Fixed dental implant restorations are a good alternative in the treatment of tooth replacement in restorative dentistry. The number of dental implants placed differs from case to case, but full-arch implant-supported prosthesis is a successful modality in these various situations. There is no better option in terms of quality of life for the patient. These restorations support healthy bone maintenance, improve soft tissue management, restore oral function, provide comfort, and offer improved esthetics.
There are several types of prosthetic options, including acrylic fixed hybrids, zirconia hybrids, metal to porcelain fixed dental implant bridge, and composite hybrids. Many factors will influence which of these options to use in a specific implant-supported rehabilitation. These factors may include the patient’s financial situation, bone health, parafunctional issues, and esthetic expectations.
--- Andrew Sedler, COO
Burbank Dental Lab provides a great fixed implant prosthetic option in the SmartComposite® Hybrid Prosthesis. The SmartComposite hybrid is a combination of a milled cobalt-chromium alloy and milled composite. The metal frame is nickel and beryllium free. Cobalt-chromium has very high corrosion resistance. It is a biocompatible metal that is wear-resistant and chemically inert. It has incredible mechanical properties, including increased hardness and tensile strength.
Milled frameworks, such as those used in the SmartComposite prosthetic, have been found to fit more passively than casted frameworks. Milled frameworks eliminate the inaccuracies that the many steps involved in casting introduce. A more passive fitting framework lowers mechanical and biologic complication risk. The Co/Cr substructure can be designed to work with a multi-unit abutment or straight to the implant fixture.
A hybrid composite overlay is designed and then milled to fit the framework. The Co/Cr frame is opaqued, etched, and then the composite is bonded to the frame. Pink composite is added to mimic tissue, and then the entire prosthesis is polished by hand. The best application of this type of fixed prosthesis is in large-segment and full-arch cases. SmartComposite requires that interocclusal distance from the implant to opposing be at least 13mm. The buccal to lingual width must be at least 9mm, and the buccal and lingual thickness from the screw access channel must be a minimum of 3mm.
It is essential to evaluate the vertical dimension of occlusion (VDO). If the adequate vertical height is not considered in the planning phase, and the VDO is opened arbitrarily to accommodate the restoration, this can cause increased forces placed in the mouth. In tooth-borne restorations that are carefully restored, the alveolar processes adapt to compensate. Edentulous patients don’t have the advantage of alveolar adaption because of implant treatments. This lack of alveolar adaption causes increased elevator muscles and ultimately increased contractive forces.
In full-arch fixed implant restorations, a nonadaptive masticatory system establishes under these occlusal forces. Since this likely will create issues within the oral cavity in some instances, the use of a restorative material that can both wear gradually and is easily repairable is extremely important. A SmartComposite® hybrid is an excellent option for cases like these. This restorative option has the following benefits:
Also, when two screw-retained prosthetics are opposing one another, it is very common to prescribe a monolithic zirconia prosthesis on the maxillary. In cases like these, it has proven very successful in placing a SmartComposite hybrid on the mandibular. It's possible to achieve desirable stress relief throughout the oral cavity by having a SmartComposite prosthesis opposing a zirconia hybrid.
A common challenge to the success of fabricating a fixed dental prosthesis is a lack of proper case planning. The lack of planning causes the arbitrary placement of implants that make it very difficult to achieve the desired results. Consider the following before moving forward on any edentulous rehabilitation.
Burbank Dental Lab offers a diagnostic package that includes bite blocks, wax set-ups, and photos to help determine what will be the best options to ensure the best results.
These diagnostic steps are necessary to ensure a smooth process that takes into consideration the physical condition of the mouth and makes an informed determination of what steps need to be taken to ensure case success.
Once the dentist establishes diagnostics, Burbank Dental Lab can help create surgical guides to help ensure proper placement of hybrid implants during dental implant surgery.
Next, we'll look at what steps to provide during the first post-operative appointment.
Burbank Dental Lab has one of the most extensive dental implant departments in the nation and has unparalleled expertise in the planning and fabrication of fixed dental implant-supported restorations. The implant team at Burbank Dental Lab offers unique and critical input regarding case design and implant placement. Free evaluation and pretreatment consults are available in all cases. Contact our implant specialist at Burbank Dental Lab for your next fixed implant-supported bridge.
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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.
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.
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.
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.
“I have been working with Burbank Dental Lab for many years. They always get back to me in a timely manner whenever I have questions regarding a case. Mr. Wyoming...
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“Burbank Dental Lab allows me to deliver high-quality zirconia crowns to my patients. Also the communication with their lab technicians is great.”
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“Burbank Dental Lab has been my go-to lab for all my esthetic cases for the last 10 years! So when it came to this case for a good friend, I...
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“We have used Burbank Dental Lab for more than 20 years. They have great customer service, great products. Will recommend them to any dental office.”
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“I am a Heartland dentist in Texas and I have been looking for a comprehensive lab that I could use for implants, removable, and fixed. I discovered Burbank a few...
