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Hybrid restorations have revolutionized full-arch prosthetic solutions, offering a combination of durability, esthetics, and functionality for edentulous patients.

At Burbank Dental Lab, we specialize in fabricating high-quality hybrid restorations, utilizing advanced materials and precision-milled frameworks to ensure long-term success and optimal outcomes.

Our hybrid restorations utilize strong materials, including milled titanium, cobalt-chrome, and zirconia. They also include high-quality acrylic and composite materials. This combination offers a superior alternative to traditional removable dentures. These implant-supported prostheses offer patients a fixed, secure, and natural-looking solution, thereby eliminating common challenges associated with removable restorations.

With decades of experience and our continued investment in technology, Burbank Dental Lab ensures that each hybrid restoration is custom-designed to meet the unique needs of both the dentist and the patient, resulting in predictable outcomes, optimal function, and lasting esthetics.

Burbank offers three distinctive Hybrid solutions. Read more about them below:

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Traditional Acrylic with Titanium Substructure

SmartComposite Hybrid Prosthesis

ZIRMAX M Hybrid Prosthesis

Traditional Acrylic with Titanium Substructure

COMPOSITION

Titanium Frame/ Acrylic

IN-LAB WORKING TIME

Frame 10 days Finish 7 days

WARRANTY

3-Year

conditional warranty

FLEXURAL STRENGTH

Acrylic 40 MPa

These restorations seamlessly blend the strength of titanium with the natural appearance of acrylic

Providing patients with durable, functional, and esthetically pleasing solutions is paramount. Hybrid Restorations, particularly those combining traditional acrylic with a titanium substructure, have emerged as a superior option for full-arch rehabilitations. These restorations seamlessly blend the strength of titanium with the natural appearance of acrylic, offering a fixed prosthetic solution that enhances patient satisfaction and oral health.

What are traditional acrylic restorations with a titanium substructure?

These hybrid restorations are fixed dental prostheses designed to replace an entire arch of missing teeth. They consist of a precisely milled titanium framework that is permanently anchored to dental implants. This substructure provides exceptional strength and stability.

Over this strong framework, high-quality acrylic resin is layered and shaped to mimic natural gingival tissue and teeth, resulting in a prosthesis that offers both functionality and esthetic appeal. The combination of materials ensures that patients receive a restoration capable of withstanding daily masticatory forces while maintaining a lifelike appearance.

Key features of traditional acrylic with a titanium substructure

  • Durability and strength – The titanium framework offers a resilient base, effectively distributing occlusal forces across the implants and minimizing the risk of prosthetic fractures.
  • Esthetic appeal – Acrylic resin enables customization of tooth shape, size, and color, as well as the replication of natural gum aesthetics, resulting in a harmonious and natural-looking smile.
  • Biocompatibility – Titanium is renowned for its compatibility with human tissues, reducing the risk of adverse reactions and promoting successful osseointegration with the implants.
  • Retrievability – These restorations can be removed by a dental professional when necessary, facilitating maintenance, repairs, or adjustments without compromising the integrity of the prosthesis.
  • Cost-effectiveness – Compared to all-ceramic or zirconia alternatives, acrylic over titanium hybrids offer a more affordable solution without sacrificing quality or patient satisfaction.
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Indications for Use

Burbank Dental Lab’s Acrylic Hybrid Restorations are especially beneficial in the following clinical situations:

  • Edentulous arches – Patients missing all teeth in the upper or lower jaw can benefit from a stable and fixed solution that restores function and esthetics.
  • Dissatisfaction with removable dentures – Individuals experiencing discomfort, instability, or difficulty with traditional removable dentures may find hybrid restorations to be a transformative alternative.
  • Adequate bone structure – Sufficient bone volume is necessary to support the placement of dental implants that anchor the titanium framework.
  • Desire for fixed solutions – Patients seeking a non-removable prosthetic that closely mimics the feel and function of natural teeth are ideal candidates.

