1. Take upper and lower preliminary digital scans OR impressions 

2. For impressions only: pour up (if they are not taken with a stable impression material for shipping)

3. Select a shade

Send back to Hatch Dental Lab:

• Upper and lower digital scans OR impressions OR models

• Shade selected

1. Paint the custom tray with tray adhesive

2. Take a final impression using your normal method (Be sure to use medium body polyvinyl siloxane - not light body) 

3. Use a scalpel blade to cut off any excess PVS (PVS that ran onto the wax OR is in the way of getting the occlusal vertical dimension) 

4. Using the custom tray and wax rim hybrid, establish the occlusal vertical dimension

5. Mark the midline and high lip line

6. Take a picture showing the patient's full face, wax rim(s)m, and the midline that was marked

7. Take a bite registration

8. Please, verify the bite is correct 3-5 times. If the bite is off at this step, the bite will be off at the next visit - resulting in another try-in. 

Send back to Hatch Dental Lab:

• Wax rim(s) and custom tray hybrid with the PVS inside (please do not pour up) 

• Bite registration 

• Email the picture

Note: The shade of the try-in material is a generic ivory shade so you are not checking the shade at this visit. The gingiva will be pink for delivery.

1. Try in the dentures and remove any sore spots so the patient can wear them comfortably

2. Check function: 

A) Occlusion 

B) Speech 

3. Check aesthetics: 

A) Midline 

B) Smile 

C)Tooth shape and size 

D) Tooth setup 

E) Upper teeth vs. lower teeth showing while talking and at rest 

F) Lip support

4. If everything looks good, and you do not want any changes, please call or email us to go fo finish. (Do not ship anything back.) 

What to do if you want changes?

• Is the bite correct?

  • • Yes, the bite is correct: (Changes are easy if the bite is correct)

      • • • Midline or cant of teeth needs to be moved or shifted: 

1. Mark on the denture where you want to move the midline. 

2. Take a picture showing their full face and the denture(s). 

3. Email the picture & notes detailing changes. (Do not ship anything back.)

• • • • • • Smile line changes: 

1. Take a picture showing their full face and the denture(s). 

2. Email the picture & notes detailing changes. (Do not ship anything back.)

• • • • • • Tooth shape and size changes: 

1. Take a picture showing their full face and the denture(s). 

2. Email the picture & notes detailing changes. (Do not ship anything back.)

• • • • • • Setup changes: 

1. Take a picture showing their full face and the denture(s). 

2. Email the picture & notes detailing changes. (Do not ship anything back.)

• • • • • • Amount of uppers or lowers showing changes: 

1. Take a picture and video of them talking - showing their full face and the denture(s). 

2. Email the picture and video & notes detailing changes*.  (Do not ship anything back.) 

*Please choose your preference - option 1 or option 2

Option 1: close the bite & leave the occlusal plane as is (this will show less lowers simply by closing the bite) 

Option 2: leave the vertical dimension as is & move the occlusal plane up or down

• • • • • • Lip Support Changes: 

1. Take a picture showing their full face and the denture(s). 

2. Email the picture & notes detailing changes. (Do not ship anything back.)

• • • • • • Patient is clacking while talking: 

1. Take a video of them talking. Please have them say words with "s sound" in it, "Mississippi", "a b c d e", "1 2 3 4 5 6 7 8 9 10". 

2. Email the video & how far you would like us to close the bite. (Do not ship anything back.)

• • • • • • Patient's bite is too closed: 

1. Take a video of them talking. Please have them say words with "s sound" in it, "Mississippi", "a b c d e", "1 2 3 4 5 6 7 8 9 10".  

2. Email the video & how far you would like us to open the bite. (Do not ship anything back.)

• • • • • • No retention: *Do not take the bite registration before the wash or the bite will be off

The try-in will be a good fit but not as good as the milled denture. If you have a good impression, without voids or anatomy missing, this will be the best fit possible. If there are voids, bubbles, or missing anatomy in the final impression, do a wash impression inside of the try-in denture as follows: 

1. Paint the try-in with tray adhesive

2. Put the PVS impression material in the try-in denture and take the impression as if you are doing a reline

• • • • • • • • • Do not seat the denture all the way with your fingers or the bite will be off. Seat the denture most of the way. Then, have the patient bite so the denture and impression material settle into their correct bite. Be sure to take the upper and lower impression at the same time (if you are doing an upper and lower denture together). If you do the upper first, and then the lower after, the bite will be off. 

