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Kraut_n_Rice

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Seams like all they want to do is digital scaning.  NOT even close to what your mouth is. OK for general pics.  But, to put"permanent" stuff  IN your mouth..? Like a crowns, or even a night guard. Stuff that needs to be 100%?  My GF is an office manager in the field,...WTF?

Why not impressions?

Really?  I come in for one issue (grinding) and after I have more issues becauce the digit shiz doesn't fit?  WTF?

Edited by Kraut_n_Rice

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A Lot! Of people gag when you put a full tray of impressions in your upper or lower in your mouth. I’ve got 2 what I call “CNC” tooth’s in my mouth. Love the system.

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I have a TERRIBLE gag reflex..  Takes me 5 minutes to brush my teeth.  I have to do it in the shower.  Sounds like I'm vomiting my brains out.  Evey single day....

 

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Put a tray in my mouth before having shit aligned stuff in my mouth.

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It depends on your dentist and how good to great he is. On one of my scanned Crown teeth........ he got it first shot.  A year and a half later I received my second scan and crown tooth and he had to do a little touch up on it..... If that is what you were talking about.

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What office does she work for?. I kind of find it funny that people don’t go for years and years without ever seeing a dentist and they can’t understand why it’s so expensive!....

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16 minutes ago, Sumsand said:

What office does she work for?. I kind of find it funny that people don’t go for years and years without ever seeing a dentist and they can’t understand why it’s so expensive!....

Some people are like that!

Some dentists are just plain crooks. I went to this one dentist every 6 months for about 4 yrs and never needed anything, my teeth are very straight and easy to floss. Then suddenly he gets a new GF, she becomes his fiancée, then he's telling me he's buying a new house and spending a fortune on the wedding and honeymoon.

The very next checkup, I suddenly need a ridiculous amount of work, like 4 crowns and tons of fillings. My share would have been over $6K and who knows how much he was fleecing the ins. co. for. I couldn't see any of the decay he claimed. I declined, left and went to another dentist who confirmed it - I didn't need anything more than a cleaning and fluoride treatment.

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I prefer the tray being placed in my mouth.  I have never been offered digital impressions, and I'm happy I haven't.

On a related note I took my wife to a Dentist yesterday for the first time in 3 years because she is feeling minor sensations on 1 or 2 teeth.  This Dentist (who we had never met before) says she does her own root canals without referrals to an Endodontist.  She said as she grinds down my wife's tooth that she says needs a crown, she will make an on-the-spot judgement and do a root canal then and there if needed.  I don't like this.  This woman hardly has any decent equipment in her tiny shopping center strip mall cubicles, so how is she going to have the specialized overhead equipment that an Endodontist has?  The only advantage I would see in trusting her is that my wife wouldn't have to get a hole drilled into her new crown by an Endodontist after the fact, if the Dentist somehow convinces me she needs a root canal when she's not having any severe pain.  I would appreciate anyone's take on this.  We're going to get a 2nd opinion from another Dentist.

 

Edited by Phoenix7

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1 hour ago, socaldmax said:

Some people are like that!

Some dentists are just plain crooks. I went to this one dentist every 6 months for about 4 yrs and never needed anything, my teeth are very straight and easy to floss. Then suddenly he gets a new GF, she becomes his fiancée, then he's telling me he's buying a new house and spending a fortune on the wedding and honeymoon.

The very next checkup, I suddenly need a ridiculous amount of work, like 4 crowns and tons of fillings. My share would have been over $6K and who knows how much he was fleecing the ins. co. for. I couldn't see any of the decay he claimed. I declined, left and went to another dentist who confirmed it - I didn't need anything more than a cleaning and fluoride treatment.

Wow that's really a great example in being aware of changes in people and watching what is going on behind the scenes that affects what is being said up front.  I'm not surprised by this, but your example really helps all of us to stay on our toes!! 

