Good evening, everyone. Thank you for joining us this evening. We are going to be starting our webinar, the second episode of this series called elevating your patient's experience with doctor Vishan Patel. My name is Rubiha. I am your host. I work with Pearl. I am their customer success manager and a dental hygienist.

We're going to cover the topics of how you can improve your patient education and education, how you can provide more satisfaction and increase more accurate diagnosis and personalized experience for your patients, and how you'll be able to use HERL's advanced tools for treatment planning.

So I'm going to pass on to doctor Vishan to introduce himself.

Yep. So hi, everyone. My name is doctor Vishan. I'm a dentist working in a mainly private seven surgery practice in West London. I've been working here for around four years now, at the Bush Dental Clinic, since graduating from Bristol University.

Our practice provides a vast range of, specialist dental services, all under one roof. And now our love of AI gadgets and things, and constantly investing in the latest technology gives us the ability to offer the very best for our patients.

As soon as I saw Pearl, I was instantly drawn to it. And the idea you can take a simple black and white X-ray and flick it and switch it into color was a huge draw.

I've been able to find that, when you show a patient an X-ray and not having to explain all the different types of gradients of gray, huge time saver, and this has also improved on patient communication.

It's a game changer to use AI, to explain how, we see an X-ray as a dentist.

So to begin, what we're going to do is we're gonna play a little game, where we've got three different types of vector ways, and you're gonna just have a little look and see if you can spot any carries, radio lucencies, calculus.

And then you'll try and play against AI and see how well you come out. So I'm gonna give this a little go. So if you just scan a little QR code, you'll be able to play along, essentially.

So I'll give you guys maybe around five minutes or so to do this, and then we'll take it from there.

You get a smaller number out of a hundred. Thirty one is my score, and I've ranked three thousand one hundred and eighteen.

And it's out of, I think, about five thousand. So, yeah, I've done very poorly, but never mind.

That's just evident that our eyes alone can't pick up on everything.

Mhmm. That's how AI it. But, yeah, that was fun. So Hope you guys enjoyed that.

Alright. So AI gonna now go through, a real life scenario which I had on this new patient, so you can see how my action essentially.

So on this patient, like normal, I would have charted the teeth. I would have taken intraoral photos, and I'd also taken bitewings.

After the X rays have been developed, I'd normally go over them AI, diagnosing any areas of decay, calculus, bone levels, etcetera.

Now at this point, I then switched to pulp, as a second opinion. So I'm gonna give you guys just a quick thirty seconds to just see what you would do, for this patient looking at this AI, and then I can talk to you about what I did.

There were three cavities as a clue.

Alright.

So and then in most of you, I would have hoped spotted the caries in the AI four five region, and we can see these AI distances.

For the small majority, you could see there's an enamel lesion on the lower right five.

And now, essentially, what I'm gonna do is I'm gonna just switch it to power and see what power thought.

So here, you can see it's correctly diagnosed that you've got AI four by caries.

It's also said that there's a nano lesion.

But did anyone spot the lower right six, mesial decay?

So on this AI view, it's obviously brought my attention to this lower right six arrow.

And being honest, I didn't actually diagnose this as caries when I first saw the patient.

I would have left it as probably enamelesion, and I would have treated it through OHI, hygienist, fluoride varnish.

Now because I had Pearl, it's giving me a second opinion. I've had a look at this lower right six.

I've then gone back into the mouth, and I've just seen a little, shadow, as you can see.

Yeah. So on this photo that I've taken, you can see a little bit of a shadow, And I went with Pearl and my own office opinion. And as you can see from the workflow, there was definite decay into denti, which we then cleared up, we then sealed, and then we rebuilt the whole tooth.

So Pearl really made me recheck what I initially diagnosed, and using Pearl, we came to the right diagnosis.

We were able to save a patient a bigger filling later down in the AI.

And this patient was actually very relieved to find out that we were able to use, PALS technology to help find this decay, and deal with it as many more as possible, really.

So, yeah, it's a great example of how we could.

Can I ask Yeah? How were you so sure that the AI detections were accurate? Did you use any other tools?

Or so I mean, I've I've got a little, a light which can help me as well.

