Digital Dentures for Every Dentist - The Death of Impressions? - PDP195

[@kvgolfa]

Would be interested in a quick video about the prep guide copings for partial dentures! Never seen that before

[@protrusive]

consider it done! thank you

[@spencercarter8008]

In my experience (maybe 30+ dentures I've done digitally)... 1. Perfect for immediate partials. I've never adjusted a digital immediate. They always fit. 2. I use full arch scans as a replacement for secondaries. I can count on one hand the number of times I've encountered an issue on the wax try in. I'm a huge advocate of digital. Haven't done crown/bridge as analogue imps in nearly 2 years. Haven't needed to remake or adjust anything in months.

[@protrusive]

doc thanks so much for this insight!

[@kvgolfa]

Why are scans only a replacement for secondaries? Why take a primary if you're going to eventually scan? Bit confused on your workflow

[@spencercarter8008]

@@kvgolfaMy apologies, I can see the confusion in how that's phrased. I don't take primary imps. I start by scanning and use those scans as if they were secondary imps. The scans get sent, my lab tech 3D prints them and does my wax try in off of that. I'm sorry for the confusion - what I meant was I used to get a try in made off of the secondary impressions, but now my try ins come off the scans/prints, so in that sense the scans replaced secondaries. Hope that clears up.

[@kvgolfa]

@@spencercarter8008 thanks! And you're scanning intraorally? Or scanning an impression?

[@spencercarter8008]

@@kvgolfa intra orally. Plus it's great to keep a digital record on file for future reference. I first tried digi dentures after I had a pt with Alzheimer's who I did a -/P for (using conventional impressions). Sadly he kept losing it. Being that he is quite elderly and needs family members to bring him in, I decided to try something different. I took digi impressions of him and we tried an immediate fit and it worked wonderfully (he's missing some lower ants). So now, if he loses his denture, I just call my lab tech who has the scans on file and he makes a replacement. Not only does it save the pt (and his family) the hassle of taking time off and travelling in, there's no work on my behalf so I don't need to charge him for any work on my end, which represents a significant saving which I can pass on to the pt. Scanning is also great for copy dentures and additions as well. Again, it just works. There's also some great examples of why I scan with ceramics now as well, but this thread is about digi dentures. But yes, intra oral scans all the way.

[@effefffffffffffffffffffff]

I've done maybe a hundred arches of printed dentures since 2020 and I am very uncomfortable giving them to a patient as anything but a temporary. The materials just aren't that resilient, and they frankly don't look very nice if you aren't able to spend a lot of time and very specialized materials accenting them. Milled bases with manufactured teeth on the other hand with a digital approach turn our quite nice typically.

[@narad8165]

Jaz please ask Dr Rupert how peripheral seal is obtained in digital denture

[@protrusive]

will do! I'll write back here or he will

[@RupertMonkhouse]

Hi there, as we discuss throughout the episode I do digital dentures by either scanning impressions / casts / jaw regs / relined dentures We also discuss that the only time I scanned soft tissue the patient preferred the analogue set of dentures

[@williamwang7274]

Hi Jaz big fan of your channel and thank you for all your videos! I was wondering whether you had any discussions in regarding TMJ and neck pain in patients with who suffer from anterior open bites and only molar occlusion. Is it perhaps covered in your nightguard/occlusion course?

[@protrusive]

yes it is but search my channel fot episodes about AMSPAs

[@mcwyngaard]

Thank you for sharing your knowledge on digital dentures - I recently did a masterclass with trios it was very useful to do a paradigm shift to adopt to digital I loved it and looking forward to making the shift did a few digital chromes successfully working on my full denture work flow now 🙌👍 digital is here to stay