Final Results: The completed case was seated in the mouth. Although there is still a small space between #24 and #26, the patient was extremely satisfied with the look and feel of his new teeth.

For more information about Dentsply Sirona CAD/CAM’s inLab® SW 15, call 855-INLAB4U or visit www.inLab.com.

I applied a wash layer and started layering the enamels using Neutral, TI2 and Clear e.max Ceram enamels from Ivoclar. I mixed Vis-á-Vis® colored markers into the different enamels to help me visualize where each porcelain was actually layered.

I fired the units in the Programat CS using the e.max Ceram first-bake cycle.

I meticulously refined the contours and did a second porcelain bake cycle. I glazed the restorations and checked them on the model to make a final assessment of the contacts.

I steam cleaned each restoration inside and out, filled the inside with peg putty and crystallized them in the Ivoclar Programat CS oven.

I refined the contours and line angles and cut them back manually as needed with a handpiece.

After I milled the five restorations in the inLab® MC XL, I checked the fit on the model.

To evaluate the restorations, I turned on the Bio-copy file and the software “stitches” it with the design file; this enabled me to verify how well the Bio-copy and final proposal meshed together. I also checked for proper contacts and bite, and the design was exactly what I envisioned. It was an extremely efficient design process.

The software generated the final design proposal. (I didn’t cut it back directly in the software, although that’s an option.)

I doublechecked the parameters to ensure I followed the doctor’s preferences.

Having used the temps made from the diagnostic waxup, the software then created the Bio-copy lines to give me an approximate outline of the restoration surfaces to be copied; I edited those lines to my satisfaction.

I assigned the insertion axis.

I set my model in the Edit Jaw Line phase to make sure the arch was aligned correctly and the restoration numbers were hovering over the preps in the correct position.

I made sure all the data was correct on the administration page and that the doctor chose the correct type of restoration and material. I established the model axis.

I verified the scan and that all the necessary elements and information for the case were provided, accepted the case and immediately ordered a working model from infiniDent, Dentsply Sirona CAD/CAM’s centralized service partner.

I started the case in the Bio-copy function in inLab SW 15. Instead of using libraries and databases of standard teeth, the Bio-copy function copies the features of the patient’s intact teeth, the temporary restoration or a diagnostic waxup to create anatomically correct crowns, inlays, onlays, veneers and bridges in a fully automated manner.

I reviewed the case for any imperfections or missing data.

When I received the case, I got an email and also a notification on my iPhone app. I downloaded the Sirona Connect order and analyzed the case details.