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 09/16/2018 - 9:03pm

This video shows my full approach for taking upper and lower full arch scans and mounting them with a bilateral buccal scan.  This has been the one Achilles heel with the chairside software until now.  Now that we have auto-mounting in the Acquisition screen with the buccal scan, we can now get in both sides of the arch for a full seating of the models.  Ninety percent of all impressions including study models are taken with the chairside software in my practice.  Technique for the full arch scan is critical to make this approach work.  

Submitted by James Klim DDS, CADStar Host on 09/10/2018 - 9:28pm

Due to conflicting schedules, I will not be able to make it to Dentsply Sirona World 2018.  If I were there, one of my topics would be mounting a full upper and lower arch digital scan with a bilateral buccal scan in the chairside CEREC software.  I use this approach often for appliance printed applications.  

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Submitted by James Klim DDS, CADStar Host on 08/26/2018 - 9:50pm

I have had a number of inquiries from our online world audience about where are the 4.6 software videos.  4.6 has not been released in the US yet.  We will offer videos as soon as it is released in the US.  In the meantime, be cautious about uploading until we are assured the bugs are worked out.

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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 07/26/2018 - 9:38pm

My favored posterior design proposing method is Biogeneric Individual.  When in the clinical flow of treating teeth in the upper buccal posterior corridors, I routinely take a BioCopy preliminary catalog scan even when using Biogeneric Individual.  During the design phase, activating the BioCopy and using it as a translucent overlay will provide design assistance for the buccal corridor contour and still gain the benefit for superb occlusal morphology that Biogeneric Individual will provide.

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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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