00;00;00;04 – 00;00;09;00
Jonathan Fashbaugh
Get a deep dive on dental implant, best practices and processes that your patients will love today on marketing Cheer side.

00;00;09;01 – 00;00;20;10
Show Announcer
Welcome to the Marketing Cheer Side podcast by Pro Impressions Marketing, where the team covers a variety of dental marketing ideas to help you attract more new patients in the quantity and quality.

00;00;20;11 – 00;00;35;27
Jonathan Fashbaugh
You need to grow your practice. Welcome to the show. Today I am joined by a long time client, Dr. Rod Strober, from Rancho Mirage, California. Rob, thanks for being here today.

00;00;35;29 – 00;00;38;08
Dr. Rob Strober
Hey, Jonathan. Thanks for having me.

00;00;38;10 – 00;00;47;23
Jonathan Fashbaugh
I can’t wait to extract some of these dental processes, these pearls from your brain, because I know there’s going to be a lot of doctors that just have their minds blown.

00;00;47;25 – 00;01;11;16
Dr. Rob Strober
Yeah. So today, Jonathan, I thought I would share with you some things that make my practice run more efficiently. We have systems and protocols that allow us to create workflows in our office that streamline the process of working with our patients, talking about marketing and digital processes that make my life so much easier and the patient’s life easier that are more streamlined.

00;01;11;20 – 00;01;30;16
Dr. Rob Strober
So I’m excited to share that with you, as well as mnemonics that I use to help do patient transfers. Whereas we would hand off a patient from one member to another and include the same information each time there’s a handoff so that the patient hears it three times.

00;01;30;21 – 00;01;41;14
Jonathan Fashbaugh
Yeah, and what I’m really excited about are that you’re going to be equipping our listeners with stuff that they can like grab hold of and use and start changing their practices right away.

00;01;41;17 – 00;02;05;20
Dr. Rob Strober
Right? And I hope that it helps them to streamline their practices and help them to develop reputations that are more positive and get more reviews that are more positive, because with these protocols and processes, they’ll be running their practices more efficiently. And it’s definitely going to give that patient a wow factor.

00;02;05;23 – 00;02;34;05
Jonathan Fashbaugh
100%. I was curious, Rod, you had like this practice that was running really well in San Diego and then you sold that and moved out to Palm Desert or the Palm Desert area and you bought a practice out there. And I wondered how much kind of re-engineering you had to do to make country club dentistry what Strober Dental was in San Diego, or did you go a completely different route?

00;02;34;08 – 00;03;00;03
Dr. Rob Strober
I kind of used a lot of the same fundamental protocols and workflows from the other practice, but it’s a much different practice in the sense that we’re in all fee for service practice here. So that changes the dynamics of how many people you need to hire, because I believe you need that at least one and a half people for just insurance claims and chasing them down.

00;03;00;07 – 00;03;30;27
Dr. Rob Strober
Whereas now we just are all fee for service patient pays 100% upfront and then we submit for them on their behalf. But we don’t go and chase down claims for them. They have to call themselves. So that that changed the dynamic a lot because if you’re a PPO dentist and your dealing with PPO rates, you have to work that much harder to make the same amount of money for just a PPO server for just a fee, a fee for service practice.

00;03;30;28 – 00;03;57;09
Dr. Rob Strober
So I decided that in this new practice that I was going to work smarter and not harder and I was going to see less patients per day and focus on one patient at a time. I only have one hygienist. And so that created a more relaxed atmosphere that my office operates in and there’s no chaos. The patients are delighted to have my full attention the entire time.

00;03;57;13 – 00;03;59;12
Jonathan Fashbaugh
One patient today.

00;03;59;15 – 00;04;00;19
Dr. Rob Strober
No, no, no.

00;04;00;26 – 00;04;02;01
Jonathan Fashbaugh
One, as you say.

00;04;02;03 – 00;04;03;18
Dr. Rob Strober
One patient at a time.

00;04;03;19 – 00;04;09;05
Jonathan Fashbaugh
I’m inpatient at a time. I was like, wait a second. I don’t think I heard that right now.

