Very Clinical: Introducing the Primescan 2 with Dr. Meena Barsoum

[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 M.O. on three,

[00:00:21] we will entertain and amaze you with tips and tricks on regular daily dentistry.

[00:00:26] Here's Kevin and Zach.

[00:00:28] What is up, Very Clinical listeners? And welcome to yet another episode of the Very Clinical Podcast.

[00:00:33] I am Zach Liners, 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 tonight?

[00:00:43] We're all watching the Indians lose right now. So maybe things will turn around as we do this podcast.

[00:00:49] We're dedicated to the podcast that we're not watching the playoff game, but we're talking about dentistry.

[00:00:57] However, I'm a little concerned about you, Zach.

[00:01:00] Okay.

[00:01:01] Are you in the doghouse or something?

[00:01:03] Yeah.

[00:01:04] Not allowed to go inside?

[00:01:05] Yeah. If I sound different than I normally do, it's because I'm recording from a different computer,

[00:01:10] and I'm recording outside because my house is getting painted this week, which sounds super exciting.

[00:01:16] So, yeah.

[00:01:17] You got to do it.

[00:01:18] That's right.

[00:01:19] Let's see, Kevin, why don't you introduce our expensive co-host we hired for the night?

[00:01:25] Well, we have the one and only Dr. Mina Barsoom from Chicago.

[00:01:30] How are you doing, Mina?

[00:01:31] Hey, guys. How are you?

[00:01:32] Yeah.

[00:01:33] Um, so, uh, Mina, you are a Cleveland native, which we will talk about in a little bit,

[00:01:38] but, uh, uh, are you enjoying the Indian season so far?

[00:01:43] Um, I am a admitted fair weather, uh, Indians fan, uh, for the last couple of years.

[00:01:48] So I have been waiting for success so I can jump back on the bandwagon.

[00:01:53] But, um, I lived through a lot of the pain in the late nineties and early two thousands.

[00:01:58] Um, I would watch it all 162 games, uh, like pitch to pitch every single one.

[00:02:03] Yeah. So, oh, wow. You're a real baseball dude.

[00:02:06] Then wow.

[00:02:07] I was not anymore.

[00:02:08] Um, life hits you, but back then I was for sure.

[00:02:12] We talked in our chat, how 2016 broke my heart in a way that I didn't think was possible.

[00:02:17] Cause I would, baseball was my life up until then.

[00:02:20] I just, I can't.

[00:02:21] So, I mean, if, if we come back here, that's great, but it crushed my soul and I was in

[00:02:27] Chicago and it happened.

[00:02:28] So yeah, that's just even worse.

[00:02:31] Who, who is your guy then on those late nineties Indians teams?

[00:02:34] You had to have had a, like a, you had to have had like your, your, your couple of your

[00:02:38] guys.

[00:02:40] Sandy Alomar, Sandy Alomar, Chuck Nagy.

[00:02:45] Yeah.

[00:02:45] He had Jose Mesa.

[00:02:47] Jose Mesa broke my heart time after time again.

[00:02:50] I think I've talked about this on the podcast, but the 97, um, world series, we lost the

[00:02:56] Marlins.

[00:02:57] I hated that.

[00:02:57] Uh, which may sell lost.

[00:02:59] Uh, I got it.

[00:03:00] I got to tell the story.

[00:03:01] So before Charlie, Charlie's 30, going to be 31 now.

[00:03:04] So he was four, three.

[00:03:06] I told him that if the Indians win tonight, we're going to go to a parade.

[00:03:10] He was all excited.

[00:03:10] He had to go to bed.

[00:03:11] I had my hand on the phone to call my dad and my brother-in-law, huge baseball fans.

[00:03:17] And of course we lost.

[00:03:18] And both my dad and my brother-in-law are not with us anymore.

[00:03:22] So that, that was never going to happen.

[00:03:24] And when Charlie woke up in the morning, he said, dad, are we going to a parade?

[00:03:30] And I said, no, we lost.

[00:03:32] And there's no parades for losers.

[00:03:34] Oh no.

[00:03:35] You just came out of my mouth.

[00:03:37] Like that.

[00:03:38] That's how you own a life left.

[00:03:39] That image is burned into my brain, Kevin.

[00:03:41] Like Edgar Enterrea hitting the ball right up the middle off of Jose Mesa.

[00:03:46] It just, it can't, I can't ever shake it.

[00:03:48] Yeah.

[00:03:49] Ugly, ugly, ugly, ugly.

[00:03:51] Um, anyway.

