Clinical Remount of Complete Dentures

[@dentalmcqs7210]

You are a true educator

[@houstoncambodia]

You are a savior to dentistry! I really want to step up my removable game. I've seen colleagues send impressions and ask the lab to "make a denture!". Anyway, I was wondering what the point of the remount jig is, if we are asking the lab to mount the cast anyway. Is this just to have a backup in case something happens to the mount?

[@DrLoneyDal]

Thanks! In most cases, after processing, the master cast must be destroyed in order to to remove the processed acrylic base without breaking the denture. As such, the lab no longer has a means to orient the denture back on the articulator in the correct position. The jig provides a way to do this without the need for a new facebow record, using the cusp tips of the teeth to orient maxillary denture in the same position as it was prior to removal from the articulator.

[@houstoncambodia]

@@DrLoneyDal I'm so thankful for the answer. I wish I could learn from you directly. Take care!

[@yoursmile6283]

My first like of your video..thanx 💛

[@sugandhisoni5136]

I have a few queries with the clinical remount procedure, if you could guide. 1.Please explain how to construct the remount casts? 2. Is this step done prior to the denture insertion? 3. Do we remount with the bite registration record that was taken at the jaw relation stage OR fresh bite registration record is used.

[@DrLoneyDal]

1. Remount casts are made after the denture is processed and finished (i.e.after it is removed from the master cast). They are made by blocking out any undercuts in the dentures' internal surface and pouring plaster (not stone) into the dentures, being careful to not allow the plaster to cover any part of the external surface past the edge of the peripheries. Blockout material can be any material that remains soft (so the denture can be removed without fracture). This might be putty, clay, dampened tissue, etc. Search the internet or check a textbook for more detailed instructions on how to do this. If you use a lab, the easiest method is to ask them to fabricate remount casts when they process the dentures, prior to returning them to your practice. 2. Remount casts are most often made prior to denture insertion in order to save clinical chair time, but they can be made at the insertion appointment in office if you wish. 3. The clinical remount is always done with a new bite registration appointment at the insertion appointment.

[@nehacharak6190]

@@DrLoneyDal Hey doc, regarding point 2; do we do clinical remounting before the denture insertion OR After the denture insertion at follow up visit OR only if patient complains of some problem like cheek biting or so. Thank you in advance.

[@DrLoneyDal]

1. See the section on fabricating remount casts in my complete denture manual at this link: removpros.dentistry.dal.ca/Manuals.html

[@DrLoneyDal]

2. Do this step at the insertion appointment prior to sending the patient home with the dentures.

[@DrLoneyDal]

3. Remount with a new bite registration at the delivery appointment after the denture bases have been adjusted.

[@drakkari2672]

amazing

[@deerumusic7651]

Thank you very much sir ❤

[@dramelsalem1390]

excellent video and excellent chanel

[@rihamturk]

Great video.. Thank you

[@jasonliu8967]

Thanks your share, it's great

[@afsanashaikh4369]

How can we correct occlusal errors after processing

[@DrLoneyDal]

After processing and before removing the dentures from the master casts, the dentures can be accurately reattached to the the mounting plaster using grooves that were placed in the base of the casts. Major discrepancies can then be adjusted. Final refinement of the occlusion should be done using a clinical remount as described in the video, not solely with the post processing laboratory adjustment.

[@nehacharak6190]

@@DrLoneyDal Ah..so there is laboratory remounting procedure, which we are doing after the denture processing and before the denture insertion and then there is Clinical remounting which we do may be once the patient wears the denture for a week. Also, in clinical remounting we make new CR records and not in Lab remounting. Do let me know if I get it correct. thanks.

[@nehacharak6190]

@@DrLoneyDal Also, i was wondering if there is a video or you could suggest some reference to read about interferences, selective grinding and occlusion equilibration, i find it too confusing as to which cusp to grind or which fossa to deepen in centric and eccentric interferences. Thank you!

[@DrLoneyDal]

@@nehacharak6190 The laboratory will do a remount to adjust for changes in the occlusion due to processing factors (e.g. movement of teeth during processing, polymerization shrinkage. Do the clinical remount at the insertion appointment, after adjusting the denture bases and prior to sending the patient home with the dentures for the first time. This will minimize patient discomfort and possibly reduce the number of post insertion adjustments needed.

[@DrLoneyDal]

@@nehacharak6190 kzbin.info/www/bejne/kIK6g5KKaK9pe8U

[@lakshytavatsgupta]

Thank you so much sir 😇