clinical stage 1
replica mould of old dentures
how to make replica mould of old dentures
- Clean dentures, modify with greenstick if needed
- Replicate dentures using lab putty and stock trays out of mouth
- Remove dentures from mould, clean and return them to pt
- Disinfect moulds
- Take to lab with prescription
lab stage 1
replica block construction
make replica wax blocks (shellac base)
clincal stage 2
mater impression and jaw reg
master impression and jaw reg for replica dentures
clincal stage 2
- Disinfect replica blocks
- Upper master imp on replica block (border mould)
- Lower master imp on replica block (border mould)
- Jaw registration with both record blocks
- Choose shade (and moulds – likely follow same mould – cusp or cuspless posterior teeth?)
- Disinfect registered blocks/imps
- Take to lab with prescription
lab stage 2
cast impression and mount casts to jaw reg provided and set teeth in wax
clincal stage 3
trial
tooth trial
clinical stage 3 process
- Disinfect try in
- Try in the teeth set in wax (impression material still on shellac base
- Try in checks
- Re-register/make other changes as require
- Disinfect try in
- Take to lab with prescription for retry/finish
9 tooth trial checks
for any denture
- Vertical dimension of occlusion
- Even contact in retruded contact position
- Lip support
- Occlusal planes – anterior/posterior
- Lower teeth over ridge
- Speech
- Retention and stability
- Base extension
- Appearance
LIMBO
9 tooth trial checks
for any denture
- Vertical dimension of occlusion
- Even contact in retruded contact position
- Lip support
- Occlusal planes – anterior/posterior
- Lower teeth over ridge
- Speech
- Retention and stability
- Base extension
- Appearance
LIMBO
lab stage 3
process dentures to finsih in heat cure acrylic
clincal stage 4
delivery of finished dentures
disinfect dentures
Insert and insert checks
Denture wear and cleaning instructions
* Verbal and written
Arrange review visit (ideally 1-2 weeks)
denture delivery checks
- Vertical dimension of occlusion
- Even contact in retruded contact position
- Speech
- Retention and stability
- Base extension
- Appearance
- Comfort
clincal stage 5
review
review checks
- Pain/redness/ulceration
- Function
- Aesthetics
- Speech
- Recheck occlusion/vertical dimension
Adjust (ease) if required
Arrange further review, if required