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“Absolutely gorgeous and high-quality maxillary zirconia hybrid on Ti-bases. Their lab followed my prescription exactly. Their technicians have amazing talent. Thank you, Burbank!”
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“We were looking for a lab that could accept our digital scans and produce high-quality centric-relation nightguards for patients. Burbank Dental Lab was recommended by a dental school classmate. We...
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Burbank Dental Lab has far exceeded all of my expectations, and has fully delivered top tier prosthodontic work. What sets this lab apart from others is the constant communication. When...
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“This lab provides restorative dentists with excellent technical support and high-quality lab work at reasonable fees. Their restorations are consistently excellent both from a functional and esthetic standpoint.”
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“High quality dental lab with years of experience. Very professional service and results are second to none. Whether its cosmetic work, implant work, or digital, Burbank has their act together....
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“In 25 years practicing dentistry I have not delivered a better full mouth rehabilitation crowns and bridge case like the one I did today. Aesthetics, fitting, contact, and occlusion was...
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“I have been using Burbank for a while now. They are the only lab I’ve worked with who delivers consistently superior results. Their esthetic and implant work is second to...
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“Full Arch fixed prosthetic cases go extremely smoothly with Burbank Dental Lab and their imetric photogrammetry in-office workflow. Highly recommend this workflow for anyone doing full Arch cases. Working with...
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Hi Tony, hope you’re well. I’ve sent you a before and after case of a #8 old PFM replacement – single tooth next to natural #9. (Click for photo). Also...
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5-Star Google Rating – Thank you Elgin, we appreciate your 5-star Google rating!
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Muhammad, thank you for your 5-star Google rating – we appreciate it!
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“The implant department at Burbank is amazing! They have delivered casework that has exceeded my expectations and our patients are thrilled! We switched from a local lab to Burbank; our...
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This case is the case where you sent me the samples of the acrylics for a patient who is very sensitive to different chemicals, etc. She wore each sample disc...
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“We have used this lab for 18 months. They have proven to be very patient and customer-centric. They produce some really nice work and are easy to work with. Cases...
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“Vincent and Karen are the best! I worked with Vincent on a full mouth rehab case. Everything turned out great and the patient is very happy. Working with Vincent made...
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“Burbank Dental Lab is our most trusted dental lab for all of our dental work. They are extremely reliable and deliver exceptional products. They are always available for questions and...
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“Very nice case! This patient was very happy. My only adjustment was to reduce the excess in the ovate pontic area that was overdone.” MARGINS: Excellent CONTACTS: Excellent CONTOUR: Excellent...
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“I absolutely love this lab, very quick, beautiful work, and very professional. Marissa is so much help, and has answers every single time! Wouldn’t use anyone else!”
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“Exceptional work. Family owned and it shows – excellent customer service start to finish. Cannot highly enough recommend.”
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“Implant abutment and crown – this case was great! Thank you! The pink porcelain looked great where the gingival margins needed to be leveled.” MARGINS: Excellent CONTACTS: Excellent CONTOUR: Excellent...
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“Perfect case! I didn’t have to adjust a thing! Thank you!” MARGINS: Excellent CONTACTS: Excellent CONTOUR: Excellent OCCLUSION: Excellent FIT: Excellent SHADE: Excellent ESTHETICS: Excellent SERVICE: Excellent
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“This lab has done beautiful work. Their communication is excellent, and they deliver on-time. Thank you so much.”
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“Great crown! Just had a very minor touch. Thank you!” MARGINS: Excellent CONTACTS: Excellent CONTOUR: Excellent OCCLUSION: Excellent FIT: Excellent SHADE: Excellent ESTHETICS: Excellent SERVICE: Excellent
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“Another great case that dropped right in! Thank you!” MARGINS: Excellent CONTACTS: Excellent CONTOUR: Excellent OCCLUSION: Excellent FIT: Excellent SHADE: Excellent ESTHETICS: Excellent SERVICE: Excellent
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“This was the first crown I inserted since we talked about the contacts being tight. This crown was PERFECT!!! Absolutely no adjustments were needed! This was one of those “throw...
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“As a new customer to Burbank Dental Lab, I was pleasantly surprised at the interest the staff expressed for the INDIVIDUAL needs of my patients. As an academic, my ideal...
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“Burbank is an excellent lab! It is one of the most high-tech operations in the country and I have visited many of them. Tony, Andrew, and the entire team have...
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Best darn Dental Lab anywhere!
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“I have been a client of Burbank Dental Lab for about 30 years. In this period of time I have seen this lab invest an amazing amount of time and...
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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....
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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....
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“Just completed a maxillary Prettau Zirconium bridge on 5 implants and am very pleased with the service, the attention to detail, and the communication skills of this lab, in particular...
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“This lab has done beautiful work. Their communication is excellent, and they deliver on-time. Thank you so much!”
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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...
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