Clinical Guidelines

Achieving optimal outcomes with hybrid restorations requires meticulous planning and execution:

  • Comprehensive assessment – Conduct a thorough evaluation of the patient’s oral and systemic health, including imaging studies like CBCT scans to assess bone density and anatomy.
  • Diagnostic Wax-Up – Create a wax model to visualize the proposed restoration, aiding in both patient communication and surgical planning.
  • Implant placement planning – Determine the optimal number and positioning of implants, typically ranging from four to six per arch, to ensure even load distribution and prosthetic support.
  • Surgical guide fabrication – Utilize the diagnostic wax-up to produce a surgical guide that facilitates precise implant placement in accordance with the prosthetic design.
  • Immediate temporization – Consider providing a provisional prosthesis post-implant placement to maintain esthetics and function during the osseointegration period.

Insertion Guidelines

While hybrid restorations are primarily screw-retained, ensuring a secure and passive fit is essential:

  • Framework try-in – After fabricating the titanium framework, perform a try-in to verify passive fit and alignment with the implants, making necessary adjustments to eliminate any tension.
  • Acrylic processing – Once the fit is confirmed, we proceed with the application and curing of the acrylic resin, meticulously crafting the prosthetic teeth and gingival contours to achieve the desired esthetic outcome.
  • Final seating – Place the completed prosthesis onto the implants, securing it with appropriate screws. Ensure that occlusion is balanced and harmonious, making any necessary refinements
  • Access closure – Seal the screw access channels with a suitable material to prevent debris accumulation and maintain esthetics.

Chairside Adjustments

Post-insertion, some adjustments may be required to optimize function and comfort:

  • Occlusal equilibration – Assess and adjust the occlusion to prevent premature contacts and ensure even distribution of masticatory forces.
  • Pressure spot relief – Identify and alleviate any areas where the prosthesis may be impinging on soft tissues, using pressure-indicating paste as a guide.
  • Polishing – After adjustments, polish the acrylic surfaces to a high shine, which reduces plaque accumulation and enhances patient comfort.
  • Patient education – Instruct the patient on proper oral hygiene practices and the importance of regular follow-up visits to monitor the condition of the restoration and surrounding tissues.
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FAQ

Traditional Acrylic with Titanium Substructure

What are the advantages of a titanium substructure?

Titanium provides exceptional strength, biocompatibility, and longevity. It ensures an even distribution of forces across implants, reducing stress on the prosthesis and preventing fractures.

Can acrylic hybrid restorations be repaired if damaged?

Yes, acrylic repairs can be performed if there is minor wear or chipping. However, extensive damage to the titanium framework may require fabrication of a new prosthesis

How does a hybrid restoration compare to a traditional denture?

Hybrid restorations offer superior stability, function, and esthetics compared to traditional removable dentures. Since they are anchored to dental implants, they eliminate the discomfort of movement and provide improved chewing efficiency.

How many implants are required for a hybrid restoration?

Typically, four to six implants per arch are recommended to provide adequate support and stability for a hybrid prosthesis. The exact number depends on bone density, occlusal considerations, and patient-specific factors.

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Traditional Acrylic with Titanium Substructure

SmartComposite Hybrid Prosthesis

ZIRMAX M Hybrid Prosthesis

SmartComposite Hybrid Prosthesis

COMPOSITION

Cobalt-Chrome/ Composite

IN-LAB WORKING TIME

Frame 10 days Finish 12 days

WARRANTY

3-Year on Composite

Conditional Warranty

FLEXURAL STRENGTH

Composite 200 MPa

The SmartComposite Hybrid Prosthesis is a proprietary solution from Burbank Dental Lab.

It offers a unique blend of milled cobalt-chrome (Co/Cr) and milled composite. This innovative combination provides exceptional durability while maintaining a natural appearance, making it an excellent alternative to traditional hybrid prostheses.

At Burbank Dental Lab, we specialize in fabricating SmartComposite Hybrid Prostheses with precision, ensuring optimal function, esthetics, and long-term performance. By utilizing state-of-the-art milling techniques, we create prostheses that meet the highest standards in implant dentistry.

