Cerec Crowns in One Day - Affordable Porcelain Crowns in One Visit

In the past decade, there has been many great advanced in the field of Dentistry.  Probably the greatest of these has been implementation of the CAD/CAM technology in the dental office.

CAD/CAM is a process that utilizes Computer Aided Design (CAD),  and Computer Aided Manufacturing (CAM) to fabricate many items.

CAD/CAM technology is used in Dentistry   to fabricate dental work such as crowns and bridges.

A crown is a very common restoration in dentistry that is done when a tooth is broken or damaged or weakened by decay and covers the tooth completely in an attempt to protect it from further damage.

Before CAD/CAM was available in dentistry, crowns were made by hand in a dental laboratory with a process that took about two weeks.  About three decades ago, dental laboratories began using CAD/CAM systems to make crowns and now the majority of crowns made today are made using the CAD/CAM process.

The Cerec CAD/Cam system was developed to allow dentists to fabricate inlays and crowns for their patients in one visit.  It is the oldest and most advanced chairside CAD/CAM  system in the dental industry today with 28 years of research and development behind it.

Dentists that use the Cerec system in their office are able to provide a porcelain crown to their patients in one visit instead of two.  In order to fully understand the benefits, lets compare the conventional crown to the Cerec crown.

For the conventional crown’s first appointment (most commonly a PFM or porcelain fused to metal crown) the dentist:

1.       Gives an injection to anesthetize the tooth

2.       Prepares the tooth for a crown

3.       Takes an impression with a tray filled with impression paste

4.       Fabricates a temporary acrylic crown to cover the prepared tooth

5.       Cements the crown with a temporary cement

6.       Appoints the patient for a second visit in two weeks

At the second visit the dentist:

1.       Gives an injection to anesthetize the tooth again

2.       Removes the temporary crown

3.       Tries the crown to verify the fit

4.       Cements the crown

5.       Checks the bite and the crown is done

For the Cerec crown the dentist:

1.       Gives an injection to anesthetize the tooth

2.       Prepares the tooth for a crown

3.       Takes a digital impression of the prepared tooth and the bite

4.       Uses a computer to design the crown to optimal specifications

5.       Polishes or glazes crown

6.       Cements the crown, checks the bite and the crown is done

Some of the most important advantages of the Cerec system are:

·         Time savings – Eliminates the second appointment

·         Avoids loose temporaries and extra appointments for recementing temporaries

·         Avoids sensitivity sometimes present while using temporaries

·         All porcelain crown eliminates the dark margin seen in PFM crowns at the gumline

·         Crowns are bonded for better marginal seal with less chance of sensitivity

·         All porcelain crown looks better and more natural than a PFM crown

·         Extremely precise with a reported accuracy of 50 microns

The only reason this technology is not present in every dental office is cost.  The initial investment in the necessary equipment is over $100,000.00 and requires additional expenditures in training and maintenance contracts. 

As more companies begin manufacturing this type of equipment and the price lowers due to competition,  I predict that there will be present in every dental office in the future.

For now, if you need a good looking all-porcelain crown done in one day and the West Palm Beach area is accessible to you, we would be happy to provide this service for you.

Please call our office to reserve an appointment at Call 561-968-6022

Respectfully yours,

Carlos Boudet, DDS, DICOI
1840 Forest Hill Blvd, Suite 204
West Palm Beach, Florida  33406
Phone: Call 561-968-6022

 Website: http://www.boudetdds.com

Implant Blog: http://www.palm-beach-implants.com

National Cancer Control Month

April is National Cancer Control Month

Dentists have always taken an important role in early cancer detection, since they are more likaly to see their patients more often than the physician.
In order to increase awarenes of the importance of early detection of cancer, I have written an article in VOXXI, an internet based newspaper/blog site.
Here is a copy of the article:


As general dentists we see patients that are healthy, feel fine and may not go to see their physician unless they get sick. Many individuals do not realize the importance of regular visits to the dentist to help them stay healthy.

One of the many services or added benefits that our office provides is oral cancer screening. As part of our initial and periodic exams, you may notice that Dr Boudet palpates your neck, looks at your throat, at the sides and under your tongue, and many other areas of your mouth that are not just the teeth.

As a Dentist in West palm beach , Dr Carlos Boudet has been providing these services to the community for almost three decades now and in that time has been able to keep his patients healthy by detecting many lesions that would have gone undetected and untreated, resulting in more severe problems for the patient.

