BVDL
Bay View Dental Laboratory
Small enough to know you‌
Bay View Dental Laboratory
Small enough to know you‌ Large enough to serve you.
Restorative dentist Steve Hoard, DDS, Wilmington, NC and BVDL.
An Introduction to Our Lab A Proud History . . . . . . . . . . . . . . . . . . . . . . . . . 2 Laboratory Resume . . . . . . . . . . . . . . . . . . . . . . . 6 Request Team . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Contents
Our Services Pretreatment Planning . . . . . . . . . . . . . . . . . . . . . 12 Pretreatment/Case Planning Photo Checklist . . . . . . . 14 Diagnostic Wax-up . . . . . . . . . . . . . . . . . . . . . 16 Smile Imaging . . . . . . . . . . . . . . . . . . . . . . . 17 Products and Materials . . . . . . . . . . . . . . . . . . . . . 18 Metal Free Ceramics . . . . . . . . . . . . . . . . . . . . 18 IPS Empress/Eris IPS Esthetic IPS e.max HeraCeram Noritake CZR Ceramics . . . . . . . . . . . . . . . . . . . . . . . . . 20 Creation Porcelain HeraCeram IPS d.SIGN Noritake EX3 CAD/CAM & Zirconia . . . . . . . . . . . . . . . . . . . 22 Cast Gold . . . . . . . . . . . . . . . . . . . . . . . . . 23 Materials List . . . . . . . . . . . . . . . . . . . . . . . . 23 Fixed/Removable Restorations . . . . . . . . . . . . . . . 24 Implant Restorations . . . . . . . . . . . . . . . . . . . . 25 Assisting You to Excellence Case Criteria . . . . . . . . . . . . . . . . . . . . . . . . . . 26 Scheduling . . . . . . . . . . . . . . . . . . . . . . . . . . . 28 Shipping and Delivery . . . . . . . . . . . . . . . . . . . . . . 28 Shading Suggestions . . . . . . . . . . . . . . . . . . . . . . 30 Anterior Case Photo Checklist . . . . . . . . . . . . . . . . . 31 Photography Recommendations . . . . . . . . . . . . . . . . 32 Advancement/Education Mid-Atlantic Center for Advanced Dental Study . . . . . . . . 34 Professional Resources . . . . . . . . . . . . . . . . . . . . . 36
Bay View Dental Laboratory 1207 Volvo Parkway Chesapeake, Virginia 23320-7654
Office Hours 8:00am - 5:00pm (EST), Monday - Friday Office (757) 583-1787 Fax (757) 583-8878
Case Scheduling & Billing Information Jordan Shafer and Tracy Phillips Seminar Information Kim Shafer 757-222-9843 kim@bvdl.com www.mid-atlanticcenter.com Bookkeeping Donna Eberhart donna@bvdl.com Graphic Design Harriet McCullough harriet@bvdl.com On the Web Visit us at www.bvdl.com Contact us at info@bvdl.com Send Images to the Lab images@bvdl.com
An Introduction to Our Lab
A Proud History
For over 75 years and now into now the third generation, the Shafer
their way. With the family’s ethics for hard work, excellent customer
family has served the dental industry with commitment, profes-
service, and attention to detail, the 650 square foot space was
sionalism and passion. Vernon Shafer Sr. began his career in the
soon too small. In 1980, Bay View Dental Lab moved to a 1200
dental laboratory field in the 1930’s. During World War II, he served
square foot building around the corner from the original lab. At the
as the senior dental technician, managing the central dental lab
new Caribou Avenue location, Buddy and Rick began to manage
for the Allies in London. At that time, along with the standard lab
the day to day challenges of the business. Additional key staff
equipment, came a water bucket at every bench. When enemy
members joined the Bay View team and the foundation was in
bombing would cause nearby buildings to catch fire, everyone in
place for what would become one of the best known dental labs in
the lab would jump up, grab their bucket to help. Vernon Sr. was
the United States.
also involved with the Mobile Dental Units–vans outfitted with a dental chair and staffed by a dentist and technician. These units
The early eighties also marked the beginning of what would be-
were sent to the front lines in Europe to replace the missing or
come a lifetime friendship and association with Dr. Peter Dawson
damaged dentures of the soldiers engaged in the fighting. After
in St. Pete, Florida. Upon their first trips to see Dr. Dawson, a
the war, Vernon Sr. returned to the little town of Suffolk to con-
chord was struck with Buddy and Rick. Dr. Dawson had begun
tinue his career, and eventually open his first lab. He was the first
his career as a technician in his dad’s lab. He understood the role
dental technician in the state of Virginia to work with cast gold for
that technicians play in the success of a busy restorative practice.
crowns, and quickly became known as an expert in the emerging
Buddy and Rick were amazed at the level of predictable success
field of “crown and bridge.”
possible if their dentist-clients followed Dr. Dawson’s concepts. Twenty years later the bond and mutual respect between the
In the mid-fifties, Vernon Sr. founded Norfolk Dental Lab, which
Shafers and Dr. Dawson is stronger than ever.
would become one of the most recognized labs in the MidAtlantic. A merger with a removables lab made Norfolk Dental Lab
The success of the eighties and nineties brought change, growth,
larger and busier as a full service dental laboratory. In 1976, with
and opportunities to Bay View. The facility expanded to more than
Buddy, Jr. involved in the business and Rick ready to come on
three times the original size. Equipment and technology continued
board, Vernon Sr. decided to open a small, exclusive crown and
to evolve, but an even bigger challenge was an exciting new
bridge lab–Bay View Dental Laboratory. Father and sons were on
business concept developed as a result of customer feedback.
“Sgt. Vernon H. Shafer, of Staten Street, Ocean View, Virginia, bends gold clasp for a partial denture.� U.S. Dental Laboratory in England, December 7, 1943.
Above - Vernon H. Shafer, Sr. and group of technicians during a continuing education seminar at Norfolk Dental Lab. Top - Rick and Buddy, Jr. with Dr. Pete Dawson in the early eighties.
Far left and left - Bay View Dental Lab, Caribou Avenue, Norfolk, Virginia.
tion, several in-house specialists support teams when dealing with implants and/or removable work. At Bay View Dental Lab, dental technicians have one another as a Traditionally, dental labs are organized by
resource, yet they work independently and
departments according to function. At
directly with their clients. This creates better
Bay View, the concept of pairing up two
communication, knowledge of customer
technicians to work together as a team has
preferences, and a much higher level of
been utilized with growing success. There
workmanship. Our clients have embraced
were many challenges, but none greater
the option of working with their own private
than the physical layout and logistics of
technician. Our technicians get personal
the old facility. The decision was made to
feedback on their work and the opportunity
expand, but this time the entire lab would
to develop personal relationships with their
be designed not by functional depart-
clients. Everyone wins–most especially the
ments, but for the “private team.” Years of
patient.
