SlideShare a Scribd company logo
Posterior palatal seal
(post damming(
Dr. Waseem Bahjat Mushtaha
Specialized in prosthodontics
1
Posterior palatal seal
(post damming(
1-The posterior palatal seal (post dam) of the upper denture
should be placed on non-movable tissue of the soft palate
just behind the hard palate.
2-The vibrating line of the soft palate , normally used as a
guide to the ideal posterior border of the denture, is usually
located slightly posterior to the foveae palatine.
3-The posterior palatal seal is formed through both humular
(pterygomaxillary) notch and across the palate over the
vibrating line.
4-The vibrating line is observed in patient's mouth as the
patient says a series of short "ah" and the hamular notches
are palpated.
2
Techniques of post-damming
There are several established for the
placement of the posterior palatal seal:
1-Conventional method
2-Scraping of master cast
3-Post damming during try-in stage
3
1-Conventional method
A strip of low fusing compound is traced on the
impression over the vibrating line and through the
hamular notches. The compound is heated with
alcohol torch, tempered and seated in the mouth
under pressure. The added material will spread out
on both sides of the vibrating line and form a
raised strip across the distal end of the impression.
The final impression with the posterior border seal
is carefully boxed and poured in stone.
4
2-Scraping of master cast
A –this technique is the least accurate and leaves the
most to chance of tissue compressibility of the
insertion of the denture.
B – This technique is almost as unphysiologically
correct as the technician's attempt to place the
posterior palatal seal. So post damming must be
done at the impression stage rather than by
attempting the scrap the cast.
5
3-Post damming during try-in stage
The trial denture base is inserted so the
indelible pencil line marked on vibrating
line of the soft palate will be transferred
from the soft palate to the trial denture base.
And the excess base plate is reduced to this
line. The trial denture base is placed on the
cast and a knife or pencil is used to mark a
line following the posterior limits of the
base plate.
6
7
Dimensions of the post dam
1-The post dam extends from the humular
notch on one side to the other humular
notch of the other side. It should be wide
enough to avoid cutting or irritating the soft
tissues, but not so wide to compress too
large an area and thus prevent the denture
from sealing properly.
8
2-The post dam is usually narrow in it's central part,
wider as it extends laterally on each side, and
narrow again as it approaches the hamular notch to
fade out behind the tuberosity. It is sometimes
called butterfly (Cupid's bow) post dam
3-The post dam should be about 3-4mm wide in its
widest part. The depth or thickness of the post
dam should vary in different individuals,
according to compressibility and softness of the
tissue. Its depth should also vary in different parts
of the same mouth in exactly the same manner as
its width. The average thickness is 1mm.
9
10
Function of post damming
1-during impression making:
The rational for the placement of a post dam in the
impression tray is:
A – To establish contact posteriorly to prevent the
final impression material from sliding down in to
the pharynx.
B – To serve a guide for positioning the impression
tray, especially if a shim has been used within the
tray to establish the borders.
11
2-during jaw relationship:
1-Posterior palatal seal is incorporated into
the trial denture base for added retention.
2-To determine if adequate retention and seal
of the potential denture border is present.
12
3-Post dam with finished denture:
1-it slightly displaced the soft tissue of the
distal end of the denture to inhance the
posterior border seal:
A- Increase retention of the denture by
atmospheric pressure.
B –it prevents air and food from getting under
the denture.
2-it makes the thickness of the base less
conspicuous to the tongue and diminishes
reflex irritation.
13
Boxing-in the impressions and
making the casts
14
Boxing-in the impressions and
making the casts
Def:
Boxing in an impression is the process of
building up of vertical walls, usually in wax
developing around the final impression for
complete dentures to produce the desired
size and form of the base of the cast, and to
preserve certain landmarks of the
impressions.
15
Technique
1-A strip of boxing wax is attached all the way
around the outside of the impression
approximately 1 to 2mm below the border and
seated to it with a spatula.
2-The strip must be at its full width, particularly at
the distal ends of the impression, to hold the
vertical wall of the boxing away from the
impressions and provide space for adequate
thickness of the cast in these regions.
16
3-the vertical walls of the boxing are made of
sheets of beeswax.
4-The tongue space in the lower impression
is with a sheet of beeswax or plasticine that
is fitted and attached on the superior surface
of the boxing wax. The beeswax tongue
space filler is seated to the boxing wax. And
located just below the lingual border.
17
5-A thin sheet of wax is used for making the vertical walls of
the boxing. This may be special boxing wax. Or half sheet
of beeswax may be cut lengthwise and used as a boxing
wax. It is attached around the outside of the boxing strip so
as not to alter the borders of the impression.
It should extend 9 to 15mm above the impression so the
base of the cast at its narrowest point will be of this
thickness.
6-The sheet of boxing wax should extend
completely around the impression and be seated to the
boxing wax strip to prevent the escape of stone when this
is poured in to the impression. Sufficient space must be
available posteriorly between the impression and boxing to
provide for adequate thickness of casts distal to the
impression.
18
7-A stone is mixed carefully and vibrated, and
then sufficient stone is poured in to the boxed
impression that the base of the cast will be 9 to
15mm thick. The stone is allowed to harden for at
least 30 minutes before impression. After the final
impression is separated from the cast, the borders
of the cast are trimmed to leave a ledge of about
3mm posteriorly and little anteriorly. The cast
must be shaped to maintain the form of the
borders of the impression and yet be easily
accessible for adaptation of the materials used in
making the record blockes.
19
20
21
22
23
Advantages of boxing –in
1-The correct width of the periphery of the
impression is preserved.
2-the mixed stone can be vibrated, the cast will not
contain air bubbles and a stronger cast will be
produced.
3-The thickness of the cast may be more
accurately judged.
4-boxing-in is time saving, because trimming may
be not be required.
5-Material is economized.
24
Recording bases and occlusion
rim
25
Recording bases and occlusion rim
Def: the recording base (trial denture base) is
a temporary form that closely resembles the
final base of the denture under construction.
It is used for recording maxillo-mandibular
jaw relationships and for setting the
artificial teeth.
26
Function of recording base
1-Establishment of the rest and occlusal
vertical dimensions.
2-Determination and recording of centric
relation
3-The transfer of the accurate jaw
relationships to an articulator
4-Enabling the setting of artificial teeth for
the trial denture.
27
Requirements for recording base
1-Well adapted and accurately formed to the final cast.
2-Stable, both on the cast and in the mouth.
3-Rigid and strong.
4-Smooth and rounded to be comfortable to the
patient.
5-Easily contoured and polished.
6-Fabricated from materials that are dimensionally stable.
7-the materials used should be easy to manipulate.
8-Base plate materials should be non-irritant to the mouth
tissues.
28
Materials for recording bases
I-Temporary recording bases: the materials that are most frequently used are:
1-Shellac base plate wax.
2-cold-curing acrylic resin.
3-vacuum formed vinyl or polystyrene.
4-base plate wax.
5-swaged tin base plate.
N.b these materials are used during the various technical procedures, but
discarded at the time the denture is processed in to its permanent form.
II-permanent denture bases:
Is one, which eventually becomes the base of the finished denture:
1-Processed (heat-cured) acrylic resin.
2-cold
3-chromium – cobalt alloys.
4-chromium – nickel alloys.
29
I-Temporary recording bases
1-Shellac recording base material:
1-Shellac is commonly used material for
recording base.
