Abstract: A may comprise a first optical fiber and an optical interface connected to the first optical fiber. The optical interface may be configured to transfer laser light from the first optical fiber to a second optical fiber in a drill bit. The second optical fiber may propagate the laser light to a face of the drill bit to create an ultrasonic emission.

Abstract: Systems, computer-implemented methods, and computer program products are provided for automated planning of a cutting boundary for removal of a diseased region of an anatomy, such as a bone tumor. A model is provided for the diseased region of the anatomy, and optionally, a healthy region of the anatomy. One or more cutting geometries are defined relative the diseased region. Algorithms are provided which enable automated optimization of characteristics (e.g., shape, size, position, orientation) of the cutting geometries relative to the diseased region in order to plan for complete removal of the diseased region, en bloc, while minimizing an amount of healthy region to be removed.

Abstract: Systems and methods for prosthetic implant revision surgery may include a robot having a robotic arm for attaching multiple surgical tools. The robot may generate a surgical plan for attaching the surgical tools to the robotic arm (e.g., a large diameter wheel, an in-line cutting tip, a posterior curved cradle, a reciprocal saw, a long burr, a trephine reamer, an osteotome, a keel remover, etc.) and performing the steps to remove an anterior flange/cap of a prosthetic knee and debond cement from bone within the intramedullary canal of a tibia or femur. The robot may include cameras and/or tracking devices for mapping/generating a three-dimensional model of an operating space and the implant, and determine precise planes and angles for approaching the implant with the surgical tools. Accordingly, the systems and methods may perform revision surgery with less bone loss than previous techniques and may result in more reproducible outcomes.

Abstract: Embodiments include a system for determining cardiovascular information for a patient. The system may include at least one computer system configured to receive patient-specific data regarding a geometry of the patient's heart, and create a three-dimensional model representing at least a portion of the patient's heart based on the patient-specific data. The at least one computer system may be further configured to create a physics-based model relating to a blood flow characteristic of the patient's heart and determine a fractional flow reserve within the patient's heart based on the three-dimensional model and the physics-based model.

Abstract: An automated surgical system includes a visualization system, an imaging display system, and a surgical hub. The visualization system includes an illumination source and an imaging device. The surgical hub includes a processor and a memory device configured to store instructions. The instructions direct the surgical hub processor to control the illumination source to illuminate a surgical site and to control the imaging device to receive the imaging data. The surgical processor processes the imaging data to create display data that is transmitted over a cloud-based network to the imaging display system for display.

Abstract: Systems, instruments, and methods are provided verifying that a robotic surgery is being performed in accordance with a surgical plan, wherein a surgical tool having a sensor outputs a data signal that enables the trajectory of the surgical tool to be displayed as an overlay on an image of an anatomical portion of a patient and a visual or audible signal that confirms the surgical tool is penetrating the anatomical portion in accordance with the surgical plan and/or that issues an alert indicating that the surgical tool is not being inserted into the anatomical portion according to the surgical plan.

Abstract: Certain aspects relate to systems and techniques for navigation path tracing. In one aspect, a system displays a preoperative model of a luminal network is displayed. The system determines a position of an instrument within the luminal network relative to the preoperative model. Based on the position of the instrument relative to the preoperative model, the system determines whether to enter a path tracing mode. In path tracing mode the system displays visual indicia indicative of a path of the instrument with respect to the displayed preoperative model. The visual indicia may be used to visual the navigation path of the instrument and/or to extend the preoperative model.

Abstract: Multi-component systems and methods for determining the proximity of surgical tools to key anatomical features are provided. The inventive systems and methods can be applied in any surgical procedure requiring precision to avoid damage to key anatomical features such as nerves, with a particular example being the robotic cochlear implantation minimally invasive approach to cochlear implantation. Use of purpose built surgical robots, electromyography and tissue impedance, stereotactic tracking and drilling force/bone density measurements are all key components, with inputs from these various modalities being dynamically weighted. In the example of robotic cochlear implantation, the inventive concepts are used to provide key surgical guidance so as to avoid damage to the facial nerve and the chorda tympani, among other anatomical features.

Abstract: A medical instrument includes a first device (108) including shape-sensed flexible instrument, a second device (102) disposed over the first device and a third device (109) disposed over the first device and a portion of the second device. The second and third devices include a geometric relationship such that a position of the second device and the third device is determined from shape sensing information of the first device and the geometric relationship.

