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| 1. Take an impression and pour a
model of the
maxillary full upper denture.
2. Using .06" thick plastic sheeting for vacuum
forming,
make a "suck-down" of the entire
3. Using orthodontic acrylic in a damp, doughy
stage, form
a DE on the warm stent that will oppose
4. When cutting away the stent from the model, follow
the borders
of the denture and do not remove
5. Snap the stent over the patient's denture and
instruct them
to wear it during sleep (along with
Typically, the patient's appearance may improve with the device in place, suggesting that the vertical dimension of occlusion of the denture was inadequate. The intensity of their clenching was most likely not the cause of their symptoms (full denture wearers can't generate the kind of intensity that someone with a full dentition can), but was caused/triggered/enhanced by the the over-closed rotation of their condyles during their clenching activity (it would not be unusual for a full-denture patient who clenches to complain of joint pain, whereas a primary clencher (who doesn't clench excursively) with a full dentition rarely complains of joint pain). |
| An example: -- -- -- |