Digital Workflows for Complete Dentures

Question 1

why digital dentures (7)

Answer 1

faster completion time 
less appointments 
lower cost
digital record, easy duplication
almost any fully edentulous case
attractive 
strong

Question 2

Disadvantages of Conventional Complete Dentures (3)

Answer 2

Needs 4-5 visits.
Difference in fit of denture bases.
Inability to create a duplicate denture.

Question 3

conventional visit 1

Answer 3

preliminary impression

Question 4

visit 2

Answer 4

final impressions

Question 5

visit 3

Answer 5

interocclusal records and shade selection

Question 6

visit 4

Answer 6

anterior wax teeth try in and CR and vertical dimension verification

Question 7

visit 5

Answer 7

trial placement

Question 8

visit 6

Answer 8

insertion

Question 9

lab 1

Answer 9

fabrication of diagnostic cast and custom tray

Question 10

lab 2

Answer 10

fabrication of master cast, and trial base and wax rims

Question 11

lab 3

Answer 11

setup maxillary and mandibular anterior teeth

Question 12

lab 4

Answer 12

setup amaxillary and mandibular posterior teeth

Question 13

lab 5

Answer 13

conventional denture processing finishing and polishing

Question 14

digital RCD visit 1

Answer 14

final imrpession, interocclusal records and shade selection

Question 15

digital RCD visit 2

Answer 15

trial placement

Question 16

digital RCD visit 3

Answer 16

insertion

Question 17

digital RCD lab 1

Answer 17

impression scan, digital articulation, digital arch selection and teeth set up customizations

Question 18

digital RCD lab 2

Answer 18

dentist preview and approval of proposed digital dentures

Question 19

digital RCD lab 3

Answer 19

fabrication of digital denture

Question 20

custom tray impression + record vase and wax rim (4-5 visits) a-g

Answer 20

a. preliminary impression and fabrication of custom tray: visit 1
b. final impression, fabrication of master cast and recoding base and wax rim: visit 2
c. occlusal registration (wax or ITD): visit 3
d. scan models and occlusal registration: design denture base and digital mounting
e. digital set up teeth and wax up
f. optional denture try in visit: visit 4
g. delivery: visit 4 or 5

Question 21

AvaDent WTI technique (3-4 visits) a-d

Answer 21

a. use of proprietary tray to make final impression and required measurements: visit 1
b. WTI for try in and occlusal registration: visit 2
c. optional 2nd WTI full teeth set up: optional visit 3
d. delivery: visit 3 or 4

Question 22

digital visit 1
final impression, occlusal registration, mold shade selection
1-4

Answer 22

1. custom tray impression + record base and wax rim (4-5 visits)
2. conventional wax rim final impression technique (3-4 visits)
3. reference denture/replication technique by using duplicated existing CDs (3-4 visits)4. AvaDent WTI technique (3-4 visits)