Dr. Shashi Singhul invites you to IBOLAR Lab Day lectures

Speaker A: Voices of the Bench community, Greetings. I am Dr. Shashi Singhul, Director of Education and Professional Services with iBolar Academy. I hope everyone is doing just amazing. I'm sure you are excited to be at LMT Day at Chicago. I would like to take this opportunity to personally invite you to IBOLAR LMT Lab Day lectures. We have a still a lineup of guest speakers, some of the industry'biggest voices. 18 total programs over three full days. I will be sharing information on cementation protocols during my course what your doctors need to know about cementation. Our goal is to provide you with great information in a fun and enjoyable setting. Lots of exciting stuff. So please come and join us. You can log on to labdate.com ioclerar that is labddate.com ioclar to see our lineup of lectures and to register for our, programs. Don't miss this opportunity. Come and see us. Thank you so much.

Elvis: Welcome to Voices from the Bench, a dental laboratory podcast. Send us an email@info voicesfrohebench.com and follow us on Facebook and Instagram. Greetings and welcome to episode 351 of Voices from the Bench. My name is Alvis.

Barbara: And my name's Barbara, who just told.

Elvis: Me you haven't even had coffee yet. This will be fun.

Barbara: Yeah, that's never good. 10:10 on a Saturday. It took us 20 minutes to get connected and I've had no coffee, so let's roll.

Elvis: I've had enough for the both of us, plus some. so.

Barbara: I didn't even know you liked coffee.

Elvis: Are you serious?

Barbara: After 400 episodes?

Elvis: I drink coffee 24 hours a day.

Speaker D: Really?

Elvis: I do. That's AM and black. Nothing in it is my favorite. So that says a lot about a person is what they tell me.


The 2025 Lab Day Chicago is less than 65 days away

Barbara: Let's go.

Elvis: All right, it's official. We talk about it probably way too much, but it just goes to show you how excited we are that the 2025 Lab Day Chicago is up. You are able to register.

Barbara: Nice. Two months.

Elvis: I've seen a lot of people online talk about they're excited to go, they'booked, they've, they've got their room, they'they're picking out their courses. And the who's who of amazing talent that's going to be speaking is awesome.

Speaker D: Of course.

Elvis: So let's not also forget to mention that this is LMT's 40th year holding this event. Can you believe that? 40 years.

Barbara: That was last year. Oh my God. That's crazy. I thought it was last year. Are you sure it's not 41.

Elvis: Maybe. Maybe they're just riding the, the anniversary for a couple years, you know?

Barbara: All right.

Elvis: When was the first year you went? Have you gone 40 times?

Barbara: No, I'm not that old.

Elvis: Oh, geez.

Barbara: You need no coffee?

Speaker D: No.

Barbara: Funny.

Elvis: There is so much to do over these three days. I mean, all the vendors, the speakers, and, of course, seeing friends. But there's one thing that you cannot miss that is, of course, coming to see us in the Ivacar Grand Ballroom, where we will be set up again, recording everyone and anyone willing to sit down.

Barbara: Or I'll just grab you.

Elvis: Yeah. And if you don't want to record, that's okay. Don't avoid us. Still stop by and say hi. We'd love to meet you. We are less than 65 days away from this show down, so, of course, lmtma.com to register.


Dr. Danny Dome is a dentist that also owns a dental lab

So, this week, I had a chance to talk to a dentist that also owns a dental lab. Now, Barb, I think you were doing, like, NBC. NBC Calab thing. I can't remember, but you were surely missed. Of course.

Barbara: Thank you.

Elvis: But Dr. Danny Dome was in dental school when Katrina hit, forcing him to finish school in a different area. W. Now, he wanted to get into doing more implants. So after finishing up a residency program, he eventually finds himself in his uncle's practice. Early into digital, he found himself having to explain the labs, what was needed when he started designing custom abutments. Seeing the frustration and the lack of communication, he started doing his own designs and eventually turned it into a lab, accepting work from, other doctors. Now, Dr. Dome knows the pains and struggles from both sides and has great insights into improving the workflow between the two. But one of the cool things is we talk about how he needed a better screw for his full arch cases. And with a bunch of engineers turned dental technicians, they developed the vortex screw.

Barbara: Sweet.

Elvis: Yeah. So join us as we chat with Dr. Danny Dome. Voices from the Bench, the interview.


Dr. Danny Dominique is a dentist from Lafayette, Louisiana

We are super excited today to welcome to the podcast somebody that David Avery recommended. We talk to. And when David Avery has a recommendation, it usually turns out to be a pretty good one. Dr. Danny Dominique. How are you, sir?

Speaker D: Good, man. In, Cajun country, we say domain, but Dom.

Elvis: Is that how you pronounce your last name?

Speaker D: Yeah, Domain. Yeah, it's, Dom. Yeah. Southern French last name. I mean, if you're in my zip code, everybody's pronouncced my last name. Right. Once you exit our zip code, it's like, nobody gets it right. All good. Yeah. But I'm a general dentist in a very small town. A Greater Lafayette is about 150,000 people. Yeah, I'm young. I'm about 44 years old. I've heard a lot about your podcast. oh, I've actually met you, in Chicago last year. Oh, I saw you guys podcasting on your booth.

Elvis: Very cool. I had no idea did my pronunciation. Was that at least a popular mispronunciation?

Speaker D: Very popular.

Elvis: Okay, good.

Speaker D: Yeah. So you're good.

Elvis: Yeah.


David Brook is a dentist who also owns a lab

So David tells me that you not only a dentist, but you also own a lab. So kind of want to find out what the hell you're doing in our space.

Speaker D: Just, kidd, like stay in your own lane, right?

Elvis: Yeah, come on now. Let us do the work. But we like to hear about really how you end up becoming a dentist. What got you interested into it? Give me your whole, like, kind of path to where you are now, so.

Speaker D: All right, that's a good question. I, originally I was going toa go to medical school. My grandfather, who was a physician, a general physician, I kind of idolized him and looked up to him. Medicine's changing. Why are don't you looking to go into dentistry? And I really didn't know much about dentistry, so I went on a Mexico mission trip with the dental students from LSC School of dentistry. They let me pull a tooth and.

Elvis: They let you pull a tooth before any schooling?

Speaker D: I was in high school. Yeah. and the exhilaration of pulling a tooth, I was like, man, I could really get into this. I really didn't even know what else Dennis did, you know, and implants weren't a thing back then. So people, you know, I want to go observe a couple dentists. One of them was my uncle. And I, saw'do a filling one time. I was like, this can't be too hard. It looks okay. I never really considered dentistry a serious career, but when I got to college at lsu, I was like, all right, I'm putting all my weight to being a dentist. And, you know, graduated college and biological sciences, went to dental school, to eleisraary school, dentistry, graduated. And then after graduation in New Orleans member Katrina, I was oh year and I was actually studying for an implantology fauo. And my medical school friend shows up my house. He's like, dude, we got it evacated. Now the hurricane's about to hit. I was like, what are you talking about?

