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Smile Designer Pro was designed from the ground up to meet the specialized needs of dental practitioners. Using simple photos, you can design a case in just a few minutes (e.g. While your patient is getting x-rays taken). PersonalBrain 6 Pro is mind mapping on Adderall. It isn't for everyone, but for non-linear thinkers in particular, TheBrain offers the most sophisticated cross-platform mind mapping software.
- Associative linking.
- Dynamic views.
- Database architecture makes it infinitely scalable.
- WebBrain sharing and syncing a welcome addition to version 6.
- Lacks the esthetic IQ of the competition.
- Bare-bones printing and presentation options.
- Jargon takes a little getting used to.
- Still some bugs.
Bottom LinePersonalBrain 6 Pro is mind mapping on Adderall. It isn't for everyone, but for non-linear thinkers in particular, TheBrain offers the most sophisticated cross-platform mind mapping software available.
The PersonalBrain 6 Pro uses 21st century technology to modernize mind maps, an organizational concept that's been around forever. Mind maps, visual webs of words, tasks, and ideas, predate the printing press. By the twentieth century, in particularly the 50s and 60s, mind maps helped envision semantic networks. In the 70s, concept maps structured around keywords enriched education. Today, mind mapping has moved from the chalkboard to the computer screen, with a host of different software packages designed to help anyone from educators to engineers, project managers to market researchers, to map out complex concepts. Of the available options, PersonalBrain 6 Pro ($299, including an annual subscription to WebBrain Premium) provides the most sophisticated package for visualizing virtually everything on your Mac or PC.
Unlike traditional mind maps, limited to a particular project or topic, PersonalBrain is infinitely scalable: You can literally put your brain in TheBrain. Whereas, traditional mind maps require hierarchical organization, PersonalBrain accommodates associative linking, so a thought from one topic can link to an entirely different idea, topic, or attached file. To accommodate a webbier Web, views animate and adapt, responding to whatever thought you click. When it comes to sharing, thoughts can sync to the Web, or from one computer to the next through the WebBrain service.
Certainly, there are comparable packages of cross-platform software that best TheBrain in the basics. NovaMind ($249) is a more esthetically-attuned mind mapper.
If you're looking to visualize—or print—a given project, such competitors are not only viable, they may be preferable. However, if you're looking to invest in mind mapping, PersonalBrain 6 has the most developed cranium. None of the competition can match its scalability, animated and adaptive views, or speed with which you can scrawl your map from scratch.
PersonalBrain feels less than 'personal' at first glance. The default screen is a blue-black gradient with a rotating circle that looks like something out of Tron. This circle, the 'Gate,' is the top level of your brain, from which you may draw as many child thoughts as you please. Before I got started, though, I had to change the look of the program.
Thankfully, TheBrain gives you a number of views and options. Switching to Presentation View expands the window to full-screen and looses the top bar. Transparent View is a real mind-melter: The software disappears leaving you with a search box, and your brain hovering over your desktop. If your desktop is less than pristine, you'll get lost. I settled on the standard view and tinkered with the preferences to change the default typeface, and add a less austere background.
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Changing your project's look and feel doesn't necessarily address all of the UI limitations of PersonalBrain. While I found adding thoughts easy (to be discussed), there were a couple of instances in which I wanted to use keyboard shortcuts but couldn't. For example, there's a shortcut to jump to Presentation View, yet no way—without tinkering in preferences—to quickly jump to Transparent View. Alone, a quibble, but every shortcut counts as you invest in the software.
PersonalBrain is designed to grow with your mind. Unlike competitors that use flat file architecture, PersonalBrain is a relational database that expands to accommodate attachments, folders, and links. Adding thoughts and topics is intuitive. Drawing a line out from the Gate creates a child. If you have a number of subtopics, you can semicolon—separate the terms and create a whole family at once. Drawing a line up from any of those children creates a new Parent(s) and drawing a line to side creates a related thought called a Jump. I found the whole process surprisingly agile.
