Very Clinical: Dr. Meena Barsoum is Hard (DS) Core!

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

[00:00:16] Welcome to the Very Clinical Podcast. In about the time it takes to do an MO on three, we will entertain and amaze you with tips and tricks on regular daily dentistry. Here's Kevin and Zach.

[00:00:28] What is up, Very Clinical listeners, and welcome back to yet another episode of the podcast. This is Zach Miners coming to you from Kansas City, Missouri. With me as always, my trusty co-host, Dr. Kevin Harefriar.

[00:00:40] Kevin, what's happening in Cleveland?

[00:00:42] I'm still a little concerned about you that you're in the doghouse. You had some sort of falling out with the wife. She's kicked you out.

[00:00:50] It's a little cold out here. I got to be honest with you. It's dipping down into the low 40s and I could use a blanket.

[00:00:58] Maybe that should be a thing we do our podcasts in different locations. Like I could do it outside or in the garage or in the car.

[00:01:08] Something. I would like to see some different scenery.

[00:01:10] On your boat.

[00:01:11] Aren't you staring at my white doors that I normally have in the background?

[00:01:14] I like your white doors. They're familiar to me.

[00:01:16] I understand.

[00:01:17] They make me feel at home when we do this. And now I've got some sort of weird ceiling fan back there that I don't understand.

[00:01:23] I understand. Kevin, will you reintroduce our esteemed guest of the week?

[00:01:27] We have an esteemed guest from Chicago, formerly from my beloved Cleveland, Dr. Mina Barsoom. Welcome back.

[00:01:36] Hi, guys.

[00:01:37] For round two, the sequel of your first podcast. That's the theme, sequels. Yes.

[00:01:45] Okay. So, yes, in the vein that we're, you know, if you didn't catch last week's episode on Prime Scan 2, go back and check it out because this will be, you'll feel like you're starting in the middle of a conversation if you just joined in this week.

[00:01:58] Anyway, we're talking about sequels since Prime Scan 2 is a sequel. We are now going to talk about the worst movie sequels you guys have ever watched. And hopefully, Prime Scan 2 will not be like one of these movies. So, Kevin, do you have a worst sequel in the can?

[00:02:14] Yeah, I really have two, but I'm going to go with my first thought because the first movie is one of my favorites of all time, Caddyshack, which I saw in the theater. So, I think we've talked about this before on the podcast. I was a caddy. I caddied for seven years through high school and undergrad.

[00:02:34] And when I saw Caddyshack in, what was that, 79 maybe? Somewhere around there, 78, 79. I vividly remember coming out of the theater with my friend Steve thinking, oh my God, these people followed me around. It was so true to life to me.

[00:02:59] Just the whole caddy scene and dealing with the members. But Caddyshack 2, I do remember watching it. I don't remember anything about it because it sucked.

[00:03:15] Very good. All right, Mina, do you have a worst sequel in mind?

[00:03:20] Worst sequel, I will say...

[00:03:26] You know, so The Hangover was such an iconic movie, right?

[00:03:32] It was a good movie.

[00:03:32] It was something new that no one ever saw before. The Wolf Pack, everything. And then they tried so hard with Hangover 2 and it was so overdone and it ruined it.

[00:03:46] So I would say Hangover 2 is probably the worst sequel in my book.

[00:03:50] Hot take, Bridesmaids is Hangover 2 sequel or Hangover sequel with women.

[00:03:57] Oh yeah, yeah, Bridesmaids. That's right. Yep, exactly.

[00:04:00] Bridesmaids isn't bad though.

[00:04:02] No, I love it.

[00:04:03] Bridesmaids is a pretty solid comedy.

[00:04:06] Just everyone's a female.

[00:04:07] Right, they should have just ended it there and not tried. But you know, money had to be made and they did what they did.

[00:04:16] Okay, I'm going to go with... This is, I guess, it's the third movie. So it's a sequel, but it's a part three.

[00:04:24] I get it.

[00:04:24] Karate Kid Part 3 is terrible. It is a god-awful movie and I really enjoyed parts one and two.

[00:04:32] Three fell off the rails. It was bad.

[00:04:36] And then they went back to the well with Hilary Swank for the next Karate Kid and that even went lower.

[00:04:42] So it was a direct linear path of just horrible.

[00:04:45] It was a threequel. That was the worst one.

[00:04:48] Yeah.

[00:04:50] Is there any part three that is good?

[00:04:53] That, you know, I don't...

