hello and welcome to chair side life I'm Megan strong and I'm will Schmitt registered dental
assistant here at gladwell dental guess what's happening in today so I can't guess well I'm
gonna tell you then mr. Jim Gladwell is taking doctor Howard for an who you know from dental
town magazine and dental town calm and he's taking him on a tour of the amazing facility
where we fabricate our Brooks ourselves or Konya line of products as well as other materials and
devices yeah so we're gonna get behind the scenes look exclusive at all of our in-house technology
and all of our award-winning products I say we get right to it let's take a look because of the way
we do things here as you can see it's completely different than any other lab you never walk into
it's all automated it's got conveyors you're the move cases how many how many cases will come in
on average day probably put all the going 15,000 15,000 packages a day oh that's right so are you
FedEx is best friend is that they just mostly come over a million dollars a week you spend a
million almost everything you see here is gonna be our sauces better and that's one of the big
things that's allowed us to grow I mean how do you control this many cases coming through
opens it looks like chaos completely organized how completely organized yeah I have very good
people to do that they don't rely on need for that just party employees you have over here oh
this this is a Nikon scanner and it scans that silicone impression or whatever impression we
put in there and then you would like to the Box into it makes the well we don't do that
work right now we've done it sitting on a tree so if you watch it there's an impression sent
in by a customer and they're going to take that now and it takes 53 seconds over here roughly
to scan an oppression they do here today they're running several hundred impressions every day so
now the door is open we've heard that so you guys stick to two impressions in that's gonna hold two
impressions out this here is a we're standing on the back of it maybe yeah filming a different got
a front back remember that big machine I showed you or that 335,000 gold machine this replaces
that and it's faster this here is a computer tomography unit big x-rayed of undeveloped and
it's going to shoot through there and scan that so what is at the PBS Ken can I move it yeah okay
so that's an impression just an impression so let me tell you when I got directions from this to CAD
to the machine no plaster work no poori models no die trimming okay so you you make ninety thousand
crowns a month a week and track all your remains and what the young kids are trying to figure
out when they get out of town school is when do they need to switch from a quadrant tray to full
upper and lower trays mounted on an articulator yeah that just to make sure that sometimes your
occlusion will give you enough to aren't you interdigitate those things so they know where
the center goes but somebody's you're missing teeth and they're floating around and the the
subconscious in a person's mind they know where they're eccentric is even though they have very
few teeth in their mouth but once you take them out you don't have a subconscious to put those
two pieces together so then you need a full arch straight so when do you when can you do quadrant
when can you do foliage what would be the I woulda quoted for anything I wouldn't do a quadrant on
a three in a bridge very good I just yeah I was still trying to do a full mouth impression on a
three in a bridge most of the time well what it what if it was um just to Muller the first and
second molar and there was no wisdom tooth yeah I wouldn't have a problem that other quadrant
you still do quite a bit on that yeah well they got the two buys l occlusion you know again I'm
trying to help you know knowledge has no value that we can't transfer to the kids she's 25 would
you would you for a faster easier higher quality lower cost better quality should she start with
impression material or a scanner you've got to have impression material because you can't scan
everything you're gonna come across cases that scanning will not work especially if you had a
lot of tissue and you remember I said if you have a lot of tissue to remove you got to go
in there and burn tissue and that's not what you really want trying to do then silicone impression
material will go and every little sulcus you can't keep it out just pull it out there you got it so
this if you can see all the little blocks over there they are different shapes so all
those backing of zirconium seams are Brooks your blocks so these companies racks will take them out
they'll pull them out and then this this little device will pick them up they'll go down through
and remember that machines I told you about that where it was we're making these industrial milling
machines that's what this is this is industrial milling machines Wow very much kind of like the
ones you use in your office for a chair side but that's what this is doing so it's gonna mill those
and that robot comes through here picks them up and then and this can do 2200 units a day this
machine here this 2200 military right here does 2200 pounds of 2200 pounds of it so back when
you started how many people would you've needed to do 2200 crowns a day when you're waxing it
