Hello Voices from the Bench community, John Wilson here and I wanted to share some news about the evolution of the Program Mill lineup. Most importantly, Ivoclar’s new Program Mill 7. What stands out right away is the reduced air consumption this mill requires, but what you'll notice first is that impressive new touchscreen. For us, the biggest advantage has been increased spindle power. You know, my laboratory's known for these larger cases with complex geometries, and I can tell you that extra power really makes a difference. Next time you see your Ivoclar representative, be sure to ask about the Program 07 and tell them John Wilson sent you. Thank you. All right, Barb. We've officially made it to Mallorca for Exocad Insights. Yes, I know. Somehow we're going to power through it, Elvis. I know it's tough, but as promised, I finally tracked him down. Felix, how are you? I'm great. I'm great. Hey guys, I'm really happy to finally connect. Yeah, absolutely. So you're here as an Exocad dealer. What is your take on the meeting so far? Honestly, it's been great. Great turnout, a lot of familiar faces, always nice to see what Exocad is working on and we're very excited to bring this new features to our customers. Is there something that stood out to you? Well, one for sure is the Exocad Hub. It's a new cloud-based service and also really excited to see that the AI services are not on the DentalDB. We're still digging into the details, but as you can tell, there's a lot of things that still need to be worked on. We'll definitely use it in our Moen Milling Center when it's ready. Nice. That's really great. It sounds like a common rollout strategy for Imagine. Would you agree with that? Yeah, for sure. Any of these new products that come out, especially from Exocad, we like to use them in our own production facility before we release them. Then for our support team, it's much easier to support our customers. And for ourselves to use those features as well, it's very beneficial to them. You know, that totally makes sense. So for you, what's the real value of being here? Other than the beach being across the street. Other than being in Mallorca. Yeah, I mean, obviously it's great to see everyone in person, especially our partners. We don't really usually get to have conversations with them, so it's good to see them without the e-mail or video calls. So Elvis and I totally agree. We do love face to face. Love these meetings. Yeah, for sure, for sure. It's good to take a step back for a minute, see what's going on. not just do the day-to-day stuff that you do at work. Yeah, plus it's not too bad of a place to do it, Andy. Yeah, not bad at all. Not bad at all. All right, let's get back to it. All right, man. It's good to see you, Felix. I'm really looking forward to getting you on our full episode interview. One hour, one hour. Yeah, I appreciate guys. I'm looking forward to it as well. Thank you. Enjoy Mallorca. Welcome to Voices from the Bench, a dental laboratory podcast. Send us an e-mail at info at voicesfromthebench.com and follow us on Facebook and Instagram. Greetings and welcome to episode 427 of Voices from the Bench. My name is Elvis. And my name's Barbara. What's happening? How are you? Pretty good. It's, we always talk about the weather. It's Saturday morning and I'm going for a run and feeling good. How about you? Yeah, I'm gonna go for a run too. We finally had a break in the rain and it's actually really nice out right now. It will be hot and humid this afternoon, so it's now or never? So get it on. Yeah, but the nice thing is, I need that nice weather down there because this weekend I'm heading to Florida. All right. Yeah, the FDLA symposium is happening and we are so excited to be there. Thank you to the good people at GPS Digital RPD for hosting us and giving us the space to talk to all those wonderful people down there in Florida. Yeah, man, it's my tribe. Yeah, if you're gonna be there, please stop by, say hello and come be on the podcast. Nice. But this week, I mean, it's no Florida, but we start the conversations we got while thousands of miles away on the island of Mallorca, Spain for Exocad Insights. Yes. This amazing meeting happens every two years and it is the place to be for all things Exocad. Barb, it's our second time there and we cannot stress enough how great this event is. Yes sir I agree the. Locations killer the people are the best I mean from the attendees to all those people at exocad thank you for this amazing opportunity thank you twice and three times so let's get right to it so first up is a past guest that was actually on episode 300 and personally helped me learn exocad. That's right. It was so great to meet her in person. Marjorie De Andrade. Nice. Marjorie talked about how she went from Brazil to New Zealand and now she's back in Brazil with a switch of being a lab technician to the freeing role of doing remote designing with her next step to become a certified exocad trainer. Then we meet somebody I used to work with, a doctor that uses Exocad to control his cases from diagnostic to temporization, Dr. Dwight Pate. Dr. Pate talks about learning everything about finding the perfect occlusion and analog, if that's possible, and doing it digitally. The way that he does full mouth temp crowns is so interesting that it's worth checking out, even if you're a lab. And then we wrap up with another visit from another past guest, but this time we talk to her at IDS, Dr. Eimear O'Connell. Love her. Yeah, she's great. Dr. O'Connell talks about why she comes to Insight, even though she's not speaking this time, her excitement for the Exocad Hub, which we talk about everybody at CSI. and how digital has allowed her to get a denture to a patient in a remote area in just two visits. So join us as we chat with Marjorie, Dr. Pate, and Dr. O'Connell. Voices from the bench. The interview. All right, so how exciting is this? my gosh, Mallorca, Spain, Exocad Insights 2026. We're welcoming back. Yes. Marjorie. Marjorie. Let me work on this. Here we go. Andrea. Andrade. Andrade. Yeah, it's a Portuguese descent, I guess. I love this. So you were episode 300? How do you know that? Because it was 300. I mean, if you were 304, I probably wouldn't remember. Sorry. It's pretty impressive. But episode 300, because I learned Exocad from you. Yes, It was digital. What was the thing you did it through? Oh, so the name of the course? Institute. Yeah, the name of the course is Mastering Exocad. Yeah. Bit like a normal name. But it's from the Institute of Digital Dentistry. That's right. Yeah. And this was all in New Zealand. That's right. Yeah. I remember that. So at the same time, I was recording the course and applying for the visa. So it was a very hectic time in my life. It was a weird situation. You were in Brazil? Yes. But you wanted to go to New Zealand to work with. Yeah. Which ended up happening, right? Yes. You did end up going to New Zealand. Yeah. I stayed almost three, three years, almost didn't go all the way, but so I was randomly on Instagram and I, because I did some work and I was like trying to connect to people and eventually I connected to this dentist, Dr. Ahmad. That's right, we had him on. Yeah, and then he immediately said, come work with us. And I was like, really? Like at first I was. Okay, let me think about it. I mean, yes, I'll just have to cross the entire globe. So I'm like, let me. That's no big deal, right? Not at all. So let me think about it. And eventually I said to myself, I mean, I have nothing to lose, you know, like I just, why not? And then I went. This was February 2023. So I recorded the course end of 2022. So I'm pretty excited for what's next because these last few