Submitted by James Klim DDS, CADStar Host on 07/29/2019 - 10:14pm

When is the conservative CEREC restoration indicated in our treatment portfolio and how does the Primescan handle the conservative preparation scan, design, and mill compared to Omnicam and Bluecam?  Unless a crown is being removed for an upgrade, preserving tooth structure with an onlay or inlay can be the optimal way to go.  The first part of this video will review four criteria for a conservative restoration and sets up the case review for Part II, the incredible Primescan for scanning conservative preparation design--the best of both Bluecam and Omnicam is now in the Primescan.

Submitted by James Klim DDS, CADStar Host on 06/03/2019 - 1:57pm

There are a few adjustments to be made when integrating to Primescan tower, mouse support, touch screen, and a few hacks to work around early adopter glitches.  This video will share the lastest Klim adjustment.

Submitted by James Klim DDS, CADStar Host on 05/28/2019 - 10:26pm

Now that I have had the Primescan for a few months, I have a good feel for it and find significant ease in the scanning compared to its CEREC predecessors, sharp margin viewing, and smooth flow of the software process. I am finishing my bread and butter restorative dentistry 12-15 minutes ahead of schedule on the average.  This videos will review my top Primescan assets and how it can impact your clinical theater.

Submitted by James Klim DDS, CADStar Host on 05/23/2019 - 6:24pm

Introduction overview video for a Klim Institute Online AGD CE lesson;  Shaping, texturing, and polishing techniques for the primary materials we use in CEREC (composite, Empress, VITA ceramic, e.max, and zirconia options).  This lesson is a compilation of videos that Dr. Klim presented at a recent AACD hands-on course.  Enjoy!  Start the 1.0 unit of CE lesson by clicking on the link below.

Submitted by James Klim DDS, CADStar Host on 05/12/2019 - 10:19pm

Restoring a single maxillary incisor presents the greatest blend challenge with dentistry in the smile zone. When the adjacent teeth are in good shape, I stay conservative.  With chairside CAD/CAM using the Dentsply Sirona system, the Copy and Mirror is my preferred design approach creating a "DNA form and shape" by copying the adjacent central.  The next step is choosing the ceramic that blends best for the case. Since the ceramic and cement refractory behavior will change once cemented, so will the value and blend. In my blend theater, I prefer placing a transitional restoration that is machined with the projected ceramic and luting

Submitted by James Klim DDS, CADStar Host on 05/07/2019 - 10:35pm

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

Submitted by James Klim DDS, CADStar Host on 04/29/2019 - 8:26pm

With zirconia, I use glaze and stain only for subtle highlight surface characteristics.  For this process, Ivocolor by Ivoclar works well on all the zirconia brands, particularly the multi ones such as Katana STML,  ZirCAD Multi, and the coming ZirCAD Prime.  This video will demonstrate the zirconia preparation required for glaze addition and then glaze/stain applications creating subtle surface enhancements.

Submitted by James Klim DDS, CADStar Host on 04/28/2019 - 9:11pm

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. The technique in this video is applicable to the zirconia brands in our CEREC clinical theater (ZirCAD LT, ZirCAD Multi, Katana STML, CEREC Zirconia, and InCoris).

Submitted by James Klim DDS, CADStar Host on 04/24/2019 - 9:23pm

Texturing and luster polishing a ceramic or composite will create the finishing touch for restorative blend harmony. Each case is often unique. In CAD/CAM e.max dentistry, we shape and texture before crystallization.  This works most of the time, however, occasionally when fitting the ceramic in the mouth, further texture and shape tweaking are desired.  This video will review the burs and polishing for providing texture and luster polish on a crystallized e.max restoration. 

Submitted by James Klim DDS, CADStar Host on 04/20/2019 - 10:44pm

Empress has been a predictable and highly aesthetic material in my clinical theater for over 20 years.  It got me through the accreditation journey with the AACD.  This video will work through texturing and luster polishing a central, the ultimate aesthetic journey.