Denture Milled - Aesthetic (IFU)

Overview: This article provides the Instructions for Use (IFU) for Dandy Aesthetic Milled Dentures, including indications, contraindications, insertion protocols, and daily maintenance.

Overview of Aesthetic Milled Dentures

Dandy Aesthetic Milled Dentures are removable prostheses created using digital milling technology. These dentures are designed for a precise fit and feature realistic gingiva, making them ideal for patients with highly visible gum lines. The base is constructed from Ivoclar Ivotion and the teeth are made from PMMA.

Aesthetic 

The Aesthetic Denture provides premium aesthetics and features the most realistic gingiva. This denture is ideal for highly aesthetic cases and patients with a highly visible gum line. 

• Base Material - Ivoclar Ivotion 
• Tooth Material - PMMA
• Manufacturing - Milled
• Features - High festooning and stippling 

Signature vs Aesthetic

Milled, printed, and poured denture bases provide impressive fracture resistance.  However, Dandy recommends the Signature Acrylic Denture as the best option for most cases for its increased strength and durability.  

Dandy’s Signature Acrylic Denture features Densply Sirona Lucitone® HIPA Resin, which is the first pourable acrylic denture base that exceeds the ISO standards for improved impact resistance.

The Signature Acrylic Denture also features teeth fabricated with Dentsply Sirona’s Digital IPN® 3D Print Resin. In a Boston University study, Lucitone teeth feature lower volume loss and, therefore, higher wear resistance, compared to other top resins in the market.

See an example of Aesthetic Dentures below.

Indications and Contraindications

Indications for Use: Aesthetic Milled Dentures are intended for the replacement of missing natural teeth. They are indicated for both fully edentulous and partially edentulous patients.

Contraindications: Do not use Aesthetic Milled Dentures for patients with the following conditions:

• Uncontrolled periodontal disease

• Severe residual ridge resorption

• Untreated oral lesions

• Hypersensitivity to acrylic or PMMA materials

• Parafunctional habits or bruxism (due to risk of monolithic wear)

Insertion and Adjustment Protocols

Insertion Steps

1. Clean the oral tissues with a soft-bristle brush.

2. Hold the denture by the edges and insert it using a gentle rocking motion.

3. For partial dentures, use fingers to guide the device into position without excessive force.

4. Instruct the patient to bite and swallow to seat the denture.

5. Check for stability; apply adhesive if retention is insufficient.

6. Use carbon articulation paper to identify and adjust heavy occlusion points.

Adjustment Guidelines

• Tools: Use high-speed rotary instruments with light pressure.

• Temperature: Maintain cooling with water and air spray to prevent micro-fractures.

• Burs: Use carbide burs for the milled PMMA material; use football-shaped burs for occlusal surfaces and tapered burs for buccal shaping.

Cleaning and Storage

Daily Cleaning

• Clean the denture before and after every use.

• Use warm water (under 45°C/113°F) and a soft, liquid antibacterial dish soap.

• Avoid scented, flavored, or heavily dyed soaps.

Periodic Maintenance

• Use a soft-bristle brush to clean the inside of the appliance.

• Soak the denture in solutions like Polident or Efferdent for 10–15 minutes.

• Warning: Do not use bleach, hydrogen peroxide, mouthwash, or alcohol, as these will damage the material.

Storage: Store the dentures in a clean, dry place when they are not in use. Avoid excessive heat to prevent warping.

Additional Information

• Clinical studies have shown final dentures to be an effective and reliable treatment option for patients with missing teeth.
• If the patient experiences any adverse events, such as pain or irritation, they should discontinue use and contact your practice immediately.
• Final dentures have a limited warranty, which may vary depending on the manufacturer.
• Smoking with the dentures inserted can cause discoloration

Disposal and Biohazard Handling

• Treat used dentures as biohazardous waste due to contact with saliva and blood.

• Use red biohazard bags and authorized carriers for disposal.

• Destroy or redact patient information on lab boxes before disposal.

ADA/CDT Codes

Related Information

• Dandy Signature Acrylic Denture (Digital)

• Full Dentures Material Safety Data Sheets

• Partial Dentures Material Safety Data Sheets