Material Selection and Shade Matching for a Single Central Incisor Going Pinless The IMPLA 3D Navigation System

IECDT Program overview

August / September 2009

Smiles
is the official journal of the Dental Laboratory Association of the State of New York

In this issue
Presidents Message Material Selection and Shade
Matching for a Single Central Incisor
Luke Kahng, CDT

Executive Board and Staff

President William Baum, MDT, CDT Bill Baum Dental Studio Inc. Vice President, Education Technician Relations Raymond Rayeski, CDT Highland Acres Dental Labs Inc. Secretary Mark Viscusi Viscusi Dental Lab

4 6

Going Pinless
James Garland, CDT

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The IMPLA 3D Navigation System

Steve Djuric, DDS

How to contact us
Treasurer/Budget & Finance Norm Friedman, CDT Crown Dental Laborator Congress Gary Spadaro, Jr. Liberty Dental Laboratory 518-344-5372 Membership Gary Spadaro Sr. Liberty Dental Laboratory Smiles US Office: 1436 Altamont Ave Suite 199 Schenectady, NY 12303 Tel: 518-355-3183 & 1-877-DLANY65 Fax: 1-877-352-6965 E-Mail: info@dlany.org Web site: www.dlany.org E-mail: Newsletter@dlany.org Congress Information: Congress@dlany.org Canadian Office: Palmeri Publishing 35-145 Royal Crest Court, Markham, ON L3R 9Z4 Tel. 905-489-1970 Fax 905-489-1971 E-mail: e.palmeri@rogers.com Design & Layout: Samira Sedigh

Professional Relations Gail Broderick, MDT Jason Kim Dental Laboratory Constitution and Bylaws Robert Iuliano Adirondack Dental Ceramics Head of Legislative Committee Kevin Crane, CDT Crane Dental Lab

SMILES is published four times a year by Palmeri Publishing Inc. Known office of Publication, 2424 Niagara Falls Blvd. Niagara Falls, NY, 14304. Application to mail at Periodicals Postage Rates is pending at Niagara Falls, N.Y. 14304 U.S. Postmaster send address correction to Palmeri Publishing, Box 1068 Niagara Falls, N.Y. 14304.

Contributions from clinicians, lab owners, suppliers, readers, etc., are solely the opinion of the writers and do not constitute the endorsement of this publication or its staff. SMILES makes every effort to report clinical information and manufacturers product news accurately but cannot assume responsibility for the validity of product claims or for typographical errors. The publishers also do not assume responsibility for product names, claims, or statements made by advertisers.

DLANY Smiles

Presidents Message

William Baum, MDT, CDT

Experts Will Prosper

n 1985, Benjamin Bloom, a professor of education at the University of Chicago, published a book, which examined the critical factors that contribute to developing expertise and thus talent, Developing Talent in Young People. Although, many of us are not that young anymore, Blooms concept is still very relevant as we face the current economic downturn and look at different ways of improving ourselves in order to be successful within the current external economic situation we are facing. One thing that is evident is that all superb performers Bloom investigated had practiced intensively, had studied with devoted teachers and had been supported by their families and communities. Success in any field is congruent with expertise. Consistently, evidence shows that experts are always made not born. They are made through focused education and commitment to the betterment of the individual to the service of others. History has shown that education has a great impact on our professional lives in the way of achievements. Success in the dental technology field is no different. Those who have taken advantage of studying to upgrade their knowledge and techniques reinforce this reality. For example, business studies indicate that all businesses including dental technology are successful if they can market effectively and can provide a product or service that has one (or ideally all 3) of the following characteristics. The product or service has to be perceived as Better, Cheaper and Faster (ie. delivery of the product or service) than something else. Through positive thinking, proactive initiatives and implementing the pre-established educational plan success is closer than one may think. It is never too late to begin the process. I hope that many of you embrace the educational opportunities that our Congress provides to improve your professional status and create steps towards you becoming an expert in your chosen area. Economic downturns are times for new ideas and practices to flourish. That might be little cheer for now, but the current situation creates enormous opportunity for the evolving experts those individuals that embrace education and are prepared to pay the price in time, effort and money in order to accept change and prosper.

DLANY Smiles

IECDT uses the pop-art perspective to discover the latest

evolution of the dental technology profession.

63

rd

Annual International Education Congress

of Dental Technology

Friday & Saturday, September 11 12, 2009

Hyatt Regency, 1800 East Putnam Ave, Old Greenwich, CT Tailored education to help achieve all your dental lab and technician goals
Your Keynote Speakers are:
Luke Kahng, CDT, MDT Domenico Cascione, CDT Olivier Tric, MDT Keith Moilen Hans Geiselhringer, CDT
e visit rs pleas eake st of sp a full li .org For ww.dlanys August 1st, 2009. w n open istratio tion Opens Reg a 0AM. Online Registr 009 at 8:3 ,2

r 11th eptembe Friday, S

The fashion of a beautiful smile

2009 Congress Prospectus
Geared for the Lab Owner and Technician:
Over 75 Commercial Exhibits Over 1000 Dental Technician in Attendance Over 40 Educational Sessions worth CE Credits Free internet kiosk, stay connected while away Free floor passes Free parking and meals included

Join Us for These Annual Events

Cocktail Reception on the exhibit hall floor (Friday) IECDT Disco Boogie Dinner & Dance Event (Friday) Free Mediterranean Buffet Lunch on the exhibit hall floor (Saturday) IECDT Auctions and Prize Draws

Four-Diamond Hotel (Minutes from Manhattan). Bring your family, bring your lab for a getaway weekend of learning

International Education Congress of Dental Technology- IECDT 1436 Altamont Ave., Suite 199, Schenectady, NY 12303 Tel: 877.352.6965 Toll Free: 877.DLANY.65 Fax: 877.352.6965 Email: congress@dlany.org

Al l

Glitters at be Gold th

AN C

Material Selection and Shade Matching for a Single Central Incisor

Luke Kahng, CDT

Introduction
With regard to esthetics, the single central incisor poses the greatest restorative challenge for the clinician; not surprisingly, it can also be the most difficult tooth for the dental technician to match. Selecting the shade of the restoration depends in part on the material used for the understructure, and there is a wide assortment available from which to choose. The following are among the most common: Pressed Ceramics (leucite-reinforced or lithium-disilicate and apatite glass ceramics, e.g., Empress [Ivoclar Vivadent; Amherst, NY], OPC [Pentron; Wallingford, CT], Authentic [Jensen Industries; North Haven, CT], GC Initial [GC America; Alsip, IL]) Flexural strength: 120 to 450 MPa Translucency: high Opacity: low Nonoxidizing metal (e.g., Captek [Captek; Altamonte Springs, FL], Bio 2000 [Argen; San Diego, CA], Sinterkor [Pentron]) Similar to porcelain-fused-tometal (PFM) Flexural strength: equal to porcelain to metal Translucency: lowequal to porcelain to metal Opacity: highequal to porcelain to metal

An experienced technician can mask the underlying dark tooth color using porcelains with detailed colormasking techniques. Understructure Material
Zirconia (e.g., Procera [Nobel Biocare; Yorba Linda, CA], Lava [3M ESPE, St. Paul, MN], Cercon [Dentsply Int., York, PA], Everest [KaVo America Corp.; Lake Zurich, IL], In-Ceram [Vident; Brea, CA]) Flexural strength: approximately 1,200 Mpa Translucency: very low Opacity: high Alumina core or glass-infiltrated alumina (e.g., Procera, InCeram) Flexural strength: 450 to 700 MPa Translucency: low Opacity: moderate 6

Factors to Consider The choice of material depends to a large extent on factors unique to each patient. No single material is ideal for every case; each will have its advantages and drawbacks. For example, the porcelain-to-oxidizing metal materials are susceptible to excessive opacity, which will result in a lifeless-looking restoration and must be avoided. The feldspathic porcelain materials (veneers and jackets) of less than 0.8-mm thickness tend to give a
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restoration excessive translucency, which will result in a restoration that looks too gray and dark.1 The following are some of the factors to consider when selecting materials: Color of the Tooth Preparation
If, after preparation, the underlying tooth color has a dark shade (i.e., between A5 and C10), the core of the material chosen should be opacious to mask the underlying dark color. However, an experienced technician can mask the underlying dark tooth color using porcelains with detailed color-masking techniques.

