Early Detection, Big Impact: Revolutionizing Healthcare Through Oral Health Innovation with Dr. Tina Saw, CEO of Oral Genome, and Brian Jones, the Chief Growth Officer of Avēsis

[00:00:02] [SPEAKER_01]: Hey everyone and welcome back to the Outcomes Rocket. So excited to have you all join us again today.

[00:00:09] [SPEAKER_01]: I have two amazing guests that are transforming the business of oral health care and dentistry. First

[00:00:15] [SPEAKER_01]: I want to introduce you to Dr. Tina Saw. She is the CEO of Oral Genome and a board member of

[00:00:22] [SPEAKER_01]: Harmony Health as a dentist and mom to a child on the autism spectrum. She knows firsthand the

[00:00:28] [SPEAKER_01]: struggles IDD patients face, which is why she invented the first ever chair side salivary test.

[00:00:35] [SPEAKER_01]: I'm excited to be joined also by Brian Jones. He's the Chief Growth Officer of Avēsis, a dental and

[00:00:43] [SPEAKER_01]: vision specialty benefits provider. Brian leads initiatives that enhance healthcare access and

[00:00:49] [SPEAKER_01]: outcomes for Medicaid, Medicare and other populations with special healthcare needs.

[00:00:54] [SPEAKER_01]: I'm so excited to have both of them here on the podcast and such a privilege to have you both.

[00:01:01] [SPEAKER_01]: Thank you. Thank you. Yeah, absolutely. Guys, by the way, we talked about this beforehand.

[00:01:07] [SPEAKER_01]: We believe that oral health is tied to overall health. So we'll definitely have to chat with

[00:01:12] [SPEAKER_01]: our friends at Think Oral Health to have you all make a stop there. But before I do, talk to

[00:01:18] [SPEAKER_01]: me about what got you into the business of healthcare and in particular oral health. Yeah,

[00:01:23] [SPEAKER_02]: I'll start first. So oral health has always been, it's interesting because actually it wasn't really

[00:01:30] [SPEAKER_02]: top of mind for me growing up. My family was like incredibly poor. And I'm telling you,

[00:01:36] [SPEAKER_02]: like I got my older cousin boys like hand me downs on everything. We only went to the dentist

[00:01:42] [SPEAKER_02]: when there was like severe pain. And I remember like just having this massive toothache where I

[00:01:48] [SPEAKER_02]: ended up having to go to the emergency room and it really actually like blew up as an abscess.

[00:01:55] [SPEAKER_02]: And you know, I ended up getting it treated, but I fell into oral health because one, that was

[00:02:01] [SPEAKER_02]: something that opened the door was like, okay, maybe there's something going on. I was

[00:02:06] [SPEAKER_02]: actually a music major in college too. And so it was very interesting because I started,

[00:02:11] [SPEAKER_02]: oral health just kind of started falling into my lap. I ran into a professor in

[00:02:16] [SPEAKER_02]: dental health and she started like wanting somebody to help her out with some oral systemic

[00:02:22] [SPEAKER_02]: research. I was also working in a dental office just for extra cash. And it really was not like

[00:02:28] [SPEAKER_02]: something where I feel like oral health just came to me. And so here I'm at today,

[00:02:34] [SPEAKER_02]: starting out just, you know, working a regular job as a dental assistant in college,

[00:02:38] [SPEAKER_02]: just to make a little extra money, then going to dental school. And then here I am

[00:02:43] [SPEAKER_02]: with this like salary testing company. So I feel like I would say oral health came to me.

[00:02:50] [SPEAKER_01]: So great. What a great story, Deena. Thank you so much for sharing that.

[00:02:54] [SPEAKER_01]: You answered the call. You answered the call. I love it. And Brian, what about you?

[00:03:00] [SPEAKER_00]: I really found myself falling into oral health after spending about 15 years in the federal

[00:03:07] [SPEAKER_00]: IT and defense sector. I started my own business and pick up a couple of health clients

[00:03:11] [SPEAKER_00]: and kind of fell in love with everything that was in and around how health care is delivered.

