Submitted by James Klim DDS, CADStar Host on 04/17/2013 - 8:25am

When I need a muscle crown, I am using inCoris TZI. They are easy to mill and finish.  Will be adding inCoris crown and bridge fabrication to our future hands-on classes.Read more

Submitted by James Klim DDS, CADStar Host on 01/28/2013 - 12:19pm

 This is my first VITA Enamic crown.  It polishes more like a traditional ceramic.  Mill and margin is excellent.  No chipping even with a thin margin, so no need to bulk margin prior to mill.  Post-mill finishing steps included occlusal refinement with 35 carbide inverter cone, Dimond Twist (Preimer) fibra wheel for pre-polish and then stiff polishing brush with F-Diashine.  Using a stiff polishing brush with Diashine, slowRead more

Submitted by James Klim DDS, CADStar Host on 08/21/2012 - 6:55am

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Pre-existing crowns had micro leakage and odor with floss, in addition, patient did not like them and was experiencing phonetic and protrusive interference.  Good enough reason to upgrade.  Used e.max HT A1, cemented with Surpass adhesive system and Variolink Veneer 50% mix of +2 and +3.  I have found this Variolink Veneer combo ideal for maintaining e.max value characteristics once cemented.Read more

Submitted by James Klim DDS, CADStar Host on 03/02/2012 - 8:09am

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CEREC 4.0 has expanded the CAD/CAM industry.  With the combo of e.max, I am routinely preparing, scanning, and milling flawless feather margins…WOW.  The 4.0/MC XL machining precision is phenomenal. With 4.0, I now finally have my fully integrated restorative command center to control my clinical theater.  Thanks Sirona and Ivoclar for teaming up and providing a restorative dream!  The presented veneer case conveys where we have come with the current systemRead more

Submitted by James Klim DDS, CADStar Host on 02/16/2012 - 10:17pm

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Seated the CEREC 4.0 all-e.max bridges today!  The fits were incredible and only one occlusal adjustment to the lingual of #11 abutment.  One of the important values of in office CAD/CAM for me is the control factor for design, occlusion, and restorative finish.  The precision provided by the optical algorithms in CEREC 4.0 have elevated the milling results.  I enjoy pushing for new horizons with CEREC applications. Incisal effects were accomplished with labial cutback and Ceram incisalRead more

Submitted by James Klim DDS, CADStar Host on 02/14/2012 - 7:51am

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I have done a number e.max implant abutment-crowns and they are working very well.  I use them in the posterior region when the implant alignment provides a screw access retention option.  A Sirona TiBase is seated and then scanned.  The CEREC 4.0 scan and mill algorithms are precise enough to generate a tight/snug fit.  TiBase anti-rotational factors are increased with additional preparation to the TiBaseRead more

Submitted by James Klim DDS, CADStar Host on 02/13/2012 - 8:05pm

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Preparing to seat this case later this week.  These are e.max bridges, A1/HT.  Will soon post photos of the seated e.max bridges.  I am planning to include the anterior CEREC 4.0 bridge process at CEREC 27½ presentation.  Be there!Read more

Submitted by James Klim DDS, CADStar Host on 01/24/2012 - 10:42pm

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Completed this CEREC LAVA Ultimate onlay/inlay case this afternoon.  Tooth 30 had cracked tooth symptom and major cold sensitivity.  Horizontal/stained fracture lines at prep axial/pulpal floor distal buccal and lingual cusps.  With a solid rim of 1.0-1.5 mm of enamel for retentive bond, Lava adhesively bonded restorations will recapture function requirements for this case.  Interesting enough, patient was ecstatic about cold symptoms completely gone afterRead more

Submitted by James Klim DDS, CADStar Host on 12/23/2011 - 1:33pm

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Designed and fabricated an e.max Impulse V1 abutment/crown for screw retention on a Ti-base platform.  CEREC 4.0 facilitates the tools for designing ideal emergence contours.  It has never been better.  Thanks to Sirona for a great CAD/CAM system and Ivoclar for durable and aesthetic materials.Read more

Submitted by James Klim DDS, CADStar Host on 10/13/2011 - 7:40pm

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CEREC 4.0 e.max quadrant case posted in cadstar.org gallery.Read more