Rabu, 18 Januari 2017

hard calcium deposits on teeth

usage of dental laboratory materials. do we make profit or are we loosing money?by tpd germano gritti from italy -greetings to our dear foll... thumbnail 1 summary
hard calcium deposits on teeth

usage of dental laboratory materials. do we make profit or are we loosing money?by tpd germano gritti from italy -greetings to our dear followers. it is a pleassure to be with you today. our two great friends are here today. both are dental technicians and they cotribiute a lot with alta tã©cnica dental. they are here for you guys and they will talk about usage of dental laboratory materials. how important it is to evaluate the way we invest our money. eder ramirez is here to join us. heâ´s a zhermack advisor. thank you so much eder. -hi guys, how are you? -and a lot of you have meat our next guest in person. our guest of honor, germano gritti. heâ´s also zhermackâ´s advisor specifically for dental laboratory materials heâ´s a dental technician and owend a dental laboratory for more than 20 years before he was an advisor. he may answer all product and dental lab questions today. thank you so much for being here. thank you eder for letting us have germano here at the forum sharing some time togheter.


germano, could you tell us what are we going to talk about today? -i would like to say thank you to the people watching us today, first off. it is time we take off their business agenda. we will strive our best out of the time you are watching to share with you how to make more profit. while i was fixing the power point presentation i realized sometimes we ignore some facts or donâ´t think anymore on what we are doing at the lab. we loose money. we fire people and we still loose money. we donâ´t know whne to let people go or when to make changes. based on my experienca it is important to realize what exactly are we doing daily basis. we take some things for granted. and some times that is exaclty taking us out of the way. today i am not going to talk about teeth unfortunatelly although we are use to talk about them a lot. you wonâ´t see any products on my presentation today. but we will review a lot of very interesting facts. lets begin with our presentation. today we will talk about usage of dental laboratory equipment and material. in the effort of saving money we get to ask ourselves if we make or loose money.


we cannot expect any quality or good prosthesis comming out of a lab looking like this. this is not in china, india or anything like it. this is in the us. the owner of the lab is in jail. he was doing dentist and dental technicianâ´s at the same time. -heâ´s doing something he that is not heâ´s concern. he was doing it without a profesional licence. -he was making dental proshtesis and dentist stuff at the same time. -wow. -this will give us an idea on how we can do things right. if we own the lab we work around 8-10 hours a day. you cannot be that long there under these conditions. -work eviorment is very important. -part of our life actually. and we must invest in our lab. better we feel, the better we work.


we are use to work on this type of dental lab. still ,we need to realize these other laboratories do exist. this is the biggest lab in india. it has 3000 employees. we must realize what we are fighting against. we are use to this type of labs but we must be aware of reality out there. it is really hard to compete at this level, for sure. -besides having 3000 people in there they also have cadcam. it is not only about having 3000 people working for them but also what machines do for the company. -exactly. this manpower is impressive. lucky of us thereâ´s still work for us out there. which is our main concern. -exactly. -for instance, i found this picture online and it is located in japan. designed by one of the best arquitects there. it is a fact you will feel more confortable and relaxed working there. -if i may germano, cultur in those countries like japan will make a difference. we think of bonsai and inner peace, right? -i know many labs in japan and they look pretty similar to the average. -ok.


-they made the exact same huge investment on infrastructure development outside of that. -ok -it is not a rule all of them will be as good as each other. for instance, one of the most remarkable is eladioâ´s here in mã©xico. -wonderfull lab indeed. -it is one of the most beautiful laboratories in the world. it is not about mentality. -it is a matter of how far you want to go. you must have money as well to do it. -if i may, not really. iâ´m a huge fan of discovery home and healh and you can learn how to do home dexoration and how to adapt small spaces to your convenience on youtube you may find "how to do it yourself " tutorials or even home depot for example.


they will show you how to improve your dental lab infrastructure with a little money only. -for sure. -it is very important for our audience to know it is not about where we live at. it is just a matter of being creative. make changes that will make our lab look good. -i think the first step to work better is to feel confortable. -exactly -the place you work at, right? -if the place i work at is nice i will spend more time there, right? -exaclty. -as dental technicians this is the first thing we miss. we open a lab anywere we find enough room and a table that is big enough.


-yeah. -and a wall plug. but that is not a dental lab. a dental laboratory is more than that. -ok. i got it. -that is why we being investing in our desk, our working area. -for instance, could you tell me how much are each of this things on your screen? they are not that expensive and almost everyone knows how much are they. -i will be able to tell you how much. i am not kidding, i would. -the bread and all that, right? letucce is about $20mxp. 1/4 glass of milk is around $5mxp.


-we all know how much are they. -at different countries. -they are not expensive and we get them on daily basis. -well, cheese and milk iâ´m not sure. -over there we eat a lot of meat. -that is true. -vegetarian diet is very hard to accomplish here. -could you tell me how much are the things on your screen now? -expensive.


-expensive or very expensive. we have an idea on how to put a price on things. what if i ask you which is the most expensive? the answer will be different, right? -of course. -here we got less or more expensive, but it is relative to how we use things. if i get the cheese but two weeks after i throw it to the garbage because i never opened it it turns really expensive right? -of course. -if i got a car rental that offers ferrari cars and i initially get the ferrari, i will practically cost nothing to me. since it is a work related item it wonâ´t cost me a thing really, right? -i must first determine the pourpuse of the item. -we used to think there was just expensive and cheap. thatâ´s our thinking a lot of times about the lab.


when the brand representative comes into our office to show you the products the first question we prompt is; how much is it? our criteria is based on cheap lettuce and expensive ferraris. lt is not about how much is it but how usefull it will become. -of course. rather than focusing on the price we should better focus on how usefull it might become to us. -certanlly true. how usefull it will be. later on we will discuss the details about it. -there are expenses and product cost. we must be sure when are we investing and when do we spend. thatâ´s what determines either we loose or make money. what is expensive and what is cheap off whatâ´s on your screen? it all depends wheater we got profits out of it or not, right? if i rent ferrari all the time it is not expensive because i expect already how much it is.


we must be sure about this subjects to fully understand it. -ok. good. -we will talk about product cost and expenses. there is a big confusion around that concept. it seems the same but it is not. there is a differene between one and the other one. at the dental laboratory we must cut expenses and not product cost. if we cut down product cost, we loose quality. if we cut down expenses, we save money. that is why we must be clear about it. just as a definition of it. product cost or expenses mean taking money out of my pocket. lowering the cash inside my pocket. that is all what matters at the end. the product cost is related to raw material. it is what i use to fix my ceramics, the prosthesis i make. alloy, cermaics, machines; they are all costs.


you will notice a better concept on your screen. the clinicâ´s secretary, messanger or the phone bill are all expenses. for instance; calling the messanger 2 times a day instead of 20 times a day will save you money. i have made money that way. but if i inteand to use a lower quatily on my dental material, i am cutting money comming out of my pocket. also i reduce quality. -it is better if you know you product costs and expenses. your screen will show you a few exampls of product costs and expenses. for instance, a secretary, is that a product cost or an expense? -i think that is part of the expenses. but it depends if it does her job or not? right? -it is always part of the expenses. for instance, alloys are part of the product cost. -dental stone and ceramics are both product cost.


electricity, depending what you use it for, still and expense. phone bill, messanger, cleaning service they are all expenses. sterilization, even on patientâ´s impressions of their theet. if we do it the right way, is it part of our expenses or a product cost? that is part of the product cost, right? -part of the expenses. really?!? -yes, since it is not a product cost. -it is not part of the prosthesis product cost. it is part of the dental prosthesis product cost. -you will have to clarify that for me, german


-an interesting fact about sterilization. -working on regular basis, propane is part of the expenses. the bunsen on your screen or any other equipment we use are product cost. -ok, i get it. -they become part of the product some how. -propane is a product cost. for instance; letâ´s talk about the bunsen on your desk. where i come from they are really affordable. -the propane you mean. no! i get it know. here in mexico are very affordable too. -the electric one is more expensive prehaps.


so we have low product cost and high product cost. -the high expense is the bunsen because we must keep continuosly burning while we use it. the electric heater will go on only when we put the waxing instrument inside. then in time which is what suits me for my company? where i have the highest cost in this case in time? in the bunsen, we will have spending on eternal gas over time; i have a limited expense with an electrical bunsen. so many times what we look is how much we goin to spend inmediatly in a gas or electric bunsen. i will never calculate how much i will cost the over time, in years of spending gas how many times i pay here, we rarely get these accounts.


we always going to see how much money we have in the wallet -in that instant. -exactly, with out thinking how i'll spend that money in the future -that is the most common error that we make -is that then we would have to say between spending and investment, no? -invesment is an other field, im talking as a dental technician not as an economist. -is an other thing, when i started to do all this research, i realize that is a complicated materia. -the way i'm doing it is the simplest way. -simplest way. -we are truly, as if we were on the first day of school. -because we're in a very big world,


-becuase investment is another thing, -here is simply to know how to calculate, and what i want to pass by message at this moment is that we think a little bit, what are we doing?, what is it for?, and will that last us on the time? if we only see the immediate expense, we often lose more over time this the classic example. here in italy. this means by using the bunsen i keep spending more than what i should. it turns expensive. -really expensive. -in this case it is better for me to keep using a bunsen. still, if i think is too expensive, comming out of my pocket. that is what stop us most of the time. we donâ´t see the profit comming. this is a problem that hunts all dental technicians. - of course. we work pretty good, but we all see it this way. at least 90% of all dental technicians are terrible business man.


-yes, i think so too. -i hope thereâ´s at least one that will scape this situation. -at least eladio and thomas graber do. -yes. but the rest of us are pretty good at making dental prosthesis but we donâ´t calculate our expenses or investments. -i agree. i pay my respects. -here we go back to what disinfection means. -ok. -i am not sure how long do we disinfect at the lab these days? -i think very little. -there is an important thing to mention. let say for example, if i use impression desifectant, out of a 1 liter bottle we get 100 liter solution. -wow.