years, it was a big change, big transformation for me because I was in the lab working all areas. So from. scanning models sometimes to planning, doing wax-ups, doing crowns, finishing as well, which is something a bit new to me. So I was staining, glazing, and stuff like that. Oh, that's fun. Yeah. So you got your hands in it a little bit more. Exactly. Yeah, because it was a small lab, so I had to do kind of like everything. So the improvement of my career. over these three years was, I can't even say, I think it was a big intensive school for me. But also, sorry, that Dennis, he would get the new stuff on all the new scanners in the mills, and he was big into just being like, exactly, so yeah, beta testing. Sometimes I got to test stuff before it was even out, so that was a, yeah, so not only for planning and using XOCAD, which is like weird and insights, that's my Obviously, that's my expertise, but also to become a full professional at this industry, you have to know everything, 'cuz one thing connects to the other. You can't just design and not know that the ceramist or whoever's gonna take over the case later. Yep, if they have problems, very true. Yeah, you're not a good designer, right? You have to... know what it takes for a crown or whatever to fit perfectly and have less adjustments or whatever. So that's something that I learned A lot. So yeah. What's it been like for you since you launched that series? You said that it's kind of emotional when you reach people from all over the globe. Yeah. Well sometimes like... I think I was looking for a purpose. So when I did the course, I wasn't sure what I was doing. So I just went with the flow. I kind of did what I wanted to learn when I was starting. That's my goal. I want to make a course that is very basic, intermediate, advanced so people can really, from scratch. Which Elvis obviously did. I did. I did very much from scratch. Exactly. And I was, as I said, I was looking for a purpose, like something more than just like making money, When you have a purpose, I feel life makes more sense. Because sometimes I stop to think about it like, oh, like the world has billions of years. We're just here for like- Very small. Maybe 100, and then we're gone forever, right? So like, how can I make this meaningful somehow and just like, you know-? Yeah, I love the word purpose. Like, make a change, make. Connect with people and stuff like that, so it's I get emotional just talking a lot, that's why I asked, yeah, I get emotional because I never thought that I would reach that many people, and even here I'm like in Spain, and. We gotta scratch ourselves, right? Exactly, smack ourselves for a minute. And I know the course had a big reason to... To make this happen, and sometimes I'm walking around and people stop me and I'm like, Hey, I know you, know you from the course, so yeah, it's pretty rewarding. So, you're not in New Zealand anymore? Yeah, no, I'm not in New Zealand. Where you at? I mean, I'm back home in Brazil. I have some plans, maybe Spain, I don't know, because since I work remotely now, 100%, I don't need to be in a place fixed. I want to take this time to maybe travel some more, make more connections, maybe do some live courses around the world. I'm not sure yet, but I'm still figuring it out. But at this moment, yeah, I left New Zealand pretty much because I was feeling very isolated. I mean, you guys know it's like 5 million people, the whole country. I mean, it's too far away from everything. Even Australia, which is close, it's like 4, I think 3 1/2 hours flight. Is it really? I didn't realize it was that far away. I remember telling you though that it takes balls to go all the way across the world and move your whole life and set up life and meet the doctor and the lab and do everything that you did. Oh, thank you. But like you said, purpose, maybe your purpose is to go back and do different things. I mean, yeah, now I'm more like, because I'm self-employed now. So you're just a remote designer yourself? Yes, exactly. So I do 100% freelancing, design work, and also education, mentoring, and stuff like that. How do you find your clients? Online. At this moment, I think 90% are from the US. Oh, really? Yeah, most of them. Is that a lot from social media, do you think? From posting. 100%. And now a lot is coming from recommendation as well. So I don't post like, be my clients, stuff like that. Even if you go to my website, that it's closed for new clients because I am getting too busy. That's really smart though. Yeah. Because if you get too much, it's going to make you nuts. It goes, you know, the quality. You got to stay stable. Yeah. Exactly. So I'm trying to focus on more quality than quantity. But yeah, mostly comes from social media and nowadays recommendations. So one referral to another. Are they other labs or are they dentists that are mostly dentists? Really? Yeah. Why do you think? Because labs would want her to do 40 units, 100 units, and the dentist would do me this one. So do you teach them Exocad? Do you do their work or both? Sometimes I teach the assistants because the thing is I can send the case and then sometimes they can do some minimal tweaks that they don't need to send back and forth. Maybe this new... launch is going to be good for that because we have a lot of the hub. Talk about the hub, would you please? I love that. That's a great segue. So what is it? So yeah, we were just watching the launch of the Exocad Hub. So apparently that's a new system that it's going to be like a collaboration between dentists and labs or designers. So it's an integrated system where you will need To exchange emails anymore and send HTML and then this back and forth, it's gonna be all integrated in one system, so it should be easier. The cool thing for me is if when you send that design to that dentist, they can open up Exocad on the cloud, they call it on demand, on demand, thank you, Exocad on demand, but they can open it up from the cloud, you don't need the program. You can make any adjustments. You can shoot it back. I mean, that's huge. That's huge. I mean, a lot of dentists, when I send the case, they want to do some just small adjustments, right? Of course, yeah. They love to tweak them. It's slightly more pointless. Just like a little corner, just around, a little sharper. And then I'm just like, something so simple, right? And then they're like, perfect. And now you can say, do it yourself. And now they can just do it. Just go. That is pretty genius, XOCat, just saying. I mean, yeah, because I mean, I have to be honest, like for me sometimes I don't get as much instructions from the dentist and they have their, you know what I mean? And then I do what I think is best, but in their idea, they want something else, right? And then like, well, I can't read mine. So they're expecting you to know what they want. That just doesn't, yeah, that's. And now, like if I get 90% of the I do love that. That's so smart. Because it's a big investment, right? I thought it was genius, honestly. Yeah. So when did you up the social media? Because you weren't doing it as much when we talked years ago. Something conflicting you. Yeah. It was Elvis. It's you. You're my big inspiration, Elvis. That's on you. No, but I do think that the social media has, I mean, you guys know, big time, you go everywhere with that, there's no limits, no limits, and I just saw the potential. I think I could be doing more, because sometimes I get sometimes... so busy with work that I, instead of I should be recording every case and sharing, sometimes people just want to see daily stuff, normal stuff, not just like complex cases. But yeah, I'm working on that. I also have help now with