Complete Denture Checklist (Copy/Paste Case Submission Template)

This complete denture checklist is a copy/paste case submission template for digital complete dentures (clinic → CAD → lab). It standardizes ridge assessment, record rims, CR at selected VDO, occlusion concept selection, try-in strategy, manufacturing workflow, and QC gates.
Complete denture checklist CR at selected VDO Printed base + bonded teeth
COMPLETE DENTURE CHECKLIST — CASE SUBMISSION (DIGITAL WORKFLOW: Clinic + CAD + Lab)
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A) PATIENT / ADMIN (Clinic)
• Case ID / Date: ________ / ________
• Target delivery / next appointment date: ________
• Patient initials: ________   Age: ________   Sex: [M / F / Other]
• Arch(es): [Maxilla / Mandible / Both]
• Opposing: [Complete denture / Partial denture / Natural dentition / Implant-supported / Edentulous / Other: ____]
• Chief complaint: [Poor retention / Poor stability / Poor esthetics / Speech / Pain / Chewing / Other: ____]
• Denture history: [First denture / Experienced user / Refractory (multiple failures)]
• Expectations: [Low / Moderate / High (esthetic-critical)]
• Medical modifiers (tick): [None / Xerostomia / Diabetes / Parkinsonism / Stroke / Meds affecting saliva / Other: ____]
• TMJ / muscle symptoms: [None / Clicking / Pain / Limited opening / Myofascial pain] Notes: ______________

B) FACIAL + AESTHETIC + PHONETIC ANALYSIS (Clinic)
• Face form: [Square / Ovoid / Tapering / Square-ovoid / Ovoid-tapering / Combination]
• Profile & lip support target: [Maintain / Increase / Decrease / Unsure → Try-in recommended]
• Smile line: [Low / Average / High]
• Incisal display at rest: [Low / Ideal / Excess]  Metric: [ ___ mm visible / ___ mm hidden ]
• Midline: [Centered / Shift ___ mm to Right / Shift ___ mm to Left]
• Canine position guide: [Commissure line / Ala of nose / Existing denture / Case-selected]
• Occlusal plane reference: [Interpupillary / Ala-tragus / Camper’s / Combination]
• Phonetics risk: [Low / Medium / High]  Tests: [S / F-V / M] Notes: ______________________________
• Character request: [Natural youthful / Age-appropriate wear / Masculine / Feminine / Patient reference photos]

C) RIDGE + SOFT TISSUE + ANATOMY (Clinic)
• Max ridge support: [Favorable / Moderate / Compromised]  Cawood-Howell: [I / II / III / IV / V / VI]
• Mand ridge support: [Favorable / Moderate / Compromised] Cawood-Howell: [I / II / III / IV / V / VI]
• Jaw relationship: [Class I / Class II / Class III]  Interarch space: [Limited / Normal / Excessive]
• Mucosa: [Firm / Flabby (mobile) / Hyperkeratotic / Inflamed]  Pain threshold: [Low / Normal / High]
• Vestibule depth: [Deep / Moderate / Shallow]   Frenum: [Normal / High / Multiple high attachments]
• Undercuts: [None / Mild / Significant]  Tori/exostoses: [None / Palatal / Mandibular / Both]
• Saliva: [Normal / Xerostomia / Thick-ropey]   Gag reflex: [None / Mild / Severe]
• Neuromuscular control: [Good / Fair / Poor]   Tongue: [Normal / Large / Hyperactive]
• Special notes (surgery/relief/soft liner areas): ______________________________________________

D) IMPRESSION / SCAN STRATEGY (Clinic → CAD)
Choose ONE primary capture pathway:
1) Intraoral scan (edentulous): [IOS upper / IOS lower / Both]  Scanner: __________
2) Conventional impression → digitized:
   Impression: [Alginate / PVS / Compound + PVS wash / ZOE / Other: ____]
   Digitization: [Model scan / Impression scan]
Border molding: [Yes (compound) / Yes (PVS) / No / Partial]  Notes: _______________________________
Tissue philosophy: [Mucostatic / Selective pressure / Functional]  Describe tray/stop design: __________
Reference marks captured: [Midline / High lip line / Canine lines / Smile line / Papilla / Hamular notches]
Files/Items provided: [STL/PLY/OBJ / Physical model / Photos / Existing denture scan]

