Complete Dentures – Trial Denture

Appointment 
 Introduction

Definition: The process of placing a

trial denture in the patient’s mouth

for evaluation of the fit, aesthetics

 Objectives of try-in
1. To evaluate and change, if necessary, any errors before
the dentures are finished.
- the vertical dimension of occlusion
- centric relation
- mold
- shade and the esthetic arrangement of anterior teeth
etc
2. allowing the dentist to check all previous recordings
3. permits the patient to assess the appearance of the
dentures.
 setup is tentative.
Changes are made at chair side
depending upon the esthetic needs
of the patient and the opinions of
the dentist.
 Extra oral evaluation
An examination of the completed set up on the
articulator should be carried out before trying in the
mouth, and any discrepancies noted.
Checking the cast on the articulator
Mounting rings
Incisal pin
Trial denture base lie properly on the casts and the
teeth are in good intercaspation.
Correct Sagital and lateral Condylar angles
In centric position, the joints must be firm and not
loose.
 Move smoothly from centric to
eccentric with no interferences
Checking Teeth
Proper selection (esthetic)
Proper positioning

Shape of polished denture surface

Duplicate appearance of normal gingiva

Denture base contours – Should have

concave surfaces between marginal
gingiva & denture borders for
Denture base contours –
 Checking the Casts
Good shape
Free from air bubbles
Free from scratches
Undercuts should be relieved
Free from wax particles
 Intra oral evaluation

Trying in upper denture

Extension (buccal, labial, posterior
extension)
Retention
Stability
Lip contour
 Trying in Lower denture
Extension (buccal, labial, lingual,
posterior extension, under
extension)
Retention
Stability
Height of the occlusal plane
Try in Both dentures together
Check vertical dimension of
occlusion and rest
Prove centric relation record
Make protrusive record
Evenness of occlusal pressure
• Balanced occlusion

Appearance
• Central line
• Anterior plane

Shape & positioning of teeth in

 Both Dentures—
Amount of teeth visible
Regularity of the teeth
Posterior palatal seal
Extra-oral
Philtrum
Nasolabial fold
Mentolabial sulcus
Vermilion border
Patient profile
All these landmarks should be checked to have
suitable support, and correct shape.
 Phonetic test
Causes of speech defect in complete
denture:
Poor fit
Improper arrangement of teeth
High vertical dimension
Reduced tongue space

Phonetic Test:
Sibilant sounds
Fricative sounds
 Sibilant sounds (‘S’, ‘Z’‘T’ ‘CH’ ‘SH’,
‘sixty-six’, ‘Mississippi’) - upper and
lower incisors should approach end
to end relationship
 Fricative sounds (F, V, ‘Fifty-Five’ ,
ask patient to count from 50 to 60) -
upper incisal edges should just touch
the posterior one third of the lower
lip
 Patient approval of the appearance

After carrying out any corrections

that are necessary, obtain the
patient’s comments. Do not
proceed to finish unless the patient
is satisfied, especially with the
appearance (record this in the
notes).
If any changes have been made to
the vertical dimension, centric
position, tooth position, or
excursive contacts, then these
aspects of the setup should be
rechecked in a 2nd try-in
appointment
 Completion of the Laboratory Prescription
Complete the laboratory prescription, requesting
processing, finishing and polishing of the denture.
You should also request the lab remount the dentures
and adjust the occlusion to compensate for processing
changes.
Ask the lab to fabricate a remount record and casts,
which will be used at the delivery appointment.
Add any special instructions for touchup of the wax-up
or other unique requirements & send to the laboratory
with the dentures.
THE END