Where PersonalBrain really starts to flaunt its IQ is in building associative relationships. Building a hierarchy is one thing—any mind mapping software can do that—but going a step further, and building relationships across that hierarchy is where this software stands out. Let's say I'm a publisher creating two distinct books that share content. The books are separate projects and they ought to remain so. However, there might be basal chapters, or at least common pages, within chapters. With PersonalBrain, I can draw relationships across hierarchy to connect thoughts.
Despite its sophistication in association, PersonalBrain is a less apt importer. PersonalBrain includes an import tool that enables you to import a tab-delineated hierarchical document. I dreaded having to build a map from scratch, so I spent a good deal of time setting up the document. Unfortunately, it wouldn't import. After contact with the company, I learned that PersonalBrain looks to the hierarchy of the document as it's expressed in text styles, visible in Word's 'Outline' mode. I was able to workaround the issue by opening my document, copying the text, and pasting it in PersonalBrain through the Paste Outline option. I was happy to see that it preserved my hierarchy. A word of caution, however: when working in Office, the inclination is to write longer, but this tends to look cluttered in PersonalBrain.
PersonalBrain excels in visualizing complex connections. Clicking a thought centers it on screen, with lines radiating to related thoughts. I was impressed with the dynamic viewing: Clicking related thoughts sent them spinning to the forefront. Even as I added more content to my brain, the visuals remained responsive.
Along the bottom of the screen, there's a breadcrumb trail that will help you keep tabs on hierarchy. This is a valuable feature, especially as you begin adding more associations. Clicking any of the terms in the trail that teleports you to that level, so you cannot get lost. At the same time, if you want a more permanent link to a particular thought of interest, you can bookmark it, or, in the parlance of TheBrain, Create a Pin. Pins stick to the top of the screen. They work well, but I wish you could do more with them: After five or six, the top of my screen looked cluttered.
Speaking of clutter, Views make extraordinary differences in PersonalBrain. The default Normal view is sufficient in the beginning, but I found that as I added more content to my brain, I had to switch to Expanded View, which enables you to drag and manually open or close specific thoughts. With your mouse's scroll wheel you can zoom in and out on an area of interest. There's also a sub-option to Expand All. This is fine when you're just starting out, but once you begin adding more to your brain, it can resemble a jumble of text. Finally, Outline View will prove most comfortable for linear thinkers (like me). Think of it as a hierarchical list. It works really well for traditional mind maps; however, if you have a lot of associative relationships, you'll find this view inadequate.
PersonalBrain thinks big. As previously suggested, TheBrain takes a different approach to mind mapping, building their software on a database rather than a single file. This means that you can put in whatever you want. First, let's talk attachments. If you want to include a file along with a thought, just drag it in to create a shortcut. Double-clicking the shortcut launches the file. And because the shortcut is essentially a link, you can move the file without PersonalBrain losing its cool. You can even drag in entire folders to create virtual thoughts.
The other option is to embed the file in your PersonalBrain database, an option available by right-clicking inside your brain (though you can also change the default preferences). You can either move the file into your brain, or make a copy. PersonalBrain even supports versioning, so you can use it as a searchable database for file management. Moreover, despite localizing a lot of data—documents, spreadsheets, images, and zipped files—I never noticed diminished performance.
PersonalBrain is clever with the Web. There's a built-in tool, similar to Snagit, which enables you capture images from the web and associate them with thoughts as 'thought icons.' You can drag URLs directly from your browser URL bar into PersonalBrain to capture a hyperlink. This might be useful if you're working on a research project where, in addition to capturing a stack of bookmarks, you want to track relationships between resources. Every thought also has a Notes space, where you can include full hypertext notes on each thought, or even checkbox to-do items.
Your Two Cents
The final key feature, new to version 6, is a beta synchronization service called WebBrain. WebBrain has two main functions: First, WebBrain helps you synchronize your brain among multiple computers; second, if you want to share your brain with others, WebBrain provides an online storage space for your data.
