The Importance of Patience in today’s Dental Industry with Dr. Randold Binns DDS,DMD

Host: Ladies and gentleman, this is the Dental Up Podcast brought to you by Keating Dental Lab, a full service award winning dental laboratory. Each week you’ll learn tips and techniques from a real world dentist bringing you in depth interviews, motivating stories, current events, and sports. Here’s your host, Shaun Keating. Shaun Keating: Hey, everyone. Shaun here. Welcome to another episode of the Dental Up Podcast. Our guest this week received his doctor and dental surgery degree in 2001 from the University of Panama School of Dentistry and he later received his doctor of dental medicine degree from Nova Southeastern University in Fort Lauderdale, Florida in 2014. Shaun Keating: His passion in implants and comprehensive treatment led him to a three year advanced prosthodontics residency at the University of Illinois at Chicago College of Dentistry. Currently practicing from Bonita Springs, Florida. Please welcome Dr. Ronald Binns, DDS, DMD. How’s it going Dr. Binns? Dr. Binns: How you doing? Very good. Very happy to be here with you and everybody who is listening to this show. You know so much about me, can I ask you question? Like, how do you know that? Shaun Keating: Oh, man. We got guys doing all the research and you’re a really big dude on Instagram, man. And so, I think my boys found you guys over there and that’s just … God, you got like 30 some odd thousand followers and that’s just so neat, man. I love to see dentists that are just crushing it in the social media world. So, congratulations on that, man. Instagram been good to you, I take? Dr. Binns: Thank you. Thank you so much. Yes, we’ll, we’re started. You know, we started doing this Instagram thing to trying to show or share what we do in dentistry. Pretty advanced stuff that we learn at residency, and then we can just share and transfer that information into a lot of dentists and especially dental student that are so eager to learn. Shaun Keating: Oh, absolutely. I see it, it’s so neat. I wish I could just go to the masses and advertise or market just to the public for my services, but I have to just … My group is dentists, so it’s kind of hard to get those guys only to look at my stuff. But it’s neat how you’re doing it though, man. That’s just really cool. Shaun Keating: But, hey- Dr. Binns: Thank you. Shaun Keating: … I always start off talking a little bit about sports. You in any of that college … Not college, you in any of that soccer going on? That World Cup? The Women’s World Cup? Dr. Binns: Well, interesting thing that I love soccer, just like pretty much every Latin-American people and now United States is getting big, big in the soccer. Both women and men, but an interested thing, I just went for a training in France a week ago. And then, I was in Anse. Is one city like four hours from Paris. Shaun Keating: Okay. Dr. Binns: And then, at that time when I booked my flight and everything I didn’t know there was the World Cup, a woman World Cup in Paris. Otherwise, I could of have more time to like go there. Dr. Binns: But, yes. I’m very, very passionate about soccer and right now there’s a gold cup going on right now- Shaun Keating: Absolutely. Dr. Binns: … where Panama is actually playing, and then they’re doing very good right now. So, I’m happy for that. But, yeah. I love that. Love soccer. Shaun Keating: Yeah. The men’s team is not even in that one, but we got the women’s … I mean, the American men’s team is not in it. But, hey. They were crappy, so they shouldn’t be in it. But anyways, the women, they’re playing France right now who’s the host and they’re saying that the winner of this game is kind of like … This is kind of like the championship game in a way, but I think England’s got a really good team too. Shaun Keating: But now the Americans rep one nothing right now so far, just start started off and I think that a Ripoli girl or whatever her name is … Yeah. Megan something or- Dr. Binns: [inaudible 00:04:18]. Shaun Keating: Yeah. Something like that. Dr. Binns: I love that. And then, if you start watching that game you’ll be impressed how they perform, how they do that. But, all that is because of discipline. You know? Training, everything in life is about that. Discipline, training. You can do better just by training and be focused on what you want. Shaun Keating: Oh, yeah. It’s took a while to catch on here in America, but it’s something- Dr. Binns: Right. Shaun Keating: I guess even now with that Megan Rapinoe, she’s causing a bunch of stir with the people about not standing for the national anthem I guess or not participating. And then, that’s just kind of … That irks me a little bit, but it’s something that it’s her right, I guess. Shaun Keating: She also is a big thing with the pay, I guess between the men and the women. And I think that’s kind of- Dr. Binns: Oh, yes. Shaun Keating: That’s not right, have