[00:03:17] [SPEAKER_00]: But then I also fell out of love with how health care was being delivered as I got deeper into

[00:03:23] [SPEAKER_00]: kind of understanding how a lot of the interdependencies are just lacking and not

[00:03:29] [SPEAKER_00]: there overall. I dove deeper in after my father passed from a long battle with cancer

[00:03:35] [SPEAKER_00]: and having to take and, you know, walk through all of the steps of processes of,

[00:03:41] [SPEAKER_00]: you know, of the health care system and not only closing out everything that he was going

[00:03:45] [SPEAKER_00]: through, but also, you know, working my way through understanding what certain things on

[00:03:50] [SPEAKER_00]: bills were transparency, understanding why I had to pay this versus that, and really trying

[00:03:56] [SPEAKER_00]: to navigate a system. And somebody who I would think has commercial insurance, who

[00:04:01] [SPEAKER_00]: think I'm pretty smart on understanding how all of that is, but then realizing I do nothing at

[00:04:07] [SPEAKER_00]: the end of the day. And as I looked at the broader audiences of who receives health care and

[00:04:12] [SPEAKER_00]: the millions and millions of folks out there who aren't in a similar situation, who might not

[00:04:17] [SPEAKER_00]: understand any aspect of health literacy or any aspect of how health care is delivered

[00:04:23] [SPEAKER_00]: and how we navigate that and help them navigate that. Finding my way into oral health,

[00:04:28] [SPEAKER_00]: I started working in the space, found a company that really introduced me into that and then

[00:04:32] [SPEAKER_00]: joined a VCS about 18 months ago with a real refined focus on how are we delivering an

[00:04:39] [SPEAKER_00]: innovative approach to oral health care versus just the blocking and tackling approach. We

[00:04:43] [SPEAKER_00]: wanted to take it and come at it very, very differently. And then that's where Tina

[00:04:47] [SPEAKER_00]: and I and her team at oral genome came together and started putting together a pretty

[00:04:51] [SPEAKER_01]: interesting solution. That's awesome, Brian. Thank you so much for sharing that and Tina

[00:04:55] [SPEAKER_01]: as well. Thank you so much for sharing the path to how you got here. Very personal and at the end

[00:05:02] [SPEAKER_01]: of the day, solving big problems. So I'd love if you guys could tell me a little bit more about

[00:05:07] [SPEAKER_01]: the partnership. Tell me what it's all about, what you're focused on and how it's adding

[00:05:12] [SPEAKER_00]: value to the ecosystem. Sure. I mean, I'll start this time on, you know, as we were

[00:05:16] [SPEAKER_00]: digging into at Avices, as we were digging into the populations that represent the hardest

[00:05:22] [SPEAKER_00]: to serve. The 20%, the individuals with special healthcare needs to include kids and adults

[00:05:28] [SPEAKER_00]: with intellectual and developmental disabilities, pregnant moms, seniors, folks that make up maybe

[00:05:34] [SPEAKER_00]: 10 to 15% of say the Medicaid population, but really represent nearly 60% of the cost.

[00:05:41] [SPEAKER_00]: And how do we find ways to introduce better interventions, a new type of prevention

[00:05:46] [SPEAKER_00]: to really pinpoint what's going on in an individual's mouth, you know, focused on oral

[00:05:52] [SPEAKER_00]: healthcare. And how might the learnings that we get from that impact their overall health,

[00:05:58] [SPEAKER_00]: impact different comorbidities of health with chronic diseases like cardiovascular disease,

[00:06:03] [SPEAKER_00]: diabetes, COPD, things like that. Because, you know, as we are firm believers, you know,

[00:06:08] [SPEAKER_00]: the mouth is part of the body. That seems to be a cliche that everybody says, but then as

