Is CEREC still the in-office system for 2024?

[@stevenlopez1717]

Dr. Klim, Your channel has been an incredible resource for all of us! I’m a 3rd-year dental student at Midwestern University in Illinois, and I use the CEREC Primescan and Primemill daily. Although the slower pace of dental school makes same-day restorations challenging, I’ve learned countless tips and tricks from your videos (especially the BioJaw variation tool) that have helped me deliver outstanding results in the clinic!

[@KlimDDS]

Great to know. I am impressed with the school's digital curriculum at Midwestern. Thanks for your comments. Always the best.

[@omerbayar1640]

You are an amazing doctor and what you do is truely inspiring people like me. Best wishes from Turkey 👋

[@KlimDDS]

Thank you! You too!

[@Dr_Shant]

Great video Dr. Klim! The concept of self reliance is truly why I got into chairside dentistry.

[@KlimDDS]

Great, it is a game changer; all the best on your journey.

[@drbekkaoui6917]

the goat of chairside dentistry 🔥🔥🔥🔥

[@whateveristhere39]

I'm super interested in Digital dentistry and FFS dental office!!!!

[@KlimDDS]

Leave me your contact info, email, and cell at the following link, and I will provide the info to you www.cadstar.org/form/contact-us

[@TheLiberate1]

I agree with you 100% on the 'self reliance' issue. Almost every successful businessman or coach out there preaches delegation. I learned the hard way that good dentistry is all about self-reliance. Good dentistry results from the bond you develop with your patient/client. When patients know that the level of care you provide and the quality of your work stems from self reliance; that you have invested time/skill/capital and passion in what you offer then they would come around to appreciate it. Self reliance is often confused with micromanagement. This misconception is utilised and feasted upon by the powers that be to drive young clinicians world wide to adopt a copy & paste way of doing things under the slogans of; faster, more profitable, lighter, brighter and smarter...etc Your presentation challenges the mainstream 'McDonald's formula' where the doctor/patient relationship has been sadly reduced to a service provider and a 'number' waiting to receive their next order. Again, you have made a (conscious decision) to do dentistry the way you see best for you, your family and your patients. You are a great source of inspiration to me and to many others out there. Please keep doing what you are doing. BW.

[@KlimDDS]

Yes, thank you for the comment...spot on!

[@kvgolfa]

What is the FFS advising company?

[@KlimDDS]

Leave me your contact info, email, and cell at the following link, and I will provide the info to you www.cadstar.org/form/contact-us

[@steved7406]

0:45 are the best looking margins on a cerec crown I've seen. Most of the ones I see are absolutely horrible. Very impressive.

[@KlimDDS]

It is all relative. Most lab materials today are processed via digital workflow and machining. I have seen a lot of questionable lab crowns through the years, and then again, a lot of great ones. As I have lectured on this worldwide, one can be what one wants to be if one puts the time and effort in. Thanks for the comments.

[@steved7406]

@@KlimDDS Like I said, beautiful work. I think a large part of why I see so many terrible cerec restorations is my proximity to multiple PDS offices.

[@KlimDDS]

@@steved7406 I understand. Thanks for the comments.

[@dr.christineskordeles6866]

You are an amazing Educator Clinician! What is the ffs advising company? I love the whole suite of CEREC to Primeprint. I love your videos the MIYO stain/glaze videos are priceless. The CS6 rocks at 11:20 min for emax. I cannot practice without my Cerec Suite. Thank you for all that you do!❤❤️😊

[@KlimDDS]

Leave me your contact info, email, and cell at the following link, and I will provide the info to you www.cadstar.org/form/contact-us

[@adelekemowobi1106]

In your opinion, if you were starting out and thinking about opening a practice would you still go with the primescan? Its great, but its a couple years old now and as you said, its a closed system. Have you looked at the new offerings from iTero? Additionally, I do like the versatility of the MCXL and would love to go with the primemill, but again it is a closed system. This is from someone who isn't currently locked into the CEREC walled garden and have that 5 axis milling capability. Your response would be greatly appreciated.

[@KlimDDS]

With DS Core, the Primescan is an open system. I have heard there will be a new camera system introduced this month. Anyhow, for restorative purposes, the Primescan and Trios are my choice over Itero. In addition, with the CAM software, the user can send a STL back into the CEREC system and mill. If you go the route, the Primescan scan is still the most efficient turn around for same day restorations. All the best!

[@KlimDDS]

I heard a new Dentsply Sirona camera is coming out this month. Anyway, the Primescan is still an incredible camera even after 5 years or more. And with DS Core, the Primescan is no longer a closed system. It can be sent to any software desired. Today's best restorative cameras are the Primesan and maybe the new ones or Trios. I would stick with these over the iTero for restorative. I would go with the Primemill. With the CAM software, one is able to transition into an STL, which makes it an open system.

[@adelekemowobi1106]

@@KlimDDS Thank you! Love your videos!!

[@wallyrenne]

Nice overview !

