What can the dentist do to support the fabrication
of predictable and accurate prosthetics?
We get asked this a lot and the answer is two-fold. First, an accurate impression is a must. Taking the time upfront to take an accurate impression will save you time, money and frustration later in the treatment plan. We guarantee that our products will fit the model. But if the model is not accurate, it won’t fit the mouth. We recommend the use of a custom tray in conjunction with border moulding using either PVS or rubber based material for edentulous cases or the Accu-Dent System II for partials.

Second, we must also have an accurate bite registration. An easy way to accomplish this is with intra-oral tracers. They cost about $300 but are well worth the investment. We are happy to order them for you upon request. 

Why do you duplicate all working models?
All of our models for partially edentulous cases and nightguards are duplicated so that we are able to fabricate the restoration on the duplicate cast and seat the final restoration to the master cast before delivery. By doing this we are able to save the doctor significant adjustment/chair time.

Why do a processed base over a traditional base plate?
A processed base allows the doctor to verify the accuracy of their impression and the fit of the denture base as well as make any necessary adjustments during the bite registration and wax try-in as this will be the final base of the denture. The benefit is that all adjustments are made before final processing eliminating the need to make any adjustments to the final denture thereby reducing post-op appointments.

Why opt for a DurAcetal partial over DuraFlex (Val Plast)?
A rigid cast partial is always the best solution for long term treatment. When a flexible partial is desired, the DurAcetal partial is constructed in the same manner as a cast partial. It is a flexible, tooth colored partial that is tooth supported via occlusal rests and the saddle areas are processed with regular acrylic and can be relined, repaired or added to in the same way as a regular cast partial. DuraFlex (Val Plast), however, is tissue supported and must be rebased when a reline, repair or addition is desired.

Can a DurAcetal clasp be used with a cast framework or added to an existing partial?
The answer is yes to both. DurAcetal clasps are retained through mechanical retention which can be created on a new framework, existing partial, acrylic partial and even a flexible partial.

What type of impression material is the most accurate?
For partial dentures we prefer the Accu-Dent System II. However, because this is an alginate impression material it must be poured up immediately and not be inverted after being poured. If alginate is not desired, then we suggest a light bodied PVS material of your choice. If PVS is chosen, we advise the use of a custom tray to keep the thickness of the impression material more consistent in order to avoid distortion of the impression.

For full dentures, we suggest the use of a custom tray in conjunction with border molding with either PVS or rubber based material. Also, we have found the Accu-Dent System I to be a good alternative to traditional border molding. But again, because Accudent is an alginate impression material it must be poured up immediately and not be inverted after being poured. We have information on both upon request.

Why opt for titanium CAD/CAM bars or traditional wax and cast bars?
With CAD/CAM we are able to achieve a true passive fit which is unachievable with traditional bars. They are one solid piece of titanium thus eliminating the chance of the casting separating from the UCLA abutment. Because they are milled from a solid block of titanium, we also eliminate any porosity and weak spots in the bar. In addition, they are extremely lightweight.

How would the steps in fabricating a CAD/CAM bar differ from
a traditional wax and cast bar?
The steps for fabricating a CAD/CAM bar are the same, but they go in a different order. We provide a step by step guide to our doctors using this treatment option for the first time.

What are the advantages of a thermoplastic nightguard versus a hard nightguard?
A thermoplastic nightguard has a hard occlusal surface but is flexible on the buccal and lingual sides thus allowing it to flex comfortably beyond the height of contour of the tooth for increased retention yet is more comfortable than a traditional hard night guard.

Why do you mount all your edentulous cases on the Acculiner?
The Acculiner is an alternative to using a face bow which uses average values to align the maxillary cast properly on a semi-adjustable articulator using a Hamular Incisive Papilla (HIP) plane. This helps us in setting the teeth to the correct occlusal plane and reduces the chance of a reset due to a canted occlusal plane.

What kind of semi-adjustable articulator do you prefer?
All of our full denture and nightguard cases are transferred from the Acculiner to a semi-adjustable articulator. We prefer the Stratus 200 because it can be calibrated avoiding the need for transporting the articulator back and forth to the doctors office. However, we have many other types available as well.