Ivotion, CHROME GuidedSMILE, and Smileloc (Part 1 of 2)
Hello everybody. And thank you for joining us today. If you're one of the hundreds of people joining this webinar, you're in luck because myself, BJ Kowalski and Grant Olson are gonna present to you some new information and some new materials and techniques for a new protocol in full arch dentistry, which we believe can really change your practice. Not only how you present full arch dentistry to your patients, but also their level of acceptance. And it's gonna change thousands of patients lives around the country.
So many patients are need in dental distress and our need of, of treatment that can't afford some of the expensive treatments that are out today. So what Dr. Olson and I are gonna speak about will, will change that and give you another option with newer materials that are now available. So we're super excited to be here and glad you're here with us today. Like I said, my name is BJ Kowalski. I'm the CEO of row dental laboratory,
and I'm here with Grant Olson. Who's the CEO of Innovative Dental in Springfield, Missouri. I've had the pleasure to know Dr. Olson for several years now. Um, his, his practice is really focused on, on changing people's lives and changing people's people's smiles with innovative approaches. Uh, that's why he named, uh, his practice Innovative Dental. Um, it's like a practice that you've never seen as one of the most impressive dental practices I've I've ever been to. Um, but I've been even more impressed with, with Dr. Olson. Um, not only as a clinician, he's a, a wonderful clinician.
He's a, uh, one of the top, uh, three hundreds trainers in the world. He's a diamond Invisalign provider. He's one of a premium CHROME GuidedSMILE providers doing full large cases every week in his practice consistently, sometimes more than that every week, but I've really been impressed, not only with his, his clinical skills, but his offering to patients, how many services he offers and how well he does everything, but most impressed with him as a leader. I've seen him, him in action in his, with his large staff in large facility. And, uh, he really is, uh, has got great skills of, to lead people. And, um, you know, we're, we're happy to, to be presenting with him today.
So a little bit about ROE Dental, Laboratory, ROE is a, a family owned business. Uh it's you know, my, my family's owned business for a long, long time. Uh, I've started in 1926. I've been in my family since the seventies. Um, like I said, where everything's made in the US, we make everything in one of our three facilities, mostly outside of, of Cleveland, Ohio. We have over in 250 staff members with, with 20 CDTs,
which is a lot for most dental laboratories and four full four dentists on staff. Um, we're FDA registered and we're ado certified, which is a special designation that shows that we really pay attention to quality, um, standards and the materials that we use. So what are we talking about here today? And what's the problem that we're trying to solve with this approach? Well, the problem is how to provide a long term full art solution to patients that are previously priced out of the full large market. How many patients come into to your offices and they just can't accept the treatment and they walk out without, without a solution, or maybe you move 'em down to an overdenture type solution or regular denture. You know, it's a solution, but not really what they wanted and not maybe the life changing event that they wanted. There's over 40 million Americans, um, that have no teeth, you know, currently in the United States. And, and, and according to I,
data research only we're doing over 250,000 over a quarter million full large cases a year in the United States. What's that number gonna look like if we can cut the treatment by a third in half, how would that make a difference for your practice and your patients? So creating the ideal solution? So if we, we have, the problem is, Hey, we wanna get a way to get more full, large cases in patient smiles that they can afford without cutting your bottom line without, without, you know, uh, costing you money and having to discount cases. But know, number one, we need something strong.
