Written by Andrew Sedler

Written by Andrew Sedler

Written by Andrew Sedler

A Digital Denture Workflow Done In 3 Appointments
Example of An Actual Workflow
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Digital Denture Case: Start to Finish

Over the past several months we have published several articles about digital dentures. I have provided these articles below if you wish to read these articles.

This week I will show the beginning phases of an actual case and follow it through to finish in a three-part series.

Let's get started.

Digital Denture Case Workflow Content

  • 1

    Part 1

    Beginning Phases of Actual Case

  • 2

    Part 2

    Coming May 24th.

  • 3

    Part 3

    Coming May 31st.

PART 1

Digital Workflow Case

This particular case came to Burbank Dental Lab as a first test case from a doctor that wanted to begin to work in a digital workflow with the hopes to cut the number of appointments and increase the accuracy and comfort for his patients.

He wanted a workflow for his patients with existing dentures that he could complete in 3 office visits. The workflow that Burbank is providing this doctor is as follows:

Clinical Procedures for Initial Impression Appointment

  • 1
    First the doctor took a PVS reline impression in the existing old denture.
  • 2
    Prior to scanning, he powder-sprayed the relined denture.
  • 3
    Next the doctor scanned the denture with his IOS and took a bite scan with the relined denture in the mouth, as well as a scan of the opposing arch.
  • 4
    The .stl of the scans were then transmitted to the lab


    Scan of relined denture

Lab Procedures

articulated-denture-scans

Invereted model of a digital scan denture

Overlayed on top of old denture

Monolithic try-in denture

Clinical Procedure for Teeth Try-In Appointment

  • Since the try-in was milled from the digital impression file, little to zero undercuts need to be blocked out since it never has to be seated on a model. This results in a bite-block (when needed) and teeth try-in prosthetic that fits exactly as the final denture will fit. (Even better than the conventional final denture.)
  • Try-in for this type of digitally fabricated (printed or milled) teeth try-in involves what you would expect: checking for an occlusal relationship, proper vertical, tooth placement, as well as being able to accurately confirm speech issues. It also allows for confirmation of fit and comfort. Take note that if the fit is loose in any way, a wash reline is recommended at this appointment so that the final prosthetic can fit more precisely.
  • You should also understand that typically digital dentures will not have nor need a post-dam to be part of the design as the fit alleviates the need for a post-dam to enhance suction.
  • Perform any occlusal adjustments at this time, and they will be copy milled into the final denture.

Try-In Results

This case has now been tried in and was a successful fit with minimal adjustments. The doctor actually commented that the try-in fit extremely well. We have never heard a doctor comment on the fit of a try-in as we all have come to know that try-ins were for occlusion and tooth placement and that the fit was a hoped-for result in the final denture. NOW the fit is part of the equation for a try-in.

Final Step

Next step for this case will be an Ivoclar milled denture with monolithic teeth and milled base. We will update you and show final images in a few weeks when the final restoration is delivered.

Ivoclar Digital Denture Special
Advanced Full Arch Implant Program
Join Dr. Cory Glenn and Dr. Danny Domingue for a two-day hands-on course on Advanced Full Arch Implant Program. Will cover Digital Design, 3D Print, Surgical Approach, and Conversion.
WHEN
July 26-27, 2019
WHERE
Advanced Technology Center
2111 Kenmere
Burbank, CA 91504
DAY 1
  1. CBCT imaging
  2. BSB Plan software treatment workup
  3. Meshmixer design to 3D print
  4. Using various 3D printers for surgical guides, dentures, temps, models, jaws
DAY 2
  1. Bone grafting and immediate implant placements
  2. Soft Tissue Augmentation
  3. Fusion Bone Binder
  4. PRF (Plasma Rich Fibrin) and its role in wound healing
  5. Surgical skills to execute full arch therapy in a timely manner, decreasing chair time
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Fabrication
of the future
is here!

Burbank Dental Lab has three new state-of-the-art Carbon M2 printers. We are very excited about the options that these cutting-edge printers will allow us to offer our dental clients. Here are some of the advantages that these printers will begin to deliver to you and your dental practice.

Our New
State-Of-The-Art
3d Printers

Carbon offers a highly dependable 3D manufacturing solution for many dental applications with its breakthrough Digital Light Synthesis™ technology, enabled by a wide range of dental materials.

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