CDA - Creation Dental Arts
 

Diagnostic Case Planning Services

CDA is dedicated to our role as your partner in providing predictable, high esthetic restorative solutions.  That’s why we are committed to continuing education with organizations such as The Kois Center, Great Blue Heron Study Club, Nobel Biocare Continuing Education and Dr. Brad McPhee’s Dental Collegium.  This commitment means you are working with a staff of extensively trained technicians using the most progressive case design strategy

Our clinical expertise is applied to our Diagnostic and Case Planning Services.  Proper case planning is an essential component of successful treatment strategy and enables you to achieve consistent, predictable results.  Whether you are prescribing a full arch case or a single tooth replacement, pre-treatment planning can provide the most customized approach to your patients’ needs and can assist you in proper material selection.  CDA is trained and highly experienced in offering you the following tools to assist you in all phases of planning.

 Mounted Diagnostic Casts
 CDA will mount your casts and die pin the model to allow you to analyze each tooth’s function in the treatment plan.
 Diagnostic Wax-up
 A diagnostic wax-up is prepared on a stone model detailing the design for proper function and tooth form.  The diagnostic wax-up is fabricated with traditional diagnostic monochromatic wax.  Patients can literally see their new smile and you can ensure more predictable results with this proper case planning tool.

Single Tooth Implant Provisionals
If preferred, CDA can supply you with a custom implant temporary fabricated from your pick-up impression or create one from a custom matrix created at the time of insertion.  Please call if you have questions regarding this procedure.

Preparation Template
A preparation template can be fabricated from the diagnostic wax-up using a transparent plastic.  This template can be used to visually measure tooth reduction for predictable results.  Simply seat the template over the prepared teeth to ensure adequate clearance has been provided for the technician to fabricate the case.
 
Putty matrix for Chairside Temps
 
Additionally, a putty matrix can be prepared of the diagnostic wax-up for easy and predictable fabrication of chairside temporaries.
 
For complete information as well as a step-by-step chairside technique, please refer to our Diagnostic Case Planning Services Tech Sheet.
 


Custom In-Lab Shades

You can be confident your patients will feel comfortable and at ease in our lab when having a custom shade.  We use the X-Rite Shade Vision System to take precision optical measurements.  This handheld device responds to light in a manner similar to that of the human eye.  The shade-matching instrument is able to accurately identify the shade of the tooth by measuring the tooth in terms of hue, value and chroma and provides an accurate detailed image.

 http://www.xrite.com/

 

Procera Alumina and Procera Zirconia

Procera Alumina and Procera Zirconia offer you two proven all-ceramic restorations that combine the vital, translucent esthetics of an all-ceramic with the strength and durability of a PFM. The Procera system provides two levels of core selection and material strength – The original aluminum oxide core of 687 MPa’s of flexural strength and the newer Zirconia core with 1158 MPa’s of flexural strength.

Procera Alumina is composed of densely sintered high-purity aluminum oxide that is available in two layers of thickness – .4mm for anteriors and .6mm for posteriors. Procera Zirconia, made of yttria stabilized zirconium (YSZ), provides almost twice the strength of the original alumina. In addition, it can be placed anywhere in the mouth and can accommodate bridges up to 14 units. For compete information, please refer to our Procera Tech Sheet.

Indications
Procera Alumina – single crowns (bicuspid forward)
Procera Zirconia – single crowns (all areas) and bridgework up to 14 units

Contraindications
Not recommended when bruxism and/or periodontal problems exist

Cementation
Traditional cementation or adhesive bonding

Preparation Guidelines
For preparations guidelines, please refer to our Preparation Guidelines Tech Sheet.

For more information: http://www.nobelbiocare.com/



IPS Empress Esthetic and IPS e.max

In many cases, an all-ceramic restoration that is stronger than stacked porcelain is needed to achieve the ideal esthetic result. Pressed ceramic is ideal in these situations. Our recommendation for pressed glass restorations is IPS Empress Esthetic and the new IPS e.max porcelains.

IPS Empress Esthetic remains the ultimate leucite reinforced pressed glass ceramic, featuring a broader range of ingot shades and layering porcelains. It continues to be the ultimate benchmark for highly esthetic pressed porcelain veneers, inlays/onlays and single tooth replacements (bicuspid forward).

