Dr. Steve Williams has been placing implants for over 20 years and has a passion for teaching others. He is an owner of a large implant-geared general practice just outside of Dallas, Texas. He operates the Dallas Implant Institute, teaching dentists from around the country both clinical and business aspects of implant dentistry. Dr. Williams received his DDS degree from Baylor college of Dentistry in 1987 and is an Associate Fellow in the AAID. His articles have been published in Dentistry Today, Dental Economics and The Profitable Dentist.
VIDEO - DUwHF #1355 - Steve Williams
AUDIO - DUwHF #1355 - Steve Williams
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Howard: it's just a huge honor for me today to be podcast interviewing Dr. Steve M Williams DDS AFA ID meaning he's an associate fellow of the American Academy of implant dentistry he's the founder of Dallas implant Institute and the Allen Dental Center and has been placing implants for over 20 years and has a passion for teaching others he is an owner of a large implant gear general practice just outside Dallas Texas he operates the Dallas implant Institute teaching dentists from around the country both clinical and business aspects of implant dentistry he received his DDS degree from Baylor College of 87 it's not so called is that Texas A&M now no and it had an identity crisis and change its name to Texas A&M and as an Associate Fellow in the AAA ID his articles have been published in dentistry today dental in expand the propyl dentist what are you gonna publish what a dental town okay I'm ready he still considers himself a student of the sign to dentistry he has over 30 years of experience so has fun with the profession he gets that no one likes coming to the dentist so his goal is to make everyone as comfortable and relaxed as possible he's been married to his wife Karen for three decades they have seven children and are now getting the benefits of Rancho seven children you gotta be Catholic Catholic or Mormon I get that question all the time neither or neither I don't even believe you I need to see their I need to see your identification card so you weren't Catholic or Mormon just had a lot of bad luck flirt
Dr. Steve M Williams: before we got married there's a lady from our church that you to come to my house I need to tell y'all what not to do and everything and she asked me Steve how many kids you think you're gonna have she asked my wife I mean kids you think you're gonna have we pondered it we both came up with the same answer two maybe three God has a sense of humor you know
Howard: well I love Texas because four of my five grandchildren are in Beeville Texas you ever in her to be though I don't think it's right back by refugio we're Tim Rainey is by Galveston are going to be um so basically I'm congratulate how many grandchildren you up to
Dr. Steve M Williams: just one just one well this year so we're doing good 12th grade so we're moving in the next season a block right on
Howard: so tell me your journey how are you a dentist with seven kids and decided you want to start my gosh what has turned out to be a phenomenal powerhouse the Dallas implant Institute in Dallas Texas did you have lunch with Jimmie Johnson or something or Jerry Jones how did you just go from being a dentist for seven kids to the Dallas implant Institute
Dr. Steve M Williams: well my kids eventually all left the house and I still had energy that's where it is you know so I came about implant dentistry to the bankroll my father was a dentist and he used to place the blade implants so Perry Austin's and everything in the 70s and 80s I joined him in the late 80s and then when we were together about two years when he left I got to learn how to take out the blade implants and everything and I don't look you've got to take out some of those before but those are a bear they've got the nice holes going through them that the bone grows through and everything when you got to cut them out you're doing some serious cutting so that's how I started an implant dentistry in the late 80s Early 90s began placing in the in the late 90s didn't really enjoy it so I did meets for a while and then picked up route form and I'll tell you how I got started with the down simple Institute I got as you know Dr. Brady Frank is he's quite a business guy and has a passion for helping other dentists so he and I began talking several years ago and he had done quite a bit of work with teaching implants and teaching new dentists not necessarily young business but new dentist how to place implants and said Steve I think you do good at it why we think about opening an implant Institute I hope you get going a little bit tell you what not to do and that's what started the Dallas implant Institute so we're on the front end of getting going we've partnered with IH biomedical so IH biomedical is a company that supplies the implants the infrastructure and all that you can go to IH biomedical calm and you'll see some of our implants and all and everything that we promote I don't necessarily push a particular implant but I certainly tell dentist here's the one I like there's a great one to get going and if you look on that IH biomedical website I love the I hex to implant we can talk about that later
Howard: so I got a backup a little bit because I am on Brady um let's see he was just he was just on not very long ago he's been a friend of mine for thirty years he was eminent mmm episode 1 0 1021 and when he was on he was still with asti already so is this new is this new by IH biomedical comm is that Austin ready part 2
Dr. Steve M Williams: no so he sold us you ready to another doctor and that doctor is doing well with that so he sold all that continue trying to sell to dr. little it's called the little implant company you know I don't know where it is I've never done any business with them but I know it is the little implant company and dr. little and so anyway ready to vent information knowledge found a way to help dentist start placing implants you know in in our country I always ask this question about seminars who's placing the majority of the implants and almost everyone says the specialist the answer's no generally based replacing the majority of implants and then the obvious follow-up question is what percentage of general dentists replacing implants are right now and they say 40 or 50 and I say 12 13 14 15 percent so in that neighborhood then the next question is how about Europe what percentage of general dentist in Europe or placing implants and the answer is 90% so Europe uses Jonas gets the implants and but four surveys are know that we only have 10 to 15 percent of Germans place the implants I'm allowed to be able to get general dentists placing implants so that's kind of a focus that's my passion I met that second season of life were not working
Howard: so USA do do the USA implants Europe do do that again okay
Dr. Steve M Williams: so in America about 15% of general dentist or placing implants you see different studies but about 15% in Europe 90% of general dentists replacing implants the next question is are the majority of implants in the US placed by specialists or general dentist and the answer is general dentist so those 15% of general dentists that are placing the implants in the country are placing the majority of the implants in our country my contention is that placing dental implants is less difficult than a good upper-class to composite what do you think about the difficulties with the class to composite everything
