Initial visit – Final Impression

Initial visit – Final Impression – With Nothing
Take final impressions of both arches. This visit lasts 30 minutes. Follow “Seating a Patient” SOP

1. Accu-Dent to pour up in house System 1 – Follow their laminated sheet

Use Massad tray to create custom tray – If have custom tray skip to step 5
1. Place Regisil fast set PVS stops in tray and impression (one in front two in back=tripod)
2. Remove and trim excess
3. Place rigid PVS and border mold
4. Remove and trim excess
5. Light body PVS

*gaggers ” = smell the flowers” – (slow deep breath) – lift legs

Border mold for upper
1. Mark vibrating line with ink before impression
2. Cough
3. Valsalva maneuver
4. Open wide as can and close to half repeat
5. Pucker and blow kiss
6. Big smile with squinty eyes
7. O face, forcing upper lip down, stretch nose
8. Pull upper lip down and out and back

Border mold lower
1. 2 fingers on tongue and have resist my light pressure (once flex=done)
2. Pucker and blow kiss
3. Pull lower lip out and up and back

Take a centric tray impression at approximate VDO using Bite caliper
1. Place tape on nose and chin for measuring VDO (vertical dimension occlusion)
2. Use support wings for edentulous areas

Find esthetic A point = edge of future central incisor = 3-4mm showing at rest
1. Measure distance from ridge (papillameter at rest and smile)

Find esthetic B point = 0-1mm show at rest (papillameter?)

Facial meter used to measure Interala distance


Pour up impressions with Type IV stone



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