-and if we take in consideration that we work 200 days a year, that means we need two liters on one year. but nobody uses it. donâ´t know why. if one person out of the lab gets sick, do we know how much is the cost of that for us? that person wonâ´t work for a week. - that is a lot, a lot. -and how much money they will spend on medicine, and going to the doctor. -if it is laboratory staff, the owner has to absorbe the cost. you see what i mean? -donâ´t go there germano, here it is not like that. -i donâ´t know really. it doesnâ´t? ok, now you see. -to be honest with you; you get sick, you donâ´t go to work and you will even get those days you missed from work off your paycheck. being totally realistic. - yes, of course. it shouldnâ´t happen, but it does. -so he looses two different ways in this case; on one hand the lab is missing one of the people who produces. and the person who is sick, it is not making any salary.


so there is a double trouble. because they didnâ´t disinfect. becuase they didnâ´t made a small investment. we inccur in very high expenses. -yes, yes, yes. -we pay poor attention to this. there is someting else; the work eviorment is very important. as you can tell, these are pictures of a university dental lab here in mexico. it is not clean. machines look old. here ergonimics are pretty dfficient. i don't see where i can get dental stone if i need it. -it seems i wonâ´t find it. -there are no ergonomics here. i also loose time. time is very important at the lab. we must accquire things, like for example lab equipment that will help us have control of the final product. for example; if our burn-out oven is sagacious, which i have seen many here in mã©xico


we wonâ´t be able to control our investments, or temperature. there is a risk of having to make things more than once. -of course. -what dental labs expect to loose is very little. this is wasted work. it is better for me to invest on equipment not to loose any money in the future. but if we get a propane burn-out oven it is very little money i invest out of my pocket. a digital burn-out oven is more expensive, so i won't buy it? so we are missing to look ahead to the future. our vision wonâ´t go any further than 3 minutes ahead from now. -yes, that is correct unfortunatelly. -i wonâ´t pay mind to this? if i open a dental lab is to work for.... -a long time, all my life.. -all my life. or at least lots of years. i should have a wider vision of a dental lab. and not only for the time being when i use all this things. -for instance, here the spin-dry is open so this is not a safe eviorment at all. there is no vacum- pump on the sand-blaster. we will inhale all investments which are very dangerous for our lungs since there are quartz particles in the formula which is very dangerous. if we have a sand-blaster it must be completly sealed to protect ourselves. -ok.


-like i previously mentioned, we must have adequeate furniture to work on a better way. it is very important. another hugh problem at the lab is that we donâ´t know at all how to calculate price. -true said. -if i ask any dental technician how much models are? -i have no clue. -nobody knows. we should know. if i use propane, dental stone, water and other things... -i should be aware... -we know how much are lettuce but we donâ´t know how much are the work models we make?


it is a very serious situation. -now that you mention that, we have been transmiting over 40 updent forums and all people always ask how much will they spend or how much should they sell their products. i think it is like; for how much should i sell my work for? to get an answer we should exactly know how much do we invest to produce it. -exactly. -it is a very valuable information that we havenâ´t figured out yet, to be honest. -we must waste a little bit of time there. -ok. -i think this is pretty basic. i wonder, how can i determine the product price? i donâ´t know how much is a ceramic crown here in mã©xico. an estimated price. -i will say an average of $600mxp. but i am not sure. -a little bit more i think. -ok, a little bit more than that. a metal ceramic crown? ok.


-it doesnâ´t matter how much it is really, it is just for me to have a clue on how much is it. so, if it is $600mxp. if i charge $600mxp i should know how did i got to that price. -you know what happened here? i must confess; the problem is that market price has been assigned randomly, so it is a matter of perception from a dental technician who is about to open his lab if the dental technician steals or gets a pricing list from another dental lab, so then, a subjective relation is made between the dental lab and my situation based on how good my work is like so, if i am better i will charge $100mxp more and if i work not as good as that person i will charge $100mxp less. on a subjective subject relation. -totally subjective. -and then, there will be a third guy who will take the other two guys list, thinking heâ´s more capable of doing things right. he will increase or reduce the price. there is no professionalism or loyalty between people up to that point. unfortunatelly they talk to the doctor and make deals with him. they "graduate themselves" at the dental laboratory they work for. they decided to become independent and work on their own. they know what doctors they make dental prosthesis for.


they approach the dentist and say; i was the one doing the job at the atd dental lab, they charge you $100usd, now i will charge you $70usd. anyways i was the one doing things for you back then inside the lab, right? just as an example. the doctor will ask for one crown and he will decide from there. at first there is people fighting to give the lowest price available. the pourpose of this is to get the client. at the end my dental technicians end up tight on their budget. and then, like you said, without the purchasing power they must offer a lower quality. -that is correct. it is about not knowing what the cost of things is. we calculate how much is wheater someone takes 5 minutes to fix a model or if somebody else takes 10 minutes. who is the good of bad at work. we must determine what are the working times to determine if i make money or loose money. -of course. -it is different to work 5 minutes or 10 minutes. 1 minute or 2 minutes is twice the time invested. besides that, the price. if i ask how much is a model, in regards of how much material we use in it. we donâ´t even have an idea. -we donâ´t even have an idea.


-and we should know. how does a model cost affect the price of a ceramic crown. if i donâ´t know how can i set a price on it? -it is imposible. -but we do it. -that is for sure we do it. -the problem is that we do it. -we make possible whatâ´s impossible germano. -then we are always complaining. -that, yes. -then it is important to know and apply the benefit porcetage. who knows what is the benefit percentage?


it is how much profit i make. if something cost is 10, i must gain out of it. -of course, it is business, that is the reason i am working. -if i donâ´t know it, how can i work? -true. -because, like i said at the begining, we are compromised to make teeth, we know how to make teeth and that is it. -for instance, we will set an example out of anything. i donâ´t have an clue on prices. on any dental prosthesis, any removable dental prosthesis. i donâ´t know about prices here. it is the concept what is important. -it is 200 dollars, euros, pesos for me to make that dental prosthesis, and i want a 20% profit, what should i do as a dental technician? -charge 240.


-logically what we all do. this job you are making, letâ´s say thing have gone pretty good with one of my dentist for so long and he tells you heâ´s doing this for the patients own benefit, not to charge him. he will ask you for a discount on it and you take the 20% off. it has happen to me i work for free sometimes. -free means.. -i didnâ´t make any profit. -i didnâ´t make a penny out of it. -but i didnâ´t loose, i just didnâ´t make any profit. -since i wanted 20%. i take now 20% off the price, right? -but he will have to pay at least 200 since that was your base price. -yes.


-but if i take 20% off 240 that goes down to 192. -so, there is no 200? -we make this mistake all the time. -i just made it right now. -if i take 20% off the 240 there is 192 left. i loose 8 dolars or pesos. -8 something... -yes, 8 something. -i loose instead of square thing out. -now, i will be completly honest with you; because i know my brother and my dad, only if they would charge!


-that is another story. -if they at least will charge the 200 or the 198 or 192. we donâ´t know the product cost, how much material we use, what is better to buy by wholesale. i think that woman, nature or who knows gave us that roll to play in life... -it is always woman at home who takes care of finances. -it is part of our abilities or nature in out genes, just by looking at it we will tell you it is not a good business you are making there. buying by wholesale is better, etc. any valid reason on it. -yes, yes, yes. -even toilet papper at the lab. it happens to me and jorge, we agree to buy by wholesale. -correct, instead of one at the time. like we mentioned yesterday, we buy small quantities of product to save some money. but if itâ´s something i use on daily basis.


-instead of just getting 1k i get 5k better. -or a bucket, right? -if i make the proper calculations, 10k out of certain product will cost me 100, 1k will cost 15. i rather spend 15. smaller the job, smaller whatâ´s required to make it. -like papper. it is very important to know those things. -i would like to address something from our audience; in cordoba each crown is $400mxp. that is why i had an idea around the price i mentioned before. 1200 or 1300 metal ceramic crowns. on an authorized lab. so, there is a crown for $400mxp and the same crown for $1300mxp inside the same country. not necessarily on the same state, but on the same country. -interesting, to me $400mxp is around 80euros. -no! not at all, $400mxp are.... -no, it is like 40, 20 euros.


-letâ´s say 20euros. -20 euros...?!?! they must have another job to make their living. 20euros?!?! -for instance, in cuernavaca there is thomasâ´and another lab. they both mantain then same price between both of them, which is very high at a world wide comparison level. so, the people who works or worked at the these labs have the ability to make crwons following the standards of these labs we mentioned. they go out on their own and become independent. tben we have crowns for $400mxp. if that person wants to go to coahuila and charge $1200mxp for a crown, where technicians charge $400. tell me what do they need to do to convince the dentist to take their products. if the dentist says heâ´s fine with the $400mxp since he is a $400mxp dentist. that is a social reality that not only happens here in mã©xico but in central america as well. you know that right. -yes. it is a very complicated situation. and just to put a closure on this parenthesis, thomas knows exactly how much is a model, but we donâ´t. -that is the reason why paying $400mxp, and because i donâ´t live in mã©xico, i donâ´t have an idea how much money materials cost. if we have a dental lab i know we are not nuns or a priest. we do thing just because of the will to give. we all work because we want to live.


we must bring food to the table for our family. unless we are getting money somehow else. we are gettin ourselves on debt. -exactly. -i might be selling millions but be in deep debt. you are doing the math here, but what if like someone told me yesterday saying he wants to give it away. it doesnâ´t matter if you give away or not. like the example i was showing you there. -you are aware of the value of things. -if i am aware of what is the value of this is i will do as i please, but not if i donâ´t there is no way. -listen, someone from our audience says we all compete on price but not on quality. or at least too little, i will say. -this is very risky. just yesterday i gave this conference at tamacindra.


-greetings to rocque. -mã©xico is a so little about getting all technicians togheter, as a guild. here we are only 3 technicians, and if each of us work on our own, to gain power; how exactly can we make groups to work togheter? -to be able to influence as a guild. -for instance, by the time i had my own dental lab i was president of the local dental technician guild. by the time i was there we decided to make an analysis like we are doing right now. -ok. we had an asociation and there was people dedicated to do this kind of things. we worked on it for 2 years. -wow. it was made taking in consideration even light and water. a cost analysis. - wow. what exactly happened back then? we got minimum prices for our products. -you cannot take prices any lower, otherwise i will loose money.


