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The World’s 1st CAD/CAM Denture Company
Contents
Requirements for Impressions
[Included in Starter Kit / Supplies Required by Doctor]
Ve
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P. 21
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P. 14
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P. 4
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P. 25
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P. 18
+
Registrati
ite
P. 9
B
elations R
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P. 22
on
P. 15
on
P. 5
B
Ma
n
al Dimens
i
rtic
ion
Ve
ular Impre
dib
on
P. 20
on
P. 13
ion
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P. 3
P. 6
B
Ma
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ular Impre
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Ma
x
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Ma
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illa
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ss
Single Arch
Mandibular
Denture
n
sio
Single Arch
Maxillary
Denture
n
sio
Complete
Denture
Requirements for Impressions
Included in Starter Kit
Jaw Gauge x 1
Single Arch Plates x 8
(2 of each size/orientation)
S, M
x2
L, XL
x2
XL
x2
L
x2
Lip Ruler x 1
M
x2
DENTCA Trays x 8 (2 of each size)
- Upper and Lower
EZ-Tracer x 8
S
x2
Supplies Required by Doctor
Impression Gun
Fast Setting Light Body PVS
Fast Setting Heavy Body PVS
Bite Registration Material
Permanent Marker or Pen
Stone
Mixing Tips
(For Single Arch Denture Only)
Bur
Surgical Blade
Drill
P. 2
| Complete Denture: Components
Complete Denture: Maxillary Impression |
Components
. Maxillary Impression
A
2
P. 3
Apply thick layer of fast-setting heavy
body PVS (to create custom impression
tray).
C
Layer 2 (Wash): Apply thin layer of
fast-setting light body PVS on top of
entire heavy body impression.
Top
1
Seat firmly for 5 seconds using finger spots on bottom of tray.
Bottom
5
4
4
3
1
Anterior Part of Maxillary Tray
2
Posterior Part of Maxillary Tray
3
Anterior Part of Mandibular Tray
4
Posterior Parts of Mandibular Tray
5
Center Pin & Plate
BORDER MOLDING
Pull, stretch and tug the patient's cheeks and mouth muscles forcefully to ensure
proper border molding. Do not skip or neglect this procedure.
1. Have the patient open mouth
wide then close.
2. Have the patient move jaw side by side.
Tray Selection
Small
Medium
Large
3. Pull the patient's right cheek out and down.
Then pull the patient’s left cheek out and down.
X-Large
Repeat entire sequence 4 times (#1-4)
B
Select the correct DENTCA tray size (Small, Medium, Large, Extra-Large) that best fits the patient’s
mouth. Compare tray sizes against the patient’s existing dentures or directly in the patient’s mouth.
4. Pull the upper lip down.
Adjust any exposed tray areas with a bur.
D
If there are any tray parts still exposed,
adjust with a bur and go back to Step C.
P. 4
| Complete Denture: Mandibular Impression
Complete Denture: Vertical Dimension (VD) |
. Mandibular Impression
A
Apply thick layer of fast-setting heavy
body PVS (to create custom impression
tray).
C
Layer 2 (Wash): Apply thin layer of
fast-setting light body PVS on top of
entire heavy body impression.
Seat firmly for 5 seconds using finger spots on bottom of tray.
P. 5
. Vertical Dimension (VD)
You must find the correct VD before recording CR.
A
Separate the tray posteriors to avoid interference when measuring VD.
Cut and remove
‡/RRNDWWKHVLGHRUERWWRPRIWKHWUD\WRVHHZKHUHWKHVHSDUDWLRQOLQHLV
‡Cut through the impression with a surgical blade at the separation line.
BORDER MOLDING
B
Remove impression overflow on cameo side.
Pull, stretch and tug the patient's cheeks and mouth muscles forcefully to ensure
proper border molding. Do not skip or neglect this procedure.
Cut away
1
1. H
Have the
h patient
i
stick
i k his/her
hi /h tongue out.
2. Squeeze
S
in
i both
b thh cheeks
h k while
h l the
h
mouth is completely relaxed.
C
Cut away
Attach center pin to mandibular tray.
Click
Cut
3. Pull the patient’s right cheek out.
Then pull the patient’s left cheek out.
