squadcaster-5fai_1_02-11-2026_173907 0:45

Well, yeah, and, and correct me if I'm wrong, Tyler, but Tyler and I were with, uh, luckily earlier this year, or I guess last year. It's, we're in 26 now, we were with, uh, Dr. Tome, correct. Is that how you pronounce it? Um, and I, and that was a question I asked for, it was, you know, when you, when do you use your aqua implant? Um, and his answer was just like you said, patients that he thinks that healing is gonna be, um, inadequate or maybe not inadequate, but um, not to the standard of like a very healthy patient, you know, uncontrolled diabetics, you know, patients that are, are smoking. Maybe if there is, uh, indication for a patient who has had bisphosphonate therapy and you're kind of, it's like it's, we're either doing this and you understand the risks or we're not gonna do it.

cliff-gratz_1_02-11-2026_193907 1:30

Yeah.

squadcaster-5fai_1_02-11-2026_173907 1:32

the time to use these implants is when the. Y maybe you're uncertain on that healing. Um, that's where, you know, maybe you spend a couple extra bucks

cliff-gratz_1_02-11-2026_193907 1:42

Yeah,

squadcaster-5fai_1_02-11-2026_173907 1:42

to place an implant with, with that extra coating because, um, we're gonna throw everything at the board and see what sticks.

cliff-gratz_1_02-11-2026_193907 1:49

yeah. And, and, and you know, the even easier answer for me, uh. I would put it in everybody. I

ty_1_02-11-2026_163907 1:56

Right.

cliff-gratz_1_02-11-2026_193907 1:56

it's my practice. I want it to work. If I gotta pay a couple extra bucks for something that's gonna work better. I mean, you look at the spectrum of, of pricing with implants today, right? man, we're in a great spot. I think across, we're coming out there all these different 80 some plus companies, right? And then the other thing is, I don't have to worry about pricing. So you guys can talk to your rep,

ty_1_02-11-2026_163907 2:20

Yeah,

cliff-gratz_1_02-11-2026_193907 2:21

gimme this thing and, and help me be more successful. Right? It's

ty_1_02-11-2026_163907 2:25

yeah, sure.

cliff-gratz_1_02-11-2026_193907 2:26

medicine. It's not the law of medicine, so.

ty_1_02-11-2026_163907 2:28

Right

squadcaster-5fai_1_02-11-2026_173907 2:29

Yeah, talking about, um, back to like grade four titanium and, and that, what are your thoughts on zirconia implants

cliff-gratz_1_02-11-2026_193907 2:36

Hmm.

squadcaster-5fai_1_02-11-2026_173907 2:36

and, and

ty_1_02-11-2026_163907 2:39

into it. But it,

squadcaster-5fai_1_02-11-2026_173907 2:40

Yeah. I'm just, I mean, like I, you know, I den has one, so, or, and, and Straumann I believe does as well. Correct. Do they have two separate ones? But, um, you know, when do you see clinicians using those? Do you, do you like them? Do you see higher fracture rates?

ty_1_02-11-2026_163907 2:54

and can I, and can I use it in full arch is a, is a big question.

squadcaster-5fai_1_02-11-2026_173907 2:58

yeah.

cliff-gratz_1_02-11-2026_193907 2:59

no. Right away. No. Shutting it down. Can't tell you how many calls I've gotten already. Right? Somebody who's allergic, titanium, uh, some people thrown'em in, didn't realize indications and I was like, man, let's try and let's try and get through this. Let's get a solution. Right?

ty_1_02-11-2026_163907 3:17

Yeah.

cliff-gratz_1_02-11-2026_193907 3:18

um, so no, not indicated yet.

ty_1_02-11-2026_163907 3:21

Okay.

cliff-gratz_1_02-11-2026_193907 3:21

on it? Yeah. Is it gonna take a little bit of time? It will,

ty_1_02-11-2026_163907 3:26

Yeah.

cliff-gratz_1_02-11-2026_193907 3:26

If totally different modular elasticity with, uh, zirconia versus titanium and you've got something that, you know, stress test gets real high and then boom, it just fractures. Whereas you see something in titanium, it, it's, it's stress and then it just starts to bend

ty_1_02-11-2026_163907 3:42

You can bend,

cliff-gratz_1_02-11-2026_193907 3:43

breaks.

ty_1_02-11-2026_163907 3:43

right?

cliff-gratz_1_02-11-2026_193907 3:43

Totally different. So, yeah. Um, I mean I think it's got its place certainly. Aesthetic zone. That's an easy one. That was what everybody anticipated was, I'm gonna put in a white implant. The white metal of the industry, if you will, right? I'm gonna put a white abutment on it and it's gonna look great under even thin tissue. But the, the, the benefit, the surprise, the thing that kind of opened my eyes, I'm like, oh, look at this thing. We're still inserting these and saying, you know, stop at 50, right? That's pretty dang high for a two piece zirconia implant. Uh, you asked me 18, 20 years ago, we were making one piece zirconia implants, and that was it. That was only option. So it was like, literally put this thing in, carve it up a little bit, and then think about it. I got this one implant sitting here, maybe a bicuspid, and I've got this, uh, one piece in. All this other stuff happens in my mouth every years and there's all these changes. Things come out, things in where, and now I've got this one thing that's just a one piece pull. stuck. Like what if I need to, what if I need to go back and reduce more bone and go in and do an all on four on somebody? This thing's like in the way at that point, and those are brutal to get out if you had to. So the quick, short and easy for me is a long way. Two piece. There's a limited amount of options. Restoratively, they, they know or think that, you know, we're gonna vest more res research or time to develop this thing. They're gonna try and get into full arch with zirconia. I personally, I'm not as much of a fan.

ty_1_02-11-2026_163907 5:22

Yeah,

cliff-gratz_1_02-11-2026_193907 5:22

company's gonna be mad at me when they see this and be like, what? Talking about as not a fan. I'm not sorry. I know it's more popular in other places around the world, just not here. Titanium works really well.

ty_1_02-11-2026_163907 5:33

I feel like it'd be, I feel like it'd be easier to make a titanium than plant white than it would be to make zirconia work.

cliff-gratz_1_02-11-2026_193907 5:37

Yeah.

ty_1_02-11-2026_163907 5:38

Don't know.

cliff-gratz_1_02-11-2026_193907 5:39

you know, common has like a rock solid, right? It's got a

ty_1_02-11-2026_163907 5:41

Yeah,

cliff-gratz_1_02-11-2026_193907 5:42

a mixture. So

ty_1_02-11-2026_163907 5:43

sure. Yeah, yeah,

cliff-gratz_1_02-11-2026_193907 5:44

yeah.

ty_1_02-11-2026_163907 5:45

For sure.

cliff-gratz_1_02-11-2026_193907 5:46

spray before you put it in. Just

ty_1_02-11-2026_163907 5:47

Yeah.

squadcaster-5fai_1_02-11-2026_173907 5:48

Yeah. Right.

ty_1_02-11-2026_163907 5:49

Make sure it's, make sure it's ionized.

squadcaster-5fai_1_02-11-2026_173907 5:51

getting, we're not getting infinity torque on our zirconia OID implants.

