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Dental Labs helping Dentists take matters in their own Hands

 

“Private practice dentists are losing patients, daily, to other clinical settings, and insurance continues to burden profitability for us all. I’ve seen too many dentists forced to sell or face bankruptcy. That affects not just dentists, but labs, too. Finally, we have a collective answer to make us stronger and more effective. We’re supporting our dentists 100% in this effort!” OPT-In Laboratory Cooperative member, Mike Hennessy, owner, Hennessy Dental Lab.

Private practitioners are saying, “Enough is enough.” They are tired of patients being taught that dentists and dentistry are all the same, big clinics are cheaper and better, and that insurance companies create quality care. With too much to lose, OPT-In dentists and laboratory members are launching the first ever, Private Practice National Public Relations campaign.

Scheduled in 2015 for late fall-early winter, the public relations firm, Braithwaite Communications, is being contracted to support private practice with brand-building content in national news outlets such as, the Wall Street Journal, USA Today, Washington Post, Los Angeles Times, Associated Press, CNN, etc. According to Dr. Dean Mersky, founder of OPT-In Dental Advantage,

 “Today, insurance companies and large corporate dental chains are unilaterally, influencing consumer decisions and attitudes. Meanwhile, private practitioners, with no representation, have no voice to help consumers understand the limitations of insurance, and the real differences between practice models. That’s about to change!”

Adopting, “Put up or shut up!” OPT-In dentists and lab members are funding their own National Public Relations Campaign, with additional financial support from dental companies.

Along with promoting private practice dental care, Braithwaite will also address detrimental insurance practices. PPO and lab fees are too often stagnated at 1998 levels, a time when the average car cost half of today’s $34,000 (USA Today). After 4 years, that’s enough to pay tuition for one child’s entire college education. To address this, the public relations campaign will educate patients on what to believe and what not to believe about their dental insurance, and how the wrong decision can negatively impact their health. They will find this information on our consumer website, OPT-In Dental Advantage.

Over the next two years, we must work together, dentists and lab owners, to ensure consumers understand the importance of finding a skilled, trustworthy dentist.

 

It is well known that wherever consumers go, so goes revenues. More lab and dentist members are needed to assure this campaign reaches the maximum number of consumers, and continues to grow successfully. Please take time to learn more about how you can join in this effort and help patients understand the truths about different practice models, the games insurance companies play, and the advantages that can be found in private practice. As a lab owner, you win when your customers win. You can make a difference. Dentists should visit OPT-In Dentists. Dental laboratory owners should visit OPT-In Dental Labs. Dental corporations should visit OPT-In Corporate Partners.  Or, call 855-321-OPTN (6786).

“Coming together is a beginning; keeping together is progress; working together is success.” Henry Ford

OPT-In Dental Advantage member, Dr. Shad Lewis, Reading, PA: “We are the only experts in dental care. If we aren’t willing to take responsibility for our profession, who will? If we aren’t willing to protect patients, to whom will they turn? Whose responsibility is it, if not ours? Please join us in getting the message out, and getting the job done.”

Zr chart abrasive

Zirconia Abrasiveness: Is it or Isn’t it?

Full contour zirconia (FCZ) is very strong, very impervious, and, very misunderstood when it comes to abrasiveness and cementation. This article discusses the facts about abrasiveness.

The short answer about FCZ abrasiveness is, it depends. Research published by Hmaidouch, et al, International Journal of Oral Science (2014) 6, 241–246 shows that a rough zirconia surface is highly abrasive, a glazed rough surface is highly abrasive, but a highly polished zirconia surface is less abrasive than other ceramics. In fact, research by Tambra, et al, In vitro wear of human enamel opposing YTZP zirconia has shown highly polished zirconia can be less abrasive to enamel than Type IV gold.

Many dentists believe that veneering zirconia copings with feldspathic porcelain is kinder to opposing tooth structures. However, both the above authors have shown that not to be the case. Feldspathic porcelain is known to chip and etch in the mouth, making it the worst material with respect to opposing [enamel] wear. However, in the real world, the extent to which feldpathic porcelain degrades and abrades is more complicated. For example, in the presence of Coca Cola, three different feldspathic porcelains had three different results, increasing enamel wear from 12-74%, depending on the material type, The effect of clinical polishing protocols on ceramic surface texture and wear rate of opposing enamel: a laboratory study. In his, 2013, doctoral thesis, Zaninovich, explained that surface texture and roughness are more important than hardness when considering abrading enamel, and that in acid environments, both enamel and porcelain can degrade to more abrasive surfaces. However, the structure of the porcelain, occlusion quality, and occlusal habits, all contribute to determining the extent of degradation.

