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Congress 2007 issue
Mardi Gras: Congress 2007 Course Schedule
From Dream to Reality
Creation of a Zirconia Keyway for a Long-Span Bridge
DLANY Smiles 3
How to contact us
Smilesis the official journal of the
Dental Laboratory Associationof the State of New York
Executive Board and Staff
PresidentGary Spadaro, Jr.Liberty Dental Laboratory518-344-5372
Vice President, EducationTechnician RelationsRaymond Rayeski, CDTHighland Acres DentalLabs Inc.
SecretaryMark ViscusiViscusi Dental Lab
Treasurer/Budget &FinanceNorm Friedman, CDTCrown Dental Laborator
CongressBill Baum, MDT, CDTBill Baum Dental StudioInc.
MembershipGary Spadaro Sr.Liberty Dental Laboratory
Professional RelationsGail Broderick, MDTAmericus DentalLaboratory
Constitution and BylawsRobert IulianoAdirondack DentalCeramics
Head of LegislativeCommitteeKevin Crane, CDTCrane Dental Lab
Membership & CongressCoordinatorMichelle Milazzo
Contributions from clinicians, lab owners, suppliers, readers, etc., are solely the opinion of the writers anddo not constitute the endorsement of this publication or its staff.
SMILES makes every effort to report clinical information and manufacturer’s product news accurately butcannot assume responsibility for the validity of product claims or for typographical errors. The publishersalso do not assume responsibility for product names, claims, or statements made by advertisers.
In this issue…Congress 2007 issue
President’s Message 4From dream to reality 6Xavier Balmes
Creation of a Zirconia Keywayfor a Long-Span Bridge 18Kunikazu Yuge
Congress 2007 Course Schedule 23Smiles Technical Market 30Smiles Bookshop 32Smiles Marketplace 34
Smiles US Office:1718 Broadway S, Schenectady, NY 12306Telephone: 518-355-3183 Fax: 518-355-5812Toll Free: 877-DLANY65Web site: www.dlany.orgE-mail: [email protected] Information: [email protected]
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4 DLANY Smiles
I f we believe that furthering our learning leads to higher income, then more CEshould translate into increased incomes. Why is it then that some dentalprofessionals, although committed to knowledge, seem unable to earn more? The
answer is that education without application will never add to the bottom line. In otherwords, unapplied knowledge is wasted knowledge.
By attending a trade show such as DLANY’s International Congress, taking a course,reading a book or listening to an audio series, you increase your potential to earnsignificantly more money. All it takes is one idea and the implementation of such an ideainto your practice: the results can be phenomenal. This unfortunately is where many ofus fall short; focus and follow through.
Have you ever taken a great course and been pumped up only to have yourenthusiasm fade Monday morning? The staff is non receptive, you worry about yourclient’s perception to the change and soon you come up with at least ten good reasons asto why you should just keep things as they are.
At this point, you need to take a step back and remove yourself from these obstacles.Go over your information and write out a plan to overcome each obstacle you think of.Keep your end goal in sight. It may be the idea that gives you the ability to pay off debt,work less, earn more, retire earlier or spend more time with your family. Do not forgetthat by applying your new found knowledge you are also challenging to serve yourdentist and their patients better. Continue to review these plans and goals until eachstaff member and obstacle have been conquered. This takes time and requires focus anddetermination. Make sure that your ideas are being implemented before becomingdistracted by too many new ideas.
The knowledge you acquire has been paid for with your time and your money andshould show up in your bottom line, if you apply what you have learned. Yourattendance at events such as the International Congress is an investment in your futureand should pay dividends if you focus and turn education into revenue.
This year attend the Congress with an open mind, embrace continuing educationand apply what you learn so you can make it an asset, not a liability. It is really up to you.
Gary J. Spadaro Jr.
Practical ContinuingEducation — It is an asset
President’s Message
6 DLANY Smiles
Xavier Balmes
From dream to reality
F or a long time we technicians had beenlonging for metal restoration comingout of the sinter furnace perfectly fittingthe model. This desire, however, isunlikely to come true after consecutive
firings especially in case of implants. Nevertheless, thedream can come true if zirconia is used.
Zirconium was discovered in 1789 by the GermanMartin Klaproth and isolated by the Swedish J.J.Berzelius in 1824. Zirconia is a silicate whosecomposition is Zr(SiO4). It is obtained from a mineraland is one of the most abundant elements in theterrestrial crust. Chemically very reactive it is mainlyfound combined with oxygen forming zirconiumdioxide (ZrO2). Zirconium is used as coating onnuclear fuel parts, for photographic flashes and for theprotective slabs of space shuttles.
In the last decades zirconium has been successfullyused for artificial limbs and joints in the medical field.The material is considered biologically andchemically inert. Due to the small diameter of itsgrains a very polished surface is obtained whichexplains the reduced accumulation of plaque and theexcellent tissue tolerance. Like any other metalzirconium is radiopaque and thus allows us by meansof x-ray to check its marginal adjustment. It has bettermechanical properties than aluminium, especially asfar torsion and traction is concerned.
Is zirconium a metal? Yes, zirconium is a metal like most of the elements onthe periodic table, but it differs fundamentally fromthe rest by the type of connection between its atoms.It is a metallic compound whose electrons form acloud that moves around the nuclei.
Zirconium or zirconia?Zirconium or zirconia refer to the same material,much of the confusion arises because a commercialhouse labels a product with zirconia which in fact ismade up by a 67% of alumina and a 33% ofzirconium. Observe that the ceramics that we mustuse for its coating are those of alumina.