the men paid so much more. I mean, it’s supposed to be- Dr. Binns: So many million. Shaun Keating: Yeah, yeah. Should be kind of equal, I would think. But hopefully they’ll be able to get that and stuff, but I think the pay thing is important. Dr. Binns: It’s a slow process, for sure. Shaun Keating: Yeah. Dr. Binns: It’s a slow process, but it will get there for sure. Shaun Keating: Absolutely. So, that’s kind of neat. Then we’ve got the basketball. I mean, I don’t know about you guys out there in Florida with your teams, but the Lakers, man, we traded … Our whole team is gone. Now all we got is like three players, man. It’s like, we got the big Anthony Davis trade, and then we still got Lebron, and then Kyle Kuzma. But we have a full max available, so they’re hoping to get that Kawhi Leonard or whatever. Shaun Keating: He’s the MVP of the Toronto Raptors, but that would be kind of a bummer for old Canada to have the World Championship, and then have their star player leave and especially to the Lakers. Lakers are kind of like that most hated team in basketball anyways. Especially if they put together a team like this real quick and they go out and win it. I mean, they’re already favored in the Vegas. Shaun Keating: It’s kind of crazy how they can do that when they didn’t even make the playoffs last year, but its been a long time for the Lakers. Six/seven years we haven’t been in the playoffs or anything and its been a … I’ve been an all my life Laker fan and we were just so used to all the years with the Celtics, and with the Knicks, and Detroit, and all these big matchups, and playing for the trophy almost every year- Dr. Binns: Big team. Shaun Keating: Yeah. But not lately. Dr. Binns: Those are big teams. Lakers, Celtics. I mean, we’re talking about … I’m not that young, okay? So, I grew up when I was in the ’80s. There were Celtics and how you call that? The Lakers, and Magic Johnson, and Larry Bird. I was growing with all those people, you know? Shaun Keating: Yes. Dr. Binns: So, I love the NBA and I was in Panama at that time, so we always have our preferred team for sure. So, we’re big fans of Lakers and now living in Bonita Spring we don’t even belong to the Miami where we have the Miami Heat and we we’re not belonged to the Orlando where they have the Magics. Dr. Binns: I mean, we’re like in the middle of a little bit distant from those big games and stadiums, so it’s a little bit hard for me to follow up. Normally what I do is just wait for the playoff, and then the finals. That’s what I like to do is wait for that. Shaun Keating: Oh, absolutely. I’m kind of the same way. It’s like, unless they’re winning and stuff it’s hard for me to watch in the season. But come playoffs, that’s when I really get in … And same thing with baseball. It’s like, that’s just kind of so boring lately. You know? Shaun Keating: It’s all one nothing, two nothing in a four hour game. And so, it’s kind of only when it gets down to the World Series kind of into baseball. But that’s a way a lot of people … I think the love of football for me is that’s my support and I just love the way college plays it, you know? Shaun Keating: They don’t have contracts or anything, they’re playing it for the love, and just really getting after it. Where the pros are kind of pampered multimillionaires, but it’d be nice for them to come out every play and play to their full strength. But sometimes they don’t. Shaun Keating: But I don’t know. We’re kind of looking good with the Rams here too, man. Excited about that, but that’s coming up, man. It’s summer. It’s like August is preseason. It’s hard to believe it’s already around the corner, man. And that’s when I’ll be really happy. Football. Dr. Binns: Right. We’re very fan also too. Like baseball, you know? We love baseball. One of the Panamanian figures has been playing the [inaudible 00:08:44] and that’s why we love baseball too. A lot of my family, relatives are very fans of the Braves in Boston. So we love that, we love baseball. Dr. Binns: I just went with my brother to Tampa Bay Rays game with the Yankees in Tampa at the Tropicana and it was awesome. So we love, love baseball. Shaun Keating: I think get Derek Jeter might’ve bought them or I know he bought it into one of the … I think the old Yankee guy. He was head of a group that bought, I think the Tampa Bay Rays maybe or I think it’s him, but a lot of people weren’t real happy with him. He’s a great ball player, I don’t know about a great owner. Shaun Keating: But they’re trying to get that stadium filled, but I would just love it out there in Tampa Bay. It’s kind of beautiful place and- Dr. Binns: It is beautiful. Shaun Keating: … get out there on a sunny day and- Dr. Binns: Just so much water. Shaun Keating: Yeah. Give me a hot dog and a big tall beer and I’m their, baby. Dr. Binns: … [inaudible 00:09:38]. But you’re in California, right? Shaun Keating: Yeah. Hell, yeah. Dr. Binns: California is beautiful