I never have understood” as needed”…..how can you tell when a screw needs changing?
From: acesthetics@googlegroups.com [mailto:acesthetics@googlegroups.com] On Behalf Of Rod Strickland
Sent: Monday, May 06, 2013 1:44 PM
To: bigdrtim@hotmail.com
Cc: Gregory Sawyer; ACEsthetics@googlegroups.com
Subject: Re: [ACEsthetics] Maintenance of Hybrids
i like to see them twice per year, just like someone with teeth... do a cleaning and check for problems.... do xrays once per year... remove and replace screws as needed... but not very often
On May 6, 2013, at 2:38 PM, Lance Timmerman wrote:
so, during a consultation, what do we tell them as far as maintenance? come in once per year for irrigation/cleaning/exam? replace screws as needed, usually every 3-5 years?
I ask because I think I am letting these patients fall thru the cracks. we aren't pushing for a recare protocol, like we do with normal hygiene patients.
-----Original Message----- From: Gregory Sawyer
Sent: Monday, May 06, 2013 11:19 AM
To: bigdrtim@hotmail.com
Cc: ACEsthetics@googlegroups.com
Subject: Re: [ACEsthetics] Maintenance of Hybrids
When we perceive that they need attention. It is time consuming and
expensive. My early ones were on Nobel implants. They charge over
$100 per screw. It takes me an hour per arch to remove and replace.
Gregory Sawyer DDS
Los Gatos Dental Group
15951 Los Gatos Blvd #8
Los Gatos, CA 95032
(408) 402-0900
http://www.losgatosdentalgroup.com/
Follow my blog at:
http://losgatosdentalgroup.blogspot.com/
-----Original Message-----
From: Lance Timmerman <bigdrtim@hotmail.com>
Cc: ACEsthetics <ACEsthetics@googlegroups.com>
Sent: Mon, May 6, 2013 10:45 am
Subject: Re: [ACEsthetics] Maintenance of Hybrids
how often normally?
-----Original Message-----
From: Gregory Sawyer
Sent: Monday, May 06, 2013 9:25 AM
To: chrishilldmd@gmail.com ; JohnAckley@bonadent.com
Cc: ACEsthetics@googlegroups.com
Subject: Re: [ACEsthetics] Maintenance of Hybrids
I change the screws every time. I charge $1K per arch. We don't do it
every year. We design so that the patient can get hydrofloss with
Dakins solution under the prosthesis. The lower is high water.
Gregory Sawyer DDS
Los Gatos Dental Group
15951 Los Gatos Blvd #8
Los Gatos, CA 95032
(408) 402-0900
http://www.losgatosdentalgroup.com/
Follow my blog at:
http://losgatosdentalgroup.blogspot.com/
-----Original Message-----
From: Chris Hill <chrishilldmd@gmail.com>
To: John Ackley <JohnAckley@bonadent.com>
Cc: ACEsthetics <ACEsthetics@googlegroups.com>
Sent: Mon, May 6, 2013 9:00 am
Subject: Re: [ACEsthetics] Maintenance of Hybrids
John,
How often would you change screws on these? Everytime? Every other?
On Mon, May 6, 2013 at 10:52 AM, John Ackley
<JohnAckley@bonadent.com> wrote:
Be sure to figure in the cost of new screws as well. This is a
debatable necessity to some but in my opinion much better safe than
sorry. Warm Regards,John AckleyImplant and Precision
Manager BonaDentDental Laboratories“I Work With The Best” 2495
Bonadent DrivePO Box 499Seneca Falls, NY 13148800-732-6222 Toll
Free315-539-8875 Direct315-539-9815 Faxwww.bonadent.com From:
acesthetics@googlegroups.com [mailto:acesthetics@googlegroups.com]On
Behalf Of Chris Hill
Sent: Monday, May 06, 2013 11:44 AM
To: ACEsthetics
Subject: [ACEsthetics] Maintenance of Hybrids
How often are you guys removing these? In the past, I have just done
once a year. I have a patient that has upper and lower hybrids, one
with 6 implants and the other with 8. The patient previously had
removable dentures with a bar and we switched it over to hybrids. How
much do you charge for something like this. I have 14 implants sites
on the denture that I have to cut the composite out of, remove the
dentures and then put everything back. Not sure what to charge for
this (I know what I want to charge for this).
--
Chris Hill D.M.D.
www.CitySmilesStLouis.com
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Chris Hill D.M.D.
www.CitySmilesStLouis.com
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