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A Few Question To Ask Before Changing Dental Labs

As with alloy, it is crucial that genuine implant manufacturer parts are used on your restorations, unless you request otherwise. There are many copycat implant manufacturers on the market today. Some make decent parts, while others are noticeably inferior. If you choose to use imitation parts, that is your prerogative. But if you ask for a genuine Nobel Biocare™ bridge and the dental lab uses a knockoff, that is a serious offense. The manufacturer’s warranty is voided, and you will be responsible for full charge on the remake. If the implant failed, the surgeon or periodontist will be responsible for the new implant. It is not uncommon for labs to use plastic imitation components and pass them off as genuine. Just as you might question the ethics and reliability of a competing dentist who charges one-third the fee of every other dentist in the area, you must question how a lab can offer any implant restoration at such a low cost. If you want to save money on parts, the way to do that legitimately is to get your own account, buy your own parts, and supply them to the dental lab to use. You may even be able to get a discount on the parts.dentallabalai
2. “How do you perform quality control checks on your work?”

How does a dental lab make sure you are getting a good piece of work? If the turnaround time is very fast, you must consider when that dental lab owner or technician will be able to check the work. For example, consider what it takes to make a single porcelain-fused-to-metal (PFM) crown: The models need to be poured, “Pindexed” (or equal system), and counter models poured and mounted. The dies must be trimmed, die spacer applied, then waxed to correct contour. A sprue must be added, then placed on a base. Since it makes more sense to group wax-ups in a casting ring, a technician will wax more than one case and invest them all for overnight burnout. Is there someone who is in charge of quality control on these wax-ups to make sure that the wax-up is correct? The ring will be cast, divested, and finished. Is there someone who makes sure that the coping is made correctly to the exact specifications and desired alloy? The coping is cut back and opaqued to the desired shade. Finally the ceramist will apply the porcelain. A final quality control day is required. If something needs to be adjusted, fixed, or remade, an extra day is more than helpful. An average lab will take at least seven to eight days to do this entire work, not including the pickup. If a dental lab is taking three to five days for a single PFM, when does the quality control happen? How is the work being performed? Does the dental lab have full-time employees, or subcontractors who come in after hours and knock out a few units? Is the work performed at the dental lab? Find out how many technicians work at the dental lab, and ask if they all work full time. A consistent team of technicians supplies a consistent quality of work. If the dental lab allows after-hour technicians to come in after their workday at another lab to do a few units, consistency and quality will suffer.
3. “Do you use ADA-approved materials?”

This is important in that you want to make sure all materials the dental lab uses are manufactured by reputable companies. For example, some dental labs “brown bag” metal shot from a guy on the corner who makes his own copy of another manufacturer’s alloy for a fraction of the cost. When you ask for a high-gold crown and the dental lab gives you an incredibly low price, you must question how this is possible. Quite often, nonprecious or other substitutes are used and passed off as the alloy of request to keep the costs down and increase profits. To ensure you are getting quality alloy, request the IdentAlloy® sticker from the manufacturer to be applied to all the invoices to certify what was used on the case.

In the case of brand name crowns, such as the many different zirconia crowns on the market, you want to know if the dental lab is an authorized dental lab for that product and if they are using genuine material for that product. For example, is that a genuine Procera crown or Lava crown, or is it an imitation zirconia crown that costs a fraction of the price but is being passed off as the real thing? Always remember if the dental lab is offering a product at a much lower price than every other dental lab for the same thing, chances are it isn’t the same thing. You have the ability to call any company and question whether that dental lab is an authorized user of that product.

Talk to the owner and see if you get along.

The key to the dentist/lab tech relationship is just that — it’s a relationship, not unlike a marriage. You are going to work together through thick and thin, so you must have a rapport with each other to be able to talk about anything without fear. The dental lab owner must be able to call and question a bite, a die, or any discrepancy in your impression or model without fear of an argument or losing you as an account. You must be able to suggest tighter or looser fits on crowns and question overall quality without fear of a fight. If you have an understanding, you will have many years of a great working relationship.

How to safely transition to a new dental lab

a. Don’t send all your work in one shot. Send a few cases one at a time and build the relationship from that.

b. Do not send failed cases from a previous dental lab. It is not fair for the new dental lab to be held accountable for another dental lab’s case, and even though you say you won’t, you will judge their work on this case.

c. Feel each other out to make sure the owner knows what you want, and correct the dental lab when something is done wrong. You should have a foundation for a relationship between the fifth and tenth case. If this does not happen, you may not be compatible; maybe you are not meant to work together. If that is the case, leave on good terms. You never know … in a few years you may meet again and circumstances may have changed; this lab may be able to give you what you were looking for the first time.

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