thought and planning came together in a matter of months as the beautiful new,
This unique business concept created
and radically different design for Bay View
unanticipated benefits. Technicians from
Dental Lab came to fruition. In 2002, the
across the country, and around the world
11,000 square foot state-of-the art facility
submit resumes to BVDL to be a part of
opened its doors. Our private team con-
this unique work environment. Bay View
cept allows a two-technician team to work
now hosts technicians from more than a
privately for a few clients. Each ceramist
dozen countries, and all around America,
has a C&B partner, and a model and die
averaging more than twenty years experi-
technician to serve its’ clients. In addi-
ence. They are world-class technicians
An Introduction to Our Lab
4
Rick and Buddy with Vernon Shafer, 2002.
and many have already owned their own
for continuous improvement is still a core
laboratory business. Most all are Certified
value at Bay View. As we celebrate more
Dental Technicians and several are Master
than fifty years in business, the Shafer
Dental Technicians from either American or
family has been joined by many others in
German MDT programs.
what is certainly a unique collaboration of exceptional technicians. The lab is now
Another exciting expansion to Bay View
internationally recognized, but just as it
involved the creation of an education and
has been for over half a century, the key
learning resource center. The Mid-Atlantic
elements to success are still our commit-
Center for Advanced Dental Study regularly
ment to continued improvement, attention
holds meeting and seminars for dentists,
to detail, and pride in delivering consistent
hygienists, assistants, and technicians
customer service.
throughout the year.
Top left and above - Bay View Dental Lab in its current location - 1207 Volvo Avenue, Chesapeake, Virginia. Third generation Shafers, Matt and Jordan.
The new millennium also saw the continuation of the third generations of Shafers into the business. Rick’s son, Matt, and Buddy’s son, Jordan, are now involved at Bay View. They join the wealth of talent that has come together to create this exceptional staff. Materials and techniques continue to evolve. CAD/CAM, laser welding, vacuum injection, digital and internet communication have replaced many older processes, but the passion
5
A Proud History
An Introduction to Our Lab
Founded in 1974 Vernon H. Shafer, Sr., CDT Buddy Shafer, Jr., CDT President Richard Shafer, CDT Vice President
Laboratory Resume CDL Certified Dental Laboratory NADL National Association of Dental Laboratories NGS Northeastern Gnathological Society ACP American College of Prosthodontists AACD American Academy of Cosmetic Dentistry, Gold Member CRA Clinical Research and Association Evaluator Laboratory Dawson Academy Lab Association Misch Internation Implant Instutitute Certified ICOI International Congress of Oral Implantologists AO Academy of Osseointegration ACEsthetics Academy of Comprehensive Esthetics Denar Certified Laboratory
Buddy Shafer, Jr., CDT President As a board certified technician with over 35 years of experience, Buddy has led Bay View Dental Lab to a nationally recognized position. An ongoing commitment to continuous learning characterizes Buddy’s career. His educational background includes membership and training with the prestigious International Society for Dental Ceramics (ISDC), Society for Occlusal Studies, and American Academy of Cosmetic Dentistry (AACD). He has over 500 hours of comprehensive study at the Center for the Advancement of Dentistry with Dr. Peter Dawson of St. Petersburg, Florida and over 3,000 hours of additional study with other noted doctors such as Frank Spear, Mark Piper, Parker Mahan, Ron Jackson, John Kois, Carl Misch, John Cranham, and many more. Buddy is on the faculty at The Dawson Academy teaching technician programs, a diagnostic waxing course for the doctors, and assisting with the application courses. He has served at the local, state and national level with the National Association of Dental Laboratories, as contributing editor to professional trade journals, CRA evaluator, and special consultant to several major manufactures. Richard Shafer, CDT Vice President Co-owner of Bay View Dental Lab, Rick is board certified in ceramics and has over 30 years of experience. He is an exceptionally skilled technician with both metal ceramics and metal-free restorative systems. Rick’s educational background is similar to Buddy’s—hundreds of hours devoted to clinical study with the leading educators in dentistry. He is a Technical Fellow and an active member in the prestigious Northeastern Gnathological Society. He is also a Fellow in the Academy of Comprehensive Esthetics (ACE) and an accreditation candidate with the AACD. Rick teaches with Dr. Vincent Celenza as part of DENT-TECH, The Institute for Advanced Education for Dentists and Technicians, a collaborative effort of The Greater New York Academy of Prosthodontics and The Northeastern Gnathological Society. Rick is especially well known as one of the country’s most knowledgeable and experienced technicians with IPS Empress. In the past decade, he has worked and exchanged ideas about IPS Empress with top ceramists from around the world including Arnold Worlwrend, David Korson, Lee Culp, Bill Parks, Gerald Ubassey, Martin Walser, Shiego Kataoka, Andreas Nolte, Oliver Brix, and others. Rick is uniquely qualified to show IPS Empress, Eris, and Authentic restorations at their very best!
Above - Rick and Buddy Shafer. Left - Bay View Dental Lab at sunset.
7
An Introduction to Our Lab
“Communication and knowing the patients needs are the most important tools to achieve outstanding results! The way we work at BVDL allows us to be in constant contact with the clinicians and, if possible, the patient.”
Request Team
The innovative design and organization of our lab combines the best of both worlds. Doctors choose and work with the same technicians all the time, developing the personal one-on-one relationship necessary for consistent results. As experienced technicians from around the world, we have each other’s knowledge and expertise as a resource, along with the materials, equipment, and benefits of a mid-size, full service lab. For over two decades, our foundation and key to success has been a solid background with the Pankey/Dawson concepts in occlusion and function. This, combined with the AACD standards for materials and techniques with cosmetics has led to a level of predictable success in functional esthetics; which is usually reserved for private in-house doctor/technicians teams. We have the real cosmetic/occlusal connection! Our services address the needs of today’s contemporary fee-for-service practice. Along with most general dentistry procedures, our specialties are with cosmetic work, implants, and combination fixed/removable cases. You will also benefit from our 30 years of experience with pretreatment case planning. We view cases with the “end in mind” and what it will take to achieve those results. From soft tissue changes to case design and material selection, we combine our collective knowledge and experience to your case planning. This helps to avoid problems and can make, even the most complex cases predictably successful.
Michael Beerli, ZT is originally from Switzerland where he began his career in dental technology. He studied with many of the masters of Europe and has become a recognized master ceramist himself. For the past decade Mike has owned and operated a small specialty lab in Mexico City, Mexico with an elite international base of clients. He has lectured in many countries throughout North, Central, and South America. He has also authored many articles and most recently, his work was featured in Quintessence of Dental Technology 2006 Yearbook. In addition to his passion for dentistry, Mike’s hobbies include sailing, hang gliding, and photography.
“Passion is what I bring to my work. The
“Communicating closely with our
“Implants can be a complex area
balance of creativity with technical detail
clients allows the final product to be
of restorative dentistry. With
is what I love about being a ceramist.”
predictable. In turn, it makes
comprehensive case planning between
dentistry enjoyable for everyone.”
doctor and technician, we can achieve the best result.”
