Transition Toward Digital Dentures: Prescription – Communication Tools

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Rewritten Transcript

And looking back at our communication tools – the denture gauge and the papillameter are wonderful optional tools, especially when starting from scratch without any existing denture information for the design technician. You can measure the patient’s existing denture and lip lengths, providing helpful data for the lab, particularly in that direct tooth setup workflow. More details are available in the attached instruction for use documentation.

Lastly, regarding the prescription form, Roane Dental Labs certainly has prescription forms available, and this could serve as an adjunct. If having a denture manufactured with the Ivo system, your first choice will be selecting the manufacturing process: the artificial tooth process, the oversized process as mentioned, or the new monolithic Ivo disc process.

Then you’ll identify an anterior tooth mold of your preference. You don’t need to select the other teeth, as those will automatically harmonize with your anterior pick. Specify the tooth shade and choose between a semi-anatomic or lingualized occlusal scheme. Finally, select the desired gingival shade.

Note that shade and tooth mold options may currently have some limitations for the new Ivo disc compared to the other processes, as we continue expanding that portfolio over time.

List any optional tools utilized, like the denture gauge, papillameter, or the UTS CAD – which is only required for the direct-to-try workflow, not the others.

Regarding purchasing, Dr. Frank asked if those items come in a kit. The denture gauge and papillameter can be bought individually, but I’d encourage looking into Ivoclar’s “Smile Design Kit” which bundles the centric tray, papillameter, fox plane, denture gauge, shade guides, and mold guides at essentially cost. It’s more economical than buying each component separately if you need them all for analog and digital denture setups.

The only exception is the UTS CAD, which would require a separate purchase as it’s specific to that direct tooth setup workflow. You could certainly get started without it by focusing on the other workflows initially.

The reverse side of the prescription form provides a handy checklist of aspects to evaluate and communicate to the lab – use it as a reminder to ensure you’ve considered midline position, tooth positions relative to existing dentures, occlusal plane inclination, etc. When providing a wax rim bite, ensure it truly represents your desired tooth positions, as that information directly guides the tooth setup, without room for second-guessing.

While this form is merely a suggestion, it provides ample room for comments and notes as you adjust to developing these new communication channels with the lab throughout the digital workflow process. It may take some time to adapt, but having guides like this will certainly help smooth that transition.

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