Dr. Parrish, good morning and thank you for joining us on the Dental Op Podcast. Good morning, Bob. How are you guys doing out in ca? We're good. I admire your state. I've been to Texas now twice in, in the past six months, and I've had a great time, both times I've been there. Tell us about your day. It's 10 30 where you are and I know Fridays you just told me you don't work. Tell us what you're doing today in the office. Man, it's a great day. We actually had our first high school football playoff game last night. And so we had to travel about two hours to hit that, but we won 44 to nothing. So the ride home was, Quite pleasant Oh, that's brilliant. And then we. We had to drag the kids outta bed this morning because they weren't in, weren't home until one or two o'clock and got 'em off to school. And then I came into the office and, generally we don't see patients on Fridays and our team doesn't come in on Fridays, so I generally come in Fridays, usually from eight to 12 or so. And knock out admin duties, pay bills, accounting, answer emails, communicate with labs, that, that sort of stuff. It's the business side that is so important and doing the clinical procedures you guys are so skilled and, so up to speed with technology and I love what you and your wife are doing right now with us. But yeah, the business side is challenging and I think that's where a lot of struggle and I think that's why a lot of dentists, feel the pressure to sell to a d. Yeah, the business side is definitely a, an interesting part of it. I think I come from a family and my wife comes from a family of entrepreneurs. Both of our parents had their own businesses we were, we're fairly equipped at least rudimentary ways of running a business and starting a business and all that. But the challenge for most dentists is that, we're the engine that drives the practice. We're what drives the income. And if we're not sitting chairside either. Talking with patients, consulting with patients, or working on patients, then money's not being generated. So at some point you do have to run the business and I think a lot of dentists absolutely struggle with that. And I think there's probably. For a lot of dentists there's a value in DSOs. My wife has mentioned that, had she not been married to me and had two of us, that she probably wouldn't be interested in running a dental office because she's happy doing the dentistry. But sometimes the HR and admin and all that kind of stuff can wear you down. Oh, that's absolutely true. I hear that from so many. Of our Keating clients that, and that's the common theme, is they love interacting with patients, love treating patients, love the clinical side. But the business aspect is a grind, really. And right now, honestly, in this country, in this economic environment and this business environment. Yeah, dealing with employees is tremendously challenging. I mean, mean, We have 125 here. Yes, sir. Yeah, we're lucky. We have a. Really talented, strong team. We only have seven employees. But we are also lucky in that Jennifer and I are able to work in a way that we allow ourselves time to run the business side. And we have a partner, the, I think the. Dentists who are out on their own really have to find strong team members especially admin and front office people because you just can't do it all if you're by yourself. No, a solid team behind you. And sometimes that team is actually the face of your practice. When they go back to the chair, they've they've got you in their mouth most of the time and they can't speak and interact with you. And having a really personable, front desk office manager, what have you, receptionists. Is smiling and is pleasant and interacts at a high level with the patients, really does make a differe. Yes. I think another thing that, that gets overlooked quite a bit nowadays we, we seem to sometimes be in this race to find the cheapest lab and the cheapest cpa and the, we're gonna outsource our advertising to an online service. And I think. When it comes to a team, I think it, it's quite often overlooked in finding a good quality lab, a CPA that you can communicate with. I think that's one area that a lot of dentists shoot themselves in the foot and that they try to cut corners in certain areas like that. And then in the long run, it probably does cost a lot more money for trying to cut those corners. Cheap is fine, but cheap is cheap. I'd rather have a business partner or. Form a relationship with somebody that's gonna add value. And that's been, our biggest thing here, that's really how the lab was founded, is we want to be. Your business partner, we want to be able to add value to your practice. We want to be able to eliminate a headache. When you send us a Cerac file on a Monday, you know we receive it, you can see that it's logged in. You can see that we're working on, the restoration at the various steps, and we wanna be an extension of your practice. Yeah and the line of communication, I think is something that's, Really important for us and look on a day to day basis, a single unit crown. Do I wanna talk to a lab tech about that? No. Not at all. But a six unit veneer case or a case where we're opening up a vertical or doing a