ACCURACY, CONSISTENCY & SPEED · 4/26/2019 44 Shape, Texture & Polish Second Key to...

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GETTING TO THE FINISH LINE………ACCURACY, CONSISTENCY & SPEED

Todd C. Snyder, DDS, FAACD, FIADFE, ASDA

Accredited Fellow, American Academy of Cosmetic Dentistry

Fellow, International Academy for Dental Facial Esthetics

Member of The American Society For Dental Aesthetics

Former Faculty, UCLA Center For Esthetic Dentistry

Speaker, Catapult Education

LEGIONpride.com, Online Training Challenge for Dentists

Todd Snyder, DDS, FAACD, FIADFE, ASDALaguna Niguel, CA

Aesthetic Dental Designs®

doc@tcsdental.com

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Please Turn On Your Cell Phones

INSTAGRAM@toddsnyderdds@toddsnyder1@legionpride

Lecture Handout

www.DENTOOLZ.comDigital Handouts, Products I Use & Special Offers

& FREE BUSINESS TIPS

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GETTING TO THE FINISH LINE………ACCURACY, CONSISTENCY & SPEED

Todd C. Snyder, DDS, FAACD, FIADFE, ASDA

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Dentistry has many keys to success…..…..each one of us uses different keys.

YOU ALREADY HAVE KEYS….

YOU HAVE KEYS BUT, YOU WANT MORE….

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Why are YOU Here?!

What do YOU HOPE to LEARN?

What is the ONE thing HOLDING YOU BACK?

What is the Outcome?

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—MEG BIRAM

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CLOSE YOUR EYES

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Tooth Size Averages

2nd Premolar 1st Premolar Canine Lateral Incisor Central Incisor

6.6mm 7.1mm 7.6mm 6.6mm 8.6mm

7.7mm 8.6mm 10.6mm 9.8mm 11.2mm

Width

Length

What tools are available and do I have them?

Do I need to look at something for reference?

I don’t have the right materials, & I need more practice?

PREPARE

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TOOTH MORPHOLOGY

• Shape

• Size

• Proportions

• Surface Texture

MAXILLARY CENTRAL INCISORS

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TEETH SHAPES / PROPORTIONS

THE Difficulties in Composite Bonding in 5 Steps

1 2 3 4 5

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One of the most powerful & fastest tools you own to create cosmetic opportunities??

WHITENING

Immediate Call to Action Motivator

Start Here

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AACD.

FACT

Over-the-Counter Teeth

Whiteners: $1.4 billion

(MSNBC) ...

(Consumer Reports).

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Over The Counter Whitening

Whitening

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Opalescence GO!• Fast, Easy, Effective, Better

Experience• Convenient & affordable

professional whitening to GO• Pre-loaded, disposable UltraFit™

tray for a custom-like fit• Molar-to-molar coverage• No chair time

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Reduce or Eliminate Sensitivity

• Potassium Nitrate & Fluoride

Opalescence Go Sample Tower

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“Total annual revenue in the teeth whitening industry topped $11 billion at the beginning of

2015, with $1.4 billion spent on teeth whitening products. These figures suggest a steady annual increase in the teeth whitening market industry, which is expected to continually climb over the

next 10 years” AACD Research

The Key to Success:

Visualization

See What is Possible.

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Vision is Critical STEP 1- Take a Photo

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Shade Selection

▪ Photomed (818) 908-5369

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Photomed

Choose Base Color(s)Choose EnamelChoose Modifiers if needed

Vision is Critical STEP 2- Color Selection

Apply to the tooth with varying thickness. In defect or on surface extending off incisal edge.

How is the Value?How is the Chroma/Hue?How is the Translucency?

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Choose Base Color(s)Choose EnamelChoose Modifiers if needed

Vision is Critical STEP 2- Color Selection

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TRAIN

Are you confident in creating beautiful outcomes with A COMPOSITE on anterior

teeth quickly & easily?