James Forgeng, CDT joins Bay View after
Vince Lewis CDT, MDT is a board certified
Lars Hansson CDT, a board certified and
relocating back to the Tidewater area. James
ceramist and master dental technician of
master technician from Sweden, specializing with
has more than a dozen years experience,
over 25 years experience with many different
implants. Lars has studied and worked with many
having studied with many of the top dentists
metal ceramic and all ceramic systems. Vince
of the leaders in the implant world including Drs.
and technicians in the country. He is an ex-
has been involved in continuing education
Per-Ingvar Brånemark, Paul Schnitman, Lloyd
tremely talented and accomplished ceramist
throughout his career, studying with dentist
Miller, Carl Misch, Charles English, Avishai Sadan
far beyond his years in the field. He has
and technicians from around the world. He
and many more. He has a Fellowship from the
already won over a strong and loyal base of
has extensive knowledge of occlusion and
International Congress of Oral Implantologists
clients through his concentrated efforts and
function through both his gnathological back-
attention to detail. Outside of work, James’
ground and the Pankey/Dawson concepts of
hobbies include golf and outdoor activities.
comprehensive restorative dentistry having attended all three levels of Dr. Dawson’s Concept of Complete Dentistry series. Vince specializes in complex multiple unit metal ceramic restorations.
and serves on the Academy of Osseointegration’s membership committee. Lars is also a special consultant to several manufacturers, teaches, and is experienced with all of the major implant systems. He has a strong background with occlusion and function, centric relation, vertical dimension, and the neutral zone having attended Dr. Dawson’s Concept of Complete Dentistry courses. Lars is a regular assisting courses at the Misch Institute and teaches courses on case design and fabrication of surgical guides.
9
Request Team
“I strive to create each restoration with integrity and excellence, in keeping with
“At Bay View, we aim to learn and grow, giving the best results to our clients.”
“And whatsoever you do, do it heartily, as to the Lord, and not unto men.” Colossians 3:23
Bay View’s consistent standard of quality.”
Marla Nowlen, CDT is a native Texan and
Baron (Benni) von Schlichting, CDT has
Darcy Schuster, RDT joins Bay View from
Texas Tech grad in Fine Arts. Marla’s career
proven to be one of the most talented and
Saskatoon, Saskatchewan, Canada. With
began in art and graphic design. She quickly
versatile technicians in the lab. Originally
over 30 years of laboratory experience,
transitioned her art background into a suc-
from South Africa with over a dozen years of
Darcy specializes in IPS d.SIGN and IPS Eris.
cessful career in dental technology. For ten
experience, Benni started with us originally for
He has been involved in continuing education
years in Texas she progressed to the head of
waxing and finishing complex cases. Eventu-
throughout his career, studying with dentist
all-ceramics department of a small high quality
ally demonstrated his skills with a brush, and
and technicians from around the world.
lab. From there Marla transitioned again to
has now transitioned completely into ceramic
Darcy’s work reflects an artistic ability to
private-in-house technician for an exclusive
work and works regularly with several of our
create life-like restorations which satisfy our
private practice in Annapolis, Maryland.
very best clients.
most demanding clients.
Marriage and another move brought her to Virginia and Bay View. Here, Marla specializes in all-ceramic inlay/onlay restorations. She utilizes both refractory die and pressed glass techniques with exceptional results. Now settled in Virginia, Marla plans to set up her studio and paint in her spare time.
An Introduction to Our Lab
10
“A satisfied client makes a satisfied technician.”
“You cannot replace nature, but I strive to create restorations of the highest
“In dentistry, as in life, it always pays to plan ahead.”
quality without compromising esthetics.”
George Smith CDT, has nearly 40 years of
Shoji Suruga, CDT, a board certified techni-
Walt Richardson, CDT comes from Texas
experience in the dental field and is board
cian and extraordinary ceramist from Japan.
where he maintained a very successful small
certified in crown and bridge. He was a dental
Shoji has studied extensively in this coun-
private lab for over 20 years. Walt’s career
technician in the US Navy for 21 years and
try with many of the exclusive Oral Design
includes hundreds of hours of advanced
retired as Chief. George has been with Bay
group. His special areas of expertise includes
postgraduate training including many courses
View Dental Lab for over 20 years and is a
metal ceramics with Creation Porcelain,
with both The Dawson Academy and Pankey
tremendous asset. He specializes in full-cast
and all ceramic with Authentic, Procera, IPS
Institute. His skill and experience with com-
gold work and manages the Crown & Bridge
Empress, and IPS Empress 2. He has strong
plex full mouth restorative cases gained him
Department. George has also attended Dr.
background in occlusion and function from
recognition with distinguished clients both
Dawson’s Concept of Complete Dentistry
both the Northeastern Gnathological Society
nationally and internationally including noted
courses.
and Pankey/Dawson philosophy. As part of
Texas restorative dentist Jimmy Eubank. Walt
the request team, he is the private technician
has joined us to help with case planning,
for several of the top restorative dentist in the
diagnostic wax-ups, and complex restorative
country including Dr. John Cranham.
work.
11
Request Team
Our Services
Pretreatment Planning
“Envision the end before you begin!” These are Dr. Peter Dawson’s profound words of advice. With over 500,000 units of experience from which to draw, we welcome the opportunity to participate in your pretreatment case work-up, especially with implant, combination fixed/removable, and complex multi-disciplinary restorations. We are glad to provide suggestions for preliminary mouth preparations to improve esthetics, the choice of materials, case design, and diagnostic wax-ups to facilitate fabrication of provisional restorations.
Restorative dentist, Andrew Cobb, DDS, Washington, DC and BVDL.
13
Our Services
Pretreatment/Case Planning Photo Checklist To assist you in treatment planning, we need your insights through photographs. We have compiled a number of views to give you our best.
1. Full face smiling • have patient sit upright or stand • pictures should be taken at a right angle, with patient’s head straight • smile should be natural not forced
6. Maximum Intercuspation with retractors • shows front-to-back progression
2. Smile - without retractors • frame the image just inside nose-to chin; captures relationship of upper smile line to lower lip line
7. Rest position • to show display relationship of incisal plane of lower teeth to lower lip • very important image to evaluate wear cases
3. Profile - close-up • shows the upper incisal edge position to inner vermillion border of lower lip
8. Smile - teeth apart • displays the silhouette of upper and lower incisal plane
4. High smile line • have patient laugh or smile as high as possible to determine maximum tooth display • provides information on embrasures, symmetry of gingival heights, and information for margin placement
9. Smile - head tipped down slightly (with patient sitting, shoot down from above) • shows the relationship of arch form to lower lip • especially good for reviewing anterior pontics
5. “E” position • shows relationship of upper incisors to upper lip • age appropriate tooth wear may be evaluated
In cases with severe wear, request an old photo from high school, college, or a wedding.
Margin placement is critical, especially if gingival embrasures will show. Here, supragingival margins have resulted in “black holes� between teeth.
Golden proportion is one of several tools to consider in the case wax-up.
The relationship of the upper smileline to the lower lip line is one of the most important images to capture in case planning.
The every other tooth technique, as described by Dr. Dawson, is one of the most precise ways to communicate incisal edge position.
