rkm rdt
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Those paper weights have been traded in.
How much more will these mentioned things cost Dr. (us lol) over a traditional splint, guide, tray, etc....
I don't know about you but for me there is only a certain maximum value you can put on a throwaway single use aid.... and a hunnertdolla tray or straight clear guide-- (no gp or barium) ain't flyin' in my hood.
That is where its heading, just saying don't jump for joy and buy whole hog until you have a Dr or two who are both all in and enjoy the process.
Agreed, it is all to often that we, as the lab, need to do "Herodontics" to make the bag of garbage handed to us work. The discussion about the case needs to start before the implants are placed. Most surgeons never see the patient after the implants are uncovered. They just send the patient to the dentist to have the teeth made, they send the case to us and we have to fix it. When it fails, it is our fault. As they used to say on "Late Night with David Letterman" Somebody's gonna get sued. It should be the surgeon.Yea I agree those guides and trays are not always welcomed by the Dr's placing implants...(too pricey or whatnot, etc.)
...but then when they screw up the placement and we are left to fix it with limited results and it looks like lab tech is the one who couldn't get the job done.
Its not easy but those guides and trays allow the lab to get into the conversation at the beginning of the treatment plan, before an implant is placed. If you can help the Dr to a better prosthetic outcome then he might be able to see the value in it, but that also speaks to a person's/labs experience and level of expertise in implants.
They might not be used much right now but I think they will grow in use if the labs and docs start to see the benefits, which are becoming well documented in the journals.
Outsource?All in?
How the hell would you accomplish that with a dr who went all in with someone other than you?
I don't think we will ever get great results with digital impressions for full dentures. You have to have material to displace and compress soft tissue for good denture fits. A totally passive scan of the soft tissue is going to give a terrible fit and an incredible number of sore spots.
Fully tooth born partials are one thing, but full dentures and partials with a distal extension are going to be problems.
2th is right, digital dentures is the future just like it has been in C+B. A digital set up and it being relined will come first it will get dialed in. Even if it works 90% for 90% of patients. It will be valuable, saves chair time and reduces user error.Throughout history we have come up with things to make life 'easier', maybe it doesn't work perfectly at first. Over time it gets dialed in and then nearly perfected I think this is the case for digital dentures. Maybe not tomorrow, but the next day.
I am designing digital dentures, printing, relining with CoeSoft or similar, adding a little radio opaque material for use as a CBCT scan appliance. Merging design for the digital surgical planning. Milling the same design that has been modified out of PMMA for an immediate temp in certain situations. Got a good one I am starting tomorrow, full mouth.2th is right, digital dentures is the future just like it has been in C+B. A digital set up and it being relined will come first it will get dialed in. Even if it works 90% for 90% of patients. It will be valuable, saves chair time and reduces user error.
No, but it is easily done in the software.Maybe someday, but the doctors that I work with don't want perfect Hollywood smiles and they're not afraid to pick up a wax spatula and move a tooth. They can't do that
with a digital set up.
Post pictures if possible.I am designing digital dentures, printing, relining with CoeSoft or similar, adding a little radio opaque material for use as a CBCT scan appliance. Merging design for the digital surgical planning. Milling the same design that has been modified out of PMMA for an immediate temp in certain situations. Got a good one I am starting tomorrow, full mouth.
That's fine, when the world moves on from analog either be retired, or move with it.Maybe someday, but the doctors that I work with don't want perfect Hollywood smiles and they're not afraid to pick up a wax spatula and move a tooth. They can't do that
with a digital set up.