VC: When Very Clinical Were Hacks

[00:00:00] [SPEAKER_00]: Hey Very Clinical listeners, are you ready to add implants to your practice?

[00:00:03] [SPEAKER_00]: Feeling overwhelmed by the procedure?

[00:00:06] [SPEAKER_00]: Not sure where to get training?

[00:00:07] [SPEAKER_00]: Well we have an answer for you!

[00:00:09] [SPEAKER_00]: Join our very own Dr. Kevin Freier in beautiful Raleigh, North Carolina this November 4th through 8th

[00:00:14] [SPEAKER_00]: for a week of didactic and hands-on training for dental implants

[00:00:18] [SPEAKER_00]: that will get you ready to start placing them on your own patients when you return home.

[00:00:21] [SPEAKER_00]: 3D Dentist is the best place to learn guided implant surgery.

[00:00:25] [SPEAKER_00]: The didactic portion will teach you atraumatic extractions and predictable grafting techniques

[00:00:29] [SPEAKER_00]: using PRF, guided implant surgery basics, and even a restorative portion

[00:00:34] [SPEAKER_00]: designed to offer your patients the most efficient and predictable way to replace a tooth.

[00:00:38] [SPEAKER_00]: This all takes place at the amazing 3D Retreat and Learning Center

[00:00:41] [SPEAKER_00]: and live surgeries take place at the wonderful and modern SMILE 3D Clinic

[00:00:45] [SPEAKER_00]: where you'll place implants on deserving patients from the greater Raleigh area.

[00:00:48] [SPEAKER_00]: Don't miss this opportunity to add a valuable procedure to your practice

[00:00:51] [SPEAKER_00]: a procedure your patients want.

[00:00:53] [SPEAKER_00]: Go to 3DDentists.com and reserve your spot today.

[00:00:57] [SPEAKER_00]: That's www.3ddentist.com

[00:01:05] [SPEAKER_00]: This is a production of the Very Dental Podcast Network.

[00:01:09] [SPEAKER_00]: Hello very clinical listeners.

[00:01:12] [SPEAKER_00]: I just want to break in here.

[00:01:14] [SPEAKER_00]: The guys are recording stuff.

[00:01:17] [SPEAKER_00]: They've got, they're continuing on their, their, what we've changed, how we've changed,

[00:01:23] [SPEAKER_00]: how we're thinking with a bunch of great dentists,

[00:01:25] [SPEAKER_00]: but we're kind of in mid recording sessions and stuff.

[00:01:29] [SPEAKER_00]: So I'm bringing you a throwback episode that I think you're really going to enjoy.

[00:01:32] [SPEAKER_00]: It's the very first episode of the old clinical hacks,

[00:01:36] [SPEAKER_00]: which is from God knows how long it's been a while.

[00:01:39] [SPEAKER_00]: It was recorded at Voices Dentistry, I think in 2019, maybe, I think,

[00:01:45] [SPEAKER_00]: maybe even earlier.

[00:01:45] [SPEAKER_00]: I don't know.

[00:01:47] [SPEAKER_00]: So it's in the tent.

[00:01:49] [SPEAKER_00]: Whenever, whenever the one we did was in the tent,

[00:01:51] [SPEAKER_00]: that's, that's where they recorded.

[00:01:53] [SPEAKER_00]: So it's really cool.

[00:01:54] [SPEAKER_00]: And they've got Mac Jones on it back because Mac started out as one of the very clinical guys as well.

[00:01:59] [SPEAKER_00]: I think you'll enjoy it.

[00:02:00] [SPEAKER_00]: They've got more recording going on so we should have new episodes.

[00:02:04] [SPEAKER_00]: And honestly, this week is fair week for me.

[00:02:06] [SPEAKER_00]: So I'm also going to, on Friday,

[00:02:07] [SPEAKER_00]: I'm going to throw you a throwback episode of Very Dental too,

[00:02:10] [SPEAKER_00]: because I'm just swamped.

[00:02:12] [SPEAKER_00]: I'm having a hard time getting my, my editing stuff done.

[00:02:14] [SPEAKER_00]: So I apologize for that, but we'll get you back.

[00:02:15] [SPEAKER_00]: We got some new stuff coming up.

[00:02:17] [SPEAKER_00]: So enjoy the very first Clinical Hacks,

[00:02:22] [SPEAKER_00]: including the original Clinical Hacks theme music.

[00:02:40] [SPEAKER_02]: Welcome to the Clinical Hacks.

[00:02:44] [SPEAKER_02]: This is our first episode of a subset of the Dental Hacks podcast

[00:02:49] [SPEAKER_02]: that just talks down and dirty clinical dentistry for about 30 minutes of your day.

[00:02:55] [SPEAKER_02]: So let's get started with just introducing who's on this,

[00:02:59] [SPEAKER_02]: what we're going to be doing,

[00:02:59] [SPEAKER_02]: and then we'll kind of bang out our first topic here.

[00:03:04] [SPEAKER_02]: Our first member of this panel is three person panel.

[00:03:07] [SPEAKER_02]: We've got Mac Jones.

[00:03:08] [SPEAKER_03]: Mac, how's it going?

[00:03:09] [SPEAKER_03]: Zach, glad to be here, buddy.

[00:03:11] [SPEAKER_03]: Just a little bit about myself.

[00:03:13] [SPEAKER_03]: I graduated in 2005.

[00:03:15] [SPEAKER_03]: I'm a general dentist in a very rural area of eastern North Carolina.

[00:03:19] [SPEAKER_02]: Just bread and butter, general dentist.

[00:03:22] [SPEAKER_02]: Cool.

[00:03:23] [SPEAKER_02]: And also we have Kevin Fryer with us today.

[00:03:25] [SPEAKER_02]: Hey, Kevin, how's it going?

[00:03:26] [SPEAKER_04]: Going good. Glad to be here, Zach and Mac.

[00:03:30] [SPEAKER_04]: I graduated in 1989 from the Ohio State University.

[00:03:35] [SPEAKER_02]: Got to get that V in there.

[00:03:36] [SPEAKER_04]: And I practice in a suburb of Cleveland, Ohio.

[00:03:39] [SPEAKER_04]: I've been there for 30 years.

[00:03:41] [SPEAKER_02]: Do you have your own practice, Kevin?

[00:03:44] [SPEAKER_04]: Yeah. Just me, solo.

[00:03:47] [SPEAKER_04]: Basically bread and butter,

[00:03:49] [SPEAKER_04]: but we do emphasize some implants, ortho, and sleep.

[00:03:53] [SPEAKER_02]: Cool.

[00:03:54] [SPEAKER_02]: I'm Zach Miners.

[00:03:55] [SPEAKER_02]: I graduated from University of Missouri-Kansas City in 2001.

[00:04:00] [SPEAKER_02]: I still work with my dad,

[00:04:02] [SPEAKER_02]: who also graduated from UMKC back in the 70s.

[00:04:08] [SPEAKER_02]: That's the nutshell of who we are.

