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As the esthetic demand from patients increases, satisfying these demands must be accomplished while still maintaining strong, long-lasting restorations. Today, with the help of technology, restorations such as E.max crowns
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.
Complex dental cases require proper treatment planning to ensure a successful outcome. These cases must consider the patient’s concerns and desired result as a starting point and then create a
One of the most common options for treating an All-On-4® case is a hybrid prosthesis. But all “hybrids” are not created equal. We are a long way from the days of the only option being a cast metal substructure with traditional acrylic and denture teeth.
The All On X Revolution: Transforming Dental Practices Through Collaboration
Written by Andrew Sedler
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Staying updated with the latest procedures and techniques is paramount for delivering exceptional patient care. One such innovative approach that is revolutionizing dental practices is the All On X process. This advanced method of full-arch rehabilitation offers patients a fixed prosthesis supported by four or more implants, providing a stable and long-lasting solution for those with missing teeth.
Understanding the All On X process is crucial, but knowing how to effectively collaborate with the dental lab to ensure the best possible outcomes for your patients is equally important. Burbank Dental Lab is one of the most highly rated experienced dental labs in the All On X process and has a proven track record of excellence and innovation in full-arch rehabilitation.
The Bite Registration
An accurate bite is fundamental to the success of the All On X procedure, as it directly impacts the functionality, comfort, and longevity of the final prosthesis. An accurate bite involves precise occlusal records and a thorough analysis of the patient’s bite dynamics. A well-aligned bite ensures the prosthesis functions seamlessly with the patient’s natural oral movements https://pawrificpetgrooming.com/.
An incorrect bite can lead to uneven pressure distribution on the implants, causing discomfort, increased wear on the prosthetic teeth, and even implant failure over time. With accurate bite records, dentists can collaborate effectively with the dental lab to design prostheses that provide optimal occlusal balance for the long-term success of the All On X treatment.
Pre-op impressions and a bite registration should be taken before any teeth are removed. If the patient is wearing a denture, it is imperative that the denture fit well and be an acceptable prosthesis to the patient.
Any issues should be identified and corrected before moving forward.
Edentulous Patients Recording The Vertical Dimension of Occlusion (VDO)
For those who do not have teeth, VDO can be captured using a bite rim and base plate. To calculate the VDO for edentulous patients, do the following:
Measure RVD – Use a Willis bite gauge or a similar instrument to measure the distance between a fixed point on the nose and a fixed point on the chin. This is the resting vertical dimension (RVD).
Estimate the VDO – Subtract 2-4 mm from the RVD measurement to estimate the VDO. This accounts for the freeway space (the space between the teeth when the jaw is at rest).
Wax rims preparation – Create maxillary and mandibular wax rims on the record bases. Ensure they are contoured to support the lips and facial structures properly.
Adjust the wax rims to the desired plane of occlusion. Mark the midline and smile line on the wax rim.
Once the patient is comfortable and phonetics have been checked, measure the VDO again using the the Willis gauge.
Phase 1: Invisalign
Implant Placement
Best practices for implant placement and angulation are critical to the success of the All On X procedure. Precise implant placement involves careful planning and execution to ensure the implants are positioned in areas of sufficient bone density and volume. Correct angulation is crucial for the biomechanical stability of the implants, for ensuring that the prosthesis aligns properly with the patient’s bite and jaw dynamics, and that it fits perfectly and meets the functional and aesthetic needs of the patient.
Abutment Options for All On X
In All On X cases, selecting the appropriate type of multi-unit implant abutment is important for achieving optimal prosthetic results. There are several types of multi-implant abutments available, each designed to meet specific clinical needs and patient requirements. Choosing the right type of abutment can be discussed with the Burbank Dental Lab implant team to ensure the choices meet all of the case criteria. The types of abutment options include:
Custom multi-unit abutments – They are typically fabricated using CAD/CAM technology and offer the highest level of precision and customization, ensuring a perfect fit and optimal aesthetics. They are ideal for cases with unique anatomical challenges or where superior esthetics are paramount. Multi-unit abutments facilitate the connection of the prosthesis to multiple implants with ease, improving the stability and distribution of occlusal forces.
Straight abutments – These, on the other hand, are standard components available in various sizes and angulations, providing a cost-effective solution with reliable performance for straightforward cases.
Angulated abutments – These are particularly useful in All On X procedures, as they allow for the correction of implant angulation to achieve proper prosthetic alignment, especially in cases where implants must be placed at an angle due to anatomical constraints.
Provisionalization
Creating a PMMA (polymethyl methacrylate) provisional for temporization provides patients with a temporary yet functional and aesthetically pleasing solution while the implants heal. PMMA provisionals offer several advantages, including ease of fabrication, adjustability, and cost-effectiveness. This prosthetic serves as a test drive to ensure proper fit and function. The patient can wear this for an extended period of time and relay any issues prior to the final prosthesis being fabricated. Here are four key considerations when creating a PMMA provisional:
Ensure precise impressions or digital scans are taken to create a well-fitting PMMA provisional that aligns correctly with the patient’s anatomy and occlusion.
Adjust the provisional to achieve an accurate bite, ensuring even distribution of occlusal forces to prevent undue stress on the healing implants.
Customize the PMMA provisional to closely match the patient’s natural teeth in color, shape, and size, providing a visually appealing temporary solution.
Focus on making the provisional comfortable for the patient to wear and functional for daily activities such as eating and speaking, ensuring a positive experience during the healing phases of prostheses is well documented.
