Paul Zhivago, DDS

04/12/2026

It is remarkable to see how far dentistry has advanced. Today, we are able to fabricate definitive restorations that closely replicate previously designed provisional restorations with an exceptional level of accuracy.
In this case, we collaborated closely with our patient to design her preferred esthetic outcome using 3D-printed provisional restorations. Once the patient approved the design, we proceeded to mill the final restorations in lithium disilicate (e.max), precisely duplicating the approved contours and morphology.
Digital dentistry has elevated the level of predictability in our field. Similar to other industries that rely on prototyping before final production, we can now validate esthetics and function prior to delivering definitive restorations. This workflow allows us to provide patients with highly predictable outcomes and significantly reduces the likelihood of unexpected results. .creating.perfection

11/11/2025

Join us at the Tarnow Alumni Day!
12/03/2025

10/21/2025

10/02/2025

Dr. Ruby Smith is showing us just how simple the new Medit i900 Mobility really is.

No computer. No wires. Just the intraoral scanner and the iPad it comes with... that’s it. 👏

Easy to set up, easy to use, and built to make your workflow smoother.

10/01/2025

My first look at the Medit i900 Mobility was in Napa this summer. Now I get to unbox it. IOS-ready, no wires, no computer, total upgrade! Once you try it, there’s no going back.

09/26/2025

Join me at NYU College of Dentistry on October 3, 2025 (6:00–8:30 PM ET) for Alumni CE: Digital Dentistry 2.0 — Innovations and the Path Forward.

I’ll be sharing how digital innovation is transforming restorative and surgical implant dentistry, helping us achieve new levels of precision, efficiency, and predictability.

This will be a great opportunity to dive deeper into the tools and ideas driving the next chapter of dentistry.

https://web.cvent.com/event/f634c4f0-6a13-4d13-ba87-1a17ef6b99f0/summary

09/25/2025

With a proper digital workflow, both predictability and precision are possible. Here, we established an anterior protective occlusion to secure long-term function—while also achieving the aesthetics our patient desired.

09/17/2025

In this case, a single anterior tooth was replaced using a resin-bonded fixed partial denture (Maryland bridge). The design included a ceramic pontic supported by a lingual ceramic wing, adhesively bonded to the adjacent abutment.

This approach offered several advantages:
✅ Conservation of tooth structure with minimal preparation
✅ Esthetic outcome in the anterior region
✅ Predictable adhesion using contemporary bonding protocols

The result provided a functional and highly aesthetic solution without the need for full-coverage restorations or implant placement. Maryland bridges continue to be a valuable treatment option in select cases, particularly when patients present with limitations to implant therapy or request a minimally invasive alternative.

09/10/2025

I’m honored to be speaking at the inaugural Digital Dentistry & AI Symposium hosted by the this weekend.

I’ll be presenting two sessions: Digital Dentistry 2.0: Efficiency and Outcomes in Surgical Implant Dentistry and Digital Dentistry 2.0: Precision and Predictability in Restorative Dentistry, where I’ll explore how emerging digital technologies are transforming workflows and delivering better results for both clinicians and patients.

This is an exciting moment in our field, and I look forward to sharing insights, connecting with colleagues, and exploring how digital innovation is shaping the future of implant dentistry.

🗓 September 12–13 | 8:30 a.m. – 5 p.m.
📍 Sheila and Eric Samson Pavilion, Room 176
🦷 Open to all CWRU dental faculty, students, and alumni
👉 Register at the link in bio

09/09/2025

I’m honored to be speaking at the inaugural Digital Dentistry & AI Symposium hosted by the CWRU School of Dental Medicine this weekend.

I’ll be presenting two sessions: Digital Dentistry 2.0: Efficiency and Outcomes in Surgical Implant Dentistry and Digital Dentistry 2.0: Precision and Predictability in Restorative Dentistry, where I’ll explore how emerging digital technologies are transforming workflows and delivering better results for both clinicians and patients.

This is an exciting moment in our field, and I look forward to sharing insights, connecting with colleagues, and exploring how digital innovation is shaping the future of implant dentistry.

🗓 September 12–13 | 8:30 a.m. – 5 p.m.
📍 Sheila and Eric Samson Pavilion, Room 176
🦷 Open to all CWRU dental faculty, students, and alumni
👉 Register at brnw.ch/21wUqoY

09/04/2025

Medit never disappoints, and Napa was amazing!

Between the learning, the connections, and the views, it was such a memorable experience. Always grateful for the chance to be part of a community that’s pushing digital dentistry forward.

Huge thanks to the Medit team for putting together such a great event. Can’t wait for the next one!