Founded in 1970, Oral Arts Dental Laboratory is a family owned and operated, full-service dental lab. All devices are made in the U.S.A. and all materials meet FDA requirements. Oral Arts is a Certified Dental Lab (CDL), verified through the National Board for Certification.
Oral Arts is one of the most technologically advanced dental labs in the United States. We have
heavily invested in digital manufacturing, placing ourselves in the forefront of digital dentistry. All the technicians photographed above are digitally fabricating crown and bridge restorations.
Table of Contents Meet Your Laboratory......................1-2 Orthodontics/Sleep Apnea Devices/Mouthguards Metal Free Crowns and Bridges Digital Impression Systems..............................6 Intra-Oral Scanning Tips...............................8-9 BruxZir Solid Zirconia....................................10 BruxZir Anterior Solid Zirconia........................11 BruxZir Lingual w/ porcelain...........................12 IPS e.max....................................................14 ForteYZr..................................................16 Lava.........................................................17 Lava Ultimate Restorative................................18 IPS Empress Esthetic..................................19 Select.......................................................20
Orthodontic Appliances .....................32 TAP 3 Elite TL.....................................33 Myerson EMA...................................34 Comfort H/S Bite Splint .....................36 Day Guards......................................37 Sport Mouthguards...........................38
Implants
Restorations Over Implants .........39-40 BruxZir Screw-Retained Hybrid Bridge....................................41 Clinical Protocol...........................42-45 Diagnostics and Temps Locator Overdenture.........................46 Bar Overdenture................................47 Diagnostic Wax-up/Oral Temps......................21 Screw-Retained Hybrid Denture.........48
PFM Porcelain Fused to Metal...............................22
Full Cast Restorations
Preparation and Material Guide All Ceramic Preparations....................49 All Ceramic Cementation Guide....................................................50
Argenco Y+.................................................24
Turnaround & Warranty
Partials & Dentures
Pick-up & Delivery Services.................51 Warranty Policy..................................52
DuraFlex Partial.............................................25 TCS Partial...................................................26 Flexible Partial Techniques.......................27-28 Dentures & Ivoclar IvoBase Injection System........................................................29 Fiber Force Denture Reinforcement ................................30 Cast Chrome Partial ....................................31
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Photographed above are Oral Arts’ Certified Dental Technicians (CDT’s). Our CDT’s are certified in one or more of the following specialties: Orthodontics, Partials, Dentures, Ceramics, or Crown & Bridge. Oral Arts is committed to training and educating our U.S.A. based workforce, realizing we are only as good as our people. While many laboratories are sending their cases offshore and not disclosing the country of origin to their clients and patients, all of Oral Arts’ devices are made in the U.S.A. with the highest quality materials. Oral Arts is proud to be a Certified Dental Laboratory (CDL) recognized by the National Association of Dental Laboratories (NADL), the American Dental Association (ADA) and the American College of Prosthodontists (ACP). The CDT and CDL certifications are increasingly important in our industry as the NADL and the ADA collaborate on the importance of regulatory programs.
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Celebrating Success!
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Before & After
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Send Us Your Next Case
New Doctor? No Problem!
Call us today at 1-800-354-2075 to speak to an account representative. We will send you a New Doctor Kit that contains everything you need to send us your first case including free shipping labels, case boxes, an RX pad, and money saving coupons.
How to Send Your Case: 1) Prepare the Oral Arts RX, completing all fields 2) Pack the Oral Arts case box • Multiple cases can be placed in one box • Make sure to tape the box closed • Important: If sending a wet impression, please secure the bag holding the impression to ensure the RX does not become saturated 3) Attach the prepaid shipping label to the box 4) Call us at 1-800-354-2075 to schedule a pickup with a route driver or with one of our courier services
Have a shade photo you want to include with a case? Email us at shade@oralartsdental.com or attach the
photos to your case via customer portal.
Need More FREE Shipping Supplies?
We are happy to place an order for your FREE shipping supplies over the phone. Call us at 1-800-354-2075 to order your needed materials. For your convenience you can also request your FREE shipping supplies by visiting our website at www.oralartsdental.com/order-free-supplies
Have an Intra-Oral Scanner?
Oral Arts accepts digital scan files from all intra-oral scanners and when choosing the model-less option with your next e.max, BruxZir, Lava Ultimate, or Oral Arts Provisionals case, you will save $20!
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Intra-Oral Scanning Tips
Common
Scanning Errors
Gingival Retraction Insufficient scan data. Full scan of all anteriors are recommended on anterior restoration cases to recreate the same shape and size of the existing teeth and for articulation purposes.
• Proper gingiva retraction enables good scanning of the margin line. • Intra-Oral scanners can only scan what is visible to the eye. If the margin is subgingival, the scanner will have a difficult time capturing the margin without excellent retraction techniques. • The two-cord retraction technique is recommended for a visible margin line.
Moisture Control Missing and distorted data on 3M scan. This is most likely caused by wet spray/excess moisture in the mouth.
• Dry teeth using compressed air. • Be sure to dry the interproximal and gingival areas of the arch. • Use cotton rolls, dry tips, and saliva ejectors to keep the mouth dry during scanning. • Make sure the scanner wand is clean and free of moisture.
Scan Sprays (if required by scanner) • Teeth must be dry before applying scan spray. Saliva and spray can mix and may cause false scan data. • More is NOT better. Over-spraying can cause 3D images to be inaccurate. • Sprayed teeth must be completely dry before scanning. Missing data on adjacent teeth and occlusion. This can cause issues when fabricating models and articulating the bite.
Do not submit a case with any missing data at the margins; this can compromise the fit. Scan at least 4 opposing teeth for the bite registration to ensure the bite is aligned properly.
The lingual margin data is missing in the image on the left. The right image shows the scan after the margins are fixed by 3M. Notice how the fixed areas are not smooth. A new scan is recommended on this case.
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Intra-Oral Scanning Tips
Recommended Data to Capture When Scanning Anterior Crowns
• Scan all anterior teeth so the restoration can be adapted to the patient’s existing dentition. • If possible, scan a pre-op model of existing pre-prepped teeth or temps for diagnostic/esthetic purposes.
Posterior Crowns
• Scan at least 2 adjacent teeth on the mesial & distal of the restoration.
Restorations With No Posterior Stop(s)
• Full arch maxillary and mandibular scan is needed to ensure bite is correct in design software.
Proper retraction to accurately mark margin. Sufficient scan data without missing data or distortion.
Smooth scan of all teeth and margin line.
Clear view of margin and all teeth are complete.
Small areas on the adjacent teeth or opposing will not affect the case.
A full arch was provided to aid in articulating the bite, since there is no posterior stop.
Sufficient scan of adjacent and opposing teeth to properly articulate models.
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BruxZir® Monolithic Zirconia 5 Day Turn-Around
Indications
• Anterior & Posterior Crowns or Bridges • Screw-Retained Crowns or Bridges • Crowns or Bridges over Custom Abutments • Inlays & Onlays • Inlay Bridges and Maryland Bridges
Advantages • • • • •
Full-contour Zirconia CAD/CAM technology Prepare as thin as 0.5mm Eliminate precious metal costs 4-day in-lab turnaround
Model-less cases using: • • • • • •
Cadent iTero™ PlanMeca E4D Technologies Sirona Cerec® 3 Shape 3M™ True Definition Scanner Carestream Dental
Insurance Codes
• D2740 Crown • D6245 Pontic for a bridge
The New Gold Standard You’ll be impressed by the esthetics of BruxZir Solid Zirconia when prescribed instead of metal occlusal PFM’s and full-cast metal restorations. Virtually chip-proof, BruxZir is a full-contour zirconia crown, bridge, inlay or onlay with no porcelain overlay. Fabricated and milled using CAD/CAM technology, BruxZir restorations are sintered for 6.5 hours at 1,530 degrees Celsius. The final BruxZir crown or bridge emerges nearly “bulletproof” and is glazed for a final shade match.
