Jake Skowronski We recently undertook the challenge of completing a 28 crown full mouth rehab case with strict orders of getting it done in 5 visits only due to travel and time constraints.
More on that later but today we did visit #4 and it took 2 hours and 40 minutes.
4 crowns. 2 ovens. 1 mill. 1 scanner. 160 minutes.
Sure a second mill would be great, but using the Speedfire and Programmat simultaneously can really boost efficiency. There are many ways to treat a quadrant in one visit and here is the workflow we chose today.
Numbed patient at 1:30pm. Teeth #'s 28, 29, 30 and 31 were prepped for emax by 2:30pm. Preps scanned, designed #28 and we began milling #28 which took 5.5 minutes. While 28 was milling we started designing the others.
Milled #30 for 8.5 minutes.
#28 & #30 placed in the Speedfire for 26 minutes.
Milled #29 for 5.5 minutes and #31 for 8.5 minutes.
Placed #29 and #31 in the Programmat for 16 minutes, checked contact and occlusion and bonded #28 & #30. As clean up was finished, #29 & #31 were ready. #29 & 31 were checked, bonded and final checks completed.
The patient walked out at 4:10pm.
Sure we could have done it with just one oven but it was a lot less stressful utilizing both simultaneously.
So if you dont have a Speedfire, get one! Dont have a Programmat, get one!
Its a lot cheaper to add an oven than a mill.
