CEREC Doctors

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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.
22 Nov 2009

Posted by Sameer Puri on November 22nd, 2009 at 01:00 pm
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After a long course at the Scottsdale Center - Armen and I flew home yesterday and didnt you know it, I completely forgot that we had a planning meeting with our web guys to discuss the future of www.cerecdoctors.com and what features we were going to implement next. The course in Scottsdale was great. 40 doctors plus many staff members from all over the country went away with a tremendous knowledge of the entire CEREC system. The anterior and posterior groups both loved the courses and we all had a ton of fun. That focus quickly shifted today (Sunday of all days) to our meeting. It was the only day we could meet due to our busy schedules. So we snuck away for an hour to discuss where are we taking this website. They showed us the server that is converting the hundreds of videos to flash so that its a more universal video player. Then the fun discussion started - a mobile website. Its coming - cerecdoctors.com goes mobile- We have had a lot of requests to be able to view videos on your iphone or other favorite mobile platform. This will be done in the coming future. Another neat thing that is planned is personalized profiles for the members. Members will have the ability to upload avatars, personalized data about their favorite cases, and the ability to have personalized signatures. A few more discussions on cleaning up some minor housekeeping on the site followed. About an hour and 15 minutes later, the discussion turned to the point where I knew it was time to get back home and turn on the boob tube and catch up on some football. When they started talking about megabits of downloads and converting the server from MySQL to SQL server and other inane and geeky topics, it was time to call it a day. I hope all of you enjoy your Sunday. Armen and I put in our time for the day. Time to spend some quality time with the wife and kids. Have a great day guys and I hope you enjoy some of the upcoming new features of the website.

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!
16 Nov 2009

Posted by Sameer Puri on November 16th, 2009 at 08:34 pm
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We CEREC owners are 11000 strong now. Slowly becoming more and more mainstream as regular average joe dentists are finding the value of one visit dentistry. As more clinicians realize the benefits of same appointment dentistry, without messy impressions, goo, temps and all the other inconveniences of the traditional way of restoring teeth, the obvious beneficiaries are our patients. I cant tell you the number of referrals we get from happy patients who would never go back to the old way of temporaries and a second visit. How great would it be to spread the word beyond our patients? With our numbers, we might be at a tipping point. We might be at a point where we may have enough CEREC owners who if they join together can really make a mark on the consumers. The ADA hasnt done it. Sirona hasnt done it. Patterson hasnt done it. Maybe we have enough members for us to do it, to do a marketing campaign similar to the Lumineers campaign done by Denmat. If we can find a way to get consumers educated on the CEREC process, how beneficial would that be to CEREC owners? To dentistry in general? What do you think? Let us know your thoughts on the matter. Would a national marketing campaign be worth it? I dont know but Id love to get your thoughts on it. Join the discussion on this thread and let us know if this is a good idea or not. http://www.cerecdoctors.com/ui/ViewForumNew.aspx?ForumID=2976 Its a thread titled 'Im surprised this hasnt been done before'
13 Nov 2009

The original CEREC 3D with the red cam and compact mill was and still is a fantastic system. The key to sucess with that system was of course the 3 P's. Prep, powder and PICTURE. I capitalize picture because I always felt that it was the most important part of the three. It was necessary to take a properly aligned, non pitched or yawed image of your prep, that showed your entire margin. For each restoration, one image was great, two was OK, three was pushing the limit and over that you may have been doomed by image averaging. Averaging occurs when, because of camera angulation, a lack of powder or blood and saliva creeping onto a margin, two or more images of the same area appeared to the software to be slightly different. An average of that data, right or wrong was the result and we built our restorations to that averaged area. On the whole we still ended up with an exceptional product. Once in a great while we had a short margin or a tight fit or an open contact and we couldn't figure out why. Along comes the CEREC AC with the blue cam and we now find ourselves needing to unlearn some things and relearn others. First, extra images are not necessarily a bad thing. As long as they are good images we can take a few extra and not worry about averaging. Most importantly, we can build larger models and not be appreciably slowed down because our systems have an abundance of power and improved graphics capabilities. So what does this mean for us clinically? Well, right now we have faster transitions when we green arrow. Nicer looking virtual models with less powder needed, margins that are easily discernable and that pop out at us when we marginate and finally, larger models which allow us to tweak our proposals with greater accuracy. In the future, we can only imagine the possibilities. Proposals that can be based more upon information obtained from our larger models which show more of the adjacent teeth. Right now, inlays and onlays are built from information given by the remaining cusps and inclines. Crowns don't have remaining cusps so it only makes sense that this information will be gotten from adjacent teeth. Larger models may give way to easier quadrent work with simultaneous design capabilities. We can do it now with temporary bridges, why not with with multiple, single tooth restorations? The forward thinking of Sirona's software designers does not always make sense to us in the present. One thing needs to be introduced, become perfected and proficient in, before the next can be introduced. Thankfully, we just do our day to day work, changing and adapting as we go. We can let them worry about the logistics. We are all part of a plan that is gaining strength and momentum and will beneft us greatly as practitioners in the future. Enjoy the ride!!
10 Nov 2009

Posted by Sameer Puri on November 10th, 2009 at 10:58 am
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Its amazing what this website has evolved into. What started out as a way to share information and a few videos that were made by putting a camera on our CEREC machines has grown into thousands of members from all over the world. Some of the new features we have added is the ability to put videos directly into the discussion thread. Now when someone comes and asks a question about parameters, margins, etc, we can simply link the appropriate video right then and there. The next phase will include all flash videos and other features which will make the user experience better for all users. Starting in January, both Sirona and Patterson have committed dedicated members from their support team to monitor the message boards so that technical questions that the faculty cannot answer can be addressed from the corporate level. What I am most proud of is our dedicated faculty who tirelessly help out all users on the site. Armen and I used to spend hours providing support and now before we have a chance to address the users on the message board, the questions have already been answered by skramy, gardell, caso and rosenblatt. Couldnt ask for a better group of guys to work with. All in all, over the past few years, we have had some growing pains no doubt - thousands of owners a year, you are bound to have some issues. However as we move forward and Sirona continues to innovate our little CEREC machine with software updates, we hope that you make cerecdoctors your home for all things CEREC.
09 Nov 2009

I just finished my first restoration after installing the 3.65 service pack. It was a full coverage emax restoration on a second molar. I prepped a high lingual margin and the tooth leaned mesially a bit. The type of prep was notorious for an open buccal margin and a slight rock with the previous software version. Not so today! The crown dropped in with the best margins ever and a solid, non rocking fit. The combination of this software upgrade and the blue cam made this restoration very simple. The mesial inclination of the tooth sometimes would lead to a light or open margin mesially due to imaging problems. It is hard to get the margin imaged as well as the distal surface of the anterior tooth. In the past it was difficult to build the contact to good or real data. The blue cam has solved this issue with ease. Finally, being able to use emax in this area is really amazing and something we should really be happy about. I will have no concerns about this restoration long term because of the great fit and the strength of emax. Recent research has been so positive regarding emax that we should all feel totally confident using it in any application. With such positive changes to hardware, software and materials, restorative challenges are overcome so easily. Today's experience was a prime example of what is possible when everything comes together so well. We make it look so easy that many times our patients just don't have any idea about the massive behind the scenes efforts that make this happen routinely. So, the take home message is, install the 3.65 service pack right away and enjoy its many benefits on your next case. Jeff