Moskey & AvaDent® – Providing You Prosthetic Options Never Before Possible

AvaDent® Signature Teeth

It’s the beginning of a new era.

AvaDent Digital Dental Solutions has always provided us the ability to choose moulds from different tooth manufacturers. But now that we are able to choose a completely milled monolithic denture with Signature Teeth™, we are no longer limited to existing pre-manufactured tooth lines and moulds.Sig 1

This brings new opportunities and possibilities in both function and esthetics. There is no need to grind teeth anymore, or add unwanted diastemas to achieve a perfect setup. We merely adjust the tooth design to get the perfect esthetic setup every time.

Our esthetic design options are endless!

We can design teeth all together, in groups, in pairs, or shape each tooth individually to create the perfect natural smile for your patient. Experience complete design freedom from  this fully milled prosthesis.

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Flexible partial

Flexible partials – more flexibles than ever!

In the past flexible appliances were considered temporary because they could not be successfully added to or repaired.  Moskey Dental Laboratory has two products to make “flexibles” less temporary.  Visiclear and Duraflex can be repaired, added to, and adjusted to make short term appliances longer term successes.  How?  Visiclear and Duraflex is a thermoplastic and will bond with itself, unlike Valplast and other nylon based materials. Duraflex and Visiclear allow us to keep thickness to approximately 1 mm for a comfortable, lightweight, yet retentive appliance.

Duraflex is a tissue shaded material that comes in four shades; pink, medium pink, dark pink, and tissuetone pink.

Visiclear is just that, a barely visible material due to its clear structure.  It allows the underlying tissue and enamel to show through the material for a better esthetic result.

Visiclear flexi-uni2

The “Flexi-uni” (flexible unilateral) is a great alternative to the traditional bulky and unstable flipper. It snaps into place and stays there until the patient takes it out. It can be used to replace anterior or posterior teeth, and is a great alternative to the often bite-opening Essix appliance as an implant healing temporary.

Both materials share the same intra oral requirements as other flexible and partial denture designs:

1.  a minimum of 4mm of inter-arch clearance to allow for denture base thickness and prosthetic tooth  positioning with properly formed diatorics.

2.  desirable undercut in the gingival one-third of the abutment teeth as the retention is in the form of “wings” (as opposed to clasps) that engage the buccal undercut at or near the cervical margin. Such placement improves retention and esthetics. In certain cases we may extend an appliance posteriorly to engage available lingual undercuts.

3.  an anterior and posterior abutment for unilateral appliances.

4. standard or premium denture teeth, as economy teeth may not withstand the   pressure during processing.

Anything less requires a different treatment plan.

Patient care of their Duraflex/Visiclear appliance:

  1. These materials are stain resistant and may be cleaned with any over the counter denture cleaner.
  2. Brushing the appliance is not recommended and should not be required, but if it becomes necessary only use a very soft bristle tooth brush.

Just click here to send us a case today.

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WHY DIGITALLY MILLED DENTURE BASES FIT BEST – The AvaDent Difference

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Conventional acrylic processing has always been a challenge due to three issues that affect the fit of denture bases. The three issues are:

1. thermal expansion and contraction of acrylic
2. recovery distortion occurring in deflasking
3. adaptive accuracy

Thermal expansion and contraction occurs during the process of curing and cooling acrylic. Acrylic can be cured in a one stage process at 158°F for 8 hours, or a two stage process at 1.5 hours at 158°F and the second stage is 212°F for 30 minutes. The flask is then slowly cooled to room temperature. If the flask is cooled too rapidly it will cause stress in the acrylic resulting in the acrylic base no longer fitting flush against silicone or gypsum products.

Recovery distortion is a common technique problem. Improperly de-flasking a denture can cause distortion of the denture base. Common errors are not using a flask ejector, using a hammer on the knockout plate and outer investment, and prying the denture off the cast with a knife or pneumatic chisel. Processed acrylic is easily removed from the denture if the application of tin foil substitute is used correctly.

Adaptive accuracy is where the acrylic base fits the cast and mouth without shifting or dislodgement. The critical points of adaptive accuracy are: the alveolar ridge, flanges, anterior palate, and glandular tissue. Glandular tissue is the anatomical region where the posterior seal is placed. If the impression material is too viscous, or too much pressure is used in custom tray or denture placement it will affect the seating of the denture base in the posterior area.

