Dr. Shashi Singhul invites you to IBOLAR LMT Lab lectures

Dr. Shashi Singhul: 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 iocloar 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 at info voicefrohebench.com and follow us on Facebook and Instagram. Greetings and welcome to episode 350 of Voices from the Bench. My name is Elvis.

Barbara: My name is Kra. My name's Barbara, actually. Barb knows.

Elvis: Yeah, let's see. last week I got this random photo from you. No.

Elvis: What a way to end the year. What the hell happened?

Barbara: Well, I thought I would go for a nice afternoon run and. And I usually run on the sidewalk, and I was running on the road and I might. My toe hit some crack in the asphalt and. Oh, my God, I am f up, bro. Like, f up. u.

Elvis: You hit both knees. I mean, did you not put your hand out or anything?

Barbara: Yeah, my hands effed up, too.

Johnny Orphanitas: Left.

Barbara: My left knee. O. It's been a rough week, man. But when you're a runner and you're a klutz sometimes happens.

Elvis: Well, you're also a runner, so. Have you been running since? Cause I would.

Barbara: I made myself.

Elvis: There you go.

Barbara: So mad. I wanted to make sure I wasn't really hurt other than my, you know, ego and my poor little knee. So, yes, I did. I've gone on twice. My boyfriend got mad at me and said, what the hell are you running for? If you hurt yourself again, you're really gonna be hurt. I'm like, well, I wanted to make sure I wasn't really, really hurt. Just really hurt.

Elvis: That's a runner mortality, right? I love it when I wake up and my. It's like my foot hurts. I should go for a Run to see how bad it hurts.

Barbara: That's exactly it. That's funny.

Elvis: Well, I'm glad you're not more hurt than the pictures looked. Awful. O never said me those again.

Barbara: It was the worst ever.

Dr. Nilo Hernandez: Ye.


This is the last episode of 2024. That's kind of sad slash exciting

Elvis: Seriously, I don't know how you get so hurt just falling from running.

Barbara: You know why? Because I run fast. And, when you run fast, you go down fast and you go down hard. And I did. Fortunately, I'm short.

Elvis: Lots of a distance. Always bail to the grass. That's my philosophy. Always aim for the grass.

Barbara: All right, let's do this.

Elvis: Yeah. This is the last episode of 2024. That's kind of sad slash exciting. I mean, I'm ready to move on.

Barbara: Agree. Agree. Oh, I'm ready to get this you over. No doubt.

Elvis: But just think of all the great things we're looking forward to. Already in 2025, we have three big events in just the first three months of the year. Yep, we are two, pretty busy people. January brings in Vision 21 in Vegas, where we get to celebrate and congratulate our good friend Joe Young.

Barbara: Yay.

Elvis: Becoming president of the NADL Vision 21. If you're into the management side of the lab business, it's a great meeting. I love it because the attendees and you get to meet a lot of good people from a lot of big labs, which is always exciting.

Barbara: And then in February, it's the most wonderful time of the year again. We will once again be in the Ivaclar Ballroom all weekend. The great people at ivaclar are celebrating 20 years. Can you believe it? 20 years of Emacs. And we will be talking to everyone and anyone that I can grab or will be willing to be on the podcast. And we mean anyone. So even though we are in the IVAC Clark Ballroom, we welcome vendors, guests, new guests, past guests that want to update us on, life after the last time you guys were on. So come see us.

Dr. Nilo Hernandez: Absolutely.

Elvis: And then, then the trip to the mecca of all things dental.

Barbara: You know it.

Elvis: In March, we will be in the Exocad booth at IDS in Cologne, Germany.

Barbara: Sweet.

Elvis: Four full days of recording. This is goingna be a record for us. Four days. Four straight.

Barbara: Yesah.

Elvis: How long did we do it in Spain?

Barbara: Two full days. Pretty much be rough.

Elvis: This can be roug. Exciting, but rough. I mean, it's a good problem to have, definitely. This is the largest dental convention in the world. So if you do plan on going, please be sure to stop by the Exocad booth. And when we find out where that is, we'll be happy to tell you because I have no idea where it is in this like multi building thing. But we'll figure it out, we'll let you know. It's a mall, it's huge. So please stop by, say hi in hell, even be on the podcast.

Barbara: Right.


A dentist and lab technician are changing the way we do full arch dentistry

Elvis: So this week we talked to a dentist and a lab technician that are changing the way we are doing full arch dentistry. Dr. Nilo Hernandez is not new to implants. He's been placing them for about 35 plus years and he does his fair amount of full arch now. He made A list of 25 issues or problems that he has every time he does a conversion. 25, that's a lot of issues. Yeah, I have 99. And when he met past podcast guests, Johnny O. I'mn to try his last name. Johnny Orphididus. I know I messed that up. Sorry. Johnny. When he met him years ago in Chicago, they set off to fix all 25 problems. Now, between Dr. Hernandez s experiences with placing implants and Johnny's experience with Exocad and the lab side, they created the PSIO system.

Barbara: I love that name.

Elvis: It's a good name. Using a simple set of beacons or matchmakers, you can take any surgery workflow with any implant system and in just a few hours have a patient in a better than printed full arch.

Barbara: Nice.

Johnny Orphanitas: How does it work?

Elvis: What does it take? Well, let's find out. Join us as we chat with Dr. Neilo Hernandez and Gnio Voices from the bench.


Barb and I are talking to two gentlemen under industry. Pretty giants from what I understand

The interview. Barb and I are super excited today because we're talking to two gentlemen under industry. Pretty giants from what I understand. Coming on to talk about a whole new, how do you say it? Pios.

Dr. Nilo Hernandez: That's it.

Elvis: Y P.S. yeah, this is interesting. So the whole idea is what does PIO stand for? I just had it. I am so.

Dr. Nilo Hernandez: Smile in one system.

Barbara: Nice.

Elvis: Smile in one system. I love it.


Back by popular demand, Johnny O. welcomes back Dr. Nilo Hernandez

So we got Dr. Nylo Hernandez. How Are youo?

Dr. Nilo Hernandez: Nilo.

Elvis: Nilo. Sorry, I'm all over the place today. Back Dr. Nilo Hernandez. How are you, sir?

Dr. Nilo Hernandez: I'm doing great. Thanks for having us.

Elvis: Yeah, thanks for coming on. And back by popular demand, Johnny O. I don't even know your last name. I just know it is.

Johnny Orphanitas: Oh, that's, that's fine. It's Orphanitas. But that's great. Thank you for having me on again.

Elvis: Orphanitas. Are you still in Florida?

Johnny Orphanitas: Yes. Yep, I am.

Elvis: Nice.

Johnny Orphanitas: In Tampa. Yeah.

Barbara: Oh, wow. That's me. Okay, good, good, good.