[00:04:12] [SPEAKER_02]: We're just going to start picking topics week to week,

[00:04:15] [SPEAKER_02]: sometimes on a product, sometimes on something new,

[00:04:18] [SPEAKER_02]: just sometimes on a technique.

[00:04:21] [SPEAKER_02]: We thought it would be super sexy to start off with just

[00:04:24] [SPEAKER_02]: the composite brands we use in our office on a day-to-day

[00:04:28] [SPEAKER_02]: and why we picked them and what they are

[00:04:31] [SPEAKER_02]: and what we like or dislike about them.

[00:04:35] [SPEAKER_02]: I'm going to start off with Mac,

[00:04:37] [SPEAKER_02]: simply because he's sitting on my right here.

[00:04:40] [SPEAKER_02]: Mac, tell me about your composite situation

[00:04:43] [SPEAKER_02]: that you've got going on in your office.

[00:04:44] [SPEAKER_02]: What do you use?

[00:04:46] [SPEAKER_03]: It's maybe a little more complex than it should be,

[00:04:48] [SPEAKER_03]: but I'm a big BioClear guy, so a lot of 3M products.

[00:04:51] [SPEAKER_03]: We're using the Fil-Tec 1 for our Class 2s,

[00:04:55] [SPEAKER_03]: Fil-Tec Supreme for our anteriors.

[00:05:00] [SPEAKER_03]: About a year ago, I probably had 15 different composite brands,

[00:05:02] [SPEAKER_03]: and I've tried to whittle that down,

[00:05:04] [SPEAKER_03]: but I still have a lot of CosmoNet products.

[00:05:06] [SPEAKER_03]: I like their Micro-Fill,

[00:05:07] [SPEAKER_03]: and I'll dust that off for certain situations.

[00:05:10] [SPEAKER_03]: Maybe pair that with a Micro-Hybrid for a Class 4.

[00:05:14] [SPEAKER_03]: Also use GC Genial Sculpt.

[00:05:17] [SPEAKER_03]: That's your flowable?

[00:05:18] [SPEAKER_03]: No, that's a paste.

[00:05:19] [SPEAKER_03]: Just a paste.

[00:05:20] [SPEAKER_03]: That was my go-to Class 2 for years

[00:05:22] [SPEAKER_03]: once I adopted the microbrush technique

[00:05:24] [SPEAKER_03]: Jason Smithson teaches.

[00:05:27] [SPEAKER_03]: I used that for a long time,

[00:05:29] [SPEAKER_03]: but once I went BioClear, it's pretty much all 3M Fil-Tec.

[00:05:32] [SPEAKER_02]: Do you use any flowable composites in your—

[00:05:34] [SPEAKER_03]: With the BioClear, yes.

[00:05:36] [SPEAKER_03]: You use a heated flowable,

[00:05:37] [SPEAKER_03]: which is also a Fil-Tec product.

[00:05:40] [SPEAKER_04]: What's the name of that, the flowable?

[00:05:42] [SPEAKER_03]: I think it's also Fil-Tec Supreme, maybe.

[00:05:44] [SPEAKER_02]: Flowable.

[00:05:45] [SPEAKER_02]: You use the bulk fill on most of your molars

[00:05:48] [SPEAKER_02]: and premolars, your Class 1s and 2s,

[00:05:50] [SPEAKER_02]: and then you switch when you're doing the front to—

[00:05:53] [SPEAKER_03]: If I'm doing BioClear in the anterior,

[00:05:55] [SPEAKER_03]: it's also a bulk fill.

[00:05:57] [SPEAKER_03]: Depth of cure is not as much of an issue

[00:05:58] [SPEAKER_03]: because you can cure from the buccal and lingual

[00:06:00] [SPEAKER_03]: on that situation pretty well.

[00:06:02] [SPEAKER_03]: You need the aesthetics of a non-bulk fill there.

[00:06:05] [SPEAKER_03]: It's going to be way too translucent

[00:06:06] [SPEAKER_03]: doing an actual bulk fill there, but yeah.

[00:06:11] [SPEAKER_02]: For the BioClears, which I'm not currently doing,

[00:06:14] [SPEAKER_02]: how many shades of this stuff

[00:06:16] [SPEAKER_02]: do you have to keep around to make everything happen?

[00:06:19] [SPEAKER_03]: That is a very good point,

[00:06:20] [SPEAKER_03]: and that's one of the things I really like about the system.

[00:06:23] [SPEAKER_03]: When I first got back from Tacoma,

[00:06:25] [SPEAKER_03]: I did a few cases, posted some photos,

[00:06:27] [SPEAKER_03]: maybe in one of the dental hacks groups,

[00:06:28] [SPEAKER_03]: got some feedback actually from David Clark himself.

[00:06:32] [SPEAKER_03]: I think I was doing like an A3 or something,

[00:06:35] [SPEAKER_03]: which used to be my standard Class 2 posterior shade.

[00:06:39] [SPEAKER_03]: They were looking pretty great in that bulk fill.

[00:06:43] [SPEAKER_03]: He gave me a great tip.

[00:06:44] [SPEAKER_03]: He said anything in the posterior, he uses B1.

[00:06:49] [SPEAKER_03]: In the BioClear method, B1 looks great.

[00:06:53] [SPEAKER_03]: That literally stopped one shade of posterior composite,

[00:06:56] [SPEAKER_03]: and that's B1.

[00:06:57] [SPEAKER_02]: Every posterior filling, whether they're A5 or A1,

[00:07:02] [SPEAKER_02]: gets B1 in your hands.

[00:07:04] [SPEAKER_02]: B1, it looks great.

[00:07:05] [SPEAKER_04]: All of it's heated.

[00:07:07] [SPEAKER_02]: All of it's heated.

[00:07:08] [SPEAKER_02]: That's the key.

[00:07:09] [SPEAKER_02]: How about for the anterior?

[00:07:10] [SPEAKER_02]: Do you have the full shade guide worth of shades

[00:07:14] [SPEAKER_02]: for your Supreme Ultra?

[00:07:15] [SPEAKER_03]: I do not.

[00:07:17] [SPEAKER_03]: I don't know how many shades we have,

[00:07:19] [SPEAKER_03]: but I'm in a unique location.

[00:07:23] [SPEAKER_03]: It's very rural.

[00:07:24] [SPEAKER_03]: People are literally looking for something to fill.

[00:07:26] [SPEAKER_03]: Black spaces have got a chipped tooth.

[00:07:29] [SPEAKER_03]: I've had these conversations with my associate.

[00:07:32] [SPEAKER_03]: Do we do a lot of layering and stuff?

[00:07:34] [SPEAKER_03]: Are we really doing that for the patient,

[00:07:35] [SPEAKER_03]: or are we doing it for ourselves?

[00:07:36] [SPEAKER_03]: For our fellow dentist to post a trophy case on Facebook.

[00:07:42] [SPEAKER_03]: The ability of a composite,

[00:07:44] [SPEAKER_03]: and if you've got a nice bevel in there,

[00:07:45] [SPEAKER_03]: which you're going to need with BioClear,

[00:07:47] [SPEAKER_03]: it's going to blend in.