cliff-gratz_1_02-11-2026_193907 5:56

Oh,

ty_1_02-11-2026_163907 5:58

Of course. Yes. So something else, something else I'm curious about too. You know, when we go beyond the implant itself, just the screw, there's all the componentry that co comes along with that, right? There's drivers, there's, uh, our prosthetic wrenches, there's all these different departments and things like that. Um, there's the design of the MUA of course. I mean, I, I've definitely seen a lot of different things and had different experiences with different m uua designs. Um, one thing that struck me initially when we switched to Neo Dent was the driver, right? So I was very used to using, you know, say just a 1.2 millimeter, you know, hex driver for virtually everything. Um, but if you look at a Strawman driver, it's, it's total or neo driver. It's totally different. Um, why is that? What are the advantages? Um, tell us about that a little bit. Mm-hmm.

cliff-gratz_1_02-11-2026_193907 6:49

probably can't see it in here with my camera, but you can kind of see how there's, it's like a

ty_1_02-11-2026_163907 6:54

Yeah.

cliff-gratz_1_02-11-2026_193907 6:54

on a wheel, right?

ty_1_02-11-2026_163907 6:56

yeah,

cliff-gratz_1_02-11-2026_193907 6:57

I love this configuration. It's a star, but. Really, really important. If you have a star that's rounded, like your kid in kindergarten making a Turkey, right? They take

ty_1_02-11-2026_163907 7:09

yeah.

cliff-gratz_1_02-11-2026_193907 7:10

and they draw the head, and then there's the feathers on the back. So that's a rounded edge. Same thing with a hex. If you apply too much force to a hex, it's almost a fail safe that you have a hex round time or wear, right? Because you don't want to insert with torque too high.

ty_1_02-11-2026_163907 7:27

Mm-hmm.

cliff-gratz_1_02-11-2026_193907 7:27

Um, then, so that's the balance where people are like, ah, my, my driver's stripped. Well, maybe, or maybe you were twerking too much and we don't want you to do that, right? So it does get a little bit dangerous, um, in that sense because this guy is awesome. I mean, it has this intimate fit. It's got these 90 degree turns on like a, like, again, like I said, like a cog on a wheel. So the intimacy of the fit is nice. An added benefit that didn't realize when you go to grab your healing abutments, right? Or any kind of, um. Screw that you wanna drop in or grab from across the room. It does have a really nice bite inside this thing, right?'cause it's not even a, a tapered aspect to it. It's just a flat on cog to grab this thing. And now we're only asking you to torque our stuff to 20 again because of a Morris taper, It's like, it, it, I think it's a, a, a beautiful thing or be, or benefit for us, but, you know, you just gotta make sure that with any driver, you gotta make sure that you're not here, but that you're all the way down.

ty_1_02-11-2026_163907 8:33

Yeah.

cliff-gratz_1_02-11-2026_193907 8:33

down and in that healing abutment when you're gonna back it off,

ty_1_02-11-2026_163907 8:37

Right, right.

cliff-gratz_1_02-11-2026_193907 8:38

goes for any driver.

ty_1_02-11-2026_163907 8:39

Yeah, of course.

cliff-gratz_1_02-11-2026_193907 8:40

Yeah,

ty_1_02-11-2026_163907 8:41

And then,

cliff-gratz_1_02-11-2026_193907 8:41

point because, um, and I'm sorry, I just thought of one other thing

ty_1_02-11-2026_163907 8:44

yeah,

cliff-gratz_1_02-11-2026_193907 8:45

though. We're talking about these different connections. A 2.9 a helix short, uh, the, the GM helix, right? You talk about a helix long, you talk about a zago. All of those different, even though they're different connections, guess what they use?

ty_1_02-11-2026_163907 9:01

same.

cliff-gratz_1_02-11-2026_193907 9:02

One drop.

ty_1_02-11-2026_163907 9:02

Yeah.

cliff-gratz_1_02-11-2026_193907 9:04

I love that part of

ty_1_02-11-2026_163907 9:05

Yeah.

cliff-gratz_1_02-11-2026_193907 9:06

So, anyway, really good question. Sorry, go

ty_1_02-11-2026_163907 9:08

Yeah, I, uh, another thing that struck me when we first started using it, so, uh, an implant company that we were using prior, um, the implant driver. So when I would go to pick up an implant and I'd go to be putting in the mouth, I, every so often I just have like a really loose fit in the implant and I had very poor control over that. And I was always concerned about dropping an implant, especially if it's like a, or something like that. But I noticed that with Nein and I'm not entirely sure why, and I'm curious about why this might be, whenever I pick up an implant, it really kind of, it sticks on it, you know, pretty well. Um, I'm curious about what, what's different there? Why, why might that vary between implant companies?

cliff-gratz_1_02-11-2026_193907 9:43

Oh, that's

ty_1_02-11-2026_163907 9:43

Yeah.

cliff-gratz_1_02-11-2026_193907 9:43

You're, you're tapping into, uh, I do like the Wizard of Oz behind the curtain. So I, I personally saw, uh, two years ago I saw that our stab and grab feature on our latch type driver, you, you have to use the, the latch type driver to take it from the package to the mouth, right? Because the stab and grab feature, we wanna, we wanna really lock into the friction fit of the Morris Taper, make sure that we hold the implant, we don't want it falling off.

ty_1_02-11-2026_163907 10:11

You bet. Yeah.

cliff-gratz_1_02-11-2026_193907 10:13

when we were doing that, we had these yellow wings or tips, if you will, to help grab it. And they kind of splay inside the implant into the hex to hold it. Well, sometimes unfortunately, people switch from another system to us. They want to crank the motor up and they wanna really put a lot of force on this driver. It's a latch type down inside a 3.0 platform of a Morris taper, right? And I'm worried that they're trying to crank the heck out of the implant and snap the implant off. That's my fear. So we tell everybody, I'm like, please, please, I don't have to do this. I'm, I'm like, please, just let me give you the why. Lemme tell you about Morris Taper. Lemme tell you about three oh platform. Lemme tell you about the thing I don't want you to do. I don't want you to snap that thing off. I'm not worried about you, torquing, high, low, whatever. I'm asking you to do one thing a little bit, maybe, maybe different from your other system. the latch type driver to your implant. Take it from the package to the mouth. Set your motor at 30.

ty_1_02-11-2026_163907 11:14

Okay.

cliff-gratz_1_02-11-2026_193907 11:15

call it quits. I don't care how much or how little the implant is in the bone. Take the latch type driver out and go ham on your torque wrench.

ty_1_02-11-2026_163907 11:26

Hmm.

cliff-gratz_1_02-11-2026_193907 11:26

Take that baby. And now physically. Give yourself the tactile sensor feel. Let your head register even more data, right, that you're doing it by hand versus just letting the machine crank on a pedal with a motor. I don't, I I think it's just better. Anyway, take your time. It's not a race. And then ratchet that thing in with your torque wrench and you're just doing this the whole way. Oh, I feel it. Yep. It's getting tighter. Oh, that thing's ramping up on me

ty_1_02-11-2026_163907 11:52

Yeah.

cliff-gratz_1_02-11-2026_193907 11:53

now. Now when you're in our wrench implant driver,

ty_1_02-11-2026_163907 11:58

Right.

cliff-gratz_1_02-11-2026_193907 11:59

that won't hold it from the package, that's

ty_1_02-11-2026_163907 12:01

Right.

cliff-gratz_1_02-11-2026_193907 12:02

We did that on purpose. Like literally, literally, you guys, this is awesome.