It is the dental technicians responsibility to remain educated about the latest materials and techniques; the proper function of the occlusion; and the optimal muscle position for esthetics, longevity, and comfort.
Design of the Preparation
Some metal-free restorations require strict preparation techniques, such as a shoulder or a deep chamfer margin. Before selecting a material, the dental technician must consider whether the tooth structure allows margins of 1.0 mm, whether the margins are subgingival or supragingival, and so forth.

more similar to a natural tooth than to an artificial crown. While metal-free restorations are unlikely to replace PFM restorations, they offer alternatives for patients who demand a more natural looking restoration. It is the dental technicians responsibility to remain educated about the latest materials and techniques; the proper function of the occlusion; and the optimal muscle position for esthetics, longevity, and comfort. New materials are constantly being introduced by manufacturers. However, it is unwise to use materials until they have been used and tested for a number of years. Before using a new material for the first time, the dental technician must ask several questions, such as: How long has the material been available? What studies have been conducted on the material? In addition to the material used for the understructure, the layering porcelain must be selected with equal care. A porcelain system with internal colors will achieve maximum esthetics. Todays specialized porcelains give the dental technician an advantage.

Case Report
A female patient disliked the existing crown on a maxillary central incisor, which had been cemented only three years previously. She reported that she avoided smiling because of the crowns unpleasant appearance. The dentist who had placed the crown also had done a composite build-up on the mesial and incisal third of the lateral incisor. When the crown was removed, it was determined that no modification of the preparation was needed (Fig. 1). Impressions were taken, and the tooth was temporized (Fig. 2). Together, the dentist and the dental technician conducted a custom shade mapping; afterward, the dental technician did a full color mapping (Fig. 3) with the porcelain colors that are available.

Patients Medical History

The choice of material can be limited by allergies, a history of bruxism, etc.

Durability of the Material

Regardless of how esthetic a restoration looks, it is not worth the cost to the patient or the efforts of the dentist and dental technician if it lacks durability. Each of these factors must be considered in every case to achieve the best esthetic results. Metal-free restorations are

Shade Mapping and Photography

Comprehensive shade mapping is a time-consuming process. No single base shade can provide an adequate esthetic match. Different shades are needed in the gingival, body, and incisal

Fig. 1: Preparation of the central incisor. Note the slight discoloration at the incisal aspect of the preparation. Resin composite has been used to build up the mesial aspect of the lateral incisor. DLANY Smiles

Fig. 2: Temporization of the central incisor.

Fig. 3: Color mapping using a pressed ceramic coping.2

Fig. 4: After evaluation of the preparation, adequate room for a pressed ceramic coping with layering porcelain technique. Shade A1 pellet with internal stain on the pressed coping. The gingival third has a gray effect and the middle third has a yellow-brown hue.

Fig. 5: Sample colors of the translucent neutral, enamel opal, enamel occlusal, cervical translucent, and clear fluorescence, fabricated by the technician.

Fig. 6: Sample colors after firing, made at 0.3- to 0.4-mm thickness. These have been ground and glazed to simulate a final restoration.

thirds of the tooth, which also must be divided according to its mesial and distal characterizations. Standard shade tabs can serve as a base shade and offer a place to start; however, because of the popularity of bleaching, establishing a base shade in itself can be difficult. Moreover, because the thickness of the shade tabs does not match that of the finished restoration, some color differences must be anticipated when using these, as well. Unfortunately, shade guides are not representative of the value of real teeth, which is another reason why relying on shade tab assessment alone can be problematic. Special shade tabs are also needed for the opalescence, fluorescence, and translucency of natural teeth. To achieve these effects, the dental technician must make use of a porcelain system with its own effect powders and color-matching tabs and nomenclature. This can also be used to match the surface characteristics such as glaze, texture, and luster. If light should reflect off the crown in a different manner from the neighboring teeth, it will betray the fact that it is an artificial restoration even if the shade is perfect. If the dental technician cannot meet the patient in person, 8

photography must be used to supplement and enhance communication with the dentist. Reference photography with shade tabs is a highly effective means of communication. Digital photographs show excellent detail with regard to colors, glaze, texture, and luster.

Master casts were fabricated. In addition to the master casts, the following information was provided:
The preparation revealed slight discoloration at the incisal aspect. The preparation design offered sufficient room for the restoration. The patient had no known allergies, and her occlusion was not a concern. The patient was looking for a permanent type of restoration.3 Based on all of these factors, pressed ceramics with layering porcelain was the material selected for the restoration in this case.

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Fig. 7: The sample color tabs are laid on top of each other to assess the different color effects.

Fig. 8: Color tabs of the enamel shades.

Fig. 9: Inside powder (IN 44shade) is applied, followed by dentin A1 over the gingival to middle third.

Fig. 10: Enamel intensive and cervical translucent powders are layered in a transition of color to achieve a mammelon effect. Enamel occlusal is applied to the mesial to match the composite build-up on the lateral incisor. Enamel effect is applied to the distal aspect, giving it an enamel effect.

Fig. 11: Translucent neutral covers the incisal to middle third to provide translucency with neutral color, allowing the underlying colors to show through.

Fig. 12: The texture and the amount of translucency together result in a varying degree of light reflection (sample fabricated by Luke S. Kahng, CDT)

Pressed Ceramics with Layering Porcelain

For the pressed ceramics, a variety of different manufacturers ingots were selected for a wide assortment of colors, including dentin, bleached (A0, A00, B0, B00 with 75% opacity), and veneer shades; occlusal enamel light and milky; translucent ingots; and opaque ingots. The opaque ingots (with 85% opacity) are valuable for masking discolored preparations. With pressed ceramics, too much translucency can occur, so a variety 10

of choices are needed. The opacity level of the ingots ranges from about 30% to 85%. Once the choice of material was made, the central incisor was waxed to full contour on the cast and cut back for the porcelain layering. The wax-up was then sprued, invested, and prepared to press. After the ceramic has been pressed, care must be taken to avoid overheating it when cutting off the sprues or modifying the framework. When the cutback framework was
DLANY Smiles