Abstract: Surgical systems and methods for an MRI suite include a housing residing in an MRI scanner room of the MRI suite. The housing comprises a plurality of motors coupled to at least one motor driver (in the same or a different housing); and a plurality of elongate cables, one coupled to one of the plurality of motors residing in the same housing or a different housing. The elongate cables comprise MRI compatible material and having a length in a range of about 24 inches and 60 inches. One of the cables couples to one of the motors at a first end portion and a corresponding one actuator of the actuators of a trajectory guide at a second end portion.

Abstract: According to one aspect, a medical device comprising may include a proximal end, a distal end, and a shaft extending between the proximal end and the distal end. The medical device may further include a magnetic sensor assembly that may include a magnetic coupler and first and second magnetic sensors, wherein the magnetic coupler is located at the distal end of the medical device and is rigidly affixed to an inner surface of the shaft. The medical device may further include an optical fiber comprised of a plurality of fiber cores extending along a length of the shaft, wherein one or more of the plurality of fiber cores include an optical sensor located at a location along a length of the optical fiber, wherein the optical fiber is rigidly supported within the shaft at a location near the optical sensor.

Abstract: A surgical treatment apparatus comprises an elongate support, an elongate tube, and a movable endoscope having a stiff distal portion, in which the stiff distal portion of the endoscope is configured to move one or more components of the apparatus when the support remains substantially fixed. The support may comprise a plurality of spaced apart aspiration openings near the distal end in order to facilitate alignment with the treatment site. In many embodiments, an image guided treatment apparatus is configured for use with an imaging device. In many embodiments, a target resection profile is provided. The target resection profile and one or more tissue structures are displayed on an image, and the target resection profile displayed on the image is adjusted with user input.

Abstract: A system for differential recording connectable to an electrical lead with at least two electrodes, including: the lead having a distal end; at least one amplifier electrically connectable to the at least two electrodes, wherein the at least one amplifier subtracts a signal recorded by one of the at least two electrodes, from a signal recorded by the other one of the at least two electrodes to generate a differential signal; a memory configured for storing said differential signal and reference indications of electrical signals associated with neural tissue; a processing circuitry for detection of an anatomical position, wherein the processing circuitry calculates an anatomical position of the electrical lead based on processing of the differential signal and the reference indications of electrical signals associated with the neural tissue.

Abstract: Robotic surgery systems and methods of surgical robot operation are provided. A method of surgical robot operation includes moving a surgical instrument through a tissue using the surgical robot, where the surgical robot attempts to move the surgical instrument to a desired position. The method further includes measuring an actual position of the surgical instrument, and calculating a difference between the actual position and the desired position. The actual position of the surgical instrument is adjusted to the desired position using the surgical robot.

Abstract: A surgical robotic system includes an image capturing device, a surgical console, a multi-directional indicator, a surgical instrument, and a control tower. The image capturing device is configured to capture an image of a surgical site. The surgical console includes a display configured to display the image of the surgical site. The multi-directional indicator is overlaid over the image of the surgical site on the display. The user input device is operably coupled to the surgical console and configured to generate a user input. The surgical instrument is coupled to a surgical robotic arm. The control tower is configured to receive user input from the user input device and control at least one of the surgical robotic arm or the surgical instrument.

Abstract: A robotic system for preparing a bone to repair a bone fracture, includes a controllable guide structure configured to guide preparation of at least one bone piece during execution of a surgical plan and a control system configured to define the surgical plan. Defining the surgical plan includes determining a desired relationship between at least a first bone piece and a second bone piece that are separated by the bone fracture and planning preparation of the first bone piece to include a prepared anatomical structure configured to align the first bone piece with the second bone piece such that when aligned, the first bone piece and the second bone piece will achieve the desired relationship. The control system is further configured to control the controllable guide structure according to the surgical plan.

Abstract: Techniques for automated engagement and disengagement of a preload include a computer-assisted apparatus. The computer-assisted apparatus includes an instrument manipulator assembly including a preload assembly and a controller coupled to the instrument manipulator assembly. The controller is configured to move the instrument manipulator assembly to a fully withdrawn position and command the preload assembly to engage a preload. In some embodiments, engaging the preload causes the preload assembly to assert a preload force on a motor pack of the instrument manipulator assembly. In some embodiments, the controller is further configured to move the instrument manipulator assembly to a home position after the preload is engaged.

