- The Dentist shall provide a properly prepared and signed prescription to
the laboratory or technician according the to Illinois Dental Practice Act. The
prescription shall detail the work which is to be performed, describe the materials
which are to be used and be written in a clear and understandable fashion. A
duplicate copy of the prescription must be retained for 3 years.
- The Dentist should provide the Laboratory/Technician with accurate impressions,
casts, bite registrations, and or mounted casts.
- The Dentist should identify the margins, postdate, borders, the areas to
be relieved or omitted, and design partials on all cases.
- The Dentist should furnish a shade (color) description, photograph, drawing,
or shade button which matches the patient’s teeth most closely. If desired,
the Dentist may also send the patient, with a written prescription, to the Laboratory/Technician
for the purpose of directly determining the shade selection.
- The Dentist should provide verbal or written approval to proceed with a laboratory
procedure, or make any appropriate change(s) as the Dentist deems necessary,
when notified by a Laboratory/Technician that a case may have a questionable
area with respect to paragraphs 2-4.
- The Dentist should alert the Laboratory/Technician about the patient’s
health status if a serious communicable disease exists or is suspected. In such
case, however, the Dentist is not required to identify the patient by name but
has the option of using a patient identification number. If a number is used,
the patient’s name must be written on the duplicate copy of the prescription
retained by the Dentist.
- The Dentist should thoroughly clean all blood and saliva from all materials
used in the mouth (e.g. impression materials, occlusal registrations, intra-oral
appliances, etc.) and should disinfect these items according to ADA recommendations
before sending them to the Laboratory/Technician. Any appliance returned from
the Laboratory/Technician should be disinfected, washed and rinsed before it
is placed in the patient’s mouth. Care should be taken that all materials
are placed in an appropriate container provided by either the laboratory or the
dentist and should be packed properly to prevent breakage. Work to be shipped
to a Laboratory/Technician should be packaged and transported according to current
infection control standards.
- The Dentist may, when it is mutually advantageous for the patient and Dentist,
and when it is specified in the prescription, have the patient deliver and/or
pick up an appliance directly from a Laboratory/Technician provided the patient
returns to the Dentist’s office to have the appliance evaluated, placed,
and to have any necessary adjustments made. In the event a patient drops off
or picks up an appliance, laboratory personnel shall not engage in any activity
which involve the trying on or fitting of appliances with patients, or any other
activity with patients, with the exception of permitted shade taking as described
- The Dentist should return all casts, registrations and appliances to the
Laboratory/Technician intact and structurally undamaged if an appliance does
not fit properly or if the shade selection is incorrect.
- The Laboratory/Technician should fabricate dental appliances which follow
the guidelines set forth in the prescription provided by the Dentist. The appliances
should fit properly on the casts and mountings provided to the Dentist. Original
prescriptions must be retained for 3 years. When a laboratory provides prescription
forms to a dentist, the forms should contain the name of the laboratory, space
for instructions, expected delivery date, patient name, signature line for the
dentist, license number and other information requested by the laboratory.
- The Laboratory/Technician should return the case to the Dentist to check
the mounting if the technician has set the bite and there is any question of
its accuracy or the technician questions the accuracy of the bite registrations
furnished by the Dentist.
- The Laboratory/Technician should match the shade which was described in the
original instructions, within the limitations of the materials generally available
to the profession. Laboratory personnel shall not engage in the removal or insertion
of any appliance unless attended by the dentist.
- The Laboratory/Technician should notify the Dentist in two (2) working days
after receipt of the case, if there is a reason for not proceeding with the work.
Any changes or additions to the prescription must be agreed to by the dentist
and must be initialed by authorized laboratory personnel. A copy of any changes
made shall be sent to the dentist upon completion of the case.
- After acceptance of the prescription, the Laboratory/Technician should fabricate
and return the appliances in a timely manner in accordance with the custom in
the profession. It a prescription is not going to be accepted, the Laboratory/Technician
should return the work in a timely manner and include a reason for denial.
- The Laboratory should follow all OSHA regulations with its employees with
respect to personal protective equipment and disinfection of appliances and materials.
All materials should be checked for breakage and immediately reported if found.
- The Laboratory/Technician should not be held responsible for the patient’s
toxic reactions to materials that are prescribed by the Dentist, but should inform
the Dentist of the materials present in the case.
- The Laboratory/Technician should clean and disinfect (according to ADA recommendations)
all incoming items for the Dentist’s office (e.g. impressions, occlusal
registrations, intra-oral appliances, etc.) and these items should be cleaned
and disinfected when they are returned to the Dentist. All appliances and other
laboratory materials which are returned to the Dentist should be placed in an
appropriate container, packed properly to prevent breakage, and transported according
to current OSHA standards.
- The Laboratory/Technician shall inform the Dentist of any subcontracting
Laboratory/Technician employed for preparation of the case according to the Illinois
Dental Practice Act. The Laboratory/Technician shall furnish a written order
to the dental laboratory which has been engaged to perform some or all of the
services on the original prescription.
- Laboratory personnel shall not engage in the removal or insertion of any
implant related case according to the Dental Practice Act. If a dentist is present,
a qualified laboratory technician may assist the dentist in the placement or
removal of the appliance.
- The Laboratory/Technician shall not bill the patient directly under any circumstances.
Charges made by the laboratory to the dentist are strictly confidential, and
laboratory personnel should not discuss or divulge these charges to the patient.