00;04;09;05 – 00;04;10;22
Dr. Rob Strober
One patient at a time.

00;04;10;24 – 00;04;34;21
Jonathan Fashbaugh
Yeah, well, I definitely know that patients appreciate that. And so making that transition to a fully fee for service office and you mentioned some best practices. Can you describe kind of any bits and pieces of that process that were especially difficult or game changing for that office?

00;04;34;24 – 00;05;05;23
Dr. Rob Strober
You know, I had a consultant years ago, Cherie Blair from LBI that came in and installed some protocols about how to approach a new patient and approach an emergency patient and approach an existing patient. So those fundamental practices are still implemented in this practice, and there’s a protocol sheet for each one of those for reference. And if there’s a new employee that comes on, then they’ll know exactly what’s expected of them.

00;05;05;26 – 00;05;44;07
Dr. Rob Strober
That’s the same in my new practice. I am doing much more complicated procedures. I’m doing more surgeries, I’m doing a lot of implant placements, I’m doing a lot of on floors. And so my stress level or my need for concentration of those patients is more intense. So I started creating protocols, sheets for each appointment. And what it is, is an outline, a step by step workflow approach of exactly what the first step is and the second step.

00;05;44;09 – 00;06;10;09
Dr. Rob Strober
And that includes like, you know, greeting the patient, taking their temperature, doing COVID screenings, and then reviewing treatment with the patient, trying in the surgical guide, then going to say it’s an implant, going to like a step by step process of the osteotomy is placement of the implants, what to look for. So, you know, I brought on it looks it looks kind of like this and it’s very detailed.

00;06;10;12 – 00;06;14;28
Jonathan Fashbaugh
Are those forms from Cherie Blair or are those forms you created right.

00;06;15;00 – 00;06;41;10
Dr. Rob Strober
Or No, those are forms I created on my own. I had the best assistant of my career czar with me four years ago when I bought this practice and when we started doing more and more procedures. She is very detail oriented and very concentrated on why we’re doing what we’re doing. She really wanted to know and understand what the process was and then also what materials we needed to have out.

00;06;41;10 – 00;07;05;06
Dr. Rob Strober
So I started listing them and then while I was listening to them in my head, I was going through the entire process or the procedure. And so then I started typing out a step by step process of what’s needed one, and I would highlight materials that they needed to have out. So they had this sheet that they could just say, okay, I need impression material here.

00;07;05;06 – 00;07;20;18
Dr. Rob Strober
I need this scanner set up here. I need, you know, by registration here and any other chair side things that they would need and the setup that they need to create a nice workflow that is seamless and and efficient.

00;07;20;20 – 00;07;50;05
Jonathan Fashbaugh
On the patient can tell when things are running like a well-oiled machine. And on the back end of things, you know, I mean it we don’t automatically connect that with marketing, but it makes a huge difference because if I’m a patient that felt well taken care of, that I had your undivided attention and everything was just smooth. I’m going to be much more likely to give you positive review and examples and come back, you know, if I have another future need.

00;07;50;07 – 00;08;18;03
Jonathan Fashbaugh
So that’s incredible. It reminds me of two things. You know, we’ve been talking as a as a society about artificial intelligence and how that’s going to rule the world. I mean, what you have done, though, is put your practice into a system that sort of not runs itself. But I’m guessing that if you have you know, you have some turnover, that you’re able to deal with it better than you would otherwise.

00;08;18;03 – 00;08;21;12
Jonathan Fashbaugh
I mean, what what’s that process look like for you or.

00;08;21;15 – 00;08;22;17
Dr. Rob Strober
Yeah, I mean.

00;08;22;19 – 00;08;23;03
Jonathan Fashbaugh
A lot of.

00;08;23;03 – 00;08;46;05
Dr. Rob Strober
The protocols that I’ve created are cut and paste. So I’ll take a protocol from one patient and I’ll move it into another word document and then just change the details of that protocol sheet. So that’s much easier. Now, in the beginning it was a lot of work because you really have to put everything into it. And I put pictures into it for reference.