We need something strong enough that is gonna withstand the forces of ation, uh, in the, in the interim, but, but even long term, uh, secondly, we need a reduced costs. So, uh, you know, the lab costs need to come down. So we've, I think the convergence of these three technologies, um, will also bring the lab costs down, but most important. I mean, the lab costs are great and you know, that that's meaningful, but what's the most expensive variable in your practice. It's your time, it's your chair time, the time of your staff, it's cutting down the amount of time, uh, number of visits that the patient has to, to come to your office in order to get the treatment finalized and to avoid complications. So we know the problem, we know some of the challenges, and I think we have an answer today with what we'll present. Um, the answer is combining three patented technologies that we've been at RO dental laboratory have a lot of experience with at this point. And our bulk,
the leader in all three categories is one is Ivotion from Ivoclar. It's a, it's a unique type of full arts, dental prosthetic made in a CAD cam technology. That's very unique. And I'll, we'll explain a little bit about that. Second is CHROME GuidedSMILE, which is a number one leading full arch surgical guided system in, in, in the world right now, or excuse me in the United States right now. And we're gonna combine that technology with Ivotion, with RODO Smileloc, which is a way to fix that implant prosthetic to the mouth, without holes, without screws, that can be a game changer for your practice. So the challenge that we have is maybe there's a way to, there's a way to make prosthetics that'll, you know, we can get, 'em get 'em cheaper in last chair time, but gosh, we don't want 'em to break.
Uh, you know, we don't wanna go back to the days of, uh, you know, bars and acrylic teeth on hybrid dentures where they're having continual breakages and chips of teeth. So we need something very strong. So the material strength has to be super strong. It's Ioan um, by Ivoclar, it's the strongest, which I'll show you some facts and figures on that, the strongest, uh, denture material on the market today. And it has to be passive, cuz it doesn't matter how strong the, the denture material is, but if it's not passive it doesn't fast. The chef yield test and it's has stress on it. It's going to, um, it's gonna cause fractures and inherent tension within the prostate.
So it has to be passive and we'd love to get rid of these holes. Holes in prosthetics can be a challenge because it is, um, they are going to, um, uh, it's takes time in the practice. Every time you remove that prosthetic, it becomes a kind of a money loser for your process for your practice because those holes are, um, you know, need to be removed, filled screws, need to replace. And it hurts, uh, the aesthetics and the planning of it because we have to plan around those implant positions and the holes.
So we have a solution with all of those and we're calling it, I voted Ivotion guided smileloc, a combination of these three technologies. So the challenges is the financial savings. Um, there's a financial savings, uh, for the doctor and, and for the lab cost and which we can drive down patient costs. But like I said before, we believe this technology can bring down the appointment from six, using a conventional protocol down to two, you're doing a full case from six to two, and I'll explain it towards the end of the presentation after Grant's case presentation. So let's do a, you know, an outline of today's webinar. So I'm gonna go into a little bit of detail. What are these three technologies and how do they create a, a new restorative option and how is this gonna change your business model and your patient's lives forever.
We're gonna do a case walkthrough with Dr. Olson taking a case from surgery to completion, start to finish. We're gonna recap with kind of summarizing what we're talking about and get into some numbers of how this can really affect your bottom line. And then finally,
some, some Q and a which we can do with the chat, uh, in there. And we'll answer many of those as we can. So let's get started. What is guided smile? Chrome, uh, guided smile is a pre-planned fully guided surgical and pro protocol that ends with an ideal, uh, final prosthetic. And I say final prosthetic, cuz what ends with the final prosthetic, the patient's gonna spend the rest of their lives with we, we provide an immediate prosthetic and all the steps in between, but it provides bone guidance, OS osteotomy, guidance, implant control, abutment timing, um, prosthetic conversion, and, and a way to get to the final very quickly with the last steps, this approach by inter by combining Ioan and smile lock with this new protocol, it can really, really cut those steps down even further. So, uh,
guided Chrome guided smile is a patent protected program. We're really excited. We received the patent in November, 2021 for this technology. So anything that looks like this with horizontal pins and certainly being metal with teeth is our, is our technology. And we're, we're glad to have that behind us. So it comes in in many pieces. Um, it is the, the guided smile. Chrome makes I ocean smile lock possible. We, we, by having the precision of guidance that allows us to put this all together, these three technologies to, to provide something to the patient, the final, or at least interim restoration, long term, interim restoration.