Howard: you say in America 15% of general dentists place implants but what percent blame you say they place the majority you know what that majority number is
Dr. Steve M Williams: I think it's over 50% but I haven't seen a good study I'm gonna say somewhere between 50 and 60% are probably general dentists so
Howard: so you would say in America 50% of general dentists place implants but they place the majority but if someone pin you down for a number of that majority what was the number be I don't know
Dr. Steve M Williams: I'm gonna say 55 but you're gonna have to look that one up but they
Howard: so you'd say they place over half but they place over half oh yeah absolutely over half and then in Europe 90% of general dentists place implants so they yeah yeah that is that is truly amazing how the will you go to the American Dental Association Dental Association but traditionally has been all specialist and they volunteer all this time but it's not all altruism it's also they wanted to be able to press the flesh with referring doctors and so most of their moves over the years were so blatantly pro specialist that that caused the AGD to become so big in fact when the American Dental Association just changed their requirements that manufacturers can't have their ad a syrup rule for continued education the general dentists like well we don't we don't even care what is the AG D that's what we want our AGD hours and the agency said we're so good and so the dentists like they don't even care and you know so we've got to get dentistry back to that team approach because we only in 1900 only there were no specialties and now the MDS have 58 the dentists have 10 it's still a team approach I mean there's Dentist right now that won't even listen to this podcast with you because the last thing they ever want to do is place an implant like I don't want blood and guts I want to do bleaching bonding veneers and sleep apnea who the hell wants to be a doctor that actually does surgery and causes blood so on so it's everyone okay
Dr. Steve M Williams: I listen to a lecture about 20 years ago a guy by the name of Howard for ran was lecturing on the same time as Omar Reid you remember that that was probably in Arizona and you guys are both like stream and you fussed at the general dentists that weren't willing to take out wisdom teeth you said it's okay guys you can get in there you can learn how to do it it's just a little bleeding and a little bit of blood get in and learn to do it it's motivations from people like you that made me go okay maybe I could learn and do something a little bit different or at least change to fight and blah so Morita's
Howard: I think I got I think his funeral I'm going to is it this Saturday I think it's yeah it's uh it's February 29th and but yeah Oh more such alleged it's the first funeral I've ever been to that's gonna be filmed live on a live web feed because the Icelandic and all these all these people are on the world don't want to fly in so that's actually it's gonna be live streamed I miss my first live stream funeral but but the dentists know they don't realize how narcissistic they are like I say well are you or your policies Pro patient or pro debt yourself oh very Pro patient okay what's your hours Monday through Thursday 8:00 to 5:00 really the Federal Reserve has 3000 PhD economists they said that number one barrier to healthcare access is your hours and then they say well I don't want to pull the tooth okay well how would you like to go to emergency rooms a broken leg and they say that what we don't do legs and we just like arms and so it comes up to that availability and access I know you're a doctor and someone comes in and with the to think that's what you do if there are tenors you pull it if you say well I don't like it well how old were you when you first discovered there's gonna be things you don't like I mean you know I learned it a day one with my two older sisters and then continued to learn it with my three younger sisters that's a joke but I but you know so I suck it up buttercup your parents lived in cages during the Ice Age living off Mastodon dung and you're telling me you don't like pulling teeth I don't really care what you like or don't like you're a doctor it's availability it's access and when you were talking about blades you know the thing it actually it actually made me feel sad when you're talking about I'm doing blades because when I got out the guy across the street was placing blades and Ramos frames and showing me and these guys were just the pioneer legends and then they get one malpractice case you know cuz they're all big cases and then a board who didn't even know what the hell they were looking at you know they take their license away and send him off to destitution and those pioneers paid so many prices in those blades and subperiosteal to get us here that when Brad and Mark finally came out with those little mini dinky single little deal I mean the foundation had been laid by a lot of pioneers who lost their license and retired in a in a mobile out there in Apache Junction just drinking themselves to death because and that's why I tell these young kids you know the you know what the Ten Commandments are the eleventh commandment is don't talk bad about another Dentist especially when you're thirty in he's 60 and you don't even know what they've lived through so just shut up learn and lesson you're not the only good guy that's moral and just I mean those guys fix so many cripples with their subperiosteal and then and then to have some guy at the board take their license away cuz one failed and they they're they're the ones that were causing all the dental cripples so when I got out of school they told us in 1987 that dentures were headed towards extinction and now America does more dentures in 2020 than 87 so my question to you is I see what why did dentures not go extinct everybody knew they would go extinct and and that was when cad/cam was coming out from France and the CAD camp the serac machine was going to extinct laboratories and the patient would no longer get dentures and now it's reversed the CAD cam chairside milling never reached 15% and we have more dental dentures today than ever before wait way is that
Dr. Steve M Williams: well if you remember at the turn of the 1900 and 1904 the American was in the 40s oh those now this we'd have been wait a minute now right now my dad's 85 he's a retired dentist and doing well and so you know people live a long time and when they're 80 they want to be able to eat just as well as they did when they were 60 and still only 50% of the population goes to the dentist anyway from what I hear there is a huge sea of opportunity for this to learn more and this tree you're a student the whole time anyway right keep learning keep martens like you