[00:07:49] [SPEAKER_03]: It's going to look great.

[00:07:50] [SPEAKER_03]: It's going to meet the needs of your patient.

[00:07:52] [SPEAKER_03]: They want the bite to feel well.

[00:07:53] [SPEAKER_03]: They want it to feel smooth,

[00:07:54] [SPEAKER_03]: and they don't want to stick out like a sore thumb.

[00:07:57] [SPEAKER_02]: I know that particular composite comes in body

[00:08:01] [SPEAKER_02]: and enamel shades.

[00:08:02] [SPEAKER_02]: Do you just stock the body shades?

[00:08:04] [SPEAKER_02]: I think it's just the body shades we have.

[00:08:05] [SPEAKER_02]: Just the body shades,

[00:08:06] [SPEAKER_02]: and a few different of the A's,

[00:08:08] [SPEAKER_02]: and call it a day.

[00:08:08] [SPEAKER_02]: Okay, cool.

[00:08:10] [SPEAKER_02]: Kevin, what's your composite story in your place?

[00:08:13] [SPEAKER_04]: Currently using a product called Calor.

[00:08:16] [SPEAKER_04]: It's a GC product,

[00:08:17] [SPEAKER_04]: and that's all I use,

[00:08:19] [SPEAKER_04]: anterior and posterior.

[00:08:20] [SPEAKER_04]: It's a holdover from a previous employee,

[00:08:23] [SPEAKER_04]: which that's another conversation.

[00:08:24] [SPEAKER_04]: Sure.

[00:08:28] [SPEAKER_04]: That's basically what I use.

[00:08:30] [SPEAKER_04]: I carry, I think,

[00:08:32] [SPEAKER_04]: probably four or five shades.

[00:08:35] [SPEAKER_04]: Some A1, A2, B1,

[00:08:41] [SPEAKER_04]: and some opaque shades for the anterior.

[00:08:48] [SPEAKER_04]: Like we talked previously before we went on air,

[00:08:52] [SPEAKER_04]: I like it, I don't love it.

[00:08:54] [SPEAKER_02]: How about flowables?

[00:08:56] [SPEAKER_02]: Do you use this Calor have its own flowable?

[00:08:58] [SPEAKER_02]: I do not.

[00:08:59] [SPEAKER_02]: I use an SDR product for lining the boxes.

[00:09:06] [SPEAKER_02]: Is that a bulk fill flowable?

[00:09:08] [SPEAKER_02]: It's like the first layer?

[00:09:09] [SPEAKER_02]: Do you just put that down as your first couple millimeters?

[00:09:13] [SPEAKER_04]: Yeah, I put that into the box.

[00:09:16] [SPEAKER_02]: Yeah, tell me more.

[00:09:19] [SPEAKER_04]: Slowly at first, just the tip.

[00:09:21] [SPEAKER_04]: I try to line the box up to about the pulpal floor.

[00:09:28] [SPEAKER_04]: It has a self-leveling property,

[00:09:31] [SPEAKER_04]: and it just fills in that space,

[00:09:34] [SPEAKER_04]: and then we cure that,

[00:09:36] [SPEAKER_04]: and from there we do a layering technique.

[00:09:41] [SPEAKER_02]: The anterior,

[00:09:43] [SPEAKER_02]: you use the same stuff, same everything.

[00:09:46] [SPEAKER_02]: Do you like it?

[00:09:46] [SPEAKER_02]: Do you like this material or are you just meh on it?

[00:09:49] [SPEAKER_04]: I'm sort of indifferent on it.

[00:09:52] [SPEAKER_04]: You could convince me to change to something else.

[00:09:57] [SPEAKER_04]: Actually, a couple months ago,

[00:09:59] [SPEAKER_04]: I was really looking hard for a different composite material.

[00:10:05] [SPEAKER_04]: Part of it is though, strictly from a business standpoint,

[00:10:07] [SPEAKER_04]: it's just easy to order.

[00:10:10] [SPEAKER_04]: And switching to something,

[00:10:11] [SPEAKER_04]: and then having all this extra stuff,

[00:10:13] [SPEAKER_04]: I hate that.

[00:10:15] [SPEAKER_04]: The inventory is an issue.

[00:10:17] [SPEAKER_04]: So we recently switched some of our cements,

[00:10:23] [SPEAKER_04]: and we had an inventory of stuff.

[00:10:28] [SPEAKER_04]: I'm like, I'm not ordering this new stuff

[00:10:30] [SPEAKER_04]: until we've got everything out of the way and moving forward.

[00:10:33] [SPEAKER_04]: So that's been an issue.

[00:10:34] [SPEAKER_04]: That's just a hang-up.

[00:10:36] [SPEAKER_04]: But yeah, I could be convinced to change.

[00:10:41] [SPEAKER_02]: Either one of you guys stock any alternative filling materials

[00:10:45] [SPEAKER_02]: like glass ionomers or dual cure resins for buildups,

[00:10:53] [SPEAKER_02]: any of those types of things in your arsenal?

[00:10:55] [SPEAKER_03]: I do a lot of glass ionomers.

[00:10:56] [SPEAKER_03]: I'm a big Fuji II LC guy.

[00:10:59] [SPEAKER_03]: For any Karius Class V, that's pretty much what I'm using.

[00:11:02] [SPEAKER_03]: You kind of turned me on a few months ago to the Equia Forte.

[00:11:05] [SPEAKER_03]: I love that product.

[00:11:07] [SPEAKER_03]: Which I will use to get a little bit more fluoride release.

[00:11:10] [SPEAKER_03]: It's just so slow setting.

[00:11:12] [SPEAKER_03]: In certain situations, I just want to go ahead and hit it with that light

[00:11:14] [SPEAKER_03]: and be able to go ahead and finish it back.

[00:11:17] [SPEAKER_02]: Try thermo curing it for a minute with your light.

[00:11:20] [SPEAKER_02]: The light doesn't do anything, but the heat does.

[00:11:22] [SPEAKER_03]: Are you doing that immediately or are you giving that two-minute window?

[00:11:25] [SPEAKER_02]: I give it a minute or so, and then I'll hit it with the thermo cure.

[00:11:29] [SPEAKER_02]: It still is a little time consuming.

[00:11:31] [SPEAKER_02]: That is a downside to that.

[00:11:32] [SPEAKER_03]: I will do that, and I have found if I go do a hygiene check

[00:11:35] [SPEAKER_03]: and come back a few minutes later,

[00:11:37] [SPEAKER_03]: the finishing is so much better than if I do it right after that thermo cure.

[00:11:41] [SPEAKER_03]: Huge better.

[00:11:41] [SPEAKER_03]: But I'm very impatient.

[00:11:42] [SPEAKER_04]: How long does it take?

[00:11:44] [SPEAKER_04]: Do they say in the instructions?

[00:11:45] [SPEAKER_02]: It's a five-minute set.

[00:11:48] [SPEAKER_02]: That's an eternity.

