Remake charges?????

JEmirzian · 10-22-2007, 02:54 PM

I have a case coming back to be remade for the second time. The first time the occlusion was high and a new bite was taken. We remade completely and sent it back without charge. Got a call today and the occlusion is still high and the doctor complained about the shade. Now the doctor wants a A1 instead of an A2. Do I charge this time for the remake? I made the shade that was on the prescription and if the value was too low how would I know if an age wasn't given? Caught between a rock and a hard place here....ANY OPINIONS

Travis · 10-22-2007, 06:08 PM

I am sure you need this quick so here are my two sense. The first question and most important is how important is this account? If you can charge for a shade change and not worry if he leaves you then make them pay for it. If he is a primary account then you need to do it for free. If he is in the middle do it this time but let him know that you have a shade change fee and stick to it. I have a fee that is half of my original fee for a shade change. Then again what tooth number is it? An a1 to a2 you can stain that unless its anterior.

RetainerDesigner · 10-22-2007, 07:36 PM

I agree with Travis, charge for the shade change, i'm sure the doctor expects that, It was probably that patient that changed his/her mind when they saw it in their mouth. I would be a bit courious of the new bite they sent you, too

cade

Travis · 10-22-2007, 11:32 PM

What happened with the first remake? Are you having problems with high occlusion?

JEmirzian · 10-23-2007, 08:19 AM

Katrina and I equilibrate each and every one of our articulations to minimize high occlusion. The first crown was .4 mm high and the doctor ground to the metal. The margin adaptation was perfect. I just can't figure it out!! But we have made the decision to charge for a reshade. Thank you for letting me know there is such a charge.

Jay

Craig · 10-23-2007, 12:54 PM

Jay,

My primary question in this situation wouldn't be, charge or don't charge, but rather; why is this case consistently high occlusally? Knowing that you are equilibrating the models, and using the doctor's bite registration, really leaves one most probable answer. I would ask the doctor if his temporaries are in occlusion? If he's leaving the temps out of occlusion, then I would suspect that they are too far out, thereby allowing the prepped, opposing, or both teeth super-erupt. One would suspect that the easiest remedy to this would be to ask the doctor to leave the occlusal contacts in place with the temporaries, but I've found that trusting the doctor to change a well formed habit is rather difficult. When we've run into this type of problem in the past we added layers of foil to the dentition that opposes the preps. Some of our accounts need one layer, but several of them require 3 layers of foil. By us figuring out what each account requires to have a well fitting restoration without them needing to change their protocol, allows us to remain in control. So if in the future, an account that currently uses 3 layers of foil, suddenly starts complaining of the restoration being too far out of occlusion, we can simply switch him to 2 layers or 1.

I hope this helps, and I too would charge for the reshade, and I would recommend to the doctor that he too charge the patient, for changing his or her mind. If you bought a white car, and then later decided you wanted it red.... TRUST me, the auto dealer will charge you for changing your mind.

Craig

JEmirzian · 10-23-2007, 03:20 PM

Hi Craig,
I agree with you completely about temporaries being out of occlusion. This is the office I spent 12 years working for. It is owned by my aunt and uncle. The dentist is actually very good and I can't see why this is happening. But this dentist doesn�t make her own temps.....rather the assistant makes them. Thanks for the info......

Jay

labdude · 11-02-2007, 04:33 PM

I no longer charge for any remakes repairs or such anymore. Haven't for years.
Doctors I work for need to be cut slack now and again, as do I.
Years ago I was able to weed out the ones who were excesive in this regard.
As well as the ones who paid when they felt like it.
I haven't had excessive remakes or repairs for years.
Also haven't worked for anyone who does not pay within our required time table.
Only had one doctor go to a collection agency, 14 years ago. Now I get on it faster.
No more collection problems.
Of course, I'm just an Ortho lab.
Still, my house is paid for, as are my vehicles and my telescope addiction.
Mike.

rgkbmk · 11-11-2007, 08:42 AM

Quote:

Originally Posted by JEmirzian

I have a case coming back to be remade for the second time. The first time the occlusion was high and a new bite was taken. We remade completely and sent it back without charge. Got a call today and the occlusion is still high and the doctor complained about the shade. Now the doctor wants a A1 instead of an A2. Do I charge this time for the remake? I made the shade that was on the prescription and if the value was too low how would I know if an age wasn't given? Caught between a rock and a hard place here....ANY OPINIONS

Asking a bit late but which tooth was this?