Howard: before we start talking about I feel like I don't want to start giving instructions I had to drive from Phoenix to Dallas before I need you to put on your dad hat I'm your dad's Dennis your brother's a dentist yes seven Kansas but there's someone's got that recessive gene mutation in there somewhere but a lot of the kids when I'm in dental schools they already tell me look I am NOT doing molar endo they did a molar and don't it beat their butt and they're afraid and they're afraid of they very tired pull a tooth and they only got the crown out they never got the root and they just graduated with $400,000 student loans don't listen to any of the crap about the average is $284,000 because they're purposely intently knowing that 20% of the dental students their dad's paid for it all and they're averaging that number down in a malicious way just be upfront you've raised your dental school to a hundred thousand dollars a year and your kids are coming out four hundred thousand dollars and dad and if you come out four hundred thousand dollars debt and you're already afraid of molar endo and pulling a tooth that's gonna be hard to give back so put your dad hat on she's already listening you saying I'm not flapping a tooth and placing an implant and I'm not gonna pull a wizard tooth I'm just gonna be the bleaching bonding queen of Dallas I just want to do veneers on supermodels yeah what would you say what would you say to her oh listen you need to come to my seminar
Dr. Steve M Williams: well let me back up you said my kids getting the recessive gene I had five daughters and two sons I've got one son that just joined me in practice graduated from the antium dental school so I'm right there with you on the school did and all that kind of stuff and his dad did not pay for his dental school me I let him have the skin in the game so he does have a big bit coming out and yes he's doing molar endo he's working with me now we're giving him everything he can shake a stick at he's already placing implants doing full mouth surgeries he's starting wisdom teeth and everything and he just graduated this summer now and not yet he's getting married this year
Howard: have you told him that if he once he delivers the grandkid you'll pay off his student loans have you started bribing him yet so anyway it's fair she's just afraid she's fair how'd she get her over fear
Dr. Steve M Williams: you're afraid of what you don't know and remember bill Dickerson used to say all the time you don't know what you don't know and doing those big old Bondy cases I went to lvi you're not gonna remember this but I'm fixing to take you down memory lane and about 20 years ago after a year - after I graduated from LBI with Bill Dixon and I was doing big cases I had a big corporate manager come in here and I did a smile makeover I probably did eight veneers or all ceramic crowns in front bonded them he moves to Arizona about a month after I bonded it he calls me on the phone and says dr. Steve I'm getting this black line that's occurring underneath my veneers and I go oh you're getting some micro leakage that's not good he said what do I do and I said you know what let me call you back there wasn't internet at the time but I knew there was a Dr. Howard friend that lived there in the Phoenix area yeah I called you on the phone and I said hey I need you to redo a case for me I'm going to send you a patient I'm gonna write you a check for what he paid me and you getting picked up sure enough he came to see you and you took off everything I had done replaced it all look great I never heard from him again so I think everything went great so that's what it is it's education don't be afraid for mistakes to happen they happen my goodness I had to redo a class to composite that wasn't tight enough on the Meisel of number two this morning I could take the approach I'm never gonna do a class to composite again because doggone it those things are sometimes sensitive or sometimes they have an open contact or sometimes there's a Ledge or whatever you can't you just powered through it you learned again being a good thing because there's not a problem you're gonna have out there that every day instead in half before the other things do their courses just teach here's here's simple dental implants in your practice we're not telling you have to do the all on fours or all an X or anything like that but here's simple ways to take care of your patients here's the education to do it and let them decide at least if they want to do it I hate it if they make the decisions because somebody told them you can't do that but I'm okay if they go and get the education and then decide for themselves they're not gonna do it okay that's different but you can do it and I love for them to see a general dentists like me and like you that place implants and life is okay life is actually good and our patients appreciate the service
Howard: so basically the thing I'm hearing on the street a lot is so here's the what's rising all the implant boats when you go around the world all the dental insurance schemes where there's maybe government National Health I can England and France and Japan they don't set the fees for implants and aligners and the fees they set a molar endo or $100 a tooth so when you're in Tokyo these Japanese doughnuts like how do I do a molar root canal for honor bucks so you're you force them in France to tell you that tubes coming out because they're not gonna do a root canal for a hundred and then they'll place a fifteen hundred dollar implant and so when you look at the flat dental industry that economically is flat is United States economy from 1980 when I got out of high school to now it's about one half three and a half percent that's what dentistry is growing at around the world except for implants and clear aligners we growing double-digit so that's lifting all the times okay that's the good news that's why everybody's going into it and a lot of these bait-and-switch Medicaid farms insurance farms they do all these cleanings exams and x-rays and fillings for a break-even or loss because they're trying to upgrade either one Invisalign case a week or one implant a week and that's where they make all their money okay so that that's all the good news and so all you people who went national socialized medicine god that's just so gross anyway I'm the bad news is the DSOs are telling me that we get these kids out of school and we have them do a molar root canal and Delta will only pay us a 650 for the kid to do that molar cow but if we bring in in it honest though they'll pay us 1250 so it's we make more money pay ended on us 50% of cost then we do a general dentist doing 25% of costs and the data is that if the general dentists do a million root canals in five years 10% are extracted and when the in denies to at 5% extracted and now the DSOs are told me well if I have a periodontist come in and do the implants if that little kid comes in in places ten the five years he's gone I might have to have the periodontist replaced you know some of these cases so the DSOs are like my gosh the insurance the company paid me more and I'll have less remakes if I have the endodontists and specials to it so how is that gonna affect your academy teaching young dentists to do it when and I'll be honest with you I I'm the schmuck - I don't want to graduate I don't want to hire a kid that graduated from dental school yesterday I would much rather have someone I like to get him in Arizona not coming out of the two schools because every time I've done that I've replaced so much dentistry I like to get the ones that are from the cold who their kids go off to college say you know what I'm sick of Minnesota I'm sick of New York I'm gonna retire in Phoenix and I don't want to start up again so I focus on the retirees and if in my practice so how do you get your head around that
