THANK YOU: Our hearts and deepest gratitude go out to the brave firefighters, first responders, and community members who have worked tirelessly to protect and support those affected by the Los Angeles fires – your selfless dedication to saving lives and helping our neighbors rebuild gives us hope during these challenging times.
Google “All On 4,” and over 25 billion results appear. This treatment option is a fast-growing area of dentistry. The concept of All On 4, also known as full-arch implant-supported
The goal of any dental restoration is to restore the patient’s oral environment back to its natural or improved appearance and functionality. Dental materials have come a long way since porcelain
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One of dentistry’s most difficult esthetic challenges is matching single anterior veneer restorations to the existing dentition. In many instances, cases like these may require several attempts to achieve an
Case Study: Case Fabrication The case was then ready to be designed according to Dr. Estwani’s instructions. One of the great benefits of a digital workflow is that the proposed
One of the most challenging undertakings in dentistry for both the clinician and the laboratory is a full mouth reconstruction. For patients who present with excessive wear of their dentition, a full mouth reconstruction is critical in re-establishing functional harmony, pulpal health, esthetics, and protecting the dentition from further damage.
There are several adverse effects that edentulism poses on those patients suffering from tooth loss. These issues are physical, affecting speech, chewing, and overall oral health. They can also be psychological, affecting self-esteem, social confidence, and overall quality of life.
With over 35 million people affected by edentulism in at least one arch, seeking solutions that improve the oral health of these individuals has been at the forefront of dental technology advancements over the last decade.
With a consistent foot in the door, we at Burbank Dental Lab have held on and approached every digital and technical progress in the most professional way possible. For over a decade, All On 4 Hybrid Implants have shaped how the dental industry treats many patients suffering from tooth loss.
Edentulous patients will usually present with bone loss in either the upper or lower jaw or both. These patients can be treated with conventional dentures, fixed implant-supported bridges, or an implant-supported removable. Placing implants in these cases may be difficult because of inadequate bone structure and possible nerves and other anatomical challenges. These difficulties are what led to the development of the All On 4 concept.
All On 4 allows for the placement of four to six implants per arch. Two implants are placed vertically in the anterior region, and two are placed at an angle in the posterior. Through this technique, the ability to maximize the existing bone and bypass the need for procedures such as nerve repositioning, bone grafts, or bone regeneration is much improved.
In addition, the benefits of the All On 4 process are as follows:
Easy to clean
Immediate function
Improved biomechanics
No need for a bone graft
Less complex surgery
Excellent treatment option when the cost is an issue
A well-documented success rate
Patient Protocol
The All On 4 dental implant treatment modality has enough clinical data to support this type of restoration in the treatment of edentulous patients. It is vital to select those patients who will benefit the most and assess if they would make suitable candidates for this procedure.
Typically patients who smoke, take certain medications, or have other medical issues have a higher chance of experiencing implant failures. Therefore, the selection of patients is critical in ensuring case success. A full exam, including x-rays and cone-beam computed tomography (CBCT), is essential in adequately evaluating whether or not this type of restorative option is right for a particular patient.
Once a diagnosis is made to treat a patient using the All On 4 technique, there are several restorative options available to provide the ideal treatment to meet a particular patient’s needs. These options are all used here at Burbank Dental Lab to ensure that each patient receives the correct hybrid restoration.
Other Implant Restorative Options Available:
1. Acrylic with Titanium substructure
This option utilizes a precision-milled titanium frame to accommodate the placement of the implant, followed by the use of acrylic and denture teeth to provide both functionality and aesthetics.
The benefits of a titanium acrylic hybrid are as follows:
Impact forces are reduced and not transferred to implants
Easy to repair
Easy to clean and polish
A cost-effective option for those patients needing a less expensive option
Acrylic teeth are kind to opposing dentition
2. SmartComposite Hybrid
This option is designed with a milled cobalt-chromium (CO/CR) frame and milled composite restorations.
