Who would do what

[Denture Dude]

I can’t keep dong this garbage and having my name associated with it. Haha. Also need to eat though. Impression so inadequate I wouldn’t even suggest making a tray on it. Doc wants to use this as master for imm fd. I think I’m being too humble with these docs to the point that I’ve lost their respect. When I don’t know something I say ‘I don’t know but I will research that.’ Almost like they’d rather me lie and act like a used car salesman. I’ve suggested accudent system multiple times. But since it’s a suggestion coming from me it must be a bad idea. Rant over. Lol. Chrimeny.

 

[Doris A]

View attachment 40809
I can’t keep dong this garbage and having my name associated with it. Haha. Also need to eat though. Impression so inadequate I wouldn’t even suggest making a tray on it. Doc wants to use this as master for imm fd. I think I’m being too humble with these docs to the point that I’ve lost their respect. When I don’t know something I say ‘I don’t know but I will research that.’ Almost like they’d rather me lie and act like a used car salesman. I’ve suggested accudent system multiple times. But since it’s a suggestion coming from me it must be a bad idea. Rant over. Lol. Chrimeny.

I'd send it back.

 

[FASTFNGR]

Since it is an imm. denture that is going to go thru tissue conditioning or a soft reline, a lot of Drs do not take a decent impression because it is temp and then will be thrown away later. I had my share of those too.

 

[zero_zero]

I've seen way worse that that...

 

[Affinity]

I think I’m being too humble with these docs to the point that I’ve lost their respect.

This is the problem and the solution. I think were all guilty of that, but Im telling you, youd be amazed how much respect you can gain when you put your foot down. And always have another relationship on deck for when they cant handle the rejection.

 

[bigj1972]

First mark your cast with red pencil the deficient areas. Then take photographs. Send to office if they wish to proceed. Make them say yay or nay. With this case, they'll 95% say proceed. Then in 2 weeks when they want a reline cuz it never fit right, you recall the data, and charge them full price. And make sure your reline fee is high enough. $200 ought to do it.

 

[sidesh0wb0b]

always make the call and give them the option.....then if there is an issue, you have the high ground AND can charge for the remake.

 

[Gru]

When I don’t know something I say ‘I don’t know but I will research that.’ Almost like they’d rather me lie and act like a used car salesman.

My experience is they want you to make the call so they can blame you for the failures. Don't take the bait!

 

[GG - J]

My experience is they want you to make the call so they can blame you for the failures. Don't take the bait!

exactly - don't take the bait

set up protocols with all your office this still wont alleviate all issues but at least it gives you a leg to stand on with most

 

[Leo C]

Hi im new to the forum.. It seems since its just an immediate denture, everything you need is there other than the lingual area, which he obviously missed.
The Drs usually cut the the denture down around the periphery to add a soft lining for more adequate comfort. I would add some baseplate wax in that area, and replicate what he missed with base plate wax. Then pour. That mylohyoid ridge area is important, in the final denture, but for the imm,,, i wouldnt sweat it. Your good!

 

[Denture Dude]

Yes. Soft liner.

 

[bigj1972]

Hi im new to the forum.. It seems since its just an immediate denture, everything you need is there other than the lingual area, which he obviously missed.
The Drs usually cut the the denture down around the periphery to add a soft lining for more adequate comfort. I would add some baseplate wax in that area, and replicate what he missed with base plate wax. Then pour. That mylohyoid ridge area is important, in the final denture, but for the imm,,, i wouldnt sweat it. Your good!

And charge full fee for the reline when requested.

 

[bigj1972]

Yes. Soft liner. View attachment 40834

Yeah the Miracle Salve of Dentistry.

 

[rkm rdt]

May the snark be with you.

 

[bigj1972]

Hi im new to the forum.. It seems since its just an immediate denture, everything you need is there other than the lingual area, which he obviously missed.
The Drs usually cut the the denture down around the periphery to add a soft lining for more adequate comfort. I would add some baseplate wax in that area, and replicate what he missed with base plate wax. Then pour. That mylohyoid ridge area is important, in the final denture, but for the imm,,, i wouldnt sweat it. Your good!

Welcome Leo....yeah it's so obvious he should have taken the extra 5 minutes and $2 to retake another. The assistants usually do more adjusting than the Dr, so why not trust them to know what an overextension is.

Instead of faking in with wax, I prefer the photograph, Pass Go and collect $200. If your gonna work, get paid for it.

People only learn to do better when it costs them money.

 

[Leo C]

Great idea about the photograph, lets them know what NOT to do next time....!! Thank you for welcoming me in.......!!

 

[Denture Dude]

Yayyy. Now let’s rebuild this whole denture and call it a reline.

 

[Leo C]

View attachment 40837Yayyy. Now let’s rebuild this whole denture and call it a reline.

wow... missed it by that much LOL..

 

[Affinity]

Just did one of these yesterday. How much extra do you charge to remove soft liners..? Im thinking what I charge isnt enough..

 

[Leo C]

Just did one of these yesterday. How much extra do you charge to remove soft liners..? Im thinking what I charge isnt enough..

What i normally do is charge for a rebase instead of a reline.. Tons more work..