TypologyAll zirconia available on the market is very similar andcan only be differentiate by its physical state:
Green Zirconia: elaborated by means of metalmilling burs in dry.
Partially sintered zirconia, elaborated withtungsten burs cooled by water.
Totally sintered zirconia, elaborated with tungstenburs cooled by water.
Structural characteristics Although we are always talking of zirconium, what weare really speaking of is zirconia dioxide (ZrO2). Itsthermal characteristics are the following:
• Point of fusion 2715ºC• cubical Structure to 2370ºC• tetragonal Structure over 1163ºC• monoclinical Structure below 1163ºC
Stabilization with yttrium (Y-TZP)The English scientist Ron-Garvie, obtained thetetragonal state of the zirconium by adding approx.5% of yttrium oxide to the zirconium. It is its state ofutmost stability, with no need to reach 1163ª simply atambient temperature.
Addition of aluminium (Y-TZP-A)In order to increase its resistance to corrosion and toincrease its durability, aluminium is added to zirconiain a maximum proportion of 0.5%, adding morewould be considered as an impurity.
Transformation tougheningThe so called phase transformation or airbag effect cancause the tetragonal phase to convert to monoclinic,with the associated volume expansion (4.7%).
This phase transformation can then put the crackinto compression, retarding its growth, and enhancingthe fracture toughness. Zirconium is a bad heatconductor. Heat produced in one point, is notpropagated, and results in changes in its structurethat’s why it is not advisable revising it by blasting iteither with oxide or with steam.
DLANY Smiles 7
Clinical casePatient, 49 years old, 8 implants were placed in the uppermaxilar. We decided to make a splinted zirconia structure withindividually prepared zirconium-ceramic crowns and gum madeof pressed resin. Furthermore we made a temporary lowercircular bridge.
We detected a significant support deficiency in upper lip aswell as an aesthetic deficiency in the individual proportions ofthe teeth and in their three-dimensional alignment. First of allwe made an assembly in wax with resin teeth which served us asa basis to decide on the final volume, size and position of theteeth. This was the crucial moment of the treatment and as DrWilliam Pagan put it “Everything we say before starting the
treatment is part of the diagnosis but everything we sayafterwards are mere excuses”. This was the point where we hadto define the most ideal final outcome in accordance with thepatient, the dental surgeon and the dental technician. Byfollowing this process can avoid undesired surprises, the patientwill be well informed about what he can expect and we willobtain better results at lower costs.
We started with the making of a model in light curingcomposite rigid for easy milling. The composite of the plates isa good and economic choice but if we want a more pleasantappearance, composite for provisional of Tryad-dentsply typeare better. Afterwards we had to carve the teeth out of the splintlike individual stumps.
Fig. 1 and 2: Starting Point: the patient with his old prosthesis
Fig. 3: Mount of teeth in wax
8 DLANY Smiles
We checked the model in mouth to make sure that themeasurement was exact and had a correct passive adjustment.Once the control was made, we passed on to the milling of thestructure by duplicating it onto zirconia in the following way:
We fixed the model in a resin made template that was putinto the right table insert of the milling machine. Thecorresponding zirconia block was glued in the left insert. Thesystem offers a great variety of zirconia blanks of different sizesand diameters. Without moving the horizontal tray, we beganto mill the general volume of the frame structure, includingattachments to the piece that connect it to the transephitelial ofimplants. The Zirkonzahn System offers us the possibility toreproduce the connection to implants as well as renderingpossible its cementation to zirconium.
At this point we put some positioning elements on both sides(model and zirconia blank) which we glued two by two in threestrategic points, this allowed us to relate the model to thezirconia blank which we were milling — at any time.
In order to be able to mill the chimneys of the screws as wellas the attachment to the implant, we had to place them totallyparallel to the milling bur. This position differs from implant toimplant. To check parallelism, we inserted a copy of the implantand a large screw of the laboratory. Then we turned the modelto the left and to the right until we reached the exact parallel
4 and 5: Resin model of the restoration
Fig. 6: Restoration positioned, general volume milled
Fig. 8: Looking for parallelism Fig. 7: Positioning elements
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10 DLANY Smiles
position. Afterwards we inserted the horizontal working plateand by means of the positioning elements we brought thezirconia blank into the same position as the model.
Presently the system is provided with a mechanism thatunites the two metal table inserts of the milling machineallowing greater agility. Nevertheless, it is not sufficient for allimplants as in complex works the 45° rotation to the left and theright of the centre of the model does not allow us to completethe process and makes the use of positioning elements necessary.
After having completed the milling process we removed theframe structure from the insert and we elaborated it with
tungsten burs (6-8 mil. turns max.)We went on with the colorization of the structure by dipping
it into acid for 1-2 seconds. The system is delivered with 16liquid colours which correspond to the VITA colour scale and aredish colour for gums will be available soon. It is necessary toput the dyed zirconia structures under a drying lamp for 45minutes. Afterwards the furnace can be loaded for sinterization.During this firing process the frame structure shrinks to theoriginal size of the model (20%) and gets the characteristics ofsintered zirconia, i.e. hardness of 1200-1400 vikers and bendingstrength of 1000 Mpa.