full mouth case or a complex implant fixed removable case, those. Those are the kind of things that I think is really comforting and really important to, to have a lab and a team that you can trust and that you can lean on, and that you can say, Hey Bob, what do you think about this? What are your thoughts on this? What do you, what? Is there another way to do this? And I see that even more as we're moving into the digital age because I found that learning the processes and the workflow. Is one of the challenges of digital and having a lab and a team that's experienced with that is, is very helpful. I agree a hundred percent with what you said there and it's most issues in life. It's the communication at the high level that really sets us apart, sets you apart from, the other dentists in your area sets us apart with some of the labs, maybe some of the offshore labs that you can't communicate with. It's the communication and it's the problem solving that we want to be there for you and we want to support you so that we can get these cases done successfully. The first. So let me ask you this from the lab perspective. What are the biggest changes that, that you guys are seeing are you seeing a big influx of digital impressions and digital workflows, or is it still back old school impressions and stone models and whatnot? Where are we at with that from your side of the perspective? It's definitely digital and it's been a massive. Since the onset of the pandemic, I would say that right now we are doing about 55% of our cases digitally. We own eight 3D printers to print the models that you get your emax crowns back on. It's crazy that, we have eight printers and we're still three days behind on the model printing, It's a massive change. I knew it was coming. I just didn't anticipate that it was gonna be this wave really that was gonna hit us so quickly. about staffing and training? On, on the dentist side, our training for that kind of stuff is actually. Straightforward. Cause in most cases, once you get a little experience, a digital impression is easier and quicker than a conventional impression. What about you guys up for all the tech and the people who have to design thes and the, and all that? Have y'all had a challenge with that It is there, there's always challenges. We've had to cross train individuals that used to make restorations with their hand and teach them the computer software teach them the steps and the sequences of, accepting a file. Then saving the file and then transferring it into, because we don't use the SIR design software, we use three shape. So you've gotta save the file in, sir, a export it over to three shape, and then you've gotta. Essentially put the scan, put the SDL file into what's called model builder, mark the margins, and then design the restoration. So there's a lot of steps. They can go very quickly for an experienced CAD cam design technician, but, we only have five of 'em. So we're now trying to break down the process and create more efficiency by having just the. Technicians only do designs. We're now taking people because essentially the first couple steps are just data entry and moving files. So we've cross-trained people from our shipping department because we're receiving fewer cases in through the mail, Fewer impressions from ups. So we're cross-training some people from the shipping departments for when you send us a scan, they print the attachment, they go to your account, they're able to log the case in and. In 10 minutes, it can get over to the design technician. We're making some tweaks to our system here to improve our efficiency. We're not done yet. I wanna do seven or eight new things as well, but yeah, we need to absolutely make the switch to an all digital. Yeah. And that's interesting that you bring that up about the converting the files and whatnot because that, that is the one area where I've seen some hiccups and to. For everybody to know. We we have a Serono Prime scan we scan in office. We don't mill. But I've found that a lot of the times when we upload files through the CRE Connect, we'll attach pictures and we'll fill out instructions and it seems. Sometimes we get restorations that the pictures that we attached weren't passed along or somehow disappeared or specific things that were in the lab things. Sometimes there's some hiccups with that and I wonder if that's a conversion issue or possibly just something with cre. I know I imagine that you guys have to deal with multiple different workflows with all of the different scanners out there today. We have about six, six popular systems are available in the US right now. So then you have to train all your people to do things six different ways. Correct? Pretty that is, it's challenging. It's, and this is my fault for not letting you know this sooner, but some of the issues like the photographs are better suited, better sent through our customer portal because then it's a direct connection to the case and. Yeah, some of these files are just in a language that we can't save and export into our CRM software that the technicians and all of us here are using. So that's my fault. I'll walk you through how to do it slightly different when we're finished. No, Bob, I