too. It’s just beautiful. It’s just as beautiful, maybe more beautiful than a here in Florida. It just depend where you are in the state. Shaun Keating: Yeah. We got that smog that rolls in about from 3:00 on from LA down to us in Orange County, but other than the smog and some wicked taxes and stuff it’s a pretty nice place. But, no. Yeah. There could be a lot worse places to live, that’s for sure. Quite expensive and stuff, so very blessed to be able to live here and be part of this whole place. Shaun Keating: It’s so hard for younger people to move in here unless you’ve got a super kick ass job. Cost of living- Dr. Binns: That’s what I heard. Shaun Keating: Yeah. It’s like a the house is like six/700 grand for the medium 2000 square foot home on a 4000 square foot lot and it’s like 750 grand. It’s like, who can afford that starting off? I mean, I think you need to make 150 plus grand to even qualify for the minimum house- Dr. Binns: For sure. Shaun Keating: These young kids, man. Dr. Binns: Our people, like young dentists for example … I consider myself young too. Shaun Keating: Yeah. Dr. Binns: So we end up finishing dental school with just so much debt, so we can’t even think about buying a house right from the get-go. It’s just very hard. Shaun Keating: Buying a house or even getting in your own practice. I mean, you have to be an associate more so than not and with that overhead, and with the cost of what you have, and your education and all that it’s tough. And it’s even too, it eliminates a lot of doctors from trying my lab because I’m not the cheapest lab and I’m not really expensive. Shaun Keating: But yet, for a doctor that’s on an extreme budget, he’s going to look everywhere he can to cut costs and a lot of times it comes at a lab’s sake, but it’s just something … I feel for them, and I’ve been doing this a long time, and I’ve seen it a lot. And ever since I’ve been doing this podcast, been about four years now, I’ve learned so much more about dentists. Shaun Keating: I’m a dental geek, but I’m a dental lab geek. I know my teeth and stuff, but the dentists, what they have to go through to be successful, it’s tough. And once you get it down though, it can be a very, very rewarding job. But there’s a lot of moving parts and it’s just- Dr. Binns: Right. Shaun Keating: … it can be tough, but it can be very, very lucrative and a very rewarding job. But it takes a lot out of a dentist. You got to be part psychologist, part coach, part superstar. You’ve got a lot of hats to wear and to make it all work, but- Dr. Binns: A lot of hats. You got it. And then, the fact that you’re talking to a lot of dentists during those four years, like you say, you learn so much what we have to do to be able to make a successful life. A lot of that has to do with patient. We have to know the patient that we have, that we see, but our own patient. Dr. Binns: We have to be patient, we have to take it a little bit slow. Not slow, but how can I say it? Like, you have to be patient because in the beginning you cannot just get everything. Especially when you go through residency. You already spend your regular years in dental school. There are four or five years, and then you owe all this money, you know? And then, you go to a residence and other three more years. That’s a lot of dental schooling. Shaun Keating: Yes, it is. Dr. Binns: So, yes. You’re going to end up with a little debt, but you’re anxious about getting out there and stuff like owning your practice, and then working, and making a living on that. And then, you kind of hit a wall. Okay? Shaun Keating: Yeah. I bet. Dr. Binns: You kind of hit a wall and it’s like, “Okay. I think I have to just take it easy, work, learn other stuff that never were taught in dental school.” Like practice management, that’s very important. The marketing, all that is very important. Dr. Binns: So we have to be patient, and then we have to learn other stuff that we weren’t taught in dental school. So that will be something that is good to discuss with the young generation. Shaun Keating: Yeah. I can imagine … Like, I’m such a fricking bull in a china shop and I don’t really have patience and stuff, but imagine me trying to be a dentist with no patience. Those guys wouldn’t be successful unless you’re kind of calm and can listen. Shaun Keating: And I remember I was just looking at my report card from like second grade, first grade, all the way through the years, and almost all the comments always says, “Needs to practice self-control and needs to listen.” That’s why I’m not a dentist, buddy. Shaun Keating: But, all right. Hey, dude. Let me go ahead … Let’s Dental Up here. So, tell me, doctor. Why did you get into dentistry and at what point did you think, “I want to be a dentist?” Dr. Binns: That’s a good, interesting question. I guess everybody gets that question on and I would say that probably more than half of the people they say either they were wearing