[00:11:50] [SPEAKER_02]: It is an eternity.

[00:11:51] [SPEAKER_02]: It's put it in, and then you have to make sure it's set up enough

[00:11:54] [SPEAKER_02]: that it's not just going to slump out.

[00:11:56] [SPEAKER_02]: Then you got to go do a hygiene check, and you got to come back.

[00:11:58] [SPEAKER_02]: For some people, that doesn't work into their workflow of their day.

[00:12:02] [SPEAKER_02]: Dual cure stuff for buildups, Mac?

[00:12:05] [SPEAKER_03]: I'm a big Apex guy.

[00:12:07] [SPEAKER_03]: Surpassed John Kanka's products.

[00:12:09] [SPEAKER_03]: I use his Anchor as a dual cure buildup.

[00:12:11] [SPEAKER_03]: That's your buildup material.

[00:12:12] [SPEAKER_03]: Also love Cosmic Core.

[00:12:15] [SPEAKER_03]: To me, they're sort of all the same.

[00:12:17] [SPEAKER_03]: You can tell a little bit of a difference cutting some of them,

[00:12:20] [SPEAKER_03]: but they all fit the bill.

[00:12:22] [SPEAKER_03]: I'll use Fuji too for a lot of buildups or Equia.

[00:12:25] [SPEAKER_03]: Actually, the old silver Miracle Mix.

[00:12:28] [SPEAKER_03]: That's kind of a product that gets pooped on a lot,

[00:12:31] [SPEAKER_03]: but God, it's worked great in my practice.

[00:12:33] [SPEAKER_03]: If I've got a deep margin,

[00:12:34] [SPEAKER_03]: and I want to see that difference to two structures,

[00:12:37] [SPEAKER_03]: it's a great product for that.

[00:12:38] [SPEAKER_02]: I have never used Miracle Mix, so I know what you're talking about.

[00:12:39] [SPEAKER_02]: For those of you listening,

[00:12:41] [SPEAKER_02]: Miracle Mix is a glass polymer with silver infused into it.

[00:12:46] [SPEAKER_04]: I used that when it was a new product.

[00:12:49] [SPEAKER_04]: Nice.

[00:12:49] [SPEAKER_04]: But I've gone away from that.

[00:12:53] [SPEAKER_03]: I've had patients that have a period-involved tooth.

[00:12:56] [SPEAKER_03]: They just don't want it out yet, and they break a cusp off.

[00:12:58] [SPEAKER_03]: And I'll just squirt Miracle Mix there,

[00:13:00] [SPEAKER_03]: and finish that back, and replace that cusp.

[00:13:02] [SPEAKER_03]: I've had them last like 10 years.

[00:13:04] [SPEAKER_03]: They're still there.

[00:13:06] [SPEAKER_04]: I had a patient whose crown came off,

[00:13:09] [SPEAKER_04]: and I used Miracle Mix probably in 1992.

[00:13:12] [SPEAKER_04]: Yeah.

[00:13:12] [SPEAKER_04]: And I looked at that prep, and the Miracle Mix,

[00:13:15] [SPEAKER_04]: and I was like,

[00:13:15] [SPEAKER_04]: this is pretty awesome.

[00:13:17] [SPEAKER_04]: Pretty halfway decent stuff.

[00:13:20] [SPEAKER_02]: Is your dual cure build-up material also your post cement

[00:13:23] [SPEAKER_02]: for the rare times you do a post?

[00:13:25] [SPEAKER_02]: It is.

[00:13:26] [SPEAKER_02]: Alright, Kevin.

[00:13:27] [SPEAKER_02]: How about you?

[00:13:27] [SPEAKER_02]: Any alternative fillings?

[00:13:29] [SPEAKER_04]: The bulk cure for cores,

[00:13:32] [SPEAKER_04]: I use Absolute Denton from Parkel.

[00:13:34] [SPEAKER_02]: Okay.

[00:13:35] [SPEAKER_02]: Do you use the blue or the clear?

[00:13:39] [SPEAKER_04]: So, in order to stock things and everything,

[00:13:42] [SPEAKER_04]: I use the enamel shade, or whatever they call it.

[00:13:45] [SPEAKER_04]: It's a tooth shade.

[00:13:47] [SPEAKER_04]: I used to have the Arctic White and the blue.

[00:13:51] [SPEAKER_04]: I don't feel like I need that anymore.

[00:13:55] [SPEAKER_02]: And you're a ceri guys.

[00:13:56] [SPEAKER_02]: The blue doesn't probably work very good underneath your Emax.

[00:13:59] [SPEAKER_04]: It doesn't work well.

[00:14:00] [SPEAKER_04]: I've had that happen before,

[00:14:02] [SPEAKER_04]: and it actually gets blocked out.

[00:14:03] [SPEAKER_04]: Okay.

[00:14:04] [SPEAKER_04]: In the old days.

[00:14:07] [SPEAKER_04]: But yeah, I use the enamel shade for pretty much everything.

[00:14:12] [SPEAKER_02]: Any glass ionomers for you?

[00:14:13] [SPEAKER_02]: Or any of those types of things?

[00:14:15] [SPEAKER_02]: No.

[00:14:16] [SPEAKER_02]: Okay.

[00:14:17] [SPEAKER_02]: So...

[00:14:17] [SPEAKER_02]: What about you?

[00:14:19] [SPEAKER_02]: You guys have got a pretty good simple...

[00:14:22] [SPEAKER_02]: I'm complex with my composites.

[00:14:24] [SPEAKER_02]: I've got a composite problem.

[00:14:26] [SPEAKER_02]: I actually stock four different brands of stuff.

[00:14:32] [SPEAKER_02]: But I've got a rhyme and reason behind all of it.

[00:14:37] [SPEAKER_02]: My most frequently used composite is a Tokuyama product

[00:14:41] [SPEAKER_02]: called Estalite Sigma Quick.

[00:14:43] [SPEAKER_02]: It is a highly aesthetic.

[00:14:45] [SPEAKER_02]: It's still a...

[00:14:46] [SPEAKER_04]: That's the one I was looking into a couple months ago.

[00:14:49] [SPEAKER_02]: It's a nano hybrid,

[00:14:50] [SPEAKER_02]: much like your Colors Nano Hybrid and Max Filtex and Nano Fil.

[00:14:54] [SPEAKER_02]: Not a hybrid.

[00:14:55] [SPEAKER_02]: I'm pretty sure.

[00:14:58] [SPEAKER_02]: The matching, the shade matching on it is fabulous

[00:15:00] [SPEAKER_02]: on the Estalite.

[00:15:02] [SPEAKER_02]: It polishes extremely well.

[00:15:05] [SPEAKER_02]: It's got two downsides.

[00:15:06] [SPEAKER_02]: It's not terribly radio opaque.

[00:15:09] [SPEAKER_02]: It is not strong.

[00:15:11] [SPEAKER_02]: If you were to make an entire big class four out of it,

[00:15:15] [SPEAKER_02]: one of those ones where you're hanging adios,

[00:15:19] [SPEAKER_02]: it isn't going to handle it.

