REMINDER ALWAYS GET THE SHADE BEFORE THE PATIENT LEAVES AND MAKE SURE NEXT APPOINTMENT IS MADE IF NEEDED.
3 UNIT BRIDGE FOR EVERY TOOTH BEING REPLACE IT A UNIT
THE MAIN INSTRUMENT IN A CROWN PREP SETUP IS THE CORD PACK AND IT HAS TINY TEETH OR GROOVES ON IT TO HELP HOLD THE FIBER OF CORD AND PACK IT INTO THE SULCUS , THE KEY IS TO BE VERY CAREFUL WITH THE TISSUE AND NOT TO MAKE IT BLEED IF AT ALL POSSIBLE SO THE IMPRESSIONS WILL NOT BE BLOODY AND TO MUCH MOISTURE CAN MESS UP THE FINAL IMPRESSION AND THE LAB WON'T BE ABLE TO USE IT OR IF THEY DO WILL HAVE ISSUES WITH CROWN. LEAVE A TAIL STICK OUT SO YOU CAN REMOVE IT OR DOCTOR CAN. THEY CAN ASK YOU TO PLACE RETRACTION CORD UNDER THEIR SUPERVISION. IF NO CORDPACKER USE A COMPOSITE INSTRUMENT OR WOODSON. THE SMALLER THE SIZE THE CORD THE BETTER FOR THE PATIENT AND LESS BLEEDING.
IF YOU SEE THIS MACHINE IT IS A CEREC MACHINE AND THE OLDER MODEL USE TO SPRAY POWDER AND THE ASSISTANT WOULD SUCTION IT UP AND RETRACT BUT THIS IS THE NEWER VERSES OF IT, NO MORE POWDER! PLAYS HAPPY BIRTHDAY FOR THE DENTIST AND IF HE OR SHE GETS OFF TRACK THE TUNE WILL BE OFF BEAT. THEN WILL SEND IT TO THE MACHINE BELOW AND THEN AN OVEN AND CAN BE SEATED SAME DAY. ON LAB SLIP IF FILLED OUT PUT IN HOUSE LAB.
once i temp at this office and doctor was kind enough to allow me to film him working on cerec so i may share with future dental assistants
THE OTHER WAY TO MAKE A CROWN IS TO TAKE AN IMPRESSION AND SEND IT OFF TO THE LAB TO BE MADE BELOW.
MAKE SURE YOU GIVE THE PATIENT A NAPKIN TO KEEP THEM DROOLING ALL OVER THEMSELVES MOST FINAL IMPRESSION MATERIAL TAKES ABOUT 5 MINUTES TO SET SO SET THE TIMER AND IF DOCTOR ALLOWS YOU CAN REMOVE IT THEN RINSE IT OFF AND SHOW DOCTOR BUT DON'T DISINFECT IT UNTIL THE DENTIST SEES IT AND DON'T HAVE ADD ANYMORE TO IT BEFORE THE PATIENT LEAVES, ONCE YOU GET THE OK THEN START MAKING THE TEMP.
MAKE SURE YOU HAVE AN X-RAY PRIOR TO TREATMENT AND CONSENT FORM SIGN AND THEY KNOW THE COST SO ALWAYS GOOD TO DO A PRE-D TO MAKE SURE IT WOULD BE COVER IF ANYTHING ELSE IF INSURANCE DOES NOT PAY AT LEAST YOU CAN FALL BACK ON IT SAYING IT WAS AN ESTIMATE AND HAVE THEM CALL INSURANCE IF YOU HELP WITH THE FRONT OFFICE. PHOTO WORKS GOOD WITH IT BUT NOT ALONE.
CROWN CHARTING METHOD ONE OF THEM FOR NOW REFER TO CHARTING ARTICLE FOR MORE.
So here is an example of a lab slip and each office uses a different lab , Keep a copy for your records either in a binder or in the computer
Make sure you have the shade and date of return and schedule the patient's next appointment and make sure front office collects half of the payment and don't just let the patient leave the office that is unless your dentist does not care and waits for payment.