[00:06:12] [SPEAKER_00]: you say it, you tend to forget it. And we said, well, what's a different approach that we can take

[00:06:17] [SPEAKER_00]: to that? And at that time, Tino was starting to introduce this new tool that she has through

[00:06:23] [SPEAKER_00]: oral genome, which takes a really unique aspects of studying your saliva and really understanding

[00:06:29] [SPEAKER_00]: what's going on in the mouth. And then from a payer's perspective, how we integrate that

[00:06:34] [SPEAKER_00]: into a payment structure and incentive structures and others to get the appeal and get the mass

[00:06:39] [SPEAKER_00]: of folks using it. But then that's really where the technology takes over. And that's

[00:06:42] [SPEAKER_02]: where Tina's solution really comes in. For me, it was a lot of like we talk about

[00:06:47] [SPEAKER_02]: in medicine and dentistry, the oral systemic connections, it's all over the internet.

[00:06:52] [SPEAKER_02]: We say it's related to cardiovascular disease, diabetes, stroke, Alzheimer's, all that stuff.

[00:06:57] [SPEAKER_02]: We talk about it, but it's like there's not really much of a tool that actually

[00:07:02] [SPEAKER_02]: puts this all together. And so I was looking at all these other medical technologies,

[00:07:07] [SPEAKER_02]: and we came upon something where I was like, bingo, this is it. We can develop a point

[00:07:11] [SPEAKER_02]: and care test. And I pulled together a team that was looking at all these biomarkers that

[00:07:16] [SPEAKER_02]: was related not only to oral health, but also to different conditions in your body,

[00:07:22] [SPEAKER_02]: like cardiovascular disease, stroke, diabetes is a big one. So it took us a couple years to

[00:07:29] [SPEAKER_02]: really make this all happen to have a seven assay test where we put on a test card.

[00:07:34] [SPEAKER_02]: It's very incredibly easy to use. But one of the other challenges that we faced was,

[00:07:41] [SPEAKER_02]: no, in dentistry in general is having a point and care test where you're not mailing something

[00:07:45] [SPEAKER_02]: in and out. You're able to not even have to buy like a very expensive machine that sits

[00:07:50] [SPEAKER_02]: in your office. So what is it that we can use something everybody has, which is a smartphone,

[00:07:55] [SPEAKER_02]: take a photo of your slide and get that analysis right away and get a report about

[00:08:00] [SPEAKER_02]: your dental health and actually the specific oral systemic connections that are related to that.

[00:08:06] [SPEAKER_02]: So, you know, we're really excited to be able to be working with the VCS because we've already

[00:08:11] [SPEAKER_02]: started piloting some of these projects, and we're able to target some really strong

[00:08:16] [SPEAKER_02]: interventions and understand what's going on in the communities that we're working in.

[00:08:20] [SPEAKER_01]: That's really interesting. So on the one hand, Tina, you have the technology tool,

[00:08:26] [SPEAKER_01]: Brian, you and your company have sort of the reach and the model around access. And together,

[00:08:32] [SPEAKER_01]: you guys are really doing some phenomenal work. Talk to us about how you're making things better.

[00:08:39] [SPEAKER_01]: Do you have any early cases of how things are working out?

[00:08:42] [SPEAKER_00]: Yeah, this is probably the most exciting part of the process is, you know, you get through

[00:08:47] [SPEAKER_00]: the training of the tool, you figure out how to integrate it within the practice structure,

[00:08:52] [SPEAKER_00]: which is another component of the pilots that we're working on right now is how do we seamlessly

[00:08:57] [SPEAKER_00]: integrate this in while maintaining, you know, good consistent share time between the doctor

[00:09:01] [SPEAKER_00]: and the patient. But the results, the outcomes are really what are driving us from this

[00:09:07] [SPEAKER_00]: perspective. We received some early results from a pilot that we're conducting in West