Fig. 9 – 12: Milled frame work structure in green state
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Fig. 13 – 16: Dyed and sintered frame work structure
Fig. 17 and 18: Copings
We then separated the frame structure from its basis withsintered diamond discs at 6000/min and checked the bridge onthe model. In this case we had to insert the metallic pieceswhich later were cemented to the zirconium, in other cases thesystem allows the milling of the attachment to implants directlyin zirconium.
We continued with the realization of the single zirconiacopings. Once again we made a model with the easilymanageable light curing resin and we repeated the processdescribed above.
Then we started with the application of ceramics on thecopings applying a thin coat of transparent ceramics which wefired 30-40° C higher than dentin. In this way we got a goodconnection between the frame structure and the rest of theceramic layer.
Thus we avoided loosening of material and marginal andocclusal rises. We were using transparent material as it is thepurest material.
DLANY Smiles 13
Especially with complex works, when we are talkingabout ceramics on zirconia we have the problem of lowluminosity values and the belief that the solution to theproblem is having white nuclei, or lighter colorization ofnuclei we produced or using opaques, liners, bonders, etcon the basis of metallic oxides to resist the loss of this finalvalue, but the question is: If what we want is an opaquenucleus, why should we use zirconium if the metal alreadyperfectly fulfils this aim?
The answer is to my understanding that the luminosityerror lies not in what is underneath but in what we aredoing above, in the last layers. We do not have to useother material than dentine in the medial cervical areasince if we cover it with incisal or transparent material —materials necessary when we are working with metal inorder to simulate depth — lowers too much theluminosity or the final value of the restoration in zirconia.It is there in the medial cervical part where we mustdemonstrate all our abilities. We have to apply incisal,transparent and opalescent material and, first of all, wehave to create contrasts which should be a little bit more
intense than on metal as less light is reflected andtherefore, contrasts are less evident.
We cannot use any kind of zirconia or ceramic if whatwe want to obtain is a restoration that behaves just likethe natural tooth under different types of light, thezirconia material we have to use has to be translucent,dyed with acids and not with metal oxides as they renderthe material more opaque. Furthermore, the ceramics weuse must have the translucency inherent to the naturaldentine in order to provide a certain profundity. In thisway we can make the best use of the potential of zirconia.
When we finally finished the teeth structure, werealized the frame of the gums and checked the fit in thepatient’s mouth to evaluate the marginal adjustment, theaesthetics and occlusion. As everything was correct wecould go on and finish the restoration by adding glaze andenmuffle the gums.
Fig. 19 and 20: Stratification of dentine
Fig. 21: We can make a firing of dentine
Fig. 22: individual layering
of the pieces
14 DLANY Smiles
Fig. 25 – 26: “In-situ” Try in
Fig. 27- 28: photographs of the finished case
Fig 23: Application of incisal and transparent Fig. 24: Finished teeth material
16 DLANY Smiles
Fig. 33 – 35: In situ
Fig. 29 – 32: photographs of the finished case
DLANY Smiles 17
About the authorXavier Balmes graduate of the Ramon y Cajal School for dentaltechnicians in Barcelona (1991), Worked in the laboratory of Mr.August Bruguera y José Luis Ayuso. Own laboratory since 1996 inSabadell (Barcelona) , completed his professional training with WilliamPagan, Anibal Alonso, Giovanni Furmo, Oliver Brix, Aldo Zilio….Contact: Laboratorio Dental de Xavier BalmesC/ Sant Pau 2, 3° 3a C.P. 09201 Sabadell (Barcelona)Tel. +34 93 727 24 24E-mail: [email protected]
References1. Steger,E.: Zirkon-Zahn para el procesamiento de piezas en verde de material para
armazones de dióxido de zirconio. Quintessence técnica; 1/20062. Hegenbarth,E.A.: Estética y dióxido de zirconio ¿dos conceptos opuestos?
Quintessence técnica; 9/20053. Propiedades y características de los materiales empleados en la confección de
puentes totalmente cerámicos. Premio Gaceta dental 20054. Schenk,H.; Estética con zirconio. Dental Dialoge; 1/20065. Estudio del desgaste de la zirconia. Departamento de cristalografia. Universidad de
Barcelona. Bio mecánica, 2005
Fig. 36 – 37: In situ
Fig. 38 – 39: Profile of the patient with the new prosthesis
18 DLANY Smiles
T his article documents the creation of a zirconia keywayfor a long-span bridge using the KaVo Everest CAD-CAM system.
While there are differing opinions on whether it’s necessaryto break up long-span bridges rather than create a single span,it’s our belief that there are several advantages to using amodular format.
First, in the event that there is a problem with the bridge, it’snot necessary to replace the entire structure. You can removethe bridge and repair or replace the problem componentwithout having to redo the entire bridge.
Second, modular construction provides stress relief for thebridge itself, actually reducing the likelihood of stress-relatedcracks or breaks.
Third, if there is a problem with divergence, breaking up thebridge will create an adequate path of insertion.
The use of a keyway, long thought to be impossible usingCAD-CAM, enables us to accomplish these goals by insertingpart of the bridge, then adding another part using the keyway.
In order to do this, I needed very dense scanning capability, aswell as very precise milling capability. The Everest scannercaptures 210 images through striped light projection from 15different angles. The Everest milling unit features simultaneousfive-axis milling, offering high ranges and wide angles of motion(240-degree range of movement) for the highest precision.
Figures 1 and 2 show different views of the wax-up of thekeyway. It is important to ensure that the vertical axial walls ofthe keyway are parallel. Since the connector needs to be of acertain minimum height in order to insure that it will be strongenough, it is important to use this technique only when you caninsure the necessary minimum connector height can beachieved.