It's and AI also got a diagnodent, so it can also basically test the density within a tooth. You literally just put it on the tooth, then it will peep, then it will give you a scoring. And if it's if it finds there's kind of a little area there, it will just peep that allow it, basically. So I use that as well.

That alongside just looking at it clinically, you could just see a little chat in there.

I then went with AI and my own kind of knowledge to go ahead and do the filling, really.

Thank you.

Yeah.

Also, next, what we've got is essentially, we've got pose view, basically. And pose doesn't only just pick up AI of decay, also picks up a number of things. So So first, when I'm speaking to a patient, I normally show them in traditional black and white. I then switch to, color, and this is where normally patients use a AI, how clear they can now read an x-ray.

It was normally they're squinting at the x-ray AI to see what you're basically telling them. I'd explain what each of the colors mean. So you've got the white enamel. You've got green dentine.

You've got the nerves. You've got the roots. You've got your bone levels, etcetera.

Before then, AI move on to little things. So, normally, with a patient in this situation, I went over the enamel lesion, and I talk about how we don't actually need to do a filling here. We can do things like OHI, hygienist fluoride treatment to try and prevent you needing a filling in the future.

At this point, when you're AI talking about anal lesions and showing them on the X-ray with pearl, they can see the color, but they're also normally thinking about, okay. So what's the bigger red, basically? And on some occasions, I've even had patients who self diagnose themselves, that they have caries. So they'll normally say, does that mean I need to have fillings on these teeth with the bigger pink? At that point, most of your job is completely done. You then just agree with the patient, and you say, yes. Because you've got decay, which has gone through the enamel and now is in the denti, this is a clear reason why we would need to do a filling to prevent it from getting worse.

When you can see a regular lucency, which is in the denti, dentine is a lot softer, so the decay will travel a lot faster AI of rate, basically.

We're also able to see, these little green squares, and that brings the patient's eyes to these areas, and you can then talk about the calculus. So you can see these little fragments, and that, again, patients find it a lot easier to see them.

Another of my kind of favorite things about how is the measurement function, which, indicates the distance between the CJ and the bone.

This cannot only aid the dentist, but it can also help AI, periodontist, AI reviewing a patient's history over time.

Now Pearl's ability to put an exact number on something and then apply it to the X-ray for patients to see for themselves is extremely powerful.

It's it's a great way of showing the patient they've got to care they've got.

They're losing bone and what everything's being stable, essentially.

Now I know I've been raving on about how good AI is, but we almost remember that we are the clinicians, and PAL should only really be used as a second opinion.

It's there to point you in the right direction, but it's up to you to diagnose and then also, then treatment plan a patient.

If you do disagree with anything with the poll, it's quite clever because we've got a little AI on the right. And this little pencil function, you can simply so if you didn't think that was decay, you can literally click the pencil, and you would delete the decay wherever you saw fit, essentially.

Same as if you think there was calculus in the top right area, you could add calculus in. So Power does give you the options to be able to edit what it also thinks.

What it also does is there is a number of different kind of functions which AI.

So you can turn the brightness up. You can put invert mode. You can adjust the measurements, etcetera, to really help you, when diagnosing.

AI is constantly kind of updating the system as well to make things better.

And since I joined in May, they've now released, the compare mode, which I'll also talk about later.

That's this a and b there.

Okay. So that's move on to the next slide.

Good. So what happens if a patient still says no?

If on the rare occasion, a patient doesn't book in for treatment, even after you've gone over and explained everything, Normally, what happens in our practice is we give a patient normally around a month before we use to send a copy of the illustrated X-ray to the patient.

This is outlined and explained in a key, so it's very clear for the patient to use the key to kind of diagnose themselves again and also relay the information given to them at the checkup really easily.

It also gives the date in the top left, and you can also put your practice name in the top right.

Now this document, can be used to show that you, yourself, as a dentist, has also gone over and provided the relevant information to a patient.

If a patient, for example, comes back needing root treatments after not proceeding with treatment, you can clearly show that you've gone and done everything to educate why the patient needs kind of treatment in the first place.

This is really important in patients who, they feel they don't have any symptoms, but they don't believe that they have any decay. Or, if you can't see a big hole, then there's nothing to do, really. So it's really important to give the patient the information so they can see for themselves.