In terms of synchronization, PersonalBrain isn't terribly clever. The first time I manually synchronized, I encountered an issue wherein I couldn't synchronize because my computer's clock didn't match that of WebBrain. I had to manually change my computer's clock in order to synchronize. Then, you have the option to either manually sync, or schedule syncing. In a world of cloud-based computing, where users expect perpetually synching data, this sort of rigidly scheduled sync seems antiquated.
For sharing, however, WebBrain is a solid beta. There are already numerous free public brains available for your perusal. And WebBrain looks and feels like your desktop client, retaining your custom settings—for example, my custom background and typeface. I could even launch attached links.
But be advised, WebBrain is a beta. When I tried to add a new item via Firefox, I wound up with a '+' where there should have been a space. There also isn't a refresh button, so if you happen to have the page open while you make a change in your desktop client, there's no easy way to make it see that change without manually refreshing the page. If you embedded files your Brain, WebBrain will initiate a download in your web browser; if they're simply linked, don't expect to access those files remotely.
Sharing wasn't entirely intuitive for me: I couldn't see my WebBrain without a WebBrain account, an inconvenience when I tried to share my project with a non-user. This is because, by default, Brains published to WebBrain are private, password-protected and exclusive to your account. To share your brain with someone else without asking them to sign up for an account, you'll need to change the privacy settings to 'public' for that Brain. Perhaps in future revisions, WebBrain will build a bit more hand holding into the process: it's a useful feature that shouldn't be overlooked.
Beyond WebBrain, PersonalBrain also features a number of manual exports, including a brain zip—something like an archive—XML or HTML export, or even returning to a Word document by copying text as an outline. As long as you're staying on screen, your data is versatile. If, however, you're looking to print, your options are fairly limited. The PrintPlex engine mimics the current screen view (so if you're in Expanded view, you'll print Expanded view). Printing across multiple pages can help capture a particularly large cranium. That said, when compared to the in-depth print options available in the presentation-centric competition, PersonalBrain looks a little thin in this area.
The Personal Brain
Limited printing options belie PersonalBrain's priorities: This mind mapping software isn't intended for presentations, per se, but for heavy, personalized use keeping your thoughts organized. It doesn't aim to map a project, but to absorb all of your projects, and anything else you seek to include. If you want mind mapping for the workplace, iMindMap might be a more prudent choice: It is a more sophisticated presenter, supports a host of desktop and mobile platforms, features an online version, includes a Project Management System with Gantt Charting, and shares a similar price point.
However, if you're looking for something that embraces associative relationships between ideas, PersonalBrain is the strongest—and singular—option. No other mind mapping software scales, animates, or adapts like PersonalBrain. With the addition of WebBrain, users can expect a more personal community. There are already sample brains available for review and inspiration, not to mention video tutorials and free technical support. TheBrain even offers PersonalBrain 101, a biweekly (Tuesdays and Fridays) online class for new mind mappers.
$300 gets you the works—the professional client and one-year subscription to WebBrain—which is about par for premium mind mapping software. For those weary of the costs, TheBrain offers tiered pricing, based on desktop and online functionality, starting at half the cost. For those who want all the Pro functionality, start with the 30-day free trial: try it before you commit to it. For nascent mind mappers, seriously consider the free version of the software, which contains most of the functionality without the ability to embed files. You might find that you can't live your personal PersonalBrain.
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Implant Practice US:Can you tell me about your background?
Dr. Wohrle: I was born and raised in Germany, graduated with an AB in Humanities, one-year studies at European Business School, and completed a four-year program as Certified dental laboratory technician in Switzerland.
I also attended Harvard School of Dental Medicine at DMD cum laude, achieving the Advanced Education Program in Prosthodontics, Advanced Education Program in Implant Dentistry and Master of Medical Sciences in Oral Biology.
IPUS:When did you decide to become a specialist and why?
