Smart Choice Dental Laboratory, authorized Lava™ milling center, is now offering Lava™ Ultimate Restorative. Made with resin nano ceramic technology by 3M ESPE this unique restorative is fracture-resistant and natural looking. Lava™ Ultimate is indicated for posterior single crown restorations. Use it with confidence anywhere you would use glass ceramic. Some of the benefits include;

 Backed by a ten-year warranty!
 Shock obsorbency cushions against chewing forces
 Especially advantageous for crowns over implants
 Easy to polish and adjust… work on it just like you work on real tooth structure!

Truly the Ultimate Restorative Material!

Smart Choice Survey Available Here Online

Smart Choice Dental Lab is committed to providing superior customer service. Please take a moment to complete our new survey by clicking on the “Doctor Survey” button in the upper right of our Smart Choice home page. Your answers and comments will tell us how you expect to receive new product information and promotions as well as tell us how we are doing. After you complete the survey just click on the “submit” button and your answers will be sent to our inbox. Thank you for taking the time to help us make doing business with Smart Choice Dental Lab the best possible experience.

Smart Choice has joined Dental Arts Laboratories, Inc. (DAL)

With pride we announce that Smart Choice Dental Laboratory has joined the Dental Arts Laboratories, Inc. (DAL) family of laboratories. This merger is effective immediately and means you and your patients can now benefit from the quality and combined range of services that both DAL and Smart Choice have been providing to the dental community for many years.
Both laboratories place a high priority on quality and service. You can be assured that this aspect of our relationship will remain unchanged. Tom and his entire staff will continue to serve your practice with the same friendly, professional level of service and consistent, high quality of work you have come to expect.
We hope you will share in our excitement at this new level of service offered to dental professionals across the United States. Tom and his years of experience will be a tremendous contribution to DAL’s continued efforts to enhance the level of quality dentistry. If you have any questions about this merger, please feel free to contact us.
Thank you for your past and future support. We look forward to continuing our personal pledge to you of better service to dentistry.

Captek Nano

Captek Nano materials provide a unique, and arguably the best, restorative solution for implants, crowns over endodontically treated teeth, patients at risk for periodontal disease, and many other clinical challenges you face. The new stronger Captek Nano formula is perfectly designed into three solution-specific thicknesses that will maximize results in all areas throughout the mouth. A thicker, tougher version is utilized for high stress situations while an ultra-thin version is available for breathtaking anterior esthetics.
Captek Nano-Capillary Casting Technology is a new approach to ceramometal restorations. Using a refractory die technique, two layers of a metal-impregnated wax are placed on the die. The first layer, Captek P, contains a gold-platinum-palladium combination. The layer is press-fit to the die and trimmed at the margin. The die is then fired in a porcelain furnace producing a high-platinum, high-palladium coping that contains a microscopic capillary network. The second layer, Captek G, is 97% gold and is press-fit to the die and trimmed over the Captek P coping. This is then fired in a porcelain oven. The molten Captek G is drawn into the capillary network of the Captek P to totally encapsulate the gold-platinum-palladium combination within the gold. The final Captek Nano coping is a high strength metal composite with a deep yellow-gold appearance.

Lava Plus 3M ESPE

Smart Choice Dental Laboratory is now milling the 3M ESPE Lava Plus High Translucency Zirconia. Due to the unique shading system, we can fabricate solid zirconia monolithics or porcelain fused to zirconia restorations. Compared to Lava, the Lava Plus Zirconia has significantly higher translucency without giving up strength. Additional benefits include;
* Any shade and any gradient
* Excellent color match to VITA classical shade guide
* Only zirconia system with a conversion to most common VITA SYSTEM 3D Master

News from Smart Choice Dental Lab

Greg Samms, Operations Manager

Operations Manager, Greg Samms, is at the core of the business here at Smart Choice Dental Lab. Even when the situation gets hectic Greg manages to keep his keen sense of humor. Greg is always looking for ways to make sure each customer has a positive experience when they have contact with Smart Choice Dental Lab. He is also the “go to” guy and is always willing to go out of his way for his fellow team mates. He takes care of business and keeps us laughing.
Greg graduated from Temple University, Philadelphia, PA and is married to Angie who owns her own screen printing business. Greg and Angie enjoy spending time with their 3 dogs Otis, Ellie and Bella. Hockey is a favorite sport of Greg’s and he plays year ’round. He also enjoys some golf and softball whenever he can.
Please give Greg a call. He will be sure to get you the answers you need on any of the crown/bridge or removable products that Smart Choice Dental Lab offers.