2-it is supplied in forms shaped to correspond
to the general shapes of the maxillary and
mandibular arches.
30
3-if adapted accurately strengthened and handled
carefully, it can be effectively utilized both for
maxillary and mandibular recording base. If not
adequately strengthened, shellac tends to warp
when subjected to repeated changes in
temperature.
Wires should be used to increase strength rigidity
and thus reduce distortion of shellac base. For the
maxillary cast, the wire is placed across the
posterior palatal seal area, while for the
mandibular cast it is adapted within the lingual
flange.
31
Fabrication of shellac recording
base
1-The proper shellac form, corresponding to
either the maxillary or the mandibular arch,
is selected for the final cast.
2-all undercut must be blocked out prior to
adapting the base.
32
3-to prevent the base material from sticking to the
cast,
A- It is first dusted with talcum powder
B-soaked in water for a short period of time until
the surface of the cast is moist: immersion of the
cast in water for a prolonged period of time
many damage the surface of the cast.
C-tin foil (0.001 inch) can be adapted to the cast.
4-soften the shellac until it appears shiny and
applied with wet fingers to accurately adapted the
shellac to the palatal portion of the maxillary cast
or to the lingual surface of mandibular cast.
33
5-the material is then reheated and adapted over the crest of
the ridge and into the reflections. Care must be taken to
avoid trapping air between the shellac form and cast
surface.
6-while the material is still warm and soft; it is removed from
the cast and trimmed with scissors, leaving approximately
5mm beyond the edge of the cast.
7-the shellac is repositioned and reheated, and then
carefully readapted. The trimmed edges are heated,
elevated from the cast, and folded onto themselves and
burnished with wax spatula to form a smooth rounded
border.
8-care must be taken not to overheat, the shellac overheating
will cause the molten shellac to adhere to the surface of the
cast on cooling attempt to remove the shellac base can
result in a fracture of the cast surface.
34
Advantages of shellac recording base:
1-It can be easily and quickly adapted
2-inexpensive
Disadvantages:
Shellac being a brittle material, it is subjected
to breakage.
35
2-autopolymerizing resin recording
base materials
Fabrication of autopolymerizing resin recording
base: three basic techniques are used to fabricate
recording base utilizing chemically activated
resins:
A-no-flasking method:
1-a layer of tin foil (0.001 inch) or a thin layer of
petrolatum is applied to the prepared final cast.
2-all undercuts are blocked out with wax or and the
suitable plastic material.
36
3-The autopolymerizing resin is mixed, when it
reaches the doughy stage, it is rolled to the
desired thickness 2 to 3mm.
4-a thin film of petrolatum must be applied to
prevent the resin from adhering. A thin
application of petrolatum to the fingers will
prevent the resin from sticking to the hands.
Keeping the fingers wet with water during
handling will also prevent this difficulty.
5-the resin sheet is transferred to the cast, adapted
to the hard plate area first or to the lingual surface
of the mandibular cast and then onto the crest of
the ridge and into the reflection area.
37
6-a sharp instrument is used to trim the excess resin
while it is in the soft, moldable state.
7-after polymerization has been completed; the
resin base is removed and trimmed. Soaking the
cast in water will help removable of the base if
difficulty is encounted.
8-the borders are further adjusted with burs, and the
external surface can be polished with wet pumic.
The thickness on the facial slope of the ridge and
extending over the crest of the ridge is reduced to
approximately 1mm.
38
B- Alternating application of cold-
curing powder
(sprinkle-on technique(.
1-well-adapted bases can be formed using this
technique.
2-undercuts are blocked out and tin foil or
petrolatum is applied to the cast.
39
3-polymerization shrinkage is kept to a minimum.
A thin layer of powder (polymer) is dusted over a
small surface area of the cast and sufficiently
wetted with liquid (monomer) to produce a
slight flow.
4-alternative applications of powder and liquid are
made until a thickness of 2 to 3mm has been
developed
5-the complete base is then removed, trimmed and
polished. The polymerization reaction takes
approximately 20 to 30 minutes; the bases should
not be removed during this period in order to
prevent distortion.
40
C-flasking method
1-recording bases produced from this method
are accurate and stable. Thy do, however,
require considerable time for fabrication
and therefore are most costly them bases
formed using shellac or autopolymerizing
resin.
41
2-since breakage of the master cast is possible with
this technique, it is advisable to duplicate the cast
and to construct the recording base on the
duplicated model.
3-An autopolymerizing resin is mixed in glass jar
and then covered .when the resin reaches the
doughy stage ,its placed into the model , the
flask is closed, and the resin is allowed to
polymerize for 20 to 30 minutes . The base is
removed from the flask, trimmed, and
polished. If there are a number of undercuts
present that will, interfere with seating the
base on the master cast, they must be
relieved before seating is attempted
42
Advantage of resin recording base:
1-acrylic resin base plates are excellent for making
maxillo-mandibular relation records.
2-They fit accurately and are not easily distorted
3-any type of occlusal rims can be mounted on it
Disadvantages:
1-They may take up space needed for setting the
teeth, necessitating some grinding of the resin
base in required areas.
2-they may be loose because of the necessary block
out of undercuts in the cast
43
3-vacuum-formed bases
1-the vacuum method provides a fast and efficient
means of forming rigid, accurate fitting recording
base. Depending on the material used, temporary
or permanent bases can be formed. Permanent
bases formed using this method have not gained
wide acceptaptance.
2-the cast is prepared by blocking out the existing
undercuts with a suitable material (wax or any
other material that melts during heating should
no be used
44
3-a sheet of base plate resin is inserted in the frame
located below the electric heater coil, and the
heater is activated. Heating is contained until the
resin sheet begins to sag approximately 12 inch.
At this time, the sagging sheet of softened resin is
lowerd onto the cast by means of the supporting
farm and vacuum is turned on.
4-the sheet of soften resin is drawn in to close
adaptation to the cast. The heater is then turned
off and the base allowed to cool for one minute.
After removal from the cast the base is trimmed
and finished.
45
Vacuum-formed base
46
Other recording base materials
1-base plate wax:
This type of base plate is used in conjunction with
wax rim so forming the all wax-recording blocks.
Talcum powder is applied to the cast .an
alternative the cast may be immersed in water for
a short period of the time until moist. The wax is
then softened and adapted. Excess wax is removed
with a sharp instrument and the borders rounded
and smooth.
47
Advantages:
Base plate wax recording bases are
inexpensive, easily formed and esthetic.
Disadvantages:
1-base plate wax recording base softens
readily at body temperature that leads to
distortion during the maxillo-mandibular
jaw relations recording
2-it does not withstand the pressure to witch it
is subjected during jaw relationship
recording.
48
2-swaged tin base plate
Three pieces of 5-gauge tin are swaged down
on top of other, on to a model die made
from the master cast and trimmed similar in
out line to a cast or swaged metal base. The
layers of tin may be cemented together with
a thin film of hard wax and the complete
until re-swaged for final adaptation to the
cast.
49
Advantage:
1-it does not soften at mouth temperature
2-it has a reasonable accurate fit
3-it gives a uniform thickness for the palate of
the finished denture.
4-it reproduces the rugae to some extend.
Disadvantage:
1-time consuming
2-expensive
50
II-Permanent denture base
A-processed resin (heat-curing acrylic
resin(:
1-fabrication of heat-processed resin
recording bases result in the destruction of
the final casts.
The recording bases that are formed are
permanent and become part of the final
denture.
51
2-undercuts are not blocked out. A wax form of the desired
shape and dimensions is adapted onto the cast. The wax
