benchMASTERY

STEP-BY-STEP BLUELINE

Function and
esthetics BlueLine Denture Teeth System
Features
• Constructed of state-of-the-art
Creating dentures using the BlueLine Denture Teeth and Stratos Articulator. double-cross-linked (DCL) material for
improved wear behavior of implant dentures
Information provided by Ivoclar Vivadent Inc.
• Available in A-D shades and bleach shades

In dentistry, the most challenging a must. Innovative systems also tor system provide technicians with • Life-like esthetics

part of the job is finding the right
systems to use. Of all the tech-
niques and systems, the best is one
that is precise and flexible enough
to apply to every case that comes
through the door.
In the case of a removable
prosthesis for an edentulous
patient, the right balance of effi-
ciency and effectiveness in the
laboratory—and the operatory—is
give technicians and practitioners
the ability to produce a profitable
and successful outcome every
time. When dentists and patients
are provided an esthetic denture
that is functional, predictable and
one that can be relied upon con-
sistently, the ultimate value-added
service is delivered.
The BlueLine Denture Teeth
System and the Stratos Articula-
a step-by-step method for denture
set-ups (Fig. A). Each step in the
process is subdivided into modules
that not only increase efficiency
and accuracy, but also reduce the
need for re-sets. This saves time
and instills confidence in the den-
tist, technician, and patient.
The Stratos quick-set articu-
lator system features a magnetic
flat table and quick set template,
• Large selection of molds
• Shade matching for fixed dentures
• Strong bond to denture base materials
Ivoclar Vivadent Inc.
www.ivoclarvivadent.com
info@ivoclarvivadent.com
U.S. Canada
175 Pineview Drive 2785 Skymark Ave.
Amherst, NY 14228 Mississauga, ON L4W 4Y3
800-533-6825 800-263-8182

Fig. A A display of the BlueLine set-up and Fig. B The occlusal rim is mounted and aligned Fig. C Adhesive tape is applied parallel to the
Stratos Articulator system by Ivoclar Vivadent. with the midline and labial portion of the rim. etched horizontal line on the set-up table.

Fig. D The labial position of the occlusal rim is outlined Fig. E Two-thirds of the retro-molar pad is Fig. F A cast analysis of the maxillary and
to capture the facial position of the esthetic smile line. located and marked on the land area. mandibular regions is completed.

Fig. G Set the maxillary centrals, align the midline, Fig. H Set the remainder of the anterior teeth and Fig. I The canines should turn the corner, and the first
and set facials perpendicular to set-up table. first premolars by following the arch line of the cast. premolar central fossa set directly over the ridge crest.