my partner, Julia. She's mine. Good to have people do it for you. Yeah. And aren't you doing social media for Exocad as well? Exactly. So we have some partnerships that they want influencers I mean, that's a weird word, but some people. That's a great word, and it's well deserved. Thank you, I appreciate it. Yeah, they're just looking for these partnerships from users, right? Not employees, but also from people. People that use the software and that can other people can relate to that, so I think that's the big thing, and we are doing some of these partnerships on events. I did one with them on Sao Paulo as well, the SIOSP, one of the biggest dental events in the Americas. So I was at Exocad booth. Where was that? Sao Paulo, Brazil. Brazil, yeah, wow. So it's the biggest city in Brazil. So it's kind of like our LMT day, maybe, like Lab Day West, Lab Day Chicago. Yes, Exocad, we wanna go next year. Just so it's big and it's not for technicians. I don't know if LMT is. LMT is all technicians. So this is for clinicians and a little bit of technician in there. Right. So it sounds like England's one. So it's not as much fun, but it's amazing. I'm sure. Yeah. And I think you guys are going to like the vibes in Brazil. People are very outgoing and like to party and talk. And beautiful with, you know, all kinds of collagen. You can take that out. Not taking that out. So did Exocad reach out to you when you're doing all your social media? Like you just started doing it and they're like, hey, this is something worth keeping an eye on. That's what happened to us. They're pretty smart when it comes to that, obviously, when it comes to everything, but they must have seen it. Yeah, they did. So we were talking for a long time because of the course, they've seen the ads and stuff like that. But these kind of more official partnerships, where I meet them in some place to deliver content or to do coverage of events like this, I kind of reached out when I was still in New Zealand, but I had already plans to leave, and I was like... I'm going back to civilization because the thing is New Zealand sometimes it's so far away that you have to for them to send you somewhere would take. Yes, that's that's every point. And even for me, yeah, because like sometimes the time zone difference was like 16 hours. That's insane. So they say that it's got to be exhausting. Yeah. Like they say you need one day per hour of time zone difference to get used to it. Yeah. So you should be impressed with me because I am on my game. You got here yesterday. Exactly. We'll see how you are tomorrow. Yeah, I mean. But that's true though. It does feel like that, right? Yeah. And so they, so I reached out. I said, look, I'm going to be a bit more free. Also, I'm going to be self-employed soon. So I'll have more freedom to travel around. If you guys need me for anything, feel free to reach out. That is brilliant. Good job. Thank you. And they said, heck yeah. Of course. So and then Mallorca. So are you here? Did they send you here as well? Yeah. They invited me. Invited you, I should say. So yeah, because last year, not last year, last time, because that's every two years, right? I wanted to come, but I was there, didn't have enough leave to come because I was an employee. But I reached out, I said I have interest. And I mean, that's honestly, it's different from every event that I've seen because it's so focused on education as well and connections. I feel it's not as much as selling, not at all, exhibitions, stuff like that. What do they have to sell? It's okay. You already have it. Everybody here has it already. Exactly. What are you selling? There's some of the partners and stuff, but mostly it's about improving the workflow, improving skills, and connecting to people. So I'm very happy to be here to be with you. Yeah. I mean, if you look above us, isn't that where they've got live demonstrations and people can learn the software and tweaks around? Are you a certified Exocad trainer? Not yet, not yet. Are you in the process? How do you become one? Actually, I don't even know. So, you have to go to one of the HQ, like they have 3 HQs, and then you have a test. They should just give it to you. I mean, come on, you've taught so many people already. I know. That's one of the reasons that it was a bit hard for me to travel and go get it, because it's Germany, US, and South Korea, if I'm not mistaken. So you actually have to physically. As far as I know, fly. There to take the exam and get the credential. Wow. Yeah, So I'm still in the process of organizing everything. But yeah, I have plans to. But I think also I'm still doing the work. even not being a certified trainer. Of course, being certified, it's gonna change a lot. It's gonna improve my view and my connections with Exocad. But yeah, I mean, I'm happy to have started this even before certification. Oh, absolutely. I mean, I learned from you. You're my certified trainer. Yeah. Even hearing your voice, I'm going right back to sitting in my couch. I was gonna say, remind me, how did you find that? So the doctor started that Institute of Digital Dentistry and we connected with him And he talked about what he was doing. He wanted to be on the podcast. All right, now I remember. I took the course. Yep. And then I was more into what you were doing than what he was doing, no offense. But I was like. We are technicians. Yeah, I mean, he's a doctor. Come on. Yeah. And I took the course. And it was the first time I ever used Exocad. And the reason I took the course is because they invited us here two years ago. And I'm like, I've never used Exocad. Should I even go? And they're like, no, here, try it. I don't know what to do. That's pretty smart, actually. And it's pretty chill with that as well. I feel like Exocat is pretty like, try it, no pressure and stuff like that. And did you like it? I did, yeah. You can do everything, right. Absolutely. And that's what everybody that we interview says about Exocat is that it's just so amazing, all of the features they have. It's by far, people love it. One of the most powerful, I mean, I think I'm biased, right? I have to say, even from experience, from working with people that used other softwares in the same environment, I could see... Sometimes I had to work around stuff that they couldn't do on their software, and I could do an Exocad software. Well, it's the workarounds that we hear a lot about, exactly, is that you can figure things out where other things are locked in place and you can't maneuver or figure it out as a technician, and with Exocad you can, exactly. So, did you ever use the other? I tried, but honestly, after some time, it's just like, why? It's like your first love. You just know. Exactly. I'm like, why would I do that to myself? I mean, yeah. We have one Exocad expert at our lab, and he's the one that everyone goes to when they can't do it on the other one. You've told me that before. Yeah. He's my hero, personally. He makes me look good. Exactly. Yeah. Thank you so much. It's great to finally meet you. Have you back on the podcast. I'm happy with you going on your own. I mean, congratulations. It's got to be a lot more freedom. It's just good to be back home. Yeah, I spent some time with family. I was so far away. And it just makes you appreciate it more, you know, like your time with family. And that's the only thing you can't buy back, right? Time. So yeah, so every time you know I see Because I spent almost two years without seeing my parents, for example. And when you see them again, you can see they're getting older. So I want to have more freedom to be able to spend more time with them and also just improve and expand what I'm doing already, which