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In this steb-by-step case study, Jonathan Brooks, CDT, MDT, demonstrates how he uses the Sirona inLab system with his Smile-Vision Template TechniqueTM.
- November 2013
DENTAL TEAM: Scott Atkin, Creative Dental Laboratory and Dr. Michael Foley, both in Scottsdale, AZ
RESTORATIVE PROBLEM: A 79-year-old male patient with an existing PFM full mouth rehab needed a classic A3 shade replacement bridge for teeth #11 through #15.
TREATMENT PLAN: A five-unit Crystal Diamond full contour bridge was prescribed. Crystal Diamond was chosen for its excellent translucency and strength, ideal for highly esthetic anterior and posterior metal-free restorations.
FABRICATION PROCESS: The case was scanned using a 3Shape D710 scanner and milled using Delcam software on a DentMill...
DENTAL TEAM: Ken Upright, Oxford Crown & Bridge, LLC and Dr. Shelley Olson, DDS, FICD, Granville Family Dentistry, both in Oxford, NC
RESTORATIVE PROBLEM: A female patient fractured the entire facial surface and buccal cusp of tooth #4, which had an old MOD amalgam restoration. Due to a 2mm diastema, the entire mesial aspect of the crown would be exposed in the patient's smile, so shade quality was a foremost concern.
TREATMENT PLAN: Because of her positive experiences with the material, Dr. Olson prescribed a Delta Zirconia full contour crown to restore tooth #4. High Translucent Delta Zirconia,...
DENTAL TEAM: Gyu Cho, CDT, 3D BioCAD Milling Center, Renton, WA and Dr. Ronald Bryant, Seattle
RESTORATIVE PROBLEM: The patient presented with severe occlusal wear on his natural teeth; the lower anterior teeth were also very crooked and discolored. The existing crowns also exhibited wear, tissue retraction, dark margins and uneven shades from one crown to the next. Teeth #5, #12 and #14 were missing, requiring implants.
TREATMENT PLAN: A full-mouth restoration with 28 units was proposed and had full compliance from the patient. The team opted to use gold-hue abutments to provide a very natural,...
DENTAL TEAM: Cindy Vuong and Dr. Michael DiTolla, both of Glidewell Laboratories, Newport Beach, CA
RESTORATIVE PROBLEM: The patient presented with a pre-existing discolored PFM restoration on tooth #8.
TREATMENT PLAN: Dr. DiTolla prescribed a full contour BruxZir® crown, and decided to take the opportunity to test the translucency of Glidewell Laboratories' new BruxZir™ Shaded material, which offers complete color penetration all the way through the restoration for greater shade consistency. The new material also prevents shade changes or white "show-through" after occlusal adjustment....
DENTAL TEAM: Manfred Pörnbacher and Clemens Schwerin, Dentallabor Steger, Brunico, Italy and Dr. Lyndon Cooper, Professor and Chair at the University of North Carolina, School of Dentistry, Department of Prosthodontics
RESTORATIVE PROBLEM: A young female patient lost teeth #7 through #14 in a car accident and was already wearing a provisional restoration that had resulted in pronounced jawbone atrophy.
TREATMENT PLAN: The team opted for a fixed superstructure supported by six implants at sites #7 and #8 and #11 through #14. Due to inadequate bone structure, the restoration would be an occlusally...
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DENTAL TEAM: Dr. William Roddy and in-house technician Steve Coles, Flow Laboratory, Fort Worth, TX
RESTORATIVE PROBLEM: A 62-year-old female presented with implants on teeth #3, #4 and #5 and a PFM bridge placed by another dentist. The implants had been placed too far buccally and the patient was unhappy with the esthetics and thickness of the bridge. The patient's occlusal planes were also uneven, and she had another large-span anterior bridge on teeth #6 through #11 that was starting to show signs of decay at the margins.
TREATMENT PLAN: The team opted to remove both bridges and the remaining...
DENTAL TEAM: Scott Gallacher, Precision Milling Center, West Valley City, UT, and Steven Barker, DDS, Salt Lake City, UT
RESTORATIVE PROBLEM: The patient was missing a second bicuspid (#12), didn't want an implant crown and was also concerned about the reduction of the adjacent healthy teeth.
TREATMENT PLAN: To address the patient's desire for the most minimally invasive solution, the team opted for a full contour bridge with minimal retention, using ORIGIN LIVE Plus zirconia since the case required both high strength (for minimal enamel removal) and high translucency (for full contour). Dr. Barker...
DENTAL TEAM: Sven Jesse, Jesse & Frichtel Dental Labs and Dr. Edward Narcisi, DMD, both of Pittsburgh, PA
RESTORATIVE PROBLEM: The patient—the wife of one of the laboratory owners--had an existing all-ceramic restoration on tooth #30 that cracked (she had previously had a PFM crown that also chipped).
TREATMENT PLAN: Since functionality and esthetics were a priority, a Zirlux FC2 full contour zirconia crown was chosen. The laboratory prefers to use Zirlux FC2 because of its flexural strength and low wear against opposing dentition. The Zirlux FC2 system consists of five pre-shaded...
