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Contributors Michael C. DiTolla, DDS, FAGD Dr. Michael DiTolla is a graduate of the University of the Pacific Arthur A. Dugoni School of Dentistry. As director of clinical education and research at Glidewell Laboratories, he performs clinical testing on new products in conjunction with the company’s R&D department. Glidewell dental technicians have the privilege of rotating through his operatory and experiencing his commitment to excellence through his prepping and placement of their restorations. Dr. DiTolla is a CR evaluator and lectures nationwide on restorative and cosmetic dentistry. His clinical programs are available on DVD and online through Glidewell Laboratories. For more info on his articles or for a free copy of his clinical presentations, call 888-303-4221 or e-mail mditolla@glidewelldental.com. David Harris, MBA, CMA David Harris is a licensed private investigator, with a graduate business degree and a professional accounting designation. He is CEO of Prosperident, the world’s largest dental embezzlement investigation firm. Prosperident is consulted on hundreds of dental embezzlement matters annually, and David has frequently had the pleasure of hearing cell doors slam shut on perpetrators. David has lectured at several universities in the faculties of dentistry, business and law, and he has been interviewed on embezzlement by virtually every major North American dental magazine. David is a member of the Academy of Dental Management Consultants (ADMC) and the Speaking Consulting Network. Contact him at 888-398-2327 or www.dentalembezzlement.com. Robert A. Lowe, DDS, FAGD, FICD, FADI, FACD, FIADFE, FASDA Dr. Robert Lowe graduated magna cum laude from Loyola University School of Dentistry in 1982 and was a clinical professor in restorative dentistry at the school until its closure in 1993. Since January 2000, Dr. Lowe has maintained a private practice in Charlotte, N.C. He lectures internationally and his work is frequently published in well-known dental journals on esthetic and restorative dentistry. Dr. Lowe has earned Fellowship in the AGD, ICD, ADI, ACD and American Society for Dental Esthetics (ASDA), and received the Gordon Christensen Outstanding Lecturers Award and Diplomat status on the American Board of Esthetic Dentistry. Contact Dr. Lowe at 704-450-3321 or boblowedds@aol.com. Daniel J. Melker, DDS Dr. Daniel Melker graduated from the Boston University School of Graduate Dentistry in 1975 with specialty training in periodontics. Since then, he has maintained a private practice in periodontics in Clearwater, Fla. Dr. Melker lectures at the University of Florida Periodontic and Prosthodontic graduate programs on the periodontic-restorative relationship. He also presents at the University of Alabama at Birmingham, University of Houston, Baylor University and Louisiana State University’s graduate periodontal programs. Dr. Melker has published several articles in national dental magazines, and he has twice been honored with the Florida Academy of Cosmetic Dentistry Gold Medal. Contact him at 727-725-0100. Ara Nazarian, DDS, DICOI Dr. Ara Nazarian maintains a private practice in Troy, Mich., with an emphasis on comprehensive and restorative care. He is the director of the Reconstructive Dentistry Institute, a Diplomate of the ICOI, and has conducted lectures and hands-on workshops on esthetic materials and dental implants throughout the U.S., Europe, New Zealand and Australia. Dr. Nazarian is also the creator of the DemoDent ® patient education model system. His articles have been published in many of today’s popular dental publications. Contact him at 248-457-0500 or www.aranazariandds.com. 4 www.chairsidemagazine.com
Publisher Jim Glidewell, CDT Editor-in-Chief and Clinical Editor Michael C. DiTolla, DDS, FAGD Managing Editors Jim Shuck; Mike Cash, CDT Creative Director Rachel Pacillas Copy Editors Jennifer Holstein, David Frickman, Chris Newcomb, Megan Strong Statistical Editor Darryl Withrow Digital Marketing Manager Kevin Keithley Graphic Designers Jamie Austin, Deb Evans, Joel Guerra, Audrey Kame, Phil Nguyen, Kelley Pelton, Makara You Web Designers Jamie Austin, Kevin Greene, Allison Newell, Melanie Solis, Ty Tran Photographer Sharon Dowd Videographers James Kwasniewski, Sam Lea Illustrator Wolfgang Friebauer, MDT Editor’s Letter The crowns & bridges produced at Glidewell Laboratories are now made using essentially 100 percent CAD/CAM technology, and I really notice the difference in the restorations I get back from the lab. The crowns just fit, and if I give them enough reduction, I can always get contours like a natural tooth. Before we started using CAD/CAM, the most frequent complaint we used to hear from dentists was about our consistency, so this technology really has been a game changer for our lab and our customers. More than a decade ago, new customers would tell me that they would get three great crowns from us and then two soso crowns, then another great one, then one ugly one, and so on. We were doing everything we could to fix those issues, but the underlying problem went deeper than our lab: there simply weren’t enough trained dental technicians available. There are currently only 18 accredited dental laboratory programs in the U.S. If that number seems shockingly low to you, it’s because it is. That number is down 62 percent since 1992 — a drastic decrease for that 20-year period. In fact, today these programs currently produce only about 300 graduates annually for the entire U.S. To meet our demand, we