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Tuesday, April 30, 2013

Re: [ACEsthetics] treatment planning help

I've been seeing a bunch of terrible Cerec crowns and inlay/onlays lately that were done recently in my area.  Is there something new going on with them?
    -------    Ash    ------------------------------------  Ashley Goodman, DDS  8736 Lake Murray Blvd.#108  San Diego, Ca 92119  Phone:  619-697-6677  Fax:  619-697-6632  Email: agoodman@agoodmandds.com  Web:  www.agoodmandds.com  ------------------------------------
On 4/30/2013 6:34 AM, Gary L. Henkel DDS MAGD wrote:

I 100% agree with ash.  Milling is a wasteful process.  70 to 80% of materials end up on the floor.  Additive procedures like 3d printing are the way of the future.  I did some work for a few years with the imagen crown which was fabricated with 3d printing.  They did not pan out commercially, but everyone I ever placed to the best of my knowledge is still in function.

 

gary

Gary L. Henkel DDS MAGD

Horsham Dental Elements

 

301 Horsham Rd

Horsham, Pa. 19044

215 6726666

 

1601 Walnut St. Suite 1501

Medical Arts Building

Philadelphia, Pa. 19102

215 5639769

 

www.horshamdentalelements.com

www.facebook.com/horshamdentalelements

www.twitter.com/horshamdentist

www.philadelphiaimplants.blogspot.com

 

 

 

 

 

 

 

From: acesthetics@googlegroups.com [mailto:acesthetics@googlegroups.com] On Behalf Of David R. Boag DDS
Sent: Monday, April 29, 2013 7:29 PM
To: agoodman@agoodmandds.com
Cc: arunnayyardmd@gmail.com; levensonsmile@msn.com; craig@moseslakedentist.com; safariandmd@aim.com; kensiegel@onlymyemail.com; Ace
Subject: Re: [ACEsthetics] treatment planning help

 

And that's the part that stinks: You invest beucoup de bucks in the scan and mill tech only to see a whole new process take over that you then have to re-invest in. Seems like a losers game to me. Good for patients, not for labs.

--

David R. Boag, DDS

 



 

On Apr 29, 2013, at 5:45 PM, Ashley Goodman <agoodman@agoodmandds.com> wrote:



... milling will become obsolete very quickly, despite the large investment, and replaced with 3 and 4D printers.  Lidar scanners will be replaced by special 3D photo scanners. 

Already on the dental horizon.

 
-------
 
Ash
 
------------------------------------
Ashley Goodman, DDS
8736 Lake Murray Blvd.#108
San Diego, Ca 92119
Phone:  619-697-6677
Fax:  619-697-6632
Email: agoodman@agoodmandds.com
Web:  www.agoodmandds.com
------------------------------------

On 4/29/2013 2:22 PM, ARUN NAYYAR wrote:

Hi Stanley

 

NO WAXUPS any more!!

 

Your casts are scanned and the design is completed on a monitor.  

Then a big hockey puck is placed in a machine and a computer guided robot cuts and shapes the prosthesis into a custom milled unit for your patient.

Next it is hand finished and the occlusion adjusted before it is shipped to you.

 

Nothing new, but a huge investment for any company.,  Denmat has taken it to a new level of production and I admire them for it.

 

Same way, veneers are scanned and designed, then inkjet modeling and baked.  Finally custom finished on stone models and shipped.

 

Really something to appreciate.

.

Most of our zirconia crowns are milled on a similar scanned concept.  The end production is different.  Sterolithography or milling

Zirconia or emax or titanium or resin....  the technologies are moving forward faster than we can imagine

 

we also see a change in the way partial denture metal frameworks are made and there is an evolving change in the lab field

 

Arun

  

 

On Mon, Apr 29, 2013 at 3:22 PM, Dr. Stanley M. Levenson D.M.D. <levensonsmile@msn.com> wrote:

the snap on smile would be made from the waxup for the fixed orthotic.

Stanley M. Levenson DMD
9 Linden St.
Worcester, Ma.01609
508-753-3105
levensonsmile@msn.com
levensonsmile.com

 

From: Craig Harder

Sent: Monday, April 29, 2013 2:43 PM

Subject: Re: [ACEsthetics] treatment planning help

 

Shahin, obviously a snap on smile isn't always a removable orthotic but tell us why it couldn't be made as one?