[00:03:53] So Mina, where's your, where's your practice?

[00:03:55] Tell us, uh, where'd you go to school?

[00:03:56] Give us your like a quick, quick hit bio and my CB before we get started talking.

[00:04:01] Um, yeah.

[00:04:02] Uh, graduated 09 case Western in Cleveland.

[00:04:05] Um, moved to Chicago, started up a practice from scratch, uh, after my GPR.

[00:04:10] So I'm just in Northwest suburbs of Chicago, uh, Arlington Heights.

[00:04:14] And, uh, I've been there since 2010 was a solo practice for a while.

[00:04:19] And then I, uh, brought on some associates and now we're three doctors and, you know,

[00:04:25] just finished an expansion.

[00:04:26] So it's been, uh, it's been a busy couple of years at the office, but, um, yeah,

[00:04:29] excited to be here with you guys.

[00:04:30] I love this podcast.

[00:04:31] Was your GPR in Chicago?

[00:04:34] I did Illinois Masonic.

[00:04:36] Okay.

[00:04:37] Yeah.

[00:04:37] It's a well known, uh, global, uh, monster of a GPR.

[00:04:43] No, I don't know.

[00:04:44] It's just whatever I could do here to get my feet.

[00:04:47] What got you to, what made you hightail it over to Chicago after, uh, growing up in Cleveland?

[00:04:51] Just, did you want to just get the hell out of there?

[00:04:53] No, I never really thought I'd leave my wife's from here.

[00:04:56] Um, so we got married, um, yeah, right after a dental school.

[00:05:01] It was like three weeks.

[00:05:02] I got, I graduated, moved and got married all in like back to back to back.

[00:05:07] Wow.

[00:05:08] But I love it.

[00:05:09] I love it here.

[00:05:10] I never realized I'd be like, I was a big city person and I, I need a big city.

[00:05:14] So I'm excited.

[00:05:15] I still live in the city.

[00:05:16] We don't even live in a suburb.

[00:05:17] Right on.

[00:05:18] That's excellent.

[00:05:18] Awesome.

[00:05:19] Love that.

[00:05:19] Okay.

[00:05:20] Uh, so we're talking, uh, prime scan two tonight, since that has, uh, been recently released.

[00:05:27] Is it on the market now?

[00:05:28] Is it, is it available for purchase or just getting ready to be perked?

[00:05:31] No, it's ready.

[00:05:32] Um, you can purchase it now.

[00:05:34] Um, as of dense place for a world, a couple of weeks ago, now it's, uh, it's available

[00:05:38] to buy.

[00:05:38] Okay.

[00:05:39] So since we were talking about prime scan to our bit of the night is we were going

[00:05:43] to talk about sequel movies and preferably in this case, your favorite sequel, or maybe

[00:05:50] even a sequel that did better than the original.

[00:05:53] So Kevin, I'm going to go to you first here.

[00:05:56] Do you have a sequel movie that you enjoy as well or more than the original movie?

[00:06:03] I'm going to go into the way back time machine and go with Godfather two.

[00:06:07] I know you guys probably weren't alive during that period of time, but, um, yeah, Godfather

[00:06:12] two, um, Robert De Niro, the whole like backstory part of everything, very intriguing.

[00:06:18] And, um, I, I would flip flop between, uh, Godfather one and Godfather two, as far as which

[00:06:26] is actually better, but that's a good sequel.

[00:06:29] I mean, that in terms of sequels, that's way up there.

[00:06:33] So, um, you know, I, my dream is to, uh, cook a bunch of Italian foods and binge watch

[00:06:41] all the three Godfather movies and, um, you know, right in a row, but I've never done that.

[00:06:47] Just bits and pieces.

[00:06:49] Okay.

[00:06:49] So, uh, I'm going with Terminator two.

[00:06:53] Oh, okay.

[00:06:54] That is actually one of the, I was trying to, not necessarily my favorite second movie, but

[00:06:59] I was trying to think of one where it was actually better than the original.

[00:07:02] And I feel like Terminator two, just like when that came out, that was a, that was a big

[00:07:07] deal.

[00:07:08] People were talking about that all summer.

[00:07:10] It was a, it was a very cool, very cool action sci-fi, um, movie for sure.

[00:07:17] I haven't kept up with much of the rest of the series, but T two was, that was like peak

[00:07:21] Arnold to me.

[00:07:23] Yeah, that was good.

[00:07:24] I can agree with that.

[00:07:25] All right.

[00:07:26] Okay.