Dr. Hernandez developed a new implant technique that revolutionizes full arch dental procedures

Elvis: Let's start off with, Dr. Hernandez, tell us kind of how you got to where you are today. I know you got a lot going on. I know you're busy.

Dr. Nilo Hernandez: Well, that's an understatement. But there's, not a lot of time for sleep. And I'll tell you that the industry is needing some help. And you know, Johnny and I have been busy beavers for the last six plus years trying to solve some of the problems that were plaguing the, implant, arena, and especially the full arch flows. And we started this quest a, bunch of years ago. We've culminated to the point that we're at now, which is, which is very tried, very true, very absolute. And it's going to change the face of implant dentistry, especially the way full arches are done and I believe into quite a bit into the future. So, it's pretty exciting for all of us.


How did you and Johnny Hernandez meet? That's a long story

Barbara: So how did you and, Johnny meet?

Dr. Nilo Hernandez: That's a long story. Probably a separate podcast, but it needs.

Johnny Orphanitas: Quite a bit of alcohol.

Dr. Nilo Hernandez: Yeah. And some of the stuff that happened, we probably shouldn't be airing anyhow. But, we met at the Chicago show many years ago, introduced by a colleague of ours. You know, I guess we hit it off. I realized that he was the missing piece that I was searching for for many years. Awesome. I was finding some roadblocks along the way and what I was trying to achieve in developing a system that was easily incorporated into anyone's hands. And here comes Johnny and we sat around having breakfast there at the Hyatt, and I kind of told him my idea and he threw his fork down on the plate. I thought for a moment, I said, I think I just stick this guy off. But in fact, he said to me, this is so amazingly funny. He says, I've been looking for that answer for a while. I've been looking for somebody to team up with that had the same mindset. W. So off we went to the races. And I said, well, I guess this is the beginning of something that's going to be special and laborious and, and that it has been for sure. and here we are, I mean, here we are sitting with you on the verge of unveiling our system, as Johnny and I refer to our baby, on the verge of unveiling it, this year or this coming year at the Chicago show. And, and again, I, I couldn't be thrilled. And I think people like yourself that are, that are willing to help us get the word out, and this is wonderful for Both Johnny, myself, and the rest of the team.

Johnny Orphanitas: Awesome.

Elvis: so Johnny, what the hell? Did he drop the bomb on you during some Eggs and Hashburn?

Johnny Orphanitas: Well, yeah, it's funny. I'm actually happy that when he said the missing piece, I'm glad he didn't use the missing link. So, So, yeah, so it's all about this, this idea of how do we digitize process that actually, you know, we'll get into it, but.

Elvis: But yeah, of course.

Johnny Orphanitas: Basically, you know, how do we digitize something with precision in an area that's kind of eyeballed the whole way through? And the good part is that Neilo has, so much experience, not only, you know, in placement of implants and all that stuff, but he's a conversion guy. He was doing a lot of it. He was very well trained at it. And, you know, when we sat around the table, he was like, I hate it. It sucks. It's messy. It's never right, you know. And, and that's kind of how we hit it off. Because my mindset is, you know, obviously, you know, my background. I've been on the bench for quite some time and had the fortune of dealing with a lot of digital early on in my career. And this just happened to hit home and said. I said to myself, well, I think this is the right guy, because he's not worried about, you know, there's no egos involved. We're kind of working, working this together, and we hit it off. And that's why we came to this point. I mean, this wouldn't have worked if one person had an ego or one person had their own way all the time. but it was about collaboration and understanding both sides clinically and what the laboratory has to do.

Elvis: So you're saying Dr. Hernandez is an oral surgeon that doesn't have an ego?

Johnny Orphanitas: He. Well, you know, you can call him an oral surgeon. It's funny when we, you know, I always give him a hard time, but he's like, hey, man, come on. but he's. He's like, he's a gp, but he's a super gp. He's an oral surgeon. And as far as I'm concerned, because I've seen him work and he's phenomenal when it comes to surgery and, and just working, you know, dentistry.


Dr. Dennis Hernandez has been placing implants for nearly 40 years

Elvis: So, Dr. Hernandez, but you mentioned that you've been placing implants for 40 plus years, so.

Dr. Nilo Hernandez: O, no, no, no, no. I mentioned for nearly 40 years. 30 years.

Elvis: Oay. Excuse me. Thirtyuse me. Excuse 37.

Barbara: We'll round up.

Elvis: When did you get into this game? I mean, you must be talking about implants that aren't out anymore. You must have seen the evolution of these, all sorts of things.

Dr. Nilo Hernandez: Yeah.

Elvis: Talk about your journey to where you are now.

Dr. Nilo Hernandez: Well, it began obviously, a long time ago as a kid. I met a gentleman. And, he's passed now. And, and he kind of took me under his wing. He was a lab technician, by the way, a German, lab technician. He used to call me, a certain name. And I'd go to his lab and hang out and, and have lunch. And he taught me about teeth and how to wax up and, and he took me through the entire process of learning what a dental technician does. And, and and it kind of, catapulted me into going to dental school. So once, I was in dental school, I realized that general dentistry was really boring. I could understand why they kept saying that Dennis have such a high suicide rate. I was, yeah, I've heard that. Yeah, you've heard that, right? So I was ready to hang myself from the nearest tree. And I said, oh my God, if I'm gonna do this the rest of my life drilling and filling little holes. This is insane. So fast forward, a few years and, and I run into a couple of people that I meet. And, and again, I was, I think I was 21 when I met, a big guy in this field. His name I as U. I think you ve probably heard of him, Jerry Nisnik. So I. This guy, right? And and we start talking on the phone and, and he starts giving me some advice and, and then I meet this other guy who's, who's passed away. And he took me under his wing and, and he was one of the big people originally. So we started doing blades and sub periostals back then with, with this guy. and Alan was very instrumental in me getting into this field. All the while we were trying to figure out, or at least I was trying to figure out. There are certain parts of, of the flow that bothered me that just wasn't congruent enough. And we started playing around with different ideas and designs. So I was in my early 20s.

Elvis: U.

Dr. Nilo Hernandez: we didn't have computers back then. And the ones that we did have were dos based. You remember those with the green screen?

Elvis: Oh, sure.

Dr. Nilo Hernandez: We were drawing stuff up in pencils. And I remember, the first aesthetic own case that I restored. And I want to say this was in 1991. And that was supposed to Be the cat'meow when it came to aesthetic screw retained prosthesis over brand and mark implants. And I got them in and, and there was no instructions. They had no manual, they had nothing.

Barbara: Wow.

