There are a lot of advantages to doing this type of dentistry in a single visit. The dentist has more direct control over the process and any unforeseen errors can be addressed right away and corrected. By becoming their own lab, the dentist must analyze the digital model as if they were the lab, any issues in the margin, missing data, improper room for material thickness, etc. can all be addressed with the patient still in the chair and re-scanned if necessary. One of the worst appointments in dentistry is for a patient to come back weeks later, get numb again, and then find out the restoration does not fit – a new impression will need to be taken and even more time to wait for a permanent restoration. Not only is this minimized because the dentist is taking on the role of the lab while the patient is still in the chair, but if errors in fabrication do occur, the restoration can be remade during that visit if the patient has the time. The most obvious advantage is that there is no second visit and the patient does not have to wear a temporary – which often break while waiting for their permanent restoration.
A disadvantage is that these appointments can be long. A visit with a Biomimetic Dentist is already longer due the increased time setting up proper isolation and the advanced adhesive techniques they utilize. Instead of receiving a temporary and leaving, the patient has to wait for the ceramic to be designed and fabricated. Depending on the material used and difficulty of the case this can take an additional 30-90 minutes. While this is down time for the patient where they can watch TV or use their mobile phone as opposed to being directly worked on, it still can feel like a lot of time “in the chair”. After fabrication, a new appointment – the delivery appointment – is essentially started. Following Biomimetic & Advanced Adhesive delivery protocols this appointment can take anywhere from 30-60 minutes for a quality result. In short, the extra time for fabrication and delivery can be around 1.5-2 hours in addition to the time required to prepare the tooth. For some patients, a single visit of 2.5-4 hours is worse than two visits breaking up that time in the chair. At our practice we like to give the patient the option for Same Day Delivery or Multiple Visits, which ever makes them the most comfortable. What we don’t want to do is rush on the back end and wind up with a sub-par result after all that work on the front end.’