Very Clinical: Dr. Colin Lathrop Shows You the Pathway

[00:00:00] This is a production of The Very Dental Podcast Network.

[00:00:17] Welcome to the very clinical podcast.

[00:00:19] In about the time it takes to do an MO on three, we will entertain an amazing with tips

[00:00:24] and tricks on regular daily dentistry.

[00:00:27] Here's Kevin and Zach.

[00:00:29] What is up, very clinical listeners and welcome back to another episode of The Very Clinical

[00:00:33] Podcast.

[00:00:34] I'm Zach Miners coming to you from Kansas City, Missouri with me as always my trusty go

[00:00:40] host Dr. Kevin Hare Friar.

[00:00:42] What's up Kevin?

[00:00:43] How are you doing Zach?

[00:00:44] Above average.

[00:00:45] Oh that's pretty good for anybody.

[00:00:47] Yeah I think.

[00:00:48] It's not especially not bad for a Tuesday night so how about you?

[00:00:53] I'm doing great.

[00:00:54] I mean I'm just living in the dream here.

[00:00:56] Oh okay who's dream?

[00:00:58] Your dream my dream?

[00:01:00] The dream is to be decided by who the dreamer is.

[00:01:04] If we're all living in a simulation it's some teenager in a basement stream and we're

[00:01:09] just along for the ride.

[00:01:11] Speaking of dreams, we have a dream, dream guest.

[00:01:13] Dreamy!

[00:01:14] Returning guest.

[00:01:15] A dreamy and dream guest.

[00:01:18] All the way from the land down South Texas, Dr. Colin Lathar what is up my man?

[00:01:23] Hey guys welcome.

[00:01:24] I'm happy to be back.

[00:01:26] Welcome back to hanging out and stuff so you know.

[00:01:29] Colin you're officially a two-timer now.

[00:01:32] That's right.

[00:01:33] Who does to you?

[00:01:34] Yes.

[00:01:35] Awesome.

[00:01:36] Colin's like really doing this in style Kevin.

[00:01:38] He's got his beer, he's got his smoke.

[00:01:45] He's living down there.

[00:01:47] You've got a guitar in the background.

[00:01:48] You look at your at least cool.

[00:01:49] After the day after that.

[00:01:50] Multiple guitars.

[00:01:52] Yeah.

[00:01:53] Colin's had quite a day which we can save that.

[00:01:56] He can tell you that personally.

[00:01:57] We'll leave that alone.

[00:01:59] All right Kevin, before we get into our exciting clinical topic.

[00:02:04] You were at a football game.

[00:02:05] Yes I was.

[00:02:06] Very recently.

[00:02:07] And it was a great game right?

[00:02:08] It was a great day until the last minute in 55 or 22 seconds.

[00:02:14] I don't even remember.

[00:02:16] Of course I'm in Cleveland.

[00:02:17] I'm a Browns fan.

[00:02:19] We had 14 point lead with less than two minutes to go which you would think under any normal

[00:02:26] for any normal football team that would be a guaranteed win but no.

[00:02:32] We watched our Browns go you know snatch defeat from the draws of victory in a very only

[00:02:41] Browns could do it fashion so.

[00:02:44] Kevin I saw the highlights on the game and I saw that like even worse than like the

[00:02:50] misdex for point and the touchdowns that like if Nick Chubb would have just fallen down

[00:02:56] down at the one yard line with like what a round sub two minute mark.

[00:03:01] They could have downed it out now to end it.

[00:03:03] He did that in another game last year or the year before.

[00:03:07] The year went into the playoffs where he's like why do you do that?

[00:03:10] And I'm like wow this is the smartest football player ever but I mean in the moment

[00:03:14] in that particular play it seemed like if you went up by 14 you would win but no.

[00:03:19] I wanted to that was I was there I attended live and I watched the whole thing blow up in

[00:03:28] my face and you're like your calculator brain is like well this happens just you know.

[00:03:34] Of course this isn't going to happen and then it does and then it does and it does

[00:03:37] and the whole thing was a mess.

[00:03:38] So anyway is that the worst is that the worst live loss that is that you've ever seen.

[00:03:43] And is the worst live loss at a sporting event that I've ever seen live and Cleveland

[00:03:49] has tons of those sorts of things happen to them but that was the only one I've been

[00:03:53] at.

[00:03:54] So I'll throw it out to you guys.

[00:03:55] Colin you're a guest you go first.