And I find this is a lot better than sending just individual X rays where a patient isn't gonna see anything, if I feel.

So it's a great tool that they've just come out with.

Vishan?

Cool. You know, I have questions.

So with that compare mode and you sending it out to them, you're are you sending it out a month later, or you're also giving it to them once they've had their I'm not giving it to them in the actual checkup appointment.

I'm giving it to them. Yeah. So a month later because, essentially, the checkup, I would have just spoken to them. I've told them the treatment plan, etcetera. And then it's only a month later I'd follow-up with by sending one of these in AI of an email format, really.

K. And so when you do that, do you find the patients that are actually calling back or when you get in touch with them that they're taking up treatment?

Yes. I mean, a lot of the time, patients, they're obviously with costs and things like that. I mean, patients are taking the time, but they're really grateful to be able to AI of be given these and for them to see for themselves. Okay. Let's do I mean, in this situation, patient may say, AI. Let's just deal with the top right filling because I can see they're a lot bigger. And then maybe could we do the lower right at a later, essentially?

So it gives the patient a bit more power over what is actually happening with decay because, normally, a patient knows, right, they've got decay in one, two. They're we it's either big or small. But in this aspect, they can clearly see for themselves and make that judgment for themselves as well, really.

And then I have one more question just because I'm interested in your workflow.

Who does the follow ups in a month's time? Is that you yourself, or do you have a TCO?

AI task myself because I like to just Yeah.

Be consistent with my patients, essentially. So I'll I'll write them a little email. And then if a patient still doesn't come back after that month, I think the two, three month, that's when AI perhaps manager will just follow-up on that.

AI. Thank you.

Yep.

Cool.

So the next slide is essentially the compare icon. So like I talked about previously, this is a prime example of how I've used the compare tool essentially, to enhance a patient's understanding.

So in this situation, I saw a patient back in May twenty twenty three where we diagnosed upper left five and upper left six for mesial decay.

The patient, unfortunately, chose not to proceed with treatment as he wasn't feeling any symptoms and his exact words were he couldn't see a big hole in in his mouth, so he decided to leave it.

We can now because I've now got Pearl, I can use basically the compare tool, to put two X rays side by side together to show the difference essentially.

Now in this situation, a patient can then see whether their condition is worsening or on flip side has not progressed.

Now in this situation, though, we can see in May twenty twenty three, you could see that the decay had got into denting around fifteen percent.

And then fast forward that back to September twenty twenty four, patient came back. We took a couple more X rays, and we could see that that had actually increased to twenty six percent.

In my experience, I've now seen a lot more uptake with these types of patients, who prefer normally to kinda leave decay because they're not getting any symptoms.

It also gives, a patient realization that things are worsening.

And as you can see in this X-ray, he's got a lot of anal lesions.

These could all turn into fillings if he's not careful, if he's not seeing AI GP. He's not cleaning in between his teeth. So it does definitely give a patient kind of a boost to start pinning his teeth a little bit better, really.

Luckily, because of this, the patient is actually booked in for treatment next week, so that's great.

So, yeah, so it's a great tool really to just see before and after because I think normally, exactly, we're AI of with black and white X rays.

You won't really see a huge difference unless there's a a big amount of decay a year later, basically.

So being able to show this to a patient who doesn't really believe what they're seeing on the X-ray is is really good, really.

And I guess that those incipient caries, those light pink colored Yeah.

Detections are also then prompting them to book their hygiene appointments more regularly then.

Exactly. AI, hygiene appointments, to get some AI mouthwash, to stop TP brushing themselves, because they know that these things could turn at any point then.

Yeah. That's AI the color is it's great for patients to see.

What's your patient's feedback on those?

On AI just seeing these detections and reinforcement.

As soon as you AI I always go through the X rays in black and AI. And then as soon as I kind of, switch the POV and everything comes up in color, the patients are AI wowed by it. And they're really impressed that they can actually see it. And, normally, I would have explained everything previously, so they'll be able to make their own kind of conclusions in their head.

