Advanced Pros QA Lecture 2023 Post.pdf

4/19/2023 Laboratory Workflow & Quality Assurance Program in Prosthodontics LECTURE OUTLINE • What is QA? • Why do we have QA? • Workflow • Common issues in Removable (complete and partial dentures) & Fixed (natural teeth and implants) restorations LILIANA ORTIZ CAMACHO,DDS MARJAN MOGHADAM,DDS W...

4/19/2023 Laboratory Workflow & Quality Assurance Program in Prosthodontics LECTURE OUTLINE • What is QA? • Why do we have QA? • Workflow • Common issues in Removable (complete and partial dentures) & Fixed (natural teeth and implants) restorations LILIANA ORTIZ CAMACHO,DDS MARJAN MOGHADAM,DDS WHAT IS “QA” ? WHY“QA” ? • Delegation to the commercial lab due to compressed curriculum hours • Similar to private practice • Teach proper communication Central Dental Lab – 7th floor • Ensure appropriate clinical outcome HOW MANY CASES? • 2,000 Cases per month • 125 Cases require modification W O R K F L O W: Analog 6.25% Where these modifications occur give us an idea of where clinical instruction may be lacking 1 4/19/2023 W O R K F L O W: Analog • • • • • • Patient treatment “Paperwork” / DDX Forms Signatures Pack your work Submit your work Track your work axiUm Forms • • • • PAPERWORK • Axium forms • DDX forms axiUm Forms Maxillary & Mandibular Design Approval Forms Denture tooth order form Implant part order form Archived lab work authorization forms axiUm Forms • Maxillary & Mandibular Design Approval Forms • Denture tooth order form • Implant part order form • Archived lab work authorization forms 2 4/19/2023 DDX Forms DDX Forms • All commercial laboratory work being requested: • Pour up of FINAL impressions • Crowns / Bridges / Implant crowns • Denture tooth set up • Denture processing • Etc. 3 4/19/2023 SIGNATURES FORMS / REQUIRED SIGNATURE(S): • RPD Preliminary Design Approval  GPD • Denture Tooth & Implant Part Request  GPD & MANAGER • All cases going to commercial lab --> GPD & MANAGER Submit your work • Work should be submitted to supply desk in your home clinic Pack your work For example: RPD design approval • ARTICULATED diagnostic cast(s) (unless opposing arch is edentulous • Survey, tripod marks & undercuts • Design approval form with your proposed design • SIGNED by GPD Track your work CDLM: Central Dental Lab Management platform https://portal.dental.nyu.edu/clinics/cdl/track Brightspace  Learning Materials  Lab Protocols 4 4/19/2023 CDLM CDLM Status • • • • • In progress Due date On hold Shipped Ready for pick up • Failed QA • Picked up W O R K F L O W: Digital • • • • • • Fixed work only Patient intra-oral scan Digital Forms: DDX Signatures Submit your work digitally Track your work CO- DIRECTORS OF CLINICAL FIXED PROSTHODONTICS W O R K F L O W: Digital W O R K F L O W: Digital Brightspace  Learning Materials  Planmeca & DDX Training  DDX Integrated Lab Prescription DIRECTOR OF CLINICAL REMOVABLE PROSTHODONTICS Dr. Liliana Ortiz Camacho Dr. Marjan Moghadam and Dr. Michael Ferguson 5 4/19/2023 QA Review Process QA Faculty Dr. Leila Jahangiri Dr. Sharvari Karande Dr. Marjan Moghadam Dr. Michael Ferguson Dr. Liliana Ortiz Camacho Dr. Igor Chikunov x Commercial Laboratory Student Modification J. Smith J. Smith 6 4/19/2023 To: J. Smith From: Laboratory QA Wed 5/11/11 Common Issues CD 8% RPD 24% Common Issues Fixed Prostheses 68% C R I T I C A L VS N O N - C R I T I C A L E R R O R S • 57% Complete Dentures 51% Removable Partial Dentures 49% 64% Fixed Prostheses 0 10 20 30 Borders not captured Over compressed tissue Inadequate tooth set-ups • Voids/bubbles in impression • Lack of occlusal contacts • • 43% 40 Execution 36% 50 60 70 80 90 100 • GPD signature missing • Manager’s signature missing • Denture teeth not enclosed • Shade not indicated • Missing prelim design form Omission IMPROPER BORDER MOLDING IMPROPER BORDER MOLDING 7 4/19/2023 IMPROPER BORDER MOLDING IMPROPER BORDER MOLDING IMPROPER BORDER MOLDING IMPROPER BORDER MOLDING VOIDS/BUBBLES D E N T U R E T O O T H SE T - U P 8 4/19/2023 Slideshare.net, Shammasm LACK OF OCCLUSAL CONTACTS Slideshare.net, Shammasm 9 4/19/2023 DAMAGED CASTS POSTERIOR PALATAL SEAL BE NEAT!WAX ON THE OCCLUSAL SURFACE OF DENTURE TEETH 10 4/19/2023 BE NEAT! FRAMEWORK NOT SEATED FRAMEWORK NOT SEATED FRAMEWORK NOT SEATED FRAMEWORK NOT SEATED INSPECT BEFORE DELIVERY 11 4/19/2023 INSPECT BEFORE DELIVERY Final Impression 12 4/19/2023 Master Cast Articulation Pick up impression 13 4/19/2023 REFERENCES 14