pattern is invested in applied, and a denture resin is mixed
and packed into the model.The resin is processed
according to the manufacture's instruction.The processed
base is recovered and finished. Undercuts on the tissue
side of processed base are blocked out with a plastic
material, and dental plaster or stone is poured in to the
base to provide mounting casts for the transfer of jaw
records to the articulator.
3-the artificial teeth are set in wax, which is attached to the
processed base, to provide the trial denture. When
satisfactory, the trial denture is flasked, processed and
finished. Either cold-cured resin or heat-cured resin may
be used to attach the teeth to the processed base.
52
Advantages of processed resin-recording base:
1-Accurate base plates are produced
2-no warpage during recording jaw relationship.
3-the bond between the wax rim and base is strong.
4-it also enables a check on the accuracy of the
final impression to be made at an early stage in
denture construction, since their retention and
stability should be equal to that of the finished
denture.
Disadvantage:
1-Time consuming
2-owing to the warpage that always occurs when
acrylic resin is subjected to reprocessing; it is not
advisable to finish the denture on these bases.
53
B-cast alloys
Cast recording bases are more costly than other types
of bases, since they require more time to
fabrication. They become part of the final
prosthesis and are therefore called permanent
bases. Cast recording base rigid, accurate, and
dimensionally stable.
They have several advantages over the other
materials they add more weight to mandibular
dentures and more thermal conductivity to
maxillary dentures.
54
.Refractory casts are prepared from the final cast. A
wax pattern is formed on the refractory model (a
cast made of material that withstand high
temperatures without disintegrating called
investment cast), which is sprued, invested in a
suitable investment, the wax is burned out, and the
molten alloy is cast into the model cavity. on
cooling, the casting is removed from the
investment ,finished and polished, and then
retained to then final cast. The artificial teeth are
set in wax on the metal base. Once satisfactory,
the teeth are attached to the metal base in the same
manner as for the processed base.
55
56
Occlusion rims
An occlusion rim is a wax form used to
establish:
1-the proper lip and cheek support (fullness of
the lips and cheeks(
2-the arch form, which is related to the
activity of the lips, cheeks and tongue.
3-the level of the occlusal plane.
57
4-accurate maxillo-mandibular jaw relations i.e. Help to determine:
A-vertical dimension and an estimate of the interocclusal distance.
B-horizontal jaw relations (centric occluding relation and condylar path(
5-occlusion rims help to determine the length and width of the artificial
teeth:
A-high and low lip lines are used for determining the length of the
artificial teeth.
B-canine line i.e. corners of the mouth; the distance between the canine
lines determines the width of the six anterior teeth.
C-the distance between the canine line and the posterior end of the
occlusion rim determines the mesiodistal width of the posterior teeth.
6-position of midline of the arch for the correct placement of the central
incisors.
7-arrangement of the artificial teeth to the trial denture (setting up of the
teeth(.
58
Base plate wax is the most commonly used
occlusal rim material. Compound and a
mixture of the plaster and pumice are
sometimes used for constructing occlusal
rims. There are basic factors that should be
considered in the proper fabrication of
occlusion rims, to assist the dentist and the
dental laboratory technician throughout the
many phases of denture construction.
59
These factors are:
1-relationship of natural teeth to alveolar bone:
Since the final goal in the treatment of the edentulous patient is to provide
a functional and esthetic prosthesis, the relationship of the natural
teeth to the alveolar bone must be understood. The fabrication of
successful replacements can be accomplished in most cases only if the
artificial teeth are placed in the same position that was occupied by the
natural teeth they are replacing.
The natural maxillary anterior teeth are inclined slightly forward of the
alveolar bone. They contribute to the support of the upper lip
With the canines providing support for the corners of the mouth. The
mandibular incisors are also inclined forward and tend to support the
lower lip. The maxillary posterior teeth are positioned slightly buccal
to the alveolar ridge, when occluding with the mandibular molars; the
maxillary buccal cusps usually project 2 to 3 mm. beyond the buccal
cusps of the mandibular teeth. The crowns of the lower posterior teeth
are inclined inward
60
2-relationship of occlusion rims to edentulous
ridges:
The location and dimensions of the occlusion rims in
relation to the edentulous ridge are basically the
same as those for the crowns of the natural teeth
that are to be replaced in their relation to the
alveolar ridge. The occlusion rims simply replace
the natural teeth both in dimension and in their
relationship to anatomic structures. These
relationships should be re-established by the
occlusion rims even if resorption of the residual
ridge has occurred following the removal of the
natural teeth.
61
3-fabrication technique and
dimensions of occlusion rim:
1-base plate wax (modeling wax(:
A sheet of base plat wax is heated over
approximately one half its length until the wax is
soft and pliable. The soft wax is rolled to point to
a point just short of unheated area. The wax is
again heated and rolled until a soft roll has been
formed. The soft wax roll is adapted to a bead of
sticky wax that was previously applied to the
recording base. The roll is further seated to the
base. The roll is further seated to the base with
spatula, with additional molten wax.
62
The edges of the roll are extended along the lateral surfaces to the border
of the recording base. Additional wax is added to fill any voids in the
contour of the rims. A heated broad bladed knife or plaster spatula is,
used to quickly shape the labial surface of occlusion rim. The anterior
surface should be inclined outward while the posterior surface is
sloped slightly inward.
A hot wax spatula is used to smooth the lingual surface and form a rim
approximately 5mm wide in the anterior area and approximately 8-
10mm in the posterior area.
These basic dimensions are subjected to final chair side changes, since the
dentist uses the rims to determine the proper vertical dimension,
occlusal plane, facial support, as well as the midline of the arch, the
length and width of the anterior teeth, the buccal eminence, the
smiling (high) lip line, and the speaking(low) lip line.
The occlusal surface of the occlusal rim must be smooth and flat. All
surfaces of the rim should be smooth.
63
64
65
66
67
68
69
2-the composition
(compound impression(
1-May be used and softend in warm water, molded
into a back of the necessary size and placed into
position.
2-a hot wax knife is used to adapt the edge, the
surface is best smoothed with a sand paper.
3-the use of compound is indicated when it is
desired to obtain more than one record of the
occlusion, as with any type of fully adjustable
articulator, or when gothic arch tracing is to be
taken.
70
3-plaster and pumice
When a functional recording of mandibular
movements is to be made by the patient chewing
on bite rims, these should be made of a mixture of
plaster and pumic. In this technique the patient
goes through the movement of mastication with
the bite blocks in occlusion and so produces the
occlusal plane conforming to those movements.
An acrylic base is the most satisfactory for this
technique. The plaster is mixed with pumic equal
parts of each, to facilate the grinding down in the
mouth.
71
This plaster-pumic combination is mixed with water
into a thick consistency and a roll of it is placed on
to the base while the initial set is taking place. It
can be smoothed with moistened fingers before
setting is completed. A preliminary recording of
vertical dimension is desirable which should be
taken 3mm greater than finally required to allow
for the reduction in grinding down in the mouth.
These plaster rim should be made less than 24 hours
before they are required , otherwise the patient
will have difficulty in grinding them down owing
to the increased hardness of the plaster.
72
Wire attached to shellac denture base
73
Plaster & pumice occlusal rim
74

