This is a case where its good to know different Difgital Dentistry Systems, and know the right people! Frankie Acosta helped me out as when I scanned this case, CEREC Guide 2 was not available in Primescan, it is now though. I absolutely love the DESS titanium scan body. Its matte titanium and scans…
#prayforaugust Dr Niznick offers implant advice on a CEREC Guide 2 Legacy 2 Case on a relative: The Movie
In this video, Dr Gerald Niznick, the man who invented the Legacy 2 implant offers some advice on osteotomy preparation and insertion torque. We will be talking all about Smartbases and mills at the next 3D Printing Party in Richmond VA! April 17-18: https://www.eventbrite.com/e/dental-3d-printing-party-richmond-va-tickets-89491999981 We are doing a CEREC…
All About that Base: .25mm Smartbase Screw retained crown on a Legacy 2 milled on VHF Z-4
This was a pretty simple case, so I debated posting it, but what the heck its a Monday. Immediate molar healed up after 6 months. Not a ton of keratinized tissue on facial, so no punches or lasers for me. Simple non releasing incision and Implant Direct Smartbase scan body. Paced contour healer. …
Split the Midline
A young woman was struggling with two Maryland bridges. They were cemented multiple times throughout her life. She didn’t like the unpredictability and the esthetics. The pontic teeth were small, and were in different places at every re-cementation. We did a waxup for two full bridges and two veneers. We split the one-visit appointment…
4 out of 5 Axes: 3D Printed Sprintray Off Axis Screw Channel on an Implant Direct Smart Base CEREC Guide Immediate Implant
I am going to start by saying that this is in no way a perfect case, but I did the best with what I had. Patient broke off #7, and I think most would say that the best treatment was cold steel, sunshine and a little titanium supplement. Planned the case for a CEREC…
Belt and Suspenders: Two Appointment Zirconia Hybrid with Imetric and Primescan
So, with a bit of sadness, this is my last case at the Brighterway Clinic. If you have been following my posts, I have been volunteering at Brighterway which is a dental clinic associated with a homeless shelter in Phoenix, AZ. The clinic also helps low income vets, battered women, and the working poor. …
Glutton for Punishment: Legacy 4 Immediate Molar on Dr Jerry Niznick’s Wife
If you know me, one of my biggest idols in Dentistry is Dr Jerry Niznick, the Godfather of modern implant dentistry. If you are not familiar with Dr Niznick he brought us the internal connection implant, founded Implant Direct, and more or less single handedly brought implantology to GPs. So I was honored and…
Whats Old is New Again: Metal Frame PMMA Overlay Hybrid on Metal Bar from a CEREC Primescan Image
When I first started doing hybrids, many were getting different types of metal bars and added teeth and acrylic gums by waxing them up on a model and then processing them, just like a denture. This type of y rid is called a “wraparound” as the acrylic completed covered the bar. When Zirconia hybrids…
Rapid Prototyping: Using “Prototypes” for quick lost cost changes in a Digital Hybrid with the EnvisionOne
I’ve heard the term “prototyping” thrown around the 3D Printed Hybrid world a lot and, at fist, I thought it was just a fancy term for a temp used by those who wanted to sound important. But as I got more experience in Digital Hybrids, I realized its an actual bonafide word! In…
VHF is No Beta: Milled titanium abutments and Emax on the VHF Z4 with Trios
Here is yet another case the reminds me that I need to practice what I preach more. Patient came in with #5 fractured and wanted 3 implants, should have done guided but did it free hand instead. As a result of #4 was a little off axis, so the perfect case for custom abutments. I…