Dentaltown December 2019 - 43
4. Deliver the dentures with soft liners. Tokuyama is nice but too hard. I know other prosthodontists swear by it; I don't like it. My favorite go-to is Coe-Soft, maybe even Coe-Comfort.
5. Let her test-drive.
6. Reline, not rebase. I think you are being confused here what is what. You do not even have
to reline for a while if you have Coe-Soft in them.
7. Drink heavily after you are done. ■
8/21/2019
So concerns of:
Aesthetics: She likes.
Occlusion: Some occlusal concerns.
Pain: None.
Fit: Rocking and food trapping.
Other: Clicking.
Does that about sum it up? Out of curiosity, why did you rebase it? Was it the same problems?
First thing with this is diagnosing the issues. Clicking is very likely an occlusal problem, or with
not having enough intra-arch clearance. Both are easily corrected with occlusal adjustments like
you would on any normal teeth. Rocking could be a fit problem or an occlusal problem. Fix
occlusion first. Food trapping is a fit problem (if still happening after you correct the occlusal
issues). If you already rebased it, likely the issue is in the indirect process. A chairside reline
should fi x that.
So in general, a good chance that this could be fi xed in just one more visit. If you or the
patient is ready to move on, though, referral to pros. ■
Practice Whisperer
Member Since: 07/22/11
Post: 14 of 86
8/21/2019
Refund and dismiss. And their claim about not being able to wear the old denture anymore
is BS. ■
drstrangelove
Member Since: 04/19/02
Post: 18 of 86
8/21/2019
Make sure you have the denture in your hands before giving the refund check. And I have
to repeat that that line about the old denture not fitting is possibly the biggest load of crap I've
ever heard. ■
Jamar M Jackson
Member Since: 04/03/05
Post: 19 of 86
8/21/2019
Clicking is coming from the teeth occluding due to the looseness of the lower denture. This
depends of a lot of factors, but bottom line, they should know beforehand the outcome and set
the expectations. ■
mime2dds
Member Since: 10/29/09
Post: 20 of 86
8/21/2019
Clicking of teeth is usually a sign that you are invading the VDO space, the space needed for
teeth to function, and not chatter/click. Rocking/food lodging = improper extensions. Basically,
denture should be remade. ■
Dentzy
Member Since: 04/05/07
Post: 22 of 86
8/21/2019
dentaltown.com \\ DECEMBER 2019
43
http://www.dentaltown.com
Dentaltown December 2019
Table of Contents for the Digital Edition of Dentaltown December 2019
Dentaltown December 2019 - Intro
Dentaltown December 2019 - Cover1
Dentaltown December 2019 - Cover2
Dentaltown December 2019 - 1
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