A shiny and smooth FCZ doesn’t mean a non abrasive surface will endure a short lived glaze. However, creating a highly polished surface is both time consuming and expensive. For those reasons, clinicians should check with their dental labs to learn if their FCZ needs further polishing.

The below chart, presented by Hmaidouch, illustrates the importance of knowing the differences when managing FCZ.

  Ground Polished
Group Ceramic Glazed Coarse Medium Fine Coarse Medium Fine
1 Y-TZP only glazed 4.3±1.9 12.6±4.4 5.5±2.1 3.8±1.0 3.4±0.8 2.9±0.6 2.4±0.5
2 Y-TZP/VM9 veneer 7.2±2.7 24.1±4.5 15.0±2.4 13.5±2.6 12.2±2.5 10.2±2.0 8.1±2.0

 

We can see that glazed, alone, is not nearly as smooth as finely polished. We can also see the difference between zirconia veneered with [only one] feldspathic porcelain and FCZ. Less clear is, the effect that different polishing methods and surfaces will have on surface texture.

From a different perspective, Stawarczyk, et al, measured the enamel loss of three types of surface-treated zirconia and a base alloy, using a chewing simulator. They reported, top of page, that the polished zirconia showed a lower wear rate on enamel antagonists, as well as, within the material itself.

The short answer to the question about FCZ abrasiveness is summarized by Miyazaki as: “A smooth surface of zirconia can be obtained with adequate polishing, because the microstructure of zirconia is fine and homogeneous. Highly polished zirconia shows the least wear of antagonist among various dental materials…Therefore, surface finishing and polishing procedure of zirconia full-contoured restorations was critical for obtaining clinical success.” Current status of zirconia restoration.

Private Practice Dentists take matters in their own hands

Private practice dentists, and dental labs, are saying, “Enough is enough.” They are tired of patients being taught that dentists and dentistry are all the same, big clinics are cheaper and better, and that insurance companies create quality care. With too much to lose, OPT-In dentists and laboratory members are launching the first ever, Private Practice National Public Relations campaign.

Scheduled in 2015 for late fall-early winter, the public relations firm, Braithwaite Communications, is being contracted to support private practice with brand-building content in national news outlets such as, the Wall Street Journal, USA Today, Washington Post, Los Angeles Times, Associated Press, CNN, etc. According to Dr. Dean Mersky, founder of OPT-In Dental Advantage,

“Today, insurance companies and large corporate dental chains are unilaterally, influencing consumer decisions and attitudes. Meanwhile, private practitioners, with no representation, have no voice to help consumers understand the limitations of insurance, and the real differences between practice models. That’s about to change!”

Adopting, “Put up or shut up!” OPT-In dentists and lab members are funding their own National Public Relations Campaign, with additional financial support from dental companies.

Along with promoting private practice dental care, Braithwaite will also address detrimental insurance practices. PPO and lab fees are too often stagnated at 1998 levels, a time when the average car cost half of today’s $34,000 (USA Today). After 4 years, that’s enough to pay tuition for one child’s entire college education. To address this, the public relations campaign will educate patients on what to believe and what not to believe about their dental insurance, and how the wrong decision can negatively impact their health. They will find this information on our consumer website, OPT-In Dental Advantage.

 

Over the next two years, we must work together, dentists and lab owners, to ensure consumers understand the importance of finding a skilled, trustworthy dentist.

It is well known that wherever consumers go, so goes revenues. According to one OPT-In lab member, located in Florida, “Private practice dentists are losing patients, daily, to other clinical settings, and insurance continues to burden profitability for us all. I’ve seen too many dentists forced to sell or face bankruptcy. Finally, we have a collective answer to make us stronger and more effective. We’re supporting our dentists 100% in this effort!” To view the list of OPT-In Laboratory members supporting private practitioners visit OPT-In Lab Listings.

More lab and dentist members are needed to assure this campaign reaches the maximum number of consumers, and continues to grow successfully. Please take time to learn more about how you can join in this effort and help patients understand the truths about different practice models, the games insurance companies play, and the advantages that can be found in private practice. You can make a difference. Dentists should visit OPT-In Dentists. Dental laboratory owners should visit OPT-In Dental Labs. Dental corporations should visit OPT-In Corporate Partners.  Or, call 855-321-OPTN (6786).

“Coming together is a beginning; keeping together is progress; working together is success.” Henry Ford                                                                                                                             

OPT-In Dental Advantage member, Dr. Shad Lewis, Reading, PA: “We are the only experts in dental care. If we aren’t willing to take responsibility for our profession, who will? If we aren’t willing to protect patients, to whom will they turn? Whose responsibility is it, if not ours? Please join us in getting the message out, and getting the job done.”