BioCopy Makes It Easy
This is one of those cases that is just so much easier because of my CEREC.
Pt comes into my office with large existing amalgam restoration on #31. She has recurrent decay around the entire lingual margin of the amalgam restoration. If I didn't have my CEREC and the ability to use Biocopy this could be a difficult appointment.
I anesthetize the pt and my assistant scans the case into the Biocopy catalog. She then copies the information into the Lower Jaw catalog. In the Lower Jaw catalog, she uses the Cut tool to remove #31.
I prep #31 for partial coverage restoration. I know there will be multiple opinions on whether full coverage or partial coverage should be used here and also on material.
Personally, in this case I prefer partial coverage and also prefer GC Cerasmart for restoration. This pt is 87 years old, in an assisted living facility, and Im not sure how often the partial is removed, despite our pleas. If I used a material such as e.Max and she returned in the future with recurrent decay, the entire restoration would have to be removed. With a material like Cerasmart, it can be repaired intraorally with a direct composite.
Start to finish she was in our office for just under one hour. She left with a big smile, not having to go without her partial while a restoration was fabricated at a lab!
Great job! These types of patients are the best advertisers for the practice, and they seem to know other people with partials.
Nice-I had back-to-back BioCopy cases today. 1 because she was in Invisalign, the other was an abutment for a partial, and I was talking with my associate at lunch about how much more enjoyable and manageable these cases are due to the CEREC. I love how well everything fits together right out of the miller.
Did you have any issues with the lone molar stitching in biocopy?
EDIT: I see you did a partial coverage restoration, which I'm sure helped avoid this issue.
On 6/12/2018 at 8:57 am, Kevin Burgdorf said...Did you have any issues with the lone molar stitching in biocopy?
EDIT: I see you did a partial coverage restoration, which I'm sure helped avoid this issue.
This can be an issue when stitching larger edentulous areas. In this case it was not.
Products such as Liquid Reference from Dental Cad Products work well to help scan the edentulous ridge.
So nice when you can trust the software and design in order to provide the patient with a nice and efficient service. Sometimes I like to scan in a Gingival Mask folder with the partial seated as an additional layer of verification. It also allows as a nice guide for adjusting contours around the clasp without making your partial seat problematic once you finish up. Just a little tip to throw in! Thanks for sharing and I also l appreciate learning a bit from you logic behind material choice.
I still remember my first biocopy case under a partial 18 years ago like it was yesterday. Can you imagine how difficult your case would be if you had to prep and take a pick-up impression. I can guarantee you that partial would NEVER fit the way you got it to. Nice job Mike!
Restorations underneath a partial used to be stressful for us. We'd get through it but now it's a picnic. Cerec makes dentistry a walk in the park. Great job dude!
