hello welcome to chairside live I'm Megan strong and I'm will Schmitt registered dental assistant
here at Blackwell dental well you want to know what's going on today's show well great I'm glad
you do so dr. Qi is back at it again and he's got a patient who has a fractured all ceramic
crown on number 14 and so dr. chi goes in there and he restores with a Brooks or now crown using
the glide well do in office solution which means he did it in one single appointment Megan he took
that old crown off refine the margins scanned it with the I terror element to and then designed
and milled it same day this is the beauty of a global do in office solution without further
ado dr. chi for this case my patient presented with a fractured all ceramic restoration on his
upper left first molar the planets replaced the defective restoration with one our Brooks er crown
utilizing the innovative glide wall in-office CAD cam solution in this episode I'll take you
through an overview of what this in office Brooks her process looks like once the tooth is prepared
the impression is captured digitally with the I Tarot element scanner there are four sets of
scans we need to acquire the prep the rest of the prep quad the opposing teeth and the bite as with
any impression drawing excess fluids from the teeth and gingiva will improve the accuracy of
the impression for the upper and lower quadrant scans we start with the occlusal surfaces to lay
the foundation of the digital model then rotate the scanner and sweep along the lingual and buccal
to add those surfaces and any undercut areas into the model since the system provides an immediate
representation of the patient's dentition we can assess our preps and tissue management to
determine if any additional modifications are needed it's also very easy to add any missing
areas if we notice the data missing from the model once the upper and lower digital
models are created the occlusion is established by scanning the buccal with the patient biting fully
in centric all of this digital information is relayed to the next stage of our crown fabrication
process the fast design software the first step in fast design is to define the margins of our
tooth preparation when possible I keep the margins super gingival so it will be easier to identify
in the software this step is straightforward as long as the clinical prep and tissue management
are adequately provided once the margins are set the software will create a design proposal
that is tailored for that restorative space all aspects of the design the contours cusps shape
and size contacts occlusion embrasures they can all be adjusted to meet the specific needs of the
patient as seen fit by the clinician once the design is accepted I load the centered Bruck
Surnow blog in the fully electric fast mill to initiate the manufacturing process you can see
there's a very large volume of water that cools the block and burr throughout the milling cycle
when the cycle is complete I snap the crown at the thin sprue connection to separate it from
the metal mandrel the residual sprue is finished down with a fine grit diamond bur until the area
blends well with the surrounding contours after a quick polish the Brooks are now crown is cemented
into place with no oven firing cycle needed it goes straight from the mill to delivery without
any compromise and strength if you'd like to learn more about how this amazing technology
can enhance your practice and provide control over your restorations please visit Glidewell
dot IO or Glidewell dental comm thank you so much for your time back to you we'll have Megan
thank you for that dr. cheap but wait that's not all we have for you today that's right
we also provide free CD courses to all of our viewers online we do so check the link floating
somewhere around this screen and head on over to Gladwell dental comm where this week dr.
Randy Resnick presents five stages of extraction socket grafting so it's time to go get your Cee
but for this episode we're all wrapped up so we're gonna say thank you so much for watching
on behalf of everyone here at global dental and we'll meet you right back here next time