is like freelancing, doing designs all over the world, education, mentoring, everything. So yeah, that's my focus right now. And I'm just imagine. It's amazing. Congratulations. Well, do us a favor when that next step happens. Let's do this again. Yeah, I will. Let's find out when you're teaching the world. I will, I will. And you'll be my guest at my ex-OCAD, I don't know, course. You'll be like, look, I taught this guy something. I'm like, I can teach anybody. Get up here and show us what you learned. That's not going to happen. Well, enjoy the next day and a half. Thank you so much. You guys too. And we'll see each other around more times. And yeah, I hope you guys have a great time here. Thank you. Thank you. I appreciate it. You know the great thing about our industry, Barb, is you can go 8,000 miles to the other side of the world. In Mallorca, Spain and Ireland. At the Exocad Insights. At Exocad Insights. And you run into somebody you know. Yeah, Dr. Dwight Pate. Small world. It's crazy. Why are you here, Dr. Pate. I've been an Exocad guy now for a long time. A long time. Started using it. I use it as a method to control the cases from diagnosis through provisional. Okay. And that's my thinking. I'm an old Dawson, panky guy from way, way back. And I love the centric relation-based dentistry. And I just learned how to do it digitally with exocad. So take us through that thought process. So from somebody that's had a lab, how do you as a dentist, because we don't talk to a ton of dentists, doctors, Get involved in the software, get used to it, learn it, and then use it in your practice. What does that look like? It was a tough learning curve. Yeah, Exocad has a very tough learning curve. One of the technicians at your lab gave me a dongle a long time ago. He said, Hey, I think this thing has some... And he said, he said, go try to use it. I plugged it in and couldn't do squat with it. Never really opened it. Kept kind of thinking about it, kept kind of thinking about it. And I was like, man, I'm tired of sitting at the bench getting these cases started with doing some diagnostic waxing and figuring out. Yeah, so Dawson, so you're occluding the vibe? You were hand waxing at this point? I was. Isn't that crazy? It is actually. I was hand waxing for years. I am. That's what a lot of these Panky Dawson guys do, believe it or not. We're crazy. We are crazy. But it's the best way to control a case and start it out. And after I wax maybe the first four or five teeth, I can pass it off to a good technician like Barb, and she can then finish the wax up. So you set the vertical, you're like, do the central. This is where I want the midline. And then let you do everything that's pretty. Okay. The good thing about exocad though is once I I learned how to do that is now I can control the case. Once I have a case waxed up, I typically make a model that has all of the pre-op teeth in it except for the two centrals, 8 and 9. And I'll print a model like that and I'll make a PVS matrix like that. And when I start prepping this full arch of crowns for provisionals, I first prep 8 and 9. You're prepping this on a printed model. No, I'm talking about taking it to the patient. okay, So I wax it up in Exocad and I turn my, I turn, I make a model that has all of the pre-op teeth except for eight and nine. Eight and nine is my wax up teeth. So you've got a printer also, correct? I have a 3D printer. You need to pair it with a 3D printer. Yeah. And so then we take that, we take those that matrix and I prep 8 and 9 and I and I make 8 and 9 perfect. Midline is spot on. Everything is all set. Before you've prepped anything else. Before I prep anything else. That's what you were talking. OK, this is interesting. And so now I make I make the prep provisionals for 8 and 9 and I pass them off to a second assistant that begins to trim those and get the margins perfected and do all of those kinds of things while I start prepping one of the other sides okay but I won't prep the laterals first I'll prep from posterior forward because weird. So this is real time. This is real time real time so then once I get 8 and 9 back from my assistant I try them in and I make sure number one that they fit And if they don't fit, you're to blame. You did it all. If they don't fit, yeah, you're right. I am to blame. But if they don't fit because maybe the acrylic distorted or something like that, I have not prepped 7 yet or either of the two laterals. The 2 laterals have not been prepped. So now I can remake those and we make sure we get them prep fit before we start to prep lateral excitation. Interesting. Okay, so we've got a perfect 8 and 9 in place now. My second wax up has all of one side is natural teeth, 8 and 9 wax up, and then the wax up for the other side. So you got your occlusion. So now I've got my second set of provisionals. Let's say I prep from 10 to 14. I got eight and nine are all set. Okay. My next model that I'm going to use has three through 7 natural, the way the teeth are pre-op. Eight and nine are final because now my two temporaries are in. And then 10 through 14 are my final wax up of what I want the occlusion and the aesthetics and all of that stuff to be. Based upon what we did in Exocad with Smile Creator and all of that good. Sure. So now we then put that in place and I can make that set of provisionals. Yeah. Okay. Wow. I have a third model that has the entire wax up in it because now that all of those teeth are in provisionals from the complete left side from 8 through 14. Yeah. Now it's a piece of cake to do three through 7. Did you teach yourself this workflow? I taught myself that. I love it how you say piece of cake. Yeah, I taught myself that, absolutely. You know what, you were one of the ones that showed me originally how, I don't know if you even remember this, but I was talking with you, some other people over at the lab, about how do we get, you got this full wax up, you try to put that in the mouth, and you inevitably get a canted central incisor, God dang it. irritate you back. I mean, you really just don't like that. And you told me that, well, you do wax ups of 6 through 11 and you make a model of that with the pre-op teeth. Yep. That was where I got the idea from. Wow, look at that. See, I am kind of smart. I expanded it. I expanded it to just doing 8 and 9 because that's where the rubber meets the road. If you get 8 and 9 right, they rest kind of fall in line. That's interesting. Yeah. So then what do you do? You have all the tens and do you rescan or do you send that original Exocad file to the lab to do the file? I get an entire case in provisionals, whether it's two arches or one arch or whatever it's going to be. And then I would I would start restoring that case segmentally at that point. I'm going to restore, generally speaking, let's say 6 through 11, because everything's in ideal provisionals. The smile's worked out, everything's worked out. All the lab has to do is copy my incisal edge position and then make it real, real pretty. And I don't really want to be involved in my office of milling, finishing margins, making aesthetics, doing All of that type of stuff, that's too complicated for me. But doing the case from diagnosis to provisional, that's where everything happens. That's like building a house. Once you nail that, your lab's good to go. Then the lab's good to go. I take it a step further and I kind of do a pre-design in exocad and I do cut back and all that. I usually just send my design to the lab and let them mill it and finish it. If you're looking for a lab, we're happy to do your work. Sounds like you do all the work for us. Yeah, exactly. That's what I get. Pretty much. Dentists