DENTAL TEAM: Janet Jones, CDT, Technical Consultant, Ivoclar Vivadent and Jenny Sy-Munoz, DDS, MSD, University at Buffalo, Buffalo, NY
RESTORATIVE PROBLEM: A 36-year-old patient presented with a request to have teeth #30 and #31 restored as recommended by his general dentist. These molars had existing large pin-retained amalgam buildups that were starting to show signs of occlusal wear.
TREAMENT PLAN: Dr. Sy-Munoz prescribed monolithic crowns made from Zenostar full contour zirconia because of its strong physical properties, pleasing esthetics and optimal biocompatibility.
DENTAL TEAM: Kazunobu Yamada, RDT, Cusp Dental Supply Co., Ltd., Nagoya, Japan and Dr. Yoshihiko Mutobe, Mutobe Dental Clinic, Osaka, Japan
RESTORATIVE PROBLEM: The patient had a full cast crown on tooth #30 but wanted a more esthetic appearance.
TREATMENT PLAN: The dental team opted for a full contour zirconia restoration using the new Katana Zirconia ML, a gradational multilayered zirconia disc with four layers of color--35% enamel, 15% of the first gradation layer, 15% of the second gradation layer and 35% dentin--that offers the look of layered porcelain.
The pre-colored multilayered shades...
Whip Mixâs second annual Survive or Thrive Digital Forum was chock-full of advice and take-home strategies to help attendees make informed decisions about digital technology.
- October 2013
This Fall I’m heading to the great state of Arizona for a couple of months and I’m hoping to meet some laboratory owners while I’m there. I’m also hoping I can make some stops during the drive out (the last week of October) and possibly the first week of January on the drive back.
Our route takes us through Harrisburg, PA, then along the Pennsylvania Turnpike and over to I-70 and down to I-40. We’ll be going through Columbus, OH; Indianapolis; St. Louis and Springfield, MO; Tulsa and Oklahoma City, OK; then across to Amarillo, TX; Albuquerque, NM; and into Flagstaff,...
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- September 2013
A year ago, Whip Mix Corp. promoted its Vice President of Manufacturing, Jim Myers, to President of the company, succeeding Allen Steinbock, the grandson of Whip Mix Founder Edmund Steinbock, Sr. This promotion makes Myers the first non-family member President in the company's history. LMT travelled to Louisville, KY, to talk with Myers about his new position and where the company is headed.
LMT: As President, how has your role changed?
Myers: For 11 years, my priority was our manufacturing processes; now, it's more focused on customer needs and opportunities. I have much more interaction with...
We all know it was not an overnight transition but here we are: a genuinely digital industry. There were several years during which you expressed frustration that all the trade magazines placed so much emphasis on CAD/CAM technology. Now you know why! It’s our job to sound the alert when we recognize a change that’s not a fad but a trend that’s about to take over.
I feel it’s time for us to recognize and claim this transition officially made.
LMT’s most recent survey data shows that 89% of the C&B and Full Service labs [that participated in our survey] interface...
Thanks to the advent of digital technology, many laboratory owners and managers are discovering new business models and finding ways to reinvent their businesses and reinvigorate their careers. Here are the stories of three lab owners/managers who have done so using Sirona Dental, Inc.'s CEREC Acquistion Centers, Sirona Connect.
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- August 2013
DTI has 20 laboratories around the U.S., with the flagship laboratory—and centralized milling center for all its labs—located in Dublin, CA. During the past two years, the Dublin facility has transitioned to 80% digital, downsized and increased the productivity of the remaining technicians by 89%.
And now, DTI has taken its commitment to digital dentistry one step further: Under the direction of DTI Chief Technology Officer Lee Culp, MicroDental North Carolina opened in March with the goal of being a completely digital laboratory. In addition to establishing a DTI presence in the...
- June 2013
LMT explores the in-house business model which provides technicians with the ultimate opportunity to be an integral part of the dental team and experience the satisfaction of interacting with patientsâminus the challenges of business ownership. Plus: a dentist offers his perspective on the value of having technicians just down the hall.
- November 2012
If the staff members at Renstrom Dental Studio need something done, they call Brian Nagle.
While Nagle mainly focuses on the lab's CAD/CAM restorations, he can pitch in wherever he's needed in the laboratory. "I'm able to do a lot of different things—trim dies, waxups, technical troubleshooting," says Nagle, who joined the lab 11 years ago. "I don't have a typical day. I'm all over the place."
Nagle cultivated his menagerie of skills by working closely with Owner Rick Renstrom, whom he considers his mentor, and looking for learning opportunities whenever possible. "Brian puts so much energy...
- January 2012
- April 2011
Despite a particularly beautiful Spring day in New York City, 750 laboratory product buyers from all over the east coast came indoors for LMT LAB DAY EAST
It was standing-room-only at DLOACâs annual CAD/CAM Symposium and Expo as nearly 300 laboratory owners and managers, outsourcing centers and manufacturers turned out for two days of lectures, demonstr
No other specialty has been impacted by CAD/CAM technology more than C&B. Digitization has transformed this department over the last decade, allowing laboratory owners to streamline lab processes.
Like never before, laboratory owners and managers are tapping into the power of CAD/CAM technology, which is proving to be a valuable image enhancer, production booster and profit generator.