P246 an Introduction to Cerec

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    An introduction to CEREC CAD/CAM

    All Ceramic restorations created chairside with textbook precision

    For over 25 years now CEREC technology has allowed dentists to fabricate all ceramic

    restorations chairside in a single appointment with ever increasing ease of use and

    precision.

    With ceramic restorations created chairside, natural occlusal surfaces in just one click and

    uncomplicated digital optical impressions instead of uncomfortable conventional

    impression trays, CEREC has definitely changed the dental practice for the better. This is

    the opinion of an important group of people: your patients. 98% of all patients evaluate the

    treatment results with very good or good. They particularly appreciate the natural

    aesthetic appearance and the fact that it preserves healthy tooth substance, is metal-free

    and there is no need for a temporary, as treatment can be carried-out in one appointment.

    The experts agree. CAD/CAM with CEREC is no longer experimental technology, but a

    technically mature mainstream treatment method with an impressive and proven record of

    success. After 5 years 95-97% of CEREC crowns were still intact. The survival rate of

    inlays and onlays was 90-95% after 10 years - a better success rate than the gold

    standard!

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    Seeing CAD/CAM in a new light

    All ceramic inlays, onlays, partial crowns, veneers as well as crowns and up to 4 unit

    bridges are now possible. CEREC combines the advantage of a broad range of indications

    with a particularly comfortable patient treatment in one appointment session.

    CEREC AC Bluecam Acquisition - Fast, Easy, Precise

    Precision and ease of use redefined

    The new CEREC AC with the CEREC Bluecam captures highly detailed images using a

    powerful blue light-emitting diode (LED). Rapid, easy imaging results in a quantum leap in

    CAD/CAM precision, clinical reliability and efficiency. It is even possible to acquire difficult

    inlay preparations 3-dimensionally with just a single image. Exposures for bridges and theneighbouring teeth are captured in auto mode and individual images are then

    automatically superimposed together.

    Even virtually inaccessible areas can be precisely acquired. The built-in shake detection

    system, combined with the short capture time, ensure that images are acquired only when

    the camera is absolutely still. The resulting precise 3-dimensional models permit a secure

    construction of the restoration.

    The new standard precision

    The accuracy of the digital impression is absolutely decisive for the quality of the

    restoration result. The basis for this is the CEREC AC acquisition unit with its innovative

    optical concept. It delivers an unprecedented level of precision. * The high performance

    diode emits blue light with a short wavelength. The resulting optical impressions are

    extremely accurate. Even first time users can immediately achieve exceedingly precise

    impressions. Additionally, CEREC AC fits easily into your treatment workflow.

    *The result of a study carried out by Professor Dr Mehl (Zurich University 2008) measuring accuracy of up to

    19m.

    Compact camera

    The CEREC Bluecam is based on the design of the highly successful CEREC camera,

    which has proven itself many thousands of times in practical application. The compact

    dimensions of CEREC Bluecam give you easy access to posterior teeth. With the help of

    the CEREC camera support you can place the CEREC Bluecam directly on the teeth and

    hence maintain the correct clearance for optimum optical impressions.

    Automatic image capture

    The camera automatically detects the right moment to trigger the exposure. All you have to

    do is move the CEREC Bluecam step by step over the relevant area.

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    In this way you can acquire whole quadrants in a single streamlined operation.

    Shake-free images

    The built-in shake detection system, combined with the short capture time, ensures that

    images are acquired only when the camera is absolutely still.

    The CEREC 3D software automatically eliminates substandard images.

    Uninterrupted power supply (UPS)

    CEREC AC with the UPS option can be temporarily disconnected from the mains power

    supply. This allows the acquisition centre to be wheeled easily from room to room even

    during the milling process. Data can also not be lost during a brief power cut.

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    CEREC Biogeneric a single design procedure

    The entire design process - including the generation of the biogeneric restoration proposal

    - integrates itself seamlessly into your treatment workflow. The procedure is identical for

    every indication - a major advantage over other CAD/CAM restoration methods.

    1. Optical impressions of the prepared tooth and the antagonist are taken using

    CEREC Bluecam.

    A buccal exposure is also taken for the occlusion.

    2. Registration of the preparation and the antagonist together with one buccal

    impression.

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    3.3D model displayed on the CEREC AC monitor.

    for every indication

    Dispense with the time consuming adaptation of standard teeth derived from dental

    databases. With CEREC Biogeneric you receive clinically natural customised restorations

    for every situation quickly and efficiently.

    4. Software steps

    Draw the preparation margin assisted by the automatic margin finder with just a few clicks.The view can also be rotated and enlarged to simplify this procedure.

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    5. Biogeneric evaluation by the CEREC software with automatic data analysis andcomputation of the restoration proposal.

    CEREC Biogeneric - natural occlusions

    An integral part of the CEREC 3D software: CEREC Biogeneric is very easy to use.

