Okay good evening everyone thanks for hopping on I appreciate you taking a little bit of time out of your day to explore some new technology I want to give you kind of an introduction. Kind of the agenda for today so we’re going to be really doing an introduction to SART prime scan demo of the connect software if you were going to scan. And send to a lab I’m also going to kind of preview the design elements of both restorative crown and. Bridge and then also implants we’ll wrap up with additional. Applications and a final Q&A to see if there’s any outstanding questions all of that said I think it’s.
Important you know a little bit about me so here’s me and my crew I. Am a digital workflow specialist at Henry Schein what that means to you is that I live my world in the digital impression. Cad/cam coal beam 3d printing arena and then of course all the different software that intertwines i’ve been in the this space for about five years and in this space I’ve also. Been cross trained as a trainer for three shapes so I live out of st. Louis and I’ve. Spent a lot of time in dental offices in the mouth knee to knee with doctors and assistants going through. This technology and really helping them understand how it works and so I’ve been around a lot of scanners I’ve done.
A lot of things so I have not only the tech side but also the clinical side as well all of that said that’s going to jump into our topic. Of conversation tonight so I’m gonna have a technology conversation so I think it’s always. Good to start on a slide that kind of talks about technology as a whole if you look at the screen there’s. Really two different types of technology that that are there both work one is going to be a little bit. Smarter faster and easier than the others you’ll hear that kind of. Recurring theme come back several times throughout the night but as you look at those one is engineered for.
Efficiency one is engineered not to be efficient and as times change. Things become more efficient that’s what technology allows us to do so I think that’s always a good place to start kind of. Put things in context of what the purpose of digital impression and some of these workflows.
Are is to work a little bit smarter work a little bit faster and work a little bit easier as we look. At how digital has affected dentistry I think it’s always good to kind of put a timeline of where have we been where are we going where are.
We today so if you look back in the end the 90s that’s when we’ve really started to see the adoption of digital record taking. So getting rid of the pen and paper getting rid of the bookkeeping and putting it all on computers around the. Year 2000 dates are approximate of course around the year of 2000 we started to get. More into a digital radiography so instead of losing pen and paper we’re losing the the dip tanks and and film radiography going to more.
Of a digital radiography Brown 2005 ish was the revolution of CAD cam in the dental labs where all of sudden now the impressions being sent to the. Dental labs were being digitized and restorations were being designed virtually and then Milt so.
That was kind of a change in manufacturing on the lab side around 2010 was kind of really. The uptick of one does the dentistry on the clinic side dental labs especially have started to get into 3d printing just in recent years and then that kind. Of brings us to the topic of today with digital impression that’s really been the last two three years. Into today and continuing into tomorrow and to kind of put that on a graph here’s really where we stand so if you look at digital impression and where it is. Today depending on who you talk to your 20% 22% somewhere in that neighborhood but you can see were past the early adoption.
We’re now to the majority you know in the next couple of years that is when this will change from a luxury or a progressive. Technology to stay of care that’s kind of where we are today and I’m going to use that as my jump off. Point to really start to identify which scanners are right so I love an analogy and I my. Lawn my lawnmower analogy I love using it because it it’s very much relatable to the topic that we have. So if you ask yourself the question how big of a lawn do I have that will determine how big of a lawnmower. You buy so there’s small lawn mowers medium lawn mowers if you have a three acre lot you might go buy.
A riding lawnmower but as you apply that to dental especially with digital impression aim you start to qualify how. Big of a lawn mower you need so what are you going to skin what is your budget what are their current fees with that scanner what service and support look like what’s a. Learning curve and then ultimately what’s the expandable ecosystem what do you do with it once you have it what can what else can you do with the scanner and as you start to.
Look in the mirror and answer those questions you kind of figure out how big of a lawn you have so therefore you’re able to pick a lawnmower well tonight. We’re really going to be talking about a big lawn mower call that lawn mower prime skin but we are talking about a lawn mower that.
