Determining Charge vs. No-Charge Refabrication Status

Crowns, Bridges, Veneers, Inlay/Onlay

All materials - except Temporary (PMMA)

Charge Refabrication

• Base Shade change
• Restoration when reduction coping has been requested
• Material Change

No Charge Refabrication

• Manufacturer defect
• Open margins
• Open contacts
• Poor staining
• Poor fit
• Incorrect anatomy/characterization 
• Wrong item
• Lost order
• Potential patient injury
   

Temporary PMMA

Charge Refabrication

• Shade change
• Broken due to prolonged use (1 month)

No Charge Refabrication

• Manufacturer defect
• Open margins
• Open contacts
• Poor fit
• Incorrect anatomy/characterization 
• Wrong item
• Lost order
• Potential patient injury

Implants

Charged Refabrication

• Base Shade change
• Material change
  • Crown Material change
  • Swapping between Generic and Authentic parts
  • Switching retention styles

No Charge Refabrication

• Manufacturer defect 
• Poor fit
• Does not seat 
• Missing screw
• Open contacts
• Occlusion
• Incorrect anatomy/characterization 
• Wrong item
• Lost order
• Potential patient injury

Surgical Guide

Charged refabrication

• Add extra surgical sites
   

No Charge Refabrication

• Manufacturer defects
• Broken upon arrival
• Poor fit
   

Dentures and Partials

1. Identify if the prosthesis is an immediate or final 

Permanent prosthesis 

Charged refabrication

• Shade change
  • Tissue or tooth
• Material change 

No Charge Refabrication

• Broken
• Manufacturer defect
• Poor fit
• Set-up
• Aesthetics
• occlusion/bite
• Wrong item
• Lost order
• Potential patient injury

Immediate Prothesis

Charged refabrication

• Broken due to patient negligence 
  • Patient drops prosthesis
  • Animal chews prosthesis 
• Shade change
  • Tissue or tooth
• Material change 
• After 6 months of use, the product no longer fits

No Charge Refabrication

• Manufacturer defect
• Poor fit
• Set-up
• Aesthetics
• occlusion/bite
• Wrong item
• Lost order
• Potential patient injury
   

Guards, Splints, Retainers, and Sleep Appliances

Charged Refabrication

• Material change 
• Broken due to patient negligence 
  • Patient drops appliance
  • Animal chews appliance
• Patient lost appliance
• Material “Yellowing”

No Charge Refabrication

• Manufacturer defect
• Poor fit
• occlusion/bite
• Design 
• Wrong item
• Lost order
• Potential patient injury

Aligners

Charged Refabrication

• Broken due to patient negligence 
  • Patient loses tray
  • Animal chews tray 
• Lost trays
• Extra refinement, not covered by the selected plan

No Charge Refabrication

• Manufacturer defect
• Poor fit at initial delivery (after treatments begins this is a refinement)
• Design 
• Wrong item
• Lost order (at initial delivery)
• Potential patient injury

Retainers

All materials 

Charged Refabrication

• Broken due to patient negligence 
  • Examples:
    • Patient drops appliance
    • Animal chews appliance
• Lost retainer after delivered to patient

No Charge Refabrication

• Manufacturer defect
• Poor fit
• Design 
• Wrong item
• Lost order (case never arrived)
• Potential patient injury