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38 I I feature _ practice management pleasers and we want to impress you, make you happy and meet your needs. If you want the best technicians working on your cases, make it your businesstosendthemthebest,communicatewith them until you work together like a well-oiled machineanddemandexcellenceinreturn.Theway you communicate will affect all of this. In modern dentistry, it is easy to do the right thing. We have the tools. We have the standards. We have the desire. We can work better together. Just tell us what you want and we can deliver. _When looking for a new lab… _Call and introduce yourself, communicate what it is you are looking for and what is missing from your current lab relationship. (We need to know what you don’t like so it’s not repeated!) _Asktoseephotographsoftheirwork,andfindout who receives the photographs that you will be attaching to your e-mails of cases. _Ask how the lab assigns your cases to a techni- cian(s) and request to speak directly with the technician you will be working with. _Visit the lab if possible, or use Skype for instant communications online. _Ask for a bisque-bake photograph to be e-mailed to you for approval before sending the case out. This saves time and the dentist can give useful feedback at a time when modifications are easily made. _Schedule quarterly phone or in-person meetings to discuss progress; so engage in regular meet- ings. _Askotherdentistswhattheirexperiencehasbeen with the laboratory you are considering. _The outsourcing of cases overseas has increased in the laboratory profession. If this is important toyou,youmaywanttoenquireastowhereyour restorations are being made. Whattoinclude: _clear, full-arch impressions _bite _photographs _face bow or stick bite _pre-op models _model of temps or diagnostic wax-up to follow _concise instructions Labsevaluateyouby: _quality of impression, free of pulls, distortions or voids on the margins _photographs sent with shade tab desired, as well as prep or ‘stump’ shade for all ceramic restora- tions _detailedprescriptionsand‘calltodiscuss’written on cases that require more communication _your willingness to be open to feedback—ask your technician what you can do to make his or her job easier and he or she will be pleasantly surprised _your direct and honest feedback; technicians need to know what you like and what you don’t in order to improve and meet your expecta- tions._ cosmeticdentistry 2_2010 Figs.6a–c_Refractorytechnique: porcelain(Noritake)layereddirectlyon refractorymaterial.Afterfiringporcelain directlyontherefractorydieandfinal contouringandglazing,theveneeris removedandseatedontodiestonemodel. Figs.7a–c_Thepressedandstaintech- niqueisthemostsimplifiedtechnique, yetallsurfacestainingcreatesan unnaturalappearance,andsurfacestain canberemovedleaving‘baldspots’ ifadjustmentsarenecessary(a).The pressedandcut-back/layeredtechnique maintainsexcellentmarginaladaptation duetothelostwaxtechnique.Italso providesamorenaturalappearanceon accountoftheinternalplacementof colour(b).Verynaturalappearancedue tocompletelayeringofporcelains(c). Canbetechnique-andlabour-intensive, requiringtechnicalexpertisetoprovide excellent,lifelikeresults. Figs.8a–c_Communicatingsurface texture,degreeofsheentothe techniciancanprovideabettermatchto adjacentteeth,creatingamorenatural appearancetoceramicrestorations. Fig. 6a Fig. 6b Fig. 6c Fig. 7a Fig. 7b Fig. 7c Fig. 8a Fig. 8b Fig. 8c Laura Kelly 3420 FostoriaWay, Suite G202 San Ramon,CA 94583 USA E-mail: laura@lkdentalstudio.com Website:www.lkdentalstudio.com cosmeticdentistry _contact

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