[00:04:55] Ooh.

[00:04:56] Well, maybe Star Wars, maybe.

[00:04:58] Yeah, Return of the Jedi was good.

[00:04:59] There's been like three part threes for Star Wars, so that...

[00:05:02] Yeah, the first part three, Return of the Jedi.

[00:05:06] Yeah.

[00:05:07] What do you consider like Lord of the Rings?

[00:05:09] Oh, yeah.

[00:05:09] Because like that part three was good, but...

[00:05:12] No, it was good.

[00:05:12] I don't know. That's kind of one contiguous story in a lot of ways. I don't know.

[00:05:15] But that's a good one.

[00:05:16] Not Harry Potter, but it's really... That's different.

[00:05:18] Yeah, Harry Potter, the third movie is good.

[00:05:20] Yeah.

[00:05:21] For sure. Actually, it's considered one of the better ones, so...

[00:05:23] Yeah.

[00:05:24] All right. Kevin, why don't you take over? Because I know what you guys are talking about.

[00:05:28] I don't know what you guys are talking about. Go for it.

[00:05:31] I don't know anything about it.

[00:05:32] We're just talking foreign language.

[00:05:33] I'm just going to learn.

[00:05:33] So in episode one, which if you haven't listened to, dial back one week and listen to Mina tell

[00:05:40] us all about the PrimeScan 2, which I was greatly intrigued on and learned a lot.

[00:05:45] But you may have heard us mention a thing called DS Core in the midst of that discussion.

[00:05:52] So I want to sort of dive a little bit deeper into DS Core.

[00:05:57] So Mina, just tell... What is DS Core?

[00:06:00] And may I interject right here?

[00:06:02] Why didn't they call it DS Cloud?

[00:06:04] Your turn.

[00:06:04] I know. Yeah. Listen, I have a lot of concerns about branding. Everything's a prime of some sort.

[00:06:12] Like PrimeScan 2, they missed such an opportunity to call it like PrimeScan Air, PrimeScan Cloud,

[00:06:18] PrimeScan Core, like so many things.

[00:06:21] You know, I know...

[00:06:22] PrimeScan Cloud.

[00:06:22] PrimeScan Cloud. It would have been perfect.

[00:06:24] I love it.

[00:06:25] But they... It's... There's so much regulatory stuff when it comes to FDA registration,

[00:06:32] and they called it PrimeScan 2 from the beginning, and no one ever changed it.

[00:06:36] So that's kind of where it stuck.

[00:06:38] I will say...

[00:06:39] Well, if they would have named it PrimeScan Cloud, we would have had to come up with a cloud bit,

[00:06:45] which I don't even know what that would have been.

[00:06:46] Yeah. That's Bruce Almighty or Evan Almighty or whatever that movie was.

[00:06:50] Oh, yeah.

[00:06:51] Or just our Cumulus.

[00:06:53] Yeah.

[00:06:55] You know, I will say, like, for DS Core as a product,

[00:06:59] I think a lot of people don't really understand what it's about

[00:07:03] and what it brings to the table in terms of, you know, as a clinician.

[00:07:09] People think that DS Core is just a cloud-based storage, right?

[00:07:13] And, you know, there is a big part of that, right?

[00:07:15] Where your scans are stored in one central location,

[00:07:18] your CBCTs, your images, your x-rays are all stored in a patient's chart,

[00:07:22] which I think is important.

[00:07:24] I think what DS Core does is it kind of works as an extension of your practice management software,

[00:07:30] your DPMS, where there's certain data that's not stored in your EagleSoft or Dentrix or cloud-based version,

[00:07:37] like your scans and your CBCTs.

[00:07:40] And some software doesn't store images and photos.

[00:07:43] So this works as an extension of that.

[00:07:46] But what I think a lot of people are missing when it comes to DS Core is all of the design capability

[00:07:52] that's going to be built into it.

[00:07:54] So what happens right now in a, let's call it a digital practice,

[00:07:59] you probably have one or multiple scanners in your practice.

[00:08:02] I know, Kevin, you have scanners and Zach too.

[00:08:05] And I think what ends up happening is your scans are stored on a computer, right?

[00:08:12] On a hard drive.

[00:08:14] And you're going to need access to these scans at some point in the future.

[00:08:17] Again, if you're, you know, using it as a reference for a restorative procedure,

[00:08:21] if you're using it as a scan for ortho or a comparison scan,

[00:08:26] so you need to access these scans periodically.