Figure 3 shows the completed zirconia with the male keywaypolished.
Figures 4 and 5 show the wax-up of the female keyway fittedon top of the male keyway. It was after confirming that thefemale keyway was thick enough to guarantee that it wouldhave sufficient strength that I scanned it in, using the double-scan method.
Figures 6 and 7 are screen prints of the scanned-in femalekeyway. In capturing the scan, I needed to, in effect, “trick” thecomputer by telling it that the male keyway was the abutmenttooth, since there is no provision for a male keyway. I scannedin the model with the sintered male keyway in place, and it was
Kunikazu Yuge
Fig. 1
Fig. 2
Fig. 3
Creation of a Zirconia Keyway for a Long-Span
Bridge
DLANY Smiles 19
sprayed with a scanning spray that allows the Everest system to scan many differentmaterials. Note that the orange component in figures 6 and 7 represents the connectorthat was added. The other abutment was computer generated based on the die scanand thickness I specified. The screen shots demonstrate conclusively that what wasscanned and what appears on the screen are identical, with the screen imagerepresenting exactly the same shape as the wax-up.
In this case, because we created a keyway, die spacer would be undesirable, but itwould be necessary for the abutment tooth to have virtual die space for the cement. Iphysically painted die spacer on the abutment tooth (Figure 8, gray component onimage) and then milled the bridge with zero virtual die spacer.
Fig. 4
Fig. 5
Fig. 8
Fig. 6 Fig. 7
20 DLANY Smiles
Figures 9, 10, 11, and 12 show the finished zirconia bridge framework.In the case of this bridge, ceramic was pressed over the framework, so
we cut back on the anteriors to make space for incisal porcelain.
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Fig. 9 Fig. 10
Fig. 11 Fig. 12
22 DLANY Smiles
In figure 13, the four teeth on the right are the ones we’reworking on.
Figures 14 and 15 show the finished product, so you can seethe translucency we were able to achieve.
Figures 16 and 17 show the completed bridge, while figure18 provides a view from below.
When planning a case, there are several things that must beconsidered, including occlusion, functionality, aesthetics, andbio-compatibility. This in turn determines the design of theframeworks and materials used. For this reason, designs such askeyways made of materials like zirconia become necessary. Atthis time, most in-house CAD/CAM systems are capable onlyof milling single unit copings or inlays and bridges. I chose toexperiment with the Everest system to test its capabilities. I
created this zirconia keyway because I wanted to see ifCAD/CAM can truly replace the conventional “lost wax”method of framework creation. The success of this keywaybrings us one significant step closer to that goal.
When Bio-Tech Dental Laboratory was considering whichCAD/CAM system to acquire, we were interested in thefollowing: accuracy of scanning and milling, flexibility offramework design, and the capability of future advances inmaterials and software. The KaVo Everest CAD/CAM systemhas met our high expectations in all of these areas.
About the authorKunikazu Yuge, DT, is a graduate of the Northern Alberta Institute ofTechnology. He has been trained in CAD/CAM by Chris Kirykowicz ofKaVo as well as in Leutkirch, Germany by KaVo technicians. Kunikazu isa Senior CAD/CAM Technician at Bio-Tech Dental Laboratory in Calgary,Alberta. Kunikazu has worked in the dental lab profession since he was16 under the guidance of his father Akihito Yuge, RDT. Bio-Tech Dentalhas been creating high end dental prosthetics for over 17 years.
Fig. 13
Fig. 14 Fig. 15
Fig. 16 Fig. 17
Fig. 18
Friday, September 28Registration 8:00 am – 5:00 pm
Clinics 8:30 am – 3:30 pm
Exhibit Hours 2:00 pm – 6:30 pm
Hospitality 6:00 pm – 8:00 pm
Masquerade Ball & Mardi Gras Auction8:00 pm – Midnight • Eat, Dance, WIN PRIZES!!
Saturday, September 29Registration 7:00 am – 4:30 pm
Clinics 8:00 am – 4:00 pm
Exhibit Hours 9:00 am – 5:00 pm
Free Table Top Demo 10:00 am – 4:00 pm
Fat Tuesday Celebration6:00 pm – 8:00 pmEnjoy FREE Food and BeverageAs we pick the “Best in Costume” and “Best in Show” Exhibitor
M a r d i G r a sCongress 2007
J.C. Park, CDT The Art of Esthetic and the Science of Strength Vident
L. Hockhauser, BS, MS OSHA Compliance and Infection Control Ads, Inc.
P. Pizzi, CDT, MDT, FNGS “Esthetic Anterior Restorations with Greater T.P.P.Dr.L. Kobren, DDS, FNGS Ease and Predictability”A. Lalli, BR., MDT
Dr. D. Mersky What Goes in the Box is Only Half Done T.P.P.
K. Kirsten, BA, CDT Ask Kris Hands-on Course VidentThe Esthetic PFM Crown
R.T. DeVreugd, CDT “Obtain Functional Occlusal Morphology DLANYin Minutes”
B.M. Davidashvilly, Porcelain Layering the Magnificent Results Art & Science DentalMDT, MDP of Ceramics When Layered
E. Flocken, CDT Think You Know CAD/CAM? Sirona
T.R. Zaleske Removable Prosthetics: Keystone Ind.Establishing a Higher Value
T. Bromes, MBA Fiber Reinforcement & Polymers Bridges, Preat Corp.Removables, Orthodontics
R. Goulding Stop Managing Start Leading & Smile ScienceIncrease your Profits by 17%
V.V. Alleluia, MDT,TF,CDT Future in Dentures A.S.M.D.T.
