Parts of asurveyor & surveying tools
process of surveying -path of insertion & factors influencing it
-block out of master cast
Conclusion
Review of literature
References
4.
Introduction
A partialdenture will not succeed unless it is designed and constructed in harmony with all the physiologic
and mechanical problems present in patients mouth.
A well secured design serves as blue print for fabrication of the removable partial dentures.
An essential key to success in the practice of removable partial denture prosthodontics is thorough,
knowledgeable planning of each structural detail of the prosthesis.
6.
DEFINITION:
Surveyor-A paralleling instrumentused in making a dental prosthesis to locate and
delineate the contours and relative positions of abutment teeth and associated
structures; - GPT 9.
Surveying-It is an analysis and comparison of the prominence of intraoral contours
associated with the fabrication of a dental prosthesis
7.
Survey line
A lineproduced on a cast by a survey or marking the greatest
prominence of contour in relation to the planned path of placement
of a restoration.GPT-8
Height of contour
A line encircling a tooth and designating its greatest circumference
at a selected axial position determined by a dental surveyor.
8.
Suprabulge
It is thatportion of a tooth or crown that converges towards
the occlusal surface,i.e.,above the height of contour.
Infrabulge
It is that portion of the crown of a tooth apical to the
surveyline.
9.
Guiding planes
Vertically parallelsurfaces on abutment teeth or/and dental implant abutments
oriented so as to contribute to the direction of the path of placement and removal of a
removable dental prosthesis.
Undercut
The portion of the surface of an object that is below the height of contour in
relationship to the path of placement
10.
TYPES OF SURVEYORS
Typesof
surveyor
s
MECHANICAL
Neys
surveyor
Jelenko
surveyo
r
William
s
surveyo
r
ELECTRONIC
Microanalyse
r
Stress-o-
graph
RECENT
ADVANCES
OPTICAL/
LASERS
CAD/CAM
11.
Types
Ney surveyor
TheOriginal Ney Surveyor Developed by NEY in 1923. It featured a
convenient palm rest on the top of the vertical arm. Designed by Weinstein
and Roth,
Ney’s Surveyor This is the currently used surveyor, designed and developed in
1937.
FIXED – HORIZONTAL ARM.
12.
Jelenko surveyor
Themain components of the jelenko surveyor are basically the same as those
for the ney surveyor except that by releasing the nut at the top of the vertical
arm, the horizontal arm may be made to pivot.
It is also known as wills surveyor.
13.
Retentoscope
it isproduced by the saddle lock company.
it is a surveyor with undercut gauge.
the cast attached on the table can be raised and lowered vertically
and eliminates the need for movement in vertical rod.
14.
The ticonium surveyor
one of the modern instrument.
the marking point will make vertical line on the abutment
tooth until depth has been reached.
15.
Stress o graph
Also produced by ticonium company.
Consists of vertical holders/horizontal arms.
One for measuring undercut.
Second for measuring survey line
16.
Broken arm castsurveyor
featuring the gimbal stage table.
can be adjusted to any tilt/direction.
spring loaded survey arm.
straight handpiece could be easily clamped with
surveying arm.
Recent innovation
The laserlight is visible only above the height of the contour, whereas
the undercut below the height of the contour is cast in a dark shadow
19.
Electronic surveying
TECHNIQUE
3-D surfacecapture
1.Obtain a 3-D computer model of a cast of a patient using an optical surface capture
device
2. Align and combine the data points from each of these scans using CAD software to
provide a single coherent data set of the entire object. Use the resultant data points
(termed a “point cloud”) to create a 3-D surface model.
3. Produce a solid 3-D computer model on screen using a triangular-faceted polygon mesh.
20.
3-D computer-aided design
-Electronicallysurvey the scan using the MatLab software package described previously. The
depth of undercut can be copied from the definitive cast to determine clasp termination.
-Model the shape of the components of a removable partial denture framework on the scanned
surface model using 3-dimensional CAD software (Surface Studio; Alias-Wavefront, Inc).
-Use an RP (stereolithography) machine (SLA 250/ 40; 3D Systems Inc, Valencia, Calif) to
produce a plastic (WaterClear 10110 Epoxy Resin for Stereolithography; DSM Somos, New
Castle, Del 33 physical model of the components described above.
-Use RP (rapid prototyping) processes to create a sacrificial pattern of a removable partial
denture framework, to be incorporated directly into existing casting procedures found in the
typical dental laboratory.
21.
