{"version":"1.0.0","segments":[{"speaker":"Speaker","startTime":40.660000000000004,"endTime":41.480000000000004,"body":"My name is Dr."},{"speaker":"Speaker","startTime":41.480000000000004,"endTime":43.03,"body":"Tyler Tolbert, and I'm Dr."},{"speaker":"Speaker","startTime":43.03,"endTime":46.690000000000005,"body":"Soren Paape, and you're listening"},{"speaker":"Speaker","startTime":43.03,"endTime":46.690000000000005,"body":"to The Fix Podcast, your source"},{"speaker":"Speaker","startTime":46.7,"endTime":48.669000000000004,"body":"for all things implant dentistry."},{"speaker":"Tyler","startTime":50.32000000000001,"endTime":54.38,"body":"Hello, and welcome back to the"},{"speaker":"Tyler","startTime":50.32000000000001,"endTime":54.38,"body":"first full episode of the fixed podcast."},{"speaker":"Tyler","startTime":54.42,"endTime":55.36,"body":"Maybe this is the first one."},{"speaker":"Tyler","startTime":55.38,"endTime":56.529,"body":"Maybe the pilot counts."},{"speaker":"Tyler","startTime":56.550000000000004,"endTime":57.42,"body":"I'm not entirely sure."},{"speaker":"Tyler","startTime":57.639,"endTime":60.569,"body":"But either way, we are super, super"},{"speaker":"Tyler","startTime":57.639,"endTime":60.569,"body":"stoked to bring to you some real"},{"speaker":"Tyler","startTime":60.569,"endTime":63.239000000000004,"body":"content, not just talking about"},{"speaker":"Tyler","startTime":60.569,"endTime":63.239000000000004,"body":"the show, but just being the show."},{"speaker":"Tyler","startTime":63.46900000000001,"endTime":66.63,"body":"But we just wanted to start things off"},{"speaker":"Tyler","startTime":63.46900000000001,"endTime":66.63,"body":"between me and Soren, because we have"},{"speaker":"Tyler","startTime":66.63,"endTime":69.48,"body":"a lot of really cool things to share"},{"speaker":"Tyler","startTime":66.63,"endTime":69.48,"body":"with you guys, and we were talking"},{"speaker":"Tyler","startTime":69.48,"endTime":71.92,"body":"about what we wanted to talk about"},{"speaker":"Tyler","startTime":69.48,"endTime":71.92,"body":"this evening, and And Sorin has just"},{"speaker":"Tyler","startTime":71.92,"endTime":76.83000000000001,"body":"polished off a double arch that he"},{"speaker":"Tyler","startTime":71.92,"endTime":76.83000000000001,"body":"posted on Instagram with his timestamps."},{"speaker":"Tyler","startTime":77.05000000000001,"endTime":78.96000000000001,"body":"And I can assure you"},{"speaker":"Tyler","startTime":77.05000000000001,"endTime":78.96000000000001,"body":"that they are for real."},{"speaker":"Tyler","startTime":78.97,"endTime":79.62,"body":"He's not lying."},{"speaker":"Tyler","startTime":79.86000000000001,"endTime":82.01,"body":"Of a double arch that he was"},{"speaker":"Tyler","startTime":79.86000000000001,"endTime":82.01,"body":"able to do in about an hour and a"},{"speaker":"Tyler","startTime":82.01,"endTime":85.63,"body":"half from first injection all the"},{"speaker":"Tyler","startTime":82.01,"endTime":85.63,"body":"way to the last bit of records."},{"speaker":"Tyler","startTime":85.63,"endTime":89.14,"body":"Now there's gonna be a whole lot of things"},{"speaker":"Tyler","startTime":85.63,"endTime":89.14,"body":"that we have to break down for this in"},{"speaker":"Tyler","startTime":89.14,"endTime":92.42,"body":"terms of how he's doing his surgery,"},{"speaker":"Tyler","startTime":89.14,"endTime":92.42,"body":"the armamentarium, how he's working with"},{"speaker":"Tyler","startTime":92.42,"endTime":96.11000000000001,"body":"his assistants, his six handed dentistry"},{"speaker":"Tyler","startTime":92.42,"endTime":96.11000000000001,"body":"that was partially inspired by Dr."},{"speaker":"Tyler","startTime":96.11000000000001,"endTime":96.72,"body":"Matt Krieger."},{"speaker":"Tyler","startTime":96.92,"endTime":98.17,"body":"Our friend over aox surgery."},{"speaker":"Tyler","startTime":98.30000000000001,"endTime":98.56,"body":"com."},{"speaker":"Tyler","startTime":98.56,"endTime":100.65,"body":"We'll talk some more about him"},{"speaker":"Tyler","startTime":98.56,"endTime":100.65,"body":"later on, hopefully have him on"},{"speaker":"Tyler","startTime":100.65,"endTime":102.21000000000001,"body":"the show before too long here."},{"speaker":"Tyler","startTime":102.4,"endTime":105.17,"body":"But we're going to really break this"},{"speaker":"Tyler","startTime":102.4,"endTime":105.17,"body":"down into the surgical techniques, the"},{"speaker":"Tyler","startTime":105.17,"endTime":109.45,"body":"mindset behind everything, how to work on"},{"speaker":"Tyler","startTime":105.17,"endTime":109.45,"body":"your speed what workflow looks like and"},{"speaker":"Tyler","startTime":109.45,"endTime":110.91,"body":"exactly how Soren is doing these things."},{"speaker":"Tyler","startTime":111.12,"endTime":111.72,"body":"I'm doing it too."},{"speaker":"Tyler","startTime":111.72,"endTime":112.68,"body":"I just don't do it as well, Soren."},{"speaker":"Tyler","startTime":112.85000000000001,"endTime":113.83,"body":"So I'm hoping to learn a little bit"},{"speaker":"Soren","startTime":113.94,"endTime":114.065,"body":"Ha!"},{"speaker":"Tyler","startTime":114.105,"endTime":114.925,"body":"But anyway Dr."},{"speaker":"Tyler","startTime":114.925,"endTime":116.605,"body":"Soren Paape, welcome to your show."},{"speaker":"Soren","startTime":117.345,"endTime":118.485,"body":"Hey guys, how's it going?"},{"speaker":"Soren","startTime":118.50500000000001,"endTime":120.36500000000001,"body":"So excited to be back on here again."},{"speaker":"Soren","startTime":120.675,"endTime":123.50500000000001,"body":"Man, I, Tyler, I am, I'm just"},{"speaker":"Soren","startTime":120.675,"endTime":123.50500000000001,"body":"like pumped about this podcast."},{"speaker":"Soren","startTime":123.525,"endTime":126.89500000000001,"body":"I keep, we we change, I'm sure"},{"speaker":"Soren","startTime":123.525,"endTime":126.89500000000001,"body":"you, the audience can tell we"},{"speaker":"Soren","startTime":126.935,"endTime":130.345,"body":"were definitely spending a lot"},{"speaker":"Soren","startTime":126.935,"endTime":130.345,"body":"of time on our production value."},{"speaker":"Soren","startTime":130.555,"endTime":134.10500000000002,"body":"And we're really excited for like"},{"speaker":"Soren","startTime":130.555,"endTime":134.10500000000002,"body":"posting some Instagram reels, getting"},{"speaker":"Soren","startTime":134.10500000000002,"endTime":137.035,"body":"you guys excited, getting like little"},{"speaker":"Soren","startTime":134.10500000000002,"endTime":137.035,"body":"tidbits of information and then getting"},{"speaker":"Soren","startTime":137.035,"endTime":138.635,"body":"you excited for the upcoming episode."},{"speaker":"Soren","startTime":138.91500000000002,"endTime":139.555,"body":"So that's our goal."},{"speaker":"Soren","startTime":139.775,"endTime":141.775,"body":"Like I said, we're going to"},{"speaker":"Soren","startTime":139.775,"endTime":141.775,"body":"try to do bi weekly episodes."},{"speaker":"Soren","startTime":141.775,"endTime":144.335,"body":"This Is our first full episode."},{"speaker":"Soren","startTime":144.595,"endTime":147.775,"body":"Our second technically episode ish."},{"speaker":"Soren","startTime":147.965,"endTime":148.29500000000002,"body":"Yep."},{"speaker":"Soren","startTime":148.325,"endTime":149.91500000000002,"body":"Today's going to be all about efficiency."},{"speaker":"Soren","startTime":149.97500000000002,"endTime":153.135,"body":"But yeah, so talking about"},{"speaker":"Soren","startTime":149.97500000000002,"endTime":153.135,"body":"the case I did today like I"},{"speaker":"Soren","startTime":153.135,"endTime":155.155,"body":"said, our last episode, I post."},{"speaker":"Soren","startTime":155.29000000000002,"endTime":156.2,"body":"Every single case I do."},{"speaker":"Soren","startTime":156.585,"endTime":159.10500000000002,"body":"Good, bad, ugly complications that occur."},{"speaker":"Soren","startTime":159.345,"endTime":159.97500000000002,"body":"I'll post them."},{"speaker":"Soren","startTime":159.97500000000002,"endTime":161.365,"body":"You'll get to see them today."},{"speaker":"Soren","startTime":161.505,"endTime":163.265,"body":"My case was a double arch."},{"speaker":"Soren","startTime":163.555,"endTime":166.645,"body":"I think there was maybe like 24, 25 teeth."},{"speaker":"Soren","startTime":166.95499999999998,"endTime":169.605,"body":"I'm going to see if you're watching"},{"speaker":"Soren","startTime":166.95499999999998,"endTime":169.605,"body":"on YouTube here, I'm going to see"},{"speaker":"Soren","startTime":169.605,"endTime":173.635,"body":"if I can post the panel right now so"},{"speaker":"Soren","startTime":169.605,"endTime":173.635,"body":"you can get an idea of that panel."},{"speaker":"Soren","startTime":173.935,"endTime":175.925,"body":"And then I'll also post my post op CT."},{"speaker":"Soren","startTime":176.215,"endTime":179.855,"body":"So you can take a look at what the panel"},{"speaker":"Soren","startTime":176.215,"endTime":179.855,"body":"look like, what the post op CT look like."},{"speaker":"Soren","startTime":180.065,"endTime":183.305,"body":"On my Instagram, I did post some"},{"speaker":"Soren","startTime":180.065,"endTime":183.305,"body":"times, I think in the future, what"},{"speaker":"Soren","startTime":183.305,"endTime":187.395,"body":"I'm planning on doing is I take"},{"speaker":"Soren","startTime":183.305,"endTime":187.395,"body":"photos throughout all of my cases and"},{"speaker":"Soren","startTime":187.395,"endTime":189.555,"body":"that's just for my personal records."},{"speaker":"Soren","startTime":189.555,"endTime":193.76500000000001,"body":"Like I like having pictures of each"},{"speaker":"Soren","startTime":189.555,"endTime":193.76500000000001,"body":"surgery in case anybody down the line"},{"speaker":"Soren","startTime":193.76500000000001,"endTime":195.895,"body":"was like, this surgery wasn't up to par."},{"speaker":"Soren","startTime":196.125,"endTime":197.615,"body":"I can say, yeah, it was."},{"speaker":"Soren","startTime":198.035,"endTime":198.855,"body":"Show you the picture."},{"speaker":"Soren","startTime":199.495,"endTime":203.035,"body":"But I might start posting like photos"},{"speaker":"Soren","startTime":199.495,"endTime":203.035,"body":"for the surgery with timestamps on them."},{"speaker":"Soren","startTime":203.035,"endTime":207.04500000000002,"body":"So you guys can get a feel of what"},{"speaker":"Soren","startTime":203.035,"endTime":207.04500000000002,"body":"it's looking like for like time wise,"},{"speaker":"Soren","startTime":207.055,"endTime":208.465,"body":"like where I'm at in my surgeries."},{"speaker":"Soren","startTime":208.76500000000001,"endTime":211.555,"body":"But yeah, today's surgery,"},{"speaker":"Soren","startTime":208.76500000000001,"endTime":211.555,"body":"we did first injection."},{"speaker":"Soren","startTime":211.555,"endTime":216.51500000000001,"body":"Usually my patient shows up"},{"speaker":"Soren","startTime":211.555,"endTime":216.51500000000001,"body":"around seven 35, seven 40, and"},{"speaker":"Soren","startTime":216.51500000000001,"endTime":220.255,"body":"then CRNA brings it back, checks"},{"speaker":"Soren","startTime":216.51500000000001,"endTime":220.255,"body":"over all their medical history."},{"speaker":"Soren","startTime":220.505,"endTime":223.495,"body":"And then I He checks over"},{"speaker":"Soren","startTime":220.505,"endTime":223.495,"body":"all my medical history."},{"speaker":"Soren","startTime":223.715,"endTime":226.735,"body":"I make sure that that"},{"speaker":"Soren","startTime":223.715,"endTime":226.735,"body":"everything's all set."},{"speaker":"Soren","startTime":226.735,"endTime":227.375,"body":"Good to go."},{"speaker":"Soren","startTime":227.655,"endTime":230.605,"body":"And then we do he puts"},{"speaker":"Soren","startTime":227.655,"endTime":230.605,"body":"them to sleep today."},{"speaker":"Soren","startTime":230.605,"endTime":234.615,"body":"We got started right around like"},{"speaker":"Soren","startTime":230.605,"endTime":234.615,"body":"eight 25 was my first injection."},{"speaker":"Soren","startTime":234.945,"endTime":235.199,"body":"And then."},{"speaker":"Soren","startTime":235.679,"endTime":239.659,"body":"So after the injection, we'll"},{"speaker":"Soren","startTime":235.679,"endTime":239.659,"body":"go through all of the stuff,"},{"speaker":"Soren","startTime":239.659,"endTime":241.999,"body":"like all the efficiencies,"},{"speaker":"Soren","startTime":239.659,"endTime":241.999,"body":"how I work through everything."},{"speaker":"Soren","startTime":241.999,"endTime":247.139,"body":"But my last stitch was"},{"speaker":"Soren","startTime":241.999,"endTime":247.139,"body":"at I believe nine 50."},{"speaker":"Soren","startTime":247.139,"endTime":248.25900000000001,"body":"So it was like an hour, 25 minutes."},{"speaker":"Soren","startTime":248.269,"endTime":250.769,"body":"And then it took about 20"},{"speaker":"Soren","startTime":248.269,"endTime":250.769,"body":"minutes to do all my records."},{"speaker":"Soren","startTime":251.029,"endTime":253.619,"body":"This is something that we'll talk"},{"speaker":"Soren","startTime":251.029,"endTime":253.619,"body":"about later in the episodes, like what"},{"speaker":"Soren","startTime":253.629,"endTime":258.169,"body":"Tyler and I's digital protocol is we've"},{"speaker":"Soren","startTime":253.629,"endTime":258.169,"body":"transitioned a lot throughout doing"},{"speaker":"Soren","startTime":258.169,"endTime":259.80899999999997,"body":"these cases, what kind of works the best."},{"speaker":"Soren","startTime":259.819,"endTime":261.139,"body":"And lately."},{"speaker":"Soren","startTime":261.28,"endTime":265.26,"body":"Prior we were doing fiduciary markers"},{"speaker":"Soren","startTime":261.28,"endTime":265.26,"body":"and I feel like a lot of people are doing"},{"speaker":"Soren","startTime":265.28,"endTime":268.05,"body":"fiduciary markers for their digital cases."},{"speaker":"Soren","startTime":268.1,"endTime":273.0,"body":"I was having a lot of issues with"},{"speaker":"Soren","startTime":268.1,"endTime":273.0,"body":"with just like maybe the scans"},{"speaker":"Soren","startTime":273.0,"endTime":274.13,"body":"weren't aligning or something."},{"speaker":"Soren","startTime":274.13,"endTime":278.34000000000003,"body":"And I was having issues with patients,"},{"speaker":"Soren","startTime":274.13,"endTime":278.34000000000003,"body":"the bites being off when I got in"},{"speaker":"Soren","startTime":278.34000000000003,"endTime":282.15999999999997,"body":"there, plus it took me a while to get"},{"speaker":"Soren","startTime":278.34000000000003,"endTime":282.15999999999997,"body":"fiduciary markers and the retromolar pads."},{"speaker":"Soren","startTime":282.38,"endTime":286.855,"body":"Sometimes it was like, Really quick other"},{"speaker":"Soren","startTime":282.38,"endTime":286.855,"body":"times like the their tissue would just"},{"speaker":"Soren","startTime":286.865,"endTime":290.96500000000003,"body":"be so thick back there And I would and"},{"speaker":"Soren","startTime":286.865,"endTime":290.96500000000003,"body":"sometimes my screws weren't long enough or"},{"speaker":"Soren","startTime":290.96500000000003,"endTime":295.895,"body":"I couldn't engage good bone You know a lot"},{"speaker":"Soren","startTime":290.96500000000003,"endTime":295.895,"body":"of times in that area where the retromotor"},{"speaker":"Soren","startTime":295.895,"endTime":300.03499999999997,"body":"pad is there's like a thin cortical layer"},{"speaker":"Soren","startTime":295.895,"endTime":300.03499999999997,"body":"and then very medullary Bone under it so"},{"speaker":"Soren","startTime":300.03499999999997,"endTime":303.80499999999995,"body":"like sometimes you engage that cortical"},{"speaker":"Soren","startTime":300.03499999999997,"endTime":303.80499999999995,"body":"bone, and then it just you just can't get"},{"speaker":"Soren","startTime":304.03999999999996,"endTime":306.02,"body":"Stability with those fiduciary markers."},{"speaker":"Soren","startTime":306.02,"endTime":306.28999999999996,"body":"So"},{"speaker":"Tyler","startTime":306.46000000000004,"endTime":306.61,"body":"Yeah."},{"speaker":"Soren","startTime":306.69000000000005,"endTime":309.40999999999997,"body":"there's different"},{"speaker":"Soren","startTime":306.69000000000005,"endTime":309.40999999999997,"body":"opinions out there lately."},{"speaker":"Soren","startTime":309.40999999999997,"endTime":312.35,"body":"What I've been doing is essentially"},{"speaker":"Soren","startTime":309.40999999999997,"endTime":312.35,"body":"a protocol where I have my,"},{"speaker":"Tyler","startTime":312.42999999999995,"endTime":312.86,"body":"for a second?"},{"speaker":"Tyler","startTime":313.14,"endTime":314.36,"body":"Just before we talk"},{"speaker":"Tyler","startTime":313.14,"endTime":314.36,"body":"about the new protocol."},{"speaker":"Tyler","startTime":314.62,"endTime":317.83000000000004,"body":"So I do want to expound a little bit"},{"speaker":"Tyler","startTime":314.62,"endTime":317.83000000000004,"body":"on some of the shortcomings of the"},{"speaker":"Tyler","startTime":317.87,"endTime":320.40999999999997,"body":"fiduciary marker workflow, because"},{"speaker":"Tyler","startTime":317.87,"endTime":320.40999999999997,"body":"that is like super, super common."},{"speaker":"Tyler","startTime":320.40999999999997,"endTime":322.78999999999996,"body":"It's what most people are doing when"},{"speaker":"Tyler","startTime":320.40999999999997,"endTime":322.78999999999996,"body":"they first started doing digital."