Medical Forum / General / Dentistry / May 2005
Question, yet again! :)
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Sdores - 14 May 2005 12:47 GMT Is there a way to know if a dentist has a lab in his office to make dentures at his/her location without phoning all of them to find out? Thanks for any help, need to get my top realigned and my bridge broke so it needs replacement. UM MOM Susan
Mark & Steven Bornfeld - 14 May 2005 13:28 GMT > Is there a way to know if a dentist has a lab in his office to make dentures > at his/her location without phoning all of them to find out? Thanks for any > help, need to get my top realigned and my bridge broke so it needs > replacement. UM MOM Susan There's no way that I know of to systematically check. However, some of these dentists advertise--in Brooklyn there's one who advertises he has a lab, and can provide same-day dentures.
Steve
 Signature Mark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001
Sdores - 14 May 2005 22:40 GMT Thanks, that is what I thought. I was hoping for an easier way. I don't really want to go to a place that advertises how good they are. Thanks again. UM MOM Susan
>> Is there a way to know if a dentist has a lab in his office to make >> dentures at his/her location without phoning all of them to find out? [quoted text clipped - 6 lines] > > Steve Charlie - 14 May 2005 23:56 GMT If you were in upstate New York I could help you out - Otherwise, the only thing that comes to my mind is checking with the Prosthodontists in your area. 3/4 of them in this county have in-house labs.
Sdores - 15 May 2005 00:05 GMT Thank you very much. I am in south FL but will look for this. I hate it when the dentures have to be sent out and I go without. Right now I am without my bottom bridge because it broke in half. Thanks again! UM MOM Susan
> If you were in upstate New York I could help you out - Otherwise, the only > thing that comes to my mind is checking with the Prosthodontists in your > area. 3/4 of them in this county have in-house labs. DrSteve - 15 May 2005 04:47 GMT Denture repairs are done in many dental offices. It is the set-up and processing of new dentures that is NOT done in most offices.
For my own patients (who have been with me for a while) I always try to get denture repairs back to the patient the same day even if it means making the repair during my lunch break.
> Thank you very much. I am in south FL but will look for this. I hate it > when the dentures have to be sent out and I go without. Right now I am [quoted text clipped - 4 lines] >> thing that comes to my mind is checking with the Prosthodontists in your >> area. 3/4 of them in this county have in-house labs. Joel M. Eichen - 15 May 2005 11:58 GMT True, denture repair in office is a valuable service, and it has nothing to do with an in-office dental lab.
Most dentists I have known do not know how to work with acrylic and therefore, sending it out is the best option.
I had all permutations in my career including in-office denture processing (cerre perdu), packing, and some of the Dentsply "pour" techniques.
I also had employed technicians to set-up cases, and then sent out for processing, while the techs worked on partial dentures.
I never cast frameworks, but outsourced that too.
I made 95% of my partial dentures with a Vitallium framework but made many Flexite and Valplast cases also.
Basically, a denture-oriented dentist is an older style of practice and by the way, not necessarily a "good style" of dental practice.
Saving teeth is the essence of dentistry.
Therefore I tried to straddle that fence.
Joel
> Denture repairs are done in many dental offices. It is the set-up and > processing of new dentures that is NOT done in most offices. [quoted text clipped - 14 lines] > >> -- > >> Message posted via http://www.medkb.com Sdores - 15 May 2005 17:01 GMT Thanks Dr Steve and Dr Joel, it sounds like I should just stick with my dentist. He is wonderful though he is awful with the clips at times but then again it could have been the bridge was too old and they started breaking. I think I will let him do the work. He does do the top lining (don't know the medical words, sorry) He also has a person there to tend to these matters and he does the final fitting. I sure hate that goop though that is needed, yuck! Thanks everyone! UM MOM Susan
> True, denture repair in office is a valuable service, and it > has nothing to do with an in-office dental lab. [quoted text clipped - 48 lines] >> >> -- >> >> Message posted via http://www.medkb.com Charlie - 15 May 2005 19:32 GMT "True, denture repair in office is a valuable service, and it has nothing to do with an in-office dental lab.
Most dentists I have known do not know how to work with acrylic and therefore, sending it out is the best option."
Oh yeah? Gee, you just told Sue that she should avoid practices like mine. The problem with generalizations, Joel, is that they rile up the exceptions. Dad always told me not to take something personally that isn't meant that way, so I'm not going to since you don't know me or what I do.
The few dentists in my area with decent labs and who like to sit at the bench are very proud of the fact. Half of the repairs we do are not simple autocure. Metal reinforcement, heat curing and soldering (or welding) often need to be applied to get the best result. It's not likely an office without a lab can do all of this. It ain't just dentures in my lab, either.
My office is one of the few places around where a patient can get a good, lab reline while they wait (admittedly, it's a long wait).
