(c)Procedures for the Altered Cast Technique 1Dentist adjusts and fits the framework in the patient’s mouth 2Dentist designs outline of proposed impression tray 3Plastic tray will be constructed over the framework’s distal denture base retention 4Adapt a 26 gauge sheet wax spacer to the edentulous area, then adapt a second layer of 26 gauge sheet wax to the retromolar pad and blend it with the first sheet wax layer, trim wax to design line