Congress 2007 issue

Mardi Gras:
Congress 2007 Course Schedule
From Dream to Reality
Creation of a
Zirconia Keyway
for a Long-Span
Bridge
DLANY Smiles 3
How to contact us
Smiles
is the official journal of the
Dental Laboratory Association
of the State of New York
Executive Board and Staff
President
Gary Spadaro, Jr.
Liberty Dental Laboratory
518-344-5372
Vice President, Education
Technician Relations
Raymond Rayeski, CDT
Highland Acres Dental
Labs Inc.
Secretary
Mark Viscusi
Viscusi Dental Lab
Treasurer/Budget &
Finance
Norm Friedman, CDT
Crown Dental Laborator
Congress
Bill Baum, MDT, CDT
Bill Baum Dental Studio
Inc.
Membership
Gary Spadaro Sr.
Liberty Dental Laboratory
Professional Relations
Gail Broderick, MDT
Americus Dental
Laboratory
Constitution and Bylaws
Robert Iuliano
Adirondack Dental
Ceramics
Head of Legislative
Committee
Kevin Crane, CDT
Crane Dental Lab
Membership & Congress
Coordinator
Michelle Milazzo
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.
In this issue
Congress 2007 issue
Presidents Message 4
From dream to reality 6
Xavier Balmes
Creation of a
Zirconia Keyway
for a Long-Span Bridge 18
Kunikazu Yuge
Congress 2007 Course Schedule 23
Smiles Technical Market 30
Smiles Bookshop 32
Smiles Marketplace 34
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4 DLANY Smiles
I
f we believe that furthering our learning leads to higher income, then more CE
should translate into increased incomes. Why is it then that some dental
professionals, although committed to knowledge, seem unable to earn more? The
answer is that education without application will never add to the bottom line. In other
words, unapplied knowledge is wasted knowledge.
By attending a trade show such as DLANYs International Congress, taking a course,
reading a book or listening to an audio series, you increase your potential to earn
significantly more money. All it takes is one idea and the implementation of such an idea
into your practice: the results can be phenomenal. This unfortunately is where many of
us fall short; focus and follow through.
Have you ever taken a great course and been pumped up only to have your
enthusiasm fade Monday morning? The staff is non receptive, you worry about your
clients perception to the change and soon you come up with at least ten good reasons as
to why you should just keep things as they are.
At this point, you need to take a step back and remove yourself from these obstacles.
Go over your information and write out a plan to overcome each obstacle you think of.
Keep your end goal in sight. It may be the idea that gives you the ability to pay off debt,
work less, earn more, retire earlier or spend more time with your family. Do not forget
that by applying your new found knowledge you are also challenging to serve your
dentist and their patients better. Continue to review these plans and goals until each
staff member and obstacle have been conquered. This takes time and requires focus and
determination. Make sure that your ideas are being implemented before becoming
distracted by too many new ideas.
The knowledge you acquire has been paid for with your time and your money and
should show up in your bottom line, if you apply what you have learned. Your
attendance at events such as the International Congress is an investment in your future
and should pay dividends if you focus and turn education into revenue.
This year attend the Congress with an open mind, embrace continuing education
and apply what you learn so you can make it an asset, not a liability. It is really up to you.
Gary J. Spadaro Jr.
Practical Continuing
Education It is an asset
Presidents Message
6 DLANY Smiles
Xavier Balmes
From dream to reality
F
or a long time we technicians had been
longing for metal restoration coming
out of the sinter furnace perfectly fitting
the model. This desire, however, is
unlikely to come true after consecutive
firings especially in case of implants. Nevertheless, the
dream can come true if zirconia is used.
Zirconium was discovered in 1789 by the German
Martin Klaproth and isolated by the Swedish J.J.
Berzelius in 1824. Zirconia is a silicate whose
composition is Zr(SiO4). It is obtained from a mineral
and is one of the most abundant elements in the
terrestrial crust. Chemically very reactive it is mainly
found combined with oxygen forming zirconium
dioxide (ZrO2). Zirconium is used as coating on
nuclear fuel parts, for photographic flashes and for the
protective slabs of space shuttles.
In the last decades zirconium has been successfully
used for artificial limbs and joints in the medical field.
The material is considered biologically and
chemically inert. Due to the small diameter of its
grains a very polished surface is obtained which
explains the reduced accumulation of plaque and the
excellent tissue tolerance. Like any other metal
zirconium is radiopaque and thus allows us by means
of x-ray to check its marginal adjustment. It has better
mechanical properties than aluminium, especially as
far torsion and traction is concerned.
Is zirconium a metal?
Yes, zirconium is a metal like most of the elements on
the periodic table, but it differs fundamentally from
the rest by the type of connection between its atoms.
It is a metallic compound whose electrons form a
cloud that moves around the nuclei.
Zirconium or zirconia?
Zirconium or zirconia refer to the same material,
much of the confusion arises because a commercial
house labels a product with zirconia which in fact is
made up by a 67% of alumina and a 33% of
zirconium. Observe that the ceramics that we must
use for its coating are those of alumina.
Typology
All zirconia available on the market is very similar and
can only be differentiate by its physical state:
Green Zirconia: elaborated by means of metal
milling burs in dry.
Partially sintered zirconia, elaborated with
tungsten burs cooled by water.
Totally sintered zirconia, elaborated with tungsten
burs cooled by water.