What is the SmartComposite Hybrid Prosthesis?

The SmartComposite Hybrid Prosthesis is an advanced, fixed implant-supported restoration that combines a milled Co/Cr substructure with a milled composite overlay. This design balances the strength and stability of a metal framework with the esthetic versatility and wear compatibility of composite materials. Unlike conventional acrylic hybrids, this prosthesis offers superior fracture resistance and maintains its esthetic properties over time.

By integrating digitally milled composite, SmartComposite provides enhanced wear characteristics while reducing the risk of chipping that can occur in traditional acrylic hybrids. The Co/Cr base ensures a rigid foundation, evenly distributing occlusal forces across the implants for long-term success.

Key features of SmartComposite Hybrid Prosthesis

  • High strength & stability – The milled Co/Cr substructure offers superior mechanical integrity, reducing flexural fatigue and ensuring long-term durability.
  • Enhanced esthetics – The milled composite overlay closely mimics the translucency and color of natural teeth, resulting in a more lifelike appearance.
  • Optimized ccclusal wear – Composite offers wear characteristics that closely mimic natural dentition, thereby preventing excessive wear on opposing teeth.
  • Fracture & chip resistance – Unlike acrylic, milled composite is more resistant to fractures, reducing the risk of prosthetic failure.
  • Lightweight & biocompatible – Co/Cr is a strong yet lightweight material, ensuring patient comfort without sacrificing strength.
  • Digitally designed for precision – CAD/CAM technology ensures a passive fit, reducing chairside adjustments and increasing clinical efficiency.
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Indications for Use

The SmartComposite Hybrid Prosthesis is ideal for:

  • Full-arch fixed restorations – Patients requiring a full-arch prosthetic supported by implants.
  • Patients with high occlusal forces – The Co/Cr framework provides the strength necessary for patients who exhibit heavy occlusal loads or bruxism.
  • Cases requiring superior ethetics – The composite material allows for customized shading and characterization to match natural dentition.
  • Long-term implant solutions – Designed for durability and longevity, making it a superior alternative to acrylic hybrids.
  • Patients requiring metal-free occlusal contact – Composite provides a more tooth-friendly occlusal surface than zirconia or metal occlusal restorations.

Clinical Guidelines

Proper planning and case preparation are crucial for the long-term success of a Smart Composite Hybrid Prosthesis.

Key considerations include:

  • Implant placement & spacing – A minimum of four to six implants per arch is recommended for proper load distribution.
  • Abutment selection – Multi-unit abutments with a passive path of insertion are ideal for ensuring a proper fit.
  • Occlusal clearance – Maintain at least 2.0mm clearance to ensure adequate material thickness and strength.
  • Tissue adaptation – Ensure proper tissue contouring for an optimal seal and esthetic transition from the gingiva to the prosthesis.
  • Accurate impressions – Digital scans or high-quality PVS impressions should be taken to ensure precision in framework fabrication.

Insertion Guidelines

The SmartComposite Hybrid Prosthesis is designed as a screw-retained restoration, eliminating the need for traditional cementation. Proper handling and seating techniques ensure a secure and stable prosthesis:

  • Passive fit verification – Before final placement, confirm that the Co/Cr framework has a passive fit with no tension on the implants.
  • Tightening protocol – Torque screws to the manufacturer’s recommended values, typically 25-30 Ncm for multi-unit abutments.
  • Screw access closure – Use a composite or resin material to seal screw access holes for esthetics and ease of retrieval.
  • Occlusal adjustments – Verify and refine occlusion to ensure balanced force distribution and prevent premature wear.

Chairside Adjustments

Minimal adjustments may be needed for optimal fit and function. ?The following guidelines ensure a precise final result

  • Use fine diamond burs – When adjusting composite, use a fine diamond bur at low speed to prevent excessive heat buildup.
  • Polish after adjustments – Re-polish any modified areas with a composite polishing kit to restore smoothness and esthetics.
  • Check for interferences – Evaluate occlusion and remove any premature contacts that could cause excessive wear or implant strain.
  • Ensure gingival adaptation – Confirm a proper fit against soft tissue to prevent food impaction and irritation.
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FAQ

SmartComposite Hybrid Prosthesis

How does the SmartComposite Hybrid Prosthesis compare to an acrylic hybrid?

