Cementing an Implant Restoration on a TiBase

Submitted by James Klim DDS, CADStar host on 02/09/2020 - 8:55pm
Categories:
CADStar Finishing Tips, CEREC Products, Clinical Dentistry

This video documents my current steps for cementing an implant abutment or one-piece implant restoration on the TiBase.  The protocol that I have changed as of late is using Monobond Etch & Prime rather than hydrofluoric acid and silane.  I have experienced great success with my TiBase created implant restorations.  I have yet to see an e.max or zirconia abutment delaminated from the TiBase in 8 years.

Cementation Steps:

  1. Sandblast the adhesive surface on the TiBase
  2. MonoBond Plus metal priming on TiBase
  3. Fill access screw tube with plumbers tape
  4. MonoBond Etch & Prime internal adhesive 

Anterior Ceramic Shaping Workflow

Submitted by James Klim DDS, CADStar host on 01/21/2020 - 9:11pm
Categories:
Advanced CADStar CEREC Training, CADStar Finishing Tips, CEREC Products, Clinical Dentistry

This video will highlight my anterior ceramic shaping workflow for multiple anterior restorations, particularly when crossing the midline.  However, anterior restorative success is mostly about understanding the patient's treatment expectations and then working through the biomechanical diagnosis and preplanning with either a traditional or digital wax-up.  

The predetermined wax-up prototype is used for preparation guidelines and reduction, transitional restorations when using a two appointment protocol, and a digital BioCopy scan for digital design guidance.  When these preliminary and preparatory guidelines are delivered to the

Part Three: e.max Spary Glaze Technique

Submitted by James Klim DDS, CADStar host on 12/16/2019 - 8:34pm
Categories:
CADStar Finishing Tips, CEREC Products, Clinical Dentistry

For posterior e.max restorations, spray glaze is one of the most effective ways to achieve an excellent luster finish. This video will walk through my spray glaze application technique for posterior e.max.  For anterior teeth, I tend to apply brush-on glaze for more micro-surface texture control.

Make sure your whole team views this video, it is excellent for training and standardizing the e.max finishing workflow.

Part Two: Posterior e.max Brush-on Glaze Technique for ALL Firing Cycles

Submitted by James Klim DDS, CADStar host on 12/15/2019 - 3:01pm
Categories:
CADStar Finishing Tips, CEREC Products, Clinical Dentistry

Brush-on IPS Crystall glaze tutorial for all e.max glaze firing cycles and avoid glaze bubbling and surface glaze firing pits.  This is precisely the posterior e.max glaze/stain technique I use in my clinical theater.

 Make sure your whole team views this video, it is excellent for training and standardizing the e.max finishing workflow.

Finishing Posterior e.max Part One (Shaping & Polishing)

Submitted by James Klim DDS, CADStar host on 12/13/2019 - 12:55pm
Categories:
CADStar Finishing Tips, CEREC Products, Clinical Dentistry

This tutorial is the first part of the stain & glaze trilogy series for the Ivoclar rapid e.max firing cycle (and it works for all the e.max firing cycles).  Once the restoration is milled, the e.max posterior restoration is efficiently shaped for morphological refinement, surface texture, and surface finish using the Dr. James Klim Meisinger JK03 Lab bur kit specially designed for CEREC users. 

This video will show the burs and polishing workflow I use preparing e.max for either brush-on or spray glaze  Make sure your whole team views this video, it is excellent for training and standardizing the e.max finishing workflow.

Achieve Knife-Edge CEREC Margins

Submitted by James Klim DDS, CADStar host on 08/30/2019 - 4:44pm
Categories:
CADStar Finishing Tips, CEREC Software, Clinical Dentistry, Software Updates

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.

Most Efficient Way to Color Zirconia

Submitted by James Klim DDS, CADStar host on 05/07/2019 - 10:35pm
Categories:
CADStar Finishing Tips, CEREC Design Tips, CEREC Products, Clinical Dentistry

Even with the multi zirconia options of Katana and ZirCAD Multi, in my hands,  infiltration is the simplest and most efficient way to enrich the cervical zone color and modify cervical saturation needs.  And with just one firing...sintering.  This video will share material recommendations and methods.

The method works on all zirconia brands.

  • ZirCAD LT Colouring liquids (very forgiving)
  • Katana STML
  • ZirCAD Multi

Glaze & Stain Multi Layered Zirconia Technique

Submitted by James Klim DDS, CADStar host on 04/29/2019 - 8:26pm
Categories:
CADStar Finishing Tips, CEREC Products, Clinical Dentistry

With zirconia, I use glaze and stain only for subtle highlight surface characteristics.  For this process, Ivocolor by Ivoclar works well on all the zirconia brands, particularly the multi ones such as Katana STML,  ZirCAD Multi, and the coming ZirCAD Prime.  This video will demonstrate the zirconia preparation required for glaze addition and then glaze/stain applications creating subtle surface enhancements.

Finishing ZirCAD Multi Green Zirconia

Submitted by James Klim DDS, CADStar host on 04/28/2019 - 9:11pm
Categories:
CADStar Finishing Tips, CEREC Products, Clinical Dentistry

Finishing zirconia when it comes out of the milling unit is referred to as zirconia in the green state.  There are a few steps that can be taken to really improve the surface quality of the green zirconia, and once sintered will save finishing time. The technique in this video is applicable to the zirconia brands in our CEREC clinical theater (ZirCAD LT, ZirCAD Multi, Katana STML, CEREC Zirconia, and InCoris).

Shaping & Polishing a Crystallized e.max CEREC Restoration

Submitted by James Klim DDS, CADStar host on 04/24/2019 - 9:23pm
Categories:
Advanced CADStar CEREC Training, CADStar Finishing Tips, CEREC Products, Clinical Dentistry

Texturing and luster polishing a ceramic or composite will create the finishing touch for restorative blend harmony. Each case is often unique. In CAD/CAM e.max dentistry, we shape and texture before crystallization.  This works most of the time, however, occasionally when fitting the ceramic in the mouth, further texture and shape tweaking are desired.  This video will review the burs and polishing for providing texture and luster polish on a crystallized e.max restoration. 

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