},{"speaker":"Tyler","startTime":323.07000000000005,"endTime":325.53,"body":"And, but I want to make sure everyone"},{"speaker":"Tyler","startTime":323.07000000000005,"endTime":325.53,"body":"is on the same page about what that is."},{"speaker":"Tyler","startTime":325.53,"endTime":326.84000000000003,"body":"So when we're going digital."},{"speaker":"Tyler","startTime":327.70000000000005,"endTime":331.76,"body":"When you start a case, as opposed to"},{"speaker":"Tyler","startTime":327.70000000000005,"endTime":331.76,"body":"an analog workflow where you already"},{"speaker":"Tyler","startTime":331.76,"endTime":334.88,"body":"have pre fabricated dentures that"},{"speaker":"Tyler","startTime":331.76,"endTime":334.88,"body":"are ultimately going to be converted"},{"speaker":"Tyler","startTime":335.16999999999996,"endTime":340.21000000000004,"body":"into an all in one a temporary one,"},{"speaker":"Tyler","startTime":335.16999999999996,"endTime":340.21000000000004,"body":"You don't have anything like that."},{"speaker":"Tyler","startTime":340.21000000000004,"endTime":341.83000000000004,"body":"You don't have a prefabricated prosthesis."},{"speaker":"Tyler","startTime":341.84000000000003,"endTime":345.49,"body":"So what your lab has is the scans that"},{"speaker":"Tyler","startTime":341.84000000000003,"endTime":345.49,"body":"you've already sent them along with"},{"speaker":"Tyler","startTime":345.49,"endTime":346.85,"body":"some photos that they stitched together."},{"speaker":"Tyler","startTime":347.13,"endTime":350.85,"body":"And so what you need is you need something"},{"speaker":"Tyler","startTime":347.13,"endTime":350.85,"body":"that's going to look the same and be"},{"speaker":"Tyler","startTime":350.85,"endTime":354.40999999999997,"body":"in the same position in the beginning"},{"speaker":"Tyler","startTime":350.85,"endTime":354.40999999999997,"body":"of the surgery as it is in the very"},{"speaker":"Tyler","startTime":354.41999999999996,"endTime":357.36,"body":"end of the surgery when you're taking"},{"speaker":"Tyler","startTime":354.41999999999996,"endTime":357.36,"body":"your postoperative records and then"},{"speaker":"Tyler","startTime":357.67499999999995,"endTime":361.94500000000005,"body":"That thing, whatever that fiduciary is"},{"speaker":"Tyler","startTime":357.67499999999995,"endTime":361.94500000000005,"body":"it going to relate to everything that"},{"speaker":"Tyler","startTime":361.94500000000005,"endTime":363.58500000000004,"body":"you did to stitch everything together?"},{"speaker":"Tyler","startTime":363.58500000000004,"endTime":367.28499999999997,"body":"The pre op plan the pre op teeth, the"},{"speaker":"Tyler","startTime":363.58500000000004,"endTime":367.28499999999997,"body":"pre op plan, now the post op surgery."},{"speaker":"Tyler","startTime":367.28499999999997,"endTime":369.41499999999996,"body":"And now the post op plan"},{"speaker":"Tyler","startTime":367.28499999999997,"endTime":369.41499999999996,"body":"that merges is all together."},{"speaker":"Tyler","startTime":369.635,"endTime":372.56500000000005,"body":"So you have one thing that's"},{"speaker":"Tyler","startTime":369.635,"endTime":372.56500000000005,"body":"consistent and on the uppers, this"},{"speaker":"Tyler","startTime":372.56500000000005,"endTime":374.20500000000004,"body":"is fairly easy, somewhat consistent."},{"speaker":"Tyler","startTime":374.235,"endTime":375.53,"body":"I've had a few issues with it."},{"speaker":"Tyler","startTime":375.64,"endTime":377.54999999999995,"body":"Every now and then now I don't"},{"speaker":"Tyler","startTime":375.64,"endTime":377.54999999999995,"body":"do it anymore, so I won't be"},{"speaker":"Tyler","startTime":377.54999999999995,"endTime":380.21000000000004,"body":"getting any more issues, but"},{"speaker":"Tyler","startTime":377.54999999999995,"endTime":380.21000000000004,"body":"you usually use palatal markers."},{"speaker":"Tyler","startTime":380.21000000000004,"endTime":383.27,"body":"So there's usually about seven, some of"},{"speaker":"Tyler","startTime":380.21000000000004,"endTime":383.27,"body":"these screws are about seven millimeters."},{"speaker":"Tyler","startTime":383.34000000000003,"endTime":384.87,"body":"Most of them are around 12 millimeters."},{"speaker":"Tyler","startTime":385.03999999999996,"endTime":387.92999999999995,"body":"You thread this through"},{"speaker":"Tyler","startTime":385.03999999999996,"endTime":387.92999999999995,"body":"a a printed marker."},{"speaker":"Tyler","startTime":387.92999999999995,"endTime":389.89,"body":"There's different bodies out there."},{"speaker":"Tyler","startTime":390.12,"endTime":393.56000000000006,"body":"The cheapest thing is just to have a"},{"speaker":"Tyler","startTime":390.12,"endTime":393.56000000000006,"body":"little STL for a marker that has a hole in"},{"speaker":"Tyler","startTime":393.56000000000006,"endTime":394.89,"body":"it that allows that screw to pass through."},{"speaker":"Tyler","startTime":395.28999999999996,"endTime":396.19000000000005,"body":"And then you print that."},{"speaker":"Tyler","startTime":396.4,"endTime":399.15,"body":"And then it's going to be printed"},{"speaker":"Tyler","startTime":396.4,"endTime":399.15,"body":"like a dime model, resin, whatever."},{"speaker":"Tyler","startTime":399.39,"endTime":401.07000000000005,"body":"And then you're placing"},{"speaker":"Tyler","startTime":399.39,"endTime":401.07000000000005,"body":"that in the patient."},{"speaker":"Tyler","startTime":401.93500000000006,"endTime":404.905,"body":"Up in the pallet, usually two, you can"},{"speaker":"Tyler","startTime":401.93500000000006,"endTime":404.905,"body":"do three if you've got space for it."},{"speaker":"Tyler","startTime":405.125,"endTime":407.67499999999995,"body":"And then the lower you're putting"},{"speaker":"Tyler","startTime":405.125,"endTime":407.67499999999995,"body":"the retromolar pads, just like Soren"},{"speaker":"Tyler","startTime":407.67499999999995,"endTime":411.67499999999995,"body":"said, to start your surgery, you have"},{"speaker":"Tyler","startTime":407.67499999999995,"endTime":411.67499999999995,"body":"to first place those, get them in"},{"speaker":"Tyler","startTime":411.67499999999995,"endTime":413.57500000000005,"body":"place and get them super, super solid."},{"speaker":"Tyler","startTime":413.58500000000004,"endTime":416.615,"body":"So that even if you like tap on them with"},{"speaker":"Tyler","startTime":413.58500000000004,"endTime":416.615,"body":"a mirror, they're not going anywhere."},{"speaker":"Tyler","startTime":416.615,"endTime":418.255,"body":"They need to stay in"},{"speaker":"Tyler","startTime":416.615,"endTime":418.255,"body":"exactly the same place."},{"speaker":"Tyler","startTime":418.255,"endTime":421.06500000000005,"body":"No matter what's happening throughout the"},{"speaker":"Tyler","startTime":418.255,"endTime":421.06500000000005,"body":"surgery, patients biting, moving around,"},{"speaker":"Tyler","startTime":421.33500000000004,"endTime":424.355,"body":"you're using your instruments that those"},{"speaker":"Tyler","startTime":421.33500000000004,"endTime":424.355,"body":"things need to be really solid and engage"},{"speaker":"Tyler","startTime":424.365,"endTime":425.95500000000004,"body":"really nice bone and cortical bone."},{"speaker":"Tyler","startTime":426.65999999999997,"endTime":429.78999999999996,"body":"Issues can come about when there's"},{"speaker":"Tyler","startTime":426.65999999999997,"endTime":429.78999999999996,"body":"really thick tissue, just like dr Paape"},{"speaker":"Tyler","startTime":429.81000000000006,"endTime":432.83000000000004,"body":"mentioned when you have a retinol or pad"},{"speaker":"Tyler","startTime":429.81000000000006,"endTime":432.83000000000004,"body":"that has really thick tissue, or even if"},{"speaker":"Tyler","startTime":432.84000000000003,"endTime":434.53,"body":"you have a palate has some flabby tissue."},{"speaker":"Tyler","startTime":434.53999999999996,"endTime":437.72,"body":"Sometimes I see that from time to time,"},{"speaker":"Tyler","startTime":434.53999999999996,"endTime":437.72,"body":"the screws aren't long enough or they"},{"speaker":"Tyler","startTime":437.73,"endTime":439.0,"body":"just don't engage very strong bone."},{"speaker":"Tyler","startTime":439.0,"endTime":441.98,"body":"And if those markers are moving, they're"},{"speaker":"Tyler","startTime":439.0,"endTime":441.98,"body":"practically useless on the lower."},{"speaker":"Tyler","startTime":441.98,"endTime":442.79999999999995,"body":"This is really tough."},{"speaker":"Tyler","startTime":443.03999999999996,"endTime":446.36,"body":"And you're having to do these scans before"},{"speaker":"Tyler","startTime":443.03999999999996,"endTime":446.36,"body":"you even get started in your surgery."},{"speaker":"Tyler","startTime":446.36,"endTime":448.78,"body":"So you place these markers,"},{"speaker":"Tyler","startTime":446.36,"endTime":448.78,"body":"this can take 15 minutes."},{"speaker":"Tyler","startTime":449.39,"endTime":452.84000000000003,"body":"If you're being efficient and then you"},{"speaker":"Tyler","startTime":449.39,"endTime":452.84000000000003,"body":"have to actually take the scan, send"},{"speaker":"Tyler","startTime":452.84000000000003,"endTime":456.54999999999995,"body":"it off to the lab, and then they then"},{"speaker":"Tyler","startTime":452.84000000000003,"endTime":456.54999999999995,"body":"have to verify for you that stitches"},{"speaker":"Tyler","startTime":456.54999999999995,"endTime":459.27,"body":"together with what they already had,"},{"speaker":"Tyler","startTime":456.54999999999995,"endTime":459.27,"body":"that you didn't double scan something."},{"speaker":"Tyler","startTime":459.54999999999995,"endTime":461.95000000000005,"body":"If you do it and you double scan it,"},{"speaker":"Tyler","startTime":459.54999999999995,"endTime":461.95000000000005,"body":"then you get started and it wasn't good."},{"speaker":"Tyler","startTime":462.28,"endTime":462.75,"body":"You're screwed."},{"speaker":"Tyler","startTime":462.95000000000005,"endTime":464.65,"body":"So a lot of things can come up with that."},{"speaker":"Tyler","startTime":466.16999999999996,"endTime":469.59000000000003,"body":"You're then having to try and scan in"},{"speaker":"Tyler","startTime":466.16999999999996,"endTime":469.59000000000003,"body":"a bloody field or take like an alginate"},{"speaker":"Tyler","startTime":469.59000000000003,"endTime":470.96000000000004,"body":"impression and scan the alginate."},{"speaker":"Tyler","startTime":470.96000000000004,"endTime":473.42999999999995,"body":"And then it's there's a lot of work"},{"speaker":"Tyler","startTime":470.96000000000004,"endTime":473.42999999999995,"body":"involved with the foodie Sherry workflow."},{"speaker":"Tyler","startTime":473.67999999999995,"endTime":473.97,"body":"Yes."},{"speaker":"Tyler","startTime":473.97,"endTime":475.12,"body":"You can use some existing teeth."},{"speaker":"Tyler","startTime":475.13,"endTime":477.78999999999996,"body":"If there's some solid ones that you're"},{"speaker":"Tyler","startTime":475.13,"endTime":477.78999999999996,"body":"not going to have issues working"},{"speaker":"Tyler","startTime":477.78999999999996,"endTime":480.31000000000006,"body":"around during your surgery, but"},{"speaker":"Tyler","startTime":477.78999999999996,"endTime":480.31000000000006,"body":"that does add a lot of extra steps."},{"speaker":"Tyler","startTime":480.51,"endTime":482.49,"body":"So Soren is going to talk a little"},{"speaker":"Tyler","startTime":480.51,"endTime":482.49,"body":"bit about what we're doing now that"},{"speaker":"Tyler","startTime":482.5,"endTime":486.54999999999995,"body":"helps circumvent that and makes"},{"speaker":"Tyler","startTime":482.5,"endTime":486.54999999999995,"body":"digital a whole lot more intuitive and"},{"speaker":"Tyler","startTime":486.54999999999995,"endTime":487.664,"body":"a lot more friendly for the patient."},{"speaker":"Tyler","startTime":487.71500000000003,"endTime":490.755,"body":"To people that may be a little bit more"},{"speaker":"Tyler","startTime":487.71500000000003,"endTime":490.755,"body":"accustomed to to the analog workflow."},{"speaker":"Tyler","startTime":490.765,"endTime":491.17499999999995,"body":"I'm sorry, sir."},{"speaker":"Soren","startTime":491.9,"endTime":492.65999999999997,"body":"no, absolutely."},{"speaker":"Soren","startTime":492.73,"endTime":495.79999999999995,"body":"I'm glad that you stopped me"},{"speaker":"Soren","startTime":492.73,"endTime":495.79999999999995,"body":"there because, I forget that not"},{"speaker":"Soren","startTime":495.81000000000006,"endTime":497.54999999999995,"body":"everybody's doing digital protocols."},{"speaker":"Soren","startTime":497.65,"endTime":501.89,"body":"And I think we actually talked about this"},{"speaker":"Soren","startTime":497.65,"endTime":501.89,"body":"last episode that sometimes we might."},{"speaker":"Soren","startTime":502.595,"endTime":505.655,"body":"You know have to tail some things back"},{"speaker":"Soren","startTime":502.595,"endTime":505.655,"body":"because we're doing this every day So"},{"speaker":"Soren","startTime":505.655,"endTime":509.735,"body":"it just seems natural for us, but we do"},{"speaker":"Soren","startTime":505.655,"endTime":509.735,"body":"want this to be a podcast for everyone"},{"speaker":"Tyler","startTime":510.135,"endTime":510.45500000000004,"body":"Yes."},{"speaker":"Soren","startTime":511.145,"endTime":515.535,"body":"So first, let me talk about"},{"speaker":"Soren","startTime":511.145,"endTime":515.535,"body":"through the three kind of main"},{"speaker":"Soren","startTime":515.545,"endTime":519.675,"body":"ways right now in digital dentistry"},{"speaker":"Soren","startTime":515.545,"endTime":519.675,"body":"that you can Do your cases?"},{"speaker":"Soren","startTime":520.78,"endTime":521.75,"body":"Obviously, this isn't digital."},{"speaker":"Soren","startTime":521.8,"endTime":523.58,"body":"Not digital, but analog is the first one."},{"speaker":"Soren","startTime":523.58,"endTime":525.4,"body":"And that's what Tyler and I started with."},{"speaker":"Soren","startTime":525.75,"endTime":528.84,"body":"We've done hundreds of arches analog"},{"speaker":"Soren","startTime":525.75,"endTime":528.84,"body":"before getting into the digital workflow."},{"speaker":"Soren","startTime":529.18,"endTime":531.64,"body":"Number two is a digital"},{"speaker":"Soren","startTime":529.18,"endTime":531.64,"body":"workflow with fiduciary markers."},{"speaker":"Soren","startTime":531.69,"endTime":535.55,"body":"Tyler just said, we're looking for a way"},{"speaker":"Soren","startTime":531.69,"endTime":535.55,"body":"to relate the pre op to the post op scans."},{"speaker":"Soren","startTime":535.8100000000001,"endTime":538.15,"body":"When you take all the teeth"},{"speaker":"Soren","startTime":535.8100000000001,"endTime":538.15,"body":"out, a lot of things change."},{"speaker":"Soren","startTime":538.34,"endTime":542.33,"body":"So effectively, what they're doing"},{"speaker":"Soren","startTime":538.34,"endTime":542.33,"body":"is aligning those fiduciary markers."},{"speaker":"Soren","startTime":542.525,"endTime":546.425,"body":"So that the scans can align"},{"speaker":"Soren","startTime":542.525,"endTime":546.425,"body":"together and they have a way to"},{"speaker":"Soren","startTime":546.655,"endTime":548.895,"body":"merge them for pre op and post op."},{"speaker":"Soren","startTime":549.285,"endTime":552.885,"body":"The second digital way is actually"},{"speaker":"Soren","startTime":549.285,"endTime":552.885,"body":"setting, and this is what Tyler and"},{"speaker":"Soren","startTime":552.885,"endTime":555.345,"body":"I do now, we set the video ourselves."},{"speaker":"Soren","startTime":555.4350000000001,"endTime":556.085,"body":"What does that mean?"},{"speaker":"Soren","startTime":556.265,"endTime":559.205,"body":"It means using the patient's"},{"speaker":"Soren","startTime":556.265,"endTime":559.205,"body":"existing denture or printing a"},{"speaker":"Soren","startTime":559.205,"endTime":560.5350000000001,"body":"new denture for that patient."},{"speaker":"Soren","startTime":560.7850000000001,"endTime":564.755,"body":"And what you're effectively doing is,"},{"speaker":"Soren","startTime":560.7850000000001,"endTime":564.755,"body":"You're not putting any fiduciary markers"},{"speaker":"Soren","startTime":564.755,"endTime":568.265,"body":"in, you're doing your entire surgery,"},{"speaker":"Soren","startTime":564.755,"endTime":568.265,"body":"putting scan bodies in, and then you're"},{"speaker":"Soren","startTime":568.265,"endTime":573.465,"body":"taking a manual impression of the"},{"speaker":"Soren","startTime":568.265,"endTime":573.465,"body":"patient's arch on the top and bottom, and"},{"speaker":"Soren","startTime":573.465,"endTime":575.495,"body":"then setting them into a bite themselves."},{"speaker":"Soren","startTime":575.845,"endTime":579.395,"body":"What this does is it creates"},{"speaker":"Soren","startTime":575.845,"endTime":579.395,"body":"you're getting that, the location"},{"speaker":"Soren","startTime":579.395,"endTime":584.125,"body":"of those scan bodies and you're"},{"speaker":"Soren","startTime":579.395,"endTime":584.125,"body":"aligning it to the the video of that"},{"speaker":"Soren","startTime":584.125,"endTime":585.765,"body":"patient that's set by the denture."},{"speaker":"Soren","startTime":586.075,"endTime":589.2850000000001,"body":"And then you scan the upper"},{"speaker":"Soren","startTime":586.075,"endTime":589.2850000000001,"body":"three 60, the lower three 60,"},{"speaker":"Soren","startTime":589.5350000000001,"endTime":590.8050000000001,"body":"and then the bite together."