Paul Zhivago, DDS

Paul Zhivago, DDS This site contains cases that I completed, topics and events of interest.

Medit in Napa — knowledge, connections, good times! 🙌
08/20/2025

Medit in Napa — knowledge, connections, good times! 🙌

🦷✨ Shoutout to Bayron, our incredible lab technician, for absolutely nailing it on this case! 🙌Behind every great smile ...
07/31/2025

🦷✨ Shoutout to Bayron, our incredible lab technician, for absolutely nailing it on this case! 🙌

Behind every great smile is someone meticulously crafting the details, and Bayron brought this one to life with so much care and precision. We’re so lucky to have such talent behind the scenes at Downtown Dental. 👏👏

📸:

Why Horizontal Scan Bodies Are Gaining PopularityHorizontal scan bodies are becoming increasingly common in full-arch ca...
06/23/2025

Why Horizontal Scan Bodies Are Gaining Popularity

Horizontal scan bodies are becoming increasingly common in full-arch cases because they provide more predictable scan accuracy compared to conventional vertical scan bodies.

Their results are comparable to photogrammetry, but the key advantage is that they are compatible with standard intraoral scanners (IOS), making the workflow more accessible and streamlined.

What Makes Them So Effective?

The complex geometry of horizontal scan bodies helps the IOS capture more accurate and distinct reference points, which improves the precision of the scan—especially important in full-arch restorations.

In This Case

We are testing the Scanladder system (Scan Ladder) developed by Dr. Adam Nutly, which is compatible with the Medit SmartX and can be uploaded into the Exocad scan body library.

The Challenge
Due to the close proximity of the implant positions, not all scan bodies could be captured in a single scan.

Two Possible Workarounds:
Import the scan body library into Medit and let the AI automatically recognize and align them.

Scan the majority of scan bodies first, then mask them so they are not altered during a second scan. After masking, scan the missing ones next to the masked areas.

This approach takes advantage of the fact that neither the scanner nor the design software uses a collision model, allowing for the accurate alignment of multiple scan segments. A practical example of adapting digital workflows to get reliable and precise full-arch outcomes.

🚨 Limited Edition Drop: Dr. Zhivago, DDS — now in action figure form! 💥Comes fully equipped with dental implants, a Pors...
05/14/2025

🚨 Limited Edition Drop: Dr. Zhivago, DDS — now in action figure form! 💥

Comes fully equipped with dental implants, a Porsche, and a serious obsession with precision (because whether it’s teeth or torque, the fit has to be perfect).

Boxed up, but never boxed in.

Catch him at Downtown Dental—where high-performance smiles are custom-built.

We’re incredibly honored to welcome the Medit team all the way from Korea to our office! Exciting things are on the hori...
04/29/2025

We’re incredibly honored to welcome the Medit team all the way from Korea to our office! Exciting things are on the horizon — stay tuned!

A Tribute to Professor Dr. Matthias KernThis post is dedicated to Professor Dr. Matthias Kern — an exceptional prosthodo...
04/23/2025

A Tribute to Professor Dr. Matthias Kern

This post is dedicated to Professor Dr. Matthias Kern — an exceptional prosthodontist, pioneering researcher, and true innovator in our field.

Early in my career, through professional organizations and publications, I became familiar with Dr. Kern’s groundbreaking work. He revolutionized the way many of us approach resin-bonded porcelain bridges. What was once considered a risky and unpredictable treatment, he rigorously studied, refined, and validated through long-term clinical research.

His contributions have reshaped our understanding and practice. Because of his work, clinicians around the world — myself included — are now able to confidently provide durable, stable restorations for patients, especially those with congenitally missing teeth for whom implants aren’t an option.

I encourage every dental professional to delve into his publications and learn from his methods. His insights continue to illuminate our path and inspire better outcomes for our patients. His research has helped me — and so many others — deliver care with greater confidence and long-term success.

