change - adea.org · review of literature • clinical evaluation and comparison of porcelain...

Integration of New Technology

Change

Consideration (Why?)

• Purpose

– Need

– Desire

Consideration (Why?)

• Purpose

– Need

• Limited faculty

• Limited time

• Limited space

– Desire

• Improve instruction

• Up to date

• Set the curve

Questions

• Does it really work?

• Is it better than what we are currently using?

• Will it save me time?

• Will it save me money?

• Is it something we should be teaching?

Cost

• Expense (cost/benefit)

– Initial

• Equipment, supplies, training

– Continued

• Supplies, maintenance

• Budget

• Grants

Cost

We must be able to justify the expense!

Compatibility

• Philosophy/Direction – Administration/Faculty Buy-in

• Facility – Machinery – Associated materials (inventory)

• Logistics – Implementation – Transition – Sustainability

• IT – Security – Storage/Archive – Installation

Examples

Digital Records Digital Radiographs Intra-oral cameras

DentSim CAD CAM E-books

E-curriculum Lasers haptics

What is CAD CAM?

Computer Aided Design

Computer Aided Manufacturing

CAD CAM

How it Works

CAD CAM

DIU’s CAD CAM

remote Chair side CAD CAM

DIU’s

• Itero (Cadent)

• Lava COS (3M ESPE)

(chairside oral scanner)

Chair side CAD CAM

• CEREC (Sirona)

• E4D (D4D)

SC

AN

DE

SIG

N

DE

SIG

N

I

How it Works

SC

AN

DE

SIG

N

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SIG

N

MIL

L

How it Works

Questions

• Does it really work?

• Is it better than what we are currently using?

• Will it save me time?

• Will it save me money?

• Is it something we should be teaching?

Questions

• Does it really work?

• Is it better than what we are currently using?

• Will it save me time?

• Will it save me money?

• Is it something we should be teaching?

Does it really work?

• Fit, Marginal Integrity

• Esthetics

• Longevity

• Strength

• Wear Characteristics

• Post-Operative Sensitivity

REVIEW OF LITERATURE

REVIEW OF LITERATURE

REVIEW OF LITERATURE • Clinical evaluation and comparison of porcelain laminate veneers and computer aided design and computer aided

manufacture veneers (Chinese).Li R. Jiang T. Wang YN. Li SQ. Cheng XR.Chung-Hua Kou Chiang i Hsueh Tsa Chih Chinese Journal of

Stomatology. 42(6):330-2, 2007 Jun.

• Effect of metal selection and porcelain firing on the marginal accuracy of titanium-based metal ceramic restrations. Shokry

TE. Attia M. Mosleh I. Elhosary M. Hamza T. Shen C.Journal of Prosthetic Dentistry. 103(1):45-52, 2010 Jan.

• A comparison of the marginal vertical discrepancies of zirconium and metal ceramic posterior fixed dental prostheses before and after cementation. Gonzalo E. Suarez MJ. Serrano B. Lozano JF. Journal of Prosthetic Dentistry. 102(6):378-84, 2009 Dec.

• Survival and complications of computer aided-designing and computer-aided manufacturing vs. conventionally fabricated implant-supported reconstructions: a systematic review. Harder S. Kern M. Clinical Oral Implants Research. 20 Suppl 4:48-54, 2009 Sep.

• High-strength CAD/CAM-fabricated veneering material sintered to zirconia copings- a new fabrication mode for all-ceramic restorations. Beuer F. Schweiger J. Eichberger M. Kappert HF. Gernet W. Edelhoff D. Dental Materials. 25(1):121-8, 2009 Jan.

• An in vitro comparison of vertical margin gaps of CAD/CAM titanium and conventional cast restorations. Tan PL. Gratton DG.

Diaz-Arnold AM. Holmes DC. Journal of Prosthodontics. 17(5):378-83, 2008 Jul.

• Evaluation for the fully automatic inlay reconstruction by means of the biogeneric tooth model. Richter J. Mehl A.

• International Journal of Computerized Dentistry. 9(2):101-11, 2006 Apr.

• Fracture load of composite resin and feldspathic all-ceramic CAD/CAM crowns. Attia A. Abdelaziz KM. Freitag S. Kern M. Journal of

Prosthetic Dentistry. 95(2):117-23, 2006 Feb.

• Stabilization effects of CAD/CAM ceramic restorations in extended MOD cavities. Mehl A. Kunzelmann KH. Folwaczny M. Hickel R.

Journal of Adhesive Dentistry. 6(3):239-45, 2004.