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BruxZir® Anterior Solid Zirconia
5 Day Turn-Around
BruxZir Solid Zirconia, famous for its posterior applications due to its strength, has expanded its product offering to include BruxZir Anterior Solid Zirconia! BruxZir Anterior is designed specifically to answer the need for esthetic and functional requirements of the anterior region. Boasting a flexural strength of 650 MPa with translucency and color similar to natural dentition, BruxZir Anterior is the perfect esthetic solution for your anterior restorations. This material requires less reduction than monolithic glass ceramic restorations but remains gentle on opposing dentition.
Indications • Ideal for anterior and premolar cases • Single Unit Crowns and Bridges with one pontic • 0.8mm of reduction required • Screw-retained Crowns • Crown over Custom Abutment
Advantages • More conservative preparation than e.max • Highly esthetic restorative material with translucency and color similar to natural teeth • Stronger than e.max (400 MPa)
Insurance Codes • D2740 Crown • D6245 Bridge
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BruxZir® Zirconia Lingual/Occlusal
5 Day Turn-Around
Indications
• Anterior and posterior crowns and bridges • Crowns or bridges over Oral Arts Custom Abutments
Advantages
• All the advantages of BruxZir Solid Zirconia with the esthetics of layered porcelain on the labial/buccal surfaces • The perfect blend of strength and esthetics especially for anteriors • Increase bridge connector dimensions using solid zirconia while maintaining beautiful anterior vitality with veneered porcelain
Insurance Codes • D2740 Crown • D2962 Labial Veneer
Fabricated by Oral Arts Technicians
Zirconia Occlusal / Lingual
BruxZir Lingual Bridge 6-8, 9-11 Dentistry performed by Dr. Mark McOmie, DDS Chattanooga, TN
Brawn Meets Beauty Bruxzir Zirconia Lingual/Occlusal – is the perfect blend of our Forte YZr Porcelain Fused to Zirconia and the Solid Zirconia BruxZir crown all in one! Ideal for cases where more translucency and vitality is needed than BruxZir can provide. The porcelain veneered on the labial and buccal surfaces enhances beauty while the solid zirconia in the occlusal areas eliminates the risk of porcelain fracture. Ideal for patients with reduced vertical clearance or bruxers.
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BruxZir速 In Lab CAD/CAM Fabrication Technique
BruxZir crowns and bridges are computer designed. Interproximal contact pressure is consistent and digitally measured in microns.
Individual dies and model sections are scanned using laser technology. Margins are marked and path of insertion determined digitally.
Occlusal morphology is designed using anatomy libraries. Premature occlusal contacts are eliminated in the software.
Designs are placed into a virtual articulator for optimal centric occlusal contacts and proper guidance in protrusive and lateral excursive movements.
Fabricated crowns are sprued and positioned in pre-sintered, pre-shaded authentic BruxZir zirconia disks.
Crowns are then milled to the exact CAD specifications and fired to complete the crystallization, shading, and hardening process.
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IPS e.max® Monolithic Lithium Disilicate Indications • • • • •
5 Day Turn-Around
Anterior and posterior crowns Anterior three unit bridges up to second bicuspid Screw-retained crowns Crowns over custom abutments Inlays and onlays
Advantages
• The standard for anterior esthetics • 5 day in-lab turnaround • Save $20 per unit by using an intra-oral scanner and model-less technique • Conventionally cement or bond using a full resin
Insurance Codes
• D2740 Crown • D2962 Labial Veneer • D6245 Pontic - Porcelain/Ceramic
Fabricated by Oral Arts Technicians
IPS e.max® is a lithium disilicate glass-ceramic, digitally fabricated. With pricing comparable to a non-precious PFM and the ability to conventionally cement in posterior or anterior regions, you simply cannot go wrong by prescribing this material. Please remember to take a stump shade in addition to the final crown shade. Lithium disilicate is translucent and unable to block out the two darkest stump shades.
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Monolithic Synergy: IPS e.max® & BruxZir® Solid Zirconia
Before: Patient presented with severe wear from Bruxism. IPS e.max is the restoration of choice in the anterior region due to its translucency and esthetics. BruxZir Solid Zirconia was used in the posterior for fracture toughness and wear resistance.
Dentistry performed by Dr. Samuel L. Corey, DDS
After: Patient esthetics and vertical dimension of occlusion have been restored using IPS e.max on teeth #5-12 and BruxZir Solid Zirconia on teeth #2-4, 13-15.
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Monolithic restorations such as IPS e.max and BruxZir are becoming extremely popular due to their reliability and esthetics. Unlike PFM’s or porcelain fused to zirconia restorations, monolithic restorations are one solid material throughout. This significant difference nearly eliminates the risk of porcelain chips and fractures that are common when using PFM’s and porcelain fused to zirconia restorations. The combination of these two monolithic materials covers nearly every indication that is needed in the fixed restorative arena, while providing improved reliability and esthetics.
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Forte YZr Porcelain Fused to Zirconia Restorations 5 Day Turn-Around
Indications
• Anterior and posterior crowns and bridges • Crowns or bridges over Oral Arts Custom Abutments
Advantages
• Enhanced esthetics of veneering porcelain • Ability to block out cast posts or dark preps • Longer span bridge capabilities in the esthetic zone
Insurance Codes
• D2740 Crown – Porcelain/Ceramic Substrate • D2783 Crown – 3/4 Porcelain/ Ceramic • D6245 Pontic – Porcelain/Ceramic
Fabricated by Oral Arts Technicians
Forte YZr Zirconia crowns and bridges are available exclusively from Oral Arts. Named “Forte” for its incredible strength, measuring 1,000 to 1,400 MPa. “YZr” signifies the zirconia has been infiltrated with Yttrium, a stabilizing ingredient that greatly reduces the risk of coping fractures. Marginal integrity is superb by using state-of-the-art 5-axis milling technology. Forte YZr is available in 11 core shades and suitable for bridges up to 12 splinted units.
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Lava™ Porcelain Fused to Zirconia Restorations 5 Day Turn-Around
Indications
• Anterior and posterior crowns • Crowns or bridges over Oral Arts Custom Abutments
Advantages • Enhanced esthetics of veneering porcelain • Ability to block out cast posts or dark preps • Longer span bridge capabilities in the esthetic zone
Insurance Codes
• D2740 Crown • D6245 Pontic for a bridge
Lava™ Crowns and Bridges by 3M ESPE combine superior strength and durability coupled with excellent esthetics to meet the high demands of your esthetically aware patients. The Lava system is available from Oral Arts Dental Labs in eight shades for natural shade matching. Lava zirconia crowns and bridges utilize an innovative CAD/CAM technology to produce all-ceramic crowns and bridges on a zirconium-oxide glass-free polycrystalline base. Resulting in high-strength, reliable restorations with excellent esthetics and an outstanding marginal fit. Preparations require minimal removal of tooth structure and conventional cementation techniques.
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Lava™ Ultimate Restorative 3 Day Turn-Around
Lava™ Ultimate
Lava Ultimate Restorative, from 3M ESPE, is a monolithic resin nano ceramic material indicated for single unit crowns or onlays/inlays. Lava Ultimate Restorative advanced material technology has been coded by the ADA as an all ceramic material. You can conveniently add occlusal and interproximal contacts chairside using a light cured direct composite, eliminating the need to return to the lab. Lava Ultimate is very kind to opposing dentition and has excellent shock absorbing characteristics making it excellent for implant supported crowns. The composite material also allows easy implant abutment access; simply cut hole, reseal with composite, cure, and polish.