When you seat the, uh, the, in the guided smile from restoration, the patient is walking away with the restoration is gonna serve them for many years to come. That's highly accurate. You know, the, we go through painstaking processes in our implant planning, including having a lot of rules around bone reduction and exactly what we're doing and using an extra oral conversion process with smile lock provides a permanent record for that implant position and tooth position for years to come. So it's like an insurance policy that you can always go back to. And without any, without just one appointment, you can get a new, get the patient, a new prosthetic if they're ever needed. So what makes this so possible? What makes, uh, us so confident that we can provide a smile at the day of implant, placement and surgery that the patient's gonna be satisfied with? And it's really the predictability of the D of the dig of the digital process. Um, we've been doing digital dentures and do hundreds of digital dentures, um, every month for, for many years now. And it's the, you know,
the software and how we develop the smile and getting all the information is, is critical to, um, to making this technology work. If we get all the information in correctly, great records, you know, accurate CBC tan with a CBC cheat scan without scatter distortion. Great, great SDL files are modeled, but most importantly, a picture of the patient's face and a picture of their restorative position.
We can do a, a great job of restoring the patient's smile and technology's out there. Uh, now, you know, right now we, we really insist on a patient of the patient smiling, um, right now to, in order to, to bring all this together and to get those teeth in the right position. But as you can see from this video, we are, um, we are using 3d facial scanning also to bring that in it's a second level, kind of a higher way to go to, to, um, to get more information, not only about midline, you know, incisal EDS position, uh, where the interval million border is, but also cuspid position angles.
We can do all kind of things to, to allow us to, to get the maximum information so that at the surgical appointment, with this protocol, with Ioan guided smile, lock, the patient can walk away with a really nice prosthetic that they're gonna be happy with for many years and possibly the, the rest of their lives. But we bring all that information in with your STL models in with your CBT. So we have a full scope and we even bring in the, you know, pictures of what our preposition would be of, of, uh, of, of what the patient is gonna look like down the road. So it's,
it's great technology and we're happy to address, answer questions of that if you like. So let's talk a little bit about, uh, digital dentures and what they are and why, what they bring to the table. This conver this combination of materials. So IO is, is very unique. It is a, um, it's a solid puck of material with the teeth and the acrylic base all embedded into one. And it's milled. Um, as you can see, and the picture at the bottom, um, it's milled in a puck using a special software geometry that allows us to position these teeth within the puck. So it's one piece of material. There's nothing to break. There's no gluing. We, we,
we take this right out of that, that puck material and finish and Polish it well, when we are doing our, our planning, we plan for this, using this technology and we build it into our process. So when we're making the prosthetic, it's made with this process, we have a large selection of, um, teeth to choose from jaws shapes it and sizes. And it's milled out of a single disc, which I said adds to strength. I'm gonna talk a little bit about, about strength and some of the early, uh, data that ILA has come up with this, but the teeth on base are milled out about highly cross list, monolithic P a disc.
This is something that's been used for denture teeth for years. It has a lot of, um, science behind it. Like I said, this, this computer process of doing things digitally makes it a lot less, uh, uh, important on what technician you're working with. It's more what process you're working through. So the material processes of, of IO ocean, it's a highly crosslink PM a and it's made for long lasting, um, uh, result. And it is a, a tight chemical bond between those two materials.
There is no, you know, uh, the adhesion of these materials that we have to worry about it is, is uniquely bonded together. And it comes from a, a company I Aclara that I know, uh, all of us trust out there. So the strength, you know, according to their early numbers, the Ioan mono block denture, which is at the top is twice as strong as the Ivo based CAD material with prefabricated teeth, the denture teeth, you know, on a card it's almost twice as strong as that technology. And this isn't even talking about the press pack, you know, acrylic that's keep cured in a, in a flask. This is Ioan pressure injected top of the line. Non-digital technology.
