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.
Submitted by James Klim DDS, CADStar Host on 08/15/2018 - 1:09pm
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Submitted by James Klim DDS, CADStar Host on 08/14/2018 - 10:39am
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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
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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 07/22/2018 - 9:02pm
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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
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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
Submitted by James Klim DDS, CADStar Host on 06/25/2018 - 4:36pm
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CAD/CAM has entered an expansion era of new materials. My top two comments about CELTRA DUO is its incredible marginal mill and polishability. CELTRA DUO has been around for a few years now and is gaining momentum in the CEREC world. This video reviews my take on this material. As clinicians, it is important that we understand the preparation and cementation protocols for materials with their clinical indications. When materials are applied appropriately we will have success.
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Submitted by James Klim DDS, CADStar Host on 06/18/2018 - 12:20pm
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There are certain positive connecting words that I use in my clinical theater that has been significant in helping patients understand the value of care and making better choices. These are not dental terms. They are current words that are connected to messaging value and leave patients in a safe atmosphere to feel secure with their dental choice. This video is a story of a particular patient interaction that had a few challenges and will demonstrate the strategy I used in non-manipulation communication that led her to make the best decision for treatment.
Submitted by James Klim DDS, CADStar Host on 06/15/2018 - 5:21pm
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Connecting and style of communication account for my number one success factor as a clinician and educator. I look forward to you posting questions about communication situations where you would like feedback. This is a popular topic in my lectures and teaching environment. I would like to take this online so we can all learn together.
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Submitted by James Klim DDS, CADStar Host on 06/14/2018 - 5:18pm
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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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Submitted by James Klim DDS, CADStar Host on 05/27/2018 - 12:18pm
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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.