This video will demonstrate the aesthetic transformation of a posterior ZirCAD Multi bridge using the MiYO system by Jensen. The MIYO liquid ceramic system has transformed my ceramic and zirconia aesthetic clinical theater. It is a low fusing ceramic system and can be applied to all our CAD/CAM ceramic and zirconia systems. There are many assets to the MiYO system, but several of my favorites is that it is very easy to apply, multiple color combinations can be applied with one application, what is seen in the pre-fired state is what will be observed in the post-fired state, and the color characteristics appear to be embedded in the
Submitted by James Klim DDS, CADStar Host on 03/18/2020 - 12:11pm
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Submitted by James Klim DDS, CADStar Host on 03/18/2020 - 11:23am
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This is the third video in the posterior ZirCAD Multi bridge series. For the majority of my posterior bridges, I will polish only, unless the aesthetic blend requires more attention. This bridge will be placed in the upper left buccal corridor and is part of the secondary smile zone. MiYO by Jensen will be the stain and glaze product for the final characterizing phase. One thing that is nice about MiYO is that it can be applied to a highly polished surface. With this surface application characteristic, the zirconia bridge can be fully polished in preparation for the MiYO stain, glaze, and structure application.
Products used:
Submitted by James Klim DDS, CADStar Host on 03/01/2020 - 10:43am
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Part 2 for creating a posterior ZirCAD multi Bridge. Once the bridged is machined, what are the steps to effectively shape and finish the bridge before sintering? I follow a routine shaping workflow using the Meisinger JK04 Zirconia Lab Kit. Quite often, when using the multi zirconia options such as Katana or ZirCAD Multi, I will use selective infiltration to control value and enhance the multi-effect when the case demands a better blend.
- Meisinger JK04 Zirconia Lab Kit
- ZirCAD LT Coloring Liquids (Ivoclar)
Submitted by James Klim DDS, CADStar Host on 02/09/2020 - 8:55pm
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This video documents my current steps for cementing an implant abutment or one-piece implant restoration on the TiBase. The protocol that I have changed as of late is using Monobond Etch & Prime rather than hydrofluoric acid and silane. I have experienced great success with my TiBase created implant restorations. I have yet to see an e.max or zirconia abutment delaminated from the TiBase in 8 years.
Cementation Steps:
- Sandblast the adhesive surface on the TiBase
- MonoBond Plus metal priming on TiBase
- Fill access screw tube with plumbers tape
- MonoBond Etch & Prime internal adhesive
Submitted by James Klim DDS, CADStar Host on 01/21/2020 - 9:11pm
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This video will highlight my anterior ceramic shaping workflow for multiple anterior restorations, particularly when crossing the midline. However, anterior restorative success is mostly about understanding the patient's treatment expectations and then working through the biomechanical diagnosis and preplanning with either a traditional or digital wax-up.
The predetermined wax-up prototype is used for preparation guidelines and reduction, transitional restorations when using a two appointment protocol, and a digital BioCopy scan for digital design guidance. When these preliminary and preparatory guidelines are delivered to the
Submitted by James Klim DDS, CADStar Host on 12/16/2019 - 8:34pm
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For posterior e.max restorations, spray glaze is one of the most effective ways to achieve an excellent luster finish. This video will walk through my spray glaze application technique for posterior e.max. For anterior teeth, I tend to apply brush-on glaze for more micro-surface texture control.
Make sure your whole team views this video, it is excellent for training and standardizing the e.max finishing workflow.
Submitted by James Klim DDS, CADStar Host on 12/15/2019 - 3:01pm
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Brush-on IPS Crystall glaze tutorial for all e.max glaze firing cycles and avoid glaze bubbling and surface glaze firing pits. This is precisely the posterior e.max glaze/stain technique I use in my clinical theater.
Make sure your whole team views this video, it is excellent for training and standardizing the e.max finishing workflow.
Submitted by James Klim DDS, CADStar Host on 12/13/2019 - 12:55pm
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This tutorial is the first part of the stain & glaze trilogy series for the Ivoclar rapid e.max firing cycle (and it works for all the e.max firing cycles). Once the restoration is milled, the e.max posterior restoration is efficiently shaped for morphological refinement, surface texture, and surface finish using the Dr. James Klim Meisinger JK03 Lab bur kit specially designed for CEREC users.
This video will show the burs and polishing workflow I use preparing e.max for either brush-on or spray glaze Make sure your whole team views this video, it is excellent for training and standardizing the e.max finishing workflow.
Submitted by James Klim DDS, CADStar Host on 08/30/2019 - 4:44pm
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Just taught a class with one of the attendees who has had the CEREC for several months say he is achieving incredible margin mills as good or better than what he received from his lab. So how do we achieve milled margins that are smooth without micro-chips, particularly on e.max? Can we mill feather margins without micro-chipping? Oh yes, we can! In this video, Dr. Klim will review the strategy behind milling seamless margins, even thin feather margins with NO CHIPPING.
Submitted by James Klim DDS, CADStar Host on 05/07/2019 - 10:35pm
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Even with the multi zirconia options of Katana and ZirCAD Multi, in my hands, infiltration is the simplest and most efficient way to enrich the cervical zone color and modify cervical saturation needs. And with just one firing...sintering. This video will share material recommendations and methods.
The method works on all zirconia brands.
- ZirCAD LT Colouring liquids (very forgiving)
- Katana STML
- ZirCAD Multi