00;08;46;05 – 00;09;18;07
Dr. Rob Strober
For me, like for the surgical aspect placement of the implants and you know, whether or not something needs to be below the guy at or above the guide. But it does streamline the process and it does create a wow factor for the patient. It also makes the appointment a lot less chaotic and a lot shorter because I’ve already, you know, in making this protocol sheet, I’ve already gone over the procedure in my head multiple times.

00;09;18;10 – 00;09;26;29
Dr. Rob Strober
So I’m I’m ready and my team is ready because they have the protocol sheet. So it really makes things flow very efficiently.

00;09;27;01 – 00;09;31;22
Jonathan Fashbaugh
So you’ve got the that’s it, We’re done. You got that fact right?

00;09;31;22 – 00;09;33;20
Dr. Rob Strober
Exactly. I get a lot of that.

00;09;33;22 – 00;10;01;04
Jonathan Fashbaugh
That’s fantastic. It also reminds me a little bit of something one of my mentors taught me that we’re taking away excuses as supervisors, you know, because if we if we don’t tell people ahead of time what we want and how we want it done, then after the fact, there’s excuses. But if we do, if we set up these systems, then your team knows exactly what success looks like and and you can feel confident that you’ve given it to them.

00;10;01;06 – 00;10;06;21
Jonathan Fashbaugh
And if it’s not happening, you know, pretty quickly, if you’ve got someone that’s it’s not going to work out.

00;10;06;24 – 00;10;23;07
Dr. Rob Strober
Well, I think it comes from my accountability, right? So I need to tell them what they need to have out so that they don’t have to memorize. Okay, he’s doing an implant today, so this is what he usually uses. But in this instance, maybe I have to do a bone graft. So what else do they have to have out of membranes that they need?

00;10;23;07 – 00;10;44;19
Dr. Rob Strober
You know, there’s a lot of differences that, you know, you can’t copy and paste to every patient and you have to, like customize each one so that they know the differences and they’re on the same page as you. And in that way, I have all the instruments that I need. I have all the materials that I need. And yeah, it just flows really, really well.

00;10;44;21 – 00;10;57;10
Jonathan Fashbaugh
Was this process easy for you to implement or was was there some resistance that you encountered? I mean, maybe internally, maybe with the team? I mean, what was that like?

00;10;57;12 – 00;11;18;23
Dr. Rob Strober
It was overwhelming in the beginning because you really have to take the time to think about every single detail of that process, of that procedure and the step by step approach. In the beginning, I was like, Oh my God, I had to make another protocol sheet. But then I realized that it made me much more confident about what I was going to do.

00;11;18;23 – 00;11;42;18
Dr. Rob Strober
So writing them out is really like a little bit of therapy. And then I really took to it and now it’s second nature. But I do believe that that’s the most distinctive thing about me and the way I practice versus, you know, many other doctors out there. You know, I spend a lot of time. I come in, my first patient is in until 9:00, but I come into the office at five and I make sure that I’m prepared for everything.

00;11;42;18 – 00;11;50;05
Dr. Rob Strober
So I’m a little OCD about that kind of stuff. But it really has become a wonderful adjunct to my practice.

00;11;50;05 – 00;12;10;01
Jonathan Fashbaugh
I know you’ve been practicing this way for a while, but do you remember where you started? Because I feel like that’s one of the uses we have as professionals. And and I know dentists are people. I create systems for my business. It’s like, where do I start? Oh, my gosh. You know, it’s overwhelming. So where did you start?

00;12;10;01 – 00;12;28;13
Dr. Rob Strober
It started in the beginning. Like I said before that I had this really intuitive assistant who was very organized and she started asking me questions and I’m like, That’s a great question. I don’t know. And she’s like, you know, Well, how are you going to do this? And what are you going to use to do the bone graft and what do you.

00;12;28;15 – 00;12;52;17
Dr. Rob Strober
And I’m like, That’s a really good question. I have to think about that. And so I started writing down, you know, little notes like and a list, but they weren’t organized. And so I realized that what she was doing was helping me to organize my thoughts and really have a hold on what we were doing with that patient that day.

