The JC Try-In Scan Appliance

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Transcript

Speaker 1 (00:05):
Today we are going to try in a couple of scan appliances, we’re going to try in the upper, we’re going to try in the lower separately to make sure that they fit with no wobble, that they have a nice positive seat. And then we’ll put both in and check the bite. And then we’ll take a bite and we’ll take a CT scan. So let’s try in the upper first.

Speaker 2 (00:28):
If I’m pinching anywhere, let me know.

Speaker 1 (00:34):
All right. So we just want to make sure that there stable. I think it’s mostly tissue contact on this, this arch. So as long as it feels stable and you’ll have a nice positive seat, then that’s what we’re looking for. Feels pretty solid, right?

Speaker 2 (00:50):
No rock.

Speaker 1 (00:52):
Okay. All right, good. Now let’s try to lower. All right. Now this has a lot bigger flange. I bet this is not very helpful at all. It’s like wearing a denture, but this is going to basically simulates a seating, a denture, and it does have lift one tooth in the interior, but really it’s a tissue supported, tissue supported guide. How does that one, how’s that one feeling?

Speaker 2 (01:21):
Feels pretty good. It’s just a slight, but go ahead and look your tongue. Oh, way up. There you go. No, not too

Speaker 1 (01:26):
So that could be a little bit of bounce on tissue. And that’s kind of expected.

Speaker 2 (01:31):
Yeah, the flange is pretty long, so,

Speaker 1 (01:33):
Okay. Is that pinching down here? Anywhere lower into your vestibule? No. Okay.

Speaker 2 (01:39):
Yeah. Pressing pretty hard on it too.

Speaker 1 (01:41):
All right. Okay. So I’d say they have seat. Well, okay, so now we’ll insert both. Sorry. Mouth full of plastic and

Speaker 3 (01:49):
My fingers. Yeah.

Speaker 1 (01:51):
So one they seat, it’ll be a little more comfortable. Now the idea here is that with both of them in, we want you to be able to bite down. You’re good. Oh, you tell me, right? I’m sorry. Bite. Bite. Too early. And we want to make sure that the occlusion is good. Now, these are with a lot of these, we make clasps, metal clasps, but we just can’t make it on these because we don’t have enough teeth to hold onto. But, so we’re going to make sure that when they’re seated they’re not, or when you’re biting down that they’re not rocking at all and that they have a nice full seat. And then can you tell us if it’s maybe hitting in one area before another? Oh, it’s digging down. Yeah. Digg down here. Yeah. Yeah, that’s down in the flange. Yeah. But you want to check to make sure that there’s no rock. But if you were to open a little bit and then close just a little bit and then bite down. Does that feel like in the teeth area? Does that feel like it’s hitting pretty evenly everywhere? Okay. Well, that’s what we’re looking for. Okay. All right. So with these tried in, so there’s a little bit of an aesthetic tryin too. I mean, we’re making this from our, tryin from our setup for dentures. And so the midline tooth shape, tooth size amount of exposure. That’s what we’re also having a look for here too.

Speaker 2 (03:17):
Open tap. Tap and open. Do you want to slide at all?

Speaker 1 (03:25):
Presume it’s, it’s holding it probably right?

Speaker 2 (03:29):
Okay. Yeah. Okay.

Speaker 1 (03:31):
Holding on that side. Lemme

Speaker 2 (03:33):
Just

Speaker 1 (03:33):
Try on

Speaker 2 (03:34):
The side. Right. And hold. And the whole

Speaker 1 (03:36):
Thing. Okay. All right. So we have bilateral contact.

Speaker 2 (03:40):
Do you care where the cotton rolls are at?

Speaker 1 (03:42):
Nope. Just, just bilaterally biting.

Speaker 2 (03:44):
Open. Open for me. So say open. It’s hard. I know. Go ahead and open for me.

Speaker 1 (03:58):
And they can even be sticking sideways. 2

Speaker 2 (04:01):
So chin in the clear. Chin rest for me.

Speaker 1 (04:05):
Do you think, are those holding the appliances seated?

Speaker 2 (04:09):
I have it on this one, yeah. On the actual appliance.

Speaker 1 (04:12):
Okay. So they’re not tipping or it’s, it’s holding them One up and one down. All right. Good.

Speaker 2 (04:18):
I’m going to straighten out your, there you go. Does that feel like you’re standing up straight? Okay. Try your very, very best not to move. Okay.

Speaker 1 (04:28):
Then we want to take this chin rests out unless your chin rests. Support of prosthetic, we’ll take this out and swap it out with a scanning table.

Speaker 2 (04:40):
Maybe you can edit out our thumb check. Yeah.

Speaker 1 (04:44):
So they come in all shapes and sizes, but that’s a scan table. And the appliances will sit right on top of this. We also want to make sure that there’s some separation, a little scan here, a separation between the plastic table and the appliance. Because they’re both made of resin and the scan, when it comes over, it’ll look like they’re the same material. We can’t separate them. So we always want the prosthetic floating above the plastic table, either on cotton rolls or a piece of foam. The gauze. The gauze should work. It’ll create enough of a space between the table and the appliance. So this is an upper, so just do teeth down on the upper and then teeth up on the lower. And next is the lower. All right. So this the plaintiff of occlusion isn’t that important? Just we want teeth up. All right. So we checked it with equilibration paper, and now we’re going to try them in and take a bite.

Speaker 4 (05:50):
And open. Sorry, is that your cheek? Is that better? Okay. Does that bite feel okay? Okay. Is that all right? Good. Just stay open. I’ll tell you when to close. Stay open. Yes, open. All right. Bite on your back teeth. The other side. He’s going to do one. I was going to do two of ’em, but it’s kind of, it’s kind of hard cause it’s not really staying in.

Speaker 1 (06:36):
There right now. Just don’t open, please.

Speaker 2 (06:38):
Just

Speaker 1 (06:38):
Right here. Yeah. And even, yeah, you see wherever there’s a little bit of a, an overjet gap, you can just fill that with material. Yep. And you can fill that. And then right under the anteriors, that’s it. Perfect. That captures the bites. All right. That took two bites. Always like taking section bites as opposed to one round house, so we can see how the teeth are coming together while it’s setting. And those are the records.

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