ty_1_02-11-2026_163907 12:06

Mm-hmm.

cliff-gratz_1_02-11-2026_193907 12:07

have prototypes from Brazil sent to me for new torque wrench drivers to

ty_1_02-11-2026_163907 12:12

Oh, cool.

cliff-gratz_1_02-11-2026_193907 12:13

a little bit more strength. But like, you know, they, they like send me these cool little things that we're constantly trying to enhance. So, so anyhow, those are meant for a quick connect disconnect.

ty_1_02-11-2026_163907 12:24

Yeah.

cliff-gratz_1_02-11-2026_193907 12:24

Right. And, and so we want that to get things in and out of the mouth easier when you're wrenching by hand, right? But the latch type, slow your roll, knock her down to 30 if you can please. And just take it in wherever it's at. it quits. Take out that latch type driver and go manually. That's my, that's my strong suggestion.

ty_1_02-11-2026_163907 12:46

And I've, I've noticed too that on a lot of the, uh, Neo Den implant drivers, at least the, uh, the contra ankle drivers, they have this little kind of a, I don't, for lack of a better word, a little nipple on the end of it. Like there's this little tiny pitance there. What is its purpose? And I'm curious. I mean, that, that seems very fragile. Like it could just break off. And I think I've heard of that happening. Like why, why is that there?

cliff-gratz_1_02-11-2026_193907 13:07

uh, that was there like you see in, um, automotive or, or mechanics where you have like kind of a guide. That's all. That

ty_1_02-11-2026_163907 13:16

Oh, it just indexes it. Yeah.

cliff-gratz_1_02-11-2026_193907 13:18

a tip to help bring you in and help you get you seated easily, more easily down into the hex.

ty_1_02-11-2026_163907 13:22

I see.

cliff-gratz_1_02-11-2026_193907 13:23

And so when we made that tolerance a little bit too tight between the two, I got nervous.

ty_1_02-11-2026_163907 13:29

Yeah.

cliff-gratz_1_02-11-2026_193907 13:30

part of a, a redesign that we did was to just kind of narrow that up a little bit, right? And so we've gone through iterations of, of, of change in design within that, um, driver. And like even still doing it today, we're constantly trying to figure out how to hit this sweet spot and make everything easier for you guys to, to use or handle, right?

ty_1_02-11-2026_163907 13:52

Absolutely. Yeah. And, and I've noticed too, um, another thing that I, I really love about the Neo Den, uh, multi-event, and this, you know, this is a thing that used to come up for me all the time.'cause when I first started using, uh, or first started, me lar like I alluded to before, I was using Hi Ost Soren and I both were for a while, and they had, uh, their multiunit were a lot thicker and, and they a lot more bulky. Yeah. Yeah. So you're showing. Those of us just listening to the audio. So he is showing us what the neo MUA looks like and it's a lot sleeker luck, sexier. And I, I personally, you know, when I'm placing, I'm not having to do bone profiling probably like 90% of the time. Um, because it just, it just curves out from that platform and avoids really impinging on the bone, um, more often than not. Is, is, is that something that, you know, I, is that kind of universal among like other full, large indicated implant systems? Or is that more just like an ENT feature? You know, what's kinda your take on that?

cliff-gratz_1_02-11-2026_193907 14:47

I think it's, uh, a really smart design whoever came up with that. I wish I could say I did. I didn't. But I mean if you think about, um, again, some folks can't see this'cause it may not be in, but when you're tipping your implants or angling, then the distal aspect of your implants obviously down, it's gonna be sub crestal. Even if on the mesial aspect you're just at crestal level bone. Right. And so that was key or critical, especially, lemme turn this guy around so when you can get this guy in and it slips past that bone, like you were saying.

ty_1_02-11-2026_163907 15:18

Yeah.

cliff-gratz_1_02-11-2026_193907 15:19

I used to, I used to, it used to drive me nuts. A place I used to work before that had a bulker, bulkier, wider multiunit

ty_1_02-11-2026_163907 15:26

Mm-hmm.

cliff-gratz_1_02-11-2026_193907 15:27

get false seats.

ty_1_02-11-2026_163907 15:29

Yeah.

cliff-gratz_1_02-11-2026_193907 15:30

annoying because you're twerking it down, tactile. You're feeling your screw get tight, you're looking on an x-ray, you're like, yeah, it looks like it sounds good. And then you wait a couple months and all of a sudden you've got bone remodeling and all of a sudden things are loose. They're moving and breaking, and then you gotta blow your schedule and slide'em in, fit'em somewhere. You guys know the deal. Pain in the butt. But, um, not even that, but besides breaking and fixing, now you gotta go back and reposition. So when you're repositioning one of your multis, means I've gotta take all my records again. I gotta start from scratch, basically. Right? So yes, I just, I, I love this and, and you know, we still do have. making sure everybody knows we still have a bone profiler. We still have a little

ty_1_02-11-2026_163907 16:15

Yeah.

cliff-gratz_1_02-11-2026_193907 16:16

There's still times that you're, full mouth extractions, reducing bone, you're still cutting across extraction sites and you might be hung up somewhere. So

ty_1_02-11-2026_163907 16:26

Mm-hmm.

cliff-gratz_1_02-11-2026_193907 16:27

take the extra minute and get that, you know, get that profile if you need it.

squadcaster-5fai_1_02-11-2026_173907 16:32

was gonna say, especially like FP ones, you know, stuff

ty_1_02-11-2026_163907 16:35

Oh.

squadcaster-5fai_1_02-11-2026_173907 16:35

you're, where you're

cliff-gratz_1_02-11-2026_193907 16:37

absolutely.

squadcaster-5fai_1_02-11-2026_173907 16:38

narrow area. We definitely gotta kind of deal with that.

cliff-gratz_1_02-11-2026_193907 16:41

Yeah. Yeah. Really good point.

squadcaster-5fai_1_02-11-2026_173907 16:44

why, why so go getting into MUAs, right? It sound, I think before Odent had a a 45 degree. Right. And then

cliff-gratz_1_02-11-2026_193907 16:55

Hmm.

squadcaster-5fai_1_02-11-2026_173907 16:55

a 45 degree short.

cliff-gratz_1_02-11-2026_193907 16:57

Slim. Yeah, slim. Mm-hmm.

squadcaster-5fai_1_02-11-2026_173907 17:00

and that, but it is shorter, correct? It's a little bit, is it shorter or is it the same

cliff-gratz_1_02-11-2026_193907 17:04

It it, it does, but it's really the intent behind the design is to. Think about placement, are you more, say palatal or are you right along the ridge? then where is access to that screw? So when you had something that had that big long turn on the regular 45 right? You might have had to actually excise or cut a little bit of tissue back, right? So you gotta numb the patient to actually gain access to this thing. If you needed to switch out your abutment versus right over top of the driver that was used to place the implant, your multiunit goes in and now the head of that screw that is locking down the abutment screw of the MUA right over top of where that implant is, right? So it might be a little bit of a better fit just angulation. So this is one of those things that's, uh, a challenge for me to kind of charade with you over a, a podcast without showing

squadcaster-5fai_1_02-11-2026_173907 18:02

you.

cliff-gratz_1_02-11-2026_193907 18:03

of both. Right?

ty_1_02-11-2026_163907 18:05

Yeah,

cliff-gratz_1_02-11-2026_193907 18:05

really, like you guys said, it's about where is placement of the implant. arch.

