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Designing RPD’s
                   Surveying and MAP
                         Ting Ling Chang DDS
                                  and
                       John Beumer III DDS, MS
   Division of Advanced Prosthodontics, Biomaterials
                   and Hospital Dentistry
                UCLA School of Dentistry
This program of instruction is protected by copyright ©. No portion of
this program of instruction may be reproduced, recorded or transferred
by any means electronic, digital, photographic, mechanical etc., or by
any information storage or retrieval system, without prior permission.
Designing RPD’s
      Planning sequence for RPD patients

v    Diagnostic assessment and preliminary
      impressions
v    Diagnostic casts mounted in centric relation
v    Draw the ideal RPD design (on paper)
v    Transfer the design to the study casts
v    Survey the study casts and determine the most
      advantageous position (MAP) of the designed
      RPD path of insertion and withdrawal
v    Revise and finalize the RPD design
Designing RPD’s
      Planning sequence for RPD patients

v    Diagnostic assessment and preliminary
      impressions
v    Diagnostic casts mounted in centric relation
v    Draw the ideal RPD design (on paper)
v    Transfer design to the study casts
v    Survey the study casts and determine the most
      advantageous position (MAP) of the designed
      RPD path of insertion and withdrawal
v    Revise and finalize the RPD design
Surveying
Definition:
v  Ananalysis and comparison of
  the prominence of intraoral
  contours (teeth and soft
  tissue) associated with the
  fabrication of a prosthesis

Purpose:
v  Toidentify the most ideal path
  of insertion and treatment
  position

v  Primaryobjective is to orient
  the cast that positions the
  teeth and associated
  structures in the most
  advantageous position (MAP)
Other Definitions
Height of contour (survey line)
v    A line encircling the tooth and
      designating it greatest circumference at
      a selected position as determined by a
      dental surveyor
Undercut (tooth)
v    The portion of the surface of the tooth
      which is below the height of contour in
      relation to the path of insertion
RPD path of insertion and withdrawal
v    Initial contacts on the abutment
      teeth
v    The RPD continuously follows the
      same path guided by the proximal
      plates until completely seated
Surveying
The most advantageous position (MAP) is determined by:

Guiding surfaces
   v  May   be on the distal or mesial
       surfaces of the tooth adjacent to the
       edentulous extension areas
   v  Other guiding surfaces contacted by
       rigid portions of the prosthesis
       (minor connectors, lingual plates)
Surveying
 The most advantageous position (MAP) is determined
                       by:

Retention areas
  v  The ideal retention area is
     located in the gingival one
     third of the tooth
  v  An given cast may present
     with:
     v Idealretention areas
     v Lack of retention areas
     v Excessive retention areas
Surveying
The most advantageous position (MAP) is determined
                      by:

Retention areas
  v  The ideal retention area is
     located in the gingival one
     third of the tooth
  v  An given cast may present
     with:
     v Idealretention areas
     v Lack of retention areas
     v Excessive retention areas
Surveying
 The most advantageous position (MAP) is determined
                       by:

Retention areas
  v  The ideal retention area is
     located in the gingival one
     third of the tooth
  v  An given cast may present
     with:
     v Idealretention areas
     v Lack of retention areas
     v Excessive retention areas
Surveying
v Place cast on the survey table

v Insert analyzing rod (diagnostic
   rod)

v Adjust the survey table to idealize
   the guide planes and undercuts
                              Analyzing
                                rod
Surveying - Cast orientation




What is a good starting position?
 Eyeball survey by placing the cast on the survey table
 and standing directly over it.
Surveying - Cast orientation:




What is a good starting position?
   v    First make guiding surfaces as
         parallel as possible by eye
Surveying - Cast orientation
v Keep the occlusal plane as close to a horizontal position
   as possible.
v Path of insertion should closely follow the long axis of
   the teeth
Surveying - Cast orientation




v    Do not let one mal-positioned abutment tooth dictate
          the most advantageous position (MAP)!
v    We should find the MAP using majority of normal
          aligned abutment teeth.
Surveying - Cast orientation
v    Manipulate the cast position until you identify the best combination of guide
      plane orientation and undercuts
v    The ideal path of insertion allows seating of the prosthesis minimizing
      spaces and voids
Analysis of Retention
v    Attach the retention gauge to the surveyor
v    The desired amount of retention is 0.25 mm
v    The tip extends to the height of contour
v    The gingival portion extends to the .25 mm (0.010”)undercut


Height of
contour

                                          .25 mm
                                          undercut
Analysis of Retention
v    Attach the retention gauge to the surveyor
v    The desired amount of retention is 0.25 mm




                               Retention gauge
Tooth preparation guides
v    Place a blue pencil mark on the study cast to indicate areas where the
      abutment teeth need to be recontoured
v    In this patient an occlusal adjustment will also be necessary
Tooth preparation guides
v    Fabricate proper guide with MAP orientation to facilitate
      the mouth preparation guide planes
v    Metal posts are mounted on a record base with pattern
      resin to show the orientation
Tooth preparation guides
v Insert the preparation guide intraorally.
v Use parallel sided bur with stable finger rest to follow the
   metal post orientation (MAP) for the tooth alteration
v Then the preparation for the restoration can begin
Analysis of Retention
v  The desired amount of retention is 0.25 mm
v  What do we do if reasonable contours cannot be
    created?
   v  Full   veneer crowns




          Courtesy Dr. A Davodi   Courtesy Dr. A Davodi
v  Visitffofr.org for hundreds of additional lectures
    on Complete Dentures, Implant Dentistry,
    Removable Partial Dentures, Esthetic Dentistry
    and Maxillofacial Prosthetics.
v  The lectures are free.
v  Our objective is to create the best and most
    comprehensive online programs of instruction in
    Prosthodontics