[00:15:21] [SPEAKER_02]: It's just not a high flexural strength composite.

[00:15:24] [SPEAKER_02]: But for all my composite veneers,

[00:15:26] [SPEAKER_02]: all my Social 10 fillings on the buck,

[00:15:30] [SPEAKER_02]: man, it looks great.

[00:15:32] [SPEAKER_02]: I've never used a better looking composite.

[00:15:34] [SPEAKER_02]: Your renamel that you bust out occasionally

[00:15:36] [SPEAKER_02]: probably looks as good or better than the Estalite, I'm sure.

[00:15:40] [SPEAKER_02]: But Estalite polishes.

[00:15:42] [SPEAKER_02]: And then it's one of those filling materials

[00:15:44] [SPEAKER_02]: that when you see it a year later,

[00:15:46] [SPEAKER_02]: it's even more polished.

[00:15:47] [SPEAKER_02]: Interesting.

[00:15:48] [SPEAKER_02]: Just from them brushing their teeth

[00:15:49] [SPEAKER_02]: because it's a little bit softer of a material.

[00:15:52] [SPEAKER_02]: But the shade match,

[00:15:53] [SPEAKER_02]: you talk about inventory control.

[00:15:56] [SPEAKER_02]: They even advertise that one shade can overlap

[00:15:59] [SPEAKER_02]: about four or five different shades.

[00:16:02] [SPEAKER_02]: I only stock bleach white, A1, 2, and 3 1⁄2.

[00:16:09] [SPEAKER_02]: And then they have a couple opaque shades

[00:16:11] [SPEAKER_02]: for those amalgam blockout situations.

[00:16:13] [SPEAKER_02]: And then that's it.

[00:16:14] [SPEAKER_02]: That's all I need.

[00:16:16] [SPEAKER_02]: Because it's a weak material,

[00:16:18] [SPEAKER_02]: I stock a little bit of an old school micro hybrid,

[00:16:21] [SPEAKER_02]: which are known for their strength

[00:16:23] [SPEAKER_02]: and not their polish.

[00:16:25] [SPEAKER_02]: I use C250, which is a 3M product.

[00:16:28] [SPEAKER_02]: And that stuff, it sets up rock hard.

[00:16:31] [SPEAKER_02]: For my situations where I might be doing

[00:16:34] [SPEAKER_02]: the giant buildup that Matt was talking about

[00:16:37] [SPEAKER_02]: on a back tooth, like an MOB, MOL type of thing,

[00:16:40] [SPEAKER_02]: and I want something that's strong with a big class four,

[00:16:44] [SPEAKER_02]: I'm going to use that at least as the,

[00:16:46] [SPEAKER_02]: if not the whole filling,

[00:16:47] [SPEAKER_02]: at least the backbone of it.

[00:16:49] [SPEAKER_02]: But I only stock it in A1 and A3.

[00:16:50] [SPEAKER_02]: It's like something light and something a little bit darker.

[00:16:55] [SPEAKER_02]: So those are my two composites.

[00:16:58] [SPEAKER_03]: Micro hybrids are not very sexy,

[00:16:59] [SPEAKER_03]: but it's something everybody should have.

[00:17:01] [SPEAKER_03]: I mean, there's a situation where you're going to need it

[00:17:02] [SPEAKER_03]: in every practice.

[00:17:03] [SPEAKER_04]: And your everyday class two is going to be the C250?

[00:17:08] [SPEAKER_02]: MOLR's is the C250.

[00:17:09] [SPEAKER_02]: And then forward from that is basically,

[00:17:13] [SPEAKER_02]: then I use the Estylite.

[00:17:14] [SPEAKER_02]: Because I want it to look nice.

[00:17:16] [SPEAKER_02]: I do try to kind of pick a shade

[00:17:18] [SPEAKER_02]: that's close to what their tooth is.

[00:17:21] [SPEAKER_02]: Now, what are you polishing that with?

[00:17:23] [SPEAKER_02]: Which one?

[00:17:24] [SPEAKER_02]: The Tokiyama.

[00:17:26] [SPEAKER_02]: Tokiyama is so easy to polish.

[00:17:28] [SPEAKER_02]: I mean, it polishes so fast.

[00:17:30] [SPEAKER_02]: It's one of the things I like about it.

[00:17:31] [SPEAKER_02]: 12 fluted carbide, then 30 fluted carbide,

[00:17:34] [SPEAKER_02]: then a bio-clear product,

[00:17:35] [SPEAKER_02]: which you're probably familiar with, Magic Mix.

[00:17:37] [SPEAKER_02]: To finish it off.

[00:17:38] [SPEAKER_02]: They look great.

[00:17:40] [SPEAKER_03]: So you're using that as your final polishing.

[00:17:42] [SPEAKER_02]: Yeah.

[00:17:44] [SPEAKER_02]: That's good enough right there for that.

[00:17:45] [SPEAKER_02]: For the interior, I have a disc system,

[00:17:47] [SPEAKER_02]: which we can talk about another time.

[00:17:51] [SPEAKER_02]: For my pitots, I use a Shofu product

[00:17:55] [SPEAKER_02]: called Butyphil.

[00:17:57] [SPEAKER_02]: Butyphil 2.

[00:17:59] [SPEAKER_02]: That's a great name.

[00:17:59] [SPEAKER_04]: You're so beautiful.

[00:18:01] [SPEAKER_02]: That is a...

[00:18:02] [SPEAKER_02]: Do you remember the old...

[00:18:03] [SPEAKER_02]: Kevin, do you remember like Dyrac?

[00:18:05] [SPEAKER_02]: Like the old tool complimer type thing?

[00:18:08] [SPEAKER_02]: Butyphil is a nano hybrid composite

[00:18:10] [SPEAKER_02]: that is updated with some newer technology

[00:18:14] [SPEAKER_02]: that's supposed to have better fluoride release.

[00:18:18] [SPEAKER_02]: And I find myself using that

[00:18:20] [SPEAKER_02]: on some of the geriatric type cases

[00:18:23] [SPEAKER_02]: or pediatric type cases.

[00:18:27] [SPEAKER_02]: The results are...

[00:18:29] [SPEAKER_02]: Or not the results, I should say.

[00:18:31] [SPEAKER_02]: The science is a little iffy.

[00:18:32] [SPEAKER_02]: It depends on who you're talking to.

[00:18:34] [SPEAKER_02]: But I don't know, if anything,

[00:18:35] [SPEAKER_02]: if it can help a little bit,

[00:18:37] [SPEAKER_02]: if it makes it a little bit more decay resistant,

[00:18:39] [SPEAKER_02]: then I stock that just straight up in one shade.

[00:18:43] [SPEAKER_02]: And it's just my pitot

[00:18:44] [SPEAKER_02]: and sometimes the geriatric materials.

[00:18:51] [SPEAKER_02]: It's an okay...

