Q: I have seen advertisements for LUMINEERS, but I do not know much about the product. What type of ceramic are they fabricated with and what are the results of clinical studies?
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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. Our Editor, John W. Farah, DDS, PhD, is lecturing nationwide on CAD/CAM technology. Dr. Farah and Robert Wisler, CDT, have been lecturing together 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, Dr. John Powers and Ron Yapp 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, D4D Technologies, and Sirona. We are also providing 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.

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.
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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.
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This issue of THE DENTAL ADVISOR describes zirconia ceramics and discusses the advantages and disadvantages of several different brands of material.
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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.
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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®.
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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.
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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.
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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.
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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

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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