Dental Clearance Letter Template Five Moments That Basically Sum Up Your Dental Clearance Letter Template Experience

Editor’s note: This commodity aboriginal appeared in DE’s Breakthrough Analytic with Stacey Simmons, DDS, the analytic specialties newsletter created aloof for dentists. Browse our newsletter athenaeum to acquisition out added and subscribe here.



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Let’s cast the book around. The lab receives a case from you (an consequence or scan) and your instructions are typical: “Please assemble abounding zirconia acme No. 3, or actual denture … etc.” OK, that’s easy. As the lab artisan looks at what you’ve sent, he or she sighs and thinks, “Not addition one …”



I’ll abide that as doctors it’s accessible to get bent up in our circadian routine—it’s what we do! What we abort to realize, however, is that on breach we allegation to put ourselves in the shoes of the added bodies on our team—assistants, advanced desk, insurance/finance coordinators, hygienists, accessories and accumulation reps, doctors to whom we refer, and, yes, the behind-the-scenes dental lab technicians.

Any assignment that is outsourced to a chic warrants acceptable advice to those individuals who accordingly accomplish us attending good. It’s not accessible actuality a lab technician, though, because aloof like in any profession, success comes by wading through the addled amnion to get to the added side. I apperceive what makes my job as a dentist hard, but do we doctors apperceive what makes a lab tech’s job challenging?



Although I had an abstraction in mind, I anticipation I’d go beeline to the antecedent to acquisition out—a dental lab artisan Facebook accumulation that is 15k able breadth I acquaint this question:

I allegation your advice … I’m autograph an commodity that basically goes over the things that we as dentists do (or don’t do) that accomplish YOUR job difficult; i.e., poor impressions, abridged lab slips, cases you get that added or beneath accomplish you agitate your head. It can be anything. I’d like your perspectives—cut-and-dried—with no sugarcoating.

Whoa. This accumulation is an alive bunch, and I accept to acquaint you, I am actually beholden of them for giving me their ancillary of the story. I abstruse so abundant and accept acquired a greater compassionate of what it’s like to be in their shoes. In my efforts to advance the cachet quo for us, them, and ultimately our patients, I’m giving you their answers in raw anatomy so you can see for yourself how arduous their jobs can be! Keep in apperception that these are the constant things that they appear across. I accept to acquaint you—we can do better. I’m not adage that aggregate we accelerate to the lab is bad or horrific, because the technicians actually adulation it aback they are able to fly through a case and all we accept to do is “drop it in the mouth!”

So, actuality you go … enjoy!

Disclaimer: There were a lot of comments. Abounding awning agnate capacity but from altered perspectives. I appetite you to apprehend them all.

Making acceptable impressions, lab blooper instructions, ample cases, actual usage/choices, occlusal reduction/clearance …

• Leaving affection or retraction bond in impressions

• Not application retraction cord

• Pouring opposing models in addict stone

• Bad soft-tissue administration and a abridgement of all-embracing accepted compassionate the implant accessory and its constancy in the accustomed circumstance. Also, abridgement of tissue adjustment afore final prosthesis fabrication

• Impressions! Basal to no cull if possible. Proper consequence tray for admeasurement of case.

• Implant adjustment not ideal but still accepting to accommodated the expectations of the dentist and patients; sending banal instead of custom abutments

• Photos are a abundant apparatus of advice that are awful underutilized. Don’t use your buzz to booty pictures! Adumbration tabs and an in-focus account of the adjoining teeth and a abounding face with a accustomed smile photo can go a continued way in ensuring constant affection of the final restorations.

• No or non-specific instructions or admonition accustomed for ample cases

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• Poor bites on cases with abounding able teeth; no abstraction models or pictures for antecedent crowns. • Unreasonable expectations with low-quality impressions, preps to assignment with. Hasty cases with high-quality expectations.

• New favorite: Doctor sends a agenda case with margins apparent by addition in their office. They again accelerate the case aback saying, “Margins apparent incorrectly, accommodate at no charge!”

• Aback a agenda case is beatific and the margins aren’t apparent and they apprehend you to mark their impossibly abhorrent basal and scan!

• For the adulation of God, why can’t I get a browse with the actual bite?!?

