Dr. Klim is an internationally recognized speaker, author, manufacture consultant, beta tester, and teacher of advanced functional and aesthetic CAD/CAM dentistry.
Currently, Dr. Klim has a full time restorative practice in Santa Rosa, California and is founder and director of the Klim Institute CADStar™ CEREC Training Center, hosts the international cadstar.tv online CEREC training (has been viewed in over 150 countries).
With a number of years teaching post-graduate levels in functional and aesthetic dentistry, he is now using this experience as a certified advanced CEREC Patterson trainer. His knowledge and practical clinical experience will mentor the CEREC oriented office with further CEREC integration and clinical applications.
Greetings from Kathmandu!!! Thank you for sharing… After being Omnicam user for the past 8 years, we are onboarding ourselves to Primescan Primemill and your videos make it so easy to follow. Looking forward to learn a lot from you, and maybe able to welcome you here in Nepal.
@@KlimDDS Hi. Thank you for your prompt answer. Yes, I mean for the glaze. Or can I just put them on the CEREC Single Unit Glaze Support witout any firing paste?
No firing paste is required to glaze and color zirconia. However, sometimes, it is advantageous to place the zirconia on a firing pin with paste, which is easier to manage.
5:30 “…that’s what we did to heal the heart. So often when I’m doing a smile it’s about the heart” I absolutely love that you mentioned this! We often strive for “textbook perfection” but oftentimes that is far from perfection in our patients’ eyes. If having rounded central incisors will make my patient feel good about herself, then I will do my darn best to give her the best rounded incisors she’s ever seen!
Thank you Dr. Klim. I have always felt that I didn’t know what I was doing when matching shades. So upset the app is not available in the apple store. Already contacted my ivoclar rep. 🤷🏻♂️
Amazing summary of tips. It would make life simpler! Just one query, I am bonding my emax with heated composite. So, how do I select the composite shade considering using HT in all anterior and posterior cases?
The warm composite method is excellent. Same principle. How many composite shades do you have and what brand? Principle with HT, choose brighter options and tone down with a warmer cement color. This is the best of the best for HT e.max.
The app is produced by Ivoclar. However, the recommendation can be translated to other materials using the principles of ceramic value and shade selection. All the best.
Nothing. CEREC is a way of fabricating restorations. There are various brands and strengths zirconia. At the time of this video, all zirconia crowns are machined using CAD/CAM technology.
Amazing level of understanding and detailing..wow i am thrilled,thank you doc. .. please elaborate shade selection while doing a single veneer as well ,thats the most challenging
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Hi! thank you for the video. You are using a CS6, do you agree on a setup with Programmat S2 & P310 for a dental practise or it is too much? We are a dental practise that just bought DryMill and ZirCad Prime discs.
Good question, if you will mill from pucks, then the SC2 will be a better fit, the CS6 was made for the block mill for Prime and ZirCAD MT multi. I use both. If you are using CEREC, then the CS6 is the way to go! All the best!
Thank you for your reply. We have the Ivoclar DryMill so we can only mill discs and not blocks. So the S2 is a bettet fit? I am confused. Not cost wise, but result wise.
@@KlimDDS extremely appreciated that you replied!! thank you!! also just ordered the JK04 kit. looks neat!! any nice stains palette that you suggest? thank you
@@evangelosprokos8386 The best coloring system for Zirconia is MiYO. Go to the Jensen website jensendental.com. I use the Renfert ceramic mixing tray and cover. The cover seal will protect the dispensed materials from drying out between uses. garlanddental.com/products/renfert-stain-mix-mixing-tray-black-cover?variant=44099156476163¤cy=USD&gad_source=1&gclid=CjwKCAjwmrqzBhAoEiwAXVpgouWdBdUqbVNchlEGR1SHZ1rIMJ7jNsLRFZ2cWqijfcgjEhryemuUyxoCYLkQAvD_BwE
Great video. Thank you! Can you please make a video with Sprintray Optical Polish tray? You don't need to polish the splint. It will come out polished from the printer.
Thanks for your comment. The PrimePrint definitely has a nice workflow. Coming from the Asiga printer, built my expectations for print quality and having an open system. SprintRay has R&D, quality, and speed efficiency that is leading the industry. PrimePrint has done an excellent job for workflow automation, however, the print quality is lacking compared to other printers on the market and did not reach my expectations in this area. All the best!
Thanks for the video. You are grateful for many things, and I am grateful for being able to learn from your experience. I wish you a soon recovery of your hip. Best regards from Chile. César
Amazing podcast James!! I love these guys and what they are doing for our profession. Having taken a MOD course, i can say first hand that are doing something very special. Also, adding the interpersonal aspect of how our dental practices can impact our lives in your media content is very much appreciated. Your work resonates with me in how I practice and where i want to go with all of this. Thank you again
I understand that emax could be done in the green stage, and that for teaching purposes is good to have this vídeos, but working out of purple tooth is asking for a mismatch, I've been a dental technician for 20 years and I've done custom shades and many many many crowns, and I can tell you that matching a shade with a pre shaded crown is difficult even more working from a purple color crown.