By carefully addressing these factors, dentists can provide their patients with high-quality PMMA provisionals that support successful outcomes and patient satisfaction.
The Final Prosthetic
Once the implants have osseointegrated and the patient has approved either an existing denture or a functional PMMA provisional, the final restorations can be created. The final restoration in All On X cases begins with taking precise final impressions for an accurate and well-fitting prosthesis. The final impressions can be taken either with traditional methods or digitally. With either method, ensure the following:
Take impressions of both the mandibular and maxillary arches. These impressions must include the vestibules and palate in the maxillary and the vestibules and retro-molar pads in the mandible.
Take an accurate bite registration.
Scan the denture – The scan quality will determine how precise the details (fit and design) will translate to the final product. – Take a separate scan of both the maxillary and mandibular dentures. – Take a scan of them together interdigitated.
Scan the intaglio/soft tissue all the way back past the rugae. Note: It is essential to provide the laboratory with landmarks throughout the process to provide a reference.
Have the patient wear the dentures and scan all the way down to the vestibule to provide the following: – The final design – The vertical dimension of occlusion – Orientation of vital landmarks
Prosthetic Material Options
The choice of material for the final prosthesis plays a crucial role in the outcome, affecting durability, aesthetics, and patient satisfaction. There are many exotic materials and solutions that Burbank Dental Lab can provide; however, several materials are commonly used, each offering distinct advantages.
Acrylic is often used for provisional restorations due to its affordability and ease of adjustment, providing a temporary yet functional solution during the healing phase.
Zirconia is a popular choice due to its exceptional strength, biocompatibility, and natural appearance, making it ideal for patients seeking a durable and aesthetically pleasing restoration.
Porcelain-fused-to-metal (PFM) restorations combine the strength of a metal framework with the natural look of porcelain, offering a balance between durability and aesthetics.
Titanium frameworks with acrylic or composite resin are also commonly used, providing a strong foundation with a lightweight design.
Hybrid prostheses, which combine a titanium bar with zirconia, offer a blend of strength and esthetics.
Each material has its own set of benefits, and the choice depends on factors such as the patient’s functional needs, aesthetic preferences, and budget.
The All On X procedure represents a groundbreaking advancement in dental implantology, offering patients a reliable and aesthetically pleasing solution for full-arch rehabilitation. By understanding the intricacies of the All On X process and adhering to best practices, dentists can significantly enhance patient outcomes.
Collaborate with an Experienced Dental Lab
Collaboration with an experienced dental lab such as Burbank Dental Lab, is crucial for achieving optimal results, as it ensures precise planning, accurate implant placement, and high-quality restorations. Whether through traditional or digital methods, effective communication and coordination between the dentist and dental lab are essential for delivering prostheses that meet the highest standards of fit, function, and aesthetics.
By staying informed and embracing innovative techniques, dentists can provide exceptional care and improve the quality of life for their patients through the All On X procedure.
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A better fitting denture with more retention and fewer sore spots A more durable, stain and odor resistant denture acrylic Electronic record for quick and easy recreation if needed. More
Burbank Dental Lab can fabricate “guided surgery appliances” from your CBCT based scans, using state of the art digital printers and titanium guide cylinders that correspond to your surgical system.
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.
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.
What Our Clients Say
“I have been working with Burbank Dental Lab for many years. They always get back to me in a timely manner whenever I have questions regarding a case. Mr. Wyoming...
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“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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“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...
“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...
“I am a Heartland dentist in Texas and I have been looking for a comprehensive lab that I could use for implants, removable, and fixed. I discovered Burbank a few...
“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...
“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!”
“We were looking for a lab that could accept our digital scans and produce high-quality centric-relation nightguards for patients. Burbank Dental Lab was recommended by a dental school classmate. We...
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...
“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.”
“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....
“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...
“I have been using Burbank for a while now. They are the only lab I’ve worked with who delivers consistently superior results. Their esthetic and implant work is second to...
“Full Arch fixed prosthetic cases go extremely smoothly with Burbank Dental Lab and their imetric photogrammetry in-office workflow. Highly recommend this workflow for anyone doing full Arch cases. Working with...
“Great Dental Lab for removable and crown and bridge. Amazing customer service. Vince and Dmitri are very accommodating and will ALWAYS work with you. Their product is top notch!” (click...
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...
“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...
“The implant department at Burbank is amazing! They have delivered casework that has exceeded my expectations and our patients are thrilled! We switched from a local lab to Burbank; our...
“We’ve been using this lab for a few years now and we are very happy. Excellent customer service, very kind billing staff and work is always well done. Every time...
“Burbank Dental Lab has provided us with many years of high-quality work, timely service and friendly staff. Our thanks, from all of us at Westlake Dental Associates.”
“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...
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...
“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...
“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...
“Vincent and Karen are the best! I worked with Vincent on a full mouth rehab case. Everything turned out great and the patient is very happy. Working with Vincent made...
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“Burbank Dental Lab is our most trusted dental lab for all of our dental work. They are extremely reliable and deliver exceptional products. They are always available for questions and...
“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...
“Very nice case! This patient was very happy. My only adjustment was to reduce the excess in the ovate pontic area that was overdone.” MARGINS: Excellent CONTACTS: Excellent CONTOUR: Excellent...
“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!”
“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...
“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...
“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...
“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...
“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...
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....
“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....
“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...
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...
Written by Andrew Sedler