M. Kim, CDT A Whole New World of Ceramics Zahn Dental
V.V. Alleluia, MDT,TF,CDT Your Future is MDT A.S.M.D.T.
M. Schmit, CDT Attachment Selection and Case Design Bego USA, Inc.for Combination Cases
Course ScheduleSpeaker Course Title Sponsor
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NG
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Friday, 10:30 am – 12:30 pm Town of Rye Suite F01 2
Friday, 1:30 pm – 3:30 pm Town of Rye Suite F02 2
Friday, 4:30 pm – 5:30 pm Town of Rye Suite F03 1
Friday, 5:30 pm – 6:00 pm Town of Rye Suite F04 1/2 hr.
Friday, 8:30 am – 4:30 pm John Halstead Suite F05 7
Friday, 9:00 am – 4:00 pm Elija Budd F06 7
Friday, 10:00 am – 12:00 pm William Odelle F07 2
Friday, 12:30 pm – 2:30 pm William Odelle F08 2
Saturday, 3:00 pm – 5:00 pm William Odelle F09 2
Saturday, 10:00 am – 12:00 pm Robert Bartell F10 2
Friday, 12:30 pm – 2:30 pm Robert Bartell F11 2
Friday, 3:00 pm – 5:00 pm Robert Bartell F12 2
Friday, 10:00 am – 12:00 pm Seymour Boton F13 2
Friday, 12:30 pm – 2:30 pm Seymour Boton F14 2
Friday, 9:30 am – 11:30 am Seymour Boton F15 2
Date & Time Location ID CEU Hrs.
CO
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07
R. Grant, CDT Da Vinci on Enamel – A New Vision in Dental Art
B. Braunston Simplify Digital Photography and Lab Dental Learning Ctr.Communication With Bob Braunston
C. Yenker Do You Know What Your Business is Worth Business Devel.. Assoc.
G. DiLauri, DDS “Bridging the Gap” T.P.P.R. Pavlak, CDT, MDT,FNGS
R.T. DeVreugd, CDT “The Art, Science and Business of Function” T.P.P.
G. Harris The Opportunities You Can’t See! T.P.P.
R.M. Shultz, MDT Profitable Precision Implants!!! T.P.P.
T. Zaleske, RG Removable Prosthetics: T.P.P.Enhancing Your Communication
A.J. Mieleszko, CDT “Planned & Customized Esthetics” T.P.P.
G. Harris The Opportunities You Can’t See! T.P.P.
P.Pizzi, CDT,MDT,FNGS Ceramic, Light and Design T.P.P.
C. Rivas, CDT Crown & Bridge Implants… XpdentCemented or Occlusal Screw Retained:When there is not a viable option…Security Lock it!
D. Fraioli, CDT “Improve Production and Profitability” Xpdent
E.J. Harms, CDT How to Create a Money Making P.F.M. System Talladium Inc.
M.A. Borg FDA Compliance: It’s Not Optional SafeLink Inc.
T. Fitzgerald Boost Your Business Through SironaStronger Relationships
Speaker Course Title Sponsor
CO
NG
RE
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20
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Friday, 1:00 pm – 3:00 pm John Brundage Suite F16 2
Friday, 3:30 pm – 5:30 pm John Brundage Suite F17 2
Friday, 1:00 pm – 3:00 pm Birch Suite F18 2
Saturday, 8:30 am – 9:15 am Town of Rye Suite S01 1
Saturday, 9:15 am – 9:45 am Town of Rye Suite S02 1/2 hr.
Saturday, 9:45 am – 10:00 am Town of Rye Suite S02 1/2 hr.
Saturday, 11:00 am – 11:20 am Town of Rye Suite S03 1/2 hr.
Saturday, 11:20 am – 11:40 am Town of Rye Suite S03 1/2 hr.
Saturday, 11:40 am – 12:00 pm Town of Rye Suite S04 1/2 hr.
Saturday, 12:00 pm – 12:10 pm Town of Rye Suite S04 1/2 hr.
Saturday, 1:30 pm –2:30 pm Town of Rye Suite S05 1
Saturday, 9:30 am – 11:30 am Elija Budd S06 2
Saturday, 2:30 pm – 4:30 pm Elija Budd S07 2
Saturday, 9:00 am – 12:00 pm John Halstead Suite S08 3
Saturday, 3:30 pm – 4:30 pm John Halstead Suite S09 1
Saturday, 9:30 am – 11:30 am William Odelle S10 2
Date & Time Location ID CEU Hrs.
CO
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07
B. Lindke, CDT Solving the Combination Case Dilemma: Zahn DentalNoritake CZR Press
K. Kirsten, BA, CDT “Ask Kris”, Master Ceramist “Tricks” VidentSolving Everyday Problems
T. Bormes, MBA Case Design and Attachment Selection Preat Corp.for Implant, Tooth,and Root Supported, Bridges, Overdentures and Combinations
M.A. Borg & A. McDowell “Is Your Lab in Safety Jeopardy?” SafeLink Inc.