-i am free to do as i please. but what happens if someone was sealing off those prices? why would he do that? i cannot make any profit if i go off these prices. so, either the staff members are not regulated according to the law, you are not paying taxes the way you should. you see, there is something wrong. because you cannot charge any less than that. making a group helps a lot to do this. it is not about competing on prices. competing actually helps us all. it might be the case of a kid who gets out of the lab because they are loosing money, parents helping him out. but he is not making any profit, and that kills the market. -if we have the chance to get togheter as a group we got power, even political power, trough laws for example. -but if we are 3 technicians, one says a, the other b and the last one c politicians will never hear us. but if all 3 of us say a the politicians will listen to us. -they will listen to us because we are a crowd. -we have direct contact with the minister of health. we ask him the reason why that law will apply to us or to argument why we consider we got nothing to do with that law


many times a new law can be translated into a new expense. if all dental technicians agree on it. who is political power? but if all people lock themselves inside their lab. well.. -to grow as guild. -threre is a lot of people around the world who really appreciates you for sharing all these knowledge. -yes -it is even helpful to me. because i really thinik alta tã©cnica dental we become to fulfill the space someone was missing there. alta tã©cnica dental is a company, which now became to be as an educational source. i belong to the consejo de empresarios dentales de mã©xico. and i represent the dental technician guild here in my country. and you are right we have face senators and congress men like dental business companies. i'll be honest there is no strenght or unity. alta tã©cnica is a company not an association. iâ´m just saying it is not as heavy as if we did so as a guild. -as i can tell you;i was involde in the craftsman association. there you could find car mechanics, carpenters, shoe makers, photographers. all that is the craftsman work itself.


ourselves as dental technicians; i think is one of the most craftsman mastered works of all. we do it using our hands. there is this specific group of peple that takes care of reviewng law regulation. if we are about to be audited by irs. what to do. dwhat not to do. what to show. what not to show. -roque sosa is listening. heâ´s the canacintra president. area 65 is where we were yesterday. that is the cã¡mara de la industria de la transformacion (chamber of industrial transformation industry). they really has a legal department and accounting department that we can join to make strenght. -exactly, if you have a legal problem or issues with the irs... -you donâ´t even know who to call the attention from to help you out. -you know how to make teeth and that is it. that is where it ends.


all associations are a great help. they acctually have a lot of power. i donâ´t even have to go and look for a lawyer, accounting. i have no clue who is doing what job. -israel sanchez is asking; is it correct for the dentist to raise the dental prosthesis 3 times since the one we affect the most is the patient? it is something that walks paralell to what we are talking about. i have many friends that are a dentist. and the problem is that the price they give to the public is three times the original prosthesis price. we say to our selves; if the dental prosthesis costed me 100 i will sell it for 300. not taking in consideration unit usage, time, clinic time. -this is all true. in italy all odonthologist will charge 300 over a 100 worth prosthesis. that to take for granted. -but letâ´s not fall into the tramp of thinking how much is the odonthologist is making out if this? if he charges 1,000billion for a crown and heâ´s got the patinet that can afford it... it is not my problem -this is a tramp that we may fall into somentimes. why is he charging so much? i donâ´t care how much he charges. or how much the lawyer or the shomaker make as income. or how much does the growsery store charger on the lettuce.


-why do i have to concern on how much the dentist makes a year. all of us. it is not a rare question, we all know. i donâ´t know how much make and i will worrie about how much does the dentist makes a year? -of course. yes, yes, yes. -still, i donâ´t have interest in it. -so, myself as a dental technician must be clear on a few things; what is the product cost, how much are my profits and the selling price. -if the dental technician has the ability to charge 20 times more... -it is an hability of his own. -yes, but it also depends on the deals you got. it happened to me once to my client the odonthologist. we must be clear we consider the client being the patient, not the odontologist. the odontologist is a procedure.


it happen to me on a patinet who lives south italy, i live north italy. this patinent came all accross the country to get to us. to have an upper lower denture with us. -it is to think no one on the north was able to fix him a dentures that could confortably fit him i ask for twice the price. i was pretty sure she wouldnâ´t want it. it was a very complicated to prescribe on it. the lady accepted the price. -ups. i came to the odontologist and ask him to charge the patient twice as much as normal fee. i win, you win. --you know there will be some inconvenients comming trough out the way, right?


-we didnâ´t have any issues. -really? -exquisite and fatastic peronality was shown by her. we had to mill it. that was it. -what iâ´m trying to say is that if we are on good turns to the odontologis... -a team. -exactly we are a team. we are on good terms with the odontologist. -to let him know and say; listen i will charge twice, you do the same. -that was like super loyalty. -when you work good. when both are under good terms to eachother.


-yes. of course. -it is not like, the odontologist is here and here is where i am. we must go after the same pourpuse; the patient. if we look at things this way instead of asking how much does the odontologist makes, i thing we will get more benefit out of all these. -now going back to our calculations. we are clear on the fact that we will get an inaccurate result if we take 20% off the 200. we loose money. donâ´t worry if you have done this before. it is a pretty common mistake to all. because we are not use to work this way. -really, if we want to square things out. donâ´t loose any money. we have to bill $250. -if we take 20% off $250. we get $200. which is ideal. -it is not true 20% off 200 is ok. it is $250.


-we must have it this way. -it is true that 20% is 40. but it is not the calculation we need. we donâ´t have to calculate over the cost. we must calculate over what we want to make as profits. because you cannot touch the cost. -that is why i cannot begin calculating over the cost. -we must even consider, germano, that most of the products are imported and you cannot lock the price, unless you get a very large batch of product or material. generally, materials will keep increasing their price. on your price considerataion, there should be a little margin to consider this aspect. even if that margin varies it wonâ´t affect me. -we must calculate it. you may also seatle with the dentist that every three months there will be a price adjustment. that can be done. those are agreements.


the exact formula to get the $250 has the coste (cost) in it, divided into, one minus(percentage i want divided into 100. 200 was my cost, right? 25% is what i want to put in. by putting 25% i will be able to get, 25 times 100 minus 1. i may take off 20% off this and i will get 200. -if you win or loose. -here we got another example. 150 minus 25%, we will loose $12,5 pesos or whatever. like we see here. on red we have what we do not do. and on green we have what we must do. these are very simple concepts, to know who not to loose money. -a lot of people wrote this formula down yesterday evening. -no dubt. i will post it on facebook.


-here we have the correct one. like i previously mentioned, the one in red has the 20% calculation we did were we end up loosing. as you can see, if i go by 250 and then i take out the 20% i wonâ´t loose anything. this is what i need to make sure on all my calculations. remember; "margin is always the benefit that comes on top of the selling price." "never calculate the final margin over the the initial cost." 200 is the cost, so that is were i need to calculate from. i cannot calculate the margin by the 200. otherwise we are lost. -yes, of course. -where we fall into a trap very often is when we calculate based on how much we sell.


there is lab a that sells $400,00 pesos per day. i donâ´t know if it is a lot or a little. per month. -but we keep a very positive attitude. -i have no clue on prices. lab b sells 150, right? i already sell a lot, and i want to sell more then, what do i do? i cut the prices down. i cut the profit margin down. that way i will eliminate the 150. but then, how do i calculate the margin? if i put a 5% margin, lab a that makes 400,000 it will only make a profit of $21,000. if i apply 20% at the one that makes $150,000 we get 37,000. in reality, selling less can lead me to make more profit. just by playing, paying attention to the margin i want.


-this is very important date since we fall for this trap sometimes. the margins are lower and i can compete to the rest of the labs. -how about that? we must be very carefull. -it is what you just mentioned about the price war. to sell a lot, yes we sell a lot, but your margin is very little. -besides that you are working, stressing out. if you have that mentality you end up totally exahusted, feeling awfull and barely made money. -and now we will look at time. this is something i consider to be important. -no, it is awsome. -what do i need to know about time. time goes by. is it a cost or an expense?


-it depends. -correct, it depends were we are at. so then, for example, communication between the clinic and the lab it is a very high expense. we must have a very good communication. the time that the doctor or the lab ivnvest on this. a very big expense is this, coffee and cigarettes. which we should cut short to a few minutes. we shouldnâ´t take half hour to smoke one cigarette. it is a very big expense. administrative staff is an expense. the operation staff is a cost. meetings are big expenses. but the time that people is dedicating to us. the people whoâ´s watching. it has a cost, it is not an expense. this you can watch it at the lab, it is like training. and that is part of all costs. it is part of the product somehow. that is why training is always a cost. -wow. -that is why we donâ´t cut off on training. -on the contrary.


-yes, yes. of course. -but a lot of times we see it a diferent way. -let me tell you; a lot of our followers even say in our chat:"i am hidding watching your show". this is business hours. the owners of the lab should allow, by law, and also you are oblied to train your staff. from there you should realize that this platform is allowing you to cover that function or fullfil the duty as an owner. the training course is not costing you an investment. -it is positive all the way trough. i am growing, as training. it is not consting me nothing at all. -it is consting me the time i donâ´t work. but if we realize that time is a cost, costs may work this way. at the end costs are usefull. -super. -there are various situations were you will have costs and expenses.


"cost is for active staff members. expense is for administrative staff members." as easy as that at the end. something in particular soprised me when i started this presentation. talking about my country, chile. i realized that chile is one of the countries where people has the most working time. but production is not very big. then there is something that doesnâ´t work. -work a lot, produce a little. is something that is not going well. many working hours, a little results. unfortunately, being in mexico, i discovered worse things of mexico. -yes. according to... -we do it for passion, that is the reason why. -according to fsd, whoâ´s an organization who sends all world economy for each country, says that mã©xico is the country were people have more working hours worldwide. -people work an average of 2237 hours every year.