And, they're actually kinda curious as to what things mean. And, I've also had patients come back, and they've said, has it got worse or has it got better? I've been hygienist doing it before with varnish. So they get a self they get a little bit more involved in kind of looking at their x rays rather than just leading you to it and then seeing what you've got to say.

Did did any of your patients ask for the printouts themselves?

No. I haven't had anyone ask for the printer. I just I just send the printout. I mean, even I had a patient actually who, they removed locations. I think they've they've gone to Southampton or something. So they moved away from the practice.

And then we sent the X rays because she had a checkup or something. And we sent the AI X rays, and the dentist actually thought, oh, wow. What what was this, basically?

And then the patient actually explained it to to the dentist, which was, quite cool because she messaged me greatly.

Wow.

So, yeah, that was one thing that that happened really.

Good. Cool. So moving on.

So, essentially, this is the impact so far. These are the stats that I've managed to AI find out as looking kind of from a practice base of view.

Using the exact software, I was able to use and find out whether Pyle really had kind of made a difference, to the revenue in the practice.

As you can see, the percentage increase on the right hand side for each of the titles has gone up significantly.

Not only was our practice, seeing a greater uptake of treatment, but has also increased the number of fillings, we were undertaking.

And the fluoride mouthwash stat is, really astonishing, really. We never really pushed, fluoride mouthwash. And as soon as we AI of all the enamel lesions became visual to our patients, they were suddenly a little bit more inclined to go with the fluoride mouthwash. And that's what you can see And so you've gone from eleven to a hundred and sixty nine, which is crazy, especially over only two months, really.

I feel Tyler has really improved the patient's understanding and experience our dental practice, and that's what you can kinda see in this table.

I feel also Pearl has strengthened, the patient's trust they have in you as a dentist as they are able to see a second opinion on their X rays immediately, and then put two and two together to make their decisions, essentially.

So, yeah, it was good, because you obviously want you obviously wanna make use out of power, especially if you're paying for it, per month, essentially. You wanna be seeing the value you get in your practice, basically.

Were you are you able to see that your patient's IQ has started to change across the practice? Like, since you've started using Pearl, have your patients started to be more understanding of the treatment plans that you're offering?

Yeah. I mean, as as soon as you I mean, it is just the color aspect. I think it's as soon as they see that, AI they can tell what kind of, that they need treatment or they plan a way around doing treatment over time, basically.

It's just a a clear way of showing things rather than just in the black and white and, having them look that way really. So, yeah, patients, they are a little bit more involved these days as well, which is good.

And everyone wants to prevent. That's what we kinda do in our practice. You'd rather do preventable dentistry rather than reactive dentistry.

And I think patients really appreciate that as well.

Basically, that you're investing in the best technology, AI of with, and they wanna make they don't want fillings at the end of the day, so, they're keen to resolve any issues.

You've obviously seen a patient more than once Yeah. Using.

And so AI found that it's also cut down the amount of time that you're spending having to explain things. Your treatment time is kind of reduced.

Or Yeah.

So, normally, I would have spent kind of time, basically drawing out images, basically.

So I would have normally talked about I think I've actually got a picture here.

There we go. There's my picture, that I would have normally drawn, to a patient while their X rays were coming in and before I show their X rays to them. So you can see you can see the bone. You can see the decay. You can see calculus. You can see the nerves.

But now with the cloud, because it's kind of all there, I've saved this amount of AI.

So I can use this time to either further educate my patients or simply just gain more rapport.

As good as it is, we always must remember that it's a second opinion.

But, yeah, it's it's it's a great tool to be able to use now to our patients, really.

And so with the question I've just asked, I've got another question to add to that. Have you had to add extra time to that initial first appointment so that you're able to incorporate Pearl into your workflow?

No. No. No. So I've I've saved time. So I used to be able to I used to have to draw this diagram up for each of my patients, but now just with Pearl. And then, I guess, the first time you explain a patient pearl, they you might need a little bit longer to kinda explain the colors, etcetera. But then that second, third, fourth appointment, a patient is looking in their is looking at all the colors so they know what to kinda look out for, basically.

Yeah. They don't want anything into dentine. That's one of my patients says. As long as it's into the enamel, it's it's okay.