• Comparison of fit of CAD/CAM restorations using a direct and indirect technique. Hembree JH Jr.

• Mississippi Dental Association Journal. 53(1):23-4, 1997

• Single unit CAD/CAM restorations: a literature review. Freedman M. Quinn F. O'Sullivan M.

• Journal of the Irish Dental Association. 53(1):38-45, 2007.

• Ceramic inlays: a case presentation and lessons learned from the literature. Boushell LW. Ritter AV.

• Journal of Esthetic & Restorative Dentistry: Official Publication of the American Academy of Esthetic Dentistry. 21(2):77-87, 2009.

Integration

• Freshman – Technology introduction – Dental anatomy

• Sophomore – Restorative Dentistry

• Junior – Crown & Bridge, Esthetics

• Senior – Clinical application

• Residents/Faculty – Clinical Productivity

“IT” Response

Questions

• Does it really work?

• Is it better than what we are currently using?

• Will it save me time?

• Will it save me money?

• Is it something we should be teaching?

Questions

• Better

– Adjunct

– Accessibility

– Assessment

Questions

• Better

– Adjunct

– Accessibility

– Assessment

• Better

– Support current methods

Questions

• Better

– Adjunct

– Accessibility

– Assessment

• Better

– Support current methods

- Evening sessions

- “Immediate self-assessment”

Questions

• Does it really work?

• Is it better than what we are currently using?

• Will it save me time?

• Will it save me money?

• Is it something we should be teaching?

Questions

• Better

– Adjunct

– Accessibility

– Assessment

• Save time

– Practicals (reduce subjectivity)

– Learning Curve

– Teaching time

• Better

– Support current methods

– Evening sessions

– “Immediate self-assessment”

• Save time

– Scan models

Questions

• Better

– Adjunct

– Accessibility

– Assessment

• Save time

– Practicals (reduce subjectivity)

– Learning Curve

– Teaching time

• Better

– Support current methods

– Evening sessions

– “Immediate self-assessment”

• Save time

– Scan models

- Yet to be seen - Less time grading

Questions

• Does it really work?

• Is it better than what we are currently using?

• Will it save me time?

• Will it save me money?

• Is it something we should be teaching?

Questions

• Better – Adjunct

– Accessibility

– Assessment

• Save time – Practicals (reduce subjectivity)

– Learning Curve

– Teaching time

• Save money – Faculty

– Immediate return?

• Better – Support current methods

– Evening sessions

– “Immediate self-assessment”

• Save time – Scan models

– Yet to be seen

– Less time grading

Cost

We must be able to justify the expense!

Questions

• Better – Adjunct

– Accessibility

– Assessment

• Save time – Practicals (reduce subjectivity)

– Learning Curve

– Teaching time

• Save money – Faculty

– Immediate return?

• Better – Support current methods

– Evening sessions

– “Immediate self-assessment”

• Save time – Scan models

– Yet to be seen

– Less time grading

• Save money – May require fewer faculty

Questions

• Better – Adjunct

– Accessibility

– Assessment

• Save time – Practicals (reduce subjectivity)

– Learning Curve

– Teaching time

• Save money – Faculty

– Immediate return?

• Better – Support current methods

– Evening sessions

– “Immediate self-assessment”

• Save time – Scan models

– Yet to be seen

– Less time grading

• Save money – May require fewer faculty

- Cost savings…

Potential Savings

• Impression Materials

• Trays

• Lab bills

• Fewer appointments

• Less time between appointments

• Reduce “Re-makes”

Cost Per Crown

Questions

• Does it really work?

• Is it better than what we are currently using?

• Will it save me time?

• Will it save me money?

• Is it something we should be teaching?

Is it something we should be teaching?

• Is this technology here to stay?

• How will this knowledge and skill help our students?

Comparison

Advantages

• Less faculty time

• More productive faculty time

• After hours assessment

• Shortened learning curve

• Less subjectivity

• Clinical savings

• Increase Graduates’ “Marketability”

Disadvantages

• Initial Cost

• Training/Learning Curve

• Maintenance

• Space

Questions

• Does it really work?

• Is it better than what we are currently using?

• Will it save me time?

• Will it save me money?

• Is it something we should be teaching?

Questions

• Does it really work?

• Is it better than what we are currently using?

• Will it save me time?

• Will it save me money?

• Is it something we should be teaching?

• Do I really want to?

Success

• It must work

• It must have a real purpose

• It must be sustainable

• It must have a champion(s)

• It must be “thought through”

• Adequate training

• Quality Control

Thank You