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Lab talk, the good, the bad, and the ugly
Porcelain
Custom Shades...How do you do it?
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<blockquote data-quote="Affinity" data-source="post: 282245" data-attributes="member: 1246"><p>I take the approach sndmn takes.. keep it simple, keep expectations low. There are situations where pics are necessary, but if Im honest, no one is requesting intricate layered porcelain anymore. Minimal translucency/cutback and paint by number. I have much better success with insync than I do with getting effect porcelain to do what I want. </p><p></p><p>When I was in europe the Dr reserved a 2nd seat appt. so that if adjustments needed made, the pt. expected it, if not great. I think trying the tooth in is the only way to truly do a shade match, anything else is an educated guess. If the Dr or PT are trying to achieve perfection, they need to realize its possible, but it may take several attempts. I explain that when I meet the Pt, that I can adjust it if necessary, and I almost never get anything back. I dont charge my core clients for this which also keeps expectations at a manageable level.. working ultimately for Pt satisfaction, not necessarily reduction of chair time, although that is certainly the goal and advantage of seeing the pt. </p><p></p><p>Another crucial step I take is making sure the Dr puts a 'base' shade on the script or sends pictures, , that way I can get the case started, and have their actual crown to do the custom shade with when they come, rather than only a shade guide reference or picture, that you then have to transfer to the crown. This is really the only advantage of seeing the Pt, sometimes they come by twice if its questionable. I find that the majority of people dont want to be bothered with coming to see me though, I match the ambition of the Pt.</p></blockquote><p></p>
[QUOTE="Affinity, post: 282245, member: 1246"] I take the approach sndmn takes.. keep it simple, keep expectations low. There are situations where pics are necessary, but if Im honest, no one is requesting intricate layered porcelain anymore. Minimal translucency/cutback and paint by number. I have much better success with insync than I do with getting effect porcelain to do what I want. When I was in europe the Dr reserved a 2nd seat appt. so that if adjustments needed made, the pt. expected it, if not great. I think trying the tooth in is the only way to truly do a shade match, anything else is an educated guess. If the Dr or PT are trying to achieve perfection, they need to realize its possible, but it may take several attempts. I explain that when I meet the Pt, that I can adjust it if necessary, and I almost never get anything back. I dont charge my core clients for this which also keeps expectations at a manageable level.. working ultimately for Pt satisfaction, not necessarily reduction of chair time, although that is certainly the goal and advantage of seeing the pt. Another crucial step I take is making sure the Dr puts a 'base' shade on the script or sends pictures, , that way I can get the case started, and have their actual crown to do the custom shade with when they come, rather than only a shade guide reference or picture, that you then have to transfer to the crown. This is really the only advantage of seeing the Pt, sometimes they come by twice if its questionable. I find that the majority of people dont want to be bothered with coming to see me though, I match the ambition of the Pt. [/QUOTE]
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Lab talk, the good, the bad, and the ugly
Porcelain
Custom Shades...How do you do it?
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