- X-rays
- CrownsMy office continues to run at Dentistry’s leading edge. Recently, I purchased a CAD-CAM ( computer aided design and computer aided manufacturing) machine that utilizes digital technology to make “same visit” crowns and other dental restorations (inlays, onlays, provisional restorations and more). It works like this… Our digital i-Tero intraoral scanner generates a STL file (standard tessilation language) or digital impression that replaces the old impression material we used for years. These STL files are exported to a computer that uses cloud based design software. Utilizing AI (artificial intelligence) and a few mouse clicks, I design a restoration on a monitor. The restoration design is then sent to a milling machine and again with a few simple mouse clicks, the restoration is “milled” or made in roughly 35 minutes using subtractive manufacturing principles. The restorations are “tried in” and cemented with zero or minimal adjustments. We and our patients are truly impressed with the results. We are confident that this technology is here to stay and the old methods of impressioning, waxing restorations, investing wax ups, burn outs using the lost wax investment casting techiques and porcelain build ups and firing ovens will go the way of the horse and buggy.
- Bridges
- Restorative DentistryThe Latest Advancements in Implant Dentistry, The Good,Bad and Ugly with Complex Restorative Dentistry Involving Implants, Jon Julian, DDS
- Root Canal Treatment
- DenturesAdvances in CAD/CAM Prosthetics for Over-Dentures and Fixed Hybrids and Understanding Bipolar Electrosurgery and its Applications in Implant Dentistry, Dr. Gregori M. Kurtzman, DDS
- Dental ImplantsThese are the numbers. Initial dental implant placement 96% successful. At 10 years 7% may be lost due to implantitis. My results are within industry standards. All implant planning is done with 3D cone beam computerized tomography. Implants are placed using X-NAV dynamic surgical guidance.
- Oral Surgery
- Tooth Extractions
- Ridge Augmentation
- Bone GraftingTopics Covered: Patient Evaluation, Step by Step Treatment planning, Advances in Diagnostic Imaging, Cone Beam Volumetric Scanning, Prosthodontic Perspectives for Implant Restorative Success, Single Implant to Multiple Implant Restorations, Abutment Preparation and Computer Milled Abutments, Current Concepts and Techniques for Dental Implant Surgical Placement, Synthetic, allogenic and Autogenous Bone Graft Materials, Membranes for Guided Bone Regeneration, Ridge Preservation Materials and Techniques, Growth Factors for Bone Grafting and Dental Implant Surgery.
- OrthodonticsDr. Cella practices all branches of dentistry including Invisalign orthodontics. His particular interest however, is in the field of dental implantology. He has dedicated countless hours of study and practical application to bone augmentation, implant placement, temporization and restoration of dental implants. He is a member of the American Dental Implant Association as well as the prestigious International Congress of Oral Implantologists.
- Invisalign OrthodonticsAt YDC Yankee Dental Congress 2022 this past January in Boston, I met representatives of a company called 3-D Predict that manufactures clear aligners – think Invisalign. The difference between 3-D predict and other clear aligner companies is that 3-D Predict utilizes three dimensional X-Ray data from cone beam computerized tomography machines to analyze the patient’s tooth root bony architecture to treatment plan the patient’s treatment results. In theory, outcomes should be more predictable and more stable long term. We are excited about this new partnership. My assistant Amanda Desautels RDA is invaluable in this technologically driven process. We are trying this new process. Not sure if it will overtake Invisalign in my office, a company we have gotten very good to excellent results with.
- General DentistryJohn Steven Cella, D.D.S. is a dentist practicing general dentistry in Pittsfield, MA since 1985. He is a 1984 graduate of the State University of New York At Buffalo School of Dental Medicine.