SmartComposite®: When is Composite the Best Option?

mm Written by Andrew Sedler

SmartComposite®: When Is Composite the Best Option?

SmartComposite Hybrid

In restorative dentistry, fixed dental implant restorations are a good alternative to dentures. There is a wide range of situations in which full-arch implant-supported prostheses are a successful modality, and the number of implants required varies from case to case.

As a result of these restorations, healthy bone is maintained, soft tissue is managed, oral function is restored, comfort is provided, and esthetics are enhanced. The quality of life for patients who opt for this treatment is greatly improved.

Among the prosthetic options available are acrylic fixed hybrids, zirconia fixed hybrids, metal to porcelain fixed dental implant bridges, and composite hybrids. The choice of which of these options to use depends on a number of factors. A patient’s financial situation, bone health, parafunctional issues, and esthetic expectations are some of these factors. An often under-prescribed option is the composite hybrid prosthesis.

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SmartComposite Hybrids Benefits

SmartComposite: When is composite the best option? - Burbank Dental Lab

Under the occlusal forces of full-arch fixed implant restorations, a nonadaptive masticatory system is established. As a consequence, in some situations, this could create issues within the oral cavity, so it is extremely important to use a restorative material that is both gradually wearing and easily repairable.

For cases such as these, a SmartComposite® hybrid is a great option (see above image).

The following benefits are associated with this restorative option:

  • With a compressive strength exceeding 480 MPa, the restoration is durable.
  • Its hybrid design combines strong, rigid metal with a resilient composite.
  • Unlike denture teeth, milled composites will not dislodge.
  • Intraoral polishing is easy.
  • The composite is lightweight.
  • Composites can be repaired intraorally.
  • In comparison with other hybrid options, this option is more cost-effective.
  • Provides excellent esthetic results
  • Fluids and odors do not absorb into the Composite due to their density.
  • Composites are resilient, reducing stress on implant integration
  • It wears about the same rate as natural teeth; kind to opposing dentition.

A monolithic zirconia prosthesis is often prescribed when two screw-retained prosthetics are opposing one another on the maxilla. When used in cases like these, the SmartComposite hybrid has proven very successful when placed on the mandible. SmartComposite prostheses can be used to relieve stress throughout the oral cavity when they are used in conjunction with zirconia hybrids.

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What is a SmartComposite® Hybrid Prosthesis?

SmartComposite combines milled cobalt-chromium alloys with milled composites. Nickel and beryllium are not present in the metal frame. Corrosion resistance is extremely high in cobalt-chromium. Besides being biocompatible, it is wear-resistant as well as chemically inert. It has incredible mechanical properties, such as increased hardness and tensile strength.

In comparison with casted frameworks, milled frameworks, such as those used in the SmartComposite prosthetic, fit more passively. Casting introduces inaccuracies due to its many steps. Milled frameworks eliminate those inaccuracies. Complications caused by mechanical and biological factors are reduced by passive fitting frameworks. Co/Cr substructures can be designed for use with multi-unit abutments or straight-to-implant fixtures.

SmartComposite: When is composite the best option? - Burbank Dental Lab

Designed hybrid composite overlays are milled to fit frameworks. After opaque and etching the Co/Cr frame, the Composite is bonded to it. Afterward, a pink composite is applied to imitate tissue, and the entire prosthesis is polished by hand.

These fixed prostheses are indicated in the following situations:

  • Best suited to large-segment and full-arch cases. 
  • The interocclusal distance between the implant and opposing tooth must be at least 13mm for SmartComposite. 
  • The buccal to lingual width must be at least 9mm.
  • The buccal and lingual thickness from the screw access channel must be a minimum of 3mm.

An evaluation of the vertical dimension of occlusion (VDO) is essential. A VDO that is arbitrarily opened to accommodate a restoration without adequately considering vertical height can increase forces placed in the mouth. Alveolar processes adapt to compensate for tooth-born restorations that are carefully restored.

Due to implant treatments, edentulous patients do not benefit from alveolar adaptation. Alveolar adaptation does not occur, which results in increased elevator muscles and consequently increased contractive forces.

Proper Case Planning

A lack of proper case planning is one of the most common challenges to fabricating a fixed dental prosthesis. Due to insufficient case planning, implants are placed arbitrarily, resulting in difficult success rates.

In order to make the most of your edentulous rehabilitation, remember to take the following factors into consideration:

  • Assess bone loss-related esthetic issues in the face
  • Vertical clearance should be determined
  • The smile line should be evaluated

Besides bite blocks and wax setups, photos are taken to determine the best options for treatment and to determine the final outcome. It is essential to take into account the overall physical condition of the mouth in order to achieve a successful outcome.

In every case, the steps may differ according to their specifics. For example, in the case of implant surgery that has not yet been performed, a surgical guide can be provided to assist in determining what the best implant placement option would be. Due to our commitment to providing the most advanced technological services, Burbank Dental Lab is able to fabricate guided surgery appliances from a wide variety of workflows.

During the first postoperative appointment, the following steps should be taken:

  • The conversion denture can be used to perform a postoperative bite registration
  • Using a Kois Dento-Facial Analyzer (as shown below), capture the following information:
    – Condyle relationship
    – The midline of the face
    – The horizontal plane
U'sing a Lois Facial Analyzer Facebow
  • Photos
    – The full face, forehead to chin
    – A close-up of a smile
    – The lip at rest
    – Include pictures with desired shades (including shade tabs)

With one of the largest implant departments in the nation, Burbank Dental Lab has unmatched expertise in the planning and fabrication of fixed dental implant-supported restorations. With regard to case design and implant placement, Burbank Dental Lab’s implant team provides a unique and critical insight. In all cases, we offer free evaluations and pretreatment consultations. For your next fixed implant-supported bridge, contact Burbank Dental Lab’s implant specialist.

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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.