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With over 70 years in the dental industry and three generations of experience, Burbank Dental Lab has positioned itself as a leader in restorative dentistry. Through extensive research and development,
The anterior area presents significant challenges when it comes to dental implant placement, both surgically and in terms of achieving satisfactory esthetics. This surgical procedure is complex and necessitates meticulous
Periodontal disease and dental caries are the main causes of edentulism worldwide. While this issue affects predominantly an older demographic, it is linked to sociodemographic factors, including lower incomes, certain lifestyles, and other systemic issues.
There are many different options today to rehabilitate patients suffering from tooth loss. One of the leading treatments is fixed implant-supported restorations.
Implant-Supported Restorations
Fixed implant-supported restorations provide patients with a stable, secure solution to combat tooth loss. In addition, these restorations provide facial support and help to minimize facial sagging. Implants help to keep the jawbone healthy by helping to promote bone growth.
The benefits of this type of restoration include:
Provides more functionality than traditional dentures
Provides more comfort than traditional dentures
Patients have more security with these types of restorations
Promotes healthier bone growth
Creates better mastication
It is a more aesthetic option
There are several different types of fixed implant-supported restorations from which to choose. Understanding which ones are best suited for an individual case is critical in ensuring that the case will be successful.
Case Study
This case came to Burbank Dental Lab from Dr. August de Oliveira. The patient is a homeless man who was part of a program to provide restorative dentistry to those less fortunate. This patient is an older man who has worn several prostheses, including dentures, a zirconia hybrid, and a metal frame-reinforced hybrid. Unfortunately, this patient has a history of breaking these restorations (see the image shown below). The challenge here was to find a restorative option that would service this patient in the best possible way.
The system used to scan the case was the CEREC Primescan. Both arches were scanned to capture the relevant data, including implant locations (see image below).
It was determined that the best restorative option for this patient would be to fabricate a CAD titanium bar with a PMMA hybrid overlay. One of the key factors in choosing this material was that it would be easy to repair if the patient had any issues with it. The PMMA allows for easy repairs and offers this patient a more reliable prosthesis.
Other restorative options for implant-supported restorations include:
SmartComposite Hybrid
Flexural strength of 1000 MPa
Natural Esthetics
High levels of translucency
Extremely durable
Feels remarkably like natural dentition
ZIRMAX M
480 MPa compressive strength
Monolithic will not dislodge like denture teeth
Easy to polish
Lightweight
Can be repaired with composite intraorally
Reduces stress to implants
Wears at about the same rate as natural teeth
SMART 1 Titanium Implant Bar
SMART 1 titanium implant bars were designed and milled. The Burbank Dental Lab SMART 1 implant bars are designed to distribute occlusal loads evenly between the implants.
These bars are milled on a 5-axis computer numerical control (CNC) machine. The CNC technology takes numerical data that represents instructions to be carried out by milling machinery. The accuracy of a prosthesis milled using a five-axis CNC machine ensures a passive fit every time.
Next, plastic overlays were fabricated to be placed over the bar to check both the bite and the midline (see below image).
PMMA Fabrication
The next step was the design of the PMMA overlay. This was a totally digital workflow. The patient’s old prosthesis was used to copy the bite relationship, which was then sent to ExoCad software. Here the bite was evaluated similarly to using a semi-adjustable articulator.
The PMMA overlay was then milled according to the treatment plan. The prosthesis was then characterized, including the gums, to ensure a natural esthetic result. The CAD bars had the PMMA cemented so that the metal went all the way down to the gingiva (see image below).
Finished and Tried In
This patient required a restorative option that allowed for the easy repair and upkeep of his prosthesis.
PMMA is a resilient material that helps to reduce impact forces, ensuring that it does not get transferred to the implants.
Easy to repair should the need arise.
While it can become stained over time, it can be easily polished.
It will not wear down opposing natural teeth.
PMMA provides a more cost-effective option.
The case was then finished and tried in. The patient’s bite was evaluated, and he indicated he was comfortable and loved the results.
This case had an amazing result and provided the patient with a great smile and, more importantly, a long-term option to ensure his new prosthesis would address his needs. PMMA provides many benefits, and for this patient, the ability to repair the prosthesis was the main determinant to choosing this restorative option.
Burbank Dental Lab has extensive experience with fixed implant-supported prostheses. Call or chat today with any questions.
Burbank Dental Lab would like to thank Dr. August de Oliveira for allowing us to use his photos for this case and for providing notes for this article.
SMART 1® abutments are custom engineered to best meet each patient’s case needs. Burbank Dental Lab uses the most advanced design and milling technologies to deliver the most precise fits available.
Burbank Dental Lab offers three distinct options within the screw retained category of implant restorations: Smart1 porcelain fuse to milled Co/Cr, Smart1 Screw Retained Zirconia, and the traditional Porcelain Fused to Cast UCLA abutments.
Burbank Dental Lab's Smart1 Implant Bars & overdentures are designed using our decades of experience and fabricated with the world's most advanced technology, resulting in ease of delivery, and the most durable, comfortable denture available.
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.
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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....
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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...