Super Thin e.max Veneer Workflow 

Most welcome

I love it!

Thanks

What I like about James and his teaching Is that he has heart , soul in teaching👍🇫🇮

@@jakefatman4876 Thanks, Jake. I really do care and have passion. Glad that is coming through.

You're welcome!

Funny thing with Miyo: it's manufactured in Europe in Lichtenstein 😅

I feel the pain. I do know they are at the IDS this week. Are you able to order from the miyo850.com site?

@@KlimDDS sadly no. But in Juli it will be sold. But when I can, I will purchase it!

Greeting back to Spain. See the following video content on ceramic base shade selections. This video will review basic principles. All the best. ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-qaffAh_47Vw.html

Hi Ken. The margin thickness is 50, the spacer is 80, and the minimum thickness is 300. And milled on Primemill Extra Fine Mill. Can be milled well on the MC XL Extra Fine mill as well.

3M relyX is a nice cement. Having multiple shades is worthwhile for anterior work. Finishing margins after cementation makes it difficult to polish. Lithium disilicate is difficult to finish. I prefer to finish before cementation, so the seams of the veneers are smooth and don't collect biofilms.

Ivoclar stump shade ND2, on the lighter side, All the best.

Yes, I have the Sprintray and do print provisionals. When I mill mulitple shades (values), I will go for the shade that I suspect will best blend, and then print one shade brighter as another option. Then final blend with tryin paste. And yes, translucent composite on lingual incisal etch. All the best.

I do not separate my dies. The margins accessing video clip is from another teaching case. However it is possible to create separate dies with inLab software, I do not do that often.

For the MC XL Extra Fine mill, there needs to be four engines, the first bur set is 12 on left and 12S point on the right, and the second bur set is the corresponding EF burs, which have very small refined tips. Then choose Extra Fine mill in the milling screen.

@@KlimDDS Thanks for such a speedy reply and some good use full videos.

The margin mill of Enamic is excellent, however, surface luster is not stable with wear and tear.

Omincam works well with thin veneers, but you will need the inLab MC XL to mill for extra fine mill mode.

Omnicam works well. The MC XL needs four engines, two on each side, to accomplish Extra Fine Mill. The Extra Fine is slower on the MC XL and is slower than the Primemill but works well with the proper bur setup.

@James Klim DDS Thank u for ur guidance, sir. Stay blessed

I like Variolink Esthetics by Ivoclar, they have 5 shade options.

As long as the ceramic is bonded to enamel, thinness is more about the issue of being able to manage the thinness during manufacturing. The Primemill and MC XL can mills can manage 300 um and 30 um on margins when milling in Extra Fine mill.

@@KlimDDS Great info James! I only have the MC X, but I've had a handful of patients asking recently about no-prep solutions. Any idea what the thinness parameters we can get away with on the MC X are? Please dont tell me I have to buy another mill yet!

I recommend adding Exocad software for virtual wax-ups. InLab is not the best for digital wax-ups. All the best.

I see your point, but in this case, I see a different angle, and as a prior professional, it was her choice. This patient is in her 70's. These cases are stable when applying a lingual composite bonded to the ceramic and the enamel. I have had this type of work survive well for over a decade. And in her case, she is not an anterior bruxer. Though I usually prep to a solid enamel point, we sometimes need a workaround from the norm, as you mentioned. Having practiced 39 years and observing and applying ceramic treatment options over 4 decades, I do have a perspective to go more conservative. I presented this case at the AACD yearly convention last week. Thanks for your input.

One more point: patients will not panic when they understand the options and risks; it is about communication and providing care options when they assume the risk. And on the other hand, this case will work for years with the support of the bonded veneer and the improved biomechanical wear facts of the current composites.

Good question. I love Empress. I prefer LD with this thin application. I have seen chipping issues with Empress when polishing the margins down to 30 um. What has been your experience with thin Empress veneers?

I’m all very new to CAD/CAM, got a primescan AC last summer and have been experimenting with exocad and 3D printed restorations. I want a mill, it’s just a hefty investment

@@nickentros Yes, I hear you. One step at a time. You have the fundamentals covered. It is interesting to see how printing is working its way into the mix. We are at a good time in dentistry.

Well, for conservative approaches, I have seen this last for years. It depends on the envelope of function. And by the way, this patient was a dental professional, and she wanted this conservative approach. All the best.

@@KlimDDS i can see why she wanted to keep the edge now. Kind of like filing an abfraction on MB of a lower first molar with composite instead of reducing the solid buccal cusps by 2mm to incorporate it in an Inlay/Onlay Cerec?

I appreciate your comments. There are different ways to brand the practice of dentistry and find joy in the journey. Having practiced for four decades, I have tried other models. It is not about always trying to do more dentistry. Since I adopted CAD/CAM into my practice 20 years ago, I have found a love for providing the whole process. It has also branded my practice, and my clients appreciate that their dentist provides the ceramic work. With the current AI software, the workflow is much more proficient. I now coach both dentists and laboratories on the process. The benefits of occlusal accuracy and predictable outcomes have surpassed analog dentistry. The ROI is satisfactory. My overhead has decreased, and I now have a better work-life balance. It all depends on what a clinician wants out of life. The rules have changed with AI, materials, and digital processes. And this will impact the way dentistry is practiced. All the best.

I appreciate the insight @@KlimDDS