2. Doctor’s Process
Select Patient – Dual Arch, Full Edentulous
First Visit:
Take impression with Flexitime Heavy Tray and Correct Flow
Utilize the supplied Pala Digital Denture Trays
Follow Instructions for Taking an Impression
Capture Vertical Dimension (VD)
Capture Centric Relation (CR)
Record with Bite Registration
Fill out RX Form (see additional details included in this presentation)
Send impression and order form/RX to Dental Lab (Roe Dental Lab)
HKNA | 2014 page 2
Please photograph the patient and impression steps if possible
Estimated Chair Time: 45 mins.
3. RX Form
Must include the following information on the RX Form
Stippling? – Yes/No
Teeth Shade Color
Teeth Mold Selection (can be selected by lab)
Balanced/Lingualized Occlusion
Gum Shade/Acrylic Shade
Upper Lip Length
Anterior Overjet: Regular (Class 1, >2mm) ; Retrognathic (Class II, >3mm), Prognathic (Class III, < -1mm)
Size of tray used – Small, Medium, Large, X-Large
HKNA | 2014 page 3
Please include - we can not process with out this information
4. Required steps to avoid bite issues
During bite registration, I horizontally stabilized the lower tray with thumb and fingers on the mandibular tray and chin. I will include or email the picture. During bite registration on the try-in, I acknowledge that I need to hold the mandibular try-in to avoid tilting and I will include or email the picture. HKNA | 2014 page 4
5. Lab Partner
We will be partnering with Roe Dental Lab in Ohio.
They are extremely professional and a well-respected laboratory.
Your contact will be BJ Kowalski.
Please send your impression and specify Pala Digital Beta Test to:
9565 Midwest Ave, Garfield Hts, OH 44125
Phone number is(800) 228-6663.
HKNA | 2014 page 5
6. What you need to start the case?
Pala Digital Denture Trays
Heavy Tray Material
Light Flow Material
Pala Tracer
Lip Ruler
Jaw Gauge
All items will be provided by Heraeus Kulzer.
HKNA | 2014 page 6
11. Page 11
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TEETH SELECTION
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MIDLINE
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OCCLUSAL PLANE
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CURVE OF SPEE
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CURVE OF WILSON
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ARTICULATION
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POSTERIOR DAM
The software will contextualize 26 anatomical landmarks in the impression to generate:
3D Modeling – Automatically Calculated
12. 3D Modeling
Page 12
3D Software Calculates:
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TEETH SELECTION
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MIDLINE
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OCCLUSAL PLANE
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CURVE OF SPEE
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CURVE OF WILSON
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ARTICULATION
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POSTERIOR DAM
13. POST DAM AREA HAMULAR NOTCH PALATINE FOVEA FRENUMS
POSTERIOR PALATAL DAM
3D Modeling with Anatomical Landmarks
20. 3D Printed Prototype (Try-in)
Use Try-in to Check:
Function:
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Retention
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Fit
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Midline
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Occlusion
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Vertical Dimension
Aesthetics:
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Smile Line
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Lip Support
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Setup
Directly adjust try-in if needed and record with
21. 3D Printed Prototype (Try-in)
Check fit, retention, midline, occlusion, bite, comfort, and aesthetics
21
