Fixed

several prosthetic teeth

Fixed dental appliances are custom-made restorations designed to replace or restore missing or damaged teeth permanently. They can include: crowns, bridges, and implant-supported prosthetics. Unlike removable devices, these restorations are securely cemented or attached to natural teeth or dental implants, offering long-lasting stability, function, and aesthetics. At Pan-Am Dental Lab, we use advanced materials and precision fabrication techniques to ensure each fixed appliance fits comfortably, blends seamlessly with the patient’s natural dentition, and withstands daily chewing forces. By combining craftsmanship with cutting-edge technology, we help dental professionals provide patients with durable, natural-looking smiles they can trust for years to come.

Pan-Am Dental Lab offers the following dental materials for fixed dental appliances:

  • IPS E-Max Press
  • IPS E-Max CAD
  • Full Zirconia
  • Porcelain Fused to Zirconia
  • Full Cast
  • PFM
Material Strength Aesthetics Advantages Ideal Cases
IPS e.max® Press ~500 MPa Excellent translucency, lifelike appearance Superior aesthetics, high strength, versatile, biocompatible, precise press technique Anterior/posterior crowns, veneers, inlays/onlays, short-span bridges, cosmetic smile makeovers
IPS e.max® CAD ~530 MPa Excellent, wide range of shades Digital workflow efficiency, same-day dentistry, minimally invasive, strong and aesthetic Single crowns, veneers, inlays/onlays, implant crowns, chairside CAD/CAM restorations
Full Zirconia Very high (>1000 MPa) Good (newer translucent zirconia improves appearance) Exceptional durability, fracture resistance, long-lasting, biocompatible Posterior crowns/bridges, bruxism patients, implant-supported crowns/bridges, large-span bridges
Porcelain Fused to Zirconia (PFZ) High (zirconia substructure) Excellent (porcelain layering provides translucency) Combines zirconia strength with porcelain aesthetics, stable and natural looking Anterior crowns/bridges, posterior crowns needing aesthetics, implant-supported restorations, full-mouth makeovers
Full Cast (Gold or Alloy) Extremely high Low (metallic appearance) Decades of proven success, conservative prep, biocompatible, highly durable Posterior crowns/bridges, bruxism patients, limited space cases, long-span bridges, function over aesthetics
Porcelain Fused to Metal (PFM) High (metal substructure) Good (porcelain provides aesthetics but less lifelike than all-ceramic) Reliable strength, cost-effective, long clinical track record Posterior crowns/bridges, long-span bridges, anterior crowns, implant restorations, patients seeking balance of cost, strength, and aesthetics

IPS e.max® Press: Precision, Strength, and Beauty in One Material

IPS e.max® Press is a high-strength lithium disilicate glass-ceramic, trusted by dentists worldwide for creating lifelike, durable restorations. Known for its exceptional aesthetics and impressive flexural strength of approximately 500 MPa, it is ideal for crowns, veneers, inlays, onlays, and short-span bridges. This material offers a unique combination of translucency and strength, allowing restorations to mimic the natural enamel while delivering long-term reliability.

Advantages of IPS e.max® Press:

  • Superior Aesthetics: Highly translucent, customizable shades for a natural look.
  • High Strength: Excellent fracture resistance for long-lasting performance.
  • Versatility: Suitable for a wide range of fixed restorations, from veneers to bridges.
  • Biocompatibility: Gentle on surrounding tissues, ensuring patient comfort.
  • Precision Fit: Press technique delivers accuracy and minimal adjustments chairside.

Ideal Cases for IPS e.max® Press

IPS e.max® Press is an excellent choice for patients seeking both durability and natural aesthetics in their restorations. It is ideal for:

  • Anterior Crowns & Veneers: Where lifelike translucency and shade matching are critical.
  • Inlays & Onlays: For conservative, high-strength solutions that blend seamlessly with natural teeth.
  • Short-Span Bridges: Especially in the anterior or premolar regions where aesthetics are a priority.
  • Implant-Supported Restorations: Providing a natural finish while withstanding daily function.
  • Cosmetic Smile Makeovers: For patients who demand superior aesthetics with reliable strength.

