Joey Trevino · Owner/Creator at Cascade Dental Services
get rid of metal and make offices switch to pressables or cad.
We've done our best to order smaller lots and send in scrap more frequently to minimize our exposure and risk to price fluctuations. With the price setting on the second London fix, we order alloy only on days the market is "up" and delay orders when the market is "down" and allow the lower price to "fix" at the lower rate. Since we "flat fee" our metal-based crowns, we monitor the markets very closely and adjust our fees in $5 increments. Mostly however, we use pricing strategies to steer our dentists to more profitable monolithic restorations such as e.max Press or full zirconia. Its our goal...See more to use as little alloy as possible in our restorations with the development of modern materials, we see metal being necessary in less than 15% of what we do.
I find laboratories split on this issue. The oneâs who offered a fixed price product in the past, find themselves forced to change that model to accommodate the ever changing alloy prices and stay profitable, while others who offered their products at labor plus alloy cost in the past, are turning to fixed pricing to attract those dentists who are accustomed to it. Many labs are marking up the products at far less than 25% profit margin, while others are just passing the cost through to their dentists. I find it interesting that laboratories are calling their customers with a price quote for...See more the alloy on a case-by-case basis. The labs intention when making the call is to stir the doctor away from metal base restoration to a metal free restoration. Also, at the same time, to give the dentist heads up, so there are no surprises when they receive the invoice. I also see non-precious metal gaining some momentum, not much. I hope that helps with answering your question.
Ivoclar has a noble alloy with 25% palladium, near the cost of base alloy called Callisto -CP Plus. With this the doctor can bill to insurance companies as noble with a higher return than base. I'm also doing a lot more e.max crowns.