Verbals
Why do I need a crown and not a filling?
It is the strength of the tooth that holds a filling. Not the filling that holds the tooth.
Once the filling becomes too large it needs a crown to add strength back.
When and how do you remove cement from your instruments?
1. REMOVE CEMENTS IN THE ROOM BEFORE IT DRIES!
2. Use alcohol 2x2 in the room while pt. is biting down on cotton.
What does insurance need from US, to consider paying for a Core Buildup?
MUST HAVE AN OPEN IO! **Please help the doctor remember this step.
How much is the KFD Plan?
$358
Where in the office should you remove anesthetic needles and blades?
In the operatory!
Under promise and over deliver.
Give an example of how you would do this for one of our patients.
Examples:
1. Your temp may come off a few times due to there being no tooth behind it. Don't be alarmed just give us a call and we can get you in.
Hopefully, they will not need any recements and you will be a hero!
2. Your temp will not look as good as your perm crown. Then you make them the most beautiful temp ever!
What is a Stump shade and when do you need it?
1. The color of the prepared tooth structure (the "stump") after a tooth has been prepped for a crown or restoration.
2. You need the stump shade for all anterior.
* crucial for achieving a natural-looking final aesthetic, especially with translucent ceramic materials where the underlying color can show through;.
What is a missing tooth clause?
the insurance company will not cover the cost of replacing a tooth that was lost or extracted before the policy's effective date, essentially treating any missing teeth prior to coverage as a pre-existing condition and leaving the patient responsible for the full cost of replacement procedures like implants or bridges.
What makes a good Bite Wing X-ray?
What do we need in a PA X-Ray?
BWX:
1. No over lap
2. Distal of 2nd molar(molar)
3. Distal of the canine(pre molar)
4. Bone Levels
PA:
1. Include Apex and incisal edge
2. include whole tooth
What is the sterilization process for cleaning restorative instruments?
1. Clean up as much as possible in the operatory. Remove sharps and trash.
2. Rinse instruments, scrub and put in Ultra Sonic.
3. Hand piece in the cleaner/lubricator
4. Take instruments of Ultrasonic. Rinse, scrub, dry & bag.
How do you explain probes to a patient?
Your hygienist will use their instrument to measure the pocket or space between the tooth and the gum.
Healthy numbers are 1-3
4+ can indicate gingivitis and or periodontal disease
How to check the shade for a crown?
What does it mean when insurance denies coverage due to attrition?
A dental insurance denial for "attrition" means that the insurance company is refusing to cover a procedure because the primary reason for the tooth damage is excessive wear and tear from normal chewing, which is considered "attrition" and is usually not covered under most dental insurance plans;
They view the damage as wear and tear rather than a necessary repair due to decay or fracture.
How do you help the doctor stop to take an open IO photo?
1. Ask them if they would like to take a picture
2. Grab the IO camera and say lets take a picture
3. When the hand piece is down and they start reaching for the bond or ask for it grab the camera.
What goes into the Big Red Biohazard BOX in Sterilization?
SATURATED GUAZE
PIECES OF TEETH
SHARPS
If your patient tells you they are waiting on treatment so they don't need an estimate, how do you respond to them?
1st find out why they are waiting and make sure they are aware treatment does not get better on its own but only worse and more expensive.
Then let them know that the front will just review it with them for when they are ready.
What does the lab need from us when scanning a crown or bridge?
1. Lab script in Open Dental
2. Doctor's License # and their name
3. What teeth numbers
4. Shade and Stump shade
5. Special instructions
6. SEND!!!
What information does the front need to do an estimate for a bridge?
1. Pre existing dates if patient has existing crowns or bridge.
2. Current FMX/Pano
3. Any missing teeth and if so when were they removed
4. Probes
Where do you find the smile form that the patient rates their smile for us?
1. Under images
2. Under medical history
3. Labeled "Dental Form"
What are the 6 steps of an immediate denture?
1. Impression
2. Base with Bite Blocks
3. Teeth in Wax
4. Extractions and delivery
5. 24 hour post op
6. Reline
How do you explain the bridge process when there is an extraction involved.
1st visit we will prep the bridge and remove any decay as well as extract tooth X. You will then heal for about 6-8 weeks in your temporary. You will return to our office for an impression after your healing period. You will remain in your temp for an additional 2 1/2 weeks. And your last appt will be to return for your permanent bridge delivery.
What does the S-O-A-P stand for in our notes?
S- Patients chief concern. What was stated by the patient.
O- Doctors observations (x-ray and IO findings, test results and probes)
A- Patients options (treatment plan)
P- Patients plan
What information is needed in your notes for a crown to be covered?
1. Decay/ recurrent decay
2. Insufficient or undermined cusp
3. Broken into Dentin
4. Fractured into Dentin
5. Cracked tooth syndrome
At the 1st denture step, what is the most important thing to have the patient do?
Make sure the patient has read and understands the denture consent and post op instructions.
How much is a crown only without insurance in our office?
$1761