Thread to post day to day work
I remember when we first bought a Bluecam and I took Level 2. The idea of prepping teeth like this and bonding this was so foreign. However, prepping a traditional retention and resistance form crown in cases like this are much more difficult. This was empress multi bonded with variolink.
wow I did not know this could be done. What cement did you use to cement the emax to the bridge? Wonderful repair.
On 4/22/2017 at 8:47 am, Thad Vincent said... Gregory, what size and brand is the distal implant?
All MIS
#3 5x6
#4 3.75x10
Longtime patient who fractured 8&9 on his well-worn successful RPD. So I pull it in an alginate, planning to send to lab 48 hour turnaround.
Then I had a thought...so instead of sending it out, I poured it up, prepped what remained of the two centrals on the partial, scanned, designed, and milled Cerasmart full crowns. Then I bonded these individual Cerasmarts onto the "prepped" denture teeth. Had the case back in him in a little over an hour, while doing his other restorative in-between.
So far, this case has worked very well since I did it last fall. Sorry that I don't have a pre-op photo of the broken centrals.
Yesterday, I was asked by my Patterson Rep Andy what were some of the more "interesting" cases that we have done, as my son and I approach the end of our first year with Cerec. When Andy saw this one, he encouraged me to share.
Sorry that the photos posted a bit out of sequence.
one I did more than 10 years ago.
Sorry,I don't have the pre-op.
I was using the bulky 'Polaroid macro camera" to take photos back then and all the records have been archived.
Here's a case from Monday using BioReference. I was pretty nervous because this was my first time using Bioreference, but I'm happy with the results. 19 year old patient with a long history of composite breaking on #9. His mother wanted a more long-term restoration before he left for an extended overseas trip. I removed the composite, prepped, and restored with Empress Multi. Mom was thrilled. I should have adjusted the embrasure a bit, but otherwise I feel good. Pictures aren't the best....
Arash-
Your final didn't picture post...but I love that you are jumping in and posting some work!
2 emax bridges (3-5) and (9-11) 3/4 crn preps( kept lingual intact) 7,8. Fun same day case. Would love to get some bridge blocks in MT. Hard to make the LT look great. Plenty of changes (pontic of 10) for example. Done in Biogeneric with biocopy of originals to keep things somewhat upright. Best part of this was that I have very few adjustments. Scanned full arches and used virtual articulator with the biocopy in place was able to make sure functions were close. Not a great implant patient. Smokes a pack a day. 
So glad I came and took the anterior course, my confidence has gotten so much better with them...this was one from last week I wanted to share...we were all excited with how it turned out!
The problem with a thread like this is the unwieldy size it grows to. Nevertheless, here is a Cerasmart onlay that was done 2 weeks ago, before Mary and I traveled to Macinac Island. This patient stayed away for 3 years and this was the result. The patient is 85. There was no pulp exposure. A Theracal base was placed. We'll see what happens.
Here is an out of the box thinking case done yesterday. It should have been photographed before the caries was removed, but so be it. The patient is 85 and has been wearing a removeable cobalt chrome bite opening appliance designed by a periodontist for over 30 years. He is gradually destroying his teeth. The pa of this tooth shows no apical periodontitis--it may be an asymptomatic nonvital tooth, but he is 85 and loath to spend a fortune--so it was decided to attempt restoration without endo using something close to a 3/4 crown done with e.Max. I'm curious to see how long it takes him to destroy this. I am essentially preserving the labial enamel--there iis almost no dentin on the lingual surface of the labial enamel. There is plenty of enamel to bond to. 
The facial margin was chipped in a few places--the margin thickness should have been bumped up a little more, but it doesn't look too bad. Go ahead people. I hope to stimulate some discussion. Give me hell for being stupid if that's what you think.
Screen shot of prep, including goobers in the intaglio. These did not affect the milling.
lingual, not cleaned up and polished yet
The appliance. The lingual fit is sloppy, but that is what he presented with and at his age I didn't want to change what he was used to.
Mike, How long do you schedule for a bridge appointment like this (when extracting/temporizing)? I'm new to this and want to know what my goal should be!
On 2/12/2018 at 9:43 pm, Alissa Hanson said...Mike, How long do you schedule for a bridge appointment like this (when extracting/temporizing)? I'm new to this and want to know what my goal should be!
Hi Alissa-
Reviving an old thread! I like it :)
I didn't look back for the cases, but if i'm extracting a tooth and making an immediate bridge provisional forming an ovate pontic, generally I will schedule 2 hours for that appointment.
