Do you offer same-day crowns?

Yes, for straightforward cases. Once the tooth is prepared, Markham Family Dental can scan it, design the crown, mill it in the office, and deliver it the same appointment. Not every case qualifies.

What is the difference between a CBCT scan and a regular dental X-ray?

A standard dental X-ray produces a flat, two-dimensional image. A CBCT scan produces a three-dimensional model of the teeth, bone, nerve canals, and sinus cavities that can be viewed from different angles.

Is the CBCT scan safe, and will I need one?

Dental CBCT radiation dose is generally much lower than a medical CT scan and depends on the field of view and settings used. Markham Family Dental orders CBCT imaging only when the 3D information would meaningfully affect treatment planning.

How does in-house technology affect the cost of treatment?

In-house milling, 3D printing, and lab work can reduce outside lab involvement and help shorten timelines for certain treatments. Payment options are reviewed through the office's insurance and financing process.

Better Technology. Better Outcomes.

The equipment in our Harlan office is not there to impress. It is there because accurate imaging, precise planning, and in-house fabrication produce results that guesswork and outsourcing cannot.

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(712) 755-5342

Clinician reviewing a 3D intraoral scan of the dental arches on a chairside monitor

Imaging and Diagnostics

The Diagnosis Starts Here

Markham Family Dental uses advanced technology, CBCT 3D cone-beam imaging, digital X-rays, intraoral scanning, in-house CAD/CAM milling, 3D printing, and fully guided implant surgery, to diagnose, plan, and treat in Harlan, Iowa, often completing surgery and restorations in one place.

CBCT and panoramic dental imaging machine in a clinic imaging room

3D imaging

CBCT 3D Cone Beam Imaging

A single CBCT scan produces a full three-dimensional model of your teeth, bone, nerve canals, and sinus cavities. Our team uses it to plan every implant case, evaluate bone volume before surgery, and assess anatomy that standard X-rays cannot show. The scan takes seconds and delivers information that changes what is possible.

Complete bone and nerve mapping before any implant surgery begins

Maps nerve canal and sinus position in three dimensions

Lower radiation than a medical CT scanner

Used for guided surgery, zygomatic implants, and many complex extractions

Gloved dentist pointing to a panoramic dental X-ray displayed on a monitor

Digital imaging

Digital X-Rays

Our digital X-ray system produces high-resolution images at up to 80 percent less radiation than traditional film. Results appear on the chairside screen within seconds. Our team reviews every finding with you in real time so you understand what we see before we discuss what to do about it.

Up to 80 percent less radiation than film X-rays

Chairside display reviewed with patients when X-rays are taken

Greater contrast and detail for detecting early decay and bone changes

Available in periapical, bitewing, and panoramic formats

Restoration & Records

Intraoral Scanning

Traditional impressions involve material-filled trays that many patients find uncomfortable and that can introduce small inaccuracies. We use digital scanning whenever possible for crowns, bridges, aligners, nightguards, and implant restorations, so many treatments can start with a scan instead of a traditional impression.

Baseline on Day One

Many new patients receive a full intraoral scan early in care. That digital record can become the reference point for future exams, making it easier to track tooth wear, shifting, or changes to restorations over time.

Feeds Directly Into Fabrication

The scan can be sent directly into our in-house design and milling workflow. This reduces the need for physical models, avoids shipping impressions to a lab in many cases, and helps keep the digital record closely connected to what gets made.

You See It in Real Time

The scan builds on the chairside screen as it is being taken. Our team uses the live 3D model to walk you through what we are seeing, answer questions, and explain any recommended treatment before you make a decision.

Signature Capability

100% Guided Implant Surgery, Designed and Printed In-House

At Markham, guided implant cases are planned from a 3D scan whenever a surgical guide is appropriate. The guide can be designed by our own team, printed in our office, and used to help control implant position, angle, and depth during surgery. This in-house workflow helps reduce outside lab delays and gives our clinical team more control over the planning process.

Learn About Dental Implants

CBCT Scan and Digital Planning

The CBCT scan feeds into planning software where bone density, nerve position, and implant trajectory can be mapped before surgery. This lets our team review the case in 3D before treatment begins.

Custom Surgical Guide, Designed In-House

A surgical guide is designed from the 3D plan by our team, not a remote technician. It is built to the patient's specific anatomy and reviewed by the clinician who will perform the surgery before it is approved for printing.

Printed On-Site, Ready When You Are

The guide is printed in our office, often the same day the design is finalized. This avoids outside lab turnaround and shipping delays, and keeps the guide production process tied closely to the patient’s case.

Placed With Precision

During surgery, the guide helps direct the drill position, angle, and depth according to the plan. This can make implant placement more predictable and may reduce unnecessary trauma to surrounding tissue.

Additional Technology

Treatment And Restorations

Same-Day Crowns (In-House Milling)

Crowns and ceramic restorations can be designed from a digital scan and milled in our office from solid ceramic blocks. Straightforward cases may be delivered the same appointment, often without a temporary crown, second visit, or outside lab delay.

In-House Lab

Many dentures, prosthetics, and custom restorations can be made here under the oversight of our clinical team. Keeping more of the lab work in-house allows the people fabricating the restoration and the people placing it to coordinate closely and review quality throughout the process.

EMS Air Flow Cleaning

Our EMS Air Flow system helps remove biofilm, staining, and early buildup from areas that can be difficult to clean with traditional instruments, including around implant surfaces and orthodontic appliances. Many patients find it more comfortable than traditional scaling in appropriate cases.

Words From Our Patients

Exterior of the Markham Family Dental Associates office at 2105 Pine St, Harlan, Iowa

Prepare for Your Visit

Patient Forms

Download and complete your forms before your appointment to save time when you arrive. Plan to come in 10 to 15 minutes early so we can get you settled.

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Insurance and Financing

We work with many PPO dental insurance plans and can file claims on your behalf when insurance applies. Financing options may be available for patients who need flexible payment options. Ask our front desk what works best for your situation.

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