Blog Author: Richard Rosenblatt
22 Oct 2010
I have to say that teaching this technology has become an extreme passion of mine. I just love helping people grasp the concept of CEREC, and help them to 'think like the computer.'
The issues are usually the same for most new users. Prep, powder and picture are the big three. The other big questions I get are cementation, insurance and scheduling.
CEREC is a total paradigm shift for most who embark on this CAD/CAM journey. They now have to figure out how to schedule properly to make this technology profitable and efficient.
Here is my big tip: TIME YOURSELF!
The CEREC procedure basically has three parts to it. For parts 1 (prep) and 3 (cementation), the dentist must be there. The middle part is where we can drastically improve our bottom line by scheduling another patient or another procedure on the patient being worked on.
The key is to find out how long it will take you to get to step 2. If you time each section, you will make yourself very efficient. I know that in my practice, I can get my prep done in 30 minutes or less (usually less). At the 20-minute mark, the next patient can be scheduled for their treatment. That patient can be brought back and anesthetized.
Once the prep is done, the middle portion of the procedure can be delegated to staff. Design, milling and characterization can take anywhere from 15 minutes to 40 minutes, depending on material, milling chamber and whether you polish or glaze. If I'm doing an e.max, I have at least 30 minutes to do another procedure. I can be pretty productive, even in 30 minutes. We offer the patient waiting for their CEREC a magazine, satellite radio or TV to occupy their time.
You can train your staff to design, mill, characterize and even adjust the restoration. Once it is all done, the doctor is called back for part 3, final cementation.
Know how long it takes to do each step. Then make sure your staff is properly trained. If you train properly and delegate accordingly, it is amazing how efficient you can become with your CEREC.
14 Oct 2010
What a whirlwind weekend. Spent Thursday in Cincinnati with the fantastic Patterson branch there. I was asked to speak to more than 40 doctors wanting to learn more about this technology that us CEREC junkies can't imagine practicing without. I then woke up early Friday and hopped on a plane to Orlando for the weekend to work with Sirona at their booth at the ADA meeting. The ADA was a nice meeting. One thing that consistently surprises me as I travel around and talk to doctors about this amazing technology is how many people don't know about it! Mark Fleming and I spoke to doctor after doctor who stopped by the booth and wanted a demonstration because they have never seen it and wanted to learn about the process. There is nothing better than seeing the awe in their faces when a case is imaged, designed and milled. I know it well because it still happens to me seven years later, and that is why I continue to preach CEREC... one city at a time.
05 Oct 2010
I recently stumbled onto a product that I have really enjoyed using to clean up resin cement during the cementation process. My hygienist started to order these disposable interdental cleaners from the Butler G-U-M company for patients who are not big fans of flossing (can you even imagine??). They are called Soft Picks. I've include photos so you can see what I'm talking about. I decided to try one to help clean cement as I allow it to get to the gel phase before I cure. I find that if you leave it until it reaches the gel phase, you can clean the cement and not worry about potential bleeding around the gumline affecting the bond of the cement to the tooth. Just before curing, I will move this interdental cleaner interproximally and it will push out much of the excess cement. It is important to wait until your dual cure cement reaches a gel phase. Try it, you may like it!
01 Apr 2010
I just want to remind everyone about the most fun annual weekend of CE on my calander every year, The Townie Meeting. It is just around the corner. The dates are from April 15-17. This has been a can't miss weekend for me the last 5 years of my life. I can not properly describe how fantastic this weekend is, but I'm going to briefly try. This will be a weekend of fantastic CE. There are some of the best speakers in the dental universe that lecture every year at the Townie Meeting. You want to hear and see the latest on CEREC, then come on down. The likes of Sameer, Armen, Mike Skramsted, Tarun Agarwal and Todd Ehrlich will be discussing the latest and greatest. That alone is worth the price of admission. Add to that a room dedicated to endo, another to practice management and hygiene for you and your staff. You can also get certified in 6 month braces and there will be other workshops to attend. On top of that, you get to come to Vegas for fun like you have never had at a CE event. Noone throws parties like the Townie Meeting. They have a costume party every year that is legendary. Toss in a golf event with tons of prizes, a wine and cheese welcome reception, and a Texas Hold-em poker tourn and you will never have experienced a more friendly and energetic atmosphere among dentists. This is like a high school reunion for many. For others it is a chance to meet people for the first time. I can not recommend this event enough. It is a memorable weekend and a great event to take your staff. It is educational, motivational and most of all....a ton of fun. I look forward to this week every year to see old friends and make new ones. I anticipate seeing many of you there!