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8.surveying & map

  • 1. Designing RPD’s Surveying and MAP Ting Ling Chang DDS and John Beumer III DDS, MS Division of Advanced Prosthodontics, Biomaterials and Hospital Dentistry UCLA School of Dentistry This program of instruction is protected by copyright ©. No portion of this program of instruction may be reproduced, recorded or transferred by any means electronic, digital, photographic, mechanical etc., or by any information storage or retrieval system, without prior permission.
  • 2. Designing RPD’s Planning sequence for RPD patients v  Diagnostic assessment and preliminary impressions v  Diagnostic casts mounted in centric relation v  Draw the ideal RPD design (on paper) v  Transfer the design to the study casts v  Survey the study casts and determine the most advantageous position (MAP) of the designed RPD path of insertion and withdrawal v  Revise and finalize the RPD design
  • 3. Designing RPD’s Planning sequence for RPD patients v  Diagnostic assessment and preliminary impressions v  Diagnostic casts mounted in centric relation v  Draw the ideal RPD design (on paper) v  Transfer design to the study casts v  Survey the study casts and determine the most advantageous position (MAP) of the designed RPD path of insertion and withdrawal v  Revise and finalize the RPD design
  • 4. Surveying Definition: v  Ananalysis and comparison of the prominence of intraoral contours (teeth and soft tissue) associated with the fabrication of a prosthesis Purpose: v  Toidentify the most ideal path of insertion and treatment position v  Primaryobjective is to orient the cast that positions the teeth and associated structures in the most advantageous position (MAP)
  • 5. Other Definitions Height of contour (survey line) v  A line encircling the tooth and designating it greatest circumference at a selected position as determined by a dental surveyor Undercut (tooth) v  The portion of the surface of the tooth which is below the height of contour in relation to the path of insertion
  • 6. RPD path of insertion and withdrawal v  Initial contacts on the abutment teeth v  The RPD continuously follows the same path guided by the proximal plates until completely seated
  • 7. Surveying The most advantageous position (MAP) is determined by: Guiding surfaces v  May be on the distal or mesial surfaces of the tooth adjacent to the edentulous extension areas v  Other guiding surfaces contacted by rigid portions of the prosthesis (minor connectors, lingual plates)
  • 8. Surveying The most advantageous position (MAP) is determined by: Retention areas v  The ideal retention area is located in the gingival one third of the tooth v  An given cast may present with: v Idealretention areas v Lack of retention areas v Excessive retention areas
  • 9. Surveying The most advantageous position (MAP) is determined by: Retention areas v  The ideal retention area is located in the gingival one third of the tooth v  An given cast may present with: v Idealretention areas v Lack of retention areas v Excessive retention areas
  • 10. Surveying The most advantageous position (MAP) is determined by: Retention areas v  The ideal retention area is located in the gingival one third of the tooth v  An given cast may present with: v Idealretention areas v Lack of retention areas v Excessive retention areas
  • 11. Surveying v Place cast on the survey table v Insert analyzing rod (diagnostic rod) v Adjust the survey table to idealize the guide planes and undercuts Analyzing rod
  • 12. Surveying - Cast orientation What is a good starting position? Eyeball survey by placing the cast on the survey table and standing directly over it.
  • 13. Surveying - Cast orientation: What is a good starting position? v  First make guiding surfaces as parallel as possible by eye
  • 14. Surveying - Cast orientation v Keep the occlusal plane as close to a horizontal position as possible. v Path of insertion should closely follow the long axis of the teeth
  • 15. Surveying - Cast orientation v  Do not let one mal-positioned abutment tooth dictate the most advantageous position (MAP)! v  We should find the MAP using majority of normal aligned abutment teeth.
  • 16. Surveying - Cast orientation v  Manipulate the cast position until you identify the best combination of guide plane orientation and undercuts v  The ideal path of insertion allows seating of the prosthesis minimizing spaces and voids
  • 17. Analysis of Retention v  Attach the retention gauge to the surveyor v  The desired amount of retention is 0.25 mm v  The tip extends to the height of contour v  The gingival portion extends to the .25 mm (0.010”)undercut Height of contour .25 mm undercut
  • 18. Analysis of Retention v  Attach the retention gauge to the surveyor v  The desired amount of retention is 0.25 mm Retention gauge
  • 19. Tooth preparation guides v  Place a blue pencil mark on the study cast to indicate areas where the abutment teeth need to be recontoured v  In this patient an occlusal adjustment will also be necessary
  • 20. Tooth preparation guides v  Fabricate proper guide with MAP orientation to facilitate the mouth preparation guide planes v  Metal posts are mounted on a record base with pattern resin to show the orientation
  • 21. Tooth preparation guides v Insert the preparation guide intraorally. v Use parallel sided bur with stable finger rest to follow the metal post orientation (MAP) for the tooth alteration v Then the preparation for the restoration can begin
  • 22. Analysis of Retention v  The desired amount of retention is 0.25 mm v  What do we do if reasonable contours cannot be created? v  Full veneer crowns Courtesy Dr. A Davodi Courtesy Dr. A Davodi
  • 23. v  Visitffofr.org for hundreds of additional lectures on Complete Dentures, Implant Dentistry, Removable Partial Dentures, Esthetic Dentistry and Maxillofacial Prosthetics. v  The lectures are free. v  Our objective is to create the best and most comprehensive online programs of instruction in Prosthodontics