5 Common Questions About Chairside CAD/CAM Systems

August 24, 2021
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Eric Relyea
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Forward-thinking dental practices have been rapidly adopting chairside CAD/CAM systems to provide patients with dental restorations in a single visit. Simply stated, dental CAD/CAM technology has clearly fulfilled the promise to make it easier for patients to accept treatment and for practices to thrive. However, despite this rapid adoption rate, there are still many practices that have not yet embraced chairside CAD/CAM technology and realized the full potential of digital transformation for their restorative workflows. Given the competitive edge and increased productivity that dentists experience by offering patients same-visit restorations, it is worth looking into the factors that are holding some practices back.

Concerns expressed by some practices include:

  • High cost of acquiring equipment, as well as ongoing fees
  • Uncertainty regarding whether digital workflows, particularly single-visit dentistry, are right for the practice
  • Fear that required training and ongoing support will not be sufficient or reliable
  • Concerns about the team’s openness to adopting new technology
  • Perceived complexity of the restoration design process and fear of having to become a lab technician in order to succeed at same-visit dentistry

Importantly, COVID-19 has heightened demand for digital solutions that enhance safety, deliver straightforward and predictable treatments, and minimize chair time while offering a better patient experience. Now, more than ever, CAD/CAM dentistry can be the answer for your practice — but only if doctors can finally find answers to the questions that are holding them back.

Dr. Samuel Brick with the glidewell.io In-Office Solution

Recognizing the opportunity to boost efficiency and productivity in his practice, Dr. Samuel Brick of Madison, Wisconsin, recently adopted the glidewell.io In-Office Solution. “I enjoy providing same-day crowns in order to save the patient and ourselves time,” says Dr. Brick.

QUESTION NO. 1: WHAT’S IN IT FOR ME?

From your patient’s perspective, the convenience of receiving a crown in one appointment is quite compelling. In addition, the digital workflow for same-visit crowns eliminates the “goop” used in traditional VPS impressions while reducing the need for temporaries and multiple injections of anesthesia.

The appeal of single-appointment dentistry is illustrated by a survey of dental patients, which found that:1

  • 85% of patients would prefer same-visit dentistry
  • 50% would pay more to receive a restoration in one appointment
  • 67% would travel farther
  • Two out of three would change dentists to book a single-visit appointment
  • Same-visit crowns are the No. 1 patient-requested dental technology

In fact, another survey of dental professionals reported that 59% have received questions from patients about CAD/CAM technology.2

COVID-19 has further increased patients’ interest in single-visit dentistry due to heightened reluctance about taking excessive time away from work.

According to Dr. Scott Methven, a dentist with a private practice in Wasilla, Alaska: “Patients are thrilled to have single-day restorations. In the vast majority of crown cases, glidewell.io™ allows them to visit our office just once rather than multiple times over several weeks.”

For your team, bringing CAD/CAM technology into the practice provides an opportunity to both learn new skills and better serve patients, resulting in greater job satisfaction. Importantly, in what is proving to be a tight market for attracting and retaining team members, the addition of CAD/CAM technology gives you an advantage over less progressive practices in the area.

Natalie Arverruz, RDA, from Costa Mesa, California, says: “Learning how to use glidewell.io is easy thanks to the training and support from Glidewell. As a team member, I’m pretty proud of the new skills I’m picking up as I become more proficient with the system.”

Dr. Cary LaCouture of Parker, Colorado, emphasizes the team-building experience that adding chairside CAD/CAM technology has brought to his practice. “As a dental restorative team, we’ve embraced a same-appointment workflow,” says Dr. LaCouture. “I don’t know that anything has galvanized our team more, as together we strive to deliver a smooth process for each patient. It’s fun!”

For the practice, the benefits can include more efficient workflows, resulting in increased productivity, faster collections, an improved patient experience that builds loyalty and referrals, new patients attracted by the promise of single-visit dentistry, and greater control over your most precious commodity: time.

Dr. Korinne Grieger and her team with the glidewe..io In-Office Solution

Dr. Korinne Grieger and her team recently added the glidewell.io In-Office Solution to her practice in Scottsdale, Arizona, and found that the direct training provided by Glidewell smoothed the path to success in offering patients single-appointment crowns. “The previous technology used for same-day crowns took months to master,” says Dr. Grieger. “With glidewell.io, we are up and running with only one day of training.”

QUESTION NO. 2: HOW MUCH DOES IT COST?

Let’s start with the equipment, which includes an intraoral scanner, design software and station, mill, and oven. These are available as either closed systems, in which all components are from a single manufacturer, or open systems, in which components can be purchased from multiple manufacturers. Then there is the glidewell.io In-Office Solution, which offers a seamless workflow when paired with an iTero Element® imaging system or can be used with all other intraoral scanners.

With CEREC®, the market incumbent and prime example of a closed system, costs can exceed $150,000. By contrast, you can pay as little as $69,995 for the glidewell.io system. If you already own a scanner, the cost of glidewell.io is only $54,995.

Designed and built in the U.S., glidewell.io is a manufacturer-direct option that is over $80,000 less than the market leader.

In Dr. LaCouture’s estimation: “Initial expense is no longer a significant barrier to entry. With attractive financing options and immediate lab savings on every case, Glidewell offers a flexible CAD/CAM solution that can pay for itself quickly and well into the digital future — which appears to be a lot closer than it once did.”