up and casting up 500 500 I always thinks about right so this is a 500-person lab yeah holy moly
we called in sick and visit go 24 hours a day yeah you bring this 24 hours a day this would be lights
out did you turn it all of the weekend and keep it running well what's happening here is by doing all
this automation and thinking two things happen we get a predictable product all the time so
we're getting the reproducible product whereas if a technician made these he's like a Michelangelo
and he wants to put a few changes onto this not only is the technician very expensive but he is
wanting to put his own stamp of approval on this product here I make this blank I make the bikes
myself from powder and that's Alexei Conte and Salzer Konya Marc structure rusher zirconia and
then I make these pellets to here that hold it on there so that and be held by the machine with
big mill and these are just for bridges the long ones are for bridges the short ones are these are
the shorter the gym you know short these are yeah but I will you ask that answerin economic question
because this argument keeps replacing itself when the the textile mills came out because a lot of
unemployment yeah um India cancelled back when I was in college they canceled a bunch of equipment
from John Deere because of unemployment so Milton Friedman went over there and he said what's the
deal and he says well I don't want to get a tractor when I have all these people that can
do the job by hand and Milton Friedman said will then take away their shovels and give them spoons
yes some small original so well material increases productivity but automation 500 automation service
places people and we've become extremely automated over the past few years and we've grown from 2,000
employees to 5,000 employees okay so you repurpose your people you have them doing jobs that are not
just make workshops and they actually even make more money so you don't go back to waxing up the
crowns while they're blindfolded yeah wouldn't that create more thought you'd feel a lot of
job you do that and that's good input we're gonna use that when the units come out they go through
a system here and then they come out the very end they'll be placed in the little boxes like
this here so that's the anteriors had come out that's what they look like in their oversized
shape those are 21 percent oversized it look kind of large to you right you have that as a
very large crowd but s 21% oversized roxor ruksar and when it goes through the machine although this
is not solid zirconia yet this is just a porous powder and so it has to be shrunk down 21% to
be the accurate size to than what's different in the chairside milling Brookshire to do the whole
thing an hour and 15 minutes well to mill I can mill this ground here in 12 minutes because it's
a hundred how did make a basketball but when it's solid-state zirconia it's 1200 mega Pascal so you
have to use diamonds on it you cut it slowly and on some really small crowns that if I do them in
36 38 minutes but the bigger ones take 42 minutes but remember that after 42 minutes you don't do
absolutely anything you go directly into the mouth and you would rather do this than invest
$5 and smiles very clubs talk yeah I don't buy stock I'm most I don't know any stock at all by
the way that already do you do you see yourself ever doing an IPO for no I really don't because
then that changes I would become obligated to the stockholders at that point and that was restricted
how I make decisions because I wouldn't want to risk I'll take risk with my own money but
I don't want to take risk with their money so this is here to see this year popping boxes out
like that so the crown goes in here and invoice goes with it then this goes in general envelope
and it gets shipped out to a dentist with no models and it costs us very little money to ship
this coat in an envelope now so that's that's to cut down the shipping cost with all that and how
many do you make a day about 1,000 m and that's stripping for he's got a door that's currently
for non model like I Jarrell case is coming in from two thousand today these things here are
what's called EDM machines electron depth depth machines they they'll make super fine cuts in the
metal and all that so we make parts here you just can't make any other way you let's hear the truth
I don't know what all these parts are but but if they want to drill a hole in something really fine
I I like this kind of a million here this these guys will burn them burn things in and these two
machines call EDM machines and they do you think you can't do the regular rotary bill so what are
they all make in here this all remove them this is removable over here and the I Terrell stuff
is all that in down here and when you say I taro that's just terrible skin not clear aligners right
no clear line it we don't make any clear aligner for it at this time remember I said those machines
that the partials really fit what just laser burning here so that's powdered metal and it's
burning on top of the old metal cut some parts underneath it it's adding metal on top of it now
the table is going to drop 20 micron and a blade is going to go across it and pull powder in front
