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Medical Forum / General / Dentistry / July 2005Glidewell any good?
I'm sending out for a porcelain onlay, just got an itch to do one instead of full coverage. The local labs don't really do them much so I thought I'd go with Glidewell. I've had them do some work before and it was good, just a bit more adjusting than I'm used to with the local guys. The local lab seems to 'know' my work and I usually don't adjust much at all. Do you guys use Glidewell much? p.s. no, I don't have the dough for a Cerec Steve (but it would be cool) -- I got teeth Jesus loves me this I know What country does Glidewell send the work to? Or, do they do it themselves? Most big labs (who do this in-house) will just mill a porcelain onlay on a C3D now-a-days. Want me to mill it for you?  Signature~+--~+--~+--~+--~+-- Stephen [What's a Temporary?], D.D.S. Michigan, USA .................................................... This posting is intended for informational or conversational purposes only. Always seek the opinion of a licensed dental professional before acting on the advice or opinion expressed here. Only a dentist who has examined you in person can diagnose your problems and make decisions which will affect your health. ...................... > I'm sending out for a porcelain onlay, just got an itch to do one instead > of [quoted text clipped - 12 lines] > > Jesus loves me this I know Glidewell is in California as far as I know... When Cerec was just getting started, I thought they proposed just that - to have the milling machine at the lab and the doctors would scan the preps and modem the data into the lab. You are saying they scan the prep on the model and mill it from that? > What country does Glidewell send the work to? Or, do they do it themselves? > Most big labs (who do this in-house) will just mill a porcelain onlay on a [quoted text clipped - 30 lines] > > > > Jesus loves me this I know > Glidewell is in California as far as I know... > When Cerec was just getting started, I thought they proposed just that - > to > have the milling machine at the lab and the doctors would scan the preps > and > modem the data into the lab. ***************[edited] > You are saying they scan the prep on the model and mill it from that? Of course we can. anyone with a CEREC machine can do that. Just spray powder on the model, scan, design and mill. About once a year, I will get a case on a second or third molar that is a lone standing tooth and is tipped mesially. The patient wants the tooth restored, but is not interested in uprighting, implants, etc. In order to postion the camera lens parallel to the occlusal surface, I have to pour models, grind off the mesial teeth, and scan in my lab. No way to position the camera properly in the mouth for these teeth. Some dentists were working off models when doing the six anterior teeth since we used to onlyl be able to postion the camera from the mesial. In order to get right and left teeth on one virtual 3D model, we would have had to bring the camera from the distal on one side. Since most patients do not come with zippers on their cheeks, they would work off models. The latest software release (this past month) now allows us to image both sides from the mesial and simply invert one set of images to get both sides on one virtual model without pouring a model. Great for veneer cases. **************** >> What country does Glidewell send the work to? Or, do they do it > themselves? [quoted text clipped - 40 lines] >> > >> > Jesus loves me this I know Pretty cool and thanks for the offer to mill the inlay...I just took the impression and since it was all supragingival - -no cord, no waiting for hemostasis, no build-up...much time saved, same fee as full coverage too.. > > Glidewell is in California as far as I know... > > When Cerec was just getting started, I thought they proposed just that - [quoted text clipped - 70 lines] > >> > > >> > Jesus loves me this I know > Pretty cool and thanks for the offer to mill the inlay...I just took the > impression and since it was all supragingival - -no cord, no waiting for > hemostasis, no build-up...much time saved, same fee as full coverage too.. Then, when you read the studies and see that these have the same failure rates as FGC and gold inlays?????? You wonder why everyone is not doing these. BTW, the studies showed machine milled onlays to have much better survival rates than laboratory fired ones. Has to do with consistency of material properties. I'll see how this one goes...I may be doing more if this one is to my liking. I chose an onlay because this is a cusp replacement on a 16 yo. I felt composite would not last long enough and I don't place amalgam any more. I didn't want to prep the whole tooth down for full coverage so there you go....onlay city. > > Pretty cool and thanks for the offer to mill the inlay...I just took the > > impression and since it was all supragingival - -no cord, no waiting for [quoted text clipped - 5 lines] > survival rates than laboratory fired ones. Has to do with consistency of > material properties. I > felt composite would not last long enough and I don't place amalgam any > more. What's 'long enough'? I've got lots of composites in the 15-20 year range as I type (some are cusp build ups too). :-) Fawks The Onlay I have milling right now replaces the DL cusp of #15 with a partial wrap around DL and ML. 70% of the ML cusp and 85% of both lingual cusps remain intact. I would hate to cut away all that solid tooth to make a full coverage crown. 16.8 minutes of mill time. (Would have been about 10 minutes, but I forgot to click the "rapid milling" icon. (New with the latest software). Signature~+--~+--~+--~+--~+-- Stephen [What's a Temporary?], D.D.S. Michigan, USA .................................................... This posting is intended for informational or conversational purposes only. Always seek the opinion of a licensed dental professional before acting on the advice or opinion expressed here. Only a dentist who has examined you in person can diagnose your problems and make decisions which will affect your health. ...................... > I'll see how this one goes...I may be doing more if this one is to my > liking. I chose an onlay because this is a cusp replacement on a 16 yo. I [quoted text clipped - 16 lines] >> survival rates than laboratory fired ones. Has to do with consistency of >> material properties. Late reply, just for the hell of it... I was a dental technician at Glidewell (Newport Beach, CA) before I became a dentist. They have a tone of people there (1500+ employees) with multiple quality control check points, so overall they do a good job despite the fact that they pay the non-CDT worker bees people dirt cheap. I send only complex cases to them because they are more expensive than the local labs. Out of all those CDTs they have there, someone must know how to handle those complex cases. teethdood > I'm sending out for a porcelain onlay, just got an itch to do one instead > of [quoted text clipped - 12 lines] > > Jesus loves me this I know |
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