More Related Content

What's hot

Occluion in prosthodontics
Occluion in prosthodonticsOccluion in prosthodontics
Occluion in prosthodontics
Aeysha Siddika
 
Orientation jaw relations & face bow
Orientation jaw relations & face bowOrientation jaw relations & face bow
Orientation jaw relations & face bow
Rohan Bhoil
 
Anatomical Landmarks for Complete Dentures
Anatomical Landmarks for Complete DenturesAnatomical Landmarks for Complete Dentures
Anatomical Landmarks for Complete Dentures
Ahmed Samy
 
The posterior palatal seal
The posterior palatal sealThe posterior palatal seal
The posterior palatal seal
akanksha arya
 

What's hot (20)

posterior palatal seal
posterior palatal sealposterior palatal seal
posterior palatal seal
 
Vertical jaw relation in Complete Dentures- Kelly
Vertical jaw relation in Complete Dentures- KellyVertical jaw relation in Complete Dentures- Kelly
Vertical jaw relation in Complete Dentures- Kelly
 
2.rpd biomechanics
2.rpd biomechanics2.rpd biomechanics
2.rpd biomechanics
 
Occluion in prosthodontics
Occluion in prosthodonticsOccluion in prosthodontics
Occluion in prosthodontics
 
Orientation jaw relations & face bow
Orientation jaw relations & face bowOrientation jaw relations & face bow
Orientation jaw relations & face bow
 
Anatomical Landmarks for Complete Dentures
Anatomical Landmarks for Complete DenturesAnatomical Landmarks for Complete Dentures
Anatomical Landmarks for Complete Dentures
 
Fluid control and Soft tissue management in Prosthodontics
Fluid control and Soft tissue management in ProsthodonticsFluid control and Soft tissue management in Prosthodontics
Fluid control and Soft tissue management in Prosthodontics
 
Tooth preparation for partial veneer crwns
Tooth preparation for partial veneer crwnsTooth preparation for partial veneer crwns
Tooth preparation for partial veneer crwns
 
Laboratory procedures in rpd- Kelly
Laboratory procedures in rpd- KellyLaboratory procedures in rpd- Kelly
Laboratory procedures in rpd- Kelly
 
3 b combination syndrome
3 b  combination syndrome3 b  combination syndrome
3 b combination syndrome
 
removable partial denture survey lines, path of insertion, guide planes
removable partial denture survey lines, path of insertion, guide planesremovable partial denture survey lines, path of insertion, guide planes
removable partial denture survey lines, path of insertion, guide planes
 
The posterior palatal seal
The posterior palatal sealThe posterior palatal seal
The posterior palatal seal
 
Impression for CD
Impression for CDImpression for CD
Impression for CD
 
Cast partial denture design
Cast partial denture designCast partial denture design
Cast partial denture design
 
Complete dentures 7. final impressions
Complete dentures 7. final impressionsComplete dentures 7. final impressions
Complete dentures 7. final impressions
 
custom trays & master casts
custom trays & master castscustom trays & master casts
custom trays & master casts
 
Posterior Palatal Seal Area
Posterior Palatal Seal AreaPosterior Palatal Seal Area
Posterior Palatal Seal Area
 
Posterior palatal seal
Posterior palatal sealPosterior palatal seal
Posterior palatal seal
 
Complete denture impressions
Complete denture impressionsComplete denture impressions
Complete denture impressions
 
Horizontal jaw relation in complete denture
Horizontal jaw relation in complete dentureHorizontal jaw relation in complete denture
Horizontal jaw relation in complete denture
 

Similar to Post damming المحاضرة 8+9

تعديل المحاضره الرابعه س.pdf
تعديل المحاضره الرابعه س.pdfتعديل المحاضره الرابعه س.pdf
تعديل المحاضره الرابعه س.pdf
ssuserb9be11
 
Fpd,rpd and implant
Fpd,rpd and implantFpd,rpd and implant
Fpd,rpd and implant
Nourmaged
 
A special tray is defined final
A special tray is defined finalA special tray is defined final
A special tray is defined final
Saad Mohammed
 

Similar to Post damming المحاضرة 8+9 (20)

5-final imp.pdf
5-final imp.pdf5-final imp.pdf
5-final imp.pdf
 
SEMINAR -inlay cavity designs
SEMINAR -inlay cavity designsSEMINAR -inlay cavity designs
SEMINAR -inlay cavity designs
 
123
123123
123
 
prosthoلمحاضره اس.pdf
prosthoلمحاضره اس.pdfprosthoلمحاضره اس.pdf
prosthoلمحاضره اس.pdf
 
Impression tray and relief area المحاضرة 7
Impression tray and relief area المحاضرة 7Impression tray and relief area المحاضرة 7
Impression tray and relief area المحاضرة 7
 
Interim Fixed Restoration
Interim Fixed RestorationInterim Fixed Restoration
Interim Fixed Restoration
 
Secondary impression in complete denture CD
Secondary impression in complete denture CDSecondary impression in complete denture CD
Secondary impression in complete denture CD
 
تعديل المحاضره الرابعه س.pdf
تعديل المحاضره الرابعه س.pdfتعديل المحاضره الرابعه س.pdf
تعديل المحاضره الرابعه س.pdf
 
Spacer designs
Spacer designsSpacer designs
Spacer designs
 
Complete dentures 7. final impressions
Complete dentures 7. final impressionsComplete dentures 7. final impressions
Complete dentures 7. final impressions
 
Impression philosophies for completely edentulous patients
Impression philosophies for completely edentulous patientsImpression philosophies for completely edentulous patients
Impression philosophies for completely edentulous patients
 
Fpd,rpd and implant
Fpd,rpd and implantFpd,rpd and implant
Fpd,rpd and implant
 
Waxing up المحاضرة 13 + 14
Waxing up المحاضرة 13 + 14Waxing up المحاضرة 13 + 14
Waxing up المحاضرة 13 + 14
 
3 impression new 1
3 impression new 13 impression new 1
3 impression new 1
 
Complete denture 1.ppt
Complete denture 1.pptComplete denture 1.ppt
Complete denture 1.ppt
 
Wax rims & jaw relations
Wax rims & jaw relationsWax rims & jaw relations
Wax rims & jaw relations
 
Auxillary methods of retention in class ii dental amalgam restorations
Auxillary methods of retention in class ii dental amalgam restorationsAuxillary methods of retention in class ii dental amalgam restorations
Auxillary methods of retention in class ii dental amalgam restorations
 
Rubber dam isolation
Rubber dam isolationRubber dam isolation
Rubber dam isolation
 
4. hand out
4. hand out4. hand out
4. hand out
 
A special tray is defined final
A special tray is defined finalA special tray is defined final
A special tray is defined final
 

More from Lama K Banna

More from Lama K Banna (20)

The TikTok Masterclass Deck.pdf
The TikTok Masterclass Deck.pdfThe TikTok Masterclass Deck.pdf
The TikTok Masterclass Deck.pdf
 
دليل كتابة المشاريع.pdf
دليل كتابة المشاريع.pdfدليل كتابة المشاريع.pdf
دليل كتابة المشاريع.pdf
 
Investment proposal
Investment proposalInvestment proposal
Investment proposal
 
Funding proposal
Funding proposalFunding proposal
Funding proposal
 
5 incisions
5 incisions5 incisions
5 incisions
 
Lecture 3 facial cosmetic surgery
Lecture 3 facial cosmetic surgery Lecture 3 facial cosmetic surgery
Lecture 3 facial cosmetic surgery
 
lecture 1 facial cosmatic surgery
lecture 1 facial cosmatic surgery lecture 1 facial cosmatic surgery
lecture 1 facial cosmatic surgery
 
Facial neuropathology Maxillofacial Surgery
Facial neuropathology Maxillofacial SurgeryFacial neuropathology Maxillofacial Surgery
Facial neuropathology Maxillofacial Surgery
 
