Dental Lab Work Being Sent to China?

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Are an increasing number of labs sending implant and other dental work to China? A recent article by First Coast News claims that a growing number of labs are outsourcing labor to China unbeknownst to dentists and their patients.

According to the report, Chuck Dimaria has been making dental crowns in Missouri for 20 years. “There are laboratories sending implant work to China to be done. I believe that is happening. Do I have any record of it? No,” said Dimaria.

Dimaria says he has received offers to send his lab work to China. He’s resisting that fearing the Chinese dental work quality is too low and the crowns and implants may be tainted.

Faye Lewis is the first confirmed victim in the United States with lead contamination in imported dental crowns. She’s from Ohio but came to Florida to speak in Tallahassee to urge state lawmakers to enact protections for dental patients.

“The teeth that were cemented into my mouth were made in a Chinese Laboratory,” she said.

She also had a bridge in her mouth for 36 days. When she started having problems with it, the dentist took it out and sent it to a lab where it was discovered it had been made in China and was tainted.

Dimaria knows of another case where lab workers found that a Chinese implant was contaminated with fecal bacteria.

He says the Chinese prices are 80% of his and the U.S. labs using the Chinese goods aren’t cutting their prices, just increasing the profits and no one’s the wiser. “It’s the laboratories that are sending this stuff overseas. It’s the dentists that are sending it to the lab to get the work done and the labs are sending it overseas. The dentists don’t know it. I would say the majority don’t know,” said Dimaria.

There are no laws in place to force dental labs to disclose to dentists where a product was made and what materials were used but that could soon change in Florida. Representative Stan Jordan of Jacksonville is pushing to regulate Chinese dental products.

“It’s very easy for you today to get something made for your mouth that is made in Taiwan or India or the Philippines or wherever and we have no idea what’s in it,” said Jordan.

Both the House and Senate recently passed a measure which contains new consumer protections on dental products. It’s intended to avoid the use of foreign products that may be dangerous.

Source:
Deanna Fene, First Coast News (www.firstcoastnews.com)








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18 Responses to “ Dental Lab Work Being Sent to China? ”

  • Ian Chalmers June 4th, 2008

    All this pap about crowns from China being contaminated and implants with fecal matter is utterly false!The reality is that the chinese crowns are a better made crowns oftentimes.This Dimaria character needs to get it together and instead of whining like a girl, drop the price and improve the quality of the work.Turning to the state and the government to regulate the industry reeks of a loser non compete mentality.I personally believe it is time for these spoiled whiners to start creating a better crown for a better price and stop blaming China for their inability to adjust to the market!!!!!

  • Dr S June 5th, 2008

    This sounds ridiculous and sensationalist
    Faecal matter and implants ..unless it was retreived after being swallowed and reused ..this is plain silly.
    China is good enough for Walmart and more than 50% of US goods now because one guy feels threatened it gets unfair and dirty.
    Its a global market
    Learn to compete the Chinese know how

  • J. Roberts July 6th, 2008

    I am surprised at comments # 1 & 2. Contamination of medical devices by any manufacturer is possible and the charge should not be dismissed outright as “plain silly” or by a “whining girl”. The medical device industry is heavily self and governmentally regulated here in the US to prevent such happenings. China on the other hand is marginally monitored by US standards. Let us not be so quick to dismiss this issue on emotional grounds. We aren’t talking about toys here. It is a health concern.

  • Ian Chalmers July 6th, 2008

    Why the surprise?Why is the dentist who seated the so called contaminated crown not the problem?Oh,the lab lied to the dentist!!!How many other dentists had problems with the crowns this lab was giving them……….I’m waiting……….Hello……………….NONE.The article published was not entirely correct.The station breaking the story has been called for not being entirely truthfull(we real folk call it lying).There is lead in everything.As I said before,it is time for the whiners to pick up their panties and learn to compete.It is the American way!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