braces, and then they go into dentistry or their daddy or mommy was a dentist or are dentists and they just continue on that path. Dr. Binns: So, those are probably most of the frequent responses that I’m sure you got, but I’m in one of those. When I was probably 16 years old, teenager, I didn’t have my canines. My canines were impacted in the roof of my mouth in the palate and they have the spaces, but they’ve never came out. Dr. Binns: So, I always was smiling, and then didn’t have canines. I was like, “Okay, mom. Well, what’s going on with me?” And then she took me to the dentist, and then they took a panoramic and they did see that I have canines, but they were all impacted. Dr. Binns: So, they took me to the oral surgeon, and then they say, “Let’s take them out, and then throw it away.” I was like, “No, I don’t want that.” So, at that early age I kind of knew that canines were very important to me so I didn’t want that option. So, I went for a second opinion. Dr. Binns: And then the orthodontist, they went to track them down, put them in their place, and that’s what happened. So, I ended up wearing six years my braces with all three surgeries in my mouth. And then every six weeks I was in the dentist since I was 17 years old, so by that time I leaving high school. Dr. Binns: So, you need to make a decision what you want to pursue. It was like, “Okay. I love dentistry because they’ve been there for the last two years.” At that time. And then, that’s how I ended up going into dentistry. Apply dental school, got accepted. None of my parents are dentists, none of them are in the medical field. So, went there and I love it. Shaun Keating: No kidding. That’s a great, never heard that story, dude. I mean, didn’t have your canines, they’re impacted. And how are they now? Did they come into place? Are they in the- Dr. Binns: Beautiful, beautiful. You haven’t seen my smile in my interim photo? Shaun Keating: Oh, dude. Dr. Binns: Those are real, they’re not fake. They’re not fake, they’re not- Shaun Keating: You look like- Dr. Binns: [inaudible 00:00:16:38], there’s no- Shaun Keating: You got a beautiful smile. You look like Kelly Ripa’s husband Costano. That guy. Yeah, that’s a great smile. Shit. I had a same thing. I was a young kid and a number 11, but it was up facially. It wasn’t palately, but it was up probably 10 millimeters above, up on the top of my gum line where it’s coming out like a big fang tooth, but up inside my lip and for all those … I used to get in fights, and I’d get popped in the mouth, and I’d be bleeding everywhere, and it would always be because that tooth was cutting my lips. Shaun Keating: And so, my brother was going to USC Dental School and he’s like, “Come on in Shaun, I’ll just pull it.” And I’m thinking, “Oh, okay.” We didn’t know any better and there was a big gap, and he said it’ll close up, and sure enough it did. Shaun Keating: So, my number 12 is moved forward. It’s like my canine, but, man. They call it an eye tooth for a reason. When they pulled that thing out I could almost feel it in my sinus. Even when I blow my nose hard sometimes on that left side it’s weird how- Dr. Binns: Long root. Shaun Keating: It’s a long root and I actually had that tooth going to dental technology school, and I made an impression of it, and I cast it. And now recently I just got that old casting, it was like a jingled, kind of a bronze. I cast it out of 14 karat gold, and I put a little ring around it, and I wear it around my neck, man. Dr. Binns: Serious? Shaun Keating: It’s a killer tooth, man. Dr. Binns: I would love to see that, you need to like take a photo of that, and then Instagram it or Snapchat it or something like that. It will be great. Shaun Keating: Yeah. I got to get that … That’s funny. Never told nobody that, that’s a trip. But with you and your canines, man. It brought it out of me. Dr. Binns: Yeah, yeah. There you go. Shaun Keating: That’s so cool. Dr. Binns: And that’s how I ended up in dentistry. I don’t know why you didn’t go to the dentistry with all that story behind. Shaun Keating: Because I’m a dumb ass, and my brother did, and I went to dental technology school cause I wasn’t real good with the books. Dr. Binns: That’s good. Shaun Keating: Yeah. Dr. Binns: That’s good. Especially now with studying all that. That’s good. That’s good business too. You’re helping people too because you’re making beautiful art- Shaun Keating: Absolutely. Dr. Binns: … pieces of art that actually … Yeah. Shaun Keating: That’s what we are, we’re a bunch of- Dr. Binns: I think it’s very, very good. Shaun Keating: … we’re a bunch of artists, man. And that’s why we called it Keating Dental Lab and got a couple of million teeth in people’s mouth through these last 36 years. Dr. Binns: Wow. a million? Shaun Keating: It’s pretty good, man. I’m pretty excited and I love the field, it’s so neat and rewarding. And even too, with a lot of it going digital now. God, it was