Is built to do all of those things it is built to do all of the indications big and small it is meant to mow a very big lawn so with. That said here’s my introduction to prime skin kind of introduce you to the technology what makes. It great and then like I said we’re gonna go through and at least take some sneak peeks at not. Only a skin only workflow but design and then implant restorations. Towards the end so Y prime skin I’m gonna come back to my my theme for the night I believe in the prime skin. I use the day-in day-out I believe in the prime skin because it’s a smarter faster easier technology than most of the technologies that I have used to give you.
Kind of a little bit of a chart of why that is accuracy usability connectivity hygiene and then the the interaction with the unit itself it’s a very intelligent. Scanner uses a new progressive technology that allows it to not only have an expanded focal distance but is one of the highest resolutions and most. Accurate cameras on the market just because of the the unit itself the usability and the speed are thus increased and then as we look at sterilization and actually interaction with it.
It is a it’s kind of a new beast if you will so here’s what it looks like this is. The CEREC prime skin and some of the new features of that scanner it’s a touch screen so as you look to use it. In or operatory it is much easier to navigate the screen itself is ergonomic moves up and down side to side so whether you’re sitting or standing the touchpad. Are they if you if anybody’s familiar with the Omni cam or the blue can before it they did away. With the trackball they did away with the keyboard and what’s more of a touchpad not only for sterilisation. But it’s sleeker it’s easier to use you can pop up everything you need.
Right there on the screen it has a battery built into the cart so as you move it between operatories especially as you get to busier practices you don’t have to. Shut it down start it back up time is money so the ability. To be able to move that between operatories without shutting it down. Saves time therefore increases efficiencies the scanner itself is new it has intelligence in the scanner I’m going to demonstrate demonstrate. Some of this in just a bit but there are actually electronics in the scanner that as you are. Scanning it’s filtering data and as it filters that data it’s able to discern what is good what it’s not and eliminate all those on all those one unwanted artifacts or or stitch things.
Together correctly so that way you have a more efficient scan the tip of. It is internally heated that’s going to allow you to scan continuously in the mouth without fogging up the field of view is a. Little bit larger capturing more information at a time that’s going to enable again a quicker more efficient workflow and then.
The actual technology itself lends itself to be one of the most accurate highest resolution scanners on the market never good to listen to. A guy ramble about it so I’d like to show it to you a tray see if you can put me. Over to my prime scan I’ll kind of give a demonstration of what I’m talking about when it comes to speed and ease of use so as I turn on. The scanner you can see the scan is reactive it’s able to keep up with what I’m doing in the mouth you can see the. Resolution looks great and once I get just a little bit more data here I’m going to show you a trick that I use to kind of. Compare scanners in the marketplace to see how good they really are so I’m going to treat my.
Thumb as if it was a cheek so scanners are not always typing on this right. Excuse me cases are not always like typing ons there’s things moving in the mouth so to kind of mimic what that looks.
Like if I use my finger and I start to introduce variants and remove it I want you to see what’s going on in the picture it sees my pic my finger. Come in and out but the scanner is processing that. Data and is able to remove anything that I didn’t want so that’s. The intelligence of what I was talking about what that allows you. To do is really move through that workflow unimpeded the scanner is not having to collect all these artifacts and. You’re having to go back and erase them out you’re able to.
Move through seamlessly with the intelligence in this camera so here’s my lower arch and then I’ll finish up on my bites game thank. You so there would be my skin I know there’s a lot of naysayers out there so I always also like to prove that the technology is as good. As I say it is and the only way to prove it is actually skiing in the mouth so while that’s processing in the background let me go ahead and fire this up again. I’m not gonna be able to talk just for a second but I want you to get an idea in an unprepared field in my mouth what this scanner is capable of doing and. Then it actually as good as I am billing it to be.
While Jeff is showing you his mouth I just want to take this moment to let everyone know that if you’d like a personal demo of the system from Jeff just reach out to us. After the webinar is complete and we will get one scheduled for you in the webinar Jeff is going to. Show his contact information so if you’re interested feel free to shoot us an email and call us and we can set up a demo for you okay. So there’s my beautiful pearly whites a couple things that I want to point out before I move back into the Kinect workflow and on with what it would look like to send a lab.