Dr. Steve M Williams: so education you're right but you have to start somewhere you know you and I both started somewhere and my goal is I'd hate for mine and your generation to move on without passing all the things that we've learned in the next generation my dad showed me in the 70s and 80s that a general dentist can do surgeries and do more than he thought he ever could and my dad did wisdom teeth back in fact he used to go to cross the street to the hospital oh are to take out wisdom teeth and that was in the late 60s and 70s and in the 80s then our own officers got so well equipped with fiber optics and high speeds so again you don't know what you don't know I would just encourage Dennis that's one of the things we've set up well two things number one the corporate dentistry is insurance driven unfortunately I'm in a fee-for-service practice we accept traditional insurance and stuff but we're fee-for-service there's always going to be people that are willing to pay for good quality high quality to a dentist who will stand behind what he does and when things don't work out so good it's okay you fix it by the way I love my specialist eye specialists that I use I've got a little surgeon that I use when there's stuff that I don't want to mess with he takes care of it for me and does a good job so I'm not a proponent of not having specialists I'm just a proponent of this learning more and taking care of their patients to me the best thing for my patient is that I take care of them and if I can't which is rare if I can't and that's okay they understand they need to go to a specialist and everything's good but to me what's best is for me to take care of the patient I would tell the general dentist out there who is that patient trust more you are the specialist most of them say you they trust their general dentist they're there for a reason now if it's an HMO PPO and I'm not I'm not all opposed to that I know there's a place for it but in my world Peyton's come here because they won't want to because we earn their trust and their competence which is the way it is all across the country we're no different and most in us out there I like the idea of being able to take care of them have a relationship with him that goes on for years and years yes go ahead
Howard: okay so we started off that I thought Brady Franklin he was on the show he had austerity but he sold that to dr. David a little in San Antonio which now calls the little implant company and he went with IH I biomedical so my inquires mine what's that I H biomedical yeah ih biomedical so my question is why did he sell off I'll still ready to David littles a little implant company and why do you I mean I think Brady's a genius businessman and I know you're a sharp cookie why did you like ih biomedical more
Dr. Steve M Williams: the nice thing about ih biomedical is there are four implant designs there's the i-x one got a rounded tip IX to a nice aggressive tapered self-tapping implant and then there's a ih active and then there's the more stork now so think about it those four implants from one implant company given ad great prices now that if somebody wants to switch to our company we probably had the implant that they're already using so no need to buy and fill your closet full of more implant stuff so when people switch to you know coming to the Dallas implanted I asked them what implant are you're currently placing and they say oh I'm doing a such-and-such when I'll say we've got an implant that it absolutely fits that our components fitted you don't have to buy new drills new anything you're ready to go as you know those who and dentistry alternates it calls it full of things that they've tried through the years the nice thing about IH biomedical is that the designs are there to fit what's being done 85% of the dentist in the country that are placing implants just you get to play get to pay only half the cost of what you're currently doing that's the benefit so we've got all american-made manufacturers supplying our implants for us you know the commoditization of implants do you remember when brass were had their great black stripe gross reduction diamond for press 25 years ago and they costs five to eight dollars a bird well it didn't take long before other companies figured out how to make them at a dollar a bird things weren't good same thing with dental implants instead of paying hundreds of dollars for an implant you can get the exact same thing probably the same manufacturer or close to it for a quarter of that amount so that's kind of been the goal to be able to have an a systematic approach for general dis to learn implants to be able to place implants
Howard: okay so again again I gotta stick out for my kids because when I go out there these kids the younger they are the more they love it but so you basically said the best implant designs all under one roof and you said they were the IX 1 IX 2 in active more stork so right first of all just explain where the names come from because they're everything does this IX have anything to do with the internal ax
Dr. Steve M Williams: you'll never see this word out there the IH NIH biomedical stands for implant holdings now you'll never hear that that was just freebie that you just got it's implant holdings for me I tell all my students it stands for internal hex just stay with that and if it's better so I pushed the I hex to implant the I hex two implants got the internal hex connection work great labs love it easy to work with it's compatible probably don't need to mention a bunch of other companies but it's very compatible with a lot of the major brands out there that have an internal hex if you'll look at it on the website it's got a self-tapping into it it's so nice because you can take a pilot drill in in d1 or early in d3 deep or bone you don't even have to take the pilot drill to depth you could take the pilot drill 75% of the death may be slightly and larger osteotomy with one other little bird halfway place your implant it's gonna screw in like a wooden screw and grab bones it's got slots at the end of so that excess bone you've done implants we lose a ton of bone on our geography bursters we're pulling out all this great boning flush it away and my assistant sucking it up those nice slots on the end of that I hex to implant grab that extra bone and just say friendly place
Howard: so you're saying the I hex one and two even though it's said for implant holding or both internal hex right okay so you got read it I got a stick out from my homies you got to carry it further why is an internal hex better than an external hex why do you like internal axes over external axis
Dr. Steve M Williams: so the external hexes they had their time in in history but extra hex just seems to collect more bacteria internal tax just gives a better position bacterially for keeping things clean so again you want platform switching now we're going into what we cover in the class and everything but here's the nice thing about an IX suit all platforms are the same every abutment fits every implant in the ix2 system now for those who do implants they're stopping their car and pulling over and say what did you just say every abutment size fits every implant size in the IX 2 now that I just reduced your inventory by probably 70% of what you're doing nice that's the that's the nice thing about it you don't have to have a few hundred thousand dollars of implant products and parts in your closet like most of us do because it just fits that's why I love the IX –
Howard: so you don't like internal hacks because of microbe external links say that again I like the in
Dr. Steve M Williams: yeah I don't like external hex we like the internal hex in fact I would say probably 95 I hate to give a number 95 to 98% of implants out there are all internal connections right there either Morse taper they're active and internal which is a cross between a Morrison and internal Hanks if everything is internally driven I don't even see bring me any external hexer you know or external driven implants everything's internal