It's twice as strong as that. So that gives us a lot of confidence that this material is, is the right one to work, to, to choose for this technology and also wear resistance. Um, the material is made out of material. That's similar to their P E teeth,
which is a teeth that, uh, gosh, we've done, uh, thousands of cases over the years using their teeth. And they've been used around the world for many years. So it's a, it's a proven commodity. It, it about its wear statistics
and load to failure. Um, this material is the strongest category that they've tested. These are some internal tests that, that they're kind of still, uh, internal for clear, haven't been published yet. They're, they're working on it, but you know, on the far, um, left hand side, you'll see the IO ocean. Um, this is the Ivo base, the pressure injected acrylic material.
And you see the IBO ocean, the green bar, it's, it's almost twice as strong as the other material. And then, um, on the blue bar is the, the another option that's, we're, we're really we're fan of as well. The, the Luci tone, digital print, uh, carbon dentures. We do, we do tons of 'em in are a huge fan of 'em,
but in an implant application, it's just not the right solution. It's not strong enough. I, ocean is the right solution for an implant based application. And as you can see on the far right hand, they were kind of enough to do a little test for me. Uh, personally in rodent laboratory is they took, uh, one of these prosthetics that we milled out of it with holes in it and did the same load to failure tests, which is basically how much stress can we put on this prosthetic before it breaks. There aren't really a lot of tests out there for, uh, digital, uh,
mill puck processes. So they're using test processes that are designed for regular dentures, but even a denture with holes in it, the conventional denture with holes that you'd fill up with acrylic, they fill those holes with acrylic and it subjected it to the same test and it was almost as strong. So we can see that, uh, that, that prosthetics without holes, which I'll get to, uh, later in my part of the presentation is stronger than one with holes. So it's great data, you know, work to fracture is another test. Uh, again,
super great, uh, numbers on that. That's not only how much pressure, but how long it can stay, how long it can handle. The pressure is another test that they've worked through, which is great, and tooth de bonding using old, you know, tooth de bonding, uh, techniques with the, the, the vivant CAD versus the evolution. It's. So it's stronger tooth de bonding, cuz no one wants these teeth to break. And when it's a monolithic solid puck of material, uh, we have the confidence that it's, it's not gonna break final technology. I wanted to speak about is a smile lock, no whole technology.
And I think this is a real game changer with the smile lock. So what smile lock is, is a fixed method to hold the, uh, implant born ation in the mouth is only removable by the clinician. It is holds it down as strong or stronger than screws and cement. So you don't have to worry about holes, uh, in aesthetically when you're designing it or planning it, you can put the implants in the most optimal position and not move them because you need to, to move them into the bone, according to where the, uh, you know, the remove them out of the position of the holes being in the aesthetic zone. So that's a huge benefit.
So you're gonna get implant in better bone because of this technology. And it's, it's fantastic. And we'll go through how this working, how this is working. Uh, Dr. Dr. Olson has done, um, many, many cases. He's converted all his full large cases over to this protocol, or at least, you know, put words in his mouth, many of them, and it's, it's working great for him and many other clinicians around the country.
This technology is not new. It's been out in the, in the, in the world for about 10 years. It uses night and all technology, which is, um, been in many industries, it's used in the heart. It's used for endo post.
It's used all, all different areas. So the, the, the, the metal, the technology that it uses, isn't new and the actual product's been in the market for 10 years, but it got caught up in some corporate stuff. And, and hasn't really, um, gotten, gotten its footing, um, yet.
And I think this is the time full arch is the time. The combination of these three materials is the time to make this a, a treatment process, um, and treatment protocol for patients that could be super successful. So smile lock provisional on the model, but as you see the provisional, the final, no holes whatsoever, it's not only a, a huge savings at the surgical appointment, but down the road, when that patient comes back for, for cleaning and, and, and removing this prosthetic, um, it just goes so much easier to remove eight seconds per site. And this,
this Mylock attachment is unlocked in the dental office only, and it is removed and it can be cleaned. It can be reused. You don't have to, uh, redo the parts. Um, it can be cleaned and reused. You can replace them, not replace them. It's a fantastic, uh, technology, and we'll go through it in a little more detail. So what is smile lock? It can pose of three different parts, uh, titanium coping, which goes into the prosthetic, the smile lock, which is a very small attachment with these little wings. And it's made of the night alloy, which is a shape memory alloy, and then a titanium apartment. So the one thing unique about smile lock.