15
Pretreatment Planing
Diagnostic Wax-up There is no question the diagnostic wax-up can be an invaluable aid, especially on comprehensive multiple unit cases. These cases are handled with high priority care. We can offer suggestions on materials, case design, preliminary mouth preparation, sequencing, equilibration, and estimates. The actual wax-up can be from a simple white wax-up with changes noted on the cast (top left), a full contour wax-up of all teeth involved (middle), to a multi color natural wax-up to share in case presentations with your patient (lower left).
Our Services
16
Smile Imaging As an aid to help patients envision recommended treatment, Bay View offers a personalized computer imaging service. We do not use a “packaged� imaging program to stamp teeth into place. Images are individually created according to your special instructions by technicians who understand your special needs. Personalized imagery allows the patient to compare the possible outcome of your treatment plan positioned next to their current dental situation. We are able to offer results as ink jet hard copies or digit images for your computer consultation/presentations.
before
after
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Pretreatment Planning
Our Services
Metal Free Ceramics Metal free restorations enjoy an ever increasing market shared in dentistry. Bay View is proud to offer the very best of the metal free systems including IPS Esthetic, IPS e.max and HeraCeram, and Zirconium restorations with IPS e.max, Noritake, and HeraCeram.
Products & Materials
In 1987, Bay View was the first commercial lab in the country to offer IPS Empress restorations. Over twenty years later, we continue as a leader in the esthetic field, with IPS e.max and IPS Esthetic, as well as the CAD/ CAM technology and zirconium restorations, feldspathic veneers and beautiful porcelain inlays and layered veneers. Our lab features master ceramists from around the world,
All ceramic crowns #4-13 by Buddy.
available by request for your cosmetic work. You’ll see our work featured in various journals and at seminars around the country with some of the top presenters in dentistry.
Before and after restoration All ceramic crowns #4-13 by Ricky.
Ceramic inlay and onlay by Matt.
IPS e.max The demand for aesthetic all-ceramic restorations has considerably increased over the past few years. Consequently, all-ceramic restorations have become an integral part of aesthetic dentistry. Economical CAD/CAM techniques and high-strength zirconium oxide ceramics are gaining in importance in dentistry. At Bay View we offer IPS e.max, which comprises highly aesthetic and high-strength materials, for both the PRESS and CAD/CAM restorations.
All ceramic crowns by Ricky. Top - All ceramic crowns #4-13 by Ricky. Above - An excellent example of diastema closure without orthodontics. Full ceramic crowns by Ricky.
19
Products & Materials
Ceramics All Ceramic Restorations Depending on the case at hand and the preoperative situation, you can provide your patients with individual restorations that exhibit impeccable aesthetics and the required high mechanical stability. Below -Ceramic inlays #12, 14 by Matt. Bottom - All ceramic crowns by Buddy.
Above - Before and after restorations - All ceramic crowns by Shoji and Doug.
Our Services
20
Creation Porcelain
IPS d.SIGN
Many consider Creation Porcelain to be the
IPS d.SIGN is a special new leucite ceramic material (similar to Empress) created for bonded
ultimate aesthetic porcelain. Cosmetically, the
metal ceramic restorations. The unique qualities of d.SIGN are the closest yet to the optical
material is superior to most other products
qualities and wear of natural dentition. Particular emphasis was given to the development of
on the market. Whether it be a crown made
d.SIGN for veneer restorations. The results with d.SIGN are exceptional for life like vitality and
to replace a single central or a posterior
natural florescence.
bridge, Creation restorations blend harmoniously with natural dentition. We offer the magic of Creation Porcelain on anterior and multiple unit cases. Thanks to increased exposure from such noted clinicians as Dr. Bob Winters and Dr. Lloyd Miller, Creation has grown in demand. We invite you to call and discuss the advantages and considerations of using Creation Porcelain for your next special case.
Top - Creation crowns by Shoji and Doug. Above - Implant case in Creation porcelain by Lars and Shoji.
Top - Before and after restoration - d.SIGN porcelain by Buddy and Vince. Above left - Here, #8 is a great example of how a single central can match, with metal ceramics. d.SIGN porcelain by Vince and Melanie. Above right - d.SIGN porcelain by Vince and Melanie.
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Products & Materials
Before and after restoration - zirconia crowns by Shoji and Doug.
CAD/CAM & Zirconia Just a few short years ago, CAD/CAM technology was thought of as a futuristic dream. Not only has the dream become a reality, it is on the verge of sweeping across dentistry to become the standard. This advanced technology teamed with high strength zirconia
Bay View offers two variations of zirconia based restorations. Custom Layered to Zirconia is our basic zirconia coping or bridge frame, layered in conventional manner with the Noritake porcelain. This can be an anterior or posterior restoration. A shoulder or chamfer margin design is required, and conventional cementation is indicated. Most zirconia type restorations are fabricated in this design.
produces highly accurate restorations. Some
Pressed & Custom Layered to Zirconia - this technique provides the ultimate in strength,
predictions have zirconia based restorations
fit, and esthetics. First, the zirconia coping is “short scanned” to the base of the axial wall, then
as better than 50% of the market within the
characterized with special shade based stains. The margins are then waxed and pressed for a
next two years. Our sample survey of clients
perfect fit. From there, the case is custom stained and layered as a full coveraged restoration
shows better than 75% ready for a shift away
for the best of both fit and esthetics with the strength of a zirconia coping. A more time con-
from metal ceramics on all but the most
suming technique but well worth the extra time and expense. For best results, we recommend
comprehensive cases. We can offer zirconia
a shoulder preparation from the modified shoulder tapered bur #846KR from Brasseler.
bridges, splinted singles, and free standing single crowns. At Bay View, our choices for zirconia frames include 3M Lava and Espritdent quality zirconia. Cases are finished with layered porcelains specially formulated for today’s
Zirconia with HeraCeram restorations – cantilever bridge #7-10.
high performance zirconia. Choices here include Noritake CZR, HeraCeram Zirconia, and IPS e.max.
Our Services
22
We have long lasting relationships with manufacturers and have confidence in our suppliers – they stand behind their materials and we stand behind our products. Porcelains Creation by Jensen IPS d.SIGN by Ivoclar/Vivadent IPS e.max by Ivoclar/Vivadent Noritake CZR Noritake EX-3
Cast Gold While most patients demand tooth color for
Ceramic Alloys Argedent 45 by Argen Argedent 90 by Argen
their restorations, a significant number still opt for the beauty and functional stability of gold. Gold work is a lost art in many labs, but one of our specialties and represents a significant percentage of our posterior restoration work. We use only ADA approved Type II, III, and IV High Noble Alloy. Gold onlays made at Bay View, ten years post-op.
Laser Welding Our state-of-the art LaserStar welder makes welding of dissimilar materials, repairs, and super strong joints, fast, and dependable.
Crown/Bridge Alloys JC by Jensen JRVT by Jensen JWG-White Gold by Jensen Type III Gold by Argen Removable Bridgework Wironium by Bego Type IV Gold by Argen Anterior/Posterior Creapearl by Jensen Anterior/Posterior Vitapan by Vita Antaris DCL/Postaris DCL by Ivoclar/Vivadent Zirconium High Performance Zirconia by Espirtdent
If you would like more specific information about the materials we use, please give us a call.
