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A single implant crown may be small, but it is rarely a small job. Replacing one tooth involves the implant, connection, abutment, restorative material, emergence profile, soft tissue, contact points, occlusion, shade and screw-access position. Every element must work together within a very limited space.
At Bremadent Dental Laboratory in London, we approach a single implant crown as a complete restorative system rather than simply a crown with a hole in it. The objective is not only to produce something that fits the model. It must seat accurately in the mouth, support the surrounding tissue, integrate with the adjacent teeth and function predictably. The key decisions normally include: • Which implant system and connection are present? • Is a screw-retained or cement-retained restoration more suitable? • Does the case require a titanium base, stock abutment or custom abutment? • Should the crown be zirconia, lithium disilicate, layered ceramic, PFM or metal? • Where will the screw-access channel emerge? • How should the restoration support the peri-implant tissue? Get those decisions right at the beginning and the appointment is usually much less eventful. In implant dentistry, boring fit appointments are often the best fit appointments.
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Every dental practice accepts that remakes happen.
Despite the best planning, excellent clinical skills and modern digital technology, there will always be occasions when a crown needs adjusting, a denture requires modifying, a bridge doesn't seat as expected or an implant restoration needs revisiting. Dentistry is a profession involving biology, people and precision, so perfection every single time simply isn't realistic. However, there is a huge difference between the occasional unavoidable remake and a practice that quietly accepts remakes as "just part of dentistry." At Bremadent Dental Laboratory, we've seen both. One practice may experience only a handful of remakes throughout the year. Another may accept multiple remakes every week without ever stopping to calculate what they are really costing the business. The surprising truth is that the laboratory bill is usually the smallest cost. The real expense lies everywhere else. Clear Aligners VAT & Tax : What Every Dental Practice Needs to Know After the 2026 Tribunal Decision7/15/2026 If you've opened your emails recently, you've probably seen plenty of discussion about VAT and clear aligners. For many dentists, practice managers and dental laboratories, this has been one of the biggest tax-related developments to affect dentistry in years.
Tax and dentistry rarely make exciting reading, but this particular case has genuine implications for treatment costs, laboratory invoices, pricing strategies and even whether some dental laboratories may need to register for VAT. At Bremadent Dental Laboratory, we believe it's important that our clients understand not only what has changed, but also what has not changed. Like many legal decisions, there has already been a mixture of accurate information, assumptions and confusion circulating throughout the profession. Let's simplify it. Before anyone reaches for the complaints form, no, dentistry is not actually "f**ked." In fact, there has never been a more exciting time to work in our profession. Digital dentistry is advancing at an incredible pace, materials are stronger than ever, AI is beginning to support clinical workflows, and patients have more treatment options than previous generations could ever have imagined.
So why does it sometimes feel like everyone in the industry is permanently running uphill? Speak to a dentist, a dental technician, a practice manager, a hygienist or even a supplier, and you'll often hear similar frustrations. Recruitment is difficult. Costs continue to rise. Patients expect more while wanting to pay less. NHS pressures continue to dominate headlines. Laboratories struggle to recruit skilled technicians. Regulations increase every year. Everyone seems busier than ever, yet many practices still feel under constant financial pressure. The reality is that dentistry isn't broken. It's simply under more pressure than ever before. As a dental laboratory that works with practices across London and throughout the UK every single day, we see many of these challenges from both sides. The dentist has one perspective. The laboratory has another. The patient has yet another. Somewhere in the middle is where good dentistry still happens. Let's explore why. The Gold Standard of Full Metal Crowns: Why They Continue to Earn Their Place in Modern Dentistry7/6/2026 Every few years, dentistry welcomes a new restorative material that promises greater strength, improved aesthetics or enhanced longevity. Zirconia has transformed posterior restorations, lithium disilicate has redefined cosmetic dentistry, and digital workflows have changed the way laboratories manufacture crowns. Yet despite all these advances, one restoration continues to prove its worth decade after decade: the full metal crown.
At Bremadent Dental Laboratory in London, we still manufacture a significant number of full metal crowns every month. While all-ceramic restorations dominate many treatment plans, we continue to receive prescriptions from dentists who specifically request full metal crowns for posterior teeth because they know they remain one of the most predictable restorations available. They are not choosing them because they are old-fashioned. They are choosing them because they work. Interestingly, we have also noticed an increase in requests for highly polished anterior full metal crowns. Popular culture and the rise of permanent metallic smiles inspired by grills have made these restorations increasingly appealing to some patients. Unlike removable cosmetic grills, however, a full metal crown is a professionally manufactured, permanently cemented restoration that restores the tooth while creating the desired metallic appearance. Most patients are surprised to learn these crowns are often silver in colour rather than gold, with the final appearance created by polishing the alloy to a brilliant mirror finish. At Bremadent, we manufacture both full metal crowns and cast gold crowns, allowing clinicians to choose the material that best suits each patient's clinical and aesthetic requirements. |
Private Dental Laboratory in London
Kash Qureshi - Managing Director, Clinical Dental Technician
About the author:
Kash Qureshi is a Clinical Dental Technician (Denturist) in the U.K who oversees and quality controls over 3000+ fixed and removable prosthesis including implant cases from a clinical and technical aspect monthly at Bremadent Dental Laboratory & Swissedent Denture Clinic in London. www.swissedent.co.uk www.bremadent.co.uk [email protected] Categories
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