10-22-2007, 02:54 PM	#1 (permalink)
JEmirzian Moderator Alchol Test Champion! Join Date: Oct 2007 Location: Wilbraham, MA Age: 31 Posts: 135 Gallery: 1 Rating: 0% (0) Rep Power: 2	Remake charges????? I have a case coming back to be remade for the second time. The first time the occlusion was high and a new bite was taken. We remade completely and sent it back without charge. Got a call today and the occlusion is still high and the doctor complained about the shade. Now the doctor wants a A1 instead of an A2. Do I charge this time for the remake? I made the shade that was on the prescription and if the value was too low how would I know if an age wasn't given? Caught between a rock and a hard place here....ANY OPINIONS

10-22-2007, 07:36 PM	#3 (permalink)
RetainerDesigner Supporter Join Date: Oct 2007 Location: Stephenville, Texas Posts: 185 Gallery: 8 Rating: 0% (0) Rep Power: 2	I agree with Travis, charge for the shade change, i'm sure the doctor expects that, It was probably that patient that changed his/her mind when they saw it in their mouth. I would be a bit courious of the new bite they sent you, too cade __________________ http://retainerdesigner.com My location

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10-22-2007, 06:08 PM	#2 (permalink)
Travis Buell Skee Ball Champion! Join Date: Aug 2007 Location: PA Age: 33 Posts: 1074 Gallery: 11 Rating: 100% (2) Rep Power: 3	I am sure you need this quick so here are my two sense. The first question and most important is how important is this account? If you can charge for a shade change and not worry if he leaves you then make them pay for it. If he is a primary account then you need to do it for free. If he is in the middle do it this time but let him know that you have a shade change fee and stick to it. I have a fee that is half of my original fee for a shade change. Then again what tooth number is it? An a1 to a2 you can stain that unless its anterior.

10-22-2007, 11:32 PM	#4 (permalink)
Travis Buell Skee Ball Champion! Join Date: Aug 2007 Location: PA Age: 33 Posts: 1074 Gallery: 11 Rating: 100% (2) Rep Power: 3	What happened with the first remake? Are you having problems with high occlusion?

10-23-2007, 08:19 AM	#5 (permalink)
JEmirzian Moderator Alchol Test Champion! Join Date: Oct 2007 Location: Wilbraham, MA Age: 31 Posts: 135 Gallery: 1 Rating: 0% (0) Rep Power: 2	Katrina and I equilibrate each and every one of our articulations to minimize high occlusion. The first crown was .4 mm high and the doctor ground to the metal. The margin adaptation was perfect. I just can't figure it out!! But we have made the decision to charge for a reshade. Thank you for letting me know there is such a charge. Jay

10-23-2007, 12:54 PM	#6 (permalink)
Craig Junior Member Join Date: Oct 2007 Location: Fremont, Ohio Age: 35 Posts: 19 Gallery: 0 Rating: 0% (0) Rep Power: 0	Jay, My primary question in this situation wouldn't be, charge or don't charge, but rather; why is this case consistently high occlusally? Knowing that you are equilibrating the models, and using the doctor's bite registration, really leaves one most probable answer. I would ask the doctor if his temporaries are in occlusion? If he's leaving the temps out of occlusion, then I would suspect that they are too far out, thereby allowing the prepped, opposing, or both teeth super-erupt. One would suspect that the easiest remedy to this would be to ask the doctor to leave the occlusal contacts in place with the temporaries, but I've found that trusting the doctor to change a well formed habit is rather difficult. When we've run into this type of problem in the past we added layers of foil to the dentition that opposes the preps. Some of our accounts need one layer, but several of them require 3 layers of foil. By us figuring out what each account requires to have a well fitting restoration without them needing to change their protocol, allows us to remain in control. So if in the future, an account that currently uses 3 layers of foil, suddenly starts complaining of the restoration being too far out of occlusion, we can simply switch him to 2 layers or 1. I hope this helps, and I too would charge for the reshade, and I would recommend to the doctor that he too charge the patient, for changing his or her mind. If you bought a white car, and then later decided you wanted it red.... TRUST me, the auto dealer will charge you for changing your mind. Craig

10-23-2007, 03:20 PM	#7 (permalink)
JEmirzian Moderator Alchol Test Champion! Join Date: Oct 2007 Location: Wilbraham, MA Age: 31 Posts: 135 Gallery: 1 Rating: 0% (0) Rep Power: 2	Hi Craig, I agree with you completely about temporaries being out of occlusion. This is the office I spent 12 years working for. It is owned by my aunt and uncle. The dentist is actually very good and I can't see why this is happening. But this dentist doesn�t make her own temps.....rather the assistant makes them. Thanks for the info...... Jay

11-02-2007, 04:33 PM	#8 (permalink)
labdude Stellar Patrol Join Date: Oct 2007 Location: Cascades in Oregon Age: 55 Posts: 851 Gallery: 16 Rating: 100% (4) Rep Power: 2	I no longer charge for any remakes repairs or such anymore. Haven't for years. Doctors I work for need to be cut slack now and again, as do I. Years ago I was able to weed out the ones who were excesive in this regard. As well as the ones who paid when they felt like it. I haven't had excessive remakes or repairs for years. Also haven't worked for anyone who does not pay within our required time table. Only had one doctor go to a collection agency, 14 years ago. Now I get on it faster. No more collection problems. Of course, I'm just an Ortho lab. Still, my house is paid for, as are my vehicles and my telescope addiction. Mike.