okay and so it'll be there in a second that's laser cutting depth into it yeah rather they're
melting on top there's 20 micron of metal being melted on top of that piece okay and then that
powder is in the air yeah right now watch the wipe you see the blade now watch it come across the top
you're looking at the top of the frames right there now you'll notice the frames are gonna
disappear they just put 20 micro on the table just dropped 20 micron now the lasers on its
going to make another pass so it's building up metal 20 microns at a time if you can see these
that's what they look like when they're being built up Wow and then amazing and then what and
then what's the next step well they'll cut them off and they looked hard to get off they're not
they cleaned up a hurry and cut off all those support legs on anything and they're very easy
they just kind of almost peel off but then you end up with a frame it looks just kind
of like that Wow and this is gonna work yes a removable partial and it fits like crazy and
what is and what is the average cost of a run a little partial things I think they're two and a
half maybe two and fifty bucks to ten hours gotta have a tea thought of all that debate would you
say this extinct the caste partial this is work though relax it out yeah yeah thanks hanging off
yeah I have this view of it I I believe that to make a frame any other way then this method is
I can't do it anymore I have to clean I can't do it because I know I'm sending out something that's
wrong we had to look at our remakes and we says wait a second a caste partial has twice as many
remakes as a mental centered partial how could I ever send another caste partial out the door the
dentist and the patient have to soften with that I can't do it well you look at this is the future
right here this is one of the big big things is changing dental technology and it's called
SLS or selective laser sintering so that's what and it'll make any price you could make copings
anything metal oh it could make it really could by the way it could print implants instead of having
to do no all in plastic fairly easy to build on plans to print these these are cut zirconia and
so that's what I make I make these myself and let make your own zirconium yeah I try to make these
things for four bucks or have to pay like 14 bucks and what does that mean that titanium no this is
carbide but the steel this whole area here this is a training center this here is where I send
people come in here to learn how to do run the software and how did she learn over there how to
run make models and all that so this is strictly a Learning Center so we do all our own training
we don't look for anybody it knows anything we only train but they come here the experience
we don't care we have to unlearn them almost you know so this is the you when you hire someone to
work in the lab this over they go to school this is where they would go along will they be here
that pod being here for six weeks I would people staying here about six weeks we were designing a
new building or designing a restaurant so these are renderings of a restaurant we're building
over in one of the high rises over here and it'll be built soon we're building that out but we do
all of our own interior design right here so you're building your own restaurant we build
everything ourselves we do it all we do our whole driver or employees armor so this is a commercial
thing but it's mainly for the one building over there where there's a lot of tenants in it trying
to be a free and there won't be free but it'll not a for-profit business I don't do for-profit
stuff really but it it would be a big bonus for the people in the building who don't have
a restaurant right now and they and they don't have to go out somewhere at lunchtime you know
so we try to make it convenient for them and if you like it enough and they'll next time you up
the rent maybe they'll pay a little bit more in the realm so you're building out the stuff for
a laboratory all my laboratories built right here how many laboratories Costa Rica 30 issue
30 lab let's remember 85% all my business is done right here in this this area right but so
these are automated CNC machines - and they cut something and you go to put it together put the
glue on it it fits you mean there's no adjusting no tapping you just put the glue on and in it goes
it's not amazing in this so this is the woodshop there's like 15 people work full-time here doing
nothing but making cabinets for the company amazing thank you so much mr. Gladwell and dr.
firend yes and if you want more from this dynamic duo in addition to this incredible tour you can
head over to chairside live.com where they've got a great two-part interview with some good
nuggets of information that's right and then on top of that head over to global dental comm
click on the education tab and pick a nice free C II course to take do you think I recommend dr.
Chad Duplantis has a course right now on there and it's it's entitled in-office milling vs.
lab fabrication making case decisions and I think it's got some good information that you don't want
to miss I don't think you should but for today we're all wrapped up so on behalf of everyone
here at global dental thank you so much for watching we'll meet you right back here next time
you