ready for porcelain application, the thickness was evaluated to determine the amount of room available for layering porcelain. If necessary, the shade of the framework can be modified with internal stains (Fig. 4), which can be applied either on the pressed ceramic coping material or internally on the porcelain build-up, as well as externally. The thickness of the porcelain system color-matching tabs also can be a problem. Sample colors of the translucent neutral, enamel opal, enamel occlusal, cervical translucent, and clear fluorescence were fabricated in thicknesses of 0.3 to 0.4 mm (Figs. 5 & 6), then ground and glazed to represent a final restoration. The thickness of these fired porcelain discs is important; discs 0.2 mm or less will be too clear, while those at 0.6 mm will be too thick. The translucent colors should be placed on top of each other to assess light transmission colors (Fig. 7). These samples allow the dental technician to mimic the shadow zones, or areas of the restoration (Fig. 8) that will lose both chroma and brilliance. Inside powders and a specially developed, highly fluorescent primary dentin, which gives the color depth effect, were used for the first layer of porcelain (Fig. 9). Dentin porcelain was applied over the gingival and middle thirds to give the crown optimal chroma (i.e., saturation or strength of hue). The color is produced by reflection from the dentin. The dentin porcelain

was cut back to provide room for a mamelon effect. Enamel and enamel opal porcelain were applied to provide shade graduation similar to that of natural incisal areas as well as translucency. The enamel powder has a high level of opalescence in conjunction with high translucency to create an underlying background to the mammelon effect (Fig. 10).4 A thin layer of clear fluorescence powder was applied between the dentin and enamels. This so-called sclerose dentin brings true-to-nature depth into the tooth color. Translucent modifiers were applied over the clear fluorescence powder; they can be used individually or mixed with the neutral or opal translucent. Enamel effect powders were used at the incisal area to give the natural appearance that cannot be achieved with just one enamel shade and an application of translucent, the neutral color (Fig. 11). Then the enamel powder was applied to achieve full color saturation. Dentin enamel incisal and occlusal buildup was applied to the lingual of the crown. To complete the build-up at the contact areas, the crown was removed from the cast. Then it was ready for baking and firing.

Surface Texture
Matching the surface texture is just as important as matching the shade (Fig. 12). Indeed, surface texture is one of the most

IECDT booth no. 73

DLANY Smiles

11

important elements of an esthetic restoration. The surface texture of an anterior tooth is on prominent display (Fig. 13). For this reason, it will appear heavier than the neighboring teeth. If light should reflect off the crown in a different manner from the neighboring teeth, it will betray the fact that it is an artificial restoration even if the shade is perfect. Surface texture can affect brightness, color saturation, luster, and so forth (Fig. 14). A natural tooth does not present an absolutely smooth surface; it is generally a gently undulating

surface, traversed by very fine horizontal grooves. The horizontal parallel ridges, or growth lines, and the small vertical ridges that run parallel to the marginal ridges help it to blend into the oral environment. Porcelain color build-up reveals a technicians technical ability, but the surface texture reveals a technicians esthetic touch (Fig. 15).5,6 The completed crown was placed on the prepared tooth (Figs 16 & 17). The patient was very pleased with the results and no longer found it necessary to hide her smile (Fig 18).

Fig. 13: Surface texture characteristics coincide with those of the lateral incisor.

Fig. 14: Crown is modified to give same texture of the adjacent anterior. Surface texture checked with a silver powder marker on the surface of the centrals.

Fig. 15: Pressed ceramic coping with multilayered porcelain build-up.

Fig. 16: View after insertion; color matching and surface texture followed (central incisor crown).

Fig. 17: Lateral view to evaluate the segmentation of the color saturation.

Fig. 18: Smile view showing the harmony and color saturation of the central incisors. DLANY Smiles

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Human Zirconium Technology

ZIRKONZAHN USA Inc. - Atlanta, GA - Tel 1 800 989 8931 - Tel 678 441 9419 - infousa@zirkonzahn.com - www.zirkonzahn.com KERENOR DENTAL STUDIO - Canada, Montreal - Mr. Haim Keren - Tel 1 514 989 7887 - Fax 1 514 937 5367 - info@kerenor.ca

THE INVENTOR

ZIRCONIA NEEDS HEROES

ZIRKONZAHN USA Inc. - Atlanta, GA - Tel 1 800 989 8931 - Tel 678 441 9419 - infousa@zirkonzahn.com - www.zirkonzahn.com KERENOR DENTAL STUDIO - Canada, Montreal - Mr. Haim Keren - Tel 1 514 989 7887 - Fax 1 514 937 5367 - info@kerenor.ca

Zilio Aldo, Venice

Conclusion
In terms of shade matching, the single central incisor can be the most difficult tooth for a dental technician to fabricate. The selection of the material for the framework is only the first step in this process. Several factors must be considered, including the design of the restoration, the patients medical history, and the durability of the material. Once the correct material is selected, the communication between dentist and dental technician and the dental technicians knowledge and talent are of paramount importance in achieving a natural-looking restoration and a successful esthetic result.
Acknowledgement Case courtesy of Rick Alwan, D.D.S., Naperville, Illinois.

References 1. Chu S, Ahmad I, Devigus A. Fundmentals of Color (chapter 3). Chicago: Quintessence; 2004. 2. Sulikowski SV, Yoshida A. Surface texture: A systematic approach for accurate and effective communication. Quint Dent Tech 26:10-19, 2003. 3. Kataoka S. Natures Morphology (chapters 4 and 5). Chicago: Quintessence; 1998. 4. Kois J. New paradigms for anterior tooth preparation: Rationale and technique. Oral Health 88:19-30, 1998. 5. Sorensen JA, Torres TJ. Improved color matching of metal ceramic restorations. Part 2. In: Magne P and Belser V. Bonded Porcelain Anterior Restorations: A Biomimetic Approach (pp. 83-83). Chicago: Quintessence; 2002. 6. Spear FM. Maintenance of the interdental papilla following anterior tooth removal. Pract Periodont Aesthet Dent 11:21-28, 1999. Reprinted with permission from the Journal of Cosmetic Dentistry (AACD 2008)

About the Author

Luke Kahng, CDT, has been published extensively in dental magazines and is a Section Editor for PPAD magazine as well as a Spectrum Dialogue board member. Some of his specializations include the LSK121 Treatment Plan Wax-Up Technique, an ideal method for all high cosmetic cases, and biomechanical design of occlusal surfaces, focusing on reconstructive and esthetic dentistry. His Smile Selection book and Anterior/Posterior Characterization Guide are both ideal for patient education and help in the selection of anterior makeovers.

IECDT booth no. 3 & 4

www.laserdenta.com

3D Implant Planning Software for the Dentist

www.implant3d.com 14
DLANY Smiles

NobelProcera
Full zirconia product assortment in four shades.
white light medium intense

Certified for excellent material homogeneity and purity

Innovative coloring technique

Excellent flexural strength and no degradation in strength compared to white zirconia*

light intense

Excellent esthetic results supported by the coloring of the underlying framework

* **

Nordic Institute of Dental Materials (NIOM) NobelProcera Zirconia testing: S306269B, S306205B. Products for NobelActive platform are currently under development.

