The dental measurement device can include a vertical orientation rod to align with a sagittal midline reference plane a patient. The dental measurement device can also include a baseline orientation frame coupleable to the vertical orientation rod to align with one or more of an eye feature and an ear feature of the patient to define a horizontal reference plane of the patient. The dental measurement device can further include a bite plate configured to be held in a mouth of the patient. In addition, the dental measurement device can include a nose extension arm for coupling the bite plate to the vertical rod. A dental prosthetic manufacturing system for use with an articulator is disclosed that can utilize the dental measurement device to create a dental prosthetic. A reference tool for modeling a dental prosthetic is also disclosed.