Lucy Hobbs-The First Female Dentist

Lucy Beaman Hobbs Taylor was born on March 14, 1833 in Constable (Franklin County), New York at a time in our nation’s history when the expected role of women was narrowly limited to motherhood or to a typically “spinsterish” occupation such as teacher or nurse.

Even early in her life, however, Lucy showed little interest in doing the expected. She taught school for 10 years in Michigan but held a steadfast ambition to pursue advanced medical study. In 1859 she moved to Cincinnati. Because of her gender, she was turned down for admission to the (by today’s standards oddly misnamed) Eclectic College of Medicine, but this did not stop her from taking up private studies with one of the school’s professors. At his suggestion, she turned to dentistry. Again becoming a private pupil, she pursued this profession under the guidance of the dean of the Ohio College of Dental Surgery and later apprenticed herself to a graduate of the school. After being refused admission to the dental college — again because of her gender — she opened her own practice at the age of 28 in Cincinnati in the spring of 1861. She later moved her practice to Bellevue, Iowa (1862) and thence to McGregor, Iowa (1862-1865). In time, she came to be known by what sounded like a translated Native American name — “the woman who pulls teeth.”

In July 1865, as an indication that Lucy had proven herself a worthy equal to her male colleagues, the Iowa State Dental Society accepted her as a member and in fact sent her as a delegate to the American Dental Association convention in Chicago. In November 1865, after serving patients for four years in her own dentistry practice, she was admitted to the senior class of the Ohio College of Dental Surgery.

Receiving credit for her years of professional practice from a small but devoted group of admirers, she earned her degree only a few months later, in February 1866. Lucy Hobbs thus became the first woman in U.S. (and probably world) history to earn a doctorate in dentistry. While later practicing in Chicago, she met and married Civil War veteran and railway maintenance worker James M. Taylor in April 1867. Under his wife’s guidance, he too became a dentist.

Late in 1867, the Doctors Taylor moved to the western town of Lawrence, Kansas, where they soon established a large and successful practice. Although the Taylors themselves did not become parents, much of their practice focused on women and children. Many patients referred to the highly respected woman as “Dr. Lucy.” After her husband’s death in 1886, she retired from most of her professional duties but remained active in civic and political causes, including the woman’s suffrage movement. She gained recognition by her peers and fellow citizens as a pioneer in opening the doors for women to dentistry. By the turn of the century, almost one thousand women were welcomed to the profession — a sign of immense progress for which Lucy Hobbs Taylor could take considerable credit.

Of her career in Kansas, Dr. Taylor wrote, “I am a New Yorker by birth, but I love my adopted country — the West. To it belongs the credit of making it possible for women to be recognized in the dental profession on equal terms with men.”

This courageous and determined pioneer died in Lawrence on October 3, 1910 at the age of 77. In her obituary in the local Lawrence newspaper, she was recognized as “one of the most striking figures of Lawrence [who] occupied a position of honor and ability, and for years she occupied a place high in the ranks of her profession.”

Since 1983, the American Association of Women Dentists has recognized outstanding females in the profession by annually bestowing the Lucy Hobbs Taylor Award. The AAWD describes this honor as “the highest and most prestigious award that the AAWD presents to one of its professional members. This award recognizes a woman dentist who has contributed to the advancement, enrichment, and betterment of the role of women in the field of dentistry through her achievements in civic, cultural, humanitarian and academic areas.”

Interestingly, the Lucy Hobbs Taylor Award for the year 2000 was presented in Chicago on October 15, the day following the opening of this exhibit in Lawrence to donors and guests. The winner that year was Dr. Barbara Mousel. This date also falls very near the date of Lucy Hobbs Taylor’s passing (October 3) and near the birthday of Vance Roberts (October 11). Additional websites providing information about Taylor can be found through a search of her name in the Google search engine.

*From the Kansas State Historical Website

Removable Partial Dentures “RPD”

Removable Partial Dentures with cast metal frameworks are probably one of the oldest forms of dentistry. Originally, the frameworks were made out of wrought (hammered) silver. One of the most famous American dentists was Paul Revere who was a silversmith when he wasn’t fighting redcoats.

This type of partial denture offers numerous advantages. The frameworks are cast to fit the teeth. Since they sit on the teeth, as well as being attached to them, they are extremely stable and retentive. The teeth have been altered slightly beforehand in order that the partial denture can rest upon them without interfering with the way the patient bites the teeth together.