-for you to have an idea, in germany is where people spend less working hours every year, 1362. italy, is where i live at, around 1700 hours. -1700? so germany 1300, italy 1700 and me 2300? -and 37. but that is the last of our concerns. the big problem is that mã©xico produces the less. -no? -so, there is something that doesnâ´t work. a lot of people that worked lots of hours -it is not producing. -how come? you should see us in action.


-this made me think a lot. then i asked and you guys work on saturday too, right? -yes. in general until noon. -in italy we work from monday trough friday. on fridays it is all about getting things done as early as posible. perhaps you work 6 or 7 hours. -so then. there is a party here now. i suppose that is general information. that means that at the lab we can work less and produce more. i think this can be done if we organize all togheter. -that is the way it should be. of course. -that is why we must think on what we are doing at the lab. if we are part of this average or not. i donâ´t know maybe we work like... how many hours do you guys work every week?


-45, 44. maybe we could work 40 hours. or to know if there is so much work that we need to work on saturdays too. but i doubt it. -wow. do you want to know what i think is the main reason this happens? i have noticed the personality profile of the dental technicians. i donâ´t know what is the hen and who is the egg? introverts and there is no real family life. being realistic, they are very passinate on what they do. well, at least the ones close to me, the ones i know. suddenly my brother wokes up at 3am and he goes to the lab. he really spends time there because he likes it. i wonâ´t be able to say because he has nothing else to do. because at least inside the magazine, managment duties he should do but he doesnâ´t. i really think we hide behind work. because i like it or because i got nothing else to do. -it is my refuge. -correct, it is my refuge.


-that fits the owner of the lab. -yes, of course. -but if i got a lab where 2, 3 or 4 people work at i cannot leave the door open, like jorge does. and just because i woke up to work, all the staff must come to work too. -well, ask him. -i can work saturday, late and overnight because i am the owner. i am passioned about it. i start doing more things. but that is a hole different story. -but, i need to calculate also taking in consideration the peple that works with me. if we all work saturday morning that means i got a lot of work. at least, from what i know back there in italy, we hardly work on saturdays. we work from monday trough friday. and fridays we work thinking we want to end before closing time. and i donâ´t think there is to much of a difference on how much work there is back in italy and here in mã©xico.


it pretty much stays the same. so, maybe we are missing something here that makes us work slower. -we should analyze it. if i only do dental lab for living. that is perfect. but i cannot assume the people that works with me will do the same. maybe there is one person that likes it. we cannot assume that people thinks about the lab the same way we do. especially if we have young people working with us. so this is a piece of information that really cought my attention. lots of hours, little production. since there is people from around the wold that is watching; it is very important to calculate this way. -just for you to know. there is people from bolivia, perãº, brazil, logically certain we got people from mã©xico. from russia. -from russia? from moscow. -from venezuela. -we got a lot. from argentina, paraguay. ecuador. i think there is pople from all over latinamerica watching.


-all these date, get it everyone of you from your own lab. i think if we all get this data from our lab it will really help us. -of course, a better life quality. -or i can work more. if i notice saturday i got no working plans now i could go and get more clients, i can dedicate time to my family. or even investigate more things related to my lab. i refer my self to time. because it is not fair to work a lot and produce a little. -here is a really good comment from luis carrillo saying, i wax up on a denture while i listen to you. i see and i think time has no price. wasted time or materials is really expensive. it is time spent wrong. -time, for all of you to know, it is the most expensive thing we got at the dental lab. even more expensive than alloys. traveling around the world i am being asked; what is the most expensive thing we have at the lab? alloy. alloy is cero because i charge it. -of course.


-i buy it but then i charge it. i donâ´t give it away. but it is time. if i take 4 hours to do something and someone else takes 1 hour. it is a huge difference. -we reviewed what time is at the lab, and we will continue discussing it. i think that if we ask our audience how long it takes for me to fix a metal ceramic crown? -letâ´s ask them. letâ´s find out an average among all answers. letâ´s play a little bit. -it is very important we know how long it takes to fix a metal ceramic crown. later on we will break the data into details. metal ceramic crowns are made by different things. and there we start calculating prices, too. we should know for sure how long it takes for me to make any of these jobs. to create a superior restoration. it might take us all different timing. for example; here we got a classic example of cost vs time. if we pay close attention a lot of people still uses the saw to prepare models. low cost. a lot of time invested. because we donâ´t always make parallel cuts. the saw reaks. we start improvising one way or another. and at the end we loose too much time adjusting the model.


then, we have a pretty low cost, but we will have a lot of time invested. which is the most valuable resource we got. that thing doesnâ´t work that much. on the second picture we have the cutting disk. which is a little faster. a little bit more dangerous. if we are not carefull enough and cut any of my finger. there is no parallelism and we must adjust the model still. we loose a lot of time doing that for sure. on the last one we see a machine to cut dices. logically, the machine cost is high. the machine will cost a lot of. but the time i spend fixing one teeth, here i make 5. then, what is more convenient at my lab? obviously the machine. i have to realize how much work i got. but for sure it will be the machine. -i make a lot more work or spend less time doing it. which is the same. i got more time to do a few more things. thatâ´s important. but belive me, we all go for this because it is the less expensive. we will be throwing our time out the window, which is the most important. -here we see. ok, we are ready... here we got how much money i must make as the owner. this is very important. here is mã©xico, the year is 2016, i was told they are a little higher than real.


-letâ´s see. show me. -the average salary for a dental technician is $70,954 every year -$71,000 a year? let me make sure how much is that. -$36mxp per hour. -an this is high? for them to make $5,900 per month? -yesterday talking with someone this came up, and he thinks is a little higher than real. -i donâ´t think so. you see? i think it is even lower than real. -they just changed it. if it is someone that works there or the owner. -we are talking about the employees.


-i think is more like $8,000 a month. as an average. -these are more less real data. -i think is good. -the interesting thing would be... the owner of the lab. $5760mxp multiplied by 20 days. a 5 day week. the owner should make at least twice. because if i make the same or only a little bit more than my employees. it is not convenient for me to go to work. -of course. as an employee. -i have the company risk on me. -of course, all of the responsability.


if i donâ´t make at least twice as they make... -it is not worth to carry on with the responsability. -it is not worth the pain. -and, people that works by themselves and make less than what an employee would? -like you mentioned before, becoming independent it is not being a good... -no, no, no... you are on your own, but you are really loosing money. and there are so many laboratory worker that has their own lab that make a lot less, the same, not that much. i donâ´t know. $1,000mxp more a month. and they realize it is not worth it. -this is also training education. yesterday there were a lot of questions at the end of the conference. the teacher from the school. you have opened a world to me. -yes, of course.


-this should be tought at school. -no, you did it for me too germano. i am fascinated. -this should be tought at school. how can we become business man then? -they are not doing it. -that is why we are appaling business men. -i can tell you about it. from a personal perspective. i love my job. i love doing what i do... i cannot tell you how much time i spend personally here in alta tã©cnica. -you must do the math. -if i had to make twice as maco, that is what it should be. but, because we carry on all this responsability is the reason why people think is unfair. and shows discouragement because we carry on with all these responsability. all the stress and presure even with taxes. you get the employees salary and the you will figure yours out.


because of the fact that i need to comply with all those responsabilities. it has happen to a lot of us as dental lab owners. -we only think about teeth. -yes, yes. of course. -this is an interesting fact. -this is another important moment i think. this is a product that we all know. we use it on every day basis. and it is the most mistreated of all, dental lab stone. -it is our base, isnâ´t it? -yes, but it is the most mistreated out of all because; who is the one that handles dental stone at the lab? the owner or the one that just started working there? -the new guy. -the last one to get there. i really donâ´t know what all of you guys are listening there. but there are just a few people that knows how to really use them.


-which is the less expensive, and a series of things. this is the product that we all know the most i think but is the one that we have less knowledge on how to use it. and the owner has no clue on where the models come from. he told this new guy the first day he came in the way it must be done and then he will never control the situation again thatâ´s when all issues start at. the first thing we must do before we start is to do it measure it by "eye"-ometer. i see the dental stone, i estimate how much depending on the model, like a kid. no! absolutly. first thing that happens, some one might kill him. -we donâ´t talk to him over a week. -as you can tell, the kid on your screan will never eat this hole sandwich, would he? i donâ´t think so. and this is how we do it sometimes.


because i used the eye-ometer is twice the dental stone i really need. -there is just a few people that really knows, if i ask them, how much dental stone they need to fix an inferior model for a fixed dental prosthetic. some people know, some others have no idea, they use the eye-ometer. so when i do it by eye-ometer i am not really throwing material. all material have a cost, i need to pay for the cost. that means i am actually throwing money away. -working without weighting, without measuring is the rason why we loose money. we start by not ralizing how much material we use on the model. -that is the most basic. -wow- -this is something clasic, we see it happening a lot of times. i either put a little bit more water in it, or i put a little bit more of "powder" in it. i am showing you all this picture of a barber. because it shouldnâ´t be considered to be for the last one. or like if it was not important. and really, dental stone is the base for our work. usually we make bridges over these models. and if we donâ´t know what is the base of our bridge. the foundation of our work.


the last person that was hired. the new guy is who will do this. the one that has no idea on what heâ´s doing? this is what we do every day. isnâ´t it? -who will go over this bridge if they knew the foundations where made by the new guy of the construction company? and he put all the concrete in just by calculating the cement and all that? if i am missing a bit i will put some more powder in it. we laugh about it but that is what we do. -it is scary. -so we do it just by estimating how much material we use but we give it out to the new guy that just came into the company. -profesor norberto torres says hi to us.


