IPS e.max: Strength in a Smile

One of the most rewarding experiences in the day-to-day operations at Burbank Dental Lab is the ability to play a significant role in changing people’s lives. The positive impact that improving a smile has on a person is enormous.

Having a beautiful smile has been shown to make people appear younger, develop confidence, and improve attractiveness. Never have there been so many actionable methods to improve a person’s smile. These methods are what make cosmetic dentistry one of the largest nonsurgical beauty enhancement industries in the United States.

"Combine the exceptional restorative material of IPS e.max with the Smiles By Design® team at Burbank Dental Lab, and your cosmetic cases will have predictable, successful outcomes every time."

--- Andrew Sedler, COO

Porcelain Veneers

One of the top modalities in improving a smile is the porcelain veneer. Porcelain veneers have been used to improve the esthetics of natural teeth since the 1930s. They are used in the treatment of the following:

Correction of discoloration such as in tetracycline staining or age
Restoring fractured or worn dentition
Abnormal morphology
Correction of malposition
Repair of fractured crowns or bridge facings intra-orally

Dental materials have evolved significantly, with early materials having many disadvantages such as staining easily, being abrasive, and coming out too thick. These issues moved dental manufacturers to develop materials with improved esthetics, better bonding to enamel, and the ability to mask underlying dentition while remaining thin. Today, open any dental publication, and there is a plethora of information on new materials that boast better wear, esthetics, strength, and ease in cementation.

The Advantages of IPS e.max

One of the most successful materials in veneer fabrication over the last several years has been the IPS e.max material. The IPS e.max material is a lithium disilicate glass-ceramic. This material is well suited for e.max veneers and e.max crowns. The material provides natural-looking tooth coloring and superior light-reflective properties. Additionally, with a flexural strength of 500 MPa, this material has a high fracture toughness. The advantages of IPS e.max consists of the following:

Can mask dark shades
Excellent esthetics
High strength (500 MPa)
Versatile applications
Conservative preparation
Adhesive cementation
Long-term clinical success
Extensive scientific documented studies

Introduced to the market over 20 years ago, e.max has had a remarkable success rate. The data shows that upon evaluating the IPS e.max system and covering up to approximately ten years of clinical use, the overall survival rate is 96.8%. It is an extremely versatile and durable material. It can be fabricated in either monolithic or layered options utilizing either pressed or CAD/CAM techniques. The e.max system offers a wide selection of opacities and shades. These attributes make e.max one of the most highly prescribed materials in restorative dentistry.

Managing Patient Expectations

With information so readily available, dental consumers are incredibly knowledgeable and can be very exacting with their expectations in dental restoration procedures. The advances in cosmetics, techniques, and materials all provide the tools to meet most patient-driven expectations. But it is the communication between the dentist, patient, and laboratory that creates the desired results.

An excellent material such as IPS e.max, backed by years of clinical success and a wide variety of shades and opacities, is only part of the solution.

Working with a laboratory that understands how to approach these life-enhancing and demanding cases is necessary to ensure each case is successful.

Excellent communication with the laboratory is crucial to create a treatment plan for each step to provide ideal and predictable results for the patient.

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Smiles By Design®

The understanding of the critical role the laboratory has in supporting dentists is how the Smiles By Design® concept began at Burbank Dental Lab. Taking the best materials and marrying them with a fully supportive technical team is what makes the cosmetic cases that Burbank Dental Lab fabricates so successful.

Ivoclar e.max

The Smiles By Design® team is required to complete hundreds of hours in advanced training, including live patient programs, and has included the most advanced training institutes in the country like Las Vegas Institute (LVI) and the Spear Institute. In addition to the basic CDT license, our master technicians are qualified to get you AACD accredited, and are officially certified and trained by Ivoclar to use e.max.

For cases requiring high esthetic demands like veneer cases, proper planning is crucial. The Smiles By Design® team can help guide this process and give input from the laboratory perspective.

Following is a list of steps to achieve the most predictable case results:

Take pre-op models
Take photos
1. Full face forehead to chin
2. Lips at rest
3. Close-up of smile
4. Shade pictures
5. A standard set of AACD pictures following their guidelines
Preliminary plan
1. Number of teeth
2. Gum tissue evaluation
3. Patient concerns/goals
Diagnostic wax-up
1. A putty stent of the wax-up for temporaries
2. Prep-guide and Prep stent
A traditional impression is taken, or you can utilize a digital workflow
DuraTemps made
Provisionals approved or adjusted
A new set of photos taken with temps
Final restorations fabricated

This is the essential list of what the laboratory needs for a predictable result. However, we believe there is never "too much" information. The more details you as a clinician provide to us, the more of a predictable result your patient will receive.