So as I went through not only did I complete a full arch on myself in an unprepared field so saliva lips tongues. Cheeks all of that stuff in about 20 seconds but you probably saw.
It scan lips tongues and cheeks but you don’t see. Him in the picture again going back to that intelligence that was the finger trick I was. Doing it saw it it knew it didn’t belong it.
Erases out so for all you naysayers out there that’s for you but let’s kind of move for with my rest of my demonstration here and we’re back to let me make sure I’m in. The right case we’re back to where we were in the scan only scenario here so what you didn’t see in the background is that it prepared my models now. And also auto margin eights so it automatically found a margin of best fit and put it on my.
Margin so you can see pretty darn good maybe a couple spots that I would want to adjust I’ll show you a couple tools and what that looks like here in a. Bit but a very good intelligent software beyond that I also have some analytical tools that I can use so before you send this off to the lab I want.
To make sure that I have appropriate clearance I want to make sure that I don’t have any undercuts so what you can use these tools for the first of which is this. Is distance it’s showing you with a heat map and here’s my.
Legend up in the left hand corner how far away am. I from the opposing that’s going to help you with material choice that’s going to help you with whether you have a viable prep or not. Undercuts is just what it sounds like it’s going to I to look at my prep and know if there’s any word that I am undercut if there’s anything.
That I need you to go back and touch up my margin itself is going to give me any warnings. If anything is miss marked so kind of show you what that would look like if I come back to my margin if I miss mark.
That intentionally you’ll see that it’s gonna start to show hey you got something going on there. And it identifies that’s probably not right you want to go back and fix it and then lastly looking.
At the surface texture of the prep so is it convex is it concave is it flat are there any warning so you can see here’s a warning right there. That it’s popping up where I had missed mark that margin but all very good and little tools to make sure that not. Only do you have an efficient skin but you have efficient analysis and then when you’re ready you would connect to the Sirona Connect portal off it would go to.
Lab and they now receive your case and are able to digitally design the kind of brings me to the end of the connect. Demo does anybody have any questions I’m going to pause briefly to see if anybody has any questions and then I’ll move. Into more of the design part of this okay nobody has any questions I will move on so looking now switching switching gears from. Scan only to in-house manufacturing when we’re talking scan only we’re.
Looking for an efficient process we’re looking to create efficiencies with workflows that’s all what scan scan alias CAD cam is designed to control you’re controlling the patient. Workflow you’re controlling the patient experience you’re controlling the aspects of form fit and function so to talk about control and one of the very first. Things that I’d love to show I’m on to my lab script. I’m on my setup page I want to draw attention to where it says bio generic and to give just a. Second of explanation to why that’s important so in traditional CAD CAM dentistry you taking a library tooth and you asked the software to take several things into.
An account to give you an initial proposal so that’s going to be cusps alignment that’s. Going to be thickness and occlusion in context but you’re taking a foreign. Tooth and trying to blend it with the rest of the teeth with bio generic software.
Does and Saric software is that actually is looking at the anatomy of the. Adjacent teeth and it is mimicking and married that Anatomy so now you have a tooth that not only has fit and function but it now has form so when I get. To the proposal part of this it looks like the other teeth and I think that’s huge when you start talking about CAD cam you start talking about ease of workflow to kind of come. Back to that theme of smarter faster easier the software smarter faster easier so that you don’t have to work as hard.
So I’ve already gone and done my scans here for times sake you can see my auto margination I could go through any of that prep analysis again. And then as I go to the design part of this I’m going to recalculate this proposal because I want you to see as it is. Looking at that adjacent those are Jason teeth it’s going to give me a proposal based on those and with no. Adjusting it looks like the other teeth it fits the space and it has pretty good function you can. See maybe just a high spot here there but with minimal effort.
I would have a crown to the mill with just a couple clicks of a button so I think that’s. A very powerful thing when you talk about enabling your office to be able to do in-house design work you no longer have to.