[00:08:28] And one of the problems I had years ago was I had an Omnicam.

[00:08:33] I had a couple prime scans and it just depended on where do we scan this patient?

[00:08:37] What hard drive was this scan located on?

[00:08:39] How do we find it?

[00:08:40] So now they're just frantically searching on three different machines for the patient scan

[00:08:44] and figure out how to export it from here and move it to there.

[00:08:47] So now DS Core, we have the same number of scanners with an additional prime scan too.

[00:08:53] And now every scan goes into the patient's chart.

[00:08:56] So we can take a scan today on Kevin, on my prime scan too,

[00:09:01] and it's going to merge with your chart from two years ago that I took a prime scan image on.

[00:09:07] So now I have all of your scans located in one location.

[00:09:10] So yes, it's an aggregator of data, but there's so much more to it.

[00:09:14] And I want to get into all the differences there,

[00:09:16] but from a basic workflow perspective,

[00:09:19] having all of your digital data in one place is super important.

[00:09:24] So when you're...

[00:09:25] It has a cloud feature,

[00:09:28] but it sounds like what DS Core is like my medic cloud on steroids.

[00:09:34] Yeah.

[00:09:35] Sounds like there's a lot more there.

[00:09:36] But I mean, I have access.

[00:09:37] I can access my scans,

[00:09:39] you know, here at home from their cloud feature.

[00:09:42] But tell me what DS Core is doing that's more.

[00:09:46] You've used Medit, so you probably know about that.

[00:09:48] Yeah, I know the MediCloud and it was like,

[00:09:50] and I still don't understand how they make money selling like terabytes of storage for 99 cents a month.

[00:09:54] Like I don't understand their...

[00:09:55] Oh, they just upped it to 10 bucks a month.

[00:09:57] Is it 10 bucks now?

[00:09:58] Oh, okay.

[00:09:59] Yeah, they just upped it, man.

[00:10:00] Yeah.

[00:10:01] That's how they're making their money.

[00:10:02] You know, the one big thing about DS Core is it's not just a scan storage,

[00:10:09] you know, cloud-based storage.

[00:10:10] My CT scans are stored on there.

[00:10:12] So all of my CT scans are on there and I have a viewer for my DICOMs.

[00:10:17] So I can actually view a 3D volume of a CT scan right on a web browser.

[00:10:23] I can upload any...

[00:10:25] Like there's a lot of different scans, STLs, PLYs, OBJ,

[00:10:29] all those different file types from any scanner can go on there and you can view them.

[00:10:32] So there's a full viewer that you can access.

[00:10:35] But I think the biggest thing for me early on getting into DS Core was the ability to share.

[00:10:41] I take scans on every new patient and there's certain procedures I don't do in the office,

[00:10:45] certain endodontic procedures, for example.

[00:10:47] And when I refer a patient to endo, the endodontist will ask for the CT.

[00:10:52] So traditionally, I'd have to burn a DVD, which I don't even know how to do anymore.

[00:10:57] Never works.

[00:10:58] Or you'd make a thumb drive and they'd never know how to open it.

[00:11:00] There'd be all this like chaos around it.

[00:11:03] Now with DS Core, I simply send the office an email or I send them a share.

[00:11:07] They get an email that has a link to access the patient's data.

[00:11:11] It's HIPAA secure.

[00:11:12] So now they can access it for a period of time, 7 days, 30 days, 90 days, whatever your

[00:11:17] time frame is.

[00:11:18] And they can view the CT scan right on a Google Chrome web browser.

[00:11:23] So now the endodontist can view the scan, perform their diagnostics.

[00:11:27] They can download the DICOM, put it in their software.

[00:11:29] So the sharing of this digital data has been extremely easy for us now to be able to spread

[00:11:35] this information out to our specialists.

[00:11:38] That's really nice.

[00:11:39] Wow.

[00:11:40] That's really cool.

[00:11:41] So going back to the Prime Scan 2 and just a regular old day, I've scanned your number 19

[00:11:48] for a crown, Mina.

[00:11:49] And now it lives in the DS Core.

[00:11:54] How am I going to design the crown now for same-day service?

[00:12:00] Yeah, no good question.

[00:12:01] So our workflow typically, when patients come in, we take something called a status scan.

[00:12:06] So status scan is basically an upper full arch, lower full arch, and double buccal bite.

[00:12:12] And it's their kind of alginate record of their initial presentation.