During each step, the Smiles By Design® team will evaluate and identify any potential problems and collaborate to find solutions and make recommendations. It is a common practice at Burbank Dental Lab to evaluate cases after they have been articulated. This evaluation includes determining if there is proper clearance, evaluating functional issues, taking note of the underlying color, and ensuring that the best material is chosen to provide the expected esthetics and ensure long-lasting clinical results.

The Kois Dento-Facial Analyzer

Taking great impressions and bite registration is paramount to case success. One vital record that needs to be made is the horizontal plane. While there are many ways this can be recorded, a great way to capture this is with the Kois Dento-Facial analyzer. This instrument is a face-bow that has no ear-bow, movable joints, or screws to tighten. The Kois Dento-Facial analyzer relates to the facial midline and horizontal plane to the 100 mm distance of the hinge position. This face-bow is a critical piece of information to record the proper horizontal.

Following are the benefits of using a Kois Dento-facial analyzer:

Simple to use for both doctor and lab
Can be easily duplicated
No movable parts in the transfer of the index tray
Combines a face-bow transfer and a stick-bite
Establishes the midline

The Kois Dento-Facial analyzer helps improve predictability and occlusal accuracy, another step in achieving case success.

Materials are always evolving in the dental industry. IPS e.max has been used in restoring dentition for over 20 years. It is one of the most prescribed materials and one of the most heavily studied materials with data that supports its longevity. Combine the exceptional restorative material of IPS e.max with the Smiles By Design® team at Burbank Dental Lab, and your cosmetic cases will have predictable, successful outcomes every time.

Resource Center

Products

IPS e.max®

Esthetic All-Ceramic

IPS e.max® Product Description With over 100 million restorations, IPS e.max data shows over 97% survival rate and longitudinal evidence proves e.max to have a flexural strength of 500 MPa.

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What Our Clients Say

“I appreciate the quality and efficiency of this lab. I especially like the turn around times for their crowns (about 5 days). Thank you for your work and I highly...

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Jeffrey Martins

09/19/2024 - Google

“Amazing lab- so easy to work with, the online portal makes things SO EASY!!! Delivered an aesthetic case today that was perfect- needed NO changes!”

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Adrian Mohn, DDS

08/29/2024 - Google

“Burbank Dental Lab’s Smile Design Group helped to transform my patient’s smile with their exceptional attention to detail and overall quality of the emax crowns. The case was a success,...

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John Yang, DMD

05/08/2024 - Website

“Burbank is a terrific dental lab, I always get top-notch work and prompt, courteous customer service.Whether it’s fixed, removable, implants, veneers or anything else, I know I can rely on...

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Mitchell Rubenstein, DMD

05/07/2024 - Google

“Beautiful, esthetic work. Wyoming is so great to work with. He provides amazing service and the end product is detailed and beyond beautiful.”

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Andrea Ballengee, DDS

05/02/2024 - Google

“I like how fast I get my cases back. It’s a lot faster than I expected.”

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Karim P. Banani DDS

04/09/2024 - Website

“Burbank is amazing. I am blown away by their craftsmanship. Crowns are absolutely beautiful. Patients love them. Wyoming and Jason have been great with communication. I will continue to send...

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01/31/2024 - Google

“I have been using Burbank Dental Lab for a few years now. I have been very happy with the results. The best part is that the team communicates well regarding...

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01/22/2024 - Website

“Burbank Dental Lab allows me to deliver high-quality zirconia crowns to my patients. Also the communication with their lab technicians is great.”

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Marcela Lezama DDS

01/03/2024 - Google

“I love this quality.”

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Fredrik E.

11/16/2023 - Google

“Very good service, recommended and attentive I am very grateful to the dental doctor who treated my dental problems very successfully and helped me regain my beautiful smile.”

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Kun G.

10/10/2023 - Yelp

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Dr. Katie Sugar

07/31/2023 - Website

“Burbank Dental Lab has been my go-to lab for all my esthetic cases for the last 10 years! So when it came to this case for a good friend, I...

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Dr. LaJean Morrow-Smith

05/16/2023 - Website

“I am very impressed with the attention to detail and easy communication. I use Burbank Dental Lab even though I’m on the east coast because the results are always predictably...