3. Pull the denture out and trim any excess PVS with a scalpel blade

4. Put the denture in and make sure the bite and appearance of the denture have not changed while taking the impression

5. Take a new bite registration

6. Please verify the bite is correct 3-5 times. If the bite is off at this step, the bite will be off at the next visit - resulting in another try-in. 

Send back to Hatch Dental Lab:

• • • • • • • • • try-in denture(s) (with wash impression inside & opposing arch - if applicable)

                • bite registration

    • No, the bite is off: (Changes can still be made easily, but it will require a new bite registration and us receiving the physical case back)

      • • • Bite is off: 

1. Mark with articulating paper and grind in the occlusion until it has been corrected. 

2. Take a new bite registration. Please, verify the bite is correct 3-5 times. If the bite is off at this step, the bite will be off at the next visit - resulting in another try-in. 

Send back to Hatch Dental Lab:

• • • • • • • • try-in denture(s) (with wash impression inside & opposing arch - if applicable)

              • bite registration

          • Bite is off & other changes are wanted: 

1. Mark with articulating paper and grind in the occlusion until it has been corrected. 

2. Take a new bite registration. Please, verify the bite is correct 3-5 times. If the bite is off at this step, the bite will be off at the next visit - resulting in another try-in. 

3. Follow the steps under the previous section outlying what to do in each situation.

Send back to Hatch Dental Lab:

• • • • • • • • try-in denture(s) (with wash impression inside & opposing arch - if applicable)

              • bite registration

          • Bite is off & there is no retention: *Do not take the bite registration before the wash or the bite will be off

No retention: The try-in will be a good fit but not as good as the milled denture. If you have a good impression, without voids or anatomy missing, this will be the best fit possible. If there are voids, bubbles, or missing anatomy in the final impression, do a wash impression inside of the try-in denture as follows: 

1. Paint the try-in with tray adhesive

2. Put the PVS impression material in the try-in denture and take the impression as if you are doing a reline

Do not seat the denture all the way with your fingers or the bite will be off. Seat the denture most of the way. Then, have the patient bite so the denture and impression material settle into their correct bite. Be sure to take the upper and lower impression at the same time  (if you are doing an upper and lower denture together). If you do the upper first, and then the lower after, the bite will be off. 

3.  Pull the denture out and trim any excess PVS with a scalpel blade

4. Put the denture back in. Make sure the bite and appearance of the denture are correct. If the bite is still off, then grind in the occlusion (using articulating paper) before taking the new bite registration. 

5. Take a new bite registration.

6. Please verify the bite is correct 3-5 times. If the bite is off at this step, the bite will be off at the next visit - resulting in another try-in. 

Send back to Hatch Dental Lab:

• try-in denture(s) (with wash impression inside & opposing arch - if applicable)

• bite registration

1. Deliver the dentures and remove any sore spots so the patient can wear them comfortably

Patient Care and Cleaning Instructions for a Denture: 

• Clean denture daily with a toothbrush or Q-tip and cold water. Soap, or any over-the-counter mild cleaning agents indicated for oral devices, can also be used.

• Keep the appliance wet or damp while not in use.

• Store denture(s) in a protective case. Store in cool place, away from heat and sun, to avoid risk of distortion.

Replication is for a patient that has a denture they like and don't want any changes (except a new denture). This is a good option when the denture is breaking due to age or quality of the denture and the patient simply needs a new one to replicate the old one. Please note: this denture will replicate and not be an exact match to their denture. For this option, you will send us their existing denture (they will be without it for a few days due to shipping).

1. Paint the patient's denture(s) with tray adhesive

2. Put the PVS impression material in the denture and take the impression as if you are doing a reline

   • Do not seat the denture all the way with your fingers or the bite will be off. Seat the denture most of the way. Then, have the patient bite so the denture and impression material settle into their correct bite. Be sure to take the upper and lower impression at the same time (if you are doing an upper and lower denture together). If you do the upper first, and then the lower after, the bite will be off. 