  • Dentaltechman July 7th, 2008

    I would like to say that I feel Dimaria is right on with his comments. the unfortunate part is tha the dental lab workers or owners that are knocking Dimaria are insecure peole that ar actually proud of under-cutting the whole industry. . IF you people with all the comments believe that China is not adding inferior elements to their crowns should get their heads examined. Just look at the toy industry and everything they have ever done to us. I know that the crap that they are sending id proven inferior wih lead and fecal contamination. You are all a disgrace to knock your fellow technician who is trying to keep his prices competitive. Roseann Coletti of NEWs 4 N.Y> did a story on MArch 6th.THis investigaton tried to find out why Dr’s are sending their crowns to China and Costa Rica and Indonesia. They couldn’t answer the questions and at the same time they were evading the fact that that were ripping off patients with high fees and paying 40.00 for the whole crown. doctors are chargeing 1,200.00 for a crown and we the technicians (eliminate me in that equation) are paying 23.00 to send it to China and then in turn charge the Dr’s around 40-45.00 is insane. GEt a lifeTechnicians!
    there is a book on the market called ” Secrets of the Dental industry they don’t want you to know about”. written by a dentl technician.

  • elizabeth curran July 8th, 2008

    I googled that title and can’t find the book to which you have refered. Do you have the authors name or publisher?
    e

  • Joe Coursey July 8th, 2008

    One item being left out of this emotional discussion is industry standards. I operate a commercial laboratory in Kentucky and understand the economics of our industry. China is a problem. I do not outsource to China but I do outsource to Canada for an implant service I need and before Nobel Biocare built their plant in the US I sent work to Sweden. All this is said to remind you that these products met FDA approval to enter this country. The wicked Chinese crown in Ohio did not have to meet FDA standards but contrary to what everyone might want to believe it may have met ADA standards. According to news reports the crown contained 220 parts per million of lead and everyone screamed this was unacceptable, but if you check the ADA standards adopted in I believe in 1998 they say 300 ppm is an acceptable level. Who’s standard are being used.

    China is a problem that US labs must deal with and it is not just labs creating the problem, dentist can send work directly. I am not whining, I have a successful lab that continues to grow but when I pay my employees more per hour than Chinese workers receive in a day quality is not the issue, economics is, and all the quality and speed in the world can not overcome those issues. I believe in free markets but we must have standards that are real and enforceable. Yes the time has come for Dental Laboratories to fall under FDA standards, standards that are reasonable and enforceable and help insure the integrity of the industry and the health and well being of the public. Not to protect the industry from competition but to protect us from ourselves.

  • R. Hughes July 8th, 2008

    Hell, in the USA, TEMPORARY INLAYS USED TO BE MADE OF SILVER SOLDER AKA LEAD.

  • R. Hughes July 8th, 2008

    LETS GET REAL……WHO REALLY CHECKS THIS STUFF.

  • Ian Chalmers July 25th, 2008

    We are insecure people who are proud of undercutting the whole industry?So China is to blame for your financial woes.I can only presume that you are one of the people who bought a house you could not possibly afford and now you expect the government to bail you out!
    Look,I believe the blame lies with us.We need to fix the problem.China did not create our woes,we did.To turn around and blame the technicians who disagree with the whiny philosophy and then calling the Dentists thieves because they charge so much more and then telling technicians to get a life(not you of course).supply and demand my morally perfect friend.Also,this book “secrets they don’t want you to know about”,just concentrate on growing your business and stay away rom the grassy knoll conspiracy theories!!!!!!!!!!!!!!!!!!!!!!!!!!!

  • Doogman July 30th, 2008

    An overwhelming percentage of dentists nationwide are complaining that their practices are in decline. Their patients are not having recommended treatment done as they have in the past. These patients, for the most part, are the working middle class who are on the margin, just one serious event away from foreclosure or bankruptcy. The dental sector, like much of big business in this country, is looking overseas for labor pools to help maintain the profit margin. Dentists bemoan that their patients can’t or won’t pay the price and yet those same dentists are overwhelmingly in favor of “free trade” agreements, industry deregulation and in keeping the minimum wage low. In our shortsightedness, we are encouraging unemployment here at home for the sake of greed. When the workers of our country suffer we suffer, for they are our bread and butter.

  • Andrew April 29th, 2009

    There is no substantiation for the claims of this article. Like most sensational pieces, it is just anectdotal crap from a biased perspective. Ridiculous. The work from abroad is good or it wouldn’t be seated. If there was real proof, the ada would shut it down.