Structural characteristics
Although we are always talking of zirconium, what we
are really speaking of is zirconia dioxide (ZrO2). Its
thermal characteristics are the following:
Point of fusion 2715C
cubical Structure to 2370C
tetragonal Structure over 1163C
monoclinical Structure below 1163C
Stabilization with yttrium (Y-TZP)
The English scientist Ron-Garvie, obtained the
tetragonal state of the zirconium by adding approx.
5% of yttrium oxide to the zirconium. It is its state of
utmost stability, with no need to reach 1163 simply at
ambient temperature.
Addition of aluminium (Y-TZP-A)
In order to increase its resistance to corrosion and to
increase its durability, aluminium is added to zirconia
in a maximum proportion of 0.5%, adding more
would be considered as an impurity.
Transformation toughening
The so called phase transformation or airbag effect can
cause the tetragonal phase to convert to monoclinic,
with the associated volume expansion (4.7%).
This phase transformation can then put the crack
into compression, retarding its growth, and enhancing
the fracture toughness. Zirconium is a bad heat
conductor. Heat produced in one point, is not
propagated, and results in changes in its structure
thats why it is not advisable revising it by blasting it
either with oxide or with steam.
DLANY Smiles 7
Clinical case
Patient, 49 years old, 8 implants were placed in the upper
maxilar. We decided to make a splinted zirconia structure with
individually prepared zirconium-ceramic crowns and gum made
of pressed resin. Furthermore we made a temporary lower
circular bridge.
We detected a significant support deficiency in upper lip as
well as an aesthetic deficiency in the individual proportions of
the teeth and in their three-dimensional alignment. First of all
we made an assembly in wax with resin teeth which served us as
a basis to decide on the final volume, size and position of the
teeth. This was the crucial moment of the treatment and as Dr
William Pagan put it Everything we say before starting the
treatment is part of the diagnosis but everything we say
afterwards are mere excuses. This was the point where we had
to define the most ideal final outcome in accordance with the
patient, the dental surgeon and the dental technician. By
following this process can avoid undesired surprises, the patient
will be well informed about what he can expect and we will
obtain better results at lower costs.
We started with the making of a model in light curing
composite rigid for easy milling. The composite of the plates is
a good and economic choice but if we want a more pleasant
appearance, composite for provisional of Tryad-dentsply type
are better. Afterwards we had to carve the teeth out of the splint
like individual stumps.
Fig. 1 and 2: Starting Point: the patient with his old prosthesis
Fig. 3: Mount of teeth in wax
8 DLANY Smiles
We checked the model in mouth to make sure that the
measurement was exact and had a correct passive adjustment.
Once the control was made, we passed on to the milling of the
structure by duplicating it onto zirconia in the following way:
We fixed the model in a resin made template that was put
into the right table insert of the milling machine. The
corresponding zirconia block was glued in the left insert. The
system offers a great variety of zirconia blanks of different sizes
and diameters. Without moving the horizontal tray, we began
to mill the general volume of the frame structure, including
attachments to the piece that connect it to the transephitelial of
implants. The Zirkonzahn System offers us the possibility to
reproduce the connection to implants as well as rendering
possible its cementation to zirconium.
At this point we put some positioning elements on both sides
(model and zirconia blank) which we glued two by two in three
strategic points, this allowed us to relate the model to the
zirconia blank which we were milling at any time.
In order to be able to mill the chimneys of the screws as well
as the attachment to the implant, we had to place them totally
parallel to the milling bur. This position differs from implant to
implant. To check parallelism, we inserted a copy of the implant
and a large screw of the laboratory. Then we turned the model
to the left and to the right until we reached the exact parallel
4 and 5: Resin model of the restoration
Fig. 6: Restoration positioned, general volume milled
Fig. 8: Looking for parallelism Fig. 7: Positioning elements
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10 DLANY Smiles
position. Afterwards we inserted the horizontal working plate
and by means of the positioning elements we brought the
zirconia blank into the same position as the model.
Presently the system is provided with a mechanism that
unites the two metal table inserts of the milling machine
allowing greater agility. Nevertheless, it is not sufficient for all
implants as in complex works the 45 rotation to the left and the
right of the centre of the model does not allow us to complete
the process and makes the use of positioning elements necessary.
After having completed the milling process we removed the
frame structure from the insert and we elaborated it with
tungsten burs (6-8 mil. turns max.)
We went on with the colorization of the structure by dipping
it into acid for 1-2 seconds. The system is delivered with 16
liquid colours which correspond to the VITA colour scale and a
redish colour for gums will be available soon. It is necessary to
put the dyed zirconia structures under a drying lamp for 45
minutes. Afterwards the furnace can be loaded for sinterization.
During this firing process the frame structure shrinks to the
original size of the model (20%) and gets the characteristics of
sintered zirconia, i.e. hardness of 1200-1400 vikers and bending
strength of 1000 Mpa.
Fig. 9 12: Milled frame work structure in green state
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12 DLANY Smiles
Fig. 13 16: Dyed and sintered frame work structure
Fig. 17 and 18: Copings
We then separated the frame structure from its basis with
sintered diamond discs at 6000/min and checked the bridge on
the model. In this case we had to insert the metallic pieces
which later were cemented to the zirconium, in other cases the
system allows the milling of the attachment to implants directly
in zirconium.
We continued with the realization of the single zirconia
copings. Once again we made a model with the easily
manageable light curing resin and we repeated the process
described above.
Then we started with the application of ceramics on the
copings applying a thin coat of transparent ceramics which we
fired 30-40 C higher than dentin. In this way we got a good
connection between the frame structure and the rest of the
ceramic layer.
