Last month I talked about the lab industry and it’s still sad to hear many more labs have closed down. Be nice to the ones that are available because like myself, I’m very selective on who I choose to work with now. The days of begging for work or backing down to a threat of sending the work else where is pretty much non-existent and the people who say this usually lose a foot after shooting it!
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In dentistry everybody knows what’s going on in the clinical world of dentistry but no one knows what’s going on in the dental laboratory industry, why is that? Dental laboratory fees account to 10 – 20% of a dental practices turnover according to Christie & Co reports. Wouldn’t you like to know what’s going on with your supplier that is an integral part of your dental practice? Triple trays was invented and patented by Dr. S Werrin in the 1980’s with the mantra of “Do it better, easier and faster!” Triple trays are referred to as ‘Dual Arch Trays’ and enables the dentist to capture the prepared restorative areas, the opposing arch and occlusal registration in one procedure. This saves chair time and impression material. In theory this works, but why is it over 70% remakes in crown & bridge occur from the use of triple trays? Here is some research into this. Impressions are key information between Dentist and Dental Labs across the world to transfer reproducible information of the patients mouth since the mid 1800’s. In my time I have found the clinical and technical work is usually of a high standard but why do we have remakes? It’s usually the impression itself. As a commercial dental laboratory we see 1000’s of impressions weekly. We can only see the physical factors of the impression not the representation of the true I/O information as we do not have access to the I/O of the patient so we cannot judge if the impression is true or false. “Dental practices will face steep financial penalties if they are unable to hit 45% of their pre-pandemic UDA targets. Those that fall just below 36% of the activity target are expected to face a 'cliff edge', where they would have to return a significant majority of their NHS funding for the period from 1 January to 1 April 2021 and face potential breach of contract” https://bda.org/news-centre/blog/Pages/new-uda-targets-what-you-need-to-know.aspx I was asked many years ago how to build up ‘UDA toppers quick’ my answer is “ Mouth guards/ night guards” If it’s justifiable… it’s quick, requires one impression, no AGP and the cost is in line with band 3 treatments. Although be selective and careful.. not that many edentulous patients need this! All of our mouth guards / night guards are made from Ethylene vinyl acetate (EVA) based material. All of our 'Pressure Formed Appliances' are formed under 4.6 psi bars of pressure to make sure every appliance is fitting accurately with precise gingival, fissure and tooth adaptation that is retentive and functional. This year we done over 5,000 mouth / night guards cases ( last year was double the amount of cases) with a fraction of 0.5% in remakes according to my lab report for 2020. CLICK HERE: www.bremadent.co.uk/night--mouth-guards |
Private Dental Laboratory in London
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 office@bremadent.co.uk Categories
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February 2024
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