The benefits of this type of hybrid are as follows:
Compressive strength of 480mpa
Easy to polish
Light material
Easy to repair intraorally
Wears the same as natural dentition
Composite density prohibits the absorption of fluids and odors
3. ZIRMAX M Hybrid
One of the most durable options is the ZIRMAX Hybrid. These restorations have a flexural strength of 1200 MPa. They are ideal for cases where the occlusal load is a significant consideration in material selection.
The benefits of this option include the following:
The strongest all-ceramic material
Excellent esthetic option
Feels like natural teeth
Resists fracturing
4. Zirconia over Titanium bar
This restorative option is fabricated with a CAD/CAM-designed titanium bar and milled zirconia restorations. The key benefit of this option is the strength of the titanium bar. While extremely durable, titanium is more flexible than other frame types allowing for flexure of the mandible.
Other benefits of this option include the following:
Resistant to wear
Less inter-occlusal space is required
The frame can be seated, and then zirconia placed over screw channel eliminating the need for angle corrections
Biocompatible
5. Porcelain fused to metal hybrid
This option requires the least amount of vertical opening. It consists of a metal frame with a porcelain layered build-up, making it the most aesthetically pleasing option.
Porcelain fused to metal has several advantages, which include:
Well documented longevity
Extremely versatile
Highly customizable
6. Malo / Thimble bar
In these cases, titanium or resin-filled fiber bars are used to support individual crowns made of either zirconia or E.max.
Prescribing this option has the following benefits:
Computer-aided design and manufacturing to aid in accurate adaptation
Versatile fabrication materials create a highly esthetic result
Teeth are individually restored
The restorative choices available offer unique options to fit any given situation. There are clear reasons to prescribe one option over the other, and it depends on the conditions presented by each case.
The implant team at Burbank Dental Lab has been a part of the fabrication of thousands of these types of cases and is available to evaluate which options would work best to fit the needs of the patient.
All On 4 Workflow
The workflow for this type of case can follow the traditional methods for implant-supported restorations, but they can also be completed through digital techniques. The digital workflow method would be completed as follows:
Create a duplicate denture or create a new denture set-up (depending on the situation).
Use the new denture as a template for a CT scanning appliance.
There are several possible workflow methods in the treatment of All On 4 cases. It is best to plan this type of treatment from the beginning and include the laboratory early in the planning phases to see which method will work best for any given situation.
Restoring edentulous cases using the All On 4 technique is an excellent option for many people suffering from tooth loss. Burbank Dental Lab prides itself in being one of the most knowledgeable dental labs in restoring edentulous cases. Our dental implant team is available for pretreatment consultations to help with planning and restorative considerations.
Click the chat icon below, and let our support team at Burbank Dental Lab help you with your next implant-supported fixed prosthesis.
Our hearts and deepest gratitude go out to the brave firefighters, first responders, and community members who have worked tirelessly to protect and support those affected by the Los Angeles fires – your selfless dedication to saving lives and helping our neighbors rebuild gives us hope during these challenging times.
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Fabrication of the future is here!
Burbank Dental Lab has three new state-of-the-art Carbon M2 printers. We are very excited about the options that these cutting-edge printers will allow us to offer our dental clients. Here are some of the advantages that these printers will begin to deliver to you and your dental practice.
Our New State-Of-The-Art 3d Printers
Carbon offers a highly dependable 3D manufacturing solution for many dental applications with its breakthrough Digital Light Synthesis™ technology, enabled by a wide range of dental materials.
a new baseline for innovation in fabrication.
Burbank Dental Lab has the next generation of Carbon DLS™. Meet our new Carbon M3 and M3 Max printers. These advanced printers enhance fabrication possibilities using Digital Light Synthesis™ technology, enabling us to provide quality and innovation for our clients.
Meet Our New next generation of carbon DLS™ M3 Max Printers
The M3 printer is the cutting edge of DLS printing with a true 4K light engine. We save time and improve quality with Automated Print Ppreparation which ensures high-quality assurance and results.
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