So educating a patient like that and getting them involved in making decisions together is quite important, basically.

And that's helped with the patients as well, really.

I I don't think we know as clinicians or as practices whether a patient's gone elsewhere for a second opinion. But have you found that anyone has ever done that at your practice?

Or Being in kind of West London, there's there's probably around, I don't know, ten, fifteen practices all within our radius, essentially.

So patients will always kind of, they'll try shop around, or they'll try to find the best practice, until they've kind of suited. We're lucky where our practice has been around for around thirty two years. So we our patient base is kinda just through recommendations, etcetera.

But new patients, they will be kinda skeptical as to what you would normally be telling them. But with Pearl, because it kinda gives you an instant second opinion, I feel patients are a lot more kind of, relaxed about your treatment plan and as you've kind of got a backup. And Pearl is essentially backing you up. Whereas for a patient, it's nice to see that you've got this technology, which has just said exactly what you've told them.

So, yeah, that's how I've used that, really.

And with fifteen other practices around you, I guess Pearl is helping to retain your patient base.

Yeah. Yeah. I mean, it's it's great tech, and every patient that we have, they love how we invest in the latest technology. We we've got Seric machine, iTero.

We've got all the scanners, all this type of stuff. So they love it. Whenever we've got a new kind of gadget, they're always at the forefront of, okay. What's what what's this? What what does it do? And they wanna kinda use it, essentially.

So they're happy that we're still investing to just create the best treatment possible, really.

How many clinicians do you have at your practice, and are all of them using it?

Yeah. So every every clinician is using it, and there's seven, dentists now in our practice.

Each of them actually have all so, obviously, as AI of being a practice only, you need to talk about costs, etcetera, but each of them have all individually kind of increased their internals since.

So that's a great help as well.

And, it's allowed patients to have a bit more understanding, which I feel has led them to, go ahead with a lot more treatment, and then that's helped with the practice overall.

So, yeah, it's not only practice has benefited, but I feel, it's also kind of improved the patient's experience, when it comes to kinda looking at X rays and seeing what things they they need really.

Do you have hygienists and therapists at the practice?

We've got three hygienists as well.

Do they were they able to Yeah.

So, essentially, for, especially for new patients who come in and they've got kind of if they've got calculus everywhere, etcetera, it's a good tool for them to go over these areas so they can spot where they need to be cleaning, etcetera. But, yeah, normally, they'll make their own diagnosis, and then they can use Palms AI of a backup tool as well.

Yes. And with the new feature now where we've got edit measurements in the toolbar, you're able to change those bone levels yourself. So if you did ever find that it wasn't what you were hoping for it to be, it's not reading it to where it should be. That's Yeah. The new features on there now.

Yeah. Yeah. AI mean, the fact that you can edit everything probably in part is a good thing. Because if you don't agree with it, there is AI, and it's obviously constantly learning. So you need to make sure that you're not just taking its word for everything. You you're also using your own AI of knowledge and then putting two these two together, really.

Yeah. I think that's a really important point you've just made there, that AI isn't a hundred percent accurate. And even if it was, then we should always remember that we are the expert. As clinicians, it's our responsibility to make sure that we are diagnosing and treating correctly.

So what those tools on the side there are really useful to be able to do that, to edit off or add on things so that you can then show the patient the correct diagnosis detections.

And I was going to also ask, do you have TCOs at your practice?

No. No. No. We no. No TCOs. So the dentist will normally follow-up with their own patients, and then we've also got practice manager. Reception staff will help a little bit as well, really.

Okay.

Yeah. I wondered if you had to, like, convince your team to use AI in the practice, but AI guess not so much because everyone's using it.

No. No. No. They they have to use it. But then then this is non negotiable not to use it, essentially.

So I have I have checked with all the dentists. So you're using Impeller? How are you using it? How are you finding it? Obviously, when we first started.

And, obviously, in a practice, it does take time to if if dentist, if they don't use something, then it'll just be pushed away, and no one will ever use it, essentially.

So getting them on board was fairly easy, really, once they see kind of what it does and then also showing it to a patient and seeing the uptake of treatment.

It's like, why would you not use it, essentially?