don't think that's a, that's not a blame game or anything like that. Just think that, it's a typical situation in the world that we live in that all these companies have their proprietary software and their proprietary way of doing things. And I think they not all, but I think a lot of companies put up walls to make you stay within their system. And if you work outside their system, they certainly put up speed bumps to make it a little more. Sure. And Serona Sirk was his, historically known for that. But my hat's off to them. They have opened up their, technology to many more people and. They're much more open to sharing their technology and systems and workflows. And it is, it's just a couple speed bumps that I need to iron out here so that we can get all the information that you're sending to us, bundled up into the case, and then the technicians and our QC team can view everything correctly and I'll get that done. Yeah, no, and like I said, it's not a major problem. It's just an occasional, and it's one of those things where you said too, where you know it. It's a pain for us if it's we gotta send the email from here and then we gotta send the case from here. And it's just one of those things where you have to work out the workflows and then, on our end for us it's always a matter of checks and balances. And what I mean by that is, okay, the assistant that worked on the case is gonna be the one that's. Gonna send the case out, but they have to come find the doctor to make sure that we've traced the margins correctly on the scan and that we've attached the files and that the verbiage is correct. It's just I think it's, with any new technology, we're still in the beginning stages and the workflows are only gonna get better and better as we move forward and as things start to integrate better and as companies come in and start doing the work that you and I are trying to iron out. That's right. Yep. And you touched on. Brilliant point there, and it's often overlooked, but the margin marking, cannot remember a case in the last six months that we've had a shorter open margin because you're taking that step on yourself. And I really thank you for that. I don't know if it's me or if it's just the software makes us Oh I don't, I dunno that I wanna take credit for that. And then, I hate to admit this, but. 99% of the time my, my assistants chase the margin and they do a much better job than I do, and then I just look at it and if I have any questions, they fix it for me. I can't take any credit for that. I'll have to lean on my team because they do a good job at that kind of stuff. Hey. But that goes back to, having a strong team and having, a team that's really on the same page because your team members know their role and they're performing at a very high level and. That allows us to deliver successful restorations. It makes you more efficient, It makes us as a laboratory more efficient as well. So again, I thank you as the quarterback or architect for directing your business that Good. So what what's on the horizon of that? Are you guys getting into. Keating as a lab, are you gonna be getting into guided surgery or any of the other areas of of digital dentistry? Yes, definitely. So number one for us in this past year was integrating the Den supply serona method for digital dentures. And these are complete dentures, full arch digital dentures using their Luci Tone 1 99 system that's been validated for a cat cam workflow. And the prosthesis is printed through a carbon printer, which is. Phenomenal. It's the most expensive printer that's available in the us probably the world. But it's just a, it's a brilliant machine. The results are fantastic. Next year we are going to make a much more significant leap into the guided surgery realm and. It was mainly, again, it was just because we didn't have enough employees, and we've got one super talented individual here. I know you've spoken with Bernie in the past. Bernie was really overworked. We needed to develop a team behind him so that, Bernie, Steve and I, we could really spend more time and focus on. Guided because it is so important. We're doing about eight to 10 of these full arch hybrid denture implant retain dentures a month. And I see the need and our customers, you included have asked us to support on the planning, the presurgical workup and everything. So we are gonna make that switch in 2020. Yeah, that's absolutely an area and I think I would say I'm probably not in the majority, but we. Purchased a cone beam and, it integrates beautifully with our scans. We you get toy? Yeah, so we actually have the we ended up getting the Serona Axios. And so yeah, we have the Cyca software. And I enjoy it. I'm still learning. But I'll be honest, it's one of those things where me personally, I don't wanna spend 30 minutes designing placing and all that. I wanna, I'd rather spend that time with my family, , Oh, a hundred. or go into a football game or a basketball game and then, and. Having someone else do the planning side of things and then looking it over once it's done and make sure that if we need any tweaks or anything like that, that we're good to go. And I think that's a real value that I think labs can add