Abstract: Devices, Systems, and Methods for detecting a 3-dimensional position of an object, and surgical automation involving the same. The surgical robot system may include a robot having a robot base, a robot arm coupled to the robot base, and an end-effector coupled to the robot arm. The end-effector, surgical instruments, the patient, and/or other objects to be tracked include active and/or passive tracking markers. Cameras, such as stereophotogrammetric infrared cameras, are able to detect the tracking markers, and the robot determines a 3-dimensional position of the object from the tracking markers.

Abstract: A modular robotic surgical system comprising: one or more tool-receiver units arranged as separate units, each tool-receiver unit operable to move a first elongate surgical tool received therein; a base comprising one or more motors, the base operable to move a second elongate surgical tool attached to the base or received therein, the base serving as a mounting for the one or more tool-receiver units; wherein each of the tool-receiver units is independently and interchangeably attachable to the base via a mechanical coupling interface which transfers one or more of: driving force for driving movement of the first elongate surgical tool received within the unit; electrical power supply to one or more components of the unit which drive movement of the first elongate surgical tool received within the unit; and data for controlling movement of the first elongate surgical tool received within the unit.

Abstract: A surgical robotic tool used with a surgical robotic system can include cables that effect movement in the surgical robotic tool. A brake in any of these cables can be detected by checking a plurality of conditions. A process can compare a) a tension error against a first threshold, b) a rate of change of the sensed tension of the cable against a second threshold, and c) a rate of change of a cable extension error against a third threshold. If all thresholds are exceeded, the process can disable the respective actuator.

Abstract: In some embodiments, a hand controller apparatus for controlling a tool in a robotic surgery system can include a body with a proximal end and a distally located interface end configured to be coupled to an input apparatus configured to control the tool. The hand controller apparatus can also include a control lever attached to a pivot joint proximate a side surface of the body and extending along the body and away from the proximal end, the control lever being laterally moveable relative to the side surface of the body about the pivot joint. The hand controller apparatus can additionally include a lateral movement detector configured to magnetically or inductively detect a lateral movement of the control lever.

Abstract: A method for disengagement detection of a surgical instrument of a surgical robotic system, the method comprising: determining whether a user's head is unstable prior to disengagement of a teleoperation mode; determining whether a pressure release has occurred relative to at least one of a first user input device or a second user input device for controlling a surgical instrument of the surgical robotic system during the teleoperation mode; and in response to determining the user's head is unstable or determining the pressure release has occurred, determining whether a distance change between the first user input device and the second user input device indicates the user is performing an unintended action prior to disengagement of the teleoperation mode.

Abstract: A closing/locking mechanism for a sterile container includes an actuation lever, a tension bow or claw coupled to the actuation lever, and an engagement element forming an undercut and with which the tension bow or claw can be brought into operative engagement to apply a tensile force to the engagement element. The tension bow or claw is mounted for sliding transversely to the tensile force to be applied. A spring is arranged in an operative position relative to the tension bow or claw in such a way that, when a predefined actuation position of the actuation lever and a predefined/predefinable sliding position of the tension bow or claw are reached, in which position the tension bow or claw already reaches behind the engagement element, the spring applies a compressive force to the tension bow or claw in the direction of the tensile force.

Abstract: A packaging clip includes a first portion detachably securing a cannula assembly thereto, a second portion detachably securing a syringe thereto, and a third portion detachably securing an obturator thereto. The first portion includes an arcuate portion and a plurality of fingers. The arcuate portion secures a sleeve portion of a fluid port of the cannula assembly thereto such that the sleeve portion is disposed orthogonal to a longitudinal axis defined by the packaging clip. The plurality of fingers includes a first finger extending from a first lateral side of the packaging clip and second and third fingers extending from a second lateral side of the packaging clip. The plurality of fingers secures the lateral portion of the fluid port such that the lateral portion extends along the longitudinal axis of the packaging clip. The first portion of the packaging clip is formed by straight-pull molding.

Abstract: A medical instrument having a handle with a clamp that is configured to maintain the instrument in two different operational modes. The medical instrument includes a needle, a sheath, a sheath handle, a needle actuator and a locking device. The distal end of the needle actuator is connected to the proximal end of the needle. The distal end of the sheath handle is connected to the proximal end of the sheath. The locking device restricts distal movement of the needle actuator relative to the sheath handle when the medical device is placed in one of two operational states. In a deactivation state the distal end of the needle is housed within the distal end of the sheath. In an activation state the distal end of the needle is distal from the distal end of the sheath.