Yep. I often tell when I'm training clinicians and practices, I often say that this is a patient education tool and a treatment conversion tool. So it's really important that you have this open with every patient and that you're getting your patients on board with it because it will, in the long run, cut your your talking time with your patient. You're not having to explain things as much because they're the ones now engaging in the conversation and asking you the questions. You know?

So when are we doing this treatment, and what could happen if I don't yeah.

Exactly. I mean, like, in the case that I said previously, they could see that the decay had just grown and and see he was yeah. Okay. Right. We definitely need to do this now.

No no if, but, so he he he could see the AI of the facts, and then that's what we then did, really.

Have you found that your patients are more engaged in conversation with using AI now, or are they similar to what they It's like when, when we learned about using X rays kind of at university, I it took me ages just looking at black and white.

AI literally had no idea.

But, obviously, as you were done, you look at more and more X rays and it become you kind of your eyes become tuned in. Whereas a patient, they're seeing these X rays what once every year, every two years essentially.

So with Pearl, just being able to add color to adding color to anything helps.

And then on x rays in this tray, it allows them to engage.

They're more kind of inclined as to what's this, what's that, and what's this new color, etcetera, rather than splitting having a look at a black and white AI, and they have no idea what they're looking at, really.

Well, it's really interest how, you guys have adopted it into your practice and the benefits you're obviously seeing there from the ROI and your fluoride mouthwash. I love that.

Yeah. You gotta you gotta check into these things. And, yeah, it's it's good how it it has improved. I mean, that's I'm not sure what the date's AI. Okay? But we started in around May, June with Pearl, and then, obviously, we've carried on. And, yeah, each I I just remember a few weeks, but we were just ordering more and more for a white mouthful to keep up with the demand, because we didn't have that much in stock, really.

And so, yeah, stock lady likes us, essentially.

Next time we meet, I'd really like to know what your floss AI has been or your Oh, yeah.

Yeah. That would be good. Yeah.

I think yeah. We'll we'll see. I think TP is probably a little bit more, but, I'm I'm not sure about floss. Yeah.

I know that you're a restorative dentist, and therefore, your eye will always go to your ROI for care caries. But did you also do a breakdown of any other treatments as your endo, perio, anything else?

I think I think perio, long term will be beneficial. I think at the moment, because we've we'll pull back dates at one year, so you've got that whole year. But I think going into kind of a two, three year where you can really see, a patient's kind of progress through perio or things getting worse, that's that'll be interesting to see. In terms of root treatments, it's interesting to see the radiolucency. So that comes up. So you can see the periapical radiolucency in kind of a a light blue.

And AI when you're looking at an X-ray and telling a patient, look, it looks a little dark around kind of the apex, because, again, it puts it into color that helps the patient understand. Okay. Look. I've got an infection.

I need to ideally do root treatment.

So, yeah, so that helps. I think for root treatment, it's helped. The perio may be a bit more long term, but I think the the clearing is just the filling through.

Yeah. But it brings your eye to these little areas, and then patients are AI to go ahead with that, really.

Yeah. I was in a meeting today, and I've seen some of the new additions that are going to be coming out. So I'm very excited.

Obviously, I cannot talk about them right now, but, yeah, keep an eye out. There's some really cool things being added on.

Very nice. Yeah. I didn't because, yeah, you can make suggestions as well, but aren't you?

Yes.

So They're good to help center.

Have been adding it. But it's good. I mean, because it's constantly updating, it's it's nice to see it being updated and constantly getting better.

I think one of the best things about this company, I've been with them two years, is that they listen to the client.

So when you've made a suggestion, they actually take that on board, and you'll find that it gets added to the software.

Of course, it takes time to do these things, so a little bit of patience, But there are things coming that I know we've spoken about months ago or even over a year ago, and now it's actually coming to life. So it's very exciting.

Yeah. That's that's good. It's good to hear it.

So open up to the audience. If you have any questions, please pop them in the q and a section, and we will get those answered for you.

And we also have a QR code for demo. So one is behind me over here, and you should have one here on a slide in just a moment.

We've had one which I feel we may have already answered, so we'll just ask it.

Do you find that your patients are more engaged with the treatments and are more confident with their treatment plans?

Yes.