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Products & Materials
Fixed/Removable Restorations
Implants
Our team of expert technicians from around
planning of final restorations before surgery,
the world includes specialists in each of
especially for comprehensive full arch and
these areas. We have the knowledge and
combination cases. We strongly recommend
experience to help treatment plan and
that particular attention be paid to the anterior
coordinate even the most complex cases.
determinates of phonetics, the envelope of
We utilize the complete BEGO system for the
function, posterior neutral zone, determina-
most advanced materials and techniques in
tion of proper vertical dimension and centric
dentistry. Removable bridgework frames may
relation. Lars Hansson, CDT our implant
be gold or Wironium alloy, with Laser welded
specialist, will gladly assist you with planning,
secondary parts. We offer beautiful Ivoclar,
fabrication, and comprehensive case designs.
Vita, and Willi Geller Creaperal premium
Also to assist you with pretreatment plan-
denture teeth processed with Ivoclar
ning, we offer Keystone Dental’s EasyGuide
Vivadent’s Ivocap High Impact acrylic
planning software. Bay View is one of the
system. We specialize in custom staining and
few Keystone authorized labs in the country
characterization of acrylics with Enigma.
trained to fabricate radiographic guides to be
By design our department is small, with
used during the CT scanning process, which
all removable bridgework created under a
will then become your surgical guide.
We encourage thorough pretreatment
microscope, just as we do for C&B. We offer services for fixed/detachable or fixed removable hybrid implant cases, precision partials, and full dentures with combination work. Call for more details or to preschedule a case.
Our Services
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Implant Restoration Classifications Fixed These may be singles or multiple units, up to a full arch case, and are among the most predictably successful restorations in dentistry. The impression should be taken at fixture level using the open tray technique. In the lab, we make the custom abutments from a full contour wax-up. The custom abutments may be titanium, gold, all-ceramic, or even gold with a ceramic base, depending on the situation. Many different variations of design and materials are possible.
Fixed/Detachable These are also sometimes referred to as “hybrid� cases, since the design is somewhat between a fixed and removable. These cases are implant supported, screw retained, and thus removable, but only by the doctor, not the patient. They are typically used on the lower arch, ideally with 5 implants, placed in the anterior and premolar region, with the restoration cantilevered distally depending on the Anterior/ Posterior (AP) spread of the implants.
Removable Also referred to as fixed/removable since fixed work is involved with the implants, and the restoration superstructure with the teeth is removable by the patient for cleaning. These designs will include the largest variety, with more or fewer implants involved, and an almost endless number of bars, magnets, and attachments, available. These cases may be implant or tissue supported.
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Products & Materials
Assisting You To Excellence
Case Criteria What we need to give you our best work! Quality costs less! Our experience shows that thorough treatment planning, investing more time in preliminary mouth preparation, and taking accurate records will consistently save time and improve the end results with even the most complex cases. We submit the following suggestions.
• Study cast of originals - these should include full extension of the ridges, flanges, and palate. • Facebow mounted study cast of provisionals - not the preparations; this should be mounted in the office to avoid distortion in shipment. • Pre-op images - with and without retractors; see our photo guidelines and checklists on pages 15 and 32. • Diagnostic images of temporaries and full face - without retractors, that show the relationship of teeth-to-lips. • Shading images of natural teeth - with the shade guide in the picture. • Well-prepared teeth - two plane reduction; be sure to avoid undercuts with deep chamfer shoulder preps. • Full arch impressions of casts - including full extension of flanges and palate. • Accurate centric relation/maximum intercuspation bite record - we recommend Blu-Mousse or Futar D. • Posterior neutral zone registration - if edentulous. • Written detailed instructions. • Enough time to do a great job - usually 2-3 weeks (large cases, please call to preschedule).
Restorative dentist, John Cranham, DDS, Cheaspeake, VA and BVDL.
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Assisting You To Excellence
Scheduling
Because of the organization of our laboratory with each technician working separately, the schedules may vary. Smaller cases can often be absorbed into the schedule and returned within a 2-3 week turn around. Larger cases (six units or more) should be pre scheduled for best service. Time is also blocked off differently for certain types of restorations like veneers and porcelain inlays which routinely have a shorter turnaround.
Shipping and Receiving We provide prescription pads and inbound shipping via UPS for all cases. Just call our case coordinators to send you Rx forms and shipping labels. Before sending out a case, please, disinfect all impressions, models, and bites and carefully wrap them individually (we recommend bubble wrap). Seal prescriptions separately in plastic zip-lock bags.
OSHA Guidelines Our lab carefully follows OSHA’s new standards for shipping and receiving work. We do not recycle incoming packaging materials and we carefully redisinfect incoming impressions, models, and bites. We redisinfect outgoing work and heat-seal it for return shipment to you.
Restorative dentist, Tanya Brown, DMD, Chesapeake, VA and BVDL.
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Assisting You To Excellence
With over three decades of experience, we submit the following suggestions to make selecting and communicating critical shading information more predictable. • Have the patient sit upright or stand.
Shading Suggestions
• Use combination lighting, including indirect natural light, whenever possible. Never use operatory light. • Place the incisal edge of the shade tab against the incisal edge of the tooth being matched. Make sure the shade on the tab is in the photograph.
Since all of our work is custom, there is no need to worry about matching a particular shade guide. You will achieve the best
• Consult many shade guides to choose the best match. Consider Biotone, Bioform, Bio-blend, Chromascop, Ivoclar, Polychrome, Myerson Special, Verident, and Vita. We request you not to use the Vita 3-D shade guide.
results by selecting a range of colors using several tabs and different shade guides.
• Choose more than one shade from the shade guides as a cross-reference. Be certain to indicate the best choice.
The following shade guides are available
• Use industry terminology. For example, use hue, value, and chroma rather than general descriptions such as
through our lab: Ivoclar’s Chromascop,
yellower, grayer, or lighter.
Vita, Biotone, Bioform, Bio-blend, Polychrome, Myerson Special, and
• When in doubt, use a light and dark range.
Verident. • Make special notes for the texture and luster. We encourage using digital photos to enhance shade communication. We rec-
• Use different shades for the incisors, cuspids, and posteriors.
ommend copying original jpg images on to a compact disc (CD) and include it with the case.
• Note specific observations for stain effects including surface or internal, the degree of the intensity, and the stain or shade number. • Indicate the degree of enamel overlay. • On posteriors, indicate the shade of occlusal: mostly enamel, mostly dentine, or a combination.
1. Dentine shades for all-ceramic restorations
6. Provisional, nose-to-chin showing relationship of upper smile line to lower lip line
2. Closest matching shade guide next to teeth - with guide numbers visible
7. Provisional, nose-to-chin, high smile showing visible gingival areas
Photo Checklist For lab communication of anterior cases, we recommend these images.