Indications
• Single-unit crowns • Implant supported crowns • Inlays and onlays
Advantages
• Excellent durability • ADA Coded as a ceramic material • Add contacts and occlusion chairside with light cure direct composite • Less wear to opposing dentition than glass ceramics • Absorption of chewing forces which reduces stress • Excellent translucency
Insurance Codes
• D2740 Crown- Porcelain/ Ceramic Substrate
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IPS Empress® Esthetic
5 Day Turn-Around
Oral Arts was among the first dental labs to offer a highly esthetic, pressable, all-ceramic restoration... IPS Empress. With IPS Empress Esthetic, the inherent cystalline structure and optimized ceramics enables the restoration professionals at Oral Arts to recreate the same optical properties that natural teeth exhibit.
Indications
• Veneers • Inlays and onlays • Anterior crowns
Advantages • • • •
Clinically proven Excellent wear High translucency Natural esthetics
• Metal Free
Insurance Codes • D2740 Crown • D2962 Labial Veneer
IPS Empress Esthetic is the perfect material to create the life-like veneer characterization and translucency you and your patients expect. However, these true-to-nature esthetics are not limited to veneers. IPS Empress Esthetics can also be prescribed for full-coverage crowns, inlays, and onlays.
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Oral Arts Select
IPS e.max Select Crowns 6-11. Dentistry performed by Dr. Myra Stafford, DMD
The Select Department takes every measure to deliver the highest possible quality such as: • • • •
Cut-back and layer technique Finest quality porcelains available Eight power magnification quality control Internal staining and color modification
Fabricated by Oral Arts Technicians
Oral Arts Select restorations are crafted by our specially trained technicians using only the finest materials. Just like natural teeth, Oral Arts Select crowns and bridges are built in numerous different layers resulting in an enhanced chroma and highly increased opalescence. This creates more vitality, depth and internal characteristics than any standard dental restoration can achieve.
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Diagnostic Wax-Up Models 5 Day Turn-Around
Advantages • • • •
Fabricated by Oral Arts Technicians
Oral-Temp CAD/CAM Provisional
5 Day Turn-Around
Oral-Temp provisionals from Oral Arts are a highly esthetic solution for your provisional needs. Oral-Temps are fabricated using state-of-the-art CAD/CAM technology. We prep your preoperative model, scan using laser technology, design your temporary bridge with ideal contour, contacts, and occlusion. Our CAD/CAM process delivers a very dense temporary that eliminates pitting or porosity associated with other layered or flowable techniques. When you receive your case simply reline the Oral-Temps chair-side for an esthetic long-term provisional option.
Insurance Codes
• D2970 Temporary Crown
Fabricated by Oral Arts Technicians
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Improve case acceptance with patients Easily make beautiful chair-side temporaries when used as a putty matrix Improve preparation design when using clear thermoformed prep guide Preview gingival re-contouring, anatomy, and occlusion
Porcelain Fused to Metal Indications
5 Day Turn-Around
• Conventional crowns and bridges • Screw-retained implant restorations • Crowns with attachments for cast partials • Restorations over implants
Advantages
• CAD/CAM fabrication ensures consistency • Computer controlled fit, contacts, and occlusion • High quality alloys and porcelains • All devices are made in the U.S.A. • All materials meet FDA requirements
Insurance Codes
• D2750 Crown – Porcelain fused to high noble metal • D2751 Crown – Porcelain fused to predominantly base metal • D2752 Crown – Porcelain fused to noble metal • D6240 Pontic – Porcelain fused to high noble metal • D6241 Pontic – Porcelain fused to predominantly base metal • D6242 Pontic – Porcelain fused to noble metal Oral Arts uses only the highest quality alloys from Ivoclar Vivadent or Argen alloy manufacturers. All Oral Arts restorations are made in the U.S.A. Guaranteed!
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PFM CAD/CAM Fabrication Technique
Models are scanned using laser technology. Crowns, copings, and frameworks are designed simultaneously under full contour designs. Metal collars, occlusal rests, metal occlusals or any design variations are built into the design digitally. Porcelain and metal thickness are digitally measured for optimal porcelain support and esthetics.
Designs are placed into a virtual articulator for optimal centric occlusal contacts and proper guidance in protrusive and lateral excursive movements.
Designed PFM copings and full contour sections are positioned onto the perfactory printer plate prior to printing.
Perfactory printing technology rapid prototypes all the design files into wax resin parts ready for processing.
Printed copings are sprued, invested, and cast out of the FDA cleared alloy of your choosing.
Printed full contour shells are sealed to alloy copings, sprued, and pressed using high quality ceramic ingots in the prescribed shade.
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Argenco Y+ Full Cast Crown and Bridge 3 Day Turn-Around
Indications
• Suitable for full cast crowns and short span bridges
Advantages
• The most economical yellow full cast alloy • No surcharge fees • 3-day in-lab turnaround
Insurance Codes
• D6790 – Crown – full cast high noble metal
Gold has never been more affordable! Argenco Y+ is the most economical yellow noble full cast crown on the market. This Noble Alloy is suitable for full cast crowns and bridges and easily polishes to a high luster. Argenco Y+ brings you all the qualities you enjoy in a yellow alloy at a fraction of the cost.
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DuraFlex™ Flexible Partials 6 Day Turn-Around
Indications • • • •
Flexible partial dentures DuraFlex/Cast Partial combination cases Unilateral partials Temporary healing appliance for implant cases
Advantages
• Available in four shades: clear, pink, medium pink, dark pink • All devices are made in the U.S.A. • We can rebase, repair, and add teeth to DuraFlex
Insurance Codes • • • •
D5211 upper D5212 lower D5130 Immediate Upper D5281 Removable Unilateral
Strength. Flexibility. Comfort. Duraflex is a highly translucent and flexible partial denture that blends incredibly well with your patients existing soft tissue. Using our chair side adjustment kit, Duraflex is easily adjustable chair side if needed. Duraflex is available in 4 shades to perfectly match your patients gingival tissue tones and is cleared by the FDA.
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TCS® Unbreakable Flexible Partials 6 Day Turn-Around
Indications • • • •
Flexible partial dentures TCS/Cast Partial combination cases Unilateral partials Temporary healing appliance for implant cases
Advantages
• Available in four shades: light pink, standard pink, light ethnic, dark ethnic • Biocompatible, making them ideal for patients with acrylic allergies • Lightweight and comfortable • We can rebase, repair, and add teeth to TCS
Insurance Codes • • • •
D5211 Upper D5212 Lower D5130 Immediate Upper D5281 Removable Unilateral
TCS® Unbreakable is a flexible denture base resin which is ideal for partial dentures and unilateral restorations. It provides a fully functional partial that looks better, feels better and is more durable than conventional metal rigid partials. The resin is a biocompatible nylon thermoplastic that allows your patient’s natural tissue tone to appear through the material. The translucency of the TCS material makes it the ideal product for cases when patients do not choose a fixed restoration or implant, but still want a highly esthetic restoration. TCS uses the Retento-Grip® tissue-bearing technique for retention, so no tooth or tissue preparation is needed.
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Techniques for Successful Flexible Partials What is DuraFlex® & TCS® Unbreakable?
DuraFlex and TCS Unbreakable are flexible thermoplastic resins and are practically unbreakable. Both DuraFlex and TCS Unbreakable are available in four different natural tissue colored shades. Call us today for a FREE tissue tone shade guide of either material or a FREE patient education kit!
When should DuraFlex & TCS Unbreakable be used?
DuraFlex and TCS can be used to create flexible removable partials, unilateral partials, temporary appliances for healing implant patients, and saddle/clasp areas for cast metal partials. Duraflex and TCS are great replacements for patients that are not interested in having metal appliances. They have a more comfortable fit and will be lighter in the mouth, easier to eat with and have a “snap fit” giving confidence throughout the day. The retention will remain the same throughout the life of the partial. Patients who have compared conventional cast frame partials to our thermoplastic partials report that they feel more natural in the mouth.
