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THE DENTAL ADVISOR is leading the way in CAD/CAM dentistry. We are quickly becoming industry experts in this very exciting area of growth. John W. Farah, DDS, PhD, and Santine Anderson, DDS, are lecturing nationwide on CAD/CAM technology. Joining with Robert Wisler, CDT, they have been lecturing to both dentists and laboratory technicians and have published several articles on CAD/CAM dentistry for publications such as the Journal of Dental Technology and Dental Lab Products. In addition, John M. Powers, PhD, and Ron Yapp, MS, have completed research and are planning additional projects on the properties of ceramics and zirconia and their cementation.
Currently, THE DENTAL ADVISOR is working with a number of leaders in CAD/CAM dentistry, including 3M ESPE, Cadent, D4D Technologies, and Sirona. We are also proving education and training at THE DENTAL ADVISOR for dentists, laboratory technicians, and sales representatives.
Click here to learn more about the training offered by THE DENTAL ADVISOR.
Our goal is to be the worldwide resource for CAD/CAM dentistry. Please take a moment to review the information below, gathered together to assist you in learning more about this exciting new technology.
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To read a listing of Questions and Answers on Zirconia click here.

To read a listing of Questions and Answers on Digital Impressions and In-office CAD/CAM
click here.

This issue of THE DENTAL ADVISOR will focus on the ever-changing world of CAD/ CAM. We will review all of the chairside systems, provide tips for choosing the right system for your practice, present clinical tips for using the systems, as well as protocols for success in CAD/CAM. In addition, the role of the laboratory and milling center and the concepts of closed and open architecture systems will be discussed. Finally, materials for use in CAD/CAM will be discussed along with clinical tips and information on training and support.CLICK HERE TO READ THIS ARTICLE

This issue of THE DENTAL ADVISOR reports on the performance of many of these restorations over time and provides the clinician with insight as to what works and why. Of special interest is the fracture rate of nine all-ceramic materials. CLICK HERE TO READ THIS ARTICLE

This issue of THE DENTAL ADVISOR introduces CAD/CAM densitry, from basics to the complex, featuring relevant and timely information on chariside intraoral scanners, chairside CAD/CAM, digital workflow, outsourcing, tooth preparation guidelines and more. CLICK HERE TO READ THIS ARTICLE

This issue of THE DENTAL ADVISOR describes zirconia ceramics and discusses the advantages and disadvantages of several different brands of material. CLICK HERE TO READ THIS ARTICLE

Illustrated guidelines for tooth preparation for zirconia crowns and the importance of preparation design are presented. DOWNLOAD THE FULL CLINICIAN TECHNIQUE GUIDE.

E4D Dentist is a complete chairside scanning, design and milling system. It has the capability to scan an entire arch and design up to 16 restorations. DentaLogic Software and Autogenesis allow the design of multiple restorations simultaneously in the same screen. A restoration does not need to be completed or virtually seated before the design of the next restoration. The following article outlines the preparation, scan and design of three restorations in the same quadrant.DOWNLOAD THE FULL CLINICAL CASE REPORT

CAD/CAM dentistry is allowing us to provide better dental care to our patients. An accurate digital image of the prepared tooth and adjacent teeth has the potential to be inherently more precise than a traditional impression material poured into a stone model and trimmed. The long-term success of the ceramic restoration, however, is dependent on tooth preparation and material selection. This report will offer preparation guidelines for successful all-ceramic restorations using CAD/CAM dentistry, the E4D Dentist system and diamond burs.DOWNLOAD THE FULL CLINICAL CASE REPORT

A 50 year-old man presented with recurrent decay under a gold crown on tooth #30. A core and full-coverage ceramic crown was the recommended treatment as it allowed optimal support for the tooth and resistance to fracture. The ability of E4D Dentist to scan a final impression allowed utilization of the system and optimal material selection while minimizing the patient’s chair-time. DOWNLOAD THE FULL CLINICAL CASE REPORT

The Lava™ Chairside Oral Scanner C.O.S. from 3M ESPE is used to capture high accuracy scans of patient teeth. Data from the scan are used to create an articulated stereolithography (SLA) model that a dental laboratory uses to design restorations such as crowns, inlays, onlays, and bridges. DOWNLOAD THE FULL CLINICAL CASE REPORT

Optimizing Margin Isolation for Digital Captures with the E4D Dentist System
This report offers three methods for effective ways to optimize clarity and manage soft tissue when using CAD/CAM dentistry and the E4D Dentist (D4D Technologies) system. DOWNLOAD THE FULL CLINICAL CASE REPORT