With its versatility, IPS e.max® Press is well-suited for cases where beauty cannot be compromised, but long-term performance is equally essential.

IPS e.max® CAD: Strength and Aesthetics with Digital Precision

IPS e.max® CAD is a lithium disilicate glass-ceramic specifically designed for CAD/CAM fabrication, offering a perfect balance of beauty, strength, and efficiency. With a flexural strength of approximately 530 MPa, it provides exceptional durability while maintaining the translucency needed for highly aesthetic results. The pre-crystallized “blue state” allows for fast, accurate milling, and after crystallization in a ceramic furnace, the restoration achieves its final shade, translucency, and strength.

Advantages of IPS e.max® CAD:

  • Digital Workflow Efficiency: Perfect for chairside or lab-based CAD/CAM systems.
  • High Strength & Durability: Withstands everyday chewing forces with long-term reliability.
  • Outstanding Aesthetics: Natural translucency and a wide range of shades for lifelike results.
  • Conservative Preparations: Allows for minimally invasive restorations without compromising strength.
  • Versatility: Suitable for both anterior and posterior restorations.

Ideal Cases for IPS e.max® CAD:

  • Single Crowns: In anterior or posterior regions where both strength and aesthetics are essential.
  • Veneers: Precision-milled for perfect fit and superior beauty.
  • Inlays & Onlays: Conservative, strong restorations that blend seamlessly with natural dentition.
  • Implant Restorations: Highly aesthetic crowns on implant abutments.
  • Chairside Same-Day Dentistry: Ideal for practices offering same-day crown delivery via CAD/CAM systems.

IPS e.max® CAD is the go-to solution for dentists who want the precision and speed of digital dentistry combined with the unmatched beauty and reliability of lithium disilicate.

Full Zirconia: Strength and Reliability Without Compromise

Full zirconia restorations are crafted from monolithic zirconia, a material known for its exceptional durability and fracture resistance. Unlike layered ceramics, full zirconia crowns and bridges are milled from a single block, making them nearly unbreakable under normal chewing forces. Modern full zirconia also offers enhanced translucency, which allows for improved aesthetics while still delivering unmatched strength.

Advantages of Full Zirconia:

  • Superior Strength: Highly resistant to chipping, cracking, and wear.
  • Longevity: Exceptional durability ensures long-lasting restorations.
  • Biocompatibility: Gentle on surrounding tissues and safe for long-term use.
  • Precision Fit: CAD/CAM technology ensures accurate margins and minimal chairside adjustment.
  • Improved Aesthetics: Newer translucent zirconia options provide a more natural appearance than traditional opaque zirconia.

Ideal Cases for Full Zirconia:

  • Posterior Crowns & Bridges: Perfect for molar regions where strength is the top priority.
  • Patients with Bruxism: Withstands heavy grinding and clenching forces.
  • Implant Restorations: Provides durability and stability for implant-supported crowns and bridges.
  • Large Span Bridges: Ideal for replacing multiple teeth where structural integrity is critical.
  • Situations Where Aesthetics Are Secondary to Strength: Such as posterior teeth not visible in the smile line.

Full zirconia restorations are an excellent option for dentists who want a virtually indestructible material that still delivers reliable function and a natural-looking result.

Porcelain Fused to Zirconia: Strength Meets Aesthetics

Porcelain fused to zirconia (PFZ) restorations combine the unmatched strength of zirconia with the lifelike beauty of porcelain. A durable zirconia substructure provides the core framework, while layers of porcelain are applied to create natural translucency and aesthetics. This makes PFZ a reliable option for cases that require both high durability and an enhanced cosmetic result.

Advantages of Porcelain Fused to Zirconia:

  • Superior Strength: Zirconia core offers excellent fracture resistance, ideal for high-stress areas.
  • Enhanced Aesthetics: The porcelain overlay provides natural translucency and shade matching, closely mimicking natural teeth.
  • Biocompatibility: Safe, tissue-friendly materials for long-term oral health.
  • Versatility: Suitable for both anterior and posterior restorations.
  • Durability with Beauty: Combines the resilience of zirconia with the artistry of porcelain for the best of both worlds.