to, for dental practices for sure. And that's exactly the way we envision it. So we envision. You sending us the scan and, maybe an STL file or CDT file of, theist arch. And then we put the two together in the software and. You tell us how many implants and general areas that you would like to place it. And then we do the plan. Bernie will probably spend 20 to 30 minutes doing the plan, and then we'll have probably a 10 to 15 minute consultation and it'll be either through Zoom or Team Viewer or Microsoft Teams. What have you. Where we'll look at the images together. And then you'll click or you'll tell us, approve or move this, or, modify that, or I don't like the, the size or diameter of this implant. Change that. And then we'll make the modifications and then we'll give you back the file for final approval before we print the guides. Yeah. I think that's a great workflow and definitely a service that me and I would think a lot of dentists would use. It's funny, I, the more I work with the cyca software it's great. It's got a great user interface. It's getting to where it's pretty easy to place the implants and whatnot. But then as of right now, you're stuck sending it Toy Cat Yep. Once you plant it and. It, the turnaround is not great because it's, I believe it comes from Germany and and then pricing, obviously the cost is pretty, pretty pricey. So they're extremely high quality guides. Would you confirm? Oh yeah, absolutely. I don't have any problems with their guides and they've been great to work with. I've done several Zoom meetings with them going over implant planning and whatnot. And so I have no complaints about them at all, but it, there's also a value. To working with the people that are gonna make the final restoration so that, from the ground up where we're starting and where we're finishing and it's all in house in one spot it just makes life a lot easier and it's just let one less thing for something to fall through the cracks if you're only dealing with one, one entity and not two or three different Absolutely. It's more efficient. The communication is more clear. We plan the cases with the final restoration in mind. Not just the restoration, but the type or design, whether it's gonna be a screw retained or cement retained prosthesis, or, a bar retained prosthesis. If we have to use multi-unit or angle correction, abutments. Yeah we really try to incorporate a lot of those thoughts and questions. When we're designing, when we're a guided. Yeah, absolutely. And it's, like I said, it's really exciting times from the clinical side of things because it's, it. Every month it seems like I'm more and more blown away with the things that we are able to do as far as the planning and the guides and the pre making restorations and all that kind of stuff. It's an exciting time. There's definitely a cost of entry and I know that's coming down but I think it's well worth the cost by the time this all shakes. Oh, definitely. Yeah. You can wait a couple more years and get a scanner, but then that just means you're a couple more years behind everybody. And your comfort level with your prime scan is extremely high. I know that the scans that, when I get the email that you sent us a scan, just like we did yesterday I know it's gonna be a great scan because you're accomplished in it. You've, you're past the learning curve and we're gonna have a successful result. It, it doesn't happen by accident. I It was a lot of hard work and effort on your part. Get you and your staff trained on this, correct. Honestly I would like to tell you how hard we worked. But we literally started using our scanner and within a week our girls were taking. Pretty dang good scans. I think the biggest thing we've learned with the ol scanners is that you do have to prep a little bit differently. You definitely learn really quickly how. Humbling it is to see how crummy your margins have always been when you put them on the uh, 30 inch screen or whatever, and zoom in. That, that has been a very humbling experience. And I've gone through several new birds and finishing birds and all sorts of things. And it's one those things where I feel like, man, every day I'm still like, ah, I should have. Should have got that rounded. Should have got that smooth. But it's getting better and better. The biggest thing I see is. New customers want to use the technology as a shortcut. They don't view it as you're viewing it as a learning experience and making things better and going through the painstaking process of making sure margins are, smooth and level and everything. We have rounded internal angles and everything like that. We have a lot of offices. That just viewed the technology as a shortcut to taking impressions, and I always tell them that's the wrong approach. It is quicker than taking a physical impression, but you still need to follow the basic principles that you just explained, and that's fantastic. Yeah and like I said, that's the whole Bronx of industry, isn't it? That you've gotta get better. Every day. Just like anything else in life if I'm doing dentistry 10 years from now, the same as I'm doing it today, then maybe I've got, maybe it's time to retire That's so funny. My, father used