Episode 51 - A Conversation With Dr. James Paschal Chief Clinical Officer of Braces On Demand

September 05, 2023

Today, we are excited to talk with Dr. Jep Paschal, the CCO at Braces On Demand. During our discussion, Jep elaborated on the advantages of Braces on Demand and discussed the monolithic product line and the results he has seen with this new product. The Braces on Demand approach to orthodontics holds multiple benefits for patients, primarily in the precise placement of the dental appliance, minimizing the possibility of errors and the duration required for teeth adjustment is expedited. Don’t miss this informative episode of the Golden Age of Orthodontics.

IN THIS EPISODE:

  • (01:12) Introduction of People and Practice hosts and their services, and Amy introduces Dr. Jep Paschal. 
  • (05:16) How does a Sugar Daddy candy bar equate to orthodontics? 
  • (07:15) Jep talks about Braces on Demand and describes the product. 
  • (11:30) Jep outlines the value to the patient. 
  • (14:57) A comparison between Braces on Demand and other competitors and a discussion about the printer. 
  • (21:15) Jep shares what an orthodontist is purchasing with Braces on Demand. 
  • (24:00) Jep answers a question from a listener regarding his experience in the past with indirect bonding and remembering a horrible experience. 
  • (27:37) What is the future, and what are the new products for Braces on Demand? 

KEY TAKEAWAYS: 

  • The monolithic clear system is almost undetectable. This eliminates the look of a mouth full of silver.
  • Braces on Demand can produce a prescription for braces much faster than past methods.
  • Braces on Demand provides a 3D model which ensures more accurate placement.

Achieving practice growth isn’t as simple as it used to be. But with groundbreaking technology and new communication channels to reach more patients, People + Practice is an orthodontic marketing agency that firmly believes that there’s never been a better time to be in practice. 


EPISODE TRANSCRIPT

What follows is an AI-generated transcript. The transcript may contain errors and is not a substitute for watching the video.

(00:00:00) Dr. Leon Klempner: Are you thinking about moving into indirect bonding for your practice? Can't decide which company to use. Have you ever used sugar Daddy lollipops Heated up a number seven wax spatula and glued your brackets to plaster models. I'm sure three quarters of you out there don't know what I'm talking about.

Uh, but. The other 25%, shoot me an email. So I know that I'm still relevant in some ways. Well, technology has certainly involved and today, um, we'll take a deep dive into the cutting edge technology behind. Braces on demand. Stay tuned.

(00:00:46) Narrator: The future of orthodontics is evolving and changing every day, but although the way to achieve practice growth has changed, there's never been a better time to be an orthodontist. Let's get into the minds of industry leaders, (00:01:00) forward-thinking, orthodontists and technology insiders to learn how they see the future of the orthodontic specialty.

Join your host, Dr. Leon Klempner and Amy Epstein each month as they bring you insights, tips, and guest interviews focused on helping you capitalize on the opportunities for practice growth. And now welcome to the Golden Age of Orthodontics with the co-founders of 

(00:01:21) Dr. Jep Paschal: People and practice, Dr. Leon Klempner and Amy Epstein.

(00:01:28) Dr. Leon Klempner: Welcome to the Golden Age of Orthodontics. I'm Leon Klempner, retired proud board certified orthodontist. Uh, and in my spare time, I'm the C craniofacial orthodontist for Mount Sinai Hospital in New York. I also teach the Harvard Ortho residents, and of course, I am the c e o of people in practice. And as usual, I'm joined by my co-host, Amy Epstein.

(00:01:56) Amy Epstein: Thank you very much. First thing I wanna do is wish you a very happy (00:02:00) anniversary to you and mom. Today is, uh, your anniversary. So 

(00:02:05) Dr. Leon Klempner: 49 years and going, going strong. Thank 

(00:02:08) Amy Epstein: you. We have to plan something for next year. 

(00:02:11) Dr. Leon Klempner: I. Best thing I ever did, by the way. Best thing I ever did. 

(00:02:16) Amy Epstein: I know you always say that. That's good.

I am Amy Epstein. Aside from being Dr. Leon Klenner's oldest daughter, I have an M B A in marketing and 20 years of public relations and marketing experience. I am the c o o of people in practice. And if you don't know people in practice, we're a digital marketing consultancy largely for orthodontists. Um, we have 12.