Ideal Cases for Porcelain Fused to Zirconia:

  • Anterior Crowns & Bridges: Where aesthetics are critical and added strength is beneficial.
  • Posterior Crowns & Bridges: Provides a balance of durability and natural appearance for molar regions.
  • Implant-Supported Restorations: Offers stability with a highly aaesthetic finish.
  • Patients Seeking Both Strength and Beauty: Ideal for smile makeovers or full-mouth restorations requiring natural aesthetics without compromising durability.

Porcelain fused to zirconia restorations are an excellent choice for dentists who want to deliver restorations that are strong enough to withstand function yet beautiful enough to restore confidence in their patients’ smiles.

Full Cast Restorations: Proven Strength and Reliability

Full cast restorations, often fabricated from noble or high-noble alloys, have long been considered the gold standard in dentistry for their unmatched durability and biocompatibility. Because they are made entirely of metal, full cast crowns and bridges are extremely resistant to wear, fracture, and corrosion, making them an excellent choice for cases where longevity and function are top priorities.

Advantages of Full Cast Restorations:

  • Exceptional Durability: Designed to withstand heavy chewing and grinding forces.
  • Minimal Tooth Reduction: Requires less removal of natural tooth structure compared to many ceramic restorations.
  • Precision Fit: CAD/CAM technology and skilled casting techniques ensure accurate margins and long-term stability.
  • Biocompatibility: Noble and high-noble alloys are well tolerated by oral tissues.
  • Proven Track Record: Decades of clinical success demonstrate their reliability.

Ideal Cases for Full Cast Restorations:

  • Posterior Crowns & Bridges: Especially in molars where strength is more important than aesthetics.
  • Patients with Bruxism or Heavy Biting Forces: Provides resistance against chipping and wear.
  • Limited Interocclusal Space: Ideal when there isn’t enough room for thicker ceramic materials.
  • Long-Span Bridges: Ensures stability and strength in extensive restorative cases.
  • Patients Prioritizing Longevity Over Aesthetics: Particularly in areas of the mouth not visible in the smile line.

Full cast restorations remain a dependable solution for dentists seeking restorations that deliver maximum strength, conservative preparation, and decades of clinical reliability.

Porcelain Fused to Metal (PFM): A Classic Blend of Strength and Aesthetics

Porcelain fused to metal (PFM) restorations have been a trusted standard in dentistry for decades, offering the strength of a metal substructure with the natural appearance of porcelain. The metal framework provides stability and durability, while the porcelain overlay creates a tooth-colored, aaesthetic finish that blends seamlessly with the surrounding dentition. This combination makes PFMs a versatile and reliable choice for many clinical situations.

Advantages of Porcelain Fused to Metal:

  • Proven Durability: The metal substructure ensures excellent strength and long-term performance.
  • Natural Appearance: Porcelain overlay mimics the translucency and shade of natural teeth.
  • Versatile Applications: Suitable for both anterior and posterior restorations.
  • Reliable Bonding: Strong bond between porcelain and metal reduces risk of failure.
  • Cost-Effective: Often more affordable than all-ceramic or zirconia alternatives, while still providing aesthetics.

Ideal Cases for Porcelain Fused to Metal:

  • Posterior Crowns & Bridges: Provides strength under high chewing forces with a natural look.
  • Long-Span Bridges: The metal framework offers support where added durability is required.
  • Anterior Crowns: A good option when aesthetics are important but zirconia or all-ceramic options are not selected.
  • Implant-Supported Restorations: Combines stability with cosmetic appeal.
  • Patients Seeking a Balance of Cost, Strength, and Aesthetics: An excellent middle ground between full metal and all-ceramic restorations.

Porcelain fused to metal restorations remain a dependable option for dentists who want a balance of strength, aesthetics, and affordability, making them a time-tested solution for restoring both function and beauty.

IPS e.max is a lithium disilicate glass ceramic that has optimized translucency, durability and strength for full anatomical restorations. IPS e.max lithium disilicate restorations exhibit superior durability featuring 360-400 MPa of flexural strength. The opalescence, translucency and light diffusion properties of IPS e.max lithium disilicate were all designed to replicate natural tooth structure for beauty and undetectable restorations.

IPS e.max CAD is the world’s best-selling glass-ceramic1. It is suitable for the efficient fabrication of full-contour restorations and it is known for its versatile application options, comprehensive range of indications and for its high strength of 530 MPa2. Both its esthetic properties and durability have been confirmed in everyday clinical practice. As a result, the material can be used to fashion full-contour crowns of only 1-mm thickness, which are subsequently seated with the adhesive technique.

Our Full-Contour Zirconia is milled from the most esthetic full zirconia available. Using isostatically pressed blocks, combines beauty and strength to provide reliably consistent, high-quality restorations. After milling we perform a multi-color shading process to create an esthetically enhanced product designed to last a lifetime. Bella Forte Full-Contour zirconia boasts a 1,100 MPa flexural strength, is available in any shade, and comes with a lifetime guarantee against breakage.

Layered Zirconia combines the time-proven strength of a zirconia core with the natural, lifelike beauty of premium layered porcelain. Layered Zirconia is indicated for single units and small bridges and consistently delivers top-tier esthetic results for even the most demanding of patients.

Pan-Am Dental Ceramics is proud to offer high-quality full cast crown and bridge solutions. These metal restorations are an industry standard due to their longevity and high rates of clinical success. Crafted out of biocompatible metal alloys,
they withstand the test of time when paired with responsible dental hygiene and maintenance. Our full cast crowns and bridges offer lifelike contours and are gentle on opposing teeth.

Porcelain-fused-to-metal restorations offer the longevity of full cast with the added esthetics of porcelain. Our team crafts these crowns and bridges by fusing a layer of porcelain onto an underlying layer of high-quality metal alloy. We carefully bond the porcelain to reduce discoloration and heighten lifelike esthetics. Our PFM restorations are stable, strong, and offer an extremely precise fit.

White Noble – $86.02/g

White High Noble – $109.78/g

Yellow Noble – $103.37/g

Yellow High Noble – $149.84/g

Yellow Gold 88% – $181.09/g

Quality Materials and Latest Equipment

We understand the importance of having quality materials for patients. At Pan-Am Dental Lab, we have a wide selection of high-quality dental materials that can be used for making crowns and bridges. We have a team of trained technicians who use the latest equipment to ensure that your cases are created using state-of-the-art technology.

Our equipment is designed to produce flawless results, while also being safe and easy to use. Our dental lab is also equipped with the latest technology that makes the process of crowns and bridges more efficient. Additionally, we use high-quality software that helps us to design the right crown or bridge for every patient.

The Process

To create a new crown or bridge, our dental lab technician will first take an impression of the tooth. This impression will be used to create a custom mold, and the dentist will use the mold to create a temporary crown or bridge. After the crown or bridge has been created, it is sent to the dentist, who will attach it to the tooth using a special adhesive. When the adhesive has dried, it becomes strong and secure and will remain on the tooth for the rest of the patient’s life.

A bridge is created when a dental lab technician removes a small amount of the tooth’s surrounding tissue, to make space for the new tooth. The technician will then prepare the tooth for the bridge and will send it to the dentist, who will then place the bridge on the prepared tooth.

Collaboration Between Our Lab and Dentists

At Pan-Am Dental Lab, we understand the importance of collaboration between our lab technicians and dentists, to provide patients with the best crowns and bridges.

We work closely with your team to provide a customized and easy-to-use online platform, which makes communication between the two groups easy and accessible.

We value feedback from our dentists and welcome discussions about different cases and challenges that may arise.

Our lab technicians are always up to date with changes and new developments in the dental industry. This allows us to provide you with the latest and most advanced equipment and technologies.

Why You Should Choose Pan-Am Dental Lab for Fixed Appliances

We have many years of experience in creating high-quality crowns and bridges. Our commitment to excellence and attention to detail, combined with our wide selection of materials and latest equipment, make us an ideal choice for your crown and bridge cases. Whether you need a full-coverage crown, a partial-coverage crown, or a bridge implant, we are here to provide you with the best service.

Our lab technicians are highly skilled and knowledgeable and are always up to date with the latest changes and developments in the dental industry. We understand the importance of collaboration between our lab technicians and dentists, which makes the process of creating crowns and bridges easier and more efficient.