Elvis: You were that so much into studying, you had no idea. This hurricane was kind of.

Speaker D: Yeah, I was studying for final so I mean, you don't watch tv, you don't do anything. You just head down in the books. And I had school all week. I wasn't paying attention to anything else.

Elvis: Wow.

Speaker D: And he shows up and I'm like, all right. So we get in our car. It took us an hour. And we went one mile in an hour. Cause there trying to get out of New Orleans, we couldn't get out. So I was like, look, I gotta finish studying. So we turn back around. I, went back to my house. I studied till like 2 o'clock in the morning. He shows back up with his bags packed. This time we get on the interstate. By that time the hurricane had hit and we were driving outbound on the inbound highway. And whenever, a wind gust would come, it would pull my car over into the next lane. But there wasn't a lot of cars on the road. And I remember trying to get around trees so that whenever it was an open highway where there was s. No trees, I remember my car, you know, going everywhere. And I got home and the next morning I woke up and you know, the city was flooding and we couldn't go back to dental school. So we want up, going to move into Baton Rouge Dental school, moved out of New Orleans, move to Baton Rouge, and we started taking classes at the vet school. And then FEMA built us a makeshift dental clinic in a really poor area. We started seeing patients there. And then that was my education. I never finished in New Orleans. I actually finished my last patient in Baton Rouge. But I didn't feel like I was ready to see a patient. I always wanted to do a general practice residency. So I applied a couple programs, got into two in New York, and I went up on to Brookale Hospital in Brooklyn, New York, did a one year general practice residency because they had a two year implantology fellowship and a two year anesthesia fellowship. so I graduated the gpr, did a two year implantology fellowship. And I wanted to go all in and with implants because that at the time seemed to be the right path. And I'm really glad I made that decision while I was.

Elvis: Why? Why was it just.

Speaker D: Or, you know, I like, I wanted to stay a general dentist because I felt like I liked the crown restorative work. I enjoyed that. But once I got really into implants, I really didn't want to do restorative work anymore.


Did you place any implants in school? No, no, no

Elvis: Did you place any implants in school?

Speaker D: No, no, no, no. not after Katrina. Our education kind of changed a lot. You know, we barely got out with what we had. So that's why I kind of wanted to do gpr. But the GPR I did was really surgical based. You know, we're doing, you know, we're doing bone reduction fractures. You know, we're going to or a lot to reduce zygomatic fractures. Wow. you know, we're doing bone grafts from the hip, things like that. It was pretty so, sure. There was thoughts of me going to oral surgery school and I got an invite from one of the guys, but I would lose the ability to restore cases. And that was the part that I didn't want to miss out on or limit my practice. So I, I stayed the course, did the two year implantology fellowship at Brookdale, and we got to go to NYU. And Doct Dr. Dinis Tornow at the time was our program director. So I learned from him two days a week, went back to the program three days a week, where I placed and restored our implants. And then, that was in 2010. I graduated from the residency program as the, chief of the department and then didn't know that I didn't know what I didn't know. And, I didn't know how to run a business. I didn't know I didn't know revenue stream or paying up my loan. So, I mean, I learned a lot whenever I got out of school just by working on other people. So I mn associate a position for a year. And after the year, we were very successful our first year out and kind of blew the numbers out of the water for this guy. And, he was like, man, we did really well. I said, yeah, we did really well. And, I'd like to have an opportunity to buy in. And he said, no, I don't want to sell my practice. I'm still pretty young. And I said, well, would you pay me an increase caus I know you did pretty well. And he said, no, I don't wa wantna do that either. I said, well, I'm probably not gonna stay here. Yeah, I doubled as practice and I didn't see a significant increase in my income. So I, moved on. And why not moving back to my hometown in Lafayette. And so I worked for about five and a half years before I moved back here. You three years in New York and two and a half years in a small town, Lake Charles, and then moved to Lafayette. And I've been here for, you know, 12 years now. The practice I'm move to is actually my uncle, the guy that I watched do a filling on andkay implant basedace practice and he's 70, in the next couple of months. So he's looking to retire at some point.

Elvis: he's still working.

Speaker D: Yeah. Oh yeah, yeaheah. Yeah. And so I was placing implants and taking impressions and sitting it to the lab. And when I graduated, you get back a tooth you put in the patient's mouth. Right. And then I bought the first or second three shaped scanner about 12 years ago in the state of Louisiana. And I started taking scans and sent it to labs. And then I was looking at the CAD designs for and I was thinking, man, this is the future. Like this is the future. You don't have to take a PBS impression. I was so enamored by the, you know, it was actually the three shaped black and white scanner. I was so impressed by just the technology back then. Fast forward today.

Elvis: Are we talking like early trios?

Speaker D: Yes.

Elvis: Yeah. It was black and white.

Speaker D: The first time was black and white.

Elvis: I had no idea.

Speaker D: Yes.

Elvis: Why was it black and white? It's not that all.

Speaker D: Yeah, dude, the first one was black and white and then they came out with the upgraded edition. the color. And that was like a big deal to have the color one.

Elvis: Sure.


Danny was designing custom abutments and crowns in his office

Speaker D: I wanta upgrade the color. I don't remember. That was like trios one. I think I to trios one and trios two. Wow. Kind of rocked and roll with that. And then I started sitting it out to lab. But what I noticed in the lab world, and this is why I got into the lab world. Cause it's a really good question to get a lot like, why don't you just stay in your space? What I realized was like when I was sending the cases to the labs, some of the labs I was using, I was educating the designers on what the crown abutment needed to look like and what I was looking for, right. Becausee everybody was so analog at the time and they would was buy a prefabricated abutment, prep it down and then make a crown on it. Right. And that was great at the time, but this was like new tech to do a custom abutment and mill a prem mil. And a buddy of mine, you know, I was lecturing at the time and lecturing a good bit and one of my friends told me, he's like, hey, what are you doing? You know, you're showing all these cases. But he said, why aren't you milling your own cases? And I was like, well, I'm not a lab. He's like, well't, why don't you be a lab? Because he's like, at the end of the day, Danny, you're showing actually what laboratories do for you. You know, like, yeah, of course you seeated in the patient's mouth. But that's not, you know, if you're lecturing and showing these guys from A to Z how to do implants, you. I was like, man. So it kind of waighed on me a little bit. So I bought a mill just to see if I would get into it. Fast forward today. We've been open for seven years. we work with 350 dentists. We have 15 employees. And I have a whole new respect for the laboratories. That's what it's created for me. It's created a respect for what your industry has to deal with on a regular. There's a disconnect. And Elvis, I want to be very clear about this because there's a frustration dentist for laboratories, and there's a frustration that laboratories have for dentist. But the problem is, is there's so much miscommunication and it's from both sides. It's not just the dentist and it's not just the laboratories. But like, dentists don't give labs enough information. They don't. And the reason why they don't give us because we don't fully understand your workflows. We just know our workflows. And so, you know, the first year or so, I was realizing like the trials and tribulations that go into getting even. Mill, shell, provisionals, milling, a custom abutment. It was like everything was setting into me. So at the onset, I did not want to farm a lab, but I was designing my own custom abutments and crowns and milling them in my office.

