The Easiest Pathway To Begin Digital Dentistry

Written by Andrew Sedler

This article presents an application of digital dentistry that every dental office can implenent with profound results in terms of reduced chair time.

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The Easiest Pathway To Digital Dentistry
THE EASIEST PATHWAY TO BEGIN
DIGITAL DENTISTRY

Written by Andrew Sedler

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I recently had an opportunity to talk with Dr. Armen Mirzayan about the current status of digital dentistry and how clinicians can take advantage of digital workflows in their office. The topic of this article is one of several topics that I will bring to you in the next few months.  In this article, I will present an application of digital dentistry that virtually every dental office can implement with profound results in terms of reduced chair time, and a marked increase in predictability of lab fabricated restorations.

Dr. Armen Mirzayan
Dr. Armen Mirzayan

Moving Toward Digital Dentistry

A majority of dentists are interested in moving their practice towards digital dentistry. But, in spite of the overwhelming interest, the growth in the acquisition of Intra Oral Scanning (IOS) systems has been slow and steady. Initially, the systems were only offered as packages that included in-office milling. That may have been more than many offices wanted to take on. This sticking point has become less of an issue as systems have become open to exporting standard files that can be moved into a variety of design and fabrication technologies, and labs like Burbank Dental Lab have risen to the call and become digitally sophisticated.

Pathway to Digital Dentistry - Top Dental Lab In US Burbank Dental Lab

A Solution to Digitizing Impressions

In spite of the vast improvements in versatility and ease of use and reduced pricing, some clinicians are still resistant to making the move to digitizing their impressions. During my interview with Dr. Mirzayan, he offered a solution that makes it incredibly easy for virtually every office to seamlessly transition to digitizing their workflow. Dr. Mirzayan suggested that there is one workflow that has not been heavily promoted, that being the use of desktop scanners to scan impressions and models in dental offices. While desktop scanners are the mainstay in today’s dental laboratories, it is a rarely-used tool within dental offices. In my conversation with Dr. Mirzayan, he presented a strong case for why desktop scanners have a dynamic potential use and benefits within the clinical environment.
Burbank Dental Lab
CAD-CAM Digital Seminar
Join Dr. Armen Mirzayan for a two-day hands-on course in digital dentistry and how CAD-CAM can fit into your dental practice.
WHEN
Feb. 8-9, 2019
Mar. 8-9, 2019
Jun. 20-21, 2019
Jul. 5-6, 2019
WHERE
Los Angeles, CA
Baltimore, MD
Columbus, OH
Honolulu, HI
DAY 1
  1. Fundamentals of Digital Impressions
  2. Mastery of single unit impressions, complex cases, and staging of full arch cases
  3. Managing errors introduced in imaging
  4. How and what to delegate to team members
  5. Digital restorations
  6. Mastery of CAD-Ray software for the dentist
  7. Design single units, copy cases, and custom abutments from scan bodies
DAY 2 - Morning
  1. Introduction and mastery of Integration of Cone Beam data and STL data
  2. Understanding the limitation of Cone Beam and STL Integration
  3. Integration and limitation of multiple Cone Beam data sets
  4. Proper digitization of denture duplicates for stent fabrication
  5. Multiple ways to design a surgical stent and how to choose appropriate design type
  6. Proper case presentation techniques for patients
  7. Hands on Exercises
  8. Single implant placement designs
  9. Understand how to bill for your Cone Beam scans and surgical stents
  10. Learn how you can bill for numerous surgical procedures
DAY 2 - Afternoon
  1. Treatment planning for large cases
  2. Appropriate case set ups and their ramifications during surgery
  3. The multiple uses for chairside denture application
  4. Chairside denture duplications and scan appliance fabrication
  5. Impression techniques for multiple fixtures and multi-abutments
  6. Restorative designs of abutments on CAD software
  7. Immediate extractions and how to keep track of the vertical dimension
  8. The multiple restorative options available to you
  9. Accurate transfers of fixtures to models
  10. Digital Impressions for edentulous cases
  11. Edentulous case design with digital dentures
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Burbank Dental Lab
If you would like to move your office forward on a digital agenda, but you are hesitant to invest the time and finances for a full conversion to digital Intraoral scanning, then desktop impression scanning may be the best next step for your practice. Many of the same advantages of using an IOS can be achieved by using desktop scanners to scan your impressions while keeping the procedures in operatory exactly the same.
Burbank Dental Lab
Straumann Abutments Special
Burbank Dental Lab

Benefits of Desktop Impression Scanning

  • 1

    Keep basic impression-taking systems the same.