[00:07:26] I would say, yeah, no.

[00:07:30] Uh, yeah.

[00:07:31] Thanks for the, the, uh, lead up.

[00:07:33] I, you know, I'm thinking back to, I think it was late two thousands or mid two thousands.

[00:07:38] I was probably in college or dental school, but when the matrix first came out, there was

[00:07:42] all this hype for the matrix.

[00:07:44] And then we waited so many years for two and three as they were filming it.

[00:07:47] And I just had all this anticipation for matrix two.

[00:07:50] And then it just keeps popping in my head.

[00:07:52] I'm also thinking about Trump and the attempted, uh, you know, uh, homicide where he was doing

[00:08:01] the matrix thing, dodging the bullet.

[00:08:03] And it was just popping in my head.

[00:08:04] So yeah, matrix two was, was solid.

[00:08:06] There was a sequel to the assassination also that was, yeah.

[00:08:09] Yeah.

[00:08:10] Didn't go that well.

[00:08:11] No.

[00:08:12] Oh man.

[00:08:13] That's all right, Kevin.

[00:08:15] Uh, prime scan two.

[00:08:16] I'm turning it over to you.

[00:08:17] Cause, uh, I don't, uh, I don't want to have prime scan one and, uh, I don't know anything

[00:08:21] about prime scan two.

[00:08:22] So you take it from here.

[00:08:24] Okay.

[00:08:24] So I think it's worthwhile Mina to, um, uh, as we started to ask off, off camera, what

[00:08:30] your role is with dense by Sirona and let's just go through that, uh, first.

[00:08:35] And then I have a followup question to that.

[00:08:37] Sure.

[00:08:38] Lay it on us.

[00:08:38] Yeah.

[00:08:39] So I, uh, when I started my practice, I invested in, uh, Sarek, uh, six months in.

[00:08:45] So I was in a startup practice in the middle of a recession and I decided, you know, not

[00:08:50] knowing any better, really, I just wanted to do something different than the competition

[00:08:54] in my area.

[00:08:55] So I bought a Sarek, I bought a blue cam at the time, which was a powdered scanner where

[00:09:00] it would take still images, um, and, uh, kind of the, the cheapest mill I could possibly

[00:09:06] get.

[00:09:07] And then eventually scaled it to what I have now where, um, single visit dentistry and

[00:09:12] chair side dentistry is kind of a big, a big part of what we do.

[00:09:15] Um, early on within a couple of years, I started taking courses and workshops down in

[00:09:19] Scottsdale at Sarek doctors and spear.

[00:09:22] I got involved with that organization, um, as a mentor.

[00:09:25] And then, um, I've been resident faculty there for the last eight years.

[00:09:29] Um, during that time, I, I also got to meet a lot of people from dense by Sirona.

[00:09:34] And I eventually found myself as a beta tester for various scanners, the Omnicam, the prime

[00:09:40] scan, prime mill, prime print, all the primes.

[00:09:43] And then, uh, now the prime scan too.

[00:09:44] So my role with dense by Sirona, I serve as a key opinion leader.

[00:09:48] And I also, um, do a lot of beta testing for hardware and software for that company.

[00:09:53] Uh, primarily though, I teach at C docs.

[00:09:56] I teach all the, uh, advanced workshops, all of our, you know, CAD cam and printing workshops,

[00:10:00] uh, full arch stuff, um, at C docs in Scottsdale.

[00:10:04] And how often are you teaching?

[00:10:06] Uh, this year I did 52 workshops, two day workshops.

[00:10:11] So it's, yeah, I'm, I'm down in Scottsdale in Charlotte.

[00:10:14] Um, at least once or twice a month.

[00:10:16] Um, I was there last week in Charlotte for four days.

[00:10:19] I'm heading to Scottsdale tomorrow for four days.

[00:10:22] So, um, it's, it's, it's something I enjoy.

[00:10:24] So I, it's not a, uh, a burden, at least not at this point, but, um, it is something

[00:10:28] I enjoy for sure.

[00:10:30] Until Zach minor shows up in your classes.

[00:10:32] Yeah.

[00:10:33] A bunch of questions.

[00:10:35] Welcome buddy.

[00:10:35] Welcome.

[00:10:38] Um, well, I guess you kind of answered my other question.

[00:10:40] You did start with the, the blue cam.

[00:10:43] I did.

[00:10:43] Yep.

[00:10:43] Back in the day.

[00:10:44] Yeah.

[00:10:44] So blue cam and learning how to powder and learning how to take still images.