If you do a smile lock taste, you have to use a smile lock above it. If it's a, you know, whatever implant system you have, you have to use their above. And because it has certain contours on it that allow these little wings to engage and lock into place with a mechanical retention. That's, it's unlike anything on the market.
So why smile lock no holes, maximum strength, uh, for the prosthetic, we all, what's gonna be stronger, a prosthetic with holes or not holes. Everyone would answer the same question. No holes is always gonna be stronger. We don't have to worry about screw access holes, and that's a huge time saving. Now. I really believe in my heart.
The reason I'm so excited about this is I'm excited for the patients, because I believe it's gonna be so much easier to remove these prosthetics from the patient's mouths that instead of seeing them once a year, every two years, you'll see these patients more often because it's a quick hygiene appointment and this patient, this prosthetic can be removed and cleaned. So that that patient is gonna have a healthier prosthetic and a healthier mouth, because it can be removed in areas that they maybe couldn't clean with Superlo or a proxy brush. It can be cleaned easier in the, in the dental office. So it's gonna be easier to clean, less time consuming. And those appointments will no longer be a, uh, a loss on your balance sheet every day, when you, uh, on your income statement every day, when you have that appointment, because it doesn't have to be, cuz they're gonna be very fast for the hygiene and cleaning appointments and it's fixed. So it's all the benefit of fixed prosthetic. Uh,
doesn't need any fancy equipment, uh, balloons underneath it. It's not very technique sensitive. It's a wand. And, and, and what, uh, Dr. Olson speak a little bit about that. And like I said, I mentioned the hygiene appointments, which is a super big deal. So how it works with the smile lock, um, I'll show you a little video next, but you basically take the smile lock wand and it uses induction heat, which is applied to the area where the implant is. We put little marks on the prosthetics, so you know exactly where it is and it, although it doesn't really matter, we just do that as a, as a courtesy, you put it near it and these little locks will lock and unlock.
This is the lock state where they're in, um, unlock state, where they, they bend in, which is their natural place to be with the night, all alloy. And this is the lock state where they're out. I'll show a little video here, that'll show in a full screen mode, uh, how this works. So the coping those locking mechanisms, and as you see, once a coping goes down, those locking mechanisms will, once it's heated, they're, they're locked. They're now into those grooves. And when it's subjected the heat, they go back to their natural state and, and morph back into place and the, the prosthetic can be removed.
So smile lock retention. Um, like I said before, there's been a bunch of studies been out for 10 years. These are some great studies. We have probably about 15 studies. They have on different aspects of this technology. Many of those are available on row dental lab's website and the link that's provided it into this program, but it's stronger, uh, in strength than any dental cement on the market and is tested for long term clinical use and has no degradation in performance or retention. And it's a mechanical strength that comes from interlocking undercuts.
It's really the best kind of strength that you can have in a prosthetic and the abutment itself. And some might say, oh, I'm gonna use somebody else's abutment. The abutment, you know, is, is, you know, approved by the FDA with their five, 10 K to be as good or better than any other Butman regarding the fit. So it's not available for every implant system on the market, but it's available for most of the most popular ones in the United States. So that's a little backdrop on these three technologies and how we're putting it together to create a prosthetic that the patient can leave with at the day of surgery. And they can have that prosthetic for many years until they can afford enough money to go into zircon prosthetic, or perhaps they just get that prosthetic redone every few, every five years or so. And, uh, at a very little cost for them.
And they, um, you know, they, they can get into a full arch implant, supported prosthetic that, that they otherwise couldn't afford and now they can afford it. And we'll talk a little bit more about at the end of the program. So now let's go to, to Springfield, Missouri, as you can see that Dr. Olson's fabulous practice there. Um, you know, he has some educational courses we'll talk about, but it's worth going just to see his facility, which is, is amazing. And, um, so let's head over to Dr. Olson.