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ePaper created 2017-01-24, 10:47:27 | version 1.38.0
I 31 CAD/CAM 3_2016 practice management_ onlays I practice revenue to $752,500 — an increase of 9 percent.You’vealsojustincreasedtheROIassociated with your chairside milling system by 27 percent! Meanwhile, you’ve delivered a long-lasting, high quality result to your patient thanks to a more mini- mallyinvasivetreatmentplan.Thisshouldbeempha- sized when discussing the benefits of the procedure to your patients. _The right choice of materials is key Leveraging a minimally invasive treatment plan that allows you to successfully expand your clinical indications, generate higher ROI and deliver the per- fectblendoftooth-likecharacteristicsareimportant considerations in choosing a material for onlays. When it comes to selecting the right material, clinicians should consider a CAD/CAM block that most closely resembles natural tooth characteristics in function, rigidity and elasticity. Available on Planmeca PlanMill® and other chair- side milling systems, VITA ENAMIC is the only dual- network CAD/CAM material in the world. It boasts a dominantceramicstructureinfusedwithpolymerto deliverthesamematerialpropertiesofnaturaldenti- tion,makingitanidealbiomimeticrestorativemate- rial. In fact, ENAMIC features characteristics that most closely resemble the patient’s original tooth. It featuresanelasticityof30GPa,avaluethatfallsinto the same range as human dentin. VITAENAMICcanbemilledasthinas1mmocclu- sally, saving up to a third of natural tooth structure and allowing an easy blend of the margins. It pro- vides precision milling with no chipping, while other materials often experience chipping and don’t have the option to be milled as thin, presenting you with significant challenges when performing an onlay. VITAENAMICisalsofastandeasytoprocess.With no furnace required, it decreases chairtime by up to 50 percent for greater practice profitability. This is also significant to your patient by reducing appoint- ment time that can lead to higher referrals. After all, time is money for both you AND your patient. _Code correctly for maximum reimbursement At some point in his or her practice, every doctor has experienced it — a denial from the insurance company for a partial-coverage restoration. Despite your best efforts to facilitate communication and documentation that warrants full reimbursement, you still receive a denial. Because of this, many doc- torsshyawayfromperformingonlaysanddefaultto the simpler and lower-fee direct restorations, even though they may not be ideal for the patient and despite a significant investment in chairside milling. Insurance reimbursement can be unpredictable withoutproperdocumentation,asisusingtheproper insurance codes. Standard insurance codes for on- lays are D2643 (porcelain/ceramic, three surfaces) or D2644 (porcelain/ceramic, four or more surfaces). Typically,anonlayisdefinedasarestorationmade outside the mouth that replaces the cusp or cusps of a tooth. It is also cemented or light-cured onto the tooth. An onlay incorporates portions of a tooth (within the cusps of a tooth) that might correspond to areas also commonly restored using amalgam or composites or by using an inlay, with the addition of a cusp or cusps. It is not considered correct to report an inlay code along with an onlay code. The onlay code is inclusive of the inlay. Inlays are Fig. 1_An ideal material for onlays, VITA ENAMIC features characteristics that most closely resemble the patient’s original tooth, including an elasticity of 30 GPa, a value that falls into the same range as human dentin. Fig. 2_VITA ENAMIC can be milled as thin as 1 mm occlusally for an easy blend of margins with no chipping. (Photos/Provided by VITA) Fig. 1 Fig. 2