Finishing dentures on overextended casts.

[JKraver]

Don’t you work for your brother?

I do. It is a double edged sword in getting what you want. If it is best for the case I generally get it, but I don't necessarily get what I want, and I still get the do what you can anyway.

 

[Denturepropgh]

Does everyone's doctors utilize the muscle trimming technique for better establishing the borders of a denture? To clarify, My dentist has all the assistants taking impressions pretty much except for washes and relines. They just put the alginate loaded trays in the mouth and let the borders go where they want to go, doing no manipulation of the lips/cheeks whatsoever. They don't do final impressions, as they don't think they are profittable. I can see just fine on a proper cast from a border-moulded final impression. I just had upper and lower relines yesterday, went to deliver and I had to reduce the periphery on both by 4mm. Dr. told patient to just use fixodent. The doctor took those impressions. That outcome upset me, not because of the extra work but that relines should fit pretty much right off the jig. But what did it even more was the Dr. coming in at the end of the day and saying they "don't know how many dentures I have finished but they want to get somebody in to help me. Not that I'm saying you don't know what you are doing.....Every lab tech we've had here has had a tough time knowing where to finish to", No, that's EXACTLY what you are saying. I know what I'm doing just fine. So I am going to have a talk with my corporate boss, because either I need to get good at defining borders on crap models, or they need to take proper impressions. But this daily adjustment of every single denture is exhausting insanity that makes me reeeeeally sad.

Thanks for letting me vent. I'm a little heated.

 

[Doris A]

Does everyone's doctors utilize the muscle trimming technique for better establishing the borders of a denture? To clarify, My dentist has all the assistants taking impressions pretty much except for washes and relines. They just put the alginate loaded trays in the mouth and let the borders go where they want to go, doing no manipulation of the lips/cheeks whatsoever. They don't do final impressions, as they don't think they are profittable. I can see just fine on a properly border-moulded cast. I just had upper and lower relines yesterday, went to deliver and I had to reduce the periphery by 4mm. Dr. told patient to just use fixodent. The doctor took those impressions. That outcome upset me, but what did it even more was the Dr. coming in at the end of the day and saying they "don't know how many dentures I have finished but they want to get somebody in to help me. Not that I'm saying you don't know what you are doing.....Every lab tech we've had here has had a tough time knowing where to finish to", No, that's EXACTLY what you are saying. I know what I'm doing just fine. So I am going to have a talk with my corporate boss, because either I need to get good at defining borders on crap models, or they need to take proper impressions. But this daily adjustment of every single denture is exhausting insanity that makes me reeeeeally sad.

The writing is on the wall, time to move on.

 

[bigj1972]

Does everyone's doctors utilize the muscle trimming technique for better establishing the borders of a denture? To clarify, My dentist has all the assistants taking impressions pretty much except for washes and relines. They just put the alginate loaded trays in the mouth and let the borders go where they want to go, doing no manipulation of the lips/cheeks whatsoever. They don't do final impressions, as they don't think they are profittable. I can see just fine on a proper cast from a border-moulded final impression. I just had upper and lower relines yesterday, went to deliver and I had to reduce the periphery on both by 4mm. Dr. told patient to just use fixodent. The doctor took those impressions. That outcome upset me, not because of the extra work but that relines should fit pretty much right off the jig. But what did it even more was the Dr. coming in at the end of the day and saying they "don't know how many dentures I have finished but they want to get somebody in to help me. Not that I'm saying you don't know what you are doing.....Every lab tech we've had here has had a tough time knowing where to finish to", No, that's EXACTLY what you are saying. I know what I'm doing just fine. So I am going to have a talk with my corporate boss, because either I need to get good at defining borders on crap models, or they need to take proper impressions. But this daily adjustment of every single denture is exhausting insanity that makes me reeeeeally sad.

Thanks for letting me vent. I'm a little heated.

Give the cast, mark his own "margin". Lets see how smart he is.