Lecture 2 Facial cosmatic surgery
Lecture 2 Facial cosmatic surgery Lecture 2 Facial cosmatic surgery
Lecture 2 Facial cosmatic surgery
 
Lecture 12 general considerations in treatment of tmd
Lecture 12 general considerations in treatment of tmdLecture 12 general considerations in treatment of tmd
Lecture 12 general considerations in treatment of tmd
 
Lecture 10 temporomandibular joint
Lecture 10 temporomandibular jointLecture 10 temporomandibular joint
Lecture 10 temporomandibular joint
 
Lecture 11 temporomandibular joint Part 3
Lecture 11 temporomandibular joint Part 3Lecture 11 temporomandibular joint Part 3
Lecture 11 temporomandibular joint Part 3
 
Lecture 9 TMJ anatomy examination
Lecture 9 TMJ anatomy examinationLecture 9 TMJ anatomy examination
Lecture 9 TMJ anatomy examination
 
Lecture 7 correction of dentofacial deformities Part 2
Lecture 7 correction of dentofacial deformities Part 2Lecture 7 correction of dentofacial deformities Part 2
Lecture 7 correction of dentofacial deformities Part 2
 
Lecture 8 management of patients with orofacial clefts
Lecture 8 management of patients with orofacial cleftsLecture 8 management of patients with orofacial clefts
Lecture 8 management of patients with orofacial clefts
 
Lecture 5 Diagnosis and management of salivary gland disorders Part 2
Lecture 5 Diagnosis and management of salivary gland disorders Part 2Lecture 5 Diagnosis and management of salivary gland disorders Part 2
Lecture 5 Diagnosis and management of salivary gland disorders Part 2
 
Lecture 6 correction of dentofacial deformities
Lecture 6 correction of dentofacial deformitiesLecture 6 correction of dentofacial deformities
Lecture 6 correction of dentofacial deformities
 
lecture 4 Diagnosis and management of salivary gland disorders
lecture 4 Diagnosis and management of salivary gland disorderslecture 4 Diagnosis and management of salivary gland disorders
lecture 4 Diagnosis and management of salivary gland disorders
 
Lecture 3 maxillofacial trauma part 3
Lecture 3 maxillofacial trauma part 3Lecture 3 maxillofacial trauma part 3
Lecture 3 maxillofacial trauma part 3
 
Lecture 2 maxillofacial trauma
Lecture 2 maxillofacial traumaLecture 2 maxillofacial trauma
Lecture 2 maxillofacial trauma
 

Recently uploaded

Industrial Training Report- AKTU Industrial Training Report
Industrial Training Report- AKTU Industrial Training ReportIndustrial Training Report- AKTU Industrial Training Report
Industrial Training Report- AKTU Industrial Training Report
Avinash Rai
 

Recently uploaded (20)

PART A. Introduction to Costumer Service
PART A. Introduction to Costumer ServicePART A. Introduction to Costumer Service
PART A. Introduction to Costumer Service
 
Gyanartha SciBizTech Quiz slideshare.pptx
Gyanartha SciBizTech Quiz slideshare.pptxGyanartha SciBizTech Quiz slideshare.pptx
Gyanartha SciBizTech Quiz slideshare.pptx
 
Basic phrases for greeting and assisting costumers
Basic phrases for greeting and assisting costumersBasic phrases for greeting and assisting costumers
Basic phrases for greeting and assisting costumers
 
Pragya Champions Chalice 2024 Prelims & Finals Q/A set, General Quiz
Pragya Champions Chalice 2024 Prelims & Finals Q/A set, General QuizPragya Champions Chalice 2024 Prelims & Finals Q/A set, General Quiz
Pragya Champions Chalice 2024 Prelims & Finals Q/A set, General Quiz
 
Application of Matrices in real life. Presentation on application of matrices
Application of Matrices in real life. Presentation on application of matricesApplication of Matrices in real life. Presentation on application of matrices
Application of Matrices in real life. Presentation on application of matrices
 
Jose-Rizal-and-Philippine-Nationalism-National-Symbol-2.pptx
Jose-Rizal-and-Philippine-Nationalism-National-Symbol-2.pptxJose-Rizal-and-Philippine-Nationalism-National-Symbol-2.pptx
Jose-Rizal-and-Philippine-Nationalism-National-Symbol-2.pptx
 
slides CapTechTalks Webinar May 2024 Alexander Perry.pptx
slides CapTechTalks Webinar May 2024 Alexander Perry.pptxslides CapTechTalks Webinar May 2024 Alexander Perry.pptx
slides CapTechTalks Webinar May 2024 Alexander Perry.pptx
 
Keeping Your Information Safe with Centralized Security Services
Keeping Your Information Safe with Centralized Security ServicesKeeping Your Information Safe with Centralized Security Services
Keeping Your Information Safe with Centralized Security Services
 
Introduction to Quality Improvement Essentials
Introduction to Quality Improvement EssentialsIntroduction to Quality Improvement Essentials
Introduction to Quality Improvement Essentials
 
Sha'Carri Richardson Presentation 202345
Sha'Carri Richardson Presentation 202345Sha'Carri Richardson Presentation 202345
Sha'Carri Richardson Presentation 202345
 
The Benefits and Challenges of Open Educational Resources
The Benefits and Challenges of Open Educational ResourcesThe Benefits and Challenges of Open Educational Resources
The Benefits and Challenges of Open Educational Resources
 
Danh sách HSG Bộ môn cấp trường - Cấp THPT.pdf
Danh sách HSG Bộ môn cấp trường - Cấp THPT.pdfDanh sách HSG Bộ môn cấp trường - Cấp THPT.pdf
Danh sách HSG Bộ môn cấp trường - Cấp THPT.pdf
 
The impact of social media on mental health and well-being has been a topic o...
The impact of social media on mental health and well-being has been a topic o...The impact of social media on mental health and well-being has been a topic o...
The impact of social media on mental health and well-being has been a topic o...
 
aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa
aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa
aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa
 
Mattingly "AI & Prompt Design: Limitations and Solutions with LLMs"
Mattingly "AI & Prompt Design: Limitations and Solutions with LLMs"Mattingly "AI & Prompt Design: Limitations and Solutions with LLMs"
Mattingly "AI & Prompt Design: Limitations and Solutions with LLMs"
 
Industrial Training Report- AKTU Industrial Training Report
Industrial Training Report- AKTU Industrial Training ReportIndustrial Training Report- AKTU Industrial Training Report
Industrial Training Report- AKTU Industrial Training Report
 
How to Split Bills in the Odoo 17 POS Module
How to Split Bills in the Odoo 17 POS ModuleHow to Split Bills in the Odoo 17 POS Module
How to Split Bills in the Odoo 17 POS Module
 
Open Educational Resources Primer PowerPoint
Open Educational Resources Primer PowerPointOpen Educational Resources Primer PowerPoint
Open Educational Resources Primer PowerPoint
 
Morse OER Some Benefits and Challenges.pptx
Morse OER Some Benefits and Challenges.pptxMorse OER Some Benefits and Challenges.pptx
Morse OER Some Benefits and Challenges.pptx
 
GIÁO ÁN DẠY THÊM (KẾ HOẠCH BÀI BUỔI 2) - TIẾNG ANH 8 GLOBAL SUCCESS (2 CỘT) N...
GIÁO ÁN DẠY THÊM (KẾ HOẠCH BÀI BUỔI 2) - TIẾNG ANH 8 GLOBAL SUCCESS (2 CỘT) N...GIÁO ÁN DẠY THÊM (KẾ HOẠCH BÀI BUỔI 2) - TIẾNG ANH 8 GLOBAL SUCCESS (2 CỘT) N...
GIÁO ÁN DẠY THÊM (KẾ HOẠCH BÀI BUỔI 2) - TIẾNG ANH 8 GLOBAL SUCCESS (2 CỘT) N...
 

