Digital/Analog Combo for Inadequate Bite in Immediate Denture Workflow (IS2-D) (3 Visits)

By Last Updated: September 11th, 20233.5 min readTags: , ,
Digital/Analog Combo for Inadequate Bite in Immediate Denture Workflow (IS2-D) (3 Visits)

Your patient needs a denture, but there's not enough dentition present to capture the bite. This workflow uses a combination of digital and analog products to get your patient where they need to be.


Overview for this Workflow

Traditional immediate dentures are frought with potential problems.  Digital doesn’t cure this, but it alleviates several of the common issues found in immediate solutions.

When your patient presents with inadequate tooth structure to accurately capture the bite, we can help accomplish that AND keep your impressions and work to a fully digital solution (with a little help from pink wax).

The final result is a Digital Denture stored in the RDL Design Vault for up to 10 years and available to you as their clinician to use for diagnostics in the patient’s future cases.

Patient Identification

Benefits of This Workflow

The primary benefit of the Fully Digital Immediate Denture Workflow with your chairside scanner is that the records are digitized and the patient’s future treatment options are easier to manage.  No significant improvement in chair visits can be had with this method.

Clinical and Lab Goals

Indications & Contraindications

Setting Patient Expectations

Before you begin, explain to the patient that you’re going to be using the latest technology. Focus on explaining we can “3D Image” your mouth and it becomes permanently digital. In the future, we won’t have to “start from scratch” because we have this as a baseline.

This 3D capture of the patient’s mouth is an excellent diagnostic tool in the design process, and something that would be destroyed in the process of fabricating a traditional denture. Digital Imaging improves patient outcomes.

First Clinical Visit

Denture Shade Guide

In this visit, you will capture the key diagnostic impressions needed to complete the case

First Visit Keys to Success

  • Scan the patient’s arch with the appropriate scanning protocol for your intraoral scanner.
  • Make sure the following landmarks are captured:
    • Maxillary
      • Maxillary Tuberosities, including posterior to the tuberosities.
      • Muscle Attachments
      • Periphery/vestibule areas captured cleanly and without scatter or gaps
    • Mandible
      • Periphery captured without scatter or overlap
      • Muscle Attachments
      • Retromolar Pad
  • Take the Hero Shot

First Laboratory Procedure

The laboratory will use the initial scan of the patient’s affected arch to fabricate a traditional bite block.

Please Note: RDL is currently working on identifying a solution to the problem of adequately capturing vertical in patient’s with insufficient contact.  As soon as a viable solution is found this workflow will be updated.

The Lab Will Return:

  • The Wax Rim / Bite Block

Second Clinical Visit

Bite Capture

The Lab will return a partial arch wax rim to you with appropriate structures to capture the bite scan.

Chairside, you will scan the patient both WITH and WITHOUT the partial AND capture the bite with the appliance in the mouth.  Send this information to the lab for us to begin the denture design process.

Second Laboratory Procedure

At the lab, we will do Basic Smile Design and evaluation, design the denture according to any specifications required, and produce a 3D Printed, high quality, repeatable denture with a 10-Year Vault Guarantee.

  • Basic Smile Design
  • Denture Design
  • Denture Production

The Lab Will Return:

  • The Patient’s New Denture

Final Clinical Visit


The patient’s new, digitally designed and fabricated denture should be ready for delivery with minimal adjustments after extractions. The new digital record can be used as a reference for the patient’s final denture down the road, and will provide the lab with more diagnostic information than if we had followed traditional impression procedures.