If you are going to take a Los Angeles Institute of Clinical Dentistry & Ruiz Dental Seminars course, these here are some lab requirements you will need before learning from Dr. Jose-Luis Ruiz.

Download Lab Requirements

Onlays

  • Restorative material: eMax for most cases, Empress on high esthetic cases. Always high translucency with few exceptions.
  • Check for clearance, if thinner than 1.5mm then adjust preparation using egg shape bur. Make reduction coping if possible.
  • Broad proximal contact area.
  • Non-working cusp to be approximately the same height as adjacent teeth, never higher than working cusp. Curve of Wilson. Proper overjet, insure no possibility of interference.
  • Working cusp to be naturally acute (pointed) and not flat.
  • Occlusal contact along central groves, marginal ridges and tips of working cusp, if normal bite.
  • Do not over deepen groves to avoid weakening the material.

All-Ceramic Anterior Crown

  • Layered zirconia for anterior with a 0.3mm facial zirconia coping with proper design including maximum lingual support for occlusion. Zirconia should be cemented with RRGI.
  • If eMax is used, it requires 0.5mm reduction (space), 1mm lingual and incisal space or reduction. eMax should be bonded.
  • Anterior teeth on occlusal contact.
  • 5 minimum overjet with good cingulum supporting a centric stop.
  • Solid lingual ridge for canine guidance.

All-Ceramic Posterior Crown

  • Layered zirconia for bicuspids and first molars and full zirconia for 2ndand 3rd
  • On layered zirconia, coping design with 0.5mm facial and occlusal thickness and full marginal ridge support and contacts on zirconia to avoid any unsupported porcelain.
  • ZCR Press (Noritake) with high translucency over zirconia coping.
  • Preparation should be 0.5mm cervical axial reduction (space), transitioning to 1mm mid facial axial reduction (space) and 1.5 occlusal reductions (space).
  • Check for clearance, if thinner than 1.5mm occlusal space, adjust preparation using egg shape bur. Make reduction coping if possible.
  • Broad proximal contact area.
  • Non-working cusp to be approximately the same height as adjacent teeth, never higher than working cusp. Curve of Wilson. Proper overjet, insure no possibility of interference.
  • Working cusp to be naturally acute (pointed) and not flat.
  • Occlusal contact along central groves, marginal ridges and tips of working cusp.
  • Do not over deepen groves to avoid weakening the material.

Veneers

  • Feldesphatic layered veneers with minimal thickness and ideal 50% translucency, unless indicated otherwise.
  • Pressable or e-Max only when the space exceeds 1mm, and in that case, layer porcelain for characteristics, not just stain (rarely used).
  • Always use approved provisional to duplicate approved provisional incisal edge position, tooth width, and tooth fullness. Of course enhancing esthetics, confirming with a silicone matrix.
  • Match transitional line angles as the natural L.A. Institute model.
  • Match incisal embrasures as natural L.A. Institute model.
  • Have pink gingiva model to insure gingival embrasure closure.
  • Subtle texture and incisal edge effects.
  • Always lingual ridge on canines for canine guidance on porcelain when needed.
  • Very minor shade gradation starting on canines, ¼ shade more chroma, towards the back.

Night Guards/Splint

  • Fabricated on a semi-precision articulator
  • Full coverage soft/hard
  • 1 ½mm minimum thickness
  • Equal contacts, flat occlusal table.
  • Small anterior and canine guidance ramps.
  • 1 1/5 mm overjet (freedom for envelop of function)
  • Minimum facial acrylic wrap for esthetics, more wrap in posterior for retention.

Implant Abutments

If zirconia, facial and proximal margins ¼ mm below gingiva, lingual margins ½ mm above gingiva. If titanium, facial and proximal margins ½ mm below gingival, lingual margin ½ above gingiva. Usually with moderate tissue displacement to enhance emergence profile

Products

Many clinicians ask Dr. Jose-Luis Ruiz what his preferred materials are, and with the goal of providing this information freely, Dr. Jose-Luis Ruiz has compiled this list. Dr. Jose-Luis Ruiz has the opportunity to use and test most products in the market. In his clinical practice, he chooses to use the following products:

NOTE: The following list is by no means a full endorsement of any product. No one has paid to be in it and it does not mean other products in the market cannot be good substitutes. Additionally, this list is by procedure, and it changes constantly.

Direct Composites

Prep & Base/Liners

  • Articain 1/200,000–anesthetic–(Septodont)
  • Jose-Luis Ruiz/ L.A. Institute Bur Block (Brassler) mostly used–1556 (prep) /2010/ MW7406018
  • Caries Detector–Caries indicator– (Kuraray)
  • Ionoseal–Cavity Liner– (Voco)
  • Ionolux–RMGI restorative material–(Voco)