Following the success of shaded NobelProcera Zirconia Crowns, the same colors are now available for the full assortment** crowns, copings, bridges, abutments, implant bridges. The innovative coloring technique ensures excellent material homogeneity, consistent color throughout frameworks. External studies show no degradation in strength

compared to white zirconia.* NobelProcera offers solutions for all indications single crowns, bridges up to 14 units, cemented or screw retained, fixed or removable prosthetics on natural teeth and implants. NobelProcera provides extensive experience and access to a quality-assured centralized industrial manufacturing. Precision of fit, quick turnaround times,

consistent and predictable results you will enhance your customer satisfaction and the efficiency of your practice. Nobel Biocare is the world leader in innovative evidencebased dental solutions. For more information, contact a Nobel Biocare Representative at 800 322 5001 or visit our website. www.nobelbiocare.com/nobelprocera

Nobel Biocare USA, LLC. 22715 Savi Ranch Parkway, Yorba Linda, CA 92887; Phone 714 282 4800; Toll free 800 993 8100; Tech. support 888 725 7100; Fax 714 282 9023 Nobel Biocare Canada, Inc. 9133 Leslie Street, Unit 100, Richmond Hill, ON L4B 4N1; Phone 905 762 3500; Toll free 800 939 9394; Fax 800 900 4243 Nobel Biocare 2009. All rights reserved. www.nobelbiocare.com

Going Pinless
James Garland, CDT

ental labs today face constant changes in technology and increasing overseas competition. CAD/CAM technology aims to reduce direct labor cost yet foreign labor remains cheaper. Finding and implementing practical tools of efficiency, accuracy and simplicity into our laboratories to stay competitive and cost effective can be especially tricky when investing in new technology or change. When it comes to the model and die process, cost effective is the whole point of Monotrac, offering more versatility, options, accuracy and efficiency than any other model, die and articulation system, period. The integrated articulator with

pinless model tray allows a single pour cast in place setup that is simple fast and complete. Unlike other pinless model trays, dies are easily removed from the base, easy to relocate and are completely stable throughout the arch. Even the thinnest of dies can be solid model sectioned on this model base. Monotrac is also the only pinless system having full range capabilities and not limited to a few selected type cases. It ranges from the full round house, to the single unit double bite trays, to the refractory and sectioned implant models, Monotrac does it all, with or without the usually rather cumbersome metal articulators.

Monotrac is the only pinless disposable full range capable model, die and articulation system.

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The Monotrac set up will cut labor time by more than 70%, eliminating grinding, pinning, gluing, basing and articulation procedures. How does Monotrac lose the pins? Dies are retained and supported by a patented internal retention base consisting of strategically spaced and sized tapered cones that support the thinnest of die sections including multiple adjacent lower anteriors. Double bite impressions are cast directly onto the articulator simultaneously within the pour up itself. A missed bite in the impression can be easily corrected by simply heating and softening the articulator arm and repositioning the cast bite. The job of the articulator is to pinpoint solid centric, complete full equilibration and when needed, simulate cuspid rise. Monotrac is the only plastic disposable articulator on the market capable of these requirements. The articulator arm will flex 360 degrees in the occlusal plane to effectively simulate natural jaw movements following the natural wear facets and

guidance of the adjacent teeth - excursive movements including protrusive, retrusive, lateral and centric circle replication. Finally, Monotrac eliminates basing stone overexpansion. The distortion of basing stone, both in linear and cross arch expansion is eliminated. This increases accuracy the same way as the Kiefer, Zeiser and Amanngirbach Girroform systems, but additionally it is easier to use and more cost and time effective. Monotrac offers four shapes of trays that utilize the same universal snap on excursive flex articulator. These are Straight Quad, Radius Quad, Anterior, and the Full Arch. This article features the full arch set up demonstrating a maxillary full arch round house case without any natural occlusal stop support. The set up will require three Monotrac Plug-in stops to create solid tripod vertical centric location and support. The case presents a separate pre-poured opposing model and bite registrations.

Shown are the Monotrac V2 full arch tray and full arch round house impression. A red map pin is placed at the midline to guide the forward and centered placement position of the tray relation to the impression. A Sharpie can also be used to make guide markings.

The V2 tray and impression are poured with die stone.

The base is inverted and aligned over the impression.

The impression is removed and the Tear-away wall is peeled away. This allows the model to be ejected from the tray and leaves a neat appearance and minimal finish work.

DLANY Smiles

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DENTSPLY Prosthetics - For All Your

W E
zirconia

N
Integrated Ceramics

N
Implant Bars & Bridges

Ceramco
Call 1-800-487-0100 for information or to place your order for Ceramco or Austenal lab products.

Fixed & Removable Lab Products!

EW N
Denture Teeth

Frameworks

Trubyte

Austenal

For Trubyte products, please contact your dealer of choice.

IECDT Booths 5 & 6 Patio Demos: Saturday, September 12th 10:00 am - 4:00 pm

www.ceramco.com www.trubyte.dentsply.com www.austenal.dentsply.com

The palatal area of the tray is tapped forward and back in a manner to create an even ejection of the model from the tray.

The method of die section is optional to the technician. It is completed by hand saw, hand piece disk or the Monotrac die cutter shown here. The Die Cutter requires a warm model for fast, easy removal of fine dust debris. Bottom cuts are made first for the bulk of the cut. Hand saw or disk cuts are then made from the top in the margin area to meet the bottom cut. Dust and debris are immediately air blasted for complete removal. Note it is also optional to create small snap breaks between dies for a solid model effect.

The blue table top can be flipped up to use the diamond disk lathe style for making buccal and lingual cuts or can be top cut with a hand saw to complete the die section.

Where required, a vertical stop is needed in unsupported or free end locations. Monotrac patented Plug-in adjustable vertical stops are simply pressed into the stop pockets in the tray.

Shown are all the components required to finish this set up. From top left to right: flex arm hinge, trimmed bite registrations. Middle row from left: Monotrac V2 base with sectioned trimmed dies and removable G-mask soft tissue, silicone pick-up cup with the opposing model shown inside. Bottom row from left: cast-in-place vertical stop heads, center is an example of full assembly of stop head attached to plug-in-stop body, next are two plug in stops and adjustable screws. Because this case has no natural occlusal stops, it will be fully vertical supported by the three plug-in stops.

The opposing model is strapped down firmly into the trimmed bite registrations with rubber bands maintaining positive pressure into the bite registrations. Note that stone models expand beyond the impression of the bite registration restricting full passive seat into the bite registrations. The rubber bands force a more accurate full seat into the bite registrations.

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S P R O E U E M D L
f se - a i r b te a t r e se - e t r

The hinge, stops and picup cup in place for trial fit and clearance; The opposing model and cast in place stop heads will be captured simultaneously into the pour.

Exclusive pinless, c cast-in-place cast-in-place set up saves 70% in model

The pic-up cup is poured and model, stops and hinge are captured and settled into the wet stone.

making time. Simple easy to use for any case from single unit to use t full mouth reconstruction, refractory and beyond. reconstructi ion, Delivers the ultimate in model performance and accuracy. model Solid model dies zero linear base expansion full natural line ear equilibration. equil libration.

The pic-up cup is removed, rubber bands are cut, the stop head retainer tabs are broken away from the screw heads. Note that the cast-in-place stop heads have lateral ramps that simulate average value cuspid rise. Monotrac is the only disposable plastic articulator with solid vertical stop capability. Monotrac also offers a magnetic split cast adapter plate for attachment to semi or fully adjustable articulators.Because Monotrac has this solid vertical stop capability, metal articulators are really no longer required. DLANY Smiles

M O D E L

P E R F O R M A N C E
888.9 888.942.9494 942.9494

www.monotrac.com
Salt Lake City ,Utah.

satisfaction guaranteed

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The Finished Model with three plug-in vertical stops

The magnetic split cast adapter components: From left, a magnetic ring is placed inside the index cavity of the back side of the opposing model. Center, a metal plate is attached to the inside screw boss of the Monotrac model tray. Right, the split cast adapter plate which magnetically attaches to Full Arch Monotrac base and plastered to the big articulator. All of these split cast components are reusable. For convenience and easy handling, Monotrac bases can be transferred between articulators and used both ways on the same case. Simply remove the hinge and plug in stops, then move to the big articulator.

