Rehearsing each stage at the start of the patients’ appointment improves the technical quality of the desired outcome. Having a “dry run” - showing the patient the impression tray and practicing the insertion and positioning helps to relax the patient and importantly allows me to practice the positioning of the tray. Talking and rehearsing the process through with the patient really helps them relax and keep calm and is particularly helpful with sensitive gag reflexes.
In addition, rehearsal, helps me to visualise what you are trying to achieve so that you have a clear “mental representation” of the completed step. This is very important.
This also has the effect of recruiting the patient’s active help and promoting their role as team leader
Denture blog 5
Read MoreIn a few weeks, I’ll be in Las Vegas speaking at the NDA 2022 Annual Conference. What are you most looking forward to learning about during this session? If you’re not already registered, you can still do so and skip the lines onsite by visiting: https://nationaldenturist.com/annual-conference-2022
Read MoreThe most reproducible and reliable way of finding centric relation (retruded axis position) is by using a central bearing apparatus.
This is where a central bearing point is fixed to one arch and a plate is fixed parallel to the opposing arch. The only point of contact between the upper and lower arches is the central bearing point. The patient scribes a mark on the plate by moving the mandible forwards and backwards and side to side. The scribed mark often looks like an arrow (gothic arch), the tip of which is centric relation. This position is recorded by fixing the upper and lower plates together using an occlusal registration material.
Read MoreIn general, the best place to position denture teeth are in the same positions as their natural predecessors.
Not only does this make the dentures look like natural teeth with correct lip support, it leads to stable dentures as the artificial teeth sit within the neutral zone (aka ‘denture space’.)
Read MoreMaking complete dentures in the patient’s home mandibular hinge position, otherwise known as centric relation, is crucial and an important factor in achieving success, particularly with flat ridges.
If the dentures become loose during function, they can be seated back into place by gently biting together.
Balanced occlusion/articulation is a luxury, being almost impossible to achieve clinically and is very rarely necessary.
Denture Blog 2
Read MoreTechnical factors are extremely important but are not the most important factor in delivering successful dentures.
The patient’s understanding of their role in adapting to the denture is the single most important factor in the success. It is the clinician’s responsibility to educate the patient.
Denture Blog 1
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Read MoreI am super excited about giving a 2-hour Masterclass on Thursday 13 October 2022 8.00am –10.00am at the National Denturist Association Meeting in Las Vegas. I will be at the conference all day (Thursday) and at the evening event if you want to chat. Please contact Shelly Joines (sjoines@executiveoffice.org) if you would like to come along. This is open to all dental professionals – Dentists, Denturists, Prosthodontists and Dental Technicians.
Read MoreA one day seminar packed with practical information of value to Dentists, CDTs & Dental Technicians
London - Sunday 12th June 2022
Birmingham - Sunday 26th June 2022
£270 per delegate
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