Overview: This guide provides step-by-step instructions for the immediate denture workflow in Chairside for patients requiring a complete denture post-extraction.
Prerequisites
Before starting the Chairside immediate denture workflow, ensure the following criteria are met:
The patient can establish a Vertical Dimension of Occlusion (VDO) or bite with their current dentition.
The patient requires a complete denture immediately after the extraction of one or both arches.
Review the Complete Denture Scanning Best Practices and Recommended Scan Paths for Complete Dentures guides.
Note: If the patient requires a wax rim to establish VDO, use the Complete Denture with Wax Rim Workflow instead.
Appointment 1: Patient Scans and Order Entry
The first appointment focuses on capturing the mandibular arch, maxillary arch, and intraoral bite.
Mandibular Arch Scan Instructions
Select Lower on the scan page.
Start scanning from the retromolar area and move along the lingual aspect of the ridge toward the midline.
Continue from the midline back toward the retromolar area on the buccal aspect.
Pause the scanner to let the scanner process once one side is captured.
Clear any saliva from the patient's mouth.
Restart scanning from the midline and proceed to the opposite retromolar area along the lingual ridge.
Scan the buccal aspect of the second side and pause at the midline.
Trim excess data, such as gloves or extra layers, and re-scan any areas missing data.
Maxillary Arch Scan Instructions
Select Upper on the scan page.
Start from the tuberosity of one side and scan along the lingual aspect toward the opposite side.
Scan the palate using side-to-side movements starting from the midline.
Scan the buccal aspect from the posterior back toward the midline.
Resume at the midline and scan the buccal aspect of the opposite side.
Trim any excess data and re-scan missing areas.
Intraoral Bite Scan Instructions
Capture the bite using the patient's existing dentition.
Wait for the software confirmation sound to ensure the upper and lower jaws are aligned.
Checkout and Fabrication Details
After scanning, navigate the menus to define the denture specifications.
Order Menu Selections
Shade Selection: Choose the appropriate teeth and tissue shades.
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Fabrication Type: Select between Straight-to-Finish or Try-In.
Try-In Options: If a try-in is selected, choose to either design the try-in around existing teeth or digitally extract the existing teeth.
Aesthetics: Select the smile style, festooning level, and other aesthetic options.
Required Patient Photos
Submit the following photos to ensure accurate design:
Full Face: A head-on photo with the patient smiling naturally.
Profiles: Two profile pictures (left and right) with the patient smiling naturally.
Retracted View: A head-on photo with cheek retractors in place.
Appointment 2: Extraction and Delivery
The second appointment involves the clinical delivery of the denture.
Perform the necessary dental extractions.
Deliver the final immediate complete denture to the patient.