3. Close-up with surface texture and luster of adjacent teeth
8. Provisional, head tipped down showing relationship of upper arch form to lower lip closure path
4. Provisional - full face
9. Provisional close-up, lips retracted with teeth in maximum intercuspation
5. Provisional - profile
10. Provisional close-up, lips retracted with teeth apart to show incisal silhouette
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Assisting You To Excellence
• For comprehensive restorative cases, shoot pre-op pictures during the consultation and verify their results before prepping the teeth. Once the teeth are gone, they are gone for good! • Have your patient sit upright or stand and shoot the pictures straight on, parallel to the horizon. This gives the best plane-of-occlusion and midline shots. Shooting from beside the chair with the patient reclined and looking to the
Photography Recommendations
• Have your patients keep their teeth almost together for anterior full face, close up smile, and clinical shots.
High quality images are essential for case
• Pictures for shading are invaluable. Remember to hold the shade tabs in the picture as a reference. For posterior
presentations, lab communication and
side, usually results in pictures canted to one side.
teeth, shoot the occlusal view as well as the buccal. This is actually the most visible part of the tooth.
marketing. We have compiled the following list of suggestions for improving your photography.
• Remember, depth-of-field is generally 1/3 in front and 2/3 behind the focal point. For anterior clinical shots, manually focusing on the laterals produces better results than using the automatic focus. • Keep a ledger of each shot you take to help identify patients. If you have several patients on the same card, take a shot of each patient holding a nametag or take a shot of the name on the record. • If in need of a digital camera system, we highly recommend the Cannon 20D setup. Complete digital setups are available for the dental office through these reliable providers: PhotoMed www.photomed.net Norman Camera 1-800-900-6676 or www.normancamera.com Washington Scientific Camera 1-253-863-2854 • Other good resources for better image taking are found in the A Guide to Accreditation Photography by the AACD and Choosing and Setting a Digital Camera by Frank Spear, DDS. More information and resources on digital photography can be found in the listing of Professional Resources on page 37. Images can be sent to the lab via a compact disc or email to images@bvdl.com
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Continuing Education
Mid-Atlantic Center for Advanced Dental Study
Beginning in 1984 Bay View Dental Lab hosted the Master Series – continuing education programs for dentists and auxiliaries. Each year select leaders in dentistry were invited to lecture or give hands-on workshops. Past speakers included: Peter Dawson, Glen DuPont, Bill Strupp, Alvin Fillastre, Gerald Francatti, Ron Jackson, Ron Jordan, Parker Mahan, John McLean, Mark Piper, Terry Rigdon, Pete Roach, Frank Spear, Terry Tanaka, Ken Malament, and Jack Turbyfill. The Master Series was a tremendous success. In 2002, as an ongoing commitment to continuing education, Bay View established the Mid-Atlantic Center for Advanced Dental Study, a post graduate educational facility dedicated to the advancement of dentistry. Our conference room offers technically advanced audio-visual equipment to facilitate seminars and lectures. The center also houses an extensive library for dental research and study. Speakers have included John Cranham, Thomas Abrahamsen, Pascal Magne, Brian LeSage, Michel Magne, Walter Gebhard, and Shigeo Kataoka. More recently we have began to host a number of courses for The Dawson Academy, here, at the Mid-Atlantic Center. For up-to-date course listings, check the Center’s website at www.mid-atlanticcenter.com or call the Center directly at 757-222-9843.
The Mid-Atlantic Center for Advanced Dental Study is a post-graduate educational facility dedicated to the advancement of dentistry. We are proud to host leaders in dentistry, from around the world, to teach quality dentistry to the dental team for the benefit of the patient. Our facility also offers an extensive library for dental research and study.
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Continuing Education
Professional Resources May we recommend these valuable resources to supplement your research library.
AACD; A Guide to Accreditation Photography; booklet The American Academy of Cosmetic Dentistry (800) 543-9220 or (608) 222-8583 www.aacd.com Esthetic Inlays and Onlays: Simplified Predictable Techniques-Master Series; DVD Ron Jackson, DDS Destination Education, Inc. (877) 347-4047 www.shopdei.com Predictable Complete Dentures (specifically for understanding the Neutral Zone); DVD Joe Massad, DDS 2651 East 21st Street Suite 300 Tulsa, OK 74114 (918) 749-5600 drjoemassad.com Sequential Anatomy of the Temporomandibular Joint; video Parker E. Mahan, DDS, PhD The Piper Clinic (727) 823-3220 www.tmjsurgery.com/video.htm
The Art of Intra-Oral Photography; book and/or video Choosing and Setting a Digital Camera; DVD Creating the Computerized Case Presentation, Efficiently and Effectively in MicroSoft PowerPoint; DVD Making Good Images Perfect: Refining Your Digital Images with Photoshop; DVD Color Managing Digital Photography for the Dental Office: Camera Settings, Monitor Calibration, Printing and Projection; DVD Facebow Transfers; DVD Mounting and Evaluating Models; DVD Centric Relation; DVD Clinical Exam; DVD Frank Spear, DDS, MSD www.speareducation.com
The Masters Library of Complete Dentistry: Volume 1: Rationale and Methodology for Centric Relation; DVD Volume 4: The Concept of Compete Dentistry: Factors of Occlusion and Health; DVD Volume 5: Occlusal EquilibrationExamination, Justification, Consultation, Clinical Procedures; DVD Volume 6: Clinical Assisting for Occlusal Equilibration; DVD Volume 7: Principles of Restoring Anterior Teeth: Combining Occlusal Function with Anterior Function; DVD Special Issue: Controversies Related to Occlusion and TMJ Disorders; DVD The Dawson Academy (800) 952-2178 www.thedawsonacademy.com Restorative and Occlusal Therapy-Part I; DVD TMJ Microanatomy: An Anatomical Approach; DVD Advanced Dissections of the TMJ; DVD ABC’s of Splint Therapy; DVD Terry Tanaka, DDS Tanaka Educational Tapes (619) 420-8696 www.terrytankaadds.com
Recommended Resources for Diagnostic Waxing CR - Clinician’s Report 3703 N. Canyon Road #7 Provo, Utah 84604 (619) 420-8696 www.cliniciansreport.org
Contemporary Smiles Photo Album Introduction to Digital Photography; DVD John Cranham, DDS PYP Marketing (800) 866-0655
Tooth Mold #49 George Taub/Perfectone Mold 277 New York Avenue Jersey City, NJ 07307 1-800-828-2634
The Function of Teeth: A Resource for Clinicians and Dental Educators; book and DVD H.C Lundeen and C.H. Gibbs (877) 357-7623 www.functionofteeth.com
Bite FX - Unveiling Occlusion; DVD Ronald Reid, DDS and Dynamic Thought D2Effects (877) 224-8339 www.bitefx.com
Ultra-Waxer, Electric Waxing Unit #013-720 KerrLab 1717 West Collins Avenue Orange, CA 92867 1-888-766-7650 www.kerrlab.com
Accurate Casts from the Sophisticated Alginate Impression; DVD Thomas C. Abrahamsen, DDS, MS The American Academy of Restorative Dentistry/Educational Video Committee 2790 N. Academy Blvd., Suite 364 Colorado Springs, CO 80917 (719) 559-1945 www.videos.restorativeacademy.com Digital Dental Photography: A Clinician’s Guide Book Steve Ratcliff, DDS available through Norman Camera (800) 900-6676 www.normancamera.com
Digital Portrait Photography for Cosmetic Dentists Norman F. Huefner, DMD available through Norman Camera (800) 900-6676 www.normancamera.com
Ivory Opaque Sculpting Wax KerrLab 1717 West Collins Avenue Orange, CA 92867 1-888-766-7650 www.kerrlab.com Guide to Occlusal Waxing Third Edition by Herbert Shillingburg, et al. ISBN 0-86715-147-1 Quintessence Publishing Co., Inc. 551 Kimberly Drive Carol Stream, IL 60188-1881 1-800-621-0387 or 1-630-682-3223 www.quintpub.com Concise Dental Anatomy and Morphology Fourth Edition by James Fuller and Gerald Denehy ISBN 0-87414-114-1 University of Iowa Department of Operative Dentistry 2222 Old Highway 218 South Iowa City, IA 52242-1602 1-319-335-7207; 1-319-335-7267 fax
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“All Inclusive” Lab Fees
General Dentistry Monolithic Posterior Restorations
Monolithic Posterior Restoration • $195.00 complete Includes model & die work and any of these monolithic shade restorations
Monolithic Posterior Restorations: Full contour high translucency IPS e.max Recent studies have shown full contour monolithic IPS e.max to be one of the strongest restorations in dentistry. It is also very esthetic. These restorations are ideal for premolars where esthetics are more visible. Since this material is very translucent, it is contra-indicated when the underlying prep is very dark and discolored. Best results are with a modified shoulder bur (Komet #6847KR) for margins and 3M RelyX Unicem2 resin material for cementation.
