Chairside Immediate Denture Workflow

The following workflow applies to patients receiving an immediate denture following the extraction of all of their dentition on one / both arches.

Patient Selection Criteria

  • Can establish a VDO and/or bite with current dentition
  • Requires a complete denture immediately post-extraction

If your patient requires the use of a wax rim to establish an accurate VDO and/or bite, please follow the appropriate workflow article based on the software program you are using:

Scanning Best Practices

The outline below is a step-by-step appointment guide for our immediate denture workflow. Please ensure to review our scanning guides before proceeding:

APPOINTMENT 1

Patient Scans

Lower (mandibular) arch

  • On the scan page, select “Lower”.
  • Start scanning from the retromolar area (as far back as possible), focusing on the lingual aspect of the ridge, and proceed towards the midline.
  • At midline, move back towards the retromolar area focusing on the buccal. Stop the scanner after one side is fully captured and allow the scanner to process.
  • Remove any accumulated saliva in patient’s mouth.
  • Restart scanning from the midline and proceed towards the opposite retromolar area, again focusing on the lingual aspect of the ridge.
    • Get as far back as possible.
  • Come back around on the buccal aspect of the ridge, and pause at midline.
  • Inspect the scan and trim any unwanted parts (i.e. gloves, excess layers, etc.).
    • Scan again if any area is missing data.

Upper (maxillary) arch

  • Select “Upper”.
  • Start from the tuberosity area of one side and proceed along the lingual towards the opposite side, capturing as far back as possible.
  • Come back to midline and scan the palate using side to side movements. Pause scanner & let the scanner process.
  • Proceed to buccal starting on the back of one side towards the midline, pause after capture one side.
  • Resume at midline and scan other side.
  • Similar to before, trim any excess and re-scan any missing data.

Scan Bite (Intraoral)

  • Capture the bite using the existing dentition, allowing for the software to line up the upper and lower jaws (listen for the confirmation sound).

Checkout Flow

Navigate through the following menus to add details about your order:

  • Teeth shade
  • Tissue shade
  • Fabrication (choose between straight-to-finish & try-in)
    • If try-in is selected, choose between (1) designing try-in around existing teeth or (2) digitally extracting all existing teeth
  • Smile style
  • Festooning level
  • Aesthetic options
  • Patient photos
  • Design Preview

Types of Patient Photos (Highly Recommended)

  • A head-on photo with the patient smiling naturally.
  • 2 profile pictures (1 from each side) with the patient smiling naturally.
  • [If possible] A head-on photo of the patient with cheek retractors in place.

APPOINTMENT 2

Deliver Immediate Denture

  • Complete necessary extractions
  • Deliver the final immediate complete denture
Was this article helpful?
4 out of 5 found this helpful
Live Support Hours
Monday - Friday: 8 am - 9pm ET Saturday: 9 am - 4 pm ET
Chat With Us
By clicking here and logging into your account on the Dandy Portal.
Call Us
At (267) 310-3332 or tap here to call us on your mobile phone.