  • yk April 30th, 2009

    Recently i started sending my lab work to China. i called up the local intermediary and told him i was upset. i said “Where the heck have you been for 20 years”. the work is excellent . so much fewer adjustments . so much better contour (emergence profile). I practice in Israel the labs here frustrated me for years. I even get excellent color matches using digital photos. THe icing on it all is it’s much cheaper

  • Dr Xavier Rodriguez May 1st, 2009

    I have experience working on Mexican, American and Canadian patients and there is something I have learned from this: American standards are definitely NOT the best. I have found very bad quality American prosthetic work. As bad as any American dentist would think to find in Mexico. So, ADA seal of quality means nothing once you have broaden your practice and mind.

    I am not surprised China, Costa Rica or Mexico is capable of manufacturing state-of-the-art dental prosthetic work. It just requires training and commitment, just as any Chinese or Latin American dentist can perform “ADA Quality” dentistry without being trained in America.

    If this is not true, then why do thousands of American and Canadian patients are traveling to get their treatments done abroad?

    ADA is fine, but is not the last word.

    By the way, STERILIZATION will take care of ALL sanitary issues you are concerned of. That is how my lab delivers: SEALED & STERILIZED and my lab is Mexico

  • sergio May 2nd, 2009

    I agree somewhat with Dr. Rodriguez.
    I’d been trying to find dental labs that don’t outsource to China for various reasons and ended up always getting disappointed for qualities of lab products that’re made here. I’m sure all you guys experienced too. It’s always wrong impressions whenever crowns, bridges don’t fit. Then why do some fit just fine when done by others in China or wherever with the same technique for taking impressions. I understand some experienced lab techs can fix problematic parts of impressions if any and still come out with good works but with a lot of labs that do or don’t outsource to china, their work could be very bad.

  • Larry July 17th, 2009

    After reading these post, I can’t believe the main factor in all this is being overlooked. THE PATIENT!
    I’m a dental tech (CDT for 29 yrs.)and do quality work for dentist that appreciate it. I’m reading alot about labs sending to China without the Dr.s knowledge. I’m sure this does happen, but in most cases I would bet the Dr. knows. If he doesn’t, he’s using the wrong lab.( I know of a midwest dental group with over 250 offices that all but require the lab work be sent to China. The Dr. and Dental Tech should have a good working relationship,crowns should not be made on an “assembly line”.

    I’m guessing some of the pro China comments are made by Dentist or Labs that send to China. The big question is- Why aren’t the patients being told, or given the option to have their work done in the states or over seas.(THEY are paying for a product that will be in their mouth) All the arguments about quality are subjective. I would bet however a large percentage of the patients that received crowns from China would opt not to. Ask around and you’ll find this to be true.

  • P Thirani July 17th, 2009

    What every body is overlooking is that pts have a choice. People are comming to India to have their work done. Is our standard the same? Yes! I am not talking about average dentist but good ones. Same goes for labs. One tecnician I spoke to told me he makes 1 all ceramic crown in 2 days my ceramist in India makes ten in one day!Is the quality same? almost. But hey I am competing with docters who charge lower then me. If you take quality out of picture then it is a bottemless pit. Let quality be the diffrentiator not price. There are and will always be patients who pay for quality.

  • Ian Chalmers January 2nd, 2010

    The Patient?I will never blame China for my losing business.Business is competitive.We as lab techs do not work for the patient but the dentist.Otherwise the patient would pay us directly.Unless,of course,we have the good fortune of working with the dentist and pt.Not so for most of us.Dentists are in Business to make a decent living,so are techs.Unless you cad-cam or outsource you are going to run into diffficulties!This crap about being a certified lab with CDT’s and we are a higher quality and standard.Wrong.It is a Business.Integrity is the higher standard.Anyway,I digress.If outsourcing enhances my profits,so be it.But…..But…..only a complete and utter idiot will give dentists crappy products.Products that cause infections,products that do not fit,products that the dentist can get at another lab maybe for a better price and a better product.It is time for techs to pick up their loins and be the best you can be!!!!Stop blaming everyone,you sound like a democrat!!!!!!

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