Submitted by James Klim DDS, CADStar Host on 03/22/2020 - 11:51am

The ZirCAD Multi zirconia aesthetic bridge series has been posted on the CE section of this website for 1.5-hour credit lesson.  The Klim Institute is a PACE certified educational service.  In most states, we can gain up to 50% of license renewal from online certified education.  This site will continue the process of providing new online CE lessons to expand our current CE portfolio.

Link to CE Lesson

Submitted by James Klim DDS, CADStar Host on 03/18/2020 - 12:11pm

This video will demonstrate the aesthetic transformation of a posterior ZirCAD Multi bridge using the MiYO system by Jensen.  The MIYO liquid ceramic system has transformed my ceramic and zirconia aesthetic clinical theater.  It is a low fusing ceramic system and can be applied to all our CAD/CAM ceramic and zirconia systems. There are many assets to the MiYO system, but several of my favorites is that it is very easy to apply, multiple color combinations can be applied with one application, what is seen in the pre-fired state is what will be observed in the post-fired state, and the color characteristics appear to be embedded in the

Submitted by James Klim DDS, CADStar Host on 03/18/2020 - 11:23am

This is the third video in the posterior ZirCAD Multi bridge series.  For the majority of my posterior bridges, I will polish only, unless the aesthetic blend requires more attention.  This bridge will be placed in the upper left buccal corridor and is part of the secondary smile zone.  MiYO by Jensen will be the stain and glaze product for the final characterizing phase. One thing that is nice about MiYO is that it can be applied to a highly polished surface. With this surface application characteristic, the zirconia bridge can be fully polished in preparation for the MiYO stain, glaze, and structure application.

Products used:

Submitted by James Klim DDS, CADStar Host on 03/12/2020 - 10:52pm

Primescan has made the full arch and full mouth scan a routine simple process in my clinical theater.  This video will walk through the steps for processing an implant tooth Essix retainer.  I currently have the Sprintray Pro and Asiga printers.  They are both excellent printers and serve an important part in my daily practice. I will also share the products and method for tacking in the temporary tooth to the Essix retainer.

  • Asiga or Sprintray Pro printer
  • Ministar Forming Vacuum 
  • SR Connect (Ivoclar) 
  • Adhese Universal (Ivoclar)
  • Flowable BulkFill (Ivoclar)

Submitted by James Klim DDS, CADStar Host on 03/01/2020 - 10:43am

Part 2 for creating a posterior ZirCAD multi Bridge.  Once the bridged is machined, what are the steps to effectively shape and finish the bridge before sintering? I follow a routine shaping workflow using the Meisinger JK04 Zirconia Lab Kit. Quite often, when using the multi zirconia options such as Katana or ZirCAD Multi, I will use selective infiltration to control value and enhance the multi-effect when the case demands a better blend.  

  • Meisinger JK04 Zirconia Lab Kit
  • ZirCAD LT Coloring Liquids (Ivoclar)

Submitted by James Klim DDS, CADStar Host on 02/28/2020 - 1:18pm

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Now that the CAD/CAM office has a growing selection of aesthetic zirconia options such as 3M, Katana STML, ZirCAD Multi, and the soon to be released ZirCAD Prime, what furnace is needed to fire these incredible zirconia options?

Submitted by James Klim DDS, CADStar Host on 02/27/2020 - 10:33pm

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This video will show my workflow for designing a posterior bridge in the CEREC software.  There are a number of zirconia materials and brands to choose from when fabricating a bridge in today's CAD/CAM world.  I used ZirCAD Multi for this case.  The videos to follow will document each step of the workflow from green zirconia shaping and luster finishing, infiltration, and final MiYO brush-on ceramic application on the buccal corridor surfaces.

Submitted by James Klim DDS, CADStar Host on 02/20/2020 - 2:11pm

Zirconia brand options in the CAD/CAM world are multiplying as we speak.  Fortunately, this surge in material options provides a better creative menu to choose from when setting up our CEREC software for a bridge.  We have e.max for anterior, zirconia multi-options for the premolar zone, and high strength zirconia when we still need the muscle material.  We need to be familiar with the 3Y, 4Y, and 5Y zirconia selections, it will impact our prep style, reduction, aesthetics, and strength.  Not all zirconia options have the same biofunctional strength. This video will provide an overview of zirconia bridge materials and the setup process in

Submitted by James Klim DDS, CADStar Host on 02/16/2020 - 7:54pm

There are a few additional steps when setting up an implant restoration(s) in the administration screen.  The first thing to check is affirming that the implant size and brand are in the current software system.  Most mainline implant brands are.  Before scheduling the patient, order the corresponding ScanPost.  Scanning and fabricating an implant restoration is one of the most efficient and predictable applications in the CEREC software. 

Submitted by James Klim DDS, CADStar Host on 02/09/2020 - 8:55pm

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