Introduction
Once the master casts exist, the dentist must transfer to the laboratory how the edentulous jaws relate to each other: how high (vertical dimension), where (centric relation) and which plane the teeth will follow. This is done with record bases and occlusal rims.
Record (base) plates
A temporary base adapted to the master cast that carries the occlusal rim.
- Well adapted, rigid, dimensionally stable and retentive.
- About 1 mm thick over the crest and facial slope (room for teeth), 2 mm on the palatal and lingual flanges.
- Smooth, rounded borders; the lower plate reinforced with wire on the lingual side.
Occlusal rims
Together the two rims are about 40 mm high: the typical height of the edentulous jaws.
Recording the interocclusal relationship
- Upper rim first: adjust for lip support; trim so it shows about 2 mm below the relaxed upper lip; make it parallel to the interpupillary line (front) and Camper's line (side), checked with a Fox plane.
- Vertical dimension: find the rest vertical dimension (phonetics, swallowing, relaxed lips), subtract a freeway space of 2–4 mm (seen at the premolars), and trim the lower rim to that occlusal vertical dimension.
- Centric relation: guide the mandible back to its unstrained hinge position (the patient may swallow or touch the tongue to the back of the palate). V-shaped notches 1–2 mm deep in the premolar–molar area of one rim, and soft wax or bite paste on the other, lock the rims together; or a gothic arch tracer is used.
- Mark the rims: midline, canine lines (corners of the mouth), high and low smile lines. They guide tooth size and position.
- Fix the rims together with Π-shaped clamps or a heated knife in the premolar region, and remove from the mouth in one piece.