The NBC introduces Modularitzation
Are you ready to prove to your employer, your dentist and yourself
that you are the best at what you do? If so, the National Board for
Certification in Dental Laboratory Technology (NBC) Modularization Program is
your next step to prove your skills.
The NBC Modularization program is comprised of short written
and practical examinations that assess the competency of process/task technicians
who perform a subset of the work required making dental prosthetics in a laboratory.
There is a value to the industry to have a mechanism for determining the ability
of such workers and to enable them to demonstrate their skill level to employers,
dentists and themselves by earning a "Certificate of Competency" for
the subset of work in which they specialize. This will be accomplished once a
candidate has completed the module requirements of both a written and practical
examination within a specific module. The NBC Modularization program is
NOT a certification program, although it is one pathway for entering into the
Certified Dental Technician certification. For more information visit: http://www.nbccert.org/modularization/2
Following is the response received from the Illinois Department of
Revenue regarding a change in the SOT rate
The RTA tax applies to persons in the
business of selling general merchandise, qualifying food, drugs, and medical
appliances and items that are required to be titled or registered within the
state of Illinois. The rate increase will not affect the SOT rates.
Is Your Dental Lab Outsourcing to Foreign Labs? Find
Reprinted from the July 2006 issue of the Illinois Dental
Doctor, do you know where in the world that prosthesis came from? Each day
in the dental practice, dentists use equipment and materials produced outside
the United States, from handpieces to curing lights to amalgam to gloves and
so on. It’s likely that dentists give little thought to the origin of those
products, and in most cases the source is clear. “Made in China,” “Made
or “Made in the USA” is stamped somewhere on the item or
in the packaging.
However, when it comes to the dental prosthesis, the trusted dental lab across
town may be sending dental cases around the globe. Yet, if the dentist is ultimately
responsible for the “product”
delivered to the patient, how does the dentist control the quality and
materials delivered if those are manufactured not half a block away but half
a world away—thanks to the ever expanding global marketplace?
It begins with checking the documentation and asking your dental lab a few
simple questions, says Ricki Braswell of the National Association of Dental Laboratories.
She emphasizes that labs are required by law to disclose to dentists if they
are outsourcing to foreign dental laboratories. “Dental laboratories are
held to disclosure laws just as all manufacturers in the United States.” The
U.S.-based laboratory must indicate point of origin in the following manner:
1) “Manufactured by XYZ Dental Laboratory, Shanghai, China or 2) “Distributed
by XYZ Dental Laboratory, Anywhere, USA.” “The key words are
‘manufactured by’ or ‘distributed by.’ In essence,
‘manufactured’ indicates the laboratory location where the
restoration was created,” notes Ms. Braswell. In addition, foreign dental
laboratories are required to list on the invoice the 510(k) applications numbers
of the dental materials they use to fabricate the case, which the dentist can
confirm are FDA approved materials.
Moreover, dentists should ask their laboratories four specific questions to
determine if the lab is outsourcing and if the lab is following the disclosure
requirements mandated by the FDA:
- Ask if the lab outsources any of the dental practice’s restorations
to another laboratory. The answer should be a direct “yes”
- If the answer is “yes,” ask the lab if the cases are sent to
a foreign or domestic laboratory.
- If the laboratory is outsourcing to a foreign lab, the doctor should ask
if the foreign lab registered with the FDA as an exporter and if the local laboratory
they are using is registered with the FDA as an importer. The answer should be “yes”
to both questions.
- Finally, the doctor should request an affidavit stating that both labs are
registered with the FDA including the registration numbers for both laboratories.
The affidavit should also state that both laboratories are using only FDA approved
The doctor can verify on-line whether the laboratories are registered with
the FDA at http://www.fda.gov/cdrh/devadvice/341.html click
on Online Search of Establishment Registration Records.
Ms. Braswell notes that NADL advocates full transparency and urges dental
labs to make it very clear to dentists if cases are outsourced, but the law requiring
such disclosure is relatively new. Consequently, some dental labs may be unaware
that they are required to disclose this information as well as register with
the Food and Drug Administration.
In addition to the FDA requirement, legislation passed
in Illinois this spring requires dental laboratories to provide prescribing dentists
information regarding the location where the laboratory work is preformed as
well as the source and original location where materials used for dental appliances
At the national level, the American Dental Association passed a resolution
in 2005, Res. 83H-2005, directing the ADA to urge the U.S. Food and Drug Administration
to require subcontracting dental laboratories to notify dentists in advance when
prostheses, components, or materials indicated in the dentists’ prescription
are to be manufactured or provided, either partially or entirely, by a foreign
dental laboratory or any domestic ancillary dental laboratory.
It is estimated that 10-15% of the total number of U.S. restorations are produced
in foreign countries. While it appears to be a sliver of the current dental marketplace,
with the dwindling numbers of dental technician training programs and the increasing
demand for esthetic dentistry the percentage of foreign-made dental restorations
is likely to increase.