Case Planning for Flexible Partials
Unlike Acrylic Dentures, there is no chemical bond between acrylic teeth and flexible partial material. The denture teeth must be surrounded by flexible partial material, thus teeth cannot be ridge lapped or abutted to the ridge. The teeth are drilled to create mechanical retention. It is necessary to have 5mm vertical space to achieve the proper mechanical retention of the denture teeth; any less and the teeth will fail. The flexible material is nearly unbreakable, but the teeth WILL fail from over reduction and lack of clearance.
Case limitations include: • • • •
Collapsed bites are contra–indicated. Deep bites where upper anteriors cover lower anteriors will fail without use of metal backing/facing. Metal backing supports the teeth and protects them from occlusal forces. 5mm of vertical clearance is required unless using metal backing/facing, especially on isolated anterior teeth.
Flexible partial denture bases typically flex towards the center of the mouth. This can create undue stress on abutments. To eliminate follow these guidelines: • •
Lower arches with few abutments (ie: 22, 27) and/or extremely resorbed ridges should incorporate a metal substructure to keep the partial more rigid. Tall isolated teeth and teeth with large degrees of undercut to the buccal should be avoided as abutments when possible.
Flexible partials are tissue born and free movement stresses the abutments.
Impression Technique
One of the many benefits of thermoplastic partials is that little to no tooth preparation is needed. We require only a master and an opposing model. A custom tray is normally not necessary. For a precise fit and minimal adjustments we highly recommend an alginate impression be used. Alginate impression materials will record the tissue at rest instead of under load and result in a better fitting flexible partial. Please also send an opposing model and bite registration.
Insertion & Adjustment Techniques
Prior to the initial insertion, soak the partial in hot water (not boiling) for one minute to soften the material and ease the insertion process. The Hot Water Treatment is very important as it allows for a smooth initial Flexible Partial Adjustment Kit insertion and a good adaptation with your patient’s natural tissues. When the partial cools to a tolerable temperature, gently insert it into the patient’s mouth.
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Techniques for Successful Flexible Partials If the patient senses discomfort due to tightness of the clasp, the clasp may be loosened slightly by submerging in hot water for approximately 30 seconds, removing it and gently bending the clasp outward while holding it underneath running cold tap water. Following the same procedure but bending the clasp inward can also tighten the clasp. If there is a need for adjustment when trying the partial in the patient’s mouth, the thermoplastic must be handled differently than an acrylic material. It is best not to use traditional carbide burrs when adjusting flexible partials. We recommend fine stone and rubber points for most adjustments and a coral stone for areas that require more material to be removed. Set your hand piece on a low speed and use fast, light scraping back and forth movements to reduce area. Do not keep bur in one spot, be sure to keep it in constant motion. Do not use too much pressure as this may burn or distort the restoration. If there are any threads remaining, these can be removed with a sharp blade. Call 1-800-354-2075 to order our recommended adjustment kit.
Preparation for Adding a Tooth
A pick-up impression technique must be used. It is essential to remove all pastes or adhesives from the tissue-surface of the partial before taking the impression. With the partial in place in the mouth, take an alginate impression. Remove the impression from the mouth with the partial in the impression. Be sure the partial is fully seated in the impression material. Pour the model promptly, DO NOT separate the partial from the stone model. Ship the materials to Oral Arts with instructions to add the missing tooth or teeth and retention (if necessary).
Indications for DuraFlex® & TCS® Unbreakable •
•
•
•
TCS material is less flexible than DuraFlex and is therefore better suited to clasp-less types of flippers that only utilize lingual undercuts. TCS is better suited to patients with large edentulous spaces due to it’s increased opacity compared to DuraFlex. In large edentulous areas where the material is very thick translucency can cause shadowing. Duraflex is more translucent than TCS and therefore better suited to patients concerned about clasp visibility. Duraflex is better suited to teeth with severe buccal inclinations due to the
Preparation for a Rebase
In most cases where an overall rebase is needed, the case is jumped into a new base. A rubber base impression is taken under the partial in a closed-mouth condition. The patient closes his/her mouth gently to ensure a correct occlusion as the rubber base is setting. Once the rubber base material has set, an alginate impression is taken and the impression is removed from the mouth with the partial and the rubber base in place. Carefully examine the partial to assure that it is positioned correctly in the alginate material. Immediately pour the model with regular yellow stone. DO NOT separate the partial from the stone model. Forward to Oral Arts with instructions. It is also recommended that a new fully edentulous alginate impression be taken of the arch we are working on to faciliatate the rebase.
It is Easy for the Patient to Take Care of the Appliance
We recommend that the patient soaks and rinses their partial daily to keep it clean. It is important to remember that abrasive toothpaste can be harmful to your partial. (Most toothpastes will indicate wether or not they are abrasive.) We recommend non-abrasive TCS® Concentrated Denture Cleaner to clean your patient’s partial.
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Dentures & Ivoclar IvoBase Injection System 5 Day Turn-Around
Advantages
• Highest quality Lucitone 199 acrylic achieves an extremely lifelike denture • Set-up your teeth in standard or lingualized occlusion • We offer the Ivoclar IvoBase Injection System for a perfect fit • Screw-retained, precision attachment retained, and CAD/CAM Bar overdentures available
Ivoclar IvoBase Injection System
You can count on consistent results every time when you choose dentures using the Ivoclar IvoBase Injection System from Oral Arts Dental Labs. The IvoBase System produces highly accurate methyl methacrylate-based dentures. After mixing, the material is injected into the flask under pressure. Constant pressure is applied to the material during polymerization. As the denture base material flows consistently, the shrinkage of the material is optimally compensated.
Advantages
• No increase in vertical dimension • Eliminates porosity associated with press/pack dentures • Stronger dentures resulting in less acrylic fractures
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IvoBase
Precise adaptation
Conventional Sore Spots
Fiber Force® Denture Reinforcement Advantages
• Use in lieu of cast meshwork for strength, eliminating metal • Esthetic translucent fibers are invisible within the denture base • Chemically bonds to acrylic resins • Use on implant retained dentures for extra strength at attachment sites
Increase the longevity and durability of your patient’s dentures by using Fiber Force! When using Fiber Force on your next denture you can increase the strength up to three times, from approximately 75 Mpa to 270+. Fiber Force is applied to the palate area of the denture during the acrylic processing stage resulting in extra strength. Fiber Force is available for an additional $99 to your existing denture processing fee.
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Vitallium® 2000 Cast Partials 10 Day Turn-Around
Advantages
• Premium chrome Vitallium 2000 Cast Partials, no cheap substitutes • All devices are made in the U.S.A. by Oral Arts Technicians, never outsourced • Available with Duraflex Flexible or TCS Unbreakable esthetic clasps • 10 working days for cast framework, setup, process, and finish
Oral Arts uses the finest Vitallium 2000 alloy to cast our partial frameworks. We can fabricate any of your combination cases or precision attachment cases with ease. Confidently send us your cast partial cases today!
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5 Day Turn-Around
Orthodontic Appliances
Other Orthodontic Appliances include but not limited to: • • • • • • • • • •
Invisible Retainer
Hawley Retainer
Gelb Splint Spring Retainer TPA Schwartz Appliance Space Maintainer Bluegrass Palatal Expander Nance Appliance HAAS Quad-Helix
Spring Retainer
Fabricated by Oral Arts Technicians
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TAP® 3 Elite TL Sleep Apnea Device 5 Day Turn-Around
Advantages • • • •
Comfortable, custom fit Easy to use Adjustable while in the mouth Patient can adjust at home and achieve maximum treatment results night-to-night • Smaller and less bulky than other oral appliances • No masks or straps involved
Impression & Bite Registration • Take upper and lower impressions • The extension of the impressions should capture the height of contour of the gingiva • Take a bite in a protruded end-to-end relationship
Insurance Codes • D5999 Unspecified Maxillofacial Prosthesis, By Report. Used for procedure that is not adequately described by a code. Describe procedure.