Basically, yeah. AI, after showing the patient an X-ray, I'll always go through it in black and white with them first, and then I'll switch to the color with AI.

And going over that explanation really and getting the patient involved and seeing why they've got decay, it's got into the dente. Can you see here?

Has really helped in a patient.

A patient if if you can get a patient to understand what you're saying, like, kinda nine times out of ten, they will go with what you're saying essentially.

So with, that just adds more fuel to kind of your knowledge AI, really.

Yeah. It's comprehension over everything, which then just adds to your rapport building with that patient, and that then just that's the patient for life, really. I know the younger generation are a little bit different, but yeah.

AI. No. No. It is. Yeah. True.

Okay. So we've had a question saying, can we see the first X-ray again without pearl, please?

Did we have yes. You did. On the first slide.

Yeah. That's this one.

Yeah.

So, yeah, I mean, when you're looking at it, again, you can probably see a little darkness here. I think adjusting the contrast, etcetera, will make it a little easier.

But, yeah, that was that was that tooth, which obviously had decay looking at kind of the workflow, really.

See, and then next.

So that was obviously the workflow with the Pearl X-ray there as well.

So it was it was great. I mean, it brought my eye to it, and then we did the thing.

You think you would have missed that without having used Pearl? Yeah. Yeah.

I mean, I I would have just said it was an enamel lesion. So I would have just done my fluoride varnish, OHI and hygienist, and then we would have reassessed it in six to twelve months, and then rechecked on an X-ray and then see see if anything had got bigger. If it hadn't, then we probably would've left it again and may have only known until it actually got really big.

I was catching up with a implant surgeon couple of days ago, and he's also using Pearl at their practice. And he said he can't believe how many lesions he's missed.

So looking at the AI and then putting Pearl on, he was just like, I would I never saw those.

And then when he actually checked them, he started to notice that he was missing a few things, and he was very open about it and very It is crazy.

You do look back and because you got a year back as AI, backdated, and the patients who are coming, you potentially saw, I don't know, February, March, April time before kind of restarted. You see them back, and then you you can see kinda errors which Pearl has picked up, and then you have to then make your own diagnosis really.

That compare mode's gonna be really useful for that reason.

Yeah. Yeah. Yeah.

Day to your X-ray last year. Has disease progressed or has something improved?

I mean, I think it's really helpful when, because Pearl puts kind of a number on these kind of which, you could say it's in the malleusion or you could say it's just indented. Because it puts a number on it, you can automatically be saying, AI, it's AI. I think this was I think this was actually twenty percent into denti, for this case.

But you can tell a patient it's twenty percent to denti, and you give the patient the kind of the power to say, AI, do you wanna go for a filling, or do we wanna wait? And then do we wanna see if this number increases or stays the same?

We've had another question.

Oh, yeah.

What fluoride mouthwash are you recommending?

I recommend it. It's called it's a AI called Kin Kin AI mouthwash.

We they came in, and we thought it was we tested it out, and I kinda liked it. It's it's just minting is really good, and all our kinda patients love it really now.

You can only also buy it from a dental practice, which we find is good rather than telling a patient to go buy it elsewhere.

Yeah. Every little bit of your review helps.

Well, I think it's an Irish company, isn't it, if I remember correctly, from my rep?

No. I I believe it's Spanish. So Spanish is is a big brand, but it's spam that they're bringing over here.

Okay. We've had another question. How do you access the compare mode? So I know you had a slide to show where it was.

Here we go. So on this X-ray, we can only see one X-ray. But you'd simply you just press this a and b button. As soon as you press that, normally, on the patient's kind of x rays, if you've seen them kind of a year ago, you'll have another tab here, which has, say, July twenty twenty three. So you can flick between them that way. Or if you press the a and b button, you can simply just click on any x-ray you want side by side, and then that'll give you the compare mode.

So it it those X rays don't necessarily need to be a year apart, any X rays.

So you Yeah. You'll be able to Yeah.

So, normally, you can just have a left and right bitewing or, just to see a whole map if they wanted as well.

So we have another question. How often does Pearl present a finding which you don't agree with?

