Everything needed to plan, design, and fabricate most treatment without leaving the building:
DEXIS OP 3D EX cone-beam CT for three-dimensional imaging
Medit i900C intraoral scanner for digital impressions
Perfit Ovis mill for zirconia crowns, inlays, and onlays
RapidShape Pro 20 3D printer for guides, models, and provisionals
Dental lasers for soft tissue procedures
Digital X-rays and intraoral cameras

Dr. Kary has worked with CAD software and digital fabrication since 2007, so this equipment is used daily rather than kept for special cases.

Question 2

What is a cone-beam CT scan and when do you use one?

Accepted Answer

A CBCT scan produces a three-dimensional image of your teeth, jaws, sinuses, and airway, showing bone volume and anatomy that a flat X-ray cannot. We use it for implant planning, surgical evaluation, root canal diagnosis, airway analysis, and TMJ assessment. It is taken when the information will change the treatment decision, not routinely.

Question 3

Do you have a dental lab in the office?

Accepted Answer

Yes. Crowns, inlays, and onlays are designed in software and milled from fully sintered zirconia on-site, then color-matched and finished by hand. Surgical guides, models, provisional restorations, and night guards are 3D printed here as well. Having the lab in the building is what makes single-visit restorations possible and lets adjustments happen while you are still in the chair.

Question 4

Do you ever send work to an outside lab?

Accepted Answer

For complex cosmetic and full-arch prosthetic cases, we collaborate with specialized CAD design laboratories on the prosthetic design. Dr. Kary performs all final verification, adjustment, and delivery. Routine restorative work is made in-house.

Question 5

What is air abrasion?

Accepted Answer

A way of removing early decay using a fine stream of particles instead of a bur. There is no drill and no vibration, and it removes less healthy tooth structure than a conventional preparation. It suits small, early lesions rather than large or deep decay.

Question 6

What do you use the 3D printer for?

Accepted Answer

Surgical guides for implant placement, diagnostic models, provisional restorations, orthotics, and night guards. Printing in-house removes lab shipping time from the schedule, which is why provisionals can be ready before you sit down. It also means a guide can be reprinted the same day if a plan changes.

Question 7

How is guided implant surgery different?

Accepted Answer

The case is planned in software from your CBCT scan, and a surgical guide is then 3D printed to match that plan. The guide directs the position, angle, and depth of the implant during surgery rather than relying on judgment alone. Planning is done in DTX Studio and the guides are printed here.

Question 8

Why do you take photos with an intraoral camera?

Accepted Answer

So you can see what we see. High-resolution images of a cracked filling or an area of decay make it possible to explain a recommendation rather than just state it, and to compare the same tooth over time. If a procedure is not necessary, the photo usually shows that too.

Question 9

How much radiation do digital X-rays use?

Accepted Answer

Digital sensors need roughly 90% less radiation than traditional film. A CBCT scan uses more than a single digital X-ray but far less than a medical CT, and it is only taken when the three-dimensional information is needed. We use protective shielding and take images based on what your exam actually calls for.

Question 10

Does all this equipment make treatment cost more?

Accepted Answer

Treatment is billed by procedure code, not by the instrument used, so a crown is billed as a crown whether it is milled here or sent to a lab. Doing the work in-house tends to reduce visits rather than add cost. The practice is independently owned with no outside investors and no production quotas, so equipment is not something you are steered toward paying for.

Technology

For complex cosmetic and full-arch cases, we collaborate with specialized CAD design laboratories for prosthetic design. Dr. Kary performs all final verification, adjustment, and delivery.

Frequently Asked Questions

For complex cosmetic and full-arch prosthetic cases, we collaborate with specialized CAD design laboratories on the prosthetic design. Dr. Kary performs all final verification, adjustment, and delivery. Routine restorative work is made in-house.

A way of removing early decay using a fine stream of particles instead of a bur. There is no drill and no vibration, and it removes less healthy tooth structure than a conventional preparation. It suits small, early lesions rather than large or deep decay.

The case is planned in software from your CBCT scan, and a surgical guide is then 3D printed to match that plan. The guide directs the position, angle, and depth of the implant during surgery rather than relying on judgment alone. Planning is done in DTX Studio and the guides are printed here.

So you can see what we see. High-resolution images of a cracked filling or an area of decay make it possible to explain a recommendation rather than just state it, and to compare the same tooth over time. If a procedure is not necessary, the photo usually shows that too.

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Practice Hours:

Advanced dentistry.
Ethically driven.