  • 2

    Evaluate preps and impressions while the patient is still in the office. Scanning impressions will allow you to catch and correct preparation or impression uncertainties, and make corrections before dismissing your patient.

    Dental lab impression scan result - Figure 2

  • 3

    Optimal clinical information capture: while sub-gingival information can sometimes be difficult to obtain with intraoral scanners, it is easier to obtain with conventional impressions and then digitizing the impressions.

  • 4

    Improved accuracy: Scanning impressions can provide increased accuracy over sending conventional impressions to the lab and in some cases, a scanned impression can be more accurate than an IOS.

    • Alginates impressions can be scanned immediately chairside; precision scanning of fresh impressions avoids potential distortions of impressions during shipping.
    • Triple Trays can be scanned, which delivers an articulated scan to the lab, eliminating articulation errors. 

    Triple tray - Figure 3

    Figure 3

     

    Active scanning - Figure 4

    Figure 4

     

    • Full arch impressions for appliances and dentures are more accurate when scanned in desktop scanners as opposed to IOS impressions that are captured intraorally.
  • 5

    Take advantage of savings with our lab when opting for model-free restorations. Most labs, Burbank Dental Lab included offer discounts for model-free digital cases. An optical scan of the impression gives you the same advantage as an IOS impression when it comes to what the lab receives, and the benefits available.

  • 6

    Reduced turnaround time.

    • Eliminate one way of the transit time of shipping impressions from dentist to lab.
    • The lab can begin the design, production of the restorations, and digital models immediately upon receiving the impression data, rather than requiring model work to be completed first.

    3Shape Design Application - Figure 5

  • 7

    A clinician has the option to mark margins prior to sending to the lab, thus eliminating guesswork by the lab in trimming margins.

    Marklong margins - Fig. 6

Procedures

  • 1

    Take a conventional impression, using a triple tray impression when appropriate, makes it easy.

  • 2

    Secure the impression in the scanner.

  • 3

    If you are not using triple trays, you will need to take a bite registration and scan it as well.

  • 4

    After scanning the impression, open the scan in the scanner's “design” software and examine the impression, prep design, and completeness of the margin.

  • 5

    Send verified impression scan to the lab.

Dr. Mirzayan is currently using the Medit T500 desktop scanner. One of the distinct advantages of using this particular scanner is the ability to easily scan double-sided impressions in one step. This saves you time and truly allows you to shorten your appointments while still being able to verify your impression and prep quality while the patient is still in the operatory.

The ability to scan a triple tray also eliminates the need to take a separate bite in most cases. The Medit Series is also designed to perform ‘fully automatic impression scanning’. The Medit T-series brings you the best and most productive impression scanning. The T-series has a 3-axis arm for automatic double-sided impression scanning, eliminating the need for manual reversing the image. The result is an easy and accurate double-sided impression scan and bite alignment.

Desktop Scanning Systems Used for Impression Scanning

Burbank Dental Lab

Conclusion

Impression scanning has not become mainstream due to the lack of precision in the scanning process. However, today's desktop scanners, especially Medit T-Series, provides a high level of accuracy in both model and impression scanning using the optimized scanning paths for impression scans. In addition, it speeds up your workflow without compromising precision. In today’s world, digital dentistry is becoming almost necessary for many processes that are now available. Making the paradigm shift to digital, using desktop scanners to digitize your impressions makes this transition both affordable and a seamless effect on your current clinical systems. Contact Burbank Dental Lab for more information about desktop scanning of your impressions.

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Fabrication
of the future
is here!

Burbank Dental Lab has three new state-of-the-art Carbon M2 printers. We are very excited about the options that these cutting-edge printers will allow us to offer our dental clients. Here are some of the advantages that these printers will begin to deliver to you and your dental practice.

Our New
State-Of-The-Art
3d Printers

Carbon offers a highly dependable 3D manufacturing solution for many dental applications with its breakthrough Digital Light Synthesis™ technology, enabled by a wide range of dental materials.

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