Dr. Nilo Hernandez: So. So the German cdt, Wolfgang and I, we started drying it up and, and we started trying to figure this out and we did it. And to this day, because I saw the lady about two years ago, she happened to fly in and I saw her and she still had them. Man, they didn't look as good as they did back then, but they were still there. They were still solid. Amazing. W so, so that was kind of this thing where u, it was never just good enough. And when I met Johnny and I started telling him the problems that I was finding, I had a piece of paper folded up in my back pocket and I said, man, I have found these 25 problems that I am encountering on just about every single case. Whether it's a sub, whether It's a full AR screw rotane, a full AR cementable case. I am finding any bunch of these 25 problems in every single case. And it drives me nuts. I said, I want to solve of these. And if we had a system that we could put together that solves all of these problems and we take that to Marka, Johnny, we can become, I guess, for lack of a better word, the people that save implant dentistry and simplify it because look, at the end of the day, it's got to be better and easier for the patient. And if we make their experience better, less traumatic and faster, which means then we can cut the cost even some. Yeah, everybody wins, right? So that's kind of where we're at. It's a matter of solving problems. Johnny and I have always been, you know, problem solvers. Whether it's our staff, our family, our industry, it's about solving problems that exist. That people just accept the, the flaws for what it is. And I just can't sit back and accept it, that's all.


How do you conceptualize what you're trying to do in reality

Barbara: So how do you guys with this awesome idea, how do you set about to creating a solution? Like what is step one through five after talking about it and knowing you've got a list of 25 problems.

Dr. Nilo Hernandez: Johnny, go ahead.

Johnny Orphanitas: Yeah, a lot of broken tools, a lot of wasted material, a lot of trial and error.

Dr. Nilo Hernandez: And a lot of broken hearts.

Johnny Orphanitas: Yeah, a lot of broken hearts for sure. So, you know, the 1 through 5 is once you conceptualize what you're trying to do in reality. You know, you guys have a technology background too. So, you know, you think about something, you're like, can that work? And once you chew on it a little bit and you're like, yeah, why wouldn't it work? Then you go about your. That's kind of your first leap, right? Because if you don't just go blindly and go, let's just try it, once you start working on it and you understand the first point is, yeah, I think this can be done. It makes sense. We have all the tools. It should work. Then you go ahead and try it. And then. And then it just becomes better every time because you're taking larger, steps to get to the end goal faster. So, you know, you don't go through 1, 2, 3, 4, 5. You go to 1, 3, 8, 17, you know, because. Because you're working out all of the issues that you're like, oh, I designed that. I can jump a few steps, or I milled it that way, and I can jump a few steps, or, you know, ono endo, I did this. I can. I can move to this instead of doing that. And, you know, there's always. When you have a baby like this, you're always continually developing. You have a core product, and then from that you have a flourishing of these other extra products, which are kind of cool. But. But the main goal is once we got our first setup and it worked, then we knew. I mean, digital'digital. Right. Once. If it works once, it'll work every time.

Dr. Nilo Hernandez: Let me interrupt you, Johnny, because I think this is really funny and important. So before we got into the fully digital workflow, Johnny and I were doing this analog, started analog, and we did analog. This is right before COVID Okay, we start analog, and then he would take it back to the lab and try to digitize all the parts and pieces. And then he would come back to me and then, okay, so let's do the surgery. We're gonna do an analog based surgery with trying to figure out, you know, what we're gonna do. Man, I can operate anything on anybody, right? No problem. But then all of a sudden, it's time to convert this thing. Because originally, like everybody was doing, we take some alginates, we have, Johnny, make me an immediate denture, and here we go. Let's put the patient in the office, let's slap some implants in, and let's screw this thing down. But now we started going back to the drawing board. Johnny and I, after every surgery, we'd sit around, have dinner, and then just really hammer each other and say, okay, what went wrong? What could we have done better? And every single time it was, look, Johnny, the moment I go into surgery and I flap this patient, I reduce this bone and I try to level my playing field, all of a sudden the ridge that you built this immediate denture on is gone. It was gone. Now we've got to figure out how this thing is going to rotate, how it's going to sit. Where is itnna seat? And then you. We went back and, okay, we've got these multi unit abutments. We're placing titanium sleeves. We got to open up these crazy holes arbitrarily. They've got different dimensions. And we all know what happens with acrylic in different dimensions. So now we've got these long titanium tubes. And I'm an occlusion guy. I went through all the Dawson. Pete Dawson was my dear friend. So I'm a big CRCO kind of guy. And I'm saying, okay, I'm going to use some BIM manual manipulation, try and get this person to the right arc of/ure then I would close this jobaw. But what would bump into the opposing.

Elvis: Arch was these darn tall cylinders.

Dr. Nilo Hernandez: Yeah, that's right. So, okay, so let's start cutting them down now. It's like. Okay, now we're bringing vibration into the, implant. We all know what happens when we place an implant. It's sitting in this inflammatory responsive bone. So it's somewhat flexible per se. I don't want to bring in this additional amount of vibration. So let's take them off the multi unit. Let's trim them in the lab. Now I got to go back. Oh, my God. What happened? Now we have this incredible amount of swelling of this tissue, the flap, even though it's sutured now the multi units are hiding. Oh, wow. Now we got to play peekaboo and try to slide these little titan. I mean, this is all the crazy stuff that we went through that everybody goes through. And they just accepted for the same reason they accept that we're supposed to get gray, bald, fat, whatever, as we agee. We're not.

Barbara: I don't accept that at all. Damn it.

Dr. Nilo Hernandez: That's right. And we can turn some of that off. But those are the things that Johnny and I went through for about the first year and a half. Until one day we're sitting around in Tampa at this little cafe that he took me to his little Greek joint and I said to him, this is not working, man. This is just not any better than what I've been doing all these years. He says, yeah, I. I know. I said, there has to be a way that we can do it all digital. He says, well, that's what we have to build. I said, if we do this all digital and we do like I was taught. I was friends with Carl Mish.


