chairside CAD CAM system has been around for nearly 25 years, it
hasn't been until the new generations of systems (E4D Dentist System, CEREC
AC Bluecam) that the true potential and ease of use have been realized for
the clinician and dental assistant. Creating metal-free restorations with
no compromise in form, fit and function in a single appointment or even two
appointments provides every dental professional and dental practice
incredible benefits. I use the E4D Dentist system in my practice for a
variety of indications selecting from a variety of high strength ceramic
materials (IPS Empress, IPS e.max CAD) to provide my patients with unequaled
service and convenience. Patients are amazed at the change in dentistry
that is taking place and no longer dread the long temporary phase or making
another appointment weeks from the first.
Once you have become confident in your use of the technology and proficiency
in the system, you can offer your patients beautiful restorations on
anterior and posterior teeth. Taking time to custom stain and glaze can provide
the results shown here in as little as 2 hours.
If you haven't looked at chairside CAD CAM dentistry firsthand in the last
few months you haven't looked at chairside CAD CAM dentistry. Do yourself,
your patients and your bottom line a favor and check them out. It isn't a
matter of if you will incoporate it but simply when.
James M. Stein D.M.D.
Don, 1:20 for an eMax is truly amazing and I hope to reach your level of efficiency someday. Likewise, I am sure we will meet. Thanks again and Happy Holidays. Jim
That's great! I am doing eMax single units in 1 appointment of about 1:20, from start to finish. And it "all depends" on multiple units. Tuesday I completed 3 eMax in under 2 hours, #12-14. Also, because I am using a "punch" approach to most implants I do, I can count on the tissue level staying where it is, so most of the time I take an impression at placement of the implant, then have 3-4 months to do the abutment and crown with the E4D, so when they come back, assuming all is well, the abutment and crown is delivered. I wouldn't do it if the implant was "iffy", but it's a nice time-saver for me and the patient - and the patients love it. Hope to see you at a CADapalooza or D4D sometime.
Don, Thank you for your comments. While those E4D clinical examples were from earlier this year my skills have developed. Just yesterday I was able to perform single visit Empress CAD restorations on teeth 7,8,9,10 in just 4.5 hours. Prepared, scanned, milled and bonded. No messy impressions, no working casts and no laboratory delay. This is a great patient service. Dentists are embracing this E4D technology and Tufts has purchased 6 E4D systems in order to train their students. Jim
On the CAD/CAM restorations, the same applies. I can not still produce the same quality restoration my technician can in the amount of time I willing to devote to it. I love the new materials and use almost exclusively E-Max crowns and E-Max and Lava bridges today. In the amount of time required to produce that restoration, I can prepare a few more crowns, more implant crowns and more veneers. It is just not cost effective in my hands yet.
I presume you are are scanning vs. taking impression as well.
The patients must love not having all that goop in their mouths.
You should present your work at one of our study club meetings.