Elvis: You were just doing it for yourself at the point?

Speaker D: Yeah, just for myself. Yeah. And then, after Covid hit, some people lost their jobs and around this area and people came up to me asking me like, would you hire me? I was like, well, I'm not really looking for anybody. And this is not really an industry that I'm looking to explore. But, you know, it would give me more time at home with my wife and my daughter if you would do this for me. So I would consider hiring you. And that's kind of how I started off. And so once I started hiring those employees, I had to move it out of my office. And when I moved it out of my office, then I to get had to pay rent and I had to get insurance and I Had pay sales.

Elvis: To make more money.

Speaker D: Well then I got to open the doors up to getting other cases.


Dentists' job is to educate patients on implant options, right

Elvis: You know, I want to go back to, when you first started doing custom abutments and you had to educate other labs on how to do it, what were you having to teach them? Like emergence profile, soft tissue compression, that kind of thing?

Speaker D: Yeah, stuff like that. So now we work with 350 dentists and everybody has their own like. Oh, like there was a guy this morning, he wants all of his facial margins on his custom abutments. 1.5 millimeters, sub G. 1.5. Yeah, that's pretty deep to me. That's pretty deep.

Elvis: Yeah, that is deep.

Speaker D: Yeah. But that's what he wants. And so Rx. And you gotta follow Rx. So yeah, we'll make him 1.5 millimeter something. But you know what he didn't know, and we're trying to email this back and forth to him, is his implants place his implants placed as a crestal implant. And you only have like a millimeter of soft tissue. So we can't go 1.5 millimeters. Cause we don't have that room. You. We're bottoming it out. I do feel like, out of respect for everyone, like, dentist job is to educate patients on the options they have within the scope of the dentist practice to get restored with an implant.

Speaker D: And then it's the laboratory's job to educate dentist on what options they have after the implants plays to be able to restore that properly. Because, you know, we had a case yesterday with the dentist was like, hey, I need a screrutane kind of on ah, a tie base. And if you look at the models, the bite is so tight on this patient that the Tai base. The oem. Tai base from Buyer Horizons. Just the Tai base alone. Ah occludes with the maxillary. And trying to explain that over email, you know, the dentist don't even know that.

Elvis: Just cut the timeie base down. What do you think?

Speaker D: Yeah. Yeah. So that was kind of like our solution. But the deal with that is, you know, now you don't have as much ferle. Right.

Elvis: Technically, I don't think we're supposed to cut down the tie basis.

Speaker D: You're not?

Elvis: Yeah, I mean, you're messing with the F approved. Yeah.

Speaker D: And then if you did that, then you mess with the anti rotational forces of that tie base, right? Ye.

Elvis: depending on where those are. Yeah.

Speaker D: Correct. And then by horizon specifically, they have a lip at the top of the tie base. That creates the anti rotational. But still, even still with those you get the. I'm sure you're aware of fretting. There's a con of wear to the titanium. and so you'll still have some of those crowns loosened because of the fretting.

Elvis: Yeah. So what was the solution? You talk him into a custom ofment.

Speaker D: That's kind of where we're at now. Yeah, but that's kind of like trying to go full circle. That's to my point is dentists educate patients. Laboratories have been educating dentists their options to be able to restore this tooth properly. So in our lab like you know there's nobody that's experienced that has designed an exocad out there in the market. Right. You can't hire first of all lab tech. There's a lab tech school in New Orleans and they hire six. They graduate like six a year. They all have jobs by their first semester.

Elvis: Oh I'm sure.

Speaker D: And so I can't hire those guys. And so what I did in Louis and specifically in my town, there's a college that's a really good mechanical engineering engineering program and I hire mechanical engineers and I bring those me's in here and I teach them. They know design, they know cad, they just don't know tooth numbering and tooth shape in size. I basically say like guys, look, numbering is easy and this is how you do the, you know, buccle cust, lingual cust. This is about dis seclusion. Once they get that down, there's really not much else to teach them because they're trained in cad so they know design. I just teach them the parameters where they work in. Those guys blow it out the water. They're unbelievable. Super impressive on how their thought process works. And then they get to study like strength, know the strength of zirconia material, you know, how thick does it be?

Elvis: Oh, I'm sure they nerd out on that real hard.

Speaker D: That's like secondhan knowledge, you know, like they already aware and understand that that's not trouble for them. That's not. So then we get to do cooler things. And so everything that we output from our lab look again, this is going out to a bunch of laboratory technicians. So if you're looking for designers, I'FOUND mechanical engineers are my favorite to work with. They're just bright guys. And then with that, this was about four or five years ago, we with a smaller team back then and I was placing and restoring full arches and we're milling our own Arches. And I was using some screws and trying to figure out what was going to be the best screw on the market, at the time. And I didn't. You know, Rosen screws seemed to be a really good screw.

Elvis: Yeah, pretty popular back then.

Speaker D: It was like pretty new. Powerball had just come out on the scene, but, it was such a wide, tall screw, it didn't make any sense. So over a couple afternoons after work, we, brought all the screws into CAD and we started studying all the screws, the pitch of the screw, the depth of the screw, and the mua number of turns inside a multi abutment.

Elvis: That's some nerdy engineer after hour hanging out.

Speaker D: You know, I would just explain screw design and the reason for changing up a screw.


Justin McCall developed the vortex screw about four years ago

And once they heard that, so they were teaching me about preloading clamping forces and I was telling about the screws on the market. And once they studed them, they're like, well, it's pretty easy. I was like, what does that look like? And so I was drawn on a napkin and they would just put it in the CAD because they knew CAD better. And, we developed the vortex groupws. We came up with like four different.

Elvis: Wait, wait, you developed a vortex screw?

Speaker D: Yeah.

Elvis: How did I miss this? And part of my in depth research on who I'm talking to.

