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The Isolite 3 dental isolation system gives you the all-important isolation and moisture control you need when performing restorations.
Watch our latest Featured Video, 3M™ Chairside Zirconia. 3M™ Chairside Zirconia combines strength and esthetics with a fast sintering time, offering more efficiency in a single-visit appointment.
The Azento experience - streamlining implant workflow at IDS 2019
Delivering digital workflow in three steps
Multiple benefits and fantastic healing results
Scan, approve, milkshake treat
Today was a really great day. I got the opportunity to test out the new e.max ZirCAD MT Multi Block. I had one bridge block and one single unit block so I was patiently waiting for a patient with the proper shade.
This patient presented with a bridge needed from #27-29 and a crown on #30.
Here is the bridge right after being sintered
and at try-in
I decided I wanted to add a little characterization so I added Empress Stain and Glaze
Normally this was not something I would do same day but I scheduled this appointment on a Friday that I wasn't normally working so that I could document everything. She was well aware that there would be some down time. What I didn't quite realize was that the sintering time would 144 min. What to do with 144 extra min?? Why not address the front teeth?
She had a lot of large fillings in the anterior with recurrent decay and she wanted a better smile to boost her confidence. In the 2.5 hrs that we waited for the bridge, we made these using e.max A2 MT blocks
And did this...
I asked her at the seat of the anteriors if she wanted to see them before I bonded them in. She said that she trusted me and wanted a surprise.
Today was a great day and the reason I truly love what I do
Something that I've picked up through the years from Sam, Flem, Skramy and my wife, Kris, is that natural teeth have a lot of white in them. When used well, I've found that it can make teeth really look a lot more natural and will give a monolithic restoration a lot more depth. I use white to add decalcifications, mimick craze lines, enhance translucency and oftentimes, it is just what the case needs. I will say this takes a little practice and it is easy to not have enough or too much. For a few of the cases that I will show, I really think it adds a little extra and makes the restorations blend in better. For many of you that see my posts, I often will use the Empress Stain and Glaze Kit on my cases because of it's ease of use. (For IPS e.max, make sure you have the restoration crystallized first if you are going to use Empress Stain and Glaze).
1st Case: VITABLOCS TriLuxe 1M2-A little sunset color stain gingivally but the rest is subtle white striations
2nd Case: Empress Multi B1 #9-This is an off angle pic but really showcases using white enhance the restoration
3rd Case: The before is the classic monolithic crown without anything. I used VITABLOCS Mark II 1M1 and just added glaze and some white to attempt to match the white spots
This was my first 6 unit case with PrimeScan. From the time the patient was seated until he walked out the door, this case took 4 hours with one mill. Between the faster imaging, the 5 click process and faster proposals, this is a noticeable difference in time for me.
This patient is in sales and has always wanted a better smile. We did the upper 6 last year and he like them so much he wanted to do the lower as well. This case is a perfect case to open his VDO but he has implants in all 4 quads and wasn't ready for that kind of financial commitment so we discussed what was realistic as far as how big the teeth would look and went for it.
A couple of things I wanted to share with this case...
One of my favorite things I do when I work with anteriors is to design in BioIndividual but add a BioCopy folder for reference.
This comes in handy to know where your midline is and how much you want to increase your incisal length if you have the room. The software program does not use this folder for proposals and you don't have to draw the copy line (which speeds up the case). It is purely for reference if you select the BioIndividual in Administration.
To turn on the BioCopy you click on Display Objects and then click on Lower BioCopy. Depending on which folder has the larger teeth you then use the slider bar to make the larger teeth more transparent so you can see the difference between the proposals and the original teeth. If the proposals are the larger teeth, make sure you group the teeth together so that they will all turn transparent or you will only be able to see one at a time.
My second recent find is an Ivoclar product called Cervitec Plus. It is a Chlorhexidine varnish that does not stain or taste. You dry the teeth and tissue and place it with a microbrush. It helps with sensitivity and tissue healing and I have absolutely fallen in love with this product. Here is a picture at seat date and one less than a week later. This patient has gingival hyperplasia from meds and his tissue is always a mess. I was so shocked at how fast he healed. My hygiene team has been using it a lot for perio as well and have loved the results at recall.
Implant crowns are by far my biggest ROI when using my CEREC and I love not only how simple the process can be but how gorgeous they are. I schedule my patients for two, 30 min appointments and often they are out the door before that. My assistants do the initial scanning, the initial design, and then I check it and make sure I like the emergence profile and push mill (this way I can say I made it ;). My assistant places the crown on the Tibase and we get the patient in within a few days at the most. My personal time with the patient is typically about 10 min unless there is a hiccup. It's amazing.
We have really been trying to focus on just taking a few minutes to contour and characterize all of our restorations instead of racing from the mill to the oven. It's so much fun for my team to see what they are capable of doing and it really does just take a few extra minutes.
If you are not doing implant restorations, do yourself and your patients a favor and take level 3! You will love the results!!
Check out this upcoming webinar!
The introduction of a highly translucent zirconium-reinforced lithium silicate glass ceramic foundation, supporting average biaxial strengths of over 541Mpa will be presented. Be one of the first to learn about the benefits of milling a partially-crystallized material without a lengthy workflow process that may compromise marginal integrity. This “Out of the Box” silicate material will help you meet the patient needs of strength, shade reproduction, minimally invasive preparation, with ideal translucent esthetic results. Clinical case indications, cementation protocol and results will also be showcased.
Program Objectives Include:
· Understanding of available chairside materials to meet patient indications.
· Learn streamlined digital chairside process flow to minimize post-mill adjustments.
· Streamlined processing of lithium-silicate restorative materials.
· Effectual “color correction” staining techniques to reproduce a shade tab.
· Long-term success through effective cementation protocols.
When: March 28, 2019 at 5pm MST
Register through this link: https://zoom.us/webinar/register/d704f87f6f0ffb79c5b9141539e44ee6