AMA Codes
The Thornton Adjustable Positioner® (TAP®) is a simple, patient-friendly treatment solution for snoring and sleep apnea. The TAP holds the lower jaw in a forward position so that it does not fall open during the night and cause the airway to collapse. It maintains a clear airway to reduce snoring and improve breathing. The unique design allows the patient to fine-tune his/her treatment at home and work with the clinician to achieve the best results. Patients are empowered to manage the degree of lower jaw protrusion over as many nights as it takes to achieve the optimal treatment position. The TAP has a single point of central adjustment, which prevents uneven bilateral adjustment that can create an irregular bite and discomfort.
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• Medical Procedure Code (CPT) • 99002: Device Handling Code • 99013- 99015: Telephone Consultation Codes
Myerson EMA® Sleep Apnea Device 5 Day Turn-Around
Advantages
• Four different strengths of elastic straps match the strength of the pull to the musculature of the patient • The EMA’s patented design allows freedom of lateral mandibular movement • Air flow through the oral pharynx is increased either through the advancement of the mandible, increased vertical opening, or both • Thermoformed custom trays limit tooth movement
Impression & Bite Registration
• Take upper and lower impressions • The extension of the impressions should go to the height of contour of the gingiva on all sides of the teeth • Take a bite with the patient in an un-protruded centric occlusion
Insurance Codes
• D5999 Unspecified Maxillofacial Prosthesis, By Report. Used for procedure that is not adequately described by a code. Describe procedure.
Sleep Apnea & Snore Device
The EMA Device is a simple, patient-friendly oral appliance created for noninvasive treatment of Sleep Apnea and Snoring. The primary treatment mechanism of opening the bite and gently moving the mandible forward is achieved with the use of interchangeable elastic straps that offer varying degrees of mandibular advancement. The EMA appliance uses nine different lengths of elastic straps to gradually and incrementally advance the mandible forward.
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Bite Splints 5 Day Turn-Around
IvoBase
Clear Injection Bite Splint
• Eliminates shrinkage and porosity associated with sprinkled or processed splints • Stronger splint resulting in less acrylic fractures • Most transparent splint on the market and resistant to yellowing • Precise fit due to Ivoclar’s IvoBase Injection technology
Insurance Code • D9940 Nightguard
AstronCLEAR Bite Splints
AstronCOLOR Bite Splints
• Fabricated from a modified composite material
• Easily adjustable using warm water for the most comfortable fit • AstronCOLOR is available in a translucent red, blue, green, orange, or yellow
Insurance Code
• D9940 Occlusal guard
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Comfort H/S™ Hard/Soft Bite Splint 6 Day Turn-Around
5 Day Turn-Around
Product Features
• Soft polyurethane inner layer rests comfortably against the teeth and gums • Hard, durable copolyester outer layer • Indicated for severe bruxing/clenching
Signs of Bruxing and Clenching
• Advanced wear on biting surfaces of teeth after years of clenching and grinding • Vertical fracture caused by clenching • Abfraction lesions due to grinding
Insurance Code
• D9940 Occlusal guard
The Comfort H/S Bite Splint is a proactive step in protecting your existing healthy teeth. It is a clear, thin, customized device that fits over your upper or lower teeth during sleep that can offset the effects of bruxing or clenching while protecting your teeth from daily wear and tear. Bite splints can make a world of difference for your bruxing and grinding patients, alleviating pain and preventing further destruction of existing healthy dentition. The Comfort H/S™ Hard Soft Bite Splint is the most widely prescribed bite splint due to its comfort and fit.
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Day Guards 5 Day Turn-Around A Day Guard is a bite splint worn on the mandible to provide relief to patients during the day from clenching, grinding teeth, and neck pain. The labial surface is cutback so acrylic is undetected and a gold, braided bar is added on the lingual for reinforcement. Acrylic will cover the entire lingual surface of teeth.
Indications • Prevent damage from parafunction (grinding, bruxism of teeth, etc) • Protect restorations • Alleviates pain and prevents further destruction of healthy teeth.
Benefits for the Patient • Patient can speak comfortably, minimal saliva is produced, and the splint is virtually unnoticeable • Alleviates pain associated with grinding and bruxing of teeth during the day • Rests comfortably against teeth and gums • Can be used in conjunction with a nighttime guard if made at the same vertical dimension • Can be made of hard, soft, or a hard/soft combination of acrylic material
Insurance Codes
• D9940 – Occlusal guard
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Sports Mouthguards 5 Day Turn-Around
Color Options White
Green
Azure Blue
Neon Red
Yellow
Bright Yellow
Red, White & Green
Black & Yellow
Red, White & Blue
Black, Red & Black
Green, Blue & Yellow
Blue, Yellow & Blue
Neon Green
Purple
Clear Red
Black w/ Blue w/ Green Dots White Dots
Oral Arts sport mouthguards provide superior fit and retention compared to boil-and-bite mouthguards. Available in six levels of protection, the mouthguards range from one to three layers of laminated ethyl vinyl acetate material with a final occlusal thickness between 3 mm and 6 mm. Sport mouthguards can be customized with stickers, team logos and are available in a variety of colors to fit the personality of every star athlete in your practice! • Thermoformed, multi-layered professional grade sports mouthguards • Custom fit ensures protection, comfort, and retention • Available in four levels of protection • Customized logos and designs are available
Fabricated by Oral Arts Technicians
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Restorations Over Custom Abutments 10 Day Turn-Around
Advantages • • • •
Predictable fixed rate package implant pricing Custom CAD/CAM abutments are digitally fabricated and manufactured Abutment designs consider emergence profile, margin design, tissue depth and location Abutments are available in titanium, zirconia, or can anodize a gold or pink existing implant component
Restorations Over Custom Abutments Options
• BruxZir Solid Zirconia, IPS e.max, or Lava Ultimate Crown (with Custom Ti or Zr Abutment) • Forte YZr Porcelain to Zirconia Crown (with custom TI or Zr Abutment) • PFM Non-Precious Crown (with Custom Ti or Zr Abutment. Additional surcharge for Noble and High Noble alloys) Crown over custom abutment will include: Shipping both ways, model work with soft tissue, lab analog and screw, custom titanium or zirconia abutment, clinical screw and final crown *Additional implant parts, if needed, are not included
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Screw-Retained Implant Restorations 5-10 Day Turn-Around
Screw-Retained Crown Options • Screw-Retained BruxZir Solid Zirconia or IPS e.max Crown (5 days) • Screw Retained PFM Noble Crown (10 days, additional surcharge for alloy) • Screw-Retained PFM High Noble (White) Crown (10 days, additional surcharge for alloy) Screw-Retained Implant Restorations will include: Shipping both ways, model work with soft tissue, MZ adapter, implant labor, lab analog and screw, and final crown. *Additional implant parts, if needed, are not included
Advantages
• Predictable fixed rate package implant pricing • Easy to retrieve • No cementation necessary
Insurance Codes for Cement and Screw-Retained Implant Restorations • • • • •
D6056 – Prefabricated abutment D6057 – Custom abutment D6058 – Abutment supported porcelain/ceramic crown D6060 -Abutment supported porcelain fused to metal crown (predominantly base metal) D6065 – Implant supported porcelain/ceramic crown
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BruxZir Screw-Retained Hybrid Bridge 10 Day Turn-Around
Advantages
• High strength solid zirconia bridge with pink tissue gingival anatomy • Highly esthetic and durable • Predictable lab fees • 7 year replacement warranty*
Indications
• Screw-retained Bridges • Replacement prosthesis for Titanium Screw-Retained Hybrid Dentures
Insurance Codes
• D6114 Implant/Abutment Supported Fixed Denture for Edentulous Arch – Maxillary • D6115 Implant/Abutment Supported Fixed Denture for Edentulous Arch – Mandibular *Oral Arts’ Clinical Protocol Must be followed (See next page) BruxZir Screw Retained Hybrid Bridge Dentistry performed by Dr. Mark McOmie, DMD Chattanooga, TN
Fabricated by Oral Arts Technicians
The BruxZir Screw-Retained Hybrid Bridge is a fixed, all ceramic implant solution offering a stable and esthetic solution for your edentulous patients. Constructed from 100% BruxZir Solid Zirconia with pink tissue, this bridge is the ultimate in strength and longevity. With predictable lab fees, easy retrievability for hygienic appointments, and a 7 year replacement warranty, the BruxZir Screw-Retained Hybrid Bridge is THE implant solution of choice!