Howard: okay so everything is internal so the external hex was I'm sorry you you're cutting out on me it's uh it's been hard everyone saw so you're saying that the external hex is a better environment for microorganisms go
Dr. Steve M Williams: correct external hex is good for bugs we don't like bugs so we're gonna stick with an internal hex for sure
Howard: so X relaxed you better for bugs that's a that's a nice way to remember that so then when you go to internal so okay so then you also set a term I got to stick up for platform switching some of them might have been taught it was platform shifting over go here what that is again
Dr. Steve M Williams: so basically you've got the outside diameter of your implant you can have your abutment fit right on the outside edge of your implant but that little connection is going to harbor a little bit of bacteria and all the studies show you can get a you know one or two millimeters of bone dieback because of that little bit of bacteria that collects a class right there at that Junction so that's if your abutment fits right on the outside edge of our implant platform switching or means that we move that connection inside the implant just a little bit further maybe a millimeter maybe a millimeter and a half so we're just moving it away from where the bone is platform switching it's a turn the external hex does not have platform switching or shifting that's an internal accident correct
Howard: so you got rid of external hacks because of the bugs and when I was in referral last month in December it was amazing this is um it's amazing how these implant companies have realized that you know that a lot of the periodontal failures you look at these implants under you know 10 20 X and you see all these shards of titanium from the processing but more importantly that they're covered with microorganisms and cleaning cleaning cleaning is everything and there's a some of these implant companies are saying you know the cleanliness of the implant we send to you is one of the largest factors of your success so that's why external hacks and is dead and internal hacks and platform switching is where you're down to yes
Dr. Steve M Williams: oh let me go one of the steps so now what they found out this is you know this is an engineer sitting in there in the lab somewhere there now coding our internal hex r IX to so when you go to the website you're gonna see IX 2 they now are putting that thing in a titanium sleeve you know when you get them now they're a lot of implants come in a plastic vial or something like that these engineers saying when you take that implant out you're bumping across the plastic vial when you're taking it out and you're putting little shards down in there and that's not good so they come in and say if we put a titanium sleeve we package this I next tube in a titanium sleeve so that when you take it out there is nothing titanium and you put in the bone and it's nothing but a titanium as the best environment that's what we do I'll be interested to see a time very succinctly then I'm just real quick what's difference in the I acts 1 & 2 because that's half here inventory ok so my next one has a rounded tip so if you're needing to up fracture the sinus floor you're in a place that you don't want any aggressive threads go with an IX one for me I only use a hex two for every situation that I have I have yeah and I do the all on X I do full arch I do singles I only use a hex - that's just me I like the internal hex it fits with the previous company that I've been using
Howard: so so um I I x1 as a rounded tip which would be more for sinus lifts and bumps I hex towards the only implant that you currently use that you use and you said you used to
Dr. Steve M Williams: use which one dr. de lys they do a great job I love them good folks good company better Mexican food in Albuquerque than not tex-mex but we'll continue and the hot-air balloons are pretty there - I've seen them all so anyway VIX - is such a great implant for a new dentist to start with because if you're a little bit fearful of prepping all the way it's okay you can still put the implant in there give it a few extra turns to seat it where you want it it'll grab the bone and lock it around it you don't have to go in scary places when you're prepping that implant so anyway I like the i-x - some doctors swear by Morse taper they love the Morse taper I know labs hate the Morse taper because they get stuck all the time let's go to each activist next was so I each other so I each active is a little bit of a cross between the Morse taper and an internal hex it's got a little bit of both it's a it's an aggressive thread pattern on the outside you know which company is compatible with no Bell active it's exactly the same thing as no Bell so if you're currently using no Bell and you would like to pay less I hate to throw anybody under the bus but if you like to pay less look at the IH active I shanked it and then the more tork yeah again it's a Morse taper so it's that cold weld once you torque it in there is in there they don't come out so so easy the nice thing about an internal hex is if a patient has problems in the future it's awful easy to deal with however if you have problems with a Morse taper you could have an irreconcilable problem now the nice thing about our company is they've created a way a little locking device that you can pop that thing out it makes it so much easier but that's the Morse taper and what you say IH active is a noble act of knock off more torque what is the Morse taper knock off which you don't get to most companies taper is so specific for that manufacturer you don't get to do a lot of moving back and forth for more tapers okay well Hanks and what about i-80 x1 what would that be a knock off of you can do legacy you can do buy horizons the any number of the internal hacks will fit that that is the most compatible implant is the internal hex that is the easiest one to switch from one to the other nice and
Howard: so when they go to your so by the way I'm we're I'm your next court and this is not a commercial you did not give me anything there's no money Brady Frank didn't call me this is just it just doesn't work that way and but your this is February 10th you're 2020 core states are May 1 and to June 12 and 13 August 14 15 August 9 and 10 August 13 and 14 I so it's a two day course what are you gonna teach at that two day course and so it's basically it's basically two grand right it's nineteen fifty right yeah what about that kids is like look you go learn an implant course your first damn implant case is a root canal is a the crown is 2,000 you go learn orthodontics from Richard Let the only board-certified orthodontist who taught orthodontist at UCSF s in Detroit this course is 5 grand what is your first ortho case five grand so if you're looking at the case at the tuition cost it's not a balance sheet number it's a cash flow say to me if I go to his course this month and pay two thousand and come back I pay my bills monthly rent mortgage a computer insurance malpractice professors if I if I give you two thousand this month and come home and place one implant for two thousand it costs nothing but your time so don't get caught up on the two thousand but there they are scared they're young they're green behind the ears do you think I want to ask you this because in the ortho courses I took you would go listen to these orthodontists who prided themselves and complicating everything it was like college you know if an instructor knew nothing they would just show you all the math equations cuz they know that they could he could appear smart if he added all the algebra and calculus to it and I would always ask the instructor real simple if a hundred people took your ortho course how many would band up a case and Brock rinoa the highest one everybody in his class bonded up a case and and Richard Lit was number two I know ended on a set teach on the circuit where people would go to their courses and decide after the course to quit doing endo I'm like I mean he's the anti teacher so my question to you is if 100 of my homeys straight out of dental school green behind the ears took your course how many of them would end up placing an implant