[00:10:48] That was a whole process back then.

[00:10:51] Yeah.

[00:10:52] Um, and that's where I started to, um, I did have the red cam, I think for a couple of

[00:10:56] months and then there was some sort of trade in thing for the blue cam, but I've been through

[00:11:01] all iterations of, of Zara cameras.

[00:11:04] So, um, you know, we use the, we use the prime scan primarily in our office right now.

[00:11:11] It is my favorite scanner.

[00:11:13] Uh, also we talked off air about different scanners that we have.

[00:11:17] I have, I do have an iTero also.

[00:11:18] Zach has a Medit.

[00:11:20] Um, I've used them all.

[00:11:22] I do think that the prime scan is the Ferrari of, of all of them in terms of ease of use.

[00:11:29] And, um, you know, I, I used to say that I could grab everybody, anyone off the street

[00:11:36] and teach them how to scan in a short period of time until we had a temp assistant come

[00:11:42] in and it was a disaster, but I don't know if that says something about us or her or whatever,

[00:11:49] but I do think that the prime scan is a top notch, which leads us to our sequel to the prime scan,

[00:11:58] uh, the prime scan too.

[00:12:00] So give us the elevator pitch for the prime scan to tell us all its features.

[00:12:06] Yeah.

[00:12:07] So, uh, I mean, from a just kind of basic perspective, I think people look at this scanner and immediately

[00:12:14] assume, Oh, it's just a wireless prime scan.

[00:12:17] And you know, it is wireless and that's a big part of it, but it's not just wireless to a local, uh,

[00:12:23] workstation or local software. It's wireless to the cloud. So it's, it's a huge undertaking to be able

[00:12:29] to scan directly into a web browser, directly into a cloud in real time and not have local software

[00:12:37] that you're running on a laptop or a PC that is, you know, capturing the data, compressing it,

[00:12:43] and then storing it locally. This is going directly over the internet into the cloud. And I think the,

[00:12:48] the big difference here that a lot of people don't realize or think about is, you know, not having to be

[00:12:53] tethered to a workstation, not having to be tethered to software is a big deal. At least like in my

[00:12:59] practice, for example, I run Macs everywhere. So for me to use CEREC, I need to find windows computers

[00:13:05] and like install, you know, all these different virtualization software and it becomes a bit of a

[00:13:10] burden. So now in order to scan, we open up a Google Chrome web browser and we log into DS core and

[00:13:18] anywhere in the office, we can start scanning and it goes right into that web browser. So we've scanned,

[00:13:22] we scan on tablets, we scan on our Macs and the operatories. I've done silly things like put on a

[00:13:28] vision pro and scanned with a vision pro. Yeah. Crazy stuff. I mean, because it's web-based, right?

[00:13:34] So, so it's, it's direct cloud scanning. And now the data is stored in the cloud. And one of the

[00:13:40] advantages is, you know, we're no longer limited by the computing power we have locally on our machine,

[00:13:46] right? So I can kind of leverage cloud computing and we have servers or DSS servers all over the

[00:13:52] world and are way more powerful than the cart we have in the operatory for the time scan. So the

[00:13:58] processing is faster. The, um, some of the capabilities that are coming down the road,

[00:14:03] uh, can't necessarily talk about everything, but there's, you can kind of see the writing on the

[00:14:06] wall. I mean, eventually chair side design and manufacturing is going to be on a web browser in

[00:14:11] the cloud. Um, and that's, what's being built now. So it's, it's going to be, uh, you know, a platform

[00:14:16] leading to the future. So for me, the, the PS2 or the prime scan too, is just a, you know, super

[00:14:22] impressive direct to cloud scanner that is easy for anyone to use. Um, and we were not tethered by

[00:14:29] hardware or software or, uh, or power or wires. Yep. So I think one of the mistakes early on in my

[00:14:38] sarikness was just, and I've said this in, in lectures that, um, the dumbest thing it does is

[00:14:45] make crowns. Like you have, you have so many things that you can do with it. And currently,

[00:14:52] you know, I like to tell new employees that it's the hub of our whole office. Everything kind of,

[00:14:58] uh, there are spokes off the hub from the prime scan for almost everything we do. Um, if I have to

[00:15:06] take a physical impression, that's a very sad day for me. It happens, you know, once or twice a year,

[00:15:12] but wow. I don't even have a polyvinyl impression in the office. So that would be a bad day if I

[00:15:16] could not scan. You're ahead of me on that. We, we, for some, uh, denture stuff, we,

[00:15:22] we definitely take an impression. But, um, so, but because it, Sarek has a reputation for being,

[00:15:31] you know, same day crowns and all that, let's just walk through how you would use your prime scan

[00:15:36] to, uh, to do a crown now versus the traditional way you would do it with, with the cart and,

[00:15:42] you know, what, what everyone would traditionally think of in their head as a Sarek. Yeah.