Craig Harder, DDS

 

 


On Apr 29, 2013, at 11:17 AM, safariandmd@aim.com wrote:

Stan,

Who told you that a removable orthotic is the same thing as a snap on smile?  Is that what everyone understands a removable orthotic to be on this forum?

 

 

Shahin Safarian DMD, MBA, LVIF | Irresistible Smiles
Carmel Valley/Del Mar 858.755.8993 | Chula Vista/Eastlake 619.656.6785
WEBSITE | FACEBOOK | LINKEDIN | YOUTUBE | THEBATTLEGUARD

 

 

-----Original Message-----
From: Dr. Stanley M. Levenson D.M.D. <levensonsmile@msn.com>
To: kensiegel <kensiegel@onlymyemail.com>; ACEsthetics <ACEsthetics@googlegroups.com>; safariandmd <safariandmd@aim.com>
Sent: Mon, Apr 29, 2013 11:04 am
Subject: Re: [ACEsthetics] treatment planning help

the removeable orthotic would be the snap on smile.

Stanley M. Levenson DMD
9 Linden St.
Worcester, Ma.01609
508-753-3105
levensonsmile@msn.com
levensonsmile.com

 

Sent: Monday, April 29, 2013 1:21 PM

Subject: Re: [ACEsthetics] treatment planning help

 

She bites into CO so nothing and you explain the downsides of her CO bite and longevity and so on.

 

 

Shahin Safarian DMD, MBA, LVIF | Irresistible Smiles
Carmel Valley/Del Mar 858.755.8993 | Chula Vista/Eastlake 619.656.6785
WEBSITE | FACEBOOK | LINKEDIN | YOUTUBE | THEBATTLEGUARD

 

 

-----Original Message-----
From: Ken siegel <kensiegel@onlymyemail.com>
To: safariandmd <safariandmd@aim.com>; levensonsmile <levensonsmile@msn.com>; ACEsthetics <ACEsthetics@googlegroups.com>
Sent: Mon, Apr 29, 2013 10:13 am
Subject: Re: [ACEsthetics] treatment planning help

I know that sounds great but what happens to your upper case if she stops wearing the lower removable?  

Kenneth Siegel, D.M.D.

Dental Excellence of Blue Bell

706 Dekalb Pike

Blue Bell, Pa 19422

215-498-5991 mobile

 

From: "safariandmd@aim.com" <safariandmd@aim.com>
Reply-To: "safariandmd@aim.com" <safariandmd@aim.com>
Date: Monday, April 29, 2013 1:05 PM
To: "Dr. Stanley M. Levenson D.M.D." <levensonsmile@msn.com>, gnr <ACEsthetics@googlegroups.com>
Subject: Re: [ACEsthetics] treatment planning help

 

Stan with that budget your thinking is correct in my opinion.  Redo upper anterior in CO and put her into a removable orthotic.

 

 

Shahin Safarian DMD, MBA, LVIF | Irresistible Smiles
Carmel Valley/Del Mar 858.755.8993 | Chula Vista/Eastlake 619.656.6785
WEBSITE | FACEBOOK | LINKEDIN | YOUTUBE | THEBATTLEGUARD

 

 

-----Original Message-----
From: Dr. Stanley M. Levenson D.M.D. <levensonsmile@msn.com>
To: ACE <ACEsthetics@googlegroups.com>
Sent: Mon, Apr 29, 2013 7:28 am
Subject: [ACEsthetics] treatment planning help

I have a 60 year old woman that simply cannot afford FMR fixed dentistry. I need suggestions for the lower arch. She is not opposed to removeable- partial or complete. We are also redoing her upper anteriors. Her budget is 10-15 K.

 

Any thoughts?

 

 

Stanley M. Levenson DMD
9 Linden St.
Worcester, Ma.01609
508-753-3105
levensonsmile@msn.com
levensonsmile.com

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--

Arun Nayyar DMD,MS.  Atlanta, Georgia

Private practice limited to Prosthodontics -   Imagix Dental Group

Former Director of Fixed Prosthodontics -     MCG School of Dentistry

Principle Research Scientist ( Adjunct )       @  GaTech -GTRI

Clinical Director -     Center for Dental Technology @ GaTech - GTRI

 

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