ty_1_02-11-2026_163907 18:11

you know, we bring up a, an interesting, uh, modality, right? So you talk about FP one, we're obviously talking about MUA. So right now we're starting to see a little bit of a wave of direct fixture. Um, and we're starting to see that, uh, get emphasized a little bit more.

cliff-gratz_1_02-11-2026_193907 18:26

Yeah,

ty_1_02-11-2026_163907 18:26

And obviously we used to do that. You know, I back in the day, right, with the sort of initial parts of fall before we ever had multi-unit departments. Why have we started coming back to that? What are some of the pros and cons? How should people be considering that?

cliff-gratz_1_02-11-2026_193907 18:38

man, really good questions. You guys don't mess around. Uh,

ty_1_02-11-2026_163907 18:43

We try.

cliff-gratz_1_02-11-2026_193907 18:43

so the, the, I mean, it, it made sense, right? It was like, shorten up how much of the abutment goes into the implant and have it sit on the platform of the implant, right? So now if you've got an abutment resting right on the top of that implant, unfortunately we've got a a butt joint. got a flat on flat. Well, guess what that means? You got a gap. Bacteria can get in between there. Looks great for surgery, looks great the day you put the thing in and everything. But what's it look like down the road? You're definitely gonna have remodeling, at least on a full arch. You're gonna have remodeling around where those implants are, unfortunately. So

ty_1_02-11-2026_163907 19:27

Yeah. Yeah.

cliff-gratz_1_02-11-2026_193907 19:28

to Morris tapers, you know, sub crestal, emergence back to all these other things. And then we were utilizing a an MUA. So we don't care where that implant is in relation to bone. And we can always adjust by the height of our MUAs as well when we're talking about design. But we've kind of gone back to an FP one because we said, man, what if it's like younger patient? What if they actually have bone? We don't have to mow down or knock down 4, 5, 6 millimeters of bone in this younger patient, right? And so. So we're, we're dabbling. We're kind of back and looking at it again and saying, can we do this? Can we put something in at the implant level? Right? Can we span a full arch? Can we maybe print or can we mill something that's gonna fit? Uh, honestly, my opinion guys, and, and I, I'm, I'm nobody, but the jury is not out on this stuff yet. It's not here. I mean, the, the problem, it's a, it's a good problem they have, but that Morris taper connection, how tight that tolerance is. We're talking about inside that cone. What, when you, the give and take is. Man, I got great bone maintenance. I've got no movement. I got no screws loosening or breaking. I've got all these benefits, this thing. But the one thing it doesn't do really well is I can't go implant level and I can't span a full arch with implants that are divergent convergent. They're

ty_1_02-11-2026_163907 20:53

Yeah.

cliff-gratz_1_02-11-2026_193907 20:54

they're this way, they're that way. I, I just can't do it. I can't go at the implant level. That's where the MUA saves us

ty_1_02-11-2026_163907 21:00

Mm-hmm.

cliff-gratz_1_02-11-2026_193907 21:01

everything. I don't care what direction you put these implants in, where in the head, I don't care. You get me an MUA, with all these different options we have today at 52 and a half, at 60, like all us, just get me as close to parallel as possible on my path

ty_1_02-11-2026_163907 21:19

Yeah.

cliff-gratz_1_02-11-2026_193907 21:20

of fit is key. That's key in full arch.

ty_1_02-11-2026_163907 21:23

I'm curious about something as well. So the, uh, like the, the increments of multi-units have always seemed a little bit random to me, like 17 30, 52 and a half, 60. Like, why are they that way?

cliff-gratz_1_02-11-2026_193907 21:38

Because it's another really, you guys are, I'm telling you man, you guys are locked and loaded here. You're like grooving. So I'm, I'm showing this picture to you guys because one, just the top of the MUA alone, 30 degrees convergent. Divergent, right? You've already got that just in this cone on the top.

ty_1_02-11-2026_163907 21:58

yes,

cliff-gratz_1_02-11-2026_193907 21:58

then when you talk about a, uh, you know, a straight A 17, a 30, a 45, a 15, when you talk about that, you're talking about lifting this up and rotating it to the next position of your hex,

ty_1_02-11-2026_163907 22:12

yes.

cliff-gratz_1_02-11-2026_193907 22:13

And so now I'm in this direction. So between the two, no need, there's no need to go in and split hairs and say, oh, you know what? got a straight and we got a 17. Why don't we have like a eight and a half?

ty_1_02-11-2026_163907 22:26

Yeah.

cliff-gratz_1_02-11-2026_193907 22:26

We don't need it. We don't, we don't need to split hairs on something. And you see that there's obviously many of the companies out there today that offer seventeens and thirties,

squadcaster-5fai_1_02-11-2026_173907 22:37

Mm-hmm.

cliff-gratz_1_02-11-2026_193907 22:38

And so now it's just a matter of where is this implant and bone? How high is that angle? Or where is it, you

ty_1_02-11-2026_163907 22:45

Right.

cliff-gratz_1_02-11-2026_193907 22:46

in the mouth that we need to worry about Zygotes and OIDs And back to parallel, let's get as close

ty_1_02-11-2026_163907 22:53

get it.

cliff-gratz_1_02-11-2026_193907 22:53

to parallel. And we've still got 30 degrees from the top of one multi to the next.

ty_1_02-11-2026_163907 22:58

Yeah. And, and I'm curious too, if you've, if you've come across, and this is, uh, fairly recent. I think I saw it maybe the first time, maybe as much as a year ago. Um, I think it's, uh, Brandon Crawford, same guy that did, um,

cliff-gratz_1_02-11-2026_193907 23:10

Oh yeah.

ty_1_02-11-2026_163907 23:10

uh,

cliff-gratz_1_02-11-2026_193907 23:11

Implant face off.

ty_1_02-11-2026_163907 23:13

yeah, yeah, exactly. Yes. But he's

cliff-gratz_1_02-11-2026_193907 23:15

Yeah. Yeah.

ty_1_02-11-2026_163907 23:16

right. He's the inventor of the, uh, the smarts, uh, pickup system. Right. And more recently, they've come out with a multi-unit that can be, you can, uh, loosen it and actually have infinite, uh, configuration wherever you want it.

cliff-gratz_1_02-11-2026_193907 23:32

Yeah. Lock it back down.

ty_1_02-11-2026_163907 23:34

Do you have any concerns about that or do you think that that would, you know, that might be something really useful or,

cliff-gratz_1_02-11-2026_193907 23:39

I, I think it's really cool. Like KO's a really smart guy,

ty_1_02-11-2026_163907 23:44

definitely. Yeah.

cliff-gratz_1_02-11-2026_193907 23:45

to, to just push all of us. You need people out there to do this, right? To get out in front of it and, and constantly challenge us to see what's better. Um, do I have my reserves? Yeah.'cause I'm like, what happens that thing comes loose? What's the fail safe? So, I mean, I looked at it and I, I did a little bit of research on it. I think it's, again, I think it's really cool. But, um, and a perfect example of this is not too long ago we even did this. We came out with a, a multi-unit abutment. And you can see this guy has a hacks. The

ty_1_02-11-2026_163907 24:19

Yes.

cliff-gratz_1_02-11-2026_193907 24:20

so that we lock it into the hex for engagement. Well, not too long ago we did a non engaging angled, multi-unit abutment.

