In The Reception Room

User’s Guide, Case Explanations and Suggestions For Use

In The Treatment Room

In The Consultation Room

Place in your Reception Room and allow patients to “Self Discover” the CEREC method and benefi ts. Each chapter’s interesting, patient centered narrative involves the reader in the patient’s care. The clinical challenge and patient symptoms/desires are identifi ed and the CEREC solution is presented. A detailed Glossary (pages 92-95) with 27 commonly used CEREC specifi c and general dental words helps in patient understanding, education and “self discovery”.

The doctor can use the book in the Treatment Room to explain treatment possibilities and gain acceptance of the proposed treatment. Or, have a staff member guide a patient through the treatment process.

Use the book during Consultations and New Patient Exams to explain the CEREC method. The Doctor or a staff member can fi nd a clinical situation that is similar to that of the patient and explain the possible procedures, types of restorations and benefi ts and the potential CEREC outcome.

Call 888-237-3228 or 619-828-1660

Order Online at www.mysmile.com/dbdproducts

8505 Navajo Road San Diego, CA 92119

DentistryBy Design Inc

A Publication of ©2005

Have a Staff Meeting & Get Everyone Involved !

Chapters 1-4 (pages 21-45) discuss the CEREC inlay and onlay procedure and provide the opportunity to introduce these exceptional, long lasting and esthetic alternatives to routine fi llings.

Chapter 1 (pages 21-23) presents a simple OL Inlay procedure. The text identifi es the defective mercury amalgam fi lling and cracks and discusses the alternative treatment options. The CEREC Inlay procedure is show with only before and after photos from 2 angles.

Chapter 2 (pages 25-29) introduces the concept of the CEREC Onlay. The defective mercury amalgam is show in beautiful detail to allow staff to point out recurrent decay, cracks and defective margins so common to these types of restorations. The completed and ready to cement restoration is displayed to show the intricacies of the result. Finally, before and after images offer evidence of the esthetic blend and natural appearance of the fi nished restoration.

Chapter 3 (pages 31-41) visually explains the entire CEREC process of an MOBL Onlay from start to fi nish including Preparation, Powdering, the Optical Impression, Computer Image Acquisition, Software Design, Shade Selection, Milling, Try-In and the Finished restoration. Use this case to demonstrate the exceptional fi t and to reinforce the conservative nature of CEREC and the differences between a traditional crown and the CEREC Onlay.

The Purpose of Each Chapter

Chapter 4 (pages 43-45) gives the opportunity to discuss the differences between characterized and non characterized restorations, being able to see the contrast side by side with an Inlay and Onlay. Further reinforcement of the Onlay vs. the traditional crown is accomplished with the Onlay. The possibilities of Occlusal CEREC restorations is also introduced. This chapter introduces the concept of quadrant dentistry, presenting the opportunity to discuss doing more than one tooth at a visit.

Chapter 5 (pages 47-57) introduces the full coverage restoration as an all ceramic crown. A visual of the Milling of a block, the Milled Crown on the stub, the Try In stage and a brief, step by step visualization of characterization explain the process. This chapter can be used to explain and reinforce characterization and the value of the extra time, effort and extra expense needed to accomplish it. Artistry, attention to detail and customization can be stressed.

Chapter 6 (pages 59-61) speaks to an endodontically treated tooth solution with a integral Post/Onlay. This supports the idea of full occlusal coverage without a complete crown. This case also provides the a starting point for discussion of the endodontic post concept and the potential extra expense associated with it.

8505 Navajo Road San Diego, CA 92119

DentistryBy Design Inc

A Publication of ©2005

Chapter 7 (pages 63-65) demonstrates the esthetic enhancement of CEREC over unsightly gold onlays and crowns while furthering the concept of quadrant restorative sessions. Although not discussed in the text, an Inlay is also present in this case. From this case a discussion of the lack of temporary crowns and impressions as well as single visit convenience might ensue.

Chapter 8 (pages 67-69) begins anterior treatment with the simple replacement of an unaesthetic PFM with a mildly characterized CEREC crown. Discussion of tissue recession that causes metal margins to show and the beautiful tissue tolerance of CEREC restorations might be appropriate here. Further discussion about the potential loss of a temporary crown reinforces the single visit nature of CEREC.

Chapter 9 (pages 71-73) shows the more extreme capabilities of CEREC to restore a single, extremely unaesthetic, dark, endodontically treated anterior tooth. This chapter could bring up discussion about the need for additional effort to mask underlying colors in some teeth, the added expense and effort required to accomplish the result and the possibility some of these situations may need to be solved with other types of restorative options. Also possible might be esthetic recontouring of adjacent teeth to achieve esthetic harmony.

