Chairside Live Episode 231: Streamlined Same-Appointment Digital Dentistry

Chairside Live Episode 231: Streamlined Same-Appointment Digital Dentistry

hello and welcome to chairside live I’m your host Megan strong perfect time to tune in today’s show is all about digital dentistry an unstoppable trend that continues to revolutionize the industry dr. Chad you plant disease on stage at the 2017 Glidewell dental symposium and he’s focusing on the future he’s discussing how to incorporate same-day dentistry into your practice in reviewing the benefits of interaural scanning and in-office milling utilizing the Glidewell IO in office solution. here we go let’s check it out dr. Chad Duplantis practices teaches and lives in the Dallas Fort Worth area he serves as a faculty member at the Dallas based Center for aesthetic restorative dentistry and he manages a busy private practice where he implements practical and cutting-edge digital tools and technologies daily his presentation digital dentistry the new office paradigm focuses on new restorative technologies and materials that can advance your practice I’d like to welcome you all it’s an honor to be here it’s an honor to step on the stage following mr. glide well I don’t think forty-seven years ago he ever envisioned an event like this and I don’t think he realized that a dental laboratory would turn into. much more in terms of technology manufacturing software and development. kudos to the Glidewell corporation and thank you all very much for having me here. today we’re going to talk about digital dentistry in the new office paradigm a little bit about myself I’ve been practicing digital dentistry for about 13 years now I started in 2004 with a with a proprietary unit that fabricated crowns in office and I’ve progressed from there and I’ve I’ve noticed a lot of changes over the past 13 years. we’re gonna talk about some of those and see where we’re headed today I don’t know if anybody ever saw this this was a late 80s Early 90s Sarek unit this machine could do everything in one you design it right there you mill it right there and it processes a restoration this was way ahead of the times it was a great machine however we found that there were fit issues there were occlusion issues there were Anatomy issues we really weren’t getting a great restoration out of this or as great as we thought. then in 2005 you fast forward 20 years or. we start seeing things really changed in the digital arena and we started coming out with these things called scanners well scanners were great and they were great for a number of reasons but they all didn’t necessarily correlate with a mill and produce a restoration quickly. in 2005 ish and this timelines not necessarily in order we started seeing companies such as a line in three shape and 3m it’s come out with their individual scanners and then there was another company out of Richardson Texas that decided they were gonna come out with a scanner and a mill all in one and be the first real competition for CEREC and that was d40 technologies Sarek decided to up their game they came out with the Ciroc Omni cam which is absolutely phenomenal machine 3m decided to up their game they came out with a true definition scanner straumann said hey I might as well get into the game too and they came they paired up with dental wings and they came out with the Strom and dental wing scanner and then this is the one we’re going to talk the most about today this is by align technologies it’s the eye taro element and it’s a pretty phenomenal scanner this is another slide this is the intake of Glidewell laboratories of digital impressions that they’ve seen over the last four and a half years this is growing at an exponential pace as far as what they’re receiving in their laboratory but the beauty of it is it’s not every impression that comes in is intended for a monolithic restoration we’re also seeing that you can use these scans for crowns bridges inlays onlays veneers implant workflows and in addition you can use it for partials dentures clear aligners orthodontic appliances models digital smile design and advanced implant planning. let’s talk about the Glidewell system that you saw out there it’s called the glide well in-office do system the first component of it is to scan the second component is design and the third component is to mill we’re going to break down these three components rather quickly here the first is scanning the scanner that they’ve incorporated with their in office system is the IT element as I mentioned before it’s a really nice scanner our office has has had great luck with it. far it’s a laser scanner and one of the innovative features with I Tarot that none of the other scanners on the market have as of yet is called time-lapse technology this is where you scan a patient at an initial visit or at a visit along the way of their visits to your office you start scanning them at subsequent visits the technology superimposes those scans which is great because you can look at abrasion at Fraction recession where it’s a great tool to show your patients exactly what they’re doing next we’re going to talk about the second component of the system which is the software you can design on the fast design I oh and three easy steps and it is truly that easy it’s the most innovative software platform that I’ve seen for in office milling the first step is a margin marking the dead –it design is the second step and the third step is the mill preview and it just goes Bam Bam Bam it’s very easy to use very user-friendly as mr.

Gladwell mentioned earlier it they utilize artificial intelligence and a proprietary library of morphology. the proposals that you’re receiving on your restorations look right the first time these are the three steps – the milling step but basically you mark your margins in the first step you determine your orientation as well in that step it sends out a proposal nine times out of ten I’m barely adjusting the proposal I always adjust my contacts because I like them at a certain strength. I adjust those to twenty this is at thirty but that’s the majority of the adjustments that I’ll make on that proposal and then it’s sent to the mill and that’s what we’ll talk about next the fast millio it’s truly an innovative mill I’ve worked with several of them in the office this is a very nice system it’s very compact it’s great for single units. if you’re wanting to mill multiple units hold on for a bit but right now it’s single units inlays and onlays it utilizes one burr for milling which decreases your cost it’s very competitively priced and it Mills a very accurate restoration we’ve received great results in our office with this one of the beautiful things about this that if you’ve never looked at Mills you won’t understand but if you’ve looked at Mills you’ll understand this it requires two things in your office 120 volt electrical outlet and distilled water if you have that there are no other requirements for your office in other Mills you’ve had to bring in air compressors or draw an air line to the mill this one is very simple it’s also the size of a compact kitchen microwave it sets on the counter very nicely let’s look at what we have in our office to make these restorations out of Glidewell has three materials that they’re very proud of and they should be they come up they’ve come out with a fourth that they introduced to me last night which I’m kind of excited about but these are the three materials that we’re using in our office as of right now the third product is also a game changer and it’s a game changer for Glide will because Brooks or zirconia is the number one zirconia brand in the world and nobody’s been able to mill it until Glidewell came out with it this is a pre centered zirconia the problem with being pre centered is that it’s strong it’s 800 mega pascals the only reason that that’s a problem is it takes a little bit longer to mill it takes about 35 to 40 minutes the way I look at it is it’s a ceramic restoration plus the firing time and you’re providing a great product for the patient using it for first and second molars full coverage restorations that don’t need to be bonded here’s a clinical case that we did doesn’t take a rocket scientist to figure out that this patient needed a full coverage restoration on this tooth we built it up we prepped it one of the keys to zirconia success is retentive elements in the tooth which include axial wall height we had good axial wall height. I felt that I could do a non bonded restoration we chose Brooks are now for this and I’m gonna tell you this is the way that it comes out of the mill and it takes about two to three minutes to polish it to look like this and I think that looks pretty good for a milled restoration you can stain it you can glaze it if you want to the majority of the cases that we’re doing or monochromatic and in this case right here it worked great a Brooks our crown on definitely a Brooks or patient if your patient leaves your office because you provided a spectacular service and without even asking them they go and write a review on you it doesn’t get much better than that folks and patients are leaving the office and they’re thinking that this is a phenomenal offering that we have. thank you all very much for having me here today I know it was a whirlwind of information I’ll be around all day feel free to ask me any questions thank you for that dr. Duplantis for more information on the glide will do in office solution you can visit Glidewell dot i oh well that about wraps it up for this episode of chair side live on behalf of everyone here at global dental thank you for watching and i’ll meet you right back here next time

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