So I've I've found it it depends on the quality of your x rays really. I mean, I do find pearls is really good, but, there's times where if a patient's got crowding or if the patients have got overlapping tea, I will sometimes kind of do it as a false positive, and it will save its decay there.

Then you've just got to know that, and you've got to delete it or edit it, essentially.

But on X rays like this where you've got kind of very clear teeth, I haven't had any issues with teeth like this. It's only those maybe the canons, that I've seen. It's it's added decay where it is clearly not decay, basically.

But that's only a few AI, really. But that just highlights the point that, yeah, you you do need to obviously be diagnosing yourself, and you're using PUL to educate the patient and also your own AI of knowledge really as well.

Vishal, would you just quickly go over the sensitivity bar? Yeah. So for sure. They're just Yeah.

As you can see, kind of on the top right area, this is the sensitivity bar. So you've got low, medium, high, and then you've got human, but you can essentially change this. So, low detection is slow detection everything.

And then I'll go with it.

AI?

Which I always just need it on medium. So it's And then if you find that you are seeing false negatives or positives, it's because the sensitivity bar has, gone up to low.

So it's a little bit of a control on the AI.

So when you're human, there's no detections apart from measurements, which you have to click off on the toolbar.

High is when we have restrained the AI, and it only picks up a certain number of detections.

Medium is where we yeah. We believe it to pick up the right amount of detections, and then low is where we've kind of let it loose and gone show everything.

So it's it's sometimes good to use that low as well so you can see what it thinks, basically.

And then you can always track back to a medium or high if you really want.

But, yeah, there's there's an array of tools. So when I first got it, I was just messing around with all the tools, seeing what everything does, and playing around with it.

But then as soon as you've got it, it's it's obviously the most helpful kind of tool that you wanna show your patient an X-ray.

Would you mind, Vishan, just hovering over some of these tools for us so I can just point out what they are? So, like, your top one is your full screen.

The second one is a reset button. So if you've zoomed in anywhere, then it allows you to quickly go back to the original size. Your third button is a ruler, so especially useful for endodontists, and we've had great feedback in terms of the measures measurements being accurate.

Fourth one is your edit tool, so allows you to delete or add on things. The fifth one is your edit measurements.

So this one will allow those white lines.

They are usually white up until two point five, yellow from two point five to four millimeters, and then orange from four millimeters and above. You can change this in your settings in increments of one millimeter.

We then have measurements, which I was just talking about. That's confused me. Yeah. Measurements that you can switch on and off, and then two parts, which is what Michelle's got switched on here.

We've got brightness and contrast below that. So the images are calibrated to the same standard as your own imaging software, but if ever you needed to have a little play around, you have the option to do so. We have an in another zoom button. Sorry.

And then below that is your invert button.

We have a pearl enhanced view button that brings sharpness or clarity to your X-ray. So if ever they were quite blurry or very grainy, you'd need to play around with that, but we can go into more detail in a demo with you. Then we've got a rotate button and a flip horizontally button.

Okay. I find the zoom, actually quite helpful because on my we use exam in Chrome, but you've gotta you just right click, and you can zoom just one increment, but you can't go all the way.

So with this, you literally just scroll and you can zoom straight into the tooth. Yeah. It's not good when you just come on and talk to the patient about one little bit, really.

Yeah. I really like this.

Okay. Any more questions?

I know the football's on tonight.

Maybe I shouldn't have said that.

It'll drop off. Okay, Vishan. Thank you so much for joining me. That was really interesting. I love the workflow that you're using, your patient journey. It's been very interesting, and I'm so glad that you're enjoying the tool.

I would love to hear more about it at our next catch up.

One more question.

How do you create a doc? Okay.

So How AI you create that?

How do you create a PDF document? So it's the printout button. So on this screen, if you look to the top right, you've got this blue printout button. Printout is actually a PDF document which allows you to then choose the X rays that you want on that document. Also, the pathologies you wanna add to that document, and you can switch on tooth parts and measurements on there.

And that's how it so you can actually have it without the two parts on there as well.

Yeah. You can send normal interface. You can send them with AI. You can change anything.

Probably stay on for a few more minutes in case there's any more questions. But I want to thank you again, Vishan, and wish everyone a lovely evening.

Take care.

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