Submitted by James Klim DDS, CADStar Host on 10/19/2018 - 2:47pm

When I need a high-strength zirconia restoration or bridge for the shadows of the mouth, I often reach for ZirCAD LT by Ivoclar.  Avoiding visual tension is the secret for making high strength zirconia restorations work in the shadows.  ZirCAD LT Colouring liquids are my secret.  I using them on colored blocks to create a multi-effect and tone down the value in the cusp zones.  This videos will show you how to set up the ZirCAD LT Colouring Liquid Kit.

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Submitted by James Klim DDS, CADStar Host on 09/21/2018 - 4:37pm

Often when working with infiltrated zirconia restorations, polishing is enough for the final finish. There are occasional clinical circumstances that may require stain and glaze to achieve a harmonious blend, particularly when using a high strength zirconia such as ZirCAD LT which is more of an opaque material.  This video will provide the workflow for using Ivocolor stain and glaze. 

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Submitted by James Klim DDS, CADStar Host on 09/21/2018 - 3:23pm

This video demonstrates the polishing flow on a zirconia bridge (ZirCAD LT) in preparation for selective stain and glaze characterizing with the Ivocolor system. The lab polishers and finishers are from the Meisinger JK03 lab kit and Diamond Twist made by Premier Dental.

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Submitted by James Klim DDS, CADStar Host on 09/20/2018 - 9:07am

I have used 2.5%/2.5% Lidocaine and Prilocaine Cream as my topical of choice for years.  Since I had some extra time on my hands, which is very rare, I decided to self-inject and removed a fibroma on my lip that had developed from multiple lip bitings while chewing and talking.  It was good to experience what our patients go through.  This experience also strengthens my commitment to providing comfortable injections which I know our patients appreciate and as well as I did with this clinical experience. 

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Submitted by James Klim DDS, CADStar Host on 08/15/2018 - 1:09pm

When the case demands a high strength zirconia material and the restoration is in the secondary smile zone (shadows of the smile), then I am thinking pre-sintering infiltration coloring.  As of late, my preference is the ZirCAD LT Colouring Liquids.  This video will show the steps and liquid color application technique I use for a premolar bridge.  My primary coloring objectives for green zirconia is creating the saturation multi-effect and lowering the value in the cusp and occlusal zones.  It rather simple to learn and master.  

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Submitted by James Klim DDS, CADStar Host on 08/14/2018 - 10:39am

This video demonstrates a systematic walkthrough for shaping in the green zirconia bridge when preparing for coloring infiltration prior to sintering.  For this case, ZirCAD LT high strength zirconia is used.  Rather than speed firing, a 9-hour sintering cycle was used to optimize the translucency (Programat S1).

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Submitted by James Klim DDS, CADStar Host on 08/10/2018 - 9:47am

Having used the Omnicam since its beginnings, taking a full arch impression is second nature.  Using the Formlab 2 printer, we have found the Omnicam impression and model technique has provided a proficient appliance fabrication method that is accurate with almost no-adjustments needed chairside.  We are at the beginning of the printing wave in dentistry. Omnicam scans and printing have become a seamless support method for appliances and records in our digital clinical theaters at the Klim practice.

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Submitted by James Klim DDS, CADStar Host on 08/05/2018 - 10:11pm

When I want a high strength posterior bridge material, I go with either the Sirona Zirconia or Ivoclar ZirCAD LT. This CEREC bridge software flow video is the first in the posterior zirconia bridge series, start to finish. High strength zirconia at this point in time is not the easiest to handle when it is not in the shadows of the mouth. In this case, ZirCAD LT Coloruing  Liquids were used on the green zirconia surfaces before sintering. This is where most of the multi-coloring effect happens and then is lightly characterized after sintering with Ivocolor glaze and stains.  Enjoy the series.  

Submitted by James Klim DDS, CADStar Host on 07/22/2018 - 9:02pm

This Klim Digital Moment video is more about my gratitude for the Omnicam.  This week I had several posterior molars that were difficult to access with subgingival decay resulting in a deep margin situation.  With bur curettage and Hemostatic Gel for hemorrhage control, imaging these deep margins were seamless.  Situations like this with an analog impress are almost impossible to accomplish.  I am so thankful for Omnicam.

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Submitted by James Klim DDS, CADStar Host on 07/15/2018 - 1:23pm

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