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cerecdoctors.com
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quarter 4
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2012
Time is On Your SideWith the Latest Technology
Efficiency and Productivity
With CEREC Omnicam
i recently had a case that was a
great example of typical, everyday general
dentistry done in a high-tech environ-
ment. And the irony is that this case
should have never been done!
Joe has been a patient of our practice for
many years. In the past, he was diligent in
coming to his appointments in a timely
manner and doing the necessary restorative
work to maintain good dental health. But
Joe went from July, 2011 until July, 2012
without a visit, and his last bitewing radio-
graphs had been inDecember, 2010.
In December, 2010, there was little going
on, but just a year later there was rampant
decay. So much decay that both #28 and
#29
required root canals and crowns, and
there was even a chance the teethwould be
deemed unworthy of saving. This is a great
example that stresses the importance of
taking regular radiographs of your patients.
Regardless of why we got here – we are
here. So, what dowe do nowand howdowe
maximize chair time tomake it easy on both
the patient and the practice? This is where I
absolutelyloveCEREC.WithCEREC,weare
able to complete single-visit endo/build-up/
crowns on patients with great predictability.
The only caveat to these cases is whether
single-visit endo is deemed appropriate.
What is the best sequencing and design
mode for a case like this? Side-by-side
crowns. In this case, we can look at the
existing teeth and see that, generally
speaking, they are in good shape and are
excellent candidates for Biocopy. Biocopy
allows the patient to get restorations that
look and feel like what they
are use to, and also offers the
practice the utmost efficiency
during the design process.
C A S E S T U D Y
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b y Ta r u n A g a rwa l , D . D . S .
case study
Figs. 1-2: The patient’s December 2010
bitewing radiograph contrasted by the
July 2012 radiograph.
Fig. 3: The retracted quadrant of the teeth
to be treated.
Figs. 4-6: Our goal is efficiency and
predictability. So, we give the patient block
and infiltration anesthesia. During the five
minutes that it typically takes to achieve
anesthesia, we prepare the CEREC, select
a shade and insert the block into the
milling unit. Additionally, we capture the
Biocopy data. I prefer to add the benefit
of full articulation in Biocopy cases, so I
also capture the buccal bite and opposing
quadrant data.
As you can see, the images are now
in color thanks to the ColorStreaming
technology of the CERECOmnicam.
Additionally, the data is now captured
without ANY powder!
For sequencing, my preference is to
prepare the teeth for crowns (of course
removing all of the decay) and start
the design process. Then I do the access
and root canal treatment while the
restorations are milling. We deviate from
this technique in cases where a build-up
and/or post is needed for tooth structure
support. This was a possibility in this
case and would be a game-time decision.
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