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One of the most challenging undertakings in dentistry for both the clinician and the laboratory is a full mouth reconstruction. For patients who present with excessive wear of their dentition, a full mouth reconstruction is critical in re-establishing functional harmony, pulpal health, esthetics, and protecting the dentition from further damage.
Complex dental cases require proper treatment planning to ensure a successful outcome. These cases must consider the patient’s concerns and desired result as a starting point and then create a
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.
Teeth play an important role in daily life. They are not just for chewing, but they also help with speaking clearly, give faces shape, and correct support. Teeth can also
The synergy between a dental practice and a dental lab is one of the most important factors in ensuring a case will have a successful outcome.
This relationship is significant in guaranteeing patient overall satisfaction. It is very well known that dental practices grow as a result of patient referrals and online reviews. So perfecting the patient experience throughout a restorative process is crucial to ensuring the patient will provide favorable feedback.
Providing exceptional laboratory support is one of the primary goals of Burbank Dental Lab, which led to the creation of the Smiles By Design Team.
The Smiles By Design Team
The Smiles by Design Team helps to provide a well-planned case that incorporates using the best materials as well as the latest technology to create a perfect patient experience. With this support, the patient will experience a flawless journey within the practice and ultimately become a great marketing asset for the practice.
The Smile By Design Team at Burbank Dental Lab is made up of highly trained technicians that have completed hundreds of hours of advanced training. This advanced training includes live patient over-the-shoulder programs, training at the Las Vegas Institute, and courses at the Spears Institute, as well as others.
A Systematic Approach
The Smiles by Design Team provides a systematic approach that takes the case from diagnosis and treatment planning to the final delivery.
Through proper case planning, each restorative case is designed to incorporate the patient’s desired end result as well as the necessary functional aspects needed to ensure the functionality and longevity of the restorations.
Each case that goes through the Smiles by Design process will begin with the following steps:
Ensure the initial prescription is thoroughly understood.
Assess study models
Note any functional issues or occlusal clearance issues.
View intraoral images: 1. Full face forehead to chin 2. Close-up smile 3. Lips at rest 4. Preliminary shade pictures
Begin the diagnostic wax-up (see image below) process to work out and incorporate a mock-up of the desired end result.
– Create a putty stent of the wax-up for temporaries – Provide a prep guide as necessary
Determine and discuss the final material selection based on the overall needs of the case.
Create temporary restorations based on the diagnostic wax-up for the patient to wear and evaluate prior to final restoration fabrication.
Provide a new set of photographs with temporaries in place.
This type of planning between the dentist and the lab takes all of the guesswork out of the final restorations.
Now the fabrication process can begin.
The Smiles by Design Team will then implement quality control standards at each phase of the fabrication process.
Restorations will be evaluated to make sure the margins, fit, contours, shade, and overall plan have been followed.
The patient was seeking a restorative solution for her missing anterior teeth.
These types of challenging cases are rewarding to work on as they offer the patient a huge improvement in aesthetics as well as function and are often life-changing.
This case was started utilizing study models and Dr. Tran’s initial prescription. It was mounted and evaluated to note any functional or occlusal clearance issues that might impact it. Dr. Tran was called and consulted to ensure a clear understanding of the case’s objectives.
A diagnostic wax-up was then fabricated, incorporating all of the necessary information to ensure patient satisfaction and overall oral health.
A putty stent was fabricated from the wax-up so that Dr. Tran could use it for temporization. The patient was able to wear the temporaries for several days and provide feedback as to their overall satisfaction with the design.
It was determined that this case would be restored with zirconia crowns on teeth #12 and #4 and a zirconia bridge from #5 to #11.
Before
Zirconia was chosen because of its superior aesthetics, strength, durability, as well as an excellent fit. We feel especially confident in our zirconia restorations because we use the Burbank Dental Lab proprietary ZIRMAX zirconia blocks.
ZIRMAX Zirconia
The ZIRMAX brand has a flexural strength of over 1000 Mpa making it one of the most durable zirconia options in the dental industry. This will provide the patient with long-lasting restorations that will resist fracture. It is an excellent option for single-unit crowns as well as long-span bridges. This case was fabricated using ZIRMAX layered zirconia to achieve a natural-looking strong restoration.
The incisal edge position of the approved temporaries was followed when fabricating the bridge. The shade selected was the Vita 3D shade 1M. The case was successfully tried and ready for cementation.
After Retracted
When cementing zirconia crowns, it is essential to remove any excess cement to decrease the chance of tooth sensitivity. Use non-cutting finishing burs to finish the margins. To make any adjustments, use only diamond burs specifically made to adjust zirconia. It is extremely important that no heat is created while adjusting zirconia. Doing so can cause micro-fractures that can directly impact the overall longevity and strength of the restorations.