tell me that all the time, and they're like, God, you do all the work. I said, well, used to be back in the analog days. I trimmed every die for every crown that I ever cemented. You remember having to send those files back to me and me trim the dies and the mail time back and forth and sitting at the bench to trim those dies. Now in the time I can trim a die, I can design an entire crown. I can send the crown to Barb and she can mill it and fit it and do the things she needs to do and send it back to me. And you're right, I don't really get a credit off of my lab bill. I think they may be just 10 bucks off the cost of a crown. Because you do the design. Because I do the design. Are you lecturing on this? Are you lecturing on this? I do. I am an Ex-CAD trainer. I went ahead and got my Ex-CAD trainer. You're a certified Ex-CAD trainer. Obviously. And Exoplan for both of us. But my opportunities haven't been that great. I'm looking for more opportunities. Sure. You need to take this, what you're talking about, to the lab side. I've never heard this doing centrals first and like working. I think labs would appreciate this style. Well, yeah, get me a get me a get me a podium and let's talk about it. Yeah, that's pretty awesome, honestly. Do they have Exocad? Do they teach you Exocad? You know what I just heard? You know, Panky has been, they're very analog oriented. Oh, I know. Yeah. They're extremely analog oriented. And I'm heavily involved with Panky right now. And I'm telling them, you can do all this digitally. You can do it all digitally. And now Cranum has been, he has been doing three shape. Yep. He's been doing three shape for quite some time. And he's working, and he believes you can do it all digitally too, but nobody else really, they haven't spread the word yet. And so I was talking with some people, some of the leaders of Panky and saying, you can do all this digitally. No, you can't. That's the one thing you can't do digitally. I said, Cranham's doing it. Got to give him a little nudge. And so I just heard. Maybe I should say this softly. I don't know if this is. Well, you get to hear this before we launch it. Let me turn it up. Yeah. I just heard that Cranum purchased an Exocat dongle. Nice. Because I don't think that 3 Shape will do everything. I don't know 3 Shape. I really don't know. You do. Well, I was working with Dr. Cranum and we were doing cases together and then he went to Lee and then he and Lee started lecturing again together and really expanding that philosophy in the way that they're doing everything. They've been locked in on 3Shape for a long time, but I've heard that they're starting to explore Exocad. It's usually how it starts. I'm telling them that they need to get into teaching this digitally. They don't feel like you can because it's not hands-on. You can't put it in your hand and feel it and all that. But I'm here to tell you that it's just a little different way of looking at things. You know, they talk about, well, the digital is not accurate. And I'll give them that. Digital bites are not always perfectly accurate. I always say take a blue moose bite. I'll print the models. We'll articulate it on a large adjustable articulator and do it correctly. Have you tried this bite finder thing? I haven't. I haven't. It's pretty cool. But I'll tell you, that's how we do all of our crown and bridge right now. We print the 3D models. And before it comes back to me, after it's designed and milled, they put it back on a 3D model to check contacts and check excursives and all of that. So by the time it comes to me, it's been tested back in the Analog world, and then I throw it in the real analog world, which is the patient's mouth, right? That's interesting. Everything has to eventually come back analog, so we do that. What was I had a thought? Yeah, they don't want to teach it digitally, because they think they need to understand the analog world, and it's true. You do need to understand the analog world. But the same problems that you have in the digital world, you have that many and more in the analog world. So they say it's not accurate. There's too big of a risk of having an error in the bytes and things of that sort. But you know what? There is in the analog world, too. Absolutely. And if you're doing a centric correlation byte record and you don't actually pick up the first point of contact, then you have to go back and redo your bite in the digital world. Same thing you have to do in the analog world, except it's even more difficult. Yeah. But what about all these 3D face bows or virtual face bows? I mean, I've got one over here behind us, so I was looking at. There's one over there. I've not seen one in use, but... I have neither, to be honest with you. Know, I've never used one. And I'll tell you why. I'm a dentist, man, and I'm just interested in doing dentistry and making, you know, making a little bit of money every now and then, right? Yeah. And there's an initial investment up front that you got to deal with. Yeah. And I've been doing this digitally or analog and digitally for 35 years now. And we mount every case at the Koi 100 millimeter mark. Yeah. And the Koi 100 millimeter mark is as accurate as an ear bow face bow. So what is that, the Koi 100 millimeter? Well, there's a 100 millimeter hinge axis from the hinge axis of the TMJ to the facial of the central inside. And that's what you're trying to establish on an articulator is the rotational hinge axis. Interesting. And if you can get them really, really close within 10, No, it doesn't. But that's about the best articulation you can get with a face bow. Interesting. They're about 10 to 12% inaccuracy. And that comes from Pete Dawson from years of study with working with him. And I'm just I'm just quoting him. I don't really have the literature right now. Talking about the big dogs. Yeah, no, I understand. And I always thought a face bow was the way to go, but it's still. It is. It is the best thing that we have. And it's still 15 to 20% off. And so is the Koi number. I think Koi, if I read his, when I read his article, I think he said like 80% of the people will be within 10 millimeters of 100. Wow. Okay. So that's still not perfect. It's still not perfect. But it's so close. It's so close that everything will fall in place. especially if you prove it back in the analog world before you bring it back to the mouth. So you have to use what, a semi-adjustable articulator? You can't do those little plastic things that just... You know, at that point, yeah, you need a semi-adjustable articulator to fully do the excursives. But I'll tell you, the biggest part is just once you do the design, you're doing the design with a fully adjustable articulator and exocad, and you're wiping out all the laterals. And you also use a more shallow slope in the posterior determinant when you're when you're working in Exocad so that everything in the mouth discludes so much faster. Interesting. So you can do all this in the software. Oh yeah, in Exocad. And so if I set the and for years we set all of our for our restorative work, we set all of our posterior inclines. I had the old combi articulator. The combi had a flat setting of 20 degrees. So the posterior determinant is 20 degrees. Well, almost nobody has that flat of a glenoid fossa eminence posteriorly. So if I build your crown so it clears at 20 degrees and then you put it into a patient's mouth that has 40 degrees, it's going to clear faster. So the whole idea is no lateral interferences. I don't want rubbing back teeth. It's very mathematical. Yeah. Honestly, it's pretty sweet. That of occlusion fixes everything, right? No, they're in occlusion and centric. Oh. They touch in centric. But