Still Impressive After All These Years...
Pt contacted the office today at 2pm and reported a broken front tooth. Crown and RCT completed years ago, not by me. Occlusion was evaluated and, with the remaining tooth structure, I felt enough ferrule could be gained to place a post/core, crown. At 78 years old, her main concern was church tonight and how she couldn't bear to be seen (it's Wed in the South, ya'll). With the hx of RCT, no anesthetic was necessary. Cord packed, post/core, prep. CEREC images. Design, mill Empress A2 Multi. Bond in with RelyX Ultimate. I know immediate before/after pics aren't the best for presentations, but I think in this case it highlights the power of what we can do. While I love implants and guided surgeries, having the ability to replace a front tooth in under 2 hours still blows my mind after 7 years with CEREC. It may not be guided surgery or printing sexy/cool, but it's bread and butter dentistry that pt's truly appreciate.
i think you did a great service! that said those have been among my least succesful cases. for the same time and with your cerec almost the same cost, you could have removed one of the other existing crowns along with what you did and make some splinted crowns. if you're lucky you can even get them out of one C14 or C14L block. just something to consider
Funny you say that. I did #8 3 years ago; same thing. She arrived after her grandson knocked out her tooth. We gave options and didn't like long term prognosis but she was cool with risk. When she called today saying tooth was out, I was sure it was #8 that we had done. Nope. So with 3 years of success, no needles, done in one appointment, she was more than happy to do the same treatment with #9
On 8/16/2017 at 3:59 pm, Jos Dijkstra said... i think you did a great service! that said those have been among my least succesful cases. for the same time and with your cerec almost the same cost, you could have removed one of the other existing crowns along with what you did and make some splinted crowns. if you're lucky you can even get them out of one C14 or C14L block. just something to consider
Great job Steve! Love being able to do that type of service for patients!
Jos, I've done that too. I know some docs may disagree with that approach but the patient was well-informed and it was a great option and fast for the patient since we utilized CEREC technology to make it happen same day.
Dan
Steve..awesome job..looks beautiful and what service you can offer!! She will hold you in her prayers tonite...did you go to 4.5.1??? just curious?? I did 4.5 and had several of the crashes...and reverted back to 4.4.4 my trusty steed.... but will need to move ahead for the improvements..(minus the glitches...)
On 8/17/2017 at 11:25 am, Thomas Kauffman said...Very nice Steve, as usual. Pass this thought along. I have been scanning anteriors and posteriors RCT teeth and milling out the post/core or core out of centro duo with great success. There are times when I have pushed the ferrule/tooth structure envelope and cannot think of an instance where I have gotten burned. Years ago I would make a very passive but accurate pattern out of duralay resin, prep the tooth, impress, and have the pattern cast out of yellow gold that was sandblasted and cemented with glass ionomer cement. I think that silanated and resin cemented feldsparic porcelain is a superior build up material over composite resin, especially when the pattern is minimal with little to no post. I will post a photo of a tooth we restored today when i have a moment. Nice work, HUA!
Best regards to one of USArmy's finest, right up there with Charles and that PITA Marc
tk
As always, appreciate the critique/suggestions...always eager to learn. Your compliments are too kind though...I'm no where near Dr Chuck. Marc, however...
Great stuff! Yup, every time I get a tooth done in under 2 hours, it blows me away. And you nailed the shade...since you made the shade guide 3 years earlier. Well done.