Fill

  • Ultra-etch–(ultradent)
  • Primer/bond clearfil SE Protect–bonding system–(Kuraray)
  • FuturaBond DC–bonding system–(Voco)
  • Valo Cordless–LEDcuring light–( Ultradent)
  • Clearfil Majesty Flow–flowable composite–(Kuraray)
  • Posterior composite: Majesty Esthetic PLT–Restorative Composite–(Kuraray)
  • Anterior composite: Venus Diamond–restorative composite–(Heraeus)
  • Composite-GradioSO–restorative composite–(Voco)
  • Co-Max–extraordinary composite gun (AdDent)
  • Composi-tight 3D Slick Bands–matrix bands–(Garrison)
  • Composi-tight 3D Sectional Matrix System–Ring Matrix System–(Garrison)
  • Blue-view-blue strips–clear matrix band system–(Garrison)
  • Wooden wedges Slim Jim–wedges–(Waterpik)
  • Soflex disk–finishing disk–(3M ESPE)
  • Jiffy brush–finishing brush–(Ultradent)
  • Arti-fol red 25 + blue 27–occlusal articulation paper/foil–(Baush)

Onlays & Crowns

Pre-Impression

  • Silginat Strawberry–preliminary impression–(kettenback)

Prep Buildup/Liners

  • Articain 1/200,000–anesthetic–(Septodont)
  • Jose-Luis Ruiz/ L.A. Institute Bur Block(Brasseler) mostly use–847KR018/856025/1556009
  • Caries Detector–Caries indicator–(Kuraray)
  • Ionoseal–Cavity Liner–(Voco)
  • Ionolux–RMGI restorative material–(Voco)
  • Primer/bond clearfil SE Protect–bonding system–(Kuraray)
  • Clearfil Majesty Flow–flowable composite–(Kuraray)
  • Composi-tight 3D Sectional Matrix System–Ring Matrix System–(Garrison)
  • Ultrapak Cord 00–(ultradent)

Temp

  • Structur–bis-acryl temporaray material–(Voco)
  • Integrity–bis-acryl temporaray material–(Densply)
  • Temrex TNE resin–temp cement–(Temrex)
  • Ultra temp policarboxilate–temp cement–(Ultradent)

Final Impression

  • FlexiTime–final impression– (Heraeus)
  • Panasil soft (heavy) & Panasil Initial Contact extra light–final impression–(Kettenback)
  • FlexiTime bite–bite registration– (Heraeus)
  • Futar fast–bite registration–(Kettenbach)

Delivery/Cementation

  • Jose-Luis Ruiz/ L.A. Institute Bur Block–(Brassler)
  • Concepsis scrub–cavity scrub cleaner–(Ultradent)
  • Porcelain etch (Ultradent)
  • Ceramic Primer Clearfil–silane–(Kuraray)
  • Ultra-etch (Ultradent)
  • Primer & Bond–SE Protect Clearfil–bonding system–(Kuraray)
  • #12 Surgical Blade Cerisaw (DenMat)
  • Soflex disk–finishing disk– (3M ESPE)
  • Jiffy brush–finishing brush–(Ultradent)
  • Dialite cups–porcelain finishing system–(Brasseler)
  • Arti-fol red 25 + blue 27–occlusal articulation paper/foil–(Baush)

Onlays Cement

  • Esthetic Cement and DC Bond–dual cure resin cement–(Kuraray)
  • Bifix + Futurabond CD–dual cure resin cement–(Voco)

Full Crowns Cement

  • Meron Plus AC Capsules–RMGI Cement–(Voco)

Veneers

Prep & Temp

  • Wax-up (Burbank Dental lab)
  • FlexiTime silicone putty–silicone matrix–(Heraeus)
  • Jose-Luis Ruiz/L.A. Institute bur block (Brasseler) Burs Used–850014 (prep)
  • Articain-1/200,000–anesthetic–(Septodont)
  • Ultrapak cord 00 (Ultradent)
  • Structur–bis-acril Provisionals–(Voco)
  • SoftFlex Disks 2382C (3M)
  • Palaseal (Heraeus)
  • Temporary cement (Temrex TNE)

Final Impression

  • FlexiTime–final impression–(Heraeus)
  • Panasil soft (heavy) & Panasil Initial Contact extra light–final impression–(Kettenback)
  • FlexiTime bite–bite registration–(Heraeus)
  • Futar fast–bite registration–(Kettenbach)

Delivery/Bonded Cementation

  • Calibra–veneer cement–(Denstply)
  • Rely-X Veneer–veneer cement–(3M ESPE)
  • Porcelain etch (Ultradent)
  • Ceramic Primer–silane–(Kuraray)
  • Ultra-etch (Ultradent)
  • Primer & Bond–SE Protect Clearfil–bonding system–(Kuraray)
  • #12 Surgical Blade
  • Cerisaw (DenMat)
  • Soflex disk–finishing disk–(3M ESPE)
  • Jiffy brush–finishing brush–(Ultradent)
  • Dialite cups–porcelain finishing system–(Brasseler)
  • Arti-fol red 25 + blue 27–occlusal articulation paper/foil–(Baush)

Occlusion

  • Facebow analyzer–facebow–(Panadent)
  • Articulator(Panadent)
  • Arti-fol red 25 + blue 27–occlusal articulation paper/foil–(Baush)
  • FlexiTime bite–bite registration–(Heraeus)
  • Futar fast–bite registration–(Kettenbach)

For more information and to order any of these products, please click on any of the names below.

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