ty_1_02-11-2026_163907 24:28

Hmm.

cliff-gratz_1_02-11-2026_193907 24:29

know, I had to, I had to clean up a ton of old cases with folks where things got loose, right?

ty_1_02-11-2026_163907 24:36

Yeah, there's just nothing indexing it,

cliff-gratz_1_02-11-2026_193907 24:38

how do I go? So there is, there's waves to, to work backwards and reverse engineer it, but it's a, it's a pain in the rear and you don't have that problem today. Here's a perfect example. Again, you don't have a problem with this today with an MUA because you know, here's a 17 degree above the above and screws here. It follows the same axis of the implant, right?

ty_1_02-11-2026_163907 25:00

right? Yeah.

cliff-gratz_1_02-11-2026_193907 25:01

cause of the angle. I put a prosthetic screw on the top a completely different angle. I can't tell you how many times I've got a rep doctor calling me and they say, this never happened to you two, I'm sure, but they broke the prosthetic screw.

ty_1_02-11-2026_163907 25:15

Oh, never heard of it.

cliff-gratz_1_02-11-2026_193907 25:16

popped. Right. And they're like, what do I do now? And I'm, and I'm telling everybody, I'm like, just go back in and take this abutment completely out.

ty_1_02-11-2026_163907 25:24

Every time.

cliff-gratz_1_02-11-2026_193907 25:25

Right.

ty_1_02-11-2026_163907 25:25

Yeah.

cliff-gratz_1_02-11-2026_193907 25:26

a brand new MUA in. Right. And so,

ty_1_02-11-2026_163907 25:29

First, what I have to do is I have to screw around with that cotton tip trick and, and twirl that around on top of it. Screw,

cliff-gratz_1_02-11-2026_193907 25:37

did you get any?

ty_1_02-11-2026_163907 25:39

it's happened twice. I've gotten it twice.

cliff-gratz_1_02-11-2026_193907 25:41

got two. That's cool.

ty_1_02-11-2026_163907 25:42

It's worked like two.

cliff-gratz_1_02-11-2026_193907 25:44

Nice. Yeah. Yeah.

squadcaster-5fai_1_02-11-2026_173907 25:46

was actually thinking about this earlier and I was waiting for the time to bring it up, but what is, uh, or do you have any special tools or, um, recommendations for when you do break a screw off in the implant? Because I know, you know, they make screw retrieval kits right? Where you, where you, you put a little pilot in and then you take the reverse torque into the screw and try to get it out. I've had very poor with those and I end up, you know, most of the time just taking the implant out, putting a new one,

cliff-gratz_1_02-11-2026_193907 26:18

Yep.

squadcaster-5fai_1_02-11-2026_173907 26:18

it a day.

cliff-gratz_1_02-11-2026_193907 26:19

Yep.

squadcaster-5fai_1_02-11-2026_173907 26:20

you know of any like, good techniques for that or is that kind of the main one that you've heard of?

cliff-gratz_1_02-11-2026_193907 26:24

It sounds like your special tool is the Reine,

ty_1_02-11-2026_163907 26:27

Yeah.

cliff-gratz_1_02-11-2026_193907 26:28

right?

squadcaster-5fai_1_02-11-2026_173907 26:29

that, that's unfortunately, but I

ty_1_02-11-2026_163907 26:31

Yeah.

squadcaster-5fai_1_02-11-2026_173907 26:31

to avoid the reine

cliff-gratz_1_02-11-2026_193907 26:33

Right.

squadcaster-5fai_1_02-11-2026_173907 26:34

find a magic solution to taking off a, a screw that's cold welded inside of an implant. And I'm kind of like SOL.

cliff-gratz_1_02-11-2026_193907 26:41

yeah. Uh, it's, see, funny we do have a, a service set. So we do have something that people can call regulatory, give us a little bit of information. We send out the parts, right? And then there's a PDF that tells you step by step. And you know, at first glance it may seem, uh, tedious or cumbersome or complex or whatever, but it's like, it's just broken down into bite sized pieces. How do you eat an elephant? bite at a time. It's like, what is your problem? Let's find the right part of this PDF, and yeah. There's a lot of systems out there. I've looked at, um, some other implant companies, they're all very similar. They put some type of cannulated, uh, tool down into the implant to just engage the top of the connection and lock this thing in. And they center, typically, they center some kind of drill that will prep,

ty_1_02-11-2026_163907 27:32

Mm-hmm.

cliff-gratz_1_02-11-2026_193907 27:33

middle of that fractured, let's say abutment screw inside your implant. Right. And then they'll create some type of device that's like an in-out screw. They use mechanics. The threads are reversed. So they'll either use that tool or they'll tell you to free hand, but they're all very similar. So Salvin has something, you know, they're like everything but the implant. They've got their own kit. Um, I've seen hiin offer something that actually helps with other implant systems, so they all have something. Right. But, um, it is, it is pretty cool. It's funny you brought that up because I'm not kidding. I'm in the lab. With my buddy, my mentor, Dr. Alex Molinari from, uh, from the event, he's our, uh, director of clinical, and we literally go down into the laboratory we are messing with burrs, and we're deforming, we're trying to literally weaken screws so that we snap or break them off inside implants. And then we literally take these, uh, service sets, these different tools and pieces, and we test them. So he and I playing with him a lab. So, uh, there's another glimpse into our world, right?

squadcaster-5fai_1_02-11-2026_173907 28:40

has one of those sets that you can use

cliff-gratz_1_02-11-2026_193907 28:42

Yeah.

squadcaster-5fai_1_02-11-2026_173907 28:43

take extra.

cliff-gratz_1_02-11-2026_193907 28:44

Have it for the two nine, the helix short, the regular gm, the Z. Yeah, I mean, it's protocol for us. The amount of time and effort that is spent looking at the, in the, uh, the system from a comprehensive perspective is we've gotta have everything for you guys. And unfortunately, say it again. I'm gonna say it one more time. We've been doing this for an hour and 18 minutes. You guys are getting sick of hearing me.

ty_1_02-11-2026_163907 29:12

Not at all.

cliff-gratz_1_02-11-2026_193907 29:12

Say it one more time, though. I get so many calls about a third party part. It drives me nuts, right? Just send me an x-ray. Let me see. I mean, I'm telling you it, it has to be precise. We're talking about CNC, manufacturing mass production inside these, um, you know, these facilities, but it's our manufacturing spec. And if it's a Morris Taper, you're talking about stack tolerances. So when I get these x-rays, I see lucency between the abutment and the implant. And yeah, I'm gonna have a little bit of movement in there. You saved four bucks, the screw snapped, and now I'm trying to use my service set and spend my time helping you

ty_1_02-11-2026_163907 29:59

Yeah.

cliff-gratz_1_02-11-2026_193907 29:59

with a part that's not mine.

squadcaster-5fai_1_02-11-2026_173907 30:01

So, yeah, we actually had that question on our sheet about your thoughts are on using non OEM parts. Um,

cliff-gratz_1_02-11-2026_193907 30:10

Now, you know,

squadcaster-5fai_1_02-11-2026_173907 30:11

like, it sounds like

cliff-gratz_1_02-11-2026_193907 30:13

animated, now you know, I gotta take my blood pressure medicine

squadcaster-5fai_1_02-11-2026_173907 30:16

yes.

cliff-gratz_1_02-11-2026_193907 30:17

up.