Speaker D: Yeah, so this was about four years ago. So we had about four different types machined and then once we had those, we started milling the different ones. And then we were looking at hyperent how to mill and final bul in burrs. And what burrs would you at knees and the easiest templates. After we designed the screw, then we developed our exocad library that we kept for ourselves, tested out all the screws, figured out which would be the best screw, and actually all those four didn't qualify. So we made a couple changes and made our final rev, which is like Rev 6 or 7. It was Rev 7 of our final screw. And then that's the one lucky number 7 too. Right. I'm just realizing that. And so. And that became the vortex screw. So I just started using it for my own cases and developed some success with it, sen it off for a patent before I actually launched it. And then when I launched it, I thought, I don't know how much steam this would pick up. But I felt like out of all the screws in the market, we answered all the questions that I was having difficulties with. And that was the whole issue. It was through multiple surfaces. You could mill it through A titanium bar at an angulated screw channel with no screw at at the time could. And still nobody does. you could mill it through, direct to multi abutment, and you had a tai base option. And then there was the levels of prosthetics heights from 1.4 to 0.4 within, just depending on the thicknesses z kia and what medium you were manufacturing in. And so we released it, and once I did, I started realizing I need a 510k. And so 510ks s are about $250,000. So we bought a 510k. And that was before I even sold a screw. You know, $50,000 for a patent, $250,000 for a 510K. And, my wife, when I remember going home, my wife was saying, hey, I really like this purse. I think I'mnn buy it. I said, hey, why don't you hold off on buying month or two. And I didn't really tell her at the time that I'invested that much into the screw. And I didn't even know if it was going to do well or not. And, I sat like that for about a year, not really sweating out. I just fe I felt like it was a superior product amongst all the other players. And then, you know, fast forward to today. I mean, it's incredible. You know, I just. I was in Atlanta recently at a show, and there's this famous period on us that I met and I knew of him. I've never met him before. And, you know, he shook my hand up and he said, my name's Danny Domang. I said, hey. He's like, hey, nice to meet you. And, one of his friends said, hey, that's the guy that had been in the vortex. And he turned around and looked at me. He was like, dude, you been in the vortex? I was like, this is my claim to fame. The vortex screw. You know, it's taken off in the lab. You know, I literally thought I would only be selling this screw to dentists, right? Dentists that are trying to Milller Arch. I never thought it would catch fire with laboratories. Now the bulk of our ordering is to laboratories. It's amaz.

Elvis: Oh, sure.

Speaker D: You know, like, Midwest dental arts. Justin McCoroy picked it up pretty early on. JB dental lab, Barksdale Dental Lab. Grow in a lab. They're all really early adapters of the screw. And they've. If a customer doesn't request a screw, they use our screw for all. All those particular labs do. But then now what's happening is all those labs are getting request to the vortex screws and it's kind of like you, it's taken off. So we have all these labs that'reached out to us.

Elvis: So explain to the people that might not really get what makes a screw so different, what sets it apart from those other ones like the Powerball.

Speaker D: I did a 45 minute webinar. I can include it in the show notes if you want to give it to.


Exoc gave a lecture to laboratories on the benefits of vortex grew

Elvis: Yeah.

Speaker D: And recently in Atlanta, when I was at that meeting, they requested I give a lecture, to laboratories on the benefits of vortex grew. And I was like, okay. I said yes to it. And I thought it was gonna be an hour lecture. And when I got to Atlanta, I read the and it was a three and a half hour lecture and I thought oh my go.

Elvis: Oh, jeez.

Speaker D: but fortunately I had plenty of material and we windound up talking all three and a half hours and I wound up staying later to answer some questions. and it was just a laboratory text. Some dentists that were buying mills and milling in house and some assistants that were helping out their doctors that do full arch and they stay in that game. But essentially a mechanical standpoint. You know what we, what we learned four years ago on how zirconia gets milled out and hard angles versus hyperbolic channels, you know, where's the stress and strain on an arch. And then also looking at the screw axis holes on how conventional and milling bores out a large hole and how do we tighten the hole to get really tight holes. So you know, screw AIs holes are not large, they're small. And you don't have to worry so much about larger holes in arches versus, what's normal. Today we windound up getting Jordan Greenberg with Hyperent to fly down to Louisiana and we had a rev one of a template. So template generator is a software that we bought from hyperens like 10 grand. But what we tried to create is the best tolerance for milling. So whenever you pull your arch into hyperent, the geos that are tagged to the vortex screw would be autoc calculated. So the hyperid calculations for your arch would be very short and already set so that whenever you mill those screw channels out, you would never have a failure. M this like this was three years ago or four years ago. And we never wanted to under mill and we never wanted to over mill our screw access channel ca because that's where all the it is ip and that was really important to us. So we spent a week Working with him, we milled hundred hundreds of cases and measured them all. So we'd measure a PMA puck, we'd measure a zirconia puck, sythra it and singlet tooth. And we'd measure angles straight, direct, 10, 15, 20, 25 degrees to try to figure out where would be the hiccup for laboratories or dentists. And got it down to really a science man. So we finished off with Rev 3 which is out now. So ifd any laboratory you know is listening to this and they're looking at milling the vortex screw channel, you need to have the template for hyperent. If you're using hyperent to be able. If you put that template in, it's a free template, we give it out. But if you put that into your hybrid, it'll auto calculate the tool pass, you don't have to worry about it. And precision and accuracy, it was really important to us.

Elvis: So if a lab wants to do the vortex screw, it's not just the Exocad DME's you got to have the cam side of it too.

Speaker D: Yeah. So Exoc actually had no idea SPFAs and three shape has the DME'okay. We've written those for those softwares like my lab has. So typically what a company does is they'll outsource. They'll hire a company to come in house like Implant Direct or something like that. They'll say hey look, we need a library. We'll hire this third party company, they'll create all their libraries for. They'll pay him a noxious amount of money. And I kind of felt like if I really wanted to understand the screw enough, we should do that in house. So all of our emm me met and we had some coffee over on a Saturday and we started drawing our Exocad in our three shaped libraries. three Shape's a little bit harder to deal with ca because they come out with all. I heard that but Exocad came out released pretty easily and we created a library and we get asked all the time to update the library with this multi abutment and this size screw. So and hopefully by the end of the year January 2nd, we're going to release our master Exocad library for a massive update and it's going to incorporate all these, you know like Strahman sra, MUA is a different interface. So we created a specific MUA seat for that and we'renn release. We've been releasing it to people that have are been requesting it. So we have three different screws, actually. It's the 1.4 which is the most common. S the Noble biocharact, m compatible. That's 80% of what people purchase. Then 15% of what people purchase are probably the ridocr comppatible, which is the 1.6 millimeter screw. The radius is only 0.1 millimeters wider. And some people claim it's a stronger screw just because of that. That's debatable. And then there's the 1.8 millimeter screw, which is equivalent to a 1. 72. Now, I didn't say 1.72. There's a misnomer in there. It's a, ah, 1 and 7 2. So that's actually engineer term for the number of terms and, oh, 172 turns. It's actually equivalent to 1.81. When you work out the math. It's 0.05 millimeters and radius wider than the 1.8, millimeter screw.

Elvis: And what's that compatible with?

Speaker D: It's implant direct compatible.

Elvis: Oh, okay.