},{"speaker":"Soren","startTime":591.2950000000001,"endTime":596.135,"body":"This allows the lab to merge those"},{"speaker":"Soren","startTime":591.2950000000001,"endTime":596.135,"body":"pre op scans to that denture."},{"speaker":"Soren","startTime":596.5450000000001,"endTime":598.8050000000001,"body":"And it aligns everything really well."},{"speaker":"Soren","startTime":598.875,"endTime":601.845,"body":"And what I've found is"},{"speaker":"Soren","startTime":598.875,"endTime":601.845,"body":"I get way better bites."},{"speaker":"Soren","startTime":602.645,"endTime":603.245,"body":"Also,"},{"speaker":"Tyler","startTime":603.585,"endTime":603.825,"body":"Yeah."},{"speaker":"Soren","startTime":603.885,"endTime":604.995,"body":"I'm not dealing with."},{"speaker":"Soren","startTime":605.2950000000001,"endTime":608.0350000000001,"body":"So like pitfalls with"},{"speaker":"Soren","startTime":605.2950000000001,"endTime":608.0350000000001,"body":"fiduciary markers, right?"},{"speaker":"Soren","startTime":608.0550000000001,"endTime":610.815,"body":"You're scanning in the mouth in"},{"speaker":"Soren","startTime":608.0550000000001,"endTime":610.815,"body":"a bloody field, or you're taking"},{"speaker":"Soren","startTime":610.815,"endTime":614.225,"body":"an impression, trying to get the"},{"speaker":"Soren","startTime":610.815,"endTime":614.225,"body":"fiduciary markers in the impression."},{"speaker":"Soren","startTime":614.235,"endTime":616.2850000000001,"body":"And that's like just another"},{"speaker":"Soren","startTime":614.235,"endTime":616.2850000000001,"body":"thing that you need to get."},{"speaker":"Soren","startTime":616.945,"endTime":621.5450000000001,"body":"So when you're doing an impression in"},{"speaker":"Soren","startTime":616.945,"endTime":621.5450000000001,"body":"the denture, effectively it's less things"},{"speaker":"Soren","startTime":621.5550000000001,"endTime":626.1550000000001,"body":"that you're trying to get an impression"},{"speaker":"Soren","startTime":621.5550000000001,"endTime":626.1550000000001,"body":"of and you can just scan the top, scan"},{"speaker":"Soren","startTime":626.1550000000001,"endTime":628.9150000000001,"body":"the bottom, scan the bite together, and"},{"speaker":"Soren","startTime":626.1550000000001,"endTime":628.9150000000001,"body":"then they can merge all that together."},{"speaker":"Soren","startTime":629.275,"endTime":630.245,"body":"I like it a lot more."},{"speaker":"Soren","startTime":630.245,"endTime":633.215,"body":"I find that it's much quicker and"},{"speaker":"Soren","startTime":630.245,"endTime":633.215,"body":"I find that my bites are a lot"},{"speaker":"Soren","startTime":633.215,"endTime":637.585,"body":"better and lastly there's one more"},{"speaker":"Soren","startTime":633.215,"endTime":637.585,"body":"thing I wanted to mention about it."},{"speaker":"Soren","startTime":637.765,"endTime":641.345,"body":"But anyways, but the pitfalls of this"},{"speaker":"Soren","startTime":637.765,"endTime":641.345,"body":"are you do need a denture ahead of time."},{"speaker":"Soren","startTime":641.855,"endTime":646.025,"body":"I use my, I, if a patient has a denture"},{"speaker":"Soren","startTime":641.855,"endTime":646.025,"body":"existing, I will use their denture."},{"speaker":"Soren","startTime":646.315,"endTime":651.4350000000001,"body":"But if not, then I will use a"},{"speaker":"Soren","startTime":646.315,"endTime":651.4350000000001,"body":"denture that's pre designed."},{"speaker":"Soren","startTime":652.135,"endTime":653.125,"body":"Did you have something Tyler?"},{"speaker":"Tyler","startTime":653.2800000000001,"endTime":655.6800000000001,"body":"Yeah, no, I think one"},{"speaker":"Tyler","startTime":653.2800000000001,"endTime":655.6800000000001,"body":"additional pro, I don't know if"},{"speaker":"Tyler","startTime":655.6800000000001,"endTime":656.64,"body":"it's what you were thinking of, but"},{"speaker":"Tyler","startTime":656.765,"endTime":659.765,"body":"Is it allows you because you're"},{"speaker":"Tyler","startTime":656.765,"endTime":659.765,"body":"using a denture and you're doing a"},{"speaker":"Tyler","startTime":659.765,"endTime":664.265,"body":"wash in the mouth, you're able, and"},{"speaker":"Tyler","startTime":659.765,"endTime":664.265,"body":"the lab is also able to physically"},{"speaker":"Tyler","startTime":664.265,"endTime":667.635,"body":"see where those teeth are in"},{"speaker":"Tyler","startTime":664.265,"endTime":667.635,"body":"relation to the face, in relation to"},{"speaker":"Tyler","startTime":667.74,"endTime":670.2,"body":"That can't, and the relation"},{"speaker":"Tyler","startTime":667.74,"endTime":670.2,"body":"of the dentures to each other."},{"speaker":"Tyler","startTime":670.2,"endTime":673.4300000000001,"body":"So let's say in the plan, things"},{"speaker":"Tyler","startTime":670.2,"endTime":673.4300000000001,"body":"didn't really come together the"},{"speaker":"Tyler","startTime":673.4300000000001,"endTime":674.5500000000001,"body":"way that we'd hope they would."},{"speaker":"Tyler","startTime":674.5500000000001,"endTime":678.14,"body":"And maybe you're like really class two"},{"speaker":"Tyler","startTime":674.5500000000001,"endTime":678.14,"body":"or class three, you can take pictures"},{"speaker":"Tyler","startTime":678.14,"endTime":680.86,"body":"and you can evaluate the case and say,"},{"speaker":"Tyler","startTime":678.14,"endTime":680.86,"body":"Hey guys it didn't really line up that"},{"speaker":"Tyler","startTime":680.86,"endTime":682.46,"body":"well, but I'd like where the uppers are."},{"speaker":"Tyler","startTime":682.46,"endTime":683.72,"body":"It's just a little bit too class two."},{"speaker":"Tyler","startTime":683.72,"endTime":687.1700000000001,"body":"Can we bring those lower teeth"},{"speaker":"Tyler","startTime":683.72,"endTime":687.1700000000001,"body":"forward and that enables them"},{"speaker":"Tyler","startTime":687.1700000000001,"endTime":690.52,"body":"to relate the soft tissue to the"},{"speaker":"Tyler","startTime":687.1700000000001,"endTime":690.52,"body":"teeth in the position you captured,"},{"speaker":"Tyler","startTime":690.52,"endTime":692.46,"body":"but also move from there as well."},{"speaker":"Tyler","startTime":692.49,"endTime":696.33,"body":"So it makes it much easier for them"},{"speaker":"Tyler","startTime":692.49,"endTime":696.33,"body":"to adjust in the fiduciary workflow."},{"speaker":"Tyler","startTime":696.48,"endTime":699.5600000000001,"body":"Yeah, things may look like they've"},{"speaker":"Tyler","startTime":696.48,"endTime":699.5600000000001,"body":"stitched together really well, but you're"},{"speaker":"Tyler","startTime":699.57,"endTime":703.27,"body":"talking about these like little tiny"},{"speaker":"Tyler","startTime":699.57,"endTime":703.27,"body":"markers across the entire mouth that"},{"speaker":"Tyler","startTime":703.27,"endTime":705.71,"body":"you're hoping have stitched together"},{"speaker":"Tyler","startTime":703.27,"endTime":705.71,"body":"well enough to where, you're going to"},{"speaker":"Tyler","startTime":705.71,"endTime":708.9,"body":"take this one little point or maybe"},{"speaker":"Tyler","startTime":705.71,"endTime":708.9,"body":"three, two to three, and then you're"},{"speaker":"Tyler","startTime":708.9,"endTime":712.59,"body":"going to have all these teeth that are"},{"speaker":"Tyler","startTime":708.9,"endTime":712.59,"body":"trying to stitch from there in accordance"},{"speaker":"Tyler","startTime":712.59,"endTime":713.965,"body":"with the soft tissue and all that."},{"speaker":"Tyler","startTime":714.105,"endTime":716.1550000000001,"body":"And you're hoping that does"},{"speaker":"Tyler","startTime":714.105,"endTime":716.1550000000001,"body":"it in such a way that's going"},{"speaker":"Tyler","startTime":716.1550000000001,"endTime":717.3050000000001,"body":"to coincide with the lower."},{"speaker":"Tyler","startTime":717.505,"endTime":719.385,"body":"And a lot of times you get"},{"speaker":"Tyler","startTime":717.505,"endTime":719.385,"body":"these crazy open bites."},{"speaker":"Tyler","startTime":719.385,"endTime":721.4350000000001,"body":"You get things crossed up"},{"speaker":"Tyler","startTime":719.385,"endTime":721.4350000000001,"body":"with the denture workflow."},{"speaker":"Tyler","startTime":721.495,"endTime":725.105,"body":"Even if you don't capture a wonderful"},{"speaker":"Tyler","startTime":721.495,"endTime":725.105,"body":"bite, a lot of times the lab can"},{"speaker":"Tyler","startTime":725.105,"endTime":728.005,"body":"actually move those teeth a little"},{"speaker":"Tyler","startTime":725.105,"endTime":728.005,"body":"bit and get a more predictable bite"},{"speaker":"Tyler","startTime":728.015,"endTime":731.015,"body":"that way as well, even if you're not"},{"speaker":"Tyler","startTime":728.015,"endTime":731.015,"body":"able to get that really good capture."},{"speaker":"Soren","startTime":731.6650000000001,"endTime":732.355,"body":"Yeah, for sure."},{"speaker":"Soren","startTime":732.645,"endTime":736.365,"body":"And then the last denture pro or"},{"speaker":"Soren","startTime":732.645,"endTime":736.365,"body":"the last like protocol for digital"},{"speaker":"Soren","startTime":736.525,"endTime":738.5450000000001,"body":"and I don't want to get too far"},{"speaker":"Soren","startTime":736.525,"endTime":738.5450000000001,"body":"in the digital weeds because it's"},{"speaker":"Soren","startTime":738.5450000000001,"endTime":739.715,"body":"like a whole episode in itself."},{"speaker":"Soren","startTime":739.715,"endTime":742.815,"body":"This is an efficiency one, but"},{"speaker":"Soren","startTime":739.715,"endTime":742.815,"body":"we're just giving you a quick recap."},{"speaker":"Soren","startTime":742.815,"endTime":744.4350000000001,"body":"So you can get an idea of this."},{"speaker":"Soren","startTime":744.4350000000001,"endTime":747.345,"body":"But the last one is like segmenting CTs."},{"speaker":"Soren","startTime":747.345,"endTime":747.995,"body":"So you can"},{"speaker":"Tyler","startTime":748.0450000000001,"endTime":748.315,"body":"Yeah."},{"speaker":"Soren","startTime":748.955,"endTime":750.845,"body":"pre op CTs and post op CTs."},{"speaker":"Soren","startTime":750.875,"endTime":754.895,"body":"And that protocol, you don't"},{"speaker":"Soren","startTime":750.875,"endTime":754.895,"body":"need fiduciary markers either."},{"speaker":"Soren","startTime":755.095,"endTime":757.5350000000001,"body":"However, that is it take"},{"speaker":"Soren","startTime":755.095,"endTime":757.5350000000001,"body":"like a special protocol."},{"speaker":"Soren","startTime":757.65,"endTime":761.9200000000001,"body":"Lab that knows how to do that and it"},{"speaker":"Soren","startTime":757.65,"endTime":761.9200000000001,"body":"also takes a lot longer for the lab."},{"speaker":"Soren","startTime":761.9200000000001,"endTime":764.14,"body":"So for me, I'm trying to"},{"speaker":"Soren","startTime":761.9200000000001,"endTime":764.14,"body":"deliver the teeth same day."},{"speaker":"Soren","startTime":764.4200000000001,"endTime":767.5,"body":"A lot of, you can do that with a CT"},{"speaker":"Soren","startTime":764.4200000000001,"endTime":767.5,"body":"protocol, but a lot of places that"},{"speaker":"Soren","startTime":767.5,"endTime":772.73,"body":"are doing alignment of pre op and post"},{"speaker":"Soren","startTime":767.5,"endTime":772.73,"body":"op CTs are doing next day deliveries."},{"speaker":"Soren","startTime":772.74,"endTime":774.2900000000001,"body":"So it gives them a little"},{"speaker":"Soren","startTime":772.74,"endTime":774.2900000000001,"body":"more time for the lab."},{"speaker":"Tyler","startTime":774.71,"endTime":775.8100000000001,"body":"Yeah, we actually did."},{"speaker":"Tyler","startTime":775.99,"endTime":779.7900000000001,"body":"We did a really good podcast with Dave"},{"speaker":"Tyler","startTime":775.99,"endTime":779.7900000000001,"body":"O'Dowling on the full arch podcast"},{"speaker":"Tyler","startTime":779.7900000000001,"endTime":784.21,"body":"about a CT driven workflow using those"},{"speaker":"Tyler","startTime":779.7900000000001,"endTime":784.21,"body":"sort of hard relationship markers."},{"speaker":"Tyler","startTime":784.21,"endTime":786.58,"body":"And I think the new like segmark"},{"speaker":"Tyler","startTime":784.21,"endTime":786.58,"body":"workflow is similar to that in a"},{"speaker":"Tyler","startTime":786.825,"endTime":787.5350000000001,"body":"Go over a lot."},{"speaker":"Tyler","startTime":787.5350000000001,"endTime":790.365,"body":"If we did it on video and could do"},{"speaker":"Tyler","startTime":787.5350000000001,"endTime":790.365,"body":"some screen share and stuff like that."},{"speaker":"Tyler","startTime":790.365,"endTime":793.0550000000001,"body":"So it's another reason this medium"},{"speaker":"Tyler","startTime":790.365,"endTime":793.0550000000001,"body":"is going to make things like this a"},{"speaker":"Tyler","startTime":793.0550000000001,"endTime":794.3050000000001,"body":"lot easier for people to understand."},{"speaker":"Tyler","startTime":794.3050000000001,"endTime":795.2950000000001,"body":"So I'm excited about that."},{"speaker":"Tyler","startTime":796.6550000000001,"endTime":796.955,"body":"Yeah."},{"speaker":"Tyler","startTime":796.955,"endTime":799.015,"body":"Yeah."},{"speaker":"Soren","startTime":799.19,"endTime":802.0500000000001,"body":"thing now is just to"},{"speaker":"Soren","startTime":799.19,"endTime":802.0500000000001,"body":"jump into what my protocol is."},{"speaker":"Soren","startTime":802.0500000000001,"endTime":805.2,"body":"And Tyler, if you want to jump in"},{"speaker":"Soren","startTime":802.0500000000001,"endTime":805.2,"body":"at any point and talk about maybe"},{"speaker":"Soren","startTime":805.2,"endTime":807.52,"body":"where you do things differently"},{"speaker":"Soren","startTime":805.2,"endTime":807.52,"body":"you're more than welcome to."},{"speaker":"Soren","startTime":807.82,"endTime":812.1,"body":"But so let's talk about first"},{"speaker":"Soren","startTime":807.82,"endTime":812.1,"body":"like every single step that I do."},{"speaker":"Soren","startTime":812.4200000000001,"endTime":817.837,"body":"So first thing is that I think is super"},{"speaker":"Soren","startTime":812.4200000000001,"endTime":817.837,"body":"important is making sure your team is"},{"speaker":"Soren","startTime":817.837,"endTime":819.9970000000001,"body":"set up and ready to go for the case."},{"speaker":"Soren","startTime":820.327,"endTime":824.277,"body":"That means if in my office, I do"},{"speaker":"Soren","startTime":820.327,"endTime":824.277,"body":"everything six handed and I think"},{"speaker":"Soren","startTime":824.287,"endTime":830.267,"body":"that doing things six handed makes"},{"speaker":"Soren","startTime":824.287,"endTime":830.267,"body":"it much nicer for for your team"},{"speaker":"Soren","startTime":830.267,"endTime":831.677,"body":"to be passing instruments to you."},{"speaker":"Soren","startTime":831.8670000000001,"endTime":833.157,"body":"You don't have to move."},{"speaker":"Soren","startTime":833.427,"endTime":836.1170000000001,"body":"Basically I sit there, I look in"},{"speaker":"Soren","startTime":833.427,"endTime":836.1170000000001,"body":"the mouth and my goal is I don't"},{"speaker":"Soren","startTime":836.167,"endTime":837.287,"body":"look away from the mouth at all."},{"speaker":"Soren","startTime":837.317,"endTime":839.557,"body":"My team is handing me instruments"},{"speaker":"Soren","startTime":837.317,"endTime":839.557,"body":"throughout the whole surgery."},{"speaker":"Soren","startTime":839.807,"endTime":842.7370000000001,"body":"And I'm just focused on"},{"speaker":"Soren","startTime":839.807,"endTime":842.7370000000001,"body":"what I need to do next."},{"speaker":"Soren","startTime":842.777,"endTime":845.7370000000001,"body":"And they know exactly what"},{"speaker":"Soren","startTime":842.777,"endTime":845.7370000000001,"body":"instrument I need next."},{"speaker":"Soren","startTime":845.7370000000001,"endTime":847.3870000000001,"body":"They know what implant I'm placing."},{"speaker":"Soren","startTime":847.6170000000001,"endTime":850.187,"body":"They know what their next"},{"speaker":"Soren","startTime":847.6170000000001,"endTime":850.187,"body":"step is supposed to be."},{"speaker":"Soren","startTime":850.2370000000001,"endTime":854.2370000000001,"body":"Getting your team prepared and"},{"speaker":"Soren","startTime":850.2370000000001,"endTime":854.2370000000001,"body":"ready for the cases ahead of time."},{"speaker":"Soren","startTime":854.407,"endTime":858.027,"body":"That might mean doing a couple of days"},{"speaker":"Soren","startTime":854.407,"endTime":858.027,"body":"of just teaching your team like going"},{"speaker":"Soren","startTime":858.027,"endTime":859.6170000000001,"body":"through what all the steps are with them."},{"speaker":"Soren","startTime":859.8670000000001,"endTime":861.687,"body":"Just so they can be ready"},{"speaker":"Soren","startTime":859.8670000000001,"endTime":861.687,"body":"to hand that off to you."},{"speaker":"Soren","startTime":862.1170000000001,"endTime":866.1370000000001,"body":"Another thing I do to prepare for"},{"speaker":"Soren","startTime":862.1170000000001,"endTime":866.1370000000001,"body":"the case is the Wednesday before"},{"speaker":"Soren","startTime":866.1370000000001,"endTime":869.8870000000001,"body":"my surgeries of the following"},{"speaker":"Soren","startTime":866.1370000000001,"endTime":869.8870000000001,"body":"week, I prep every single case."