so hard to learn how to wax, and cast, and all that stuff. And nowadays you can go on a computer screen and pick out a different library of teeth, and put them in the mouth, and it’s just so neat and rewarding. Shaun Keating: But you still need to be a great ceramists at the end of it, and to be able to grind in, and make sure everything’s proper, and [inaudible 00:19:24] profiles, and sluice ways, bleak ridges. You got to make sure you get all that stuff in there, but it’s a neat thing. Shaun Keating: It’s much more predictable nowadays and especially too with the breakage. I still do a lot of PFMs and we still have a little hiccup here and there, but with the monolithic full zirconias, man, that stuff is … They got the hammer test- Dr. Binns: I use a lot of zirconia. Shaun Keating: Yeah. It’s a really great product. Especially now with the aesthetics getting better and better. But man, that’s so cool. But, all right. Tell me a little bit about when you got out of college and stuff. Did you start out as an associate or did you purchase a practice? Tell me a little bit about that if you could. Dr. Binns: So, yes. You know what I was sharing before. You go to so many years of dental school that you get not just too much in debt, but also you get anxious about, “Okay. I’ve been too long in dental school, I need to own something. I need to have my own practice.” I almost bought a practice in Chicago because I finished in Chicago my residency and my master. I almost buy a practice in Chicago. Dr. Binns: And then after that didn’t work out, I almost bought a practice here in Miami Beach. Also, the dentist decided not to sell. So that’s why I didn’t. And then I have to, as a last resource, I had to look for a job just like anybody else. Dr. Binns: And then, I’m an associate now and I’m not regret it. Great decision not to buy right out of dental school, unless you have a big cushion. You have daddy, mommy, or I don’t know. and inheritance or something to that. Dr. Binns: Yeah. But right now I’m very focusing on what I like to do, and then a great practice that put a lot of … How you call that? Stressed the fact that you need to be good at practice management, something like I said before. We’re not trained on that and that’s a whole different world. Dr. Binns: So, I’m learning a lot about that while focusing on what I really, really love, which is implant industry. So, where I am is I would say a very perfect marriage in between my bosses and me. So, associate very good. You always have to look for good mentor, good ethics, and then you can learn a lot from that. Shaun Keating: No kidding. What about Bonita Springs? Do you know of Dr. Fred Eck out there? Fred Eck- Dr. Binns: Fred? It sounds familiar. I belong to a study club in this area, so I think that I know him. Just the picture of his face doesn’t pop into my head right now, but I know of several dentists already. Shaun Keating: He’s a good guy. Yeah. I used to do work with him back in … I think he was in Benita Springs, I can’t remember, but he’s a big time guy. But real great practice, man. They got a lot of good quality dentists out there in that area, for sure. Shaun Keating: So a lot of patients, man. You doing a lot of overdenture stuff with locators or you got an older demographic with patients? What are you seeing mostly with your patients? Dr. Binns: Right. That’s what happened, that’s what happened. Before I was here, I was working with a friend who is a Panamanian too in the east coast of Florida, which is Fort Lauderdale. Shaun Keating: Okay. Dr. Binns: And then over there the population is young, you know? Young people, workers, all that stuff. So, on this side it’s, yes, more older population, which is good because they need a lot of healthcare. So, a lot of people from up north. Dr. Binns: Here they call it seasonal and it is. Right now we’re in the summer, it’s a low season. 40% of the population in this area just went up north. Either Michigan, Wisconsin, Minnesota, New York, New Jersey. They all back there right now, so it’s a little slow now. Dr. Binns: But, yeah. All these people need so much bridge work that was done 20 years ago, 30 years ago. We had to remake and other ones need to be destructed, and then they love the implant technology now. So, we’re doing a lot of overdenture, but I will say that probably half going to overdentures, the other half fixed, complete. Dr. Binns: You know? All on four, all on six, all on five. That’s what we do on this side. A lot of implant industry here, for sure. Shaun Keating: No kidding. What about with you and your implants? What do you like? Any [inaudible 00:23:55]? You like [inaudible 00:23:57]? What are you using mostly? Dr. Binns: Well, listen. When I was in the university we used what the university uses and usually university had deals with these companies. So, I was in the University of Nova when we used a lot of [Novel 00:24:10] and [3I 00:24:11]. Not stroma