00;12;52;20 – 00;13;16;22
Dr. Rob Strober
It pushed me out of my comfort zone in the beginning because I just thought it was a lot of work. And I just, you know, it’s like when you have to study for a test and you just procrastinate it until like the last day. This really has helped me to not procrastinate and to be very proactive and understand what I’m going to do for even next week.

00;13;16;22 – 00;13;41;21
Dr. Rob Strober
Like just before I started talking to you today, I was doing a protocol for next Monday. So it’s got to be it for me personally. It’s got to be that far in advance so that I can process it. And then I’m like, okay, I have this down, I have all the parts and pieces. That’s another thing about that is like, you know, when you’re doing like implants and you’re scanning, you’re doing everything digital and I’m almost completely digital in my practice.

00;13;41;24 – 00;14;02;09
Dr. Rob Strober
You need to know what scan bodies to buy. You need to know what multi-layered abutments you need to get. You need all the parts of pieces there for that appointment. So if I don’t do that at least a week before and then I realize, oh shoot, I, I don’t have that scanned body. I got to order it and get it rushed to me as soon as possible.

00;14;02;11 – 00;14;16;10
Dr. Rob Strober
Now, you know, that’s the alternative would be just being caught with your pants down and not looking good in front of the patient. That’s the biggest benefit to doing it this way. Really having everything there that you need for that appointment.

00;14;16;12 – 00;14;32;21
Jonathan Fashbaugh
And so it was this aha moment with your assistant. Was this something that happened when you were starting that digital process or was the digital process something that you had already had in place and you were just explaining it to the assistant?

00;14;32;25 – 00;14;57;11
Dr. Rob Strober
It evolved. I was mostly digital. When I started this practice. I bought the serac, the prime scan and the million unit. I bought, you know, a CT scanner. And then I slowly started to add other digital components, like a 3D camera for facial designing of a case and using that 3-D imaging to do that instead of doing like a Fox plane.

00;14;57;14 – 00;15;22;21
Dr. Rob Strober
But we became more and more digital. I ended up working with a lab that was mostly digital, and now is transitioning with me to completely being digital. And that’s exciting to me because, you know, it takes away a lot of time that you would spend with the patient. It’s more accurate and, you know, things kind of just drop in now.

00;15;22;23 – 00;15;46;02
Dr. Rob Strober
So that evolved with this practice over the last four years. You know, I just recently got into Photogrammetry, which is where you scan implants with a special camera that tells the exact position and angulation of the implant and position of where the hybrid needs to be put so that we can just have a drop in kind of appointment.

00;15;46;06 – 00;16;05;14
Dr. Rob Strober
That’s the, the best part about being all digital. Otherwise, if I didn’t have photogrammetry, I would have to do something called a jig appointment, which is where we have to put healing eye impression clippings on each implant and then loop them together, then take an oppression to pick that up. And it’s more of an analog way of doing things.

00;16;05;14 – 00;16;19;27
Dr. Rob Strober
So now I have the capability to doing the entire process digitally and it streamlines and workflows really, really well and it actually gets rid of an appointment or two. So it’s great. Yeah.

00;16;20;01 – 00;16;23;11
Jonathan Fashbaugh
You don’t mind me asking? I’m just curious which lab this is that you work with?

00;16;23;12 – 00;16;57;28
Dr. Rob Strober
Oh, yeah. I work with Sean Hann from Masters Arch. He’s in Chandler, Arizona, which is right outside of Phenix or part of Phenix. What happened was I was going to see Docs in Scottsdale and I was taking some implant classes with Farhad Bauchi, and part of his course was, you know, a presentation by Sean. And what Sean does is he tells you, okay, you need a CT scan, you need to scan the upper teeth, the lower teeth, the bite, and send that all to me.

00;16;58;00 – 00;17;32;06
Dr. Rob Strober
And then a 3D photo. If you don’t have a 3D camera, you can take other kinds of photos that he’ll use. And then he designs the wax up of the final outcome. And then he sends that wax up to implant planning lab. Who will do implant placement based on merging the CT scan with the wax up and then placing the implants at the right angulation if possible, in the right position so that the hybrid is overall the implants instead of designing it the other way, which most doctors do, is they have a surgeon do it.

