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Try in Appointment
Try in Appointment
Try in Appointment
The Try-In
Appointment 4
Introduction
Goals:
Evaluate and finalize the anterior esthetics. Evaluate and finalize the occlusion.
The student/practitioner should: Complete the wax-up/set-up. Patient evaluate set-up. Obtain patient approval.
Introduction
The t eet h prope rly set in the wax t o mainta in de sired labial f ullne ss.
The t eet h set t oo f ar labially giving the lips a pouche d outappea rance.
The t eet h set t oo f ar lingually giving the lips a dished in appea rance.
A
Axial Alignment of Mandibular Anterior Denture Teeth
B
A. Facial View. B. Proximal View.
20 O CURV ED M ET AL PLATE
MAX.
CREST OF THE RIDGE
10MM
(APPROX.)
Tooth Alignment
Centrals Laterals Canines
Three different approaches to providing a denture on the same patient. Note the differences in the setting of the teeth and the festooning. The same mold of teeth was used in each case.
Tooth Alignment
Midline:
Centered with the patients face/ Perpendicular with the eyes.
Midline
Smile Line
Smile Line
Positive Negative
Length of Centrals
Should lie just above the resting lip. Should contact the wet-dry line during speech.
Length of Centrals
A. Two planes exist in setting maxilla posterior teeth.. B. There are at least ways of aligning the mandibular teeth with the ridge. C. The anterior teeth should not be placed further forward than a line drawn from the labial vestibule perpendicular to the occlusa plane.
Plane of Occlusion
Anterior-Posterior Horizontal Orientation. Parallel With Patients Eyes Anteriorly.
A. Centric
B. Balancing
C. Working
D. Protrusive
Plane of Occlusion
Plane of Occlusion
Function
Evaluate:
Vertical dimension Space available for tongue, lip-support, etc.
Esthetic Try-In
Use of a small amount of denture adhesive is helpful in building patients confidence at the try-in stage.
Difficult to evaluate
Denture provides lip support in B as compared to A, leading to recovery of patients natural appearance.
Proper contouring of dentures can significantly improve the physical appearance of the patient.
Selective grinding of the teeth can provide a much more lively and more natural appearance.
Occlusion
Centric Relation Centric Occlusion Vertical Dimension of Occlusion Vertical Dimension of Rest
Occlusion
Centric Occlusion
Occlusion
Centric Occlusion
Occlusion
Occlusion
Occlusion
Centric Occlusion
Occlusion
Centric Occlusion
Golden Mean
Golden Mean
Golden Mean
Golden Mean
Esthetics
Esthetics
Esthetics
Esthetics
Wax-Up
Should be finished and neat before seating the patient.
Patient Approval/Acceptance
Esthetics
E s t h e t i c s
E s t h e t i c s
E s t h e t i c s
E s t h e t i c s
Esthetics
Place the denture. Evaluate esthetics. Correct problems. Let the patient see set-up.
Introduction
Factors: Texture Color Arrangement
Texture
Look closely at the texture of the gingiva. What do you see?
Texture
Attached gingiva
Orange peel texture
Attached mucosa
Smooth
Texture
Orange Peel
Smooth
Texture
Achieved by:
Waxing proper contours. Not over-polishing.
Minimal polish of areas around teeth.
Texture
Wax to ideal. Do not over polish.
Color
Attached gingiva is:
Lighter, pinker than mucosa. Darker, browner.
Pink in the light skin races.
Color
Color
COLOR