},{"speaker":"Soren","startTime":869.947,"endTime":873.8670000000001,"body":"Today's a Tuesday, tomorrow's a"},{"speaker":"Soren","startTime":869.947,"endTime":873.8670000000001,"body":"Wednesday, I will prepare every"},{"speaker":"Soren","startTime":873.8670000000001,"endTime":875.647,"body":"case for the following week."},{"speaker":"Soren","startTime":875.907,"endTime":877.077,"body":"What does that mean exactly?"},{"speaker":"Soren","startTime":877.087,"endTime":879.917,"body":"It means bring up my CT, plan"},{"speaker":"Soren","startTime":877.087,"endTime":879.917,"body":"all the implants, I write all the"},{"speaker":"Soren","startTime":879.927,"endTime":881.3570000000001,"body":"implants down for my assistants."},{"speaker":"Soren","startTime":881.6370000000001,"endTime":883.6370000000001,"body":"I wrote all the multi units"},{"speaker":"Soren","startTime":881.6370000000001,"endTime":883.6370000000001,"body":"down for my assistants."},{"speaker":"Soren","startTime":883.7370000000001,"endTime":885.717,"body":"I write any other thing that is needed."},{"speaker":"Soren","startTime":885.7370000000001,"endTime":888.8570000000001,"body":"If they need, like when I was doing"},{"speaker":"Soren","startTime":885.7370000000001,"endTime":888.8570000000001,"body":"analog, it would be like tie cylinders"},{"speaker":"Soren","startTime":889.147,"endTime":892.917,"body":"how many healing caps I need just"},{"speaker":"Soren","startTime":889.147,"endTime":892.917,"body":"so they can then take those out, put"},{"speaker":"Soren","startTime":892.917,"endTime":896.957,"body":"them in a case pan and have every"},{"speaker":"Soren","startTime":892.917,"endTime":896.957,"body":"single case ready for the week."},{"speaker":"Soren","startTime":897.327,"endTime":897.837,"body":"Following."},{"speaker":"Soren","startTime":898.267,"endTime":899.4970000000001,"body":"Why is that beneficial?"},{"speaker":"Soren","startTime":899.8570000000001,"endTime":903.7470000000001,"body":"One, you're prepared for that case"},{"speaker":"Soren","startTime":899.8570000000001,"endTime":903.7470000000001,"body":"to, you never run into a situation"},{"speaker":"Soren","startTime":903.7470000000001,"endTime":907.2370000000001,"body":"where you're like, Oh my God,"},{"speaker":"Soren","startTime":903.7470000000001,"endTime":907.2370000000001,"body":"we're out of four by thirteens."},{"speaker":"Soren","startTime":907.287,"endTime":908.027,"body":"What are we going to do?"},{"speaker":"Soren","startTime":908.087,"endTime":910.8570000000001,"body":"You want to be prepared for those"},{"speaker":"Soren","startTime":908.087,"endTime":910.8570000000001,"body":"cases and you don't want a day"},{"speaker":"Soren","startTime":910.8570000000001,"endTime":912.3770000000001,"body":"where, you're out of four by 13."},{"speaker":"Soren","startTime":913.0070000000001,"endTime":915.8570000000001,"body":"So you have to use another"},{"speaker":"Soren","startTime":913.0070000000001,"endTime":915.8570000000001,"body":"implant just because you"},{"speaker":"Soren","startTime":915.8570000000001,"endTime":917.457,"body":"weren't prepared for that case."},{"speaker":"Soren","startTime":917.707,"endTime":921.147,"body":"And I think that's definitely on the"},{"speaker":"Soren","startTime":917.707,"endTime":921.147,"body":"surgeon to have that ready to go."},{"speaker":"Soren","startTime":921.3870000000001,"endTime":922.527,"body":"If you're like."},{"speaker":"Soren","startTime":922.7520000000001,"endTime":926.592,"body":"All of a sudden using a five by 13 implant"},{"speaker":"Soren","startTime":922.7520000000001,"endTime":926.592,"body":"on a patient who doesn't really need it."},{"speaker":"Soren","startTime":926.6220000000001,"endTime":927.272,"body":"That's your fault."},{"speaker":"Soren","startTime":927.302,"endTime":928.602,"body":"You didn't plan the case correctly."},{"speaker":"Soren","startTime":928.782,"endTime":929.692,"body":"You weren't prepared."},{"speaker":"Soren","startTime":929.942,"endTime":930.9820000000001,"body":"The team wasn't prepared."},{"speaker":"Soren","startTime":931.2520000000001,"endTime":933.032,"body":"Definitely have these things"},{"speaker":"Soren","startTime":931.2520000000001,"endTime":933.032,"body":"ready to go ahead of time."},{"speaker":"Tyler","startTime":933.442,"endTime":935.7520000000001,"body":"And I'll say too, just on"},{"speaker":"Tyler","startTime":933.442,"endTime":935.7520000000001,"body":"the inventory note I think the"},{"speaker":"Tyler","startTime":935.7520000000001,"endTime":938.532,"body":"ritual of preparing all of your"},{"speaker":"Tyler","startTime":935.7520000000001,"endTime":938.532,"body":"cases for the next week on the"},{"speaker":"Tyler","startTime":938.532,"endTime":939.8620000000001,"body":"Wednesday is absolutely brilliant."},{"speaker":"Tyler","startTime":940.162,"endTime":944.462,"body":"But one thing that, we talk about when"},{"speaker":"Tyler","startTime":940.162,"endTime":944.462,"body":"we get into, you know the art of freehand"},{"speaker":"Tyler","startTime":944.5020000000001,"endTime":948.542,"body":"surgery and not doing, guided and having"},{"speaker":"Tyler","startTime":944.5020000000001,"endTime":948.542,"body":"a really rigid plan, we do have plans."},{"speaker":"Tyler","startTime":948.572,"endTime":950.092,"body":"We do know."},{"speaker":"Tyler","startTime":950.692,"endTime":955.2420000000001,"body":"Usually 80, 90 percent confidence"},{"speaker":"Tyler","startTime":950.692,"endTime":955.2420000000001,"body":"interval, what implant is going to"},{"speaker":"Tyler","startTime":955.2420000000001,"endTime":960.142,"body":"go where, however, we do in addition"},{"speaker":"Tyler","startTime":955.2420000000001,"endTime":960.142,"body":"to setting out our pans or bagging"},{"speaker":"Tyler","startTime":960.142,"endTime":964.442,"body":"up the cases, what I do we also have"},{"speaker":"Tyler","startTime":960.142,"endTime":964.442,"body":"a full stock of implants ready to go"},{"speaker":"Tyler","startTime":964.472,"endTime":966.322,"body":"in case you do need to pivot, right?"},{"speaker":"Tyler","startTime":966.332,"endTime":969.5120000000001,"body":"Like for a terrible or something"},{"speaker":"Tyler","startTime":966.332,"endTime":969.5120000000001,"body":"like that, you might know that you"},{"speaker":"Tyler","startTime":969.5120000000001,"endTime":973.0120000000001,"body":"usually place an 18 or a 20, but"},{"speaker":"Tyler","startTime":969.5120000000001,"endTime":973.0120000000001,"body":"maybe just your angles a little bit"},{"speaker":"Tyler","startTime":973.0120000000001,"endTime":974.722,"body":"different and now you need a 24."},{"speaker":"Tyler","startTime":974.7320000000001,"endTime":976.552,"body":"You got some on the side as well."},{"speaker":"Tyler","startTime":976.552,"endTime":978.332,"body":"So after those cases get set aside."},{"speaker":"Tyler","startTime":978.5120000000001,"endTime":981.172,"body":"You're also making sure that you"},{"speaker":"Tyler","startTime":978.5120000000001,"endTime":981.172,"body":"have a full stock of implants and"},{"speaker":"Tyler","startTime":981.172,"endTime":984.022,"body":"every single size has the appropriate"},{"speaker":"Tyler","startTime":981.172,"endTime":984.022,"body":"number associated with that."},{"speaker":"Tyler","startTime":984.022,"endTime":985.272,"body":"So that you're always going to be ready."},{"speaker":"Tyler","startTime":985.5020000000001,"endTime":987.6320000000001,"body":"And it's good to actually have"},{"speaker":"Tyler","startTime":985.5020000000001,"endTime":987.6320000000001,"body":"that in the operatory as well."},{"speaker":"Tyler","startTime":987.642,"endTime":989.6320000000001,"body":"So it's, you're like, okay,"},{"speaker":"Tyler","startTime":987.642,"endTime":989.6320000000001,"body":"this one's not going to work."},{"speaker":"Tyler","startTime":989.6320000000001,"endTime":990.692,"body":"Let's swap out for this size."},{"speaker":"Tyler","startTime":990.692,"endTime":992.322,"body":"And then one of your systems"},{"speaker":"Tyler","startTime":990.692,"endTime":992.322,"body":"can go and grab that."},{"speaker":"Tyler","startTime":992.322,"endTime":993.422,"body":"It doesn't create an interruption."},{"speaker":"Tyler","startTime":993.422,"endTime":996.092,"body":"You're not having to leave the room"},{"speaker":"Tyler","startTime":993.422,"endTime":996.092,"body":"and go get something else or say,"},{"speaker":"Tyler","startTime":996.1220000000001,"endTime":997.402,"body":"Oh crap, I wasn't ready for that."},{"speaker":"Soren","startTime":998.152,"endTime":998.852,"body":"yeah, absolutely."},{"speaker":"Soren","startTime":998.8820000000001,"endTime":1003.123,"body":"I part of what I was getting into"},{"speaker":"Soren","startTime":998.8820000000001,"endTime":1003.123,"body":"was after the, they set aside all"},{"speaker":"Soren","startTime":1003.123,"endTime":1004.673,"body":"those case pans with the implants."},{"speaker":"Tyler","startTime":1004.913,"endTime":1005.193,"body":"Yeah."},{"speaker":"Soren","startTime":1005.2130000000001,"endTime":1007.8530000000001,"body":"then do our implant"},{"speaker":"Soren","startTime":1005.2130000000001,"endTime":1007.8530000000001,"body":"order for the following week."},{"speaker":"Soren","startTime":1007.8530000000001,"endTime":1008.513,"body":"So we're stocked."},{"speaker":"Soren","startTime":1008.873,"endTime":1012.273,"body":"And the reason that's beneficial is then"},{"speaker":"Soren","startTime":1008.873,"endTime":1012.273,"body":"you always have implant sizes ready to go."},{"speaker":"Soren","startTime":1012.5930000000001,"endTime":1013.503,"body":"You're ready for the next week."},{"speaker":"Soren","startTime":1013.503,"endTime":1016.783,"body":"But if let's say you get a last minute"},{"speaker":"Soren","startTime":1013.503,"endTime":1016.783,"body":"case, a patient comes in consult, they're"},{"speaker":"Soren","startTime":1016.783,"endTime":1017.913,"body":"like, Hey, I want to do this tomorrow."},{"speaker":"Soren","startTime":1018.158,"endTime":1019.058,"body":"We got the implants for it."},{"speaker":"Soren","startTime":1019.068,"endTime":1021.8380000000001,"body":"We're always prepared to always"},{"speaker":"Soren","startTime":1019.068,"endTime":1021.8380000000001,"body":"have a full stock of implants and"},{"speaker":"Soren","startTime":1021.8380000000001,"endTime":1025.868,"body":"you can't always have a full stock"},{"speaker":"Soren","startTime":1021.8380000000001,"endTime":1025.868,"body":"unless you do your implant order after"},{"speaker":"Soren","startTime":1025.868,"endTime":1027.218,"body":"your prep for the week following."},{"speaker":"Tyler","startTime":1028.373,"endTime":1028.663,"body":"Yeah"},{"speaker":"Soren","startTime":1028.728,"endTime":1032.518,"body":"so that's step one, biggest"},{"speaker":"Soren","startTime":1028.728,"endTime":1032.518,"body":"thing, be prepared, have your case"},{"speaker":"Soren","startTime":1032.518,"endTime":1035.748,"body":"ready, make sure your assistance already"},{"speaker":"Soren","startTime":1032.518,"endTime":1035.748,"body":"for the case, make sure you have all"},{"speaker":"Soren","startTime":1035.748,"endTime":1039.988,"body":"the implants, all the equipment, and"},{"speaker":"Soren","startTime":1035.748,"endTime":1039.988,"body":"then next it's setting up for the case."},{"speaker":"Soren","startTime":1040.038,"endTime":1044.538,"body":"I would, I would really urge"},{"speaker":"Soren","startTime":1040.038,"endTime":1044.538,"body":"you guys to go on Matt Krueger's"},{"speaker":"Soren","startTime":1044.953,"endTime":1047.653,"body":"All on X pod or his website,"},{"speaker":"Tyler","startTime":1048.0729999999999,"endTime":1048.373,"body":"Yeah."},{"speaker":"Soren","startTime":1048.423,"endTime":1049.3229999999999,"body":"alexsurgery."},{"speaker":"Soren","startTime":1049.3229999999999,"endTime":1049.703,"body":"com."},{"speaker":"Soren","startTime":1049.8229999999999,"endTime":1051.403,"body":"He's got pictures of his setup."},{"speaker":"Soren","startTime":1051.433,"endTime":1052.413,"body":"He's got a great setup."},{"speaker":"Soren","startTime":1052.413,"endTime":1056.083,"body":"He, and he talks about every single"},{"speaker":"Soren","startTime":1052.413,"endTime":1056.083,"body":"instrument, what he uses every single"},{"speaker":"Soren","startTime":1056.083,"endTime":1059.963,"body":"instrument for if I can, I'll see if"},{"speaker":"Soren","startTime":1056.083,"endTime":1059.963,"body":"I can post a picture here with like"},{"speaker":"Soren","startTime":1059.963,"endTime":1062.443,"body":"that setup and what he does, but I"},{"speaker":"Soren","startTime":1059.963,"endTime":1062.443,"body":"would just urge you to go on there."},{"speaker":"Soren","startTime":1062.443,"endTime":1063.8329999999999,"body":"Cause he explains everything really well."},{"speaker":"Soren","startTime":1064.223,"endTime":1066.213,"body":"So make sure your team is set up."},{"speaker":"Soren","startTime":1066.243,"endTime":1068.703,"body":"That means having implant motors ready."},{"speaker":"Soren","startTime":1068.703,"endTime":1071.0729999999999,"body":"They should be checking the"},{"speaker":"Soren","startTime":1068.703,"endTime":1071.0729999999999,"body":"water on the implant motor."},{"speaker":"Soren","startTime":1071.223,"endTime":1073.463,"body":"These are conversations that I've"},{"speaker":"Soren","startTime":1071.223,"endTime":1073.463,"body":"had to have with my assistants"},{"speaker":"Soren","startTime":1073.463,"endTime":1077.293,"body":"throughout this journey is let's"},{"speaker":"Soren","startTime":1073.463,"endTime":1077.293,"body":"say I go to get my implant ready."},{"speaker":"Soren","startTime":1077.293,"endTime":1078.723,"body":"And all of a sudden we're"},{"speaker":"Soren","startTime":1077.293,"endTime":1078.723,"body":"out of water already."},{"speaker":"Soren","startTime":1078.753,"endTime":1081.143,"body":"And I'm like, guys, this stuff"},{"speaker":"Soren","startTime":1078.753,"endTime":1081.143,"body":"needs to be prepared ahead of time."},{"speaker":"Soren","startTime":1081.143,"endTime":1082.233,"body":"Just check over everything."},{"speaker":"Soren","startTime":1082.5529999999999,"endTime":1085.413,"body":"Think about it as if it's you're,"},{"speaker":"Soren","startTime":1082.5529999999999,"endTime":1085.413,"body":"we're going through the full case"},{"speaker":"Soren","startTime":1085.433,"endTime":1088.783,"body":"and all this stuff should be I have"},{"speaker":"Soren","startTime":1085.433,"endTime":1088.783,"body":"my implant motor settings set for"},{"speaker":"Soren","startTime":1089.0529999999999,"endTime":1093.1129999999998,"body":"one through five, so we just step"},{"speaker":"Soren","startTime":1089.0529999999999,"endTime":1093.1129999999998,"body":"up as we go through the procedure."},{"speaker":"Soren","startTime":1093.503,"endTime":1094.933,"body":"And everything's prepared."},{"speaker":"Soren","startTime":1094.933,"endTime":1096.3429999999998,"body":"Now, this isn't going to happen overnight."},{"speaker":"Soren","startTime":1096.3729999999998,"endTime":1099.203,"body":"This is going to take a lot of cases"},{"speaker":"Soren","startTime":1096.3729999999998,"endTime":1099.203,"body":"to get this down with your team."},{"speaker":"Soren","startTime":1099.6329999999998,"endTime":1102.643,"body":"But once you get it down, then I get"},{"speaker":"Soren","startTime":1099.6329999999998,"endTime":1102.643,"body":"asked on my Instagram all the time,"},{"speaker":"Soren","startTime":1102.643,"endTime":1105.9479999999999,"body":"like, how There's no way that you"},{"speaker":"Soren","startTime":1102.643,"endTime":1105.9479999999999,"body":"did a double arch an hour and a half."},{"speaker":"Soren","startTime":1106.2579999999998,"endTime":1109.158,"body":"And it's once you have these things"},{"speaker":"Soren","startTime":1106.2579999999998,"endTime":1109.158,"body":"prepped, once you're ready to go, your"},{"speaker":"Soren","startTime":1109.158,"endTime":1112.538,"body":"team's ready, every single case should"},{"speaker":"Soren","startTime":1109.158,"endTime":1112.538,"body":"look the exact same every single time."},{"speaker":"Soren","startTime":1112.548,"endTime":1115.6779999999999,"body":"And if you look at my Instagram"},{"speaker":"Soren","startTime":1112.548,"endTime":1115.6779999999999,"body":"and see my cases, they all"},{"speaker":"Soren","startTime":1115.838,"endTime":1116.9579999999999,"body":"it's hard to tell them apart."},{"speaker":"Soren","startTime":1117.048,"endTime":1118.1779999999999,"body":"They're almost identical."},{"speaker":"Tyler","startTime":1118.8729999999998,"endTime":1120.733,"body":"And I wanted to ask you"},{"speaker":"Tyler","startTime":1118.8729999999998,"endTime":1120.733,"body":"this too, sorn, if someone were"},{"speaker":"Tyler","startTime":1120.733,"endTime":1124.153,"body":"to watch you actually do the"},{"speaker":"Tyler","startTime":1120.733,"endTime":1124.153,"body":"surgery, are you moving quickly?"},{"speaker":"Soren","startTime":1124.9579999999999,"endTime":1125.2379999999998,"body":"No"},{"speaker":"Tyler","startTime":1125.2379999999998,"endTime":1126.1979999999999,"body":"move fast and all that?"},{"speaker":"Soren","startTime":1126.663,"endTime":1129.943,"body":"I don't I'm very I think it"},{"speaker":"Soren","startTime":1126.663,"endTime":1129.943,"body":"would be more of a, it's like smooth."},{"speaker":"Soren","startTime":1130.233,"endTime":1131.3829999999998,"body":"My team is very smooth."