Speaker D: Is the most commonly requested profile for that. And we're about to release a, library for them as well. But, yeah, that kind of took off. And the T5 driver was a really good idea for us to work through because it's like the universal driver for all angle screw channels. So that's our driver. Basically, people have been asking for it. Like, they'll reach out and say, hey, do you have this? Do you have this? Do you have this? And since we have me'we just say, all right, no, we don't, but we'll create it. Ll send it to. And then recently, we just released a bone ref screw, which is. It's called the AIM screw. aim? It stands for Atlantic Implant marker, which is like a fiducial marker that's more aligned for dentis. But it does help us realign bites. So what dentists are using a lot now are these fiducial markers. So what they'll do is they'll have a preoperative scan they'll send to the lab, and then they'll add a fiducial marker maybe at the midline or in the palette, and then they'll add that to their initial scan, and then they'll denulate the patient, place implants, and then do their eyometric or refam scafs or shining scans or whatever, but use that fiducial marker again to stitch back. the issue is, in those single fiducers, you lose your horizontal rotation sometimes.

Elvis: Is it like, just because it's like a circle and.

Speaker D: Correct.

Elvis: There's no plane. Yeah, okay.

Speaker D: Yeah. And so they started moving to triangulations. So Dennis started moving to triangulations.


This fiducial marker helps with vertical displacement of stitching scans together

Speaker D: Which, if you understand intraoral scanning, sometimes triangulations in cross stitching for, an arch, you'll have some issues with the scan data. The intraoral scan data is stitching properly. So this fiducial marker has definitely helped with the vertical displacement of stitching scans together. But to index, we would need to allow for rotational accuracy. Right. So we came up with this aim screw. And like I said, most labs won't be ordering it. Most dinners can be ordering. And, actually, I take it back, man. A lab reached out today to order some, because they do a lot of conversions for dentists. I take it back.

Elvis: We had our first and they provided the aim screw.

Speaker D: So what they're doing is they're buying them, and then when they go to the surgery, they say, like, hey, use this fiducial marker so we can stitch our scans and that'll help us be able to reference back to our initial scan.

Elvis: Yeah, I've done a few surgeries where it's just like a screw in the palate. And I think the doctor referred to it as like a breadcrumb. Is that basically the same thing?

Speaker D: Yeah, call it what you want. Yeah, yeah, yeah. It's like a screw on the pallet, basically. So there's different types, man. So what's unique about. It's a new product, so there's not a lot of information out there. I'm not trying to plug it. But there's the bone screw that we have has a multi abutment interface, so you can put a multi abutment scan body on it. All right.

Elvis: Oh, interesting. Yeah.

Speaker D: But also when you take your verification scans, like photogrammetry scans, you're actually taking a photogrammetry reference marker of that palatable fiducial marker. Do you follow me? So when you stitch, when you stitch, it auto aligns with the implants in their position with that pael reference. So there's never, ever, ever any issues with bite adjustments. They're 100% right all the time because you have your intra oral scan, but then also you have your photogrammetry scan that verify each other. And then when you cross mount, it's already stitched back. So pretty neat concept for a fiducial scan. And it's on under pat right now.

Elvis: So you would, you would use this just like you would a multi unit. So yeah. You're putting a scan body on it. Yeah, you'if you're doing optni splint, you're using an optni splint abutment on it. If you're doing photogrammetry, you're putting one of those domino looking things in it.

Speaker D: Bingo.

Elvis: Wow. Interesting.

Speaker D: Yeah. So that's really helped us out recently and I posted a couple cases about this. I'll send you some images if you'd like to see.

Elvis: Yeah, please.

Speaker D: Life. Just some surgical photos and just to show you how stitch I'm might even put a video together just to kind of show you how it works out. But for laboratories it's. And look, I'm speaking from experience because I have a laboratory. I look and I'm a dentist and I have a lab. And the nice thing about it is the lab is, you know, a three minute walk from office. I just walk outside and walk across the street and I'm there and I get to go play with these guys because laboratory, it really is a fun job. Know, it's a fun job. There's a lot of cool stuff that you can do in that world. It just. You lose the fun whenever a doctor calls and you's like, where's my case? And you realize like, oh gosh, know like we never got the scans. You know, who dropped the ball. That's whereever kind of loses its fun and its flares a little bit of the stress that goes into it. But it is cool what laboratories are able to do nowadays to be able to manufacture m custom abutments and zirconia crowns and centering times and the shades. And what's coming out with zirconia is just really impressive, right?

Elvis: Oh, absolutely. I imagine you're restoring most of yours with zirconia, the full arches.

Speaker D: Yeah, I'm restoring my own cases. and I'm restoring some doctors. And here's the other thing. Like I was working with a lab and they were really good, but I would mill, okay, so they would mill the provisions for me and I put in patient's mouth. I'd refer them back to the dentist and'd say, well, dent this dentist. I'm just the implant guy. Your real dentist is going to do the distortative. And if it's a single tooth crown, Dennis would call the lab and say, hey, send me that single tooth crown. And they would send them the crown and you'd stick in the pastient of s mouth and charge them for a crown. It'really big win for the restorative dentist, because they really didn't have to do anything, taking impression they have to do anything that'what digital provided. But now it's for full arch. When I would hand that occupation off, the dentist would be like, hey, send me that full arch. The full arch would show up. And, you know, it's a $5,000 full large. And they got all these screws and these parts and a driver. And so the dentist that doesn't do a lot of these cases, restorative cases, it's like, it's a big learn car from. They don't know what they're doing and they have this big lab bill and they get stressed out about it. So it wasn't a good handoff, right? And if I wasn't doing it fully digital, it wasn't a handoff at all because then they'have to give the patient in, take impressions, mount the models. It was hard. But now that we have digital dentistry, and I'm literally working with the lab, our lab. So the referral doctors call my lab up, they come over and we'll teach them what they need to do. And then they just deliver the case. Just so much more profitable and so much more preictable. You know, like, to me it's predictability. And it's like a patient spends all this money, all this time, they've already suffered enough not having teeth or having terrible teeth, and they finally gets to this point where they're about to get their finals in. Everything should go really smooth for everyone, for the patient, dentist and the lab, right? There should never be a miscommunication, all that. But oftentime, sometimes there is. And so like, I'm trying to break that barrier down for myself and for other dentists to try to help ease a workflow in the space.


My true aspiration was to come back to Lafayette, Louisiana, and take care

And I don't think I'm go going toa be the next Glidewell lab. And that's not an aspiration war. Me, my aspiration is like my true aspiration was to come back to Lafayette, Louisiana, and take care of the people that raised me. You know, like my aunts and uncles. My dad's one of 12. He's got 12 brothers and sisters. His father passed away whenever he was 5 years old when my grandmother was pregnant for their 12th baby and he had to raise himself or his brothers raised him. And so when I was growing up, all my aunts and uncles were kind of like my father figures, my mother figures. And it's a small community, so we have a lot of my, family around here, have 50 something cousins. And I was like, you know, I'm gonna move to New York, get a schedule education. I married really well and she was from Denver. And there was an option to go to Denver, there's auction to go to Louisiana. I don't know why, but we fell into this Louisiana spot and I started working here and I really just wanted to come home to take care of these people and you know, because it is a good culture, it's a good place to raise a famil.