-fernando catania, comercial director for roland latin america. thank you for talking about this very important subject. -this is for you to realize that all the information you are giving us is vital and it opens our eyes. -i fullfil the expactations then. -for anyone at any different type of company. because it is basic information. -i am very happy then. i have always been afraid to give this conference out. i donâ´t know where we are. how pathological the situation is. if we donâ´t see teeth, we donâ´t care. that is why i was so affraid of this conference. going back to the bridge. we do terrible things every day. that we shouldnâ´t. if we think of a house whoâ´s foundations were made by calculating. but at the lab we do it. for instance, we have these three beautiful questions; what is the dental stone and how much we use for a fixed dental restoration model? in removable dentures? and to articulate a model?


and right there we use the less expensive. now we will see some prices that were calculated based on the real material price. we will see numbers that are very real. even here in mã©xico. we may do the math as well and get these numbers. it is actually very easy. this is a clasic fixed dental restoration model. one of the easiest things in the world. now, what is the dental stone i require to do this? dental stone type iv, here i consider the elite rock zhermack. to make this horseshoe, this part we see here. we need more less 70grs. a little bit more or less. an average of 70grs. 70grs. of dental stone will cost $5.95mxp. $6mxp. i donâ´t know if it is too much or too little. then for the model ruber base we fill it out with dental stone type iv, and we use 90grs. what turns into our model base then. we have estimated 90grs for a model base, it might be a little bit more. it will cost $8.01mxp. -ok. -all figures are rounded up. -ok. this will show a little bit more expensive than what it is.


-so, if we add the cost of both dental stones, it is around $14mxp. $36mxp per hour. between doing all that and making the dice will be around half hour. which is a lot, since while the dental stone is getting hard i wonâ´t spend my time chating over. i will do something else. letâ´s say half hour. $18mxp. the cost of the work model is $32mxp. i donâ´t know if it is a lot or just a little. -$32mxp per model? for you to have an idea, a quesadilla at the corner of the office is $12mxp. between 12 and 15. to have an idea. something we eat every day. and you normally will eat 2 of them. it will cost two quesadillas. -i donâ´t think is that much, is it? then, if i want to put 25% on top of the cost it will be $40mxp per model. -these are numbers. -numbers donâ´t lie.


-here i donâ´t have all costs. like for instance, someone else should know and add the price on the pins. the lab logistic expense. light bill, water bill, propane, phone bill. we must take all this in consideration, but it is very little how much will increase our prices. -we may round up numbers to $50mxp. right? -i think $50mxp is whitin all that is acceptable. -i know. now someone may ask me how much money is invested on making a model? i will say $50mxp. -i donâ´t know if it is high or low. logically, 40euros for a model will be a lot. -how much is it to make the model here in mã©xico? -to be honest with you i had no idea. i donâ´t know about you guys. -not a clue, germano.


-do you think it is expensive, or affordable? -i think it is too cheap. -we are even using what is consider to be an expensive dental stone. we can work with very good materials. but only if we work the way we are supposed to do it. if we go by the eye-ometer, can you imagine how much it will cost? even though if we are fixing a different kind of model for a different purpose. for instance, removable dentures, it is $8.00mxp per model. we will use 90grs of dental stone since we include the model base. and for the other antagonist model dental stone type iii, which is less than $5.00 per model. -really? -and i refer my self to zhermack dental stones, which is considered to be medium-high cost material. we are not talking about cheap material. so, out of our $400mxp we know this must be included. -and also considering my 25% profit. ok.


-and to fix the articulator we use dental plaster, type ii. but if we use articulator dental stone type iii, zhermack in this case. taking in consideration we us 100grs, it will be $9mxp. the articulator uses a little bit more... because there is more material, right? -even though, it is still $9mxp. later on we will find out how much it will be for the hole articulator to be fixed. this was calculated at the prices you go by here in mã©xico. these are mexican prices. in italy it is much more expensive. these are mexican prices. updated prices, this morning actually. these prices are very real. here we got the total cost. the master model is $5.95. at the end including all above the model is $67. 15. this is how much it will cost to me. -i have taken in cosideration the most simple articulator. on the most complicated we will use more. without freaking out.


it is around $67mxp. if i want 25% on top it turns into $83mxp. i will spend 10 minutes on each dice. that is worth $6mxp. which is a lot of time. probably i will spend not that much time. i donâ´t know if the price of fixing the articulator, $67mxp is too much or not? -no, no, no. -and if i want to make 25%, which is not a little. we get the $83mxp which, i am not sure, if it is too much or too little. -no, no, no. i never would never imagine it. -these are real data. why am i doing it on the pretty basics? because it is where our job begins. letâ´s consider desinfection for instance. we may add it as part of our math. i donâ´t know how much money disinfectant is. we calculate it in euros beck in italy. an impression is around $0.10 cents of euro. -$0.10 cents of euro? -$0.10 cents of euro. wich is approximately $2mxp.


still $2mxp worth disinfecting wonâ´t drive us nuts. it is not complicated to do it. we know how much money is it. we know how much material do we use. we are missing a cronometer. to find out how much is every work hour at our lab. if i know how much i need to pay to the people that works with me. the calculation is very easy. we must waist a little bit of time. of course. this is time well invested. really well invested. -like catania says; work less hours, better and making more money. -if it is possible, that would be perfect. we can do this if we do the math. -dental plaster, dental stone type ii, snow white like you call it here in mã©xico that is supposed to be used for everything we do. in italy we only use it for these purposes.


just for those purposes only. it is no good for any other thing. if it was good for dental prosthesis, dental deposits will sell it. isnâ´t it? if they sell it at the hardware store it should be used for that purpose, right? we will save some money, but using good materials is not that expensive after all. -why do we complicate our lives trying to get less expensive materials? -you sacrifice time. -you reduce quality. you reduce the cost. reducing costs is always dangerous. that is whay we must reduce expenses and not product cost. -yes. we wonâ´t risk any quality standards. -the cost of the model is not that much to mantain a good quality.


if i use dental stone type iii for the model base. die stone type iv on the model. that is a problem, because if i use diferent dental stones because they expand at a different range. it rebounds, it is not a precise model anymore. i spend a lot of time doing it and at the end it rebounds, it is not a precise model anymore, i donâ´t want it. i have wasted time, material since it is not a good material, and the job was no good. if i know the difference between one dental stone and the other one everything will be perfect. but we never see it from this point of view. now that we know a little bit more about dental stones everyone can do their math. orthodontics models, how much is the flask, all we need basicaly. this is part of doing the calculation. we must do these calculations. and i must decide wheater to make more money or to loose money. -there is a pretty good comment here from the audience, saying if we could convert it into dollars to have a better idea. so, could we please put the slide back. where we had the prices and all that. to say it in dollar currency.


-well, we divide it into 20, more or less, right? divided into 20, right? -ok, that would be... let me take out the calcu. -it is mxp divided into 20, right? -letâ´s say 85... $4usd and a half. -including the 25% already, right? -$4usd. -there you go. $4usd and a half. for you to have an idea. -ok. iâ´m sorry.


-then, it is that way. not that long ago, in los angeles, the mctrio was $7usd. for us to have an idea. more or less. -almost two. -yes, two. -two articulated models for the price of one mctrio. -the quesadilla is more healthy. that is right maco. -ok. then you can do the math on pretty much everything. without getting there. i gave you some instructions, some formulas. and i need at least a bit of motivation to do it. -to put our own lab to the test. -i like all these questions, like how do we convert it.


on how much will be pretty much everything. if we continue with dental stones. i started with dental stones because it is the easiest of all. we really know it. for instance, i wonder if everyone know what the difference is between all these different gypsum. here we got the bandage we get when we unfortunatelly break a leg. the gypsum at the school. the one we use to decorate a wall. are they different or the same as the ones we use? many times people says they are different. they are different things. many people says they are the same because they got nothing to say, they must just say something. -at least something. they are pretty much, all the same. there is only one gypsum, calcium sulfate. here we got the formula. any type of gypsum we use it will always be calcium sulfate. it is always the same, but it goes trough different procedures. i like this slide, very much. we got to cars, automobiles. however we want to call them. if we look at the formula, they both got back traction, back engine, convertible, two door. i mean the formula is different, but there are two different things one from the other one. -but if i say it has two doors i can imagine one or the other one. this explains a lot what the formula represents.


we got one single gypsum that will give us many different things. one single formula will give us all gypsum. but i must use the one that were made for my world, the dental world. and right there things start to change a little bit. -calcium sulfate, gypsum, the warm it up a little, this is the way it comes from the quarry. to dehidrate the gypsum. we got many ways to dehidrate it and depending on how we do it, we get different types of gypsum. here as you can see, it is very easy. like the formula says; 2 h 2 o. it will let water go, we will loose water. we will dehidrate the gypsum material. -at this temperature we get hemidrates î², which are dental stone type i and ii. and if we rise the temperature and add some chemical products to dehidrate it we get dental stones type iii, iv and v. i use this terminology. you know this terminology here in mã©xico. here you know just a little all dental stone by itâ´s iso name. i have heard dental stone being called.


the velmix, the snow white. and that was the reason why i need to ask you why? if dental stones i know are calle by there type being i, ii, iii, iv or v. what kind of dental stone, and so many times it is more embarasing if you ask anyone what kind of dental stone are they using, right? and they say; the yellow dental stone. what does yellow dental stone means? it means nothing. we can tell that people knows their material by what they actually use at their lab. what dental stone is that? it is yellow dental stone.what does that mean? we ought have an idea that all different brands will choose their color according to different parameters. -you donâ´t have to go by what color is it. -what car do you have? a red one. how would i know what car is it. i assume it will have 4 wheels and one engine. but i have no idea on what car is it. so, the same happens when people state; i use yellow dental stone. then, we must learn how dental stones are classified. like on the hemihydrate alfa and beta. we will go over this a little bit as well.


the name of the dental stone changes, since the size of the crystals depends on the temperature we expose it to dehidrate it. the more we raise the temperature, the more we dehidrate gypsum. we will obtain smaller cristals. that increases dental stone quality. it is not the formula, but the size of the crystals. here we got a microscope picture. this is a î² hemidrate, snow white plaster, which is plaster type ii. and the other one is calcium-sulfate î± hmidrate, which is dental stone type iv. this has been increased x400 times under the mic. you will notice the difference between the crystals on one dental stone from the other. the better the quality, smaller the crystals inside itâ´s formula. we will be able to reproduce the details on a better way. the thicker the dental stone, the lack of details in our model. it is important to get to know the details of the dental stone under the mic. one has smaller crystals that the other one. that one has much bigger crystals. this is the way dental stones are classified according to the iso regulations. it wonâ´t give you a color. it doesnâ´t tell you about names either. we got dental stones type i, ii, iii, iv and v. what is the difference from one to the other? we got dental stone type i, which is used for impressions. people is using them again to work on implants. since the dental stone is so rigid, it keeps the implant position very good.


