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SONRISA Complete Dentures (803) 939-0360 Dental Laboratory, Inc. Clinical Reference Guide Patient Interviews Impressions / Models Occlusion Rim/Set-Up Evaluation Communication is an important factor for a successful 1. Place the maxillary denture. It is imperative that you obtain all of the occlusion rim/setup orally 2 Maxillary Arch and evaluate the midline patients expectations of the dentures and if they are acheivable. If these expectations cannot be met, then the position, length and lip patient should be referred to a specialist. 1 support of the teeth. 5 (Please note: The occlusion rim teeth, if included, are an abitrary Occlusion Rim Here are several key questions to ask your patients to 3 4 shade and are used only for help uncover their expectations. 1 2 placement determination.) 1. How long have you been wearing your present 4 3 2. If needed, adjust the dentures? ( If the patient has worn their dentures for 5 teeth by heating the wax longer than 8 years, their bite may be collapsed and with a hot spatula and require opening to normal jaw relationship.) 1. Incisive Papilla 4. Maxillary Tuberosity moving them. Check to 2. Labial Frenum 5. Hamular Notch make sure the midline is 2. Do you have any sore spots or difficulties eating? 3. Buccal Frenum correct with proper lip (This may indicate the need for tissue conditioning Lip Midline support checked from a Support over a few days before impressions.) Mandibular Arch side profile. 9 3. What would you like to change most about your 8 3. Also, verify that the length of the central incisors is dentures? (The information gathered should be 6 7 appropriate both while the upper lip is relaxed, and detailed and specific.) during smiling (it may be helpful to moisten the wax or the inside of the lip with vaseline to prevent the lip from 4. Are you happy with the color and shape of your 9 sticking). After you are satisified with the position of the teeth? (This provides the opportunity to suggest 8 7 teeth, make sure they are well secured in the wax. premium teeth for the denture.) 6 5. Are you looking for a more natural or a “Hollywood” 6. Labial Frenum 8. Retromolar Pad Smile Incisal type tooth arrangement? (You need to find out if they 7. Buccal Frenum 9. Mylohyoid Ridge Line Edge prefer a rotated/characterized or perfect/straight type of tooth arrangement.) Length Recommended Impression Materials All of the information gathered from this interview will • Irreversible Hydrocolloid (Accu-Dent) 4. Determine the appropriate shade and mold of help guide you to a successful denture. Please list all • Alginate (Jeltrate) denture teeth you desire for this case. pertinent information required for fabricating the denture • Vinylpolysiloxane (Capture, Imprint, Take 1, Aquasil, on the prescription form. Splash, etc.) Light, regular or monophase viscosities recommended 5. Establish the vertical dimension and/or centric • Polyether relation and return the occlusion rims to us. 1st Appointment 2nd Appointment 3rd Appointment 4th Appointment Occlusion Rim....................... 3 days In Lab 1. Oral Examination 1. Occlusion Rim Evaluation 1. Wax Try-in Evaluation 1. Deliver finished denture 2. Patient Interview 2. Establish Vertical Dimension Wax Try-In..............................5 days In Lab 3. Impressions 3. Specific Rx Information Process and Finish............... 5 days In Lab Teeth Available New Hue Plastic, Dentsply Classic®, Portrait IPN®, Bioform, Bioblend, Biotone, Ivoclar Chromascop and more Bleached Shades also available!
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