The PIOS system is designed for everyday people to do dental surgery

I did surgeries with him, did a ton of stuff with Carl. And Carl and I were always brainstorming ideas at the bar after hours. And we would sit around and say, if we're designing everything from the end product back. So how do we design this case? We design where the teeth belong, where the ridge is gonna go, what kind of ridge we have. Do we have enough bone? And we work our way all the way back to the consultation. Perfect. So why is this going to be any different, Johnny? We've got to design the prosthesis first based on the parameters that we set. And now we work back from there. And that was where this thing changed this. That was the day we switched and we said, that's it. Analog is a thing of the past. We're done now. That's not to say that if somebody doesn't want. Wants to do the PSIO system, they can do it analog. They're just gonna struggle more. But if they follow our protocol and our system down the way we've got it laid out, it is easy. It's designed for the rookie, the person that is not that super GP1 2% of the top of the totem pole. It's designed for everyday people to do it. It's like when we were kids. Connect the dots, follow the dots, and that's it. It's designed very simply. And it's. It's. As a matter of fact, one of the surgeries we did. I invited a dentist friend of mine who's never done a full arch. He thought he was just coming to observe. And when he got there, I said, you bring your glasses? He said, I did. They're in the car. Go, go get them. He says, why? I want you to do something for me. So he grabs him. I said, here's a pair of gloves. You're doing the case. And he looked at me. I said, I'm not getting a know you're gonna do the case. Well, lo and behold, of course Johnny and I were there kind of guiding him. But he did the case in 2 hours and 23 minutes, start to finish with the case screwed in, the patient brought back from sedation, smiling, looking in a mirror. 2 hours and 23 minutes. And we've got the video to prove it. It Was. It was amazing. So that's where this has come to, right? The realization that digital is the way to go. Whether you're a freehand doctor, a guided surgery doctor, doesn't matter. Digital is the way to go because we can predict the future. Johnny and I created a crystal ball for the dental implant Marinaa with this PIOS system that creates the opportunity to eliminate a bunch of procedures, a bunch of steps, a bunch of time, a bunch of money, all the while cutting time in half, not having to do a denture conversion ever again. No verification jigs, no multiple appointments. I mean, you could predictably be done day one, the day of the surgery, and maybe depending how that soft tissue heals underneath, maybe have to add a little bit, or if you choose to redo the. That's fine. But you're really not doing any major procedure. It's designed to make a dummy proof, and that's where we're at.


The current system is analog or digital. Right. So Johnny, he approaches you analog. It's not a big jump for you to go digital

Elvis: So Johnny, he approaches you analog. It's not a big jump for you to go digital. I mean, you've been doing Exocad since before Exocad was even here in America. Right.

Johnny Orphanitas: So it wasn't a big jump. The jump is information and understanding on how to turn everything digital. So, you know, I'll just start by saying right now, the current system is analog or digital. Right. Clinician, analog or digital. They send it to a lab. The lab 99.9% of the time digitizes whatever isn't digitized.

Barbara: True.

Johnny Orphanitas: They. They work and perform most of the manufacturing digitally, sometimes by hand. And then when it's outputted and it gets sent to the doctor, the doctor uses some of the digital pieces and then they go into full analog. And what we've realized, you know, and I wouldn't have realized this honestly without Neilo because he's given me so much insight clinically. And I. And I'm. I am a clinical baby, man. I was in the clinic all the time because of my family history, but there were things that I didn't know. And so when we started working clinically and starting to understand exactly what the real thorn in the side is for a surgeon, we started developing this and, you know, basically scios. I'd love to get into it now and tell you the way Scios works is there's a process where we get the data like everybody else. Right. We need cbct, we need maxillary and manibular scans, face photo or a 3D face scan. And we put it all together. Nothing new. And dental. Nothing.

Elvis: Sure, yeah.

Johnny Orphanitas: So what we do is Our process basically allows us to understand basically where the implants are going to be. But we originally developed this to be non guided. So we knew that if we can make a system work in a non guided environment, it actually works better in a guided environment because now we're even closer to what the end result is going to be. So we design the case and we actually manufacture the prostheses, in our special mill. Special meaning it's ours. Not special meaning it's got 12 axes or anything like that. It's, it's our milal. And basically it gets manufactured and we take that and we send it to the doctor's office and they place it in our mill, which is again specialized to us. And what happens is we then go ahead through the surgery. We have beacons, which I'll, I'll let Neilo kind of take over the clinical. But basically they put in the beacons, they do all of their surgery, we get out of their way because, you know, who am I to tell Neilo, hey, we developed a great system. You need to change the 37 years of implantology and you need to do it this way, right? That, that doesn't work. He won't. And even if he wanted to, it would be a bigger thorn in his side than, than doing it. and basically once you're complete, once you take your data, the mill then goes ahead and completes the tissue surface and the implant situation. And in less than 30 minutes you cut it off the sprues and you screw it right into the patient's mouth.


In every single prosthesis, there is variation. I don't care if you're using photogrammetry

So before I let Nilo get into it, the thing that I want people to, that are listening to this podcast, I want them to hear this, that in every single prostheses. I don't care if you're using photogrammetry or whatever you're using, in every single prosthesis, you're always going to have a variation because your assumption is incorrect, that you started off with the implants being the immovable section. If we understand dentistry occlusion is the number one immovable. It's the reference point that we have. So think about it this way. You have your teeth, your tissue moves, your bone moves, you have resorption, but your teeth are where they are and your teeth have to be placed where they have to be. And I want you to think about that because if we understand that everything else is dynamic, tissues dynamic in surgery, bonus dynamic. And surgerry implants are dynamic in surgery.


Neelo says the process is very specific and very precise

So Neelo, why don't you explain the process there? Once the puck goes into the mill.

Elvis: And I want to slow down real quick. You mentioned that you have a lab mill the prosthesis. So let's say an upper denture, palate and everything. Flanges, everything.

Johnny Orphanitas: No, we actually mil it in the hybrid style.

Elvis: Okay. And then after surgery, we'll get into what happens. You mil it, again, or you mill on the original?

Johnny Orphanitas: We mill on the original because'like a 2 mil step. It's a little more than that. It's a two design, 2 mil, different location step.

Elvis: Okay, let's get into it.

Dr. Nilo Hernandez: And that's our patented process.

Elvis: So let's, let's walk through a case and then we'll just kind of talk about the whole thing. So, patient comes in, needs an upper, you get all your records, and a lab designs the hybrid and manufactures it to finish. Finish.

Johnny Orphanitas: To 98% finish. Yes.

Elvis: Okay.

Dr. Nilo Hernandez: Without the implant holes. Without the implant holes.

Elvis: I mean, it's like totally a solid piece.

Dr. Nilo Hernandez: Yeah, it's an arch of a denture. Exactly.

Elvis: Interesting. Okay, and then what?

Dr. Nilo Hernandez: But before that. Before that.

Elvis: Okay, please.