as soon as they move out of centric forward, right or left, it separates. Interesting. That's what you want with restorative dentistry. And so that's how you set your case up. And you can do all this in the software. That's fascinating. We do all that in the software and then we tweak it in with the analog models and things work really, really well. So question, when you come to Insights. Is this your first time? Yeah, like what are you looking for? First time at Insights, second time. over here in Mallorca. I did the IDDA two years ago here at another hotel. And there was a lot of exocad there. But this is the first actual insight. What am I looking for? Just see where things are going. See what some of the trends are. You know, what they're talking about with the hub. I was going to say that's the buzz word for sure. Dennis, you must be. Excited for that. might be pretty cool with some of the things You know, I probably need to go back and try some of the AI features again. I was that old guy that got tired of waiting for my AI design, so I, you know... Just have a cup of coffee. What do you say? Have a cup of coffee, come back, it's ready to roll. So I'm the guy that's really... I might like to try it on some of these bigger cases, though. You know, I've seen it offer the AI workflow, like when I'm doing a full arch wax up type of a thing. And I thought, number one, how is it going to know what I want to do? But maybe I ought to try it. But then I thought, God, it took so long for that crown. How many hours I'm going to be waiting for this to come out? But we'll see. I'm going to have to go back and try it again. Sweet. You know, things continue to get better and better. And I tried it when it first came out. Maybe I ought to go give it a second look. Have you done the video where you film a patient and then put the wax up inside there to show? I have not done that. I think that's an iTero thing. I think I think I just have a I've got a test. I've got a test scanner in my office right now that I haven't gotten to play with because ever since they installed it, I've been traveling. Yeah, but I want to try that. It sounds really great. It sounds really cool. Talk about selling cases. Yeah, we're trying to start doing some more teaching at my office and the ITERA folks in my area. would like to send iTero docs in. So they had me look at this. That's smart. And because iTero, with their scanner, they get exocad chairside, I guess, or something. I don't know exactly what they call it. But their doctors don't know how to use the exocad part. And so they want to bring them in and let's train them on the exocad part, which is what I would love to do. So are you in Tampa? Yeah, I think so. I'm halfway between Tampa and Orlando. OK. I'm in the geometric center of the state. Yeah. And you mostly use night. No, not anymore. It's been years and years and years and years. Well, what happened? Give us the dirt. Where'd you go? No, I'm just kidding. There's no dirt. Barb got involved with podcasting. Yeah, all of her time's taken away. No, you know, I just texted Kim and Scott. That's awesome. about Barb Warner is what I know. That's crazy. I don't, what is it? How do you pronounce it? It's Wojin. Wojin. Okay. Anyway, I'm like, what is Barb? And I said, is she still at the bench? And he said, yeah, she's still at the bench and doing podcasting and blah, blah, blah. We do it every Friday. So we usually set up interviews on Friday. But we're involved with Exocad. We went to the Dallas meeting a couple of weekends ago. I have a clar in Chicago. I have a clar in Chicago. So there's a lot of people that see the benefit of having a podcast and talking about events like this and being able to spread the word. So we're just extremely grateful. We love it. Well, that's cool. Yeah, that's been my pitch is I like to control it from diagnosis to provisional. Yeah, I think that's great. there's a lot of dentists that want to do everything in-house and man that's a bit that's a that's a big bite to chew with dude you make money with your hands. And a mouth I mean $500 an hour in the chair is what I've always heard so you're losing that while you're playing with whatever not that it's a bad thing but for some of those guys. Well for doing for doing milling and then finishing and Because I'm not a believer in a 100% digital workflow. I don't think it exists. I think dyes need to be used to finish margins and those kinds of things. But there's a lot of people out there that that's what they preach, is the model-less workflow. And I'm not a fan, but hey, you know. We got to go like this. Good luck with that. Good to see you and enjoy the heck out of this meeting and it's great. I love this. I hope to see you on stage sometime. I love that. We just need to get a video, get a few people together that want to learn the diagnosis and the original workflow. I think it's genius. And then we can put that together. Awesome. Awesome. Well, thank you so much. Enjoy the rest of the show. Thank you all. Thank you all. Appreciate it. Thanks, Doctor. Nice to meet you. Sounds good to us. So this is super exciting. Yes. Let's see. Exocad Insights 2026, Mallorca, Spain. And we're meeting and talking again with someone we talked in Germany. At IDS. At IDS. Last year, right? Yeah. Yes. A hero. Hello. A hero. Exocad hero. The one and only. Femur. Emur. Emur O'Connell. Emur the femur. Emur the femur O'Connell. Remind me, are you Scotland or Ireland? I am Irish, but live in Scotland. I remember this too. This is so strange how much I remember. I do actually remember. And you work with Christina? I work with Christina. She did my lab tech for the cases that we did, but I also work with Steve Campbell A lot. Oh yeah, that's right. And Ashley Byrne also. I remember that. He makes my digital dentures. I just. I'm a bit of a, you know, I want to work with the best. I'm a clinician. What are you doing at Exocad Insights? Why does a clinician come here? Because I want to learn how to do the things and understand why my lab technician needs more information or what information I'm not. And you hear more from that perspective when you come to something like this. And you also get to hear about other things that you're maybe not already using. And it's like, all right, okay, that would make their job to deliver the clinical care better. Makes perfect sense. You must have been excited for that hub. I was going to say, what do you think about the hub? Oh, I can't actually believe it. To have it on the cloud and then not to have to have all the hardware to look at the thing and, you know, and it means you don't have to do it from just one place. because what you want to be able to do now, if you're travelling especially, is to be able to dial in. It used to be that, if they were sending me a case for approval, I would have to definitely pick up an e-mail, but this is going to mean that I can log in when it suits me and then we can And you can do it on a simpler laptop wherever you are. On your tablet, on tablet. Do you like tweaking cases or like is it a corner here or a roundness there? Like what do you? Yeah. And as I just laughed when they said earlier, the technician, no, I think it was actually Neelu who said it, that the clinician is always making the teeth smoother. And I was like, my God, do we all do that? Taking off the Nalvolons, I know. And so, I think we probably don't want such defined, contouring on that facial surface sometimes, because obviously you're treating people that are maybe older and have a lot of wear, so their teeth are already smooth, so you kind of have to put them back into having such visible would be kind of, it's kind of weird for them. So