it is good to take dental stone impressions, even though it isnâ´t nice for the patient. like you see, it has a very small expantion index, but it is too soft, resistance to compression index is between 4-8mpa. we also have the dental stone type ii, sometimes used to make models. this is the snow white dental stone. it has a very big expansion index as you can tell. and the index of resistance to compression is very low. the dental stones we are intrested in are here. mostly dental stones type iii and iv. type iii is the dental stone called rocky dental stone. the expansion index is only 0.20%. and itâ´s resistance to compression index is twice from what dental stone type ii is. this is dental stone type iv. i donâ´t know how do you guys call it here? -dental stone type iv? -like velmix? itâ´s expansion index is less than 0.15%. it has a 35mpa resistance to compression index. that is the dental stone we use on fixed prosthesis most of the times. here in mã©xico it is not that common, but people from other latinamerica countries use dental stone type v. and when i ask why? they say is better. better doesnâ´t mean anything.


itâ´s like if higher the number, better the quality? that is not the difference. these are iso and ada regulations, international regulations. dental stone type v is a high expansion index dental stone. what does that mean? that means that the minimum on the expasion index of the dental stone type v data, is higher than the highest expansion index for dental stone type iv. the material hardness is the same, 35mpa resistance to compression index. this is very important date. based on my experience, people uses dental stone type v just because it is better. but no one tells them it has a high expansion index dental stone. they are working on models bigger than what they really are. i donâ´t know what is it for. -so they should not use it? -no, it is more important to know what they are using.


it is importnat for me to know what am i using.... -having the right criteria to use it at the right time. -there has got to be a way of using it if they make it. i havenâ´t figured out when to use dental stone type v. some people say it is good for metalllic removable dentures. since we estimate the alloy contraction based on that. they used it mayebe when investments where really complicated to use. these days they are not. i estimate the expansion ratio depending on the w/p ratio i go by. we have overcome this. -we have more than 300 comments in our chat room. only one person told us how long does it take to fix a metallic-ceramic crown. he says it takes 6 hours. - a lot. lots. -there is a lot of people saying hi to us. i think we have no idea about how long does it takes for us to fix a metallic ceramic crown. -i think it means including time-off also.


there is people from guatemala listening to us, saying it is an excelent administrative protocol, that guarantees an excelent operative protocol. we will handle our lab material even better. i use this protocol. itâ´s like having a well driven administrative point of view inside the lab. here is gustavo grimalda from monterrey saying; letâ´s learn a lot from this experience. gustavo is the atd advisor their in monterrey. we will be at the dental fest 2016. to all of our friends from the north of the country. i have to give you a very important anouncement. we have been working togheter at the nortec or the atd event up there in august of this year. we have scholarships to the people from the dentalfest. -you may assit to this event. it will be great. and this other event is also awsome. and you will hear this conference there too. to all people that is watching. -there is something else that is very important. you have given me so much time to talk. this will be part one to our friends from monterrey. and we will talk about a very important aspect inside the lab;" biosecurity" -that is awsome -that is a very important thing also. and we will discuss it in detail that day. -you are invited. the ones who have gone to the nortec may access for free. get ahold of me. we all got the lab phone numbers to call.


-now you know we can choose our dental stone. not pick one just out of luck. we just discussed this. it is how to use dental stones. we will skip this really quick. dental stone will be useful only if we use as much water as we have to. otherwise we change the dental stone carachteristics. the eyeometer should be prohibited. it is worhless to get the most amazing dental stone if i will put as much water as i please. or the dental stone itself. the dental stone has lost all the usefull carachteristics. it is not just about the money. it will loose itâ´s carachteristics. treat it the way we must treat it. we may get pretty good product, spend just a little bit of money. but always respect all material proportions. we have tu weigth and measure our material. a lot of people would say there is no time to waste weighting the material. but if you do it right, it wonâ´t take you more that 30 seconds. -a few people would tell me they take time off their agenda to take care of finances and administrative stuff when there is not much work at the lab. they will put the material inside little zipploc bags. it will be ready any time they need it. -still, it is pretty quick to do it. at the lab, it is better to take it from the bag rather than loosing time filling out the little bags.


i had the scale at the lab which is not that expensive either. on a scale you wonâ´t spend thousands of millions. -could it be the same as we use in our kitchen? -as long as they are electronic scales. you mentioned something really interesting. at the kitchen, woman bake, right? she will weigh the flour and the sugar. why donâ´t we do it then? -a little bit more important things that the cake, doesnâ´t it? -you are not as gracious as we are. we will do it. we promise. -in italy you may get an electronic scale for €10euros. it must go as light as half gram. that will ruin us at the lab. letâ´s take a look at the screen. we got two images of the exact same dental stone. one of them was prepared manually, the other one was fixed on the automatic mixing machine. you may quickly notice the difference. the one made going by the eye-ometer is all bumpy and pours come out the surface.


it is a filled with bubbles. it is less dense than the one we mixed on the machine. this claryfies a lot without explaning a word. those 30 seconds we invested to measure the material will make the difference. i am wasting material, i am throwing money away. to have a good mixture we should; measure, i will insist, measure water. weigh the plaster and possibly vacuum mix. this will result in a pretty good dental stone. most of us we have the vacuum mix at the lab. it has happened to me at someone elseâ´s lab. they use the vacuum mix just to mix investments. does it happen here as well? -to do it is to take more advantage of the equipment. other than working better, you use the machine twice as you do. you are already saving money. to get one machine just for one thing is too much of an expense. a machine that does two things, will cost less. -but we donâ´t do it. those are pretty normal things. the vacuum mixer is just to mix the investment.


there are different types of dental stone, different colors. everyone has its own way to do things most of the time. what we use is die stone type iv to make fixed prosthesis, removable dentures and the model base. if you build a model using die stone type iv, the model base has to be the same type iv. no type iii or type ii. dental stone type iii for articulators and antagonist models. it is something else. it is very important to disinfect the impressions before we begin to work on them. we may ask how many people disinfect their impressions or get them already disinfected. we will ask to find out what the answers are. -please tell us guys, who has this disinfection protocol among the audience? i work with two dental labs, on is my brotherâ´s and the other one is esteban barbalaseâ´s lab. and they both have high standard protocols. -it is extremely important even though we donâ´t realize it. everything that comes in to our lab, with all worst diseases ever. we donâ´t know. a lot of times the doctor doesnâ´t know it either.


i can ask the patinet about hepatitis a or b. aids. -maybe they donâ´t know either. -maybe they donâ´t know either because it wonâ´t come up on the test. -that is the reason why we must be very carefull with every single thing that comes into our lab. -if it will increase only $2mxp to do it, we should even take the risk. it is very affordable to do it. -on a cost-advantage, the benefit is huge. but we donâ´t do it. we should mix it this way. -here is an important comment, sometimes i even get the impressions tainted in blood. what i can do is to use bleach and water. what happens here? tell me. -that is something that a lot of people does, unfortunately. like i always say; it is like playing little chemist. i we use hypoclorite and water


and there is blood on the impression, i am not disinfecting at all. we must make sure. alcohol does disinfect, sometimes. hypoclorite does, but it depends. most of the time it wonâ´t disinfect, it will make it stick to the surface. i think it is alcohol the one that only covers blood, and it wonâ´t take the blood off. most of them will glue blood and saliva to the surface. it will only cover it. it will clean but it wonâ´t disinfect. that is why we cannot invent disinfectants out of nowhere. we always have to use each product for the purpose the company has assigned it for. because being so sure we disinfected when we didnâ´t is very dangerous. thinking that i did when i didnâ´t is very risky. i will recomend him to get the rigth product. -someone from our audience says; i know about clinics that use lysol. -i donâ´t know what that is. -it is a sray you use at home. i it for home use. you may get it at walmart. i use it to clean the house.


-we just started to talk about a whole world. we must realize what ingridients are in. for instance, if there is too much alcohol in, it may evaporate water from an aginate impression. most important, we must read what does the disinfectan label says about the ingredients. just by saying disinfectant, it doesnâ´t mean anything. if we want to disinfect, it must kill virus, germs, yeast. since there are many disinfection products meant to be used at home with a poor disinfection level. they are not for high level disinfection. it will tell you on the label what is active for. for instance, active for bacterias, that means it will destroy only bacterias but it wonâ´t kill virus, fungus and all the rest. -exactly. -active for virus, then that is what it does. sanitize is different than disinfect. -it is like a surgical disifection level, right? -that is sterilization, which is something else still. it is a very complicated world. that is why i always suggest to use specific products for specific purposes. that is very important. if he gets impressions that have been disinfected that way, it will be better for him to do it again. -that is true. right?