E) OCCLUSION RIMS / OCCLUSION BLOCKS (Record bases + rims) — NON-NEGOTIABLE
• Record base: [3D printed / Conventional acrylic / Milled]  Stability: [Stable / Minor rocking / Unstable → fix before CR/VDO]
• Rim material: [Wax / Resin / Composite]  Rim retention: [Good / Loose → re-make]
• Rim verification done: [Lip support / Occlusal plane / Midline / Canine lines / VDO screening / Phonetics]
• Indexing added: [Notches / Grooves / Keyed stops / None]
• Rim photos provided (recommended): [Rest / Smile / Profile] Notes: ________________________________

F) JAW RELATION RECORDS (CR + VDO) — CLINICALLY VERIFIED
• VDO plan: [Maintain / Increase ___ mm / Decrease ___ mm]
• VDO methods used (select all):
  [Physiologic rest (VDR) + freeway space / Facial thirds / Existing denture reference / Phonetics / Swallowing / Esthetics / Comfort]
• CR recording method (choose primary + confirmation):
  Primary: [Bimanual manipulation / Chin-point guidance / Gothic arch tracing / Lucia jig / Leaf gauge / Functional chew-in / Other: ____]
  Confirmation: [Repeatable closures x2–3 / Second record / Check base stability / Remount check]
• Record medium: [Wax / Elastomeric / Aluwax / Resin]
• Protrusive record: [Provided / Not provided]  (optional for programming VA)
• Facebow: [None / Arbitrary / Kinematic / Digital facebow reference]
• CR repeatability: [Good / Variable / Poor → Try-in strongly advised]
• Notes: ______________________________________________________________________

G) OCCLUSION CONCEPT (Decision + Rationale)
Primary concept: [Lingualized / Bilateral balanced / Monoplane (neutrocentric) / Linear / Modified (case-selected) / Other: ____]
Posterior cusp form: [0° / 10° / 20° / 30°]  Crossbite: [No / Unilateral / Bilateral]
Overjet/Overbite target: [Standard / Reduced overbite / Edge-to-edge / As indicated]
Balance goal: [Centric stability priority / Balanced excursions / Minimize lateral interferences]
Parafunction risk: [Low / Moderate / High] → plan: [Reduce inclines / Simplify cusps / Reinforced base / Night guard discussion]

H) TOOTH SELECTION + GINGIVAL AESTHETICS (Clinic intent → CAD execution)
• Anteriors: Shape: [Square / Ovoid / Tapering / Combination]  Size: [Small / Medium / Large]
• Posterior tooth type: [Anatomic / Semi-anatomic / Non-anatomic]
• Tooth library preference (CAD): [Generic library / Manufacturer library / Custom imported teeth / Case-selected]
• Shade system: [VITA Classical / VITA 3D-Master / Other: ____]  Tooth shade: ____  Incisal translucency: [Low / Medium / High]
• Gingival shade: [Light pink / Standard pink / Dark pink / Reddish / Custom note: ____]
• Characterization request:
  Teeth: [None / Mild texture / Wear facets (age-appropriate) / Stain & glaze (conservative)]
  Gingiva: [None / Mild tint / Advanced tint (veins, stippling) / Texture emphasis]
• Esthetic rules: [Natural asymmetry allowed / Strict symmetry / Open embrasures / Tight embrasures / Matte / Glossy]

I) TRY-IN STRATEGY (Choose ONE)
Try-in: [Required / Not required / Case-dependent]
Try-in type: [3D printed one-piece try-in / Printed base + set-up teeth / Wax try-in / No try-in (direct finish)]
Try-in approval checklist:
[Midline / Smile arc / Lip support / VDO comfort / S sounds / F-V sounds / Occlusal plane / Centric contacts / Border comfort]
Try-in outcome: [Approved / Minor edits / Major edits / Re-record needed] Notes: ______________________