[00:15:46] Um, so let me start with the more traditional workflow, which is a, uh, Sarek software on a

[00:15:54] machine with a license. So on your prime scan or on some type of lab workstation. Um, so traditionally,

[00:16:01] and that's still, we still do this. Um, we, cause we have two other prime scans, uh, that we use in

[00:16:06] the office along with our prime scan too. So it just depends on which one's available and which

[00:16:10] one's being used. So, um, we can take scans of a preparation on the traditional prime scan. We

[00:16:17] design the restoration right on that machine and we send it to a manufacturing device. It's a printer

[00:16:21] or a mill depends on what you're making. Um, with the prime scan too, it's a little different because

[00:16:26] now I don't have to worry about a cart that I have to bring into the operatory with me or a laptop

[00:16:31] with a battery, um, and plugs and dongles and all this stuff to bring in a laptop. I literally just go

[00:16:37] from room to room with the scanner. We log into a web browser and we start scanning. And once those

[00:16:43] scans are in the cloud, I can then push that data to a workstation to design a Sarek crown. I can push

[00:16:50] it to a workstation to design a splint. I can push it to sure smile to order liners, or I can say,

[00:16:56] save their scans as part of their chart or their record. So, um, a few years ago we started scanning

[00:17:01] every new patient and scanning our patients on a regular cadence. And, um, again, it's a process,

[00:17:07] you know, you got to bring the cart into the hygiene room and scan and then figure out storage

[00:17:11] and where to save it and which cart did we scan it with and all those things. And now I have a patient

[00:17:16] chart and be a score that I can just go in and see all the patient scans and I can compare scans from

[00:17:22] different time points or I can use a scan from six months ago to design a crown today.

[00:17:28] If you broke a tooth, I can use your scan that I took six months ago and I can make a tooth off of

[00:17:33] it and truly restore you to what it looked like before. So that's been, um, a lot of the process

[00:17:38] that we do now with the prime scan too. Yeah. I want to talk more about DS core in our second episode.

[00:17:43] So kind of want to skirt around that a little bit, but, um, you hit onto something that, um,

[00:17:50] the minute I saw the prime scan too, I think, um, uh, Mike Scramstad had a video out that I saw

[00:17:58] initially and I saw that it was wireless. You know, the light bulb went off because digitizing

[00:18:04] our patients right from the get-go has really been kind of a dream of mine, but it's cumbersome

[00:18:11] with the scanners we have now. Um, so because it's wireless, uh, right away, I was like, Oh,

[00:18:20] this, this could really fit what I've always wanted to do. You know, you come in as a new patient,

[00:18:24] we take our photos, we take our radiographs, we get all that compiled, and then I can get a scan of you

[00:18:31] that will essentially live forever in the cloud. Um, are you doing that now? What, what have you found

[00:18:38] the benefits of, of that? And, you know, just speak to that for a little bit. Yeah. You know,

[00:18:43] so, um, prior to scanning every patient, we had a regular cadence of records. So patients come in,

[00:18:49] they get obviously their intraoral radiographs. We have a cone beam. So we take a CBCT on every

[00:18:54] new patient as well. And that eliminates the need for all the posterior PAs and things. So we just

[00:18:59] take bite wings and anterior PAs. We take a CBCT and I'll take a bunch of photos and I'd have my

[00:19:04] assistants or hygienists take a bunch of intraoral photos. Cause my whole idea was I want to digitize

[00:19:10] the patient or what we call a digital twin of the patient in the software. And I wanted to kind

[00:19:15] of do my exam at my desk before I go in to see the patient. I don't like to be surprised by things.

[00:19:20] So I kind of, you know, always sit at my desk and I do a consultation in my desk and then I go in and

[00:19:25] talk to the patient. Um, and I found that like to take all the buckle pictures and the arch

[00:19:31] pictures and everything in order to see their teeth. I have a digital scan there. Why do I need

[00:19:36] all those pictures? I can manipulate their jaws. I can look at their occlusion. I can look at the bite.