Abstract: In some aspects, the present disclosure pertains to hydrogel-securing structures that comprise anchoring element that is configured to anchor the structure to bodily tissue and a hydrogel-retaining element that is configured to retain a hydrogel mass. Other aspects of the present disclosure include kits that contain such hydrogel-securing structures. Other aspects of the present disclosure pertain to methods that comprise (a) delivering a structure that comprises a hydrogel-retaining element in a body of a subject comprising first and second tissues, such that the hydrogel-retaining element may be disposed between the first tissue of tissue and the second tissue and (b) delivering a hydrogel to the structure, such that the hydrogel is loaded onto and/or into the hydrogel-retaining element and retained in place by the hydrogel-retaining element, and such that the hydrogel is disposed between the first and second tissues thereby separating the first tissue from the second tissue.

Abstract: The present disclosure provides a medical device and method to determine proper implant screw sizing for inserting within the intramedullary canal of a patient's bone. The medical device includes a radiolucent base that includes radiopaque markings indicative of an implant screw. The markings therefore appear on a radiographic image taken of the provided medical device. The markings may include first diameter markings and length markings, and may also include second diameter markings. The first and second diameter markings may be indicative of a major and minor diameter of an implant screw, respectively. The markings may also include an indication of a type or model of implant screw. In some instances, the medical device may include multiple sets of markings. In such instances, each set of markings is indicative of a different implant screw.

Abstract: Dura shields in accordance with embodiments of the invention are disclosed. In one embodiment, a dura shield includes a shield configured to protect a patient's dura during an interbody procedure, a tether coupled to the shield and configured to position the shield, and an anchor coupled to the shield and configured to attach to a surface within the patient during the interbody procedure. A variety of sensors can be incorporated into the dura shield in order to monitor a patient during the procedure.

Abstract: A method for controlling an illumination system includes detecting a first position of a marker in image data. In response to the first position, a first light target for the first light emission is identified. Controlling a light assembly to direct the first light emission to the first light target and maintaining the first light emission directed to the first light target. The method further includes detecting a second position of the marker in the image data. A second light target for the second light emission is identified in response to the second position. The light assembly is controlled to direct the second light emission to the second light target.

Abstract: A system for planning and performing a repeat interventional procedure is provided which includes a registration device and an image generation device which map current targets in a reference image for a first interventional procedure to at least one guidance image acquired from a different imaging modality. Biopsy locations are recorded to the guidance images during the first interventional procedure and the biopsy locations are mapped to the reference image to provide a planning image for use in a subsequent interventional procedure on the patient. In a subsequent interventional procedure, the prior planning image (124) may be registered to a current reference image and the prior biopsy locations and prior and current targets are mapped to a guidance image acquired from a different imaging modality. Biopsy locations are then mapped to the guidance image and mapped back to the current reference image.

Abstract: Devices, systems, and methods for augmented reality in surgical environments include an optical lens, which may be wearable by the user, and an augmented reality control system for generating an augmented reality presentation in the optical lens. The augmented reality presentation can depict the surgical area of the patient while artificially omitting one or more obstructions from the user's view point of the surgical area.

Abstract: A marker delivery device including a handle assembly, a delivery catheter, and a connection interface. The handle assembly has an upper push rod positioned within the handle assembly. The upper push rod is adapted to translate inside the handle assembly. The delivery catheter is adapted to be inserted into a biopsy site. Also, the delivery catheter has a discharge opening containing a marker and the delivery catheter has a lower push rod positioned inside of the delivery catheter. The lower push rod is configured to engage the upper push rod and the lower push rod is adapted to deploy the marker from the delivery catheter into the biopsy site through the discharge opening with the translation of the upper push rod. The connection interface is configured to removably attach the handle assembly with the delivery catheter and the upper push rod with the lower push rod.

Abstract: A holding device is a holding device that holds the medical device, and includes an arm configured to have a holder, which holds the medical device, at a distal end, a base configured to rotatably support the arm by a first joint, a disk attached to the arm, and a brake attached to the base and configured to press the disk, in which a distance between a center of rotation of the disk and a region where the brake presses the disk is changed depending on a rotation angle of the first joint.