actually, but when I went to Chicago we use a lot of Astra, and a lot of stroma, and also Novel. You know? Dr. Binns: But back to private practice if the office is already established with one company, that’s what we use. In this case I’m using By Horizon. Shaun Keating: Oh, okay. Dr. Binns: If you see, I’ve been working with many different company. And then I see how they fair in the connection, the threads, and then how the implant protocol or drilling protocol works. So, that’s very rewarding to know a lot about that because we get so many patients that have crowns that broke on implants, and then they are like this type of company and I say, “Yeah. I work with those one. Okay? So, I can help people with that.” Dr. Binns: Or they broke another one and it’s a different company. Zimmer or anything like that. And so, I know I work with so many companies that that’s very helpful for patients. They don’t have to be … We’re not going to be guessing. You know what I’m saying? we’re not going to be guessing that much. Shaun Keating: That’s so awesome. And for you to be at such a young age, but you’ve had so many years already in the transfers with implants and stuff like that, it’s great that you have that knowledge already. Could you imagine another 10 years in the trenches you’re going to just be even that much smarter and that much … A lot of guys kind of shy away. Shaun Keating: They don’t mind restoring the implants, but they don’t like sinking them and stuff like that and I could see that. Myself, I don’t know how you guys do it with all the blood and everything else, man. I watch some of those videos on Facebook or whatever. I’m like, “Whoa.” It’s just blows me away. Dr. Binns: You have to like that. So, my story about being prosthodontist is a little bit funny because all my license I was in Panama. I wanted to be oral surgeon, as a matter of fact, because I love the surgery, I love the blood, the feel, all that. So, I did an internship in Panama. Dr. Binns: Actually, a whole year in the hospital. It was oral surgery. So, when I came to United State I go accepted in Puerto Rico. I did an internship in Puerto Rico, oral surgery. So, I was doing- Shaun Keating: I was born there, baby. I was born in Puerto Rico. Dr. Binns: There you go, there you go. Shaun Keating: Even [inaudible 00:26:27]. Dr. Binns: So, it was in medical center. San Juan … How you call that? Centro Medico, in Spanish. So, I was there for like 2009 and that was a great experience from trauma to implants. You see, I was very passionate about surgery. So, when I went to Nova I did some big cases in cosmetic veneers and table top veneers and at time nobody was doing that. Dr. Binns: So, they asked me if I could walk some of my cases and I did walk some of my cases and I proved them that I could do big cases in the pre doc clinic. So, as international dentists they allow me to do that, and I did it, and everything was like very well. Dr. Binns: Different cases on implementing [inaudible 00:27:09], the restorative part, all the Nova, and they say, “Randall, if you go to oral surgery, I think you’re going a waste your skills. I think that you need to go into prosthodontist.” And then, that keep me going. Like, thinking about it towards my last year, which I had to start applying. Dr. Binns: And that’s what I look for. Okay. So, let’s listen to the people. They’re in the field already, prosthodontist, my mentors and I investigate it. Chicago actually give you a training on prosthodontics and also an implant industry, so I was like, “Okay. I think that’s the best way to get the best of both world.” And that’s what happened. Dr. Binns: I ended up in that program and we training in full arches. Everything is done by us in the university and learn that, so I like that. Shaun Keating: Wow. That’s so awesome. No. What a great, great education there, man. My brother too was in the navy and after eight years of all this college he went and did a two year residency for endodontics and it’s jut neat to have all that under your belt, and then to get out and start like that. You’re way ahead of the game, the way I look at it. Shaun Keating: So, what are you thinking? You think you’ll put some dues in with this program, this practice and maybe start your own in the future or just kind of play it by ear? Pay Off some bills and maybe think about it maybe five years down the line? Dr. Binns: Exactly. I think I’m going to just wait. I’m learning so much other stuff that I haven’t trained. Like practice management, marketing, all that. So, hopefully we can get some work together with my bosses, and then maybe we can put something else in between the two of us. That would be great. Shaun Keating: I would love it. Love to show you what we could do for sure and help out in any … If you have any certain patients that are kind of down on their luck too, maybe we can help them do some charity cases? Whatever, man. I love making teeth, and once a