Dr. Nilo Hernandez: That process that the lab. And that's why our dentist and our labs are going to be certified by us, because the process is so specific and is so exclusive. That precision that we are saying that people are going to achieve is based on the records being precise, the design being precise, and the lab being precise. Meaning once we've established the byte and we establish it up front, it's like any other computer. You put in good information, you get good information out. So once we've established the bite, the arc of closure and the jaw position, that's not going to change whether we've got the patient with teeth or without, that's not going to change. But we have to be able to reference that. Now, how do we maintain that reference now comes in our matchmakers. Our patented matchmakers are these beacons. And we have different designs of them based on whether we're doing a full arch or by the way, our PIO system works for even a quadrant or a segment, it doesn't even have to be a full arch. So it's multifaceted. Now, let's say that once we've established where those beacons are going to go, and we design and establish that on the CBCT away from where the implants are going toa go, where we assume that the implants are going to go, because again, everything is variable. The moment we bring the human into the equation, meaning the patient, things can change and many times do. So here we go. And this is where Johnny had the big aha moment one day because he developed the whole thing in his lab. I drove up to Jacksonville when he was up there, he says, I got it. I said, great, show it to me. He shows it to me. I said that's beautiful. Everything works on paper and at the bench. Now let's, let's stick a human head on this and see what happens. And that's where then the change happens. So here we go. Now we go and we have a surgeon that just walked off the street because we hired him for today. And this surgeon doesn't know anything about what we do. And that surgeon is going to come in and operate this case and we're going to say, hey Mr. Surgeon, Dr. Surgeon, you're going to place these six implants in this lower arch, which by the way is the m more difficult one. You're gonna you're gonna place these six implants in this lower arch and we are going to screw a prosthesis on at the end of your surgery. That may or may not be the final prosthesis, but it's going to look, feel and act as if it is. And the surgeon is going to look at us with this glass eyed look and think we're crazy. But you know what, He's a contract worker. He's going to come in, he's going to do. And the reason I bring this example up, I want you to understand that it's that simple. Somebody that just off the street is just a surgeon. Now we're going toa say to this surgeon, by the way, you're going to place these beacons in these strategic positions. Because we're going to give them a simple surgical guide that we created. It's called our matchmaker guide. And they're going to put that in the mouth, have the patient bite so they can verify occlusion. And they're going to position and fixate these, these matchmakers. Once this is done, they cut away the little spru that's holding that surgical guide, retrieve the surgical guide and those beacons stay in position. So if we're dealing with a full arch, those beacons are placed and screwed into the jawbone. You m. Follow me. They're small. They're small.

Elvis: Where are they in location to where the guide's going to be like below.

Dr. Nilo Hernandez: Or it's a tripod. So we're going to try to have one as far from as we can and one at each extreme on, on the posterior, as far back as we.

Elvis: Okay.

Dr. Nilo Hernandez: So Just imagine, right, if we have those three beacons in place. And now before the surgeon starts to extract teeth or flap open anything, the assistant again is trained by us, is certified, will grab any iOS, any, any brand of iOS, the cheapest to the most expensive, doesn't matter, we've tried seven different ones. So they're going to take an iOS scanner and they're going to scan that beacon position before any surgery starts. That's it. Save the data, send it off to the lab. The lab is going to keep that data momentarily. Now we tell the surgeon, hey doctor Surgeon, go do your surgery, worry about nothing else. Just don't knock off my beacons. So now the surgeon goes and places his implants, or her implants, graphs, does whatever they got to do, sutures the case, places multi units, tightens them as much as they want. And the surgeon says, okay, I did my job, great. Now we say hey surgeon, but before you leave, I need you to do one more thing. I need you to place these scan bodies on the multi units and I need you to do one more scan. That's it. So, okay, so they screw on these six scan bodies, they take the same iOS scanner, they scan those six implant positions and they scan the three beacons once again, send that data off to the lab. Within minutes the lab does their magic, which is part of our secret sauce.


The secondary mill is only about 10 to 15% of the actual prosthesis

They match all this data together and they send that signal back to the chair side mill. The assistant is trained. So as soon as the chairside mill has the information, and that information, just so you know, is the secondary portion of the mill, which is only about 10 to 15% of the actual prosthesis. Now what is the mill at the chair side gunna mill only the screw holes for the implant position and the intaglio tissue side. That's it. Everything else is done ahead of time. You follow me, right?

Barbara: Yeah, I do, yeah, and I'm clueless. So yeah, that's good.


Trinio: Our system is agnostic to the implant position

Dr. Nilo Hernandez: All right, so, so again what we're trying to do is tell the surgeon, hey surgeon, I only want you to be the surgeon. You can learn about all this stuff, but it's at your option. I only want you to focus and be the best you can be at what you do. We're gonna train the assistants to be super assistants and they're gonna be super pio's assistants. So they're going to understand all these little parts and pieces and where they go and how they, they function. So the assistants are now going to be more than just sitting there sucking saliva and the Assistant will finish this case, cut it off the sprues. Because the case arrives to the dentist still on the puck. It's not removed from the puck, it's on the puck, on the manufacturing puck. The assistant is going to be trained on how to cut it off the puck, polish the little sprue, go to the patient, sed it, screw it down, not torque it, check the bite, and then call the doctor for verification. The doctor will come, verify the occlusion, the fit. The doctor will decide to tighten it more or not, that's up to their discretion. And they put a little closure on the screw channels, whatever they choose that they want to use, and that's it, we're done. There's no denture conversion, there's no mess, there's not even where we got to call this patient to come back. Now obviously the good clinicians going to recall them a few times just to make sure they're healing well. Course at some point they have to remove sutures, but there's no patient that's going to come back. And I have to unscrew the case and put verification jigs in there and cut them and loot them and pick them up in a plaster impression so that the lab can do, an altered cast procedure and all these things. Right, none of that. What we're saying is the moment the implants are placed, and it doesn't matter if it's guided and we go with the guide and everything works great, our system works great. But let's say, because here's where I come in as the surgeon, let's say we plan this case on a CBCT perfectly. But when we go into surgery and we extract this one tooth, we realize that the buccal plate of bone was ankylose and we lost that entire bucckal plate. Which happens. Now what? We put an implant in there that's not stable enough and has minimal primary stability. My question as a surgeon is, wow, am, I going to load this thing? Do I feel confident and comfortable loading it? Maybe not. So with every other system right now in the marketplace, that case would have to either be risked and done that way, risking the possibility of having that implant fail, or abort. Our system is the only one that on the fly, I could choose to move that implant over to a more stationary bone site or eliminate that implant altogether and place one further back or further forward, it doesn't matter. Because once I scan that implant with the iOS, the mill is going to open the hole right where I placed it, it's not dictated by the implant like every other system is every other system right now. And I'm not going to mention any names are dictated by the implant position. Our system is the only one. By the way, it's an award winning 2023 best clinical innovation award winner at the AO in Phoenix, Arizona. Our system. And that's just a cheap plug there. Our system.

Elvis: Only one take it.

Dr. Nilo Hernandez: That is agnostic to implants. I don't care what implants people use. It's agnostic to the implant position until after the fact. I don't care where they're going to place the implants. They can put them anywhere they want. Our system'still going to work. And I don't care if they want to do a PMMA from the beginning or they want to do a case that has a built in titanium bar or a built in Trillo or Trinia bar, it doesn't matter. Our system is designed to create the flow for all of that. Now in parentheses with a PMMA, we can get it done in under 30 minutes. With a titanium bar and a Trinia bar. It takes a few more minutes. It's still minutes. We have the ability with our system to be perfect every single time in minute. Not in days and not in months.

Elvis: Explain to me how you get a titanium bar in minutes.

Dr. Nilo Hernandez: No, no, no. The titanium bar is done ahead of time by the lab. It already comes in the prosthesis, but.

Elvis: You don't know where the implant holes are gonna be.

Dr. Nilo Hernandez: That'that's the beauty of the PIOs.