Thus we avoided loosening of material and marginal and
occlusal rises. We were using transparent material as it is the
purest material.
DLANY Smiles 13
Especially with complex works, when we are talking
about ceramics on zirconia we have the problem of low
luminosity values and the belief that the solution to the
problem is having white nuclei, or lighter colorization of
nuclei we produced or using opaques, liners, bonders, etc
on the basis of metallic oxides to resist the loss of this final
value, but the question is: If what we want is an opaque
nucleus, why should we use zirconium if the metal already
perfectly fulfils this aim?
The answer is to my understanding that the luminosity
error lies not in what is underneath but in what we are
doing above, in the last layers. We do not have to use
other material than dentine in the medial cervical area
since if we cover it with incisal or transparent material
materials necessary when we are working with metal in
order to simulate depth lowers too much the
luminosity or the final value of the restoration in zirconia.
It is there in the medial cervical part where we must
demonstrate all our abilities. We have to apply incisal,
transparent and opalescent material and, first of all, we
have to create contrasts which should be a little bit more
intense than on metal as less light is reflected and
therefore, contrasts are less evident.
We cannot use any kind of zirconia or ceramic if what
we want to obtain is a restoration that behaves just like
the natural tooth under different types of light, the
zirconia material we have to use has to be translucent,
dyed with acids and not with metal oxides as they render
the material more opaque. Furthermore, the ceramics we
use must have the translucency inherent to the natural
dentine in order to provide a certain profundity. In this
way we can make the best use of the potential of zirconia.
When we finally finished the teeth structure, we
realized the frame of the gums and checked the fit in the
patients mouth to evaluate the marginal adjustment, the
aesthetics and occlusion. As everything was correct we
could go on and finish the restoration by adding glaze and
enmuffle the gums.
Fig. 19 and 20: Stratification of dentine
Fig. 21: We can make a firing of dentine
Fig. 22:
individual layering
of the pieces
14 DLANY Smiles
Fig. 25 26: In-situ Try in
Fig. 27- 28: photographs of the finished case
Fig 23: Application of incisal and transparent Fig. 24: Finished teeth material
16 DLANY Smiles
Fig. 33 35: In situ
Fig. 29 32: photographs of the finished case
DLANY Smiles 17
About the author
Xavier Balmes graduate of the Ramon y Cajal School for dental
technicians in Barcelona (1991), Worked in the laboratory of Mr.
August Bruguera y Jos Luis Ayuso. Own laboratory since 1996 in
Sabadell (Barcelona) , completed his professional training with William
Pagan, Anibal Alonso, Giovanni Furmo, Oliver Brix, Aldo Zilio.
Contact: Laboratorio Dental de Xavier Balmes
C/ Sant Pau 2, 3 3a C.P. 09201
Sabadell (Barcelona)
Tel. +34 93 727 24 24
E-mail: lab@xavierbalmes.es
References
1. Steger,E.: Zirkon-Zahn para el procesamiento de piezas en verde de material para
armazones de dixido de zirconio. Quintessence tcnica; 1/2006
2. Hegenbarth,E.A.: Esttica y dixido de zirconio dos conceptos opuestos?
Quintessence tcnica; 9/2005
3. Propiedades y caractersticas de los materiales empleados en la confeccin de
puentes totalmente cermicos. Premio Gaceta dental 2005
4. Schenk,H.; Esttica con zirconio. Dental Dialoge; 1/2006
5. Estudio del desgaste de la zirconia. Departamento de cristalografia. Universidad de
Barcelona. Bio mecnica, 2005
Fig. 36 37: In situ
Fig. 38 39: Profile of the patient with the new prosthesis
18 DLANY Smiles
T
his article documents the creation of a zirconia keyway
for a long-span bridge using the KaVo Everest CAD-
CAM system.
While there are differing opinions on whether its necessary
to break up long-span bridges rather than create a single span,
its our belief that there are several advantages to using a
modular format.
First, in the event that there is a problem with the bridge, its
not necessary to replace the entire structure. You can remove
the bridge and repair or replace the problem component
without having to redo the entire bridge.
Second, modular construction provides stress relief for the
bridge itself, actually reducing the likelihood of stress-related
cracks or breaks.
Third, if there is a problem with divergence, breaking up the
bridge will create an adequate path of insertion.
The use of a keyway, long thought to be impossible using
CAD-CAM, enables us to accomplish these goals by inserting
part of the bridge, then adding another part using the keyway.
In order to do this, I needed very dense scanning capability, as
well as very precise milling capability. The Everest scanner
captures 210 images through striped light projection from 15
different angles. The Everest milling unit features simultaneous
five-axis milling, offering high ranges and wide angles of motion
(240-degree range of movement) for the highest precision.
Figures 1 and 2 show different views of the wax-up of the
keyway. It is important to ensure that the vertical axial walls of
the keyway are parallel. Since the connector needs to be of a
certain minimum height in order to insure that it will be strong
enough, it is important to use this technique only when you can
insure the necessary minimum connector height can be
achieved.
Figure 3 shows the completed zirconia with the male keyway
polished.
Figures 4 and 5 show the wax-up of the female keyway fitted
on top of the male keyway. It was after confirming that the
female keyway was thick enough to guarantee that it would
have sufficient strength that I scanned it in, using the double-
scan method.