Thank you, Matthias, for your vision, your dedication, and the lasting impact you've made on dentistry and on the lives of countless patients.

Just returned from IDS 2025 with new insights, great conversations, and plenty of ideas to bring back to the practice.It...
04/07/2025

Just returned from IDS 2025 with new insights, great conversations, and plenty of ideas to bring back to the practice.

It was a privilege to speak alongside Dr. Gulshan Murgai, Dr. Stephen Lampl, Dr. Christian Coachman, Dr. Miguel Stanley, Dr. Michael Scherer, and Dr. John Sorensen. Our discussions highlighted how meaningful collaboration between clinicians and vhf camfacture AG continues to drive progress in digital dentistry and CAM technology.

Thank you to the vhf team for facilitating thoughtful dialogue, sharing valuable feedback, and creating a space where innovation and clinical relevance come together. Looking forward to what’s next.

Join Dr. Zhivago and vhf camfacture AG at IDS for an exciting lineup of vhf Expert Talks—where digital innovation meets ...
03/24/2025

Join Dr. Zhivago and vhf camfacture AG at IDS for an exciting lineup of vhf Expert Talks—where digital innovation meets real-world application! 💡 Hosted by vhf, these sessions bring top minds in dental technology together to share insights and experience.

✨ Spotlight on Wednesday, 26.03:
Don’t miss Dr. Paul Zhivago, alongside Dr. Stephan Lampl and Dr. Gulshan Murgai, as they showcase their most impressive patient cases—all created using vhf machines—in a live case battle. Who takes the crown? You decide!

📅 Full Schedule:
➡ Tuesday, 3/25: Dr. Gulshan Murgai discusses the “Digital Evolution” and his hands-on experience with vhf technology.
➡ Wednesday, 3/26: Case battle with Dr. Paul Zhivago, Dr. Stephan Lampl & Dr. Gulshan Murgai.
➡ Thursday, 3/27: Panel discussion on Milling vs. 3D Printing featuring Dr. Miguel Stanley, Dr. Michael Scherer, Dr. John Sorensen, moderated by Dr. Christian Coachman.

🕠 All talks start at 5:30 pm at stand C038/D039, hall 1—followed by cocktails & networking in the vhf lounge. See you there! 🍸

03/19/2025

Scan smarter, not harder. Medit i900 Classic!

Veneer Tune-Up: A Fresh, Natural LookOur patient came to us looking to replace her old veneers, which she had done years...
03/17/2025

Veneer Tune-Up: A Fresh, Natural Look

Our patient came to us looking to replace her old veneers, which she had done years ago. She wanted a refreshed smile with a more natural appearance.

To achieve this, we slightly increased the length of her veneers and performed minor crown lengthening to enhance the overall aesthetics. Our goal was to maintain a natural look while adding more characterization to the new veneers, ensuring they blended seamlessly with her features.

The result? A beautifully enhanced smile that looks effortlessly natural and perfectly suited to her!

Aesthetic Crown Lengthening Based on the Mock-Up:The workflow begins with designing a mock-up, which serves as a templat...
01/02/2025

Aesthetic Crown Lengthening Based on the Mock-Up:

The workflow begins with designing a mock-up, which serves as a template for the provisionals and gingival reduction guide. First, we create a smile design using Smilecloud, which utilizes AI libraries and the patient’s facial features. The Smilecloud design is then downloaded as a 3D file for use in exocad or Maxon ZBrush, where it’s converted into a 3D-printed mock-up and reduction guide.

Our preferred sequence is to perform aesthetic crown lengthening first, followed by immediate tooth preparation and temporization. This approach helps control healing and tissue growth, allowing the provisionals to shape the gingival zenith and contours in a more predictable way.

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New York, NY

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Monday 9am - 5pm
Tuesday 9am - 5pm
Wednesday 9am - 5pm
Thursday 9am - 5pm
Saturday 9am - 5pm

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(212) 758-5858

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