People growth consultants on a mission to unveil all the opportunities that are available for practices to thrive. If you listen to the end of our podcast, you'll hear that every week we say right now is the golden age for orthodontists to grow, and (00:03:00) we implement digital marketing strategies and we implement technology and consulting services that allow our clients to take advantage of the fact that it is the golden age.

Speaking of the golden age, we bring to you technologies that allow for this type of growth, and today we're. Thrilled to have on our show, Dr. James Pascal. He goes by Jeff. He's our guest today and he is the Chief Clinical Officer at Braces On Demand. He lectures worldwide on the most advanced orthodontic trends, techniques, and the technologies that improve patient care.

He's recognized as the leading expert on incorporating three D printing into orthodontic practices and Dr. Pascal jep. I'm gonna call you JEP Practices in Madison and Greensboro, Georgia. Thank you so much for joining us today. 

(00:03:50) Dr. Jep Paschal: Thank you, Amy. We really appreciate it. First of all, I did not know this Leon, but happy anniversary, 49 years.

That is an amazing milestone. I, um, (00:04:00) I, I'm in awe, frankly. My wife and I have been together for 25 years, and like you, it was the best decision I ever made. So 

(00:04:09) Dr. Leon Klempner: Well, sometimes you get lucky, right, Jeff? 

(00:04:11) Dr. Jep Paschal: Yeah, that's exactly right. Sometimes we get lucky, 

(00:04:14) Dr. Leon Klempner: but happy anniversary. That's great. So thanks so much.

Appreciate it very much. Um, so, uh, well first of all, um, how do we go from James to Jeff? 

(00:04:25) Dr. Jep Paschal: Oh, good question. I guess, uh, so it, that's a long, it, it goes way back to pre-birth. Uh, my dad, I'm a junior. My dad's a senior. And he used to put his initials on the books and, uh, in college. And, uh, my mom and he were dating and, you know, when they got engaged, she said one day, I think we'll call, you know, our first son Jeff, and uh, you know, and I'll be a junior.

But I would, she didn't want to go by John or Ernie or any of that. So, uh, Ernie was my dad's name. She didn't want two Ernies in the household, even though we were very Southern, uh, (00:05:00) South Carolina. But that's, that's the lineage of Jeff. 

(00:05:03) Dr. Leon Klempner: Okay. All right. Interesting. So, um, let, let's start with some of the basics.

Um, Uh, first of all, have you ever, you ever used sugar daddies to, uh, glue, uh, brackets onto 

(00:05:15) Dr. Jep Paschal: models? So, um, the answer to that question is yes. Um, however, in a different way. Um, Amy, you didn't cover, uh, one part of my, my background and that was, I'm a prosthodontist as well, so I am well schooled and, uh, And, and stone models and grinders and all sorts of lab techniques, stacking, porcelain, you name it, I've done it.

Um, but yeah, I go, my lineage goes back that far as well. So, um, but I've, I've always been that person in the room that's like, okay, I've taught this way. There's a better way to do it. You know, technology has always been that out for me. And, and so that's just, that's the way my brain has always worked.

I've always sought the, you know, (00:06:00) okay, I can do this and I can do that, but let's do it better. 

(00:06:03) Amy Epstein: So you, I don't know what the, the sugar daddy thing is. Can you just like, you told me about it when I asked, but can, can someone just give like a 32nd understanding of the application of candy and what we're talking about here?

(00:06:19) Dr. Jep Paschal: Chip, it's biodegradable, it's water soluble, and it sticks to everything. You know, anybody who's chewed on a sugar daddy, I mean, you can't even get it off your teeth with saliva, let alone, you know, putting it on the back of a bracket and using it to glue onto a stone model. Um, you know, so it essentially, it's like, it's, yeah.

There you go. Nice. Russ comes through Rus, 

(00:06:45) Dr. Leon Klempner: he's our producer. Yeah. Yeah. Tip of the hat there, Russ. Yeah. Yeah. But, 

(00:06:49) Dr. Jep Paschal: but essentially I am, I, I am I, am I forgetting anything, Leon? No, no, 

(00:06:54) Dr. Leon Klempner: no. O other than it, it washes out so clean with hot water that, (00:07:00) uh, it, it was ideal, a little labor intensive, which brings us to prices on demand.

