Implant rehabilitation can dramatically improve a patient's quality of life. One of the main advantages is that an implant will provide normal oral processes like proper mastication.
Provisionals are an excellent but temporary tool for final restorations. Learn the 4 goals Provisionals fabricated by Burbank Dental Lab provide the patient and clinician.
The accuracy of the temporary restorations is an important factor in ensuring the patient has a positive experience with the entire restorative procedure.
SmartComposite integrates stress-relieving durability, shade matching and wear resistance for flawless dental restoration form and function. Biomimetic properties minimize microcracks and leakage.
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.
Implant-supported restorations have emerged as the leading treatment method in dentistry, particularly for treating edentulous patients. These restorations serve to rehabilitate oral function and support the maintenance of healthy bone […]
Implant therapy has been a true game-changer for people suffering from tooth loss. As the population ages and edentulism becomes more prevalent, implants as a restorative option continue to grow.
For patients, the idea of placing an implant, rather than other treatment options such as a three-unitbridge or a removable partial denture, is more appealing. This is especially true when edentulism occurs in the esthetic zone. This area is by far the most challenging and requires careful planning to ensure the case meets the patient’s expectations.
Burbank Dental Lab is fortunate to have worked with Dr. Daniel Domingue on the following anterior implant case. As with most anterior maxillary cases, this case presents challenges.
The lateral tooth needed extraction.
The implant was pilot-drill guided, and the implant type was an AnyRidge by Megagen.
It was determined that immediate implant loading was a viable option. Whenever the case calls for replacing one to two teeth in the anterior maxilla, the provisional process can be simplified by immediate loading.
Once healed, the temp can be removed and the soft tissue scanned.
The case was scanned using the appropriate scan body for the implant system used in this case. This scan records the proper height, angle, and implant position.
In addition, a scan of the tissue and opposing was done.
The digital scans were sent to Burbank Dental Lab, where the challenge of designing and fabricating a restoration that maximizes esthetics by blending in with the surrounding dentition began. This aspect is critical in supporting clinicians in ensuring overall patient satisfaction.
To ensure these types of cases meet these expectations, consider the following:
Small-line Consideration
The height and width of a patient’s smile line are important to consider when determining whether a case will meet patient expectations.
A high smile line will reveal much more of the gingival tissue and restoration. The key is to maintain the peri-implant tissue support throughout the planning, surgery, provisionalization, and restorative steps.
Lower smile lines require less of this type of evaluation.
Implant Placement
Implant placement requires evaluating the restorative goals and present biological issues. The biological problems focus on bone and tissue management, while the restorative concerns concentrate on aesthetics and proper contour.
Abutment Selection
This is critical in achieving the desired results.
Stock Abutments: While most implant companies offer stock abutment options with a selection of contours and angles, these are usually extremely limited. This is especially true when aiming for tissue support and an ideal emergence profile. Also, the crown margin relies on the height of the abutment and the depth of the implant.
Custom Abutments: In most cases, custom abutments provide exceptional aesthetic results. Custom abutments provide ideal implant angulation, position, and depth. The soft tissue is ideally supported.
SMART 1 Zirconia abutments offer a superior esthetic result by eliminating the gray cast visible through the tissue that can occur with some titanium abutments.
When designing the abutment, the implant team at Burbank Dental Lab evaluated the patient’s soft tissue, contours, and emergence profile to create an ideal abutment tailored to the patient’s specific needs. Using some of the most advanced computer-aided manufacturing equipment in the industry, the abutment was milled.
The patient’s esthetic needs were evaluated to determine the restorative material for fabricating the final crown. This step is critical to the case’s overall success, as the final crown must blend seamlessly with the adjacent teeth.
Proper communication from Dr. Domingue is what led to such an amazing outcome.
The best way to communicate the specific esthetic needs of the case is as follows:
Block out any unfavorable outside light sources.
Eliminate any color influencers such as colored walls, floors, clothing, or makeup. A neutral-colored cloth can be used to hide any color influencers.
Use balanced lighting that is as close to natural light as possible.
Block out any unfavorable outside light sources.
Eliminate any color influencers such as colored walls, floors, clothing, or makeup. A neutral-colored cloth can be used to hide any color influencers.
When choosing a shade, avoid looking at the tooth for more than 5 seconds.
Make sure the teeth are hydrated.
The patient should be sitting upright to allow adequate light to enter.
Use lip retractors to eliminate any shadows.
Place the shade tab in the same position as the tooth that is to be matched
The facial aspect of the shade tab should be parallel to the tooth’s facial aspect.
Next, place the incisal edge of the tab to the incisal edge of the tooth. (Image shown below)
Take photos of the proposed shade tabs in the proper positions stated above.
The Final Restoration
Based on all of the information provided and the specific esthetic needs of this case, an E.MAX crown was prescribed as the final restoration. E.MAX is an excellent material when esthetics is the number one concern.
E.MAX has a wide color selection and translucency options, and a wide range of benefits, including:
Years of successful clinical data
High Strength
Wide range of shades and translucencies
The E.max crown was fabricated over the implant abutment. It was cemented to the SMART 1 Zirconia abutment using TherCem by Bisco Dental.
The Shade-Taking Process
Considering all the factors that make an implant case successful — proper planning, skill from both the clinician and the dental lab, and clear communication — makes the difference in creating a predictable, functional, and esthetic restoration.
Special Thanks
Burbank Dental Lab would like to thank Dr. Daniel Domingue for letting us provide lab support for this case.
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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