Submitted by James Klim DDS, CADStar Host on 09/16/2019 - 10:13pm

Here is a question I often hear, "how do I deal with e.max binding after crystallization"?  I have seen this issue discussed in several FaceBook group threads.  This video will share my take on this issue and provide a few pointers on how to deal with the e.max binding issue if that is happening in your clinical theater.

Submitted by James Klim DDS, CADStar Host on 08/30/2019 - 4:44pm

Just taught a class with one of the attendees who has had the CEREC for several months say he is achieving incredible margin mills as good or better than what he received from his lab.  So how do we achieve milled margins that are smooth without micro-chips, particularly on e.max?  Can we mill feather margins without micro-chipping?  Oh yes, we can!  In this video, Dr. Klim will review the strategy behind milling seamless margins, even thin feather margins with NO CHIPPING.

Submitted by James Klim DDS, CADStar Host on 08/25/2019 - 5:13pm

One of my clinical fascinations is technological advances that will streamline procedural flow and proficiency.  Last year, we introduced the LiteTouch Er:YAG laser to the practice, primarily for removing and upgrading e.max veneers. There are many other soft and hard tissues applications this type of laser brings to the clinical theater.  This video is about repairing a margin with caries on an e.max bridge placed over ten years ago. There are many benefits to removing diseased tissue with a Er:YAG laser:  calibrated for selective caries removal, antibacterial activity, debris removal without producing a smear layer, surface

Submitted by James Klim DDS, CADStar Host on 08/05/2019 - 6:28pm

This video is Part II for the conservative CEREC restoration(s) and will demonstrate the Primescan software workflow. The Primescan is the latest Dentsply Sirona scanning system and provides the scan ease and required detail that a conservative preparation style and mill requires.  As a result, the software design workflow has been simplified with assured precise fitting restorations.

  • e.max
  • Tetric CAD
  • Onlay restoration
  • Inlay restoration
  • Onlay Parameters provided

Submitted by James Klim DDS, CADStar Host on 07/29/2019 - 10:14pm

When is the conservative CEREC restoration indicated in our treatment portfolio and how does the Primescan handle the conservative preparation scan, design, and mill compared to Omnicam and Bluecam?  Unless a crown is being removed for an upgrade, preserving tooth structure with an onlay or inlay can be the optimal way to go.  The first part of this video will review four criteria for a conservative restoration and sets up the case review for Part II, the incredible Primescan for scanning conservative preparation design--the best of both Bluecam and Omnicam is now in the Primescan.

Submitted by James Klim DDS, CADStar Host on 07/07/2019 - 1:30pm

The Incisal Variation tool provides the finishing touch and last tool application right before milling anterior restorations.  I really like this tool!  Understanding the principles behind the primary, secondary, and tertiary labial anatomy will help when applying this tool.  This feature of the software will initiate the primary labial contours.  Let find out how the Incisal Variation tool works!  This video is applicable to 5.0, 4.5, and 4.6 software.

Submitted by James Klim DDS, CADStar Host on 06/10/2019 - 7:58am

This coming fall, I will be adding a CEREC Rehab Channel to this site.  It will present a step-by-step approach start to finish using the CEREC Primescan digital platform.  For those with Omnicam, the 4.6 software will be the same applicable workflow.  This video is a rehab overview in response to a question posted on the Ask Dr. Klim Forum.

Submitted by James Klim DDS, CADStar Host on 05/28/2019 - 10:26pm

Now that I have had the Primescan for a few months, I have a good feel for it and find significant ease in the scanning compared to its CEREC predecessors, sharp margin viewing, and smooth flow of the software process. I am finishing my bread and butter restorative dentistry 12-15 minutes ahead of schedule on the average.  This videos will review my top Primescan assets and how it can impact your clinical theater.

Submitted by James Klim DDS, CADStar Host on 05/20/2019 - 9:33pm

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Part of practicing is the essence of communication particularly when a patient has a complaint.  My practice is not immune to this.  Though complaints don't have that often anymore, occasionally one still gets through the cracks.  This video is my story of a recent situation where a patient was certain she was allergic to a zirconia crown recently placed in my practice.  

Submitted by James Klim DDS, CADStar Host on 05/12/2019 - 10:19pm

Restoring a single maxillary incisor presents the greatest blend challenge with dentistry in the smile zone. When the adjacent teeth are in good shape, I stay conservative.  With chairside CAD/CAM using the Dentsply Sirona system, the Copy and Mirror is my preferred design approach creating a "DNA form and shape" by copying the adjacent central.  The next step is choosing the ceramic that blends best for the case. Since the ceramic and cement refractory behavior will change once cemented, so will the value and blend. In my blend theater, I prefer placing a transitional restoration that is machined with the projected ceramic and luting