Dr. Steve M Williams: I'm gonna do everything I can to make sure all 100 here's what we do so I'll go one better for the 1950 we're gonna give you five implants that you get to take home with you for that amount okay you get five implants you take home we're gonna let you pick out which one you want of those four and then I'm gonna teach you how you're gonna place that implant I'm also going to mentor you so that's the next thing this is almost like a boutique Dallas Implant Institute I'm gonna hold your hand in fact I'll come to your office there's a fee there but I'll come to your office look over your shoulder or you're gonna let the patient pay the fee for your education where you get to place implants in your office on your own patients with me they're looking over your shoulder making sure everything goes well and that's what will get you going well you know currently you can leave the country and place implants nothing wrong with that but in our country it is hard to go place implants in somebody else's office because of state boards and regulations and all that but I can come to your office look over your shoulder I've already had a relationship with you make sure that we get that implant in there perfect you feel good about it I'll make sure you got the right supplies and everything so we do everything we can to get you over the emotional hum of doing it the other thing is how much is for you to come to the office well it varies it depends on where I'm coming of what we're doing I've got one case that I'm gonna do a full arch for probably gonna charge him around 7,000 I would be willing to do something that's closer in my area probably 5,000 Dr. Brady says don't charge less than 10,000 because you're gonna cover it from start to finish the whole case so somewhere in that neighborhood I can be bought pretty cheap because I'm having fun there's nothing better than going to somebody else's office and look over their shoulder to make sure everything goes perfect well
Howard: just a heads up Arizona is the only state it has a very pro-business tree governor and he passed a law that if you're licensed in any state in America for a nurse a dentist whatever your license in here and that's why we are ground zero for DSOs because DSOs so many times they'll need to endodontists to go to Texas but they got one in Florida but he's Dodd didn't have the border Bubba and the straw that broke the camel's back was nurses I mean every hospital needs nurses and the problem nurses can't move around so if you ever come out to Arizona you could teach these over-the-shoulder hands-on courses and that's why there's so many over the shoulder hands-on courses in Arizona because of that wall because my understanding is already Frank setup over-the-shoulder what I want to use you and Brady set up an over-the-shoulder in Arizona I'm good
Dr. Steve M Williams: well I'll do it anywhere in the country because my people come to my Adela's implants to from all over the country and I'll fly anywhere in the country I'm going up to Pennsylvania here in a few months to work with a case on a full large case for the guy just look over shoulder it's his first time to do full arch he just wanted me there I'm gonna go up there and see him in in Pennsylvania so again we are all about what we do at the Dallas implant Institute is take a protocol driven method here's the guidelines here's what you need to do here's the equipment we recommend at a great price we'll get get you going with a CB CT a motor that works great show you how to do it limit the stock that you're having to put in and just get you over the hump our whole goal is just getting it over the hump and if you get over the hump and you place a few implants and you decide you don't like it that's okay I'm all for it at least you tried but if someone is fearing you or steering you into not placing implants boy I sure would like to visit with you for a couple of days here in Dallas you'll see a bunch of guys that are in the same boat that you're in wanting to know should they do it or not you get your 14 hours of CE credit you didn't spin an arm on the leg you get to take five implants home with you I'm going to give you all the protocols you need for placing single implants now we also do a level 2 course it's a one-day course where we cover how to do the all on X how to do the full arch stuff we can do a free hand or guided speaking of guided let me throw in their premiere 3d lab comm premier 3d lab comm we came up with there's a guy there in Oklahoma's named Dr. Pete sober you know about printers guys scanners anything electronic digital computer this is the guy he works with blue sky bio and has helped him and even designing some software things helping them with glitches he figured out a way where you could take a brand new dentist show them how to just snap a tooth or guide on no keys no metal sleeves no big kit that you have to buy of 20 different drills for 20 different sizes and you can do it with usually two drills that's it two drills through the sleeve place your implant and you're done it's probably a 20-minute procedure and you're done that's what we're doing with premiere 3d lamp it's just now getting going just getting started but I think it's the way for a new dentist it's a start I do implants take over the fear working below ground and doing something that they feel good about a guided surgery planned for you and everything
Howard: okay so Pete Stover I'm just trying to get all this side clear which I think it's so hilarious that I'm you said his company is called pilot plus implant guides plus pilot plus is the name of the system what we're sending everybody to premiere 3d lab yep okay so let me get this right okay so we're my own hair so Pete Stover and in Oklahoma yeah and his company here and this company's premiere lab which I did this house to my brain is I just think it's hilarious because the first time he ever emailed me his email address was premiere back when it was a yahoo account