Zirconia has become one of the most widely prescribed restorative materials. Its strength is unmatched in the dental field, and it was an excellent choice in giving this patient a smile that will last for years to come.
The Burbank Dental Lab ZIRMAX family of zirconia ensures that a high-end zirconia material is used, offering both strength and aesthetics.
Before
After
Planning
Planning is what creates a successful restorative case. Therefore, it is crucial to start with the end goal in mind and clearly understand the patient’s expectations.
The Smile By Design Team at Burbank Dental Lab understands the process of working on a large, complex case. Their experience makes the process effortless and predictable.
Call or chat with a Burbank Dental Lab team member today to start your next case.
Special Thanks
Burbank Dental Lab would like to thank Dr. Karen Tran of Lake View Dental for allowing us to work on this case with her.
Zir-MAX.M, and Zir-MAX.Me are high strength monolithic zirconias that exceed your expectations for zirconia restorations, ideal for use in full and single crowns and bridges.
Burbank Dental Lab's Smiles By Design diagnostic wax-ups are the blueprint to your final restorations. Your Smiles By Design team custom designs each case to meet your specifications, and always has the goal to create a functionally sound and esthetically pleasing design.
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.
What Our Clients Say
“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...
“I appreciate the quality and efficiency of this lab. I especially like the turn around times for their crowns (about 5 days). Thank you for your work and I highly...
“Burbank Dental Lab’s Smile Design Group helped to transform my patient’s smile with their exceptional attention to detail and overall quality of the emax crowns. The case was a success,...
“Burbank is a terrific dental lab, I always get top-notch work and prompt, courteous customer service.Whether it’s fixed, removable, implants, veneers or anything else, I know I can rely on...
“Burbank is amazing. I am blown away by their craftsmanship. Crowns are absolutely beautiful. Patients love them. Wyoming and Jason have been great with communication. I will continue to send...
“I have been using Burbank Dental Lab for a few years now. I have been very happy with the results. The best part is that the team communicates well regarding...
“Very good service, recommended and attentive I am very grateful to the dental doctor who treated my dental problems very successfully and helped me regain my beautiful smile.”
“I have been using Burbank Dental Lab for several years now and am continually impressed with the quality of their work and their customer service! Everyone that works there is...
“I am very impressed with the attention to detail and easy communication. I use Burbank Dental Lab even though I’m on the east coast because the results are always predictably...
“I have been a client of Burbank Dental for over 20 years. Everyone from the phone operators to the techs to management is wonderful and friendly. I have done a...
“I have been using Burbank Lab for over 30 years and recommend them highly. The owner Tony is a stand-up guy with a ton of integrity and a mensch. The...
“When I want something done right, I send it to Burbank. After experiencing inconsistent quality from my previous lab partners, Burbank was highly recommended by a colleague so I gave...
“After experiencing a decline in quality and communication from our previous lab we decided to give Burbank a try based on the recommendation of several business associates. The service from...
“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...
“Delivery time was excellent! The fit of the screw retained implant crown including emergence profile, contacts, seating, and occlusion were perfect. Didn’t do anything but seat it and torque the...
“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!”
“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...
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...
“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.”
“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....
“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...
“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...
“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...
“Great Dental Lab for removable and crown and bridge. Amazing customer service. Vince and Dmitri are very accommodating and will ALWAYS work with you. Their product is top notch!” (click...
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...
“Just wanted to let you all know that I retired a few years ago but I sincerely appreciated both the help and especially the great quality of the work you...
“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...
“We’ve been using this lab for a few years now and we are very happy. Excellent customer service, very kind billing staff and work is always well done. Every time...
“Burbank Dental Lab has provided us with many years of high-quality work, timely service and friendly staff. Our thanks, from all of us at Westlake Dental Associates.”
“Fantastic case! I just dropped these two implant abutment/crowns in and they were perfect! Thank you!” MARGINS: Excellent CONTACTS: Excellent CONTOUR: Excellent OCCLUSION: Excellent FIT: Excellent SHADE: Excellent ESTHETICS: Excellent...
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...
“What an amazing lab to work with. Each person I have encountered has been amazing. From Joel and Kenny to Laura in Accounting to Tony himself. The crowns go in...
“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...
“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...
“They were great to work with and went out of their way to make sure we received our lab case the very same day. Holly even volunteered to come personally...
“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...
“Amazing lab! The work always comes back in a timely manner and is beautiful! Marissa is who we are lucky enough to have help us with our cases and she...
“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...
“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!”
“For more than 5 years I have sent my removable lab work to Burbank Dental Laboratory. I delivered a new FUD and new mandibular distal extension RPD with a locator...
“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...
“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...
“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...
“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...
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....
“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...
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...