[00:12:17] Now, when it comes to treatment, I can, let's say you come back and you need a crown on 19,

[00:12:21] like you said.

[00:12:22] So I'll prep number 19.

[00:12:24] And then all I have to scan is just the prep of 19.

[00:12:29] Because when I go into scan, it's going to pull in that status scan that we took when

[00:12:33] you first came in.

[00:12:34] Not that I'm going to use it to design, but it's a reference point.

[00:12:37] But it also has all the rest of the arch in there.

[00:12:39] So now I have a full arch, upper and lower scan that I didn't have to scan again.

[00:12:43] All I had to do was scan the prep, the adjacent teeth, get the contacts, and now we can move

[00:12:48] on to design.

[00:12:49] So it gives me the luxury of copying your original design if I wanted to, or the original

[00:12:54] tooth, or improving it and using it as a reference.

[00:12:57] So I can design my crown based on ideal occlusal principles, or I can utilize your existing

[00:13:03] cusp position, buckle contours, etc.

[00:13:05] But I have that information.

[00:13:07] So it makes our scanning for prep super quick.

[00:13:09] Like I just scan the prep and send it to my machine and I'm on to design.

[00:13:14] So no more cutting out.

[00:13:16] No.

[00:13:17] You're just over scanning, or not over scanning.

[00:13:21] You're scanning over preparation.

[00:13:23] Yeah.

[00:13:23] And so even when I teach at C-Docs, my workshops, I know there's been this whole story about

[00:13:29] like, oh, scan the arch, cut the prep out, and scan the prep.

[00:13:32] And we actually learned from R&D and the engineers in Germany, like that actually introduces error

[00:13:37] into the scan, unless you cut out two or three teeth adjacent to each prep, which at that point,

[00:13:44] you're taking a quadrant, just take a whole new scan.

[00:13:47] They've optimized that in the Prime Scan 2, because now we're using cloud computing.

[00:13:52] So DS Core is using these massive server farms in the Netherlands that are processing all this

[00:13:58] information.

[00:13:58] So they have the capability of cleaning up that data much better than what my cart can do or my laptop

[00:14:04] can do in the office.

[00:14:06] So you scan my number 19.

[00:14:08] It lives on DS Core now.

[00:14:10] And then you're currently, I know that you work from a workstation to design your crowns.

[00:14:18] But if you didn't have that, you would upload that to your Prime Scan or Omnicam and design from there?

[00:14:27] Yeah.

[00:14:28] So once it's in the cloud, I can push it to any machine I have in the office that has a CEREC license.

[00:14:34] So my Prime Scan, my Omnicam, or if I have a workstation, it'll open the case on that machine,

[00:14:39] and I can then design the restoration and manufacture it.

[00:14:42] And we call that today the hybrid workflow because it's still a mix of cloud and on-premise hardware.

[00:14:49] What's happening is eventually this is all going to go to AI design and the cloud, cloud cam, which is going to be manufacturing.

[00:14:58] So it's going to go from the cloud right to your Prime Mill or right to your Speedfire so you don't have to worry about an on-premise machine.

[00:15:05] That's all stuff I'm actually testing and seeing right now, which is impressive.

[00:15:09] So the writing's on the wall.

[00:15:12] I mean, eventually DS Core is going to be where the crowns are designed, where the quadrants,

[00:15:16] and all the things that we can do with CEREC are going to live.

[00:15:19] That's brilliant.

[00:15:22] So getting back to DS Core, I, at first, well, currently, I love it.

[00:15:31] Earlier this year, I had some growing pains with it.

[00:15:35] Yes.

[00:15:35] A little clunky.

[00:15:39] Primarily, though, because I don't think I had, I didn't have any training on it at all.

[00:15:43] I was just trying to figure it out on my own.

[00:15:45] Is this a new product this year?

[00:15:46] Is this a new thing?

[00:15:47] No, it's about two years.

[00:15:49] Two years?

[00:15:49] Maybe like a year and a half, yeah.

[00:15:51] I mean, my timelines get blurred.

[00:15:53] But yeah, about a year and a half, two years, possibly, right?

[00:15:56] Yeah, approximately two years, I think.

[00:15:58] So I wasn't using it.

[00:16:00] And then, you know, when we do have to send stuff to the lab using CEREC Connect,

[00:16:07] which doesn't exist anymore.

[00:16:09] It still does, but not for long.

[00:16:13] Yeah.