So tell us. Nice. Yep. Tell us a little bit about Braces on Demand and, and technology and, and what our 

(00:07:14) Dr. Jep Paschal: listeners really need to know. What is it? Yeah, so Braces on Demand. Um, I think it's about, I think we've been around for about four years now. Um, I say we, just a full disclosure here. Um, I am an investor and an initial investor in the company.

Um, I. But, uh, as far as braces on demand is concerned, the initial concept was literally three D printing brackets, and that was the initial concept. And, you know, we basically have the protocols and intellectual property to literally take a file of pre-made brackets, uh, several different, uh, prescription, uh, prescription types that are available online.

And they will dump right to your three D printer in office. They don't even go to your computer. So that file (00:08:00) goes right to the right, to the printer, and people all over the world, um, can three D print brackets. Um, and you know, at at originally the concept was three D print brackets at a vastly reduced cost to the traditionally manufactured brackets.

Fast forward to today. Um, and it's all about custom appliances. You know, we still have all those three D printed brackets and appliances that we've developed before, but now we're really going down the road of, you know, um, monolithic is our current, you know, uh, product that we, that we three d print. It's fully custom, custom index.

And the unique thing about the the monolithic product line is that you have an index. That is three dimensionally related to every single bracket that that index is attached to. And the entire complex is printed at the same time. Um, so you'll like on the website, when you see monolithic, you'll see this kind of.

Interesting tree shape type device, and you're (00:09:00) looking at it like, what the heck is that? And when you really start paying attention to it, you'll see the index of the occlusal surfaces or the incisal ledge of the teeth. Then you'll see the arms that are so there. There it is on the screen, and you'll see the arms supporting each individual bracket that have been properly related.

And each individual bracket in the slots have been properly customized to carry the custom prescription to deliver that end point that you've previously set up for your patient. So, so, 

(00:09:28) Dr. Leon Klempner: um, it, you know, from looking at it, it looks like unlike a traditional tray, you can actually see the bracket and clean the, you know Yep.

Your, your bonding material, um, you know, visually with the, you know, directly. 

(00:09:43) Dr. Jep Paschal: Is that, is that true? I pretty much couldn't have said it better myself. Um, and yeah, that the screen's showing it beautifully. So you've got the index that's on there, and then if you can envision, when you place that on the teeth and it's everything's properly related, a couple of key things (00:10:00) will immediately jump out at you.

The first is you can visualize the index indexing on the occlusal surface. There's no guesswork, so you don't have this traditional wraparound tray that's been vacuum formed or thermoformed over to the brackets that you've. You know, placed by hand or a a, somebody previously or a technician is placed by hand and manufactured.

So you get the index, you can put it right on the occlusal surface of the tooth. You or your assistant can immediately key in and know it's in the right spot on the, on the occlusal surface of the teeth. Then you can re-reference your eyes onto the actual brackets and visualize exactly how they are on the facial surfaces of the teeth.

And that they too are indexing on the teeth in the proper fashion. And you know, whether you place the brackets or your assistants place the brackets, you then can clean the glue off initially all the way around the bracket. Um, they, a couple of the support structures get in the way a little bit, but you're, it's vastly superior to anything I've ever used in the (00:11:00) past as far as indirect bonding is concerned.

(00:11:05) Amy Epstein: So, In looking at all this, I, you know, this is the, the value that we provide together, my dad and me is the clinical side of things and then the marketing side of things. And so I'm looking at braces on demand, and my question for you is, can you talk a little bit about the importance, um, or the benefits of patient specific customization?

Um, what's the value to the patient? 

(00:11:31) Dr. Jep Paschal: Okay. That's a great question because honestly, that's something that we all have a little bit of a problem relating to our practices is that the, the value to the patient specifically is going to be in a nutshell decreased treatment time. You know, you still got appliances in your mouth, you still have wires in your mouth.

Um, so you've got all of the normal, traditional, you know, problems or things that patients have with braces, however, We can get these, (00:12:00) we have the potential to get these things off quicker because we're doing a setup virtually on the computer prior to the, prior to even putting 'em in the mouth, or even designing each individual bracket.

And those brackets are designed so that with the goal in mind to get 'em in the right place with the exact prescription for that patient the first time. So you, you know, you can eliminate your reposition theoretically. You can eliminate your repositioning appointments, and then you can eliminate. Many, if not all, of the final detailing appointments that we traditionally have in other appliance systems.

So those are the clear benefits to the patients is just less time in braces. Another incredible benefit to the patient with biomed Clear, which is the material that we currently print these in, and that's the material that you're seeing on the screen right now. The other material is a denture resin material that's tooth colored, and you can print 'em in either material.