3. Pull the denture out and trim any excess PVS with a scalpel blade 

4. Put the denture in and make sure the bite and appearance of the denture have not changed while taking the impression

5. Take a bite registration

6. Please verify the bite is correct 3-5 times. If the bite is off at this step, the bite will be off at the next visit - resulting in another try-in. 

Send back to Hatch Dental Lab:

• Denture(s) with wash impression inside & opposing arch (if applicable)

• Bite registration

• Notes detailing if you want any changes from their existing denture

Note: The shade of the try-in material is a generic ivory shade so you are not checking the shade at this visit. The gingiva will be pink for delivery.

1. Try in the dentures and remove any sore spots so the patient can wear them comfortably

2. Check function: 

A) Occlusion 

B) Speech 

3. Check aesthetics: 

A) Midline 

B) Smile 

C)Tooth shape and size 

D) Tooth setup 

E) Upper teeth vs. lower teeth showing while talking and at rest 

F) Lip support

4. If everything looks good, and you do not want any changes, please call or email us to go fo finish. (Do not ship anything back.) 

What to do if you want changes?

• Is the bite correct?

  • • Yes, the bite is correct: (Changes are easy if the bite is correct)

      • • • Midline or cant of teeth needs to be moved or shifted: 

1. Mark on the denture where you want to move the midline. 

2. Take a picture showing their full face and the denture(s). 

3. Email the picture & notes detailing changes. (Do not ship anything back.)

• • • • • • Smile line changes: 

1. Take a picture showing their full face and the denture(s). 

2. Email the picture & notes detailing changes. (Do not ship anything back.)

• • • • • • Tooth shape and size changes: 

1. Take a picture showing their full face and the denture(s). 

2. Email the picture & notes detailing changes. (Do not ship anything back.)

• • • • • • Setup changes: 

1. Take a picture showing their full face and the denture(s). 

2. Email the picture & notes detailing changes. (Do not ship anything back.)

• • • • • • Amount of uppers or lowers showing changes: 

1. Take a picture and video of them talking - showing their full face and the denture(s). 

2. Email the picture and video & notes detailing changes*.  (Do not ship anything back.) 

*Please choose your preference - option 1 or option 2

Option 1: close the bite & leave the occlusal plane as is (this will show less lowers simply by closing the bite) 

Option 2: leave the vertical dimension as is & move the occlusal plane up or down

• • • • • • Lip Support Changes: 

1. Take a picture showing their full face and the denture(s). 

2. Email the picture & notes detailing changes. (Do not ship anything back.)

• • • • • • Patient is clacking while talking: 

1. Take a video of them talking. Please have them say words with "s sound" in it, "Mississippi", "a b c d e", "1 2 3 4 5 6 7 8 9 10". 

2. Email the video & how far you would like us to close the bite. (Do not ship anything back.)

• • • • • • Patient's bite is too closed: 

1. Take a video of them talking. Please have them say words with "s sound" in it, "Mississippi", "a b c d e", "1 2 3 4 5 6 7 8 9 10".  

2. Email the video & how far you would like us to open the bite. (Do not ship anything back.)

• • • • • • No retention: *Do not take the bite registration before the wash or the bite will be off

The try-in will be a good fit but not as good as the milled denture. If you have a good impression, without voids or anatomy missing, this will be the best fit possible. If there are voids, bubbles, or missing anatomy in the final impression, do a wash impression inside of the try-in denture as follows: 

1. Paint the try-in with tray adhesive

2. Put the PVS impression material in the try-in denture and take the impression as if you are doing a reline

• • • • • • • • • Do not seat the denture all the way with your fingers or the bite will be off. Seat the denture most of the way. Then, have the patient bite so the denture and impression material settle into their correct bite. Be sure to take the upper and lower impression at the same time  (if you are doing an upper and lower denture together). If you do the upper first, and then the lower after, the bite will be off. 