[00:16:13] Well, I got an email or something saying it was no more.

[00:16:17] Oh, no, it's still there.

[00:16:19] No, no.

[00:16:19] They're phasing out.

[00:16:21] So the idea is we want to get all the labs to utilize DS Core for various improvements and reasons.

[00:16:27] But it's a, you know, Connect is just a legacy workflow that just needs to kind of sunset,

[00:16:33] like Windows 7 and all the old software that needs to go away.

[00:16:36] And the primary lab that I use with my CEREC does not use Connect anymore.

[00:16:42] So my hand was forced, which was great.

[00:16:44] Because being able to open up DS Core on any computer in my office, you know, I have an assistant who is what we call our lab manager.

[00:17:00] She manages all our lab cases.

[00:17:03] So Molly can open up that file on any computer on our office, a couple clicks, and it's sent to whatever lab we choose.

[00:17:14] That is brilliant.

[00:17:16] Because in the past, we were tethered to that cart to get the CEREC Connect.

[00:17:22] And, you know, if I'm doing a crown or my associate's doing a crown or something like that, we can't get to that.

[00:17:27] And then we kind of have to, you know, do it at the end of the day or first thing in the morning or something like that.

[00:17:33] All of that is out the window now, which I absolutely love.

[00:17:38] Yeah, I mean, one of the things for me is a lot of the cases I'm sending now, I'm working with, you know,

[00:17:45] digital designers that are doing my smile designs and my mock-ups and wax-ups.

[00:17:49] And, you know, you can't just send an intraoral scan to a master ceramist or lab technician and tell them, you know, wax up eight teeth.

[00:17:57] They need photos.

[00:17:58] They need all kinds of records.

[00:18:00] And with Connect, it would be, okay, grab the thumb drive, move it over to the cart, you know, upload it.

[00:18:06] Everything is ready in DS Core.

[00:18:08] I'm just checking boxes and packaging everything and sending it to my lab technician.

[00:18:14] And then the nice thing about DS Core now is they can actually send me a specific file called a DSCO.

[00:18:21] It's a DSCO file, like an STL, basically.

[00:18:25] But it has the design in it.

[00:18:27] So now I can view that right on my web browser.

[00:18:29] I can improve a denture design or provisional design or splint or whatever I'm looking at.

[00:18:36] And I can look at it in 3D and I can say, okay, this is good or please modify.

[00:18:40] And I can have a two-way conversation with the lab, basically like an iMessage on DS Core.

[00:18:48] And they can modify the design, send me a new design.

[00:18:51] So there's a lot of back and forth because it's web-based, right?

[00:18:53] You don't have to worry about getting an email, then downloading the file to your machine and viewing it, the whole cumbersome process.

[00:19:00] Yeah.

[00:19:01] So with Connect, there was always some sort of workaround to get all the information to the lab.

[00:19:08] And again, once I overcame my growing pains, there was a day in July or August where I was like, oh my gosh, this thing's really great.

[00:19:18] We need to leverage this as much as possible.

[00:19:21] And I do think that the cloud computing is stupid to say the future, but I'm going to a cloud-based practice management software.

[00:19:37] DS Core lives in the cloud.

[00:19:39] Our Prime Scan 2 will live in the cloud.

[00:19:43] It's just a better way of doing business for our office and ultimately for our patients.

[00:19:50] You and I were probably two of the most diehard Mac practice people, I think, for the longest time.

[00:20:01] And I eventually moved to the cloud and I couldn't be happier.

[00:20:05] So I'm excited that you're doing that.

[00:20:06] Yeah, so we're going with CareStack and that's going to happen in about approximately a week.

[00:20:17] Oh, nice.

[00:20:17] Oh, wow.

[00:20:18] That's a big change.

[00:20:19] Yeah.

[00:20:19] So that's something, Zach, for the future, once we get our feet wet, we really need to delve into that.

[00:20:26] But I've told, I know this is an aside from the DS Core, but I've told my team a hundred times, we're going to take a little step backwards to take a giant leap forwards.

[00:20:38] You will.

[00:20:39] It's going to be a little bit, you know, we're used to clicking here or there, you know, to make our Mac practice work.

[00:20:46] But I cannot wait until next week to just scrap that and move forward into the future.

[00:20:55] And I know, Zach, we've talked a little bit behind the scenes about the AI implications with CareStack and all that.

[00:21:01] And I'm just, you know, there was a meeting we had yesterday that I think it just kind of blew me away.

