effective communication between clinic and lab Flashcards
Do
6
Do try a positive problem solving approach
Do put yourself in the technician’s shoes (e.g. when doing crown prep)
Do negotiate and conciliate through “errors”
Do treat your technicians with utmost respect
Do be prepared to change technicians if things aren’t working out
Do say “thank you”
don’t
blam or lose your temper
basic information on lab prescription
4
Basic patient identifier (Name/DOB)
Date the lab card
Put your name on the card (& supervising clinician)
Date the next appointment
how to describe what you are making on lab prescription
Indicate what you are making eg: F/F; -/P; lower soft splint etc
If its an immediate denture note this clearly and which teeth are to be extracted
At EACH STAGE indicate that work going to the laboratory has been disinfected
special trays lab prescription
Material to be used
Spacer – usually 3mm;
* exception close fitting tray in complete dentures for use with ZnO/Eugenol impression paste or light or medium bodied silicone
* e.g. C/C – particularly resorbed ridge (RHS)
Tray handle and/or finger rests
Photo shows vertical handles – aid border moulding
Special instructions eg: horseshoe tray in wretching pt to avoid covering the palate
record blocks prescription
Do you need upper and/or lower
* Overprescribed often
* Do you have enough index teeth to hold the casts together?
Base eg: wax; wire strengthener; Co/Cr; shellac; etc
partial denture design on prescription
Prescribe for primary cast to be surveyed & articulated
Indicate design clearly on card and primary cast
Indicate material of base eg: Co/Cr or acrylic and materials for other elements eg: clasps
try in info needed on prescription
5
- Shade
- Mould
- Cusped/cuspless teeth
- Setting
- Individual requirements eg: 1mm diastema or no 7’s etc
info needed for taking to finish on prescription
- Postdams – where; how many
- Relief areas – tori/ bony exostoses/ overdenture abutments
- Soft lining?
- Type of acrylic eg: high impact or heat cured
- Special requirements eg: gum contouring
possible additional information on lab prescription
Clinical photographs
Family photographs
Photographs of old denture
Impressions of old denture
Odd clasp/connector arrangements
Communicate these clearly and in duplicate
* Send photo and call to explain
Data Protection Act 2018
labs must be registered with
MHRA
medicines and healthcare products regulatory authority
pt must be offered a “Statement of manufacture”, note in record take/not
lab prescription is a
medical legal document
handles for special tray for C/C
intra oral handle better
doesn’t push lip out the way, get better sulcus depth
pro of shellac base record block
more stable
allows for wash impression (light body PVS)
pro of shellac base record block
more stable
allows for wash impression (light body PVS)
