This young man had 10 permanent teeth that had never developed. With some alignment help form an orthodontist and a long day at my office (Dr. Childress), in 4:30 of treatment time we made all of the corrections you can see in the photo. A 1:00 long appointment in the morning and a 3:30 long appointment in the afternoon allowed us to make a dramatic, long lasting change.
In order to restore and enhance the appearance of our patient’s smile, we utilized CEREC CAD/CAM technology. It was necessary to complete a root canal on one anterior tooth and rebuild the substructure of another before the four custom built crowns could be bonded in place.
Today we had the opportunity to prepare, design, fabricate, and bond two 3-unit bridges in one day. With CEREC (CAD/CAM) and e.max (bridge material), we are able to complete each bridge in under 2 hours. Here’s how it works, we prepare the abutment teeth and get photos. This generally takes about 40 to 50 minutes. Then, the patient can either stay at the office or leave and come back in 45 minutes. During this 45 minutes treatment break, I design the bridge, mill the bridge in the CEREC, and process the e.max bridge in the firing oven. After all of that has been completed, the bridge is bonded into place.
One of the biggest challenges in dentistry has always been getting a crown or filling to fit properly under an existing removal partial denture (RPD). In the photo, you can see how a CEREC crown can be easily made to fit an existing RPD properly. While the technique to accomplish this is very detailed, it only takes 5 minutes longer than the normal CERC crown appointment. This is another great advantage of utilizing the CEREC technology in my dental office.
Once this case was planned, it only took 1:50 minutes to place the implant, make the crown, and bond the crown to the implant.
In this case, we were able to place two implants, make the crowns, and bond the crowns to the implant abutments in only one appointment.
New York Times writer Gina Kolata tells about her experience at a dental office that also has a CEREC machine. The CEREC is a CAD/CAM machine that can help patients in my office get any all porcelain restoration in one visit. As Sirona develops the CEREC technology world wide, it has enable me to make crowns, inlays, onlays, veneers, fixed bridges, and custom implant abutments in my office. This enables me to have complete control, speed up the time needed to accomplish the treatment, and keep costs lower while guaranteeing the best quality materials are being used.
Read the New York Times Blog Post.
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