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Dr. Matthew Christie

04/19/2023 - Website

“I have been a client of Burbank Dental for over 20 years. Everyone from the phone operators to the techs to management is wonderful and friendly. I have done a...

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Patric Cohen, DDS, FAGD

03/26/2022 - Website

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Steven Goldy, DDS

02/16/2022 - Google

“When I want something done right, I send it to Burbank. After experiencing inconsistent quality from my previous lab partners, Burbank was highly recommended by a colleague so I gave...

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Jenny R.

02/06/2022 - Google

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Debra D.

02/04/2022 - Google

“After experiencing a decline in quality and communication from our previous lab we decided to give Burbank a try based on the recommendation of several business associates. The service from...

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01/13/2022 - Google

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Jay Hildago, DDS

12/01/2021 - Google

“Delivery time was excellent! The fit of the screw retained implant crown including emergence profile, contacts, seating, and occlusion were perfect. Didn’t do anything but seat it and torque the...

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Thomas O’Connor, DMD

10/25/2021 - Google

“Absolutely gorgeous and high-quality maxillary zirconia hybrid on Ti-bases. Their lab followed my prescription exactly. Their technicians have amazing talent. Thank you, Burbank!”

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Mike Anderson

10/13/2021 - Google

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02/06/2021 - Yelp

Burbank Dental Lab has far exceeded all of my expectations, and has fully delivered top tier prosthodontic work. What sets this lab apart from others is the constant communication. When...

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02/05/2021 - Google

“This lab provides restorative dentists with excellent technical support and high-quality lab work at reasonable fees. Their restorations are consistently excellent both from a functional and esthetic standpoint.”

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Burton Sobelman, DDS

10/04/2020 - Google

“High quality dental lab with years of experience. Very professional service and results are second to none. Whether its cosmetic work, implant work, or digital, Burbank has their act together....

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Mike Wygant, DDS

09/30/2020 - Google

“In 25 years practicing dentistry I have not delivered a better full mouth rehabilitation crowns and bridge case like the one I did today. Aesthetics, fitting, contact, and occlusion was...

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Fadi

09/15/2020 - Google

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09/15/2020 - Google

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Haig G.

08/13/2020 - Google

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08/11/2020 - Google

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Jose M.

07/09/2020 - Google

Hi Tony, hope you’re well. I’ve sent you a before and after case of a #8 old PFM replacement – single tooth next to natural #9. (Click for photo). Also...

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Andrew Pupkin

06/03/2020 - Google

5-Star Google Rating – Thank you Elgin, we appreciate your 5-star Google rating!

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Elgin

03/09/2020 - Google

“Just wanted to let you all know that I retired a few years ago but I sincerely appreciated both the help and especially the great quality of the work you...

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Joseph Fertig, DDS, FAGD

12/26/2019 - Website

Muhammad, thank you for your 5-star Google rating – we appreciate it!

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Muhammad B.

10/02/2019 - Google

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Christopher Hawkins, DDS

09/11/2019 - Google

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Veronica Ramirez

08/27/2019 - Google

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08/25/2019 - Google

“Fantastic case! I just dropped these two implant abutment/crowns in and they were perfect! Thank you!” MARGINS: Excellent CONTACTS: Excellent CONTOUR: Excellent OCCLUSION: Excellent FIT: Excellent SHADE: Excellent ESTHETICS: Excellent...

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Dr. Michael Keating, DDS

08/23/2019 - Website

This case is the case where you sent me the samples of the acrylics for a patient who is very sensitive to different chemicals, etc. She wore each sample disc...

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Dr. Michael Keating, DDS

08/22/2019 - Website

“What an amazing lab to work with. Each person I have encountered has been amazing. From Joel and Kenny to Laura in Accounting to Tony himself. The crowns go in...

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James Grosleib, DDS

08/20/2019 - Google

“We have used this lab for 18 months. They have proven to be very patient and customer-centric. They produce some really nice work and are easy to work with. Cases...

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07/04/2019 - Google

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07/02/2019 - Google

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06/26/2019 - Google

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Dr. Jeanne Lee-Mirzayan

06/24/2019 - Google

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06/13/2019 - Google

“Amazing lab! The work always comes back in a timely manner and is beautiful! Marissa is who we are lucky enough to have help us with our cases and she...