-using the right method. -on that particular product there are two different versions of it; one for home use and the other one for animal and human clinics. it tells you on the label, if you want to disinfect you must remove first all blood and fluids. and then you may apply th product. to get that specific reaction. -if what you donâ´t want is to have contact with it. -germano may confirm this, but those products bet neutralized when they get to blood or tissue. -we had to open a small parethesis since we started to talk about this. -yes, yes. next time they invite you we will take you into our forum again. -i would like to say two things. like eder said, according to european regulations. he opened a very important thing. there are regulations for dental disinfection of 4 or 5 digits. according to en rules, stating en followed by 5 digits. and en followed by 4 digits. the one that you just mentioned will be included on the en followed by 4 digits.


what does this means?, in just a few works; european disinfectants stating en followed by 4 digits is a disinfectant. - ok. but it hasnâ´t being tested on the designated surfface to clean. then we got the ones stating en followed by 5 digits. this means this is a product that has been tested on the desgnated surfface to clean. why do we mention this. because the disinfectant you mentioned before we must clean the surfface for the desinfectant to accomplish the action. -i am allowed to use the one with 5 digits because it has been tested on blood, tissue, saliva. it has been tested on whatever we please, so it is ok for me to use it. if it is followed by 4 digits we must disinfect. it wonâ´t disinfect over blood, tissue, saliva. -someone from the audience wants to know what disinfectant do we use and what do you recomend for finished works. -it is my audience. all questions are good questions and have good answers. they are very easy. zhermack in spary or solution. we spary the impression both sides, 3 minutes after we may start pouring the dental stone. like we previously mentioned we may work a hole year using two galons of solution. this is made by inmersion. we are all set disinfected.


these are specific disinfectants for impressions. now, like you said, what do we use to disinfect bridges and that kind of things? we cannot use disinfectant. if you hold it a bit i will show you how can you disinfect. but never use disinfectant. -because, what is the risk on using disinfectant? for instance, if it is a removable denture, part of it is dental acrylic made. dental acrylic absorbs the disinfectant. so this disinfectant will be absorbed but never realesed. -ok. this will be realesed or poured out of the acrylic over time and poison the patient. -it is very dangerous not to know that. -ok. we are pretty much done talking about dental stones. -i would like to review this pretty quick? here in mã©xico, would you work on this dental preparation?


if you get this impression, and then get this model, what would you do? -normally we filled out on wax and we do it normally. it shouldnâ´t be accepted, really -if the job is not done properly, whoâ´s fault is it? -the dntal technicianâ´s fault. who else? -germano, you donâ´t dubt on it. -i wouldnâ´t accept it. it has all those defective zones. it is very risky to work here. what i used to do at the lab, was to call and ask him to run the impression again. if you donâ´t want to do it again, the problem is yours. whatever comes out of this, it is a problem that you have to pay.


i know this is very hard to do here in latin america. but i think if we start doing it here. the quality of the work would increase. also our professional quality. -professional. -if accept all jobs, that doesnâ´t mean i am a good dental technician. we must know how to canalize what gets to us. -and learn when to say no. -exactly. -i have noticed terror in the dental technicianâ´s eyes afraid of loosing a client. sometimes it will be a good thing. because, if i take this job, most likely weâ´ll have to repeat this job. do we make money or loose money there? if i say no and refer it to another dental lab somebody else will loose money, not me.


on the cost and expenses there is also the courage to accept working on this or not. that is the most complicated thing. -yes. but if we have our work protocol, if we know we have control over it. since the begining, we analyze and know what this case is going to be about. we take control of the situation. information is power. we may suggest to fix it many different ways. being propositional. we should really have the magic to transmit that. otherwise all of us will loose; the patient, the doctor, ourselves. -if we realize there has been an error. you stop right there. you donâ´t keep going. things are gonna get worst. we stop, we talk to the doctor. we have and idea on what the doctor is like and face it. but we donâ´t take all jobs we get. or whatever the odonthologist says. -here we got a very good comment from enki garcia, who is a very good friend of ours saying; we have an ultraviolet box. so we wash, put inside the bag and light it. ultraviolet boxes are two weak. i think they are not even disinfectants. it only bacteriostatic.


that means bacterias do not reproduce under ultraviolet light. -but they donâ´t die. -if i take it out it will be exactly the same it got in. you have to be carefull with that. you are not disinfecting. so, we move on. we know about the equipment we all need. it is no big deal. what is important here we got all sides as parallel sides if we do it on the machine. we donâ´t have to adjust it. we save time. now that we talk about disinfection. more than talking about disinfecting the impressions, we will talk about disinfecting the dental prosthesis. this is a group of people that makes art out of pietri dishes. they get this colours with bacterias. the reproduce many works of art. bacterias are not only that disgusting thing we all think. if we know how to use it is better. so, disinfect and sanitize are two different things. to our best interest is to understand disinfection. disinfection will kill over 99.9999% of all microorganisms. for an estimated period of time. we expect it to be disinfected for life. what tells you the level of disinfeciton, is the time it is exposed to it. disinfect takes longer than sanitize.


it is very important we know we must disinfect at a high level. like i previously mentioned, removable dentures and any other that has dental acrylic on it will keep the disinfectant inside. and we donâ´t know how they will pour out of the material. it is very risky to disinfect using chemical products on finished dental prosthesis. we can also use steam, dry steam. -ok. -this is the only one we should use at the dental lab. it will allow us to disinfect trough termic shock. it will kill bacterias, mold and fungus. we wonâ´t sterilize but we will disinfect at a very high level. we donâ´t use any chemical products, it is just vapor. we must be carefull to use dry steam only. as you can tell, we made this test at the us dental lab. came out good for dry vapor, it kills germs and it is chemical substace free. and we are working only with water. we are not poisoning our patients. it is very important. this is a little bit of the investigation made. dry steam onlymost of the microorganisms will die after a 5 seconds expossure to steam. dry steam only. we will see what that is. a lot of people thinks steam is steam no matter what, but it is not. it is different. i have noticed in many laboratories, to save money, they have this steam machines you use at home for cleaning the bathroom. -yes, i know. -they are not saving money, because they have bought a totally useless machine.


that does nothing to germs, because it is wet steam. and it is something we payed very expensive. also i am convinced, i am disinfected. which iâ´m not. here we got all this. we should go into details on how disinfections works. -the difference between sanitize and disinfect. -i am showing another image right now. because, more the a lot of words. here we read about how long "seconds" does it take to kill microorganisms. -someone from the audience wants to know how long would it take to make a ceramic crown if we use elite vest. this will actually tell you how long does it take to make a ceramic crown, right? sorry if i interrupt, someone said the estimated time is 6 hours taking all times in consideration. it should be and hour, somebody else said and hour and a half. -a ceramic crown should take around 45 minutes. -ok. -to recap on what we spoke about.


-somebody else said something about the vest? how long would it take to make a ceramic crown if we use elite vest. this will actually tell you how long does it take to make a ceramic crown, right? -do you recall what the instructions say, eder? it has to be around 25min. yes, but the setting time is almost the same. -how long do we need to wait before we cast the alloy into the vest? pay close attention to what the instructions are saying. but it should be around 25min. -you want me to send it to you? -it can be found on the internet. if someone lost the instructions they might go to www.zhermack.com


right there it says in spanish all aboiut materials, equipment and how to use it. you will find all that on the website. -thank you germano. -this chart will show you how long does it take, in seconds, to kill microorganisms using dry-steam. bacteria, fungus, virus. 7 seconds is the most. some virus and fungus. it is for some dangerous germs that are inside the mouth. flu is the most common. it takes only 7 seconds to destory the flu virus. candida albicans is one of the most complicated to kill. -that is right. -it is all about the disease we may get. -7 seconds? -yes, we donâ´t loose anything. if i guarantee disinfection on my work, that is a plus to the odonthologist. -a plus. -and he is not getting anything weird. -we must make sure it is dry-steam. what is dry-steam? non of the ones in our screen. we usually think of steam like the one comming out of the iron. or the cup of tea.


-now, summarizing; the first thing we must do as owner of the lab, as businessmam, we make plans and a real proyection of all of our goals. we must get expenses and cost. and to realize if we are really capable of walking this path. -these are considerations for people that already has itâ´s own lab. for people that wants to open their own lab, we must do a lot more. -at the end. like we discussed between teacher and technicians. it is better if we plan all since the beginning. instead of dropping protocols off the table. -if i want to open a lab. normally what a boy comming out of school or from a previous lab to open his does, is buying equipment and material. what about the customers?i should look for clients first. so then i can buy. what if i buy first, without having any clients? -we have to make plans before we do it. i want to open a lab. where do i want to open it at? -what type of clients do i want?


-what prices would i offer? how many dental laboratories are around this area? if there is 200 dentist and 150 dental laboratories, it will be better to open a dental lab, right? -we must analyze the market. and right after decide if it is worth to open or not. and the we begin; how many clients do may i have? how much profit i can make on this 200 dental lab /150 dentist market? what porcentage of those dentists may i grab as to serve as their dental lab? i have to make all these calculations before i begin buying even 1 cutter. normally we buy all equipment first, like the micro motor, the acrylic. and then i start looking for dentist around the hood offering a lower price than the other dental lab. that is what they do, and they are destined to fail.. they hur the market, they hurt all the rest of the laboratories, and they do it all by themselves. before we begin we must make a lot of research. if that is the case, 200 dental lab within 150 dentistry clinics, i should look for a different area to be at. there is a big chance i will fail. -yes, yes, yes. offer and demand. be clear on what we offer.


right there is when i decide to open or not. -it might be good for us instead, to provide them with dental material. it might be. i can also be a dental technician without a dental lab. if i work on a dental lab, that makes me a dental technician. i donâ´t make more money only because i am the owner of the lab. -i think it must be clear about it from the begining. sometime it is more expensive. -a lot more expensive. -you must have money to begin your business. to begin with. you will need some sort of license to open . -legally, yes. -i always talk about legal things. if we begin talking about ilegal things, if i go down stairs, put a gun to someones head and ask for their wallet. on one day i would have done a lot more than that iâ´m sure.


but, it is not that legal. i always talk about legal because that is the only measure we must go by. -of course, of course. if it is ilegal we wonâ´t be able to control it anymore. i always recommend; if you want your own lab, there are regulations to follow. -it is actually hard to get equipment, get materials. it is a very big investment. and you donâ´t even know if you have clients. it should be the other way around. what are the chances for me to succeed around the area with my dental lab. that will help me determine if we should open or not. -it is incredible what you are saying. i think of a place where they make tacos. in my case i am a client, i eat tacos. there is a personal need to open a taco place. because i donâ´t see where can we eat some good tacos around. maybe because is the most simple example. or because i eat tacos a lot. i already did my reaserch looking for taco places around. thereâ´s a lot of people walking around. hereâ´s where i will open my taco place. why donâ´t we do that before we open our dental lab? what are the client needs, what are the clientele needs, how could i solve that need. and actually wonder and ask myself about all this before i even start my own business.