Post damming المحاضرة 8+9

  • 1. Posterior palatal seal (post damming( Dr. Waseem Bahjat Mushtaha Specialized in prosthodontics 1
  • 2. Posterior palatal seal (post damming( 1-The posterior palatal seal (post dam) of the upper denture should be placed on non-movable tissue of the soft palate just behind the hard palate. 2-The vibrating line of the soft palate , normally used as a guide to the ideal posterior border of the denture, is usually located slightly posterior to the foveae palatine. 3-The posterior palatal seal is formed through both humular (pterygomaxillary) notch and across the palate over the vibrating line. 4-The vibrating line is observed in patient's mouth as the patient says a series of short "ah" and the hamular notches are palpated. 2
  • 3. Techniques of post-damming There are several established for the placement of the posterior palatal seal: 1-Conventional method 2-Scraping of master cast 3-Post damming during try-in stage 3
  • 4. 1-Conventional method A strip of low fusing compound is traced on the impression over the vibrating line and through the hamular notches. The compound is heated with alcohol torch, tempered and seated in the mouth under pressure. The added material will spread out on both sides of the vibrating line and form a raised strip across the distal end of the impression. The final impression with the posterior border seal is carefully boxed and poured in stone. 4
  • 5. 2-Scraping of master cast A –this technique is the least accurate and leaves the most to chance of tissue compressibility of the insertion of the denture. B – This technique is almost as unphysiologically correct as the technician's attempt to place the posterior palatal seal. So post damming must be done at the impression stage rather than by attempting the scrap the cast. 5
  • 6. 3-Post damming during try-in stage The trial denture base is inserted so the indelible pencil line marked on vibrating line of the soft palate will be transferred from the soft palate to the trial denture base. And the excess base plate is reduced to this line. The trial denture base is placed on the cast and a knife or pencil is used to mark a line following the posterior limits of the base plate. 6
  • 7. 7
  • 8. Dimensions of the post dam 1-The post dam extends from the humular notch on one side to the other humular notch of the other side. It should be wide enough to avoid cutting or irritating the soft tissues, but not so wide to compress too large an area and thus prevent the denture from sealing properly. 8
  • 9. 2-The post dam is usually narrow in it's central part, wider as it extends laterally on each side, and narrow again as it approaches the hamular notch to fade out behind the tuberosity. It is sometimes called butterfly (Cupid's bow) post dam 3-The post dam should be about 3-4mm wide in its widest part. The depth or thickness of the post dam should vary in different individuals, according to compressibility and softness of the tissue. Its depth should also vary in different parts of the same mouth in exactly the same manner as its width. The average thickness is 1mm. 9
  • 10. 10
  • 11. Function of post damming 1-during impression making: The rational for the placement of a post dam in the impression tray is: A – To establish contact posteriorly to prevent the final impression material from sliding down in to the pharynx. B – To serve a guide for positioning the impression tray, especially if a shim has been used within the tray to establish the borders. 11
  • 12. 2-during jaw relationship: 1-Posterior palatal seal is incorporated into the trial denture base for added retention. 2-To determine if adequate retention and seal of the potential denture border is present. 12
  • 13. 3-Post dam with finished denture: 1-it slightly displaced the soft tissue of the distal end of the denture to inhance the posterior border seal: A- Increase retention of the denture by atmospheric pressure. B –it prevents air and food from getting under the denture. 2-it makes the thickness of the base less conspicuous to the tongue and diminishes reflex irritation. 13
  • 14. Boxing-in the impressions and making the casts 14
  • 15. Boxing-in the impressions and making the casts Def: Boxing in an impression is the process of building up of vertical walls, usually in wax developing around the final impression for complete dentures to produce the desired size and form of the base of the cast, and to preserve certain landmarks of the impressions. 15
  • 16. Technique 1-A strip of boxing wax is attached all the way around the outside of the impression approximately 1 to 2mm below the border and seated to it with a spatula. 2-The strip must be at its full width, particularly at the distal ends of the impression, to hold the vertical wall of the boxing away from the impressions and provide space for adequate thickness of the cast in these regions. 16
  • 17. 3-the vertical walls of the boxing are made of sheets of beeswax. 4-The tongue space in the lower impression is with a sheet of beeswax or plasticine that is fitted and attached on the superior surface of the boxing wax. The beeswax tongue space filler is seated to the boxing wax. And located just below the lingual border. 17
  • 18. 5-A thin sheet of wax is used for making the vertical walls of the boxing. This may be special boxing wax. Or half sheet of beeswax may be cut lengthwise and used as a boxing wax. It is attached around the outside of the boxing strip so as not to alter the borders of the impression. It should extend 9 to 15mm above the impression so the base of the cast at its narrowest point will be of this thickness. 6-The sheet of boxing wax should extend completely around the impression and be seated to the boxing wax strip to prevent the escape of stone when this is poured in to the impression. Sufficient space must be available posteriorly between the impression and boxing to provide for adequate thickness of casts distal to the impression. 18
  • 19. 7-A stone is mixed carefully and vibrated, and then sufficient stone is poured in to the boxed impression that the base of the cast will be 9 to 15mm thick. The stone is allowed to harden for at least 30 minutes before impression. After the final impression is separated from the cast, the borders of the cast are trimmed to leave a ledge of about 3mm posteriorly and little anteriorly. The cast must be shaped to maintain the form of the borders of the impression and yet be easily accessible for adaptation of the materials used in making the record blockes. 19
  • 20. 20
  • 21. 21
  • 22. 22
  • 23. 23
  • 24. Advantages of boxing –in 1-The correct width of the periphery of the impression is preserved. 2-the mixed stone can be vibrated, the cast will not contain air bubbles and a stronger cast will be produced. 3-The thickness of the cast may be more accurately judged. 4-boxing-in is time saving, because trimming may be not be required. 5-Material is economized. 24
  • 25. Recording bases and occlusion rim 25
  • 26. Recording bases and occlusion rim Def: the recording base (trial denture base) is a temporary form that closely resembles the final base of the denture under construction. It is used for recording maxillo-mandibular jaw relationships and for setting the artificial teeth. 26
  • 27. Function of recording base 1-Establishment of the rest and occlusal vertical dimensions. 2-Determination and recording of centric relation 3-The transfer of the accurate jaw relationships to an articulator 4-Enabling the setting of artificial teeth for the trial denture. 27
  • 28. Requirements for recording base 1-Well adapted and accurately formed to the final cast. 2-Stable, both on the cast and in the mouth. 3-Rigid and strong. 4-Smooth and rounded to be comfortable to the patient. 5-Easily contoured and polished. 6-Fabricated from materials that are dimensionally stable. 7-the materials used should be easy to manipulate. 8-Base plate materials should be non-irritant to the mouth tissues. 28
  • 29. Materials for recording bases I-Temporary recording bases: the materials that are most frequently used are: 1-Shellac base plate wax. 2-cold-curing acrylic resin. 3-vacuum formed vinyl or polystyrene. 4-base plate wax. 5-swaged tin base plate. N.b these materials are used during the various technical procedures, but discarded at the time the denture is processed in to its permanent form. II-permanent denture bases: Is one, which eventually becomes the base of the finished denture: 1-Processed (heat-cured) acrylic resin. 2-cold 3-chromium – cobalt alloys. 4-chromium – nickel alloys. 29
