Often I hear dentists say, "I hate to do dentures, they are so unpredictable." The same dentists say, "I like to do fixed restorations." I feel that the reason for this feeling is that fixed restorations are more predictable than complete dentures.
In 100 years, the clinical approach to the edentulous patient has been taught the same way. Impressions, bases, jaw relations, place in articulator. Wax-up is prepared and after try-in, dentures are processed and delivered. At this time the problems arise leading to patient dissatisfaction and dentist frustration. This approach seems to be flawed.
In fixed prosthodontics, the patient wears a provisional prior to the final restoration. The process goes like this --- 1) Visualize the finished case and wax-up; 2) provisionalize; 3) construct the final prosthesis using the wax-up and provisional as a guide. Very predictable.
The Turbyfill Technique 1) Visualize the final prosthesis. 2) Wax-up and try-in. 3) Placement of provisional treatment denture - using these dentures, all areas of concern are addressed - Esthetics - Function and Comfort are tried and tested to dentist and patient satisfaction. During the time the patient wears the provisional denture, they register ideal functional impressions. 4) Using the treatment denture as a guide the final prosthesis is constructed.
No dentist will satisfy every denture patient that is treated; however, with this method problems are usually evident as the patient wears the provisional. Clinically, only one in five patients will require any post insertion adjustments. Hard to believe!