Doctor's Favorites: Restorative Technologies
A graduate of Loyola University’s School of Dentistry, James Kakos, DDS, FAGD, FICOI, practices general dentistry in the Chicago area with a focus on cosmetics and implants. He holds Fellowships in the International Congress of Oral Implantologists and Academy of General Dentistry and is a licensed dental anesthesiologist. Here, he discusses the latest and greatest in restorative technologies.
I cannot imagine practicing without CEREC, which has offered incredible benefits to my practice for over 29 years. Dentsply Sirona’s CEREC Primescan and Primemill are ideal for 1-visit crown, onlay, or bridge cases, and the scanner performs full-mouth scans for printing models and provides me with implant surgical guides via 3D printing. Primescan is invaluable for scanning preps and sending cases to labs for prosthetic fabrication.
KaVo Kerr’s SonicFill 3 allows me to place beautiful and lifelike posterior restorations without worrying about depth of cure. I am amazed at its adaption and final appearance once cured and polished. With ideal consistency and viscosity, Beautifil Flow Plus X from Shofu has become the staple flowable composite in my office because of its fluoride release, polishability, and handling characteristics.
Adhese Universal VivaPen from Ivoclar Vivadent has proven to be the most economical, least wasteful, and most clinically successful bonding agent that I have ever used. Because the design allows clinicians to use only the amount necessary, I’ve found that my VivaPen lasts almost twice as long as my previous bottled agents.
I rely on Garrison’s Composi-Tight 3D Fusion sectional matrix system for restorative procedures, and my SurgiTel loupes work well in tandem with the SurgiTel Micro LED wireless headlight.
Fabricating my own implant surgical guides and models has become routine, and I'm able to keep these functions inhouse with Formlabs’ Form 2 3D printer. By exporting the .STL file directly from CEREC, I can print any guide or model necessary within hours, which is extremely economical and has slowly allowed me to remove gypsum and stone in my office.