[00:18:52] [SPEAKER_02]: The polish on the material is kind of crappy,

[00:18:54] [SPEAKER_02]: to be honest with you.

[00:18:55] [SPEAKER_02]: It shouldn't be called...

[00:18:56] [SPEAKER_02]: It should have come up with a better name

[00:18:57] [SPEAKER_02]: than Butyphil because it's not...

[00:18:59] [SPEAKER_02]: It's like it's not that.

[00:19:01] [SPEAKER_02]: It's double speed.

[00:19:01] [SPEAKER_02]: It's not that.

[00:19:04] [SPEAKER_02]: Flowable composite.

[00:19:05] [SPEAKER_02]: I use...

[00:19:08] [SPEAKER_02]: I just use Tetric Flow,

[00:19:09] [SPEAKER_02]: which is a...

[00:19:10] [SPEAKER_02]: I have a car product.

[00:19:11] [SPEAKER_02]: My dad's been using that for years

[00:19:12] [SPEAKER_02]: and I just decided

[00:19:13] [SPEAKER_02]: I'm not going to challenge

[00:19:14] [SPEAKER_02]: what he's using there.

[00:19:16] [SPEAKER_02]: It's a highly radio opaque flowable.

[00:19:18] [SPEAKER_02]: There's nothing special about it,

[00:19:20] [SPEAKER_02]: but it just does the job.

[00:19:21] [SPEAKER_02]: It's just my liner for fillings.

[00:19:24] [SPEAKER_02]: So that's...

[00:19:25] [SPEAKER_02]: And then I have a dual cure as well

[00:19:27] [SPEAKER_02]: for my buildups.

[00:19:29] [SPEAKER_02]: It's a Danville product called Bulk Ease.

[00:19:32] [SPEAKER_02]: It's a dual cure buildup

[00:19:34] [SPEAKER_02]: and post cement

[00:19:35] [SPEAKER_02]: and that's what I use there.

[00:19:38] [SPEAKER_02]: And then I do use Equia Forte

[00:19:39] [SPEAKER_02]: just like Mac does

[00:19:41] [SPEAKER_02]: on a lot of the class fives and stuff.

[00:19:43] [SPEAKER_02]: I've got filling materials

[00:19:46] [SPEAKER_02]: coming out of my ears

[00:19:47] [SPEAKER_02]: and the assistants are all like,

[00:19:48] [SPEAKER_02]: what are you going to use today?

[00:19:50] [SPEAKER_02]: That's what I'm interested in.

[00:19:51] [SPEAKER_02]: It is.

[00:19:52] [SPEAKER_02]: It's like, well, what are you going to use...

[00:19:53] [SPEAKER_02]: Whereas my dad is a one composite guy

[00:19:55] [SPEAKER_02]: so they just get out his composite

[00:19:57] [SPEAKER_02]: and it's just a matter of picking the shade.

[00:19:58] [SPEAKER_02]: I'm a little bit of a mess.

[00:19:59] [SPEAKER_02]: It's like, well, what are you going to use this time?

[00:20:01] [SPEAKER_02]: What are you going to use that time?

[00:20:02] [SPEAKER_02]: That part is a downside.

[00:20:06] [SPEAKER_02]: Stocking the materials

[00:20:06] [SPEAKER_02]: and keeping them fresh,

[00:20:07] [SPEAKER_02]: that hasn't been a problem

[00:20:08] [SPEAKER_02]: because I don't stock very many shades,

[00:20:10] [SPEAKER_02]: but the like,

[00:20:11] [SPEAKER_02]: what are you going to use this time thing?

[00:20:13] [SPEAKER_02]: My rooms are never set up exactly.

[00:20:15] [SPEAKER_04]: And can they figure that out

[00:20:17] [SPEAKER_04]: ahead of time for you?

[00:20:19] [SPEAKER_02]: You know, if I'm managing my day well,

[00:20:23] [SPEAKER_02]: I will try to tell them like,

[00:20:25] [SPEAKER_02]: okay, we're going to probably use this.

[00:20:28] [SPEAKER_02]: We're going to probably use that.

[00:20:29] [SPEAKER_02]: I'll try to get ahead of it.

[00:20:31] [SPEAKER_02]: I wouldn't say they're as predictive on like,

[00:20:34] [SPEAKER_02]: oh, I know he's going to do this for that.

[00:20:36] [SPEAKER_02]: So no, because I make their life hard

[00:20:39] [SPEAKER_02]: in that respect.

[00:20:39] [SPEAKER_02]: And so that from a stocking

[00:20:43] [SPEAKER_02]: and assistant management thing,

[00:20:45] [SPEAKER_02]: what I'm doing probably doesn't make as much sense.

[00:20:50] [SPEAKER_04]: For my brain, more choices, more problems.

[00:20:53] [SPEAKER_04]: I get that.

[00:20:54] [SPEAKER_02]: And more directions.

[00:20:55] [SPEAKER_02]: And if you don't know what you're using

[00:20:56] [SPEAKER_02]: and you don't know why you're using it,

[00:20:58] [SPEAKER_02]: I mean, that can be a problem.

[00:21:01] [SPEAKER_02]: So I'm sure a lot of people listening

[00:21:02] [SPEAKER_02]: are like, well, that system sounds,

[00:21:04] [SPEAKER_02]: the Zach system sounds terrible.

[00:21:06] [SPEAKER_02]: I like the Kevin system better.

[00:21:07] [SPEAKER_02]: Like one thing.

[00:21:09] [SPEAKER_02]: And that's what they market those materials as.

[00:21:11] [SPEAKER_02]: But they aren't universal.

[00:21:14] [SPEAKER_04]: They don't all function that way.

[00:21:17] [SPEAKER_02]: Well, I guess that's,

[00:21:20] [SPEAKER_02]: the reason I pick what I pick

[00:21:21] [SPEAKER_02]: is because I feel like I've got

[00:21:22] [SPEAKER_02]: a strength product for the back.

[00:21:24] [SPEAKER_02]: I've got a beautiful product for the front.

[00:21:26] [SPEAKER_02]: And then I've got a carries control product.

[00:21:29] [SPEAKER_03]: That's an issue we've had in our practice.

[00:21:31] [SPEAKER_03]: And I will sometimes mid-course

[00:21:34] [SPEAKER_03]: just completely change what material I'm using.

[00:21:36] [SPEAKER_03]: But I try to give them a heads up

[00:21:38] [SPEAKER_03]: like in the morning,

[00:21:38] [SPEAKER_03]: in the morning meeting and say,

[00:21:39] [SPEAKER_03]: Hey, probably going to do Fuji here.

[00:21:43] [SPEAKER_03]: But it's like I tell my assistants,

[00:21:45] [SPEAKER_03]: I say, I don't need you to predict

[00:21:46] [SPEAKER_03]: what I'm going to use.

[00:21:47] [SPEAKER_03]: Be great if you could,

[00:21:48] [SPEAKER_03]: but I don't need that.

[00:21:50] [SPEAKER_03]: But I need you to know where what I want is.