You are correct, matching in the blue state can be difficult, at first, having done my own ceramics for over 25 years I get it. Each ceramic brand and translucency have unique behaviors. I have taught ceramist and dentist for years, and the information in this video is a small "snap shot" of what is possible with practice and experience. All the best.
The video is called removing zirconia crowns..... But the video is about creating undercuts...getting retention and cemention of crowns... So I'm wondering if you had tips and thoughts about actually removing zirconia crowns. That said, 100% I find section and crown split and DO NOT BOND bc a few zirconia crowns I've had from other providers have had to be sectioned into like SIX pieces to get all of it off.... But also, with a good prep, good wall height, good ferrule if a core etc I feel like an RMGI is MORE THAN adequate to keep a crown on so I don't really see the need to bond??? And I'm wondering for you think sometimes even with an RMGI do you get some bonding if there is a composite core (I personally think you do- but unintentionally!!! Just polymer chemistry doing its thing).
This video was for those who are bonding in zirconia which some companies in the industry are recommending. I agree, you describe an ideal prep circumstances. For me RMGI is adequate, and I did not address the issue of bonding to a core. Anyway, thanks for commenting. All the best.
Looks great! Such a nice way to calm down besides all the hustle in the dental office! Really inspiring. Thank you for taking us on your journey besides all the dental knowledge 💪🏼
I’m glad you’re using Exocad! I’ve been enjoying your primescan videos and I also love Exocad so I’m excited to see when you create! Digital dentistry rocks!
I’m going to buy this for my office. If you use Miyo prior to crystallizing, do we just use our regular emax cycle or does that need to be changed? If we need to refire because the color is off or we choose to stain after firing, do we use that same exam cycle or do we use a different cycle?
Speed cycle or the superspeed crystallization cyclein in the CS6 with MiYO 850 works just fine. Any further firing for additional characteristics, use the e. max correction cycles. You will love the MiYo! All the best!
I'm three years late to your video, hope you see my question. More or less, how many bridges like this does your sintered diamond needle burr can stand before replacing?
Green zirconium is soft and chalk-like and will last a long time. In other words, I do a lot of zirconia, and the needle bur is still working after four years. On the other hand, diamond needle burs last only a short time on crystalized ceramics. All the best.
Are you speaking of materials or machines? The clinical materials are independent of CEREC. Materials are machined and chosen based on the desired application and are the current industry standard in strength and aesthetics. The equipment is robust and will function well. All the best.
Hi Dr Klim how areyou,been watching your videos last few weeks ,thank you; been amazing. I am about to step into same day dentistry with Inlab 22 and primemill,speedfire. My concerns with primemill are not being able to be conservative in crown preps especially with Zirconia. Can please share your thoughts on minimal marginal thickness you can realistically achieve on primemill. Thanks once again 😊
The Primemill as a 4-axis does best with zirconia mills due to the small carbide needle bur. My minimal thickness parameter is 300 um with a margin thickness of 50 um. The margins are thinned to a razor blade thickness following sintering with a coarse polishing wheel. The most critical concept when engineering zirconia is to know the inherent structure of 3Y, 4Y, and 5Y. The Primemill's best mills are in zirconia and are easily at the top of the milling world. I would also advise getting the CS6 furnace. The speedfire is excellent for the Katana zirconia, and that is about it. To use the full range of zirconias available. the SC6 does the best job. I have both and use them daily in practice. All the best.
It lowers the probability of lateral and working interferences and also provides loading forces down the long axis of the tooth. Both these aspects will be a positive aspect to optimize force dynamics.
@@KlimDDS thanks Dr Klim. Just wondering if you have any experiences with designing and polishing vertical margins/knife-edge margins crowns preps (vertipreps) using cerec?
@@Mcknockout777 With digital technology, almost anything can be accomplished via machining or printing. It depends on the material, etc. Yes, I have done v/preps and very conservative applications.
@@KlimDDS Yeah Im specifically looking for the cerec design and polishing protocol for vertipreps using zirconia. My understanding is that during the design phase, to “over-marginate” the crown and then during polishing to polish back the margins to a knife edge. I’m having difficulty finding any videos online outlining this process. I would be grateful if you could share your protocol if you have e experience with this, thanks!
I still love ceramics and see a need for them. I also use the Primemill for zirconia mills for same day restorations, and it does well as a 4-axis mill.
Hi James- 3 questions 1-Do you scan and print the temps @ the prep appt? 2, are you spot etching/bonding the temps?, 3 Your 5-axis mill, is it using "pucks" or "blocs" ? Work, Life Balance achieved, congratulations !
Yes on prepping and scanning. Spot etch only if needed for retention. The PM7 is puck for zirconia and blocks for ceramics. I still use the Primescan, MC XL for routine chair side same-day restorations, all the best$
What a lovely garden…. And what a lovely home workplace… also currently trying to setup a dental technician workplace at home, away from my dental office….
Sire i admire how accurately you shape everything you work on I just had a bridge a month ago and it caused TMJ disorder by offsetting my bite Wish i could have something made by you instead