28 Feb 2010
I spent the weekend at the Chicago Midwinter Meeting showing all who walked by the Sirona booth what will be coming in the next software version release. All kept hearing when I was done with the demonstration was....WOW!! I did dozens of demonstrations every day and each time the people who witnessed it, including myself, were just amazed. Between having the buccal bite registration included in the chairside version of the software, and the fantastic new biogeneric crowns, proposals of the onlays and crowns I designed were about as close to scan, click and mill as I have ever seen in the seven years I have been using the software. It was truly remarkable. No more databases to have to try and decide which type of design would best match the adjacent teeth. Now we have a way for the software to look at the adjacent teeth and create a restoration that will most closely mimic what that patient has in their mouth. This process has been 9 years in the making and is truly revolutionary. Take a look at some of the vidoes on the website and enjoy. Looks as if May or June may be the release date. Looks like Sirona has figured out a way to speed up the designs, now if I could just figure out a way to speed up time!!!
17 Nov 2009
I just got back from sunny Scottsdale Arizona helping out with another great CEREC Discover event? What, you ask, is a CEREC Discovery event? It is a fantastic 2 day event held at the Scottsdale Center for Dentistry. It is co-sponsored by Sirona and Patterson and allows doctors on the fence about CAD/CAM and CEREC specifically, to come to the center for 2 days of lectures and hands on with the machines. There are volunteer dentists from around the country, like myself, who attend to help those with questions about how this technology will fit into their practice. The volunteers are doctors like yourself who were once on the fence and are now raving fans for what it has done for their practice. As we all know, it is one the to hear from a rep from a company what a certain product will do for your practice. It is an entirely different story when we get to hear from a colleague who has a similar practice philosophy and is making the technology a major part of their daily routine. The event is first class. For those who have not been to the Scottsdale for a course, such as Frank Spear or others, make it a destination. It is a place like nothing else for continuing education. There is great food and fantastic comeraderie. For me, it is a great chance to share my story of how a small suburban practice of less than 1000 patients makes CEREC work. You can hear from others with much larger practices how they utilize the technology. It makes those who fear the commitment realize that they are not alone, and the lectures and hands on allows them to begin to realize that this is where the future of dentistry is going. So if you are on the fence and want to learn about the technology, the science and studies behind it, and the overwhelming amount of support and comeraderie there is amongst the user base, get in touch with your Patterson rep about the 2010 discovery event schedule. It is 2 days that may change your career forever!
04 Nov 2009
How to export a cerec connect file if you don't want to connect the machine to the net and Introducing Buccal Bi
Anyone start doing cerec-connect yet? I love it. cases have been great. I, like others, have questioned connecting my machine to the evil internet (even though it is probably fine). Here is a 'how to' for those that want to export a connect file to another computer. Just make sure you have cerec connect on your machine. for those that don't yet, go to cerec-connect.com and click on dentist registration. 1) downoad cerec-connect onto the computer you want to send the case from. You will need the cerec connect disc 2) image the case on the machine, make sure it stitches, and draw all margins on the machine. I find that to be easier. Then save it 3) put a thumbdrive into the cerec machine and open it so you can drag the file in later 4) go to my computer>c: drive>program files>CEREC>DATA>and locate the case you just saved and click on that folder 5) There will be 2 files in here. Drag the file named 'restauration.cdt' into the thumbdrive that you opened earlier 6) You can rename the file on the thumbdrive by right clicking and hitting rename 7) Remove the thumbdrive and plug it into the computer you installed connect on 8) open the thumbdrive and find the file you dragged in there. Drag that onto the cerec connect icon and the program will open and you are ready to start filling out your digital RX form Mike Skramstad just uploaded a bunch of videos on CEREC Connect and Buccal Bite: Introducing Cerec Connect Introduction Videos and Buccal Bite By Mike Skramstad (Adjunct Faculty) Wed Nov 04, 2009 11:05 AM Just wanted to notify everyone that a new section of Cerec Connect videos has been uploaded. These videos will cover the folllowing: 1. Introduction to the Cerec Connect process 2. How to sign up for Cerec Connect 3. How to use the Cerec Connect Portal 4. Bridge case start to finish with Cerec Connect (very detailed) 5. Introduction to buccal bite 6. Full arch articulation using buccal bite. Some of you may be asking, 'what is buccal bite'. This is a brand new feature just introduces last week at the Cerec Symposium. Basically, it allows us to articulate upper and lower arch digital impressions without using bite registration material. Simply have the patient close in centric occlusion and take an image from the straight buccal. This truly is a game changer and one of the best new features in the CEREC software introduced in quite some time. I'm excited for you to watch the videos. Mike