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ePaper created 2016-01-26, 09:24:16 | version 1.38.0
I opinion _ 3-D technology CERECOmnicamrestoration Appropriate time for complete integration passed and a prefabricated Nobel Biocare aesthetic abutment was torqued in, which I modified to allow for supra-gingival cement margins (Fig. 48). Optical impressions were quick and accurate with my CEREC Omnicam machine. The adjacent pre- molar tooth was also crowned at the same time. The definitive e.max CAD/CAM restorations were designed, milled and cemented with Ivoclar’s multilink resin cement. Post-operative photo- graphs exemplify a superior result with metal free, all ceramic, strong, and natural appearing crowns (Fig. 49). The CEREC-GALILEON integration digital workflow was essential to my providing a safe, accurately positioned dental implant (Fig. 50). This process leads to a restoration that returns the patient to proper form and function with a perfectly occluding, morphologically correct crown. We owe much of the current advancements to the dental manufacturers for their development of innovative technology and amazing software that integrate radiography with our patients’ maxillo- facial anatomy and facilitate computer assisted and digital dentistry to a point where it should be considered by every dental practitioner. Digital dentistry has given me a way to produce high quality, all ceramic natural looking and well fitting crowns in a single visit. Restoratively driven im- plantdentistryisthewaytodevelopsuccessfuland optimaltreatmentforourimplantpatients.Placing the implant becomes less challenging and less stressful for both the patient and the dentist and withtheuseofoursurgicalguidemoreprecise.This will result in turning anxious dental phobics into positive advocates for the dental industry. _Conclusion Investing in the technologies that make 3-D digital dentistry possible has transformed my prac- tice. Since 2009 I have seen and treated patients, fromnearandfar,whowouldhaveotherwisenever ventured into my practice. I do diagnosis, treat- mentplanningandtreatmentdifferently.Italways begins with gaining the exceptional diagnostic information only possible via CBCT. The CBCT 3-D images are striking: the extensive nature of the bony lesions presented are not adequately re- vealedinthe2-Dperiapicalviewsandonlybecome apparent with the use of such advanced radiogra- phy. Focus on designing your cases with enhanced diagnostic and treatment planning before im- plementing the plan. Following such a blueprint for success directly results in positive patient ex- periences along with happier, more appreciative patients. In short, practicing with the 3-D differ- ence is like playing chess while the competition is playing checkers._ 18 I CAD/CAM 1_2016 Anthony Ramirez,DDS, MAGD,specialises in cosmetic smile design and digital implantology in his practice in Brooklyn,NewYork.In practice since 1983,Dr Ramirez is a Master of theAcademy of General Dentistry,a Fellow of the International Congress of Oral Implantology, a key opinion leader for Sirona,a CEREC Doctors mentor,and an attending physician at NewYork Methodist Hospital.Dr Ramirez utilises 3-D CBCT imaging and CEREC CAD/CAM technologies to promote a fully integrated digital dental practice and improve quality of life for his patients. 7424 Ridge Blvd. Brooklyn,NewYork 11209 USA info@dranthonyramirez.com www.dranthonyramirez.com CAD/CAM_about the author Fig. 50 Fig. 48 Fig. 49 CAD0116_06-18_Ramirez 21.01.16 11:04 Seite 11 CAD0116_06-18_Ramirez 21.01.1611:04 Seite 11