Elvis: So the chairside mill that does the last bit of milling can also mill titanium?

Dr. Nilo Hernandez: Yes, sir.

Elvis: What tiny miller are you putting it? An office that can do titanium?

Dr. Nilo Hernandez: It's not a tiny mill, but it's not a huge mill. And the chr ###side mill is much smaller than the lab mill. And and I'm not at liberty at this moment to tell you who the manufacturers are, but we have two manufacturers. One that we're more inclined to go with, which is a huge manufacturer known worldwide. And we're in the final stages of inking the parameters to our deal. And I'm hoping by Chicago you'll know who that partner is. But we've done it with no name mills, we've done it with high name mills. And as long as we put in our parameters, which are patented, and Johnny and I have a lot of patents on this system, it works every single time.


How the hell do you guys find the time in both your day jobs to have Patents

Barbara: How the hell do you guys find the time in both your day jobs to have Patents and create a system such as this.

Dr. Nilo Hernandez: good question.

Johnny Orphanitas: What's time?

Dr. Nilo Hernandez: Yeah, Donny works 20 hours a day. I worked.

Elvis: Well, he's a dental technician.

Dr. Nilo Hernandez: That's.

Elvis: What about you? I thought you work three days a week.

Dr. Nilo Hernandez: No, no, see, I have a full time dental practice by myself. I'm in Alabama in the sticks. I can't find another dentist that would like to move here to learn from me and take over. I can't even do that. Heck, I can't even find a delivery for a pizza where I live. So imagine. And then I still run. Besides the clinic, I still run four other businesses. O. they're all related to what Johnny and I are doing. All of them. So if I said to you that the only reason I'm still married is because my wife is a glutton for punishment.

Elvis: That's true.

Barbara: Or that she never sees you.

Dr. Nilo Hernandez: Yeah, she does. And she works in the clinic with me and she's going to be in Chicago helping us.

Barbara: Oh, that's beautiful.

Dr. Nilo Hernandez: O. Oh, yeah, she is. She is in. I mean, I basically asked her when I met her. I said, if you're in, you're in. And if you're all in, you better be all in because I expect you to press the button to charm me at the end. So she's in. now what that means is that she's an integral part of just allowing me to be me. And she knows that she's not going to change the stripes on this old dog. So what we're doing is so incredibly exciting and innovative that I'm surprised Johnny also is still married. Heck, I'm surprised I'm still married. But here we are.

Barbara: It sounds to me like Johnny's working. Johnny, are you working?

Johnny Orphanitas: I am, yeah. I am working. Yeah. I mean, it doesn't end, you know, you know, the lab business and, and you know, I feel for a lot of the laboratories out there, you know, especially now in crunch time, all this has to happen. The one thing that Neilo, he did kind of mention it, but I want. I want to kind of add to it to. To kind of blow your mind.

Elvis: Yeah.

Johnny Orphanitas: So our system will work on any implant, any combination from perioeal to mini zygomago implants, any. Any implant at all. And we can do it live. We're the only guys that can do lives. this kind of live pre prosthesis, it were the only ones that can do it. We can do it on zirconia implants and abutments. We can do it on basically any system that's out there.


Why isn't photogrammetry better than digital imaging for implant placement

So the most important part, after we said all this stuff is so, so what about occlusion? Right? Why is yours better? Why doesn't photogrammetry. Why isn't photogrammetry, sort of the king of the castle? Well, I'll tell you why. If your initial records are correct and we have the, maxillary arch and the mandibular arch in the correct relationship. If they are correct, remember, there's no more conversion. I'm not eyeballing anything. The system is digitizing the position because we are referencing an arch, A, lower arch. I know you had. You said upper arch, Elvis. And the upper. And the upper. You'll see that everybody uses the upper because they always have a fairly good reference when it comes to the vault of the pallet. you know, all that. So what do you do on a lower arch when your data never goes as far back as the retromolar or myeloyoid areas? You know, you have your tongue. What do you do on a lowa arch when you remove 6 millimeters of bone? How do you. Where are the landmarks? So our system, if the relationship is correct, we all know that in digital, nothing actually moves. You know, the wax doesn't get hot, the articulator doesn't fall off the table.

Elvis: Y.

Johnny Orphanitas: You know, it's perfect. So when we output, our output is the only perfect part because it doesn't matter of where the tissue is. If you took one extra millimeter of bone away or you took one millimeter less of bone away, doesn't matter if you sutured a little heavier, you sutured light. It doesn't matter if one implant'a little higher than it should be and one's a little lower. The idea here is that once we understand and we pre process everything, now it's just a matter of getting the two the minute data, which is the amount of time it takes to do a scan on an arch and transfer that information directly into the design and then directly into the mill again. So there is no more. So I can tell you what we've seen 99% of the time.

Dr. Nilo Hernandez: U.

Johnny Orphanitas: even, even with photogrammetry, you'll have a little bit of a heavier contact on one side and then you'll have a heavier contact on the opposite side in the occlusion. Why?

Elvis: Hm.

Johnny Orphanitas: Because when you're using something that's supposed to be so much more accurate, then you're trying to take that data and put it on data that you yourself has said is not Great, which is iOS data. Now you have a torquing, it actually torques. There's a little bit of a change. So, we don't have any of that because we're taking live data and you're saying, well, you know, let's get to the nitty gritty, right? How about, isn't iOS not so accurate? See that? The point is that we understand that Nilo can explain this in, in real depth if you wanted him to, but implants are always going to move a tiny bit. You know, doctors, clinicians are. Are squeezing the bone and they move. So even if our mills are perfectly aligned, we're gonna have a, 30 micron, you know, deviation and five axes, right? So once we get the prosthesis out, even if the implant moves a hair and gets activated, even if it moves 10, 15, 20 microns, it's not damaging anything. And the thing that we actually really have to look at is everything up until this point. And, I will fight anybody on this. Anything done up until this point, all of the data that we've had actually started from integrated implants. So if there's going to be some old timers out there that understand that when Noble Biocare was doing bar work, we had to wait till everything was integrated. So we can then scan with the touch scanner and then send it, right? So. So now we're bypassing all of that. And. And the only way you can look at dentistry and making it an improvement or doing an innovation is not about, hey, I want to reinvent the wheel. It's about taking a process that is. That is being done, but actually really feeling for the patient and seeing, hey, can we do this better? Can we speed this up? So what Neilo said about, you know, that half hour when the surgeon is complete with all of their surgery and the data and they scan, they can actually start the. The protocol for icing the patient. Like, they don't have to wait to be like, oh, now we got to do a conversion.


