
Becoming efficient at predictably achieving successful clinical
outcomes is the goal that most of us as clinicians are continually
striving for.
Working efficiently allows us to be profitable while at the
same time offer the benefit to our patients of completing their
required treatment in shorter or fewer appointments.
Predictability, when it comes to achieving a desired clinical
result, boosts our confidence in caring for our patients, minimizes
stress and strengthens a good reputation.
There are many dental products and equipment available
today designed with the intent to appeal to our desire for efficiency,
profitability and predictability. In this article, I wish to
highlight just one – and share with you the advantages that we
have found in our practice of owning an in-office ceramic oven.
“But Dr. Hanson,” you might say, “What use would I have for
an in-office oven if I do not make my own crowns?” Even if you
send your crowns out to be made by an off-site dental laboratory,
the advantages of a ceramic oven in your office are still applicable,
and will potentially increase your efficiency and elevate your ability
to predictably achieve outcomes that you and your patients
will be pleased with in at least the following two ways:
1. Customization – “the ability to blend”
– chairside!
Many of us can sympathize with trying in the crown at the
delivery appointment and silently asking ourselves, “Do I really
want to seat this crown, or shall I send it back to the lab and see if
they can alter the color or value slightly to help it blend in just a little bit better?” Just the fact that we are asking the question is
enough to confirm that sending it back is the right thing to do,
but suddenly then, we are forced to face the following truthserum
flood of thoughts:
“If I send this back, then we will have to make a new
appointment... and get her numb again... and she’s not going
to be thrilled with wearing a temporary for another two
weeks... speaking of that, I am going to have to make her a
new temporary now since we cut the last one off to try in the
crown. How am I going to explain to her that our work didn’t
turn out right? Do I blame it on the lab? Did I forget to
send photos? Is she going to think that I don’t know what I
am doing...?”
This silent thought-contained conversation has the
potential to build on itself and quickly become mentally and
internally straining! However, if there is a ceramic oven down
the hall, along with some custom stains and glaze, this story
may have a chance for a different ending.
You explain to your patient that you happen to have the
technology in your office to customize her crown and make
it “blend-in” even better! Thirty minutes later, satisfied with
the aesthetics, you are seating her new crown. You both feel
great about the results. She is pleased with your artistic ability
and now thinks, “You are a magician” for blending her
new tooth in so nicely with the rest of her smile. She says she
will be referring her friends “for sure!”
Click here to watch the video:
“How to Add a Contact to
an Existing Restoration.”
Now, maybe that sounds simplified, or a bit over-the-top to
you, but you get the picture; you were efficient, there was no
additional appointment, you achieved predictable aesthetic
results the first time around, and finished with a pleased customer
and a heightened sense of self-confidence – a much better
ending to the story!
Proceed as follows to apply individualized characterizations
and glaze:
- Thoroughly clean and dry the restoration after clinical
try-in.
- Extrude Glaze Paste from the syringe and mix.
- Apply the glazing paste evenly to the entire restoration
using a small brush.
- If characterizations are desired, the restoration can be
individualized using shades and stains before firing.
- Extrude Shades and Stains from the syringe and mix
thoroughly.
- The ready-to-use Shades and Stains may be slightly
thinned using Glaze Liquid. However, the consistency
should still remain pasty.
- Apply mixed Shades and Stains directly into the unfired
glaze layer using a fine brush.
- Conduct the corrective firing if characterization is
applied to an already crystallized restoration.
2. Ideal Contacts – “what was once left open can
now be made closed” – chairside!
Similar to the first example, the solution, when finding that
the crown that we hope to deliver today has insufficient proximal
contact, might require a long list of additional steps, lost
time, and disappointment to both us and our patient. However,
if there is a ceramic oven down the hall, along with some porcelain
powder and liquid add-on, suddenly we have an alternative
avenue available for ensuring predictable contacts every time at
the delivery appointment.
Processing:
- Mix IPS e.max CAD Crystall/Add-On with IPS e.max
CAD Crystall/Add-On Liquid to an easy-to-contour
consistency. Ensure even mixing of the add-on material
and the liquid in order to achieve an optimum firing
result.
- Apply the mixed add-on material directly in the areas to
be adjusted and fire.
- Conduct the corrective firing if Add-On is applied on an
already crystallized restoration.
The advantages of using an in-office ceramic oven create
opportunities in our office for increased efficiency and predictability
that may not exist for us otherwise. Carefully selecting
and utilizing the advanced materials and technologies that we
have available today will assist us in attaining our goal as clinicians.
There is an elevated feeling of confidence and satisfaction
that can be discerned the closer we get to blending efficiency with
predictability in achieving successful clinical outcomes for the
patients in our practices (this article highlights only one of the
products or equipment that can help us get there). And along our
individual yet collective journey of “getting there,” we will come
to find and conclude that the feeling that comes with achieving
such a goal is well worth striving for!
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