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Medical Forum / General / Dentistry / April 2006

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Dental Lab's estimate vs. actual price

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Steve_R - 25 Apr 2006 03:21 GMT
Before having implants for a bar supported overdenture, I had my
dentist checked for an estimate from the dental lab he uses. The labs
estimate for a bar supported overdenture, including overdenture, bars,
etc was $4500. Now I've completed the implant procedure and returned to
my dentist. Impressions were made and sent to the Lab. The called back
and said the actual cost will be a little over $8500. Quite a
difference from the estimate. The lab said the reason is that instead
of doing one bar as they had assumed, they will have to do two bars. I
have 6 implants. They said one bar will cover the 3 implants on the
left lower side and the other bar will cover 3 lower right implants and
the two bars will meet in the middle front of my mount. Thus the more
than 100% increase over the estimate. I thought a bar was actually a
series of small, multiple bars between each implant. Thougts?
Steven Bornfeld - 25 Apr 2006 03:38 GMT
> Before having implants for a bar supported overdenture, I had my
> dentist checked for an estimate from the dental lab he uses. The labs
[quoted text clipped - 9 lines]
> than 100% increase over the estimate. I thought a bar was actually a
> series of small, multiple bars between each implant. Thougts?

    The more fixtures involved, the greater the number of custom abutments,
the greater the amount of casting, the greater the labwork.  Naturally
the lab fee will be commensurately higher.
    I'm assuming the original estimate was probably based on a conversation
rather than seeing an impression.  If the potential for nasty fee
surprises is this great, it makes sense to try to involve the lab
earlier, so everyone understands what's going on.
    Bar-supported overdentures do incur very high lab fees.

Steve
Steve_R - 25 Apr 2006 04:18 GMT
> > Before having implants for a bar supported overdenture, I had my
> > dentist checked for an estimate from the dental lab he uses. The labs
[quoted text clipped - 20 lines]
>
> Steve

The decision to procede with the implant overdenture was based on the
estimated cost.
I cannot afford the additional $4500 now and will have to wait 4 to 5
months to continue.
Dr. G. - 25 Apr 2006 07:06 GMT
>[...]
>estimate for a bar supported overdenture, including overdenture, bars,
> etc was $4500. [...] the actual cost will be a little over $8500. Quite a
> difference from the estimate. [...]
>Thougts?

I'd be pissed!!
I'm not sure I understand why there could be such a disparity in cost
unless they were made YEARS apart. But, I suspect this is more a problem
caused by poor treatment planning.
I see no reasonable excuse for this to have happened. Sorry!

Dr. G.
Prosthodontist
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Mark & Steven Bornfeld - 25 Apr 2006 16:43 GMT
>>[...]
>>estimate for a bar supported overdenture, including overdenture, bars,
[quoted text clipped - 10 lines]
> Dr. G.
> Prosthodontist

    Poor treatment planning, or poor communication.  Sometimes a patiet
will ask me to ballpark figures before I've even gotten all my x-rays.
Obviously this is fraught with peril, but you can say maybe yes maybe no
about a root canal.  If you're talking about a treatment plan of this
magnitude, off-the-cuff estimates are very dangerous.

Steve

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Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

Joel344 - 26 Apr 2006 13:26 GMT
Let's add that the bad guy is the dentist
not the lab ..... the lab costs are say 15% to 20% ......

Joe

--
Joel34
Mark & Steven Bornfeld - 26 Apr 2006 14:54 GMT
> Let's add that the bad guy is the dentist
> not the lab ..... the lab costs are say 15% to 20% ......
>
> Joel

    I'm assuming the quoted fees are indeed lab fees.  Don't know what your
experience is with bar overdentures.  I once spoke with Steve Wallace at
Paragon at a lecture, and asked him to ballpark the lab fee for a simple
lower bar overdenture.  At the time ( maybe 2-3 years ago) he told me
the lab fee would be about $4K.

Steve

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Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

Dr. G. - 27 Apr 2006 08:17 GMT
> Let's add that the bad guy is the dentist
> not the lab

Good point!

Dr. G.

> ..... the lab costs are say 15% to 20% ......

> Joel
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carabelli - 27 Apr 2006 14:19 GMT
> Let's add that the bad guy is the dentist
> not the lab ..... the lab costs are say 15% to 20% ......
>
> Joel

Just so you know, Hillary is spoofing your addy again Joel

carabelli

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