    Irrespective of your previous CAD/CAM experience, the program features are quickly

    learned and immediately applicable thanks to the standard procedure for every type of

    indication.

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    CEREC Milling Units - Compact and Competent

    Synchronised for success

    From the digital optical impression until the final milling process all components of the

    CEREC system are optimally synchronized with one another. The easy-to-use CEREC 3D

    software, the automated milling process, the clinical benefits of all-ceramic materials,

    treatment in a single appointment and positive feedback from patients - all these factors

    combine to maximise your job satisfaction.

    In addition, CEREC paves the way to increased practice earnings. Patient

    recommendations after all, together with economic success, secure the long-term future of

    your practice.

    CEREC MC XL: precise, fast and quiet.

    The increased speed and capacity of the CEREC MC XL are particularly advantageous if

    you want to complete several restorations in one treatment session or create long-term

    temporary bridges. The fast milling speed also facilitates the fabrication of conventionallycementable crowns made of lithium disilicate glass ceramic.

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    The CEREC 3 milling unit: compact, proven and competitively priced.In terms of capacity and speed, the CEREC 3 milling unit is tailored to single-tooth

    restorations. In terms of precision, it is the ideal choice for creating adhesively bonded

    inlays, onlays, partial crowns, crowns and veneers. CEREC 3 offers proven performance

    packaged in compact dimensions.

    CEREC - Aesthetics for every Requirement

    Results that are indistinguishable from natural teeth.

    You and your patients can look forward to perfect results. You can tailor your servicesprecisely to the natural morphology and aesthetic expectations; as well as financial

    resources of your patients - satisfaction guaranteed.

    Thanks to CEREC, you keep all your individual patient options open - i.e. polishing,

    glazing, staining, or aesthetic fine-tuning in the dental lab.

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    CEREC Clinical Studies

    Scientifically secure

    Are you still sceptical? Admittedly, CEREC sometimes sounds too good to be true. But on

    the contrary, CEREC is very much a practical reality and to demonstrate this, we refer to

    more than 250 scientific studies into the efficacy, biocompatibility and longevity of CEREC

    restorations.

    Your patients place their trust in your expertise. For your part, you can place your trust in

    the expertise of renowned university professors and committed dental practitioners.

    CEREC ranks as one of the most intensively scrutinised dental procedures - as evidenced

    in numerous clinical studies and a wide range of scientific publications. The facts speak for

    themselves. After 18 years, 84.4% of the CEREC chairside inlays and onlays are intact

    and functioning. In cases where the inlays and onlays were adhesively bonded, thesuccess rate is between 90 and 95% after ten years. Follow-up examinations of around

    5,000 restorations demonstrate that, in terms of their survival rates, CEREC restorations

    are at least on a par with cast gold - and clearly superior to composite fillings.

    The most important findings at a glance:

    Fact: There are more than 25,000 CEREC users worldwide

    Fact: They have already created more than 20 million CEREC restorations

    Fact: CEREC Bluecam sets a new standard in measurement accuracy and delivers an

    unprecedented level of precisionFact: After ten years, CEREC inlays and onlays achieve a survival rate of 90-95%

    Fact: After five years, CEREC crowns have a survival rate of 95-97%

    Fact: After nine years, CEREC veneers display an impressive survival rate of 94%

    The facts are all in favour of CEREC:

    An eighteen-year study of 1,011 inlays/onlays concluded:

    Even large CEREC restorations display outstanding longevity. In many cases, defect-

    oriented restorations and careful adhesive bonding provide the basis for dispensing withfull crowns.

    A comparative study of the longevity of CEREC inlays and gold restorations

    concluded: In terms of longevity, CEREC inlays are on a par with gold restorations.

    Laboratory-fabricated ceramic restorations examined in this study were inferior in this

    respect.

    A study of longevity and production costs concluded: From a medical and economic

    viewpoint, CEREC inlays are preferable to all other inlay types.

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    A comparative study to restoration quality came to the result:

    Chairside produced CEREC inlays have less risk of developing enamel cracks in the

    treated tooth as there is no temporary.

    A study of adhesive systems concluded: Immediate treatment without temporaries has

    a stabilizing effect on the tooth substance. The bonding technology takes into account abroader adhesive gap.

    A study of optical measurement precision concluded: The CEREC Bluecam

    generates digital optical impressions with an unprecedented degree of measurement

    precision. Further information and details concerning the 250+ clinical studies of the

    CEREC procedure are available under www.sirona.com.

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    Support from a network of UK CEREC Specialists

    To arrange a consultation with your local CEREC specialist, please call

    01634 877494

    Forthcoming Evening Courses Practice Building The Digital Way 6-9pm

    Dr Julian Caplan# # # Dr John MooreWednesday 4th May 2011## Wednesday 11thMay 2011# #Nottingham## # # Plymouth

    Click above for more information

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