[00:09:11] [SPEAKER_00]: Virginia right now, and specifically in a rural aspect of West Virginia. And we found through

[00:09:17] [SPEAKER_00]: really our first hundred cases, we're taking this, you know, one bite of an apple at a

[00:09:21] [SPEAKER_00]: first hundred cases. What are the impact that we can see on that? You know, we've been able to

[00:09:26] [SPEAKER_00]: identify about a hundred and eighteen thousand dollars in current and future savings when it

[00:09:32] [SPEAKER_00]: comes to the treatment of early caries identification, early identification and

[00:09:37] [SPEAKER_00]: treatment of periodontal disease, and also ongoing and long term treatment related to

[00:09:42] [SPEAKER_00]: diabetes within our first hundred cases, we have found seven identifiable cases of

[00:09:48] [SPEAKER_00]: diabetes or diabetes that have been undiagnosed. So a patient using these salivary tests,

[00:09:54] [SPEAKER_00]: their saliva glucose levels were high and we said, hey, you might be at risk for diabetes

[00:09:59] [SPEAKER_00]: or maybe pre-diabetic. And then through some medical dental integration, you know,

[00:10:04] [SPEAKER_00]: informing them, making sure that they're doing it actually be able to confirm through

[00:10:07] [SPEAKER_00]: their doctors, through an A1C test, you know, other blood testing that they were in fact,

[00:10:11] [SPEAKER_00]: either pre-diabetic or already diabetic and, you know, able to put in the interventions,

[00:10:18] [SPEAKER_00]: the counseling and others, whether it's nutritional based or just lifestyle based

[00:10:23] [SPEAKER_00]: and say, how do we prevent future issues in state renal disease treatments, dialysis,

[00:10:28] [SPEAKER_00]: things like that? How are we cutting costs out of the system that we might not be

[00:10:32] [SPEAKER_00]: directly attributed to from an oral health perspective, but we helped identify it early

[00:10:36] [SPEAKER_00]: and really get to the get to it and pinpoint where where the disease is.

[00:10:40] [SPEAKER_01]: Love that. No, thanks, Brian. And it's about that early detection, right? Being able to

[00:10:44] [SPEAKER_01]: get folks that may not know. And this is the case for chronic illnesses,

[00:10:49] [SPEAKER_01]: for things like cancer as well. Maybe Tina, can you share more about what exactly you guys

[00:10:56] [SPEAKER_01]: are capturing with this? Is cancer part of that? Because I know, you know, people talk

[00:10:59] [SPEAKER_01]: about cancer being one of those things that we should like our best defense is early

[00:11:04] [SPEAKER_02]: detection. You're absolutely right. And cancer is definitely one of those hot topics we all

[00:11:09] [SPEAKER_02]: love a chair side test to to detect all of that. But really going out the gate, this was really

[00:11:14] [SPEAKER_02]: just pilot. Let's prove out the concept. And this actually really works and is what we want

[00:11:20] [SPEAKER_02]: to be able to restratify our populations. So we really right now have a product that's

[00:11:25] [SPEAKER_02]: focused on cavities, gum disease and diabetes. But it doesn't mean, you know, stay tuned,

[00:11:31] [SPEAKER_02]: doesn't mean cancer is out of the picture right now. There's still a lot of research

[00:11:34] [SPEAKER_02]: right now on what is that correct marker for cancer. And so we're looking in how can we

[00:11:40] [SPEAKER_01]: implement this for the future? Love it. No, that's great. Thanks for centering us there.

[00:11:44] [SPEAKER_01]: And by the way, huge opportunities in identifying caries, gum disease, diabetes,

[00:11:50] [SPEAKER_01]: like all these things kill people and capturing them earlier is definitely key. Tell us about

[00:11:56] [SPEAKER_01]: the partnership. You know, these are some of the wins you've seen. What about maybe some

[00:12:00] [SPEAKER_01]: challenges that you've learned from in the implementation of the technology,

[00:12:06] [SPEAKER_01]: access to the particular audience that you're wanting to get? I definitely would say is that,

[00:12:10] [SPEAKER_02]: you know, a lot of providers are very used to doing their same old routine over and over.

