Submitted by James Klim DDS, CADStar Host on 10/21/2018 - 10:47pm

CEREC Case Review for auto margin calculation in the CEREC 4.6 Software, it draws the margin for you!  When the margins are "high and dry", auto margin drawing is spot on.  This case review will highlight the CEREC software for creating an e.max onlay restoration.   

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Submitted by James Klim DDS, CADStar Host on 09/30/2018 - 5:29pm

Part two video for optimizing your CEREC software clinical flow.  This is a longer video than most of mine. However, I think it will keep your attention interest.  This video reflects my CEREC software workflow for a two-minute design sequence for a posterior restoration. The workflow and design tips provided in this video have solved the design and fit issues for several dozen dentists who quit using or were planning on returning their CEREC due to integration and quality frustrations.  

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Submitted by James Klim DDS, CADStar Host on 09/27/2018 - 1:59pm

I have often received calls from CEREC offices and have had Patterson Dental sent new CEREC owners to my educational center who are struggling with chairside CEREC integration. Going clear back to dental school, there are times that I have struggled with new clinical applications.  I have found that integration problems are usually still solved with going back to the basics for the particular application being accomplished.  I have found this to be the case with most CEREC integration issues.  The beauty of CEREC is that is will refine our prep skills by showing the user where refinement needs to happen.  Labs have been dealing with our

Submitted by James Klim DDS, CADStar Host on 09/20/2018 - 9:07am

I have used 2.5%/2.5% Lidocaine and Prilocaine Cream as my topical of choice for years.  Since I had some extra time on my hands, which is very rare, I decided to self-inject and removed a fibroma on my lip that had developed from multiple lip bitings while chewing and talking.  It was good to experience what our patients go through.  This experience also strengthens my commitment to providing comfortable injections which I know our patients appreciate and as well as I did with this clinical experience. 

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Submitted by James Klim DDS, CADStar Host on 08/15/2018 - 1:09pm

When the case demands a high strength zirconia material and the restoration is in the secondary smile zone (shadows of the smile), then I am thinking pre-sintering infiltration coloring.  As of late, my preference is the ZirCAD LT Colouring Liquids.  This video will show the steps and liquid color application technique I use for a premolar bridge.  My primary coloring objectives for green zirconia is creating the saturation multi-effect and lowering the value in the cusp and occlusal zones.  It rather simple to learn and master.  

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Submitted by James Klim DDS, CADStar Host on 08/14/2018 - 10:39am

This video demonstrates a systematic walkthrough for shaping in the green zirconia bridge when preparing for coloring infiltration prior to sintering.  For this case, ZirCAD LT high strength zirconia is used.  Rather than speed firing, a 9-hour sintering cycle was used to optimize the translucency (Programat S1).

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Submitted by James Klim DDS, CADStar Host on 08/10/2018 - 9:47am

Having used the Omnicam since its beginnings, taking a full arch impression is second nature.  Using the Formlab 2 printer, we have found the Omnicam impression and model technique has provided a proficient appliance fabrication method that is accurate with almost no-adjustments needed chairside.  We are at the beginning of the printing wave in dentistry. Omnicam scans and printing have become a seamless support method for appliances and records in our digital clinical theaters at the Klim practice.

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Submitted by James Klim DDS, CADStar Host on 07/22/2018 - 9:02pm

This Klim Digital Moment video is more about my gratitude for the Omnicam.  This week I had several posterior molars that were difficult to access with subgingival decay resulting in a deep margin situation.  With bur curettage and Hemostatic Gel for hemorrhage control, imaging these deep margins were seamless.  Situations like this with an analog impress are almost impossible to accomplish.  I am so thankful for Omnicam.

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Submitted by James Klim DDS, CADStar Host on 07/15/2018 - 1:23pm

We all get this situation in our career, second molar crown, and minimal room.  This case review documents a solution for difficult access teeth with minimal occlusal room and needs a high stress enduring crown. With CEREC and a broad range of materials, we now have the support for the majority of functional and aesthetic clinical demands that enter our clinical theaters.

Materials used:

  • ZirCAD LT (Ivoclar Vivadent)
  • Sirona Zirconia (Densply Sirona)
  • MCXL Dry Mill (Dentsply Sirona)
  • SpeedFire Furnance (Dentsply Sirona)
  • CS4 Furnance (Ivoclar Vivadent)
  • S1 Furnance (Ivoclar

Submitted by James Klim DDS, CADStar Host on 06/25/2018 - 4:36pm

CAD/CAM has entered an expansion era of new materials. My top two comments about CELTRA DUO is its incredible marginal mill and polishability. CELTRA DUO has been around for a few years now and is gaining momentum in the CEREC world.  This video reviews my take on this material.  As clinicians, it is important that we understand the preparation and cementation protocols for materials with their clinical indications. When materials are applied appropriately we will have success.  

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