The technology, materials, and techniques may have changed, but the important concepts of contacts, occlusion, fit, and
Zirconia frame with GC Initial porcelain This is an exciting new ceramic material with beautiful fluorescence and opalescence, layered over our own CAD/CAM designed zirconia frames. Layered zirconia restorations have shown a lower failure and fracture rate than metal-ceramics or IPS e.max. The esthetics are exceptional and with the added strength of a zirconia frame, restorations can easily be cemented. These are excellent restorations for any posterior units, and particularly for small bridges and splinted units. The zirconia frame will also block out a dark or discolored prep. Best results are with a modified shoulder bur (Komet #6847KR) for margins and 3M RelyX Unicem2 resin material for cementation.
proper contours are still the same. The lost wax technique has given way to direct metal laser sintering for metal copings with perfect margins. It’s more accurate
Noble metal frame with GC Initial porcelain An exciting and high-tech upgrade to traditional metal-ceramics. These restorations feature an amazing new technology called direct metal laser sintering to create the metal copings. The frame is then opaqued and layered with the special Initial IQ porcelain just like the zirconia frames. These restorations are indicated anywhere traditional metal ceramics are preferred and may be conventionally cemented. Best results are with a modified shoulder bur (Komet #6847KR) for margins and 3M RelyX Unicem2 resin material for cementation.
and less costly. Lithium disilicate is now the new standard for all-ceramic restorations, and CAD/CAM designed zirconia full crowns have become the new “white gold”
Full contour zirconia restorations These restorations provide the strongest and most fracture resistant tooth colored material available in dentistry today. Because of the reduced translucency and esthetics, we recommend these restorations for molars only. They will appear more opaque than other options. However, when a full-cast gold crown is contraindicated due to cost or color, this is an excellent alternative you can prescribe with total confidence. These restorations can be conventionally cemented and are virtually indestructible. Best results are with a modified shoulder bur for margins (Komet #6847KR).
restoration. These exciting developments are revolutionizing laboratory technology and we are keeping up with the fast pace of change. The 75 year history of our family business was built on general restorative dentistry and we are very proud
Important Monolithic Crown Shading Tip It is important to remember that monolithic restorations use one solid layer of veneering material to achieve their strength and fabrication efficiency. Subtle color variations will come coming from the underlying tooth, frame, and fluorescence of the live stains. These restorations look very natural and blend nicely on most cases. However, we are somewhat limited and unable to duplicate very customized effects. For those cases, the option of custom layered restorations should be considered.
to continue that tradition by adding to our successful series of affordable restorations utilizing the newest in technology. These monolithic posterior restorations are guaranteed with a two week turn-around*.
Specific details for each type of restoration are provided to the right. • Two weeks from the day we receive the case.
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Restorative dentist, John Cranham, DDS, Chesapeake, VA and BVDL.
“All Inclusive” Lab Fees
Custom Layered Ceramic Restorations
Layered Posterior Restorations • $250.00 complete Includes model & die work, connections, multiple units, opposing occlusion, and custom ceramic build-up & finishing. Posterior zirconia restoration Posterior IPS e.max restoration Posterior metal-ceramic restoration (includes 0-1-0 dwt noble alloy)
Layered Anterior Restorations • $325.00 complete
One of the biggest benefits of Bay View
Includes model and die work, connections, multiple units, opposing occlusion, and custom ceramic build-up & finishing. Anterior zirconia restoration Anterior IPS e.max restoration Anterior metal-ceramic restoration (includes 0-1-0 dwt noble alloy)
is the comprehensive support that goes along with our work. Treatment planning and case consultation are always
Miscellanous Crown & Bridge Procedures Comprehensive time....................................................... $100.00/hr Computer imaging............................................................ 100.00/hr Cosmopost....................................................................... 150.00 Diagnostic wax-up............................................................ 150.00/hr Extra model & die................................................................ 25.00 Full cast crown/onlay........................................................ 190.00 plus alloy In-lab shading..................................................................... 75.00 Partial abutment.................................................................. 30.00 Porcelain margin................................................................. 70.00 Post & core......................................................................... 85.00 plus alloy Precision attachment........................................................ 300.00 Provisionals....................................................................... 120.00 Reduction coping................................................................ 20.00 Resin bonded retainer (metal or zirconia)........................... 125.00 Rush fee............................................................................. 50% Semi-fixed connector........................................................ 150.00 Semi-precision attachment............................................... 200.00 Study cast.......................................................................... 15.00 Telescopic coping............................................................. 100.00 plus alloy Tube & screw.................................................................... 200.00
available. You will have the benefit of our many years of combined experience with combination, severe wear, and complex cases. We are very proactive about calling if we have suggestions on how to improve a case. Our goal is to always give you our best work. We offer most restorations as all inclusive per unit to simplify pricing and estimates. This includes model work on most cases. It will also include miscellaneous charges like connections, opposing occlusion, and metal linguals. Details of charges are outlined for specific types of restorations and a list of items not included is also listed with these fees.
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Restorative dentist, Andrew Cobb, DDS, Washington, DC and BVDL.
