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BURBANK DENTAL LAB / BLOG / The Hybrid Denture In A Class Of Its Own

The Hybrid Denture In A Class Of Its Own

mm Written by Andrew Sedler / May 7, 2018

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Hybrid denture SmartComposite

When restoring an edentulous patient with implant (based) prosthetics, there are four basic treatment options available:

1. Direct to implant attachments 

These are considered to be tissue-borne and implant-retained. The Locator and ERA are two of the more common attachments used. (Figure 1)

Implant-retained overdenture from Burbank Dental Lab
Figure 1

2. Denture over an implant-supported bar

The most common are locator bars and Hader bars. (Figure 2)

Locator bar and denture from Burbank Dental Lab
Figure 2

3. Screw-retained or cementable implant crown and bridge-type restorations

This category can be made as full arch prosthetics or in various segments, including single tooth restorations and bridges. This option is typically designed with tooth-colored restorations that abut directly onto the tissue and mimic natural tooth emergence from the tissue. This type of restoration requires the patient to have minimal bone loss and is best used when tissue retains maximum thickness and scalloping. This style of restoration is often used when teeth have been removed recently, and implants with accompanying healing abutments have been placed to retain papilla shape.

4. Hybrid Denture: a class all on its own 

This category can employ several types of material to fabricate the prosthetic, but the end treatment is a screw-retained prosthetic that replaces both pink tissue and teeth for the whole arch.

Materials Available for Hybrid Prosthetics (but not limited to)

This final category will be the focus of the remainder of the article, specifically an option that Burbank Dental Lab has found to be highly desirable. As one of the nation's leading dental implant laboratories, Burbank Dental Lab has responded to our clinicians' feedback, and we have developed our own solution for the dental implant hybrid category: the SmartComposite® Hybrid Prosthesis.

Burbank Dental Lab's SmartComposite® Hybrid Prosthesis is a unique approach within the fixed hybrid category of restorations. The development of SmartComposite was derived as a solution to meet the expressed needs of our clinicians and has been received very well by dentists in every type of practice.

Hybrid denture prosthesis from Burbank Dental Lab
Figure 3
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What is the SmartComposite Hybrid Prosthesis? 

Burbank Dental Lab’s SmartComposite is a combination of milled (nickel and beryllium free) Cobalt-Chromium (Co/Cr) and Milled Monolithic Composite that is bonded together. The whole process starts with the denture set-up. After the set-up is confirmed and approved, our process begins with the fabrication of the milled Co/Cr substructure and a milled hybrid composite overlay. The milled Co/Cr substructure can be designed to go either straight to the implant/fixture or to a multi-unit abutment. (Figure 4)

Hybrid denture prosthesis SmartComposite
Figure 4

The Co/Cr frame is opaqued and etched, then the two components are bonded together. The final step in the creation of a SmartComposite® Hybrid is adding the pink tissue composite and polishing by hand. The result delivers a versatile prosthesis that benefits the clinician and patient. (Figure 5)

SmartComposite hybrid denture from Burbank Dental Lab
Figure 5

What are the features and benefits of SmartComposite®?

  • Over 480 MPa compressive strength creates exceptionally durable restoration.
  • Strong, rigid metal bonded to resilient hybrid composite adds to strength and durability.
  • Monolithic composite will not dislodge like denture teeth.
  • Easily polished intraorally.
  • Lightweight.
  • Composite can be used to repair the prosthetic intraorally.
  • Cost effective compared to other categories of hybrid options.
  • Highly esthetic.
  • Dense composite resists absorption of fluids, and odors.
  • Resilient nature of composite reduces stress to implant integration.
  • Kind to opposing teeth; wears at about the same rate as natural teeth.


Indications:

  • The best application is in large-segment and full-arch fixed prostheses.
  • The inter-occlusal distance from the implant platform to opposing occlusion must be at least 13mm.
  • The buccal-lingual width must be at least 9mm.
  • It is essential that there be a minimum of 3mm of buccal and lingual thickness from the screw access channel.

This restoration is an ideal solution especially when a patient’s treatment plan is to receive two screw-retained prosthetics. Often the treatment of choice in this kind of a case is monolithic zirconia on the maxillary and the SmartComposite Hybrid on the mandibular. The stress-absorbing characteristic of the SmartComposite Hybrid opposing the zirconia can build desirable stress relief into the system.

With over six years of experience fabricating and delivering SmartComposite Hybrids, Burbank Dental Lab has received very favorable feedback on these prosthetics. The SmartComposite is a restoration that should be added to your consideration for many of your implant-supported edentulous cases.

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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.

Carbon M3 Printer - Burbank Dental Lab - CA

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.