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Science Forum Index » Medicine - Dentistry Forum » NTI impressions today
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| Newbie |
Posted: Thu Mar 22, 2007 2:40 pm |
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Guest
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On 22 Mar 2007 11:27:13 -0700, equesnel@unm.edu wrote:
Quote: On Mar 22, 10:00 am, "Amatus Cremona" <Nic...@sottovocce.com> wrote:
I charge $450 for them, book 40 minutes, and the patient leaves with it in
their mouth. The 40 minutes includes time walking from waiting room,
opening up instruments, saying hello, etc. Actual fabrication takes about
15-20 minutes.
Amatus
Well, I don't know what to say. I didn't have much of a choice. I'm
pedalling as fast as I can here. I couldn't exactly wrestle him to
the ground and demand he make it for me now. I've gotta go with the
flow.
Eva
Though that would have made for an interesting headline. |
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| Guest |
Posted: Thu Mar 22, 2007 2:51 pm |
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On Mar 22, 12:39 pm, The Webby <tmjiatroepide...@cox.net> wrote:
Quote: In article <1174588033.825295.177...@e1g2000hsg.googlegroups.com>,
eques...@unm.edu wrote:
On Mar 22, 10:00 am, "Amatus Cremona" <Nic...@sottovocce.com> wrote:
I charge $450 for them, book 40 minutes, and the patient leaves with it in
their mouth. The 40 minutes includes time walking from waiting room,
opening up instruments, saying hello, etc. Actual fabrication takes about
15-20 minutes.
Amatus
Well, I don't know what to say. I didn't have much of a choice. I'm
pedalling as fast as I can here. I couldn't exactly wrestle him to
the ground and demand he make it for me now. I've gotta go with the
flow.
Eva
If posters here in smd had advised you to ask ahead of time if the NTI
would be fabricated chairside, would that have made any difference to
your choices of which dentist to go to? I have no idea where you live
or how many dentists are near enough to you to have allowed you some
choices.
Webby
I don't think I know how to answer this. I found out about the device
here, and I asked questions. I don't think anybody told me to make
sure it would be made right there and then. They might have and I
just don't remember. There are only two places in my area who were on
that website for the NTI. I chose the one the dentist in town was
familiar with and said was good. How else can a person who knows
nothing about this make a choice? I don't know why it would make a
difference if the device was made right there or was made in a lab.
Does that mean it won't be as good? I'm trying real hard here to
solve my problems, and my brain is a little foggy with grief. I kinda
feel like the response was to criticize the way this doc provides the
device. I have to just trust him and do what he says. Y'all aren't
here to hold my hand or go with me, so I'm on my own. If I sound a
bit crabby, it's because I'm frustrated now. I did the best I could.
Eva |
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| Guest |
Posted: Thu Mar 22, 2007 2:54 pm |
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On Mar 22, 1:40 pm, Newbie <n...@bix.nex> wrote:
Quote: Well, I don't know what to say. I didn't have much of a choice. I'm
pedalling as fast as I can here. I couldn't exactly wrestle him to
the ground and demand he make it for me now. I've gotta go with the
flow.
Eva
Though that would have made for an interesting headline.
Yeah, I think I could've taken him.
Eva |
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| Newbie |
Posted: Thu Mar 22, 2007 3:01 pm |
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Guest
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On 22 Mar 2007 12:51:26 -0700, equesnel@unm.edu wrote:
Quote: On Mar 22, 12:39 pm, The Webby <tmjiatroepide...@cox.net> wrote:
In article <1174588033.825295.177...@e1g2000hsg.googlegroups.com>,
eques...@unm.edu wrote:
On Mar 22, 10:00 am, "Amatus Cremona" <Nic...@sottovocce.com> wrote:
I charge $450 for them, book 40 minutes, and the patient leaves with it in
their mouth. The 40 minutes includes time walking from waiting room,
opening up instruments, saying hello, etc. Actual fabrication takes about
15-20 minutes.
Amatus
Well, I don't know what to say. I didn't have much of a choice. I'm
pedalling as fast as I can here. I couldn't exactly wrestle him to
the ground and demand he make it for me now. I've gotta go with the
flow.
Eva
If posters here in smd had advised you to ask ahead of time if the NTI
would be fabricated chairside, would that have made any difference to
your choices of which dentist to go to? I have no idea where you live
or how many dentists are near enough to you to have allowed you some
choices.
Webby
I don't think I know how to answer this. I found out about the device
here, and I asked questions. I don't think anybody told me to make
sure it would be made right there and then. They might have and I
just don't remember. There are only two places in my area who were on
that website for the NTI. I chose the one the dentist in town was
familiar with and said was good. How else can a person who knows
nothing about this make a choice? I don't know why it would make a
difference if the device was made right there or was made in a lab.
Does that mean it won't be as good? I'm trying real hard here to
solve my problems, and my brain is a little foggy with grief. I kinda
feel like the response was to criticize the way this doc provides the
device. I have to just trust him and do what he says. Y'all aren't
here to hold my hand or go with me, so I'm on my own. If I sound a
bit crabby, it's because I'm frustrated now. I did the best I could.
