely worn or just you know she wants a new set of teeth. She wants to be revitalized she wants to increase her vertical dimension. No problem Doctor. You can do this a couple ways. You can take a wash impression and that existing denture either scan it with your trios or send us that denture itself. We'll scan it send it back to you. Similar to realign or the best way to do that would be to remodel or print that exact try and that the patient loved have the doctor take a new wash impression and you can ideally go right to finish. So telling your doctor that new dentures can be fabricated ideally in one appointment without having to do anything but take a watch impression. That's quite ideal. Then the lab can you can once you've gained that that trust that you know that trust from the clinician that wants to prescribe a digital denture once you've got the clinician to prescribe it then you can talk about the benefits of the materials. Are we milling bases printing bases printing bases milling teeth milling bases milling teeth then you can get into why your lab is better why your process is better. What do you do post-processing that makes you better than the other. And doctors dentists clinicians then tourists love technology. So I'm sure many crown and bridge technicians out there or dental labs have doctors that have trials. Hey Dr. Smith you know you can make a digital denture with your trios. Let me educate you how to do this and this is what I said on the panel at ITV.

 

[00:21:48] Yes the dental lab needs to be the basis of communication and the educator to the doctor on how to make a digital denture. You are the leader you need to create education programs. You need to talk to the doctor and say here's why. Here's how we can do it. Let's do a lunch and learn let's do an evening program at the lab with three shape or whatever system it is you're using and bring everybody in and educate them. Education is the key to this digital venture world again milling printing doesn't matter.

 

[00:22:20] Education you totally hear that Eric and you know what I hear you saying is to kind of summarize is that when the lab talks to the doctor.

 

[00:22:31] I mean the accuracy of the try and you know you start off in a very accurate footstep there with an accurate try and so you've got really good records up front and then just the long term record of reusing that try and down the road or that data down the road and then the copy does your workflow right.

 

[00:22:48] Taking an existing denture even if it's a conventionally made denture and being able to to realign it scan it. Now you can use those existing teeth position for length and lip support and all that kind of stuff. I mean from a copy denture perspective if a patient walks in with conventional dentures you can go straight to final what percentage of the time if you're doing a copy denture do you go straight to final.

 

[00:23:15] I do that fairly often.

 

[00:23:18] And it's funny you're saying that because that is one great workflow for the labs that are local you know work within that 10 15 30 kilometre radius to their dentist. Here's a great way to approach it because I can tell you right now as much as I'm an avid suction effect of many of their denture provider from Dr. Abbey. There are some indications where that's not an ideal indication for the patient that patient that comes in and says I've had this denture for 30 years. I love everything about this denture. Can you please make it exactly the same. And before with you know the copy denture technique and cross mounting and everything we tried our best to do the only way to really replicate that exactly the same would be to do it digitally. So getting on that topic back to the lives of the 10 15 30 kilometer radius imagine explain this your doctor of hey we can do this exactly how we do your denture reliance.

 

[00:24:13] Take a wash impression and a bite and some photographs a if you really want to get to the next level incorporate that UTSA can vote for the by pupil area in the campus plane the lab comes and picks up that denture by nine nine thirty ten o'clock brings in laboratory scans it designs it and you ideally could even have the try and milled or printed by time it's going back to the doctor later that afternoon. Just like a relaunch. I think that's really really really advantageous to be able to provide that type of workflow.

 

[00:24:47] I love that saving time making things better. And I wanted to talk a little bit about how sometimes we get seduced as lab technicians. We spend 100 grand on a new piece of equipment a new mill a new printer and I have this opinion and I'd love to hear you think that.

 

[00:25:04] I actually don't think the patient cares at all on how Something's made right like when I bought my shoes. I never considered how it was made right. I just like the way they fit in the way they look when I bought my iPhone. I don't know what kind of robotics Apple uses to make this thing. I don't know the exact type of raw materials that you ever heard like Gorilla Glass and some other cool stuff but like I haven't really educated myself on how the is made or the raw materials that the iPhone is made out of. But I know the benefits of the iPhone in my life or why I bought it or shoes or my watch or whatever and so I think as lab technicians sometimes we make a big purchase and we're really excited about this Ferrari we just bought for our laboratory that's gonna be amazing.

 

[00:25:56] Sorry. I know there is no way you're gonna have to restart the whole iPhone thing about this theory and you don't care. Yeah. No problem. Do that again.

 

[00:26:08] Internet have just gotten so that life I just went through the roof.

