Integration of New Technology. Change

Transcription

1 Integration of New Technology Change

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5 Consideration (Why?) Purpose Need Desire

6 Purpose Need Consideration (Why?) Limited faculty Limited time Limited space Desire Improve instruction Up to date Set the curve

7 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?

8 Cost Expense (cost/benefit) Initial Equipment, supplies, training Continued Budget Grants Supplies, maintenance

9 Cost We must be able to justify the expense!

10 Compatibility Philosophy/Direction Administration/Faculty Buy-in Facility Machinery Associated materials (inventory) Logistics Implementation Transition Sustainability IT Security Storage/Archive Installation

11 Examples Digital Records Digital Radiographs Intra-oral cameras DentSim CAD CAM E-books E-curriculum Lasers haptics

12 What is CAD CAM? CAD CAM Computer Aided Design Computer Aided Manufacturing

13 How it Works CAD CAM DIU s Chair side CAD CAM CAD CAM remote

14 DIU s Itero (Cadent) Lava COS (3M ESPE) (chairside oral scanner)

15 Chair side CAD CAM CEREC (Sirona) E4D (D4D)

16 SCAN DESIGN DESIGN I How it Works

17 SCAN DESIGN DESIGN MILL How it Works

18 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?

19 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?

20 Does it really work? Fit, Marginal Integrity Esthetics Longevity Strength Wear Characteristics Post-Operative Sensitivity

21 REVIEW OF LITERATURE

22 REVIEW OF LITERATURE

23 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 allceramic 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, 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, 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.

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31 Integration Freshman Technology introduction Dental anatomy Sophomore Restorative Dentistry Junior Crown & Bridge, Esthetics Senior Clinical application Residents/Faculty Clinical Productivity

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35 IT Response

36 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?

37 Questions Better Adjunct Accessibility Assessment

38 Questions Better Adjunct Accessibility Assessment Better Support current methods

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43 Questions Better Adjunct Accessibility Assessment Better Support current methods - Evening sessions - Immediate self-assessment

44 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?

45 Questions Better Better Adjunct Support current methods Accessibility Evening sessions Assessment Immediate self-assessment Save time Save time Practicals (reduce subjectivity) Scan models Learning Curve Teaching time

46 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

47 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?

48 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

49 Cost We must be able to justify the expense!

50 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

51 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

52 Potential Savings Impression Materials Trays Lab bills Fewer appointments Less time between appointments Reduce Re-makes

53 Cost Per Crown

54 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?

55 Is it something we should be teaching? Is this technology here to stay? How will this knowledge and skill help our students?

56 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

57 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?

58 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?

59 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

60 Thank You