[00:21:53] [SPEAKER_03]: When we switch it up

[00:21:54] [SPEAKER_03]: and I say, okay,

[00:21:54] [SPEAKER_03]: we're going to use this instead.

[00:21:56] [SPEAKER_03]: I need you to be able to get that

[00:21:57] [SPEAKER_03]: like in 10 seconds.

[00:21:59] [SPEAKER_02]: Yes, I will change.

[00:22:01] [SPEAKER_02]: I will say, I'll get this out

[00:22:06] [SPEAKER_02]: and I'll switch.

[00:22:07] [SPEAKER_02]: That's going to take him a few seconds

[00:22:09] [SPEAKER_02]: to switch the composite gun.

[00:22:10] [SPEAKER_02]: I just want them to be aware

[00:22:12] [SPEAKER_02]: of where it's at.

[00:22:13] [SPEAKER_02]: And then we're good.

[00:22:14] [SPEAKER_02]: And then we're good.

[00:22:17] [SPEAKER_02]: Let's see what other kinds of

[00:22:20] [SPEAKER_02]: material.

[00:22:20] [SPEAKER_03]: So here's a question on the Equia Forte.

[00:22:23] [SPEAKER_03]: Are you using the glaze

[00:22:24] [SPEAKER_03]: on every restoration?

[00:22:26] [SPEAKER_02]: I use the glaze when I can get it dry.

[00:22:28] [SPEAKER_02]: If it's like one of those bloody class fives,

[00:22:30] [SPEAKER_02]: I'm not going to put that glaze over the blood

[00:22:32] [SPEAKER_02]: because then it just looks like crap.

[00:22:34] [SPEAKER_02]: That was the name of my last album,

[00:22:37] [SPEAKER_04]: Glaze Over The Blood.

[00:22:41] [SPEAKER_04]: Was that Closer To The Blood?

[00:22:42] [SPEAKER_04]: Closer To The Blood is the follow-up album.

[00:22:44] [SPEAKER_04]: Far more successful.

[00:22:47] [SPEAKER_02]: Now I tried to put the glaze on

[00:22:49] [SPEAKER_03]: but it doesn't.

[00:22:50] [SPEAKER_03]: Well something I've been curious about

[00:22:52] [SPEAKER_03]: is whether that affects fluoride release

[00:22:54] [SPEAKER_03]: at all or not.

[00:22:55] [SPEAKER_03]: The glaze?

[00:22:56] [SPEAKER_03]: Yeah.

[00:22:56] [SPEAKER_02]: Is it actually blocking that release?

[00:22:58] [SPEAKER_02]: Well, I think the answer is yes

[00:23:01] [SPEAKER_02]: but the glaze wears off in 90 days.

[00:23:03] [SPEAKER_02]: I think the point of the glaze

[00:23:05] [SPEAKER_02]: is to cover it and let it mature.

[00:23:09] [SPEAKER_02]: Because that glass polymer is maturing for,

[00:23:11] [SPEAKER_02]: gosh they say like a month

[00:23:12] [SPEAKER_02]: or something afterwards.

[00:23:13] [SPEAKER_02]: Then the glaze wears off

[00:23:14] [SPEAKER_02]: and then it does what it does.

[00:23:17] [SPEAKER_02]: I tell you,

[00:23:17] [SPEAKER_02]: I don't know how much fluoride it releases

[00:23:19] [SPEAKER_02]: but I can tell you that recurrent decay

[00:23:20] [SPEAKER_02]: on Equia Forte,

[00:23:22] [SPEAKER_02]: it'll fail for other reasons

[00:23:24] [SPEAKER_02]: but recurrent decay is not one of them.

[00:23:26] [SPEAKER_02]: It'll chip,

[00:23:27] [SPEAKER_02]: it'll wash out and wear

[00:23:30] [SPEAKER_02]: but not recurrent decay.

[00:23:32] [SPEAKER_02]: Not like you see with resin composite.

[00:23:35] [SPEAKER_02]: What do you do with the glaze?

[00:23:37] [SPEAKER_02]: I just leave it in the bin.

[00:23:39] [SPEAKER_04]: That's one of those things,

[00:23:40] [SPEAKER_04]: I get it.

[00:23:43] [SPEAKER_02]: Right on.

[00:23:44] [SPEAKER_02]: Any other weird composite situations?

[00:23:50] [SPEAKER_02]: When do you choose to pick up your renamel,

[00:23:52] [SPEAKER_02]: your super aesthetic stuff?

[00:23:54] [SPEAKER_03]: If I'm doing a big class four,

[00:23:57] [SPEAKER_03]: I mean BioClear does a nice job with that

[00:23:58] [SPEAKER_03]: with very strong restoration

[00:24:00] [SPEAKER_03]: but there's a lot of shaping and finishing

[00:24:02] [SPEAKER_03]: that comes along with that.

[00:24:04] [SPEAKER_03]: Sometimes I'll do a putty technique,

[00:24:06] [SPEAKER_03]: I'll take a putty matrix,

[00:24:08] [SPEAKER_03]: do a little mock-up

[00:24:09] [SPEAKER_03]: and I'll do a micro hybrid palatal layer

[00:24:11] [SPEAKER_03]: just to give that strength there

[00:24:12] [SPEAKER_03]: and wrap that around that incisal edge

[00:24:14] [SPEAKER_03]: and then I'll put that micro fill

[00:24:16] [SPEAKER_03]: on the buckle aspect of that

[00:24:18] [SPEAKER_03]: and with that enamelized polishing paste

[00:24:22] [SPEAKER_03]: that Cosmodent makes,

[00:24:23] [SPEAKER_03]: it's amazing how well that polishes.

[00:24:26] [SPEAKER_03]: It's kind of fun polishing renamel.

[00:24:28] [SPEAKER_04]: That's how I feel about Estilite honestly.

[00:24:30] [SPEAKER_02]: It polishes just so nice

[00:24:31] [SPEAKER_02]: that you feel really good about what you did.

[00:24:33] [SPEAKER_04]: I do like the BioClear system in the anterior.

[00:24:37] [SPEAKER_02]: Do you heat that color then to do it?

[00:24:40] [SPEAKER_02]: I do not.

[00:24:40] [SPEAKER_02]: You do not, okay.

[00:24:41] [SPEAKER_02]: I still get it to work

[00:24:42] [SPEAKER_04]: and what I like about it is

[00:24:45] [SPEAKER_04]: transition between the composite

[00:24:47] [SPEAKER_04]: and tooth structure is virtually seamless.

[00:24:50] [SPEAKER_04]: The first time I ever did it right

[00:24:52] [SPEAKER_04]: and saw that,

[00:24:53] [SPEAKER_04]: I couldn't believe my eyes

[00:24:54] [SPEAKER_04]: because that is a problem sometimes

[00:24:56] [SPEAKER_04]: that transition in a big class four

[00:25:01] [SPEAKER_03]: over the years.

[00:25:02] [SPEAKER_03]: It works great sometimes

[00:25:03] [SPEAKER_03]: but BioClear is like every single time.