Eva
Look you did just fine. An NTI no matter if made chairside or
in a lab is far superior to any other device out there.
It's just that most of us docs here that make them, make
them chairside. As long as it's made correctly it doesn't matter
where or who made it. |
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| Guest |
Posted: Thu Mar 22, 2007 3:09 pm |
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On Mar 22, 2:01 pm, Newbie <n...@bix.nex> wrote:
Quote: Look you did just fine. An NTI no matter if made chairside or
in a lab is far superior to any other device out there.
It's just that most of us docs here that make them, make
them chairside. As long as it's made correctly it doesn't matter
where or who made it.
Thank you for this. I was starting to really worry that the thing
might not work now after I waited so long to get into town and get
this done. I guess I call the thing they did an impression -- maybe
the wrong term. The gal filled a tray with this sticky blue stuff and
held it there in place for less than two minutes. She did this top
and bottom, and then took what was like a caulking gun and put it on
my bottom teeth and told me to bite down on it. This was supposed to
help them see how my teeth fit together and help them "work" the
device to see how to construct it.
I understand the docs here have a different view, but I am not a
professional and can't have the same undetstanding you guys do. I do
feel better now that you said the dratted thing would still work
well. The doc I saw says 1 in 100 have poor results.
Eva |
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| Amatus Cremona |
Posted: Thu Mar 22, 2007 3:10 pm |
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Guest
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So long as it fits well and is adjusted properly, you will be fine with it.
From point of view one dentist talking to another dentist, I don't see much
sense in having a lab make it.
--
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Amatus
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<equesnel@unm.edu> wrote in message
news:1174588033.825295.177370@e1g2000hsg.googlegroups.com...
Quote: On Mar 22, 10:00 am, "Amatus Cremona" <Nic...@sottovocce.com> wrote:
I charge $450 for them, book 40 minutes, and the patient leaves with it
in
their mouth. The 40 minutes includes time walking from waiting room,
opening up instruments, saying hello, etc. Actual fabrication takes
about
15-20 minutes.
Amatus
Well, I don't know what to say. I didn't have much of a choice. I'm
pedalling as fast as I can here. I couldn't exactly wrestle him to
the ground and demand he make it for me now. I've gotta go with the
flow.
Eva
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| Amatus Cremona |
Posted: Thu Mar 22, 2007 3:13 pm |
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Guest
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The end result should be the same. A point of view from behind the scenes
says it doesn't make sense to send it to the lab. Since most of the time
spent fitting it is done to adapt to the particulars of the mouth and bite,
which cannot be viewed by the lab, it seems a waste of time to send it to
the lab. However, not all dentists think the same way. A lot of dentists
think I am nuts for spending 45 minutes in my dental office lab setting up
denture teeth, when I could have sent that to a commercial laboratory.
--
/
Amatus
/
<equesnel@unm.edu> wrote in message
news:1174593086.480778.180010@n59g2000hsh.googlegroups.com...
Quote: On Mar 22, 12:39 pm, The Webby <tmjiatroepide...@cox.net> wrote:
In article <1174588033.825295.177...@e1g2000hsg.googlegroups.com>,
eques...@unm.edu wrote:
On Mar 22, 10:00 am, "Amatus Cremona" <Nic...@sottovocce.com> wrote:
I charge $450 for them, book 40 minutes, and the patient leaves with
it in
their mouth. The 40 minutes includes time walking from waiting room,
opening up instruments, saying hello, etc. Actual fabrication takes
about
15-20 minutes.
Amatus
Well, I don't know what to say. I didn't have much of a choice. I'm
pedalling as fast as I can here. I couldn't exactly wrestle him to
the ground and demand he make it for me now. I've gotta go with the
flow.
Eva
If posters here in smd had advised you to ask ahead of time if the NTI
would be fabricated chairside, would that have made any difference to
your choices of which dentist to go to? I have no idea where you live
or how many dentists are near enough to you to have allowed you some
choices.
Webby
I don't think I know how to answer this. I found out about the device
here, and I asked questions. I don't think anybody told me to make
sure it would be made right there and then. They might have and I
just don't remember. There are only two places in my area who were on
that website for the NTI. I chose the one the dentist in town was
familiar with and said was good. How else can a person who knows
nothing about this make a choice? I don't know why it would make a
difference if the device was made right there or was made in a lab.
Does that mean it won't be as good? I'm trying real hard here to
solve my problems, and my brain is a little foggy with grief. I kinda
feel like the response was to criticize the way this doc provides the
device. I have to just trust him and do what he says. Y'all aren't
here to hold my hand or go with me, so I'm on my own. If I sound a
bit crabby, it's because I'm frustrated now. I did the best I could.
Eva
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| Dartos |
Posted: Thu Mar 22, 2007 3:51 pm |
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Guest
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I'm not saying the guy is a quack or isn't going to give you a
properly made device. There are a several possibilities for
the impression taking.
1. Maybe he just wanted study models to go along with the case
and check on those pesky 2nd molar interferences.
2. Maybe he likes the Keller NTI better and just doesn't like
to mess with any lab chores.
