Guide to Monolithic Try-Ins

Add a monolithic try-in to any full denture order with only 1 more appointment added!

What is a monolithic try-in?

• 3D Printed in a single color resin
• Replace the conventional wax-teeth try-ins
• Free with any order using a wax-bite rim
  • There is an add on fee to an order using a reference denture, refer to your pricing guide for more information.

How do I adjust monolithic try-ins?

1. Seat the try-in
2. No adjustments necessary → Go straight to order, no need to scan!
3. Needs adjustments → Adjust as aggressively as needed
   • Use burr or other tools to adjust the try in to proper specifications
   • Scan the try-in and new bite to submit changes (no need to mail back!)
   • Leave additional notes on the order slip

Providing Feedback

When providing feedback you will be presented with a list of options. Based on your responses the software will guide you in capturing the needed information in order to correct the denture.

Types of Potential Issues

• Retention / Fit
  • Too loose
  • Too tight
  • Border Extensions
• Bite & Occlusion
  • Open anterior bite
  • One sided contact
  • VDO
• Aesthetics
  • Midline
  • Lip support
  • Smile line
  • Size & Shape of teeth
  • Incisal Plane

Steps to Take if there are Fit and Retention Issues

Loose fit, No retention, or Rocking

1. Relieve (if necessary)
2. Border mold (if needed)
3. Reline Impression
4. Functional movements
5. Post impression evaluation
6. Bite registration (if needed)
7. Rescan

Note: If the fit is too tight, gently adjust the base until comfortable. No need for an impression if the fit is satisfactory after adjustments.

Try-in Denture is Too Loose or Rocking

Try-in Denture is Too Tight

Post Impression Re-evaluation

• Extension of borders and overall fit
• No voids or large bubbles
• Bite relationship
• Midline
• Lip support
• VDO measurements
• Phonetics

Open Anterior Bite? One Sided Contact?

1. Evaluate VDO
2. Adjust high contacts until patient is able to close properly
   • Be as aggressive as necessary
3. Take and trim new bite registration
4. Rescan
   • Upper
   • Lower
   • Bite (Molar to Midline, Both Sides)

Try-in Denture has Bite Issues

Vertical Dimension of Occlusion

By using a combination of notes on desired changes and adjustments we can easily correct a patient's VDO.

If the VDO is too open:

1. Adjust try-in until desired VDO is reached
2. Take and trim bite registration
3. Rescan

If the VDO is overclosed:

1. Build up bite until desired VDO is reached
   • Compound
   • Wax
   • Expired Composite
2. Take and trim bite registration
3. Rescan

Aesthetics

When there are issues with the looks of the try-in we will use a combination of markings, adjustments, notes and photos to convey the required changes to the lab.

Try-in Denture Aesthetic Issues

Visit: Chairside Complete Denture Try-in Workflow for more details