E.L. Rose, CDT Tips for Basic Partial Denture Design CMP Industries
R. Grant, CDT Da Vinci on Enamel — A new Vision in Dental Art
D. Yoker, CDT “An Esthetic, Simply and Ivoclar VivadentPredictable Denture Technique”
P. Taylor, CDT Materials Update for CAD/CAM Ivoclar Vivadent& Press Technologies
CDT Written Exam(s) NBC/NADL
R. Shu What’s Happening to Today’s Shu Dental LaboratoryOffshore Outsourcing
C. McClemens, CDT “Dentures of the Future” Heraeus
M. Schmid, CDT Become an Expert in the Crown Bego USA, Inc.and Bridge Department
G. Storni, CDT Spherical Attachments: Rhein 83 USA, Inc.Reverse Systems and Traditional Ball Attachments Prosthetical Application
V.V. Alleluia, MDT, TF ,CDT Everyday Dentistry to Disaster A.S.M.D.T.
J.C. Park, CDT Intensity and Artistry in Metal Ceramics Vident
Speaker Course Title Sponsor
CO
NG
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Saturday, 2:30 pm - 4:30 pm William Odelle S11 2
Saturday, 8:30 am – 11:30 pm Robert Bartell S12 3
Saturday, 2:30 pm – 4:30 pm Robert Bartell S13 2
Saturday, 9:00 am – 10:00 am John Brundage Suite S14 1
Saturday, 10:30 am – 11:30 am John Brundage Suite S15 1
Saturday, 2:30 pm – 4:30 pm John Brundage Suite S16 2
Saturday, 9:30 am – 11:30 am Seymour Boton S17 2
Saturday, 2:30 pm – 4:30 pm Seymour Boton S18 2
Saturday, 8:00 am – 1:00 pm Birch Suite S19 5
Saturday, 9:30 am – 11:00 am Oak Suite S20 11/2
Saturday, 2:30 pm – 4:30 pm Oak Suite S21 2
Saturday, 9:30 am – 11:30 am Poplar Suite S22 2
Saturday, 2:30 pm – 4:30 pm Poplar Suite S23 2
Saturday, 9:30 am – 11:30 am Maple Suite S24 2
Saturday, 2:30 pm – 4:30 pm Maple Suite S25 2
Date & Time Location ID CEU Hrs.
CO
NG
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30 DLANY Smiles
Smiles Technical Market
Complicated made Simple!!!Vision USA a Dentrex Companyintroduces PORCELAIN MIX — Wellproven technique for fabrication ofporcelain shoulders with no marginalgap what so ever. Porcelain Mix savestime when building up porcelainshoulders. Its high internal strengthprevents annoying margin fracturing.Porcelain inlays can also be relinedeasily. Porcelain Mix is a precise wax likepaste of the purest quality it can bemixed with any porcelain using anelectric wax knife and fired usingstandard procedures. Die hardener andheat resistant separating agent ensure asuccessful outcome. Available in red andneutral 2g syringes $37.95.
For information: 800-257-5782 or 856-795-6199; www.visionusasupplies.com
_________________________________
Ivoclar Vivadent Introduces IPSe.max® CAD LT IPS e.max® has always offered theultimate in metal free esthetics andstrength. Coming soon, IPS e.max CADLT. Esthetic Digital Dentistrysm will reacha new level of strength, esthetics andefficiency. IPS e.max CAD LT’s uniquefeatures include:• Ability to mill high strength glass
ceramic to full contour• Simply stain and glaze or utilize a cut
back and layer technique • 360 MPa flexural strength• Conventional cementation• Efficient fabrication• Cost effective and productive
Formulated from lithium disilicateceramic IPS e.max CAD LT is delivered tothe lab in a pre-crystallized block that canbe milled in inLab CAD/CAM machines,including the KaVo Everest machine.
For more details on the entireMultiLink line of cements, log on towww.ivoclarvivadent.us
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Ivoclar Vivadent Introduces FourNew IPS d.SIGN® and IPS InLine®
Bleach ShadesIvoclar Vivadent has developed anexciting new bleach shade standard andshade guide for their porcelain products,including IPS InLine and IPS d.SIGN,featuring four new contemporarybleach shades: BL1, BL2, BL3 & BL4.
Now, both IPS d.SIGN and IPS InLinemetal-ceramic systems feature thesenew materials which include: twoopaquers, four dentins, one incisal, twoshoulder porcelains, two deep dentinmaterials and an add-on material.
These new shades are now availableand customers can take advantage ofIvoclar Vivadent’s special introductoryoffer – a $50 savings off an IPS InLine orIPS d.SIGN BL Bleach Kit.
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Ivoclar Vivadent Introduces theProgramat® CS Porcelain FurnaceQuality Firing and Easy to Use for theCAD/CAM Dentist. The Programat® CSfurnace is the all-new chairside furnace
which was designed with the dentist inmind. From stain and glaze tocrystallization and porcelain application,the Programat CS is fully equipped tomeet the demands of today’s CAD/CAMdental office. Featuring QTK (quartztube kanthal) heating technology, theProgramat CS delivers superior, highly-reliable firing results. User-friendly andeasy to operate – this furnace producesconsistently beautiful restorations. TheProgramat CS builds on the reliablecharacteristics of the Programat P300,P500, and P700 by offering an easy andproven operating concept that clearlyarranges symbols to guide the clinician.
For more details go towww.ivoclarvivadent.us
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Vident Introduces Impac Soft TissueMaterial for Predictale EstheticsVident’s new Impac® Soft Tissue Materialis a polyvinylsiloxane gingival mask usedfor increased esthetics improvedfunction. When creating fixedbridgework, the morphology of theenveloping gingival tissue plays animportant role in the long-term successof the restoration. Impac Soft TissueMaterial helps to ensure an ideal result.