[00:12:15] [SPEAKER_02]: And now we're asking you to just add a little bit more. But we've actually found that

[00:12:20] [SPEAKER_02]: after they were trained and use the test a couple times with their patients,

[00:12:24] [SPEAKER_02]: they actually were able to cut back and actually spend more time with the patient

[00:12:28] [SPEAKER_02]: because we were more efficient. Our mobile app that we built was actually walking through a lot

[00:12:33] [SPEAKER_02]: of things like the caries risk assessment, things that they were already they had to

[00:12:37] [SPEAKER_02]: archaically do on paper anyway. And so there was actually once we hit that a couple of tests

[00:12:43] [SPEAKER_02]: kind of threshold, people were like, Oh, this is really easy. It benefits patients.

[00:12:48] [SPEAKER_02]: And then we're actually able to move through the chair a lot faster.

[00:12:52] [SPEAKER_01]: That's great. An obstacle up front, but then you go from paper digital,

[00:12:56] [SPEAKER_01]: like that in itself is a huge benefit. Yeah, exactly. That's awesome.

[00:13:01] [SPEAKER_00]: Brian, what about on your side? Any thoughts on definitely and we, you know, as we were

[00:13:05] [SPEAKER_00]: developing these pilots and trying to figure out how do we think down the road, how do we

[00:13:09] [SPEAKER_00]: replicate and scale after pilot? Because I already knew the technology worked. I was sold

[00:13:14] [SPEAKER_00]: on that. Tina and her team said, Well, how do we institute it and get it integrated to

[00:13:19] [SPEAKER_00]: dental office? That was challenge number two. Challenge number three is probably where,

[00:13:25] [SPEAKER_00]: you know, as a Medicaid oral health plan, we see the biggest challenges. How do you make

[00:13:30] [SPEAKER_00]: systems change that doesn't take a decade to implement dentistry is always well behind

[00:13:35] [SPEAKER_00]: the medical innovation from a systemic and a process perspective. So how do we cut that

[00:13:41] [SPEAKER_00]: time out? And then, you know, that's really where I've been focusing on and collaborating

[00:13:45] [SPEAKER_00]: with Tina and her team to say, how do we cut the time of adoption of this in a Medicaid

[00:13:50] [SPEAKER_00]: population to, okay, it works to it's ready to go. And how does it fit within existing

[00:13:57] [SPEAKER_00]: structures to say, we want to implement this as a core component of a value based structure

[00:14:03] [SPEAKER_00]: based on preventative care, minimally invasive care and care coordination. And so three or

[00:14:08] [SPEAKER_00]: four buzzwords that are already out there that are still just buzzwords until we

[00:14:13] [SPEAKER_00]: long term systemic change from that perspective. And so when we do that, we have to think about

[00:14:18] [SPEAKER_00]: things from a payer's perspective of how does this get paid for? Well, right now, I'm paying

[00:14:23] [SPEAKER_00]: for it because I want to prove it out and I want to make sure that as we scale it, it needs to

[00:14:29] [SPEAKER_00]: fit within the existing dental reimbursement structures. And so how do we make the cost

[00:14:35] [SPEAKER_00]: of the test affordable? We've solved that challenge. It's scale and you know, and

[00:14:42] [SPEAKER_00]: we're not asking Medicaid offices to generate or create a new code for us to build this.

[00:14:50] [SPEAKER_00]: A lot of innovation dies because there's not a code approved in Medicaid to get this done.