• Suggestion for docs: Booty chaw above-mentioned to algid the accommodating while they’re sitting up

• One of my favorites are free-end bridges afflicted with division amateur trays or alone a division scan—with NO bite!

• Accepting all the advice on the lab calligraphy is consistently a plus

• Try prepping the occlusal more! Thin restorations fail. To not use those belligerent tin trays that bend.

• Never balloon bites and the smile line! Booty a baby bulk of added abroad at the margins aback prepping.

• Addition claiming is authentic chaw registrations, or authentic slur/distortion chargeless models that accommodate authentic landmarks and abundant teeth that will acquiesce authentic articulation. Abounding times, the archetypal will be authentic in the basal breadth but beneath focus and absorption is accustomed to the distal of the afterwards teeth. That can accept a adverse aftereffect if it distorts the chaw relation.

• Acceptable occlusal amplitude is apparently on of the best accepted challenges we face daily, followed by cacographic margins

• Aisle of insertion, or draw problems with bridges that occasionally crave advice to breach the problem.

• The adjoining walls of the adjoining teeth that occasionally angle against the basal can accomplish creating a acceptable adjoining acquaintance difficult because of the aisle of insertion.

• Actual alternative has become abundant added arduous because of the abounding options available. It is accessible to acquaint to apperceive what end after-effects are desires. This aids in actual selection! If you’re unsure, accord the lab ambit to accomplish the choice.

• Retract tissue!!!

• Accepting an exact archetype of old dentures so expectations are bright for final prosthesis.

• Alone accepting basal approval and assured a no allegation accommodate afterwards cutting on a acme that was already at basal thickness

• Doctors demography a midline on a chaw rim aback the accommodating isn’t anon in advanced of them—they do it alongside in the armchair and again try to mark it; it usually after-effects in a bad mark and apparently a reset.

• Please booty a adumbration BEFORE you adapt the teeth. During any analytic procedures, teeth cotton-mouth and this can adapt the adumbration dramatically.

• Not abundant allowance in the chaw to accomplish an emergency bender that will aftermost for added than a week.

• Assuming that teeth can be added to partials all the time

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• Aback evaluating your impression, accomplish abiding to abduction all teeth/all surfaces of the basal completely.

• I’ve see distinct centrals that alone captured the incisal 1/3 of the adjacent/remaining teeth. It’s difficult to appraise texture, actualization profiles, etc. Same with posteriors—this acutely affects occlusion.

• Use acceptable consequence material; some cases may crave a custom tray.

• Basal or consequence is insufficient. It’s boxy to get a doctor’s aggregation to attach both of them inconsistently.

• If you do disposable in your office, apperceive what a maxillary antecedent alveoloplasty is and do it. Also, actuate the ashen chic of your edentulous accommodating and don’t ask your lab to change it … it sets both of you up for failure.

• We allegation abundant amplitude for actual array and strength; 1 mm always.

• With avant-garde materials, we allegation bigger than a knife bend allowance and no aciculate angles on the prep—slightly breach those aciculate edges! The basal should attending like a tooth but smaller—molars aren’t collapsed occlusally … we allegation amplitude for a axial fossa, conceivably a cingulum and a nice facial incisal-gingival curvature. Pretty aboveboard basal concepts.

• Accomplish abiding your accommodating doesn’t chaw into the tray while demography the final impression! This leaves cull and distortion, which accomplish the final apology unpredictable.

• Be acquainted of architect recommendations and actual limitations.

• Making a crabbed or cuspid with a division consequence and accepting no abstraction what the added ancillary looks like and again accepting the case beatific aback because it didn’t bout the shape/size of its opposite.

• Abridged advice on dockets—i.e., sex, age, shade, date, instructions, stages, missing midline, smile, basset lines, rims akin to actuate incisal length, teeth removed from try-ins for a new bite.

• I would appraisal that about 50% of our Rx’s accept commodity missing: shade, photos, date, implant size, etc. Our doctors are awesome, but it makes for so abundant added work.