J) DIGITAL DESIGN (CAD TEAM) — exocad / 3Shape / other
• CAD platform: [exocad denture module / 3Shape Denture System / Other: ____]
• Digital mounting: [Scan rims in relation / Average value VA / Programmed VA (records) / Facebow reference / Case-selected]
• Virtual articulator: [Average value / Arcon / Non-arcon / Specific system: ____]
• Occlusal setup method: [Library setup / Tooth editing (morphology) / Import custom teeth / Duplicate existing denture setup]
• Occlusal parameters (CAD): Centric contacts: [Light / Moderate / Firm]  Relief/offset: [None / Minimal / Case-selected]
• Base design requirements:
  Posterior palatal seal (PPS): [None / Conservative / Standard / Deep / Case-selected] Notes: _____________
  Relief areas: [Frena / Flabby ridge / Mid-palatal raphe / Tori relief / Other: ____]
  Flange thickness: [Standard / Thin / Reinforced]  Cameo contour: [Neutral zone guided / Standard / Case-selected]
  Engraving/ID: [Yes / No]  (Name/ID location): ______________________
• Bonded-teeth retention design (if printed base + bonded teeth):
  [Sockets / Keys / Diatorics / Mechanical undercuts / Chemical + mechanical] Notes: ____________________
• Notes for CAD designer: _______________________________________________________

K) MANUFACTURING WORKFLOW (Lab)
Choose workflow:
1) Printed base + bonded teeth (high esthetics / serviceable repairs)
2) Fully printed (fast / cost-effective / usually less esthetic depth)
3) Milled base ± milled teeth (high stability / depends on system)

Base material: [3D printed denture base resin / Heat-cured PMMA / Milled PMMA]
Teeth material: [Milled PMMA teeth / Prefabricated acrylic teeth / Printed teeth resin]
Bonding approach: [IFU chemical bonding / Mechanical retention + adhesive / Both]
Printing notes (if applicable): Layer: [50µm / 100µm / Other]  Orientation: [Case-selected]  Post-cure: [Per IFU]
Finishing: [High polish / Texture / Gingival stain / Tooth stain & glaze / None]
Stain/Glaze technician notes: ___________________________________________________

L) QC GATES (Lab + Clinic)
QC1 Records: [Stable bases / Verified CR at selected VDO / Indexed rims / Adequate photos]
QC2 CAD: [Midline-plane-smile arc verified / Occlusion concept applied / Tooth seating + retention verified]
QC3 Manufacturing: [No tooth drift / Clean interfaces / Fully seated teeth / Cure & post-cure per IFU]
QC4 Delivery: [Pressure spots relieved / Borders comfortable / Centric verified / Patient instructions / Follow-up booked]

M) REQUIRED FILES / ATTACHMENTS (Tick)
[ ] Full-face (rest)   [ ] Full-face (smile)   [ ] Profile (with rim in place if possible)
[ ] Retracted views (optional)   [ ] Shade reference photos (teeth + gingiva)
[ ] STL/PLY upper   [ ] STL/PLY lower   [ ] Bite/Relation file (rims in relation)
[ ] Try-in notes (if done)   [ ] Old denture reference photos (if relevant)

N) SCORING & CLASSIFICATION (Workflow Recommendation)
Assign points:
• Ridge support: Favorable=0 / Moderate=1 / Compromised=2
• Base stability: Stable=0 / Minor rocking=1 / Unstable=2
• Neuromuscular control: Good=0 / Fair=1 / Poor=2
• Parafunction overload risk: Low=0 / High=1
• Esthetic/phonetic uncertainty: Low=0 / High=2
• Jaw discrepancy (Class II/III or severe discrepancy): No=0 / Yes=1
• Refractory history (multiple failures): No=0 / Yes=1

TOTAL SCORE = ___ / 11

Interpretation:
• 0–3 = LOW → No-try-in only if CR/VDO is repeatable and rim verification is complete.
• 4–7 = MODERATE → Printed try-in recommended (reduces remakes). Consider lingualized for stability.
• 8–11 = HIGH → Try-in strongly recommended (often mandatory). Simplify occlusion (lingualized with reduced inclines or monoplane) based on control and ridge.

FINAL NOTES / SPECIAL REQUESTS:
______________________________________________________________________________
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Complete Denture Checklist (Copy/Paste Case Submission Template)

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