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
The overall quality of care in dentistry is measured by clinical outcomes and overall patient satisfaction. While clinicians are often concerned with patients’ dental health as a whole, patients can be
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.
Implant rehabilitation processes continue to expand and evolve to meet the challenges of modern dentistry. Patients’ needs often are the driving force behind these changes as patients demand higher esthetic outcomes, pain-free experiences, and shorter treatment times. Implant immediate loading is an implant protocol that has evolved due to the increase in patient expectations.
Benefits of Implant Immediate Loading
Implants, in general, can take anywhere from three months up to twelve months to complete the treatment depending on the specific indication. For the patient, this can mean several trips to the dentist. Through immediate implant placement and immediate implant loading, the time commitment is significantly reduced.
Other benefits of implant immediate loading include:
The patient only endures one (1) surgery.
Treatment time is shorter.
A fixed provisional can be placed.
Cylindrical healing abutment is eliminated and replaced with a provisional that can sculpt the soft tissue to an ideal form.
For implant immediate loading to be successful, careful patient selection is crucial. Implant stability is the most important factor in reaching clinical success. Therefore to move forward with this type of placement, it is important to evaluate the bone quantity and quality.
A Computerized Tomography (CT) scan is one of the best ways to evaluate bone density and determine the viability of the proposed treatment.
Other criteria when evaluating a good candidate for implant immediate loading include:
Overall good health
No signs of acute infection
Primary implant stability
No systemic diseases
No signs of oral pathologies
Case selection is critical to avoid failures, and discussing the issues that could arise with patients should be done to mitigate any potential failures or esthetic challenges.
Clinical Case
Burbank Dental Lab was fortunate to work with Dr. Daniel Domingue on the following implant case. The patient presented with an unsavable upper lateral. She was leaving town and needed to leave with a tooth. After examination, it was determined that she was a good candidate for immediate implant placement.
The patient was sedated, and the tooth was extracted (see above image). An immediate implant was placed.
The implant used was a 3.5 x 13 MegaGen Anyridge implant.
An immediate temporary was placed on a PEEK abutment. The patient was able to leave town with a functioning temporary in place.
Digital Workflow
This case was scanned using a digital scanner (3Shape). Digital impressions create improved workflows in single-unit implant cases.
This patient needed to have the final abutment and crown finished in 7 days. Digital workflows help to improve turnaround times and provide this patient with the timeline she required. In addition, intraoral scanners also provide the following benefits:
Digital impressions remove the potential of gagging and taste issues often associated with traditional impressions.
Improved accuracy as digital impressions reduce opportunities for error.
Reduced overhead by eliminating impression-taking materials.
Improved turnaround times as the need to ship the impressions to the lab is eliminated.
Digital impressions are captured faster than traditional methods, improving practice efficiency.
Reduced occurrence of remakes as the data can be shared and discussed in real-time. Potential problems are found before cases are fabricated.
The implant was given time to integrate. The patient returned after three months for the final restoration. The patient was scanned using a scan body to capture the specific implant information. In addition to the scan body, an opposing and bite record are also recorded. The data was viewed as a 3-dimensional model on a screen. The scan was evaluated to ensure the necessary information was captured.
The digital file was uploaded to Burbank Dental Lab. In addition, detailed information such as implant information, desired abutment specifications, esthetic concerns, crown material, and any other information could be provided to ensure the case is successful at the seat appointment.
A Burbank Dental Lab implant team member can help with the steps above or answer any questions to help ensure a successful output.
Accuracy in these types of cases relies on the precision of the equipment being used to both design and mill the final output. At Burbank Dental Lab, the milling is done using CNC (computer numerical control) milling machines that produce a high level of accuracy. This is crucial in the customization of not only margins and contacts for crowns but also crucial for customized implant abutments.
SMART 1 Abutments
Once the abutment was designed and milled, the final restoration was then completed (fig 3). It was determined that a layered ZIRMAX Zirconia crown would be necessary to blend and match the surrounding dentition. Once completed, the case was sent to Dr. Daniel J. Domingue for insertion.
Use a torque wrench to tighten the abutment within the implant manufacturer’s guidelines. This is usually between 15Ncm to 35Ncm.
The abutment screw hole can be closed with PTFE tape (Teflon). This tape does not pick up odors and can be sterilized.
For cementation, place a ring of cement 1-2 mm for the margin. Permanent cement is not recommended.
This restoration option created an excellent result that was natural and met the patient’s esthetic concerns (see above image). The implant immediate load protocol was a perfect treatment option for this patient as it met her timing demands as well.
Being able to offer a solution for patients who travel a lot and need an option when it comes to implant treatments is invaluable. This patient had her needs met and left the appointment a fan.
The dental industry, in general, has seen huge improvements and changes to workflows with procedures such as implant therapy. These changes are often patient-driven. With immediate load implant procedures, patients can experience a more efficient method of replacing missing dentitions. These cases address time issues, travel issues, esthetic issues, and issues with discomfort.
Call or chat today to get started on your next implant case.
Thank you Dr. Daniel J. Domingue
We want to thank Dr. Daniel J. Domingue for providing the photographs and case notes.
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.
Slide 1
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.
Previous Post: 