The metal framework does not contact the gums. Thus, as the gums resorb, this type of partial does not sink with them and rarely requires relines. Because the teeth are altered by the dentist beforehand, there are fewer limitations in the placement of clasps, and they are less likely to be seen than the wrought wire clasps of the treatment partial. Modern frameworks are cast from an extremely strong alloy called chrome cobalt which can be cast very thin and are much less likely to break than the all plastic variety. They are also much less noticeable to the tongue.

The largest single advantage that cast metal framework partial dentures have is that sore spots are almost never an issue since neither the framework, nor the plastic extensions contact the soft oral tissues with any force! Patients who exhibit the symptoms of TMJ, or who are known bruxers are much better off with cast metal partials than with flexible framework partials.

Consequences of posterior tooth loss

1. It stimulates bruxing which leads to TMJ.

2. It tends to “collapse the occlusion” ( decreases the vertical dimension) which means that the Jaw on that side must close a bit further in order to get the teeth to touch. This pushes the ball joint of the jaw further into its socket causing injury to structures within the joint.

3. The tilted angles of the biting surfaces means that biting forces are no longer parallel with the long axis of the tooth (straight up and down the root of the tooth. This puts extra pressure on the bone which supports the tooth and tends to cause loss of the bone. This is a localized form of gum disease that over a period of years may ultimately lead to the loss of the tilted teeth.

4. The tilted and extruded position of the teeth place the contacts between these teeth and the adjacent teeth in unusual positions. The contact between the teeth is the place where decay is most likely to occur because it is a place where plaque tends to build up. Decay in unusual positions on the teeth is called “ectopic caries”, and it is generally quite difficult to repair without striking the nerve. When this happens, it becomes necessary either to extract the tooth or to perform a root canal procedure in order to avoid a toothache.

5. It makes it more difficult and expensive to replace the missing tooth later due to the poor position of the surrounding and opposing teeth.

Note that the loss of a back tooth, even if there are more teeth behind the space, does not always lead to the leaning and extrusion of the remaining teeth. If all of the teeth adjacent to the extracted tooth, as well as all teeth in the opposite arch make firm, stable contact with teeth in the opposing arch, and as long as at least half of the occlusal table (the top, chewing surface) is in stable contact with teeth in the opposing arch, then there is little likelihood of major tooth movement. This is especially true if the patient does not tend to have bruxing (grinding and clenching) habits.

What is Dental Zirconia?

Originally Written by Scott Atkin Re-posted from Zirconia blog)

Zirconia (Zirconium Oxide) is a white powdered metal used to create dental frameworks for crowns, bridges and other dental substructures. It replaces gold or stainless steel used in the past, creates the appearance of a whiter more translucent tooth, and is transparent in xrays. Zirconia has been in use in cosmetic dentistry for many years to acheive the most aesthetic result possible, but has more recently become widely accepted as the dental material of choice.

Several types of crowns and bridges that have been used in the past:

All Metal Crowns: In the past, some crowns in the anterior region were all-metal, either gold or stainless steel. However, as porcelain has become stronger in recent years, all-metal crowns are generally not used.

Metal-Plastic Crowns: Metal-Plastic crowns are the least expensive crowns used today, although they are rarely used in the United States because the plastic coating tends to change color over time.

Metal-Porcelain Crowns: These are the least expensive crowns and most popular crowns created over the past 10 years. The disadvantage is that the metal must be covered with an opaque porcelain to try to hide the dark metal color, so the tooth does not look real. While metal crowns are not preferred by most US dentists, gold substructures are often used when the crown needs to be thin, which might be too brittle for an all-porcelain crown.

All Porcelain Crowns: All porcelain crowns are increasingly popular, particularly in cosmetic dentistry and especially since new porcelain materials are harder than past materials which had a tendency to break or chip. All porcelain crowns are the most expensive type, sometimes costing twice as much as a metal-porcelain crown. They are a much better choice than metal for front teeth, but because they are more fragile than metal or zirconia substrates, all-porcelain is not a good material for anterior teeth or large bridges which might be subject to more pressure.

Zirconia Crowns: Zirconia is the best material available for bridges and for creating a strong translucent tooth that rivals all-porcelain crowns. Zirconia crowns are significantly less expensive than all-porcelain crowns, and about the same price as gold-based metal-porcelain crowns (slightly higher than stainless steel). Also, because zirconia substrates can be milled with a laser milling machine, the substrates tend to fit better and are less labor-intensive than either a metal-procelain or all-porcelain solution, providing a superior product with a quicker turn-around at a lower cost.