  • 30. I-Temporary recording bases 1-Shellac recording base material: 1-Shellac is commonly used material for recording base. 2-it is supplied in forms shaped to correspond to the general shapes of the maxillary and mandibular arches. 30
  • 31. 3-if adapted accurately strengthened and handled carefully, it can be effectively utilized both for maxillary and mandibular recording base. If not adequately strengthened, shellac tends to warp when subjected to repeated changes in temperature. Wires should be used to increase strength rigidity and thus reduce distortion of shellac base. For the maxillary cast, the wire is placed across the posterior palatal seal area, while for the mandibular cast it is adapted within the lingual flange. 31
  • 32. Fabrication of shellac recording base 1-The proper shellac form, corresponding to either the maxillary or the mandibular arch, is selected for the final cast. 2-all undercut must be blocked out prior to adapting the base. 32
  • 33. 3-to prevent the base material from sticking to the cast, A- It is first dusted with talcum powder B-soaked in water for a short period of time until the surface of the cast is moist: immersion of the cast in water for a prolonged period of time many damage the surface of the cast. C-tin foil (0.001 inch) can be adapted to the cast. 4-soften the shellac until it appears shiny and applied with wet fingers to accurately adapted the shellac to the palatal portion of the maxillary cast or to the lingual surface of mandibular cast. 33
  • 34. 5-the material is then reheated and adapted over the crest of the ridge and into the reflections. Care must be taken to avoid trapping air between the shellac form and cast surface. 6-while the material is still warm and soft; it is removed from the cast and trimmed with scissors, leaving approximately 5mm beyond the edge of the cast. 7-the shellac is repositioned and reheated, and then carefully readapted. The trimmed edges are heated, elevated from the cast, and folded onto themselves and burnished with wax spatula to form a smooth rounded border. 8-care must be taken not to overheat, the shellac overheating will cause the molten shellac to adhere to the surface of the cast on cooling attempt to remove the shellac base can result in a fracture of the cast surface. 34
  • 35. Advantages of shellac recording base: 1-It can be easily and quickly adapted 2-inexpensive Disadvantages: Shellac being a brittle material, it is subjected to breakage. 35
  • 36. 2-autopolymerizing resin recording base materials Fabrication of autopolymerizing resin recording base: three basic techniques are used to fabricate recording base utilizing chemically activated resins: A-no-flasking method: 1-a layer of tin foil (0.001 inch) or a thin layer of petrolatum is applied to the prepared final cast. 2-all undercuts are blocked out with wax or and the suitable plastic material. 36
  • 37. 3-The autopolymerizing resin is mixed, when it reaches the doughy stage, it is rolled to the desired thickness 2 to 3mm. 4-a thin film of petrolatum must be applied to prevent the resin from adhering. A thin application of petrolatum to the fingers will prevent the resin from sticking to the hands. Keeping the fingers wet with water during handling will also prevent this difficulty. 5-the resin sheet is transferred to the cast, adapted to the hard plate area first or to the lingual surface of the mandibular cast and then onto the crest of the ridge and into the reflection area. 37
  • 38. 6-a sharp instrument is used to trim the excess resin while it is in the soft, moldable state. 7-after polymerization has been completed; the resin base is removed and trimmed. Soaking the cast in water will help removable of the base if difficulty is encounted. 8-the borders are further adjusted with burs, and the external surface can be polished with wet pumic. The thickness on the facial slope of the ridge and extending over the crest of the ridge is reduced to approximately 1mm. 38
  • 39. B- Alternating application of cold- curing powder (sprinkle-on technique(. 1-well-adapted bases can be formed using this technique. 2-undercuts are blocked out and tin foil or petrolatum is applied to the cast. 39
  • 40. 3-polymerization shrinkage is kept to a minimum. A thin layer of powder (polymer) is dusted over a small surface area of the cast and sufficiently wetted with liquid (monomer) to produce a slight flow. 4-alternative applications of powder and liquid are made until a thickness of 2 to 3mm has been developed 5-the complete base is then removed, trimmed and polished. The polymerization reaction takes approximately 20 to 30 minutes; the bases should not be removed during this period in order to prevent distortion. 40
  • 41. C-flasking method 1-recording bases produced from this method are accurate and stable. Thy do, however, require considerable time for fabrication and therefore are most costly them bases formed using shellac or autopolymerizing resin. 41
  • 42. 2-since breakage of the master cast is possible with this technique, it is advisable to duplicate the cast and to construct the recording base on the duplicated model. 3-An autopolymerizing resin is mixed in glass jar and then covered .when the resin reaches the doughy stage ,its placed into the model , the flask is closed, and the resin is allowed to polymerize for 20 to 30 minutes . The base is removed from the flask, trimmed, and polished. If there are a number of undercuts present that will, interfere with seating the base on the master cast, they must be relieved before seating is attempted 42
  • 43. Advantage of resin recording base: 1-acrylic resin base plates are excellent for making maxillo-mandibular relation records. 2-They fit accurately and are not easily distorted 3-any type of occlusal rims can be mounted on it Disadvantages: 1-They may take up space needed for setting the teeth, necessitating some grinding of the resin base in required areas. 2-they may be loose because of the necessary block out of undercuts in the cast 43
  • 44. 3-vacuum-formed bases 1-the vacuum method provides a fast and efficient means of forming rigid, accurate fitting recording base. Depending on the material used, temporary or permanent bases can be formed. Permanent bases formed using this method have not gained wide acceptaptance. 2-the cast is prepared by blocking out the existing undercuts with a suitable material (wax or any other material that melts during heating should no be used 44
  • 45. 3-a sheet of base plate resin is inserted in the frame located below the electric heater coil, and the heater is activated. Heating is contained until the resin sheet begins to sag approximately 12 inch. At this time, the sagging sheet of softened resin is lowerd onto the cast by means of the supporting farm and vacuum is turned on. 4-the sheet of soften resin is drawn in to close adaptation to the cast. The heater is then turned off and the base allowed to cool for one minute. After removal from the cast the base is trimmed and finished. 45
  • 47. Other recording base materials 1-base plate wax: This type of base plate is used in conjunction with wax rim so forming the all wax-recording blocks. Talcum powder is applied to the cast .an alternative the cast may be immersed in water for a short period of the time until moist. The wax is then softened and adapted. Excess wax is removed with a sharp instrument and the borders rounded and smooth. 47
  • 48. Advantages: Base plate wax recording bases are inexpensive, easily formed and esthetic. Disadvantages: 1-base plate wax recording base softens readily at body temperature that leads to distortion during the maxillo-mandibular jaw relations recording 2-it does not withstand the pressure to witch it is subjected during jaw relationship recording. 48
  • 49. 2-swaged tin base plate Three pieces of 5-gauge tin are swaged down on top of other, on to a model die made from the master cast and trimmed similar in out line to a cast or swaged metal base. The layers of tin may be cemented together with a thin film of hard wax and the complete until re-swaged for final adaptation to the cast. 49
  • 50. Advantage: 1-it does not soften at mouth temperature 2-it has a reasonable accurate fit 3-it gives a uniform thickness for the palate of the finished denture. 4-it reproduces the rugae to some extend. Disadvantage: 1-time consuming 2-expensive 50
  • 51. II-Permanent denture base A-processed resin (heat-curing acrylic resin(: 1-fabrication of heat-processed resin recording bases result in the destruction of the final casts. The recording bases that are formed are permanent and become part of the final denture. 51
