Wednesday, September 9, 2015

The Importance of Effective Communication Between the Dental Lab and Dentist to Ultimately Provide Better Patient Care

“Communication is the key to success in cosmetic dentistry/laboratory relations” [3]. The importance of good communication has been highlighted by a number of studies [3]. Effective communication between the dentist and the dental laboratory is critical when fabricating well-designed, high quality dental restorations to ultimately provide patients with the best dental care. The effectiveness of the communication methods used by the dental lab to collaborate with the dental office is also a major factor that determines the success or failure of dental lab products.

As reported by Berry et al., “prosthodontics is a discipline that requires a synergy between the dentist and dental technician in order to fabricate intraoral prostheses with acceptable fit, function and aesthetics.” Although restorative dentistry is first about restoring the teeth’s function and oral health of the patient, and next the esthetic appearance; the patient’s growing demand for realistic esthetics and long-lasting restorations is challenging the industry to meet these high expectations by producing dental products that exhibit both attributes. Recreating esthetic details that mimic the patient’s natural teeth is crucial when “subtle details in texture, anatomy, and contours keep the ceramic restoration from looking contrived and can provide the element of ‘prefect imperfection’ that natural teeth exhibit” [4]. Precise design parameters, shade matching, and available tooth structures should all be decided and effectively communicated by the clinician to the dental lab in order to successfully achieve a highly esthetic restoration that will match the patient’s natural tooth contours and shades [4].

The lab technician’s ability to transfer exact shade matching, along with the ability of the clinician to communicate accurate tooth shades, is a challenging aspect of communication; especially, when an increasing number of patients are demanding esthetically brilliant prostheses. Determining a precise shade (e.g., color, surface texture, shade characteristics) is first dependent on the clinician and must be effectively communicated to the lab technician in order for the lab tech to achieve exact shade matching for the final restoration. Exact shade communication is important between the technician and dentist because dental techs are remotely located and usually never see the patient [1].  In consonances with a study on color matching, Seal et al. reported, “precise color communication is integral to the development of esthetic harmony and overall restorative success.” 

The methods used by the dental lab to communicate with the dental practice are also major factors that influence the accuracy of dental lab products. With the development of software programs and effective web applications, dental labs can now use web content management systems (WCMS) to communicate to the dental office and manage laboratory cases at a faster and more accurate rate. As stated by Alshiddi, “Laboratory case management is a teamwork that should involve good communications between not only the dentist and the dental technician, but also other staff in the dental office (e.g., dental assistant and receptionist) and dental laboratory (e.g., laboratory owner, receptionist and delivery person)” [3]. When managing a large number of dental lab cases, the lab must implement an effective content management system that will manage all of the dental cases coming from multiple forms of communication methods (e.g., hand-written lab authorization forms, telephone, email, electronic STL files, etc.). Equally important is the lab’s understanding of individual software requirements and design of the software that will essentially, if implicated correctly, improve communication and will ensure long term relationships between the dental office and dental laboratory [3].

The dental laboratory must provide great customer service for dentists and their dental office personnel so all parties can work together proficiently. Providing excellent dental lab services will lead to satisfied clinicians and comfortable professional relationships between the clinician and dental technician/laboratory [3]. Collaborative technical advice on routine and complex dental cases is a very important service that dental laboratories should exceed at every time. The dental lab must have an effective logistic team to make sure dental cases are fabricated in time for the patient’s scheduled appointment, also ensuring patients are satisfied with their dental care services.

“By far my happiest [Dentists] with the happiest patients are the ones that communicate with the laboratory and view it as part of a team effort to achieve the right result for the patient,” stated one dental technician in a study on the communication methods used between the lab and dentist [1].

Along with adequate skills of the dental laboratory and clinician, good teamwork through effective communication between the dentist and dental lab leads to high quality dental restorations with excellent fit, function and esthetics. When problems arise from inaccurately fabricated prostheses, the patient will usually blame the dentist/dental office for the mishap. For this reason, its imperative dentists choose the best dental laboratory that can effectively communicate with their dental office to ensure satisfied patients every time and to ultimately provide better patient care.



About the Company:

Since 1991, Iverson Dental laboratory has provided dentists with high quality dental lab products and excellent dental lab services to ensure their dental patients are completely satisfied with the restoration outcome. Iverson dental labs strives to be a great dental resource for dentists by offering training on digital dentistry and new dental implant techniques at their high-tech operatory and training facility. Iverson dental labs strongly believes in using high quality certified materials and authentic manufacturing components to fabricate their dental restorations. Iverson also strongly believes in having a knowledgeable team of certified dental technicians because clinical evidence has shown the “skills of the clinician and technician are important for the long-term success of a restoration” [1].



Reference:

1. Berry, J., Nesbit, M., Saberi, S., & Petridis, H. (2014). Communication methods and production techniques in fixed prosthesis fabrication: A UK based survey. Part 1: Communication methods. BDJ Br Dent J.

2. Afsharzand, Z., Rashedi, B., & Petropoulos, V. (n.d.). Communication Between the Dental Laboratory Technician and Dentist: Work Authorization for Fixed Partial Dentures. J Prosthodontics Journal of Prosthodontics, 123-128.

3. Weston, J., & Haupt, E. (n.d.). Creating Aesthetic Success Through Proper Clinician and Laboratory Technical Communication. Dental Clinics of North America, 371-382.

4. Seal, M., Talukdar, P., Srivastav, V., & Pendharkar, K. (2014). Colour Matching: A Review of Conventional and Contemporary Dental Colour Matching Systems. International Journal of Oral Care and Research, 2(5), 47-53.

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