4. Pull the lower lip up.
‡Cut
ut the bottom portion of the center pin if it
comes close to touching tongue or soft tissue.
Repeat entire sequence 4 times (#1-4)
B
Adjust any exposed tray areas with a bur.
D
If there are any tray parts still exposed,
adjust with a bur and go back to Step C.
(rotate clockwise) center pin with fingers or tweezer to reach VD.
D VD Adjust
Remove and adjust extraorally if needed.
‡If VD is minimal and
the trays touch each
other, adjust those
tray areas with a bur
before finalizing VD
measurement.
VD = lips barely touching at rest
P. 6
| Complete Denture: Centric Relations Record (CR) : Simplified Tracing
Complete Denture: Centric Relations Record (CR) : Gothic Tracing |
. Centric Relations (CR)
Accurate CR recording is essential to accurate denture setup.
Choose one of three CR recording methods:
1. Simplified Tracing 2. Gothic Arch Tracing 3. Direct Check Bite
Option
2. Gothic Arch Tracing
A
Have patient move their mandible from the most anterior to the most posterior
position.
Anterior
Prepare for CR recording: Attach EZ-Tracer™ to maxillary tray.
EZ-Tracer
‡,IWKH(=7UDFHULVQRWDYDLODEOHDSSO\WUDFLQJPDWHULDORUPDJLF
marker on the maxillary tray bottom for CR tracing.
Maxillary tray bottom
Posterior
Seat trays back in patient’s mouth with center pin
p attached to the mandibular tray.
+
Maxillary Tray
‡3RVLWLRQ\RXUILQJHUWRZKHUHWKHSDWLHQWVKRXOGPRYHWKHLUMDZ,QVWUXFWWKHSDWLHQWWR
PRYHWKHLUMDZWRWKDWSRVLWLRQ
‡,IWKLVLVFKDOOHQJLQJJXLGHWKHMDZZLWK\RXUKDQGWRIROORZWKH&5FDSWXUHPRYHPHQWV
B
Mandibular Tray
Move the mandible from the most posterior center position laterally to the right.
Move the mandible back to the posterior center position.
Option
Anterior
Anterior
A
Ant
t Anterior
rio
io
Posterior
Posterior
1. Simplified Tracing
A
Have patient move their mandible from the most anterior to the most posterior
position.
Anterior
Anterior
Posterior
Posterior
C
Move the mandible from the most posterior center position laterally to the left.
Move the mandible back to the posterior center position.
‡3RVLWLRQ\RXUILQJHUWRZKHUHWKHSDWLHQWVKRXOGPRYHWKHLUMDZ,QVWUXFWWKHSDWLHQWWR
PRYHWKHLUMDZWRWKDWSRVLWLRQ
Anterior
Anterior
Posterior
Posterior
‡,IWKLVLVFKDOOHQJLQJJXLGHWKHMDZZLWK\RXUKDQGWRIROORZWKH&5FDSWXUHPRYHPHQWV
Repeat Steps A-C several times
Repeat Step A multiple times
to trace a precise arrow that points
to the posterior center position on the upper tray.
to trace a line segment between the most anterior
and posterior point on the maxillary tray.
B
D
The most posterior point of the line segment is the CR position.
The apex of the arrow is the CR using Gothic Arch Tracing.
‡5HFRUGWKH&5SRVLWLRQE\GULOOLQJDVPDOOGLPSOHDWWKLVSRLQW
(for the center pin knob to snap into during bite registration.)
‡5HFRUGWKH&5SRVLWLRQE\GULOOLQJDVPDOOGLPSOHDWWKLVSRLQW
(for the center pin knob to snap into during bite registration.)
Bur
Bur
Good
Bad
(re-do)
Good
Bad
(re-do)
P. 7
P. 8
| Complete Denture: Centric Relations Record (CR) : Direct Check Bite
Complete Denture: Bite Registration |
. Bite Registration
Option
3. Direct Check Bite
A
P. 9
Hold the patient’s mandible in the most posterior position and have them bite
down numerous times. Take the trays out of the mouth to examine the direct
check bite points.
Anterior
Anterior
Posterior
Posterior
VERY IMPORTANT:
Hold the lower tray firmly in place while recording bite registration to prevent slipping or tilting.
