Submitted by James Klim DDS, CADStar Host on 06/01/2018 - 12:27pm

#Case Review and CEREC software design flow for a maxillary premolar implant placement and restoration design when there is limited mesial-distal space.  The CEREC stretches a little more for rotated teeth and unique mesial-distal dimension conditions.  Design situations like this are when the design tools need to take over.  This videos will share my implant CEREC design flow when the initial proposal doesn't seem to work.  All it takes is a few strategic steps to get the design back in order.

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Submitted by James Klim DDS, CADStar Host on 05/25/2018 - 6:37am

This case review will emphasize the CEREC software flow for an anterior cantilever bridge. There are times a cantilever anterior bridge works out the best for the case.  This is one of those case reviews.  In fact, zirconia was required due to a more conservative preparation needed on the abutment canine. View Video

Materials Used

  • inCoris TZI C A2
  • Zircad LT Colouring Liquid (green infiltration)
  • Ivocolor glaze and colors
  • Fuji Plus resin glass ionomer cement

Submitted by James Klim DDS, CADStar Host on 04/16/2018 - 4:32pm

There are several steps taken both in the preparation phase and design phase for closing cervical interproximal "windows".  When we understand the biology of the proximal papillae and the concept of interproximal emergence, we will be able to predictablely close the cervical embrasure with resulting healthy papillae. View Video

Submitted by James Klim DDS, CADStar Host on 04/12/2018 - 2:13pm

Choosing the right e.max block shade for e.max ceramic restorations can be uncertain.  Well, Ivoclar has solved this dilemma by introducing the IPS e.max Navigation App.  I have found the App recommended ceramic shade color to be right on.  I have modified one measurement though.  Choose ceramic thickness at the incisal or cusp location of the preparation. View Video

Submitted by James Klim DDS, CADStar Host on 04/03/2018 - 10:24pm

Finally found a need for the Adjust Morphology feature and create a 3rd premolar rather than molar.  This feature is handy when there is not enough room for a molar morphological design due to mesial drift of distal tooth, a molar in this case, into the mesial edentulous zone.   This video tutorial will also be a unique demonstration for designing two side-by-side implants.  In this case Implant Direct Inactive 3.7 and 4.3 implants where placed using the "crown-down" technique and placed with a guide.  Virtually planned and guided implant placement can take a difficult implant and restorative situation and provide a very

Submitted by James Klim DDS, CADStar Host on 03/31/2018 - 10:28pm

Are we able to machine thin feather margins with CEREC without chipping?  Oh yes, we can!  In fact, I am going to make a quality statement.  We can mill a "pressable"  margin with the MC XL using the EF bur system. This video will review the clinical criteria for applying a thin margin to optimize the aesthetic results. View Video

Submitted by James Klim DDS, CADStar Host on 03/13/2018 - 6:47am

It is so important to completely listen to our patients when they talk.  This video case review documents how the patient was right and I was wrong after 30 years.  Thanks to chairside CAD/CAM and multi-Empress, I was finally able to get it right. Incisal Variation Tool featured in the video.  View Video

Submitted by James Klim DDS, CADStar Host on 02/07/2018 - 6:56am

This video is my quadrant design strategy when preparing three posterior teeth including the distal occlusal stop (usually second molar).  The current version of the CEREC software is performing well. When designing multiple teeth, setting the proximal contacts size and alignment to the occlusal plane will expedite the design process and final restorative outcome.  Link to Video

Submitted by James Klim DDS, CADStar Host on 12/17/2017 - 9:45pm

Bite registration strategy for preserving temporomandibular joint position when preparing a full quadrant including the second molar. View Video

Submitted by James Klim DDS, CADStar Host on 10/23/2017 - 5:49pm

When we make a focused effort in the design screen to make each stroke of the mouse count, we will become efficient and before you know it, your design speed will significantly increase.  This tutorial will introduce my three basic design steps I go through to accomplish each design step in a very efficient timeline. View Video