Abstract: A surgical robotic system that includes a surgical table that is configured to hold a patient and a magnetic latch. The magnetic latch has a ferromagnetic plate, a permanent magnet that produces a first magnetic field and that attracts the ferromagnetic plate to thereby couple a robotic arm to the surgical table, and a cancelling coil, which when energized, produces a second magnetic field that opposes the first magnetic field to thereby uncouple the robotic arm from the surgical table.

Abstract: The present application provides a docking device, a surgical holding device having such a docking device, and a method for connecting a surgical instrument to a holding arm of a surgical holding device. The docking device has a two-part adapter device connected at a proximal end to the holding arm and at a distal end to the surgical instrument, a first adapter with an elongated portion with a longitudinal axis and a connecting body present at a distal end of the first adapter, and a first engagement element with a terminal connection surface. The adapter device has a second adapter on the shaft of the surgical instrument and an engagement element facing the terminal connection surface in the docking situation. The terminal connection surface of the first adapter is inclined at a predetermined first angle in relation to its longitudinal axis, which is in a range from 30° to 90°.

Abstract: A surgical video production system consists of: an input part which records time codes in a moving, and inputs a focal distance of a lens and information of surgical tools, a recognition part which generates recognition information by recognizing the surgical tools, organs, tissue, and objects in the moving image, identifies unfocused video and shaky video, indicates markers corresponding to a first time code and a last time code of each of the unfocused video and the shaky moving image, and indicates the markers corresponding to the first time code and the last time code of the moving image corresponding to the event; an editing part, which deletes a part of the moving image using the markers or separates a moving image according to the event to generate an edited image; and a transformation part which transforms an edited image into a stereoscopic image.

Abstract: An apparatus and method for diagnosis or treatment of a vessel or organ. The apparatus includes a deformable body such as a catheter having a tissue ablation end effector and an irrigation channel in fluid communication therewith. At least two sensors are disposed within a distal extremity of the deformable body, the sensors being responsive to a wave in a specified range of frequency to detect deformations resulting from a contact force applied to the distal extremity. A microprocessor can be operatively coupled with the sensors to receive outputs therefrom, the microprocessor being configured to resolve a multi-dimensional force vector corresponding to the contact force. In one embodiment, the sensors are fiber Bragg grating sensors, and the wave is injected into the fiber Bragg grating strain sensors from a laser diode.

Abstract: The invention relates to a drill jig (1) for an oral surgery intervention in a patient, said drill jig (1) having a temporary dental device (5) in which a drill guide (3) for guiding a drill in the jaw of the patient is provided, and at least one holding element (4), connected to the temporary dental device (5), for temporarily fastening the drill jig (1) to the set of teeth (2) of the patient.

Abstract: Disclosed is a dental implant handpiece, comprising an implant handpiece body (1), and a drill bit (2) disposed on the implant handpiece body (1). The implant handpiece body (1) is further provided with an image collector disposed close to the drill bit (2) and configured to acquire images of locations in the vicinity of the drill bit (2) in an oral cavity. In a whole treatment process, a dentist is free of double-handed operation and only needs to hold the dental implant handpiece with one hand. During the treatment process, images near the drill bit (2) are acquired in real time, thus the treatment situation is controlled in real time when each treatment action is executed, and the position and angle of the drill bit (2) may be adjusted at any time according to the images acquired by the image collector.

Abstract: An extraction device is provided. The extraction device includes a first body half including a first handle with an outer surface and an inner surface, and a second body half hingedly coupled to the first body half. The second body half includes a second handle with an outer surface and an inner surface. The outer surface of the first handle faces away from the outer surface of the second handle, and the inner surfaces of the first and second handles face each other. The extraction device includes an anchor extending from the outer surface of the first handle or formed in the first handle.

Abstract: An assembly useful for preparing a prosthetic crown for fitting to a tooth of a patient is accordingly described herein. The assembly includes (a) a polymer dental model having a shape corresponding to at least a portion of a dental arch of a patient and a socket formed therein, the socket having a socket wall, and (b) a polymer die having an upper portion configured in the shape of a tooth of a patient and a lower stem configured for insertion into the socket. At least one of the stem and the socket wall are configured to have both a relaxed position when the die is not in the socket, and a tensioned position when the die is fully inserted in the socket, so that the stem is firmly and accurately engaged by the socket when the die is inserted therein.