 

[00:26:14] No problem we'll just get on it so Eric I have this opinion that the average patient doesn't really care how a denture is made and what I mean by that is like when I bought my shoes or about my watch I didn't look into how they were made how my shoes were made or maybe even like my iPhone right. I know this is a nice precision manufactured device and I'm sure Apple has some really expensive robotics that they've used in some really awesome raw materials and circuitry in this thing but I never cared how Apple made my iPhone. What I cared about is how the phone benefited my life and so I have this opinion that I think its labs get overly communicative to their doctors about what type of printer they bought and how they're making something they can kind of lose them because it's it's not about how something's made it's about how it benefits the doctor and how it benefits the practice and just wanted to get your take on that. If you think the patient cares at all if it's made digitally or if it's printed or it's milled or if they just care about they can get it replaced.

 

[00:27:24] So I agree and disagree. Awesome. Being hands on with those patients all day every day I actually hear whether they care about that or not that good. I am somewhat convincing them and I like convincing I say providing options.

 

[00:27:44] You know we look how face time changed the world.

 

[00:27:49] Look at what you want right now. I know I know.

 

[00:27:53] So I can tell you I actually do care about how someone thought about this and how it works because I think it's very interesting.

 

[00:28:01] I could tell you on a patient perspective when I talk about further rehabilitation and dental implants and the first thing this is one of those things matter are they the same things that were put in my hip because my hips are titanium. Why do they know that. Why. They know that a hip and knee replacement is titanium.

 

[00:28:16] Do they do they know that titanium osteo integrates better than other raw materials or are they just known as titanium.

 

[00:28:22] They just know like it. That's right. But patients. Patients like technology and I think and I speak more to the geriatric population.

 

[00:28:31] But then again I mean we have patients that are the or not twenty five thirty thirty five. I'll tell you a story about a patient and why he cared. So this was a patient.

 

[00:28:41] We did an immediate complete Max Larry digital venture before and he said what is a digital denture is it. Explain that to me. How do they make these things or do they put them on some 3D printer or something like that.

 

[00:28:56] I think because these people are wearing these these people these patients are wearing these removable prosthetics all day every day. I think you have to make them be inquisitive about it and I don't say make them as and be forceful but allow them to engage in that technology. You know we look at the Bella's 3D app. Wow it's so cool. Really cool. Your face. What can you do with that. Mrs. Smith we can actually import this into our denture software and look at this. Oh my God that's so cool. So getting back to that patient. He went home and told his wife his daughter his kids. Then he had dinner with his friends the next day. It was telling all of them that he's getting this digital denture. Patients are now proud and excited to talk about removable. It's cool now. It's not like it was before. We're making removable cool again removable specs again. And it's funny when I was in Lichtenstein a few weeks ago. That's what we're talking about is Eric we're making denture sexy again. You're making that your way that they were never sexy. No that was it. We looked at the guy in the basement slinging stone and plaster and blasting and packing and inhaling monitor and killing all your brain cells. But now really getting back to that so this patient came back and said Hey I just want you to know like I told everybody and they can't believe how my dentures are being made patients care and you have to yell at them make them care so removal was removable whether it was in the lab or even in the clinic was always shined upon it was not the sexy crowd bridge ceramics right.

 

[00:30:34] Look at this full art rehabilitation with 14 units of crowns with a tooth library that Lee Culp designed 10 years ago. You know look how nice this iMac Circuit cases go through L.A.. Tell me how many full page ads maybe today now but over the last five years how many full page ads were taken out for removal. Not it's all full contours are Konya. You announce you open it up IMAX or CAD multi inside cover.

 

[00:31:00] Right. Removal wasn't looked at that way. So kind of getting back to your to your to your question. Do they care. I think once you educate them enough they will care. And I think we look at materials and summarize in a good better best. What is what is best my opinion M. base milk teeth. What is good. Maybe a printed base and milk teeth. Ah sorry. Better that is what is good. Do we look at what is good enough or what is good. I don't know yet. That's always a topic of conversation but maybe good as printed based and printed teeth. But educating that patient on what they're going to have in their oral cavity. 16 17 18 and some patients 24 hours a day. They do care and it's our job as professionals. The one talking to that end user like I told you before is it. Imagine I can do this for you Mrs. Smith digitally replicated. They do care. Believe it or not and some don't. Some patients and I have them. I don't care how you make them. Just make sure that the same thing and I can eat good with them. I have patients that have had the same denture for 40 years that the clinical the length of the clinical crown is two millimeters and I can see the diet talks they're their worn out. So some patients care.