Dr. W: While attending the Harvard School of Dental Medicine, the School founded the first Department of Implant Dentistry at a nearby US Dental School. To enroll, one had to complete first a specialty program in Prosthetic Dentistry. The Chairman of the Department, Dr Paul Schnitman, became my mentor during my undergraduate studies, and I spent all my extra time there. I decided to pursue the double degree program, first in Prosthodontics, then Implant Dentistry. I became the first student to enroll and graduate from the program. Since then, all my activities have focused on Implant Dentistry
IPUS:Is your practice solely Implant Dentistry or do you practice other types of dentistry?
Dr. W: Wohrle Dental Implant Clinics focuses on the diagnosis, treatment planning, insertion, restoration and maintenance of dental implants. However, all facets of dentistry are provided within one convenient setting, with other well- qualified doctors providing various aspects of treatment. Dr. W. himself focuses exclusively on implant dentistry. However, larger cases requiring traditional prosthetic intervention, like full mouth reconstructions on both implants and natural teeth, are also performed by him.
IPUS:Do your implant patients come from referrals?
Dr. W: Yes from other patients. Initially when I started the practice more than 18 years ago, I was placing the implants for restorative dentists. However, when the patients later returned for follow-up, I was sometimes puzzled on what happened; therefore, I decided to retreat from the referral model and offer the entire range of implant dentistry the total solutions provider which enabled me to have complete control of the entire case. I practice this approach now for over 15 years, and it has been very rewarding. However, the local dental community sees me as a 'super dentist', which does not fit the traditional referral system. Referrals from them are typically difficult cases, which have had their fair share of problems.
IPUS:How long have you been performing Implant Dentistry and what systems do you use?
Dr. W: I have been placing implants now for over 20 years. I have been trained on all major systems while undergoing my specialty training in implant dentistry which was one of the many requirements. I know all major implant systems 'inside-out', and we stock many of the components of the major systems as we treat many patients who have had either old implants that are in need of new restorations, or that come from either other Doctors or even foreign countries to have the reconstructions finished. When I am starting a case, we use exclusively Nobel Biocare products. Nobel Biocare is the worldwide leader in implant dentistry, and has the best scientific evidence for long-term success and follow-up. In addition, most of the innovative, cutting edge technology that is developed in implant dentistry today is brought to the market by Nobel Biocare.
IPUS:Can you tell me more about the training you have undertaken?
Dr. W: I have completed a full postdoctoral program in prosthodontics (specialty of replacing missing teeth / tooth structure), followed by another full-time 3 year postdoctoral program in Implant Dentistry, both at Harvard University, which focused on the surgical aspects. In addition, I hold a Master of Medical Sciences degree in Oral Biology. Oral Biology is the basis for successful implant dentistry, understanding the interactions that occur around an implant after insertion, maturation and loading are essential for long-term success. In addition, I am a certified dental technician from Switzerland, having completed a four-year full time program relating to the design and fabrication of dental prostheses. Most implants in the US are placed in a 'team' setting, where a surgeon, restorative dentist and technician closely collaborate. I do the same thing I work as a team, it just happens that I am the surgeon, restorative dentist and technician all in one person. This gives me, as some of my colleagues say, an unfair advantage I know what areas are involved, and I know exactly where the treatment is headed.
In addition, I have placed and restored dental implants for close to 20 years exclusively, on a full-time basis. This leads to tremendous experience, which most other doctors involved in implant dentistry don't achieve in their entire career because implants are one of many areas of interest and expertise. I am proud to say that I am one of a few dentists worldwide that have formal training in the interrelating areas of implant surgery, inplant prosthodontics, and implant laboratory technology.
IPUS:Who has inspired you?
Dr. W: There are many people that inspired me. Professionally my mentors that I was fortunate enough to work with include Paul Schnitman, Stephen Campbell and Doug Atwood, all Harvard Professors. They had not only tremendous knowledge and love for teaching, but their commitment to excellence was demonstrated in their daily work. In art and architecture, the Bauhaus era with their vision of simplicity, clean lines, eliminat ing the unnecessary, all these are concepts that are directly applicable to my professional life.
IPUS:What is the most satisfying aspect of your practice?
Dr. W: Clearly the interactions with patients. Helping them to achieve their best, how they feel about themselves is the ultimate reward. Seeing the difference in the quality of our patient's life is certainly the most gratifying aspect in any patient- doctor relationship.