A, Program usedto identify survey line on 3-D scan of model of large tooth—distobuccal view.
B, Lingual view of electronically surveyed tooth
23.
PARTS OF DENTALSURVEYOR
1.SURVEYING PLATFORM
2. A VERTICAL ARM
3. A HORIZONTAL ARM
4.A SURVEYING ARM
5.A MANDREL
6.A SURVEYING TABLE.
24.
1.SURVEYING PLATFORM
Itis a metal plate parallel to the floor where a cast
holder can be placed.
It forms the base of a surveyor onto which all the
components are attached and supported
25.
2. CAST HOLDER/SURVEYING TABLE
It is a stand placed over the surveying platform
This stand has a base and a table to place a cast
, the cast can be locked in any position on the table with
a locking device.
The table is attached to the
base with a ball and socket joint
which facilitates to tilt the table
26.
3.VERTICAL A RM
It arises vertically from the surveying platform
It supports the superstructure
[horizontal arm and surveying
arm]
27.
4 . HORIZONTALAR M
o It extends horizontally from the top of the vertical arm and
supports the surveying arm at its free end.
Differences in various surveyors:
Ney
Jelenko
- Fixed
- revolves horizontally
Williams - revolves horizontally
with a joint in middle
28.
5. Surveying arm
⦿It extends vertically from the free end of the horizontal arm , and is parallel to
the vertical arm.
⦿ It can move up and down .
⦿ The lower end of this arm has a mandrel into
which tools used for surveying can be locked in.
Differences in various surveyors:
Ney
Jelenko
- locking device
-Spring loaded
A carbon markeralso may be placed in the mandrel. The carbon marker is used to mark the greatest
circumference of the teeth.
The lines that result are termed survey lines.
CARBON MARKER
32.
32
The height ofcontour, the survey line
The "height of contour" is the greatest circumference of a tooth in a given horizontal plane.
The "survey line" is the line which is marked on the abutment tooth by the surveyor spindle, to indicate its greatest
circumference in a given horizontal plane .
The survey line divides the crown of the tooth into two zones:
Sometimes THE AREA ABOVE THE LINE IS KNOWN AS THE SUPRABULGE AREA
THE AREA BELOW THE LINE AS INFRABULGE AREA.
33.
AN UNDERCUTAREA (EVERYTHING BELOW THE LINE),
A NON-UNDERCUT AREA (EVERYTHING ABOVE THE LINE).
The terms "GUIDELINE" AND "BREADTH OF CONTOUR LINE" are synonyms for "survey line."
33
34.
34
Survey line -Lineproduced on a cast by a surveyor marking the greatest prominence of contour in
relation to the planned path of placement of a restoration- GPT 9.
Significance of survey line
All rigid components of the partial denture must be kept occlusal
to it
Only the terminal third of retentive clasp arm is placed gingival to
the survey line
Helps to locate areas of undesirable tooth undercuts
3. Undercut guages
⦿These are parallel sided tools with heads of various sizes.
⦿ They are used to measure the depth and location of the undercuts.
⦿ According to Mc Cracken the undercut gauges are available in 0.010,0.020 and
0.030 inches or 0.254,0.508 and 0.762.
0.01” – Base metal alloys
0.02” – Gold metal aloys
0.03” – Wrought alloys
42
Objective of surveying
Knowledgeablesurvey of the study cast will identify the structures that will need to be modified in order to make
possible a design of the prosthesis that
(1) can be easily inserted and removed by the patient,
(2) will contribute optimally to appearance,
(3) will resist unseating forces to a reasonable degree, and
(4) will create no undesirable food traps when in place in the mouth.
43.
43
Purpose of surveying
To identify proximal surfaces that must be prepared to serve as guiding planes
To locate both dental and osseous contours that could interfere with insertion and removal of denture
To record the cast position and its relation to the path of placement
To transfer the partial denture design to the master cast in the laboratory
44.
Surveying the diagnosticcast
To determine the most desirable PATH OF PLACEMENT that eliminates or minimizes interference to placement
and removal.
To identify proximal tooth surfaces that are need to be made parallel
so that they act as guiding planes during placement and removal.
To locate and measure areas of the teeth that may be used for retention.
To determine whether teeth and bony areas of interference need to be eliminated surgically or by selection of a
different path of placement
45.
45
Path of insertionand removal
The RPD path of insertion and withdrawal is the direction in which the prosthesis moves in relation to the
support system when it is seated in or removed from the mouth, guided by the contact of its rigid parts with
the abutments.