[00:25:06] [SPEAKER_03]: You cannot detect a margin whatsoever with that.

[00:25:09] [SPEAKER_04]: That's cool.

[00:25:10] [SPEAKER_04]: It's almost like magic.

[00:25:12] [SPEAKER_03]: Magic mix.

[00:25:13] [SPEAKER_03]: The magic mix.

[00:25:15] [SPEAKER_02]: I've got the magic mix.

[00:25:19] [SPEAKER_02]: Max singing hopefully will be

[00:25:21] [SPEAKER_02]: more of a part of this as time goes on.

[00:25:25] [SPEAKER_02]: I guess I'm trying to think of any other.

[00:25:27] [SPEAKER_02]: Do you do with your renamel,

[00:25:29] [SPEAKER_02]: do you do many resin veneers?

[00:25:31] [SPEAKER_02]: Is that a thing in your office?

[00:25:32] [SPEAKER_02]: I do not.

[00:25:33] [SPEAKER_02]: I know that's a big part of your practice.

[00:25:35] [SPEAKER_02]: I wouldn't call it big but I do them monthly, yes.

[00:25:38] [SPEAKER_02]: For sure.

[00:25:38] [SPEAKER_02]: Resin veneers in your practice,

[00:25:40] [SPEAKER_02]: not in your practice?

[00:25:40] [SPEAKER_02]: No.

[00:25:42] [SPEAKER_02]: Black triangle closures,

[00:25:43] [SPEAKER_02]: I mean that kind of ish.

[00:25:44] [SPEAKER_03]: Not a ton of that

[00:25:47] [SPEAKER_03]: but the situation comes along

[00:25:48] [SPEAKER_03]: and BioClear is hands down the way to do that.

[00:25:50] [SPEAKER_02]: Are people asking for that

[00:25:52] [SPEAKER_02]: or are you showing people

[00:25:54] [SPEAKER_02]: that that's a thing

[00:26:02] [SPEAKER_04]: and you can produce?

[00:26:03] [SPEAKER_04]: Can you do anything about this?

[00:26:04] [SPEAKER_04]: It's like, yeah I can do.

[00:26:07] [SPEAKER_04]: Other than that people don't really ask.

[00:26:09] [SPEAKER_03]: I've had some people ask

[00:26:10] [SPEAKER_03]: and I've also had people

[00:26:11] [SPEAKER_03]: that had it done 20 years ago

[00:26:14] [SPEAKER_03]: and it just looks like hell

[00:26:15] [SPEAKER_03]: and I just say,

[00:26:16] [SPEAKER_03]: hey I don't know if this bothers you

[00:26:18] [SPEAKER_03]: but I've got the solution for this.

[00:26:19] [SPEAKER_03]: It's great and I'll show them

[00:26:20] [SPEAKER_03]: a couple of pictures like yeah

[00:26:22] [SPEAKER_03]: that does bother me

[00:26:22] [SPEAKER_03]: or it gets recurrent decay.

[00:26:33] [SPEAKER_02]: Do you do much in the way of pedo

[00:26:34] [SPEAKER_02]: or is that not a big part of your practice?

[00:26:35] [SPEAKER_03]: I do not do a ton of pedo.

[00:26:37] [SPEAKER_03]: I do what I have to do.

[00:26:39] [SPEAKER_03]: I will pull out the Fuji

[00:26:41] [SPEAKER_03]: for a pedo class 2 in a heartbeat.

[00:26:44] [SPEAKER_03]: I have had a lot of those

[00:26:45] [SPEAKER_03]: chip around those margins.

[00:26:46] [SPEAKER_02]: Specifically it's Fuji 2

[00:26:47] [SPEAKER_02]: or you're using the Equia for that?

[00:26:49] [SPEAKER_03]: It depends.

[00:26:50] [SPEAKER_03]: I like the Equia but if the kid's squirmy

[00:26:53] [SPEAKER_03]: like I said I want to be able

[00:26:54] [SPEAKER_03]: to hit him with that light

[00:26:55] [SPEAKER_03]: and get out of there.

[00:27:06] [SPEAKER_04]: I'm not as concerned about

[00:27:08] [SPEAKER_04]: the contact.

[00:27:09] [SPEAKER_04]: Sure of course not.

[00:27:10] [SPEAKER_04]: If they're super squirmy

[00:27:11] [SPEAKER_04]: I will have been known to pull out

[00:27:13] [SPEAKER_04]: the Amalgam.

[00:27:14] [SPEAKER_04]: Or the referral pad.

[00:27:18] [SPEAKER_04]: I have a very good friend

[00:27:20] [SPEAKER_04]: who's a pediatric dentist

[00:27:21] [SPEAKER_04]: that I've known since kindergarten

[00:27:22] [SPEAKER_04]: actually so he gets those

[00:27:25] [SPEAKER_04]: but yeah if it's an issue

[00:27:28] [SPEAKER_04]: I'll use the Amalgam

[00:27:31] [SPEAKER_04]: but not a lot of people

[00:27:32] [SPEAKER_02]: There's no shame in

[00:27:34] [SPEAKER_02]: busting out some Titan

[00:27:36] [SPEAKER_02]: on those very occasions.

[00:27:38] [SPEAKER_02]: It does still work.

[00:27:38] [SPEAKER_04]: It works very well actually.

[00:27:42] [SPEAKER_02]: Yep.

[00:27:43] [SPEAKER_02]: Well I think we are getting close

[00:27:46] [SPEAKER_02]: to wrapping this one up

[00:27:47] [SPEAKER_02]: so I hope you enjoyed

[00:27:49] [SPEAKER_02]: what we were talking about

[00:27:51] [SPEAKER_02]: and if you guys have any questions

[00:27:54] [SPEAKER_02]: you will probably find

[00:27:56] [SPEAKER_02]: Mac and Kevin and I

[00:27:57] [SPEAKER_02]: in the Clinical Hacks

[00:27:59] [SPEAKER_02]: Facebook page which is a subset

[00:28:02] [SPEAKER_02]: of the Clinical Hacks

[00:28:03] [SPEAKER_02]: and you can tell us

[00:28:05] [SPEAKER_02]: why our choices of composite

[00:28:06] [SPEAKER_02]: are awesome or totally suck.

[00:28:08] [SPEAKER_02]: You can let Mac know

[00:28:10] [SPEAKER_02]: he's paying out the nose

[00:28:11] [SPEAKER_02]: for that 3M Supreme Ultra.

[00:28:12] [SPEAKER_02]: Go tell us how bad we're doing it.

[00:28:13] [SPEAKER_02]: Yeah let us know how bad

[00:28:15] [SPEAKER_02]: we're doing it.

[00:28:15] [SPEAKER_04]: And then if you're going to do that

[00:28:17] [SPEAKER_04]: post your cases so we can

[00:28:18] [SPEAKER_04]: pick you up part two.

[00:28:19] [SPEAKER_04]: There we go.

[00:28:20] [SPEAKER_02]: Yes.

[00:28:32] [SPEAKER_02]: See you soon.