to always say, So my father was a dentist and he had 50 years in practice, and his patients used to like the last 10, 15 years, were always asking, When are you gonna retire? When are you gonna retire? And he used to say it's called the practice of dentistry. And when I perfect it, then I'll retire. Yeah, I that's a hundred percent true. And I think it's just one of those things where, like I said the digital age has been humbling, but it's also been a little bit. Rejuvenating because it is fun to learn new things and learn to work through new workflows and new procedures and whatnot. Let ask you this, on the question of scanning, I just wanted to, you mentioned something earlier I did wanna ask you. So the one, one issue I think we had early on, and we still get it occasionally with difficult patients, is that, can you take, if you're scan. Takes too long and you get too many images. It seems like it gets a distorted scan. That's like the only real problem we've seen with scanning. Is that something that's real or is that something in my mind that's not really the way it works? No, that is a hundred percent real and what the software's trying to do, it's trying to superimpose data points and get, like a best fit match. So the more data points you input into the system, unfortunately, You're gonna get almost like a larger source of error because it's not able to fit all the data points correctly into the exact same location. Yeah, scans that take too long. It's honestly, it's just better just to delete it and start over. Yeah. Good. I'm glad. I'm not crazy on that because I always, I tell the girls sometimes when I look at the file size or on the, on. Cero machine, you can actually, when you zoom into the skin, it starts to get a little triangulated pixelated. . I tell the girls, Hey, I we went too long here. And then that rolls into the second part of this, which be interesting to hear your take on this. I, we've been really happy when we scanned for partial frameworks because the fit has been really just spot on as good a framework fit as we've ever had. What about the area of removables? Because, you don't have a static. Tissue surface. Are you leaning more towards telling people, Hey, let's just take physical impressions and then scan the impression, or what's your take on that area of digital scanning? If you would've asked me this last year, I would've said bypass. A digital impression with SIR and send me a physical impression. But to their credit, CUNA's made a lot of really nice modifications and theist areas on the, the prime scan images and also, their other scanners have really improved. We used to see a lot of data voids, particularly on the pallet. That I no longer see OneRX scans, and I know it's because, either labs or customers have mentioned that's a problem and they, to their credit, again, they've made the changes in their software and they've improved it quite a bit. Yeah. We've rarely, we do sometimes with someone with a really deep pallet of vault, and then obviously sometimes on the lower, on the lingual, obviously the floor of the mouth is not easy to capture because it's constantly moving. 1, 1, 1 workflow that I've actually, we just sent in a case. This week actually where it was a distal extension on both sides for a partial and, basically we just sent it in and said, Hey, go ahead and make the framework mount the teeth and then we'll do a wash and we'll pick up the vestibule and the hamula notches and everything with the wash, and then we're good to go. Great fit and a great framework, that kind of thing. That's perfect because we've now adopted digital workflow for our cast frame parcels where we can take your scan again, We. Import that into three shape, and then we're designing the R P D frame directly from your scan. I've always been a big proponent of digital because it eliminates the two largest sources of error. And on the clinical side, that's always been impression taking. And on the lab side, it's always been. Pouring models. So by working in a digital environment, we've eliminated the two largest sources of air on both sides of the equation, and we get a better, more precise fit. So we're taking your scan, we're importing that into the removable suite, the removable design software module for three. And we're, the first function is survey and it's identifying undercuts and then you put on, the type of design you put on your major connector and then you identify teeth where you want the rest seat. So it's a very systematic stepwise process. And it really goes back to we're working with more accurate data at the onset and we're gonna get a better result. We're gonna give a much better final. So that kind of. It makes me, brings up a question to me when it comes to the design software. Cause it's interesting when you have an office like ours where we don't really do any design and we live out in Texas and so it's not like I can drive down the road and visit you guys and see how things are going at the lab. On the design side of things. And this goes for crown and bridge as well as removable. Does your design software, does it have alerts or indicators for things like this is too big of an undercut or this. This EMAX is