“All Inclusive� Lab Fees
Removable, Fixed/Removable, and Implant Removable Restorations
Removable cases will generally start with custom tray, bite rim and denture set-up to establish tooth position. This is a critical step in the process as everything will progress from that original determination. To help facilitate things, we will send small HD video cameras to record the set-up try-in and facilitate lab communication. For most implant/removable cases, after tooth position has been set-up, we will send a full contour composite frame to verify incisal edge position, vertical dimension, and centric relation. This extra step has proven to be a significant benefit as these critical functional determinates can be verified more effectively with a fixed appliance. All parts will be included; the outsource cost, completed restoration and final delivery screws as applicable. Alloy is included on most but not all types of restorations. Precision attachments will usually be billed extra per attachment. Specific details are noted with each type of restoration. Customized Dentures Includes custom tray, model work, bite rim, customized set-up with premium Creation Creapearl denture teeth by Willi Geller. Denture service also includes HD video recorder with set-up try-in for the ultimate in lab communication. Premium processing with Ivoclar Vivadent SR Ivocap Injection System, custom denture festooning, staining, stippling, and flossing between posterior teeth as requested for natural esthetics. Lingualized occlusion will be set unless otherwise specified. Full denture.......................................................................$600.00 complete Immediate denture..............................................................600.00 complete Duplicate denture................................................................300.00 complete Reline.................................................................................195.00 complete Cast metal base..................................................................300.00 complete
Combination cases are often the most challenging restorations in dentistry due to the wide range of knowledge and skills required as more teeth and a combination
Precision Partial Dentures
of procedures are involved in treatment.
Includes case design, acrylic die master model, survey, block-out and design, fabrication with complete BEGO PRA System (Precision Removable Appliance) including premium Wironium alloy, Wirosil duplicating material, premium Creation Creapearl denture teeth by Willi Geller, custom denture festooning, staining, stippling, and flossing between posterior teeth as requested for natural esthetics. Precision partial................................................................$940.00 complete
These are our specialty restorations and we welcome the opportunity to partner with you on such cases. All parts will be included, the outsource cost, completed
Implant Locator Overdenture with Cast Metal Base
restoration and final delivery screws as
Includes case consultation and GoToMeeting with CT scan as needed, case sequencing, custom tray and bite rim, surgical guide, implant model, set-up with Vivadent Ivoclar SR Phonares teeth, BEGO Wironium frame, custom denture festooning, staining, stippling, and flossing between posterior teeth as requested for natural esthetics. Full denture with metal base...........................................$1,235.00 plus $295 per implant for attachment parts and labor
applicable. Alloy is included on most but not all types of restorations. Precision attachments will usually be billed extra
CAD/CAM Milled Bar with Superstructure and Overdenture
per attachment. Specific details are noted
Includes case consultation and GoToMeeting with CT scan as needed, case design and treatment plan, case sequencing, custom tray and bite rim, surgical guide, implant bite rim, index jig, implant model with soft tissue, set-up with Vivadent Ivoclar SR Phonares teeth, internal diagnostic scanning matrix (IDSMatrix), all labor and outsource cost for CAD/CAM Bar, tapping of bar for precision attachments, cast superstructure, reset of teeth, try-in with HD video camera, process & finish with precision attachments, and delivery with final gold screws. CAD/CAM BAR with superstructure and overdenture.....$5,300.00 plus $295 per attachment
with each type of restoration.
Misc Removables Procedures Attachment Labor...............................................................100.00 per attachment (included in most cases) Bite rim.................................................................................50.00 complete Custom tray..........................................................................50.00 complete Flipper................................................................................270.00 complete (includes teeth and model work) Locator attachment.............................................................270.00 per attachment (includes attachment and labor) Treatment Partial (all acrylic)................................................250.00 complete (includes teeth, clasps, and model work)
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Restorative dentist, Johnson Hagood, DDS, Vero Beach, Florida and BVDL.
“All Inclusive” Lab Fees
Implant Restorations
Patient Specific CAD/CAM Abutments Includes consultation and case design, implant model and abutment replica, soft tissue model, full contour wax-up and patient specific soft tissue contouring, CAD/CAM design of implant abutment, outsourcing and fabrication of custom abutment, lab processing screw, final contouring of abutment, and gold screw for final delivery. Titanium............................................................................... $ 430.00 complete Gold hue................................................................................. 470.00 complete Zirconia................................................................................... 490.00 complete
Bay View Dental Lab specializes in implant
Hybrid Implant Restorations Includes case consultation and GoToMeeting with CT scan as needed, case design and treatment plan, case sequencing, custom tray and bite rim, surgical guide, implant bite rim, index jig, implant model with soft tissue, set-up with Vivadent Ivoclar SR Phonares teeth, internal diagnostic scanning matrix (IDSMatrix), all design, labor and outsource cost for CAD/CAM bar, reset of teeth, try-in with HD video camera, process & finish, and delivery with final gold screws. 5 – 9 implants.................................................................... $4,920.00 complete
restorations of all types. Lars Hansson, CDT, our implant specialist, is a nationally recognized speaker on implant case design. We offer GoToMeetings including
Screw-Retained Implant Restorations (metal ceramics or zirconia ceramics) Includes case consultation and GoToMeeting with CT scan as needed, case design and treatment plan, case sequencing, custom tray and bite rim, diagnostic set-up, implant model with soft tissue, implant bite rim, implant index jig, set-up with Vivadent Ivoclar SR Phonares teeth, LH Signature full contour acrylic functional esthetic verification try-in, all labor and outsource costs for CAD/CAM bar, reset of teeth, try-in with HD video camera, process & finish, and delivery with final gold screws. Noble metal ......................................................................... $795.00/unit (includes 0-2-0 dwt noble alloy per unit) Chrome cobalt alloy................................................................ 795.00/unit Zirconia................................................................................... 795.00/unit
CT scans as part of our comprehensive case planning. A time line for sequencing is available on most work and our all inclusive pricing makes estimates easy for most cases. The fee includes comprehensive case planning, customized emergence
Surgical Guides Surgical Guides (Full Contour) Clear with titanium sleeves.................................................... $235.00 complete Barium CT Guide.................................................................... 290.00 complete Guided Surgery Keystone EasyGuide............................................................... 340.00 complete BioHorizon VIP Guide.............................................................. 340.00 complete Depth Drilling Guides Nobel Biocare NobelGuide............................................................ .call for price Astratech Facilitate........................................................................ .call for price Simplant....................................................................................... .call for price
profile impression coping, implant models with abutment replica and soft tissue, implant parts and patient specific CAD/ CAM abutments, as well as the completed restoration and gold screw for final delivery. On most cases, alloy is also included for either 1 or 2 dwts. Due to the high cost and variability of parts, abutments, and alloy associated with implant work, we
Misc Implant Procedures Cast custom abutment......................................................... $244.00 plus alloy and parts Gemini abutment.................................................................... 100.00 Milled stock abutment............................................................. 176.00 plus parts Screw retained implant provisional.......................................... 180.00 plus parts
recommend the doctor charging a fee for service based on chair time and productivity per hour, with the lab fee as a separate charge to the patient. (We have additional information available on this as well.)
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