Elvis: You gott look out for hurricanes, right?

Speaker D: Yeah, yeah, yeah, for sure. That was a whole thing to move back home. And so I like that. And those are like qualities. I wanted to take care of patients through the laboratory, you know. M. But now it's kind of come to that point Elvis where it's a lot of work and there's rush casesches. There's things it's like man. So we just hired a manager, we just hadired an accountant to take over those operations. So I can kind of my job really in the lab now is to create cool things. So look forward to some new stuff. If anybody's interesting, it's laalamplantlab.com commt you can go on our prosthetic options or the vortex screw or reach out to me. I'll put my email in the show notes if you want to direct message me and ask any questions. And I do get hit up pretty frequently at least once a day with questions about the vortex care or what.


Have you do most of the doctors you work with, do they send you the implants

Elvis: Have you do most of the doctors you work with, do they send you the patients to place the implants or are they placeing the implants?

Speaker D: So when I first moved here 12 years ago, I was getting a lot of referrals from general dentists to place their implants, put a custom abutment in the mouth and refer the patient back. Fast forward to today, 12 years later, there's a whole new generation of people graduating from dental school. Those guys are placing single tooth implants.

Elvis: Sure.

Speaker D: Bicuspids, molars are placing their placing their place. And if they get into a location where it's like this person needs a sinus lift, or if the bone'real thin, or if it's in a real high aesthetic area, or if it's a high demanding patient, or if it's a full mouth rehab where they patient needs immediate loaded provisionals, or if the patient's got a significant medical history and it's really really difficult, then they refer to me, which is great because it's really improved my skill to place and Restore implants. And it's made me think outside the box. So I started resulting into things of designing my own surgical guides. And now we Corey Glenn, I don't know if you guys know who that is, but he lectures a good bid on surgical guide design and him and I teach a good bid. If you go to Coreygleenn.Coma, that's his website and him and I lecture to a lot of labs that are trying to design guides for their doctors that they work with for full arch. we do teach dentists for sure. But if any labs interested that would be a really good course to go.

Elvis: To to learn what's different about the guides.

Speaker D: So surgical guide design just you could do a pilot drill guide or you could do a fully guided where you drill your osteotomy through the surgical guide or the dentist wood and then dentists place the implants through the surgical guide to get really accuracy placement. Since I'm a dental lab, a lot of dentists will call me and say hey, will you design this surgical guide for me? But we don't design surgical guides for a dentists. I don't want to be in that game. So I'd happy to refer that to anybody that's listening to this podcast. Just reach out. I like to restore implants mostly and you know, there's guys that just have a bad day and put an implant unusual position or don't have minimal loan and not a lot prosthetic space. What I like is troubleshooting really difficult hard cases to help Dennists get a really good restorative option when their options are limited. That's been kind of fun for me. and then kind of create a little bit more with the vortex screw. Like we just came out with like I said, those fiducial markers and some bone screws and things like that. yeah.


What do you teach with guides? Do you use a certain software

Elvis: What do you teach with guides? Do you use a certain software? What makes o?

Speaker D: Yeah, so good question. So we use Blue skyb bio software, which is a free software free downial. And we teach people how to plan an implant and make a surgical guide 3D print it and then show the interest and we show it for single tooth, a couple teeth and then a full arch. You know, if it's an FP1, how do you do ovate poonicidess in the surgical guide? If it's an FP3, how do you design a surgical guide to do bone reduction? how do you print it? What are your parameters? How thick is going to be the material? What type of material. Do you mill it? Could you mill it? Could you 3D print it? what material, what labs do you outsource to to get that at a very fair price? Tips, tools, tricks, all those types of things. it's a two day, it's usually like nine hours both days W. Friday, Saturday. But literally after the first day, you feel lost. The second day, by the end of the day, you really shouldn't be able to decide at least one guide. Right. And the cost of the course is not that much. Even if you just did, if you did one surical guide for one of your docs, the course would pay for itself. We usually teach fully guided capabilities because that's the most requested by laboratories and that's most requested, by dentist. But I only do my own cases for fully guided. I lot learned everything from Corey Glenn and him and I have teamed up. He's probably like the smartest guy I've ever met before my life. But him and I have teamed up and we give these lectures to, dentist. And it's been great, man. We've been doing that for like five years now.

Elvis: It's incredible. You're doing all this with the free software.

Speaker D: Yeah, it really is. It's a $15 export, so. And laboratories are like, what do you charge? It's like, I don't know, I mean, whatever your time'worth I mean, some people charge 5 grlars for these certical guides and then they mill up the finals for $2,000 on top of that.

Elvis: Yeah, I've seen it all over the board.

Speaker D: Yeah, they're all. And there's a guy, that I know who, he outsources everything and pays these guys overseas, you know, next to nothing. And m, he charges like 500 bucks for a circle guide. But that's if you 3D print on your own. So he just does the design work in 3D and you just send you the, the dentist with 3D printer or the lab with 3D print it and you know, you upcharge from there if you want to because you're going to have to support that product. You know, all that to say, that I've had hiccups in practice where I've, going to deliver a case and it doesn't deliver right. And it's frustrating as a dentist not to understand why the lab just couldn't do it off the scans. Like, what? Could't you just take this and make it. And I could just put the patient's mouth and I wouldn't be so frustrated. Well, now I understand, like, where the hiccup is and all this. Right. I have a true appreciation for the workflow you guys deal with and the people that you guys deal with. And there are a lot of dentists that we work with that are very appreciative. You know, like, one guy, we actually, we dropped the ball on him. we didn't QC an arch properly. And he figured out the problem was so generous to ship us back to arch. we were able to fix it and ship it back to him the next day. And he was like, ye, guys, it's a learning experience. Don't worry about it. Like, man, I love what Love working with this like that.

Elvis: Yeah, I'll take them all day long.


Miscommunications between dental lab and dentist can be frustrating for patients and dentist

So in your experience, being both the lab and the clinician, what do you think is one of the biggest takeaways that a lab could get from you to better communicate to an office?

Speaker D: That is a really, really good question.

Elvis: It's kind of loaded too. I know.

Speaker D: Here's the miscommunication is because the lab doesn't know what the dentist doesn't know, and the dentist doesn't know what the laboratory doesn't know.

Elvis: Right. That's a great point.