not gonna work because it's less than 1.5 or two millimeters. Is the software good at identifying that kind of error? It is, it's extremely good at that. And, then it comes down to the human that's operating the controls to recognize that and bring it, up to a manager. We ha we have controls at so many different levels and, we have all of our designs, QCs our cadca manager walks up and down the rows and he's checking and he can see. What's gonna work and what's not gonna work. We also have a very nice feature that when. Transfer the design to the cam side. There's another software and we have a milling simulation that we can add to any design or any project where it'll tell us , if the restoration will actually mill out. Now, it's not a hundred percent successful. We do that for all of our cases. And sometimes we get a restoration that breaks or doesn't survive the milling process, or it falls off its SP screw and is, at the bottom of the milling chamber. But it, overall it's a very helpful feature and it's just not a hundred percent. That kind of brought something in my mind to to pivot to here with the rise of zirconia. Cause the one challenge we've had in our practice with the CAD cam, our crown seat appointments are generally About half as long because we, once we got dialed in with you guys as far as what kind of occlusion we would like and what kind of contacts we would like, we do very little adjusting assuming the patient hadn't lost their temporary whatever. But one issue we have had, and I noticed that recently y'all actually sent some cement out. But we have had some issues with re retention on zirconia restorations. And we do all the things. I. Subscribe to Gordon Christiansen. So we follow all the protocols, cleaning and all the priming and everything. But we still, occasionally have cases where we do have retention issues with zirconia. Are you seeing that across the board or is it just something that possibly we're doing wrong. Oh, I it's always been. With the monolithic orcon and that's why we started giving out the Z C and the Z R P, which is a cleanser and a primer just as another tool for you guys to use to help increase the bond strength. Scon is such a dense material. Adjusting on the Anta Leo is very challenging. If it's an overall retention issue, there's some things we can do on the lab site. I can reduce your cement gap setting, from our 40 microns to 20. We can reduce the setting at the margin, which is just the, the acal one to two millimeters. I can reduce that to five or 10. There's some things that we can do to increase the retentive level of your zirconia restorations in the design software. Yeah, and it's also interesting to me because it, it also has made me as a dentist return to some of the older school prep designs, putting in box. Is for retention and that kind of stuff to add some resistance and add some retention and to, go back to the, some of the old gold casting design things that hopefully will help. But it's one of those things where, let's be honest, we've only been really working this a few years, and so you really don't know how good your retention is until you get 10, 15, 20 years down the. Exactly. For most of your restorations, you're still prescribing emax and , are you doing a bonded delivery or conventional cementation. We do both. We. Yesterday. I think we had before lunch yesterday. I think we put on five or six pounds. And I'll be honest every everyone was probably something different. We had a, we had an upper first molar that had six millimeter walls cuz they had recession and I told the girls, Hey, we can put that, we can put that on with bubble gum and it ain't coming off of there. And then on the flip side we actually had and this was an interesting case. We actually had my mom who lives about an hour away, She had a zirconia crown that it, she called me and said it had come off. It wasn't bothering her. And so I actually res resent her file to you guys. And I said, Hey let's make this thing an emax. So that when she comes in, we can bond it. And her case yesterday we bonded hers on. And so it just goes on a case by case basis, depends if the tooth has a root canal. Depends if we have to get the patient numb. Depends the retention of the crown. lot of times honestly, too, it, it depends on have we paralleled up the adjacent. Because sometimes you get a little added retention from that, and then you don't have to, in my mind, go through the bonding process. But I'm sure there are You hit on you hit on 10 pearls right there that I'm gonna chop up and we're gonna use these as sound bites to practicing successful dentistry. That was brilliant. That was absolutely brilliant right there. Don't assume too much about me there, Bob. No, you're, you are one of our, you're almost one of our originals. when did you just start using us? Can you recall? We we actually, we worked in a dso oh not back then. When we came outta school there, there was no such thing as DSOs. They were actually small corporate practices. And so back in about 2002, 2003 when we came out and then we actually moved to Lano and bought our practice in 2004, 2005, somewhere there. And actually you guys. The we started using you guys when