Optimized Treatment Planning: A Case Study with E.Max Restorations

mm Written by Andrew Sedler

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The Significance of Treatment Planning

The significance of treatment planning in dentistry lies in its ability to transform patient care. Careful treatment planning can result in exceptional outcomes, increased patient satisfaction, and improved long-term oral health.

By implementing a well-structured and thoughtful treatment plan, practitioners can provide personalized care, ensuring reliable outcomes and fostering patient trust.

Dr. Katie Sugar of Sugar Family Dental submitted the following case study. We are very fortunate to have worked with Dr. Katie Sugar, DMD, on her 85-year-old patient.

Katie Sugar, DMD of Sugar Family Dental

Dr. Katie Sugar, DMD
Sugar Family Dental

Sugar Family Dental - Oxnard, CA

Case Study

Optimized Treatment Planning: A Case Study with E.Max Restorations - Dr. Katie M. Sugar, DMD - Sugar Family Dental  |  Burbank Dental Lab
Optimized Treatment Planning: A Case Study with E.Max Restorations - Dr. Katie M. Sugar, DMD - Sugar Family Dental  |  Burbank Dental Lab

This patient presented with a large diastema between 8 and 9. His teeth were worn down, chipped, cracked, and uneven. In addition, he had over-erupted anterior mandibular teeth. For these reasons, this case was challenging and needed to be approached with a comprehensive treatment plan.

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Invisalign® Treatment
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Invisalign® was used to address initial concerns of uneven spacing between teeth 6 to 11 and to intrude on the lower teeth. By employing clear removable aligners, the patient’s teeth were gradually repositioned over a period of approximately six months.

The patient demonstrated excellent compliance by consistently wearing the aligners as instructed. These positive outcomes provided a solid basis for the subsequent stages of treatment.

Noteworthy advantages of clear aligners like Invisalign® include:

  • Preservation of natural teeth: Invisalign® treatment can correct misalignments and malocclusions before crown placement, ensuring that the natural teeth are correctly aligned and in the ideal position to receive the crown.
  • Enhanced Aesthetics: By straightening the teeth before crown placement, Invisalign® helps create a more symmetrical and visually pleasing smile, improving the overall aesthetics of the final restoration.
  • Accurate Crown Fit: Proper alignment achieved through Invisalign® treatment allows for more accurate and precise crown placement, resulting in a better fit and improved longevity of the restoration.
  • Improved Oral Hygiene: Invisalign® aligners are removable, allowing for easy cleaning and maintenance of oral hygiene. This promotes healthier gums and reduces the risk of periodontal issues, providing a healthier foundation for crown placement.
  • Patient Comfort: Invisalign® aligners are made of smooth, comfortable materials, minimizing irritation and discomfort often associated with traditional braces. Patients can undergo orthodontic treatment prior to crown placement without compromising their comfort.
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Preparation and Impressions

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To address the case’s visual concerns, such as wear and chipping, preparations were made for crowns on teeth 6-11. Impressions were taken and sent to the Smiles By Design team at Burbank Dental Lab to create the final restorations.

The advantages of choosing Burbank’s Smiles by Design are as follows:

  1. Customized Smile Design: The Smiles by Design team at Burbank Dental Lab specializes in creating customized smile designs tailored to each patient’s unique preferences and facial features. This personalized approach ensures that the final result harmoniously complements the individual’s appearance.
  2. Expert Craftsmanship: The team at Burbank Dental Lab consists of highly skilled technicians with extensive experience and expertise in dental aesthetics—their meticulous attention to detail and commitment to excellence result in beautifully crafted restorations that exhibit superior quality.
  3. Cutting-Edge Technology: Burbank Dental Lab embraces the latest advancements in dental technology, utilizing state-of-the-art equipment and materials to fabricate their restorations. This enables the team to deliver highly precise and durable dental solutions that meet the highest industry standards.
  4. Collaborative Approach: The Burbank Dental Lab Smiles by Design team believes in fostering a collaborative relationship with both the dentist and the patient. They actively engage in open communication and ensure that the treatment plan aligns with the desired goals and expectations of all parties involved.
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E.Max Restorations

Yomi by Neocis - robotic dentistry

This patient was found to be a perfect fit for E.max restorations due to their excellent esthetics and strength. E.max restorations, made from lithium disilicate ceramic, closely resemble natural teeth, thanks to their outstanding translucency. Burbank Dental Lab carefully crafts E.max crowns for a precise fit and exceptional marginal integrity. Additionally, these crowns are highly resistant to chipping and cracking, making them an ideal choice for this particular case.

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Case Insertion

Dr. Sugar underwent the placement of custom-made E.max restorations, commencing the seating process following an assessment of the restorations. The initial trial of the E.max crowns ensured that they aligned with both the patient’s and doctor’s expectations. Upon the patient’s approval, the teeth were prepared to accommodate the new crowns.

Subsequently, the bonded restorations underwent a final evaluation for aesthetics and functionality, ultimately resulting in the patient’s high satisfaction.

Optimized Treatment Planning: A Case Study with E.Max Restorations - Dr. Katie M. Sugar, DMD - Sugar Family Dental  |  Burbank Dental Lab
Optimized Treatment Planning: A Case Study with E.Max Restorations - Dr. Katie M. Sugar, DMD - Sugar Family Dental  |  Burbank Dental Lab

Treatment planning is crucial for providing comprehensive and successful dental care. It involves assessing and strategizing based on each patient’s individual needs and goals. By creating customized roadmaps, dental professionals can navigate the complexities of treatments, resulting in predictable outcomes, patient contentment, and sustained oral well-being.

Our ability to work together and employ advanced technology, as well as the exceptional skills of our Smiles by Design team, have significantly impacted the positive outcomes of challenging cases such as this one.


Thank you Dr. Katie M. Sugar, DMD

Dental Implants: SMART 1 Implant Options at Burbank Dental Lab

Burbank Dental Lab sincerely thanks Dr. Katie Sugar of Sugar Family Dental for the opportunity to collaborate on this case. The results are outstanding, which can be attributed to careful planning and effective communication throughout the process. By prioritizing the patient’s desire for a conservative approach, we established an excellent foundation regarding tooth position and shade.

Successful cases rely on thorough preparation, careful design, appropriate material selection, patient input, and skilled technicians who can replicate the surrounding dentition using the chosen materials. If you have any questions about your upcoming case, please feel free to call or chat with a team member at Smiles by Design at Burbank Dental Lab.

Burbank Dental Lab extends deep gratitude to Dr. Katie Sugar for her notes, input, and photos on this case and for granting us permission to use them.

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