squadcaster-5fai_1_02-11-2026_173907 30:17

smart to do. It's

cliff-gratz_1_02-11-2026_193907 30:19

It, it's not, not, I mean, you're, you're talking about, we just said a cone. It's 18 degrees less. So we're about 16. We're talking about how intimate this fit is between the abutment coming down into that implant and locking up. Right? critical,

squadcaster-5fai_1_02-11-2026_173907 30:38

Mm-hmm.

cliff-gratz_1_02-11-2026_193907 30:38

right? And so they're not chinsing on this type of connection. We talk about man manufacturing specs in, uh, an aerospace or, or another one, another big one is watchmaking, right?

ty_1_02-11-2026_163907 30:48

Yeah.

cliff-gratz_1_02-11-2026_193907 30:49

about the precision that has to go into making these tools. So other than those two industries. Dental implants is the next one where it's so important on the Precisionist manufacturing and some of these third party companies, they're hitting an ISO standard, but I have no idea what their machine is really capable of. So if I get, if I get super nerdy, so I'm sorry, I'm apologize ahead of time, but when you talk about a margin of error that maybe goes out to the cent decimal, A 0.015 versus lesal a 0.015 versus versus a 0.15. Right? Huge difference

ty_1_02-11-2026_163907 31:31

Yeah.

cliff-gratz_1_02-11-2026_193907 31:33

right? When you take that out, an extra decimal point, right? And so it gets scary to me that somebody says, Ooh, let me get some part. From whoever the manufacturer is. In this case, we'll say, ADA, I'm gonna take this part, I'm gonna send it to China. I'm gonna have somebody try and scan it. Now I know it's not as good. Whatever part they took from me, it's got its own skew. Whatever my manufacturing spec is, if I stay with an ISO standard, I can be a little bit bigger in the manufacturing line or a little bit smaller

ty_1_02-11-2026_163907 32:08

Right.

cliff-gratz_1_02-11-2026_193907 32:08

part.

ty_1_02-11-2026_163907 32:09

You have a tolerance.

cliff-gratz_1_02-11-2026_193907 32:09

whatever part comes off my manufacturing line is not the actual spec probably. Right.

ty_1_02-11-2026_163907 32:15

Yeah.

cliff-gratz_1_02-11-2026_193907 32:15

now you send that to somebody else, they take basically like an impression or digital impression of it. not gonna be as as good. And now they're gonna put on their machine, which might not be as good as my machine, From a

ty_1_02-11-2026_163907 32:30

Mm-hmm.

cliff-gratz_1_02-11-2026_193907 32:31

And now it's gonna make it and it's gonna now take this imperfect part and make it off the line bigger or smaller. And we're talking about just the abutment. We're not talking about the implant and the manufacturing of that, that has its own margin of error, right? And so all the things you're doing, you're just, your stack tolerance is getting worse. It's getting worse. And so hopefully I've confused the hell out of everybody that might listen to this thing, or they might just appreciate the amount of time and effort that goes into the precision of making the parts. And when you're off inside of Morris Taper, you're gonna see problems,

ty_1_02-11-2026_163907 33:09

Yeah, no, I think you make your point. Well, I mean, it's compounding errors in something that has to be, uh, very precise in order to function. And when it does, it does really well. But if, if you're off on those tolerances at all, the whole thing just kind of falls apart. Defeat.

cliff-gratz_1_02-11-2026_193907 33:21

outta whack. Yep.

ty_1_02-11-2026_163907 33:23

Yeah. You talk a lot about, you know, you kind of talk in terms of, uh, you know, CNC machining and tolerances and things like that. We actually had the privilege of, uh, going down to Cheba, um, last year, and we went to the Den factory. So we were able to see,

squadcaster-5fai_1_02-11-2026_173907 33:36

Yeah.

ty_1_02-11-2026_163907 33:36

everyone working there. I mean, it, it really was, uh, a site to behold. I mean, it just, such a large facility, which they're also building another one, which is like two or three times as large, one of the largest manufacturing facilities in the world.

cliff-gratz_1_02-11-2026_193907 33:49

Yeah,

ty_1_02-11-2026_163907 33:49

yeah.

cliff-gratz_1_02-11-2026_193907 33:51

It's the third one. It's incredible, isn't it? This gonna be the third one that they're Yeah, this gonna be a

ty_1_02-11-2026_163907 33:56

And, uh,

cliff-gratz_1_02-11-2026_193907 33:57

down there. Massive. And it's funny you guys said that. I'm actually, uh, I'm not kidding. I'm literally going down on the 20th, which is my birthday. 50, but I'm literally getting on a plane, leaving my family. I'm gonna, I'm gonna travel down on the 20th of April and we're doing this, uh, really cool marketing event down there. So I'm literally gonna be down, uh, and see all that stuff. You guys are talking about myself 22nd to 24th

ty_1_02-11-2026_163907 34:22

Yeah.

cliff-gratz_1_02-11-2026_193907 34:22

uh, and I just booked my flights today. Yeah.

ty_1_02-11-2026_163907 34:25

fantastic. Yeah,

cliff-gratz_1_02-11-2026_193907 34:27

Small.

squadcaster-5fai_1_02-11-2026_173907 34:27

uh, for your birthday, please go to a Chico Itchy,

cliff-gratz_1_02-11-2026_193907 34:32

Oh.

squadcaster-5fai_1_02-11-2026_173907 34:32

called. It was some of the best

cliff-gratz_1_02-11-2026_193907 34:36

Sounds shady.

squadcaster-5fai_1_02-11-2026_173907 34:36

I go to, I go to, you know, Tyler and I, we love to, to hit up our, our Nobu and stuff and we're in Vegas, but man, that restaurant was

ty_1_02-11-2026_163907 34:44

it was good.

squadcaster-5fai_1_02-11-2026_173907 34:45

good. Uh, if you want, I'll send you the name after, so

cliff-gratz_1_02-11-2026_193907 34:47

Oh, that's incredible. Yes,

squadcaster-5fai_1_02-11-2026_173907 34:49

go

cliff-gratz_1_02-11-2026_193907 34:49

please. Yes. I would love that.

squadcaster-5fai_1_02-11-2026_173907 34:51

so, so good.

cliff-gratz_1_02-11-2026_193907 34:52

Yeah.

squadcaster-5fai_1_02-11-2026_173907 34:54

going off on a tangent, but it was,

cliff-gratz_1_02-11-2026_193907 34:55

Oh, I love it. No, no, no, that's great. I'm excited. Yeah. And, and you know, to, to your guys' point when I'm down there, um, they're actually gonna maybe steal me, pull me away, and I'm gonna go see the innovation team.

ty_1_02-11-2026_163907 35:09

Yeah,

cliff-gratz_1_02-11-2026_193907 35:09

see Dr. Sergio Bernardes. you know, that was another, um, interesting thing I think to you guys asked, like, what, what kind of time and effort do you put into this? I mean. Tome, you mentioned genome, but, uh, to tome and, and, um, Sergio artist, I mean, those guys spend, uh, several days a week on this new product development stuff. So,

ty_1_02-11-2026_163907 35:31

yeah,

cliff-gratz_1_02-11-2026_193907 35:31

mean, talk about how cool is that, right? It's by a dentist, Ford dentist.

ty_1_02-11-2026_163907 35:36

yeah.