Monthly fees are typically required to cover warranty service and software license. These fees may be clearly identified but are sometimes bundled and labeled as a “club membership” (or other, less transparent wording).

In the case of the glidewell.io In-Office Solution, the first year of hardware support and warranty coverage, as well as software support and license, is included in the purchase price.

Beginning in month No. 13, software support and license is $250 per month. Also, in month No. 13, you can elect to purchase optional hardware support and warranty coverage for $210 per month. In today’s low interest rate environment, many doctors are choosing to bundle fees with the equipment when financing their purchase.

QUESTION NO. 3: WHICH KINDS OF RESTORATIONS CAN BE MILLED IN-OFFICE?

The CAD/CAM promise is fundamentally about efficiency, productivity, convenience and control. There is no better place to start than single-unit posterior crowns. Anterior restorations, composite crowns, inlays and temporary bridges are also contributors, but nothing can deliver more value to the practice than transitioning your single-unit posterior cases to a one-visit digital workflow.

Having determined that real value comes from milling single-unit posterior crowns, the question of material selection is simplified: Can the CAD/CAM system mill zirconia? And more to the point, will it mill BruxZir Zirconia — the No. 1 prescribed restorative material that Dr. Gordon Christensen has called one of the most important developments in modern dentistry?

BruxZir NOW crowns with glidewell.io

While other chairside CAD/CAM systems can mill crowns from zirconia, the material requires additional time-consuming steps of oven sintering. With glidewell.io, you can create BruxZir® NOW crowns right in your office and deliver the restoration straight from the mill, boosting your efficiency and allowing you to provide more of your patients with same-visit dentistry.

While some other CAD/CAM systems have the ability to mill zirconia, they do so in the soft, pre-sintered state. This requires oven-firing the milled restoration before finishing, adding extra handling and complexity to what should be a streamlined digital workflow.

BruxZir NOW is the pre-sintered zirconia exclusive to Glidewell milling systems. By eliminating the need for oven time and post-processing, BruxZir NOW crowns are ready to seat right from the mill.

QUESTION NO. 4: IS THE TECHNOLOGY DIFFICULT TO LEARN?

According to Dr. Christopher Petrush of Pleasant Hill, California: “What Glidewell has done with this software is amazing! You have essentially eliminated the learning curve with automated crown designs using AI.”

The glidewell.io In-Office Solution uses proprietary CrownAI™ and machine-learning algorithms to ensure the highest accuracy with the least effort. Pulling data from Glidewell’s extensive database of past cases, the software automatically combines that information with the case at hand to provide you with a 3D design ready for your approval.

Dr. Michael Buck, who operates a practice in Creston, Iowa, adds: “I was very pleasantly surprised at how easy the design process with the fastdesign.io™ Software actually is. You just mark your margins and then click to generate the design proposal. The designs that come back from the software are very precise and don’t need much, if any, adjustment, other than a couple of times when maybe we decide to tweak the contacts. It’s all very straightforward and fast.”

But, if you’ve spent any time on a chairside CAD/CAM-related message board, you know that the system is only as good as the accompanying support and training. This isn’t a matter to be taken lightly. The vast majority of these systems are sold through dental distributors, which can make it difficult to get the support and training you need to succeed.

By contrast, the glidewell.io In-Office Solution is fully supported by the manufacturer, with dedicated teams responsible for implementation, training and support. In fact, there is even a customer success team in place to ensure that practices derive maximum value from their investment.

Unlike systems sold by a distributor, glidewell.io puts your dental lab chairside, so you get maximum value from your investment. This includes:

  • Hands-on installation and one-on-one training in your practice on day one
  • Immediate access to glidewell.io support through text, chat, email or phone
  • Real-time remote design assistance from skilled support technicians

If you’re ready for a deeper understanding of restoration design and more complex cases, glidewell.io provides learning opportunities to guide the way:

  • Live, hands-on advanced training courses
  • Clinician-led monthly webinars
  • FREE on-demand educational articles and videos

As Dr. Thomas Fuchs of Louisville, Kentucky, states: “Glidewell never stops. When I first purchased glidewell.io, they gave us onsite training and resources for how to get started. Since then, they’ve never stopped giving me things that make my dentistry better and more exciting.”

QUESTION NO. 5: IS INVESTING IN GLIDEWELL.IO™ A WISE FINANCIAL MOVE FOR MY PRACTICE?

Here’s how Dr. Joshua Prentice, who runs a thriving practice in Bend, Oregon, answers the question: “glidewell.io has boosted production at our office so much that we’ve purchased two additional mills to keep up with the demand for same-day crowns. Each mill has added approximately $1,000 in revenue to our practice per day. Investing in glidewell.io is the best financial decision we’ve ever made.”

Dr. Joshua Prentice with his glidewell.io In-Office Solution

After adding glidewell.io to his practice in Bend, Oregon, Dr. Joshua Prentice experienced such a high demand for same-visit crowns that he has since ordered two additional mills to meet the needs of his patients.

iTero Element is a registered trademark of Align Technology, Inc. CEREC is a registered trademark of Dentsply Sirona.

References

  1. ^ Exevia GmbH — German dental patient survey, November 2015.
  2. ^ Futuredontics. Advanced Dental Technology: Perception vs Reality [internet]. 2016 Jul [cited 2018 Mar 1]. Available from: dds1800.com/TechReport/