Aesthetic CEREC Zirconia Bridge Workflow 

Great Russ, keep striving and build your skill sets. Digital platforms and CAD/CAM dentistry is providing practice independence and personal/ professional satisfaction. MiYO is a home run!

Thanks for the comment Darrell. I am glad the Meisinger JK04 kit is working. It does work well. All the best.

Yes Daniel. I can appreciate the research process. I test a lot of materials and do clinical research. It takes time. I always look at peer review first and then clinically apply.

Thank you! Cheers!

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.

Yes, the pink and beige twist are composite polishers and works well on green zirconia.

@@KlimDDS 🙌

As will all aspects of dentistry, there are learning curves and efficient application of skill sets. In my CAD/CAM theater, most posterior single and quad units are one appointment. I have found that bridges, implant restorations, and multiple anterior units are accomplished over two appointments to better manage chairside time. The design, milling, and finishing of these cases are accomplished throughout the day when there is lag time between clinical care and milling/firing times. I have worked out systems to utilize my time well and get a lot done. Printing is very easy. This can be delegated and the actual management time for printing is just a few minutes. I manage two appointment applications during my normal clinical day by multi tasking. This will make an interesting video

The beauty of CAD/CAM in the office is developing skill sets, control, fulfillment, and lowering overhead.

There are more videos on this workflow at my online training Klim Institute website. Link for next video. www.cadstar.org/video/posterior-zircad-multi-bridge-miyo-stain-and-glaze-part-4

Make sure you have the latest software update, 3M is in there.

The InCoris TZI zirconia is an excellent material. It is a 3Y material and used in my clinical theater when I need the ultimate strength. The finishing is accomplished in a similar way, except more coloring infiltration is applied. When firing TZI, I use a 9-hour firing cycle in the Programat S1 furnace. The SpeedFire for a 3Y zirconia material is very opaque. That is when I use a different furnace. The SpeedFire works well for Katana, ZirCAD Multi, and the 3M brands.

sufficient strength for posteriors when molar is the pontic

Hi Ozzy. I agree an ovate pontic application is desired when the ridge form and soft tissue lend to this approach. There are times that a ridge lap design becomes necessary to complete the conditions of the case. A concaved pontic tissue surface is still a reasonable choice when the patient does not present other options. When designing a pontic to the ridge condition, the important part of the design is to create cervical, buccal, and lingual pontic embrasures that are protective to food impaction. With tissue pontic surfaces such as zirconia or ceramic, even concaved designs can be very hygienic. More importantly, it is optimizing the pontic design to prevent food impaction. I have managed this pontic design on several cases over the last three decades without hygiene compromised. The important thing is to optimized design to avoid food impaction. A convex pontic design for the ridge condition of this case would have been the more significant compromise. All the best and greetings to Germany.

@@KlimDDS Thank u very much 🙏