Impac Soft Tissue material ispackaged in a self-mixing deliverysystem, and offers a short working time.It offers the dentist the necessaryreferences which help to determine theshape of the cervical and outer margins.It also prevents tissue compression, dueto incorrect emergence profile, that mayhappen while the restoration is beingseated. In order to avoid potentialpatient discomfort, the soft tissue helpsthe technician establish a proper profileduring the creation of the prosthesis.
For information call 800-828-3839 orvisit www.vident.com
• All United States and International orders must be paid in U.S. Dollars. Canadian orders must be paid in CAD Dollars.• We accept VISA and MasterCard• Cheques are payable to Palmeri Publishing.• Please add provincial sales tax.
Mail Orders: Palmeri Publishing Inc. 145 Royal Crest Court, Unit #35, Markham, ON Canada L3R 9Z4, Phone Orders: (905) 489 –1970, Fax Orders: (905) 489 –1971To fax in your order and pay using a credit card, please fill out the following:
Name: ___________________________________ Billing Address: _________________________________________________
City: ___________________ State: ___________________ Zip: ___________________ Phone: __________________________
MasterCard: � VISA: � Acct. No. ____________________ Exp. ________________________ V-Number______________
(The V-Number is the last 3 digits of the non-embossed number printed on the back of your credit card, on the strip that you sign.)
If your billing address is different from your mailing address, please fill out the following:
Name: ___________________________________ Billing Address: _________________________________________________
City: ___________________ State: ___________________ Zip: ___________________ Phone: __________________________
Subscription Spectrum Dialogue 1 Year 2 Years 3 Years
United States $119.00 US ( 9 issues) $220.00 US $275.00 US
Canada $119.00 CAD (9 issues) $220.00 CAD $275.00 CAD
International $159.00 US (9 issues) $299.00 US $429.00 US
plusSPECTRUM
dialogue
Smiles Technical Market_________________________________
All-New VITA Bleachedguide 3D-MasterVITA has introduced the VITABleachedguide 3D-Master®, an entirelynew shade guide designed primarily forplanning and monitoring a patient’stooth whitening regimen. The VITABleachedguide 3D-Master® also offersnew intermediate 3D-Master shade tabsarranged specifically for measuringbleaching progress.
The VITA 3D-Master shade systemoffers a full complement of restorativematerials, including the popular VITA VMline of all-ceramic and porcelain-fused-to-metal veneering materials, Physiodens
and Vitapan denture teeth, 3D-Directcomposite and VM LC indirect composite.
For information call 1-800-828-3839_________________________________
Microscope with RingFluorescent LightThis microscope is the best of the best! Ithas high resolution Meiji optics, the gaspiston stabilized Euro Arm, and a 12watt ring light. Available in either 5-10Xor 10-20X, it comes with a lifetimeoptical warranty. Available at $799 fromHarris Discount Supply, Ltd.
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OROTIG XXS Mini Laser WelderFull featured with, 10X Microscope, 2-line LCD Display, in chamber joy stickadjusted parameters, integrated cooling,argon flood, adjustable halogen light,and a compressed air nozzle inside thewelding chamber. It measures only 16"Wx 21"D x 11"H, and comes ready to usein 120V. A two year warranty and anadditional 5-million pulse warranty onthe flash-lamp are standard. Available at$13999. For more information call HarrisDiscount Supply, Ltd. at 800-227-8524, orvisit www.harrisdiscount.com.
ATLAS OF ANATOMYAuthor: Knut MillerSpecifications: 11” x 13” hardcover,139 pages with 154 photos and illustrationsPrice: $225.00 US/ $247.50 CAD/ plus shipping and handling
If you have been looking for that definitive book on tooth form, this is it! Carefullydesigned for the desktop, Knut Miller’s flipchart manual is a must for anyone who desiresto understand and reproduce natural teeth. Each of the three major tooth forms – square,round and tapered – are detailed for both anterior and posterior teeth. This easy-to-usetool will enhance your knowledge of line angles, cusp positions, occlusal contacts, age-specific characteristics, surface texture and much more. It will quickly become anindispensable part of your daily work. A must have for anyone who wants to betterunderstand tooth form or teach it to others!
IMPLANT-RETAINED SINGLE TOOTH RESTORATIONSAuthor: Roberto BelliniSpecifications: 8 ” x 10 “ glossy hardback,112 pages, more than 350 colour photographs.Price: $99.00 US/ $108.90 CAD/ plus shipping and handling
As a rule, the baseline situation for single implant-retained crowns tends to be ratherunfavourable. This book deals with the difficult issues of single tooth implant-supportedrestorations.
CROWN-BRIDGE & IMPLANTSAuthor: LUC & PATRICK RUTTENSpecifications: 9.5” x 12.5 “ glossy hardback,296 pages, more than 1000 colour photographs.Price: $225.00 US/ $247.50 CAD/ plus shipping and handling
Patrick Rutten has the title “Crown- Bridge & Implants”. It was an international Bestseller.The second book now is the follow- up under a changed omen. Circa 1300 brilliantpictures and an impression of the daily laboratory work of the 2 Belgium brothers, will beshown with many patient cases which are explained very straight, work conform andextreme informative. Full ceramic crowns, bridges, individual abutments and implantrestorations are explained and provide material for constructive discussions andinterdisciplinary communication about full ceramic materials as well as the Procera system,from a dental technologist point of view.