Neilo developed to the minute live prostheses in under 30 minutes

And you guys know the language that doctors use, too. Oh, I can do that in five minutes. Everything's five minutes until the word until it's not right, until it doesn't fit right. This is. You know, these guys gave me an immediate denture, but I removed six millimeters of bone. And I don't know how it's not. It's tilting from front to back. It's. It's cocked a little bit. There's a rotation from left to right. You know, it's. It's canted. See all of these things. You know, you have to learn to work in this environment. And Neelo and I just said, why? If we're doing things digitally and then we're allowing the clinician to do it by hand on the back end or wait till the next day or the day after to insert the case, there has to be something in between there that we can do. And that's what we developed. We developed to the minute live prostheses in under 30 minutes while your patient is in the ice pack protocol. And it's amazing. It's amazing how well it's been received from the surgeries we've done. it's just amazing.

Elvis: Well, why mill in today's day and age? Everybody's printing. Everybody's in office printing. Why are you not just PR pring the. The temporary or the day of surgery?

Johnny Orphanitas: Because I'll tell you why. If you were goingna buy a Cadillac and I said, you know what, the steering wheel will come later. Just go ahead and take the car without the steering wheel, you're fine. You wouldn't do that. So what we've done, and I'm going toa be a little bit hard on this, what we've done is we said 8 and 10 and $15 worth of material is good enough for a $30,000 case. It'okay for the patient to leave with a one color PMMA or one color printed situation, right? It's good enough. It's never good enough when it's on you. And that's one thing that I loved about Neilo. And we would do things and I would say a few things, and he's like, we can't do that. I'm like, dude, it's only going to take an hour. He's like, but the patient is gonna, like, blow up. We're going toa have a lot of swelling. And we. We'trying to minimize that because the patient's gonna have pain. Like, it's not for you and me, of course, but what we're trying to do is we're trying to be sensitive in how we do our surgery. We want to read the CT data well so we don't have to do extra steps and they do arise. Right. That's why he's a surgeon and I'm not. Right. He understands how to manage that, but it's not like, hey, let me just look on the wall. Like, this is kind of usually what happens. Let me look on the wall. Let me see what's going on. I understand. Anatomy. Yes, there's a place for that. And that's not for me to speak at. You guys want to do your surgeries like that, that's fine. But I'm talking about really breaking down the CT data, really understanding what's going on so when you get in there, it's not a crazy surprise. And you're not putting pain into the patient and you're giving them, a value. And I'm not going to even talk about quality. Everybody talks about quality and it's. And it's meaningless because they think, well, you know, this company a made this excellent product and this is how it should work, but it's not good enough. We're going backwards to a certain degree. So our system gives you two colored process, and it works fantastic. So they actually leave with something that looks very similar to what they're going to end up with, regardless of what they want to do. You know, they may want to stay in PMA because they happen to not be able to afford that care of going into zirconia or some of the other materials. You know, some doctors have a flat fee, some don't. But at the end of the day, what we're saying is we want to give the patient the best. Not let me grind it in and we'll fix it on the back end. Because I can tell you one thing that I see, and I actually want to ask you, Elvis, a specific question. Barb.

Elvis: Yeah.

Johnny Orphanitas: When you lose your landmarks and you've lost your positioning in your mandible, how many in the percentage of dentists do you know that can actually get you back to where that patient was originally?

Barbara: Oh, m. My God. Not many.

Elvis: Less than 1. Okay.

Johnny Orphanitas: Okay. That's as. It's an excellent answer because you know what happens with Sayios? We can never lose the original position.

Elvis: And that's because of those, what you.

Johnny Orphanitas: Call them, the be maker, the beacons, the matchmakers. Yep.

Elvis: How does that different from fiduciary marker? I mean, is that basically the same thing where you always have a landmark that never moves?

Johnny Orphanitas: It's a landmark that doesn't move during surgery. That's external. So, fiducial marker actually is for CT scanning.

Dr. Nilo Hernandez: So the fiducial marker is a general term as if you just said it's a car.


We're using fiducial markers to help predict rotation of skull during surgery

Right. So the reason we used fiducial markers in the past for placing them on a denture or on a bite plate so that the patient could go into the CBCT machine was to, then we can orient where the fiducial marker was in relationship to the rotation of the skull. What we're saying is we're taking that similar approach of fiducial markers and placing them in a static position on the patient, non negotiable position throughout the surgical procedure. And that becomes our baseline reference point. So it doesn't matter what somebody does to the occlusal plane of the bone, how much they reduce it, how many teeth they remove or don't those markers stay there, non negotiable in position. And that's really what we're using, especially on the lower arch, which is the most difficult because you don't have the palatal rug gu. You don't have the, the dome of the palate to orient yourself. So all of a sudden now you have an opportunity to be more predictable.


Neo: Let's look at it from the lab perspective

But, but let's get to something that Johnny was alluding to and it's. Why go through all this trouble? Yeah, the patient is the outcome. We want a better outcome. But let's look at it from the lab perspective. When I was in my practice in Florida and we were still developing this, and I would say to Johnny, hey, man, and I used to average 20 arches a month. He knows, And I would say, johnny, I need you here on Tuesday and Wednesday. I'm going to do five arches and I need to do the conversions. He would say to me, okay, Neo, I'm gonna try. And he would wipe the sweat off his forehead. And then at times he d call me back as says, man, I can't go. I've got this case I've got to deliver to this doc tomorrow. He's got a patient flying in. And there went my decision. So what do I do? Because I own a company that provides education and we have a training center here, we sell equipment to labs and dentists, etc. I'm always trying to find the solution to people's problems. So if the lab has, let's say, five key technicians and only one knows how to do the chairside conversion, when that person is at my office doing a conversion for whatever they charge, a thousand bucks or whatever, you mean to tell me that in the entire market that that lab services, there's only one dentist doing one arch that day at that time? Impossible. So from a lab perspective, that technician that came to my office and drove and brought all this material for a thousand measly bucks, if they sat in the lab and cranked out dentistry for dentists, especially now at the end of the year, I believe, and I bet dollar for dollar that ah, they would be more Productive in the lab and not driving around town trying.

Elvis: We don't make money on the conversions. We want the finals.

Dr. Nilo Hernandez: My point. So from a lab perspective and why I wanted to do this podcast with you was because I believe, and Johnny is a technician and I was a technician before going to dental school. If I believe that the biggest benefit here is for the lab partner. Why? Because all of a sudden you now have the opportunity to be doing multiple PIOs cases at the same time anywhere.

Johnny Orphanitas: In the world at different locations.

Dr. Nilo Hernandez: Yeah, yeah, different locations. And you don't have to send a technician to convert.

Barbara: That's a huge how.

Dr. Nilo Hernandez: about thataph.

Barbara: Hm.

