CEREC® CAD/CAM

Dr. Nick Yiannios D.D.S. has produced more CEREC CAD/CAM restorations in Rogers than any other dental practice in Northwest Arkansas  having created over 10,000 CEREC restorations since the year 2007. Adept dental CAD/CAM usage not only allows the patient to spend less time in the office (porcelain crowns and veneers can be created the same day instead of over multiple visits with typical dental practices), but also results in less tooth structure being removed (meaning more of nature is kept, hence fewer potential problems over time). CEREC is one of our flagship technologies.

CEREC® CAD/CAM Restorations in Rogers

This dental CAD/CAM technology allows the creation of high-quality all-ceramic crowns, veneers, inlays, and onlays on-site the same day by Dr. Nick Yiannios. Normally, such restorations take at least 2 weeks to be made in a dental laboratory and at least 2 visits to the office before the permanent prosthesis is put in place permanently. With CAD/CAM, a special infrared camera is used to take a picture of the tooth in need of repair and then computer software is used by Dr. Nick Yiannios to design the restoration from the picture. To learn more about our in-office CAD/CAM, click here.

The final result is then fused to the tooth with bonding materials and matches beautifully! Dr. Nick Yiannios is an expert in CEREC CAD/CAM Technology. Many years ago he authored a book explaining and visually demonstrating the capabilities of this technology by an adept operator (himself) which you can view here for more information.

Diamonds in a milling chamber carve the restoration out of a solid ceramic block of a color and size that matches your tooth, and then Dr. Nick Yiannios customizes the final result by applying stains and then a glazing material which is permanently fused to the restoration in a high-temperature glazing oven.

When We Won't Use CAD/CAM

Almost never…! When what little is left of the tooth is black looking because of an old root canal: Since these are all porcelain and translucent, the darkness can show-through.  Sometimes a lab made restoration with an opaque material under the porcelain to block out the darkness beneath may be indicated in these types of cases.

Advantages of CAD/CAM to the Patient

Single-visit procedure: no need to take a 2nd or 3rd day off of work or school. One visit is all it takes, typically 90 minutes per tooth, only 15 of which is spent in your mouth. The rest of the time you are relaxing or watching us create your tooth in the virtual world and then subsequently in the real world. Some additional advantages are:

  • Dr. Nick Yiannios is in complete control of the final result. Because the crown or veneer is designed beside you with the computer software, Dr. Nick Yiannios has complete control over how it will look and fit, whereas laboratory-made restorations are being made by a technician who has not ever even seen the patient. In addition, tiny improvements that mean a world of difference as to the fit of the final result can be made instantly since the patient is still sitting right there.
  • No nasty molds of your teeth. Instead, a picture is taken.
  • No temporary restorations. Ever have a crown or veneer done the normal way? Chances were it was lose, leaky, sensitive, looked off, tasted badly, etc. Not anymore with CAD/CAM.
  • Less tooth removed in many cases. No more grinding a tooth away for a crown. With CAD/CAM, there are far more conservative possibilities, meaning more natural tooth structure is retained.
  • Only one set of local anesthetic injections. Remember, it’s all done in one visit.
  • A VERY accurate seal means less sensitivity. CAD/CAM restorations are typically accurate to within 50 microns, which is 5/100 of a millimeter. A good laboratory crown can achieve a similar fit ONLY IF the mold was accurate and did not distort. Remember, there is no impression or mold or outside laboratory with CAD/CAM.
  • Chairside customization. All CAD/CAM’s in this practice are stained and glazed in the office to beautify and increase their strength.
  • Imperceptible edges. These restorations fit and blend in so well, you will not be able to feel or see the edges. Dr. Nick Yiannios often leaves much more of your natural tooth structure than would be possible using conventional methods resultant of the aforementioned statement.
  • No gray edges at the gum line. Because there is no metal in this fix, there is no metal to show through along the edge of the crown at the gum line.
  • Far less breakage. As of April 2015, our office has created over 7,000 CAD/CAM restorations, with only four fractured restorations over our 10 years of providing this amazing service.
  • Teeth that are oftentimes not restorable with a crown can sometimes be saved. As long as you have some enamel on your tooth, we can almost flat-top the tooth and expect success with a bonded all-ceramic CAD/CAM crown.
  • Beautiful porcelain veneers can be created on the same day. Wow! Not possible otherwise. Not to mention the subtle nuances associated with the looks and shapes of your front teeth that can be tweaked while you watch, interjecting your own input along the way.
  • Onlays and Inlays can be created that same day for your tooth. A dentist without CAD/CAM is bound to prescribe a crown to fix a tooth because it is less likely that your temporary will fall off. A crown removes more tooth structure than say an onlay. Common sense dictates that the less of mother nature that is removed in a surgery, the better. An onlay or inlay is preferable to a crown as less tooth structure is removed.
  • X-rays can visualize underneath the restoration. Most lab crowns have metal underneath. X-rays can not penetrate metal. CAD/CAM restorations have no metal, only porcelain, and X-rays do penetrate porcelain. This allows your dentist to more readily catch a problem underneath your prosthesis over time.

The CEREC® is also used in the practice to scan/provide virtual 3D “impressions” for our orthodontic aligner (Suresmile®) cases.  The CEREC® is an amazingly accurate piece of 3D imaging technology that eliminates the need for molds or impressions in the vast majority of cases.  This equipment is used constantly by Dr Nick for all sorts of applications in the practice.  This is why Dr.Nick Yiannios owns three of the very expensive CEREC® CAD/CAM units!

Dr. Nick Yiannios is an experienced CEREC and Cosmetic Dentist

These are his memberships and accreditations:

  • Fellow & Accredited Member, The Academy of CAD/CAM Dentistry
  • Master & Accredited Member, The Center for Neural Occlusion (MCNO)
  • SMART Member, International Academy of Oral Medicine and Toxicology
  • Member, International Association of Mercury Free Dentists
  • Accreditation Candidate, the Academy of Cosmetic Dentistry
  • 1993 Graduate The University of Texas Health Science Center at San Antonio Dental School

Contact our Rogers dental office today at (479) 876-8000 for more information about CAD/CAM technology.