Dentaltown December 2019 - 45

While I agree with your additional options for implants, dentures at PPO fees can still be
highly profitable. You just have to know how to offer upgrades (an immediate temporary denture
is an upgrade of a noncovered service), and how to be time-efficient (I cannot think of a case
where a patient had more than two adjustments in years). ■

Practice Whisperer
Member Since: 07/22/11
Post: 29 of 86

8/22/2019

How old was the denture she loved, and how worn were the teeth? When the denture teeth
wear down, patients become accustomed to the flatness of them and when we give them normal
denture teeth again, sometimes they can't adapt to it. ■

doctorwhodds
Member Since: 08/27/04
Post: 30 of 86

8/22/2019

Dentures were 20 years old? Yes, this is a possibility. Very worn and flat. I could flatten the
cusps and adjust it. I will check her VD and I believe I opened it a little bit. The clicking that
we hear is def not the TMJ, it's the sound of the denture teeth. Thanks for the tips, everyone.
For real. #nightmare ■

MountainsandBeach
Member Since: 06/08/05
Post: 33 of 86

8/22/2019

Let me guess: More tooth display than the previous "worn" denture. Now you've taken her
out of complete balanced occlusion and while her eating habits haven't changed, her teeth have.
She is no longer "functioning" the same.
Her old dentures may not "feel" right because she is creating new chewing patterns/cycles.
She can't have it both ways. If she doesn't understand that, then refund, let her be miserable with
two different dentures, and let it be the next guy's issue.
The point of the refund is simple: They are unhappy, thus making you unhappy. You're
giving them their money back so they can go make someone else unhappy. How much is never
seeing this person's name on your schedule worth to you? ■

velogeek
Member Since: 04/15/10
Posts: 37 and 52 of 86

8/22/2019

Oh, I have so been there. The clicking is that she actually touches the teeth together, because
you restored her vertical dimension.
The reason she can't wear the other set is because you made her mouth healthy, so the
ill-fitting dentures don't adapt. A suggestion about the lower: Place some hydrocast in the lower
(mix one vial of powder to 1/2 vial of liquid). Trim away the excess with a Bard-Parker. Tell her
to only rinse it in water, no bubbly cleaner. In two weeks, she may be able to be reclined.
I would suggest a CE course by either Jack Turbyfill or Joe Massad. They make difficult
dentures easy. Take two staff members so they can learn to help you control the lab. The lab
gives you what they think you want. Every denture I make has an anterior setup to the lab of
mould board teeth that the patient has pre-seen. It takes 10 minutes and is done by staff. I come
in and if anything adjust cuspids. Minimizes re-sends and if you aren't on the same page, you
know quickly. ■

Cassitytoothdr
Member Since: 07/27/19
Post: 71 of 86

8/24/2019

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Dentaltown December 2019

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