we first moved out here. I don't wanna to even say how many years that is, but it looks like it's coming up on 20. I was gonna say, and the lab's been in business for 20 years. You've been with us very early on, and I'm gonna share a, a stat with you. You are in what I call the top 5% of customers that you know in terms of sending cases back to us where we have to either remake or make adjustments to it. Your work is brilliant. Your work goes in and to us. That's efficiency right there. And that's what we look, that's what I look for in a top five customer. probably taking all my wife's good crowns into consideration for on. I thought your wife's the north. Wait. are probably the ones that have to be red. No, I thought your wife is an orthodontist. No, she's actually a general dentist. But. No. But you're right in the fact that she's, our practice has evolved to where she's just so busy with orthodontics that she really doesn't do much restorative. She gave up removable a long time ago, and she does some restorative, some cosmetic. But she just, she's so busy seeing kids and we're in that natural stage where obviously our kids have just gone through the age where all their friends need braces and we're in a small town and we're the only ones that really do braces. We just of got overwhelmed to where that's 90% of her practice is definitely orthodontic. So you were right. But she does do an occasional crown or veer case here or. Cool. That's a brilliant business model and yeah, it's fun. It's fun having kids that are in the high school age, I have a daughter that's in college now, and my son's he's a freshman at Modern Day. They have their first Playoff game for football tonight. Who who do you guys move on to next week to take on? So we we defeated the Catula Cowboys last night and we move on to face Goliad. I'm not even sure what their mascot is, but we're not quite as big and powerful as Madere Day. We're. We're in the three A level here in Texas. Has basically seven levels of football. Starting out with six man football, which is the really small schools all the way up to six a which is the, gigantic 3, 3, 4, 5,000 student schools. And we're of right in the middle. We, our high school has seven, 800 kids. We're in the three A level but we've we're having a really. Really good season. I know Madere Day they're used to having really good seasons, but our team's 11 and oh, and it's a real fun year and in a small town it's even more fun. It was interesting, last night we went to eat dinner on the way to the game. And everybody in the restaurant, in the town we were playing in was wearing black and orange. It was all Lano people, That's awesome. It, it helps the community. It's a good sense of cam camaraderie and it bleeds into, kinda like they say in college football. The, the football program is the front porch of your university. In Texas, the football program can be the front porch of your community and. When they're successful, guess what? The volleyball team makes the playoffs. And then next thing you know is that the Girls's basketball team and The's basketball team are thinking they're gonna have good year. Everybody's, and, positive and on the page. Absolutely. It's such a sense of community and, high school football in Texas is like a religion , and it's it's awesome to see. We're, not quite at that level here in, in California. There's some good teams, but the way. You guys have embraced the football culture is brilliant. Cause I, I played a little bit but it's not our regular high schools out here are not at the level that you guys are for sure. Yeah it's pretty interesting. Someone was telling me, we've had this weird dynamic where believe it or. Ever since the pandemic we've got people moving to our and we're in a small town, so we're an hour and a half west of Austin and north of San Antonio. So we are out in the hill country in a small town. But you wouldn't believe the number of people that, the new patients that we have that are coming from Oregon and Washington and Napa Valley and it's insane. And I had a patient the other day just telling me, Amazed they were cuz they went to a high school football game. And they just couldn't believe the po and circumstance. And we're not even one of the big schools, And they were just so blown away with how how fun and exciting the experience was because of the way Texas is about football. So it's definitely a cool. I loved it. I was in Frisco last June and in Houston just a couple weeks ago for the ada. And then, just on your drive from the airport really to, your hotel where you're staying, you drive by these high school stadiums and they're massive. , it's, and they're brilliant too. They're state of the art and it's just so great to see. Just so great to see not just, the investment, but the sense of pride that the community gets around high school football. It's wonderful to see. Yes, sir. So does your son play May Day He so he plays soccer. And he's got obviously he has a lot of friends that play football. He's in a math class with the starting running back he's got another class with offensive lineman. The kids, 6 5, 3 40 . I'm like, Whoa, geez. That's two kids, three kids almost, But Yeah. No they've