Figures 6 and 7 are screen prints of the scanned-in female
keyway. In capturing the scan, I needed to, in effect, trick the
computer by telling it that the male keyway was the abutment
tooth, since there is no provision for a male keyway. I scanned
in the model with the sintered male keyway in place, and it was
Kunikazu Yuge
Fig. 1
Fig. 2
Fig. 3
Creation of a
Zirconia Keyway
for a Long-Span
Bridge
DLANY Smiles 19
sprayed with a scanning spray that allows the Everest system to scan many different
materials. Note that the orange component in figures 6 and 7 represents the connector
that was added. The other abutment was computer generated based on the die scan
and thickness I specified. The screen shots demonstrate conclusively that what was
scanned and what appears on the screen are identical, with the screen image
representing exactly the same shape as the wax-up.
In this case, because we created a keyway, die spacer would be undesirable, but it
would be necessary for the abutment tooth to have virtual die space for the cement. I
physically painted die spacer on the abutment tooth (Figure 8, gray component on
image) and then milled the bridge with zero virtual die spacer.
Fig. 4
Fig. 5
Fig. 8
Fig. 6 Fig. 7
20 DLANY Smiles
Figures 9, 10, 11, and 12 show the finished zirconia bridge framework.
In the case of this bridge, ceramic was pressed over the framework, so
we cut back on the anteriors to make space for incisal porcelain.
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Fig. 9 Fig. 10
Fig. 11 Fig. 12
22 DLANY Smiles
In figure 13, the four teeth on the right are the ones were
working on.
Figures 14 and 15 show the finished product, so you can see
the translucency we were able to achieve.
Figures 16 and 17 show the completed bridge, while figure
18 provides a view from below.
When planning a case, there are several things that must be
considered, including occlusion, functionality, aesthetics, and
bio-compatibility. This in turn determines the design of the
frameworks and materials used. For this reason, designs such as
keyways made of materials like zirconia become necessary. At
this time, most in-house CAD/CAM systems are capable only
of milling single unit copings or inlays and bridges. I chose to
experiment with the Everest system to test its capabilities. I
created this zirconia keyway because I wanted to see if
CAD/CAM can truly replace the conventional lost wax
method of framework creation. The success of this keyway
brings us one significant step closer to that goal.
When Bio-Tech Dental Laboratory was considering which
CAD/CAM system to acquire, we were interested in the
following: accuracy of scanning and milling, flexibility of
framework design, and the capability of future advances in
materials and software. The KaVo Everest CAD/CAM system
has met our high expectations in all of these areas.
About the author
Kunikazu Yuge, DT, is a graduate of the Northern Alberta Institute of
Technology. He has been trained in CAD/CAM by Chris Kirykowicz of
KaVo as well as in Leutkirch, Germany by KaVo technicians. Kunikazu is
a Senior CAD/CAM Technician at Bio-Tech Dental Laboratory in Calgary,
Alberta. Kunikazu has worked in the dental lab profession since he was
16 under the guidance of his father Akihito Yuge, RDT. Bio-Tech Dental
has been creating high end dental prosthetics for over 17 years.
Fig. 13
Fig. 14 Fig. 15
Fig. 16 Fig. 17
Fig. 18
Friday, September 28
Registration 8:00 am 5:00 pm
Clinics 8:30 am 3:30 pm
Exhibit Hours 2:00 pm 6:30 pm
Hospitality 6:00 pm 8:00 pm
Masquerade Ball & Mardi Gras Auction
8:00 pm Midnight Eat, Dance, WIN PRIZES!!
Saturday, September 29
Registration 7:00 am 4:30 pm
Clinics 8:00 am 4:00 pm
Exhibit Hours 9:00 am 5:00 pm
Free Table Top Demo 10:00 am 4:00 pm
Fat Tuesday Celebration
6:00 pm 8:00 pm
Enjoy FREE Food and Beverage
As we pick the Best in Costume
and Best in Show Exhibitor
Ma r d i G r a s
Congress 2007
J.C. Park, CDT The Art of Esthetic and the Science of Strength Vident
L. Hockhauser, BS, MS OSHA Compliance and Infection Control Ads, Inc.
P. Pizzi, CDT, MDT, FNGS Esthetic Anterior Restorations with Greater T.P.P.
Dr.L. Kobren, DDS, FNGS Ease and Predictability
A. Lalli, BR., MDT
Dr. D. Mersky What Goes in the Box is Only Half Done T.P.P.
K. Kirsten, BA, CDT Ask Kris Hands-on Course Vident
The Esthetic PFM Crown
R.T. DeVreugd, CDT Obtain Functional Occlusal Morphology DLANY
in Minutes
B.M. Davidashvilly, Porcelain Layering the Magnificent Results Art & Science Dental
MDT, MDP of Ceramics When Layered
E. Flocken, CDT Think You Know CAD/CAM? Sirona
T.R. Zaleske Removable Prosthetics: Keystone Ind.
Establishing a Higher Value
T. Bromes, MBA Fiber Reinforcement & Polymers Bridges, Preat Corp.
Removables, Orthodontics
R. Goulding Stop Managing Start Leading & Smile Science
Increase your Profits by 17%
V.V. Alleluia, MDT,TF,CDT Future in Dentures A.S.M.D.T.
M. Kim, CDT A Whole New World of Ceramics Zahn Dental
V.V. Alleluia, MDT,TF,CDT Your Future is MDT A.S.M.D.T.
