Dentaltown June 2019 - 46

Dental Office for Lease
the putty and remove the tray before the putty sets up
entirely. Then I inject a light-body PVS into the putty
material and reseat the tray in the mouth. I've had much
better success with this instead of alginate. Alginate is
cheaper, but sometimes it is hit-or-miss to capture the
entire border. I've just found putty to be more rigid and
predictable in my hands. ■
3/30/2019

regularguy
Member Since: 09/10/08
Post: 10 of 35

* Address: 5404 Moreno St, Unit N-P,
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I agree with most of what
has been said before. Two
things I would add:

1. Do not use a putty mush bite with several missing
teeth. The mounting can be off with these. If I
have several teeth missing and I don't want to split
up the posterior and anterior extractions, I will take
my final impression, have the lab make a plate with
a bite rim, take the bite with the patient and have
the lab mount the case with the bite rim.
2. One problem I have had with immediates is that
labs like to "socket" the teeth on the stone model
and round in the ridges. I would much rather add
some soft temporary reline than ream out the
whole inside of the denture to get it to seat. ■
3/30/2019

hogtooth

Step 1: Be very clear with
patient that this will be a tough
process and dentures won't be
the same as natural healthy teeth, so they shouldn't
expect that.
Then proceed however you wish. But in my opinion,
the most important step is setting expectations on the front
end. Undersell, overdeliver. For me, if they have a good
bite, we do alginates, lab makes denture, then pull teeth
and deliver. Make a new set after six months or so with
traditional methods, or hard reline the immediate and call
it a day. If they don't have a good bite, we do bite rims and
get a good bite record prior to sending for fabrication. ■
Member Since: 07/19/12
Post: 11 of 35

3/30/2019

Richy

Hogtooth, this is probably
one of the most important
things to do before starting.
Great point! OP, I use alginate in a stock plastic tray for
reasons others have already stated. ■
Member Since: 03/30/10
Post: 12 of 35

3/30/2019

46

JUNE 2019 // dentaltown.com


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Dentaltown June 2019

Table of Contents for the Digital Edition of Dentaltown June 2019

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