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17 Feb 2010

Posted by Sameer Puri on February 17th, 2010 at 01:49 am
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Chicago Midwinter meeting is a time where many CEREC owners attend. Sirona typically releases software at this show and our hope is that this year is no exception. Im planning on being in Chicago from Thursday to Saturday. If you have any plans on attending, please stop by the Sirona booth where I will be hanging out. Definitely a busy day on Saturday but I hope to say hello to many of you. You never know what new updates and features the show will bring so I hope you stay tuned. As you know anytime anything new is released by Sirona, you can find it here.
10 Feb 2010

Posted by Sameer Puri on February 10th, 2010 at 10:12 am
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Did you know that you can check the internal of your restoration to see if it will bind before you mill it. During beta testing we were experiencing certain issues where the restoration would inadvertantly mill in endo mode in certain areas. One way to check that was to get rid of the base of the model by clicking on ctrl + b and then looking at the inside of the restoration. You can also adjust your spacer setting that way and dial down your spacer so that your restorations fit every time with a minimal amount of spacer. Another area you can use the virtual fit checker is if you want to mill in endo mode, you can and bump up the spacer enough so that you dont bind. Here is a short video on the virtual fit checker:




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02 Feb 2010

All new MCXL units are being shipped with a manual block chuck similar to the old compact unit. As you may know, with the compact, you must use a screwdriver to tighten the block into the holder. This prevents the block from getting loose and possibly having inaccurate margins. Sirona has introduced this for the MCXL as well. Some users would experience a loose block that would result in an error every once in a while. Now by manually tightening the block chuck this doesnt happen. My suggestion is to talk to your rep about this and if you have any issues with milling errors, less than perfect margins or anything else, this might be a solution for you. Although the regular block chuck works for 99% + of the time, this will help get that success rate closer to 100%.

A new software is coming. The CEREC Doctors faculty are beta testing it now. Sirona usually releases new software around the Chicago midwinter meeting. I think you will be pleased. Abutment software - Its here in Europe. In the US we are waiting on FDA approval. You will be able to take a fixture level impression digitally and design right off that digital model both your abutment and final crown. Labs will have this first, then clinicians. Its why Im investing in the inlab software. CEREC Galileos integration - its here and its getting better. Expect to mill your own surgical guides in 2011. Imagine being able to take a scan, place your implant digitally and then make a surgical guide from that scan. Vita - Real Life Crowns - no more triluxe, better incisal translucency. Picture below: [VITABLOCS RealLife_] Bridges - word on the street is bridges are being worked on by several companies. I dont think we will have a monolithic bridge made out of zirconia. Instead, I think it will be something like a hybrid bridge, maybe a zirconia core and another material that is layered on top. The two layers fused together somehow. Thats all I can share right now. As we get more information that we are allowed to release, we will certainly share it with you guys. Have a great 2010.
26 Dec 2009

Posted by Peter Gardell on December 26th, 2009 at 08:27 am
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What a wonderful year. Software upgrades, the Bluecam, CerecConnect, Buccal bite, Improvement in the fit. The shortened Emax Cycle becoming Ivoclar approved Attaining goals Hard to believe the evolution of the cerec world in the past 12 months. It is not time to sit back and think the way things are now are good enough. Time to reflect and set new goals. Sirona,Ivoclar, and Vivadent are not resting they have alot of advancements coming to make our lives better. New software upgrades are being refined right now. New esthetic blocks being readied for market to help with our esthetic cases. New high strength blocks to be used in the posterior and on implants. Cerec has allowed me to ride out this terrible economy with just a small negative effect. The media is now being positive on the turnaround. Don't be behind. Make sure you are ready for the pick up, by refining you cerec skills and you experience with these new materials. Set the bar higher Cerecdoctors will help you with alot of this by keeping you on the forefront of the technology by informing you of advancements. But remember sometimes you have to push yourself out of your comfort zone to advance your skills. There is no better return on investment than a hands on course. Make ita resolution to take a course in Scottsdale to make your cerec life better. You won't regret it. 2010 is going to be a fantastic year. set some higher goals and work your tail off to meet them. I know I am Happy New Years Pete
15 Dec 2009

Posted by Sameer Puri on December 15th, 2009 at 09:30 pm
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As I get ready to wind it up for the rest of the year, I want to take this moment to wish everyone a great holiday season. We have a ton of stuff planned for next year as Sirona will be rolling out some great updates. Galileos integration, Implants abutments, a new software (hopefully santa will bring it if we are all nice) We will bring all this stuff to you guys as its rolled out. As we get it, we will be sure to share it with you guys. Enjoy the holidays and get ready for a great 2010. Happy holidays and a happy new year to everyone. Im getting ready for my annual ski vacation with the family. Its time to unwind and recharge the batteries for the coming year. enjoy.
09 Dec 2009

www.cerec25.com 3000 plus total attendees expected. There will be some great speakers, excellent parties and ofcourse all the gang from CEREC Doctors will be there. We are planning some great events and we have myself, Armen, Skramy, Tbone, Rosenblatt, Fleming and Darren all on the program. Make sure you stop by our booth and make sure you pick up a free t-shirt. We want to thank you guys for helping grow this community and we look forward to meeting you all in person at the CEREC 25th Anniversary Celebration.
02 Dec 2009