got. They've got quite a team and quite a history. And we just found out that the coach yesterday announced that he's finally gonna retire. I don't know how many years he's been there, but he is, he's really built the program. He's the face of the program and it's gonna be quite a change next year. But, Coach Robinson is finally gonna hang him up. He's had a wonderful career, brilliant career, mentored so many kids. Just, not only in football but how to be a good young man. And yeah it's gonna be a shock to see him go for sure. Yeah. That's one of the fun things about and the thing that gets overlooked, you Texas is football crazy, but what people do overlook is exactly what you're saying is what a, what an impact those coaches make in kids' lives and really change the course of a lot of kids' lives just being a part of it. Definitely. And you've coached as well, right? Man, I've done a little bit of everything. Yes, sir. I've never been paid to be a coach, but my, my family loves to give me a hard time because every game we go to it seems like someone walks up to me and starts talking to me, assuming that I'm a coach because of the way I'm dressed. And so it's a fun time. But yeah, when my kids were little I pretty. One of the advantages of being in a small town was that I got to be their coach across the board for everything, whether it was youth, football or little league or volleyball. And man, if you've ever tried to, to coach a third grade girl's basketball team, you'll learn a lot about yourself. That's all I can say. Yeah, I had to fill in for a basketball coach. I think my daughter was maybe sixth grade, seventh grade. I can't quite recall. But I remember she, she gave up soccer and she said, Dad, I, there's just too much running in soccer. I don't wanna play soccer anymore. I said, Okay, no problem. What sport would you like to try next? And she said basketball and I. There's running at basketball. There's quite a bit of running, but so the game I coached, I think they barely hit double digits and points, so Yeah it was a fun experience. Girls are so fun to coach and it's just the difference between girls and boys because girls are so easy to coach because they will do exactly what you tell 'em to do. Exactly how you tell 'em to do it. The only problem is they don't go off script. Like they will literally be standing under the basket with the ball, but they will pass it out cause that's what the play was supposed to do. Ah, yes. where, whereas boys are the total opposite. You have to yell and kick and scream and do whatever you can to get 'em to follow the rules. But if they get half a step to go off script, they're gonna, they're gonna do it. It's, it was a great experience and like I said, I wouldn't trade it. I wouldn't trade it for anything. And we I've got to develop a lot of friendships with those kids that, my kids hang out with and all that kind of stuff. So That's so cool and you. Certainly worth the time. And you learn a lot about yourself when you're coaching young children, don't you? Let's just say it does develop patience, but it's honestly it's not the it's not the children that that teach you the patients. It tends to be some of the parents of the children that, that teach you a little more of the patience. I agree. Wow. Dr. Paris, you have been so generous with your time. I've learned so much today. I know that the Dental Op Podcast audience is gonna learn an immense amount from you from listening to this episode. I want to thank you and your wife for being a. Our original customers loyal customers throughout our 20 year history of this laboratory and anything that we can do to help you, just know that you have a team here at Keating that is willing to support you in whatever future endeavor you guys take. I wanna wish you and your family all the best for this upcoming Thanksgiving and holiday season. And again, just thank you. Thank you so much for joining us on the Dental Op podcast today. You're welcome man. It was fun. You have a good weekend and good luck to May Day against the Lion. Yeah. And good luck to you guys as well. And we'll touch base next weekend and we'll discuss next opponents. It's All right. Thanks Bob. You have a good one. Take care. Dr. Paris be. All right. Take care.

CAD/CAM Dentistry with Dr. Chip Parrish

On this episode of the Dental Up Podcast, we sit down with Dr. Chip Parrish:  he practices with his wife Dr. Jennifer Parrish in the heart of the beautiful Texas hills country.  Parrish Dentistry provides most types of dental treatment from orthodontics to endodontics, from implant dentistry to cosmetic dentistry.  In their almost twenty years of practice, Dr. Chip and Dr. Jennifer have experience in most every type and style of dental practice management.  Dr. Chip has published hundreds of patient-friendly dental articles and has put on training seminars for dental industry teams, primary care physicians, and dental office team members.  Dr. Chip is or has been associated with AGD,  ADA, IAO, ICOI, and AAID.  Both doctors have trained at LVI, Spear, UTHSCSA, Rondeau Seminars, CR Foundation, and a variety of continuing education dental leaders. 


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