Dr. Nilo Hernandez: Yeah, that's right. Ah, that's right. So let me go a step further. What have I said to you? That in the amount of time that the lab involves in the lab manufacturing a prosthesis for Dr. XYZ and all the steps in the verification jigs in the back and forth and the shipping and the receiving and the send back to the doctor and tr and the bite is wrong because the majority of dentists in this field, in the full arch field, they don't know how to reproduce a bite. Let's say that if I told you, Mr. Lab, you can get rid of all those extra steps and you can do four or five times as much production in the same amount of human time that you invest now on one case. Come on, let's be business people. Can you drop your price just a little bit to open your market? Of course you can. I'm not saying you should. I'm, not saying you will. I'm just saying you could. Right?

Barbara: Yeah.

Dr. Nilo Hernandez: So that was a problem that we were looking at. And how do we solve it? Well, SC solves that for our lab partners, which is why my interest and Johnny's interest to be at the LMT show and not at the dentist show. Why? Because the biggest partner for us, not just in sios, but in Quantum. Quantum is the sales arm for scios. The biggest partner for us. The biggest alliance that we can make is with the lab part ``ners because through them we're gonna meet their dentist, we're gonna change people's lives. The lab is going to be more relaxed, they're gonna produce more, they're go going toa be more predictable with less remakes. Every single lab that I know has an enormous amount of remakes. And you'll remake it for your dentist if he's a good account and pays on time because you don't want to lose the account.

Barbara: Ye that's bu though. yeah, but you's true.

Dr. Nilo Hernandez: Okay, but most labs will, and they'll take it on the chin, right? What if I said to you that this brings such predictability to your flow that the possibility of this case failing because of the case, not because of a, car accident or because they did a bad implant surgery to begin with. Let's just say the case failing, the distal ###d fracturing and blowing out the implant, which happens all the time. It isn't because the case came undone, the sleeves popped out of it. None of that. If I said to you this is not going to happen and you cut your remake and you're taking on the chin rate down significantly at the end of the year, you made more money and you had less headaches and you have less gray hair. You could see me now, I am turning 60 years old next week. I have so much gray hair now, I think I look like I'm 80, but if my face was orange, I'd look like a politician. But the reality of it is that if we could help the labs streamline their operations, improve the lives of their current full AR clients and bring new ones into the fold, wouldn't that make it better for everybody involved?

Barbara: Absolutely. It's a no brainer.

Dr. Nilo Hernandez: Right. And then we bring in another aspect to this. What about the thousands of oral surgeons, periodontist and non surgical proodontists that are in our country, just our country alone, thousands of them that are not involved as much as they would like to be because of their referring doctors. What if we brought a system to those specialists, open their eyes to where they can involve their referring doctors, get more referral, make it easy for the referring doctor to do the final prosthesis, make great money with one scan and that's it.


What we're trying to do is elevate dentistry

Now we just opened up the opportunity to market, bring on those thousands of specialists into the labs, into the study clubs, into the different organizations. These people are being left out because they're on an island by themselves, whether they're an oral surgeon or they're a paradontist. Right?

Elvis: Yeah.

Dr. Nilo Hernandez: This brings up tremendous opportunity.

Johnny Orphanitas: Let's face it, at the end of the day, what's happening is we're elevating dentistry. This is not about, let's just bang something out. This is about changing the way dentistry happens. This is about a better product for the patient in the end. This is not about, hey, I'm gonna be. And I've heard this and it really kind of struck a nerve. Hey, I'mnna be. I'M self accountable. That is the biggest oxymoron hidden underground statement I've ever heard. I'm gonna be accountable to myself. What we're trying to do is elevate dentistry, especially in this full ar, especially what we've seen when it comes to occlusions. What we've seen in the changes, I mean we're tracking these changes and you wouldn't believe what I see and I'm sure at some of the bigger laboratories that even have more data, I couldn't imagine what they're seeing, if they're even looking at it. But our process is able to start with a position of the mandible and end in the same place and never lose that position. And if that doesn't elevate dentistry and make it more efficient, then, you know, then we're in a different place. But that's, that's our goal. That's what we've done, that's what we've achieved.


Dr. Hernandez, how can people find out more about this topic

Elvis: Wow, gentlemen, this is some fascinating stuff. I mean, we're well over an hour and I think we could go for another hour, but we need to need to wrap up.

Johnny Orphanitas: So.

Elvis: So you mentioned you're going to be in Chicago, but how can people find out more about this?

Dr. Nilo Hernandez: To find out more about it and really the purpose of this. And I wanted to invite everyone to a January 15th free webinar that we are hosting on Zoom. And we have capacity for up to a thousand people only. And I'm offering two free CE credits for whether they're labs or dentists. Two free C'AND it's a live webinar with Johnny, myself and another one of our partners, Dr. Robert Miller. And we're going toa go through this entire process. So January 15th and they can see and register for this webinar along with the Chicago seminar@sciod denental.com do that's S I O S denental.com do and that's our website, the Chicago Show. We're having in person seminars on Thursday, February 20th for two hours. And we're taking pre orders with incredible VIP pricing and reduction. So Sciodental.com is really a website where they need to get a hold of us.

Elvis: Nice. Love it than you very much. Yeah, thanks for talking about this. And it's so true. I mean just these full arches getting to the occlusion to the back to where you need it to be is the biggest challenge. And any way I can stop doing conversions? I'm game. I am a hundred percent game. I am m over it. Cutting dentures and sweating bullets is not my idea, of a good time. So Johnnys is the oney. Dr. Hernandez, thank you so much.

Dr. Nilo Hernandez: Thank you. Thank you for having us.

Elvis: Yeah, sounds like we're going to see in Chicago.

Barbara: Gues.

Johnny Orphanitas: We are.

Dr. Nilo Hernandez: Absolutely. Yeah. You are VIP invited to our course. Yes.

Elvis: awesome.

Johnny Orphanitas: Thanks, Elvis. Thanks, Barb.

Barbara: Thank you.

Elvis: Yeah, thanks, everybody.

Dr. Nilo Hernandez: Thank you, Elvis and Barb.

Elvis: Have a great day.

Dr. Nilo Hernandez: All right, take care. Bye. Bye.


Dr. Hernandez and Johnny O. discuss PSIO system on Voices from the Bench podcast

Barbara: A, big thanks to Dr. Hernandez and Johnny O. For coming on our podcast and talking about the PSIO system. It sounds like a pretty crafty way to do something better, faster and cheaper. Be sure to check out this episode show notes for a link to their webinar. That is happening January 15th. I think we'll be in Vegas, right?

Elvis: On our way at least.

Dr. Nilo Hernandez: Yeah.

Barbara: Yep, January 15th. If you want to learn more about this, different way to go about full arches. Thank you, guys.

Elvis: All right, everybody, that's all we got for you. And just because I can say at once, talk to you next year, happ New Year.

Barbara: Bye. I'm gonna sit back down and I'm not gonna move. How does it sound now?

Elvis: Good. Don't move.

Barbara: All right. I'm notnna move.

Elvis: Don't breathe.

Barbara: All right.

Elvis: Don't look at it. Okay. That's what she 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.