[00:03:57] Yes what's the worst one you've ever seen?

[00:04:00] I was a kid and I was at a football game in Houston and it was a team that Houston oilers

[00:04:08] some of you may love it.

[00:04:09] Oh yes.

[00:04:10] Warren Moon.

[00:04:11] Yeah.

[00:04:12] And so this was like 86 or 87 or something like that.

[00:04:18] They were playing I believe it was the builds and they were just crushing the bills and

[00:04:28] then and I don't know I can't remember what the score was because I was you were at

[00:04:31] that game.

[00:04:32] You know the game I'm talking about.

[00:04:33] I know the game the Frank right game came back like 40 points or something crazy or whatever

[00:04:38] was.

[00:04:39] Oh it was 35 to three if I recall correctly and they were they found a way to lose that

[00:04:45] game without Jim Kelly hand them the ball over and over.

[00:04:50] Yeah.

[00:04:51] And so my father he was a big oilers fan and and and and the old coach his name was Carl

[00:05:00] Mock.

[00:05:01] He lived across the street from me.

[00:05:03] So I played I played football with his kid Timmy or Tommy or whatever his name was and

[00:05:09] the players would come over to his house and we are out playing up like a pickup you

[00:05:15] know football game in my front yard of the neighbors front yard and this is just awesome

[00:05:20] giant Cadillac rolls up and the biggest black dude gets out of his car and all these other

[00:05:27] players are in the in the front yard and so they all kind of walk over while all those

[00:05:32] kids are playing football.

[00:05:34] And so they start throwing the ball with us and playing with us and all that kind of stuff

[00:05:38] Earl Campbell.

[00:05:39] No way.

[00:05:40] Whoa.

[00:05:41] It was awesome.

[00:05:42] So so this happened before that game and so when my father was like we're going to go

[00:05:47] to the others game and blah blah you're going to see you know your friend or Earl Campbell

[00:05:51] and I met the guy once and I was you know like knee high and I know who Earl Campbell

[00:05:56] was but we're watching the game and he was like there he is and all this and that and

[00:05:59] so I was super excited and then when they were just destroyed it gave up this this phenomenal

[00:06:05] lead I was just demoralized and after that I was like you know what I'm going to I'm

[00:06:10] going to play baseball instead.

[00:06:12] So I kind of gave up on football at that point in time that was the game that did it for

[00:06:16] me.

[00:06:17] Good choice.

[00:06:18] Zach you're up.

[00:06:20] My my worst loss is game seven of the 2014 World Series Royal versus the San Francisco

[00:06:31] Giants home game.

[00:06:34] I'm there got phenomenal seats excited to see like us cap off the World Series and get

[00:06:41] the first win in like 29 years and I was going to be there to see it and the gate it

[00:06:49] was a super tight game and the royals were down four to three in the bottom of the ninth

[00:06:54] got a runner to third base and couldn't couldn't get him in Madison Madison bum garner

[00:07:03] turned in the finest pitching performance in that World Series that's just about ever

[00:07:08] been done.

[00:07:09] Two complete games and then he came in in game seven on like a couple days rest and pitched

[00:07:15] five of the nine innings five and zero runs a lot or one run out of the entire inning

[00:07:21] and then he was crushing that was like the most ejected I and I didn't think I was going

[00:07:25] to have a chance at the time.

[00:07:27] That was I was like oh I just that's it I of course I got vindicated the next year.

[00:07:32] Yeah one so it didn't end up being bad for long but at the time at the time that was

[00:07:37] savage yeah that was mine okay um so we we could have a whole podcast dedicated to Cleveland

[00:07:46] sports losses but let's go on with our clinical topic.

[00:07:50] All right so we are going to be talking about implant pathways and Collins involvement

[00:07:56] with the implant pathways and just just some implant pathways stuff tonight so Kevin you've

[00:08:01] been in the implant pathways why don't you kind of kick off the conversation.

[00:08:04] So unfortunately Colin wasn't there when I was there it was 2018 but just you know tell

[00:08:09] us what to do and how it goes there and you know how cool is Justin Moody and have you ever

[00:08:17] seen Stephen Vorholt with without a shirt on and that all that sort of thing.

[00:08:22] Let's see I don't know that I've seen Vorholt without a shirt on I don't know that I would

[00:08:28] want to honestly.

[00:08:29] Kind of pale.

