TRY IN APPOINTMENT &

POST INSERTION
INSTRUCTIONS
THE TRY – IN APPOINMENT :

DEFINITION :

A trial denture defined as preliminary

arrangement of denture teeth that has been
prepared for placement into the patient’s mouth
to evaluate aesthetics and maxillo – mandibular
relationship.
Section 1 :
Perfection and verification of jaw relation
records.
Section 2 :
Eccentric jaw relation records ; articulator and
cast adjustments ; establishment of posterior
palatal seal.
Section 3 :
Creating facial and functional harmony with
anterior teeth.
Section 4 :
Phonetics.
Section 1 :
Perfection and verification of jaw relation
records.

Verifying vertical Verifying the

dimension centric relation

Intraoral Extra oral

observation of articulator method
intercuspation
Verifying vertical dimension

Pre extraction records.

The amount of inter occlusal distance.
Phonetics and aesthetics.
The amount of inter occlusal distance between the
teeth when the mandible is in its rest position.
Study of facial dimension and facial expressions.
Lip length in relation to the teeth.
The inter arch distance and parallelism of the ridges.
The condition and amount of shrinkage of the ridges.
Verifying the centric relation

Intraoral observation of
intercuspation
Extra oral articulator method
Section 2 : Eccentric jaw relation records

Methods of registering the condyle path

Extra oral Intra oral

Gysi & McCollum Plaster & carborundum grid – in
techniques
Chew – in by opposing wax
Chew – in modified by a central bearing point
Needles’s styluses cutting a compound rim
Needles’s technique modified by Messer man
tracer
Protrusive registration in softened compound
Protrusive registration in plaster
Protrusive registration in softened wax
establishment of posterior palatal seal.
Soft tissue along the junction of hard and soft palates on
which pressure within the physiological limits of the tissues
can be applied by a denture to aid in retention of the
denture.

T burnisher is used for marking the hamular notch on each

side and PPS is marked.

PPS extends from ……….

Anteriorly … anterior vibrating line
Posteriorly… posterior vibrating line
Laterally … pterygomaxillary notch
Techniques :

Conventional technique
Boucher’s technique
Fluid wax technique
Stick compound technique
Extended palatal technique
Section 3 : Creating facial and functional harmony with
anterior teeth.

Maintaining facial support and neuromuscular balance

When the muscles are correctly supported by a complete
dentures impulses coming to them from the CNS cause a
shortening of the fibers that allows the face to move in a
normal manner.
Three factors affect the face in repositioning the
orbicularis oris with complete denture.

The thickness of the labial flanges.

The anterioposterio position of the anterior teeth.
The amount of the separation between the
mandible and the maxilla.
When properly shaped dental arches and favorable vertical
dimension

Normal function of the facial muscle

Normal facial expressions and proper tone of the skin

Basic guides to developing facial & functional harmony :

The preliminary selection of the artificial teeth.

The horizontal orientation of the anterior teeth.
The vertical orientation of the anterior teeth.
The inclination of the anterior teeth.
Harmony in the general composition of the anterior
teeth.
Refinement of the individual tooth positions.
The concept of harmony with sex, personality, and
age of the patient.
The correlation of the aesthetics and incisal
guidance.
The preliminary selection of the artificial teeth.
Size , form , color of the teeth.
Rotation , overlapping and spacing between the teeth.

The horizontal orientation of the anterior teeth.

If the anterior teeth are in proper position vermilion

border is visible ,corner of the mouth assume normal
contour & skin is toned & nasolabial groove is
prevented from drooping.
A common error is to attempt to establish a standard
vertical & horizontal overlap without regard to the
ridge relation this should not be done because
anterior posterior position must correspond to the
position of the ridges.
The vertical orientation of the anterior teeth.

Test :
length of the upper lip can be estimated by
placing the index finger on the incisive papilla with
relaxed upper lip extending down over the finger.
the finger length covered by the upper lip
indicates the length of the upper lip.
The inclination of the anterior teeth.

The inclination of the anterior teeth should be

parallels to the profile line of the face.
Harmony in the general composition of the anterior
teeth.

Central incisors in square

arch assume a position on a
line with a canine.
In tapering arch rotating and
overlapping of the teeth is
common.
In ovoid arches canine position
forwardly with seldom
rotation.
Refinement of the individual tooth positions.

Maxillary central incisors – parallel to the profile line

Maxillary lateral incisors – cervically inwards
Maxillary canine – cervically outward

Mandibular central incisors – cervically inward

Mandibular lateral incisors – cervically outward then
mandibular central incisors
Mandibular canine – cervically outward
The concept of harmony with sex, personality,
and age of the patient.

Femininity is characterized by curved surface,

roundness and softness.
Masculinity is characterized by boldness , vigor and
square ness.
Personality divided into delicate , medium, and
vigorous.
It affects the selection of molds , colors , position of
the teeth and forms.
Section 4 : Phonetics

Bilabial sounds …. B, P, M are the sounds where the

two lips contacts.
Labiodental sounds …. F, V are the sounds shows the
relationship of the incisal edges of the maxillary
incisors to the lower lip.
Linguodental sounds …. eg Th are the made with the
tip of the tongue extending slightly between the
upper and lower anterior teeth.
Linguoalveolar sounds …. T , D, S, Z, V, L are the
sounds which makes the contact of the tip of the
tongue with the most anterior part of the palate.
POST INSTRUCTIONAL
INSTRUCTIONS :

INDIVIDUALITY OF THE PATIENT

Don’t compare their progress with new denture to
the other person’s experiences.
Adaptability to new denture is modified by age.

APPEARANCE WITH NEW DENTURE

Feel strange , bulky,.

Fullness of the lips and cheeks
Advice to change glasses and hair styles.
MASTICATION WITH NEW DENTURES
6 – 8 weeks
Excess flow of saliva
Soft food
Both sides
Eat from posterior teeth

SPEAKING WITH NEW DENTURES

2 – 3 weeks
Read aloud and repeat words that are difficult to
pronounce
ORAL HYGIENE
Instructed to rinse the dentures after meal
Cleanser
Never use tooth paste because most contains
abrasive materials
Denture should be brushed over a basin partially
filled with water
Brush ridge and tongue
PRESERVING THE RESIDUAL RIDGES
Denture must be left out from the mouth in the
night
Not to use abrasive and home liners for ill – fitting
denture
Put the denture in the water
Thank
you