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TIP

Daily Practice

On Average it takes 66 days to become a repetitive habit

TRAINING!

ACCESSORIES

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FAST SETTING BITE REGISTRATION MATERIAL

• Fast set

• VPS

• To Create Stent

• Easy to Cut

ADDITIONAL TOOLS

◆ Panadent: Multi Purpose Ruler

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0.6-1-1.68

Golden Proportion Measurement.

SculptPad (Ivoclar)

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◆ Erskine: Dentagauge 1 & 2

ADDITIONAL TOOLS

Curing - Lights

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VALO DELIVERS

Access to the curing site = Energy to the resin

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VALO delivers

• 3 powerful curing modes

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Machined from Aerospace Aluminum

Can you see it? Does the shape look believable? Are the tissues

healthy? Does the texture match?

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Three Shades of Mosaic

Three Shades of Mosaic

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One Shade of Mosaic

One Shade of Mosaic

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PRODUCT

Vit-l-escence1994

high-translucency, opalescent/translucent

micro-hybrid system

average particle size of 0.7µm.

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• nanohybrid

• Superior handling

• High polishability & gloss retention

• Exceptional wear

• Unique syringe design

• Intuitive shade offering

ULTRADENTSEMINARS

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One Shade of Mosaic

One Shade of Mosaic

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Layered shade guide made of composite

13 Dentin Shades

Tapered Handle = Dentin Only

Tooth = Dentin + Enamel Neutral

6 Enamel Shades

Not Layered

Opaque White

Not Layered

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2mm

.5mm

.5mm discs

Consistent chromatic progression between shades

Fluorescence mimics Enamel & Dentin

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One Shade of Mosaic

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One Shade of Mosaic

One Shade of Mosaic

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One Shade of Mosaic

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One shade this week

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Second Case This WeekThree Shades of Mosaic A3, EN, EY

Photos, Color & Trans, Mockup, Template

First Key to Accuracy, Consistency & Speed

Three Shades of Mosaic A3, EN, EY

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Shape, Texture & Polish

Second Key to Accuracy, Consistency & Speed

Three Shades of Mosaic A3, EN, EY

1. Photography

2. Magnification

3. Test Composite Colors

4. Second Photo?

5. Create A Template

6. Preparation/Air Abrasion

7. Isolate, Etch, Bond, Cure

8. Wax Floss on Adjacent

Tooth

Anterior Composites1. Enamel Composite In

Template, Don’t Touch

Adjacent, Cure

2. Dentin Shade w/ Lobes,

Cure

3. Enamel Shade with

Mylar Pull through for

Shape. Tap to Gain

Contact, Cure

4. Texture/Polish

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Preparation• Limited to removal of pathology with the exception of access and bevels.

• Maintaining enamel and superficial dentin

• Rounded line angles

• Purge hand piece oils

• Air abrasion (Danville Micro Etcher)

• Lingual Round Bur to make small overlap on margin

• Use Round Bur along Facial Margin too

• Facial you can make a large bevel half the distance of the defect

• Etch front of tooth and extend small amount of Enamel Composite onto Tooth

CLASS IV TEMPLATE TECHNIQUE

Anterior Composite Bonding

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Enamel shade on matrix to build a shelf

Compress composite into position

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Tease composite off adjacent tooth and adapt

Use mylar to create interproximal shape

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Hold against tooth for contour and pull to lingual

Light adaptation to push composite against adjacent tooth creates the contact. Use brush to thin facial finish line or metal instrument.

Try to create all anatomy and shape to minimize contouring steps with handpiece

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Begin to define line angles

Carborundum stone (Shofu) Dura-Green Stonesfor minimal reduction and texture

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Finishing & Polishing

Finishing & Polishing

▪ Coarse

▪ Medium

▪ Fine

▪ Super Fine

▪ Polishing Pastes

▪ Aluminum Oxide Buff

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Finishing & Polishing

Polishing Pastes

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1. TEMPLATE IMPRESSION OF UNPREPARED TEETH

2.