[00:08:31] He doesn't spend a lot of time out in the sun even though it's sunny there you know

[00:08:35] 362 days the year but Moody's fun to hang out with I love those guys I love being part

[00:08:41] of the mentor crew out at Pathway you know it's changed a lot it's changing a lot coming

[00:08:48] up new building is under construction renovation I guess and so it looks like sometime I've

[00:08:56] been lead the end of first quarter maybe early second quarter will be into a new facility

[00:09:01] so we'll have a lot more clinical space a lot more live classroom space where we're going

[00:09:06] to multiple classes going at the same time and you know because all the classes are pretty

[00:09:10] much more important to book for the whole year and I think a lot of them for next year

[00:09:14] and so you know the capacity kind of much like a dental practice when you run on the capacity

[00:09:17] you're just you kind of hit a plateau and you can't grow anymore so Moody he kind of

[00:09:23] laid it all out there and made the investment and it's going to pay off so I've been out there

[00:09:29] for this is my second year now and let's see so I teach the surgical portion the live surgical

[00:09:39] portion for session four and so that's for the actual implant placement most of the students

[00:09:46] now are coming in for fast tracks they're all weak and then Thursday and Friday would do surgery

[00:09:50] all day some of the other where they have the lectures in a city you know one time and then

[00:09:59] they have the second half of the lecture you know a month later or two months later whatever it is

[00:10:03] those guys will come out as well so there's two different ways of kind of taking the implant pathway

[00:10:09] continuum but the fast track is usually kind of a better way of doing it you just knock it all out

[00:10:13] in one long week and then the other surgical portion that I teach is the sinus surgery course

[00:10:20] where we do mostly lateral windows we'll do some internal windows or you know sinus bones but

[00:10:26] most of it it's just a bunch of lateral windows and we're packing you know a bunch of granular bone

[00:10:32] in there they look like Easter eggs and the sinus we'll we're finished with them and so that's a

[00:10:36] lot of fun I'm on for all three of the sinus courses this year and you know I think I've

[00:10:43] got nine or ten trips or so out there this year so you know fortunate to do that I really enjoy it

[00:10:51] I learn a lot when I'm out there and I teach a lot of course when I'm out there as well the mentors

[00:10:56] are fantastic we've got a great group of great mix of excellent teachers fantastic clinicians

[00:11:04] and so we really try to keep it where it's fun it's safe for the patients of course

[00:11:08] and a great overall learning experience you know for the students that are coming out

[00:11:15] you know but I would not be able to do that had my practice not been structured for me to take off

[00:11:22] the amount of time that it kind of takes and you know so for people that are looking to do other

[00:11:30] teaching or see or just taking time off and and that sort of thing that there's there you can either

[00:11:36] you can either just trade money for time meaning your single doc single practice four five six

[00:11:43] ops or whatever and then you just close your office and then you go do this stuff well that ends

[00:11:49] up being very expensive for you you know and so you know I had finished a practice expansion

[00:11:57] on January a year ago and so October before that is when I started going out

[00:12:03] you know as a mentor and so so I have you know now multiple associates at that point in time

[00:12:08] toward the shop is still running the office is still going and then I would just structure my

[00:12:13] clinical schedule around so that I could you know fly out to pathway either on a Wednesday night or a

[00:12:17] Thursday night depending on the schedule and my income really it actually went up and so I

[00:12:24] didn't really trade money for time I I got more time and I make more money and so that's really

[00:12:32] the only real feasible way to do something like that unless you have just zero expenses and all of

[00:12:39] your lifestyles paid for and all that and then you know you're the twilight of your career and you've

[00:12:44] already made investments and all those things then you can have the time to do that kind of stuff but

[00:12:51] you know structuring your practice to open up time for personal stuff like that is really

[00:12:57] you know the way to do it when you're when you're not close to you know I'll be 45 here in a

[00:13:01] couple of months and so I'm not close to retirement or any of that sort of stuff by any means

[00:13:07] but yeah it's an awesome time I love you now there yeah so Colin tell me tell me this I think

[00:13:14] I've gotten this this question for and I even had this question myself like so if someone's

[00:13:21] sitting at home listening to this or in the car listening to this and thinking you know

[00:13:26] boy I think I'd like to get on this implant pathway bandwagon tell me what kind of like

[00:13:34] personal like surgical skills they should have as a prerequisite to actually be able to get

[00:13:39] something out of it and and come home and be placed in implants like how tell me like what's

[00:13:45] your like surgical TE level and suturing level needs to be at to like really warrant signing up

[00:13:51] you know you pretty much just have to have a dental degree we have a lot of students that are

[00:13:56] fresh out a year out and they're coming in and they're taking the whole continuum and really

[00:14:02] learning it um a great way from the beginning we have some other we have some other docs that

[00:14:07] come out and they're like oh I've been a dentist for 18 years and I finally decided that I was

[00:14:13] now ready to place implants and it's like what are you doing for the other 17 years um you know

[00:14:20] why would you wait you know it's one of the best services it's one of the the highest R.O.I.