Monotrac model bases with split cast plates on a Denar articulator

About the author

Jim Garland, CDT, has dedicated over 30 years to the dental lab industry; he graduated with an AA degree in Dental Technology from Mt. Diablo Junior College. In 1978, Garland received a Bachelor of Arts Degree from the University of Utah, with emphasis in sculpture. Jim received his first patent for his cast in place, pinless, single pour articulator, known as the Monotrac, in 1990.This unique, snap broken horizontal, internally retained die is known by its users as the ultimate in ease and accuracy, and a vital time saver for model and die set up. In 2000, Garland introduced the Monotrac VSP (vertical single pour) pinless model and die articulation system and last year he introduced the Monotrac Supermodel V2 system.

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DLANY Smiles

Mail orders to: Palmeri Publishing Inc., 35-145 Royal Crest Court, Markham, ON Canada L3R 9Z4 Phone Orders: 905. 489.1970 Fax Orders: 905. 489.1971 or order online at www.spectrumdialogue.com

Price: $330.00 US
plus shipping and handling

The IMPLA 3D Navigation System

he IMPLA 3D Navigation System from SCHUTZ Dental Group, Inc is a tool for the production of highclass drilling templates with depth stop. The templates can be created using virtually any implant system on the market and can be produced in your own laboratory. The complete system consists of the IMPLA 3D planning software, laptop, IPS (Implant Positioning System) and consumables. The software can also be purchased individually.

Accurate 3D planning requires the production of an X-Ray template, CT or Cone Beam X-Ray with this template correctly in place, and a surgical guide produced from the information provided by the CT Scan and the planning done in the 3D software. Steps 1-4 discuss the creation of an X-Ray template.

Fig. 1: From the dentists impression a model is made in the traditional manner. A type 4 plaster should be used and the model should be trimmed with the base parallel to the occlusion area and the distal at 90 degrees. As this is a model based system, it is very important to follow these parameters. If you wish to check the accuracy of your surgical guide, you can pour a second model at this time.

Fig. 2: Mount the models in an articulator and wax-up or place acrylic teeth on the section where you wish to place the implants. Duplicate the teeth with a silicone form. Inject TemRay into the form. TemRay is a premixed radioopaque material that easily shows up on CT scans and greatly reduces scatter. DLANY Smiles

24

Fig. 3: Isolate model and block out undercuts. Produce a template using FuturaGen (or any other clear acrylic material) with impressions of the opposite model. Place the model on the IPS table and turn all three axes to 0 degrees. Use the drill on the IPS to create reference holes in the position where you would like to have the abutments. NOTE: This is not the final position of the implants, only a reference marker for the software to calculate the displacement and angulation of the implants that are planned in the software. Take care to drill through the TemRay material but not into the model.

Fig.4: To complete the x-ray template, apply a straight plate at the incisal area to help the x-ray department into positioning the patient correctly into the CT or Cone Beam Scanner. It is important to make sure that the x-ray shows the reference holes perpendicular to occlusion.

Fig. 5: The CD-Rom with the raw DICOM files are then uploaded into the IMPLA 3D software. There is no data conversion needed. The software does this automatically for DICOM files and 60 other data formats. After the file is imported, you can select your panoramic cut, and highlight the mandibular nerve canals. The software allows you to look at your information in 5 different views, measure any distance you need, check bone density and hardness and virtually place your implants.

Fig. 6: After all implants are placed and the planning is finished, a complete forensic documentation of all implants can be printed. For fully edentulous cases, anchors can easily be planned as well. There will be one page for each implant or anchor, showing all relevant information including the five axis of where to adjust the IPS for the new location of the implant.

Fig. 7: The model is placed on the IPS in the zero position at the first indicated implant reference mark. Using the information from the printout, the implant slice and panoramic displacement are adjusted and then the new position of the implant is marked using articulating paper. The new angulation is now applied using the yellow and red gonimeter values from the printout.

Fig. 8: Now that the new position and angulation of the implant are known, you can now use the IPS to drill directly into the model. If you are using implants that have a sleeve with depth stop, you can now place an analog or drilling sleeve into the horizontal micrometer screw and then place into the IPS and fix to the desired zero position. The gum depth from the printout is now set by turning in .3 steps. Repeat steps 7 and 8 for each implant.

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Fig. 9: The surgical guide is now created by injecting SteriGuide around the drilling sleeves. This material is a high density composite which can be autoclaved with all drilling burs and implants.

Fig. 10: The finished guide is used to quickly, easily, and safely place the implants necessary. This flapless procedure, combined with the autoclavale surgical guide provides for less traumatic and stress free surgery for the dentist and patient.

About the authors

Steve Djuric, D.D.S., graduated in 1991 from USC ( University of Southern California ). He has had a private practice in Florida since 1992 and is currently practicing part-time in Pensacola , FL. He's enjoyed the privilege of an in-house lab where he works hand in hand with his technicians with the IMPLA 3D system. Member of American Academy of Implant Dentistry. Email: lildental@aol.com or 850-712-4980.

Adding Value to Dentistry

www.schuetz-dental.de info@sdginnovations.com

Tizian CAD/CAM
TM

IMPLA 3D
TM

3D Implant simulation directly on your PC

Works with all implant systems Fully auto-clavable surgical guides Complete documentation of planned cases Produce your own x-ray templates and surgical guides in-house

The system transforms high-quality CAD data into precise zirconia, castable acrylic and temporary composite frameworks User-friendly, intuitive software Produces bridges up to 16 units, made telescopic works and more in made Open architecture system Germany in Nesting software

Dental labs

Dentistry

Laser

Germany Implants

USA Ofce: SCHTZ Dental Group, Inc. 431 Howe Avenue Shelton, CT 06484 T: 866-922-1484 F: 203-922-8095 SCHTZ Dental GmbH Dieselstrae 5-6 D-61191 Rosbach/Germany T: +49-6003-814-365 F: +49-6003-814-906 info@schuetz-dental.de

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DLANY Smiles

63
Speaker Sponsor
Gianni Storni, CDT

rd

Annual International Education Congress

of Dental Technology
FRIDAY SEPTEMBER 11, 2009 SESSIONS
Time Location Topic ID CE Hrs

American Recovery

9:00AM

Stonington

Considerations for Implant and Removable Prostheses Size, Simplicity, Function, and Fabrication

F01

Mary Borg, CDT & April McDowell

Safelink Inc.

9:00AM

Winthrop A

FDA Workshop

F02

Keith Moilen

DLANY

10:00AM

Round Hill

Protocol for Rehabillitation on Large Cases

F03

Hans Geilselhringer

Nobel Biocare

1:00PM

Round Hill

The NobelProcera system - new technology and new customized solutions for a truly digital workflow

F04

Olivier Tric, MDT

GC America Inc.