SmartComposite offers greater durability, fracture resistance, and esthetic longevity compared to traditional acrylic hybrids. The milled composite material is stronger than acrylic, reducing the risk of chipping or wear over time.

Is the SmartComposite Hybrid Prosthesis suitable for bruxers?

Yes, the Co/Cr substructure provides exceptional strength, while the milled composite offers shock absorption and occlusal compatibility, making it an excellent option for patients with heavy occlusal forces or parafunctional habits.

How does composite compare to zirconia for occlusal wear?

Composite is more forgiving on opposing dentition than zirconia, making it a preferred choice for patients prone to excessive wear. It mimics the natural wear characteristics of enamel while maintaining structural integrity.

Can the SmartComposite Hybrid Prosthesis be repaired?

Yes, composite is a repairable material, either chairside or in the lab, making it easier to maintain compared to zirconia or ceramic alternatives. Minor chips or fractures can be restored without needing a full prosthetic replacement.

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Traditional Acrylic with Titanium Substructure

SmartComposite Hybrid Prosthesis

ZIRMAX M Hybrid Prosthesis

ZIRMAX M Hybrid Prosthesis

COMPOSITION

Zirconia

IN-LAB WORKING TIME

12 days

WARRANTY

5-Year

Conditional Warranty

FLEXURAL STRENGTH

1200 MPa

The ZIRMAX M Hybrid Prosthesis is a top choice, offering outstanding strength and a natural look.

Made from monolithic zirconia, this screw-retained full-arch prosthesis is designed to withstand heavy occlusal forces while providing patients with a realistic smile.

At Burbank Dental Lab, we are dedicated to providing high-quality restorations. Our expertise in creating the ZIRMAX M Hybrid ensures that dental professionals can deliver a prosthesis that excels in both form and function.

What is the ZIRMAX M Hybrid Prosthesis?

The ZIRMAX M Hybrid Prosthesis is a full-arch, screw-retained restoration crafted entirely from monolithic zirconia. Known for its impressive flexural strength of up to 1200 MPa, this prosthesis is designed to withstand challenging occlusal loads, making it ideal for patients with high functional demands. In addition to its strength, the ZIRMAX M Hybrid offers increased translucency, up to 25% more than other high-strength zirconia, resulting in a restoration that closely mimics natural teeth.

The monolithic design eliminates the need for layered ceramics, reducing the risk of chipping and ensuring long-term durability. Its screw-retained nature facilitates easy retrieval and maintenance, providing both clinicians and patients with a practical and lasting solution.

Key features of the
ZIRMAX M Hybrid Prosthesis

  • Exceptional strength: With a flexural strength reaching up to 1200 MPa, the ZIRMAX M Hybrid is capable of withstanding substantial occlusal forces, making it suitable for patients with parafunctional habits.
  • Enhanced esthetics: The increased translucency of the zirconia material enables a more natural and lifelike appearance, closely resembling the appearance of natural teeth.
  • Monolithic design: Being a single-piece construction, it minimizes the potential for chipping and delamination associated with layered restorations.
  • Biocompatibility: Zirconia is known for its excellent biocompatibility, ensuring patient safety and comfort.
  • Precision fit: Utilizing advanced CAD/CAM technology, each prosthesis is custom-designed to achieve a precise and passive fit, reducing chair time and enhancing patient satisfaction.
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Indications for Use

The ZIRMAX M Hybrid Prosthesis is particularly suited for:

  • Edentulous arches: Providing a fixed solution for patients missing all teeth in an arch.
  • Implant-supported restorations: Ideal for full-arch rehabilitations where implants are used to retain the prosthesis.
  • Patients with high occlusal forces: Its robust construction makes it suitable for individuals with bruxism or other parafunctional activities.
  • Patients with high occlusal forces: Its robust construction makes it suitable for individuals with bruxism or other parafunctional activities.

