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ProJet Bite Fork Usage Instructions

This document provides instructions for taking a protrusive bite registration using a ProJet Bite fork. It describes: 1. Selecting the appropriate size (2mm or 4mm) ProJet Bite fork based on the prescribed appliance. 2. The fork has multiple slots - A for retruded, B for edge-to-edge, and C for +3mm protruded - to determine a comfortable but effective starting protrusion. 3. The registration should be taken at 60-70% of the patient's maximum comfortable protrusion to advance the airway opening.

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Rajshekhar Banerjee
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121 views1 page

ProJet Bite Fork Usage Instructions

This document provides instructions for taking a protrusive bite registration using a ProJet Bite fork. It describes: 1. Selecting the appropriate size (2mm or 4mm) ProJet Bite fork based on the prescribed appliance. 2. The fork has multiple slots - A for retruded, B for edge-to-edge, and C for +3mm protruded - to determine a comfortable but effective starting protrusion. 3. The registration should be taken at 60-70% of the patient's maximum comfortable protrusion to advance the airway opening.

Uploaded by

Rajshekhar Banerjee
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

ProJet Bite Instructions

A B C

1. Select the 2mm (Blue) or 4mm (White) ProJet Bite fork, depending on the prescribed appliance. Usually, the 4mm white
bite fork is suggested for a Sleep Device, but the Blue can be equally effective for vertical opening, if adequate wax or bite
registration material is added.
2. The upper has three slots A) Retruded, B) Protruded Edge to Edge, C) More Protruded.+3mm
3. The lower has one slot and may need to be trimmed if there is an irregular alignment of the lower incisors. You want the
patient to be able to close into the bite fork without having to shift to seat in the lower notch.
4. Check the midline position in centric and have the patient practice sliding his/her jaw forward
numerous times before taking the protrusive bite. You should be able to observe them com-
ing straight forward or veering to the right or left. Ideally, he/she will come straight forward,
RIGHT LEFT

but this is not always the case. Please note any variance from centric to the right or left, on
the lab slip.
5. Taking the protrusive construction bite is a subjective measurement, without more sophisticated tools for measuring air-
way opening in various positions. The standard advancement is to start the patient approximately 60-70% of their maxi-
mum protrusion. Have the patient extend their jaw as far as possible and make note of this extension.
6. Take the ProJet Bite and have the patient bite into slot A) Retruded, B) Protruded Edge to Edge, C) More Protruded
+3mm, to determine a comfortable, but effective starting position. You can ask him / her to try to snore and see which po-
sition seems more effective, but comfortable. The Sleep Device prescribed will be adjustable. Some devices are not easi-
ly adjusted to be less protrusive, unless requested. Increasing protrusion can be done at delivery and during treatment.
7. Checking the midlines as related to the centric bite, have the patient bite 4-5 times in the selected slot, A) Retruded, B)
Protruded Edge to Edge, C) More Protruded.+3mm
8. Using Wax—Soften a sheet of base plate wax in a hot water bath (160 Degrees) or Microwave heated water, Wrap each
arm of the ProJet Bite with the softened wax, extending posteriorly beyond the fork end to achieve adequate support for
laboratory articulation. Have the patient completely close into the wax and the upper and lower slots of the Projet Bite Fork,
maintaining the proper midline position. Cool the wax with an air syringe and remove the ProJet Bite. Chill in cold water.
9. Using Blue Mousse, Regisil, etc.—Squirt the Material on the fork either on one side for the patient to bite into and then add
the material to the other side and impress, or on both sides simultaneously.
10. Recheck the Projet Bite in the patient’s mouth and on the patient models, if available, Verifying the midline position and
adequate vertical and protrusive bite position, and patient comfort.

720 Sunrise Avenue, #230-A, Roseville, CA 95661


(916) 865-4528 [Link]

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