[00:19:41] And what I found is not just for my diagnostic purposes, but also from a patient communication

[00:19:47] perspective for them to sit there and look at their teeth in 3D and I can manipulate the models

[00:19:52] and zoom in on, you know, things that may be concerning. And I think that has a whole different

[00:19:57] impact to a patient versus looking at an x-ray they can't understand or looking at a picture

[00:20:01] that is just two dimensional. Um, so for me, the scan is, is the second thing I show them usually is

[00:20:07] the scan. First thing is just a closeup of their smile. And we talk about aesthetics first, but,

[00:20:11] um, and then we usually jump into the teeth. So I jump into their scan and we go tooth by tooth

[00:20:16] and we have a tour of the mouth as we learned at Spear. This is kind of the philosophy and I use the

[00:20:21] scan first and then I use the photos. And then the last thing I looked at are x-rays. Um, once I've,

[00:20:25] you know, pretty much figured out what's going on with the patient.

[00:20:28] Yeah, we, uh, you know, we're big on photos. We have a similar workflow minus, you know, scanning

[00:20:34] every patient. It's just impossible right now. I'm hoping to overcome that by getting a prime scan

[00:20:42] too, uh, shortly, but, um, you know, being able to diagnose the patient in my office, you know, looking

[00:20:50] at their photos, looking at their x-rays, it's like, I already know what's going on before I walk in the

[00:20:55] room. It's really, um, really beneficial for everyone. What's the patient's perception from

[00:21:01] seeing their scans like that and, you know, sort of having this different workflow?

[00:21:07] You know, I think patients have a certain, um, impression of what dentistry should be

[00:21:12] based on their experiences that they've had before they come to one of our offices.

[00:21:16] And I think they're used to walking into an office that probably smells like a dental office and

[00:21:22] looks like a dental office. And, you know, they're going to have x-rays that are uncomfortable.

[00:21:26] They're going to have a hygienist poking their gums. They're going to have a dentist coming in and,

[00:21:30] you know, telling them all this expensive treatment. And I think, you know, what I try to do is we,

[00:21:34] we create this, you know, this co-diagnostic journey for a patient where hygienists go through

[00:21:40] images and scans and they talk to a patient about concerns. Then they talk to me about those same

[00:21:45] concerns. I validate those concerns with the hygienist. So now the patient's heard it two or three times

[00:21:49] before, you know, they realize, Hey, this might be an actual issue that I have to deal with. So

[00:21:54] I think today patients just want to know everything and they want to see everything. And there's,

[00:22:00] you know, unfortunately, like in our profession, there's this inherent distrust that patients have

[00:22:04] of, of our profession. And, you know, I've always had this like thing, even when I was a younger

[00:22:09] dentist, like I looked young and I had to prove to a patient why they needed treatment. So I was always

[00:22:14] taking pictures and going above and beyond. And that was always kind of something I had to overcome.

[00:22:18] But I think patients expect that now they come in, they want to see, and they want proof that

[00:22:23] what you're recommending is truly a concern and they want to understand options and alternatives and

[00:22:27] consequences. So scans and images, CT scans, you know, pictures, all this stuff is just part of a

[00:22:33] package that really just helps them see what they need and helps us to help them get the treatment

[00:22:39] they need. I think that's an interesting point because, you know, I think as time has gone on,

[00:22:46] in my practice, treatment acceptance has gone up. And I think part of that is my age. You know,

[00:22:53] just, you know, you, you speak with more confidence, but the other part is it's right in front of your

[00:22:58] face. We have giant monitors in each operatory. You have your photos right there. You know,

[00:23:04] your tooth, you can see it. I don't have to like prove that to you or whatever.

[00:23:11] You know, like you, like you had said, the, the co-diagnosis, it's right there in front of the

[00:23:15] patients. And I do think that the patients appreciate that. And also, you know, yeah,

[00:23:22] a lot of it's how you, how you carry yourself. I don't need, I don't need to do it.