Speaker D: And so if I send scans and, the bitike doesn't stitch properly and the lab gets them, the lab can tell the bye is not right a lot of times. And so they can, without even talking to the guy, they just remount the bye real quick and fix it for m so they don't deal with that. And there is an underappreciation for things like that, you know, where the dentist didn't even recognize the issue because maybe he didn't scan the bite, maybe he walked out of the room and maybe his dental assistant scanned the bite and the patient just moved their jaw. And then the software, which is what it's supposed to do, stitch it where were it scanned. And it's a little problem that can happen like that, that if it's not seen by the laboratory and it actually goes to manufacturing, gets back to the patient. They could be really frustrating for both the patient and the dentist. Right. Because the dentist feels the heat from the workflow that they're currently in. Like I was supposed to go in there and torque the abutment out. Was supposed to take me 15, 20 minutes. But the patient wanted to talk and I was running behind and then I put it in and she was in pain. She wasn't feeling right because it wasn't right. You know, there's all these like influences that modify the person that we are. Because truly dentists are good people. You dentists don't go into. You know, I'm really convinced, I'll take it back that maybe some do. But when I was in school, you I wanted to go to dental school to help people. Right. you don't go to dental school to make money. But I wanted to go to dental school to be my own boss.

Speaker D: One and number two is to help other people. Right?

Elvis: Yeah.

Speaker D: You know, I wanted to have a successful career and I wanted to provide for a family. You know, I grew up in a one of four boys. My dad lost his job of times I almost lost my house growing up and kind of had hard knocks life as a child. My mom and dad both had to work growing up. My dad just recently told me he made whenever I was growing up, he made $36,000 a year. That was his annual income. So he had to take a second job to be able to, you know, and so we didn't have as when.

Elvis: He was a dentist. Wait, you.

Speaker D: No.

Elvis: Your dad wasn't a dentist?

Speaker D: Yeah, my dad was not a dentist, but he was severely underpaid sales rep for the oil and gas field. You know, and so my mom was a nurse. She wasn't making but $45,000 a year. And so yeah, combined income household, you know, we were re making less than, than $80,000 a year back in the day. And how do you raise four boys, you know, $80,000 a year? Pay a house? No, buy groceries because you know, my brothers and I would drink a gallon a milk a day. That was what my mom said. And whenever she would cook spaghetti, she would cook five pounds of ground meat to feed four boys and a husband and herself to have leftovers for the next day. But typically we'd eat it all.

Elvis: Five pounds.

Speaker D: So all that to say I grew up in when you know, if we went to a baseball game, I never asked my mom for a Coke. You know, Cokes were a quarter. And I knew things were tight. So that's part of the reason why I wanted to go to dental school because I wanted to be my own boss and I wanted to have some financial dependence because so you know, my goal was to make six figures. When I got, you know, I was like, man, I need to make $100,000 when I got out. And that was like my goal. And thankfully that's easily attained nowadays.

Elvis: Oh sure.

Speaker D: And look, I'm very fortunate. My wife had a, My wife was living in a garage as a child in her grandmother's garage because they lost loss as a kid. So her and I have very similar backgrounds at a young age. So we do appreciate everything we have and try to instill that in our daughter. And her and I are just, you know, kind of hard working type people. Just kind of saw a need for the Vortex screw. And you know, I told myself I would never retire on the Vortex crew, but at least I gave dentistry something back because dentistry's done so much for me and my family.

Elvis: Sure.

Speaker D: And that was kind of my initial thought process whenever I initially released it to the public. And it's, you know, every time somebody reaches out and they say when they want to incorporate the Vortex screw and you know, shining the new Shining Elite scanner, they just incorporated. The Vortex screw's the first and only non OEM screw that's incorporated. They haven't incorporated.

Elvis: Oh wow. Really?

Speaker D: Yeah. Lena, who's the national sales director and Isaac Tawwal, who's the director of from the Dentist Perspective of the program, both reached out to me about two weeks ago and told me about this.

Elvis: Do they have to get permission?

Speaker D: Yeah, they reached out because they needed some geos. So basically, the screw sed path is very precise and that, that's considered intellectual property. And you can't recreate that, or it, it'd be very difficult to recreate that. I guess you could. A smart guy could probably do some workar around to try to figure out those geos, but you wouldn't want to make any issues. So they reached out. I was happy to send them anything just to help their software out. And I think it's going to release pretty soon.

Elvis: You had to have turned down offers for the Vortex grew from some major implant companies. Right?

Speaker D: You know, you would think. And early on I actually reached out to an implant company and I said look, I really have a really good screw.


No lab should have to deal with screw loosening, screw fracture

I would love it if you guys would take this screw to the next level. Because I'm a practicing dentist, I'm not a distribution company. And I got dead silence over the phone.

Elvis: Sure, y.

Speaker D: We won't call you back. That was before. And I was good friends with all those guys. You, I was buying all their implants and I was like, okay. And then I think I reached out to one other person to talk about the if they wanted to distribute and sell and actually manufacturer, I was going toa sign over the rights at the patent to them and they gave me a cold shoulder and I guess it's kind of one of those cool stories where you hear that artist that got rejected or the person that's writing a book got rejected 15 times. Sudden they hit a Nobel prize or they, you know, they, hit a New York times bestseller, respectively. And it's kind of neat looking back at what's been done. You know, it's cool because this week we ship screws to Thailand, New Zealand, Australia, Poland, Italy, Spain, United Kingdom, and one international. So we do have international rights to be able to ship these now. We.

Elvis: That is so cool.

Speaker D: Yeah. Ah, it's crazy.

Elvis: Did you have any idea when you started this vortex screw for yourself that it would be this big?

Speaker D: Not like this. Yeah. not like this.

Elvis: No.

Speaker D: Yeah. I do encourage any lab that's, you know, kind of on the fence and they're, you know, if they would just look at the properties this screw offers compared to what conventional screws do. there's no comparison to screw loosening of arches should not be a thing.

Elvis: Right. M. Yeah.

Speaker D: No lab should get a call and say, from a dentist and say, my screws are breaking. No lab should have to deal with those phone calls. No laug.

Elvis: Unless they're twerking them too hard.

Speaker D: Yeah. Unless it's operator error, for sure. But no lab should have to deal with phone calls of screw loosening, screw fracture, zirconia fracture, improperly milled or improperly printed screw channels, due to inaccuracies or any of those kind of things. All those should be, like, a way of the past. You're still dealing with that. Then reach out. I'll set you on a path for success 100% of the time. But that's old problems, and I don't deal with those problems. We need predictability in the laboratory. So if you're gon toa mill, it's got toa be milled one time only. There's so much time that goes into calculating and milling and centering. To have to do that is such a time waste and a profit loss.

Elvis: Makes sense that you have to think about it that much. Shouldn't. It's all science. I mean, it's all numbers. And.

Speaker D: And that should be, like, less than 1% of your practice of having to deal with those types of issues. Less than 1%, because those are like, eyeball misseders. Like, something went wrong.