like you said. i open the lab, i visit the doctor and give him the price list without even knowing him. -whitout even thinking all that. true. yes, yes, yes. -that is what we normally do. -so, we got dry-steam, correct? -correct, and this is one thing i found out. in the ingeneerings school thay have books and books about steam. it is not only what comes out of the ironor cup of tea. it is more than what we see here. we need very specific machines for these very specific type of dry-steam. -without going nuts on so many things. -physics and chemistry. -i will look just for just one slide. this is the one, no. this is the one that will give you an idea of what is dry-steam all about. it is on 170â°c.


on a temperature between 140â°c and 180â°c. less than that it is not dry steam. and, between 6 and 10 bars. outside of this, it is not dry steam. it will get things wet, it works for many purposes but not at the lab. that is why we need equipment made specifically for the dental lab. it has itâ´s own price since the equipment goes so hi on the temperature, it must be carefully controlled. it is like a bomb. if it blows inside the lab, it will be a problem. do not get a dry-steamer that was meant to be used at home. most likelly, they donâ´t work. it is very important to get the equipment that was specifically designed for dental lab use. we may now talk about saving money. here is always about saving money, and most of the times, we en up spending more. -i sweat it is like that. this equipment, for instance; zhermack has steam machines and, steam and water machines. the steam machine is less expensive than the steam and water machine. naturally, 90% of the dental technicians get the cheapest one. they donâ´t realize they are getting useless equipment. meaning, steam may be usefull to clean allowys, ceramics, disinfect. but also steam and water to clean. if i open the flask using the boiling water pot, were there is pretty much a little bit of everything, and there is also water.


i am using dirty water, with wax in it. -why doesnâ´t he throw it off already? -you get attached to it after a while. after 6 or 7 months you start likeing it. -if it was like a little puppy or something. -so, what happens then? if i wash the flask and plaster using this water inside. if we are going to use acrylic -plaster separator. is the classic pink one. it wonâ´t work because it is meant to react on plaster only. if there is wax on top of the plaster, it wonâ´t work. then, we must have steam that cleans and water that washes off. we will have equipment that works at its 100%. i will get for my lab. that will be a second machine, after having one that makes steam and water, i will put it next to the ceramics furnace. it will be there to clean ceramics only. the second machine. the first machine must make steam and water. because the steam cleans, water washes off. i will present clean models, clean bridges, disinfected bridges. disinfected prosthesis and all that. you were saying eder, you have a more commercial thinking than myself, 20% more expensive. you are more commercial than myself, right?


-yes, 20% more from one to the other one that has steam and water. -investment is not that much due to the necesity of having it, right? -correct. -i think this is a pretty good comment from our audience saying, "i live on a rural area, and still, there is always a solution for almost everything". we cannot limit ourselves. -no, no, no. absolutly. the thing is to know what are we using. we take out the wallet not knowing what for. we must know if it is to our convenience or not. many times.. i must know how much i invest, how much i make and how much am i working. i must analyze things. if i am a dental technician and i work at a dental lab, my job is to make teeth. if i am not an employee, but the owner, my job is to make sure the company stands steel. make sure the company makes profit. not making teeth. -that is not my job. that is why i got employees.


-get that on tape abraham. super. -it looks very simple to me. -yes, totally. i must confess. last week we cleaned out my sonâ´s classroom. all parents were there. and we had to fix a book shelf, my nephew demian was there. it was all made of wood. almost falling apart. when we dropped my son off at the school we saw a guy selling book shelves. at the steet light. and demian asked me; "why donâ´t we get a new one and that is it. i got home, grabed the hammer and nails. long story short, i bought the wood and all what we needed it and then i asked mr. luis from the company to get the wood and cut it certain way. i used all resources at the company, the comanyâ´s car. -and how much was it? -a lot more, the new book shelf was 1100 and we had to invest 1600 on it. there was a him to do it. construction guy outside the school, i will pay and since i had to carry the shelf on. my back. why would i tell you more. after we went trough all that i told damian we should have bought the book shelf instead. the problem was not planning all what we need it to do. i didnâ´t realize at first,


i fixed it for my son to know his mommy did it. -my kid didnâ´t notice, he was not with me and i think he wouldnâ´t notice if i would have gotten a new one. so, this as an example, we work on the lab really excited, because we are very emotional people. -we are very passionate about it and we donâ´t see it as business. -one thing is being a dental technician. one thing is being the owner of the lab. -true, true said. -the owner of the lab must know all the procedure to guide the employees. but he doesnâ´t have to be doing just that. he has to run his own business. -of course. -i noticed here in mã©xico, trough... carlos ... slim. he is not at the office, next to his secretay running his business. -he runs telefonica or i donâ´t really know what he does. but iâ´m pretty sure he doesnâ´t sit still and do just one thing at a time. he runs heâ´s business. he doesnâ´t have an idea on how things are done. -wow.


-yes or no?. -yes. -you were sent by god germano. -really. because a friend of mine told me once, he quited ingeneering to become a dental technician because i love it. i donâ´t want to be on a rush if i quited my career to do this. i donâ´t want someone to note how long do i take to do something. if i donâ´t even have clear instructions on what to do. i want to enjoy making teeth. this is his hobby, and he doesnt see it as a businessman. -letâ´s call it "your passion". we should be very clear on the reasons why we have a dental lab. what our goal is. that is the only way we will have a clear view on what the expnses will be. -if i win, if i loose. if 90% of my clients send me fixed prosthesis, do i need to invest on removable dentures equipment? -no. it is better if i send it to a friend of mine who does removable dentures and then send it to the doctor. -exactly. -a lot of times that is also administrating your business. talk to eachother among dental labs is good. and we do that very little. a practical and real example is, the casting machine broke at my lab one time. back then there were still pounds, it was like 10million pounds, probaby €10thousand euros.


there was this lab like 100meters away from mine, they just got their own. why do i have to spend €10thousand euros if the other lab already did? i called him and say; i set the casting rings, i fix it all. you cast the alloy and then i pay you. i ended up winning a lot. i kept €10thousand euros inside my pocket. this is administration also. i donâ´t have to purchase something just because everyone does. there might be dental labs that might have something for me. that easy. -you donâ´t have to be selfish. -exactly. besides that you end up loosing. that is the worst. our audience says; this is a great subject, it will help us all. people is watching from venezuela saying the have seen all videos and they are very helpfull. and we also have a lot of people sending their regards to us. what else do we have to go over? -depending on the equipment you intend to use , some of them will require a water softener.


yes, it is true that you need the water softener. but you need it for more than all this equipment. the water softener allow us to have clean water. it doesnâ´t work just for the steamer. we may use it were the acrylic curing equipment is at. you add a "t" shape key and water comes out of anywhere. or, use the water we get out of the water softener to mix ceramic powder, to mix plasters, for the iron iâ´m pretty sure. and also for the equipment. we must also have some fantasy and where can we allow fantasy to happen. not on disinfectants. but here, we are able to do something. being said, i will end a conference that might go for hours. -and fascinating as well. -to get away a little bit from teeth, right? but to see things from a different point of view. without any big.... well, logically, if we want to analyze costs, expenses and how to look after our lab and to know exactly how much should we charge. and of course, there are people, who get paid thousands of dollars to do this calculation. but there is no need to get there. if we have a cronometer to know how much money is every hour at work, how much money is all material we use. we may calculate. we may also ask our tax manager to calculate how much are all costs, light bill, gas bill, phone bill and all this.


and we can get pretty close to the selling price. and we may also calculate how much time do we need on every task. -time always ruins things up a little bit. like i mentionted this morning at the begining of the conference, dental technicians are obsessed with teeth and they pay no mind to anything else. it is our job. to make teeth, yes it is. but we have to make money making those teeth. if not, why did we open a company? i hope ending the conference with a littl something for all. on this thursday, in monterrey, i will give part two of this conference, which personally i love it, personally i am facinated with it. i will have to go to monterrey too. -disinfection, which is biosecurity of the lab, it is another field we donâ´t have a clue on what we do. crossed infections we transmit without a problem. -of course, a lot of this is very important, and i want to enphazise on this. a lot of dental technicians have kids and they have them at the lab, really. -no, absolutely not. that is very dangerous.


-that is something that ... and being honest.. lalo, my son, will visit his uncle jorge at the lab and ask him to play with the microscope, and this and that other thing. but, really, we have to realize how important that is. and as a mother of a father we have to know how important that is. we have to understand, if we donâ´t disinfect the place we are at... -just to give you an example, the first thing that comes to my mind when you said kids. you must think, when you get an impression, you wash it using water, you dry it using air, you are making a spray. everything laying there will spread all over the place though the air. -all the way to the kitchen. - and right next to you is your son. -i think you hate your son if you do that. you want to kill him. -i made a comment out of this..... we have to understand what are involved into. like you are saying, my kid makes teeth, he builds ceramic teeth already. i have pictures. -the lab is not a place for kids.


-it is very important. and i want to thank you as a dental technician, as a businesswoman and as a mother of a kid. i think this conference is one of the best i have heard in my life. you have solved a lot of questions that we had in previous conference. he was a teeth professional, he shared with us the way he does it. since it is a pretty open forum, people come and share their knowledge. but not on how to handle material and all the stuff you spoke about. thank you so much for bringing germano in. thank you for comming germano. -since i travel around the world, if i get to trip to anyone from the audience, i will talk for sure. thank you so much to all of you. -and thank you so much. we will be at the dental fest. everyone that was at the nortec has free access to the dental fest. get ahold of me please. and for the next updent we will be with dr. cabrera talking about something very important. which is high quality fixed dental proshtesis. we will be waiting for you on the next updent. thank you. production host alma arguello gonzales scientific advisorsjorge arguello hernandezjorge arguello gonzalezcarolina parra chaparro


up dent director cameras and stage angel garcia de la fuente webcast editor in chief abraham avedaã±o cordero master audio julio rodriguez ortega community manager pilar varela rodriguez customer service ricardo retana ramirez maria eugenia arguello maritza martinez camacho subtitled by, german kloth, international advisor for atd and updent international.

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