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Implant-Level Restoration Step-by-Step Restorative Protocol
The BruxZirÂŽ Solid Zirconia Screw-Retained Hybrid Bridge offers a fixed, all-ceramic implant solution for edentulous patients desiring a stable and esthetic replacement for removable prostheses. Constructed from 100% BruxZir Solid Zirconia, this fully edentulous restoration offers exceptional resistance to chips, fractures and stains while improving chewing and speech function.
Closed Tray Preliminary Impression Consider anterior-posterior spread before moving forward with the BruxZir Solid Zirconia Full-Arch Implant Prosthesis option. Although a closed-tray impression technique is described here, open-tray impressions are acceptable. T ake an implant-level impression, including the palate and vestibules for maxillary impressions.
a. Remove the healing abutments from the implants.
b. Seat the impression copings on the implants and tighten the screws (Fig. 1). Take a radiograph to verify complete seating. Check the impression tray for proper fit.
c. Take an implant-level impression of the edentulous arch (Fig. 2). After allowing the material to set, carefully remove the impression tray, loosen the screws and remove the impression copings.
 Figure 1: Seat the impression copings
d. Replace the healing abutments. e. After attaching implant analogs to the impression copings, carefully replace the impression copings back into the impression.
f. Send in the case with a lab RX that identifies the system
and diameter of the implants.
Note: If the implants are more than 2 mm subgingival, have screw access holes that are too far to the facial, or require an angle correction greater than 10 degrees, an abutment-level restoration is recommended.
Figure 2: Preliminary impression
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BruxZir Solid Zirconia Screw-Retained Hybrid Bridge ®
Verification Jig, Open Tray Final Impression with Custom Tray, and Bite Rim
To ensure a passive fit of your restoration, it is vital to obtain an accurate final impression. You will receive a custom tray and an implant verification jig (IVJ) on a working model. This procedure should be followed to ensure an accurate final impression. Sectioned and numbered implant verification jig on initial model
Verification Jig
Custom Tray for taking second impression, picking up luted verification jig inside impression
Remove the healing abutments from the implants. S eat each section of the jig onto the appropriate implant and tighten the guide pin (Fig.3 & 4).
a. The sections should not be in contact. If necessary, remove one section, minimally trim it with a disc, and reseat it. Each section should have a gap about the thickness of a credit card. Visually verify gaps before luting. L ute the sections together with a suitable material (e.g., Triad® DuaLine® – DENTSPLY; Pattern Resin™ – GC America; Zapit® – Dental Ventures of America or ADDS-IT – American Diversified Dental Systems) (Fig. 5).
a. Allow the material to flow through and completely around
Figure 3 Figure 4 Ensure each jig section fits passively and is securely seated and tightened
the gaps (Fig. 5).
b. Ensure the material is completely cured (Fig.6). c. If any section has a cylinder-implant interface that is
subgingival, a periapical radiograph should be taken to verify complete seating.
d. If any cylinder is not completely seated, the jig must be sectioned in that area, reluted and rechecked until a passive fit is obtained.
e. Check for a passive fit of the Custom Tray (no contact with jig or cylinders) prior to taking the impression (Fig. 7).
Figure 5: Flow light-cured composite around each section
Figure 6: Cure material completely
Figure 7: Ensure passivity of custom tray
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BruxZir Solid Zirconia Screw-Retained Hybrid Bridge ®
Final Impression U sing medium body PVS material, take the final impression with an open-tray technique.
a. Inject impression material under and around the jig to capture the ridge and all anatomical landmarks as for a full denture including full vestibular extensions and the complete palate (Fig. 8).
b. Seat the filled impression tray ensuring the heads of the
Figure 8: Inject impression material under the implant verification jig
guide pins are exposed through the tray (Fig. 9).
c. Once the material has set, remove guide pins and then remove the impression (Fig. 10).
Note: the verification jig is picked-up in the impression. Inspect the impression for the required detail. Reseat and tighten the healing abutments.
Bite Rim
Figure 9: Inject light body around tissue and implant sites then load tray with heavy body PVS and seat tray
You will receive a bite rim from Oral Arts. With the patient sitting up, use conventional denture techniques to achieve accurate jaw relation records. T ake an impression of the opposing dentition and an impression of current denture for study model. S elect the shade and mold of the denture teeth. The study model for the patient’s existing denture can be used as a reference regarding the size and shape of the new teeth. R eturn the case to Oral Arts with the master model, bite rim, bite registration, opposing impression and study model.
Figure 10: Remove tray after removing all guide pins
CAD/CAM PMMA Verification Bridge O ptional – If desired, a provisional CAD/CAM PMMA Verification Bridge with Pink Tissue may be ordered prior to completing the case to be worn by the patient as a screw-retained temporary. Price with implant labor, without implant parts……$330
Figure 11: Seat the bite rim
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BruxZir Solid Zirconia Screw-Retained Hybrid Bridge ®
You will receive a wax setup from Oral Arts. The provisional CAD/CAM PMMA verification bridge will also be included if it was ordered. S eat the wax setup (acrylic base with teeth in wax).
Figure 12: Evaluate wax setup
Evaluate the VDO, CR, esthetics, shade, tooth arrangement, occlusion, phonetics and midline (Fig. 12). If CR is incorrect, a new bite registration should be taken.
Send clinical photos with patient at rest and smiling.
Install the optional provisional CAD/CAM PMMA verification bridge according to Fourth Appointment instructions.
Send in entire case, including the wax setup, opposing model, and lab Rx with reset instructions (if necessary). If a reset is necessary, new bite registration should also be taken (Fig. 13).
Figure 13: Taking a new bite registration (if necessary)
■ FOURTH Appointment Delivery of Final Prosthesis You will receive the final prosthesis from Oral Arts.
Figure 14: Seat the final prosthesis
Remove the healing abutments or the optional provisional CAD/CAM PMMA verification bridge.
Note: Tooth-colored composite or acrylic should be used for access holes in the teeth, while pink tissue or acrylic should be used for access holes in the prosthesis base
Seat the final prosthesis on the implants. H and tighten the prosthetic screws, alternating from one side to the other. Tighten the screws to the appropriate torque per manufacturer instructions. Wait approximately 5 minutes and retorque the screws (Fig. 14).
Figure 15: Confirm occlusion
Confirm the occlusion (Fig. 15). Make adjustments as necessary. Place a small amount of cotton in the screw access holes and fill with light cure composite or acrylic to prevent bacteria build-up (Fig. 16).
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Figure 16: Occlusal view of the final prosthesis in place following sealing of the screw access holes
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Locator Overdenture Locator® Implant Overdentures are fabricated using freestanding Locator Attachments, which are utilized to provide retention and stability in this primarily tissue-borne restoration.
10 Day Turn-Around
Advantages • • •
A tissue-borne, easy and economical solution to improve denture retention and function Low vertical profile, exceptionally durable, and easy to insert and remove Fabricated using freestanding locator attachments and indicated where there is an adequate ridge.