 

[00:32:17] Some don't. Some doctors care. Some don't. Some lab technicians care. Some don't. I agree with your theory. And I'm a proponent that everything you're saying is absolutely correct. Yes. I actually don't care. However I do care how myself as a clinician technician I care how printer works. I care about the Micron accuracy.

 

[00:32:37] I can hear them. And we should as lab techs as lab techs we should care as lab techs about the technology and think as it filters down closer to the patient. You know I'll go back to the first thing you said the patient is how would it make you feel if I could replace this for you. And I think that's the best place to start and I. And the point I'm trying to make here is is let me just ask you. I don't think you would lead in with the patient say hey I'm going to make you a digital dentist denture that's 3D printed. How would you like that. Because I don't know what that means yet right. But what it means is you can replace it. And so that's what you start with. And that's what you highlight. And then as the dialogue is moving forward and how you get that done and your precision and all that I think comes into play I guess I just think that if a lab tech approaches their doctor and says Hey I bought a brand new printer and it's so awesome and I can make you a digital denture do you want one. I think they just they missed the boat because the doctor's like OK. Good for you. You bought a printer. What does that really mean for me versus if he leads it and says OK Doc how would you like your trials to be so much more accurate. How would you like to see patients and less and less visits. How would you like to go from trying to final or maybe how would you like to potentially go straight to final because things are so much more accurate and I think those are the leading value propositions of digital dentures not so much how it's printed or mailed or all of those things.

 

[00:34:08] I agree and it's kind of that concept of listen to your customers and what they want. What does the industry want today. Does a clinician want a digital denture. Maybe they don't know enough about it but I can tell you right now at the ADT s in Phoenix in September seventy five percent of that room or dentist not technicians adventurist dentists. And I'll leave you with this comment getting back to the labs is digital has been in the fixed world for the last I don't know Rob what 15 16 years maybe. Yeah yeah that's paved the way for removal. New Boys is here and fixed help pave the way for that and I would really like the message here to be don't resist it. Don't deny it. Use it as a tool because it is here and it is here to stay.

 

[00:35:06] And it is only going to continue to get better and better and better Tillegra Eric.

 

[00:35:13] I think it's a it's an awesome tool and you know the average dental lab has a laptop scanner tabletop scanner and if you can scan a stone model you can engage in digital dentures you can get the software and design it yourself. You know we as full content can help you design. There's lot of solutions out there. I think digital dentures are very accessible. People don't quite know that yet. And I really think that 2019 is gonna be an awesome year. I agree with you that the magazines are going to have lots of sexy digital dentures in them. We're going to see I think Chicago this year is gonna be exciting with that. So thanks for taking the time. Any parting thoughts for doctors or labs considering digital dentures.

 

[00:36:00] I always say this comment and it reminds me of my childhood when my parents were forcing me to eat vegetables don't knock and try and I can talk it doesn't work. It doesn't portrait and don't just try one case. Give yourself a good 10 cases. I think every new lab out there should do it on a trial basis. Just like when we test drive a car it's like when we do sampling of food at Costco on the weekend down every aisle it's pretty good right. That's how they get bacon wrapped scalp. Mr down that aisle five and we actually have a sale on that today. So really in all seriousness it's all in.

 

[00:36:41] In all seriousness embrace the technology we embrace technology every day and every lecture I do. The first thing I say is how many people in this room have a cell phone everybody raise their hand. Well you've already embraced technology do it in your practice.

 

[00:36:59] So that's what I would say to every lab technician out there whether you're a fix technician and again yes we're friends but I take my friendly call as a prime example of two years ago. You pay him a million dollars you couldn't set up a denture but now utilizing digital technology and knowledge of function that inclusion is a removal.

 

[00:37:19] He's a digital technician now. So the fix technician and the wait cops are removable technician out and you go digital removable technician but you take a fix technician and a removal technician and now we just digital technician so embrace the technology utilize partners like full contour as well as the manufacturer's carbon next then I have a class.

 

[00:37:44] Utilize your your your outsourcing partners your technology the resources that you have out there and embrace the technology and try it. And if at that point after you've done 10 cases you don't like it you have to do what works for you.

 

[00:38:00] Awesome thanks Eric. Thanks for your time and always enjoy chatting with you. I'm sure we'll be seeing you soon in the lecture circuit or one of the trade shows talking about the latest and greatest and Digital Ventures. Appreciate you buddy.

 

[00:38:15] Thanks for having me. Have a good day. Good-bye.