},{"speaker":"Soren","startTime":1131.413,"endTime":1135.503,"body":"If you're in my op watching me, I don't"},{"speaker":"Soren","startTime":1131.413,"endTime":1135.503,"body":"think it looks like we're fast at all."},{"speaker":"Soren","startTime":1135.743,"endTime":1139.3629999999998,"body":"It's just, everybody's handing"},{"speaker":"Soren","startTime":1135.743,"endTime":1139.3629999999998,"body":"you things at like the, it's"},{"speaker":"Soren","startTime":1139.3629999999998,"endTime":1141.153,"body":"it's just like a musical, right?"},{"speaker":"Soren","startTime":1141.153,"endTime":1144.783,"body":"Like a, yeah, it's just you're just, I'm"},{"speaker":"Soren","startTime":1141.153,"endTime":1144.783,"body":"getting handed things when I need them."},{"speaker":"Soren","startTime":1144.983,"endTime":1148.203,"body":"My team knows exactly what to hand"},{"speaker":"Soren","startTime":1144.983,"endTime":1148.203,"body":"me when, and it's just smooth."},{"speaker":"Soren","startTime":1149.4879999999998,"endTime":1150.1979999999999,"body":"What's the quote?"},{"speaker":"Soren","startTime":1150.2079999999999,"endTime":1153.308,"body":"It's like smooth is or"},{"speaker":"Soren","startTime":1150.2079999999999,"endTime":1153.308,"body":"it's smooth is slow."},{"speaker":"Soren","startTime":1153.4779999999998,"endTime":1155.598,"body":"Slow is smooth and smooth is fast."},{"speaker":"Soren","startTime":1155.918,"endTime":1156.518,"body":"That's what it is."},{"speaker":"Tyler","startTime":1156.9979999999998,"endTime":1159.7579999999998,"body":"I like speed up and slow"},{"speaker":"Tyler","startTime":1156.9979999999998,"endTime":1159.7579999999998,"body":"down, or slow down and speed up"},{"speaker":"Soren","startTime":1160.0079999999998,"endTime":1160.368,"body":"yeah."},{"speaker":"Soren","startTime":1160.418,"endTime":1160.768,"body":"Yeah."},{"speaker":"Soren","startTime":1160.808,"endTime":1163.4379999999999,"body":"But effectively what it's just"},{"speaker":"Soren","startTime":1160.808,"endTime":1163.4379999999999,"body":"saying if everything's in the right"},{"speaker":"Soren","startTime":1163.4379999999999,"endTime":1165.018,"body":"place, everything's ready to go."},{"speaker":"Soren","startTime":1165.538,"endTime":1166.308,"body":"You might not."},{"speaker":"Soren","startTime":1166.473,"endTime":1170.8229999999999,"body":"That's the difference between rushing"},{"speaker":"Soren","startTime":1166.473,"endTime":1170.8229999999999,"body":"and just having efficiency with the case."},{"speaker":"Soren","startTime":1170.8429999999998,"endTime":1171.6029999999998,"body":"And that's the goal."},{"speaker":"Soren","startTime":1171.963,"endTime":1172.8829999999998,"body":"I'm not trying to rush."},{"speaker":"Soren","startTime":1172.903,"endTime":1176.263,"body":"I'm not trying to go fast in the"},{"speaker":"Soren","startTime":1172.903,"endTime":1176.263,"body":"surgery, but I do want everything to"},{"speaker":"Soren","startTime":1176.3429999999998,"endTime":1178.693,"body":"be prepared and ready for the case."},{"speaker":"Soren","startTime":1178.973,"endTime":1183.483,"body":"And then you'll see holy cow,"},{"speaker":"Soren","startTime":1178.973,"endTime":1183.483,"body":"this is, I didn't arch in an hour."},{"speaker":"Soren","startTime":1183.683,"endTime":1185.713,"body":"And then all of a sudden I'll be"},{"speaker":"Soren","startTime":1183.683,"endTime":1185.713,"body":"like, I didn't arch in 45 minutes."},{"speaker":"Soren","startTime":1186.0829999999999,"endTime":1187.733,"body":"And you'll start to really speed up."},{"speaker":"Soren","startTime":1188.223,"endTime":1188.6329999999998,"body":"So"},{"speaker":"Tyler","startTime":1188.6879999999999,"endTime":1191.778,"body":"If you want to see someone"},{"speaker":"Tyler","startTime":1188.6879999999999,"endTime":1191.778,"body":"moving fast, you see someone that's"},{"speaker":"Tyler","startTime":1191.778,"endTime":1195.658,"body":"like maybe not their first case,"},{"speaker":"Tyler","startTime":1191.778,"endTime":1195.658,"body":"but after like maybe 10, 15, 20"},{"speaker":"Tyler","startTime":1195.658,"endTime":1197.358,"body":"cases, they start trying to move"},{"speaker":"Soren","startTime":1197.493,"endTime":1198.043,"body":"yes."},{"speaker":"Tyler","startTime":1198.148,"endTime":1201.7179999999998,"body":"and they've rushed too much"},{"speaker":"Tyler","startTime":1198.148,"endTime":1201.7179999999998,"body":"and they move on to something before"},{"speaker":"Tyler","startTime":1201.7179999999998,"endTime":1202.898,"body":"they were done with the one thing."},{"speaker":"Tyler","startTime":1203.118,"endTime":1204.298,"body":"They're throwing instruments."},{"speaker":"Tyler","startTime":1204.328,"endTime":1205.288,"body":"It creates a mess."},{"speaker":"Tyler","startTime":1205.408,"endTime":1208.9379999999999,"body":"A slow surgeon, when you see a messy"},{"speaker":"Tyler","startTime":1205.408,"endTime":1208.9379999999999,"body":"operatory table, when everything's just"},{"speaker":"Tyler","startTime":1208.9479999999999,"endTime":1212.398,"body":"all over the place, the assistants aren't"},{"speaker":"Tyler","startTime":1208.9479999999999,"endTime":1212.398,"body":"putting them back where they belong."},{"speaker":"Tyler","startTime":1212.668,"endTime":1215.018,"body":"They're, the doctor is"},{"speaker":"Tyler","startTime":1212.668,"endTime":1215.018,"body":"physically like looking up and"},{"speaker":"Tyler","startTime":1215.018,"endTime":1216.1779999999999,"body":"grabbing everything and then"},{"speaker":"Soren","startTime":1216.283,"endTime":1216.783,"body":"Yep."},{"speaker":"Tyler","startTime":1216.858,"endTime":1217.158,"body":"stuff."},{"speaker":"Tyler","startTime":1217.4379999999999,"endTime":1220.668,"body":"That's what fast looks like is"},{"speaker":"Tyler","startTime":1217.4379999999999,"endTime":1220.668,"body":"it actually very slow as far"},{"speaker":"Tyler","startTime":1220.668,"endTime":1221.4379999999999,"body":"as the patient's concerned?"},{"speaker":"Soren","startTime":1222.408,"endTime":1225.318,"body":"And I think I think everybody"},{"speaker":"Soren","startTime":1222.408,"endTime":1225.318,"body":"goes through that a little bit, right?"},{"speaker":"Tyler","startTime":1225.368,"endTime":1225.578,"body":"In it."},{"speaker":"Tyler","startTime":1225.598,"endTime":1225.9479999999999,"body":"Everyone"},{"speaker":"Soren","startTime":1225.9879999999998,"endTime":1227.358,"body":"No, I'm sure when I"},{"speaker":"Tyler","startTime":1227.503,"endTime":1230.5529999999999,"body":"And"},{"speaker":"Soren","startTime":1230.768,"endTime":1235.6229999999998,"body":"I, my first intuition was Oh,"},{"speaker":"Soren","startTime":1230.768,"endTime":1235.6229999999998,"body":"maybe I just need to move faster."},{"speaker":"Soren","startTime":1235.6329999999998,"endTime":1238.483,"body":"And then like you said, you're"},{"speaker":"Soren","startTime":1235.6329999999998,"endTime":1238.483,"body":"cutting your assistant off trying to"},{"speaker":"Soren","startTime":1238.483,"endTime":1240.1029999999998,"body":"grab instruments just to speed up."},{"speaker":"Soren","startTime":1240.1129999999998,"endTime":1243.473,"body":"But then when you put them down, like"},{"speaker":"Soren","startTime":1240.1129999999998,"endTime":1243.473,"body":"you're not handing them back to the"},{"speaker":"Soren","startTime":1243.473,"endTime":1244.743,"body":"assistant and they're getting a loss."},{"speaker":"Soren","startTime":1244.743,"endTime":1246.793,"body":"And then all of a sudden you're"},{"speaker":"Soren","startTime":1244.743,"endTime":1246.793,"body":"looking for five minutes for"},{"speaker":"Soren","startTime":1246.793,"endTime":1249.3729999999998,"body":"your molten iron and you're like,"},{"speaker":"Soren","startTime":1246.793,"endTime":1249.3729999999998,"body":"what, like, where did that go?"},{"speaker":"Soren","startTime":1249.523,"endTime":1251.183,"body":"Cause it's not in the place"},{"speaker":"Soren","startTime":1249.523,"endTime":1251.183,"body":"that it should be every time."},{"speaker":"Soren","startTime":1251.743,"endTime":1253.1029999999998,"body":"But yeah, so those are, that's like."},{"speaker":"Soren","startTime":1253.278,"endTime":1258.558,"body":"pre synopsis of what needs to"},{"speaker":"Soren","startTime":1253.278,"endTime":1258.558,"body":"happen before the surgery starts."},{"speaker":"Tyler","startTime":1258.993,"endTime":1261.253,"body":"we talk just really"},{"speaker":"Tyler","startTime":1258.993,"endTime":1261.253,"body":"quick about the six handed part?"},{"speaker":"Tyler","startTime":1261.273,"endTime":1264.953,"body":"So who is there like a main assistant"},{"speaker":"Tyler","startTime":1261.273,"endTime":1264.953,"body":"and then someone off to your side that's"},{"speaker":"Tyler","startTime":1264.953,"endTime":1266.413,"body":"just like handing you other things?"},{"speaker":"Tyler","startTime":1266.463,"endTime":1267.153,"body":"What are the roles?"},{"speaker":"Tyler","startTime":1267.213,"endTime":1267.423,"body":"How do you"},{"speaker":"Soren","startTime":1267.548,"endTime":1267.9279999999999,"body":"Yeah."},{"speaker":"Soren","startTime":1268.038,"endTime":1268.838,"body":"Yeah, absolutely."},{"speaker":"Soren","startTime":1268.838,"endTime":1273.4679999999998,"body":"So my assistant to my left she's my lead"},{"speaker":"Soren","startTime":1268.838,"endTime":1273.4679999999998,"body":"assistant and she does all the suctioning."},{"speaker":"Soren","startTime":1273.4979999999998,"endTime":1273.778,"body":"Okay."},{"speaker":"Soren","startTime":1273.778,"endTime":1279.098,"body":"Like her goal, her job is suctioning"},{"speaker":"Soren","startTime":1273.778,"endTime":1279.098,"body":"reflection making sure that the surgical"},{"speaker":"Soren","startTime":1279.108,"endTime":1281.7479999999998,"body":"field, I can visualize everything."},{"speaker":"Soren","startTime":1282.098,"endTime":1285.9379999999999,"body":"And I'll talk about some tips as"},{"speaker":"Soren","startTime":1282.098,"endTime":1285.9379999999999,"body":"I go through my steps, but making"},{"speaker":"Soren","startTime":1285.9379999999999,"endTime":1287.798,"body":"sure that I can see everything."},{"speaker":"Soren","startTime":1287.848,"endTime":1291.318,"body":"There's no blood and everything"},{"speaker":"Soren","startTime":1287.848,"endTime":1291.318,"body":"is reflected correctly."},{"speaker":"Soren","startTime":1291.318,"endTime":1294.7179999999998,"body":"That means using the right using the"},{"speaker":"Soren","startTime":1291.318,"endTime":1294.7179999999998,"body":"right retractors throughout the case,"},{"speaker":"Soren","startTime":1294.7179999999998,"endTime":1298.308,"body":"knowing what retractors I want to use"},{"speaker":"Soren","startTime":1294.7179999999998,"endTime":1298.308,"body":"when these things are really important."},{"speaker":"Soren","startTime":1298.358,"endTime":1299.768,"body":"And that's what my lead assistant does."},{"speaker":"Soren","startTime":1300.068,"endTime":1304.148,"body":"My lead assistant also will hand me"},{"speaker":"Soren","startTime":1300.068,"endTime":1304.148,"body":"off some instruments here and there."},{"speaker":"Soren","startTime":1304.1779999999999,"endTime":1306.9479999999999,"body":"If My second assistant"},{"speaker":"Soren","startTime":1304.1779999999999,"endTime":1306.9479999999999,"body":"is, doing something else."},{"speaker":"Soren","startTime":1306.9479999999999,"endTime":1309.7179999999998,"body":"If she's like loading an implant"},{"speaker":"Soren","startTime":1306.9479999999999,"endTime":1309.7179999999998,"body":"or something like that, and I need"},{"speaker":"Soren","startTime":1309.798,"endTime":1314.328,"body":"a molt nine, she'll hand that to"},{"speaker":"Soren","startTime":1309.798,"endTime":1314.328,"body":"me, but they mainly she's her."},{"speaker":"Soren","startTime":1314.6329999999998,"endTime":1320.3129999999999,"body":"Job is to keep the surgical field clean,"},{"speaker":"Soren","startTime":1314.6329999999998,"endTime":1320.3129999999999,"body":"keep the surgical field so I can visualize"},{"speaker":"Soren","startTime":1320.3129999999999,"endTime":1322.1029999999998,"body":"everything going on during the surgery."},{"speaker":"Tyler","startTime":1322.6029999999998,"endTime":1322.913,"body":"Okay."},{"speaker":"Soren","startTime":1323.023,"endTime":1327.3129999999999,"body":"other assistant, her job is to"},{"speaker":"Soren","startTime":1323.023,"endTime":1327.3129999999999,"body":"hand me everything exactly when I need it."},{"speaker":"Soren","startTime":1327.5629999999999,"endTime":1330.6129999999998,"body":"So what does that, it means"},{"speaker":"Soren","startTime":1327.5629999999999,"endTime":1330.6129999999998,"body":"instruments, retractors."},{"speaker":"Soren","startTime":1330.913,"endTime":1336.1229999999998,"body":"It means handing, making sure my implant"},{"speaker":"Soren","startTime":1330.913,"endTime":1336.1229999999998,"body":"motor speed is set, making sure that the,"},{"speaker":"Soren","startTime":1336.183,"endTime":1339.753,"body":"she knows what implants I need when, and"},{"speaker":"Soren","startTime":1336.183,"endTime":1339.753,"body":"those are ready to go for the next case."},{"speaker":"Tyler","startTime":1339.953,"endTime":1340.283,"body":"Okay."},{"speaker":"Soren","startTime":1340.743,"endTime":1341.503,"body":"those are."},{"speaker":"Soren","startTime":1341.838,"endTime":1343.6979999999999,"body":"their responsibilities and job duties."},{"speaker":"Soren","startTime":1344.018,"endTime":1348.7079999999999,"body":"And as I walk through my step by"},{"speaker":"Soren","startTime":1344.018,"endTime":1348.7079999999999,"body":"step surgical protocol, you'll I'll"},{"speaker":"Soren","startTime":1348.7079999999999,"endTime":1349.818,"body":"walk through what they're doing."},{"speaker":"Tyler","startTime":1350.368,"endTime":1350.658,"body":"Thank you."},{"speaker":"Soren","startTime":1350.743,"endTime":1351.893,"body":"so let's get into it."},{"speaker":"Soren","startTime":1351.973,"endTime":1353.3529999999998,"body":"This is probably what"},{"speaker":"Soren","startTime":1351.973,"endTime":1353.3529999999998,"body":"people want to hear, right?"},{"speaker":"Soren","startTime":1353.6129999999998,"endTime":1358.8329999999999,"body":"So first thing let's start with Like"},{"speaker":"Soren","startTime":1353.6129999999998,"endTime":1358.8329999999999,"body":"I said, every case I take pictures."},{"speaker":"Soren","startTime":1358.8429999999998,"endTime":1364.0529999999999,"body":"So before the case starts upper, lower"},{"speaker":"Soren","startTime":1358.8429999999998,"endTime":1364.0529999999999,"body":"photo of the patient with their teeth"},{"speaker":"Soren","startTime":1364.0529999999999,"endTime":1367.1229999999998,"body":"in or if they're a denture list, what it"},{"speaker":"Soren","startTime":1364.0529999999999,"endTime":1367.1229999999998,"body":"looks like prior to the case starting."},{"speaker":"Soren","startTime":1367.543,"endTime":1369.693,"body":"Then we use an O ringer."},{"speaker":"Soren","startTime":1369.793,"endTime":1373.753,"body":"I put the O ringer in And then"},{"speaker":"Soren","startTime":1369.793,"endTime":1373.753,"body":"we start our anesthesia protocol,"},{"speaker":"Soren","startTime":1374.143,"endTime":1375.973,"body":"my, for my anesthesia protocol."},{"speaker":"Soren","startTime":1375.973,"endTime":1378.183,"body":"And actually, this is something"},{"speaker":"Soren","startTime":1375.973,"endTime":1378.183,"body":"that I don't think a lot of doctors"},{"speaker":"Soren","startTime":1378.183,"endTime":1380.0929999999998,"body":"do that I do every single time."},{"speaker":"Soren","startTime":1380.3029999999999,"endTime":1382.923,"body":"But my assistant is, we"},{"speaker":"Soren","startTime":1380.3029999999999,"endTime":1382.923,"body":"have two car peels going."},{"speaker":"Soren","startTime":1383.163,"endTime":1386.393,"body":"My assistant's loading the second"},{"speaker":"Soren","startTime":1383.163,"endTime":1386.393,"body":"carpeel as I'm doing the first one."},{"speaker":"Soren","startTime":1386.773,"endTime":1389.5629999999999,"body":"I do all my anesthesia the"},{"speaker":"Soren","startTime":1386.773,"endTime":1389.5629999999999,"body":"same way every single time."},{"speaker":"Soren","startTime":1389.953,"endTime":1393.878,"body":"And then we My patients are under"},{"speaker":"Soren","startTime":1389.953,"endTime":1393.878,"body":"general, so I can, I get a little"},{"speaker":"Soren","startTime":1393.878,"endTime":1396.9579999999999,"body":"bit of fluctuation with this, but"},{"speaker":"Soren","startTime":1393.878,"endTime":1396.9579999999999,"body":"I do a lot of oral conscious cases"},{"speaker":"Soren","startTime":1396.9579999999999,"endTime":1402.138,"body":"too, and in general, this is how I"},{"speaker":"Soren","startTime":1396.9579999999999,"endTime":1402.138,"body":"do my anesthesia almost every time."},{"speaker":"Soren","startTime":1402.788,"endTime":1407.898,"body":"It is, on the upper, I do 3 so"},{"speaker":"Soren","startTime":1402.788,"endTime":1407.898,"body":"that means a carposepto on upper"},{"speaker":"Soren","startTime":1407.898,"endTime":1410.713,"body":"right quad, carposepto upper"},{"speaker":"Soren","startTime":1407.898,"endTime":1410.713,"body":"left, carposepto upper right."