[00:21:10] Anyway, that's an aside.

[00:21:12] Nice.

[00:21:12] What are you using now, though, Mina?

[00:21:14] Yeah.

[00:21:15] So I went through a whole process and I looked at all the different cloud-based softwares.

[00:21:20] I ended up landing on Dentrix Ascend.

[00:21:22] And that's what we're using now.

[00:21:24] You know, the imaging and everything being integrated was a big deal for me because that's what I was used to.

[00:21:29] And we didn't lose any, I mean, we went through a painful process to migrate and get from Mac practice to Dentrix Ascend.

[00:21:36] But I can't look backwards.

[00:21:37] I mean, there's no way, like, I could ever go back to an on-premise.

[00:21:40] I'm at home.

[00:21:41] I write my notes at home if I need to.

[00:21:42] Yes.

[00:21:43] Look at my schedule.

[00:21:44] I mean, it just makes perfect sense to have on cloud-based.

[00:21:47] So I'm excited for you.

[00:21:48] I wouldn't have timed it around baseball playoffs, but, you know, you'll be fine.

[00:21:55] You'll be...

[00:21:56] Hopefully it'll be World Series.

[00:21:58] It doesn't look like a World Series is going to happen.

[00:22:02] It's still bottom of the six right now.

[00:22:04] But anyway, yeah.

[00:22:06] Yeah.

[00:22:06] I couldn't be more excited about that.

[00:22:09] It's coming in a week.

[00:22:12] Yeah.

[00:22:13] Is DSCore not...

[00:22:14] Does it not have a practice management component?

[00:22:18] No.

[00:22:18] It is strictly an imaging tweet?

[00:22:20] Yeah.

[00:22:20] So it's a good point.

[00:22:22] And it's a data aggregator for, like, big data.

[00:22:26] We'll call it scans, CBCTs, photos, you know, things that are going to be maybe outside of...

[00:22:33] Does it take your x-rays, too?

[00:22:34] Is that...

[00:22:34] It can.

[00:22:35] It's not going to take your x-rays, but, like, let's say if you use...

[00:22:38] No, not take them.

[00:22:39] I'm sorry.

[00:22:39] Store them.

[00:22:40] Yeah.

[00:22:40] So I can upload them.

[00:22:42] I can upload them manually if I wanted to.

[00:22:44] But if you use Sodexis, which is the Densply Serona imaging suite, all your x-rays automatically go into the patient's chart.

[00:22:51] So if you take them in Sodexis, they automatically go in there.

[00:22:53] I don't because there's no Mac driver for what we use.

[00:22:56] But, yeah, if you do, it would automatically go in.

[00:23:01] Okay.

[00:23:01] Gotcha.

[00:23:02] There's some cool features in there.

[00:23:05] One of the things I had trouble with over the years is when we conduct a new patient exam and you think about all the data that we are sharing with them, intraoral scan, CBCT, photos, x-rays.

[00:23:20] And, like, you're constantly bringing in different software.

[00:23:23] Open up my Sodexis to show them the CBCT.

[00:23:25] Open up my practice management to show them the x-rays.

[00:23:28] Bring in the prime scan so I can show them the intraoral scan or the iTero or the Medit or whatever you're using.

[00:23:33] Now, like in DSCore, there's something called a canvas where I can put everything into it.

[00:23:39] So I can put my CBCT, my intraoral scan, my photos, my x-rays, and I basically go through this, like, virtual light box, essentially.

[00:23:47] Think of the old light boxes we had back in dental school with film x-rays.

[00:23:51] And now I can have this, like, infinitely resizable light box that I can position all this information in and essentially go through a tour of the patient's mouth right on a web browser.

[00:24:01] It's made it easier for me to, you know, help my team members understand how to better, you know, share this information with the patient.

[00:24:08] Our new patient exams aren't stressful anymore where my hygienists have to remember, like, he likes this this way, he likes that this way.

[00:24:14] And, you know, with three doctors in the office, like, everybody has a preference.

[00:24:17] Now it's just, like, open up your canvas and he'll move things around and go through the exam.

[00:24:23] And then he'll walk out and we'll present the treatment.

[00:24:25] So it's just made it a lot easier.

[00:24:27] That is slick because you're right.

[00:24:30] It's like any time I'm doing what you're trying to do, it's like I'm flipping between, okay, well, here's the x-ray program and here's the CT program and here's Medit to get that done.