1.

2.

3.

4.

3.

4.

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How Do We Restore?

• Composite, Veneer or Crown?

• Patient Input?

• Color?

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How Do We Restore?

• Composite, Veneer or Crown?

• Patient Input?

• Color?

Initial Mockup

• Select Shade(s)

• Quick Initial Mockup (<3minutes)

– Free Hand

– No adjustments

– Prove Color(s)

– Prove Translucency

– Thickness Role

• Template

– Capture Lingual and Incisal

– Check Template

– Remove Excess

– Remove Composite

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Air Abrasion, Total Etch, Mylar

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Adhesive, Template, Enamel Composite

Dentin Composite

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Sculpt Dentin, Cure, Add Enamel

Discs to Contour

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Discs to remove fine scratches

Polishers for surface and interproximal areas

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Make the Task Easy

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Polish & Texture

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Edible Food Paints

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▪ Utilizes Diamond polishing

pastes

▪ Aluminum Oxide

▪ Goat hair brushes

▪ Felt wheels and buffs

Vision is critical

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Vision is critical

Vision is critical

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Goat Hair Polisher & Polishing Paste

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BRASSELER HIGH SHINE

10019HP 16122HP10019HP

45% filled

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ContacEZ Restorative strip system

• NEW Gold Narrow Strip 0.10mm single sided medium diamond grit Sub Gingival Trimmer w/ Blank Clear Gateway

• Black Diamond Strip 0.06mm fine diamond single sided

• Orange Serrated Diamond Strip 0.05mm extra fine diamond single sided

• White Serrated Strip 0.035mm

• Blue Serrated Strip 0.065mm

• Gray Final Polishing Strip 0.05mm ultra fine diamond single sided

ContacEZ IPR Optional Strips

• Clear IPF Single Sided Opener 0.10mm med-fine diamond

• Cyan IPR Single Sided Widener 0.12mm med-coarse diamond

• Purple IPR Super Widener 0.25mm

coarse diamond

• Brown IPR Mega Widener 0.30mm coarse diamond

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Jiffy Polishing System

IT’S ALL ABOUT THE LITTLE DETAILS

CONSISTENCY

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ULTRADENTSEMINARS

Review• Photography/Visualize

• Sculpt

• Whitening-Opalescence, GO!!

• Mockup

• Stents

• Adhesion & Contacts

• Mosaic Composite

• VALO Grand

• Texture (Burs, Stones)

• Polish (Cups, Discs, Brushes, Pastes, Buffs)

ULTRADENTCANCUN

• ACCURACY

• CONSISTENCY

• SPEED

= SUCCE$$FUL

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Free Marketing Information & Handout

www.DENTOOLZ.com

EXTRA INFORMATION

TODD SNYDER(949) 643-6733

doc@tcsdental.com

www.aestheticdentaldesigns.com

www.drtoddsnyder.com

www.toddsnyderracing.com

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GETTING TO THE FINISH LINE………ACCURACY, CONSISTENCY & SPEED

Todd C. Snyder, DDS, FAACD, FIADFE, ASDA

EXTRA

Google Website Speed, Responsive Design and Build Issues/Code are very IMPORTANT

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WEBSITE PAGE SPEED IS VERY IMPORANT (and so is relevant content too, read why)

https://www.wordstream.com/blog/ws/2018/01/22/google-speed-update

Jan. 22 2018

https://webmasters.googleblog.com/2018/01/using-page-speed-in-mobile-search.html

Jan. 27 2018

https://www.forbes.com/sites/jaysondemers/2018/01/29/will-googles-new-page-speed-criteria-affect-your-site/#6c3dbe8f6a8f

Jan. 29 2018

July 2018

CHECK YOUR PAGE SPEED

https://developers.google.com/speed/pagespeed/insights/

CHECK YOUR PAGE CODE

MOBILE FRIENDLY?

https://search.google.com/test/mobile-friendly?id=De1nibkdCgXmmSqhS04nzw

https://validator.w3.org/nu/?doc=https%3A%2F%2Fwww.blux.com%2F

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My NGenys Built Websites

http://www.aestheticdentaldesigns.com/

http://www.drtoddsnyder.com/ just got started on

Only a couple weeks to build if you provide the photos and content.