But we tend, in our office, we tend to use the biomed clear. I, i, this is gonna sound (00:13:00) salesy, but it is one of the clearest materials I have ever clinically had the pleasure of using. Um, and you know, we put it on, as a matter of fact, I literally had, um, I. The very first monolithic patient in the world that was done was done in our office and we sat up and we gave her the mirror and 'cause we were excited, you know, we're like little kids in a candy shop 'cause our baby literally was being born in front of her eyes.

And you know, we're sitting her up and she gets the mirror and she looks in and she has this smile from grin ear to ear. That. She's like, oh my gosh, I had no idea they were this clear and she was just laughing and giddy. She had this concept that they were gonna be these silver braces or these heavy, you know, white braces that she had seen on some of her friends.

And to her expectation or to her, to her sheer, you know, uh, surprise, there were crystal clear. So that's the other advantage for the patients on this specific product with this specific resin. Mm-hmm. 

(00:13:57) Dr. Leon Klempner: So Jeff, you know, part of our job is (00:14:00) to 

(00:14:00) Dr. Jep Paschal: be the voice of 

(00:14:02) Dr. Leon Klempner: the wet fingered orthodontist out there that are, that are listening to this podcast.

So, um, I know that there are, A lot of different options for indirect bonding Braces on Demand Light Force. K l Owen, I think is a, is another one. Mm-hmm. Um, and we recently had Alfred, uh, Griffin on our podcast from Light Force episode, I think it was 48. You can listen to that interview if you're out there.

Um, uh, trying to make a decision about it. Uh, but you know, at people in practice, we feel really strongly that. You know, uh, technology and, uh, for the benefit of the patient is critical for 

(00:14:45) Dr. Jep Paschal: ortho practices to embrace. 

(00:14:47) Dr. Leon Klempner: So, you know, without putting you on the spot, could you just point out some of the differences between braces on demand and some of your competitors?

(00:14:58) Dr. Jep Paschal: Sure. Um, first of all, I'm (00:15:00) gonna qualify, uh, my, all of my answers is I have not used specifically K Owen's product, nor have I specifically used light force. I've evaluated them, but I have not used them clinically. Um, I had a ton of experience with indirect bonding years ago with. Field Insignia system, um, way back when and, um, that we, matter of fact, we implemented that extensively in our office back then.

However, having said that, I do know they are, um, both a trade delivered system of some sort. So that system involves either fully or partially wrapping around each and every tooth. Uh, whether it's a complete arch or, you know, segments or whatever at any given time. Um, and I know from using previous systems of, in similar fashions that you can have inherent problems with that, you know, you don't never, you, you never really know visually if the brackets are.

Firmly seated on the teeth while, while the cement is curing. Um, you know, you, you just have some (00:16:00) inherent clinical problems with that, with the monolithic system. Um, as I referenced earlier, you can visually see the index of the, of, of the teeth. You can confirm that it's seated to place. You can confirm that each individual bracket is seated to place, and more importantly, that flash, that that invariably comes out from the bracket no matter how.

Perfect. We try to be with our, uh, cement placement onto the, uh, tooth surface of, of each individual bracket. That flash can be cleaned off, um, each individual tooth, and since it doesn't have that tray wrapped around it, you also remove the possibility that the resin and the flash is gonna bond to the tray and to the bracket and to the tooth.

Um, externally. So, you know, there's a, there's some distinct advantages clinically there, and those, those are the, that's the really, the biggest advantage from that. They're, they specifically to K L O. Um, their bracket is a semi-custom bracket system. (00:17:00) Um, they've done a immaculate job in what they're delivering.

So, um, I think it, you know, I think it is a, definitely a, a qualifier for a custom bracket, but is it is a semi-custom. You actually do pull semi-custom or various torque values out of a pre-selected tray of brackets within a range. Um, and then you physically place them into each individual. Um, uh, receiver that was, that was delivered to you, or they do it themselves.

And that brings up another point with both the other systems is those printed brackets or those pre previously manufactured brackets have to be physically placed in each individual index. And these brackets are small, you know, and I have had. Personal experience with placing brackets into these in, into these, you know, these jigs that we fabricate, however we fabricate 'em, whether they're printed or whether they're fabricated in a lab, those brackets have to be put into place, into those jigs and.