[00:14:24] procedures that you can do and if you learn how to do it well and quick and and screen your

[00:14:30] patients well then it doesn't take very long it's really not that stressful to be honest with you

[00:14:36] um for you know 90% of implants that that you know general dentist will place it is helpful

[00:14:43] if you're comfortable with full arch extractions or or um you're quick with with molar extractions

[00:14:50] especially if you have a section and use a handpiece um raising flaps if you're comfortable with

[00:14:55] soft tissue management it does help but most of the people that are coming out to pathway

[00:15:00] that's what they're looking to actually learn um so it really is it's great for

[00:15:05] for for any stage of your dental career um the way the lectures are set up

[00:15:11] um the education level the way the the lectures are put together or for the beauty of just a fantastic

[00:15:17] job and uh and they're always updating the clinical slides for uh fresh content as far as

[00:15:24] complications go or or you know um the successes you know with the number of implants that they place

[00:15:31] the number of overdentures I think they do like 900 arches of overdentures a year yeah you know

[00:15:36] they have and all the patients are restored so that's one of the other things that we're kind of

[00:15:41] proud of is that we follow all the patients all the patients are funneled right back to the clinic

[00:15:45] with the residents or the faculty doctors that that work their full time so that that uh you know

[00:15:50] after a student comes out for a pathway session that uh you know the patients aren't just

[00:15:55] just left in the lurch or forgotten about or or or any of that sort of stuff like some of the other

[00:15:59] programs do um they are they're all followed they're all restored um you know some the implants have

[00:16:06] to be replaced because infection or rejection or whatever but with a number of implants that we

[00:16:10] place even then the the the the numbers are super low um you know and you're gonna have that

[00:16:19] the more implants you place you're gonna have some that just don't take whatever reason um

[00:16:24] but uh we've got great assistance great um uh staff support there uh we have great sponsorship

[00:16:31] support with bio horizons providing all of the implants and all the biologics um so you don't

[00:16:37] need to bring anything um you know acteon sponsors it as far as um they've got comb beams there

[00:16:44] they've got the the cubes that we use all the time for various procedures um and um and so there's

[00:16:51] a lot of support there so that all of the doctors that come to the program are successful when they

[00:16:54] go back to their practice they're ready yeah what what what's the um what's the surgical ability

[00:17:02] like for some of these you know first year dentists that were as covid grads that you know I

[00:17:07] you always hear that they didn't they didn't get a whole lot of just basic extraction reps let alone

[00:17:12] some of the tough stuff or the things that you were describing with like the full

[00:17:14] larger the tissue management and stuff like that are you yeah you know some of that then

[00:17:19] yeah we we do uh because we still uh we still have to kind of gauge the skill set of the

[00:17:26] the student docs you know we'll talk with them before we start um you know for a patient

[00:17:32] case to see what is their comfort level what is their experience level so that we know which

[00:17:37] gear to start off with with them sometimes it's neutral um sure others it's we're starting off

[00:17:43] a third gear so um and with the with the mentor mix and experience level um we're able to gauge

[00:17:52] that relatively quickly and then um so that usually in a regular session there's eight mentors or

[00:17:57] be 16 attending docs and so it's two docs per mentor and um um you know we'll rotate so

[00:18:07] so there's four sessions so day one and day two is a mn or pm so there's four different sessions

[00:18:12] and so the doctors uh that are there as students they get exposed to four different mentors so they

[00:18:17] pick up different tips for suturing or or anesthetic tips or um a patient management tips communication

[00:18:23] is one of the biggest things that i talked to them about communication and efficiency like during

[00:18:28] the surgery um and um you know so you really get a lot of different exposure from a lot of these

[00:18:35] very talented mentors that that we have um you know available so it doesn't matter your skill level

[00:18:41] coming in the pathway so when you leave you're all you're all very well qualified to place