Insurance Codes
• D6110 - Implant/Abutment supported removable denture for edentulous arch – maxillary • D6111 - Implant/Abutment supported removable denture for edentulous arch – mandibular • D6112 Implant/Abutment Supported Removable Denture for Partially Edentulous Arch – Maxillary • D6113 Implant/Abutment Supported Removable Denture for Partially Edentulous Arch – Mandibular
Indications • To retain overdentures or partial dentures in the mandible or maxilla, but most commonly used in the mandible • Adequate ridge as the prosthesis will be primarily tissue-borne with the implants providing retention
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Locator CAD CAM Milled Bar Overdenture 10-14 Day Turn-Around
Locator Bar Overdentures are fabricated using Locator® attachments and CAD/CAM precision milled bars. The Locator Bar Overdenture distributes occlusal loads more evenly across all implants and is indicated for patients with a heavy bite and when the implants have been placed in softer bone; the prosthesis is tissue and implant-borne.
Locator CAD/CAM Milled Bar Overdenture service includes the following: • Precision-milled titanium bar • Four abutments and four attachments • Premium VITA® denture teeth or economy teeth • Labor, model work, analogs, setups, bite blocks, verification jig and try-ins.
Advantages
• Bars are precision milled using surgical grade titanium for exacting fit, extreme durability, and light weight • Bars are fabricated using a computer scan of the full denture setup using CAD/ CAM technology • Available for a wide variety of implant systems • Improves denture retention, function and speech • Package pricing available so no surprises in terms of cost
Indications
• Most common in the mandible • At least four implants in place • Patients with a heavy bite and when implants have been placed in the softer bone
Fabricated by Oral Arts Technicians
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Screw Retained Hybrid Denture Oral Arts’ Screw-Retained Hybrid Dentures are a proven replacement for
10 Day Turn-Around
removable prosthesis worn by edentulous patients that have excellent predictability, esthetics, and function.
Advantages • • • • •
Precision milled implant solution Fixed-removable restorative option Predictable Package pricing Highly functional with lifelike esthetics Hybrid dentures are more stable than conventional dentures, easily repaired, and can be removed by the dentist as needed.
Insurance Codes • D6114 – Implant/Abutment Supported Fixed Denture for Edentulous Arch – Maxillary • D6115 – Implant/Abutment Supported Fixed Denture for Edentulous Arch – Mandibular
Indications • Full arch implant prosthesis for edentulous patients • Patients who have moderate to severe ridge resorption
Titanium Bars are computer designed and milled for optimal fit and function.
Fabricated by Oral Arts Technicians
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Metal Free Preparation Guide
.8mm-1mm Incisal Reduction
.8mm-1mm Facial Reduction
.8mm-1mm Lingual Reduction
Note: BruxZir- Solid Zirconia crowns and bridges only need 0.5mm occlusal reduction since no porcelain will be overlaid Please Note: A stump shade is required for Empress Esthetic, BruxZir Anterior, and IPS e.max cases for accurate final shade results.
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All-Ceramic Cementation Guide Products
Materials
Indications
Cementation
Benefits
BruxZir (Milled Full-Contour
Yttrium Stabilized Zirconia All Vita Shades (1,465 MPa)
Anterior/Posterior Crowns, Bridges up to 2 pontic screw-retained crowns/ bridges, cement retained implant crowns/bridges
Resin-Modified Glass Ionomer, Self Adhesive Resin
Strongest all ceramic crown on the market. Low Cost. Extreme fracture resistance.
BruxZir Anterior (Milled
Yttrium Stabilized Zirconia (650 MPa)
Anterior/Posterior Crowns, Bridges up to 3 units with 1 pontic, Screw-Retained crowns, cement retained implant crowns/bridges
Resin-Modified Glass Ionomer, Self Adhesive Resin
Highly esthetic restorative material with translucency similar to natural teeth and e.max, but stronger.
Yttrium Stabilized Zirconia with e.max porcelain labial
Anterior/Posterior Crowns, Bridges up to 2 consecutive pontics
Resin-Modified Glass Ionomer, Self Adhesive Resin
Improved strength and fracture resistance with Zirconia Occlusal/ Lingual. Maintain maximum esthetic with porcelain labial.
Yttrium Stabilized Zirconia with full coverage e.max porcelain
Anterior/Posterior Crowns, Bridges with 1 pontic
Resin-Modified Glass Ionomer, Self Adhesive Resin
Enhanced esthetics of veneering porcelain, Ability to block out cast posts or dark preps, Longer span bridge capabilities in the esthetic zone
IPS e.max™
Lithium Disilicate Glass Ceramic (400 MPa)
Anterior & Posterior Crowns, Anterior 3 unit bridges, Screw-Retained Crowns, Crowns over Custom Abutments, Inlays & Onlays Veneers
Resin-Modified Glass Ionomer, Self Adhesive Bonding or Resin Bonding
Highly esthetic. 2x strength of Empress. Cementable. Affordable. Eliminates risk of porcelain fracturing from substructure.
Lava™ Ultimate
Resin Nano Ceramic 8 Vita Shades (200 MPa)
Inlays/Onlay, Veneers, Anterior/Posterior Crowns
Resin Bonding
Longer span bridge capabilities in the esthetic zone
IPS Empress Esthetic™ Leucite-Reinforced Glass
Inlays/Onlays, Anterior Crowns, Veneers
Resin Bonding
The most esthetic all ceramic material available. The most translucent option for anterior cases.
CAD/ CAM Oral Temp
Temporary Crowns/ Bridges
Temporary Cementation
Long-term temporary restorations. High biocompatibility. Add fiber reinforcement when needed.
Zirconia)
Full-Contour Zirconia)
BruxZir Occl./Lingual (Full Contour Zirconia with Labial Cutback)
Forte YZr Zirconia/ Lava™ Zirconia (Porc. Fused to Zirconia Occlusal/ Lingual)
Ceramic (160 MPa)
Polymethyl Methacrylate (160 MPa)
*RMGI-Resin Modified Glass Ionomer
Recommended Cements: Resin-Modified Glass Ionomer – Crowns/Bridges (not veneers) • FugiCEM 2, GC America • RelyX Luting Plus, 3M ESPE • Nexus RMGI, Kerr Self-Adhesive Resin – Crowns/Bridges (not veneers) • Panavia SA Cement, Kuraray • RelyX Unicem 2, 3M ESPE • Max Cem Elite, Kerr Resin Bonding- Veneers • Clearfil Esthetic EX Cement, Kuraray • Variolink Veneer, Ivoclar Vivadent • RelyX Veneer, 3M ESPE • Calibra Esthetic Resin, Dentsply Caulk
Komet Lithium Disilicate & Solid Zirconia Adjustment Kit Available at Oral Arts Dental Laboratory
*** In general, lithium disilicate restorations are etched before they are placed. Before restorations are placed with adhesive or self-adhesive cementation materials, they should be conditioned with Silane. *** Do NOT etch Zirconia Restorations. Sandblast and/or use a ceramic primer.
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Pick-Up & Delivery
Oral Arts pays to ship your cases both to and from the lab! At Oral Arts Dental Labs we have always believed it is our responsibility to get your cases to and from the lab at no charge! In many parts of the country we have established regular daily pick-up and delivery routes to better serve our customers. Free shipping in Continental US only. This policy does not apply to overnight deliveries or weekend pickups, where slight additional fees will be charged.