Dr. Steve M Williams: so he's uh he's like that premiere name for a long time that's it okay so his lab is premiere 3d lab calm so you should be able to figure out his email address for that story I just told you but anyway yeah I met him on I met him lecturing in Tulsa several times and by the way as his email says he was the guy in the Starbucks shirt so so you started so now you own a system called pilot plus implant guides so when you're looking at our Dallas implant Institute command P comes in lectures for me he comes and helps there at the course so you get P to the course as well and so it's just a straightforward protocol driven here's all the parameters here's how you stay out of trouble you're going to go home with a manual that has it all in there with you how to order the implants in fact my course director will order your implants for you we can't make it any easier than we feel like we've done it and for $1,900 you get the five implants you get the two-day course and you get us you get my phone number you get to contact me it just is the way I'm gonna pass it on you know everyone's told me and they've told you the same thing don't retire don't don't quit early because your wife's gonna kick you out of the house or something like that bad and it's the same with me I put in thirty two years of doing this I graduated the same year you did and I've still got energy I've got I'm gonna do some stuff I want to help some other folks and that's what our whole passion is right now helping young dentists learn to place implants taking great care of their patients in a good way that's our bottom line
Howard: okay so when I'm on when I'm on that premier 3d lab premiere 3d lab comm I'm okay so that's a lab and that lab is in that lab is in Elk City Oklahoma City Oklahoma in the middle of nowhere it's a great place unbelievable so then go back to your course so they're gonna give you a two thousand dollars and what are they gonna learn
Dr. Steve M Williams: okay two days they're gonna get to do they're gonna one day full of lecture all the protocols looking through the manual knowing exactly how to place the implant day two we come in my office I let them do hand his own models using my motors seeing-eye hex to implant or whatever implant they want to play with they get to play with models and themselves most of the time so far every course I have one of my other doctors here in the office place the implants on one of our patients they said they want to be teaching cases so they'll come in and so the doctors get to look over the shoulder watch live surgeries here in the office and then I sit around a table with them and go okay where is your roadblock what are you struggling with and we sit and talk for a couple of hours about what can I do to make it comfortable for you to go back to your office and start placing implants immediately and what
Howard: by the way I see you guys some of you are calling I H biomedical small I capital H biomedical and then some are capitalized in the eye is a smaller R capital I
Dr. Steve M Williams: yeah that's been a good discussion amongst all of us I'm still doing the small line but it won't when you're going on the website
Howard: okay so number two question I I know how my homies thing because I they email me Howard at dental town calm and I answered just about 300 emails a day seven days a week and I know what they're gonna say they're gonna say are you do I need to buy I come out of school four hundred thousand dollars in debt should I buy a hundred thousand dollars CBC T is that the standard of care it's it's it's a year of dental school for a hundred grand so and answer that okay yes
Dr. Steve M Williams: so I think now CB CT is probably the standard of care in placing implants now tell them to talk to me at the course if you're townies talk to me at the course when they come I can get them a brand new CB CT scan well under seventy thousand dollars I know it is it is a generate you know generate high GE o GE n o ra wine generated that's the name of the company yeah they contact me I will take care of making sure they get one for substantially less than 70,000 I've got I bought a CB CT machine ten years ago it was a hundred and fifty thousand dollars it was the Cadillac of CBC T's but now I've got a ten-year old Cadillac these new ones that I can get for mid-60s are better than what I've got I was initially I was right there generates Korean is it yeah anyway continue but go on and so that that one right there I would go with in a heartbeat over what I've got and what I paid double for and what do you have I've got Galileo synaxis Galileo that's that's sronia yes Sirona yeah and it's it's 10 years old it's been a great machine they're a good company but again it was 150 when I bought it it's probably this now and okay
Howard: so you so the generate is five or seventy five thousand bucks so it's gone from
Dr. Steve M Williams: if you get it through me we're gonna get it in the mid sixties if you get it through the implant Institute I'm gonna get it for you in the mid sixties and that's the the and which one you recommend that pop or a 3d premium the popper a 3d the which one the gix yeah I go with with the plus or the premium yeah no we talked about field of view and all those kind of things you don't have to read everything that's in their brain when you're doing these you know you just want to be able to see what's in a good field of view look at sinuses and all that and then also I'm gonna recommend a motor that they get I've got some great motors but motor makes a big difference makes a huge difference I was at a course recently and we were using a motor that's a very well known company even the sales rep didn't know how to work the motor it just was a fiasco in my mind so anyway we'll get you set up with motor CBCT we get you everything you need the drill everything you need for placing implants we can do it okay what about what about what about software treatment plan design
Howard: what about software you talk about hearts or generate what about sauce over
Dr. Steve M Williams: generations gonna provide the software where you can place your implants on it that's all taken care of with it no worries on that they're gonna be able to send a dykon file to to a premier 3d lab that's all going to be taken care of so if you want us to do a guided implant for you you're gonna take the picture it's gonna have a step by step by the way prevent $65,000 for that CB CT that includes in-office training in office setup in office training the software is included with it it's all there
Howard: nice so back to the class so we talked about the implant system which is necessary because that the largest dental show in the world and they're now up to like 275 dental implant companies none of my homies that time to go over there we talked about eliminating it to one implant company one implant lab you're making this easy easy easy so you talked about three keys of minimizing implant related overhead what are the three keys to minimizing implant related overhead is that just reducing down to
Dr. Steve M Williams: one implant one lab and one implant one platform and drew limited drills so with some kids you have to have a specific drill or every implant at you place but when you use regressive thread pattern like we've got with the ih2 now then you're using two drills I usually use two drills when I'm placing implants that's it two osteotomy burs and that's it I'm not stocking the whole closet full of burs I know if I need to go grab a healing collar for my implant it's gonna fit I don't worry about what diameter implant I just placed and what I am heating collar I'm going to have to place it makes life so much easier specially down the road a year down the road two years down the road I'm trying to figure out what the size I'm and I'm supposed to be placing or something like that it's all taken care of and then yes it's all done central Illinois I've got more than three keys that I could probably go over we can help yeah well