32 dentallabproducts June 2010 dlpmagazine.com


Fig. J The set-up table is removed and the
mandibular first premolars are positioned.
Fig. K The mandibular first
premolar is positioned between the
maxillary canine first premolar.
Fig. L The set-up table is aligned with the
distal edge of the mandibular canines.
Fig. M The medial lateral compensating
curve (i.e. curve of Wilson) is verified.
Fig. N The final wax-up is
ready for patient try-in.
dlpmagazine.com
which help to create a functional and accurate restoration
every time. The BlueLine Denture system features Trio quick-
set posterior segments that are set precisely and predictably
with the quick-set templates.
The technique described here represents a step-by-step
guide for creating dentures using the BlueLine Denture Teeth and
Stratos Articulator system to provide patients with functional,
esthetic, and predictable removable prostheses.
TECHNIQUE
01 The first step in this process is to take impressions of
the patient’s arches.
02 Once the impressions have been taken, it is necessary to
record the centric relation and vertical dimensions.
03 The midline and labial portion of the occlusal rim are
aligned to the etched horizontal line and midline by
mounting the maxillary cast on the flat set-up template (Fig. B).
04 Then, adhesive tape is applied parallel to the etched
horizontal line on the flat set-up table (Fig. C).
05 An outline of the labial position of the occlusal rim is
created in order to capture the facial position of the
esthetic smile line (Fig. D).
06 A cast analysis of the maxillary and mandibular casts
is then completed. Identify and circle the entire inci-
sive papilla and mark the center; identify crest of the maxillary
residual ridge, the hamular notch, and the post palatal seal and
mark; identify the mandibular ridge crest; and circle the entire
retro-molar pad. Note that two-thirds of the pad is also located
and marked on the land area (Figs. E, F).
07 Once the incisal pin is set at “0”, remove the occlusal
rim wax and set the maxillary centrals (Fig. G). Then,
align the midline and set the facial surfaces perpendicular to the
occlusal plane and slightly depress the neck inward, being sure
to maintain the arch outline. Also, be sure to keep the incisal
edges flat while they are on the set-up table.
08 Continue setting the remainder of the anterior teeth
while following the arch line, with the laterals half a
millimeter off the table and at a slight distal tilt of the axis (Fig.
H). The canines should be perpendicular to the flat set-up table,
with the corner turning at the distal of the canines. Once this is
complete, set the first premolars with the axis perpendicular to
the flat set-up table and the occlusal touching the table.
09 The canines should be turning the corner, with the distal
running parallel to the ridge crest and the first premolar
central fossa positioned directly over the ridge crest (Fig. I).
10 Remove the flat set-up template and position the man-
dibular first premolars in place (Fig. J), between the
maxillary canine and first premolar, into occlusion (Fig. K). At
benchMASTERY STEP-BY-STEP BLUELINE
this point, the axis of the mandibular first premolar should be
perpendicular and the central fossa should be over the ridge
crest, which was previously identified.
Note that the Trio lower posterior tooth system is available
in both lingual and semi-occlusal schemes. The mandibular first
premolar is unattached, which enables a smooth transition
from anterior to posterior teeth. The remaining teeth in the
Trio system are segmented together, with the compensating
curves of Spee and Wilson pre-designed into the segment. These
features greatly reduce the set-up time, all while increasing
occlusal accuracy.
11 Remove the maxillary cast and mount the 2.5 set-up
table on the Stratos system. The front of the set-up
table should be positioned so the underside is aligned with
the distal incisal edge of the mandibular canines (Fig. L). The
posterior portion also should be aligned, using two-thirds of the
retro-molar pad. The remaining segmented Trio teeth should be
set so the maximum cusp tips contact the underside of the 2.5
set-up and the central fossa of second premolar, as well as the
first molar over the ridge crest. The second molar central fossa
also will curve lingual on the ridge crest, by design.
12 Once this is complete, verify the mandibular central
fossa of the first and second premolar. The first molar
should be over the ridge crest and the second molar should not
be higher than two-thirds the height of the retro-molar pad.
13 Remove the 2.5 set up template and set the remaining
maxillary posterior teeth to the mandibular Trio oc-
clusal plane. The mandibular canines should be set at the same
height as the mandibular first premolar. It is then necessary to
verify medial lateral compensating curve, or curve of Wilson,
and make adjustments as necessary (Fig. M).
14 The mandibular centrals and laterals should be set with
a 1 to 1.5 horizontal and vertical overlap.
15 Take the completed set-up through lateral and pro-
trusive movements and adjust as necessary to obtain
proper balance and harmony of occlusion. Then, the final wax-
up should be completed for the patient try-in (Fig. N).
16 After the try-in and approval from the patient, the case
can be processed for final delivery.
CONCLUSION
Through the development of innovative products such as
BlueLine Denture Teeth, including Trio Posterior Segments,
and the Stratos Articulator system, struggling to find the right
removable prosthetic system for every application is a thing of
the past. When dealing with patients who are edentulous, the
right balance of efficiency and effectiveness in the laboratory is
a must in order to create a successful denture. Systems such as
BlueLine give technicians and practitioners the ability to provide
functional, esthetically pleasing, and predictable prostheses
to patients, no matter what the case, using repeatable and
simplified steps. lab
June 2010 dentallabproducts 33
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