The new IPS e.max system now broadens the spectrum of ceramic IPS alternatives, providing the ultimate in metal-free esthetics with a single (universal) overlay porcelain that can be layered or pressed to the higher strength core materials of lithium disilicate and zirconia.

Indications
IPS Empress Esthetic – pressed porcelain veneers, inlays/onlays and single crowns (bicuspid forward)
IPS e.max – layered porcelain veneers, single crowns and bridgework up to 4 units

Contraindications
Not recommended when a more conservative option (stacked) can be used as it requires a minimal preparation of 1.0mm

Cementation
Enamel-dentin adhesive bonding system

Preparation Guidelines
For preparation guidelines, please refer to the IPS Empress Esthetic/IPS e.max Prep Guide.

  Lava Zirconia

The Lava All-Ceramic System from 3M ESPE is an innovative CAD/CAM technology for all-ceramic crowns and bridges on a zirconium oxide base. The esthetics and biocompatibility of Lava restorations represent the optimum in all-ceramic systems.

Lava preparations require removal of less tooth structure and cementation can be accomplished using proven, conventional techniques. Colorable frameworks that are thin and translucent ensure a natural and vital appearance. Lava provides one of the most durable and esthetic all-ceramic restorations.

Indications
Single crowns and bridgework up to 3-4 units for the anterior and posterior region

Contraindications
Not recommended with a feather edge preparation, as it does not provide adequate room for porcelain build-up, or the trough/”gutter” shoulder because of scanning error potential

Cementation
Traditional cementation or adhesive bonding

Preparation Guidelines
For preparation guidelines, please refer to the Preparation Guidelines Tech Sheet.

 

 
  CDA Gold Crowns

Gold is the precious metal that has captured the imagination since ancient times and it continues to be the preferred choice for restorations by both patients and clinicians due to its longevity, durability and biocompatibility. We offer several gold types, from noble white and yellow to high noble white and yellow. Our most requested gold restoration is our high noble yellow 58% gold.

In addition, we carry several highly biocompatible alloys for unique cases. Please call to discuss options and/or alternatives to our basic alloys.

 

 
  Implant Prosthetics

Our specialized implant department provides you with the some of the most experienced technical resources in the Pacific Northwest for all phases of implant reconstruction. We provide a team of technicians who are trained in the prosthetic procedures for all of the leading implant manufacturers. And for your case planning requirements, we have a full-time implant specialist to assist you with restorative design options, price quotations and parts ordering.

 

 
  Fixed Implant Prosthetic Services

CDA provides you with a wide assortment of abutments and restorative options to meet the individual needs of your patients. We restore implants from the following systems: Straumann, 3I, Astra, Nobel, Camlog, Zimmer and others.

Abutment Selection: Pre-machined titanium, pre-machined zirconia, custom cast UCLA, CAD/CAM titanium and CAD/CAM zirconia

Implant Crown and Bridge Restorations: PFM’s, Lava Zirconia, Procera Zirconia, Procera Alumina, IPS Empress Esthetic, IPS e.max Pressed Glass and Lithium Disilicate, and full gold crowns

 
 
 

Procera Titanium / Zirconia Abutments and Crown / Bridgework from CDA

 CDA provides you with the exact precision of the new NobelProcera Optical Scanner.  With this scanning unit, we can design screw-retained or cement-retained single units and bridgework up to 14 units.  The single units and the bridgework are milled from solid pieces of zirconia to ensure defect-free surfaces, excellent fit and flexural strength of 1200 MPa’s.

 

 
  Atlantis Abutments from CDA

Contrary to stock abutments, patient-individualized Atlantis abutments go into place without a need for adjustments. So you can depend on a superior fit with customized esthetics with every case. Available in:

Custom Made in Titanium
Includes Atlantis Abutment in titanium, titanium abutment screw, soft tissue model and implant analog

Custom Made in Titanium with GoldHue
Includes Atlantis GoldHue abutment, titanium abutment screw, soft tissue model and implant analog

Custom Made in Zirconia
Includes Atlantis Abutment in zirconia, titanium abutment screw, soft tissue model and implant analog

CDA Final Crown with Atlantis Zirconia Abutment