No 69 September - October 2016

Dental Blog

Cost estimates

Sometimes, we are asked to provide an estimate of laboratory costs before even receiving the work in question. And often for cases requiring one or more implants, it makes perfect sense to request an estimate so that patients are properly informed before agreeing to a treatment plan. So now, let us look at some of the details involved in preparing a quote that reflects as accurately as possible the costs of manufacturing a prosthesis.

 

  • First, the number of units. Of course this goes without saying, but we also need to know the precise number of prepared teeth, implants and pontics.

 

  • Which teeth are involved? If the procedure involves the anterior region, where the esthetic aspect is crucial, the patient may be required to visit the laboratory for shade-taking and there are fees associated with this. In the case of metal-ceramic crowns, knowing the tooth numbers involved allows us to better assess the weight of the dental alloy needed for fabrication.

 

  • Next, there is the brand of implants. If not known at the time of preparing the quote, we have to make assumptions. The cost of original parts from the manufacturer can vary significantly from one brand to the next. Opting for an occlusal screw-retained prosthesis as opposed to a cement-retained prosthesis will also influence the choice of parts. Similarly, this can be a good time to discuss the possibility of using parts other than the originals—not only for cost‑saving purposes, but also to take advantage of a broader range of prosthetic options.

 

  • Then, there’s the choice of materials. For metal-ceramic restorations, whether to opt for the robustness of a dental alloy featuring more palladium or the attractiveness of an alloy containing more gold is something to consider when requesting an estimate. The possibility of choosing an all-ceramic version, given the constant evolution of this type of material, is another great topic of discussion.

 

As you can see, preparing a cost estimate for future laboratory work is only truly effective if certain details are provided. This is why the friendly receptionist is often surprised when she calls to ask “How much is an implant-supported bridge?”