Be a lab tech you have to know how to click Next on a work I do have full autonomy to change anything I. Want it so as I look at my tools up here I could add remove so that’s kind of my wax on wax off so if. I wanted to smooth this one little part a couple clicks of a button I can take down that high spot if I wanted to look at my contacts and refine any of those. Couple clicks of a button and those are refined so the.
Tools are all very simple I have full autonomy to do. What I need to do but the idea is you. Don’t have to again going back to that smarter faster easier workflow you could but you don’t have to so then again kind of takes me to the end of my design portion. Of this I’m going to pause again for questions before I switch gears and go to implants anybody have any questions wait one.
Question on is there an upgrade path from the on cam 2 prime scan there certainly will be right now. Right now that there is not currently in upgrade path we expect that upgrade path to be a. Little bit more visible come third quarter but absolutely there will be an upgrade path to the prime scanner the question that’s it. For now cool so last stop in the software before I kind of bring it back to the the main power point. And then wrap it up one of the other elements of design and prime scan and workflows that I think is a serious topic of conversation is the ability to design and.
Restore implants so as we look at what’s possible there you can see my lab script looks a. Little bit different than my my crown lab script so I’ve indicated not only am. I going to be milling a crown but I’m also going to be milling an abutment out of as. Well when I look at my model phase of this in addition to my upper lower and bytes I also. Captured a scan post that scan post is going to be what communicates the location of the implant to the software so that.
I can go through and design that abutment and final crown so identify my scan post I. Would mark in this case not a margin but my emergence profile and then. I’m able to go to that design phase so here is my proposal in the design phase you can see that you know if I’m doing. A crown down restoration I designed my crown first if I like.
Where my screw hole is that I could mail that as a screw routine crown if I wanted to change it and do a two-piece abutment. All I would do is come into the software click split hit apply and then that would actually split off the abutment from the final crown which you see here and now. I have a two-piece abutment I could edit the abutment if I wanted to so if you wanted to create your own healing cap after an implant placement you. Could do that as well but I have full autonomy to change my custom abutment I have. Full autonomy to change the crown itself and when you were ready you would simply move to manufacture both and then be able to restore that implant so that’s a pretty.
Quick here there any questions before I bring it back nothing yet okay if you want to go ahead and send me back to. My other computer I will hit the last leg of this or leg of the race here okay should. Be able to see my screen so lastly we talked about scanning us and into a lab we talked about if we were to design in-house and what it would look like to. Restore implants again at least introductions to those so what else do you do with it well the the CEREC workflow is three things there’s open workflows there’s validated. Workflows and there’s seamless workflows so as you look at those seamless workflow should be within the CEREC family so being.
Able to combine a dense splice around a comb beam with a CEREC to design surgical guides and to be able to either mail those. Or send out for those being able to utilize sure style for orthodontic treatment of being able. To connect with labs and give handshakes there to be able to send. Information seamlessly between that CEREC and a lab or lastly the ability to actually export an STL take that data and put it into whatever. Workflow works for you so maybe it’s an implant planning software combined. With a 3d printer maybe it’s some other split design software or surgical guide software but it does give you the ability to export that STL and do whatever you want.
To do with it to kind of wrap up I wanted to I wanted to touch on. My theme one more time when you talk about CEREC prime skin and really the reasons to validate that workflow both from a. Digital impression or a design and manufacturing standpoint is the smarter faster easier. Technology the scanner is smarter it’s easier to use all of which lend itself to being a faster workflow and then as you move through those workflows they’ve been.
Made to be efficient they’ve been made to be fast easy and intelligent so that’s where I’m going to lead leave. This evening with I’ll answer any final questions if there aren’t any thank you very much for your time my information is on the. Screen if you have any questions in the future if you’d like to set up something for your own viewing pleasure and we can go through and dive a little. Bit further into some of these topics my information is there but again thank you very much for your time and attention this evening I’m going to. Hang around for a couple minutes to answer any questions but have a great one you.