Getting the most from our CEREC investment is important for many reasons. Of course financial return is at the top of the list in today's economy, but there is more to be gained by using your CEREC to its fullest potential. For me, I was looking for relief from the most challenging and labor intensive thing that I do. The multiple surface direct resin restoration. To do it correctly and get a result that pleases me personally, a great many things need to be done perfectly and in a very short period of time. Using your CEREC machine to fabricate these restorations helps you out in so many ways. It breaks down the process into multiple easier segments; prep, design, fabrication and placement. It shortens and takes the back breaking, intense part of the treatment out of the mouth and onto the computer screen. I am generally happier with my end result and consistently have tighter broader contacts, better emergence profiles, nicer anatomy and better overall contours. When doing multiple restorations in a quadrant it takes a stressful procedure and makes it fun and predictable. There is no better time to start using your CEREC for indirect resin restorations. The ability to rapidly design restorations with the addition of great biogeneric proposals and to virtually seat a quadrant because of the accuracy of the blue cam and software version 3.65 is here and proven. The Buccal Bite makes for very accurate occlusion and the milling times are very fast. In addition, there is no oven time to slow the process down, 3m's Paradigm Z-100 composite blocks are a perfect material for our restorative needs. Studies show that they wear at a rate very similar to natural enamel. http://multimedia.3m.com/mws/mediawebserver?66666UuZjcFSLXTtOxM_5x46EVuQEcuZgVs6EVs6E666666-- One could imagine a very tight fit and with proper bonding technique a perfect 360 degree seal. The material is dimensionally stable and will not shrink. Cementing a quadrant with a cement like Multilink Easy http://www.ivoclarvivadent.us/multilink/easy.php makes cleanup easier than ever before and products like grip tabs from Triodent make handling there small restorations simple. http://www.triodent.com/griptab/griptab-general.html?country_code=us The only downside is the cost of the blocks which are about $20 for the size 10 blocks and higher for the 14 blocks. No matter what you factor out of your total cost (matrix bands, composite etc) using your CEREC in these situations will cost you more. Sometimes however, doing a superior job in a more relaxed way that is better for your patient and easier on your back is just plain worth it. Add to that the ability to maybe do a little more dentistry per visit changes everything. So, my challenge for you is to start doing your multiple surface direct restorations with your CEREC. Train your staff to set up a little differently and challenge yourself to get faster and more efficient. At first schedule more time and soon you will realize that you will be finishing early. You may even find that you become faster when using your CEREC. Make sure that you take a moment to see how you feel at the end of the procedure. My bet is that you will be less fatigued and happier with your end result. Go for it!!
30 Nov 2009

You might be wondering what a quote from a cartoon bunny from the 60's has to do with the most cutting edge dental system, just give me some time and things will fall into place. I was out of town at the Cerec Experience and a patient of mine broke her front tooth. Her name is Mary, she has been a patient for a long time.It was a tooth that broke this summer and told her she need a crown but for personnal reasons she didn't go for it. No problem Mary I can fix it up and we will see how long it lasts. She was happy and was able to go back down to the shore for the rest of the summer. Well it broke and she had some important meetings so she had to get it fixed. Went to another dentist who prepped it for full coverage and temped it. I lost the crown - stinks but she had it taken care of and that is what mattered. She came in for a recare visit and she looked worried, I thought it was about her problems she has been going through. I asked how she was and she told me what was wrong. She felt terrible that she had not had the crown done earlier she should have listened to me when I recommended to have the crown done during the summer. I told her no big deal she had it done. Of course I started to ask her how it was going with the crown. She said she hated the temp. Has fallen out, doesn't feel right, her gum is sore around the tooth, and it looks bad. To top it off Thanksgiving was coming up and her family was coming into town. The final one wouldn't be ready in time. She said her son was telling her she should have waited to get the 1 visit crown, she felt terrible. I told her that the temp was on so just wait it out for the final crown to be done, make sure that you are happy with the final one. Yes I could do a 1 visit but not in this case. But if it happens again yes I can do the 1 visit crown. BTW the gold bridge that was done 25 years ago does need to be redone as I have told you over the past few years. At the encounter I listened to Imtiaz speak again about the numbers, nudge here, low hanging fruit there, and he is right. I need to be reminded of this time to time. Got to keep your eyes open for opportunity. You can't take things for granted, got to keep your edge, but got to remember what your foundation is built on. So Mary finally commited to getting the implants to restore her failing quadrant. She didn't want anything to fail the way her front tooth did. In the last 2 weeks a number of Mary's friends have called since they have had teeth chip, recently or months ago, and wanted them fixed the right way without temps. So carrots are opportunity but not the normal in your face low hanging fruit. Carrots are there, but sometimes you need to work a bit to get them. You need to keep your eyes sharp to spot them. You don't need to dig deep for carrot, you dig deep you just end up with a bigger hole. Opportunty is there just might be presented in a way we don't expect so we have the potential of walking right by it. Spot them, work them, harvest them Even a patient that you haven't done a Cerec on can turn into a great advocate for the technology. Carrots wait for no one, So I pick them now
26 Nov 2009

Posted by Sameer Puri on November 26th, 2009 at 02:11 pm
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As we embark on this holiday season and while I wait for the wife and kids to get ready for the first of our 4 thanksgiving parties today, I wanted to wish all of you a happy thanksgiving. Best wishes to all and may the years ahead be prosperous and fruitful.