[@KlimDDS]

Thanks, Wally. Still thinking about your class in Vegas. Keep up the great work in transforming our profession. It is a good time to be in dentistry.

[@pschmidty7]

Would love to hear your FFS journey! Im prepping my team right now to drop one of the handful PPOs we are involved wtih. Definitely takes some time and preparation to do it right

[@KlimDDS]

Will do!!

[@nickentros]

For same day, 1 to 3 units, nothing beats cerec. Once you get bigger cerec does have limitations. However it’s a great tool for bread and butter work

[@KlimDDS]

Very true!

[@harbukshsekhon8757]

James, once again an amazing video. Does your PM7 give you the ability to fabricate no prep veneers?

[@KlimDDS]

If the clinical condition is suitable for prepless. I have done prepless with MC XL and Primemill using the extra fine mill. Though PM7 will handle it more seamlessly.

[@florinpetrea8305]

Hi! I have an Omnicam 2.0 and how unlocked the in lab ,because I forgot the password ? How to send a laboratory but in STL ? Scanning the full dental arch ,if we have areas with errors,how to block what’s good and scanning again without scanning again those areas market scanned? Great jobs!

[@KlimDDS]

Yes, with the Omincan, I used a mist of Optispray to expedite the scan, gathering complete undercut data and ending in a smaller file. Exporting a DXD file to a lab is best accomplished via DS Core, and that is the route I use today. My common practice is to fully trim the model and clean it up in the chairside software before exporting.

[@davidwoodruff1600]

Dr Klim, I appreciate all the sharing and effort connecting us to the CAD/CAM possibilities. I am looking to do more. I desire to dive into exoCAD and 3D printing. I am open to the investment beyond the CEREC systems. Do you have a recommendation in starting the journey with exoCAD?

[@richardbermanoffice8202]

How do you get scans from the Primescan into the PM7. Can Cerec software mill to PM7 directly or do you need to use exocad for design and milling on PM7?

[@KlimDDS]

Several routes. With inLab, an STL file is exported to the CAM Software for the PM7. For Exocad, Primescan is sent to DS Core, and the conversion factor is used to download the Exocad file. Once restoration is designed, it is exported as STL, and imported to the PM7 Cam software for milling. With CEREC chairside, the CAM software is part of the chairside software. Most milling units come with CAM software for processing the STL restoration for milling.

[@richardbermanoffice8202]

@@KlimDDS If I design in CEREC chairside, can that file mill directly to the PM7 as a "connected mill" or would the STL get exported to the PM7?

[@CodyKriegel]

I'm opening my new office and currently have been using Primescan, Primemill, and an MCXL. I plan to purchase another MCXL as they are workhorses and a lower investment. However, I was planning on getting inLab to keep everything in the Cerec workflow...now with DS Core being amazing and allowing for a much easier time with an open system I have considered Exocad over inLab. Would you have a recommendation on inLab vs Exocad if I am running Primescan, DS mills, and an Axeos CBCT? Is it easier to stay in the DS workflow with inLab or just as easy to go with Exocad? Thank you, love your videos and perspectives so so much!!

[@KlimDDS]

I use both. Inlab has a simpler workflow and is better at designing posterior teeth and splints. Exocad is better for digital Wax-ups and anterior tooth design. Plus, inLab is in the DS workflow, which is still the best. I use both and recommend both as well.

[@CodyKriegel]

@@KlimDDS Awesome, thank you for the quick feedback and response! You are obviously a rare talent and so gracious in your teachings and time towards others. Im thankful to be one to benefit from those. Thank you!

[@AustinVetter]

So you mention you mill on the MCXL because of the smaller bur. However doesn’t your PM7 have an even smaller bur? So why mill on the Cerec system at all if you have a mill that always mills in extra fine mode + even more because of the 5-axis and the smaller tool? I tried to search and saw Cerec has a .6 so can’t it use that bur?

[@KlimDDS]

Good questions and thoughts. There are several objectives with CAD/CAM dentistry. Number one, there are advantages to placing restorations in one appointment and not placing a temporary. There are time management objectives. Generally, a five-axis mill will take longer, and the greatest detail I can get is on the PM7, but it will take approximately 41 minutes. With the fine mill on the Primemill, I can get extra fine mill in 11-14 minutes, where as with the MC XL extra fine mill will take over 20 minutes. So, to make this practical for onlays, premolars, and canines, the Primemill is my same-day choice. For lower anterior veneers or crowns, the MC XL extra fine mill is my choice. And this is for same-day appointments. One can hand tool post mill detailing with the CEREC that will provide excellent morphology. See kzbin.info/www/bejne/n5jVmXSlqZKpn5Ysi=TClF6-qxrBVFRTC9. Regarding bur size, the 0.6 in the CEREC is still a 33-degree angle and four axes. The 0.5 bur on the PM7 is a needle bur design, and the 5-axis can mill more morphological detail. It is about understanding mill options and using them according to needs. All options will provide accurate margins.

[@AustinVetter]

@@KlimDDS Very insightful! Love your work and content!