Hello,
Mark Jackson, RDT has just posted in the Dental Implants forum of ACE Dental World under the title of RESCUED from IMPLANT HELL by Nelson Rego!.
This thread is located at http://www.acedentalforum.com/forum/threads/583-RESCUED-from-IMPLANT-HELL-by-Nelson-Rego!
Here is the message that has just been posted:
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---Quote (Originally by gmoor@windstream.net)---
*Thanks to all you labs out there that continuously pull us out of the fire. Guy*
---End Quote---
This is one of the things i always loved about the ACE list back in the day. Unlike another place I visit, I don't see many passive aggressive lab haters here! You guys are great.
Sometimes, we can't pull anybody from the fire. We just have to hope they aren't the type who keep putting their hand back on the hot stove!
I think technology is going to help a lot of marginal dentists become better dentists, provided they want to use it. I have seem some customers who took lousy impressions buy an intraoral scanner thinking it was going to solve his remake problems, or stop me from returning cases as unusable (which he simply repacked and sent to another lab who'd take it).
Without understanding the fundamentals of fluid and soft tissue control, a digital impression is no better than a sloppy analog one. But a well lit, 3D representation of the prep, magnified on a touch screen at hundreds of times magnification, with red hash marks showing undercuts, their preps improve and things start getting better.
CAD CAM has made our lab work more accurate, more consistent and lower priced, and has made average technicians into outstanding technicians, and guys like Nelson into superstars.
Digital implant planning, guided surgery are improving the the quality of implant cases to the point where poorly placed implants are almost becoming rare for many of my doctors, but compromises are sometimes necessary and we all do the best we can. As the topic case here showed, one labs "best" is definitely not another labs "best", but again technology is closing that gap.
Unfortunately, the better your reputation, it seems the worst the cases get sometimes because you become the go-to guy for disasters!
I once had a case that I refused show up on my desk three years later, from another lab who wanted me to mill some abutments for him. It was still the same model I had done way back when, and it was still making the rounds. Sometimes, you just gotta punt.
Attachment 1557 (http://www.acedentalforum.com/forum/attachment.php?attachmentid=1557)Attachment 1558 (http://www.acedentalforum.com/forum/attachment.php?attachmentid=1558)
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