Hi Kevin. You can quote me anywhere you want with this.
Bob Wartell (DDS)
One Visit Crowns and Onlays
I have purchased the CEREC CAD-CAM crown machine, and attempted to use it for my patients. My goal was to save patients from having to come in for a second appointment, and to lower my laboratory cost for providing crowns. After several months of taking seminars and learning to use the CEREC, I came to the realization that the CEREC single-visit crowns I was able to make were not as strong, did not fit as well, and did not look as natural as those that a good laboratory technician is able to provide for my patients. I was very disappointed by this, and thought that if I learned more about using the CEREC system, the results would be satisfactory.
To improve my skill at making CEREC crowns, I attended even more seminars. At one of these, a 2 day, hands-on training, the instructors told me I was the I was better at designing crowns using the CEREC software than any other dentist they had taught. I even spent a day observing at the office of a dentist in Arizona who told me he had made 6,500 CEREC restorations for patients. During that day he confided to me that if he were making a crown for his wife, and it was in an area that was visible in her smile, he would have it made at a custom laboratory using traditional techniques. But the CEREC crowns were good enough for his ordinary patients. I do not have two classes of patients. Every patient in my office deserves what I would do for my wife, and CEREC is not good enough for her.
Since then, I have seen many CEREC restorations in the teeth of patients new to my practice. Most of them are totally unacceptable. If they were made by a dental school student, instructors would not permit them to be placed in the mouth. My supposition is that the dentists who made these restorations did not have the time to make them fit properly, and under time pressure, elected to cement them onto the teeth.
I can offer crowns made of all materials – all ceramic with no metal, ceramic supported by metal, and all gold. The choice will be made by what is best for each patient, for a combination of health, esthetics, and durability, as well as patient desire. The crowns are made by excellent technicians, using the highest quality materials. There are no shortcuts and no compromises. You will receive what my wife would receive, the best that I am able to do.
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please call us at 505-474-4644
Center For Dental Medicine
2019 Galisteo St. Suite A
Santa Fe, NM 87505