1. Seat trays back in the mouth. Make sure the center pin locks into the CR point dimple.
2. Inject bite registration material between the trays to record.
‡Once the bite registration material hardens, remove the trays from the patient’s mouth.
‡Stand behind the patient to hold their jaw in the most posterior position while they bite
down multiple times.
‡7KHFHQWHUSLQVKRXOGPDUNDVHULHVRISRLQWVDWWKHSRVWHULRURIWKH(=7UDFHUDVWKH
patient bites down.
Very Important
t
Repeat Step A multiple times
to find the CR point.
B
Using the lip ruler, measure the upper lip length from the incisive papilla to upper lip line.
The most posterior point where the highest concentration
of points are gathered is the CR using direct check bite.
‡5HFRUGWKH&5SRVLWLRQE\GULOOLQJDVPDOOGLPSOHDWWKLVSRLQW
(for the center pin knob to snap into during bite registration.)
Bur
Good
Bad
(re-do)
‡9LHZWKHOLSUXOHUVWUDLJKWRQIRUFRUUHFWPHDVXUHPHQW9LHZLQJWKHUXOHUIURPDQXSZDUG
or downward angle will show an inaccurate measurement.
Finished! You’re all done with the impression visit.
CR Summary - Choose any of these three methods:
1. Simplified Tracing 2. Gothic Arch Tracing 3. Direct Check Bite
Ordering
/ Shipping
1
2
3
1. Place your denture order online at www.dentca.com
om
2. Package, label and ship the impression parts (including detached posteriors) and the printed
denture order form to DENTCA.
P. 11
Single Arch Denture: Components |
Components
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Top
1
Bottom
2
Top
3
Bottom
‡/RZHU$WWDFKPHQW3ODWH +ROH
1
Upper Attachment Plate
2
Center Pin
3
Lower Attachment Plate
Tray Selection
DENTCA trays must be used for all impressions.
Large & X-Large
Small & Medium
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6RU0
or
or
8VH/;/VL]HGDWWDFKPHQWSODWHZLWKWUD\VL]HV
/RU;/
or
or
Select the correct DENTCA tray size (Small, Medium, Large, Extra-Large) that best fits the patient’s
mouth. Compare tray sizes against the patient’s existing dentures or directly in the patient’s mouth.
Single Arch Maxillary Denture: Impression |
P. 13
. Maxillary Impression
A
Apply thick layer of fast-setting heavy
body PVS (to create custom impression
tray).
C
Layer 2 (Wash): Apply thin layer of
fast-setting light body PVS on top of
entire heavy body impression.
Seat firmly for 5 seconds using finger spots on bottom of tray.
BORDER MOLDING
Pull, stretch and tug the patient's cheeks and mouth muscles forcefully to ensure
proper border molding. Do not skip or neglect this procedure.
1. Have the patient open mouth
wide then close.
2. Have the patient move jaw side by side.
3. Pull the patient's right cheek out and down.
Then pull the patient’s left cheek out and down.
4. Pull the upper lip down.
Repeat entire sequence 4 times (#1-4)
B
Adjust any exposed tray areas with a bur.
D
If there are any tray parts still exposed,
adjust with a bur and go back to Step C.
P. 14
| Single Arch Maxillary Denture: Vertical Dimension (VD)
Single Arch Maxillary Denture: Centric Relations Record (CR) : Simplified Tracing |
. Vertical Dimension (VD)
. Centric Relations (CR)
You must find the correct VD before recording CR.
A
P. 15
Accurate CR recording is essential to accurate denture setup.
Choose one of three CR recording methods:
1. Simplified Tracing 2. Gothic Arch Tracing 3. Direct Check Bite
Cut through and detach the posterior part of the maxillary tray and impression to avoid
interference when measuring VD.
Prepare for CR recording: Attach EZ-Tracer™ to maxillary tray.
marker on the maxillary tray bottom for CR tracing.
Cut through the impression with a surgical blade at the separation line.
Cut and remove
B
EZ-Tracer
Maxillary tray bottom
Seat Maxillary Tray back in the patient’s mouth.
Insert center pin to Lower Attachment Plate pinhole. Then attach Lower Attachment
Plate to existing lower dentition with bite registration material.
