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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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