[00:14:55] [SPEAKER_00]: So if we can fit it within the existing structures, maybe a carries risk assessment

[00:15:00] [SPEAKER_00]: or other elements that they're already doing and we're actually making their

[00:15:04] [SPEAKER_00]: chair time that much more valuable than integrating the test and reimbursing it

[00:15:09] [SPEAKER_00]: that structure is one big hurdle solved. The next one is how do we as an oral health

[00:15:15] [SPEAKER_00]: company integrate that and understand how we can share and save some costs down the road from

[00:15:21] [SPEAKER_00]: the standpoint of risk stratifying our population, understanding that not every Medicaid patient

[00:15:28] [SPEAKER_00]: is a high risk patient when it comes to oral healthcare. There are many low patients that

[00:15:33] [SPEAKER_00]: just because they're on Medicaid, they automatically get structured into a high

[00:15:37] [SPEAKER_00]: element because a traditional camber test or an oral health risk assessment is subjective.

[00:15:43] [SPEAKER_00]: We're taking subjectivity, turning it into objectivity through the saliva and saying,

[00:15:49] [SPEAKER_00]: okay, well your carries risk assessment is very low because you have these certain biomarkers in

[00:15:54] [SPEAKER_00]: the mouth that allow you to have a healthier mouth. And then adding in the element that

[00:15:59] [SPEAKER_00]: medical has today that dentistry doesn't and say who's in a rising risk category?

[00:16:02] [SPEAKER_00]: Who can we say and what components of the population do we really, really need to focus on?

[00:16:08] [SPEAKER_00]: As we spread the implementation and the use of these tests, being able to understand within

[00:16:13] [SPEAKER_00]: the population where are those centers of bad oral health and what in the community is causing

[00:16:20] [SPEAKER_00]: that other than just bad flossing, bad brushing, bad oral hygiene which is what it's always

[00:16:26] [SPEAKER_00]: kind of pinned down to. But depending on where you are, maybe there's poor water

[00:16:30] [SPEAKER_00]: if that's an important component to the state, there's not access to healthy foods.

[00:16:35] [SPEAKER_00]: There are no school based programs. There's no educational resources. So based on what's going

[00:16:40] [SPEAKER_00]: on and the stratification of the population that we can do from that, we can pinpoint

[00:16:44] [SPEAKER_00]: our interventions and kind of get away from this peanut butter spread approach to say,

[00:16:49] [SPEAKER_00]: let's touch everybody and hope it gets to the right person. Instead of we're saying

[00:16:53] [SPEAKER_00]: we're getting it to the right person to begin with. And then we can dedicate our

[00:16:56] [SPEAKER_00]: resources elsewhere to really drive what's going to be the best for that population.

[00:17:01] [SPEAKER_01]: HOFFMAN I love that. Yeah, and it's data informed,

[00:17:05] [SPEAKER_01]: evidence based business and care, which is awesome. And Tina, your solution, you and

[00:17:10] [SPEAKER_01]: your company solution allows organizations like Brian's to really take these programs to the

[00:17:16] [SPEAKER_01]: next level. As far as technology goes, what are you guys thinking is the tech that's

[00:17:22] [SPEAKER_01]: going to help us bridge that gap between oral and overall health?

[00:17:27] [SPEAKER_02]: TINA Right now for us, we've already built a platform. We're able to get any real time data.

[00:17:32] [SPEAKER_02]: And our next step is we're actually connecting it on our side. We're trying to connect it to

[00:17:37] [SPEAKER_02]: different medical data and seeing what all aligns. We know from the literature what aligns,

[00:17:42] [SPEAKER_02]: but we're just reconfirming it through our data analytics on our platform.

[00:17:47] [SPEAKER_01]: HOFFMAN Very cool. Yeah, and that's key. And what we see here folks,

[00:17:50] [SPEAKER_01]: and we've talked about this before, it's we're looking for leaders with backbones,

[00:17:55] [SPEAKER_01]: not wishbones. And what we got here with Brian and Tina's backbones,

[00:18:00] [SPEAKER_01]: and I'm excited to see the progress that you guys are making with this.