Remove impression overflow on cameo side.
+
Maxillary Tray
Lower Attachment Plate
Option
1. Simplified Tracing
Cut away
C
Attach center pin to Lower Attachment Plate.
Attach Lower Attachment Plate to existing lower dentition with bite registration material.
A
Have patient move their mandible from the most anterior to the most posterior
position.
during VD adjustment.
Cut
Anterior
Anterior
Posterior
Posterior
Repeat Step A multiple times
if it comes close to touching tongue or
soft tissue.
to trace a line segment between the most anterior
and posterior point on the maxillary tray.
B
The most posterior point of the line segment is the CR position.
(rotate clockwise) center pin with fingers or tweezer to reach VD.
Remove and adjust extraorally if needed.
D VD Adjust
If VD is minimal and
the
t trays touch each
o
other,
adjust those
tray
areas with a bur
t
b
before
finalizing VD
measurement.
m
VD = lips barely touching at rest
Bur
Good
Bad
(re-do)
P. 16
| Single Arch Maxillary Denture: Centric Relations Record (CR) : Gothic Arch Tracing
Single Arch Maxillary Denture: Centric Relations Record (CR) : Direct Check Bite |
Option
Option
2. Gothic Arch Tracing
3. Direct Check Bite
A
Have patient move their mandible from the most anterior to the most posterior
position.
A
Anterior
P. 17
Hold the patient’s mandible in the most posterior position and have them bite
down numerous times. Take the trays out of the mouth to examine the direct
check bite points.
Anterior
Anterior
Posterior
Posterior
Posterior
‡3RVLWLRQ\RXUILQJHUWRZKHUHWKHSDWLHQWVKRXOGPRYHWKHLUMDZ,QVWUXFWWKHSDWLHQWWR
PRYHWKHLUMDZWRWKDWSRVLWLRQ
‡,IWKLVLVFKDOOHQJLQJJXLGHWKHMDZZLWK\RXUKDQGWRIROORZWKH&5FDSWXUHPRYHPHQWV
B
Move the mandible from the most posterior center position laterally to the right.
Move the mandible back to the posterior center position.
‡Stand behind the patient to hold their jaw in the most posterior position while they bite
down multiple times.
‡7KHFHQWHUSLQVKRXOGPDUNDVHULHVRISRLQWVDWWKHSRVWHULRURIWKH(=7UDFHUDVWKHSDWLHQW
bites down.
Ante
A
Anterior
Ant
tteerior
eAnterior
riio
ri
o
Anterior
Repeat Step A multiple times
to find the CR point.
Posterior
Posterior
C
Move the mandible from the most posterior center position laterally to the left.
Move the mandible back to the posterior center position.
Anterior
Anterior
Posterior
Posterior
B
The most posterior point where the highest concentration
of points are gathered is the CR using direct check bite.
‡5HFRUGWKH&5SRVLWLRQE\GULOOLQJDVPDOOGLPSOHDWWKLVSRLQW
(for the center pin knob to snap into during bite registration.)
Bur
Good
Bad
(re-do)
Repeat Steps A-C several times
to trace a precise arrow that points
to the posterior center position on the upper tray.
D
The apex of the arrow is the CR using Gothic Arch Tracing.
CR Summary - Choose any of these three methods:
‡5HFRUGWKH&5SRVLWLRQE\GULOOLQJDVPDOOGLPSOHDWWKLVSRLQW
(for the center pin knob to snap into during bite registration.)
1. Simplified Tracing 2. Gothic Arch Tracing 3. Direct Check Bite
Bur
Good
Bad
(re-do)
1
2
3
P. 18
| Single Arch Maxillary Denture: Bite Registration
. Bite Registration
VERY IMPORTANT:
Hold the lower attachment plate firmly in place while recording bite registration
to prevent slipping or tilting.
1. Seat trays back in the mouth. Make sure the center pin locks into the CR point dimple.
2. Inject bite registration material between the maxillary tray and lower attachment
plate to record.
‡Once the bite registration material hardens, remove the trays from the patient’s mouth.
Very Important
t
Using the lip ruler, measure the upper lip length from the incisive papilla to upper lip line.