In-office Chair-side Scanning and Milling with CEREC 3D and E4D Dentist
This article focuses on the in-office chair-side systems, CEREC 3D and E4D Dentist. To date, dentists at Enspire Dental have placed over 100 CEREC 3D and E4D Dentist ceramic restorations. This article is a brief update on each system based on their experiences. DOWNLOAD THE FULL CLINICAL CASE REPORT

A 52-year-old man presented with a large composite restoration on tooth #12. The rotation of the tooth and lingual extension of the composite restoration left insufficient support for the lingual cusp. A significant fracture was clinically visible. An E4D Dentist MODL onlay was selected as the most ideal treatment option after consideration was given to the preservation of facial esthetics, protection of the lingual cusp and elimination of concerns associated with a provisional. DOWNLOAD THE FULL CLINICAL CASE REPORT

Incorporating any new technology into a successful practice can be a daunting task. When you choose to incorporate a chairside CAD/CAM system successful integration requires a number of steps. This article describes our experience with E4D Dentist®. DOWNLOAD THE FULL CLINICAL CASE REPORT

A 45-year-old woman presented in September 2008 with a chief complaint of a fractured upper left molar (#15). She was interested in repairing the tooth with a long-term restoration and expressed concern about loss of additional tooth structure. A clinical exam revealed a fractured distobuccal cusp and occlusal amalgam restoration on tooth #15. A radiograph revealed decay on the mesial of #15. There was no evidence of fracture in the remaining tooth structure or bruxism in the remaining dentition. A treatment plan for an MODB onlay was presented and accepted as a conservative, long-term treatment option. DOWNLOAD THE FULL CLINICAL CASE REPORT.

The 3M ESPE Lava™ Chairside Oral Scanner C.O.S. is used to capture high accuracy digital images of teeth. Data from the scan was used to create traditional (PFM) or CAD/CAM zirconia copings and an articulated stereolithography (SLA) model that a milling center and a dental laboratory use to design restorations such as crowns, inlays, onlays, and bridges, veneers and seated implant abutments.. DOWNLOAD THE FULL RESEARCH REPORT.

The purpose was to evaluate the shear bond strength of a self-cured resin cement to as-sintered zirconia prepared with different treatments under two storage conditions. The ceramic substrate tested was as-sintered zirconia (IPS e.max ZirCAD) with the following treatments: A –zirconia with Clearfil Esthetic Cement, B - zirconia with Clearfil Ceramic Primer and Clearfil Esthetic Cement, C – zirconia ground with a diamond bur with Clearfil Ceramic Primer and Clearfil Esthetic Cement, and D – zirconia sandblasted with Clearfil Ceramic Primer and Clearfil Esthetic Cement. DOWNLOAD THE FULL RESEARCH REPORT.

The purpose of this study was to evaluate the in-vitro bond strengths of Clearfil Esthetic Cement and Clearfil Ceramic Primer to sintered zirconia and leucite-reinforced ceramic substrates.
DOWNLOAD THE FULL RESEARCH REPORT.

ThermaGrip is a placement system for indirect restorations. The system includes a heating unit, adhesive pellets and bendable brushes. The lightweight, portable heating unit is used to soften an adhesive pellet and transfer it to the restoration. Read more.

3M ESPE Lava Crowns and Bridges is a CAD/CAM system for anterior and posterior all-ceramic crowns and three- or four-unit bridges with a maximum span of 38 mm. Read more.

3M ESPE RelyX Unicem Self-Adhesive Universal Resin Cement is a dual-cured resin cement. It is self-adhesive, requiring no tooth surface preparation such as etching or priming. Read more

CLEARFIL CERAMIC PRIMER is a single-bottle silane/acidic adhesive monomer (MDP)-based coupling agent for use with indirect porcelain, ceramic, hybrid ceramic and composite restorations. It may also be used for intraoral porcelain or composite repairs. Read more

Clearfil Esthetic Cement is a dual-cured, radiopaque resin cement that is used in combination with a self-etching adhesive system (Clearfil DC BOND included in the evaluated kit). The cement is indicated for cementation of all types of ceramic restorations including laminates, posts, and etched-metal bridges. Read more

3110 W.Liberty
Ann Arbor, MI 48103
734-623-4236 | 866-755-4236
Apex Dental Milling is an Authorized Lava Milling Center located in Ann Arbor, MI. Contact Chris Brown (cbrown@apexdentalmilling.com) for further information or visit www.apexdentalmilling.com