00;17;32;06 – 00;18;08;19
Dr. Rob Strober
The surgeon puts them implants wherever they want them to be or wherever the best bone is, and that could be outside of the hybrid zone. So then you’re hybrid, it becomes broader and wider and bulkier, and then you have to use more angled abutments which are difficult to place. So using a restorative generated process or a restorative driven process to do these cases really put an aha moment in my head and I realized that I could just work with this one lab that would take me from A to Z of the entire process.

00;18;08;21 – 00;18;33;21
Dr. Rob Strober
Whereas many people work with an implant planning software lab and then they work with dental lab and nobody’s communicating with each other. So you kind of have to deal with what you’re given. That process is very important for me because I do mine my own surgeries and I wanted to do my own surgeries because I wanted full control over where I was going to put the implants.

00;18;33;24 – 00;18;58;25
Dr. Rob Strober
And many surgeons don’t really want to deal with the restorative, fully driven process. At the same time, a lot of them don’t like to use guides. So with this implant planning lab, we use something called stackable guides. And so stackable guides are where you put the first guide in and it it gets pinned into the bone and hooked on to the nasal spine.

00;18;58;27 – 00;19;20;18
Dr. Rob Strober
And then the second guide is the osteotomy guide and it clips into the foundation guide. Then you put the implants exactly where you need them to be. The lab knows that the implants are going to be almost exactly in that position, so they have a premade hybrid ready to go for the final delivery and that clips into the foundation guide too.

00;19;20;20 – 00;19;45;13
Dr. Rob Strober
So you have confirmation throughout the process that your your guide is lined up, that your hybrid is lined up correctly and it just streamlines the process and makes it so much easier and such a better outcome. Instead of what many doctors do is they’ll get a full denture because we’re never sure that we’re going to get full integration or enough integration or stability of the implant when we’re placing it.

00;19;45;13 – 00;20;05;19
Dr. Rob Strober
So we don’t want to load them. But with this process, the input planning software company called it Pros, puts the implants in, you know, as dense urban as they can. So if we have the underside, the osteotomy or whatever, then we’ll get a good, good foundation stability of the implant and we can load them. I know going into it.

00;20;05;19 – 00;20;36;06
Dr. Rob Strober
Okay. And this implant I have the underside of the osteotomy so that I can get a good grip of the implant to the bone and get good primary stability. So all that’s figured out in the beginning, we also have a meeting with the IT pros team and Sean from Master’s Arch and me on a zoom call going over what the implant planning company has done and how they’ve done it to make sure that Sean agrees with it and I agree with it.

00;20;36;08 – 00;21;02;07
Dr. Rob Strober
So it’s it’s a very collaborative and nobody is really questioning what to do next or it’s just more predictable. And I think with surgeries like that, predictability is key because, you know, when you’re doing major surgeries like that, there’s a lot of things that can come up. So whatever we can do to make it more predictable and know ahead of time going into it, you’re way ahead of the game.

00;21;02;10 – 00;21;27;07
Jonathan Fashbaugh
Well, I was just going to say, with all those steps in place and yet what I heard from, you know, my layperson’s point of view is just fewer points of failure. You know, you get fewer people involved, more technology. That’s was going to say stitching together. But, you know, like emerging market where you’re doing the the moving parts, you know, we’re making sure there’s communication along the way.

00;21;27;10 – 00;21;37;24
Jonathan Fashbaugh
All right. We have an idea of how much better your success rates are over the national average, or at least people that don’t use that type of tech and process.

00;21;37;24 – 00;22;11;12
Dr. Rob Strober
Well, I can tell you that I’ve talked to people like my own brother who is starting to get into it. And I think that it’s very confusing to start to finish of an on for kind of procedure can get very complicated between ordering parts. Where you going to put the implants, how you’re going to do the conversion, which is where we take the if you’re using a full large denture as the original temporary, you know, you have to do a pickup and then you have to take an impression inside the denture of where the implants are and any kind of holes in there.

