Category Archives for CEREC

Implant Emergence Contours – It Matters

An area often overlooked when it comes to implant restorations is the sub gingival emergence contour.  This case illustrates quite nicely why and how this matters. As you can see the original restoration looks nice (the crown portion) but has what i would call poor emergence contours.  Specifically, here are the concerns I have… Hygiene. […]

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Who Says CEREC Doesn’t Fit?

I love my CEREC!  And nothing irritates me more than when a fellow clinician makes the assumption that CEREC is substandard dentistry when it comes to marginal integrity. I actually argue that CEREC gives you the ability to produce the absolute best margins. You are able to control and evaluate your impression immediately. You are […]

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You Should Be Doing This on Every Implant Impression

Once again I want to focus on idealizing the implant restoration.  This time I want to focus on the inter proximal contact. During the integration period patients are typically without teeth (especially in the posterior region).  This leads to tooth drift of the adjacent teeth.  This tipping of the teeth presents a couple of different […]

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Preparation Blockout – Conservatism and Pulp Protection

One of the challenges with onlay preparations is dealing with undercuts.  Our choices are to either prep away the undercut, leave the undercut and allow the lab or CEREC to block it out, or to manually block out the undercut at time of preparation. Early in my career I chose the path of letting the […]

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Implant Restoration Emergence Idealization

Those who have heard me speak know my disdain for traditional healing abutments.  In fact, I have written on my blog several times about custom healing abutments.  This time I want to share an actual clinical example that illustrates exactly what I am talking about. The biggest restorative complaint from patients that I hear about […]

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CEREC Efficiency Tip

One of the greatest advantages of CEREC is the level of efficiency it creates.  This efficiency can be tested in certain clinical situations.  A specific example of this is the adjacent inter proximal resin restoration. Do you do the crown first and then complete the resins?  Do you do the resins first and then the […]

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The Most Under Utilized Clinical Application for CEREC

CEREC is unlike anything I have ever experienced in dentistry.  Not a day goes by that my patients aren’t absolutely amazed by it.  Even more important, not a day goes by that CEREC doesn’t make clinical dentistry more efficient and predictable. However, an arena that CEREC is not given enough credit is the hardest restoration […]

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Something I Learned in Dental School That CEREC Has Totally Destroyed

Dental school can bring back scary memories and even some good memories (for me it was mainly positive). I remember taking everything I heard or learned as gospel. But then came private practice, dealing with patient expectations, and the pressures of being your own business. Specifically, I recall being taught in dental school that you […]

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High Aesthetic Anteriors Made Easier

Probably the most difficult restoration in dentistry is the single anterior restoration. This is compounded when dealing with a ‘particular’ patient – one that wants excellence. Personally I don’t fault people for wanting something that ‘melts’ into their mouth and disappears. However, what I do believe is that these patients should expect to pay more […]

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Extraction, Internal Sinus Lift, Immediate Implant, and Final Restoration – Without Ever Taking An Impression

Let’s walk through a case from start to finish.  I’ll put more emphasis on the surgical phase and just outline the restorative phase. Tammy is like many of our patients.  She is fearful of dentists and only visits when things are hurting.  Tammy came to our office for limited exam (emergency visit) to evaluate her […]

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