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Lab Case ManagementLab Case Management

DA 122 Dental MaterialsDA 122 Dental Materials

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Items Sent to Dental LabItems Sent to Dental Lab

• Removable Prosthodontics– Dentures, partials

• Fixed Prosthodontics– Crowns, bridges, implants

• Orthodontic Appliances– Retainers, palatal expanders, Invisalign

• Other– Nightguards, bleach trays, fluoride trays

• Removable Prosthodontics– Dentures, partials

• Fixed Prosthodontics– Crowns, bridges, implants

• Orthodontic Appliances– Retainers, palatal expanders, Invisalign

• Other– Nightguards, bleach trays, fluoride trays

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Sending and Returningcases to lab

Sending and Returningcases to lab

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Communication between office and labCommunication between office and lab• Key to safe handling materials that enter

and leave office or lab and before patient use.– Correct cleaning and disinfection performed– Materials are not damaged or distorted during disinfection– Effective disinfection procedures are not unnecessarily duplicated

• Key to safe handling materials that enter and leave office or lab and before patient use.– Correct cleaning and disinfection performed– Materials are not damaged or distorted during disinfection– Effective disinfection procedures are not unnecessarily duplicated

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Transmission of MicroorganismsTransmission of Microorganisms

• Oral microorganisms found on and in dental impressions.

• These can be transferred to dental models• Microbes can live in gypsum for up to 7

days.• Items brought into the lab can be

contaminated with bacteria, viruses, and fungi.

• Untreated items can increase cross-contamination.

• Oral microorganisms found on and in dental impressions.

• These can be transferred to dental models• Microbes can live in gypsum for up to 7

days.• Items brought into the lab can be

contaminated with bacteria, viruses, and fungi.

• Untreated items can increase cross-contamination.

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Before case is sent to LabBefore case is sent to Lab

• CLEAN blood and saliva from impressions and any lab materials used in the mouth

• DISINFECT items before being handled, adjusted or sent to lab; soak in solution OR spray

• CLEAN blood and saliva from impressions and any lab materials used in the mouth

• DISINFECT items before being handled, adjusted or sent to lab; soak in solution OR spray

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Routine Disinfection at LabRoutine Disinfection at Lab

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When case returns from LabWhen case returns from Lab

• Most labs routinely disinfect all cases before returning them to dental office; labeled

• Most labs routinely disinfect all cases before returning them to dental office; labeled

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Local and Long DistanceLocal and Long Distance

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Handle all items carefullyHandle all items carefully

• Do not break, bend, or lose any items• Do not break, bend, or lose any items

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Local TransportLocal Transport

• “pick-up service”• Lab provides:– Packing materials– Shipping container

• “pick-up service”• Lab provides:– Packing materials– Shipping container

• Wrap each item– Tissue paper– Bubble wrap– Box small items

• Include prescription

• Label items – Doctor’s name– Patient’s name– Date

• Wrap each item– Tissue paper– Bubble wrap– Box small items

• Include prescription

• Label items – Doctor’s name– Patient’s name– Date

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Air or Truck TransportAir or Truck Transport

• Wrap each item carefully

• Box: Any wax or small item should be boxed

• Wrap each item carefully

• Box: Any wax or small item should be boxed

Label all pieces:patient’s full namedoctor’s namedate

Include completed prescription (lab rx.)!

Label all pieces:patient’s full namedoctor’s namedate

Include completed prescription (lab rx.)!

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Dental Lab PrescriptionDental Lab Prescription

Complete all information required:

patient full namedoctor’s namedoctor’s

address/phonetype of casemetals requiredshadetooth numbers

involveddue date

Doctor’s signature and license number must be listed.

BE SURE to record all shades and due dates in patient’s chart!Place carbon copy of lab prescription in patient’s chart.

Complete all information required:

patient full namedoctor’s namedoctor’s

address/phonetype of casemetals requiredshadetooth numbers

involveddue date

Doctor’s signature and license number must be listed.

BE SURE to record all shades and due dates in patient’s chart!Place carbon copy of lab prescription in patient’s chart.

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LAB CASE LOGLAB CASE LOG

• Make sure to enter all the information into a lab case log.

• Patient’s full name• lab address/phone• type of case• metals required• shade• tooth numbers involved• due date

• Make sure to enter all the information into a lab case log.

• Patient’s full name• lab address/phone• type of case• metals required• shade• tooth numbers involved• due date

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Lab Case LogLab Case Log

• When case returns from lab:– Enter the date of return in the lab case log next

to the entry of when the case went out

• When case returns from lab:– Enter the date of return in the lab case log next

to the entry of when the case went out

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LAB CASE LOG (example)LAB CASE LOG (example)

Send date

Patient’s name

Doctor’s name

Lab Name

Type of Case

Due date

Date received

DA initials

4/7 Jane Doe Smith MuirTek

Crown # 30

4/21 4/20 SMC