3. Pull the denture out and trim any excess PVS with a scalpel blade

4. Put the denture in and make sure the bite and appearance of the denture have not changed while taking the impression

5. Take a new bite registration

6. Please verify the bite is correct 3-5 times. If the bite is off at this step, the bite will be off at the next visit - resulting in another try-in. 

Send back to Hatch Dental Lab:

• • • • • • • • • try-in denture(s) (with wash impression inside & opposing arch - if applicable)

                • bite registration

    • No, the bite is off: (Changes can still be made easily, but it will require a new bite registration and us receiving the physical case back)

      • • • Bite is off: 

1. Mark with articulating paper and grind in the occlusion until it has been corrected. 

2. Take a new bite registration. Please, verify the bite is correct 3-5 times. If the bite is off at this step, the bite will be off at the next visit - resulting in another try-in. 

Send back to Hatch Dental Lab:

• • • • • • • • try-in denture(s) (with wash impression inside & opposing arch - if applicable)

              • bite registration

          • Bite is off & other changes are wanted: 

1. Mark with articulating paper and grind in the occlusion until it has been corrected. 

2. Take a new bite registration. Please, verify the bite is correct 3-5 times. If the bite is off at this step, the bite will be off at the next visit - resulting in another try-in. 

3. Follow the steps under the previous section outlying what to do in each situation.

Send back to Hatch Dental Lab:

• • • • • • • • try-in denture(s) (with wash impression inside & opposing arch - if applicable)

              • bite registration

          • Bite is off & there is no retention: *Do not take the bite registration before the wash or the bite will be off

No retention: The try-in will be a good fit but not as good as the milled denture. If you have a good impression, without voids or anatomy missing, this will be the best fit possible. If there are voids, bubbles, or missing anatomy in the final impression, do a wash impression inside of the try-in denture as follows: 

1. Paint the try-in with tray adhesive

2. Put the PVS impression material in the try-in denture and take the impression as if you are doing a reline

Do not seat the denture all the way with your fingers or the bite will be off. Seat the denture most of the way. Then, have the patient bite so the denture and impression material settle into their correct bite. Be sure to take the upper and lower impression at the same time  (if you are doing an upper and lower denture together). If you do the upper first, and then the lower after, the bite will be off. 

3.  Pull the denture out and trim any excess PVS with a scalpel blade

4. Put the denture in and make sure the bite and appearance of the denture have not changed while taking the impression

5. Take a new bite registration.

6. Please verify the bite is correct 3-5 times. If the bite is off at this step, the bite will be off at the next visit - resulting in another try-in. 

Send back to Hatch Dental Lab:

• try-in denture(s) (with wash impression inside & opposing arch - if applicable)

• bite registration

1. Deliver the dentures and remove any sore spots so the patient can wear them comfortably

Patient Care and Cleaning Instructions for a Denture: 

• Clean denture daily with a toothbrush or Q-tip and cold water. Soap, or any over-the-counter mild cleaning agents indicated for oral devices, can also be used.

• Keep the appliance wet or damp while not in use.

• Store denture(s) in a protective case. Store in cool place, away from heat and sun, to avoid risk of distortion.

1. Take upper and lower digital scans OR impressions 

2. For physical impressions only: pour up (if they are not taken with a stable impression material for shipping)

3. For impressions/models only: Take a bite registration

4. Select a shade

Send back to Hatch Dental Lab:

• Upper and lower digital scans OR impressions OR models

• For impressions/models only: Bite registration 

• Shade selected

• Teeth numbers you would like replaced with the flipper

1. Deliver the flipper and remove any sore spots so the patient can wear it comfortably

Patient Care and Cleaning Instructions for a Flipper: 

•Clean flipper daily with a toothbrush or Q-tip and cold water. Soap, or any over-the-counter mild cleaning agents indicated for oral devices, can also be used.

• Keep the appliance wet or damp while not in use.

• Store flipper in a protective case. Store in cool place, away from heat and sun, to avoid risk of distortion.