2:00PM

Winthrop A

The Seven Pillars to Achieve Excellence in Fixed Prosthetics; A Guide to Success for Dental Technologist

F05

Scott Parsinen

Whip Mix Corporation 2:30PM

Mead C

Digital Dentistry and CAD-CAM

F06

Mike Perkowski

3M ESPE

2:30PM

Winthrop B

Impression Techniques - Problem Recognition and Solutions - A Look at the Future of Digital Impressioning

F07

Dr. Aaron Astle

GLS Dental

3:00PM

Stonington

A Welding System with the Power Necessary at a Fraction of the Cost of Its Competitors

F08

Mary Hatt

Straumann

3:00PM

Mead A

Success in Building Porcelain Fused to Titanium

F09

1.5

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DLANY Smiles

63
Speaker
Luke Kahng, CDT

rd

Annual International Education Congress

of Dental Technology

SATURDAY, SEPTEMBER 12, 2009 SESSIONS

Sponsor
LSK121 Oral Prosthetics XPdent Corp.

Time
9:00AM

Location
Round Hill

Topics

ID

CE Hrs
3

Absolute Matching the Shade for a Single Central to Multiple Units S01 For Your Success! Bredent Visio.lign Techniques for Hybrid Overdentures S02

Peter Kuch, CDT, ZTM Mary Borg, CDT & April McDowell Lars Hansson, CDT

10:30 AM Winthrop B

Safelink Inc.

9:00AM

Winthrop B

"Deal or No Deal" Patient-specific Abutments - Productivity Profitability and Predictability Esthetic Solutions for Today and Tomorrow

S03

Astra Tech

9:00AM

Winthrop A

S04

Pat Taylor

Ivoclar

10:00AM

Mead B

S05

Kris Schermerhom Edward Harms, B.S, CDT Craig Pickett, CDT

CDM Dental

9:00AM

Stonington

Future Advancements in Removable Prosthetics

S06

Talladium Inc. Whip Mix Corporation ProLab Solutions

9:30AM

Mead B

How to Build 8 Mintue Crown Science and Process for Solid Foundations in a World of Critical Creations MLS - Truths & Myths of Dental Laboratory Outsourcing Aesthetic Approach for Laminate Veneer and Implant Restorations The Logical "Next Step in CAD/CAM laboratory fabrications" Get Ready: Set, Process, and Finish! The Complete Guide to Cosmetic Denture Fabrication "Deal or No Deal"

S07

10:00AM

Mead A

S08

Jim Erb, CDT Domenico Cascione, CDT Edward Flocken, BA, CDT Dennis Urban Mary Borg, CDT & April McDowell Peter Nagy

11:00AM

Stonington

S09

Vident

2:00 PM

Round Hill

S10

GLS Dental

2:30PM

Mead A

S11

Vident

2:30PM

Winthrop A

S12

Safelink Inc.

3:00PM

Winthrop B

S13

Valplast

3:30PM

Mead B

Building a Profitable Removables Department with Valplast A Bondable Esthetic Temporary Restoration for Single Tooth Implants Are You Prepared? Go Digital without Going Crazy - 3D Virtual Touch for Partial and Crown & Bridge Design

S14

Tom Bormes, MBA

PREAT Corporation

9:00AM

Sheffield

S15

Tom Bormes, MBA

PREAT Corporation

12:30PM

Sheffield

S16

Matt Tait, RDT

SensAble

2:30PM

Mead C

S17

DLANY Smiles

29

63

rd

Annual International Education Congress

of Dental Technology

Company Name
3M ESPE Accurate Metals & Refining Amann Girrbach America Inc. American Dental Supply American Recovery Argen Corporation Aspen Dental Astra Tech CDM Debtal Cusp Dental Research Dental Lab Products Dentorium Products Dentsply Prosthetics GC America Inc. GlobaLink Soulutions Dental Greater New York Dental Meeting Ivoclar Vivadent Lincoln Dental Supply LMT Communications Maguire &Strickland

Booth Number
N0. 62 No. 34 No. 63 N0. 41&40 N0. 73 N0. 38&39 N0. 9 N0. 35 N0. 33 N0. 60 N0. 48 N0. 68 N0. 5&6 N0. 66&65 N0. 3&4 N0. 7 N0. 47 N0. 71 N0. 55 N0. 74

Company Name
NBC/ NADL Nobel Biocare Pease & Curren Inc. Pro Lab Solutions Inc Renfert USA SafeLink Inc. SensAble Technologies, Inc Shofu Dental Corporation Shu Dental Lab Sterngold Straumann Sun Dental Labs Talladium Valplast Vident Whip Mix Corporation Wieland USA Xpdent Corporation Zahn Dental Food And Beverage

Booth Number
N0. 1 N0. 36&37 N0. 10 N0. 42 N0. 8 N0. 72 N0. 64 N0. 13 N0. 61 N0. 11 N0. 59 N0. 58 N0. 67 N0. 12 N0. 46 N0. 70 N0. 57 N0. 56 N0. 49,50,52,51 Booth 15- 32

30

DLANY Smiles

TREATMENT CENTERS

INSTRUMENTS

IMAGING

CAD/CAM

Now included with every inLab : Thousands of CEREC dentists.

CEREC Connect drives business directly to your lab.

inLab from Sirona, the most popular laboratory CAD/CAM system available, opens your door to thousands of CEREC dentists via the CEREC Connect web portal. Digital impressions from your dentists, CEREC Connect and inLab will skyrocket your lab to new heights of success.

You name it, with CEREC Connect you can do it: PFMs, gold crowns, all-ceramic bridges, and more. Digitally fabricated models at the push of a button: Full arch and half arch, highly precise with perfectly ditched and separated dies. Out with the Stone Age: Tedious infection control and messy stone model fabrication become a thing of the past. Dont settle for less than the best; become part of the largest, most successful digital dental network ever with inLab and CEREC Connect!

Get Connected. Register at www.CERECConnect.com or call 800-873-7683 for more information.

Smiles Marketplace
Primotec USA Metablue
Metablue, a light cured Metacon System modelling composite, is an advanced, ready to use one-component material that is available as modelling gel from the syringe. Usable in all areas of dental technology, this new material that burns out cleanly and completely is characterized by its true dimensional stability, without any clinically relevant shrinkage. As a light cured material, it is free of MMA, meaning lowest allergic risk. Due to its thixotropic behaviour, it is great fun and very easy to work with efficiently. For more information call 866-643-3129. quality new products to the VITA line: VITA CAD-Temp multiColor blocks and VITA CAD-Temp CT-55 blocks.

Nobel Biocare TiUnite

Nobel Biocare celebrates the tenth anniversary of the development and testing of its proprietary titanium oxide dental implant surface, TiUnite. In vivo testing has proven that the moderately rough TiUnite surface enhances the speed at which implants osseointegrate, by stimulating rapid bone growth. This stimulated bone growth translates into a significantly reduced drop in initial stability and during the critical period during which stability changes from the purely mechanical to the biological interaction of the implant in living bone. This maintained stability is particularly important in indications of soft or compromised bone and in situations when implants are placed in immediate function (Glauser et al. 2001). For more information, visit www.nobelbiocare.com.

Vita In-Ceram Blocks Available in Zest Anchors - Locator for All-on-4 Implant Procedure
A special Locator Abutment with a titanium collar has been designed for direct placement onto the Nobel Biocare Multi-Unit Abutment for the All-on-4 Implant procedure. The use of free-standing Locator Abutments eliminates the high cost of a cast bar, while reducing the vertical height of the restoration. Patient oral hygiene is easier to maintain with individual Locator Abutments rather than the complex structure of a cast bar. The Locator Attachment directs the patient into the proper seating of their overdenture and provides long lasting performance. For more information, call Zest Anchors, Inc. at 800-262-2310.