The Purpose of Each Chapter

Chapter 10 (pages 75-77) introduces simple CEREC Veneers by demonstrating a case of “Peg” laterals with very minimal characterization. This case show hoe very subtle esthetic enhancements can have extreme effects upon a patient’s appearance. Also reinforced is the possibilities of combination treatment with orthodontics that might include referral or maybe even Invisalign treatment.

Chapter 11 (pages 79-85) takes things to greater extremes by taking on the extensive “Smile Makeover”. 14 Veneers are presented. Discussion of time requirements, extent of veneer coverage, i.e., buccal corridor defects, midline and incisal edge enhancements and more can involve your patient in the process of diagnosis and treatment planning. More discussion could focus in on whether or not this type of procedure should be done in your offi ce with CEREC or with traditional laboratory type restorations.

Chapter 12 (87-89) takes the CEREC restoration to the very edge with extreme characterization effects and shows just how far CEREC and dentistry can go to restore a defi cient smile. Incisal edge lengthening and virtually all levels of discussion for purposes of treatment planning are possible with this and the previous chapter.

Quick R

eference To view a completed restoration, To view a completed restoration, go directly to page 27

To review the entire CEREC ProcessTo review the entire CEREC Process, go directly to page 34-39

To see the Milling Chamber in actionTo see the Milling Chamber in action, go directly to page 49

To show a Milled crown, go directly to page 50 , go directly to page 50

To demonstrate the characterization processTo demonstrate the characterization process, go directly to page 51-55

To show a Post/Onlay restoration, go directly to page 60 , go directly to page 60

For the Glossary, Refer to page 92-95

8505 Navajo Road San Diego, CA 92119

DentistryBy Design Inc

A Publication of ©2005

Chapter 1 (pages 21-23) is an OL Inlay using a Vita 3M1C block. The restoration was characterized with Vita Akzent stains and glaze.

Chapter 2 (pages 25-29) is an MOBL Onlay with 2 buccal extensions done with a Vita 2M1C block. The restoration was characterized with Vita Akzent stains and glaze.

Chapter 3 (pages 31-41) is an MOBL Onlay using a Vita 1M1C block, however the visuals show shade selection with a Vita Triluxe block. A C-Stat is show to stabilize the camera during the capture of the generic optical impression. The camera capture image and the shade selection are the only images that are not related to this case. The restoration was characterized with Vita Akzent stains and glaze.

Chapter 4 (pages 43-45) is an MODB Onlay and an O Inlay using Vita 2M2C blocks. The Onlay was characterized with Vita Akzent stains and glaze and the inlay is not characterized.

Chapter 5 (pages 47-57) is the replacement of a Captek crown with a Crown using a Vita 1M2C block. The shade wheel on page 51 and the stains and glaze on pages 52-53 are from the Vita Akzent kit. The restoration was characterized with Vita Akzent stains and glaze.

Chapter 6 (pages 59-61) is an MODBL Onlay with an integral post using a Vita 1M2C block The restoration was characterized with Vita Akzent stains and glaze.

Chapter 7 (pages 63-65) has 2 full coverage Onlays, #30 & #31 and a full Crown, #32. #29 has an MOD Inlay. All were made from Vita 1M2C blocks. The Inlay was not characterized and the Onlays and Crown were characterized with Vita Akzent stains and glaze.

What Was Done In Each Case?

Chapter 8 (pages 67-69) is the replacement of a PFM crown with a Crown using a Vita 1M2C block. Surface characterization was accomplished with Vita Akzent stains and glaze.

Chapter 9 (pages 71-73) is the restoration of a darkly stained, endodontically treated tooth. The pulp chamber was greatly enlarged from previous bleaching attempts to a Firbrekor post build up was accomplished to stabilize the underlying color and provide a sound foundation. Incisal edge layering was accomplished with Vita VM9 porcelain over a 1M1C Vita block. Additional surface characterization was accomplished with Vita Akzent stains and glaze.

Chapter 10 (pages 75-77) is 2 veneers on teeth #7 & #10 made from Vita 1M1C blocks. Surface characterization was accomplished with Vita Akzent stains and glaze.

Chapter 11 (pages 79-85) is a total of 14 Veneers, ten on the upper from #4-#13 and 4 on the lower centrals and laterals. The maxillary 4 anteriors were milled from Triluxe 1M1C blocks and the remaining teeth were milled from standard 1M1C blocks. Incisal cutbacks were accomplished on #7-10 and #23-26 (not visible) using Vita VM9 porcelains. Surface characterization was accomplished with Vita Akzent stains and glaze.

Chapter 12 (87-89) is 8 Veneers, #5-12 milled from 0M1C blocks, cutback and layered with Vita VM7 porcelain. Surface characterization was accomplished with Vita Akzent stains and glaze.

8505 Navajo Road San Diego, CA 92119

DentistryBy Design Inc

A Publication of ©2005