cliff-gratz_1_02-11-2026_193907 35:36

guys did this because they saw an opportunity to help down there in South America. But I mean, to have these clinicians work in, in the labs and, you know, and, and just product

ty_1_02-11-2026_163907 35:48

It

cliff-gratz_1_02-11-2026_193907 35:49

is like, man, I want that job. That sounds kind of fun.

ty_1_02-11-2026_163907 35:51

is pretty sweet.

squadcaster-5fai_1_02-11-2026_173907 35:52

we, we saw Dr. Tome. mean, and I don't, I don't even wanna know how much this guy is worth, right? Like he could be chilling on an island

cliff-gratz_1_02-11-2026_193907 36:00

Yeah.

squadcaster-5fai_1_02-11-2026_173907 36:00

somewhere.

cliff-gratz_1_02-11-2026_193907 36:01

You should be.

squadcaster-5fai_1_02-11-2026_173907 36:02

we went, we went to the clinic and he's. Place in a a, a new special implant that we can't talk about. So, we'll, we'll

ty_1_02-11-2026_163907 36:09

Yeah.

squadcaster-5fai_1_02-11-2026_173907 36:10

but place in some, some,

cliff-gratz_1_02-11-2026_193907 36:12

So you.

squadcaster-5fai_1_02-11-2026_173907 36:12

implants Oh, yeah, yeah. We, we signed the NDAs. We got, so we

cliff-gratz_1_02-11-2026_193907 36:17

Uh, uh,

squadcaster-5fai_1_02-11-2026_173907 36:18

about it here. But, uh, you know, it's so cool watching, watching this dude who, um, you know, could be doing whatever he wants. He's still working on patients perfecting implants and he wants to do it himself so he knows, you know, buy a dentist for a dentist and to make sure that it works well for

cliff-gratz_1_02-11-2026_193907 36:37

yeah,

squadcaster-5fai_1_02-11-2026_173907 36:37

we were really, really impressed by. I,

cliff-gratz_1_02-11-2026_193907 36:39

man, is, that is really cool. I mean, I am so happy for you guys that you got to experience that. That is like a, that's like a, a, a one nerd bucket list.

ty_1_02-11-2026_163907 36:49

Oh yeah. No, I,

cliff-gratz_1_02-11-2026_193907 36:51

go see

ty_1_02-11-2026_163907 36:52

I think our,

cliff-gratz_1_02-11-2026_193907 36:52

stuff halfway

ty_1_02-11-2026_163907 36:53

yeah,

cliff-gratz_1_02-11-2026_193907 36:53

too. Just making the trip. I mean,

squadcaster-5fai_1_02-11-2026_173907 36:56

It

cliff-gratz_1_02-11-2026_193907 36:56

good for you guys.

squadcaster-5fai_1_02-11-2026_173907 36:58

Uh,

ty_1_02-11-2026_163907 36:58

I, I think

squadcaster-5fai_1_02-11-2026_173907 36:59

one, but.

ty_1_02-11-2026_163907 37:00

yeah, I, I, I sure did. And that's, that's a whole nother story we're not gonna get into. But, um, you know, I think for us in that trip, the highlights were shaking Janina and Toe's hand, and then seeing the factory eating at Ichigo, Ishi for the sushi, and then placing Zy IGOs. I think that's pretty much what the actual like descending order for us.

cliff-gratz_1_02-11-2026_193907 37:19

an order.

ty_1_02-11-2026_163907 37:19

Yeah,

squadcaster-5fai_1_02-11-2026_173907 37:20

yeah,

cliff-gratz_1_02-11-2026_193907 37:20

So,

squadcaster-5fai_1_02-11-2026_173907 37:21

yeah,

cliff-gratz_1_02-11-2026_193907 37:21

okay. All right. So you got to see some zy there too, huh?

ty_1_02-11-2026_163907 37:25

yeah, yeah. We, we, we place.

squadcaster-5fai_1_02-11-2026_173907 37:26

to play some,

ty_1_02-11-2026_163907 37:27

Yeah. Yeah. Yeah.

squadcaster-5fai_1_02-11-2026_173907 37:29

was

ty_1_02-11-2026_163907 37:29

So that, that was a really cool experience.

cliff-gratz_1_02-11-2026_193907 37:31

Oh man, I

ty_1_02-11-2026_163907 37:32

you know, briefly, I would like to kind of get into, um, a little bit of some of the, those exotic techniques and some of the designs that are around that. Right. So we've got, I, I see you're pointing out our onion driver there.

cliff-gratz_1_02-11-2026_193907 37:44

had the purple onion like in front of me sitting here, and you're talking about SI thought that was too

ty_1_02-11-2026_163907 37:49

Yeah. Of course,

cliff-gratz_1_02-11-2026_193907 37:51

on

ty_1_02-11-2026_163907 37:51

course. Yeah. It's awesome. Uh, no, no, not at all. So, I'm, I, I'm curious too, just to talk a little bit about, you know, uh, I think, uh, there's, I, I've heard a rumor of a OID implant coming out for neo dt. Um, we've got transnasal, trans sinus, zygomatic, you know, what are some of the intricacies that go into designing implants specifically for techniques?

cliff-gratz_1_02-11-2026_193907 38:15

I mean, yeah, we we're probably the only company, again, to my knowledge, you wanna be the kings and queens. You gotta have it all right? And so they have, uh, three different kinds of zy implants alone. Right? You got a fully threaded, and my, I mean, my philosophy, again, my mentor is, uh, Alex Moari and, and, and all those guys in that court that talk about an anatomical approach to the placement of an implant.

ty_1_02-11-2026_163907 38:44

Yeah.

cliff-gratz_1_02-11-2026_193907 38:45

the diagnostics, plan the work, work, the plan. Um, I love seeing 3D models so that people can dry, run. Where they're shooting their implants and what type of anatomy is presented by the patient so that we can do a Z zero to, um,

ty_1_02-11-2026_163907 39:01

Four.

cliff-gratz_1_02-11-2026_193907 39:01

four

ty_1_02-11-2026_163907 39:02

Yeah.

cliff-gratz_1_02-11-2026_193907 39:02

right? of thing. And um, and then it's whether you wanna smooth implant or something fully threaded, right? And

ty_1_02-11-2026_163907 39:10

Right.

cliff-gratz_1_02-11-2026_193907 39:10

we have all of that including, um, you know, a more narrow zy igo that's indicated for quad zygoma.

ty_1_02-11-2026_163907 39:18

Hmm.

cliff-gratz_1_02-11-2026_193907 39:19

Right. So

ty_1_02-11-2026_163907 39:19

Yeah.

cliff-gratz_1_02-11-2026_193907 39:19

indication how much can you do and what can you do? Um, I mean, we just talked earlier tonight about our helix long. We do have a tego implant. Yay. It's here, it's indicator for it. You can do it. But yes, we are, uh, also coming out with, uh, a new tero. Good. gonna like the design. It's gonna be, you know, a little bit more of what everybody wants. A little bit more of an

ty_1_02-11-2026_163907 39:44

Yeah.

cliff-gratz_1_02-11-2026_193907 39:44

thread, a little bit more of a taper, a little bit more of a bite.

ty_1_02-11-2026_163907 39:47

Sure.

cliff-gratz_1_02-11-2026_193907 39:48

I don't know. We'll see. It might even have a. I don't know some other features to it, to, to, to match other things that, that people are looking for in the industry. But I mean,

ty_1_02-11-2026_163907 39:57

Yeah.