yeah. But you're also in the mind of the patient, right? Because you get to meet them more emotionally than us technicians, to be honest. Yeah, sometimes I do wish I only met them as an avatar. It's quite funny because Ashley, I worked with Ashley on the ADI, which is the Association of Dental Implantology in the UK. He was on the board at the same time as me. And he said that he became a technician that could do the clinical work one-on-one with the patient. And he quickly realized why he wanted to be a technician. Psychology as well. He just went dealing with patients. It's given me a better or a deeper understanding of what the clinician goes through. And I definitely don't want to be dealing with them one-on-one. So it's interesting. But also, I think the reason that more clinicians should come to events like this is because then you get to hear the technician's perspective. Ashley told me that 35% of their lab prescriptions come in with nothing. Oh, yeah. Thirty-five percent. I know. How can that? How can I? Or call me. Yeah, that's true. We get a few of those. And then I was out last night. I mean, seriously. And it's just like, why have we not, why are we not realizing the impactfulness of our behaviors on our teams? Because we are all a team after all. So, or we should be. Well, you mentioned implants because I think last time you were a big EXO plan. Yeah. I mean, I started to do guided surgery shortly after I started placing implants because I realised that my implant placements were not as precise as I wanted them to be. They might be a little bit tilted this way, that way, and obviously over time that has an effect on cleansability and all the forces that might be misdirected if there's a cantilever in the area. So yeah, I started doing that having guides practically I think 95% guided. I remember I used to work with someone years ago that used to be able to tell me they could tell which handed the dentist was by how the implant was angled. Like, oh, you could tell he's right-handed. Absolutely. Because you need to go around the front and look from that. And often, because early in my career also, this tooth was always kind of longer when I was maybe doing lots of veneers years ago. And then I realized, oh no, I have to also look from that side because it's, they stand up and you go, oh my God, that's bad. I've entered just a can't. No. The things you don't know till you know. I know. So true. Well, that's what experience brings. Yeah. So you spoke here? I spoke here two years ago, yeah, with my technician. And it was, you know, it was one of the first times I'd spoken for Exocad. I'd spoken before for Densply, but this was the first time for Exocad. And I just really loved it so much. Yeah, you're a hero. I know. And then how does that happen? I don't really know why they picked me. Did they even ask or did they just show up one day with a cardboard cutout? No, they said after I think that event, they'd been showing that video to I don't know whom, but anyway. And then they came to me and said, would you be interested in doing this? We're going to take you to Germany and do a photo shoot. I'm like, I've always wanted to be a model. No, I did not want to be a model, but anyway. when you go to. Germany and you see yourself, that's got to be. You were like 30 foot tall. It was terrifying, to be honest. But I think when I was young, I was too influenced, you know. I don't know if you'll remember, but Wonder Woman, you know. Oh, yeah. That's Linda Carter. Yeah, I wanted to be Linda. So I think there was obviously something in my subconscious. led me to that. So being a hero is quite cool. So what's it like not speaking? You just come and you get to talk to everybody. No pressure. It's so relaxing, obviously. It's given me a lot of time also to think about things. And I read a book yesterday. I had the very good fortune to be up at this pool top and have a date and I had an actual physical book. Wait, a what? I know. A book? What is a book? But I read the whole book in one day. Wow. But it was called The Story of a Heart and it was about a transplant between these two children and how transplant surgery has evolved from everything. But it was all about taking care of patients and how surgeons have to be quite gung-ho but also restrained and all of the different emotions. It was really interesting because I thought, well there's actually quite a lot of similarities between our job. Obviously, we're not saving lives, but we are helping people to smile again. Changing lives. They're so attached to their teeth. Yeah. Like psychologically. Yeah, the number of women that if they lose one tooth, they cry. Not because it's sore, just they feel, yeah, and they feel that they've aged. So, like, just like that, like I said, it's an old woman to lose your teeth is like. Weren't you the one that in Germany you told us about people turning 16 and getting dentures? Yeah, because I had my granny. Yes. And then it turned out Miguel Stanley's granny also was Irish and she had the same thing. They just took them out. They just took them out because then it saved you money. I think this that's the warning you're hearing of. It's Big Ben. I'm going to turn into Wonder Woman. It's quite loud here. Your time's up. Get back to lectures. So are you going to lectures all day? Yeah, I'm going to be going to lectures all after. What's next? Yeah. Well, we've got Michaela. I'm not sure she's next, but Michaela, there's a couple of, I think, people before that. So all about using Exocad to just, you know, deliver better outcomes. But are you still speaking for Exocad at other places? I'm getting to go to New York. What? Have you been with the States? I have. Okay. Talk about that. So that's right after Thanksgiving. I always remember that meeting because it's like Thanksgiving and then the greater New York. And do you know what's weird? I took my team there about 15 years ago. I went, took the whole, all my team from Scotland. We went to the greater New York dental meeting and obviously fitted in a little bit of sightseeing as well as some dentistry. And it's really a treat to be going back again. But this time. Are you speaking alone or with somebody this time? No, just by myself. What are you talking about? I'm going to, well, you saw that they just announced a few things today about the latest software and the partnership with Align. So the Align art, I'm going to present a case about how I'm going to use that to plan an implant case and an alignment of some teeth and some aesthetics. So it's going to be a multidisciplinary kind of case and it's going to be from the beginning to the end using the software. I'm trying to encourage other clinicians to get into it, whether it's them to use it, because obviously it's going to become easier with this new interface. or whether it's just for them to get more involved with the technician and be able to talk better with their technicians to get. The best. Either way, it's a win for the clinician, for sure. Sounds like a win for everybody. Well, and also being able to let the patient see what they can look like in the end. Because, you know, when I started out, which was quite a long time ago, and I got into doing quite a lot of cosmetic dentistry at that point and, you know, lots of veneers and all of those things. And Sometimes you would end up with the patient feeling slightly disappointed because I hadn't understood exactly the prescription that they in their head had. And this now the triad, the beautiful triad of the clinician, the technician and the patient is so easy because you can show them before this is where we're going. And they say, Yes. Love it. Or can you change that corner? Or