[00:18:04] [SPEAKER_01]: At the end of the day, we need this bold thinking. What call to action would you leave

[00:18:08] [SPEAKER_01]: our listeners with? And what's the best place that they can reach you to collaborate,

[00:18:13] [SPEAKER_01]: learn more, and keep building on this awesome thing that you guys have already started?

[00:18:17] [SPEAKER_00]: Now, I think from my perspective, I'm firmly kind of rooted and believed in that, you know,

[00:18:24] [SPEAKER_00]: a Medicaid as a general in the grand scheme of things was never designed and should not be

[00:18:29] [SPEAKER_00]: seen as creating a permanent lower class of folks that deserve access to really,

[00:18:35] [SPEAKER_00]: really high quality healthcare. Not just oral care, but overall care. We've taken a focus

[00:18:40] [SPEAKER_00]: on doing things we can't Google. You know, I don't want to Google something and somebody

[00:18:44] [SPEAKER_00]: already done it because it's already out there. It's either working or it's not working. And

[00:18:49] [SPEAKER_00]: unfortunately, in many cases, it's not working. And so what are we doing differently? How are we

[00:18:54] [SPEAKER_00]: coming out of the box and saying, what's the next issue down the road? And really understanding

[00:19:00] [SPEAKER_00]: that there are interventions that can be put in place beyond a postcard going to a member

[00:19:05] [SPEAKER_00]: that says you need to go get your dental visit, or you might be high risk. But how

[00:19:10] [SPEAKER_00]: are we integrating that within the community and driving the change instead of hoping for the

[00:19:15] [SPEAKER_01]: change? Love that Brian. That's a great close. Thank you for that. And what about you, Tina?

[00:19:21] [SPEAKER_02]: I mean, it's really we've got this very similar mission. And that's why we're so excited

[00:19:26] [SPEAKER_02]: to be partnering with Avistas and so many projects. It's worth forward thinking, I've

[00:19:31] [SPEAKER_02]: been so tired of reading like this is what we need to do, but nobody actually taking action.

[00:19:37] [SPEAKER_02]: I mean, as you know, the founder and CEO is like, I don't even know how we're going to do it. But

[00:19:43] [SPEAKER_02]: we're going to figure out we'll bring the right teams together. And this is all exploratory. And

[00:19:48] [SPEAKER_02]: what I've seen so far in the data, what's been happening on all the pilots and projects

[00:19:52] [SPEAKER_02]: we've been going on. It's very, very exciting. And yeah, so if anybody wants

[00:19:57] [SPEAKER_02]: to reach us, we're oral genome.com. I know you asked where they can find us and they

[00:20:02] [SPEAKER_01]: contact us through that website. Outstanding. Thank you, Tina. And then Brian, your contact

[00:20:07] [SPEAKER_00]: best place people can learn more about you guys. Sure. It's www.avistas.com. A-V-E-S-I-S. Very

[00:20:14] [SPEAKER_00]: simple. You can find some of our other innovative products there. A heavy focus on how we're

[00:20:19] [SPEAKER_00]: working with Tina and the oral genome team to really drive the solution moving forward.

[00:20:23] [SPEAKER_01]: Outstanding. I want to thank you both. And folks, I want to thank all of you for

[00:20:27] [SPEAKER_01]: listening and viewing us today. It's all about being bold, making a choice that you want to

[00:20:32] [SPEAKER_01]: make a difference. I mean, like Tina said, they didn't know how they were going to get there.

[00:20:37] [SPEAKER_01]: But when you're clear about your mission and you make partnerships with organizations like

[00:20:41] [SPEAKER_01]: Brian's, things get done. And so I'm inspired today by the work that Tina and Brian are up

[00:20:47] [SPEAKER_01]: to. I hope you guys are too. So take action on what you heard and saw today. And again,

[00:20:52] [SPEAKER_01]: Brian, Tina, thank you guys so much for spending time with us. Great. Thanks for having us.