Jaw relationship assessment for removable complete dentures using the t-scan computerised system - a case report

For obtaining the perfect balance of a removable complete denture, we have a few clinical procedures to complete, but only the analysis of the occlusal load distribution at various vertical dimensions of occlusion can give us the precise data. The patient selected for this case report was a 35 years old edentulous female who requested prosthetic treatment with complete removable dentures. We followed the usual clinical steps of obtaining an acrylic denture, as well as the T-Scan III analysis during the jaw registration, in different conditions: with the occlusal wax rims, and with the trial denture in the next step, registering three different occlusal vertical dimension - understated, overstated and ideal height. Using these dimensions, we realized four mock-ups, two at the proper vertical dimensions, with various types of tooth color and shape. We analyzed the mock-ups using the T-scan III system. After the dental prosthesis was manufactured, we made another measurement with the T-scan III system. After analyzing all the data from the T-scan III system, we distinguished that the most suitable solution for the patient was the proper dimension mock-up with D2 shade. Although the registered situations were satisfactory, the aesthetic issues are essential, and the functional aspects are fundamental, the most suitable solution in this case, was the mock-up with proper dimensions.