IPUS:Professionally, what are you most proud of?
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Dr. W: Staying the course of delivering the best possible care, even when no one else but me could see that there might be a problem. Professional honesty, pursuit of excellence and being obsessive compulsive about details are some of my trademarks. Profesionally, I was involved in the original research on immediate loading of endosseous implants headed by Dr. Paul Schnitman. Having applied these principles for the past 20 years, I feel very confident to exercise the clinical judgment necessary when doing these procedures. In addition, various other techniques have evolved from this original research, such as the immediate tooth replacement, which I first presented to the dental community in the mid-1990's. In addition, I have a keen research interest in the relationship between hardware components and esthetic outcome, which culminated in the development of the scalloped implant which was introduced worldwide in 2003. Currently, we continue working on these principles to further improve patient satisfaction.
IPUS:What do you think is unique about your practice?
Dr. W: There are so many unique things. My education. My approach to the patient's problems, where I don't use a prefabricated approach to treatment, but developing treatment plans that fit the patient, addresses their needs, and takes their value judgment into consideration. Ultimately, the patient will decide which treatment is best for them; my job is rather to guide them, give them the statistical probabilities in achieving success, but we don't treat every patient with the same problem the same, as they all have different needs, expectations and financial restraints. Experience. After placing and restoring implants for 20 years on a full-time basis, few surprises remain. Control. Since we deliver all aspects of care, finances, outcome, time estimates all are well controlled and predictable.
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IPUS:What has been your biggest challenge?
Dr. W: Initially it was building a total solution provider setting which didn't fit the traditional referral patterns. Meanwhile the hard work has paid off, where patients and some dentists alike refer for treatment outcome and patient experience. Today, the biggest challenge remains providing excellent care with the best materials and treatment approaches at an affordable fee, a concept I have been working on for a long time. We have made great progress in the totally edentulous patient; now we need to transfer that knowledge and techniques to the partially edentulous.
IPUS:What would you have been if you didn't become a dentist?
Dr. W: That's an interesting question. I can envision myself as an architect, building, creating things. Esthetics, outcome, quality of life, helping people feel better in their own environment. Dentistry and architecture are not that far apart, it requires the same thought process, love for attention to detail, perception how something should look like, and working towards achieving that goal.
IPUS:What is the future of Implant Dentistry?
Dr. W: The future is very bright but the provider model will change in the near future. Today, the US is the only major market in the world where care is provided by numerous doctors that work together as a team, each in their own offices. Compared to other countries, the costs are higher, the treatment takes longer and the patients are inconvenienced more. In many cases, outcome is not necessarily better. Hence I predict that in the future implant centers will blossom the Total Solutions Provider model. That doesn't necessarily mean one doctor that provides the entire treatment, but rather one center that is staffed adequately for complete implant care, from diagnosis and treatment planning to surgery, to restorative dentistry, all with adequate laboratory support on the premises. In addition to gaining more experience, cost will come down just by an increased in efficiency and proficiency, and outcome in terms of quality of survival will improve.
IPUS:What are your top tips in maintaining a successful implant practice and what advice would you give to budding implant dentists?
Dr. W: Maintaining a successful implant practice is entirely dependent upon the perception of your patients. Were their expectations met, did the doctor address their need, and could he deliver? If the answer is yes, these patients will refer new patients. If patients had a posi tive experience with no 'surprises', they will send their friends. On the other hand, patients that were disappointed with their outcome, whose expectations were not met, will let their friends know as well. For new colleagues, the most important advice I can give is to provide the services that you are comfortable and competent in. Patients sense immediately if you have done 100's of cases, or if you are just starting. Stay within your comfort zone, and expand the zone with experience. We all had to start some where. Also, to become profitable in Implant Dentistry, the patient volume should reach a minimum of 20% of the total practice volume. Then not only the Dr, but the staff as well has adequate proficiency to deliver exceptional outcomes on a regular basis, and the overhead expenses that come along with providing these services is justified.