[00:24:40] And I can do it, but it's clunky compared to what you're saying.

[00:24:44] Beat me to the punch.

[00:24:45] I was going to ask you next about the canvas feature.

[00:24:48] So that's great.

[00:24:50] No, that's all right.

[00:24:51] No, that's great.

[00:24:52] So, but that, those are really the main features of DS Core that you can order things from a lab, you can share things with a specialist or another doctor, and you have a case presentation platform, the canvas, that you can present to your patients for.

[00:25:10] Is there anything we're missing from that?

[00:25:13] Are there features coming down the pike?

[00:25:15] Yeah, maybe, yeah, I mean, I've had a couple bourbons tonight, so maybe I can share a couple things coming down the pipeline.

[00:25:22] Let's do it.

[00:25:23] You know, one of the things that I'm really excited about is the ability to manufacture directly from DS Core.

[00:25:31] So right now, I'm in a beta process where we can take a crown design or a bridge design or something you got from your lab and write in a web browser.

[00:25:41] I can push it to my prime mill or my prime print, and I can manufacture right from DS Core.

[00:25:48] And some people might think that's just kind of like a gimmicky thing.

[00:25:50] But when you think about like Speedfire, for example, Speedfire is our zirconia furnace that we use, and it's hard-coded to the manufacturing process because how the crown is manufactured has certain firing parameters for the zirconia to be centered.

[00:26:06] And what happens sometimes in a practice is if there's a hiccup in your network, sometimes that firing job doesn't get sent to the Speedfire.

[00:26:16] So now with DS Core, that firing job is in the cloud.

[00:26:19] I can grab it from that Speedfire at any point, and I don't have to worry about it being transmitted within my local network.

[00:26:26] So now my Speedfire, my furnaces are all connected to the cloud, and I can access any of the jobs from any of my Speedfires, and I can, you know, center whatever crown or bridge I want from any machine.

[00:26:38] And those are like little things that when you take local hardware, local manufacturing devices into practice, and you connect them to the cloud, now you have access to all this data, and you can push it to whatever machine you want.

[00:26:51] It's made it really easy for us to, you know, before we'd have to like coordinate.

[00:26:56] Okay, Alyssa, I need you to send your case to Speedfire 1.

[00:26:59] I'm going to use Speedfire 2, and Lindsay's going to use Speedfire 3.

[00:27:02] We have to coordinate it, and if we screwed it up, now we're waiting for the job to show up on our Speedfire.

[00:27:07] Now it's just in the cloud, grab it, and push it to whatever machine you want.

[00:27:10] I love that.

[00:27:12] Very cool.

[00:27:14] And without, you kind of said that there may be some AI feature for crown design.

[00:27:21] Is that something you can talk about?

[00:27:23] And if you can't, that's fine too.

[00:27:24] Yeah, I mean, so, you know, I'm not sharing anything that isn't like, you know, pretty obvious.

[00:27:29] Like, it's the worst kept secret in dentistry is that CEREC is going to move into DS Core.

[00:27:34] Like, it's obvious.

[00:27:36] So, you know, things I've seen and renderings I've seen, I mean, it's impressive.

[00:27:40] We have it right now, an AI feature that will marginate the crown, okay?

[00:27:45] Excellent.

[00:27:45] Now, we've had that in CEREC.

[00:27:47] Yeah.

[00:27:47] And you've used CEREC, you've used ChairSide, and, you know, 80% of the time it was okay.

[00:27:53] I never touched it.

[00:27:54] It wasn't like usable, right?

[00:27:56] So, what I can tell you is like seeing my auto margination in DS Core, it's like 95% accurate every time it does it.

[00:28:06] And like, I grab these crowns off of DS Core and it's like, wow, it's already marginated.

[00:28:10] And it's not because the scanner is necessarily that much better or DS Core is that much better, but we're using cloud computing.

[00:28:16] And we're using AI to like learn margins from not just my scans on my local machine, but thousands and millions of thousands of scans, right?

[00:28:25] So, now it's learning and it can marginate better.

[00:28:28] And I've seen AI crown proposals and they look awesome.

[00:28:31] And so, now as we're like moving into that phase, I expect myself to be able to scan a crown prep, go do two hygiene exams, come back.

[00:28:42] My initial crown proposal is done.

[00:28:44] I can check a couple parameters and make sure they look good and then just send it to my milling machine and literally not to touch anything.

