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Introduction

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Introduction SR Vincent Consulting

Crown Works

BPV Dentalsmith

Dental Health Center Dentalsmith Labs

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Introduction Labs and the industry

Impressions and howthey are used

Good, bad and the ugly Trade secrets

Q&A

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Labs and the Industry

Dental Evolution

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Labs and the Industry

Two kinds of labs

Fixed Restorative

Partials, Dentures, Hybrids

Labs Services Vary

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Labs and the Industry

Products and Services

Two Kinds of Labs

Large and Small

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Labs and the Industry

Products and Services

Crown and Bridge

Custom Provisionals

Scan / Surgical Guides

Framework Try-In

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Labs and the Industry

The Lab Process

Decon

Modelwork

Framework / gold / CAD

Porcelain

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Labs and the Industry

Things to RememberAbout Labs

2 weeks to complete cases

DMD should check the

outgoing cases margins,prescriptions, materials, etc.

Full info gets the best results

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Labs and the Industry

Things to RememberAbout Labs

Experts in anatomy, bite,morphology, napthology

Labs ask questions becausethey need answersdont BS

Never be afraid to ask aboutmaterials, methods, orconcerns

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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 theimpression was bad

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Impressions - and the lab

Foundation of all wecreate

Bad impressions makebad restorations

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Impressions - and the lab

Preferred methods ofaccuracy no flexation ofthe mandible

No Triple trays

Never send alginateimpressions no bags, nowet paper towels, just dont

Hydro colloid impressions

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Impressions - and the lab

Special issues

Clasps on removables

Implants open tray vsclosed tray methods

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Good, Bad & Ugly Good

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Good, Bad & Ugly Good

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Good, Bad & Ugly Good

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Good, Bad & Ugly Good

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Good, Bad & Ugly Good

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Good, Bad & Ugly Bad

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Good, Bad & Ugly Bad

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Good, Bad & Ugly Bad

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Good, Bad & Ugly Bad

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Good, Bad & Ugly Bad

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Good, Bad & Ugly Bad

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Good, Bad & Ugly Bad

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Good, Bad & Ugly Bad

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Good, Bad & Ugly Bad

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Good, Bad & Ugly Bad

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Good, Bad & Ugly Bad

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Good, Bad & Ugly Bad

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Good, Bad & Ugly Ugly

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Good, Bad & Ugly Ugly

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Good, Bad & Ugly Ugly

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Good, Bad & Ugly Ugly

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Good, Bad & Ugly Ugly

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Good, Bad & Ugly Ugly

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Good, Bad & Ugly Ugly

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Good, Bad & Ugly Ugly

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Best Practices The Bite Mantra

After the prep

Before the impression

Ensure the opposing andendentulous

NEVER trim the biteregistration

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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 openimpression

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Best Practices About taking shades

Get the numbers

Stump shades if dramaticallydifferent

Blockout noted prn

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Best Practices Tricky Setups

Free end quadrants

Endentulous bites

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Best Practices Specials Circumstances

Post and core

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Best Practices Specials Circumstances

Implant impressioning

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Best Practices Specials Circumstances

Provisionalization

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Best Practices Cautions

Remove the bumpers

Temp Control

For every 2 degrees of

storage temp above 72 youloose 20% of your workingtime and have an acceleratedset

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Best Practices Cautions

Slow and even

Dont load the tray too early

Dont load the tray too slowly

All injection and insertionshould be completed at least1 min before working timeexpires

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Best Practices Cautions

Burp your tubes and tips

Never use an un-supportedtray

Sulfur or talc will retard orprevent the set of manysynthetic impression materials

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Best Practices Pouring your own models

Let the impression breathe atleast 30 minutes prior topouring modelwork

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Best Practices Pouring your own models

Thick enough

Dont dome them

Flipping them is good

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Things to Remember Temperature controls

Dont hyper extend the

mandible

Know your materials

Ask questions before youtrainwreck

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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

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Questions & Answers

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