Abstract: Provided herein are orthodontic systems and methods for automatically segmenting a person's teeth. Systems, methods and processes are provided to properly segment the teeth of a person's teeth from an image of the person's face showing at least some of the person's teeth (e.g., dental arch). Methods and systems are provided to automatically detect dental edges after a dental scan. Also described herein are methods and systems for generating a simulated image of the person's face from the final segmentation of the person's teeth in which the segmented teeth have been moved from their original position, including a new position based on an orthodontic treatment plan.

Abstract: Systems and methods are disclosed for cutting and trimming dental molds and oral appliances by receiving a digital model of teeth, determining a cutting loop path and applying a drape wall to the cutting loop to generate a simplified tooth base in a dental mold having an inner arch curve and an outer arch curve. The oral appliance may be formed on the dental mold and a cutter may be applied using a sweeping motion across the inner and outer arch curves.

Abstract: Protrusions or holes with jagged edges formed on the lingual side of invisible aligner trays are provided. The protrusions or holes irritate the tongue causing it to retract away from the incisors thus eliminating intruding force otherwise exerted by the tongue. A clear corrugated material is provided which is suited for making the aligner trays having the protrusions which otherwise would be difficult with standard thick material used. The lingual side protrusions are added by computer to the impressions taken from a patient's teeth such that the protrusions are formed on the dental model used to make the aligner trays.

Abstract: An assembly for dental restoration includes a healing element able to be connected to a dental implant, the healing element including a lateral surface intended to be integrated within a gum for the purpose of shaping the gum as the gum heals, and an end surface that forms, together with part of the lateral surface, an emergent surface that is intended to remain outside the gum and is asymmetrical with respect to at least one perpendicular median plane. The assembly for dental restoration also includes a detachable prosthesis support having a receiving part for a crown prosthesis and a linking part capable of engaging with a matching linking zone that is defined in a through-opening that is provided in the healing element.

Abstract: A dental implant that facilitate insertion and can be used in all bone types. The implant includes a body having a coronal end, and an apical end opposite the coronal end. A tapered region may be adjacent the apical end. On the apical part one or more taps are provided so the tap is cutting when rotating clockwise and counter-clockwise. The implant can have at least one variable profile helical thread that extends along the tapered region. The implant can have also micro-threads below the main threads, a gradual compressing tapered core, a self drilling apical end and a narrow coronal region.

Abstract: A zygomatic dental implant guide includes a guide body a guide body configured to be secured to a maxillary of a subject, and a guide sleeve coupled to the guide body and configured to receive a zygomatic implant and guide the zygomatic implant toward a zygoma of the subject.

Abstract: The present invention provides one single drill dental implant system and method for use thereof. The system comprises a multistep dental implant drill and a side cutting capability dental implant, and the multistep dental implant drill engaged with a dental handpiece to perform a dental implant step. Further, the method comprises a positioning step of aligning a tip of a drill bit portion of a multistep dental implant drill with a preset dental implant position; a drilling step of rotating the multistep dental implant drill by a dental handpiece to drill an implant hole; an expanding step of drilling the alveolar bone through a plurality of steps and cutting members of the drill bit portion, so that the diameter of the implant hole is gradually enlarged to be smaller than the diameter of a dental implant; and an implantation step of implanting the dental implant into the implant hole.

Abstract: A method for digitally designing a denture for a patient, where the denture includes a plurality of denture teeth, where designing the denture includes transforming denture teeth of the denture, wherein the method includes obtaining a 3D scan of the upper jaw and lower jaw of the patient; obtaining a digital 3D arrangement of the denture teeth, where the denture teeth are pre-set in occlusion; digitally arranging the 3D scan of the upper jaw and lower jaw relative to the 3D arrangement of the denture teeth; digitally grouping the denture teeth in four groups, the four groups includes an upper anterior group, a lower anterior group, a left posterior group, and a right posterior group; and digitally arranging the upper anterior group first, the left and right posterior groups second and the lower anterior group third.

Abstract: A custom denture tray for fabricating a set of dentures that includes an upper tray that includes a baseplate. The baseplate has a top side configured to hold material for capturing a dental impression. A bite block is attached to a bottom side of the baseplate. The bite block is made of a relatively soft material which can be marked to show positions for artificial teeth to be placed in the dentures. In particular embodiments, the denture tray includes a removable handle configured to be attached to a front portion of the mouthpiece. The removable handle may be attached so that it protrudes from a user's mouth when the mouthpiece is in the user's mouth.