},{"speaker":"Soren","startTime":1410.8529999999998,"endTime":1414.943,"body":"Septo throughout the palate and then I"},{"speaker":"Soren","startTime":1410.8529999999998,"endTime":1414.943,"body":"do a carp of marking across the whole"},{"speaker":"Soren","startTime":1414.943,"endTime":1420.033,"body":"buckle and all these are deep injections"},{"speaker":"Soren","startTime":1414.943,"endTime":1420.033,"body":"These aren't I never I don't even touch"},{"speaker":"Soren","startTime":1420.0629999999999,"endTime":1422.8329999999999,"body":"and this may be controversial, but"},{"speaker":"Soren","startTime":1420.0629999999999,"endTime":1422.8329999999999,"body":"this is what I learned My oral surgeon"},{"speaker":"Soren","startTime":1422.8329999999999,"endTime":1424.3029999999999,"body":"told me I don't touch a blue tip."},{"speaker":"Soren","startTime":1424.6229999999998,"endTime":1426.433,"body":"Every single case is a yellow tip."},{"speaker":"Soren","startTime":1426.433,"endTime":1426.783,"body":"So it's a"},{"speaker":"Tyler","startTime":1426.793,"endTime":1427.193,"body":"Always."},{"speaker":"Soren","startTime":1427.203,"endTime":1430.9279999999999,"body":"deep injection And I feel"},{"speaker":"Soren","startTime":1427.203,"endTime":1430.9279999999999,"body":"like a lot of people Especially when"},{"speaker":"Soren","startTime":1430.9279999999999,"endTime":1434.2479999999998,"body":"they're starting they don't do this"},{"speaker":"Soren","startTime":1430.9279999999999,"endTime":1434.2479999999998,"body":"and like halfway through the patient's"},{"speaker":"Soren","startTime":1434.2479999999998,"endTime":1437.4579999999999,"body":"hurting and it's like it's because"},{"speaker":"Soren","startTime":1434.2479999999998,"endTime":1437.4579999999999,"body":"you're not deep enough you know the"},{"speaker":"Tyler","startTime":1437.6129999999998,"endTime":1439.153,"body":"they're taking the"},{"speaker":"Tyler","startTime":1437.6129999999998,"endTime":1439.153,"body":"blue tips and then they're"},{"speaker":"Tyler","startTime":1439.163,"endTime":1440.753,"body":"bending them and they're just,"},{"speaker":"Soren","startTime":1440.7579999999998,"endTime":1443.608,"body":"Yeah, it's like barely getting"},{"speaker":"Soren","startTime":1440.7579999999998,"endTime":1443.608,"body":"in there and it's you're if you're"},{"speaker":"Soren","startTime":1443.9679999999998,"endTime":1448.038,"body":"doing good cases You should be"},{"speaker":"Soren","startTime":1443.9679999999998,"endTime":1448.038,"body":"reflecting everything up So and you"},{"speaker":"Soren","startTime":1448.048,"endTime":1451.503,"body":"need to go deep with your injections"},{"speaker":"Soren","startTime":1448.048,"endTime":1451.503,"body":"in order to get that point properly."},{"speaker":"Soren","startTime":1451.8129999999999,"endTime":1454.1329999999998,"body":"But then marking across the"},{"speaker":"Soren","startTime":1451.8129999999999,"endTime":1454.1329999999998,"body":"buckle, marking across the palatal."},{"speaker":"Soren","startTime":1454.393,"endTime":1456.893,"body":"These are all just, local"},{"speaker":"Soren","startTime":1454.393,"endTime":1456.893,"body":"infiltration, deep injections."},{"speaker":"Soren","startTime":1457.243,"endTime":1460.033,"body":"And then for me, I'm going"},{"speaker":"Soren","startTime":1457.243,"endTime":1460.033,"body":"right to the bottom, getting"},{"speaker":"Soren","startTime":1460.033,"endTime":1461.213,"body":"everything numb down there too."},{"speaker":"Soren","startTime":1461.703,"endTime":1463.033,"body":"For my lower it's opposite."},{"speaker":"Soren","startTime":1463.033,"endTime":1464.003,"body":"And this is what I tell my assistant."},{"speaker":"Soren","startTime":1464.003,"endTime":1466.733,"body":"So she knows on the lower"},{"speaker":"Soren","startTime":1464.003,"endTime":1466.733,"body":"it's three marking two septo."},{"speaker":"Soren","startTime":1467.023,"endTime":1470.403,"body":"So I do a block with marking on the"},{"speaker":"Soren","startTime":1467.023,"endTime":1470.403,"body":"right block with marking on the left."},{"speaker":"Soren","startTime":1470.6229999999998,"endTime":1473.943,"body":"Then I do local infiltration with"},{"speaker":"Soren","startTime":1470.6229999999998,"endTime":1473.943,"body":"marking across the buckle and lingual."},{"speaker":"Soren","startTime":1474.393,"endTime":1474.763,"body":"Then."},{"speaker":"Soren","startTime":1475.098,"endTime":1479.268,"body":"It's septo across carp, across the"},{"speaker":"Soren","startTime":1475.098,"endTime":1479.268,"body":"buckle, across the lingual of septo."},{"speaker":"Soren","startTime":1479.608,"endTime":1484.0829999999999,"body":"Now, This is like a generalized"},{"speaker":"Soren","startTime":1479.608,"endTime":1484.0829999999999,"body":"anesthesia protocol."},{"speaker":"Soren","startTime":1484.503,"endTime":1486.5629999999999,"body":"Yes, I'm hitting the PSA."},{"speaker":"Soren","startTime":1486.5629999999999,"endTime":1491.8029999999999,"body":"I'm hitting the MSA, the ASA,"},{"speaker":"Soren","startTime":1486.5629999999999,"endTime":1491.8029999999999,"body":"these are all just me deep"},{"speaker":"Soren","startTime":1491.8029999999999,"endTime":1493.8829999999998,"body":"injection throughout the buckle."},{"speaker":"Soren","startTime":1494.1229999999998,"endTime":1498.653,"body":"And I'm just hitting those, that"},{"speaker":"Soren","startTime":1494.1229999999998,"endTime":1498.653,"body":"anatomy as I'm going So that's all the"},{"speaker":"Soren","startTime":1498.653,"endTime":1504.433,"body":"septo all the marcaine, and when I'm"},{"speaker":"Soren","startTime":1498.653,"endTime":1504.433,"body":"injecting, my assistant is then placing"},{"speaker":"Soren","startTime":1504.503,"endTime":1508.923,"body":"the next carpule into the syringe"},{"speaker":"Soren","startTime":1504.503,"endTime":1508.923,"body":"and getting the next one ready to go."},{"speaker":"Soren","startTime":1509.673,"endTime":1512.0629999999999,"body":"So it's just like a handoff, right?"},{"speaker":"Soren","startTime":1512.183,"endTime":1514.493,"body":"I take it, She hands it off."},{"speaker":"Soren","startTime":1514.5729999999999,"endTime":1519.3229999999999,"body":"I hand it back to her next one, and"},{"speaker":"Soren","startTime":1514.5729999999999,"endTime":1519.3229999999999,"body":"I'm just going through all so I do"},{"speaker":"Soren","startTime":1519.3229999999999,"endTime":1526.243,"body":"my whole All my infiltrations like"},{"speaker":"Soren","startTime":1519.3229999999999,"endTime":1526.243,"body":"relatively quickly So once the patient's"},{"speaker":"Soren","startTime":1526.243,"endTime":1531.983,"body":"all numbed up then the next step is"},{"speaker":"Soren","startTime":1526.243,"endTime":1531.983,"body":"The reflection right so I have the o"},{"speaker":"Soren","startTime":1532.1129999999998,"endTime":1536.9279999999999,"body":"ringer in I like to I've had a lot of"},{"speaker":"Soren","startTime":1532.1129999999998,"endTime":1536.9279999999999,"body":"issues with the o ringer coming out and"},{"speaker":"Tyler","startTime":1537.408,"endTime":1537.4579999999999,"body":"Mhm."},{"speaker":"Soren","startTime":1538.4579999999999,"endTime":1542.118,"body":"I've had a lot of issues with"},{"speaker":"Soren","startTime":1538.4579999999999,"endTime":1542.118,"body":"the o ringer coming out throughout the"},{"speaker":"Soren","startTime":1542.118,"endTime":1547.9679999999998,"body":"case, because I'm like moving things"},{"speaker":"Soren","startTime":1542.118,"endTime":1547.9679999999998,"body":"around so, I will suture the o ringer"},{"speaker":"Soren","startTime":1548.088,"endTime":1552.168,"body":"to the patient's mouth, and the way"},{"speaker":"Soren","startTime":1548.088,"endTime":1552.168,"body":"I do that is I just do a suture, I do"},{"speaker":"Soren","startTime":1552.168,"endTime":1556.378,"body":"a suture through the lip on the top,"},{"speaker":"Soren","startTime":1552.168,"endTime":1556.378,"body":"And it's like a big mattress suture."},{"speaker":"Soren","startTime":1556.398,"endTime":1560.378,"body":"So up the lift lip back through"},{"speaker":"Soren","startTime":1556.398,"endTime":1560.378,"body":"tied off, same thing on the bottom."},{"speaker":"Soren","startTime":1560.378,"endTime":1563.268,"body":"So they're both sutured in on"},{"speaker":"Soren","startTime":1560.378,"endTime":1563.268,"body":"the top and bottom of the lip."},{"speaker":"Soren","startTime":1563.598,"endTime":1568.4379999999999,"body":"So now patients numb"},{"speaker":"Soren","startTime":1563.598,"endTime":1568.4379999999999,"body":"or isn't going to move."},{"speaker":"Soren","startTime":1568.7079999999999,"endTime":1569.9479999999999,"body":"Now we're ready to jump into it."},{"speaker":"Soren","startTime":1569.9479999999999,"endTime":1572.798,"body":"So my assistant's hand was handing"},{"speaker":"Soren","startTime":1569.9479999999999,"endTime":1572.798,"body":"me everything throughout that."},{"speaker":"Soren","startTime":1572.808,"endTime":1577.388,"body":"She handed me the suture and they"},{"speaker":"Soren","startTime":1572.808,"endTime":1577.388,"body":"know next if there's teeth involved,"},{"speaker":"Soren","startTime":1578.128,"endTime":1581.618,"body":"my first step is large, straight."},{"speaker":"Soren","startTime":1581.628,"endTime":1584.578,"body":"And this is, don't do every"},{"speaker":"Soren","startTime":1581.628,"endTime":1584.578,"body":"single thing I do to the T because"},{"speaker":"Soren","startTime":1584.648,"endTime":1585.798,"body":"everybody does things differently."},{"speaker":"Soren","startTime":1585.9479999999999,"endTime":1589.548,"body":"Whatever you like to use grab that one."},{"speaker":"Soren","startTime":1589.6879999999999,"endTime":1594.7579999999998,"body":"I prefer a large straight elevator I"},{"speaker":"Soren","startTime":1589.6879999999999,"endTime":1594.7579999999998,"body":"says it knows that hands me that with"},{"speaker":"Soren","startTime":1594.7579999999998,"endTime":1601.9279999999999,"body":"my Minnesota and I'm just elevating"},{"speaker":"Soren","startTime":1594.7579999999998,"endTime":1601.9279999999999,"body":"every single tooth now I Think I'm"},{"speaker":"Soren","startTime":1601.9279999999999,"endTime":1605.128,"body":"gonna I'm gonna go through this and"},{"speaker":"Soren","startTime":1601.9279999999999,"endTime":1605.128,"body":"then at the end I'll talk about what"},{"speaker":"Soren","startTime":1605.128,"endTime":1608.328,"body":"I've been recently doing But this is"},{"speaker":"Soren","startTime":1605.128,"endTime":1608.328,"body":"in general how I do most of my cases."},{"speaker":"Soren","startTime":1608.558,"endTime":1611.4979999999998,"body":"I start with the top You"},{"speaker":"Soren","startTime":1608.558,"endTime":1611.4979999999998,"body":"then I go to the bottom."},{"speaker":"Soren","startTime":1612.2179999999998,"endTime":1616.878,"body":"still able to do arch 45"},{"speaker":"Soren","startTime":1612.2179999999998,"endTime":1616.878,"body":"minutes to an hour this way."},{"speaker":"Soren","startTime":1617.108,"endTime":1620.348,"body":"However, lately I've been trying some"},{"speaker":"Soren","startTime":1617.108,"endTime":1620.348,"body":"other things that I'll talk about at"},{"speaker":"Soren","startTime":1620.358,"endTime":1622.098,"body":"the end, but this is my main protocol."},{"speaker":"Soren","startTime":1622.098,"endTime":1623.168,"body":"So let's start with this."},{"speaker":"Soren","startTime":1623.4879999999998,"endTime":1626.088,"body":"Large straight elevator elevate"},{"speaker":"Soren","startTime":1623.4879999999998,"endTime":1626.088,"body":"all the teeth on the top"},{"speaker":"Soren","startTime":1626.338,"endTime":1627.768,"body":"there until they're mobile."},{"speaker":"Soren","startTime":1627.788,"endTime":1629.6779999999999,"body":"I really shoot to get those teeth mobile."},{"speaker":"Soren","startTime":1629.6979999999999,"endTime":1632.0629999999999,"body":"If the teeth aren't mobile,"},{"speaker":"Soren","startTime":1629.6979999999999,"endTime":1632.0629999999999,"body":"Most likely you're picking"},{"speaker":"Soren","startTime":1632.0629999999999,"endTime":1633.3429999999998,"body":"up a handpiece down the line."},{"speaker":"Soren","startTime":1633.3829999999998,"endTime":1635.973,"body":"My goal is to not pick up a handpiece"},{"speaker":"Soren","startTime":1633.3829999999998,"endTime":1635.973,"body":"at all to take these teeth out."},{"speaker":"Soren","startTime":1636.273,"endTime":1638.213,"body":"Now, is that always, am"},{"speaker":"Soren","startTime":1636.273,"endTime":1638.213,"body":"I always able to do that?"},{"speaker":"Soren","startTime":1638.213,"endTime":1642.0529999999999,"body":"No, but the first step to doing"},{"speaker":"Soren","startTime":1638.213,"endTime":1642.0529999999999,"body":"that is getting the teeth mobile."},{"speaker":"Soren","startTime":1642.433,"endTime":1645.263,"body":"So large, straight across the whole arch."},{"speaker":"Soren","startTime":1646.043,"endTime":1648.5929999999998,"body":"Next, if there's molars, my"},{"speaker":"Soren","startTime":1646.043,"endTime":1648.5929999999998,"body":"assistant knows right away."},{"speaker":"Soren","startTime":1648.983,"endTime":1652.503,"body":"The only four steps I use"},{"speaker":"Soren","startTime":1648.983,"endTime":1652.503,"body":"for upper molars is a one 50."},{"speaker":"Soren","startTime":1652.953,"endTime":1653.293,"body":"Sure."},{"speaker":"Soren","startTime":1653.293,"endTime":1657.293,"body":"You can use 88 R 88 L like there's"},{"speaker":"Soren","startTime":1653.293,"endTime":1657.293,"body":"a lot of different options."},{"speaker":"Soren","startTime":1657.423,"endTime":1658.423,"body":"I use a one 50."},{"speaker":"Soren","startTime":1659.038,"endTime":1662.078,"body":"So I grabbed the one 50,"},{"speaker":"Soren","startTime":1659.038,"endTime":1662.078,"body":"take out the molars, right?"},{"speaker":"Soren","startTime":1662.658,"endTime":1666.588,"body":"If a tooth breaks if a molar breaks, as"},{"speaker":"Soren","startTime":1662.658,"endTime":1666.588,"body":"you're going, don't sit there and start"},{"speaker":"Soren","startTime":1666.598,"endTime":1668.7379999999998,"body":"finagling with it, just leave it, move on."},{"speaker":"Soren","startTime":1669.0079999999998,"endTime":1671.088,"body":"Next, my assistant note,"},{"speaker":"Soren","startTime":1669.0079999999998,"endTime":1671.088,"body":"I hand her at once."},{"speaker":"Soren","startTime":1671.088,"endTime":1672.6879999999999,"body":"I get all the molars"},{"speaker":"Soren","startTime":1671.088,"endTime":1672.6879999999999,"body":"out, hand her that back."},{"speaker":"Soren","startTime":1672.7179999999998,"endTime":1675.4979999999998,"body":"And they're sitting there right with,"},{"speaker":"Soren","startTime":1672.7179999999998,"endTime":1675.4979999999998,"body":"they've got a gauze in one hand and"},{"speaker":"Soren","startTime":1675.4979999999998,"endTime":1677.7179999999998,"body":"they're grabbing those teeth for"},{"speaker":"Soren","startTime":1675.4979999999998,"endTime":1677.7179999999998,"body":"me as I'm taking them out, because"},{"speaker":"Soren","startTime":1678.231,"endTime":1682.3609999999999,"body":"It's like one, you're just grabbing them,"},{"speaker":"Soren","startTime":1678.231,"endTime":1682.3609999999999,"body":"handing them, grab, hand, grab, hand next."},{"speaker":"Soren","startTime":1682.761,"endTime":1685.031,"body":"They know my next four"},{"speaker":"Soren","startTime":1682.761,"endTime":1685.031,"body":"step is always an ash."},{"speaker":"Soren","startTime":1685.1209999999999,"endTime":1688.191,"body":"I like an ash for my anterior"},{"speaker":"Soren","startTime":1685.1209999999999,"endTime":1688.191,"body":"teeth on the upper and lower."},{"speaker":"Soren","startTime":1688.4109999999998,"endTime":1692.571,"body":"I can get really good leverage and I,"},{"speaker":"Soren","startTime":1688.4109999999998,"endTime":1692.571,"body":"and it's a rotational movement, right?"},{"speaker":"Soren","startTime":1692.571,"endTime":1693.9309999999998,"body":"You're grabbing and rotating."},{"speaker":"Soren","startTime":1694.191,"endTime":1695.481,"body":"I'm rotating these teeth out."},{"speaker":"Soren","startTime":1695.511,"endTime":1697.8909999999998,"body":"I'm not doing any buccal lingual rotation."},{"speaker":"Soren","startTime":1698.196,"endTime":1699.7459999999999,"body":"Or back and forth at all."},{"speaker":"Soren","startTime":1699.7859999999998,"endTime":1701.186,"body":"That's how you break teeth."},{"speaker":"Soren","startTime":1701.5159999999998,"endTime":1704.7559999999999,"body":"If you rotate in a"},{"speaker":"Soren","startTime":1701.5159999999998,"endTime":1704.7559999999999,"body":"mesial distal direction."},{"speaker":"Soren","startTime":1704.7559999999999,"endTime":1708.7359999999999,"body":"So if you think of an access, it's"},{"speaker":"Soren","startTime":1704.7559999999999,"endTime":1708.7359999999999,"body":"like this, how I take out all my"},{"speaker":"Soren","startTime":1708.7359999999999,"endTime":1711.186,"body":"anterior teeth and I almost never"},{"speaker":"Soren","startTime":1708.7359999999999,"endTime":1711.186,"body":"break off the anterior teeth."},{"speaker":"Soren","startTime":1711.5159999999998,"endTime":1716.836,"body":"The one caveat to that is, those fricking"},{"speaker":"Soren","startTime":1711.5159999999998,"endTime":1716.836,"body":"like 25 millimeter canines, right?"},{"speaker":"Soren","startTime":1716.876,"endTime":1718.196,"body":"Like the crazy long canines."},{"speaker":"Soren","startTime":1719.626,"endTime":1722.446,"body":"If I have a canine that"},{"speaker":"Soren","startTime":1719.626,"endTime":1722.446,"body":"I see, and I know that."