1. Take upper and lower digital scans OR impressions 

2. For impressions only: pour up (if they are not taken with a stable impression material for shipping)

3. For impressions/models only: take a bite registration

Send back to Hatch Dental Lab:

• Upper and lower digital scans OR impressions OR models

• For impressions/models only: Bite registration

1. Warm up the night guard to about 100°F  by running under warm water for 5-10 seconds

2. Insert in the patient mouth and leave for 5-10 seconds

3. Check occlusion and retention (there should be very little to no occlusal adjustment)

4. Make sure the patient is not able to get the night guard off with their tongue so they do not risk swallowing while sleeping

Patient Care and Cleaning Instructions for a 3D Printed Night Guard: 

• Clean night guard daily with a toothbrush or Q-tip and cold water. Soap, or any over-the-counter mild cleaning agents indicated for oral devices, also can be used.

• Do not soak the appliance for a long period of time, no more than 3 hours.

• Dry the appliance before storage.

• Store night guard in a protective case. Store in a cool place, away from heat and sun, to avoid risk of distortion.                                                                                                                                                                                                                                                                                  Patient Care and Cleaning Instructions for a Milled Night Guard: 

• Clean night guard daily with a toothbrush or Q-tip and cold water. Soap, or any over-the-counter mild cleaning agents indicated for oral devices, also can be used.

• Keep the appliance wet or damp while not in use.

• Store night guard in a protective case.  Store in cool place, away from heat and sun, to avoid risk of distortion.

1. Take upper and/or lower digital scans OR impressions 

2. For traditional impressions only: pour up (if they are not taken with a stable impression material for shipping)

Send back to Hatch Dental Lab:

• Upper and/or lower digital scans OR impressions OR models

1. Bleaching material is placed into the finished tray. The filled tray is placed into the patient’s mouth according to bleach manufacturer’s instructions for use.

2. Store the bleach trays dry, out of direct sunlight and excessive heat.

3. They may be used over and over.

Patient Care and Cleaning Instructions for a Cosmetic Whitening Tray: 

• Between uses, clean bleach tray with a toothbrush or Q-tip and cold water.

• Dry the appliance before storage.

• Store whitening trays in a protective case. Store in a cool place, dry, away from heat and sun, to avoid risk of distortion.

1. Take upper and/or lower digital scans OR impressions 

2. For impressions only: pour up (if they are not taken with a stable impression material for shipping)

Send back to Hatch Dental Lab:

• Upper and/or lower digital scans OR impressions OR models

1. Deliver the retainer and verify that the patient can wear it comfortably

Patient Care and Cleaning Instructions for a Retainer:

• Clean retainer daily with a toothbrush or Q-tip and cold water. Soap, or any over-the-counter mild cleaning agents indicated for oral devices, also can be used.

• Dry the appliance before storage.

• Store retainers in a protective case.  Store in cool place, away from heat and sun, to avoid risk of distortion.

1. Paint the patient's denture with tray adhesive

2. Put the PVS impression material in the denture and take the impression as if you are doing a reline

   1. Do not seat the denture all the way with your fingers or the bite will be off. Seat the denture most of the way. Then, have the patient bite so the denture and impression material settle into their correct bite. Be sure to take the upper and lower impression at the same time (if you are doing an upper and lower denture together). If you do the upper first, and then the lower after, the bite will be off. 

3. Pull the denture out and trim any excess PVS with a scalpel blade

4. Put the denture in and make sure the bite and appearance of the denture have not changed while taking the impression

Send back to Hatch Dental Lab:

• denture(s) with wash impression inside

• For an overdenture: please send the denture attachment processing assembly you wish to be placed in the denture. Be sure the impression coping, or denture attachment processing assembly, are "picked up" in the impression material and are not rocking. We stock Locator and R-TX by Zest Dental Solutions. If it is any other restorative system, before sending the denture, please call ahead to make sure we have your implant system analogs in stock - or so that we can order them. 

1. Deliver the denture and remove any sore spots so the patient can wear it comfortably

1. If the denture is broken in half, be sure it goes together easily and we can see exactly how it lines up.  If the patient tried an "at home" repair, and it no longer matches together, we cannot repair the denture.  If we milled or printed the denture within the last 5 years, we can remill or reprint it. 

Send back to Hatch Dental Lab:

• Repair: the broken denture 

• Remake: call with patient name & date we made the original denture 

1. Deliver the denture and remove any sore spots so the patient can it them comfortably