JIACD
The Journal of Implant & Advanced Clinical Dentistry
Is Massad's technique the gold standard for dentures?
Sun, 02/15/2009 - 12:18 — DrTimberlake
I need to refine my denture technique. I know Dr. Massad is the king of removeable. I know he puts on many CE courses on the Massad's approach to dentures, I like to make my removable more predictable. I find myself winging it and hoping for the best outcome. I like to make denture cases easier? I need help?????


Massad technique
I think what we need to take away from the Massad technique is use of trays specifically designed for the edentulous arch. Preliminary impressions worked well when we were using rubber base and custom trays but today PVS is a much more stable and accurate impression material and with the stock edentulous trays there is no need to fabricate custom trays. The Massad trays from Caulk are very nice and reasonably priced so they can be modified intraorally to get a custom fit. I do not go to the same extent as Massad does with multiple impression visocities but do use a putty to border mold then wash it with a medium body. if you want more predictable removable prosthetics I would suggest having the lab fabricate Eclipse baseplates and return them with wax rims. These baseplates become part of the final denture and have better fit then heat processed acrylic (ie Lucitone) which has a shrinkage of 7% whereas Eclipse has a 3% shrinkage. Also your able to judge the retention and fit at the records appointment when taking the bite with the rims. How it fits then is how the final will fit. But it all starts with an accurate impression capturng all the necessary landmarks.
Complete dentures: A technique that works well.
I still make a compound prelim impression and place a light bodied pvs wash for the final. This seems to work well. I also make a custom tray for cases that have redundant tissue, and paint the tissue with the zoe impression material. I make rims or use a centric bearing device and fast set plaster for the V&C. I do not make alginate final impressions. I guess I am still "old school". I am not to knowledgeable about Dr. Moussad's technique, so I do not have an opinion on this but I am receptive to learn.