[00:28:50] And that's kind of the goal of where we're going.

[00:28:53] That's my dream.

[00:28:54] And then the next day I retire because that's probably about when that's going to come.

[00:28:58] Yeah, exactly.

[00:28:59] Well, Elon's robots will be prepping crowns before we retire at some point.

[00:29:03] No, Elon's robots will be our dental assistants.

[00:29:06] Oh, man, that'd be amazing.

[00:29:09] I'll take that.

[00:29:10] I looked at that video on, I think it was Saturday.

[00:29:15] I was at my son's house in Utah.

[00:29:17] Yeah, I was at my son's house in Utah and I'm like, oh, we got to teach this thing how to be a dental assistant.

[00:29:24] $30,000?

[00:29:25] Yeah.

[00:29:28] There you go.

[00:29:28] That'd be amazing.

[00:29:29] I'm excited for that.

[00:29:30] Yeah.

[00:29:30] So, if we can do that, 30K, just learn how to put gloves on and do everything our assistants do, that'd be great.

[00:29:37] But they'd have to laugh at my jokes.

[00:29:40] So, we have to train the AI because I need that on a daily basis.

[00:29:43] Well, the most common joke is that that's what she said joke in my practice.

[00:29:48] So, it would only have to learn one thing.

[00:29:52] That's right.

[00:29:53] If it starts with that's what, it can already laugh.

[00:29:55] Yeah, the AI is going to learn for sure.

[00:29:57] Yeah.

[00:29:58] Ha, ha, ha.

[00:29:59] You're so funny, Dr. Fryer.

[00:30:02] All right, guys.

[00:30:03] We got to wrap this up.

[00:30:05] This has been good stuff.

[00:30:06] But, Kevin, anything you want to take back?

[00:30:09] Any apologies?

[00:30:11] Anything you want to double down on?

[00:30:12] I will apologize to my early DS Core grief and chalk it up to me being a moron.

[00:30:20] But I overcame my moronic state, and I really love it now.

[00:30:25] You know, I will say, like, what you experience is not uncommon with any cloud software.

[00:30:30] But the benefit is cloud software is updating constantly behind the scenes without you having to download new versions and install them.

[00:30:38] So, it's like, you know, little things are being learned, and we can iterate quickly and update and move on.

[00:30:43] So, it's only going to get better.

[00:30:46] Great point.

[00:30:47] Great point.

[00:30:48] Very cool.

[00:30:48] Thank you, Mina.

[00:30:49] Thanks for taking an hour out of your day to talk to us these last couple weeks.

[00:30:53] Really appreciate it.

[00:30:54] Thank you, Mina.

[00:30:55] Anywhere we can, if people are looking for more from you, where can they find your courses, lectures?

[00:31:01] Yeah.

[00:31:02] Is there a place to find where you're going to be?

[00:31:03] Find me on Instagram.

[00:31:04] I'm dr underscore barsoom, B-A-R-S-O-U-M.

[00:31:08] If you want to, you know, find me on Instagram, I teach at C-Docs.

[00:31:11] So, all of our workshops are listed on our website, cdocs.com.

[00:31:14] Happy to, you know, hopefully get to meet you and share some of our knowledge.

[00:31:18] We do a lot of hands-on workshops, so it's not like a seminar style.

[00:31:22] So, you really get down and dirty with the software and learn some of these workflows.

[00:31:26] So, I appreciate you guys having me out.

[00:31:28] Yeah.

[00:31:28] Awesome.

[00:31:29] This has been great, Mina.

[00:31:29] I really appreciate it.

[00:31:30] I really wanted to learn as much as I could about the PrimeScan 2 before it demoed in my office in a couple weeks.

[00:31:37] I'll be way ahead.

[00:31:38] I don't even need this demo.

[00:31:41] I'm going to pull some strings and get you the best demo ever.

[00:31:45] So, I'm excited for you to try it.

[00:31:47] I like it.

[00:31:48] I like it.

[00:31:49] All right.

[00:31:49] Thank you, guys.

[00:31:50] If you haven't checked out the Very Clinical Facebook page, don't forget to check that out.

[00:31:55] Kevin's still not charging, but he's sure thinking about it.

[00:31:57] Yeah, I need that money.

[00:31:59] He needs that PrimeScan 2 money from somewhere.

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

[00:32:02] Maybe from you.

[00:32:03] So, anyway, thank you guys for listening, and we will see you next Tuesday.

[00:32:09] See ya.