[00:18:47] single implants double implants as well as a forge well that's awesome but we've noticed that

[00:18:52] 3d dentists is ours is structured a little bit different there's an extraction and graft day

[00:18:57] at the first clinic day in the two days of placing implants the extraction and graft day is usually

[00:19:02] the more difficult day like we keep telling them they implant placing the implants the easy parts

[00:19:08] the extraction and graft that you either have to unlearn some bad habits if you've been practicing

[00:19:15] for a long time or teach new techniques to to the younger people but somewhere in there there's

[00:19:22] a balance and yeah we have a separate extraction and graphing course that Michelle called

[00:19:26] Walma buddy Michelle she runs that so some of those folks that that feel like their surgical skills

[00:19:32] maybe they're just not sure that they're ready for the implant portion yet that they'll take

[00:19:36] that as a separate chorus first and then get some some some reps in and get some patience extract

[00:19:42] and a graft in their own practice and so that by the time they take you know a fast track then

[00:19:47] then they're ready to get back to their own practice and start placing immediately in their own

[00:19:50] patients that are already well done and cooked and ready to go yeah cool so that what how often

[00:19:57] is that kind of a course run because that sounds like the ultimate kind of beginner beginner course

[00:20:01] before diving into the full thing um you know it just varies each year there again with the expansion

[00:20:09] for the clinical space and classroom space then we're going to be able to actually offer that

[00:20:14] course more often along with a lot of the CERIC courses for same day smiles at Chris Adlin teaches

[00:20:21] or the the implant crown course that Chris also teaches there so you know a lot of times those

[00:20:28] courses are going while we're doing the surgical portion the CERIC courses are going in the

[00:20:32] classroom while we're in the um and the opportunities doing doing surgery so we have some overlap

[00:20:38] there but um but it's going to be nice and we can offer that extraction and grafting course

[00:20:42] more often yeah I'm to help with that and you know a lot of the docs are when they're there I

[00:20:46] I recommend for them to go sign up for mission emergency or something like that to go and do a full

[00:20:51] couple of days of reps of full arts clearance or or a bunch of you know singles or two or three teeth

[00:20:57] at a time quadrant extractions and and stuff like that to really get a lot more reps in so that they

[00:21:03] can be you know more efficient with their surgeries so that when they are in their own private practice

[00:21:07] it's less stressful it's more profitable for them and usually since they're calm and they've had

[00:21:13] some reps in and they're able to provide a better service for their patients instead of let's just

[00:21:17] you know slam the implant in wherever it will fit you know that sort of thing and then they're not

[00:21:22] thinking about how am I going to restore this thing that's pointing out to the nose or towards the

[00:21:27] next day you know neighbor tooth or something so right right go ahead yeah so I think that

[00:21:37] really the extraction graft portion is you know the foundation that but the rest of everything

[00:21:44] is so fun so getting that firm foundation first is really important for for the students

[00:21:51] do you recommend calling the people that come to pathways do you recommend they have a combi

[00:21:58] but home where does that is that not necessarily you know totally needed or what do they need to be

[00:22:04] tech wise you know I don't think it's a good idea to be placing implants without a combi many more

[00:22:12] you know when I when I learned I learned from a guy named John Julian in a weekend course this

[00:22:16] is a long time ago the practice I was working on as an associate my boss had been placing implants

[00:22:21] for three or four years and you know putting them in all the time with PAs and Panos and then feeling

[00:22:27] the ridge or just flapping the ridge and looking at measuring the bone and that sort of stuff I just

[00:22:33] don't think that that medical legally I you're not covered whatsoever without a 3D anymore

[00:22:39] in my opinion now yeah that's a fair opinion I agree that 100%

[00:22:44] you know and I think about it also is you know would you want an implant placed without a combi

[00:22:50] on you as a dentist or your family or something like that would you feel comfortable with that

[00:22:54] I mean I wouldn't at all and so I don't think it would be a good idea to and I have a lot of

[00:23:00] doctors that come to pathway and they try and some of them try to tell me oh I don't need a combi

[00:23:04] my can just look at the area and see you really can't that's just that's that's pervato and lack of

[00:23:09] experience talking yeah unfortunately for sure I have so many examples of like undercut ridges on

[00:23:16] the on the end of your arch where there's a huge concavity there that you know you yeah you

[00:23:23] just do that that's a bad day yeah there's no way you could see that in a 2D image and it's