[00:23:28] No, absolutely right. Like early in my career, I was, I'd like beat myself up if I had somebody say

[00:23:34] no to treatment. Like, what did I do wrong? What, what, like what's wrong with me? Why can't they

[00:23:38] understand it today? I mean, we kind of have a saying in the office and it's, it's a joke, but we,

[00:23:43] it's kind of true. Like teeth aren't for everyone. So if you don't want to take care of what I

[00:23:47] recommend, then, you know, that's okay. It's only going to get worse. I'll be here. We're not going

[00:23:51] anywhere, but it's up. It's your tooth. It's your, it's your concern. I'm just trying to help you

[00:23:56] fix your problems or improve your health and that's it. And if you don't want to do it,

[00:23:59] that's okay. The best part of imaging is that, um, whether they say yes or no, at least you don't

[00:24:07] get the comments anymore. Like, Oh, what do you, you need to make a car payment and you make a boat

[00:24:11] payment with this? Cause you know, they know that it's not a, it's not a made up thing, you know,

[00:24:16] that's, but I also do need to make a car payment and a boat payment. So obviously I need them to say,

[00:24:21] I think Mina does need to make a car payment. Very true. Hey, I have some, I have some nerd

[00:24:28] questions for you, Mina. So with this wireless, is it, is it a Bluetooth connection or is this a,

[00:24:34] is this over wifi? What, how's this happening? Yeah. So it's directly over wifi. So, um, the,

[00:24:40] the prime scan two will pair directly to your network. So again, there are some requirements in

[00:24:46] terms of upload speed and network performance in order to be able to run the prime scan two,

[00:24:51] which is important. Yeah. I mean, you have a lot of data going up into the cloud and what I'm seeing

[00:24:57] is the compressions getting better. The speeds are, are requirements are getting lower, but it is a 50

[00:25:02] meg upload minimum right now, which is a, a, a big number. Um, so in anticipation of that, um,

[00:25:10] Denspy created a device called an edge device. So it's not a computer per se, it's more of a buffer.

[00:25:15] Um, so if you don't have the upload speed, if you don't have the, the, the minimum network

[00:25:21] requirements, they plug this thing into your, you know, server room and basically it's like a booster,

[00:25:26] right? So it takes the scans and then it, you know, compresses them and then it uploads it on

[00:25:31] a slower upload speed if, if you have it. So it kind of works as like an intermediate right now.

[00:25:36] Um, but yeah, I mean, I have living in, in, in like major areas, we all probably have gig lines,

[00:25:42] you know, to our office, but I mean, I, I, there's a lot of the rural guys that are on like

[00:25:46] Starlinks or something that probably don't have the juice for that maybe, you know?

[00:25:50] Yeah. And so you can, you can run it off a Starlink. You just have to have the, the edge device

[00:25:55] and that'll basically buffer things. So it's a little bit smoother for your experience.

[00:26:01] They did. Um, I, I didn't have to use the edge device cause I had enough upload speed, but so

[00:26:07] I can't speak to how it functions, but on the beta forums that we had and people that were using it,

[00:26:12] it was working and it was helping them. So like a lot of people in Canada and some of the other

[00:26:16] areas that were testing, they were having some, you know, upload issues, but that's, that's the one

[00:26:20] thing is, you know, I hear this a lot from people, you know, what if your internet goes down?

[00:26:25] Like what's going to happen? You can't scan anymore. And I'm like, my software's cloud-based.

[00:26:30] My phones are voice over IP. Like I lose internet and we're dead. So might as well just go home.

[00:26:36] Um, actually happened last Monday for about a half hour before we were seeing patients. And,

[00:26:42] you know, I start to sweat a little bit, everything came back on, but like nothing is working.

[00:26:47] Like you might as well go home. It is true. We are tethered to IP. We are tethered to the internet.

[00:26:55] Um, and I have, I mean, I have a 5g backup. So if our Comcast goes down or our internet goes down,

[00:27:02] I have a 5g backup. And if there's no 5g going on that, we're probably in the middle of like

[00:27:07] some nuclear event. Um, and I'm probably not going to prep a crown at that point. So,

[00:27:12] uh, that's the end of the day. Yeah.

[00:27:14] I mean, I'm going down with the ship.

[00:27:17] What is a 5g backup? Like that's, that's cool. I feel like I need something like that.

[00:27:21] I got a, it's so net gear makes these modems. Uh, it's called a nighthawk. So I just have a

[00:27:26] modem basically that has 18T. I just pay them $50 a month or whatever it is for the 5g

[00:27:33] send card. And that plugs into my network. So when the network goes down, this thing fails over

[00:27:38] and it immediately kicks on and we use 5g. So it'll be a little slower, but it'll still be

[00:27:43] functional. I can take calls and open my cell and stuff.

[00:27:47] This podcast was just worth it. Cause I, yeah, there you go.

[00:27:51] I never, I never heard of that. So I bet you, I bet you have that in that, in your area. I bet

[00:27:55] you could buy something like that, Kevin, you know, for sure.

[00:27:59] Yeah. I'm going to look into that for sure.