00;22;11;16 – 00;22;52;05
Dr. Rob Strober
Then you have to cut out the palatal aspect of the denture and then you have to convert it to a hybrid, a temporary hybrid. So that is labor intensive and stressful. I know that the way I’m doing it is very specific and there’s not many dentists that do it this way. So that is why I started teaching this with John from Master’s Arch to other dentists and surgeons, so that they understand that when you’re doing it restorative driven, that you can actually put in a hybrid without having to do any kind of conversion or pickup like that, which is a very stressful part of the surgery.

00;22;52;07 – 00;23;10;03
Dr. Rob Strober
You know, once you have the implants in and then you have to put the multi-unit abutments on, then you have the suture close, they have to do a conversion, hopefully of a lab or an assistant that can do the conversion for you while you’re doing all of the stitching and suturing closed and placing on the membranes and the bone grafts.

00;23;10;05 – 00;23;43;23
Dr. Rob Strober
This really streamlines the process, and I think it is the way that dentistry is going. So the analog world versus the digital world is there’s a huge gap that’s developing now and the technology is not cheap. So you have to have a vision to say, okay, this really jives with me and I want to get more into this digital world versus being stuck in the analog world, which is impressions and conversions and things like that.

00;23;43;23 – 00;24;08;29
Dr. Rob Strober
So I think I’d say like 2% of dentists are doing it this way. I mean, that would be my guess because it’s one, I’m doing the surgery and the restorative. So I have full control of the process and a lot of dentists are intimidated for doing it at all in surgery or don’t know where to start. Their head gets off confused and then they’re like, Oh, I’m just going to give it to my surgeon.

00;24;09;01 – 00;24;28;27
Dr. Rob Strober
And patients don’t like to go to other places. They don’t like to go to other doctors in other offices. There’s also the concern about financially, what they’re going to have to pay the surgeon versus what they’re going to have to pay for you. And I’m able to give them a package deal with everything included. I really love digital and and high tech things.

00;24;29;00 – 00;24;53;10
Dr. Rob Strober
And I think that it’s evolving so rapidly right now that, you know, even in photogrammetry, you know, I just bought an AI cam D and then they just came out with a newer version of it. So that’s how quickly it’s is happening. And I consider myself an an early adopter of things. So I expect that to happen. But it’s still frustrating.

00;24;53;10 – 00;25;11;01
Dr. Rob Strober
I think, you know, when you realize, Oh damn, I just spent all this money on this and now this one better. And so, you know, it can get a little expensive, but I think whatever you have, if you have the version one or the version two, it’s still going to work. It’s still going to keep you in that digital line.

00;25;11;03 – 00;25;39;13
Jonathan Fashbaugh
Well, to the extent we can, we’ll put information in the description on the Master’s Arch Seminars page on his website that we can link to That way when you schedule another course. Now people listen to this a lot that can click that, find it. And if you’re okay with us sharing the forms, we’ll put a digital version up so that people can check that out and improve their processes.

00;25;39;16 – 00;25;52;18
Jonathan Fashbaugh
They’re huge. I’m curious on the marketing side of things, do you guys have processes in place for doing things like talking finances with people and asking for reviews?

00;25;52;18 – 00;26;29;09
Dr. Rob Strober
Yeah. So, well, as far as the financial end of things, you know, we don’t like to give them a list of items in a treatment plan. So, you know, if we actually put in line items for every thing that I do, it may come out to like $10,000 more than then. I will give them a package deal for so what we do is we type up an office form that lists what’s included and in the treatment plan and all the there are all the steps and then the patient is given a fee at the bottom and then they sign that and date it.

00;26;29;12 – 00;27;00;05
Dr. Rob Strober
They’re going to know what the cost of the treatment is just on one page. They don’t have to know what an MUA is or whatever those names are on the treatment plan that don’t make any sense to them. They don’t know the tip numbers, what that means, so it makes it more simplified for them. Then I have my treatment coordinator that comes in after I presented that treatment and what’s included, and then they go over how they’re going to pay for that and in stages what’s due at each stage.

