The Essential Try-In Acceptance Appointment

An overview of laboratory procedures, evaluation techniques and the dentist-patient approval process

Part 4 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: 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 (this article): The Essential Try-In Acceptance Appointment

• Part 5: Delivery of successful complete dentures

Synopsis:

Achieving consistent success with tissue-supported complete dentures requires well-executed laboratory procedures and a structured clinical evaluation at the try-in acceptance appointment. This course guides readers through key steps in posterior tooth arrangement using lingual control lines and establishing lingualized occlusion. It also presents a practical remount technique for correcting mounting inaccuracies. To ensure accuracy, the case must be returned from the laboratory mounted on the articulator, allowing the dentist to verify the correctness of the mounting. Remounting with a new centric relation record is discussed as a necessary corrective step when mounting errors are identified. For predictability, it is essential to verify that mounting is accurate.

Educational Objectives:

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

• Describe important laboratory procedures for denture fabrication, including using lingual control lines for positioning posterior teeth and establishing lingualized occlusion.

• Perform a clinical evaluation of the wax try-in setup, make appropriate modifications, and approve the setup before presenting it to the patient.

• Explain the importance of assessing mounting accuracy by comparing the occlusion on the articulator with the intraoral occlusion.

• Identify when a clinical remount is indicated to correct mounting errors and describe how to record centric relation for the remount.

• Outline the recommended process for guiding patient evaluation and obtaining approval of the denture setup during the clinical try-in acceptance appointment.

Full Course in Dentaltown Magazine