Introduction

Introduction
SR Vincent Consulting Crown Works BPV Dentalsmith Dental Health Center Dentalsmith Labs

Introduction
Labs and the industry Impressions and how they are used Good, bad and the ugly Trade secrets Q&A

Labs and the Industry

Dental Evolution

Labs and the Industry

Two kinds of labs
Fixed Restorative Partials, Dentures, Hybrids

Labs Services Vary

Labs and the Industry

Products and Services
Two Kinds of Labs Large and Small

Labs and the Industry

Products and Services
Crown and Bridge
Custom Provisionals Scan / Surgical Guides Framework Try-In

Labs and the Industry

The Lab Process
Decon Modelwork Framework / gold / CAD Porcelain

Labs and the Industry

Things to Remember About Labs
2 weeks to complete cases DMD should check the outgoing cases margins, prescriptions, materials, etc. Full info gets the best results

Labs and the Industry

Things to Remember About Labs
Experts in anatomy, bite, morphology, napthology Labs ask questions because they need answers dont BS Never be afraid to ask about materials, methods, or concerns

Labs and the Industry

Process
Check the incoming work Check your margins
If it fits the model it fits If it doesnt fit the mouth the impression was bad

Impressions - and the lab

Foundation of all we create Bad impressions make bad restorations

Impressions - and the lab

Preferred methods of accuracy no flexation of the mandible No Triple trays Never send alginate impressions no bags, no wet paper towels, just dont Hydro colloid impressions

Impressions - and the lab

Special issues
Clasps on removables Implants open tray vs closed tray methods

Good, Bad & Ugly

Good

Good, Bad & Ugly

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Good, Bad & Ugly

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Good, Bad & Ugly

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Bad

Good, Bad & Ugly

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Good, Bad & Ugly

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Good, Bad & Ugly

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Good, Bad & Ugly

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Good, Bad & Ugly

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Good, Bad & Ugly

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Good, Bad & Ugly

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Good, Bad & Ugly

Ugly

Good, Bad & Ugly

Ugly

Good, Bad & Ugly

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Good, Bad & Ugly

Ugly

Good, Bad & Ugly

Ugly

Good, Bad & Ugly

Ugly

Good, Bad & Ugly

Ugly

Good, Bad & Ugly

Ugly

Best Practices
The Bite Mantra
After the prep Before the impression
Ensure the opposing and endentulous NEVER trim the bite registration

Best Practices
Basics
Light body, med body Get enough of the arch Get the palette Passive bite or clinched bite Dont clinch especially with provisionals in Opening a bite get an open impression

Best Practices
About taking shades
Get the numbers Stump shades if dramatically different Blockout noted prn

Best Practices
Tricky Setups
Free end quadrants Endentulous bites

Best Practices
Specials Circumstances
Post and core

Best Practices
Specials Circumstances
Implant impressioning

Best Practices
Specials Circumstances
Provisionalization

Best Practices
Cautions
Remove the bumpers Temp Control For every 2 degrees of storage temp above 72 you loose 20% of your working time and have an accelerated set

Best Practices
Cautions
Slow and even Dont load the tray too early Dont load the tray too slowly All injection and insertion should be completed at least 1 min before working time expires

Best Practices
Cautions
Burp your tubes and tips Never use an un-supported tray Sulfur or talc will retard or prevent the set of many synthetic impression materials

Best Practices
Pouring your own models
Let the impression breathe at least 30 minutes prior to pouring modelwork

Best Practices
Pouring your own models
Thick enough Dont dome them Flipping them is good

Things to Remember
Temperature controls Dont hyper extend the mandible Know your materials Ask questions before you trainwreck

Things to Remember
Check the labwork upon receipt If it fits the model it fits If it doesnt fit the mouth the impression was bad

Questions & Answers