00;27;00;08 – 00;27;20;01
Dr. Rob Strober
As far as asking for reviews, I typically ask personally for reviews. I think that’s more compelling for the patient. You know, when there’s something that’s said or done that the patient is glowing about. And one thing to ask for a review and then right away we’ll send them a link to put a review in and they’ll get that link.

00;27;20;01 – 00;27;41;28
Dr. Rob Strober
But honestly, like, you know, and I’m the same way, it just takes time for them to do it. So, you know, if I had the magic wand to get reviews, I would I think we have a policy in the office that the assistants and the receptionist all know that if somebody is really happy with the way everything went, said, you know, would you mind writing a review for us?

00;27;41;28 – 00;27;48;22
Dr. Rob Strober
That would be great to hear your positive comments and then we’ll send them that link. And that’s how we we get reviews.

00;27;48;29 – 00;28;00;15
Jonathan Fashbaugh
If you feel like there’s any other process oriented questions that you were anticipating me asking you or are thoughts that you’re just waiting for kind of an opening to share.

00;28;00;17 – 00;28;33;09
Dr. Rob Strober
Yeah. So I think one of the things that I learned from Cherie Blair years ago was that there should be patient accountability and understanding of of what where treatment planning. We developed a program called on mnemonic called meal prep. So meal prep stands for medical history, oral cancer screening, perio evaluation, restorative needs and occlusion or and under occlusion that could be crowding of teeth or it could be grinding or things like that.

00;28;33;09 – 00;28;56;11
Dr. Rob Strober
So when I do an exam, I have an exam sheet and a mock pro sheet. Those are two forms. And basically the my pro, she is numbered 1 to 32. And what I’ll do is I’ll say, okay, number two has an MOT composite, Number three has an oral amalgam. And then the next line is what condition are they in?

00;28;56;11 – 00;29;26;01
Dr. Rob Strober
So I’ll say the composite in good condition. The amalgam is failing and is leaking. It needs replacement and then its treatment proposal in the next column. And that is what we would do. So either it’s another old composite or to replace that amalgam or a crown or, you know, extraction or whatever that tooth needs. And so that’s all written down as well as a new patient exam form that is like fill in the blanks.

00;29;26;07 – 00;29;52;26
Dr. Rob Strober
So I go in the exact same order for every patient, and then we collect all our data. And then when I’m done, I sit the patient up and I, I show them with photos that we take. We always take photos of every patient. It’s very important that they take intraoral oral and extra oral photos in addition to X-rays, so that you can demonstrate and show to them what condition their teeth are in so that they can own that, that they can understand why they need what they need.

00;29;52;27 – 00;30;10;19
Dr. Rob Strober
And then I’ll have my hygienist come in because they’re going to ultimately see my dentist. Usually that same day. And I will give my hygienist a mold pro report. So I’ll I’ll say, Stacey, this is John. And as far as his medical history, he has an allergy to amoxicillin. He has high blood pressure. He’s on a blood thinner.

00;30;10;24 – 00;30;32;23
Dr. Rob Strober
And, you know, he has diabetes. Oral cancer screening was healthy periodontal evaluation. I did spot probing. I got fours and fives posteriorly. And I’d like you to evaluate his fall mouth restorative early. He’s got some older amalgams. He’s missing a tooth the number 19 he would like to replace with an implant and whatever other restorative needs that patient has.

00;30;32;23 – 00;30;53;07
Dr. Rob Strober
And so going over that, the patient hears it again and then occlusion and, you know, they’re grinding, they have evidence of wear and attrition. So I recommend a night guard and say says, thank you, Dr. Strober. And then she takes the patient to her appletree and then if they have any questions for her, she knows exactly what we discovered in the exam.

00;30;53;08 – 00;31;16;19
Dr. Rob Strober
Then what Stacey’s done with the patient and the patient goes to check out with the treatment coordinator or the receptionist. She gives them the same Oprah report. But the Perio version is probably a little more detailed because that’s what she’s doing. So the patient is hearing this three times and then there should be no question marks over their head about I don’t know what he just said.

