Same Day Dentures

Same Day Dentures / “affordable dentures” / “Dixie dental” / Hsu
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Conventional Denture Fab Technique
o Takes about 5 appointments
o Appointment
 1st
 Patiention diagnosis, tx plan, xrays
 2nd
 Border molding and final impression
rd
 3
 jaw relation record, facebow
th
 4
 tooth try-in
th
 5
 delivery
o Same Day dentures
 1st
 patient diagnosis
 impressions
 interocclusal records
nd
 2
 Tooth tryin
rd
 3
 delivery
 4th
 60 Days free adjustments
o 2 types of dentures made
 immediate
 repairs
o Patient chairs at the morning
 4 consults
 2 immediate
 4 denture
o What the owner doc does
 Goes in and just starts counting numbers
o Same day appointment times for dental assitants
 #1 7:30-10am records
 #2 8:30-11am tooth tryin
 #3 2-3:30 am delivery
 10:30-11:30am and 1-2pm denture adjustments
o Same due times for doc
 7:30-7-45 design

7:45-9am patient diagnosis tx plan, impressions,
reocrds
 9-12 surgeries
 1-3:30pm surgeries
 7-:45 am-3:30 pm take impression, records,
adjustments
o Types of dentures
 Ultra dentures
 Dentsply portrait teeth
 Bleach shades
 Dentsply lucitone fas-par+ base
 Good teeth
 More time costumized (w/ruggae and natural
look)
 Premium dentures
 Affordable teeth
 Custom dnetures
 Cheap teeth
 Economy dentures
 No teeth shade past A3
 No tooth tryin
 Cheap teeth
 Denture repairs
 Denture relines
 Add teeth
 Flexible partial dentures
 Cast meal partial
 Premium rpd
 Custom rpd
 Economy rpd
Same day technique
o Appointment 1 7:45-9 am
 Patient diagnosis tx plan
 Impressions
 Reocrds
o Appointment #2 1-3:30 pm
 Extractions
 Delivery
Same day process
o 15 min
 casts with slurry dental
o 10 min
 casts are mounted with lab plaster
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o 35 min
 teeth are setup and ready for try-in on SOFT
baseplate wax
o (about 1 hour from initial impressions)
Beeswax bite (mush bite)
Try in process
o 10 min – festoon and process
o 15 min reversible hydrocolloid
 agar
o 5 min clean off wax teeth
o 10 min
 replace teeth in reversible hydrocolloid
 replace cast in reversible hydrocolloid
o 5 min
 mix acrylic and pour sprues
o 45 min
 process and finish
o Deflasking is easy because of the reversible hydrocolloid

Beeswax or “mushbite ax”
Soft baseplate wax
Denture base type 1 for conventional and type 2 for same day
(something to do with heat)
Most expensive 1700 cheapest 500
Most teeth are 20 degree teeth


DR HSU LECTURE
o Beeswax mush bite
 Crockpot at medium
 Put it in pot, and mold, then put in mouth with no
dentures
 This will serve bite and vertical dimension
 Use fingernail to mark midline and horizontal line
(which is parallel to interpupillary line)
o Alginate tray
 Metal so they can reuse
 NO BOXING with wax before pouring
o To big post palatal seal (not a small thin one)
 But every technician has their own way
o They just put wax on microstone casts (not triad)
o All set up is different with each tech

o Flasking
 Agar (reusable)
 Heat then cool
 Remove denture
 Remove teeth, melt wax away in little tray thing
 Put teeth into mold
 Put acrylic into three holes in back
 Self curing acrylic (no pressure yet)
 Put into pressure pot for 20 min
o 80-90% done by assistant
o Economy dentures don’t get to pick shade
 Economy 310/496 (new shad pluse trademark)
 Costum 490/825
 725/1225
 925/1645 (whiter teeth, same class as blueline or
portrait ipn)
 adjustments up to 60 days
o adjust dentures at no charge, remake dentures at no charge,
repair all dentures at one year for no charge.
o Only if all else fails, offer refund.
o So, what did I learn?
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