‡9LHZWKHOLSUXOHUVWUDLJKWRQIRUFRUUHFWPHDVXUHPHQW9LHZLQJWKHUXOHUIURPDQXSZDUG
or downward angle will show an inaccurate measurement.
Finished! You’re all done with the impression visit.
Ordering
/ Shipping
1. Place your denture order online at www.dentca.com
a.com
2. Package, label and ship the impression parts (including detached posteriors, lower attachment
plate, bite registration), the mandibular stone cast and the printed denture order form to DENTCA.
P. 20
| Single Arch Mandibular Denture: Impression
Single Arch Mandibular Denture: Vertical Dimension (VD) |
. Mandibular Impression
A
Apply thick layer of fast-setting heavy
body PVS (to create custom impression
tray).
C
Layer 2 (Wash): Apply thin layer of
fast-setting light body PVS on top of
entire heavy body impression.
Seat firmly for 5 seconds using finger spots on bottom of tray.
P. 21
. Vertical Dimension (VD)
You must find the correct VD before recording CR.
A
Separate the tray posteriors to avoid interference when measuring VD.
Cut and remove
B
BORDER MOLDING
‡/RRNDWWKHVLGHRUERWWRPRIWKHWUD\WRVHHZKHUHWKHVHSDUDWLRQOLQHLV
‡Cut through the impression with a surgical blade at the separation line.
Remove impression overflow on cameo side.
Cut away
Pull, stretch and tug the patient's cheeks and mouth muscles forcefully to ensure
proper border molding. Do not skip or neglect this procedure.
C
Attach Upper Attachment Plate to existing upper dentition with bite registration.
Attach center pin to Mandibular Tray.
Click
1
h patient
i
i k his/her
hi /h tongue out.
1. H
Have the
stick
S
i both
b thh cheeks
h k while
h l the
h
2. Squeeze
in
mouth is completely relaxed.
3. Pull the patient’s right cheek out.
Then pull the patient’s left cheek out.
Repeat entire sequence 4 times (#1-4)
B
Adjust any exposed tray areas with a bur.
Cut
4. Pull the lower lip up.
D
If there are any tray parts still exposed,
adjust with a bur and go back to Step C.
‡Cut
ut the bottom portion of the center pin if it
comes close to touching tongue or soft tissue.
(rotate clockwise) center pin with fingers or tweezer to reach VD.
Remove and adjust extraorally if needed.
D VD Adjust
‡If
‡ VD is minimal and
the trays touch each
other, adjust those
tray areas with a bur
before finalizing VD
measurement.
VD = lips barely touching at rest
P. 22
| Single Arch Mandibular Denture: Centric Relations Record (CR) : Simplified Tracing
. Centric Relations (CR)
Accurate CR recording is essential to accurate denture setup.
Choose one of three CR recording methods:
1. Simplified Tracing 2. Gothic Arch Tracing 3. Direct Check Bite
Single Arch Mandibular Denture: Centric Relations Record (CR) : Gothic Arch Tracing |
Option
2. Gothic Arch Tracing
A
Have patient move their mandible from the most anterior to the most posterior
position.
Prepare for CR recording: Attach EZ-Tracer™ to upper attachment plate.
‡,IWKH(=7UDFHULVQRWDYDLODEOHDSSO\WUDFLQJPDWHULDORUPDJLF
marker on the upper attachment plate bottom for CR tracing.
Anterior
EZ-Tracer
Posterior
Upper attachment plate bottom
Attach Upper Attachment Plate to existing upper dentition with bite registration material.
Seat mandibular tray back in patient’s mouth with center pin attached.
B
+
Upper Attachment Plate
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PRYHWKHLUMDZWRWKDWSRVLWLRQ
‡,IWKLVLVFKDOOHQJLQJJXLGHWKHMDZZLWK\RXUKDQGWRIROORZWKH&5FDSWXUHPRYHPHQWV
Mandibular Tray
Guide mandible from the most posterior center position laterally to the right.
Guide mandible back to the posterior center position.
Anterior
Anterior
Posterior
Posterior
Option
1. Simplified Tracing
A
Have patient move their mandible from the most anterior to the most posterior
position.
Anterior
Anterior
Posterior
C
Guide mandible from the most posterior center position laterally to the left.