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Gents, I’m an orthodontist. We do full mouth digital scans all day long for patients that we will be treating with Invisalign. We also scan our “braces cases” for study models/diagnostic models. Done correctly, digital scans can be way more accurate than impressions. There are many different types of impression materials. Once removed from the mouth, some are more stable than others. Some materials start to distort soon after removal from the mouth and need to be poured up with the dental stone to make a model of the teeth ASAP. Polyvinyl solaxane materials, which are used for crown and bridge impressions, are very stable and have served the profession well for many years. It is still used by many practitioners. This material does not need to be poured up immediately. Digital scanners are also used by many and are extremely accurate. Almost every orthodontist has a digital scanner now days. All of our appliances fit very well. Much better than when we were using PVS impressions. Remakes are a thing of the past for us. The appliances that we get back from our lab fit perfectly. The scanner that we use is the itero element 2. Check it out online. It’s pretty cool. We can perform a full mouth scan in approximately 5 minutes. It is received by the lab instantly once we hit the send button. Many patients are very apprehensive about having impressions taken thinking that it will make them gag, or worse throw up. Patients love the scanner vs. having to have an impression taken. Digital scanners are here to stay and the technology is getting better and better. I can’t imagine having to practice without a scanner. 

Edited by Dune Doc

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6 hours ago, Kraut_n_Rice said:

Seams like all they want to do is digital scaning.  NOT even close to what your mouth is. OK for general pics.  But, to put"permanent" stuff  IN your mouth..? Like a crowns, or even a night guard. Stuff that needs to be 100%?  My GF is an office manager in the field,...WTF?

Why not impressions?

Really?  I come in for one issue (grinding) and after I have more issues becauce the digit shiz doesn't fit?  WTF?

Like Dune Doc said, the digital scanners are more accurate than impressions, especially the newer scanners. I’m a general dentist and we started using a digital scanner about 8 months ago. Most patients love it. The crowns fit the tooth better with less adjustments. Also the newer scanners scan your tooth in color which is a huge help when it comes to matching the shade of your teeth.  I could go on and on about it but I would have a hard time practicing without a scanner now that I have used one.

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We use the Omni cam and cerec cad cam for eMax crowns in the Air Force . Been using them for years, and the newer scanners are getting better and better. Most patients like them better than conventional impressions. If one of our crowns fracture we save the files and can mill another.

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It's nice to see 3 dental professionals checking in and giving excellent information.  It just goes to show that you never know who is reading all our posts. :ohmy:

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31 minutes ago, Jawbreaker said:

We use the Omni cam and cerec cad cam for eMax crowns in the Air Force . Been using them for years, and the newer scanners are getting better and better. Most patients like them better than conventional impressions. If one of our crowns fracture we save the files and can mill another.

Do your patients know you are the Jawbreaker ? 😝

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3 different dentists in the board. Would have never guessed that. 
Back to the topic.

In 2019, I decided to get my teeth fixed. I knew I had several cavities that I had neglected for several years. In total for the year, I did 11 visits, 2 root canals, 3 cavity fills and 1 deep cleaning. I was having constant pain so I wasn’t surprised when I was told I needed all that work. All my stuff was done with digital scanning and It’s worked out great.

My dentist is a real straight shooter. Explains everything he’s doing and proves that he needs to do it. His office is now handling the braces on my 2 oldest children and I now have some pain in another tooth so I’ll be back. 

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i will fix ur tooth for 49.95

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How does a crown cost 1 k plus out of pocket with insurance, and another 700 with  ins for the root canal?  For the crown they take a picture and push a button crown is made and it's glued on...It takes 30 mins of the dentist's time for each procedure and they gross 3-5 thousand for a single tooth? It's insane these days, I've started pulling my own teeth this past year due to the cost. Just can't justify how u can make 2k an hour off of the patients 

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As a military dentist with 30 years experience I can say it takes me about an hour to numb a patient and prepare a posterior tooth for a crown. On some patients with a small mouth it's like trying to get to that #6 injector on a Cummins diesel engine with the hood half open.  Another 10 minutes to scan then I or my assistant usually place a temporary crn and have them come back in 2-3 days when my lab guy has the crown milled. If the patient is deploying or drives a long distance, I have them back in an hour or two and it is ready, 30 minutes to adjust, isolate, cement, and verify complete cement removal and seating with a radiograph, for a total of almost 2 hours.  I believe $700-900 is the average fee in Arizona for a quality porcelain posterior crown. I know most dentists have a $200/hour overhead to run the office with lease, equipment, staff salaries, taxes, etc.   So if I spend 2 hours on a procedure that pays $800 and my overhead is $400 my profit is not $3-5,000. 

