Accurate Denture Records

How to Determine and Record Tooth Position

Part 3a of a 5-part series on Keys to Success and Predictability With Fabrication of Complete Dentures

• Part 1: Set Yourself Up for Success — Use the initial consultation/ examination to glean essential information about candidates for complete dentures

• Part 2: Making A Great Impression — Simplified accurate edentulous impressions and other records for enhancing complete denture success

• Part 3a (this article): Accurate Denture Records — How to Determine and Record Tooth Position

• Part 3b: Simplified Accurate Denture Records — How to determine and record VDO and centric relation

• Part 4: The Essential Try-In Acceptance Appointment

• Part 5: Delivering Successful Complete Dentures

Synopsis:

This course offers practical strategies for achieving predictability and success in fabricating tissue-supported complete dentures. It focuses on overcoming common challenges, such as determining and recording maxillary anterior tooth positions and incisal edge placement for a natural, aesthetic denture dentition. The outdated guideline of positioning denture teeth solely over the remaining alveolar ridge often leads to inadequate outcomes. By incorporating key fundamentals, dentists can optimize patient outcomes for all types of complete dentures.

Educational Objectives:

Upon completion of this course, you should be able to:

• Clinically refine the contours of the maxillary aesthetic wax rim to guide denture teeth positions, including using tools such as the denture gauge and alameter.

• Create a comfortable, retentive aesthetic wax rim for accurate recordings.

• Establish an acceptable occlusal plane for the dentures, using tools such as a Fox Plane and Swissedent wax rim former.

• Mark the dental midline and high lip line on the wax rim.

Full Course in Dentaltown Magazine