had to hire people off the street and train them ourselves. But it takes time to develop as a technician, just as it does as a dentist. In 2007, Ivoclar Vivadent’s IPS e.max ® was introduced into our lab, and with this first high-strength, monolithic restoration came the day where a machine did most of the work. Ideal contours were found in CAD libraries, and dentists just had to give CAD technicians enough room to drop them in. Then in 2009, Glidewell launched BruxZir ® Solid Zirconia, signaling the next wave of the monolithic revolution. A year later, nearly all of our PFM crowns were produced using CAD/CAM as well. Coordinator and Ad Representative Thanks to our president and CEO’s unwavering commitment Teri Arthur to technology, we are able to give you, our dentists, the (teri.arthur@glidewelldental.com) consistency and predictability you’ve always wanted. Dentists often tell me that a BruxZir crown fits better than any If you have questions, comments or complaints regarding this issue, we want to hear from you. Please e-mail us at other crown they have prescribed. It’s a good time to be a chairside@glidewelldental.com. Your comments may be dentist, and it’s a great time to work with a lab that has fully featured in an upcoming issue or on our website: embraced the consistency of CAD/CAM dentistry. www.chairsidemagazine.com. Neither Chairside Magazine nor any employees involved in its publication (“publisher”), © makes 2013 any Glidewell warranty, Laboratories express implied, or assumes any liability or responsibility for the accuracy, completeness, or usefulness Chairside of any information, magazine apparatus, nor any employees product, involved or process in its disclosed, publication or Neither (“publisher”), represents makes that its any use would warranty, not express infringe proprietary or implied, rights. or assumes Reference any liability herein or to responsibility any specific for commercial the accuracy, products, completeness, process, or or services usefulness by Yours in quality dentistry, of trade any name, information, trademark, apparatus, manufacturer product, or otherwise or process does disclosed, not necessarily constitute that its or use imply would its endorsement, not infringe recommendation, proprietary rights. or Reference favoring or represents herein by the to publisher. any specific The commercial views and products, opinions of process, authors or expressed services by herein trade do name, not necessarily trademark, state manufacturer or reflect those or otherwise of publisher does and not necessarily shall not constitute be used for or advertising imply its endorsement, product endorsement recommendation, purposes. or favoring CAUTION: by the When publisher. viewing The the views techniques, and opinions procedures, of authors theories expressed and materials do that not are necessarily presented, state you or must reflect make those your of own the decisions publisher about and herein specific treatment for patients and exercise personal professional judgment regarding When viewing the need the for further techniques, clinical procedures, testing or education theories and Editor-in-Chief, Clinical Editor Dr. Michael C. DiTolla shall not be used for advertising or product endorsement purposes. CAUTION: materials your own that clinical are presented, expertise before you must trying make to implement your own new decisions procedures. about mditolla@glidewelldental.com specific treatment for patients and exercise personal professional judgment Chairside regarding ® Magazine the is need a registered for further trademark clinical of testing Glidewell or education Laboratories. and your own clinical expertise before trying to implement new procedures. 5 Chairside is a registered trademark of Glidewell Laboratories. Editor’s Letter
Page 1: Chairside® A Publication of Glidew
Page 4: Contents 38 Chairside Live Case of
Page 9 and 10: (Ivoclar Vivadent). Do you use Spee
Page 11 and 12: Dr. DiTolla’s CLINICAL TIPS PRODU
Page 13 and 14: Dr. DiTolla’s CLINICAL TIPS PRODU
Page 16 and 17: 14 www.chairsidemagazine.com
Page 18 and 19: Case Report Diagnosis and Treatment
Page 20: Implants Are Easy to Code: The Ques
Page 25 and 26: Photo Essay Another Use for ANTERIO
Page 27 and 28: Figure 4: This view of the mandibul
Page 29 and 30: Figure 12: This is the Razor ® Car
Page 31 and 32: Figure 20: On posterior teeth, this
Page 33 and 34: Figure 28: Even though we know we r
Page 35 and 36: Figure 36: I prefer to use straight
Page 37 and 38: Figure 44: Retracted facial view of
Page 40 and 41: 38 www.chairsidemagazine.com
Page 42 and 43: Figure 3: Turning the impression, w
Page 44: Impression errors are especially im
Page 47 and 48: Interview with David Harris - INTER
Page 49 and 50: about what these folks could accomp
Page 51 and 52: steal because they’ve been there
Page 53 and 54: DH: Definitely. MD: From the differ
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that should give them concern. We p
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or full-coverage crowns. It is reco
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Figure 10: A full-arch retracted pr
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Figure 18: A facial view of teeth #
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Conclusion Prosthetic tooth reposit
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In today’s world of advanced dent
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Figure 6: A C801L-023 diamond round
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