Page 17 - CEREC Q2 | 2014

QUARTER 2 | 2014 | CERECDOCTORS.COM | 15
milling, to finishing, polishing, glazing and staining.
I do approve the design and the final product, and
we also utilize a local laboratory for our initial
wax-ups and certain finishing aspects as needed.
I have to say, the cerecdoctors.com discussion
boards, the online digital learning videos and the
courses at the Spear Campus have been invaluable
in this regard. At least one of my team members
has been with me through all the course levels and
another one has completed two levels.
whataboutthegalileos?whatroledoesyour
teamplayintheimplant-planningportion?
I involve my team in the implant-planning aspect
as much as possible. Based on the treatment plan I
devise, my team performs all of the Galileos implant
planning, and I just approve and modify the plan
as needed and then let them order or fabricate the
guides. I also let them observe the modifications I
make and, over time, this has resulted in me having
to do fewer and fewer modifications to their plans.
thegalileoscancreateseveraldifferent
typesofguides;whichisyourfavorite?
My favorite type of guide is, without question, the
Optiguide since it is the ideal combination of effi-
ciency and accuracy, and the entire process can be
completely digital if so desired without the need for
the fabrication of a radiographic scan appliance.
whatadvicewouldyougivegeneraldentists
whoareconsideringthepurchaseofcad/cam?
My advice would be to do it sooner rather than later.
Digital dentistry is definitely the way of the future,
and it’s not a question of “if” anymore, but “when” you
want to get involved. The second advice I have is to get
their teams involved as much as possible in the entire
process and to invest in initial and ongoing training for
themselves and their teams. The last advice I have is
to pick a company and a system with a proven track
record in the field of CAD/CAMand digital dentistry.
wouldyousuggestotherspecialists
becomeinvolvedincad/camandconebeam?
Many surgical implant specialists now have CBCT
machines in their offices, and many specialists are
becoming involved in one way or another in digital
implant dentistry. I receive a lot of calls from special-
ists who want to get involved in digital implant
dentistry and who inquire about our workflow. I
always encourage them to get involved as soon as
possible so that they can be at the forefront of shaping
the future in their respective communities rather than
being reactive to it. CBCT is very quickly becoming
the standard of care in implant dentistry, but that is
just the first step as the integration of CBCT andCAD/
CAM is what trulymakes the ultimate difference.
whataresomeoftheshortcomings
ofthecerecworkflowfrom
aspecialist’sperspective?
The CEREC digital implant dentistry workflowwas
not developed with the specialist but rather with
the general restorative dentist in mind. Therefore, it
is very applicable to simple cases, but it has its short-
comings with regard to the more complex cases
with which specialists are often confronted. I know
that software enhancements are always occurring,
so I’m confident that the protocol will become as
efficient for larger cases as it is for the basic ones.
whatfeatureswouldyouliketoseeintegrated
inthecerecandgalileosworkflow?
This wish list can be very long, but I have to say that
some of the things that were onmy list two years ago
are now a reality. That is why I chose the CEREC
system since Sirona is the only company that had
the foresight to offer a completely integrated digital
implant dentistry package, and I believe that this
innovative spirit will continue.
Having said that, some of my immediate requests
would be a temporary meso block, a temporary
TiBase, a one-piece scan body, the ability to design
and mill custom healing abutments, the ability
to design and fabricate surgical guides for more
complex cases, and a five-axes milling machine with
the ability to mill these type of guides, and full-arch
implant restorations.
whatdoesthefutureholdfordr. boltchi?
My passion is clinical dentistry and teaching, and I
have been fortunate thatmy current practice structure
and career path has allowed me to combine both of
these. I will certainly continue this path. In addition,
I would like to work with like-minded colleagues and
companies to develop workflows that make the clin-
ical care we provide more predictable and efficient,
and thereby ultimately more cost-effective so that it
can benefit more patients than currently possible.