Of course if you join the Air Force you get all your dental/medical care for free.  Aim high!

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9 minutes ago, Jawbreaker said:

As a military dentist with 30 years experience I can say it takes me about an hour to numb a patient and prepare a posterior tooth for a crown. On some patients with a small mouth it's like trying to get to that #6 injector on a Cummins diesel engine with the hood half open.  Another 10 minutes to scan then I or my assistant usually place a temporary crn and have them come back in 2-3 days when my lab guy has the crown milled. If the patient is deploying or drives a long distance, I have them back in an hour or two and it is ready, 30 minutes to adjust, isolate, cement, and verify complete cement removal and seating with a radiograph, for a total of almost 2 hours.  I believe $700-900 is the average fee in Arizona for a quality porcelain posterior crown. I know most dentists have a $200/hour overhead to run the office with lease, equipment, staff salaries, taxes, etc.   So if I spend 2 hours on a procedure that pays $800 and my overhead is $400 my profit is not $3-5,000. 

Of course if you join the Air Force you get all your dental/medical care for free.  Aim high!

What is your opinion of the Dentist we saw on Friday who said she does root canals herself, on the fly, while she's grinding the tooth down for a crown?  She literally said she makes her own judgement call by looking at the root.  I thought a root canal is a last resort because of pain reported by the patient?  That's very strange to me, plus I thought an Endodontist has specialized overhead equipment, and that's one reason why Dentists refer out to them.

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Phoenix7,  I like to place a temporary crown and wait 1-2 weeks to see if all symptoms (cold, biting sensitivity, etc) resolves before placing and permanently cementing the final porcelain crown.  My Army specialist I refer to uses a magnifying microscope that also projects onto a big screen monitor the patient can watch him work.  He also has a 3D cone beam CT that images the tooth in 3 dimensions. General dentists can do good work if they take their time and are perfectionists.  Most Endodontists do better quality work and faster procedure times because it's all they do, and usually they are retreating cases that failed from general dentists.  The crown needs to be 1.5mm thick, so I have to grind away 1.5mm from the top of tooth down. I can see how close the nerve/pulp is to the top of the tooth from a pre op X-ray. Usually if it is close we do a "prophylactic endo" so we can have room for a crown with adequate thickness it will resist fracture. AAE is American Academy of Endodontists that are board certified. Members are usually the best of the best. Jawbreaker.

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The specialist that I see in Torrance to do all my route canals has a baby grand piano in his waiting room.....No B.S...... He is GREAT! I recommended him big time on Yelp.

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My Dentist that I have been going to for years does the digital scan, He also makes his crowns right then and there.  Pretty cool little machine.  The first one the fit wasn't the best and he re-did it while I sat there. The second one was perfect and I don't have to go back or worry about the temp one coming off.  All the ones after that have fit just right and require about the same amount of fine tuning as your typical filling.

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21 hours ago, 2turbofords said:

How does a crown cost 1 k plus out of pocket with insurance, and another 700 with  ins for the root canal?  For the crown they take a picture and push a button crown is made and it's glued on...It takes 30 mins of the dentist's time for each procedure and they gross 3-5 thousand for a single tooth? It's insane these days, I've started pulling my own teeth this past year due to the cost. Just can't justify how u can make 2k an hour off of the patients 

the reason it's expensive is because the Cerek machine they're using costs about $100k and the licensing is 10-15k per year depending upon the level of service. That doesn't include the cost of the blanks for the machine. I'm in the field too, but on the equipment side

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12 hours ago, RK Racing said:

The specialist that I see in Torrance to do all my route canals has a baby grand piano in his waiting room.....No B.S...... He is GREAT! I recommended him big time on Yelp.

Please tell me it's not Dr Rummler :lol: 

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1 hour ago, Orange_R said:

Please tell me it's not Dr Rummler :lol: 

Dr. Eric Singer........

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