Mistakes happen, you know, and so you, (00:18:00) you, you, you slightly have a variable on a very small surface, and you've totally changed the torque value or the tip value or the rotational value of that bracket in that jig. With braces. With the braces on demand monolithic product, it's virtually impossible to do that because the whole thing's printed as one unit and those arms, if they're not broken, they are three dimensionally related to that index.

So that's another clear difference between the systems. 

(00:18:29) Amy Epstein: One, uh, follow up question that I have, uh, if I can, is okay about the printers, uh, themselves. Like are there specific printer, is it a system or the printer is included, or are there, is there, um, variability into, do you have choice when it comes to printers, when you use braces on demand?

(00:18:51) Dr. Jep Paschal: So that, that's a great question, Amy. Um, you know, it, the assistant, this system was built not to be, you know, a system bound (00:19:00) by one printer. Initially, it was bound by one printer because a printing company called Form Labs was the only printing company that would enable us. To basically give a digital file directly to the printer, that is what has to happen.

Any three D printer can print, frankly, any three dimensional part as long as it fits on the bill plate. Um, but for braces on demand, from an intellectual property standpoint, we need to be able to print directly to the printer. And, and I think, you know, going into the details of that is probably bigger than what we wanna cover here, but it's, it is the most convenient way to do it.

So Form Labs is the original printer. Sprint Ray currently, we have the ability to do that as well. And we're also looking on onboarding other printers and, but those have to, those printers have to be tested extensively, not only from the digital component on delivery, but frankly also the printing component.

So one of the things I will say is that if a printer is approved by braces on demand, (00:20:00) you can have the confidence that. All of the appliances have been extensively printed on each printer that they've been approved for. And the reason why that approval is important, um, is not to look at it as this kind of closed system perspective, if you will, but to, to look at it as everything has been evaluated so that you can have the confidence as a clinician that if you're printing these things in your office, that what is being delivered to your printer.

Is dimensionally accurate because at the end of the day, we're looking, you know, we're working with oh one eight slots or oh two two slots. That is a very small dimension, and so even the slightest variability is gonna throw that bracket off. And so that's hence why these, these printers have to be tested.

And how, and so you're out, so you know that the proper bracket's being printed. 

(00:20:52) Dr. Leon Klempner: So Jeff, so how does exactly, how does it work? I mean, there, is there a software that you (00:21:00) download and, and you. Place the brackets on it, does the software, put the brackets on it? And then you make the adjustments. Uh, what are we, what are we buying?

Are we buying the material? Are we buying the software? Are we buying a package? How, how does 

(00:21:14) Dr. Jep Paschal: it work? You are really buying the service, frankly. Um, you're buying the entire team that's behind the service, you know, as well from the engineers to the sales team, but more pursuant to you as a clinician. Um, and I'm, I'm assuming we're speaking specifically about monolithic because it, it's slightly different with the other products that you just select online.

Um, but with Monolithic, which is the fully custom appliance, What you're buying is the through Dibs ai, which is another company that we partnered with because they have the software to do the tooth setup. They have the software to do, you know, indirect bonding where we three dimensionally place the brackets on the teeth.

And you as a clinician or a technician that you, that. That you have trust in has the ability (00:22:00) to approve that three dimensional placement of the brackets on the teeth and the final occlusion and the final setup of the patient's teeth. Once that setup is done. Um, and those, and those brackets have been related on those teeth, and you've approved all that.

Then from there, all the magic behind the green curtain starts to happen from the, on the braces on demand side, because now we have a three-dimensional braces on theand bracket that will subsequently be fully customized to deliver that individual's prescription that you dictated by your tooth setup.

And from there the index is built. And then the index is related to each individual bracket with the arms from the index to the bracket, and then subsequently, The teeth are essentially virtually pulled away on the computer, and you're left with the index and the bracket and the arms that are attached to the bracket, and that three dimensional appliance is what's delivered to your printer, or it's manufactured by braces on demand and subsequently nailed to (00:23:00) you.

You have either option, so you really don't even have to have a three D printer in your office to utilize this product. Um, if you're like me, I have. Five, three D printers in my office. And um, so, you know, it's one of those things where it's like, yep, throw it on a printer. Um, but you know, a lot of people don't want to have that particular part of the workflow in their office.

It's the same decision that people make when they say, no, I don't, I don't want an orthodontic lab in my office. I'm gonna. Have an external orthodontic lab do the work, you can have the same thing as well with braces on demand. 

