Complete denture preclinic?

[monreal]

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How do you guys do border molding in sim-labs? Is there any kind of mannequin which allows you to do so? I tried to contact a couple of companies with no luck. Also, we have different kinds (3) of traditional mannequins, but all of them have very short upper lips, which give bad results after mounting. Any suggestions?

 

[Cold Front]

How do you guys do border molding in sim-labs? Is there any kind of mannequin which allows you to do so? I tried to contact a couple of companies with no luck. Also, we have different kinds (3) of traditional mannequins, but all of them have very short upper lips, which give bad results after mounting. Any suggestions?

At my program, we do it by hand.

 

[pmantz]

At marquette's denture course we actually make dentures for a patient. Most cases are relatively easy. The first time I border molded was on a live person. Considering the type of procedure it would seem almost useless to border mold on a manikin.

 

[open contact]

In maryland we did it on an edentlous dentoform. whatever. just for the record I hate remo, especially complete. Now complete over denture retained by implant thats a different story.

 

[monreal]

At marquette's denture course we actually make dentures for a patient. Most cases are relatively easy. The first time I border molded was on a live person. Considering the type of procedure it would seem almost useless to border mold on a manikin.

Thank you pmantz. This may be true, but last year when the students got to do centric relation recording and facebow transfer on mannequin, they felt better envolved and the attendings noticed a better understanding in clinics. Now I agree the best method is to practice on patient, but we can't afford that for now.

 

[monreal]

In maryland we did it on an edentlous dentoform. whatever. just for the record I hate remo, especially complete. Now complete over denture retained by implant thats a different story.

Thanks... we are using edentulous dentoforms, but we actually need cheeks to do the molding. How could you do that without rubber attached to the dentoform simulating cheeks. Just for the records, these steps are also required for implants retained overdentures.🙂

 

[I'mFillingFine]

We did them on edentulous mannequins attached to rods (no rubber masks over them) and just used the small vestible on the models to practice border molding. (True, no cheeks, but we just stuffed the PVS into the vestible and over the land area 🙂 )

 

[NileBDS]

How do you guys do border molding in sim-labs? Is there any kind of mannequin which allows you to do so? I tried to contact a couple of companies with no luck. Also, we have different kinds (3) of traditional mannequins, but all of them have very short upper lips, which give bad results after mounting. Any suggestions?

Gravity is a mean border molder.

On a more serious note, there really is not cheap or expensive way to teach edentulous border molding. Your best bet is to have them practice border molding on each other with alginates.

Are you training students or residents ?

 

[monreal]

Gravity is a mean border molder.

On a more serious note, there really is not cheap or expensive way to teach edentulous border molding. Your best bet is to have them practice border molding on each other with alginates.

Are you training students or residents ?

We are training second year students.


Previously our students used to watch movies before going into clinics. Not the ideal approach. Last year they were set into groups of 6-7 to watch the stuff on patients, but it was hard for them to keep focus in such long appointments. The clinic director was not happy either to have them over there. So we are trying to let them make a complete denture from A to Z on mannequins. But it isn't easy:

1- The ears and nose (necessary to determine Camper) are incorporated into the ruber part. Their positions depend on how the student adjusts the mannequin (not a big deal we can do that for them, but still a hassle).
2- The interioposterior position of the upper dentoform is not always practical to transfer using the facebow
3- No cheeks for border molding
4- Short lips which make the result too gummy

Despite of these difficulties, they seemed happy to get such an experience.

Does anybody know of a company producing some denture friendly mannequins?

 

[lionelhutz]

I think that as long as you understand why you're doing border molding is enough. A mannequin can never be like a live person. And border molding is one of the things that is ok to mess up on since you can just take the wax off and repeat on your patient.

 

[1992Corolla]

we fashioned 'cheeks' out of reprosil putty, just to get a feel for the method. A lot of denture training pre-patient is unfortunately pretty basic and done haphazardly. Our facebow transfers on a mannequin head (with no ear holes) looked worse than if we had just hand articulated. These were done on edentulous models as well. I think it would be safe to say that the BEST training comes from the hands on patient experience.

On your understanding concepts note, your students could do facebow transfers on each other for that concept. Maybe get some edentulous volunteers and compensate them for the time they give to come to the preclinic and have 100 hands placed in their mouth.😀