},{"speaker":"Soren","startTime":1722.666,"endTime":1726.7659999999998,"body":"If I grab it and it's that thing's not"},{"speaker":"Soren","startTime":1722.666,"endTime":1726.7659999999998,"body":"budging at all, I will come back to that."},{"speaker":"Soren","startTime":1727.186,"endTime":1729.206,"body":"I'll grab everything else,"},{"speaker":"Soren","startTime":1727.186,"endTime":1729.206,"body":"come back to those canines."},{"speaker":"Soren","startTime":1729.586,"endTime":1733.386,"body":"But in general, I am getting the"},{"speaker":"Soren","startTime":1729.586,"endTime":1733.386,"body":"canines out with that, the ash."},{"speaker":"Soren","startTime":1733.456,"endTime":1735.0459999999998,"body":"So now we have all the teeth out."},{"speaker":"Soren","startTime":1735.216,"endTime":1735.956,"body":"Let's say we have a couple"},{"speaker":"ty_2_05-28-2024_194310","startTime":1735.984,"endTime":1736.264,"body":"let's"},{"speaker":"Soren","startTime":1736.3139999999999,"endTime":1736.414,"body":"in"},{"speaker":"ty_2_05-28-2024_194310","startTime":1736.6219999999998,"endTime":1737.192,"body":"I got a question."},{"speaker":"Soren","startTime":1737.3239999999998,"endTime":1737.6139999999998,"body":"go ahead."},{"speaker":"ty_2_05-28-2024_194310","startTime":1737.792,"endTime":1741.3919999999998,"body":"So a lot of"},{"speaker":"ty_2_05-28-2024_194310","startTime":1737.792,"endTime":1741.3919999999998,"body":"people would say you get a flap first."},{"speaker":"ty_2_05-28-2024_194310","startTime":1741.922,"endTime":1745.1519999999998,"body":"Can we talk about why you like to extract"},{"speaker":"ty_2_05-28-2024_194310","startTime":1741.922,"endTime":1745.1519999999998,"body":"first and why that works better for you?"},{"speaker":"Soren","startTime":1745.7839999999999,"endTime":1746.124,"body":"Okay."},{"speaker":"Soren","startTime":1746.174,"endTime":1749.8639999999998,"body":"So pros of flapping first, if"},{"speaker":"Soren","startTime":1746.174,"endTime":1749.8639999999998,"body":"you flap first, you get a good"},{"speaker":"Soren","startTime":1749.8639999999998,"endTime":1751.6039999999998,"body":"visualization of all the teeth."},{"speaker":"Soren","startTime":1751.934,"endTime":1756.674,"body":"You can then take a surgical hand"},{"speaker":"Soren","startTime":1751.934,"endTime":1756.674,"body":"piece, cut and trough in between"},{"speaker":"Soren","startTime":1756.674,"endTime":1759.944,"body":"every single teeth trough a line"},{"speaker":"Soren","startTime":1756.674,"endTime":1759.944,"body":"of exactly where your reduction is."},{"speaker":"Soren","startTime":1759.954,"endTime":1763.7939999999999,"body":"You can measure from the incisal edge"},{"speaker":"Soren","startTime":1759.954,"endTime":1763.7939999999999,"body":"of the teeth, mark your reduction"},{"speaker":"Soren","startTime":1763.7939999999999,"endTime":1765.174,"body":"there and then you can like."},{"speaker":"Soren","startTime":1765.4689999999998,"endTime":1768.4789999999998,"body":"As you're taking the teeth out,"},{"speaker":"Soren","startTime":1765.4689999999998,"endTime":1768.4789999999998,"body":"take that buckle plate with it, and"},{"speaker":"Soren","startTime":1768.4789999999998,"endTime":1770.009,"body":"it's less reduction down the line."},{"speaker":"Soren","startTime":1770.349,"endTime":1771.2289999999998,"body":"I think that's awesome."},{"speaker":"Soren","startTime":1772.049,"endTime":1774.119,"body":"all aboard that train if"},{"speaker":"Soren","startTime":1772.049,"endTime":1774.119,"body":"that's what you like to do."},{"speaker":"Soren","startTime":1774.609,"endTime":1779.849,"body":"I, for me, I find that a lot of"},{"speaker":"Soren","startTime":1774.609,"endTime":1779.849,"body":"times when I'm reflecting my flap,"},{"speaker":"Soren","startTime":1779.859,"endTime":1782.7189999999998,"body":"there, it's like sticking to the"},{"speaker":"Soren","startTime":1779.859,"endTime":1782.7189999999998,"body":"teeth, the keratinized tissue"},{"speaker":"Soren","startTime":1782.782,"endTime":1786.1319999999998,"body":"Holds onto those teeth, and it"},{"speaker":"Soren","startTime":1782.782,"endTime":1786.1319999999998,"body":"takes me way longer to flap."},{"speaker":"Soren","startTime":1786.242,"endTime":1792.4119999999998,"body":"That's my personal opinion on that,"},{"speaker":"Soren","startTime":1786.242,"endTime":1792.4119999999998,"body":"and that's probably the main pro of it."},{"speaker":"Soren","startTime":1792.6419999999998,"endTime":1793.8819999999998,"body":"of first, right?"},{"speaker":"ty_2_05-28-2024_194310","startTime":1793.942,"endTime":1794.212,"body":"Yeah."},{"speaker":"Soren","startTime":1794.299,"endTime":1797.119,"body":"trough, you can make your"},{"speaker":"Soren","startTime":1794.299,"endTime":1797.119,"body":"line, you can measure everything."},{"speaker":"Soren","startTime":1797.4089999999999,"endTime":1801.859,"body":"Now what are pros of teeth"},{"speaker":"Soren","startTime":1797.4089999999999,"endTime":1801.859,"body":"out first, you get such better"},{"speaker":"Soren","startTime":1801.859,"endTime":1804.639,"body":"visualization after you take those"},{"speaker":"Soren","startTime":1801.859,"endTime":1804.639,"body":"teeth out, you can see everything."},{"speaker":"Soren","startTime":1804.9289999999999,"endTime":1806.1889999999999,"body":"And what I do is I."},{"speaker":"Soren","startTime":1806.299,"endTime":1810.9889999999998,"body":"I will save a couple key teeth that"},{"speaker":"Soren","startTime":1806.299,"endTime":1810.9889999999998,"body":"I'll then go back, place in the"},{"speaker":"Soren","startTime":1810.9889999999998,"endTime":1812.879,"body":"sockets and still do that measurement."},{"speaker":"Soren","startTime":1813.119,"endTime":1817.279,"body":"So usually that means a premolar"},{"speaker":"Soren","startTime":1813.119,"endTime":1817.279,"body":"on the upper right central incisor,"},{"speaker":"Soren","startTime":1817.329,"endTime":1818.609,"body":"premolar on the upper left."},{"speaker":"Soren","startTime":1818.9089999999999,"endTime":1820.019,"body":"And I'll keep those three teeth."},{"speaker":"Soren","startTime":1820.029,"endTime":1821.819,"body":"My assistant knows that"},{"speaker":"Soren","startTime":1820.029,"endTime":1821.819,"body":"she'll set them aside."},{"speaker":"Soren","startTime":1821.819,"endTime":1823.2089999999998,"body":"She'll mark what tooth that is."},{"speaker":"Soren","startTime":1823.7389999999998,"endTime":1824.6589999999999,"body":"And then I'll get to flapping."},{"speaker":"Soren","startTime":1824.6689999999999,"endTime":1828.639,"body":"Another reason I like taking teeth out"},{"speaker":"Soren","startTime":1824.6689999999999,"endTime":1828.639,"body":"first is you can really like, if you"},{"speaker":"Soren","startTime":1828.649,"endTime":1831.499,"body":"know how much reduction you're doing,"},{"speaker":"Soren","startTime":1828.649,"endTime":1831.499,"body":"you can And when you're doing your"},{"speaker":"Soren","startTime":1831.7189999999998,"endTime":1836.039,"body":"your reflection, you can make your"},{"speaker":"Soren","startTime":1831.7189999999998,"endTime":1836.039,"body":"initial incision and kind of plan for"},{"speaker":"Soren","startTime":1836.039,"endTime":1838.1989999999998,"body":"where that reflection is going to go"},{"speaker":"Soren","startTime":1838.4689999999998,"endTime":1841.069,"body":"and so that means like"},{"speaker":"Soren","startTime":1838.4689999999998,"endTime":1841.069,"body":"cutting off all the papillas."},{"speaker":"Soren","startTime":1841.089,"endTime":1844.139,"body":"A lot of times there's a lot of"},{"speaker":"Soren","startTime":1841.089,"endTime":1844.139,"body":"perio you can cut off, you can like"},{"speaker":"Soren","startTime":1844.139,"endTime":1845.4489999999998,"body":"cut where that perio is going to be."},{"speaker":"Soren","startTime":1845.639,"endTime":1847.889,"body":"So I'll do my initial"},{"speaker":"Soren","startTime":1845.639,"endTime":1847.889,"body":"that's the next step, right?"},{"speaker":"Soren","startTime":1847.889,"endTime":1850.2089999999998,"body":"So after I get all teeth out"},{"speaker":"Soren","startTime":1847.889,"endTime":1850.2089999999998,"body":"I'm getting that 15 blade."},{"speaker":"Soren","startTime":1850.2389999999998,"endTime":1855.059,"body":"I use a 15 blade every time and I'm"},{"speaker":"Soren","startTime":1850.2389999999998,"endTime":1855.059,"body":"flapping from the back of the tuberosity"},{"speaker":"Soren","startTime":1855.059,"endTime":1857.629,"body":"because I'm doing a pterygoid every"},{"speaker":"Soren","startTime":1855.059,"endTime":1857.629,"body":"time that I can from the back to"},{"speaker":"Soren","startTime":1857.629,"endTime":1861.4889999999998,"body":"porosity all the way to the front"},{"speaker":"Soren","startTime":1857.629,"endTime":1861.4889999999998,"body":"and I'm cutting chunks of tissue out"},{"speaker":"Soren","startTime":1861.879,"endTime":1863.619,"body":"that I think that I'm like later."},{"speaker":"Soren","startTime":1863.7389999999998,"endTime":1865.639,"body":"I won't need because of my reduction."},{"speaker":"Soren","startTime":1865.869,"endTime":1867.109,"body":"So that means on the front like with."},{"speaker":"Soren","startTime":1867.359,"endTime":1871.2189999999998,"body":"Cutting one side of the papillas and"},{"speaker":"Soren","startTime":1867.359,"endTime":1871.2189999999998,"body":"then the other side of the papillas and"},{"speaker":"Soren","startTime":1871.2189999999998,"endTime":1874.759,"body":"then my next step my assistant knows"},{"speaker":"Soren","startTime":1871.2189999999998,"endTime":1874.759,"body":"is handing me the ronger and then I go"},{"speaker":"Soren","startTime":1874.759,"endTime":1877.289,"body":"through and I ronger off that tissue."},{"speaker":"Soren","startTime":1877.319,"endTime":1878.9689999999998,"body":"That's that I've incised off."},{"speaker":"Soren","startTime":1879.249,"endTime":1880.899,"body":"And then I should have."},{"speaker":"Soren","startTime":1881.119,"endTime":1882.339,"body":"My incision line's done."},{"speaker":"Soren","startTime":1882.349,"endTime":1887.609,"body":"And I also do a rate at the maxillary"},{"speaker":"Soren","startTime":1882.349,"endTime":1887.609,"body":"process, usually where the first molar"},{"speaker":"Soren","startTime":1887.609,"endTime":1889.529,"body":"is, I'll do a releasing incision."},{"speaker":"Soren","startTime":1889.7289999999998,"endTime":1891.2389999999998,"body":"And I love releasing incisions there."},{"speaker":"Soren","startTime":1891.2389999999998,"endTime":1893.9889999999998,"body":"I don't do a midline release,"},{"speaker":"Soren","startTime":1891.2389999999998,"endTime":1893.9889999999998,"body":"but I do a release on both sides."},{"speaker":"Soren","startTime":1894.299,"endTime":1899.339,"body":"After that 15 blade goes to my"},{"speaker":"Soren","startTime":1894.299,"endTime":1899.339,"body":"assistant, she hands me a molt nine."},{"speaker":"Soren","startTime":1899.639,"endTime":1905.2289999999998,"body":"I always reflect my palatal first, I go"},{"speaker":"Soren","startTime":1899.639,"endTime":1905.2289999999998,"body":"to the rate where the nasopalatine is,"},{"speaker":"Soren","startTime":1905.9589999999998,"endTime":1910.6989999999998,"body":"get my molten iron in there, reflect"},{"speaker":"Soren","startTime":1905.9589999999998,"endTime":1910.6989999999998,"body":"up, and then I scrape along the bone"},{"speaker":"Soren","startTime":1910.839,"endTime":1913.309,"body":"all the way to the tuberosity, and every"},{"speaker":"Soren","startTime":1913.512,"endTime":1915.167,"body":"I couldn't dink it at"},{"speaker":"Soren","startTime":1913.512,"endTime":1915.167,"body":"first, but now I can."},{"speaker":"Soren","startTime":1915.5269999999998,"endTime":1917.927,"body":"Every time the whole thing"},{"speaker":"Soren","startTime":1915.5269999999998,"endTime":1917.927,"body":"just flaps like this."},{"speaker":"Soren","startTime":1918.0069999999998,"endTime":1918.5269999999998,"body":"It's just like"},{"speaker":"ty_2_05-28-2024_194310","startTime":1918.7649999999999,"endTime":1918.995,"body":"Yeah."},{"speaker":"Soren","startTime":1919.397,"endTime":1919.7869999999998,"body":"flap."},{"speaker":"Soren","startTime":1920.2869999999998,"endTime":1922.177,"body":"And then I do the right side."},{"speaker":"Soren","startTime":1923.327,"endTime":1926.667,"body":"I've been working on getting"},{"speaker":"Soren","startTime":1923.327,"endTime":1926.667,"body":"good with my left hand and"},{"speaker":"ty_2_05-28-2024_194310","startTime":1926.667,"endTime":1926.887,"body":"Huh."},{"speaker":"Soren","startTime":1926.9689999999998,"endTime":1928.339,"body":"filet with my left hand."},{"speaker":"Soren","startTime":1928.619,"endTime":1929.1689999999999,"body":"However,"},{"speaker":"ty_2_05-28-2024_194310","startTime":1929.197,"endTime":1929.667,"body":"Yeah."},{"speaker":"Soren","startTime":1929.6889999999999,"endTime":1930.2389999999998,"body":"use my right."},{"speaker":"Soren","startTime":1930.2389999999998,"endTime":1931.749,"body":"And I just we'll do like a rocking"},{"speaker":"ty_2_05-28-2024_194310","startTime":1932.187,"endTime":1932.5169999999998,"body":"Yeah."},{"speaker":"ty_2_05-28-2024_194310","startTime":1932.7189999999998,"endTime":1933.069,"body":"Yeah."},{"speaker":"Soren","startTime":1933.4309999999998,"endTime":1934.781,"body":"and everything's flapped"},{"speaker":"ty_2_05-28-2024_194310","startTime":1934.849,"endTime":1935.1589999999999,"body":"Yeah."},{"speaker":"ty_2_05-28-2024_194310","startTime":1935.759,"endTime":1938.1689999999999,"body":"I do the three rocks, but I do"},{"speaker":"ty_2_05-28-2024_194310","startTime":1935.759,"endTime":1938.1689999999999,"body":"both hands at the same time."},{"speaker":"Soren","startTime":1938.3809999999999,"endTime":1938.551,"body":"Oh,"},{"speaker":"ty_2_05-28-2024_194310","startTime":1938.759,"endTime":1941.6889999999999,"body":"I'll take once"},{"speaker":"ty_2_05-28-2024_194310","startTime":1938.759,"endTime":1941.6889999999999,"body":"I get in the front, I'll take two, I"},{"speaker":"ty_2_05-28-2024_194310","startTime":1941.6889999999999,"endTime":1944.749,"body":"can take either two Minnesotas or like a"},{"speaker":"ty_2_05-28-2024_194310","startTime":1941.6889999999999,"endTime":1944.749,"body":"Minnesota and a mole, and I'll just rock"},{"speaker":"ty_2_05-28-2024_194310","startTime":1944.749,"endTime":1946.139,"body":"back with both hands at the same time."},{"speaker":"ty_2_05-28-2024_194310","startTime":1946.139,"endTime":1947.099,"body":"The whole thing's done."},{"speaker":"ty_2_05-28-2024_194310","startTime":1947.7189999999998,"endTime":1947.9689999999998,"body":"Yeah."},{"speaker":"ty_2_05-28-2024_194310","startTime":1948.149,"endTime":1949.889,"body":"I really like sliding"},{"speaker":"ty_2_05-28-2024_194310","startTime":1948.149,"endTime":1949.889,"body":"along the pallet though."},{"speaker":"ty_2_05-28-2024_194310","startTime":1949.889,"endTime":1950.6989999999998,"body":"I think that's really cool."},{"speaker":"ty_2_05-28-2024_194310","startTime":1950.6989999999998,"endTime":1952.789,"body":"And that's what I do for the"},{"speaker":"ty_2_05-28-2024_194310","startTime":1950.6989999999998,"endTime":1952.789,"body":"lingual flap on the lower."},{"speaker":"ty_2_05-28-2024_194310","startTime":1952.869,"endTime":1955.129,"body":"I know I'm getting ahead of"},{"speaker":"ty_2_05-28-2024_194310","startTime":1952.869,"endTime":1955.129,"body":"it, but I freaking love that."},{"speaker":"ty_2_05-28-2024_194310","startTime":1955.149,"endTime":1957.029,"body":"It's one of the most satisfying"},{"speaker":"ty_2_05-28-2024_194310","startTime":1955.149,"endTime":1957.029,"body":"things in the whole surgery."},{"speaker":"ty_2_05-28-2024_194310","startTime":1957.029,"endTime":1957.9489999999998,"body":"I look forward to it the whole time."},{"speaker":"Soren","startTime":1957.971,"endTime":1958.866,"body":"If you do, yeah."},{"speaker":"Soren","startTime":1958.866,"endTime":1961.2359999999999,"body":"If you do this slide, usually"},{"speaker":"Soren","startTime":1958.866,"endTime":1961.2359999999999,"body":"a lot of periosteum doesn't"},{"speaker":"Soren","startTime":1961.241,"endTime":1962.616,"body":"get attached and it's just"},{"speaker":"ty_2_05-28-2024_194310","startTime":1962.914,"endTime":1963.224,"body":"Yeah."},{"speaker":"Soren","startTime":1963.366,"endTime":1963.576,"body":"so"},{"speaker":"ty_2_05-28-2024_194310","startTime":1963.8139999999999,"endTime":1964.3139999999999,"body":"Yeah."},{"speaker":"Soren","startTime":1964.356,"endTime":1964.716,"body":"nice."},{"speaker":"ty_2_05-28-2024_194310","startTime":1964.874,"endTime":1966.994,"body":"Cause,"},{"speaker":"ty_2_05-28-2024_194310","startTime":1964.874,"endTime":1966.994,"body":"because if the periosteum won't"},{"speaker":"ty_2_05-28-2024_194310","startTime":1966.994,"endTime":1968.404,"body":"come with it, it won't work."},{"speaker":"Soren","startTime":1968.5059999999999,"endTime":1969.106,"body":"Exactly."},{"speaker":"ty_2_05-28-2024_194310","startTime":1969.234,"endTime":1971.8139999999999,"body":"so if it worked,"},{"speaker":"ty_2_05-28-2024_194310","startTime":1969.234,"endTime":1971.8139999999999,"body":"it's full, it's a full thickness flat."},{"speaker":"ty_2_05-28-2024_194310","startTime":1971.894,"endTime":1972.1039999999998,"body":"Yeah."},{"speaker":"Soren","startTime":1972.2259999999999,"endTime":1972.586,"body":"percent."},{"speaker":"ty_2_05-28-2024_194310","startTime":1972.744,"endTime":1973.004,"body":"Yeah."