Call our Customer Service department today to see if your office is located along one of our routes. 1-800-354-2075
Areas Served By Direct Pick-Up/Delivery Routes Route 1 Eastern AL - Albertville, Anniston, Boaz, Ft. Payne, Gadsden, Geraldine, Guntersville, Jacksonville, Oxford, Rainsville, Southside
Route 6 Eastern TN - Knoxville, Koda, Maryville, Morristown, Powell
Route 2 Southern TN - Decherd, Fayetteville, Lynchburg, Manchester, McMinnville, Scottsboro, Smithville, Tullahoma, Winchester, Woodbury
Route 7 Huntsville Area - Hazel Green, Madison, Huntsville
Route 3 Western AL & Middle TN - Athens, Decatur, Florence, Killen, Lawrenceburg, Moulton, Muscle Shoals, Pulaski, Rogersville, Russellville, Sheffield, Tuscumbia
Route 8 Memphis Metro Area - Bartlett, Collierville, Cordova, Memphis, Germantown, Olive Branch, MS, Southaven, Whitehaven
Route 4 Western AL - Decatur, Double Springs, Florence, Hamilton, Jasper, Moulton, Muscle Shoals, Red Bay, Russellville, Sheffield
Route 9 Downtown Birmingham - Cullman, Eva, Hartselle, Leeds, Trussville, Downtown Birmingham
Route 5 Nashville Metro Area - Antioch, Belle Meade, Bellevue, Brentwood, Donelson, Goodlettsville, Green Hills, Hendersonville, Inglewood, Lebanon, Mt. Juliet, Nashville
Route 10 Tupelo Metro Area - Aberdeen, Amory, Columbus, Nettleton, Okolona, Starkville, Tupelo, West Point Route 14 Middle TN/South of Nashville - Columbia, Franklin, Lewisburg, Murfreesboro, Shelbyville, Spring Hill, Smyrna
Pick-Up/Delivery Routes for Mobile Lab M1 Mobile Metro M2 Mississippi Gulf - Pascagoula, Moss Point, Gautier, Ocean Springs, Biloxi, Gulfport M3 Eastern Shore - Daphne, Fairhope, Robertsdale, Foley, Gulf Shores, Orange Beach, East Pensacola
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In-Lab Turnaround Free shipping to and from our laboratory!
Crown & Bridge
Model-Less BruxZir, IPS e.max, Lava Ultimate, Oral Temps (when received by 11a.m. CST)................................................. 3 Days BruxZir, BruxZir Anterior IPS e.max............................... 5 Days Lava Ultimate Restorative ................................................ 3 Days Forte YZr, Lava.................................................................... 5 Days Full Cast ................................................................................ 3 Days 1-10 Units PFM .................................................................... 5 Days 11 or more Units ................................................................. 7 Days Select™ 1-12 Units .............................................................. 10 Days Select™ Larger Cases ........................................ Call for schedule Temporaries & Diagnostic Wax-Ups ..................................... 5 Days
Crown & Bridge Rush Charges
24 Hour, In House .................................................. 75.00 per unit 48 Hour, In House .................................................. 50.00 per unit 72 Hour, In House .................................................. 25.00 per unit
Cast Partial Cast Partial Set-Up, Process and Finish ............................. 10 Days Cast Framework .................................................................. 5 Days Cast Partial Bite Rim ............................................................... 7 Days Cast Partial Set-Up for Try-in ................................................. 8 Days
Flexible Partials
Set-Up, Process and Finish ................................................ 6 Days Process and Finish .............................................................. 3 Days Set-Up for Try-In .................................................................. 5 Days Working days do not include pick-up, delivery or mail days.
Dentures & Virginia Partial Set-Up, Process and Finish ................................................ Set-Up for Try-In ................................................................. Process and Finish .............................................................. Bite Rims, Trays and Reline ................................................
5 Days 3 Days 3 Days 2 Days
Removable & Ortho Rush Charge Rush beyond normal time schedule .................. 25.00 per case
Splints & Mouthguards Clear or Colored Comfort H/S .......................................... 5 Days Sports Mouthguards ......................................................... 5 Days AstronClear or AstronColor Splints/IvoBase Splints...... 5 Days
Orthodontics
Ortho Appliances .........................................................
2-7 Days
Sleep Apnea Devices Myerson EMA ...................................................................... 5 Days TAP 3 Elite TL ....................................................................... 5 Days
Implant
Restorations Over Custom CAD/CAM Abutments .... 10 Days Screw-Retained BruxZir Solid Zirconia or IPS e.max Crown ..................................................................................... 5 Days Screw Retained PFM Noble or High Noble White Crown ................................................................................... 10 Days BruxZir Screw-Retained Hybrid Bridge.......................... 10 Days Locator Overdenture on 2 Implants.......................... 3 Days Screw Retained Hybrid Denture on 4 Implants.............. 5 Days Locator CAD/CAM milled bar Overdenture on 4 implants...................................... 10 Days
Payment Terms The statement balance is due and payable by the fifteenth of the month following purchase. A service charge of 1.5% per month (annual rate of 18%) will be applied to any unpaid balance accounts with outstanding balances over 45 days will be subject to C.O.D. status. If you have any questions please contact Kathy Henley at kathy.henley@oralartsdental.com
Limited Warranty/Limitation of Liability
Oral Arts Laboratories (“the lab”) warrants that all dental devices (a “device”) are made according to your specification and approval in the belief that the device will be useful and makes no other warranties including, but not limited to, any implied warranty of merchantability or fitness for a particular purpose. This Limited Warranty and Limitation of Liability (“Agreement”) will be extended with the presentation of a verified proof-of-purchase, which includes an original invoice number/date, patient’s name and the original model. This limited warranty extends only to the original purchaser of a device and does not extend to patients or other individuals and/or entities to whom the device(s) is/are sold, implanted, inserted or delivered. Subject to the return of a device that is placed and then fails, the lab will repair or remake the device without charge for the cost of materials and workmanship or credit the original price paid, at the lab’s option, as follows: (1) porcelain to metal, all porcelain, all metal, single-unit inlay, onlay and crown composite resin final prosthetics (excluding mutually opposing implant- supported full arch bridges), milled implant bars, and screw-retained titanium or zirconia abutments (excluding abutments with angulations greater than 20 degrees), up to seven years; (2) composite resin bridges (excluding Maryland and inlay/onlay bridges) up to five years; (3) dentures and partials including screw-retained dentures but excluding immediate dentures and partials up to one year if the failure is due to defects in materials or workmanship; (4) thermoformed appliances and splints if the failure is due to defects in materials or workmanship, temporaries, composite resin Maryland and inlay/onlay bridges, up to six months; (5) immediate dentures and partials, flippers, retainers, surgical and radiographic guides, and all other dental devices up to thirty days if the failure is due to defects in materials or workmanship. You agree to pay all other costs of adjustment, repair and replacement of a device. Except where prohibited by law, the lab will not be liable for any loss or damages arising from the use of a device, whether direct, indirect, special, incidental or consequential, regardless of the theory asserted, including warranty, contract, negligence or strict liability and if such disclaimer is not permitted by law, the duration of any implied warranty is limited to 90 days from the date of delivery. The lab does not guarantee the performance of independent carriers. Oral Arts will only accept returns of implant parts on un-opened packages with the product in its original condition. The parties to this Agreement mutually agree to waive any and all class actions in favor of mandatory individual arbitration of all claims arising out of, or related to, this Agreement. Any controversy or claim arising out of, or relating to, this Agreement, or the breach thereof, shall be settled by arbitration administered by the American Arbitration Association. The place of the arbitration shall be Huntsville, Alabama and Alabama state law shall apply.
Shipping Policy
Oral Arts pays the cost of shipping your cases both ways! While many labs have instituted shipping charges at least one way we believe that getting your cases to and from the laboratory still remains our responsibility. You have several convenient options when shipping your cases. Choose from our local courier service in areas where applicable, FedEx, or UPS. We will provide you with complimentary airbills, packing materials, and boxes. This policy does not apply to overnight deliveries, weekend pickups, or insurance coverage. In these situations, which, are at doctor’s request, or for accounts outside the Continental U.S., Oral Arts will bill your account for any additional shipping charges that were incurred. For your free shipping supplies within Continental US call us at 1-800-354-2075 or order online at www.oralartsdental.com/order-free-supplies/
FREE Shipping both ways!
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