JMN
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And sometimes you get what you pay for....so is the advice on here.
And sometimes you get what you pay for....so is the advice on here.
If it gets done, it gets paid for. The wise dentist sees it as a sales tool.you gonna charge for all those dupes?
On the flip side that is a lot of DX work if the patient ops for something else. Been there, done that.If it gets done, it gets paid for. The wise dentist sees it as a sales tool.
He looks pretty awesome to the patient for having those available to show the difference.
As long as they pay the bill, and come up with something that's realistic. But I know exactly what you mean.On the flip side that is a lot of DX work if the patient ops for something else. Been there, done that.
I like when is $$$ left over for booze...Snap on smile for next weekend. With enough $'left over for some booze.
Even better when it's left over from booze.I like when is $$$ left over for booze...
i would need to charge for that time and mock ups. right now its just in the eval stage and im putting a load of time into it as is! though if i had the go-ahead, i think thats a solid idea.If the patient wants to look like their teeth have always been normal, you have no option if ortho is refused. Aside from a year's pay of whole mouth plan.
Since they want fast, my initial thought would be a MD bridge. You'll have plenty of tooth to bond against with the space being so small that you can't fit it between 9/11 properly, it will be still looking different, but could possibly get it fairly similar to 7 with overrotation and incisal tilt.
A MDI type solution with a single tooth cemented on could be a candidate as well if they have the bone for it. The implant path would be different from the root path, allowing a very firm grasp by the threads. Yeah, it stinks, but I have a 5unit bridge out there on 4 of them and it's still going 7 years later. Only option that patient could afford.
If it were my case, I'd dupe the model 2-3-4 times and try various permutations. Deliver with a note outlining steps required for each variant and let the pt and doc choose. I'm also highly averse to clinical decision making. I'll offer options, and even suggest the one I like, but I always make them make the call, on paper.
no, no they arent.Digital dupes are free.
i agree completely. i think this is an ongoing crowing issue. not something that just popped up last year. so without either tying all the esthetic zone together in a bridge, or ortho for the crowding....we might just be here again in 5-10 years. which i guess is about the avg life expected from a crown anyway, but i would prefer a much better result.I will also say, without dealing with the crowding issue, and depending on Pts age, theres no guarantee the crowns wont relapse to the same misalignment in the future. Wheres the other wisdom tooth? If it comes out it could wreak havoc.
Sure? The scan is the original. Right click, save scene as stl. Now do other digital dx and save.no, no they arent.
being that i have models, i would have to scan. time. time=money.Sure? The scan is the original. Right click, save scene as stl. Now do other digital dx and save.
Present to Dr. or Pt. as 3d pdf with as many different scenarios as needed.