3. Maybe he isn't using SNAP acrylic and the other acrylics just
don't work directly in the mouth. You could make one on the model
and let the other acrylic harden completely.
4. Maybe he thinks he is saving money by making his own NTI-like
device in his own lab. The pre-formed shells cost about $15 apiece.
There is no patent infringement for a dentist to make an entire
NTI shaped device from scratch.
5. Maybe he can't read directions or just likes doing things
the hard way <VBG>.
D
Quote: Well, I don't know what to say. I didn't have much of a choice. I'm
pedalling as fast as I can here. I couldn't exactly wrestle him to
the ground and demand he make it for me now. I've gotta go with the
flow.
Eva
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| grubertm@gmail.com |
Posted: Thu Mar 22, 2007 5:29 pm |
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Guest
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Was the impression taken with the small NTI in place filled with nasty
smelling acrylic stuff ?
If so, what is the lab going to do with the appliance- I thought it's
basically finished at that point except for adjusting the lining.
Dr. Boyd was kind enough to offer a free replacement NTI for the one
that had been made by an unqualified dentist. His colleague took the
impression yesterday and also adhered strictly to the 2 minute time
limit. The thing came out without too much trouble this time.
Unfortunately when testing it for snugness it wedged itself in rather
tightly and the dentist and I spent some time removing it. After the
adjustment was made it was too loose and we started all over again. 3
fittings in one month- I think that must be some kind of record for a
patient, right?
Somehow I think this "in-mouth-molding" is just not the best idea out
there though, given how simple the soft mouthguard impression was in
comparison :-/ |
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| Guest |
Posted: Thu Mar 22, 2007 5:52 pm |
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On Mar 22, 4:29 pm, "grube...@gmail.com" <grube...@gmail.com> wrote:
Quote: Was the impression taken with the small NTI in place filled with nasty
smelling acrylic stuff ?
No, it was sticky blue stuff -- no smell. It was just a little tray
full of the blue stuff.
Quote: If so, what is the lab going to do with the appliance- I thought it's
basically finished at that point except for adjusting the lining.
Dr. Boyd was kind enough to offer a free replacement NTI for the one
that had been made by an unqualified dentist. His colleague took the
impression yesterday and also adhered strictly to the 2 minute time
limit. The thing came out without too much trouble this time.
Unfortunately when testing it for snugness it wedged itself in rather
tightly and the dentist and I spent some time removing it. After the
adjustment was made it was too loose and we started all over again. 3
fittings in one month- I think that must be some kind of record for a
patient, right?
Somehow I think this "in-mouth-molding" is just not the best idea out
there though, given how simple the soft mouthguard impression was in
comparison :-/
I dunno anything anymore. I'm just going to wait till April 5 when I
go in and get the actual device. I'm so confused now that I can't
even think about it.
Eva |
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| le huart |
Posted: Thu Mar 22, 2007 8:11 pm |
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Unfortunately, it seems that most of us ASSUMED it would be made
chairside and delivered to you during your appointment. My bad; never
heard of Keller, |
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| Steven Fawks |
Posted: Thu Mar 22, 2007 8:49 pm |
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Guest
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Definitely some type of indirect fabrication. Either he makes
them in house, or sends them the Keller.
As long as it is shaped to the right specifications, it will be
great.
Sometimes a few adjustments are needed no matter who makes it.
I say relax (since you can't come to one of 'our' offices to
be sure of 'expert care'.
<G>
Steve
Quote: No, it was sticky blue stuff -- no smell. It was just a little tray
full of the blue stuff.
I dunno anything anymore. I'm just going to wait till April 5 when I
go in and get the actual device. I'm so confused now that I can't
even think about it.
Eva
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| The Webby |
Posted: Thu Mar 22, 2007 9:14 pm |
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In article <d4GdnVp4tZPLtJ7bnZ2dnUVZ_u3inZ2d@comcast.com>,
le huart <fritzfield@comcast.net> wrote:
Quote: Unfortunately, it seems that most of us ASSUMED it would be made
chairside and delivered to you during your appointment. My bad; never
heard of Keller,
Never heard of Keller??? ....... hmmmmmm.
Webby |
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| The Webby |
Posted: Thu Mar 22, 2007 10:10 pm |
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Guest
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In article <d4GdnVp4tZPLtJ7bnZ2dnUVZ_u3inZ2d@comcast.com>,
le huart <fritzfield@comcast.net> wrote:
Quote: Unfortunately, it seems that most of us ASSUMED it would be made
chairside and delivered to you during your appointment. My bad; never
heard of Keller,
Now you have.... ;-)
Webby |
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| grubertm@gmail.com |
Posted: Fri Mar 23, 2007 1:38 am |
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Guest
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Quote: No, it was sticky blue stuff -- no smell. It was just a little tray
full of the blue stuff.
I dunno anything anymore. I'm just going to wait till April 5 when I
go in and get the actual device. I'm so confused now that I can't
even think about it.
I don't think you should worry at all. You didn't have to deal with
the nasty stuff and the lab can hopefully ensure the right kind of fit
from the impression, maybe without your dentist having to do further
adjustments. Plus you got it for "cheap". The only downside is that
you'll have to wait 2 weeks. |
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