Mail orders to: Palmeri Publishing Inc., 35-145 Royal Crest Court, Markham, ON Canada L3R 9Z4
Phone Orders: 905. 489.1970 Fax Orders: 905. 489.1971
All U.S. and International orders must be paid in U.S. dollars. Canadian orders must be paid in CAD dollars.
We accept payment by MasterCard, VISA, and cheque [cheques must be payable to Palmeri Publishing.
Ontario residents please add provincial sales tax.
Name: ______________________________ Billing Address: _________________ City:________ State:____________ Zip:____________ Phone: _________
Card No. ________________________________ Exp. Date: ______________________________________ V-Number: _________________________________
(The V-Number is the last 3 digits of the non-embossed number printed on the back of your credit card, on the signature panel.)
If your billing address is different from your mailing address, please fill out the following:
Name: ______________________________ Billing Address: _________________ City:________ State:____________ Zip:____________ Phone: _________
Smiles Bookshop
DLANY Smiles 33
SHADES: A WORLD OF COLOURAuthor: August Bruguera Specifications: 8 7/8” x 9 5/8”glossy hardback, 264 pages with628 full-colour pictures Price: $180.00 US/ $198.00 CAD/plus shipping and handling.
In this book, August Bruguera hassuccessfully reflected the work practices particular to
his co-workers consciously allowing the language of the image toprevail. He explains the process in such a way that we findourselves in his visual world. His need to allow us to becomeintimate with his creative work surely places him among themasters of our profession.
IMPANT PROSTHODONTICSAuthors: Ralf Suckert and Wolfram BükingSpecifications: 9 ½” x 8 ½” glossy hardback, 397 pages, more than 1,300colour photographs.Price: $180.00 US/ $198.00 CAD/ plus shipping and handling
The collective works of renowneddentists and technicians from around
the world are profiled in these case presentations.Commonly prescribed implant systems and their prosthodonticauthors outline their thoughts on a variety of implant-relatedtopics: treatment planning, occlusal skills with implant patientsand the team approach. Implant Prosthodontics is more than areference book; it is a remarkable collection of practical anduseful hints documented by some of the most experiencedimplant prosthodontists and technicians in the world.
ANALYSIS Explanations in 11 LanguagesAuthor: Gérald UbassySpecifications: 10” x 15”Price: $200.00 US/ $220.00 CAD/ plus shipping and handling
The inspiration for every restorationflows from our understanding. Our
creativity stems from the depths of that understanding.Gérald Ubassy created Analysis so that dentists and technicianswould have a way to visually communicate a desired outcome.We can only replicate what we are familiar with, Ubassy hasassembled a stunning variety of natural situations for study. Morethan 400 brilliant large-format images of various dentitiongroupings are faithfully reproduced in this 383-page atlas.Analysis is nature; perhaps that is why this book has been one ofthe most popular dental publications ever printed. It is anindispensable tool for dentists and technicians.
Smiles Bookshop
800-257-5782 856-795-6199 [email protected]
www.visionusasupplies.com
Vision Classic PremiumEuropean Porcelain
$84.00 Test Kit, any shade
Solera High Fusing Porcelain
$18.95 oz
Vision Low Press toMetal/Ceramics Ingots
$59.00/pkg5
Vision (Zirkon) ZiconiaPorcelain
$1,068.00 Full Kit
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Smiles Marketplace
Tenure Track Position-
Faculty Wanted:
New York City College of Technology(City University of New York) has anopening for the Fall 2007 semester.
All applicants must possess a minimumof: a Bachelor’s degree (a Master’sdegree is preferred); documented labexperience; teaching experience; CDT.
Cover letter and resume to:Restorative Dentistry Search
Ms. Michelle Harris
Executive Director, ISR
New York City
College of Technology
300 Jay Street, N321
Brooklyn, NY 11201 or e-mail to:
AA/EOE/IRCA/ADA
LABORATORY ORACCOUNTS WANTED
Are you tired of the laboratory rat race?I want to buy your lab and/or accounts.
Call Rick at 631-874-9455 [email protected]
AdLinkAMR 1.866.973.3463 34Amann Girrbach www.amanngirrbach.com 1.800.851.3719 19Argen Corporation www.argen.com 1.800.255.5524 2DLANY www.dlany.org 1.877.352.6965 5GC America, Inc. www.gcamerica.com 1.800.323.7063 11Gemark www.gemarkarc.com 1.888.8REFINE 10Harris Discount Supply, Ltd. www.harrisdiscount.com 1.800.227.8524 20Ivoclar Vivadent www.ivoclarvivadent.us.com 1.800.533.6825 15KaVo Dental www.kavousa.com 1.888.ASK.KAVO 21Pease & Curren Inc. 1.800.343.0906 33Sirona www.inlab.com 1.866.INLAB4U 36Sure Fit Dentures Inc. www.surefitdentures.com 1.866.766.9483 33Vision USA www.visionusasupplies.com 1.800.257.5782 33Zahn Dental www.zahndental.com 1.800.496.9500 35Zirkon Zahn www.zirkonzahn.com 1.800.989.8931 9
Smiles DLANY’s advertisers invite you to find outmore about their products, materials, techniquesand services. For more information, visit theirwebsite or call the numbers listed below.
Sharon WeeksToll-Free: 866-973-3463
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