Always bleed the impression material of any kind on your 2x2 gauze and keep in mind it does not come out of uniforms.
HOW YOUR IMPRESSION TURNS OUT WILL SHOW WHAT YOUR TEMP. WILL LOOK LIKE SO IF TOOTH IS BROKEN DOWN MAKE SURE YOU ADD SOME COMPOSITE WITH NO BOND TO SHAPE IT FIRST OR USE CAVIT WHICH IS LESS IN COST TO FILL IN VOIDS THEN TAKE IMPRESSION, THIS WILL SAVE TIME WHEN IT COMES DOWN TO TRIMMING AND CHECKING THE BITE IS VERY IMPORTANT! SO IS THE CONTACTS SO CHECK CONTACTS FIRST WITH FLOSS AND DON'T EVER PUSH IT DOWN TO FORCE IT IN PLACE!!! IF YOU NEED TO TAKE A PIECE OF ARTICULATING PAPER AND TEAR IT OFF AND PLACE ON HEMOSTATS AND PLACE IN BETWEEN TOOTH BEING WORK ON AND THEN PLACE TEMP AS YOU ARE PLACING IT , GENTLY TUG ON PAPER AND THEN LIFT UP CROWN AND LOOK AT SIDE AND ADJUST THE BLUE MARKS AND CHECK WITH FLOSS UNTIL IT FITS GOOD, THEN TAKE PAPER AND HAVE THEM BITE UP AND DOWN AND SIDE TO SIDE AND ADJUST HEAVY BLUE MARKS UNTIL GONE, YOU CAN ALSO HAVE THEM BITE ON OPPOSITE SIDE OF TOOTH BEING WORK ON AND HAVE THEM BITE ON PAPER IF PAPER SLIDES OUT WHILE THEY ARE BITING DOWN THEN IT IS TO HIGH. YOUR TEMPORARY CAN LAST UP TO A YEAR IF MADE RIGHT AND PATIENT'S NEED TO BE COMFORTABLE DURING THOSE TWO WEEKS IF THAT MUCH TIME IS NEEDED.
FILL UP TO LINE OR USE THIS METHOD BELOW AND FILL UP TO LINE ALSO, MANY WAYS TO MAKE TEMPS AND I SUGGEST YOU LEARN FROM THE PROS AT YOUR OFFICE OR YOUTUBE
GREAT PHOTO ABOVE TO SHOW HOW TO HOLD IT SO YOU CAN SEE THE THICKNESS OF THE CROWN ALONG THE MARGIN AND YOU DON'T WANT A THICK MARGIN IT WILL ONLY MAKE THE GUMS PUFFY AND BOTHER THE PATIENT CHEEK.
THE ABOVE PICTURE SHOWS A THIN LAYER OF TEMPORARY MATERIAL THAT CAN REALLY AS IF THE PATIENT IS BITING ON SOMETHING BIG ALSO THAT COULD BE A THIN LAYER OF TEMPORARY GLUE COULD ALSO LOCK IT IN IF YOU DON'T FLOSS IT OUT WHILE IT IS STILL SOFT MAKING SURE CROWN DOES NOT CREEP BACK UP. I SURE WISH BACK IN THE EARLY 90'S I READ A BLOG LIKE THIS ! NO REASON WHY YOU CAN NOT BE THE BEST BUT ALSO STAY WELL GROUNDED WHEN YOU ARE.
THIS TEMPORARY MATERIAL IS GREAT AND ONCE SET THEN FLAKE IT OFF , LESS OF A MESS THIS WAY, LOOKS LIKE ITS A BRAND LIKE TEMP BOND
With other students
Now this is my favorite thing to do for patient's and the Doctor so they don't have to make an extra trip if the temp comes off and they do, have a packet made up with simple terms on how to place it back on and one micro brush , 2 2x2 , 1 sheet from a small mixing pad and last but not least the packet of cement that is a single use, all put in a small sterilization bag and staple to it the instructions of how to with their post op. Tell them to keep if if they don't need it incase a friend or a crown comes off another day they have it then. Patients appreciate the assistant for being prepared and so does the dentist.
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