Howard: you know what you know what I what I would really recommend from you is um you know pinkie and Dawson and these guys you know they have week-long courses and it's hard to go from a flyer to go spending a week or a weekend at of course so what what they did what Dawson did is they did a one-hour online dental c/e for each one of their weeks and it was a it was the best marketing they did because it's a it's a big gap to go from oh that's neat to go spend four days so it kind of this intermediated the deal I mean when I when I look at your deal I mean cog each for so much the four advantages of taper versus cylindrical the three efficiency flaps for flapless surgical is three keys to mastering occlusion um you ought to do a one-hour online CE course and on dental town because then then it's a low commitment I just got to watch an hour on my iPad and then if they fall in love with you and it all works out well I'm am then they'll say you know I'm gonna go to Dallas even though I hate the Cowboys and they're the worst football team and the entire universe not just our universe but other parallel universes yet to be discovered then they will leave the comfort of the Arizona Cardinals and they'll go you know so I would do that it's how their mind works let them listen like you for an hour and then they'll say alright alright alright after an hour I'll go commit to a weekend
Dr. Steve M Williams: you know what dr. pre and when I discovered why am I not Howard yes respect listen when I discovered you in the 90s I took your advice ever since just about everything you give me advice I'm not taking it so it's been they served me
Howard: well thank you well thank you for the kind words but I'm Howard at dental town calm Howard Goldstein does the online sea so he's hoga at dental town I'll shoot you an email but I can tell you this there's only the two I tell everybody the same thing the two fastest growing areas of Dentistry from Kansas to Katmandu is clear aligners and implants and if you and I would tell you kids this if you're don't like blood and guts and you want soft and pretty and all that kind of stuff then then fine go go do all the clear aligners stuff but I'm gonna end you on this note that uh you know you're a doctor and you're a Doctor of Dental Surgery and you know if you get out of doctor school and you don't like to do surgery and you don't like blood I I'm wondering why you didn't become an accountant but let me tell you how blood at the end of the day equals money so the average net income for a dental specialist is 320 a general dentist 197 a dentist who owns their own practice skin in the game 244 at Dennis as an employee 147 but look at the specialties oral surgeons for $448 that's more than your entire dental school dad parried on us 330 what do you think Perry dollars are doing bleaching with their Zoom KITT no implants in Adonis 307 pediatric dentist they make 304 but I would rather just go to hell for eternity than be a pediatric dentist let's be honest but guys I mean if you the orthodontist are in the 200s there at 289 and the orthodontist they're $6,500 ortho case is being decimated by $2,500 smiles direct Club and smiles direct Club stock Wall Street knows that they're gonna disintermediate the orthodontist no questions I'm telling you if you're a doctor and you don't like blood you know you like blood you went to doctor school nobody wants to become a doctor who doesn't want to look inside a human so the bottom line is you know you won that you just got scared you got scared you fell down you fall off your bike and when I was in Kansas I remember I got bucked off my dummy who would get on a friend's horse who's named lightning okay that should have been the first clue when my friend David Hoff said ah yeah right lightning that Isis said no I want to ride slowpoke where's the horse named slowpoke but when you got bucked off and we're crying what did his dad make me do immediately you know get back on so you pull the tooth you broke off the root tip you couldn't get it out you had to send it to an oral surgeon get over yourself lay a flap and the long big flaps heal just as fast as a little flap so this is where it's at and you know it and the old day we started to show about dental cripples when you pull a tooth and then you keep doing this I'm you know most of all my relatives when I grew up when I grew up all my aunts and uncles and grandmas and grandpas they all had a full removable but when they got out of high school in fact some of them went and got their teeth ready to get married so they get all that taken out and a full denture to prepare them for marriage and some of the dads that was the wedding gift well I don't want you as the new husband to have to worry about her rotten teeth so let's get her all fixed up and those days are gone now you pull one tooth you know start filing down to other teeth for a bridge you pull one tooth you replace an implant you're afraid of blood you had a doctor degree get back on your horse this guy's good he wouldn't be on my show if he wasn't vetted I know this guy and my gosh go do it in and Steve I really think it would help I want you to sell them on this mission and I think you could sell them better if you did a our online CEcourse with a hoe go or an article on it or whatever and and you don't have to give me money for that but Brady will have to buy me a beer with a cheeseburger with bacon you just can't have enough bacon but man I know you're a busy man Steve thank you so much for coming on the show today and talking about all things dental and best of luck to you and your mission because it's a good one thank you appreciate how you do you keep up the good work okay don't grow weary all right and go Cardinals okay so what would you think of the coach at night getting a new coach it was time everybody likes Jason Garrett it was time it was time yeah and what do you think about that quarterback has to have money you think they're gonna give him what he wants or go look for another quarter I do think the quarterbacks the rarest thing in the universe it is and
Dr. Steve M Williams: you know what time will tell you just never know when time is up that's the problem he's got some awfully good players on the team and he knows how to make money Jerry Jones knows how to make money but everybody's tired of eight and eight seasons around here
Howard: so yeah I'm gonna do something that I hope my mom doesn't hear me when I do this but I'm gonna pay a compliment to the Cowboys she might she might disown me if she ever hears this podcast but because when you grow up in Kansas it's the Kansas City Chiefs and they just won the Super and but anyway I'm I never knew in a million years that Tony Roma's would be the greatest sportscaster I mean the guy when he's calling those games he just watches him lined up but he calls the play I mean it's crazy oh my god they're gonna run to the lot they're gonna run 11 you watch this guy oh my god Oh best commentator in NFL history hands down and there's been a lot of hard to sell yeah he's a
Dr. Steve M Williams: you learn from him I learned more from him than I did Troy Aikman Troy and obviously he's one of the best of the best but it's always after the play it seems like and Tony's is before the play that woke my eyes up to good announcing he did a good job with it
Howard:oh yeah my grandkids they can't believe it that they're always a grandpa you called the play game anyway but hey have a great day and I'll see you soon
Dr. Steve M Williams: thank you bless you sir I appreciate you same back