RE: [ACEsthetics] treatment planning help

Same here but all are being done by the same two people in another community.  The technology is similar to what is used in labs so with diligence someone should be able to do a decent job.  But with what I even hear on here a huge portion of the process is delegated to auxiliaries.  I’ve heard multiple times…”Oh, she can do a better job than I can.”.  When it gets to a point when my assistants can do a better job at operative dentistry than I can I expect my partners to tell me…out to pasture old guy. 

 

I have a very good friend who practices very high end dentistry and did my reconstruction.  He is highly skilled.  His partner just got set on buying one of the damned things several years ago but the product sucked so none of the other three dentists would use it in the office.  Then it turned into a plant stand.  They decided to sell it and had to spend several thousand dollars to upgrade the software.  He said that they fit decently but not as well as his lab but they looked like crap…his statement not mine.  Guy

 

Guy W. Moorman, Jr., D.D.S.

The Swamp

Douglas, GA 31533

912-384-7400

 

 

 

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From: acesthetics@googlegroups.com [mailto:acesthetics@googlegroups.com] On Behalf Of Lori Cockley
Sent: Tuesday, April 30, 2013 7:26 PM
To: agoodman@agoodmandds.com; 'Craig Harder, DDS'
Cc: gary.henkel@gmail.com; spikedds@gmail.com; arunnayyardmd@gmail.com; levensonsmile@msn.com; safariandmd@aim.com; kensiegel@onlymyemail.com; 'Ace'
Subject: RE: [ACEsthetics] treatment planning help

 

That’s the only thing I’ve ever seen come through – ever!

 

 

Lorena Cockley, DDS, FAGD

Fellow of the Academy of General Dentistry

 

East Berlin Smiles

418 West King Street

East Berlin, PA 17316

EastBerlinSmiles.com

Like us on Facebook

 

From: acesthetics@googlegroups.com [mailto:acesthetics@googlegroups.com] On Behalf Of Ashley Goodman
Sent: Tuesday, April 30, 2013 12:04 PM
To: Craig Harder, DDS
Cc: gary.henkel@gmail.com; spikedds@gmail.com; arunnayyardmd@gmail.com; levensonsmile@msn.com; safariandmd@aim.com; kensiegel@onlymyemail.com; 'Ace'
Subject: Re: [ACEsthetics] treatment planning help

 

Same thing that I regularly see, but worse.  Open washed out margins (LARGE), no occlusal anatomy, solid single wrong shade, low occlusion, is what I regularly see, but getting much worse.

 
 
-------
 
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 8:47 AM, Craig Harder, DDS wrote:

Ash,

 

Tell us more...what's terrible about them?  Fit?

----- Original Message -----

Sent: Tuesday, April 30, 2013 7:45 AM

Subject: 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

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

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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