M. Schmit, CDT Attachment Selection and Case Design Bego USA, Inc.
for Combination Cases
Course Schedule
Speaker Course Title Sponsor
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Friday, 10:30 am 12:30 pm Town of Rye Suite F01 2
Friday, 1:30 pm 3:30 pm Town of Rye Suite F02 2
Friday, 4:30 pm 5:30 pm Town of Rye Suite F03 1
Friday, 5:30 pm 6:00 pm Town of Rye Suite F04
1
/2 hr.
Friday, 8:30 am 4:30 pm John Halstead Suite F05 7
Friday, 9:00 am 4:00 pm Elija Budd F06 7
Friday, 10:00 am 12:00 pm William Odelle F07 2
Friday, 12:30 pm 2:30 pm William Odelle F08 2
Saturday, 3:00 pm 5:00 pm William Odelle F09 2
Saturday, 10:00 am 12:00 pm Robert Bartell F10 2
Friday, 12:30 pm 2:30 pm Robert Bartell F11 2
Friday, 3:00 pm 5:00 pm Robert Bartell F12 2
Friday, 10:00 am 12:00 pm Seymour Boton F13 2
Friday, 12:30 pm 2:30 pm Seymour Boton F14 2
Friday, 9:30 am 11:30 am Seymour Boton F15 2
Date & Time Location ID CEU Hrs.
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R. Grant, CDT Da Vinci on Enamel A New Vision in Dental Art
B. Braunston Simplify Digital Photography and Lab Dental Learning Ctr.
Communication With Bob Braunston
C. Yenker Do You Know What Your Business is Worth Business Devel.. Assoc.
G. DiLauri, DDS Bridging the Gap T.P.P.
R. Pavlak, CDT, MDT,FNGS
R.T. DeVreugd, CDT The Art, Science and Business of Function T.P.P.
G. Harris The Opportunities You Cant See! T.P.P.
R.M. Shultz, MDT Profitable Precision Implants!!! T.P.P.
T. Zaleske, RG Removable Prosthetics: T.P.P.
Enhancing Your Communication
A.J. Mieleszko, CDT Planned & Customized Esthetics T.P.P.
G. Harris The Opportunities You Cant See! T.P.P.
P.Pizzi, CDT,MDT,FNGS Ceramic, Light and Design T.P.P.
C. Rivas, CDT Crown & Bridge Implants Xpdent
Cemented or Occlusal Screw Retained:
When there is not a viable optionSecurity Lock it!
D. Fraioli, CDT Improve Production and Profitability Xpdent
E.J. Harms, CDT How to Create a Money Making P.F.M. System Talladium Inc.
M.A. Borg FDA Compliance: Its Not Optional SafeLink Inc.
T. Fitzgerald Boost Your Business Through Sirona
Stronger Relationships
Speaker Course Title Sponsor
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Friday, 1:00 pm 3:00 pm John Brundage Suite F16 2
Friday, 3:30 pm 5:30 pm John Brundage Suite F17 2
Friday, 1:00 pm 3:00 pm Birch Suite F18 2
Saturday, 8:30 am 9:15 am Town of Rye Suite S01 1
Saturday, 9:15 am 9:45 am Town of Rye Suite S02
1
/2 hr.
Saturday, 9:45 am 10:00 am Town of Rye Suite S02
1
/2 hr.
Saturday, 11:00 am 11:20 am Town of Rye Suite S03
1
/2 hr.
Saturday, 11:20 am 11:40 am Town of Rye Suite S03
1
/2 hr.
Saturday, 11:40 am 12:00 pm Town of Rye Suite S04
1
/2 hr.
Saturday, 12:00 pm 12:10 pm Town of Rye Suite S04
1
/2 hr.
Saturday, 1:30 pm 2:30 pm Town of Rye Suite S05 1
Saturday, 9:30 am 11:30 am Elija Budd S06 2
Saturday, 2:30 pm 4:30 pm Elija Budd S07 2
Saturday, 9:00 am 12:00 pm John Halstead Suite S08 3
Saturday, 3:30 pm 4:30 pm John Halstead Suite S09 1
Saturday, 9:30 am 11:30 am William Odelle S10 2
Date & Time Location ID CEU Hrs.
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B. Lindke, CDT Solving the Combination Case Dilemma: Zahn Dental
Noritake CZR Press
K. Kirsten, BA, CDT Ask Kris, Master Ceramist Tricks Vident
Solving Everyday Problems
T. Bormes, MBA Case Design and Attachment Selection Preat Corp.
for Implant, Tooth,and Root Supported,
Bridges, Overdentures and Combinations
M.A. Borg & A. McDowell Is Your Lab in Safety Jeopardy? SafeLink Inc.
E.L. Rose, CDT Tips for Basic Partial Denture Design CMP Industries
R. Grant, CDT Da Vinci on Enamel A new Vision in Dental Art
D. Yoker, CDT An Esthetic, Simply and Ivoclar Vivadent
Predictable Denture Technique
P. Taylor, CDT Materials Update for CAD/CAM Ivoclar Vivadent
& Press Technologies
CDT Written Exam(s) NBC/NADL
R. Shu Whats Happening to Todays Shu Dental Laboratory
Offshore Outsourcing
C. McClemens, CDT Dentures of the Future Heraeus
M. Schmid, CDT Become an Expert in the Crown Bego USA, Inc.
and Bridge Department
G. Storni, CDT Spherical Attachments: Rhein 83 USA, Inc.
Reverse Systems and Traditional
Ball Attachments Prosthetical Application
V.V. Alleluia, MDT, TF ,CDT Everyday Dentistry to Disaster A.S.M.D.T.