cliff-gratz_1_02-11-2026_193907 39:58

not giving away any secrets. That's the stuff, the expectations that everybody wants. And yeah, we'll be here next year, so we'll have the terra good. Um, this is the kind of thing that happens. We've been working on this for a while. People think it's just made, it's done. And here you go. No, we went through, uh, over 133 iterations of our NeoCon convert system alone, right? To come out with something to help you save time. Uh, do a conversion, the the old school method of analog with a jump, make your holes smaller, keep your prosthesis stronger, but more importantly, keep you moving, like, keep you, keep you moving quickly through the conversion process. I mean, that alone was fascinating to me. And then being a product manager, I get to see all of the. The rigorous, um, studies, stress tests, all the stuff that's done to make sure that the product will hold up over time. So, um,

ty_1_02-11-2026_163907 40:53

Yeah,

cliff-gratz_1_02-11-2026_193907 40:54

so yeah. So back to Zygotes, Terrys all that lot, lot of time vested in this, and, and you guys probably lie. You probably saw it while you were down there.

ty_1_02-11-2026_163907 41:05

maybe

squadcaster-5fai_1_02-11-2026_173907 41:06

Yeah.

cliff-gratz_1_02-11-2026_193907 41:06

It.

ty_1_02-11-2026_163907 41:07

I can either confirm nor deny. Um, but, uh, but yeah, just to, just to close out here, cliff. So I'm curious, you know what, uh, we always ask a question somewhat akin to this. So, in, in your world and the things that you pay the most attention to, you know, what are you most excited about in terms of innovation when it comes to implants, prosthetics, you know, all the things having to do STR and neo, where do you think the cutting edge is and what should people be getting excited about?

cliff-gratz_1_02-11-2026_193907 41:31

Man. Whew. It's another good one because feeling at the moment like just hit upon so many new products that we're starting to

ty_1_02-11-2026_163907 41:42

Yeah, you bet.

cliff-gratz_1_02-11-2026_193907 41:43

this really nitpicky nuances of what can I do next? And um, you know, this is, this is somewhere else in the industry, but maybe it's we can deliver an implant. Things like, maybe even biomaterials. You know, I heard there's, um, it's a really cool company that has something that's, uh, excreted by. Mole or some type of, uh, food creature, right? Like a, like a clam or something, right? They fire out, like, uh, they extrude some with calcium and then it gets hard. So

ty_1_02-11-2026_163907 42:15

it's the Tetra stuff, right? Or something?

cliff-gratz_1_02-11-2026_193907 42:18

So, so

ty_1_02-11-2026_163907 42:18

Yeah, I think so.

cliff-gratz_1_02-11-2026_193907 42:19

shooting something into a socket site and it

ty_1_02-11-2026_163907 42:22

Yeah.

cliff-gratz_1_02-11-2026_193907 42:22

and gets really hard, and then you fire your screw in, right?

ty_1_02-11-2026_163907 42:25

Yeah.

squadcaster-5fai_1_02-11-2026_173907 42:25

Yep.

ty_1_02-11-2026_163907 42:26

like a.

cliff-gratz_1_02-11-2026_193907 42:27

or, or maybe it's that next. I mean, honestly for me it's maybe that next digital piece that kind of ties in a little bit better with your records. It, it's more so maybe the software, the soft tissue, the alignment of bone. I mean, people are doing all different parts and pieces or aspects of this, but somebody's gonna tie it all in together, right?

ty_1_02-11-2026_163907 42:51

Yeah, I.

squadcaster-5fai_1_02-11-2026_173907 42:53

Yeah, for sure. And we, we, we get to, we're lucky enough to get to talk to people all over our industry that see these

cliff-gratz_1_02-11-2026_193907 43:00

Mm-hmm.

squadcaster-5fai_1_02-11-2026_173907 43:01

and, and you're spot on. Like, in my opinion, after talking to a, a lot of people, that's, that's where we're gonna see a lot of innovation is CT segmentation that is gonna offer better prosthetics, better alignment. You know, a a mesh system of, of guided, which is like, you know, everything's aligned properly so that implant goes exactly where you want it.

cliff-gratz_1_02-11-2026_193907 43:25

Yeah.

squadcaster-5fai_1_02-11-2026_173907 43:25

maybe you can even have as a zirconia prosthetic that is ready to go, that just sits on top of those implants and you're, you're done and perfect passive fit. Um, that stuff's coming, you know, it's coming quick. And, uh, you know, even in the last, what, five years we've, we've seen so many crazy things

cliff-gratz_1_02-11-2026_193907 43:43

Oh

squadcaster-5fai_1_02-11-2026_173907 43:44

photogrammetry, people printing cases same day. And before you know it, there's gonna be materials out there that we print and they're just as strong as zirconia and the patient's done and ready to go. Um, it's an exciting time to be here as, as long as there's no companies out there that, that start offering$4,000 all on fours, you know?

ty_1_02-11-2026_163907 44:06

Yeah,

cliff-gratz_1_02-11-2026_193907 44:06

Yeah. Don't do that. We're not there yet.

squadcaster-5fai_1_02-11-2026_173907 44:08

Please, please

cliff-gratz_1_02-11-2026_193907 44:10

here's the, I mean, obviously, here's the best part. We're, we're pushing ourselves. You guys are asking about innovation. Where do we go next? And the the best part is on the other end of this, which people forget about all the time, is there's a human being. They're gonna get better treatment. Right?

squadcaster-5fai_1_02-11-2026_173907 44:24

a hundred

cliff-gratz_1_02-11-2026_193907 44:25

That's

ty_1_02-11-2026_163907 44:25

right.

cliff-gratz_1_02-11-2026_193907 44:26

It's like the best part of the whole gig is, man, we're just gonna help people even more.

ty_1_02-11-2026_163907 44:30

You bet.

cliff-gratz_1_02-11-2026_193907 44:31

excited. Where am I?

ty_1_02-11-2026_163907 44:32

Awesome. You got it. Well, cliff, we really appreciate you, you know, taking some time outta your day to talk about, you know, what you do on a day-to-day basis. And, you know, personally, I feel like we've been very enlightened with all the, you know, uh, uh, intricacies of implant design, componentry, all that. It certainly answered a lot of questions for me. And, um, you know, I hope that, uh, our audience gets some value out of that because I think that, you know, we talk so much about surgery and techniques and how we do this and that, but you know, really what it comes down to, our success is built off the, the innovation and the products that we're putting in people's mouths. And it's just so, uh, it, it's so reassuring, you know, for us to know, just all of the engineering and all the research has gone into, you know, the systems that we choose to use. And so we really appreciate your part in that.

cliff-gratz_1_02-11-2026_193907 45:13

Yeah. Oh my gosh. Thanks so much. Really? I had a blast, man. I'm, I'm surprised we went this long. My, my apologies. I had fun.

ty_1_02-11-2026_163907 45:21

I'm, I'm not surprised at all you brought a wealth of information to the table. So yeah, thank you so much.

cliff-gratz_1_02-11-2026_193907 45:26

Thanks guys. Appreciate you.

ty_1_02-11-2026_163907 45:28

Take care.

squadcaster-5fai_1_02-11-2026_173907 45:28

right.

cliff-gratz_1_02-11-2026_193907 45:29

All right. See.