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Medical Forum / General / Dentistry / May 2005

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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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