[00:23:29] it's it's so apparent on a 3D image like it's it's you can't even I words can't even describe it

[00:23:37] it's just there's no way so have a combi getting some good extraction reps and then get out there

[00:23:45] huh you know yeah get it get it get it going yeah you know and I and I see this this big push

[00:23:51] for you know running everything digitally in all surgical guides and all these other things

[00:23:56] and I love guided surgery I'm not gonna get into the coriglin Justin Moody debate

[00:24:02] you know right now but I feel in my opinion again that you need to learn an analog first

[00:24:10] and then if you're going to be doing guides you need to be printing your own guides and model

[00:24:14] fitting them and then patient fitting them and all that sort of stuff as as opposed to outsourcing

[00:24:21] all of that and then getting a guide back and then just clicking it in place and drilling a whole

[00:24:25] blindly with with no regard to the guide go down all the way where did you have clean records

[00:24:31] to have the guide fabricated was there a bunch of scatter from a bunch of pfms and stuff like that

[00:24:36] to where the guide may not really even fit the arch whatsoever or you know did you have resin

[00:24:43] pooling in the arch you know or then the guide when you were printing it did you orient it

[00:24:47] incorrectly to where you get a bunch of resin in there to where it doesn't fit all the way down

[00:24:51] and you know if you're gonna if you're gonna try to do your first case guided for seven

[00:24:58] and ten can generally missing laterals on a on a young female with a high smile line

[00:25:06] you're begging for trouble you know sure and so you do in my opinion again you do need

[00:25:12] to know how to do an analog by feel with good clean classic surgical techniques and then

[00:25:17] you can increase your efficiency quite a bit going guided you know once you have that that

[00:25:23] the tactile you know feedback from from muscle memory from doing a bunch of implants first and then

[00:25:27] transitioning that way to speed it up or or to do multiples carol or implant bridges or that sort

[00:25:32] of stuff I agree with that too I mean that's kind of exactly the path I took so sweet you know

[00:25:43] guided is great but it's not you know you have to it's not a panacea for everything there are times

[00:25:50] where um you know you have to get Kevin you know obviously your teaching some implants as well

[00:25:57] not not at pathways just on the other side of the other side of the country yeah which would

[00:26:03] you kind of say some more things like to come to do some any implant education over there at 3D

[00:26:09] would you say all right have a cone beam you know get in some get in some surge crawls or do

[00:26:15] do you guys have your own you know extraction and grafting course yeah so we we won't

[00:26:22] we won't take you if you don't have a cone beam oh okay you're not having one delivered soon

[00:26:27] gotcha so so that's a pretty good for sure it's a picture of you

[00:26:32] well it's gonna be delivered hey this is mine yeah so I mean that it's just we won't do it

[00:26:38] as far as a separate class they do have a separate grafting class but the extraction and grafting

[00:26:43] extraction and grafting like simple extraction and grafting we don't have a separate one

[00:26:48] of that gotcha okay but um you know the the guided portion you do you need to do like you know we

[00:26:59] teach you know reflecting a full flap because you need to visualize the bone whether you're using

[00:27:04] a guide or not and um you know there are surgical techniques that are analogous to both

[00:27:12] guided and non-guided that you know they're just you know fundamental principles of surgery so

[00:27:17] you have to honor those you're using respect the bite in some kind of a weird way

[00:27:24] side you say I think we all need to respect the bite all right that's every day

[00:27:30] that's every day that is good advice well let uh let's wrap this up and give give a spoiler alert

[00:27:36] that Colin is going to be with us again next week and I believe we're gonna be talking about

[00:27:41] something a little more detailed so yes a little and a little new technology that Kevin might have

[00:27:47] added into his uh practice life so Colin thanks for joining us absolutely yeah well Kevin

[00:27:55] yes sir thank you oh you're welcome for joining thank you for joining us as well uh is the

[00:28:02] website for implant pathway is it just implant pathways dot com or is there any special

[00:28:05] it's the it's the path the path is where we're we're spinning off into clinical pathway as well

[00:28:11] and implant pathway of course and you know maybe he's maybe he's got some other tricks up his sleeve

[00:28:15] coming down the pipeline so um yeah so yeah I mean you can just google implant pathway and it

[00:28:21] would come up straight away but uh it's a pretty simple time there you go awesome all right thank

[00:28:26] you guys for listening and we will catch you next week