 

[bigj1972]

Does everyone's doctors utilize the muscle trimming technique for better establishing the borders of a denture? To clarify, My dentist has all the assistants taking impressions pretty much except for washes and relines. They just put the alginate loaded trays in the mouth and let the borders go where they want to go, doing no manipulation of the lips/cheeks whatsoever. They don't do final impressions, as they don't think they are profittable. I can see just fine on a proper cast from a border-moulded final impression. I just had upper and lower relines yesterday, went to deliver and I had to reduce the periphery on both by 4mm. Dr. told patient to just use fixodent. The doctor took those impressions. That outcome upset me, not because of the extra work but that relines should fit pretty much right off the jig. But what did it even more was the Dr. coming in at the end of the day and saying they "don't know how many dentures I have finished but they want to get somebody in to help me. Not that I'm saying you don't know what you are doing.....Every lab tech we've had here has had a tough time knowing where to finish to", No, that's EXACTLY what you are saying. I know what I'm doing just fine. So I am going to have a talk with my corporate boss, because either I need to get good at defining borders on crap models, or they need to take proper impressions. But this daily adjustment of every single denture is exhausting insanity that makes me reeeeeally sad.

Thanks for letting me vent. I'm a little heated.

It is difficult to learn/ teach that line until it finally clicks.
1) its shorter than most think
2) if reline is over extended and not adjusted prior to impression, then the post denture will be overextended as well.
Because it is essentially a custom tray, if its bad to start, it won't magically get better.
Because it is a tray, it will blur that line vs original alginate impression.,

 

[JKraver]

Does everyone's doctors utilize the muscle trimming technique for better establishing the borders of a denture? To clarify, My dentist has all the assistants taking impressions pretty much except for washes and relines. They just put the alginate loaded trays in the mouth and let the borders go where they want to go, doing no manipulation of the lips/cheeks whatsoever. They don't do final impressions, as they don't think they are profittable. I can see just fine on a proper cast from a border-moulded final impression. I just had upper and lower relines yesterday, went to deliver and I had to reduce the periphery on both by 4mm. Dr. told patient to just use fixodent. The doctor took those impressions. That outcome upset me, not because of the extra work but that relines should fit pretty much right off the jig. But what did it even more was the Dr. coming in at the end of the day and saying they "don't know how many dentures I have finished but they want to get somebody in to help me. Not that I'm saying you don't know what you are doing.....Every lab tech we've had here has had a tough time knowing where to finish to", No, that's EXACTLY what you are saying. I know what I'm doing just fine. So I am going to have a talk with my corporate boss, because either I need to get good at defining borders on crap models, or they need to take proper impressions. But this daily adjustment of every single denture is exhausting insanity that makes me reeeeeally sad.

Thanks for letting me vent. I'm a little heated.

Well the panel of DLN judges says.... Stick it out and try to make it work or leave.

 

[Denture Dude]

Does everyone's doctors utilize the muscle trimming technique for better establishing the borders of a denture? To clarify, My dentist has all the assistants taking impressions pretty much except for washes and relines. They just put the alginate loaded trays in the mouth and let the borders go where they want to go, doing no manipulation of the lips/cheeks whatsoever. They don't do final impressions, as they don't think they are profittable. I can see just fine on a proper cast from a border-moulded final impression. I just had upper and lower relines yesterday, went to deliver and I had to reduce the periphery on both by 4mm. Dr. told patient to just use fixodent. The doctor took those impressions. That outcome upset me, not because of the extra work but that relines should fit pretty much right off the jig. But what did it even more was the Dr. coming in at the end of the day and saying they "don't know how many dentures I have finished but they want to get somebody in to help me. Not that I'm saying you don't know what you are doing.....Every lab tech we've had here has had a tough time knowing where to finish to", No, that's EXACTLY what you are saying. I know what I'm doing just fine. So I am going to have a talk with my corporate boss, because either I need to get good at defining borders on crap models, or they need to take proper impressions. But this daily adjustment of every single denture is exhausting insanity that makes me reeeeeally sad.

Thanks for letting me vent. I'm a little heated.

I’m in your boat buddy. Although not quite as tense from the sound of it, but close. Personally, I’d slash every border down to next nothing. Call it good. What in the h$ll else could a guy be expected to do. This is the norm today. It just is.

 

[Denture Dude]

‘Corporate boss’. All you really need to hear. Don’t expect much of what you say to get in. Hate to say it.