J.C. Park, CDT Intensity and Artistry in Metal Ceramics Vident
Speaker Course Title Sponsor
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Saturday, 2:30 pm - 4:30 pm William Odelle S11 2
Saturday, 8:30 am 11:30 pm Robert Bartell S12 3
Saturday, 2:30 pm 4:30 pm Robert Bartell S13 2
Saturday, 9:00 am 10:00 am John Brundage Suite S14 1
Saturday, 10:30 am 11:30 am John Brundage Suite S15 1
Saturday, 2:30 pm 4:30 pm John Brundage Suite S16 2
Saturday, 9:30 am 11:30 am Seymour Boton S17 2
Saturday, 2:30 pm 4:30 pm Seymour Boton S18 2
Saturday, 8:00 am 1:00 pm Birch Suite S19 5
Saturday, 9:30 am 11:00 am Oak Suite S20 1
1
/2
Saturday, 2:30 pm 4:30 pm Oak Suite S21 2
Saturday, 9:30 am 11:30 am Poplar Suite S22 2
Saturday, 2:30 pm 4:30 pm Poplar Suite S23 2
Saturday, 9:30 am 11:30 am Maple Suite S24 2
Saturday, 2:30 pm 4:30 pm Maple Suite S25 2
Date & Time Location ID CEU Hrs.
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30 DLANY Smiles
Smiles Technical Market
Complicated made Simple!!!
Vision USA a Dentrex Company
introduces PORCELAIN MIX Well
proven technique for fabrication of
porcelain shoulders with no marginal
gap what so ever. Porcelain Mix saves
time when building up porcelain
shoulders. Its high internal strength
prevents annoying margin fracturing.
Porcelain inlays can also be relined
easily. Porcelain Mix is a precise wax like
paste of the purest quality it can be
mixed with any porcelain using an
electric wax knife and fired using
standard procedures. Die hardener and
heat resistant separating agent ensure a
successful outcome. Available in red and
neutral 2g syringes $37.95.
For information: 800-257-5782 or 856-
795-6199; www.visionusasupplies.com
_________________________________
Ivoclar Vivadent Introduces IPS
e.max

CAD LT
IPS e.max

has always offered the

ultimate in metal free esthetics and
strength. Coming soon, IPS e.max CAD
LT. Esthetic Digital Dentistrysm will reach
a new level of strength, esthetics and
efficiency. IPS e.max CAD LTs unique
features include:
Ability to mill high strength glass
ceramic to full contour
Simply stain and glaze or utilize a cut
back and layer technique
360 MPa flexural strength
Conventional cementation
Efficient fabrication
Cost effective and productive
Formulated from lithium disilicate
ceramic IPS e.max CAD LT is delivered to
the lab in a pre-crystallized block that can
be milled in inLab CAD/CAM machines,
including the KaVo Everest machine.
For more details on the entire
MultiLink line of cements, log on to
www.ivoclarvivadent.us
_________________________________
Ivoclar Vivadent Introduces Four
New IPS d.SIGN

and IPS InLine

Bleach Shades
Ivoclar Vivadent has developed an
exciting new bleach shade standard and
shade guide for their porcelain products,
including IPS InLine and IPS d.SIGN,
featuring four new contemporary
bleach shades: BL1, BL2, BL3 & BL4.
Now, both IPS d.SIGN and IPS InLine
metal-ceramic systems feature these
new materials which include: two
opaquers, four dentins, one incisal, two
shoulder porcelains, two deep dentin
materials and an add-on material.
These new shades are now available
and customers can take advantage of
Ivoclar Vivadents special introductory
offer a $50 savings off an IPS InLine or
IPS d.SIGN BL Bleach Kit.
_________________________________
Ivoclar Vivadent Introduces the
Programat

CS Porcelain Furnace
Quality Firing and Easy to Use for the
CAD/CAM Dentist. The Programat CS
furnace is the all-new chairside furnace
which was designed with the dentist in
mind. From stain and glaze to
crystallization and porcelain application,
the Programat CS is fully equipped to
meet the demands of todays CAD/CAM
dental office. Featuring QTK (quartz
tube kanthal) heating technology, the
Programat CS delivers superior, highly-
reliable firing results. User-friendly and
easy to operate this furnace produces
consistently beautiful restorations. The
Programat CS builds on the reliable
characteristics of the Programat P300,
P500, and P700 by offering an easy and
proven operating concept that clearly
arranges symbols to guide the clinician.
For more details go to
www.ivoclarvivadent.us
_________________________________
Vident Introduces Impac Soft Tissue
Material for Predictale Esthetics
Vidents new Impac

Soft Tissue Material

is a polyvinylsiloxane gingival mask used
for increased esthetics improved
function. When creating fixed
bridgework, the morphology of the
enveloping gingival tissue plays an
important role in the long-term success
of the restoration. Impac Soft Tissue
Material helps to ensure an ideal result.
Impac Soft Tissue material is
packaged in a self-mixing delivery
system, and offers a short working time.
It offers the dentist the necessary
references which help to determine the
shape of the cervical and outer margins.
It also prevents tissue compression, due
to incorrect emergence profile, that may
happen while the restoration is being
seated. In order to avoid potential
patient discomfort, the soft tissue helps
the technician establish a proper profile
during the creation of the prosthesis.
