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Custom shade patient guideline
Incisal 1/31M1
Cervical 1/32M1
Gingival 1/32L2.5
Make sure the distance and angle of the shade tab and the tooth is in the same plane.
Don’t hold the tab at an angle.
If the angle of the shade tab and the teeth do not match than the light will bounce off each one differently, distorting the color of the photo.
Have the patient smile naturally to show us the lip line and horizontal level.
If possible, we would like to see the patient’s face from eyes to chin. This will help us evaluate the horizontal level of the teeth for esthetics matching each patient’s features.
Please provide a photo of the patient’s closed bite for reference.
Fixed Technical Guide
Denture Problems And Solutions
NOT FITTING WELL
Stage: DeliveryGrind under the denture and take a reline impression with bite
Stage: DeliveryNew impression to start over
Stage: DeliveryTake 2 new impressions (One for adjustment and one for a possible remake). We will try to adjust Valplast to make it fit on 1st cast model (cast model will be damaged during adjustment). If it is not possi- ble, we will use the 2nd cast model to make new wax-rim.
Stage: DeliveryTake 2 new impressions (One for adjustments and one for a possible remake)/We will try to adjust partial to make it fit on 1st cast model (cast model will be damaged during adjustment). If it is not possible, we will use 2nd cast model to make new metal framework.
Stage: DeliveryNew Impression to start over
LOOSE/POOR, RETENTION/NO UNDERCUT
Stage: Wax RimNeed wash imp. with bite
Stage: Teeth try in*Finish as is and reline will be arranged in the future.
Stage: DeliveryTake Reline Impression
Stage: DeliveryReline at chairside
Stage: Framework IDOC doesn’t design the clasp at try in stage. We will add Valplast clasp when we process to finish
Stage: DeliveryNeed to take a new impression with dimple and switch to tradi- tional partial
Stage: Framework Create undercut (dimple) and take new impression
Stage: DeliveryAdjust metal clasps at chair- side, if not working, start over with new imp
Stage: DeliveryAdjust wire clasps
OPEN -or- INCORRECT, BITE
Stage: Teeth try inRemove teeth from wax, and take new bite
Stage: DeliveryFirst, grind occlusion where it is touching. Then under the denture, take reline and bite registration at the same time (USE impression adhesive)
Stage: Teeth try in Remove teeth from wax, and take new bite
Stage: DeliveryFirst, grind occlusion where it is touching. Then under the denture, take reline and bite registration at the same time (USE impression adhesive) OR new impression to start over
Stage: Teeth try inRemove teeth from wax, and take new bite
Stage: DeliveryGrind occlusion where it is touching first and take a pick up impression, then take another new impression. Also we need a new bite and opposing.
Stage: Teeth try inRemove teeth from wax, and take new bite
Stage: DeliveryGrind occlusion where it is touching first and take pick up impression and take new imp w/o the partial. Please provide the lab with a new bite and opposing
Stage: DeliveryGrind occlusion where it is touching first and take pick up impression. Please provide the lab with a new bite and opposing.
BROKEN
Stage: DeliveryIf clean break: Send back denture only. If not clean break: Send a new impression to restart
Stage: DeliveryIf clean break: Send back denture only. If not clean break: Send a new impression to restart
New impression to start over.
New impression to start over.
Stage: DeliverySee full denture
FRAMEWORK DOES NOT FIT
Stage: FrameworkNeed new impression to make new metal framework
Stage: FrameworkNeed new impression to remake framework
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