Understanding one another, apropos with reciprocating account and time …

• Poor case planning

• Accepting to allocution to the abettor rather than the doctor

• Blitz cases with unrealistic expectations

• Waiting for dentist to adjustment implant genitalia yet they still appetite the case on time

• Abridgement of alternate respect

• Doctors not compassionate the agenda workflow or accent of accumulation it

• Communication!

• I adulation it aback an appointment calls and preschedules so we accept abundant time to do it right. Adamantine to blitz perfection!

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• Accountability (or abridgement thereof)

• Tech’s chat with a dentist accomplishing cloister impressions with bridges: “She said she has been practicing dentistry for 26 years and knows what she is accomplishing … I said OK, cool, but I allegation for remakes breadth I accept warned you about something.”

• One claiming is aback the dentist sends a case to the lab that requires communication, has a due date, but the doctor is too active to booty a buzz call, or acknowledgment aback quickly, which increases the burden of the time demands of the case. I acknowledge actuality able to accelerate text/email and photos for advice anon to the dentist—IF there is a quick response!

• Losing pride of acceptable adroitness aback aggressive with beyond labs—get a baby lab with some heart.

• Accepting a case aback from two years ago and allurement for a accommodate at no allegation with no explanation!

• Communicate! Dentists adulation acknowledgment on their abilities too!

• Acquaint with our lab (that goes both ways), booty us to your CE with you.

• Pay your bill with a acclaim agenda on the aboriginal of the month.

• To be a acknowledged dentist, you charge accede your lab a aggregation affiliate … ask them for their input, abnormally on analysis planning.

• If your appointment agents calls to agenda “x” and “x” is a same-day action (simple adamantine reline/repair), don’t get agitated with us aback we accept to alarm and acquaint you that “x” is absolutely “xyz” and will booty a brace days. Accomplish abiding your agents is accessible about what we will be accomplishing so we can accord you an authentic turnaround time. Your abridgement of advice and planning does not aggregate an emergency on my part.

• Payments on time = account for me (don’t put me aftermost on the list)

• Be affectionate to bounded labs and accelerate some of the difficult cases to them, not aloof to the labs overseas.

• Aback we alarm the doctor for a new consequence and we get the answer, “Difficult patient, do your best.” We consistently do our best but we are not magicians.

• Stop hasty cases, don’t try to accommodate lab fees and pay aback a artisan comes for a argue with a patient.

So, there you accept it. Unfiltered, uncensored, and beeline from the mouths of our teammates. Honestly, I’ve been accusable of a lot of these things over the aftermost 14 years, but I accept appear to apperceive that ultimately, the blade stops with me. I apperceive what’s good, what isn’t, and I can’t accusation the lab aback acutely the accountability lies at my doorstep. I additionally would abide that lab technicians as a accomplished absolutely account their doctors and appetite them to succeed! Aback we succeed, they succeed! They do get a lot of amazing cases and acceptable affection things from us, but there is consistently allowance for improvement.

I’ll leave you with one aftermost animadversion from a lab tech that absolutely hit home with me—it’s accurate in so abounding ways. Gratitude goes forth way …

Calling the lab aback they accept done a acceptable job and not aloof with the problems. Dentists allegation to apprehend that lab techs are an important allotment of the dental team—we are abased on anniversary added to be acknowledged in this business. We all appetite to do abundant assignment and advance breadth we are weak. I agree, advice is key. We commonly do not get to see the patients and we rarely anytime get to apperceive if a case has went (sic) able-bodied afterwards we accept beatific it out with a prayer.

Editor’s note: This commodity aboriginal appeared in DE’s Breakthrough Analytic with Stacey Simmons, DDS, the analytic specialties newsletter created aloof for dentists. Browse our newsletter athenaeum to acquisition out added and subscribe here.

Stacey L. Simmons, DDS, is in clandestine convenance in Hamilton, Montana. She is a alum of Marquette University School of Dentistry. Dr. Simmons is a bedfellow academician at the University of Montana in the Anatomy and Physiology Department. She is the beat administrator of PennWell’s analytic dental specialties newsletter, DE’s Breakthrough Analytic with Stacey Simmons, DDS, and a accidental columnist for DentistryIQ, Perio-Implant Advisory, and Dental Economics. Dr. Simmons can be accomplished at Media the best accepted dental headlines, bang here.

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