Re: [ACEsthetics] Maintenance of Hybrids

What is the current research on replacement of screws? Whay and when.

Thanks

Kathy Frazar DDS
www.drfrazar.com


On May 6, 2013, at 1:38 PM, Lance Timmerman <bigdrtim@hotmail.com> 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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