High Stress CEREC Crown Case Review

Submitted by James Klim DDS, CADStar Host on 07/15/2018 - 1:23pm
Categories:
Advanced CADStar CEREC Training, CEREC Design Tips, CEREC Products, CEREC Software, CEREC Software Training, Clinical Dentistry

We all get this situation in our career, second molar crown, and minimal room.  This case review documents a solution for difficult access teeth with minimal occlusal room and needs a high stress enduring crown. With CEREC and a broad range of materials, we now have the support for the majority of functional and aesthetic clinical demands that enter our clinical theaters.

Materials used:

  • ZirCAD LT (Ivoclar Vivadent)
  • Sirona Zirconia (Densply Sirona)
  • MCXL Dry Mill (Dentsply Sirona)
  • SpeedFire Furnance (Dentsply Sirona)
  • CS4 Furnance (Ivoclar Vivadent)
  • S1 Furnance (Ivoclar

One Piece e.max Abutment Crown Stain & Glaze

Submitted by James Klim DDS, CADStar Host on 07/08/2018 - 10:36am
Categories:
Advanced CADStar CEREC Training, CADStar Finishing Tips, CEREC Products

This tutorial will demonstrate my step-by-step glaze and stain technique customizing the solid e.max abutment/crown.  My current favored stain and glaze system is Ivocolor.  It is a universal stain and glaze system "one on all" and works well on micro felspathic, lucite, disilicate, and zirconia surfaces.  Ivocolor is a very forgiving system, basically no bubbling.  It is very predictable, what you see with stain color harmony in the application state will be what is seen in the post-firing condition.

Product Recommendations:

  • Object Fix Flowable (Ivoclar Vivadent)

Shaping & Finishing the e.max Abutment Crown

Submitted by James Klim DDS, CADStar Host on 07/02/2018 - 9:18pm
Categories:
Advanced CADStar CEREC Training, CADStar Finishing Tips, CEREC Products

Solid abutment/crown shaping is not much different than shaping an e.max traditional restoration.  This tutorial will demonstrate Dr. Klim's shaping and polishing sequence using his Meisinger Lab Kit JK03.

Support Products:

  • Meisinger JK03 Lab Kit
  • e.max 16 implant block
  • Diamond Twist (Premier)
  • Object Fix--flowable (Ivoclar/Vivadent)

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CEREC Milled Removable Splints

Submitted by James Klim DDS, CADStar Host on 06/28/2018 - 6:35am
Categories:
Advanced CADStar CEREC Training, CEREC Products, CEREC Software Training

The CEREC software is at a point in time when creativity has new horizons.  This video will introduce how I use the software and PMMA Telio CAD blocks to make a splint appliance for TMD clients and part of the preliminary process when increasing the vertical for restorative purposes.

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Finishing Green Zirconia Out of the Milling Unit

Submitted by James Klim DDS, CADStar Host on 06/14/2018 - 5:18pm
Categories:
Advanced CADStar CEREC Training, CADStar Finishing Tips, CEREC Products, Clinical Dentistry

Finishing zirconia when it comes out of the milling unit is referred to as zirconia in the green state.  There are a few steps that can be taken to really improve the surface quality of the green zirconia, and once sintered will save finishing time.

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Capturing Long Interproximal contacts with Omnicam

Submitted by James Klim DDS, CADStar Host on 06/10/2018 - 5:37pm
Categories:
Advanced CADStar CEREC Training, CEREC Products, CEREC Software Training

Omnicam interproximal and posterior distal axial surfaces are often difficult to capture when there is a limited oral access.  My secret to this dilemma is removing the reflection on the distal vertical surfaces.  This video will review the technique I use for very successful imaging.

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Materials:

  • Optispray (Dentsply/Sirona)
  • Optra Gate (

Subgingival Adhesive Cementation Steps

Submitted by James Klim DDS, CADStar Host on 06/07/2018 - 6:20pm
Categories:
Advanced CADStar CEREC Training, CADStar Finishing Tips, CEREC Products

Our dental adhesive options are at a point in time that we can be assured low probability of post cementation sensitivity and strong bonding properties. This video will review how Dr. Klim addresses adhesive protocols when the margins are subgingival.

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Materials used in

Case Software Review for Minimal Abutment & Crown Space

Submitted by James Klim DDS, CADStar Host on 06/01/2018 - 12:27pm
Categories:
Advanced CADStar CEREC Training, CEREC Design Tips, CEREC Products, CEREC Software

#Case Review and CEREC software design flow for a maxillary premolar implant placement and restoration design when there is limited mesial-distal space.  The CEREC stretches a little more for rotated teeth and unique mesial-distal dimension conditions.  Design situations like this are when the design tools need to take over.  This videos will share my implant CEREC design flow when the initial proposal doesn't seem to work.  All it takes is a few strategic steps to get the design back in order.

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Omnicam Upper & Lower Arch 2:30 Impression

Submitted by James Klim DDS, CADStar Host on 05/27/2018 - 12:18pm
Categories:
Advanced CADStar CEREC Training, CEREC Software, Clinical Dentistry

The technique I use takes about two and one-half minutes for upper and lower arches and it does not gag the sensitive patient. For two years now, we have taken Onmicam impressions for study model and appliance impressions in the Klim office.  This video will clearly document the isolation approach and Omnican scanning flow to gain a predictable impression result.  And by the way, using the technique proposed in this video provides a predictable upper and lower arch mount with just the buccal scan quadrant from one side.  This approach is so much more effective than using the Ortho Software, at least at this point in time.

Closing Cervical Anterior Embrasures

Submitted by James Klim DDS, CADStar Host on 04/16/2018 - 4:32pm
Categories:
Advanced CADStar CEREC Training, CEREC Design Tips, CEREC Software

There are several steps taken both in the preparation phase and design phase for closing cervical interproximal "windows".  When we understand the biology of the proximal papillae and the concept of interproximal emergence, we will be able to predictablely close the cervical embrasure with resulting healthy papillae. View Video

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