Clinical Guidelines

To ensure the success of the ZIRMAX M Hybrid Prosthesis, consider the following guidelines:

  • Implant placement – A minimum of four to six implants per arch is recommended to provide adequate support and stability.
  • Occlusal clearance – Ensure sufficient space to accommodate the prosthesis, typically requiring 12-15 mm from the implant platform to the incisal edge.
  • Soft tissue management -Proper contouring of the soft tissue is essential to achieve an optimal emergence profile and esthetic outcome.
  • Accurate impressions – Utilize high-precision impression materials or digital scanning to capture the exact implant positions and soft tissue architecture.

Insertion Guidelines

The ZIRMAX M Hybrid Prosthesis is designed for screw retention, eliminating the need for traditional cementation. This approach facilitates easier retrieval and maintenance. Key steps include:

  • Framework try-in – Verify the passive fit of the zirconia framework on the implants or abutments before finalizing the prosthesis.
  • Screw torque – Follow the implant manufacturer’s recommended torque specifications to ensure the prosthesis is securely in place.
  • Access hole sealing – After securing, seal the screw access channels with a suitable composite material to prevent debris accumulation and maintain esthetics.

Chairside Adjustments

While the precision of the ZIRMAX M Hybrid Prosthesis minimizes the need for adjustments, clinicians may occasionally need to make minor modifications:

  • Occlusal Adjustments – Use fine-grit diamond burs under copious irrigation to adjust occlusion, ensuring even contact and distribution of forces.
  • Polishing – After adjustments, polish the zirconia surface using a dedicated polishing kit to restore a smooth, glaze-like finish, reducing plaque accumulation and wear on opposing dentition.
  • Interproximal Contacts – Assess and adjust interproximal areas to ensure proper contact points, preventing food impaction and maintaining periodontal health.
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FAQ

ZIRMAX M Hybrid Prosthesis

What makes ZIRMAX M hybrid restorations different from other full-arch solutions?

ZIRMAX M hybrid restorations are crafted from high-strength multilayered zirconia, offering a perfect balance of durability, natural aesthetics, and biocompatibility. Unlike acrylic or PMMA-based hybrids, ZIRMAX M resists chipping, staining, and wear, providing a long-lasting solution for full-arch restorations.

Are ZIRMAX M restorations comfortable for patients?

Yes, ZIRMAX M restorations are designed with patient comfort in mind. Their lightweight structure and precise fit reduce bulkiness while ensuring optimal bite function. Additionally, zirconia is a biocompatible material, reducing the risk of allergic reactions or irritation compared to metal-based alternatives.

Who is a good candidate for ZIRMAX M Hybrid Restorations?

Patients with multiple missing teeth or those requiring full-mouth rehabilitation on implants can benefit from ZIRMAX M restorations. These prosthetics are particularly beneficial for individuals seeking a long-lasting, metal-free, and highly aesthetic solution with minimal maintenance requirements.

What type of maintenance do ZIRMAX M restorations require?

Routine oral hygiene, including regular brushing, flossing, and professional dental cleanings, is essential to maintaining ZIRMAX M restorations. Unlike acrylic hybrids, zirconia restorations do not absorb stains or odors, making them easier to clean and maintain over time. Regular dental check-ups will ensure their longevity and optimal function.

Why Choose Burbank Dental Lab
for Hybrid Prostheses?

Partnering with Burbank Dental Lab offers several advantages:

  • Expertise and Experience – With over 70 years in the dental industry, our team possesses the knowledge and skill to fabricate restorations that meet the highest standards.
  • Advanced Technology – We employ cutting-edge CAD/CAM systems to design and mill prostheses with unparalleled precision.
  • Customization – Each prosthesis is tailored to the patient’s unique anatomy and esthetic requirements, ensuring a personalized restoration.
  • Quality Materials – We utilize premium-grade zirconia to ensure the longevity and performance of our prostheses.
  • Comprehensive Support – From case planning to final delivery, our team provides

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