(00:23:33) Dr. Leon Klempner: Understood. So, so Jeff, it's it's tradition on the podcast for us to take a question for one of our viewers.

So if you don't mind, we'll go ahead and play it and then you could respond to it.

(00:23:48) Dr. Jep Paschal: My name is Dr. Jason Kaplan, and I practice in Dunwoody, Georgia. And my question is, what has been your experience in the past with indirect bonding and how does your team feel about bonding? Monolithic, I. (00:24:00) That's a great question, Jason, and first of all, thanks. You're looking great. Jason and I go way back.

So, uh, I really appreciate you submitting that question. Um, so, you know, the problems we've had in the past are similar to what I've already covered, um, with, you know, with braces on the, or with, uh, other systems that we've had. We've had trays get bound in the mouth. Um, not fully bound where we couldn't get 'em out, but where it was very difficult to get 'em out.

And then in the process of difficulty of getting 'em out of the mouth, you end up deboning a bracket. Um, and which leads to another difficult issue is actually bonding the brackets, having the confidence of that bracket being fully seated to the tooth. Um, in a, in a tray delivery system, no matter how minimal the tray's been designed in the past, you still have to have something that wraps around the bracket that gets in the way of visualizing the bracket seating on that tooth.

Um, and so as a result, you just don't have the confidence that the bracket's there and, and it's always like, (00:25:00) Unwrapping that unknown gift at Christmas where it's like, okay, please don't, don't, don't be what I don't want. Don't have a bracket, debon. And you, you peel this tray off and it's like, ah, the bracket, two brackets popped off and, and now you're stuck with, you gotta get the bracket off, you gotta clean up and you're.

Patient's disappointed. More time in the chair. You're disappointed. Your team's disappointed. Um, and then you gotta get a, the bracket and find a way to separate the tray, redeliver the tray on an individual tooth. Then you don't have the cross arch or cross tooth stabilization that you had previously enjoyed with a custom system.

It just leads to a series of errors. With this system, I literally have not had a bracket Debo. Um, as we're taking off the index, um, not that it's not gonna happen. Okay. Do not wanna say that, but, you know, it's, it just hasn't happened yet in our office and from what I understand and, uh, I think we (00:26:00) have, um, numerous cases in the field now.

I think that number's creeping up to like a hundred cases now that are, that are running around. 'cause you know, we're still on those initial stages on a lot of things and it's going swimmingly well. I've heard of minimal problems with this system. 

(00:26:17) Dr. Leon Klempner: I tell you, worse, worse than, uh, having one or two brackets fail is.

Seeding the tray and have everything bond, but not having the seat, fully seat the tray fully seated, and then having to debo everything and starting over again. So I don't know if you've had that experience, but Oh, yeah. Uh, in the past 

(00:26:35) Dr. Jep Paschal: and, and the, in, I remember, I can specifically remember one case several years back where, you know, we had seeded everything and we, everything, nothing debonded, and we were really excited.

Wire was in and I was looking at. They can't from side to side. And I went back to, on this particular system, used to get a printout of what it was supposed to look (00:27:00) like. And there there was no differentiation between the, you know, cuss tips to where the bracket slot was supposed to be. And it was glaringly apparent that a segment just didn't get seated.

Mm-hmm. And so it was like, uh, now you gotta take the wire out, you know, and there you are doing a full rebond. Um, so yeah, it's frustrating.

(00:27:22) Amy Epstein: So the last question that I have for you, Jeff, today, is about the future of the company and what you have on tap and, and if you have plans to unveil anything else in the future. But so what's ahead? 

(00:27:38) Dr. Jep Paschal: Thank you for that. Um, it's really neat. One of the things I absolutely love about working with this company is that, um, I've never met a more forward thinking group of people.

Um, and just to call out one person individual is Colin Corey. He is the c e o of the company. He's also, you know, essentially the lead engineer. I mean, Colin and I have (00:28:00) been meeting biweekly for four years now. He's become a good personal friend. He is probably one of the. The most amazing brains in orthodontics right now from an engineering perspective.

And so he's just constantly thinking about how to make our lives easier for our patients and for orthodontists and specifically on things for the future. I. Is, you know, uh, you know, right now we're actually working on a system, you know, monolithic. Currently, you pretty much have the ability to have something delivered to your printer, you know, within a few days of being approved.

