D4D Technologies

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KOM

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I'm interested in any people's opinions on this new technology. Especially if you own one.

Fewer impressions, less lab fees (with their milling machine)...seems viable. Though I'm not sure how you'd be able to check for occlusion.
 
I'm interested in any people's opinions on this new technology. Especially if you own one.

Fewer impressions, less lab fees (with their milling machine)...seems viable. Though I'm not sure how you'd be able to check for occlusion.

Do you mean E4D? It's basically a re-branded CEREC with a different scanning system.
 
The company is D4D. The machine is the E4D.

Right, the E stands for Evolution and it's distributed by Henry Schein. It seemed more exciting a few years ago when they first announced it, but it took about 4+ years to make it to market. It's still basically the same as a CEREC, except the scanning system doesn't require the powder supposedly allowing for sub-50 micron margins. You can also mill gold, though it seems like a really expensive way to fabricate a FGC.
 
If you're interested in similar technologies, check out the Lava C.O.S. by 3M ESPE. I'm still not sure exactly what to make of it...
 
It is a great item, however I do not trust all pocelain crowns in the posterior and you can't get the great stacked look for anteriors. Some people make their crowns better by glazing, staing, or cutting porcelain and stcking and baking. That makes you a lab tech and defetes the purpose.

With the recession I think it is a very bad idea for any new dentist to think about spending $100,000 plus for this. You can find great labs that can make awsome work at a good price. Focus on getting fast and better skills, after your practice is paid off and you are making a ton of money then think about toys.

Don't let sales people or people who conduct training for a living convince you that this is needed and will make you rich and a better dentist.
 
Do you mean E4D? It's basically a re-branded CEREC with a different scanning system.

There are great differences between e4d and Cerec. There are also great similarities. But, e4d is not a rebranded Cerec.
 
Right, the E stands for Evolution and it's distributed by Henry Schein. It seemed more exciting a few years ago when they first announced it, but it took about 4+ years to make it to market. It's still basically the same as a CEREC, except the scanning system doesn't require the powder supposedly allowing for sub-50 micron margins. You can also mill gold, though it seems like a really expensive way to fabricate a FGC.


They both can mill under 50 microns.

Cerec mills A LOT faster than e4d.

E4d does not mill gold.

Cerec can make gold restorations by milling the pattern in acrylic and then using the lost wax technique.
 
It is a great item, however I do not trust all pocelain crowns in the posterior and you can't get the great stacked look for anteriors. Some people make their crowns better by glazing, staing, or cutting porcelain and stcking and baking. That makes you a lab tech and defetes the purpose.

With the recession I think it is a very bad idea for any new dentist to think about spending $100,000 plus for this. You can find great labs that can make awsome work at a good price. Focus on getting fast and better skills, after your practice is paid off and you are making a ton of money then think about toys.

Don't let sales people or people who conduct training for a living convince you that this is needed and will make you rich and a better dentist.
Just like any material, ceramic has to be done properly, and it will work in the posterior.

If you want to check out Cerec esthetics, go to the Du Jour thread on DentalTown. There is plenty to look at. There is good and there is bad, but don't be to judgemental! There is good and bad dental esthetics with ALL materials.

I know many Cerec salesman, because I am a trainer for Patterson. I don't know of one instance where they are trying to sell to a new graduate. I'm sure it has been done, but most Cerec Specialists (salesmen) want the doctor to be successful right of the bat. But, I do agree: get out of school, learn how to be efficient, learn patient care, and learn the business of dentistry FIRST!

You WILL become a better dentist because you get the great opportunity to see your preps immediately, and blown up on the computer screen. Dont tell me that doesn't make you prep better! You also get instant feedback if you reduced enough. It's a lot better to know immediately than to wait 3 weeks to have your lab color the opposing tooth a little red to adjust in the mouth. :meanie:

Both Cerec and e4d have ways to design and mill to occlusion.

I am an advanced trainer, but I make more money "doing" Cerec than I do talking about it. I teach because it is fun!
 
BTW: this is a great website.

I wish I had a resource like this while I was in dental school.
 
They both can mill under 50 microns.

Cerec mills A LOT faster than e4d.

E4d does not mill gold.

Cerec can make gold restorations by milling the pattern in acrylic and then using the lost wax technique.


I have used a cerec and we are now in the process of purchasing the E4d. The software is much more user friendly, the scanning process is much easier as well. The powder approach was a major pain in the arse. What E4d has done is solved most of the complaints and issues associated with the Cerec. In addition, the actual milling machine is equipped to eventually mill 3 unit FPDs once they come up with a suitable ceramic material. Better overall milling machine.
 
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