For information call 800-828-3839 or
visit www.vident.com
All United States and International orders must be paid in U.S. Dollars. Canadian orders must be paid in CAD Dollars.
We accept VISA and MasterCard
Cheques are payable to Palmeri Publishing.
Please add provincial sales tax.
Mail Orders: Palmeri Publishing Inc. 145 Royal Crest Court, Unit #35, Markham, ON Canada L3R 9Z4, Phone Orders: (905) 489 1970, Fax Orders: (905) 489 1971
To fax in your order and pay using a credit card, please fill out the following:
Name: ___________________________________ Billing Address: _________________________________________________
City: ___________________ State: ___________________ Zip: ___________________ Phone: __________________________
MasterCard: VISA: Acct. No. ____________________ Exp. ________________________ V-Number______________
(The V-Number is the last 3 digits of the non-embossed number printed on the back of your credit card, on the strip that you sign.)
If your billing address is different from your mailing address, please fill out the following:
Name: ___________________________________ Billing Address: _________________________________________________
City: ___________________ State: ___________________ Zip: ___________________ Phone: __________________________
Subscription
Spectrum Dialogue
1 Year 2 Years 3 Years
United States
$119.00 US ( 9 issues) $220.00 US $275.00 US
Canada $119.00 CAD (9 issues) $220.00 CAD $275.00 CAD
International
$159.00 US (9 issues) $299.00 US $429.00 US
plus
SPECTRUM
dialogue
Smiles Technical Market
_________________________________
All-New VITA Bleachedguide
3D-Master
VITA has introduced the VITA
Bleachedguide 3D-Master

, an entirely
new shade guide designed primarily for
planning and monitoring a patients
tooth whitening regimen. The VITA
Bleachedguide 3D-Master

also offers
new intermediate 3D-Master shade tabs
arranged specifically for measuring
bleaching progress.
The VITA 3D-Master shade system
offers a full complement of restorative
materials, including the popular VITA VM
line of all-ceramic and porcelain-fused-to-
metal veneering materials, Physiodens
and Vitapan denture teeth, 3D-Direct
composite and VM LC indirect composite.
For information call 1-800-828-3839
_________________________________
Microscope with Ring
Fluorescent Light
This microscope is the best of the best! It
has high resolution Meiji optics, the gas
piston stabilized Euro Arm, and a 12
watt ring light. Available in either 5-10X
or 10-20X, it comes with a lifetime
optical warranty. Available at $799 from
Harris Discount Supply, Ltd.
_________________________________
OROTIG XXS Mini Laser Welder
Full featured with, 10X Microscope, 2-
line LCD Display, in chamber joy stick
adjusted parameters, integrated cooling,
argon flood, adjustable halogen light,
and a compressed air nozzle inside the
welding chamber. It measures only 16"W
x 21"D x 11"H, and comes ready to use
in 120V. A two year warranty and an
additional 5-million pulse warranty on
the flash-lamp are standard. Available at
$13999. For more information call Harris
Discount Supply, Ltd. at 800-227-8524, or
visit www.harrisdiscount.com.
ATLAS OF ANATOMY
Author: Knut Miller
Specifications: 11 x 13 hardcover,
139 pages with 154 photos and illustrations
Price: $225.00 US/ $247.50 CAD/ plus shipping and handling
If you have been looking for that definitive book on tooth form, this is it! Carefully
designed for the desktop, Knut Millers flipchart manual is a must for anyone who desires
to understand and reproduce natural teeth. Each of the three major tooth forms square,
round and tapered are detailed for both anterior and posterior teeth. This easy-to-use
tool will enhance your knowledge of line angles, cusp positions, occlusal contacts,
age-specific characteristics, surface texture and much more. It will quickly become an
indispensable part of your daily work. A must have for anyone who wants to better
understand tooth form or teach it to others!
IMPLANT-RETAINED SINGLE TOOTH RESTORATIONS
Author: Roberto Bellini
Specifications: 8 x 10 glossy hardback,
112 pages, more than 350 colour photographs.
Price: $99.00 US/ $108.90 CAD/ plus shipping and handling
As a rule, the baseline situation for single implant-retained crowns tends to be rather
unfavourable. This book deals with the difficult issues of single tooth implant-supported
restorations.
CROWN-BRIDGE & IMPLANTS
Author: LUC & PATRICK RUTTEN
Specifications: 9.5 x 12.5 glossy hardback,
296 pages, more than 1000 colour photographs.
Price: $225.00 US/ $247.50 CAD/ plus shipping and handling
Patrick Rutten has the title Crown- Bridge & Implants. It was an international Bestseller.
The second book now is the follow- up under a changed omen. Circa 1300 brilliant
pictures and an impression of the daily laboratory work of the 2 Belgium brothers, will be
shown with many patient cases which are explained very straight, work conform and
extreme informative. Full ceramic crowns, bridges, individual abutments and implant
restorations are explained and provide material for constructive discussions and
interdisciplinary communication about full ceramic materials as well as the Procera system,
from a dental technologist point of view.
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.
We accept payment by MasterCard, VISA, and cheque [cheques must be payable to Palmeri Publishing.
Ontario residents please add provincial sales tax.
Name: ______________________________ Billing Address: _________________ City:________ State:____________ Zip:____________ Phone: _________
Card No. ________________________________ Exp. Date: ______________________________________ V-Number: _________________________________
(The V-Number is the last 3 digits of the non-embossed number printed on the back of your credit card, on the signature panel.)