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06/11/2019 - Website

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Dr. Keating, DDS

06/10/2019 - Website

“Great look with the pink porcelain! Excellent case.” MARGINS: Excellent CONTACTS: Excellent CONTOUR: Excellent OCCLUSION: Excellent FIT: Excellent SHADE: Excellent ESTHETICS: Excellent SERVICE: Excellent

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Dr. Keating, DDS

06/10/2019 - Website

“I absolutely love this lab, very quick, beautiful work, and very professional. Marissa is so much help, and has answers every single time! Wouldn’t use anyone else!”

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Alicia Cardenas

06/10/2019 - Website

“For more than 5 years I have sent my removable lab work to Burbank Dental Laboratory. I delivered a new FUD and new mandibular distal extension RPD with a locator...

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06/04/2019 - Google

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Caroline Girard

05/31/2019 - Google

“Implant abutment and crown – this case was great! Thank you! The pink porcelain looked great where the gingival margins needed to be leveled.” MARGINS: Excellent CONTACTS: Excellent CONTOUR: Excellent...

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Dr. Keating, DDS

05/21/2019 - Website

“Perfect case! I didn’t have to adjust a thing! Thank you!” MARGINS: Excellent CONTACTS: Excellent CONTOUR: Excellent OCCLUSION: Excellent FIT: Excellent SHADE: Excellent ESTHETICS: Excellent SERVICE: Excellent

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Dr. Keating, DDS

05/20/2019 - Website

“This lab has done beautiful work. Their communication is excellent, and they deliver on-time. Thank you so much.”

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Todd Mathias

05/17/2019 - Google

“Great crown! Just had a very minor touch. Thank you!” MARGINS: Excellent CONTACTS: Excellent CONTOUR: Excellent OCCLUSION: Excellent FIT: Excellent SHADE: Excellent ESTHETICS: Excellent SERVICE: Excellent

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Dr. Keating, DDS

04/22/2019 - Website

“Another great case that dropped right in! Thank you!” MARGINS: Excellent CONTACTS: Excellent CONTOUR: Excellent OCCLUSION: Excellent FIT: Excellent SHADE: Excellent ESTHETICS: Excellent SERVICE: Excellent

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Dr. Keating, DDS

04/09/2019 - Website

“This was the first crown I inserted since we talked about the contacts being tight. This crown was PERFECT!!! Absolutely no adjustments were needed! This was one of those “throw...

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Dr. Keating, DDS

01/31/2019 - Website

“As a new customer to Burbank Dental Lab, I was pleasantly surprised at the interest the staff expressed for the INDIVIDUAL needs of my patients. As an academic, my ideal...

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Neal C. Murphy, DDS, MS

01/04/2018 - Website

“Great lab and team! I am only as good as my lab and you guys make me look great every day of the week. Burbank has been my lab for...

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Craig Goldin, DDS

11/18/2017 - Google

“Burbank is an excellent lab! It is one of the most high-tech operations in the country and I have visited many of them. Tony, Andrew, and the entire team have...

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N. Cory Glenn, DDS

11/16/2017 - Google

“Amazing lab and even more amazing service, top notch work every time!”

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Jillian Garanzuay

07/01/2017 - Facebook

Best darn Dental Lab anywhere!

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Gary Welch

06/12/2017 - Facebook

“I have been a client of Burbank Dental Lab for about 30 years. In this period of time I have seen this lab invest an amazing amount of time and...

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Oswald Burstein, DDS

05/29/2017 - Google

Thank you Joel for an excellent job. What I really love about Joel and Vincent from Burbank Lab is that 1. They listen to the instructions and follow them. 2....

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Allison M.

05/13/2017 - Yelp

“Thank you Joel for an excellent job. What I really love about Joel and Vincent from Burbank Lab is that: 1. They listen to the instructions and follow them. 2....

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Parsa T. Zadeh, DDS

05/13/2017 - Yelp

“Just completed a maxillary Prettau Zirconium bridge on 5 implants and am very pleased with the service, the attention to detail, and the communication skills of this lab, in particular...

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Thomas O’Connor, DMD

05/03/2017 - Google

“This lab has done beautiful work. Their communication is excellent, and they deliver on-time. Thank you so much!”

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Leslie M.

04/27/2017 - Yelp

This dental lab is world renowned for high quality of their crown and bridgework. I especially appreciate their expertise in implant castings. I happen to work with a couple of...

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Lilly C.

02/07/2017 - Yelp

IPS e.max®:

STRENGTH IN A SMILE