Um, and or let's say a week. Of being approved, which is the shortest delivery time that I can think of for a fully custom system. Um, and if you're getting it mailed, I think you can expect it probably in a little over a week, maybe two weeks. Still very short for a custom delivery system. Um, however, one of the things we're working on is a way to do a custom (00:29:00) appliance and deliver that custom appliance in a little over a day.

So essentially you would upload your s t l file and we are working on a protocol and, and a way of manufacturing these things that we can deliver to your system essentially that night or the next day. Um, that would just frankly be remarkable to be able to do that. Um, Another thing we're currently working on right now, all we have is twin bracket appliances, uh, specific to brackets.

We have several other, uh, auxiliary appliances that are out there. Um, and I encourage you to go to the website and take a look at what the full offerings are for braces on demand in your practice. Um, but in addition to that, we're working to, uh, towards a passive self ligation system as well. Um, so for those passive self ligation people out there, Stay tuned.

Um, because I personally, my, you know, my bracket of choices is a passive self ligation. So, you know that, that is definitely on the horizon. Um, with me being the chief clinical officer, I've been constantly, okay, (00:30:00) okay guys, let's get going. Let's get going. So, I. 

(00:30:04) Amy Epstein: Sounds good. Well, we will stay tuned and we'll encourage our listeners to stay tuned to Braces on Demand as well.

Thank you Jeff, so much for your time today. It's really been a pleasure talking with you. If our audience would like to reach you directly to ask you any follow-up questions, what is the best way to get in 

(00:30:20) Dr. Jep Paschal: touch? Um, you can get with get, you can get in touch with me, uh, directly. Uh, if you, if you would like, and I'm, I'm basically the, the easiest email for me is j e Pascal, so j e p a s c h a [email protected].

Um, that's my personal email. Feel free to reach out, but the better way to get in touch is go to braces on demand.com and uh, take a look at the website, um, and just go to that contact tab and contact, you can get. Ed ero, rod Maller Stein. They're both on the sales side of things. Um, and there's several other, there's several other people that can help you out and get you onboarded.

Um, (00:31:00) yeah, there it is. Contact us. So, but that's probably the easiest way to do it. But if you have any like. Clinical questions. If you have any specific questions about what we've talked about today, don't hesitate to reach out to me. I'm, I'm, I'm a clinician, just like I'm sure the vast majority of people who are looking, you know, who are watching this podcast.

And, uh, I, I'm in the trenches every day just like you guys are. And, uh, happy to help in any way I can. 

(00:31:26) Amy Epstein: That's great. Thanks again. We really appreciate 

(00:31:28) Dr. Jep Paschal: it, Amy. Leon, it has been an absolute pleasure. I, I appreciate the opportunity to come and talk to you about it. We 

(00:31:37) Amy Epstein: will have you back so you can subscribe or download other episodes of the Golden Age of Orthodontists Orthodontics on Apple Podcasts, Spotify, SoundCloud, and now YouTube or wherever you get your podcast.

And if you enjoyed it, we'd appreciate you telling a colleague. For more information about marketing and growth consult consulting that (00:32:00) we do here at People In Practice, you can visit our [email protected]

(00:32:07) Dr. Leon Klempner: And just a reminder that we're in a digital age. The future of orthodontics is going to be, uh, in a digital realm.

You have to start thinking about that for your practice. So, uh, technologies such as customized brackets that can. Shorten treatment time. Uh, technologies like remote monitoring, dental monitoring that en enable patients to spend less time in your office and less refinements. All of these, uh, technologies that.

Our, that help patients get the smile that they want in the most convenient manner are critical to the future of orthodontic practices. So, um, you know, we're marketers. We certainly want to (00:33:00) spread the word. Uh, if you're using any of these, uh, technologies, that's the business that we're in, you could reach out to me [email protected].

Um, we. Strongly feel that this is the golden age, but only for those that understand the marketplace. So I encourage you to take a look at these technologies and uh, if you have any questions, certainly reach out to us. Um, we're in the golden age. Let's not forget about it. And we'll see you next time.

(00:33:33) Narrator: Thank you for tuning in to the Golden Age of Orthodontics. Subscribe now on Apple Podcasts, Spotify, or visit our website at the golden age of orthodontics.com for direct links to both the audio and video versions of this 

(00:33:46) Dr. Jep Paschal: episode.


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