amanda with straight smile solutions straightsmithsolutions.com and today we're
going to talk about filling out your lab slip for specialty appliances this is probably a very
similar lab slip to other lab slips that you might need to you know to fill out if you wanted
to get indirect bonding now that being said the company that i recommend for indirect bonding at
the moment is actually not specialty or other labs maybe there's other labs that are good
i only recommend labs where you can see the stl with the bracket positioning on it where
they actually send it to you and they have worked in a step in the workflow where you can approve
the bracket positioning this is super critical because if you do not have this step first of
all you don't even know if the brackets are right and it's really good for you to show the bracket
positioning to the orthodontist who's your mentor now we do that it's straight smile solutions you
could send it to us through our secure mail portal or we can do it i have a compliance zoom session
we will double check the brackets because you know these are orthodontists that are placing
the brackets and if well definitely not especially they're not they don't have orthodontists on staff
the lab that i work with is primarily is called global for idb they are by referral only so if
you want to be they're not going to have a fancy website or anything like that if you
want a referral you need to contact me info at streetsmilesolutions.com or go to my website
straights my solution send a message say hey i want to intro to global give me your email
i'll be glad to do it but they are the cheapest they're 350 dollars including the transfer trays
um full positioning from molotov moeller of 022 mbt 3m unitec brackets that's top of the line that
orthodontists use metal or ceramic brackets now the ceramic ones are not plastic they're ceramic
that's a little bit more than 350 so the 350 includes um everything you know from the digital
setup to the approval stage to the trays which are on the model with the brackets and everything only
thing you have to do is it comes and i have a lot of videos on how to deal with this comes you put a
dot of glue on the back of each bracket edge prime bond slap it on like your peel it off that's it
but if you now if you're with specialty especially used to talk to me all the time and they don't
really communicate with me anymore so um i don't bother trying to contact them they used to do
that extra step and i was using them all the time and i really really love their trays so i really
really really love their trays um it's definitely a different tray than they use at global so it can
be hard for you to switch back and forth but i'm not dogging especially by any means it's just that
they got rid of that intermediate step where you guys could approve it and and from a compliance
issue you actually want to have that step because if you don't have that step then you cannot have
your assistant place the brackets you have to do it okay now if you have that step now you've
already digitally approved the bracket placement now your assistant can place it now of course
you have to follow the laws in your own state usually it's under general or direct supervision
but you don't have to do it okay so now you can have that going on next door while you're doing a
crown prep or whatever orthodontist do this all the time we approve it first and then we have
five bondings going at 4 pm on a friday where we normally couldn't if the doctor had to do it right
so that's why we do it this way so when specially took away that extra step the problem was is i was
finding that um my doctors that i work with would you know they wouldn't get to view it so i mean
i wouldn't get to view it they'd go ahead and bond it and i'd look i'd be like that's wrong
you know did you okay this this bracket position and they're like no especially did it and i didn't
get this okay at first i'm like well you know pump the brakes how do we even know they did it right i
don't know what the problem is did they not do the brackets right or did you slip when you put them
on or did you mush it or did you shift the tray so that's why that that step is super critical
because when something goes wrong we don't know where something went wrong and now you got to
take all the brackets off and do it all over again this has happened way too many times with
these specialty cases so this is the reason why i don't recommend their their system but
if they've changed their ways fantastic they just don't tell me what's going on right
so they're more than welcome to reach out to me and i'll be glad to retape this video
um and take away that other information okay so let's talk about what this means i'm if you're
trusting their bracket placement and you don't need that regulatory step then so be it you can
use them i do really really like their trace um so they have type of bracket placement i would
never ever do traditional traditionalist means there's a technician that who's not
an orthodontist just gluing you know like using sticky wax to put it on so don't do that that's
old school they don't know what they're doing at the very least you got to use the digital
three idb it might be more i don't know but you want the computer to place it 100 okay
um you want upper only upper and lower hopefully you're doing dual arch then there's three options
here this first one is use doctor's inventory now if you were like an orthodontist and you
were using specialty for all your brackets then you probably give them just cases and
cases of your inventory well you know if you're working with me that's not you so that's enough
the other one is like it's just a one-off case and you want to use a certain type of bracket
so that matches all your other cases and maybe you have some in storage and you just mail it
to them so i'm guessing that's probably not you so if you're working with me most likely you're going
to use specialty provides brackets either metal or ceramic i think they're using o2 slat mbt not sure
what company it's a pretty basic company whatever it's not as nice as what my global's using that
for sure but um and i know ceramic is more but i would just check this this metal or ceramic um
just remember if you're using ceramic you've got to be really careful about interferences because
you can totally chip teeth and then the tray is just how you want to come this is the transfer
tray so if you're like super sophisticated and you know how to do it you can use full arch
if you're just getting started i would use three piece and if you have some experience you can use
midline arch that just means the top arch is going to come in two paces two pieces top arch
is going to come in three pieces top arch is going to come in one piece so if you're less experienced
use three piece if you're super experienced use full arch okay and otherwise if you're using a
scan you just check this otherwise i wouldn't say anything i mean obviously down here you don't need
to say anything um it should just happen standard but if you're looking for something a little bit
different this is where you'd write your instructions so for example let's say a patient
had a super gummy smile um normally for me if it like crazy gummy obviously i want to get as much
absolute intrusion of the incisors as possible so i'm gonna i might ask for the brackets on
seven through ten or upper two to two to be placed slightly incisively something like that you know
all kind of different things you can do or let's say i had a canine substitution case where i was
taking number 11 and i was going to treat it um like a lateral which means in that case i
probably would bracket it a little bit more incisally than i would a typical canine so i
might say use a lateral bracket on number 11 and bracket it like a lateral or something like that
so that's that's what this area is for if you're not doing anything special then no need to fill
that out you don't need to do any of this stuff here signature that's it all right thanks so much