1. A dental microscope
I know how much of an improvement magnification has made to the standard of the clinical work that I do, and I think the next step for me is to get a microscope ... but man, are they expensive! I was lucky to use one in Prague when I attended the Josef Kunkela course and it was a real game-changer.
2. Digital facebow
and Sicat Function
As most people are aware, I’m really big on digital dentistry—especially Cerec. I love doing bigger cases using Cerec because it’s such a predictable way of providing restorations for my patients.
I think the next step for me in improving the accuracy of the full-mouth cases we do is to incorporate an even more detailed process of articulation that mimics exactly the patient’s own functional movements. This is made possible by using hardware called a digital facebow and incorporating the information that it gives you into a CT scan. When this is done, then you can articulate the patient using software called Sicat Function, so you
or your technician can design the restorations on an articulator that moves exactly the same way as the patient does.
3. Five-axis milling machine
I love doing implant work. Cerec has helped me to better plan my cases, and then to execute very predictable surgery by milling surgical guides that help me place the implant in the correct position every time.
The only downside is that with the Cerec milling unit I can mill only guides that allow me to place one implant at a time, because it’s a four-axis milling unit. With a five-axis unit I could mill guides that allow me to place more than one implant, so I could plan and execute bigger cases using only one guide.
4. Hard-tissue laser
On the whole, hard-tissue lasers are used for preparation of cavities. But American dentist Dr David Hornbrook explained that a hard-tissue laser also lets dentists perform crown-lengthening surgery without having to raise flaps. If this is true and predictable, that’s what I would want a hard-tissue laser for.
5. 3D printer
I think this will be very useful to have because it would allow me to print models of ‘wax-ups’ so I can take silicon indices and transfer a smile into the patient’s mouth immediately.
The problem is that the cheaper 3D printers take a very long time to print, so I think I would need one of the more expensive ones to allow me to print the model at the speed where it would be useful for this application.