IPUS:What are your hobbies and what do you do in your spare time?
Luckily, my profession is my hobby. If I don't treat patients I lecture, work on articles and think about new ways of solving problems. I meet constantly with professional friends throughout the world to exchange ideas and to make things work even better. And of course I spend time with my family, my wife and my two daughters.
Wohrle Dental Implant Clinic
Peter S. Wohrle, DMD, MMedSc, CDT (CH)
Clinical Director, Wohrle dental implant clinics
Wohrle Dental Implant Clinic, Newport Beach, CA
The Wohrle Dental Implant Clinic delivers unprecedented patient care and convenience by offering all aspects of implant therapy in one cutting edge facility. While typical implant dentistry involves patients traveling back and forth between specialty and/or general practice offices, The Wohrle Clinics are staffed by doctors encompassing skills in implant surgery, implant prosthodontics and implant laboratory technology. Additionally, the Wohrle Dental Implant Clinic comprises a state-of-the-art office with CAT scanning and computer guided surgical technology onsite. Minimally invasive techniques, based on computer guided surgery, are routinely performed for better outcome and patient comfort.
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Favorite products and equipment used in our practice
The volumetric images obtained by the iCAT are high-resolution, three-dimensional views of the patient's anatomy. In the Clinic, low radiation and fast turnover are extremely important for a routine application prior to any implant placement. From initial scan to discussing treatment options with the patient typically takes less than 2 minutes. At that point, I present the findings to the patient and present different treatment options with confidence. Critical information such as available osseous height and width, proximity to vital structures and adjacent teeth and potential need for grafting procedures are easily visualized by experienced users. In addition, the data collected will be used later for the virtual surgery within the NobelGuide software.
NobelGuide and Procera
Using NobelGuide enables me to diagnose and treatment plan every patient in a most efficient and predictable way. Once diagnostic appliances have been fabricated, the CAT-scan is used to place the implants in a virtual environment. Based on this information, a surgical template is fabricated, which transfers the virtual planning exactly to the patient's anatomy, and implants can be delivered precisely, when indicated in a flapless approach. Simultaneously, interims restorations can be prefabricated and placed at the time of implant installation.
Once soft- and hard tissue remodeling has occurred, final impressions are taken. Restorations are completed using the Procera system, in either zirconia, alumina, or titanium, depending upon the patient's needs and desires. Studies have shown that the marginal fit and strength of these restorations is superior to anything else on the market; in addition, the aesthetic outcome satisfies even the most critical patient.
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MacPractice / Apple Computers
I have been a Mac aficionado since the introduction of the first Apple Macintosh. In a dental practice, it was hard to incorporate the Mac as most of the software was designed to run on PCs. We had a split system, PC for office administrative aspects, Macs for patient education, slide collection and organization, and for the preparation of lectures. Of course, any videos we took were handled on the Mac side as well. Then we switched our office administration software to MacPrcatice DDS, which was developed specifically for Mac OS X. Since then, we have eliminated most of our PCs, and most of the problems have gone away along with the PCs. All operatories, surgical suites, the treatment plan room, the front and back offices, all have their own Apple computers, and all share the same network. The support we receive from MacPractice is outstanding, and new developments keep on coming, like the iPhone interface, allowing me to check either the schedule, patient records or anything else that is documented in the system from any place in the world. The biggest advantage of using this system is the user friendliness that Macs are known for. With minimal training, motivated staff members can learn the intricacies of the system within a very short time.
Magnification in dentistry is an absolute must the first step in quality control. Since the beginning of my training in dentistry I am used to work with magnification, either at the bench or in the operatory. The right combination of comfortable glasses with adequate magnification and depth of field is hard to find among the many manufacturers. In addition, a headlight is needed in most cases where direct overhead light is either blocked or not in the same long axis. Using the most advanced combination of loupes and headlight, the Heine 3S unplugged, has made it easier for me to routinely see better, and thus being able to deliver better quality of care to my patients, all without any cable hanging off my back.