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4/26/2019
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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®
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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
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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