P3-RPD-CHAPTER 21

WORK AUTHORIZATION

Contains written directions for laboratory procedures for fabrication of dental restorations.

WORK AUTHORIZATION

Ensures the dentist’s responsibility to the public and profession for quality prosthodontic services.

professional quality assurance

Properly completed work authorizations provide _________ and satisfaction in removable partial denture service.

power of attorney

Purpose of work authorization is similar to ________ allows others to act on the dentist’s behalf and specifies what is authorized

Effective channels of communication when properly executed.

Enhances quality of restorations by providing instructions for individually and scientifically considered prostheses.

Give more 2 purpose of work authorization

○ Name and address of the dental laboratory.

○ Name and address of the dentist initiating the authorization.

○ Identification of the patient.

○ Date of work authorization.

○ Desired completion date of the request

. ○ Specific instructions.

○ Signature of the dentist.

○ Registered license number of the dentist.

○ All requirements can be included in a simply designed form

Content of a Work Authorization

1. Furnishes definite instructions for laboratory procedures to be accomplished and implies an expectation of acceptable quality for the services rendered.

2. Provides a means of protecting the public from the illegal practice of dentistry.

3. Serves as a protective legal document for both the dentist and the dental laboratory technician.

4. Completely delineates the responsibilities of the dentist and the dental laboratory technician.

A work authorization performs four important functions:

definite instructions for laboratory procedures

Furnishes____________ to be accomplished and implies an expectation of acceptable quality for the services rendered.

protecting the public from the illegal practice

Provides a means of ____________ of dentistry

proctective legal document

Serves as a _____________ for both the dentist and the dental laboratory technician.

delineates the responsibilities

Completely _________ of the dentist and the dental laboratory technician.

Must be legible, clear, concise, and readily understood.

CHARACTERISTICS PF WORK AUTHORIZATION

sufficient information

Include ________ so the technician can understand and execute the request.

each laboratory service

Provide adequate written instructions for _______ required.

one-trip laboratory service

In modern dental practice, a ________ is rarely adequate for a truly professional removable restoration.

○ Removable partial dentures

○ Crowns

○ Fixed partial dentures

○ Complete dentures

○ Orthodontic laboratory procedures

No single form is sufficient for all restorations

individual work authorization forms

: Differences in types of restorations and laboratory phases require

minimum writing

The form design should only _______ needed to provide through instructions

printed listings of materials/specifications

May contain ________ requiring a checkmark or fill-in for authorization

design on a diagnostic cast

Drawing the _______ provides anatomical detail not possible on paper.

rests, proximal plates, major/minor connectors, and clasps

Exact locations of ______ should augment written instructions (

■ Type IV gold

■ Chromium-cobalt alloy

■ Titanium alloy

Reminder space to designate metal choice for framework

checkmark

Denture base material may also be indicated by a

Space

is reserved for dentist’s selection of teeth—responsibility remains with the dentist.

Courtesy amd Professionalism

Use polite phrases: “please” for requests and “thank you” for instructions to promote good relations

ensure clarity

Good forms _____ and simplify correct execution.

■ Occlusal and lingual surfaces of posterior teeth

■ Lingual surfaces of anterior teeth

■ Palatal region of maxillary arch

■ Lingual slopes of mandibular alveolar ridge

Provide figures/diagrams for:

color-code index

xplains markings on the master cast:

green

outline of framework

red

finishing lines on framework

black

height of contour on teeth/soft tissue

Specifications for Waxing Frameworks

○ Must be furnished for gold, chromium-cobalt, or titanium alloy castings.

○ Listing of average specifications saves time and effort but can be altered if necessary.

constant direction and supervision

Instructions must _________ for lab phases of removable partial denture service

undercut dimensions

What should be explicity included in written directions

Duplicates

Work authorization blanks should allow for duplicates—one for the dentist and one for the technician.

NADL

provides guidelines for statutory regulation, but each state implements its own regulation.

Properly executed work authorizations document communication and protect the professional relationship between dentist and dental laboratory

Purpose of legal aspects of work authorizations

■ Illegal practice of dentistry

■ Settlement of misunderstandings between dentist and technician

Ensures documents are available to substantiate or refute claims about:

Dentist’s responsibility

Responsible for all phases of removable partial denture service.

Laboratory technician

may perform technical phases, but is responsible only to the dentist, never to the patien

■ Dentists imposing unrealistic responsibility on technicians.

■ Poor impressions, casts, records, and instructions sent to technicians, while demanding impossible quality under economic threats.

Illegal practice of dentistry and conflicts between dentists and lab technicians can result from:

■ Prevention of oral disease.

■ Maintenance of oral health for overall well-being

Technician is a team member whose objectives include

■ Knowledge, experience, technical skill

■ Administrative ability, integrity

■ Effective communication

Degree and quality of team effort depend on the dentist’s:

delegate laboratory phases

Dentists may _______ but must supervise and direct via work authorizations.

commercial laboratories

Some dentists fail to submit instructions when using

■ Do not delegate responsibility to unqualified individuals.

■ Poor communication may contribute to movements allowing denturism.

To maintain control within the profession: