Attachment 1 - SOW Dental Laboratory.pdf
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9/2021 1
Statement of Work for Dental Lab Services
Part 1: General Information
A. Introduction
Cass Lake Indian Health Services (IHS) Dental Department located within the Cass Lake IHS
Hospital in Cass Lake, requires a certified dental laboratory to perform fabrication and repair of dental prostheses. Dental prostheses are defined as dentures, partials, flippers, space maintainers, crowns, bridges, and bruxism guards. Dental laboratory must produce consistently high quality prostheses and repairs with a 2 week turn‐around time, guarantee their products, and provide detailed invoices monthly as described herein.
B. Scope of Services Required:
1. Premium Dentures
2. Economy Dentures
3. Premium Partials
4. Economy Partials
5. Interim Partials (2 clasps, 1‐8 replacement teeth)
6. Interim Partials (no clasps, 1‐3 replacement teeth)
7. Premium Flexible Partial
8. Economy Flexible Partial
9. Denture Relines
10. Acrylic Repair
11. Add Tooth to Partial or Denture
12. Repair of Frameworks / Clasps
13. Gold Crowns
14. Lithium Disilicate Crowns
15. Zirconia Crowns
16. Esthetic Zirconia Crowns
17. Lithium Disilicate Fused to Porcelain Crowns
18. PFM Crowns
19. Bi‐Lateral Space Maintainers
20. TPA Space Maintainers
21. Bruxism Splints
22. Resin Based Partial with 2 Clasps
23. Gasket Retention Partials (Transitional Denture)
9/2021 2
Part 2: Technical Requirements
A. Technical Requirements
1. Must be reachable by phone 8‐3:30 Monday ‐ Friday CT. (MUST LIST HOURS OF OPERATION
WITH TIME ZONE IN BID)
2. Tooth‐colored crown flexural strengths (MPa) must be at least 1,100 (Zirconia), 650 (Esthetic
Zirconia), and 350 (Lithium Disilicate). (MUST INCLUDE DOCUMENTATION OF FLEXURAL
STRENGTHS IN MPa IN BID)
3. Gold crowns must be made up of at least 35% gold. (MUST INCLUDE INDENTALLOY STICKER
OR EQUIVALENT IN BID)
4. PFM crowns must be made up of Argelite 71 alloy equivalent or better. (MUST INCLUDE
INDENTALLOY STICKER OR EQUIVALENT IN BID)
5. Partial frameworks must be made up of Vitalium 2000 Plus equivalent or better. (MUST
INCLUDE INDENTALLOY STICKER OR EQUIVALENT IN BID)
6. Minimum guarantees for services / products (i.e. remakes at no cost): (MUST LIST ALL
WARRANTEE INFO. IN BID)
i. Premium Dentures – 2 yrs. or more
ii. Economy Dentures – 1 yr. or more
iii. Partials – 2 years or more
iv. Crowns – 3 years or more
7. All materials used must be free of Nickel, Lead, & Beryllium. (DESIGNATE ON QUOTE SHEET)
8. All prostheses must be made / fabricated in the USA; Lab must not contract work out overseas. (DESIGNATE ON QUOTE SHEET)
9. All materials used must be FDA approved. (DESIGNATE ON QUOTE SHEET)
10. Flexible partials must be DuraFlex brand or equivalent. Must be able to add teeth or reline these flexible partials. (DESIGNATE ON QUOTE SHEET)
11. Quotes for removable services must include premium teeth (equivalent to IPN) unless the service requested is economy partial/denture or flipper. (DESIGNATE TEETH BRANDS ON
QUOTE SHEET)
12. Must quote flat rate for all services including, but not limited to: shipping/handling, custom trays, denture teeth, infection control fees, alloy/metal charges, and custom trays for dentures and partials. (DESIGNATE ON QUOTE SHEET)
13. Must list brands of materials used. (DESIGNATE ON QUOTE SHEET)
14. Must provide all requested services. (DESIGNATE ON QUOTE SHEET)
15. Must provide plastic lab case shipping boxes (not corrugated cardboard). (DESIGNATE ON
QUOTE SHEET)
16. Must be a 2 week turn‐around from the date shipped from Cass Lake Hospital for all services.
17. Must be able to utilize the IHS Secure Data Transfer Email Service to ensure case photos are sent via encrypted email. Access via https://securedata.ihs.gov/bds/Login.do
18. Must follow lab Rx as written by DDS.
19. Must have minimal occlusal, internal, and interproximal adjustments for crowns and frameworks (less than 10 minutes spent on adjustments).
9/2021 3
20. 5% or less remakes of crowns due to issues with occlusion, margins, contacts, fit, or shade discrepancies.
21. 5% or less remakes of dentures, partials, and flippers.
22. Wax rims must need less than 10% reduction / addition.
23. 5% or less of lab cases need additional, redundant appointments (2nd wax try‐in or wax rim appointment, 2nd crown delivery appointment, etc.).
24. Esthetics must be rated "acceptable" or better by dentists through our quality assurance program.
25. Occlusion for all prosthesis must be rated "acceptable" or better by dentists through our quality assurance program.
26. Lab must meet all CDC guidelines for infection control.
27. Shall bill monthly via detailed itemized bill, identifying each individual prostheses as noted in the enclosed Dental Lab fee quote form.
28. Shall NOT bill hospital for laboratory fees already paid via patient or Tribal payment.
Part 3: Supporting Information
A. Security N/A
B. Place of Performance Services will be performed at vender specified site and not at the Cass Lake IHS Hospital Facility.
C. Period of Performance
Service agreement base year to commence: TO BE DETERMINED BY CONTRACTING
D. Special Considerations N/A
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