OR they can do photography and content for you..

-

NGenys

Pronounced Ingenious

Websites, Photography, Brand, Social Media and More

www.NGenys.com

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Proof of Work / Transparency, NO ONE ELSE OFFERS

MOST WEBSITE

COMPANIES

Do Not Service Your Account

MonthlyPROVE it, have them show you

what they did last month

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Accuracy, Consistency, Data

• Get an analysis of your company and see where you can make more money and be more efficient!

• You have no idea what you are missing!

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Text “action” to: 77453

Text RaceData to 77453

TIP

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TECHNOLOGY ONLINE

Efficiency 24/7 STAFF TRAINING

Accountability/Trackability

TIP

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Unit 1 Introduction Rapport

Unit 2 Foundation of Rapport

Unit 3Fundamental Techniques in Handling People

Unit 4 Six Ways to Make People Like You

Unit 5 Mirroring & Matching

Unit 6 Outcome of Calls

Unit 7 How to Build Rapport

Module 5 Rapport 2: Personality types

Unit 1 The Know-it-All

Unit 2 The Storyteller

Unit 3 The Easy Peasy

Unit 4 The Rusher

Unit 5 The Informationalist

Unit 6 The Nervous Nelly

Unit 7 The Indecisive

Unit 8 The Price Shopper

Module 6 Rapport 3: Advanced rapport

Unit 1 Empathy

Unit 2 How Long to Build Rapport

Unit 3 VIP Process

Unit 4 Positive Language

Unit 5 Elements of the Rapport Process

Unit 6 Phone Success Quiz #02

Module 7 Engage: Foundation

Unit 1 Introduction to the Engage

Unit 2 What is Engage

Unit 3 Proactive v. Reactive Scheduling

Unit 4 GREAT vs. EAGER Calls

Module 8 Engage: Elements of engaging the patient

• 14 Modules

• Quizes

• Exam

• 13 Modules

• Quizes

• Final Exam

Module 5 Working with Emergencies

Unit 1 Emergencies

Unit 2Scheduling Quiz #01

Module 6 Broken & Changed Appointments

Unit 1 Introduction

Unit 2Broken Appointment Policy

Unit 3Handling Broken Appointments

Unit 4Broken Appointments COSTS

Unit 5What patients must know

Unit 6Important Points

Module 7 Confirmations

Unit 1 Confirmations

Module 8 Early and Late Patients

Unit 1Early and Late Patients

Unit 2Scheduling Quiz #02

Module 9 Next Appointment Updates

Unit 1Next Appointment Updates

Module 10 Patient Reactivations

Developing

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1. Telephone Skills

2. Customer Care Protocols/Scheduling

3. Team’s Role/Training

4. Resource Library

5. 24/7

97% of offices don’t train.

(954) 323-2220

Inquire with “Heather” for a $200 Discount

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Remember The Old Appointment Book?

How LONG Did It Take To Answer A Question About Balances, Forgotten

Appointments?

Practice Management Software

• Easy, Intuitive Management

• Faster

• Efficiency

• Consistency

• Key Performance Indicators

• Cloud Based?

• Integrations!!

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TIP

• VOIP Phone System Integrates with your existing dental practice management software (DPMS)

• Dentrix

• Dentrix Ascend Cloud Based coming soon…

• Eagle Soft

• Easy Dental• SoftDent

• Practice Works

• Mac Practice

• Open Dental

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Weave Mobile App

Take your office with you

-From anywhere you have a wifi or cell connection.

TIP

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