will you make this a little longer? And they're involved now. Yeah, One thing I saw this morning with the technician, the guy from Mexico, was amazing. He was slicing the CBCT to be able to get the correct occlusal vertical dimension and marrying it up again after they'd taken all the teeth out. It was really cool. So doing a split of the CBCT and then before and after extraction and then marrying it together once the implants were in, order to make sure that they got the height right. You're getting the video off of the CT scan. Yeah. It was really cool. I mean, I'm not quite sure how he did it. No, but I'm fascinated by it. But it was really interesting. I'm like, okay, I want to find out more about that. So yeah, because that bit isn't changing. So they're using the hard bone of the chin. You usually have most of the face and the eyes. Yeah. And you're taking all that information usually anyway with the CPCTs now. So It's just, how clever. So are you thinking I'm going to try that? Barbara, how many days? You know, this is me. I get the ideas, then I go, right, I want to do that. So yeah, figure it out. That's what makes Exocad Insights amazing. Because it gives you all. Of your knowledge can come away with something that you want to do. Is that not what we should all be trying to do is learn from other people and find out how did they do that? Okay, that's clever. Let's do that. But we need to be more open. I was talking to a very young dentist just sitting at lunchtime. Yeah. And he'd come all the way from Peru. Wow. And his mum and dad are dentists, one a paediatrician and one an orthodontist, but he wants to get him to do an implants and he's just graduated 2 weeks ago. And he says, so he was chatting to me. I know, or two weeks ago. Yeah. So he came, his aunt lives in Madrid. And so he came to Madrid and then he's coming and he said, I really want to work in Europe. I'm going to try and get into a master's program in Barcelona. He loves the way everything works. And, you know, it was just so exciting to see this young person who is full of fire coming to something like this and being exposed to the clinicians. And realizing that it's not a clinician alone. So it's super cool. That is great. So with everything that you have going on clinically, what is your favorite thing to do still? The absolute favorite. And it doesn't matter if it's a digital denture, it doesn't matter if it's a veneer case, it doesn't matter if it's implants. It's when you make someone smile both beautiful but also able to eat. That's huge, yeah. I mean, because the occlusion obviously is such an important factor. So if you get that and you get the aesthetics, it's... It's like right here, right? Yeah. And it doesn't, it actually doesn't matter what the restoration is. or how you do it, it's the end result. The emotion. I love it. Great answer. Because that's what makes the patient happy. And then if the happy patient, the happy dentist. And a happy lab. And a happy lab, 100%. And you know it's bad because we don't tell our labs often enough The good. Yeah. You mostly hear that like. No word is good word. Yeah. But I try to, I do try to take a photo and send it to them and go, that case was beautiful. Maybe that's what Exocat Hub needs, a way to give like a thumbs up or like a, here's a little trophy. Yeah. Emoji. Yeah, absolutely. And I worked with Ashley recently. I have to tell you about this case because this was honestly amazing. So I knew Ashley could do these digital dentures. There is a man who lives up in the Highlands of Scotland. I have a little cottage up there. He's my next door neighbor and his wife's only in her 70s, but he's 92. Oh wow. And he recently lost a couple more teeth and then he was finding he had a saliva and he couldn't chew and he was pretty sad. So anyway, they knew I was up staying and they came over and they chatted to me and I was like, Let me just see in there, Brian. And he just like, he went like that, showed me. And we were able to make him a denture by sending him to his local clinic to get one iTero scan done. It got sent to Ashley in the south of England. He made a digital denture for the lower and a Maryland bridge at the bottom to replace these lower incisors, right? Just bottom. I drove up from Edinburgh to the clinic, worked with the girls, told them, can I please use your clinic to see this guy, Brian? I fitted his danger and his Maryland bridge in, I'm not joking, 10 minutes, no adjustments, nothing. I saw him. This is probably a year and a half ago. I saw him two weeks ago and he can eat toast and steak and everything. That's incredible. And you should see him. He is like, he went transformed. He said, I will go anywhere, Emir, and tell my story. I tell everybody that I meet how amazing the digital world of dentistry is. So isn't that amazing? What about that dentist's office you used? Did they like, whoa, I want to get into this. Yeah, so they're already using ITero, but mainly just for Invisalign, and they were just like, That was unbelievable. How did you even do that? I was like, I had a really good laugh. No credit to either. I mean, seriously. So I just was like, Ashley, OMG, I love you. But I had never got a denture before, even one that is made with the old-fashioned way, that I didn't have to do some occlusal adjustment. I didn't touch it and the suction. Unbelievable. I mean, he has to it out. It's like it grew there. It was honestly, it was. And so then now I've had another couple of cases where the people have come in, they're going to get some implants. They've had a denture for years, but they didn't ever like their denture. So I just make them a new denture digitally and they get that first as their kind of trial before they get their implants. It's just amazing. I love the digital denture workflow. I mean, it just blows my mind. And I'm a dentist. Yeah, we need to talk to him also. Yeah, because whatever they've got going on. Takes a minute to get there. Yeah, I mean, I'm sure they're like this guy did have, I think, still maybe a couple of teeth. So it was. But you scan uncompressed tissue and still got that. That's amazing. It was amazing. It was amazing. Yeah. Good word. I know. Yeah. You remember Green Stick? Green Stick. Yeah. You had to put it on the back of the... Oh, the impression trick. Yeah, we call it rope wax. Yeah, we call it rope wax. Green Stick, we call it DK Green Stick. Yeah, you learn something every day on the podcast. Thank you so much. Thank you. It's lovely to meet you. It's great to see you. Congratulations on everything. I'm just turning up. Just keep on showing up. Exactly. Anyway, thank you both. Yeah, thank you. We appreciate you. Thanks. A huge thanks to Marjorie, Dr. Pate, and Dr. O'Connell for taking the time out of that amazing meeting to chat with Elvis and I. We love doing follow-up episodes and it sounds like Marjorie, you're killing it. Can someone please make sure she gets to enjoy the cold of Chicago at Lab Day? And it was really cool to see Dr. Pate's, I mean like in Mallorca, I run into a local doctor and see how even old school clinicians can use digital correctly for better results. And what else can we say about Dr. O'Connell other than we could talk to her all day as her passion for dentistry is what makes what we do so fun. Thank you, guys. All right. Thanks again, Exocad. We got many more conversations coming. But that's all we got for you. And of course, we will talk to you next week. See ya. Bye. Sorry, I'm also sobering up. The views and opinions expressed on the Voices from the Bench podcast are those of the guest and do not necessarily reflect the official policy or position of the host or Voices from the Bench LLC.