Cancer awarenes month was created to make individuals aware of the benefits of early detection. Dentists are in a position that allows them to detect oral cancer lesions early and this makes a big difference in the treatment of oral cancer. Some oral cancer is very agressive and if not detected early can result in damage that can leave the patient disfigured and totally change his quality of life. The same cancer detected early can prevent those disfiguring surgeries and make a tremendous difference in the life of a person.

The most common causes of oral cancer were listed as tobacco and alcohol, but recent research has found a link between the human papilloma virus (HPV) and cancer. The papilloma virus is a virus that produces papillomas or "warts" in squamous epithelial cells that cover the surfaces of many areas of the body, such as the inside of the mouth. Most papilloma viruses produce the benign warts, but there are several of these viruses that are "high risk" because they produce the pre-cancerous and cancerous lesions. The cancerous warts cannot be distinguished from the benign ones by simple visual observation, and the dentist needs to remove the lesion and send it to a pathology laboratory to be looked at under the microscope. A trained pathologist then makes the final diagnosis.

As part of the of modern technology that we have incorporated in our office, we can now detect and remove these lesions with the use of the dental laser in a manner that is most comfortable for the patient. the removal is done without a scalpel, does not need sutures or stitches and results in faster, more comfortable healing for the patient.

Scientists working in biological research have developed two vaccines for the most common cancer producing human papilloma viruses. You may want to go to the american cancer society website if you would like to read about the proposed guidelines for recommending and administering the vaccines. They also have information about the individuals at a higher risk, the cost of the vaccine, insurance coverage and how it is administered.

Yours for healthy living,

West Palm Beach Dentist
Carlos Boudet, DDS

Cerec Connect Article by Dr Carlos Boudet, DDS

This is an article that was accepted for publication in Chairside Magazine and came out in print and online this month.
The article relates to digital impressions transmitted electronically to the lab using the Cerec system by Sirona.
Here is the editor's comments:

" Digital impressions are slowly catching on with our customers at the lab. The majority of the digital impressions we receive are from Sirona CEREC® owners, who typically use this digital impression system to design and mill a crown, such as IPS e.max® CAD, in their own offices. However, we are seeing more CEREC dentists who want to take advantage of high strength monolithic restorations that cannot be milled in the office, such as BruxZir® Solid Zirconia.

In this article, Dr. Carlos Boudet outlines the steps transmitting a digital file to the lab via CEREC Connect. "

INTRODUCTION

A common fear among dentists who purchase the latest technology in the form of a new piece of equipment is the uncertainty of how soon it will be made obsolete. This fear is greater when it is unclear if the manufacturer will offer system upgrades that allow the dentist to continue using the equipment when improved features and new options become available.

For years, the ceramo-metal restoration has been the gold standard in crown & bridge procedures. Although durable and time-tested, this type of restoration may not be the most esthetic. For years, patients have asked for metal-free restorations, and the industry has accommodated this request with various resin composite and ceramic systems.



THE CEREC CAD/CAM SYSTEM

There are two chairside CAD/CAM systems available today: CEREC (Sirona Dental Systems; Charlotte, N.C.) and E4D Dentist™ (D4D Technologies; Richardson, Texas). Also available are three chairside digital impression systems: Lava C.O.S. from 3M ESPE, iTero from CADENT1 and IOS FastScan from IOS Technologies Inc. (The last was recently released to a select group of dentists in Southern California. A fourth chairside digital impression system developed in Israel, Densys, is not yet available to U.S. dentists but is expected to be released stateside in late 2011.) I own a CEREC 3D Redcam system, which now has been replaced by faster hardware and better software with Sirona's CEREC Bluecam.

Soon after I purchased the CEREC Redcam system, I had the opportunity to test out the CADENT iTero.2 I liked the system's ability to create a very precise model that allowed me to choose virtually any material for the fabrication of crowns & bridges from a digital impression. This got me thinking: Wouldn't it be nice if I could take digital impressions with my CEREC unit and send them to the lab for cases that, because of the choice of materials3 or other reasons, cannot be fabricated using the compact milling unit?


For the complete article, please visit my website link here:
http://www.boudetdds.com/articles.htm
Or visit chairside magazine's link here:
http://www.glidewelldental.com/downloads/dentist/chairside/issues/spring2011-v6-2.pdf

West Palm Beach Dentist
Carlos Boudet, DDS, DICOI
1840 Forest Hill Blvd, Suite 204
West Palm Beach, Florida  33406
Phone: (561) 968 6022

 Website: http://www.boudetdds.com
Implant Blog: http://www.palm-beach-implants.com