Elvis: Right.

Speaker D: and if you are, then if it's greater than 1%, and 1%'s high, then reevaluate what you're doing, because most of the Population is not having those issues or should not be on those issues.


What is your go to final? Is it all zirconia straight to multi unit

Elvis: What is your go to final? Is it all zirconia straight to multi unit, or do you do the zirconia over a titanium bar?

Speaker D: It's 50. 50. So I like titanium bar substructures in FP3 and F1. Sometimes in FP3, when the arch is so big. You had a lady that I resorb maxill. All we could do is play zygo. So I place zygos terres and a midline implant, and we did an FP3. The FP3 could only fit in a 35 millimeter or CONA puck. But I'm not gonna put that in our mouth because it weighs so much. So mil titanium substructure, which decreased the weight. And then you don't have to buy such a fat zirconia puck so the pucks are cheaper. And then I milled a superstructure of zirconia on that. And then all I had to do was anodize the titanium pink to match her tissues. And then we did an FP3 upper and cemented them together. I mean, that thing is strong. It is notnna fracture.

Elvis: 35 millimeters. You're saying the whole.

Speaker D: The whole arch was like 35 millimeters. Right. Wow. I milled, like, you know, let's say 15 millimeters in titanium, and I milled 20 millimeters in zirconia, cemented them together. And now you have a really good, you know, think of it like a custom abutment on a zirconia crown. But this is for a full arch.

Elvis: Sure.

Speaker D: Right. And so I do a good bit of those. A lot of monolithic zirconia. we just recently switched to a 4Y mono zirconia that I think, Zubbler 345 is okay.

Elvis: Yeah.

Speaker D: Which. The properties of it. Look, it's got a great translucency, and we do a lot of meost stain.

Elvis: Okay. Yeah.

Speaker D: I mean, they look amazing. Look amazing.

Elvis: Are you milling your own titanium bars?

Speaker D: Yeah, we have en mills and we're milling our own titanium bars. Yeah. So we like to design them. So what we'll do is we'll 3D print the provisionals or mill the provisionals for the dentist. They try them in. If they say, hey, look, it's great. You. Because some arches don't fit. You know, like, I had this African American male who came in, his mouth was so wide, I could not get his arch in any puck. So I built a titanium bar Substructure put the second molars inside the bar. And I just milled his first molar to first molar. 3 to 15. Milled those in zirconia gold, anodized the second molar and he loves it. I bet I've done that before.

Elvis: you do love the creative cases.

Speaker D: Yeah, I really do. I really do enjoy that. And I get a little bit more appreciation for what we're doing inside in the practice, as far as that's concerned.

Elvis: That's really neat.


What's next for the vortex? Are you going to continue distribution yourself

What's next for the vortex? Are you going to continue distribution yourself or are you looking to.

Speaker D: So currently you can only get them through me, but we do have this thing with one reseller out of Houston, Vauxhall. They have a lot of boots on the ground, sales reps, and they've been kind of going around and they do a lot of chairside stuff. Midwest Dental Arts has been prolifete about using it for all their cases. JB Denal Lab as well. Barksdale now. And at Rode Denal Lab, you can actually buy them through Rose website. Cause they didn't want to redirect their sales to my website, which I completely understand. And those guys. Jb, I'm actually going toa be at Colal Lab in Chicago. I'm g a lecture at Colal Lab. I'll be there. Is it February in Chicago?

Elvis: Oh, for lab day.

Speaker D: Yeah.

Elvis: Yeah. Nice.

Speaker D: Isn't a thing called col lab? Is that what it is?

Elvis: Oh, Cal Lab.

Speaker D: Calab. Calab, yeah.

Elvis: Now it's making sense.

Speaker D: It's like a dentist or. No, if a lab own. If you own a lab, you get invited to this. You can have a membership or something like that. yeah, I've never been, but recently BJ Komowitz reached out to me and asked me if I give a panel lecture on the main podium with them. And I said, yeah, that'd be fine. I'm really about.

Elvis: Yeah, no, I'll be there. Barbs's on the board. I love calab. It's gonna be awesome that you're goingna be in a panel on that.

Speaker D: Cool, man, I look forward to it. Yeah.

Elvis: What is the panel about? Do you know? I mean, is it.

Speaker D: I don't know. I don't know.

Elvis: You'll find out when you get there.

Speaker D: I have no idea, but I look forward to it, whatever it is.

Elvis: Yeah, that's great. Dr. Danny, I already forgot how you pronounce your Dom. The right way. Domain.

Speaker D: Yeah. domain.

Elvis: Domain. Dr. Domain. Thank you so much. That's some really cool stuff, man. I had no idea who you were. And that's why I love talking to.

Speaker D: Peoplegrats on your podcast, man. It's. You've got a great name for yourself. I want to see her, very special prayer every night for every laboratory owner and employee. Yeah, you guys really do do so much for our industry, and I think a lot of it goes underappreciated. So thank you for all you do as a dentist. Thank you. I think together with dentist and labs working together, not labs working for Dennis, but us working together, I think we can improve the predictability and the success of prosthetics for the patient population. I think we need to, you know, we need a little bit of have a not come to Jesus, but a little bit of, a work more towards helping each other.

Elvis: I get it. Yeah. I think that should be the topic at Calab if those people are listening. I mean. I mean, I 100% agree. it's got to be a partnership. We're all working for the same goal. And what I tell Dennis all the time is I don't want to remake it any more than you do. We're not doing any of this on purpose. So, yeah, it's all for the greater outcome of whatever we're doing. So thank youis doctor. Thank you so much, man. I appreciate it. And, yeah, we'll be in touch soon, and we'll see you in Chicago.

Speaker D: Thank you so much. All budd.

Elvis: Thank you. Have a good one.


Danny Dome talks about the Boortex Groupw vortex screw

Barbara: A, Huge thanks to Dr. Danny Dome for coming on our podcast and giving us your pers. Persective as a dentist, which is crazy. A dentist that owns a lab. I really am sorry that I missed the conversation as always, as I always enjoy talking to Dennis that understand the pain that us lab techs have to deal with. I don't know much, and Elvis knows this pretty well about full arch screws, but the vortex screw does sound like it fixes a lot of the problems those cases have. Everybody, be sure to check out the link on this episode. Show notes to see more about the Boortex Groupw and how it's different from others on the market. Thank you, Dr. Dome, and we will see you at Calab in Chicago.

Elvis: Awesome. Everybody, I'm gonna let Barb go grab a bunch of coffee.

Speaker D: we will talk to you next week.

Barbara: Have a great week.

Speaker D: Merry Christmas.

Elvis: Bye.

Barbara: Wear are your belt. I haven't even had coffee yet.

Elvis: Oh, geez. This is gonna be fun. Then 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.