Guide mandible back to the posterior center position.
‡,IWKLVLVFKDOOHQJLQJJXLGHWKHMDZZLWK\RXUKDQGWRIROORZWKH&5FDSWXUHPRYHPHQWV
Posterior
Posterior
Repeat Steps A-C several times
Repeat Step A multiple times
to trace a precise arrow that points
to the posterior center position on the upper tray.
to trace a line segment between the most anterior
and posterior point on the maxillary tray.
D
The most posterior point of the line segment is the CR position.
‡5HFRUGWKH&5SRVLWLRQE\GULOOLQJDVPDOOGLPSOHDWWKLVSRLQW
7KHGLPSOHVKRXOGEHODUJHHQRXJKIRUWKHFHQWHUSLQNQREWRVQDS
into during bite registration.)
Good
Anterior
Posterior
‡3RVLWLRQ\RXUILQJHUWRZKHUHWKHSDWLHQWVKRXOGPRYHWKHLUMDZ,QVWUXFWWKHSDWLHQWWR
PRYHWKHLUMDZWRWKDWSRVLWLRQ
B
Anterior
Bad
(re-do)
The apex of the arrow traced is the CR using Gothic Arch Tracing.
g.
‡5HFRUGWKH&5SRVLWLRQE\GULOOLQJDVPDOOGLPSOHDWWKLVSRLQW
7KHGLPSOHVKRXOGEHODUJHHQRXJKIRUWKHFHQWHUSLQNQREWRVQDS
into during bite registration.)
Bur
Bur
Good
Bad
(re-do)
P. 23
P. 24
| Single Arch Mandibular Denture: Centric Relations Record (CR) : Direct Check Bite
P. 25
. Bite Registration
Option
3. Direct Check Bite
A
Single Arch Mandibular Denture: Bite Registration |
Hold the patient’s mandible in the most posterior position and have them bite
down numerous times. Take the trays out of the mouth to examine the direct
check bite points.
Anterior
Anterior
Posterior
Posterior
VERY IMPORTANT:
Hold the lower tray firmly in place while recording bite registration to prevent slipping or tilting.
1. Seat trays back in the mouth. Make sure the center pin locks into the CR point dimple.
2.
Once
Inject
thebite
biteregistration
registrationmaterial
materialbetween
hardens, the
remove
mandibular
the traystray
from
and
theupper
patient’s
attachment
mouth.
plate to record.
‡Once the bite registration material hardens, remove the trays from the patient’s mouth.
‡6WDQGEHKLQGWKHSDWLHQWWRKROGWKHLUMDZLQWKHPRVWSRVWHULRUSRVLWLRQ
‡7KHFHQWHUSLQVKRXOGPDUNDVHULHVRISRLQWVQHDUWKHSRVWHULRURIWKHPRXWKDVWKHSDWLHQW
bites down.
Very Important
t
Repeat Step A multiple times
to find the CR point.
B
The most posterior point where the highest concentration
of points are gathered is the CR using direct check bite.
Using the lip ruler, measure the upper lip length from the incisive papilla to upper lip line.
‡5HFRUGWKH&5SRVLWLRQE\GULOOLQJDVPDOOGLPSOHDWWKLVSRLQW
7KHGLPSOHVKRXOGEHODUJHHQRXJKIRUWKHFHQWHUSLQNQREWRVQDS
into during bite registration.)
Bur
Good
Bad
(re-do)
‡9LHZWKHOLSUXOHUVWUDLJKWRQIRUFRUUHFWPHDVXUHPHQW9LHZLQJWKHUXOHUIURPDQXSZDUG
or downward angle will show an inaccurate measurement.
Finished! You’re all done with the impression visit.
CR Summary - Choose any of these three methods:
1. Simplified Tracing 2. Gothic Arch Tracing 3. Direct Check Bite
Ordering
/ Shipping
1
2
3
1. Place your denture order online at www.dentca.com
t
2. Package, label and ship the impression parts (including detached posteriors, upper attachment
plate, bite registration), the maxillary stone cast and the printed denture order form to DENTCA.
Impression Manual Summary
Impression
Separation
VD
&
CR
Bite Registration
Copyright © 2014 DENTCA, Inc. All rights reserved.