00;31;16;19 – 00;31;33;01
Dr. Rob Strober
I don’t know what this tooth number means. They’ve seen it with pictures. So my pro is it is a big part of my practice and it really helps the patient feel more comfortable and actually helps the patient go forward with treatment more, more easily because they see it now.

00;31;33;03 – 00;31;44;26
Jonathan Fashbaugh
They know the problems right. You’ve helped them see it so that right right mow pro and heard them over. If you’re taking all sorts of things photogrammetry is that.

00;31;44;28 – 00;31;46;12
Dr. Rob Strober
Photographic treat or.

00;31;46;14 – 00;31;47;09
Jonathan Fashbaugh
Imagery.

00;31;47;11 – 00;32;13;28
Dr. Rob Strober
Photogrammetry. It’s a it’s a weird word photogrammetry pro yeah it’s a it’s really just the way my brain works. I think that, you know, I’m very organized and I and I like those kinds of things. But, you know, Cherie Blair really implemented a lot of these foundation protocols that have helped us to run a much more smooth practice.

00;32;14;01 – 00;32;31;18
Dr. Rob Strober
And, you know, also there’s protocols on how to how to set up for an emergency patient and how to set up for a new patient, how to set up for a composite patient, how to set up for a crowd patient, how to set up for an implant or surgical patient. As far as seating the patient, one needs to be out.

00;32;31;23 – 00;32;50;29
Dr. Rob Strober
You know what comes first. You know, there’s always the screenings and and having them rinse with mouthwash before I use or care for that so we can kill all the bacteria in their mouth before we do an exam or a procedure. So there’s lots of little things that we do to be more detail oriented with the patient.

00;32;51;05 – 00;33;06;11
Jonathan Fashbaugh
Yeah, now, and I’m sure the success I mean, I know it speaks for itself and I know you’re very successful. We’ve been working together for a long time, right? Yeah. Shame on me for not looking up the exact date, but I mean.

00;33;06;14 – 00;33;08;27
Dr. Rob Strober
93,010.

00;33;08;29 – 00;33;10;23
Jonathan Fashbaugh
Yeah. Yeah, I really. I do think.

00;33;10;28 – 00;33;12;04
Dr. Rob Strober
There are 14 years. Yeah.

00;33;12;11 – 00;33;13;09
Jonathan Fashbaugh
Yeah. I’m your.

00;33;13;09 – 00;33;34;08
Dr. Rob Strober
Bomb. I love your company. Like, thank you so much for everything you guys do know is great. Your guys are on top of it. All the statistics that I get monthly are really beneficial for me to know how we’re doing and to gauge how the month one and how the next month is predicted to go. So and your team is amazing.

00;33;34;08 – 00;33;46;15
Dr. Rob Strober
So I, I can’t say enough about, you know, Caitlin and Lee and just to so Yeah and you of course right.

00;33;46;17 – 00;33;46;25
Jonathan Fashbaugh
Thank.

00;33;46;25 – 00;33;51;19
Dr. Rob Strober
David and everyone I work with there has been a wonderful asset.

00;33;51;21 – 00;34;11;11
Jonathan Fashbaugh
Well the same goes. I mean, we’ve enjoyed working with you this whole time on and so yeah, it’s, it’s been great and thank you for your time today because yeah, I mean you don’t, you don’t have anything that you’re selling. You’re just you’re being part of the change that that is rapidly happening. And so thanks for making dentistry a better place.

00;34;11;13 – 00;34;48;03
Dr. Rob Strober
Thank you. I appreciate that. Okay, everyone, if you want to learn more about all I’m for and step by step process from A to Z to complete the implant placement and also photogrammetry. And you want to know more about the digital workflow for doing on for hybrids go to teeth camp dot com or masters arch dot com and you can scan the QR code also the next course is being given for February so you can go and buy your tickets online, scan the QR code and hope to see you there.

00;34;48;05 – 00;35;08;02
Jonathan Fashbaugh
Man, that was a great show. Like subscribe comment. Give me your feedback in the form of a comment with your keyboard. In the meantime, join me in my, you know, drum group, drum circle, Instagram page and create is a feeling.

00;35;08;02 – 00;35;20;28
Jonathan Fashbaugh
I went too far.