Submitted by James Klim DDS, CADStar Host on 06/07/2018 - 6:20pm

Our dental adhesive options are at a point in time that we can be assured low probability of post cementation sensitivity and strong bonding properties. This video will review how Dr. Klim addresses adhesive protocols when the margins are subgingival.

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Materials used in

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 05/27/2018 - 12:18pm

The technique I use takes about two and one-half minutes for upper and lower arches and it does not gag the sensitive patient. For two years now, we have taken Onmicam impressions for study model and appliance impressions in the Klim office.  This video will clearly document the isolation approach and Omnican scanning flow to gain a predictable impression result.  And by the way, using the technique proposed in this video provides a predictable upper and lower arch mount with just the buccal scan quadrant from one side.  This approach is so much more effective than using the Ortho Software, at least at this point in time.

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 05/04/2018 - 3:07pm

Two central veneers case review.  The challenge, in this case, was the retroclined position of the right central. When designing and fabricating restorations that cross the midline, it is advised to create a similar thickness of both central restorations and modify both preparations to be close in prep color.  This case presents a two-stage approach for the right central that was in a retroclined position.  Stage one is designing and placing a composite base (Cerasmart) that is then prepared and providing similar thickness for the final two restorations.  This video will review the clinical flow from start to finish and highlight the

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 03/17/2018 - 11:16pm

I have really grown fond of the IPS Ivocolor system.  When used as a paste, low-value and high-value accents can be applied and artistically designed with one firing. This approach will provide a  realistic incisal edge effect without a cutback.  This video will outline the color and steps to creating a beautiful incisal edge.

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