doctor tries this out they get really into our lab, and it’s just kind of neat because you only as good as your lab at the end of the day. Shaun Keating: You can have great preps and all great impressions, but if you don’t have a great lab to make you look good, baby you’re just going to look average and average crowns? They’re not talking about average crowns. The doctors love it when patients are just raving about their restorations and it’s important. Shaun Keating: It’s kind of a neat thing when you really do get dialed in with a great lab, but that’s so awesome. But are you guys into any of the scanners or CAD cam dentistry? Are you doing any of at your practice? Dr. Binns: So, that’s a good question because now we have digital dentistry and we would love to do that. And this practice is been without the digital world, except for the CT scan or implant. But we haven’t embraced yet the in-home milling or even the scan, but that’s the plan for next year, to have a digital scan. Shaun Keating: You’ll Love it. You get into those scanners and you’ll be like, “What Impregum? No more. Polyvinyl? No.” It’s a neat thing just to be able to wave a wand in the mouth, and it’s just so fricking accurate, and it just gets instantly sent to the lab. They’re working on it, you get it back in a day or two. You know? It’s just unbelievable, but- Dr. Binns: Yeah. We’ll get the digital here in our office. So, everybody is trying to get digital. Just start slow, get the scanner first. You don’t have to get the middle unit and you get started with that. Okay? So, that will be great to start without investing that much and you are right there in the digital world already. Shaun Keating: Oh, yeah. Well, look at the three shape … If you do look at it, the three shape TRIOS or the I-Tero, Carestream’s got one Medit’s got one, a few others, but we really like the- Dr. Binns: Sirona has one. Shaun Keating: Sirona’s got one too, but just check them all out. But I think we see a lot and I just think I’m a big fan of that three shape man, that’s for sure. But I’m just the lab. Dr. Binns: They’re coming with the 304. Shaun Keating: I think you’re going to get more and more of these coming out, and just making it user friendly, and hopefully they’ll drop the prices down even more. I mean, because dentists are pretty frugal guys and I know that a lot of them don’t go to the three shape TRIOS because it’s the most expensive. But at the end of the day, you get what you pay of and I just think … I don’t know, it’s just something we see a lot. Shaun Keating: We see more in about a month than most doctor we’ll see in a 30 year career. So, we see a lot and we’re just not in … I don’t get any money from any of these guys, they all kind of work … It’s kind of like, you can have a Ferrari or a Lambo and they’re all kind of neat. Dr. Binns: Right. Shaun Keating: You got certain guys like Ferraris and certain people like the Lambo. They both do the job, but it’s just same thing with the scanners. But it comes with costs and everything else and make your choices, but pretty neat thing. Shaun Keating: But what about on some of your education? I hear you’re talking about … What do you want to look for in future education? Like, practice management. Any implant courses? What do you got on the horizon that you’re thinking about attending? Dr. Binns: It’s more about surgery. I love surgery, so I’ll always like to fine tune my surgical skills, especially in the aesthetic zone. I have this course that I’m going next week to Panama teaching about implants in the aesthetic zone. But still, there is people that come with big massive defect and I love to work with oral surgeon and periodontists. Dr. Binns: They get together, and then they just work with the patient, and then they make a better. Okay? But I always like to hands on, and then do that. So, there is like a course called Get Your GBR On. So, that’s more what I’m probably going to be doing next year in terms of surgery, but in this side of Florida, and I think you’re going to see more in other areas, there’s a lot of concern about erosion. Dr. Binns: There’s a lot of people with erosion where … I don’t know, because of the stress, probably because of the diets, but there’s a lot of wear. And then we all used to like do a lot of crowns and we still do a little crowns, but in these types of patients you cannot just make crowns on people that already lost a lot of enamel. Dr. Binns: So, I just went to France to get training on additive dentistry. This is a different thing now without cutting the tooth or anything like that we can add what is missing, and then restore the patient in a different way. So, I love that approach. Dr. Binns: A little bit more conservative, even though I’m a prosthodontist and we can be at times a little bit more aggressive, you know what I’m saying? We like our crowns to last a long time. And then, we don’t like to just rely on bonding. But