46.
46
Factors that affectthe path of insertion:
These factors include:
Guiding planes
Tooth contours, in general, and more specifically
undercuts on the teeth and soft tissues.
Esthetic appearance
Interference
47.
47
Guiding planes
Guide surfaces(or guide planes)
Two or more parallel axial surfaces on abutment teeth
which can be used to limit the path of insertion and improve
the stability of a removable prosthesis.
Guide surfaces may occur naturally on teeth but more
commonly need to be prepared.
48.
When thepartial denture is completely seated in the mouth, the guiding planes are contacted by
minor connectors or other rigid components of the partial denture.
49.
49
Functions:
It minimizesthe wedging stresses on the abutments.
Makes insertion and removal easier.
Aids to stabiize the prosthesis against horizontal stresses.
Aid to stabilize individual tooth.
Reduces the blockout area and eliminates the space
between the minor connector and the tooth, hence
improves oral hygiene along with easy maintainence.
Contributes to indirect retention and frictional retention.
51
Retentive undercut
Theterm undercut (when used in reference to an abutment) is a portion of a tooth, triangular space
that lies between the height of contour and the gingiva.
Mesio-distal dimension, Occlusal-gingival dimension, Bucco-lingual dimension.
52.
The retentive undercuton an abutment tooth that is to be occupied by the retentive terminal of a clasp may
be visualized as having three dimensions:
(1) a mesiodistal dimension, (2) an occlusal –gingival dimension, and (3) a dimension that is essentially in a
buccolingual plane.
Of the three, the buccolingual dimension is by far the most significant because when the clasp terminal
enters or leaves the infrabulge area of the tooth it must flex an amount equal to the depth of this undercut.
52
53.
53
UNDERCUT may bedivided into
True Undercut.
False Undercut.
TRUE UNDERCUTS are those in relation to the common path of displacement & provide
retention for the denture along this path.
FALSE UNDERCUTS are those produced by tilting the cast. They provide retention along the
path in which the survey has been made, but not in the common path of displacement.
54.
54
Types of undercutsestablished by surveyor
1- Contour: due to natural contour of the tooth.
2- Positional: due to tilting of cast on surveyor.
3- Desirable undercut: used for retaining the removable partial denture against the dislodging forces by
incorporating retentive flexible clasp arm.
4- Undesirable undercut: undercuts other than those used for retention are considered undesirable and
should be eliminated by:
A- Tooth recontouring.
B- Placing properly contoured crown restoration on the tooth.
C- Tilting the cast and change the path of insertion.
D- Blocking out the undercut with wax on the master cast.
55.
55
Elimination of undesirableundercut areas
Block-out: Elimination of undesirable undercuts on the cast.
The process of applying wax or another similar temporary substance to undercut
portions of cast so as to leave only those undercuts
essential to the planned construction of prosthesis.
Parallel
Shaped
Arbitrary
Relief
60.
60
Esthetic appearance
Estheticappearance can be considerably improved, especially with anterior
abutments, by trying different paths of insertion.
Small changes in the inclination of the cast can be made to seat the components of
the prosthesis in less exposed regions that do not impair the patient's appearance,
without jeopardizing the remaining determining factors.
The objective should always be to obtain an appearance as natural as possible.
61.
61
When a maxillarycast, containing an anterior edentulous area, is
surveyed with the occlusal plane horizontal it will often be found that
there are undercuts on the mesial aspects of the abutment teeth.
If the RPD is constructed with this vertical path of insertion there will be
an unsightly gap between the denture saddle and the abutment teeth
gingival to the contact point.
With this posterior path of insertion the saddle can be made
to contact the abutment tooth over the whole of the
mesiolabial surface and a much better appearance results.
62.
62
INTERFERENCES
In thedetermination of the path of insertion, it is important to detect and resolve the presence of
interference from structures other than teeth that will interfere with the placement of the
prosthesis, such as exostoses, soft tissue, and undercut ridges.
It is often possible to find a path of insertion that will prevent contact of the prosthesis with these
anomalies when, for some reason, they cannot be removed surgically or corrected by other
means.
63.
63
If a bonyundercut is present labially, insertion of a flanged
denture along a path at right angles to the occlusal plane will only be possible
if the flange stands away from the mucosa or is finished short of the
undercut area. This can result in poor retention as well as a poor appearance.
If the cast is given a posterior tilt so that the rod, and thus the
path of insertion, is parallel to the labial surface of the ridge it
is possible to insert a flange that fits the ridge accurately.