The new VITA CAD-Temp multiColor blocks feature four natural shade layers with exceptional esthetics for anterior long term provisional restorations. The blocks are used for the fabrication of multi-unit, fully or partially anatomical long term temporary anterior bridge restorations with up to 2 pontics as well as temporary crowns. The larger, monocolor VITA CADTemp CT-55 blocks (15.5x19x55mm) are available for multi-unit long term provisional bridge restorations with up to 7 units and 2 adjacent pontics. For more information, call 800-828-3839 or visit www.vident.com.

Laserdenta 5-Axis Milling System DENTSPLY - Eclipse Radica Acrylic

Dentsplys Eclipse Radica Acrylic is tried and tested for temporary and diagnostic restorations. It is incredibly simple to create crowns and bridges with convincing aesthetics at the same time. The material indications have been extended to include long-term temporary restorations that can remain in place for up to two years. The acrylic Eclipse Radica is approved for two years of use intraorally because of its high flexural strength, resistance to abrasion, and good marginal integrity. Eclipse Radica is easy to layer, corrections are simple, and can be relined with many common materials of your personal preference. For more information, call Sven Abel at +49- (0)6181-59-5843 or email sven.abel@degudent.de.

New Vita Cad-Temp Materials Available from Vident

Adding to their already popular selection of VITA machinable ceramics and porcelains, Vident announced the roll-out of some

Laserdenta, Inc. announces the release of its Laserdentas Model OL300 5-Axis Milling System. Laserdenta offers the 5-axis milling system as genuine Germanys construction to provide the laboratory owners assurance of durability. Laserdentas 5-Axis milling system is open architecture as it provides for the acceptance of STL or STA files from a wide variety of scanners. Laboratories can easily output restorations as STL-files ready for 3D printing and/or milling. If your laboratory does not own the necessary output equipment, simply send the files to a service center via the Internet. For more information, visit www.laserdenta.com.

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DLANY Smiles

Smiles Marketplace
Laserdenta OpenLaser Scanner
Laserdenta, Inc. announces the release of its Laserdentas Model OL100 5-Axis 3D OpenLaser Scanner. This laser scanner provides the users the ability to scan solid Unsawed full arch models essential for implant dentistry. The revolutionary robust Germany craftsmanship makes the scanner strong enough for the large production challenges but priced for the small to medium-sized laboratory. For more information, visit www.laserdenta.com. ZENO ceramic materials. The zirconium oxide and aluminium oxide materials which clearly convey to the user for what purpose they are intended are called ZENO ZrBridge, ZENO ZrCrown+ and ZENO AlCrown. With the name change, WIELAND takes another consistent step forward as the CAD/CAM system provider.

Sirona InLab Ceramic Abutments

Sirona extends its inLab product range to implant treatment. New software version, inLab 3D for Abutments V3.60, enables a restoration and an abutment in a single design process. In the future, it will be possible to design and mill individual zirconia abutments for the most popular implant systems with the inLab system from Sirona. The software update inLab 3D for Abutments V3.60, to be released in summer 2009, offers the special advantage of enabling the creation of a crown and an abutment in a single design process. The software can thus allow for a scanned antagonist, mock-ups and implant masks as design aids. No wax-up is required. This accelerates the production process and has a positive effect on the fit. For more information, visit www.sirona.com.

ZENO ZrBridge translucent is the latest outstanding zirconium oxide material from WIELAND. ZENO ZrBridge translucent covers the complete spectrum of indications including large spans. In keeping with the system concept, this material can be veneered with ZIROX and PressX Z overpressed. It is also suitable for use of fully anatomic restorations for which WIELAND is currently developing a complete system. For more information, visit www.wieland-international.com.

This, in premise, is the underlying concept in this book. Careful observation of natural teeth in terms of shape, form, color, and internal structure (dentinal skeleton, incisal plate, and suspension effects) are discussed. The starting point of the stratification technique proposed in this book is an accurate analysis of the internal structure of natural teeth, and is mainly the rational application of rules derived from those found in natural dental elements. The reader is referred to a series of unique images showing teeth in section anchored in the oral cavity. This book will help contribute to your professional development!

Plan!

Three New Sizes

Vident announces three new product sizes for its VITA In-Ceram restorative materials. In response to the needs of the marketplace, VITA has produced the new VITA In-Ceram YZ-14, designed for single tooth substructures, and the VITA InCeram YZ 65/40 and YZ 85/40, larger blocks that are best for multi-unit bridge substructures and stack milling of multiple single-unit restorations. For information on the VITA In-Ceram YZ-14 and the VITA In-Ceram YZ 65/40 and YZ 85/40 blocks and other quality products, call 800-828-3839 or visit www.vident.com.

The Incisal edge:

The strong point in the expression of an incisor
Author: Attilio Price:

Sommella

$139.00

Subscribers save 20%

Specifications: 8 x 10 x .75, 176 pages

Pub. Date: 2009

WIELAND ZENO Ceramic Materials

By changing the product names based on indications, WIELAND has immediately made it easier for its customers to use
DLANY Smiles

Mail orders to: Palmeri Publishing Inc., 35-145 Royal Crest Court, Markham, ON Canada L3R 9Z4 Phone Orders: 905. 489.1970 Fax Orders: 905. 489.1971 or order online at www.spectrumdialogue.com

33

BOOKSHOP
$99.00
plus S&H

Surface Textures - The Theory of Surface Marks

Giuseppe Spina 96 pages, 8 x 9.5, glossy, hard cover with full color images.

The purpose of this book is to acquaint dental technicians and dentists with the importance of surface texture occurring in natural teeth and the possibility of its reproduction.

Crown-Bridge & Implants

Luc & Patrick Rutten 296 pages, 9.5 x 12.5, glossy, hard cover with more than 1300 color photographs.

$234.95
plus S&H

Crown Bridge & Implants is an international bestseller. This second book includes 1300 brilliant images and an impression of the daily laboratory work of two Belgium brothers. Their many patient cases are explained in a straight forward and extremely informative way. Full ceramic crowns, bridges, individual abutments and implant restorations are explained. This book provides material for constructive discussions and interdisciplinary communication about full ceramic materials as well as the Procera system, from a dental technologists point of view.

$259.00
plus S&H

Tricks and Hints

Grald Ubassy 216 pages, 10 x 12, hard cover with over 1000 photographs.

From the creative genius of the French Master Gerald Ubassy, a new literary work of the highest educational and photographic content. The questions and the solutions focus on daily challenges that all dental laboratories face and are explained and resolved in a concise and clear manner. The author has collected 72 challenges and offers corresponding solutions; Tricks that he uses in his dental laboratory in order to optimize efficiency and obtain brilliant results each day in each case.

Analysis
Grald Ubassy 384 pages, 10 x 15, hard cover will over 400 large format color images.

$209.95
plus S&H

The inspiration for every restoration flows from our understanding. Our creativity stems from the depths of that understanding. Grald Ubassy created Analysis so that dentists and technicians would have a way to visually communicate a desired outcome. We can only replicate what we are familiar with. Ubassy has assembled a stunning variety of natural situations for study. More than 400 brilliant large format images of various dentition groupings are faithfully reproduced in this 384 page atlas. Analysis is nature; perhaps that is why this book has been one of the most popular dental publications ever printed. It is an indispensable tool for dentists and technicians.