actually, the bonding came a long way. Has come a long way, so it’s much, much better now. Dr. Binns: So, we have more opportunity for our patients. Especially for the youngster. They have a lot of severity, erosion, and wear. We have another option, so that’s additive dentistry. I just got trained 10 days ago in France, so that was a good- Shaun Keating: Oh, that’s so awesome. Dr. Binns: … good experience. Shaun Keating: Over in France, it’s just so neat. I’m too scared to go across that pond, man. I can’t handle that plane more than five or six hours. Dr. Binns: Yeah. That was like a long travel, but worth it. Totally worth it. We went to Geneva, I saw the most expensive watch ever. 80 thousand dollars for one watch and they’re not even Rolex, it’s just different things. Dr. Binns: And then, we went to the French side, and then that’s when I got trained. Shaun Keating: Unbelievable. Dr. Binns: So, very interesting. Beautiful. Shaun Keating: That’s so cool. So, what procedures don’t you like doing? What do you outsource and say, “I’m not touching.” Anything? Or you pretty much we’ll take anything and kind of roll with it? What do you like to do? What don’t you like to do? Dr. Binns: Good question. I just don’t like to do endos. Again, I just don’t like to do endos. I don’t like to do much of fillings, you know? Direct restorations, but once in awhile we get those and so I take care of them. But endos? No. Dr. Binns: I have good relationship with our endodontists here and we actually have one endodontist that comes to the office once a week. And then we have our own … Not own, just a good endodontist that also works outside. So, we have that covered, for sure. So, I don’t like to do those ones. Shaun Keating: That’s awesome, man. You’ve got it all rolling, dude. So, let’s wrap this up and tell me what advice can you give some of our newer dentists just starting out? Even though, dude, what did you … You graduated, I think 2014 totally? But you’re young. Shaun Keating: But you’ve really got- Dr. Binns: No. ’17. Shaun Keating: Oh, 2017. Dr. Binns: ’17. ’17 I finished my residency, so I only have like what? Shaun Keating: Yeah. A couple years. Dr. Binns: Two years out? Shaun Keating: That’s so awesome, dude. Well, give some of our younger guys and some of the people probably five, 10 years in … You can probably give some advice. Give some advice out there for- Dr. Binns: Yeah. Totally. You have to be eager. You have to be eager to learn because dentistry, especially with this new digital industry is changing is evolving. Now there is different way to do things, even to place implant. There’s robotic implant placement now, robotic coming into dentistry. So, you need to be eager to learn because now it’s easier. Dr. Binns: There’s so much courses out there that you can take, and then hands on, and then you can learn more and get more of your skill developed. So, that is very good, so be eager to learn stuff that you don’t know. Don’t be impatient. You have to be patient, don’t think that unless you have a great deal and a great cushion that you need to buy a practice in the first year of being out of school. Dr. Binns: So, you have to be patient. You have to learn that part of the business of dentistry that you don’t know, that you never be taught in dental school. And that’s what I learning, so that’s very important. Okay? You can be the most skilled clinician out there. If you don’t know how to manage your office, you’re just not going to make it, you know? You’re just not going to make it. Dr. Binns: You’re just going to quit, you’re going to get frustrated. You’re just going to be an associate after owning a practice for few years and you know that you have to close down and sell it. So, that’s my advice. Just be patient, be eager to learn, and then you’ll make it for sure. Dr. Binns: I haven’t heard any dentists, at least that I know of, that couldn’t make it in life. You have to be doing wrong decision. Very bad, wrong decision to not make it. Dentistry is I think the best job that we have today’s world, it’s just beautiful. Shaun Keating: I love hearing that, love that enthusiasm, and good job. Dr. Binns, thank you so much for coming on the Dental Up Podcast. God bless you and your family, man. Just thanks again for coming on board, man. I really appreciate it. Dr. Binns: Thank you. Thank you so much. Talk to you later. Shaun Keating: All right, bye-bye. Dr. Binns: Bye-bye. Host: Thanks for joining us on the Dental Up Podcast show this week. Make sure to follow us on Facebook, Instagram, and Twitter or search the Dental Up Podcast on iTunes for our weekly feed. Host: Don’t forget to visit Keating Dental Lab.com/promo for exclusive offers. Keating Dental Lab is a full-service dental laboratory and we’re nationwide. We’d love for you to send us a case, so we can show you the Keating difference. Host: If you dig what you heard, please leave a review on iTunes and we’ll be back next week.