"Basically, a denture-oriented dentist is an older style of practice and by the way, not necessarily a "good style" of dental practice."
Them's fighting words, Dr. E.
Sdores - 15 May 2005 20:22 GMT Wish you were in South FL, you would have me come to take care of things. I can't find one down here that hasn't had complaints, lots of them and that is only one office and I went there and understand why people complained. UM MOM Susan
> "True, denture repair in office is a valuable service, and it > has nothing to do with an in-office dental lab. [quoted text clipped - 26 lines] > > Them's fighting words, Dr. E. Charlie - 15 May 2005 21:10 GMT I wouldn't know about Fla., but there are two kinds of dental offices that feature in-house lab service around here. The more visible (aka advertising) operations, which are generally not stellar in quality, but relatively inexpensive. And there're the higher-end operations, most of which are prosthodontist's offices. You usually get what you pay for.
Sdores - 15 May 2005 21:40 GMT I'll check into the latter one. Thanks, UM MOM Susan
>I wouldn't know about Fla., but there are two kinds of dental offices that > feature in-house lab service around here. The more visible (aka > advertising) operations, which are generally not stellar in quality, but > relatively inexpensive. And there're the higher-end operations, most of > which are prosthodontist's offices. You usually get what you pay for. Joel M. Eichen - 15 May 2005 22:00 GMT I am not sure about that.
Getting what one pays for is tricky in dentistry.
First, determining what is required is the initial step.
Joel
> I'll check into the latter one. Thanks, UM MOM Susan > >I wouldn't know about Fla., but there are two kinds of dental offices that [quoted text clipped - 5 lines] > > -- > > Message posted via http://www.medkb.com W_B - 16 May 2005 17:57 GMT > You usually get what you pay for. Sometimes you get less... --
W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com
Joel M. Eichen - 15 May 2005 21:40 GMT > "True, denture repair in office is a valuable service, and it > has nothing to do with an in-office dental lab. [quoted text clipped - 7 lines] > exceptions. Dad always told me not to take something personally that isn't > meant that way, so I'm not going to since you don't know me or what I do. REPLY
No disrespect intended but I am missing something. Where is my error?
Joel
> The few dentists in my area with decent labs and who like to sit at the > bench are very proud of the fact. YUP, false sense of self-importance!
Joel
> Half of the repairs we do are not simple > autocure. Metal reinforcement, heat curing and soldering (or welding) > often need to be applied to get the best result. It's not likely an office > without a lab can do all of this. It ain't just dentures in my lab, either. I have plenty to say about metal repairs ........ most are quite worthless!
> My office is one of the few places around where a patient can get a good, > lab reline while they wait (admittedly, it's a long wait). [quoted text clipped - 3 lines] > > Them's fighting words, Dr. E. OK, let's discuss it!
Joel
> -- > Message posted via http://www.medkb.com Charlie - 15 May 2005 22:09 GMT Locally I'm considered something of an expert in dental technology. Didn't realize I was interchanging with someone who knows more about denture repairs than I do.
False sense of self-importance? Gee, that's not nice. In the couple months I've been browsing this forum I've thought you to be well-informed and articulate, but right now I'm feeling disappointed.
Joel M. Eichen - 15 May 2005 22:32 GMT > Locally I'm considered something of an expert in dental technology. Didn't > realize I was interchanging with someone who knows more about denture [quoted text clipped - 3 lines] > months I've been browsing this forum I've thought you to be well-informed > and articulate, but right now I'm feeling disappointed. ************ Charlie, you are not reading correctly.
I said the dentists who are unwilling/unable to get involved with repairs are often doing so out of a false sense of self-importance.
Joel
*********
OOOps!
I misread it. I thought there was a "NOT" in there.
Many humble apologies from me! I am in accord with you on this.
Joel
IN REPLY TO:
> The few dentists in my area with decent labs and who like to sit at the > bench are very proud of the fact. YUP, false sense of self-importance!
> -- > Message posted via http://www.medkb.com Joel M. Eichen - 15 May 2005 22:35 GMT My error.
Again, sincere apologies.
I read much too quickly and on occasion read incorrectly.
Joel
> > Locally I'm considered something of an expert in dental technology. > Didn't [quoted text clipped - 34 lines] > > -- > > Message posted via http://www.medkb.com Charlie - 15 May 2005 22:43 GMT My faith in Joel is restored.
I'll say this about metal repairs - they used to be crappy. I don't know why we bothered using silver solder on frames. But laser welding has been a Godsend.
Joel M. Eichen - 15 May 2005 22:46 GMT > My faith in Joel is restored. > [quoted text clipped - 4 lines] > -- > Message posted via http://www.medkb.com Thanks.
Repairs to add teeth can be valuable. However, trying to repair clasps can be nasty. They do not spring the required amount as determined by our Ney surveyor procedures.
Joel
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