$330.00
plus S&H

Aesthetic & Restorative Dentistry

Douglas A. Terry, DDS, Karl F. Leinfelder, DDS, MS, Willi Geller 770 pages, 9 x 12, hard cover will full color images.

This international forum presents global information from a multitude of different countries. The aesthetics driven decade in dentistry requires an ever increasing body of knowedge essential to the process of clinical decision making for beautiful smiles or aesthetic restorations. In this text, Dr. Douglas Terry has gone to great lengths to assemble an international core of experts from quite diverse dental fields, where the prerequisite was to put together a sequential series of monographs addressing those very issues that clinical dentists encounter in day to day practice.

$99.00
plus S&H

Anatomy From Nature

Luke S. Kahng 62 pages, 9 x 11, hard cover with full color images.

The clinician, assistant and dental technician will find significant value in the study of tooth morphology, shape, form and contour detailed in these pages, as well as excellent communication regarding cusps, fosse, dissection groove, marginal ridge, secondary grooves and emergence profile. Includes 60+ pages of technician fabricated and stone model teeth with fully contoured wax design.

Esthetic Guide Book

Luke S. Kahng 60 pages, 9 x 11, hard cover with full color images.

$99.00
plus S&H

Have you ever considered improving your appearance? Do you ever look at your teeth and wonder what changes can be made? Your teeth affect more than just your smile; your teeth support your face and your features. Changing your teeth can improve your personality by making you feel more outgoing and confident. This book takes the reader through the pursuit of a natural appearance in restorations (crowns and bridges), and contains real patient cases of individuals who took a big step forward toward improving their smiles.

$139.00
plus S&H

The Incisal Edge

Attilio Sommella 176 pages, 8 x 10, glossy, hard cover with full color images.

Plan! This is the underlying concept in this book. Careful observation of natural teeth in terms of shape, form, color, and internal structure (dentinal skeleton, incisal plate, and suspension effects) are discussed. The starting point of the stratification technique proposed in this book is an accurate analysis of the internal structure of natural teeth, and is mainly the rational application of rules derived from those found in natural dental elements. The reader is referred to a series of unique images showing teeth in section anchored in the oral cavity. This book will help contribute to your professional development!

Shades: A World of Colour

August Bruguera 264 pages, 9 x 10, glossy, hard cover with 628 full color images.

$189.95
plus S&H

In this book, August Bruguera successfully reflects his work practice to his co workers allowing the language of the image to prevail. He explains the process in such a way that we find ourselves in his visual world. His need to allow us to become intimate with his creative work surely places him among the masters of our profession.

$259.00
plus S&H

Dictionary: Explanations in 4 Languages

Dr. Dominik Gross 2 volumes, 778 pages each, 6.5 x 9.5, hard cover.

Dr. Dominik Gross has compiled a dictionary which serves to integrate terms from dental technology and dentistry, in four languages: German, English, French and Spanish. This dictionary presents the user with the specialized English lexeme in alphabetical order. More than 15,000 keywords per language make this dicitonary a must for dental technicians, dentists, oral and facial surgeons, nursing staff of maxillofacial hospitals, dental assistants, businessmen in the dental profession, translators, and, last but not least, writers on technology.

Mail orders to: Palmeri Publishing Inc., 35-145 Royal Crest Court, Markham, ON L3R 9Z4 Canada Phone orders: 905.489.1970 Fax orders: 905.489.1971 or order online at www.spectrumdialogue.com

Mail orders to: Palmeri Publishing Inc., 35-145 Royal Crest Court, Markham, ON L3R 9Z4 Canada Phone orders: 905.489.1970 Fax orders: 905.489.1971 or order online at www.spectrumdialogue.com

The new
dental labor international plus
The English version of the German das dental labor

Subscribe now and smile later!

Break away from the pack

dental lab international plus brings you the finest in dental technology from Germany. dental lab international plus features how-to-do articles from its parent publication, das dental labor the worlds leading dental technology journal that has been keeping its readers (now more than 100,000 in 55 countries) on top of things for more than 50 years. A unique editorial concept for the international market that offers outstanding articles individually followed by continuing education tests. Each article is worth CE credits.

dental labor international plus

1 Year (6 issues) United States Canada International $99.00 US $99.00 CAD + GST $119.00 US 2 Years (30% off) $139.00 US $139.00 CAD + GST $167.00 US 3 Years (40% off) $178.00 US $178.00 CAD + GST $214.00 US

For more information contact: Palmeri Publishing Inc. at: 905-489-1971 or visit www.spectrumdialogue.com
Mail orders to: Palmeri Publishing Inc., 35-145 Royal Crest Court, Markham, ON Canada L3R 9Z4 Phone Orders: 905.489.1970 Fax Orders: 905.489.1971 All U.S. and International orders must be paid in U.S. dollars. Canadian orders must be paid in CAD Dollars (Please add GST). We accept Visa, MasterCard, American Express and cheques payable to Palmeri Publishing Inc. Name: _______________________________________________ Billing Address: ______________________________________________ City:_____________ State/Prov:_________ Zip/Postal Code:________ Phone: _______________ Email: _____________________________ Card No. _____________________________ Exp. Date: _______________ V-No. ____________ Signature: _________________________
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Smiles Marketplace

AdLink
Smiles DLANYs advertisers invite you to find out more about their products, materials, techniques and services. For more information, visit their website or call the numbers listed below.
AMR ASMDT Argen Corporation Dentsply Ivoclar Vivadent Laserdenta Monotrac Nevin Laboratories Inc. Nobel Biocare Pease & Curren Inc. Rhein 83 USA Swiss NF Metals Inc. SCHUTZ Dental Group Sirona Zahn Dental Zirkon Zahn www.rhein83usa.com www.swissnf.com www.schuetz-dental.de www.cerecconnect.com www.zahndental.com www.zirkonzahn.com www.asmdt.com www.argen.com www.austenal.dentsply.com www.ivoclarvivadent.us.com www.laserdenta.com www.monotrac.com www.nevinlabs.com www.nobelbiocare.com 1.866.479.6807 1.800.487.0100 1.800.533.6825 1.866.328.5011 1.888.942.9494 1.800.544.5337 1.800.939.9394 1.800.343.0906 1.877.778.8383 1.800.387.5031 1.866.922.1484 1.800.873.7683 1.800.496.9500 1.800.989.8931 1.866.973.3463 38 38 2 18-19 40 14 21 38 15 26 11 9 26 31 39 13

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DLANY Smiles

Digital Highway Scanning Digital Design Wax and Model Printing Milling Outsourcing Final Restoration

Your Zahn High-Tech Specialist can demonstrate how technology can add value to your laboratory.

Contact your Zahn High-Tech Specialist for a test drive on the digital highway
or for more information, call: 1-800-496-9500 E-mail: zahnhightech@henryschein.com www.zahndental.com
2009 Henry Schein, Inc. No copying without permission. Not responsible for typographical errors.

e.max LITHIUM DISILICATE IS THE MOST ROBUST CERAMIC SYSTEM * TESTED TO DATE.

This changes everything.

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1

350 N*1 zirconia veneered

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1,000 N*2 IPS e.max lithium disilicate