},{"speaker":"Soren","startTime":1973.5459999999998,"endTime":1975.5259999999998,"body":"and then I do my distal releases."},{"speaker":"Soren","startTime":1975.531,"endTime":1977.866,"body":"So I do distal release back"},{"speaker":"Soren","startTime":1975.531,"endTime":1977.866,"body":"behind the tube porosity."},{"speaker":"Soren","startTime":1977.896,"endTime":1981.7859999999998,"body":"And then what I do is I take the,"},{"speaker":"Soren","startTime":1977.896,"endTime":1981.7859999999998,"body":"and I do the same way every time."},{"speaker":"Soren","startTime":1981.7859999999998,"endTime":1983.4009999999998,"body":"I use the molt nine, the big spoon."},{"speaker":"Soren","startTime":1983.701,"endTime":1984.0259999999998,"body":"And I will."},{"speaker":"Soren","startTime":1984.6509999999998,"endTime":1989.091,"body":"Like peel off the keratinized"},{"speaker":"Soren","startTime":1984.6509999999998,"endTime":1989.091,"body":"tissue till I get to the midline."},{"speaker":"Soren","startTime":1989.741,"endTime":1993.721,"body":"If you don't get the keratinized"},{"speaker":"Soren","startTime":1989.741,"endTime":1993.721,"body":"tissue peeled off first, then you"},{"speaker":"Soren","startTime":1993.721,"endTime":1995.3609999999999,"body":"will, that's how you rip and rip your"},{"speaker":"ty_2_05-28-2024_194310","startTime":1995.4589999999998,"endTime":1995.6989999999998,"body":"Yeah."},{"speaker":"Soren","startTime":1995.701,"endTime":1999.1009999999999,"body":"So I get all the keratinized"},{"speaker":"Soren","startTime":1995.701,"endTime":1999.1009999999999,"body":"tissue off and then I hold, grab my"},{"speaker":"Soren","startTime":1999.281,"endTime":2003.811,"body":"Minnesota, hold it down and do gross"},{"speaker":"Soren","startTime":1999.281,"endTime":2003.811,"body":"reflection of all the periosteum."},{"speaker":"Soren","startTime":2003.9689999999998,"endTime":2008.039,"body":"I'm telling you every single"},{"speaker":"Soren","startTime":2003.9689999999998,"endTime":2008.039,"body":"time my flap takes me a total"},{"speaker":"Soren","startTime":2008.049,"endTime":2009.619,"body":"of three minutes, mate, like"},{"speaker":"Soren","startTime":2009.807,"endTime":2013.127,"body":"Doing my initial incision and"},{"speaker":"Soren","startTime":2009.807,"endTime":2013.127,"body":"reflecting all the tissue back."},{"speaker":"Soren","startTime":2013.317,"endTime":2015.9769999999999,"body":"I'm reflecting to the floor"},{"speaker":"Soren","startTime":2013.317,"endTime":2015.9769999999999,"body":"of the nose every single time."},{"speaker":"Soren","startTime":2016.6599999999999,"endTime":2017.06,"body":"Is gone."},{"speaker":"Soren","startTime":2017.4499999999998,"endTime":2020.73,"body":"If you reflect properly, you"},{"speaker":"Soren","startTime":2017.4499999999998,"endTime":2020.73,"body":"won't have problems with bleeding."},{"speaker":"Soren","startTime":2021.33,"endTime":2025.37,"body":"The patients bleed from their periosteum"},{"speaker":"Soren","startTime":2021.33,"endTime":2025.37,"body":"if you're getting a lot of bleeding."},{"speaker":"Soren","startTime":2025.55,"endTime":2026.04,"body":"And If"},{"speaker":"ty_2_05-28-2024_194310","startTime":2026.0629999999999,"endTime":2026.763,"body":"There are some,"},{"speaker":"Soren","startTime":2026.84,"endTime":2029.56,"body":"if the patient's like"},{"speaker":"Soren","startTime":2026.84,"endTime":2029.56,"body":"very periocompromised and,"},{"speaker":"ty_2_05-28-2024_194310","startTime":2029.6,"endTime":2030.05,"body":"yeah,"},{"speaker":"Soren","startTime":2030.127,"endTime":2030.2469999999998,"body":"some"},{"speaker":"ty_2_05-28-2024_194310","startTime":2030.4499999999998,"endTime":2031.1399999999999,"body":"perio and"},{"speaker":"Soren","startTime":2031.2569999999998,"endTime":2031.4769999999999,"body":"in"},{"speaker":"ty_2_05-28-2024_194310","startTime":2031.98,"endTime":2032.47,"body":"or something."},{"speaker":"ty_2_05-28-2024_194310","startTime":2032.47,"endTime":2035.1299999999999,"body":"Yeah."},{"speaker":"Soren","startTime":2035.427,"endTime":2037.827,"body":"off of that bone, you're"},{"speaker":"Soren","startTime":2035.427,"endTime":2037.827,"body":"going to have a nice clean"},{"speaker":"Soren","startTime":2037.827,"endTime":2039.167,"body":"flap with minimal bleeding."},{"speaker":"ty_2_05-28-2024_194310","startTime":2039.647,"endTime":2039.837,"body":"Yeah."},{"speaker":"ty_2_05-28-2024_194310","startTime":2039.837,"endTime":2040.397,"body":"Yeah."},{"speaker":"Soren","startTime":2040.714,"endTime":2045.6039999999998,"body":"my next step is ronger, go through,"},{"speaker":"Soren","startTime":2040.714,"endTime":2045.6039999999998,"body":"clean up everything, get as much bone"},{"speaker":"Soren","startTime":2045.6039999999998,"endTime":2047.384,"body":"reduction done as I can with the ronger."},{"speaker":"Soren","startTime":2047.724,"endTime":2049.674,"body":"And I'll do that by doing."},{"speaker":"Soren","startTime":2050.744,"endTime":2052.814,"body":"In between the teeth, right?"},{"speaker":"Soren","startTime":2052.824,"endTime":2053.654,"body":"The frickle bone."},{"speaker":"Soren","startTime":2053.994,"endTime":2056.8740000000003,"body":"I'll snip that first, go through,"},{"speaker":"Soren","startTime":2053.994,"endTime":2056.8740000000003,"body":"snip all the frickle bone."},{"speaker":"Soren","startTime":2057.114,"endTime":2062.234,"body":"And then I turn my ranger to the side"},{"speaker":"Soren","startTime":2057.114,"endTime":2062.234,"body":"and I'll do a gross cut of the buckle"},{"speaker":"Soren","startTime":2062.234,"endTime":2064.064,"body":"bone, gross cut of the lingo bone."},{"speaker":"Soren","startTime":2064.324,"endTime":2068.484,"body":"Now be careful here because this is"},{"speaker":"Soren","startTime":2064.324,"endTime":2068.484,"body":"when you can break off buckle plates."},{"speaker":"Soren","startTime":2068.784,"endTime":2072.664,"body":"So I do this cautiously, but that's"},{"speaker":"Soren","startTime":2068.784,"endTime":2072.664,"body":"the next step every single time."},{"speaker":"ty_2_05-28-2024_194310","startTime":2073.227,"endTime":2073.467,"body":"Yeah."},{"speaker":"Soren","startTime":2073.544,"endTime":2074.094,"body":"and then we go,"},{"speaker":"ty_2_05-28-2024_194310","startTime":2074.312,"endTime":2076.072,"body":"Make"},{"speaker":"ty_2_05-28-2024_194310","startTime":2074.312,"endTime":2076.072,"body":"sure you like squeeze hard on"},{"speaker":"ty_2_05-28-2024_194310","startTime":2076.072,"endTime":2077.312,"body":"the ronjour so you actually"},{"speaker":"Soren","startTime":2077.362,"endTime":2077.612,"body":"snip,"},{"speaker":"ty_2_05-28-2024_194310","startTime":2077.63,"endTime":2080.73,"body":"Break the bone"},{"speaker":"ty_2_05-28-2024_194310","startTime":2077.63,"endTime":2080.73,"body":"before you try to, before you try to"},{"speaker":"ty_2_05-28-2024_194310","startTime":2080.73,"endTime":2082.51,"body":"roll it off, or it'll take more with it."},{"speaker":"ty_2_05-28-2024_194310","startTime":2082.51,"endTime":2082.7400000000002,"body":"Yeah"},{"speaker":"Soren","startTime":2082.812,"endTime":2083.302,"body":"take the buckle"},{"speaker":"Soren","startTime":2083.4900000000002,"endTime":2085.56,"body":"And that happens all the time."},{"speaker":"ty_2_05-28-2024_194310","startTime":2085.888,"endTime":2091.4880000000003,"body":"That's me how I know Yeah,"},{"speaker":"Soren","startTime":2092.29,"endTime":2097.54,"body":"10 minutes in, maybe, and we've got"},{"speaker":"Soren","startTime":2092.29,"endTime":2097.54,"body":"all the teeth out, flap reflected, and a"},{"speaker":"Soren","startTime":2097.54,"endTime":2100.06,"body":"gross amount of the alveoloplasty done."},{"speaker":"Soren","startTime":2101.05,"endTime":2102.29,"body":"Next step, my assistant."},{"speaker":"Soren","startTime":2102.4700000000003,"endTime":2103.58,"body":"And they're handing me these instruments."},{"speaker":"Soren","startTime":2103.58,"endTime":2106.08,"body":"My assistant hands me"},{"speaker":"Soren","startTime":2103.58,"endTime":2106.08,"body":"my straight hand piece."},{"speaker":"Soren","startTime":2106.29,"endTime":2110.7200000000003,"body":"I've got a coarse barrel Meisinger"},{"speaker":"Soren","startTime":2106.29,"endTime":2110.7200000000003,"body":"burr on that straight hand piece."},{"speaker":"Soren","startTime":2111.05,"endTime":2115.7200000000003,"body":"And she has the handpiece"},{"speaker":"Soren","startTime":2111.05,"endTime":2115.7200000000003,"body":"set 40, 000 RPMs."},{"speaker":"Soren","startTime":2115.77,"endTime":2117.9,"body":"And I'm ready to roll on my alveoloplasty."},{"speaker":"Soren","startTime":2118.2400000000002,"endTime":2119.9,"body":"I grabbed the straight."},{"speaker":"Soren","startTime":2120.2000000000003,"endTime":2125.57,"body":"My assistant has the palatal side"},{"speaker":"Soren","startTime":2120.2000000000003,"endTime":2125.57,"body":"reflected back with her Minnesota."},{"speaker":"Soren","startTime":2125.6200000000003,"endTime":2130.5,"body":"I grabbed my Minnesota and it's"},{"speaker":"Soren","startTime":2125.6200000000003,"endTime":2130.5,"body":"one clean all the way across."},{"speaker":"Soren","startTime":2130.55,"endTime":2134.1600000000003,"body":"Cause if you have a"},{"speaker":"Soren","startTime":2130.55,"endTime":2134.1600000000003,"body":"good burr that is sharp."},{"speaker":"Soren","startTime":2134.4700000000003,"endTime":2136.15,"body":"Like it should be cutting very well."},{"speaker":"Soren","startTime":2136.52,"endTime":2138.9100000000003,"body":"Now let me go back before"},{"speaker":"Soren","startTime":2136.52,"endTime":2138.9100000000003,"body":"I jump into this quick."},{"speaker":"Soren","startTime":2139.21,"endTime":2141.52,"body":"At this point, I and I"},{"speaker":"Soren","startTime":2139.21,"endTime":2141.52,"body":"just forgot this step."},{"speaker":"Soren","startTime":2141.55,"endTime":2145.7200000000003,"body":"At this point, usually I'll grab"},{"speaker":"Soren","startTime":2141.55,"endTime":2145.7200000000003,"body":"the teeth, place them in the socket,"},{"speaker":"Soren","startTime":2145.76,"endTime":2148.6200000000003,"body":"mark where 15 millimeters is from"},{"speaker":"Soren","startTime":2145.76,"endTime":2148.6200000000003,"body":"the incisal edge of those teeth."},{"speaker":"Soren","startTime":2148.9300000000003,"endTime":2152.6200000000003,"body":"So I have my line across and I know"},{"speaker":"Soren","startTime":2148.9300000000003,"endTime":2152.6200000000003,"body":"where I'm reducing to, but then I take"},{"speaker":"Soren","startTime":2152.6200000000003,"endTime":2157.04,"body":"that burr, reduce all the way straight"},{"speaker":"Soren","startTime":2152.6200000000003,"endTime":2157.04,"body":"line across the, I do the right side"},{"speaker":"Soren","startTime":2157.04,"endTime":2159.21,"body":"first and then on the left side."},{"speaker":"Soren","startTime":2160.2250000000004,"endTime":2161.485,"body":"I'll do because I'm right handed."},{"speaker":"Soren","startTime":2161.4950000000003,"endTime":2166.0950000000003,"body":"I'll do like a motion like this I'm"},{"speaker":"Soren","startTime":2161.4950000000003,"endTime":2166.0950000000003,"body":"just basically for the people listening"},{"speaker":"Soren","startTime":2166.0950000000003,"endTime":2169.855,"body":"to the podcast It's just on the right"},{"speaker":"Soren","startTime":2166.0950000000003,"endTime":2169.855,"body":"side you can do one clean, but then"},{"speaker":"Soren","startTime":2169.8650000000002,"endTime":2173.675,"body":"on the left It's like a couple strokes"},{"speaker":"Soren","startTime":2169.8650000000002,"endTime":2173.675,"body":"to get the bone off the left side."},{"speaker":"Soren","startTime":2174.465,"endTime":2178.385,"body":"then evaluate it I look at the patient's"},{"speaker":"Soren","startTime":2174.465,"endTime":2178.385,"body":"eyes and I look at where the tragus"},{"speaker":"Soren","startTime":2178.395,"endTime":2184.63,"body":"line is and I make sure that my is like"},{"speaker":"Soren","startTime":2178.395,"endTime":2184.63,"body":"perfectly straight looking down from that."},{"speaker":"Soren","startTime":2184.8700000000003,"endTime":2187.42,"body":"And then usually I'll go through and"},{"speaker":"Soren","startTime":2184.8700000000003,"endTime":2187.42,"body":"clean up a couple of areas that may"},{"speaker":"Soren","startTime":2187.42,"endTime":2189.6800000000003,"body":"be like every once in a while you"},{"speaker":"Soren","startTime":2187.42,"endTime":2189.6800000000003,"body":"like look at it and you're like, Oh,"},{"speaker":"Soren","startTime":2189.6800000000003,"endTime":2192.92,"body":"like I sloped a little bit buckle on"},{"speaker":"Soren","startTime":2189.6800000000003,"endTime":2192.92,"body":"the left side compared to the right."},{"speaker":"ty_2_05-28-2024_194310","startTime":2192.9480000000003,"endTime":2193.228,"body":"yeah"},{"speaker":"Soren","startTime":2193.36,"endTime":2194.33,"body":"clean that all up."},{"speaker":"Soren","startTime":2194.79,"endTime":2197.73,"body":"I, so then alveolus done next."},{"speaker":"Soren","startTime":2198.1800000000003,"endTime":2199.31,"body":"Handed off to my assistant."},{"speaker":"Soren","startTime":2199.32,"endTime":2204.58,"body":"She does a quick clip, takes the straight"},{"speaker":"Soren","startTime":2199.32,"endTime":2204.58,"body":"off, puts my contra angle in with the"},{"speaker":"Soren","startTime":2204.768,"endTime":2205.438,"body":"Ready to go."},{"speaker":"Soren","startTime":2205.4880000000003,"endTime":2208.0080000000003,"body":"She changes the motor to 1200 RPMs."},{"speaker":"Soren","startTime":2208.358,"endTime":2210.018,"body":"And then I'm ready to"},{"speaker":"Soren","startTime":2208.358,"endTime":2210.018,"body":"go for my osteotomies."},{"speaker":"Soren","startTime":2210.4680000000003,"endTime":2214.068,"body":"I look, I take a quick"},{"speaker":"Soren","startTime":2210.4680000000003,"endTime":2214.068,"body":"peek over at my plan."},{"speaker":"Soren","startTime":2214.078,"endTime":2216.1800000000003,"body":"I'm like, okay, my"},{"speaker":"Soren","startTime":2214.078,"endTime":2216.1800000000003,"body":"implants are coming out."},{"speaker":"Soren","startTime":2216.1800000000003,"endTime":2218.288,"body":"I'd already got my 15"},{"speaker":"Soren","startTime":2216.1800000000003,"endTime":2218.288,"body":"millimeters reduction done."},{"speaker":"Soren","startTime":2218.5080000000003,"endTime":2222.398,"body":"My implants are coming out second pre"},{"speaker":"Soren","startTime":2218.5080000000003,"endTime":2222.398,"body":"molars on both sides, and they're coming"},{"speaker":"Soren","startTime":2222.398,"endTime":2224.5280000000002,"body":"out in between central and lateral."},{"speaker":"Soren","startTime":2224.983,"endTime":2226.0730000000003,"body":"For my two anteriors."},{"speaker":"Soren","startTime":2226.273,"endTime":2227.273,"body":"So then I take my pilot."},{"speaker":"Soren","startTime":2227.866,"endTime":2228.3160000000003,"body":"I do."},{"speaker":"Soren","startTime":2229.076,"endTime":2230.356,"body":"I do them all at once."},{"speaker":"Soren","startTime":2230.396,"endTime":2232.2960000000003,"body":"So I do my upper right."},{"speaker":"Soren","startTime":2232.536,"endTime":2235.806,"body":"I do my straights, my upper"},{"speaker":"Soren","startTime":2232.536,"endTime":2235.806,"body":"left, those front four are done."},{"speaker":"Soren","startTime":2236.656,"endTime":2239.436,"body":"this is something that's going"},{"speaker":"Soren","startTime":2236.656,"endTime":2239.436,"body":"to be a little bit controversial"},{"speaker":"Soren","startTime":2239.436,"endTime":2241.156,"body":"to Patsy protocol, right?"},{"speaker":"Soren","startTime":2241.156,"endTime":2243.5660000000003,"body":"Patsy protocol believes"},{"speaker":"Soren","startTime":2241.156,"endTime":2243.5660000000003,"body":"in doing pterygoids first."},{"speaker":"Soren","startTime":2244.0460000000003,"endTime":2247.8360000000002,"body":"I still do my front four first,"},{"speaker":"Soren","startTime":2244.0460000000003,"endTime":2247.8360000000002,"body":"just because I like getting"},{"speaker":"Soren","startTime":2247.8360000000002,"endTime":2250.746,"body":"my arch in and ready to go."},{"speaker":"ty_2_05-28-2024_194310","startTime":2250.9390000000003,"endTime":2251.6690000000003,"body":"Secure the case."},{"speaker":"ty_2_05-28-2024_194310","startTime":2252.1890000000003,"endTime":2252.449,"body":"Yep."},{"speaker":"Soren","startTime":2252.646,"endTime":2253.666,"body":"just to secure it."},{"speaker":"Soren","startTime":2253.6960000000004,"endTime":2256.5260000000003,"body":"And then I know like where"},{"speaker":"Soren","startTime":2253.6960000000004,"endTime":2256.5260000000003,"body":"exits are going to be because"},{"speaker":"Soren","startTime":2256.7960000000003,"endTime":2258.156,"body":"I don't always do pterygoids."},{"speaker":"Soren","startTime":2258.166,"endTime":2259.136,"body":"If I'm if my"},{"speaker":"Soren","startTime":2259.4790000000003,"endTime":2262.039,"body":"Is in a molar I don't"},{"speaker":"Soren","startTime":2259.4790000000003,"endTime":2262.039,"body":"need to do a pterygoid."},{"speaker":"Soren","startTime":2262.359,"endTime":2266.529,"body":"I don't always do them, but I would say"},{"speaker":"Soren","startTime":2262.359,"endTime":2266.529,"body":"probably 90 percent of my cases now."},{"speaker":"Soren","startTime":2266.844,"endTime":2267.864,"body":"I'm doing pterygoid cards on,"},{"speaker":"ty_2_05-28-2024_194310","startTime":2267.962,"endTime":2268.262,"body":"Yeah."}]}