The Avadent digital milled denture addresses and corrects all three processing concerns! First, there’s no human involvement so there can be no human error. Thermal expansion/contraction is eliminated because the denture base is milled at room temperature from a pre-manufactured solid acrylic puck that is created under extreme pressure to ensure density and stability.

Recovery distortion is eliminated because the gypsum products have been eliminated – there’s no flask so no de-flasking.

Adaptive accuracy is increased because Avadent provides the correct impression materials that matches the resiliency of mucosa and doesn’t compress or displace the tissue, providing the most accurate denture base ever made.

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WEBINAR – AvaDent Digital Dentures

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Moskey Crowns Crime Catching Canine

Moskey Dental Lab chosen to fabricate crowns for Sheriff Department’s canine corp

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Lab Management Today – May 2013

Killian, a German Shepard with the Ashtabula County Sheriff’s office in Ohio had a habit of chewing on his metal bowl. As as result he damaged his four canine teeth. Killian’s veterinarian asked her father, a dentist, to perform four root canals, and he chose Moskey to fabricate the crowns. He had relied on Moskey’s expertise in dentures, implants, and in digital crown and bridge for many cases, but did not know whether they had experience with animals. As it happens, they did!

Read the article by clicking on In LMT-May2013-Moskey.

 

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Neutral Zone

We’re Biased Toward the Neutral Zone               

The neutral zone is defined as the area where the forces of the tongue pressing outward are neutralized by the forces of the cheeks and lips pressing inward. Within this space is where natural teeth are positioned.

Prosthetic teeth in a complete denture must be placed in this zone also.  Doing so will stabilize the position of the denture base to the alveolar ridge.  This is relatively cut and dried when the patient has a Class I Angle’s classification. But what if the patient has an overbite (Class II) or underbite (Class III)?

Patients have a tendency to request a more “normal” (Class I) looking prosthetic tooth arrangement. We respectfully suggest that you ignore the patient’s wishes for the following reasons:

Forcing a Class II into a Class I tooth arrangement will create an anterior cantilever on the mandibular denture and at the least, cause it to easily dislodge. When opposing a maxillary complete denture this cantilever situation will constantly compress the maxillary alveolar ridge and over time cause the maxillary denture and possibly the maxilla to fracture.

Forcing a Class III into a Class I tooth arrangement will crowd the patient’s tongue, and the mandibular denture will easily and often become dislodged in the posterior.

Class III relationship

Class III relationship as received from Dr.

Attempted “fixes” of processed dentures with neutral zone violations are often:

relines or rebases in an attempt to stabilize the denture (that was probably well adapted in the first place) for Class II violations,

denture liners and conditioners in an effort to ease the pain of the compressed incisive papilla and crest of the ridge for Class III violations.

All the relines, rebases, liners, and conditioners will not fix violations of the laws of dental physics.

Complete dentures must be set in the neutral zone with the correct teeth for the Angles Class as follows:

Angle Class I  Normal – occlusal cusp inclination 20-33 degrees

                Angle Class II Overbite –  occlusal cusp inclination 10 degrees

Angle Class III Under bite – occlusal cusp inclination 0 degrees

It is our responsibility to advise a dentist when the “Neutral Zone” or Angle’sClassification is violated. It is as important for dentures to function properly as to be esthetically pleasing.

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Dedicated to Serving You

Moskey Dental Laboratories is dedicated, first and foremost, to you. The customer. Our goal is to help you reduce patient chair time and deliver an exceptional patient experience.

We have served thousands of dentists since 1924 and, like a good wine, we have only gotten better with age. Our key advantages include:

  • We’re all digital
  • Quick turnaround times
  • Full-service capabilities
  • We are experts in our field

We serve numerous fee-for-service dental practices, as well as offer an economy line of restorations. We are long-time participants in the national Donated Dental Services program that caters to the essential dental care needs of our nation’s most vulnerable people, including the disabled, the elderly and the medically compromised.

Want to know more? Check out the full line of products and services we offer!

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