renaissance dental the mandibular teeth are custom-made for that patient that arch form will will fit that patient um renaissance dental the man mandibular teeth and base are arranged so that the incision edge of the mandibular teeth sit over .
The vestibule of the mandibular impression if you think about it that’s about where those teeth sits naturally in the mouth um and we use some traditional techniques to develop the mandibular plan.
We take a measurement millimeters from the vestibule up to the incision anchor and tear incision angle anterior and we go the traditional two-thirds of the retro molar pad for the posterior portion of.
That doubt of the of the plane i’ve just noticed that a couple of people have mentioned video is coming up we haven’t done it yet and that’s a good question so this is what you’re given um produced by .
The laboratory prior to your second appointment all the teeth are set up and they’re set up in a wax that is um looks like a set up wax but it’s unique to this technique and I’ll show you why here in a few minutes okay clinical.
We’re gonna do four things we’re gonna seat the base we’re going to adjust the teeth we’re gonna do jaw measurements and we’re gonna get patient approval here’s where the jaw measurements come in all of .
These are critical for producing a high quality denture and if you look at a lot of these digital denture techniques that are coming out over time they’re really trying to to eliminate steps just like
We’re doing here but many of them cut out the step of a patient approval and I found with I’m that over the my last years that patient approval is critical um number one it allows the patient to put feedback into.
dental help more complicated now occlusion it starts involving molar cross bites it starts involving anterior cross-bite it starts having some dental help components of recession and that fraction present she does have her wisdom teeth there.
So we had to make sure we captured them in the impression or at least the half of them to be able to prevent them from super erupting during the case so now we’d like to see .
How that tracks and follows so let’s go ahead and take a look some photographs and see what we were able to offer Veronica so the first micro stereo perforation technique at the beginning of the case involved .
All these red dots so if you take a look here you’ve got so I did perforations and by this time when we were treating the cases I was being a little more sophisticated and I drew bars across here these rows that you see are basically to show the the thirds of the route and so in the thirds of .
The route I was deciding OK the coronal third of the route versus the middle third versus the apical third you know where did I have opportunity so I started giving myself some so-called depth to give me an idea of where.
I could place my micro steel perforations the depth chart will show you they were all three to four millimeters deep the lower we did perforations on the lower on the upper total for the first round then we get to a liner and so she’s going to be wearing .
These aligners at about a day change again early in the treatment so at a you’re taking away about a third of the treatment time and so what we’re looking at here is a team and here’s the a liner in the upper arch so we’ve got.
A little bit of movement happening and by the time we get to a liner we’re ready for a second perforation and so having a moderate case will offer that to the upper teeth here so we have three and three we have six microns .
New perforations of three to four millimeters in depth the lower arch required less treatment it doesn’t require the extra micro SD or perforations by the time we get to a liner the lower arch is almost done the upper arch
Dental insurance bite pattern the paper contains an ink like substance that transfers onto a patient’s teeth when the patient bites down on it a rubber cup and Dental insurance pumice for polishing the restoration .
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Dental insurance polishing paste used to smooth the composite material after placing in the tooth and any hand instruments the dentist may request there are many different instruments.
that are part of a particular tray setup most dentists have particular instruments they prefer to use if the dental assistant is unsure about what the dentist’s Dental insurance favorite instruments are she or he should inquire in
a composite procedure the dental assistant utilizes the shade guide to verify the color of the restoration will accurately match the color of the patient’s natural teeth before the rubber dam is placed while the tooth is still moist
the dentist uses a high speed hand piece with a preparation bird to cut the tooth surface as the procedure unfolds the dental assistant should suction as needed using the high-volume evacuate or hive this helps keep the area drive by
removing saliva and debris from the mouth which allows the dentist field of vision to remain unobstructed and cuts down on spatter an acid etching agent is then applied to the tooth in order to prepare the enamel surface this causes
irregularities in the tooths surface allowing the bonding agent to function better the bonding agent is then applied and the tooth is ready to accept the composite resin the dentist then inserts the composite resin with a composite
filling instrument a curing light may be used to aid in the hardening process between layers the dental assistant cures the material and the dentist repeats the process of filling the tooth once the composite is cured the rubber dam is to be removed.