Figure 1. Consultation with doctor and patient.

Figure 2. Pre-op view of the initial smile.

Figure 3. Retracted pre-op view.

Figure 4. The Pala Tray from Heraeus Kulzer.

Figure 5. After border molding, adjust any exposed tray areas with a bur, and apply a thin layer of fast-setting light body PVS on top of the entire impression.

Figure 6. Using the center pin on the mandibular tray and the Pala tracer on the maxillary tray, these techniques identify the precise point of centric relation. (CR).

Figure 7. You must find the correct VD before recording CR. Separate the tray posteriors to avoid interference when measuring VD, remove the impression overflow, attach center pin to mandibular tray, rotate the center pin clockwise to adjust it and use fingers to reach VD. Remove and adjust if needed.

Figure 8. Record the centric relation position by drilling a small dimple that is large enough for the centerpin knob to snap into. With the trays seated and center pin locked in, inject venus bite registration material between the trays. Once registration has set, remove trays from patient’s mouth.

Figure 9. Using the provided lip ruler, measure the upper length from the incisive papilla to upper lip line.

Figure 10. The prescription is completed and ready for shipment.