[00:28:00] Send me a couple bottles of bourbon and I'll come do it for you. Uh,

[00:28:04] all right. That's my currency. Yeah.

[00:28:06] Hey, that that's, that's easy.

[00:28:10] How easy is it to do a full arch scan with the meta that you're using now, Zach?

[00:28:15] I don't even have the newest meta. I'm on, I'm only on the 600 and, and, uh, my assistants

[00:28:19] can knock out a full arch scan pretty well. The key people are so obsessed with the scanner.

[00:28:25] It's about your, your laptop power. And, um, you, if you keep your tips clean, um,

[00:28:33] she said,

[00:28:33] tip is clean. Yep. Um, and, uh, um, you know, just like no one's basic scanning principles,

[00:28:41] you know, like, you know, following a, following a path and turn off the lights and all that kind

[00:28:47] of stuff. But no, I mean, if you keep your drivers up and you have a good laptop, like,

[00:28:51] you know, most decent scanners are going to get that job done. And the, the 600 works,

[00:28:57] it cruises along. We, we, we get full arches sometimes tissue with like, no, like, uh,

[00:29:04] dentulous. Yeah. Dentulous areas, especially posterior mandible.

[00:29:10] Hmm. I haven't gotten to the point where I'm going to do like a, I wouldn't do a saddle partial

[00:29:14] with my, my meta. I'm going to go back to, I'm going to do allogeneity on that or PBS or something.

[00:29:19] So, but prime scan too. Yeah. Or, or that. Yes. I will say, I mean, uh, apple to apples. Like I,

[00:29:26] I had a medit 600 that I was trying to figure out a way to make it work on the hygiene side for

[00:29:33] scans. And I think the problem for me is my hygienists were so used to prime scan

[00:29:38] where you didn't have to follow this very like strict linear scanning process. And it's a little

[00:29:44] bit more free to kind of scan and medit needs that in order to run. It's kind of like an Omnicam

[00:29:48] kind of works the same as, as the Omnicam scanning. Um, and, and the, honestly, the biggest

[00:29:54] thing for me was like the tips, if the tips weren't perfectly like clean and pristine and

[00:29:59] brand new, it wouldn't scan well. And I just found that it was like a little bit more trouble than,

[00:30:03] than what it was. So we got rid of it. But I think for me, it's a good scanner is like an entry

[00:30:09] scanner. And I think a lot of people have it and you can get into digital dentistry that way very

[00:30:12] easily. Um, I think the whole idea of prime scan too, is to kind of, you know, capture that market.

[00:30:18] Um, the, the practices that want to scan, they don't want to manufacture necessarily right away,

[00:30:23] which is a lot of practices. They might not want to manufacture immediately, but this gives you

[00:30:28] at least a gateway so that in the future, if you decide to add manufacturing, you already have,

[00:30:32] you know, a pathway to do that. So, um, and I think that's the, the big win for the prime scan too,

[00:30:37] is it captures that, you know, different market of DI only, but you still get a premium scanner.

[00:30:42] Very cool. Very cool. Um, any, uh, we gotta, we gotta wrap this one up, but we're going to have

[00:30:48] Mina back on, uh, next week to delve into the DS core and anything we missed from today, but,

[00:30:55] uh, anything else you, Kevin, you want to double down on it?

[00:30:57] Yeah, that was a very, very comprehensive. And, uh, you know, the Indians almost took the lead,

[00:31:03] but now we're down by one run.

[00:31:04] I think you're getting better.

[00:31:05] Good. What is it? Four, three or three, two?

[00:31:07] It's three, two. Um, we had bases loaded and scored two runs.

[00:31:12] Kevin is, is your prime scan too? Is it, is it on order? Is it a fourth quarter purchase?

[00:31:16] Is it, uh, I'm getting the demo as soon as I, uh, very soon.

[00:31:22] And then we'll decide from there.

[00:31:24] Okay.

[00:31:24] And Zach, I'll pull some screens for you, strings for you if you want. I'm actually going to be down in,

[00:31:29] uh, St. Louis doing an event, uh, next month. So if you want to come up and, uh,

[00:31:34] get some hands on and at least, uh, maybe get, grab a drink, we can, uh, we can definitely go on

[00:31:39] over. We need to talk about that. All right. Very cool. All right. Hey, uh, see that. Thank you

[00:31:44] guys for, uh, for listening. Um, thank you Mina for joining us. And again, we're going to continue

[00:31:49] this conversation next week. So if you want to hear more about prime scan too, we will see you

[00:31:55] next Tuesday.