Paul Zhivago, DDS

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

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.

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

With a proper digital workflow, both predictability and precision are possible. Here, we established an anterior protect...
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.

In this case, a single anterior tooth was replaced using a resin-bonded fixed partial denture (Maryland bridge). The des...
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.

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

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

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.

Address

New York, NY

Opening Hours

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

Telephone

(212) 758-5858

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