Technology

So I’m gonna show you how easy scanning is. This is our camera, and it’s going to take about a hundred pictures per second and stitch that together in the software to make our models. All we have to do is wave it back and forth and you can see it starts to identify the tooth and makes the image on the screen. It takes about 30 seconds to scan your bottom teeth and 30 seconds for your upper teeth. And then we’re able to use this technology for the purpose that we’ve already decided on, whether that’s a cap, Crown, Veneer, Implants, or diagnosis models or anything else.

Hi, I’m Michele with Pearls of Dentistry. Today we’re gonna be talking about structures. Any of you guys remember this goopy material? We put this in the tray to get a mold of your mouth and it has to stay in there for a couple minutes to set up. Well, we don’t need to use that anymore. We have a better technology called the prime scan, so this machine can replace a lot of things in dentistry that we used to use the molds for. We can use it for implant placement. We can use it for restoration such as crowns, inlays, onlays, or commonly referred to as caps. And we can use it for diagnostic models as well too. To get a 3D printed model of your teeth to show you in person when we propose something for you. This is an example of a scan that we’ve already done on a patient and you can see all of the great detail that we’re able to get all of the different teeth and the the cusp edges on them. It even shows details such as color and other restorations that you already have done on them as well. It’s a truly advanced technology and it’s a lot easier for the patients to tolerate.

Hello. We have a patient right here that is undergoing replacement of missing teeth, and we’re gonna do that with guided implant surgery. That’s actually a very cool way to, um, transform a patient from a dus, meaning missing a tooth to being a complete healthy patient. Again. The way we do this is very comfortable and very predictable because the lag work, the planning is being done before the patient is actually undergone surgery. So this is a cool way to find out if the patient is a good candidate and if we have anything that we have to watch out for, it makes it so predictable and makes it so, um, um, achievable for the patient, especially for ancient patients. Um, anxiety is, uh, the biggest, uh, uh, hindrance for people to seek dental care. We want to eliminate that factor. And guided implant surgery has proven to be very, very, uh, reliable and we have great outcomes with that. We took Antra oral scan and not a lot of people know what that is, what that means, but a lot of people know from their dental office, we take an intra oral scan and produce an image like that that is a 3D image where we can zoom in and out and we prepared already. And in the missing area, a tooth. So basically right here is a missing tooth. We outlied that missing tooth and we can easily regenerate that tooth with a click of the button. And here we are. That would be great if it was that, if it was that easy. But, uh, in order to create such a model, we have a scanner, and this is actually a Cric Prime scan that we use intraorally. That means inside your mouth to take a video of your teeth and the surrounding structures. There’s no radiation, there’s no discomfort. It’s just a 32nd scan of your upper jaw and a 32nd scan of your lower jaw. That information then comes into this computer. The prime scan computer is the latest and greatest in dental technology that gives us the opportunity to safely and predictably treat the patients. And I’m gonna show you now how we actually get this data into a different data, into, into a different software that is part of the x-rays that we took. So we merged now the intro, all information that we took from her teeth into the X-ray at mind blowing. So here’s our patient imported into my software. That’s the Galileos Surgical Implant planning software. And I believe that you recall, this is the image that we had in the prime scan. This is the tooth that’s missing. This is my future model for that. In order to get this verified, we call this actually, uh, registered. We have this model that we took out of her mouth and we have this X-ray and we’re going to find specific areas that correspond. And we usually take teeth because they are very, uh, unique and we know where they are located. And then we can, uh, register this impression with the X-ray. And that gives us a very, very precise, um, way to actually combine X-ray and intraoral 3D data. And this is how excellent that fit is. So you see a wide line across the tooth, and that basically means there’s no discrepancy. We confirm that and then we have our information with the new tooth. So the machine now knows, Hey, this is where Dr. Berg wants to place the crown for the, for the missing tooth. Obviously the patient’s, uh, missing area, missing tooth area is right here. Would we like to place an implant? Yes, we would. There you go. Here’s your implant. And the implant is in the right position where the tooth is missing, and we will adjust the position of the tooth. And this is the planning phase in order to get the patient safely and, um, very predictably treated. The manufacturing of the guide happens then in a milling machine. We export this information. 45 minutes later, you will have a guided, uh, a surgical guide in your hand that looks like this and fits on the patient here on the model. You, you appreciate the cl uh, the exact fit. There’s no wiggle room because there is no wiggle room for error in a surgery. And this makes this key, makes it so predictable for us dentist to place implants.

Hi everyone. My name is Jackie here. I’m one of the pearls at Pearls of Dentistry with Dr. Thomas and long and back. Right now we’re at a stage where the block has just been milled for a crown for a patient as a restoration. Um, these crowns are done in one day, so as soon as we were done with that mill time, we’re producing a crown like this one. When we have a different type of material that comes out of the milling unit, we can have a different variation of materials that we can use. Depending on that stage, we can either do a high polish or what we like to do in our office is add some characterization. What that characterization is is adding some like type of paint and stains and glazing, so it looks like an actual lifelike tooth. On the left side here, we have a crown that has not been added any characterization. On the right side, we have one that we just worked on. We added a little bit of characterization, which is the individualized effects of an actual tooth. We want it to look as lifelike as possible. This can be done one day in our office in the two hour appointment that you’re scheduled here. Okay, so when I begin my characterization of a crown, what I wanna look for is what I’ve seen in the patient’s mouth already. So if we have some invi individualizations such as color or staining, then what I start off with is a light glaze. This will give us the nice polished look. So I’ve got my high shine base right now. The patient that we’re working with has a slight stain, and what I wanna do is add characterization to these little minor grooves. What we can do is add shades that are warm, maybe a little bit mahogany type, and add that into the groove so that we get a lifelike tooth. It’s very minor, but we just wanna give that tooth some characterization so we don’t end up with something that just looks like a white block. And we’ll just run it nice and lightly over the grooves. Add some characterization that will really bring this tooth to life. So now that I’ve added the characteristics, I want to this crown, we’re gonna go ahead and fire it in this high temperature oven. It’ll give us the tooth from a purple stage to a tooth like stage. So we’ll place that there, and then in 15 minutes you’ll have a crown ready to go and get started. That’s it. That was very awkward. I hate that. So now that I’ve added the characteristics I want to this crown, we’re gonna go ahead and fire it in this high temperature oven. It’ll give us the tooth from a purple stage to a tooth like stage. So we’ll place that there, and then in 15 minutes you’ll have a crown ready to go and get started.

Hi, I am Carissa with Pearls of Dentistry, and here we do crowns in a day. So we start by using our Cric machine. It takes images of your mouth and creates a model on the screen. Once the tooth has been designed, we can create it in house in the day with these little porcelain blocks. So we take this block, it goes in our milling machine over here, and in about 10, 15 minutes, your crown is done and we’re ready to try it in your mouth. Okay, so we take the block, we insert it into our milling unit. It’s gonna take some measurements, make sure that the crown is gonna fit on the block. And we’ll come walk over to this screen. You can see the crowns here, and we just push start, okay? And it’s gonna start creating the crown. And in about 10 minutes we will be able to try it into our patient’s mouth.

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