  • 52. 2-undercuts are not blocked out. A wax form of the desired shape and dimensions is adapted onto the cast. The wax pattern is invested in applied, and a denture resin is mixed and packed into the model.The resin is processed according to the manufacture's instruction.The processed base is recovered and finished. Undercuts on the tissue side of processed base are blocked out with a plastic material, and dental plaster or stone is poured in to the base to provide mounting casts for the transfer of jaw records to the articulator. 3-the artificial teeth are set in wax, which is attached to the processed base, to provide the trial denture. When satisfactory, the trial denture is flasked, processed and finished. Either cold-cured resin or heat-cured resin may be used to attach the teeth to the processed base. 52
  • 53. Advantages of processed resin-recording base: 1-Accurate base plates are produced 2-no warpage during recording jaw relationship. 3-the bond between the wax rim and base is strong. 4-it also enables a check on the accuracy of the final impression to be made at an early stage in denture construction, since their retention and stability should be equal to that of the finished denture. Disadvantage: 1-Time consuming 2-owing to the warpage that always occurs when acrylic resin is subjected to reprocessing; it is not advisable to finish the denture on these bases. 53
  • 54. B-cast alloys Cast recording bases are more costly than other types of bases, since they require more time to fabrication. They become part of the final prosthesis and are therefore called permanent bases. Cast recording base rigid, accurate, and dimensionally stable. They have several advantages over the other materials they add more weight to mandibular dentures and more thermal conductivity to maxillary dentures. 54
  • 55. .Refractory casts are prepared from the final cast. A wax pattern is formed on the refractory model (a cast made of material that withstand high temperatures without disintegrating called investment cast), which is sprued, invested in a suitable investment, the wax is burned out, and the molten alloy is cast into the model cavity. on cooling, the casting is removed from the investment ,finished and polished, and then retained to then final cast. The artificial teeth are set in wax on the metal base. Once satisfactory, the teeth are attached to the metal base in the same manner as for the processed base. 55
  • 56. 56
  • 57. Occlusion rims An occlusion rim is a wax form used to establish: 1-the proper lip and cheek support (fullness of the lips and cheeks( 2-the arch form, which is related to the activity of the lips, cheeks and tongue. 3-the level of the occlusal plane. 57
  • 58. 4-accurate maxillo-mandibular jaw relations i.e. Help to determine: A-vertical dimension and an estimate of the interocclusal distance. B-horizontal jaw relations (centric occluding relation and condylar path( 5-occlusion rims help to determine the length and width of the artificial teeth: A-high and low lip lines are used for determining the length of the artificial teeth. B-canine line i.e. corners of the mouth; the distance between the canine lines determines the width of the six anterior teeth. C-the distance between the canine line and the posterior end of the occlusion rim determines the mesiodistal width of the posterior teeth. 6-position of midline of the arch for the correct placement of the central incisors. 7-arrangement of the artificial teeth to the trial denture (setting up of the teeth(. 58
  • 59. Base plate wax is the most commonly used occlusal rim material. Compound and a mixture of the plaster and pumice are sometimes used for constructing occlusal rims. There are basic factors that should be considered in the proper fabrication of occlusion rims, to assist the dentist and the dental laboratory technician throughout the many phases of denture construction. 59
  • 60. These factors are: 1-relationship of natural teeth to alveolar bone: Since the final goal in the treatment of the edentulous patient is to provide a functional and esthetic prosthesis, the relationship of the natural teeth to the alveolar bone must be understood. The fabrication of successful replacements can be accomplished in most cases only if the artificial teeth are placed in the same position that was occupied by the natural teeth they are replacing. The natural maxillary anterior teeth are inclined slightly forward of the alveolar bone. They contribute to the support of the upper lip With the canines providing support for the corners of the mouth. The mandibular incisors are also inclined forward and tend to support the lower lip. The maxillary posterior teeth are positioned slightly buccal to the alveolar ridge, when occluding with the mandibular molars; the maxillary buccal cusps usually project 2 to 3 mm. beyond the buccal cusps of the mandibular teeth. The crowns of the lower posterior teeth are inclined inward 60
  • 61. 2-relationship of occlusion rims to edentulous ridges: The location and dimensions of the occlusion rims in relation to the edentulous ridge are basically the same as those for the crowns of the natural teeth that are to be replaced in their relation to the alveolar ridge. The occlusion rims simply replace the natural teeth both in dimension and in their relationship to anatomic structures. These relationships should be re-established by the occlusion rims even if resorption of the residual ridge has occurred following the removal of the natural teeth. 61
  • 62. 3-fabrication technique and dimensions of occlusion rim: 1-base plate wax (modeling wax(: A sheet of base plat wax is heated over approximately one half its length until the wax is soft and pliable. The soft wax is rolled to point to a point just short of unheated area. The wax is again heated and rolled until a soft roll has been formed. The soft wax roll is adapted to a bead of sticky wax that was previously applied to the recording base. The roll is further seated to the base. The roll is further seated to the base with spatula, with additional molten wax. 62
  • 63. The edges of the roll are extended along the lateral surfaces to the border of the recording base. Additional wax is added to fill any voids in the contour of the rims. A heated broad bladed knife or plaster spatula is, used to quickly shape the labial surface of occlusion rim. The anterior surface should be inclined outward while the posterior surface is sloped slightly inward. A hot wax spatula is used to smooth the lingual surface and form a rim approximately 5mm wide in the anterior area and approximately 8- 10mm in the posterior area. These basic dimensions are subjected to final chair side changes, since the dentist uses the rims to determine the proper vertical dimension, occlusal plane, facial support, as well as the midline of the arch, the length and width of the anterior teeth, the buccal eminence, the smiling (high) lip line, and the speaking(low) lip line. The occlusal surface of the occlusal rim must be smooth and flat. All surfaces of the rim should be smooth. 63
  • 64. 64
  • 65. 65
  • 66. 66
  • 67. 67
  • 68. 68
  • 69. 69
  • 70. 2-the composition (compound impression( 1-May be used and softend in warm water, molded into a back of the necessary size and placed into position. 2-a hot wax knife is used to adapt the edge, the surface is best smoothed with a sand paper. 3-the use of compound is indicated when it is desired to obtain more than one record of the occlusion, as with any type of fully adjustable articulator, or when gothic arch tracing is to be taken. 70
  • 71. 3-plaster and pumice When a functional recording of mandibular movements is to be made by the patient chewing on bite rims, these should be made of a mixture of plaster and pumic. In this technique the patient goes through the movement of mastication with the bite blocks in occlusion and so produces the occlusal plane conforming to those movements. An acrylic base is the most satisfactory for this technique. The plaster is mixed with pumic equal parts of each, to facilate the grinding down in the mouth. 71
  • 72. This plaster-pumic combination is mixed with water into a thick consistency and a roll of it is placed on to the base while the initial set is taking place. It can be smoothed with moistened fingers before setting is completed. A preliminary recording of vertical dimension is desirable which should be taken 3mm greater than finally required to allow for the reduction in grinding down in the mouth. These plaster rim should be made less than 24 hours before they are required , otherwise the patient will have difficulty in grinding them down owing to the increased hardness of the plaster. 72
  • 73. Wire attached to shellac denture base 73
  • 74. Plaster & pumice occlusal rim 74