If your billing address is different from your mailing address, please fill out the following:
Name: ______________________________ Billing Address: _________________ City:________ State:____________ Zip:____________ Phone: _________
Smiles Bookshop
DLANY Smiles 33
SHADES: A WORLD OF COLOUR
Author: August Bruguera
Specifications: 8 7/8 x 9 5/8
glossy hardback, 264 pages with
628 full-colour pictures
Price: $180.00 US/ $198.00 CAD/
plus shipping and handling.
In this book, August Bruguera has
successfully reflected the work practices particular to
his co-workers consciously 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.
IMPANT PROSTHODONTICS
Authors: Ralf Suckert and
Wolfram Bking
Specifications: 9 x 8 glossy
hardback, 397 pages, more than 1,300
colour photographs.
Price: $180.00 US/ $198.00 CAD/
plus shipping and handling
The collective works of renowned
dentists and technicians from around
the world are profiled in these case presentations.
Commonly prescribed implant systems and their prosthodontic
authors outline their thoughts on a variety of implant-related
topics: treatment planning, occlusal skills with implant patients
and the team approach. Implant Prosthodontics is more than a
reference book; it is a remarkable collection of practical and
useful hints documented by some of the most experienced
implant prosthodontists and technicians in the world.
ANALYSIS
Explanations in 11 Languages
Author: Grald Ubassy
Specifications: 10 x 15
Price: $200.00 US/ $220.00 CAD/
plus shipping and handling
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 383-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.
Smiles Bookshop
800-257-5782 856-795-6199 info@visionusa.biz
www.visionusasupplies.com
Vision Classic Premium
European Porcelain
$84.00 Test Kit, any shade
Solera High Fusing
Porcelain
$18.95 oz
Vision Low Press to
Metal/Ceramics Ingots
$59.00/pkg5
Vision (Zirkon) Ziconia
Porcelain
$1,068.00 Full Kit
SH
O
W

SP
ECIA
L
20%
o
ff A
ll
P
O
R
CELA
IN

O
R
D
ER
S!
Since 1916
MARY C. HONE
Dental Account Manager
75 Pennsylvania Avenue
Warwick, RI 02888
(401) 739-6350 Fax (401) 738-6449
Email mhone@peaseandcurren.com
Refiners of Precious Metals
Pease &Curren Inc.
Toll Free (800) 343-0906
Improved Speech
and Taste More!
UltraSuction mounted on an upper
denture helps reduce the size of
the acrylic palate, thus improving
both phonetics and taste. Ted Carson
4186 Departure Bay Road
Nanaimo, British Columbia
1-866-766-9483
info@surefitdentures.com www.surefitdentures.com
34 DLANY Smiles
Smiles Marketplace
Tenure Track Position-
Faculty Wanted:
New York City College of Technology
(City University of New York) has an
opening for the Fall 2007 semester.
All applicants must possess a minimum
of: a Bachelors degree (a Masters
degree is preferred); documented lab
experience; teaching experience; CDT.
Cover letter and resume to:
Restorative Dentistry Search
Ms. Michelle Harris
Executive Director, ISR
New York City
College of Technology
300 Jay Street, N321
Brooklyn, NY 11201 or e-mail to:
isr@citytech.cuny.edu
AA/EOE/IRCA/ADA
LABORATORY OR
ACCOUNTS WANTED
Are you tired of the laboratory rat race?
I want to buy your lab and/or accounts.
Call Rick at 631-874-9455 or
Elitmargins@hotmail.com
AdLink
AMR 1.866.973.3463 34
Amann Girrbach www.amanngirrbach.com 1.800.851.3719 19
Argen Corporation www.argen.com 1.800.255.5524 2
DLANY www.dlany.org 1.877.352.6965 5
GC America, Inc. www.gcamerica.com 1.800.323.7063 11
Gemark www.gemarkarc.com 1.888.8REFINE 10
Harris Discount Supply, Ltd. www.harrisdiscount.com 1.800.227.8524 20
Ivoclar Vivadent www.ivoclarvivadent.us.com 1.800.533.6825 15
KaVo Dental www.kavousa.com 1.888.ASK.KAVO 21
Pease & Curren Inc. 1.800.343.0906 33
Sirona www.inlab.com 1.866.INLAB4U 36
Sure Fit Dentures Inc. www.surefitdentures.com 1.866.766.9483 33
Vision USA www.visionusasupplies.com 1.800.257.5782 33
Zahn Dental www.zahndental.com 1.800.496.9500 35
Zirkon Zahn www.zirkonzahn.com 1.800.989.8931 9
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.
Sharon Weeks
Toll-Free: 866-973-3463
Phone: 860-871-4941
Fax: 860-871-2925
Email: accurate123@aol.com
77 Industrial Park Dr.
Vernon, CT 06066
preci ous metal
refi ni ng, coi ns
A
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CCURATE
ETALS &
EFINING
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Master Your Future
as a
Master Dental
Technologist
On-Site and
Home Study
Programs Available
WWW.ASMDT.COM
ArchiTECHS
of
DESIGN
PENTRON PERFECT.
2007 Henry Schein, Inc. No copying without permission. Not responsible for typographical errors.
Experience
"Pentron Perfect"
in all you do.
Accuracy, dependability,
and estheticsfor the
Laboratory Technician
who excels at
creating restorations
on a whole new level.
Call your Zahn Prosthetic Specialist for more
information. To order teeth, merchandise,
and now porcelain, call:
1-800-496-9500
www.zahndental.com
Exclusively Available from