64.
64
The prosthesis cannotbe seated because
of interferences created by the convex
surfaces of the teeth which adjoin the
edentulous space.
The axial surfaces of the teeth
are analyzed by the surveyor.
The prosthesis
now goes smoothly into place without
interference.
65.
65
Determination of thepath of insertion
TILT refers to “the position of the cast on the surveyor table relative to the horizontal plane, at the
time the prosthesis is designed”
To determine, at what angle the partial denture prosthesis will seat over the remaining teeth and any
other obstructions that may be present.
Any exaggerated tilt must be avoided because a patient would be unable to open the mouth sufficiently
to accommodate a tilt that is too far from the horizontal.
110 DEGREE TILT
69
Tripoding the primarycast
The angle of path of insertion is maintained by maintaining the tilt determined for the primary cast.
To achieve this degree of tilt for the master cast, tripoiding the primary cast is done.
If the path of insertion of the primary cast is not used for the master cast, all the prosthetic mouth
preparation procedures (rest seat preparation, guide plane preparation, dimpling etc ) done irt to
path of insertion becomes useless.
TRIPOIDING - Recording the spatial orientation of the cast
Three widely spaced out points of a single plane are
marked on the cast..
70.
70
After ensuring thatthe proper tilt has been selected,
the surveying table is locked in Position.
For purposes of tripodization, the 0.030-inch undercut
gauge is positioned in the mandrel.
72
Each horizontal lineis crossed and then circled,
resulting in a crosshair configuration.
When tripodization is complete, tripod marks should be
positioned at three widely spaced anatomic areas of the
cast and should be readily identifiable.
73.
73
CONTOURING WAX PATTERNS
CONTOURING WAX PATTERNS FOR CROWNS can be contoured with specific shapes using the dental
surveyor .
This is particularly valuable when constructing crowns for abutment teeth for RPDs. These are called
SURVEYED CROWNS and must have specific shapes for the clasp or attachment to be used on the RPD.
74.
74
Wax pattern iscarved with the surveyor blade to
produce a distal guide-plane surface parallel to the
selected path of insertion.
The same pattern is modified from the distal guide plane
along the buccal surface to align the surface with the
height of contour most favorable to the direct retainer
specifications.
75.
75
Surveying ceramic veneercrowns
Contouring crowns
Metal and porcelain crown surfaces can be contoured to
achieve specific shapes using a bur in a handpiece secured
to the vertical spindle of the dental surveyor.
The process of shaping crown surfaces parallel to the path of
placement of the RPD using a bur is called MILLING.
76.
Placing internal restseat
when using precision and semiprecision attachments the dental surveyor is used to align precision
and semiprecision attachments
77.
77
SURVEYING PROCEDURE
PRELIMINARYOR VISUAL ASSESSMENT
INITIAL SURVEY
ANALYSIS
FINAL SURVEY
EYEBALLING THE CAST
ZERO DEGREE TILT
Occlusal plane is relatively
horizontal…
78.
78
Two stages ofsurveying
Preliminary assessment of the diagnostic cast
- Determine the most advantageous path of insertion
- Decide upon the various types of mouth preparation that will be required
Definitive design
- Guidelines are drawn
- Undercuts are measured and marked
- Soft tissue undercuts are delineated
- Design of the framework is outlined on the diagnostic cast.
79.
79
Color coding
Improvescommunication between dentist & lab
There is not at present a universally accepted color coding system
Red,black,blue,brown
80.
80
RED
Required action
Markteeth & soft tissues to be prepared, recontoured,
relieved
Rest- solid red
Diagonal lines- recontour
Tripod marks
81.
81
Denotes surveylines on teeth & soft
tissues
Instructions on base-type of tooth
replacement, type of clasp, depth of
undercut
BLACK
82.
82
Portions thatwill be made of
acrylic- mostly denture bases, also
acrylic teeth
BLUE
Kamble and Parkhedkarin 2014 suggested another device containing a "dowel pin and sleeve" that was
also a modified version of the cemented pin method . A hole of 6×6×4 mm dimension was created in the
center between the alveolar ridges such that it did not cause any interference with the framework. The
dowel sleeve device was assembled and locked in the surveying mandrel. This dowel pin is then brought
down to fit in the made perforation. The perforation was wetted, and type III gypsum was poured around
the sleeve. After setting, the dowel pin could be removed and replaced for reorientation.
Kamble and Parkhedkar Reorientation simplified: A device for recording and reproducing the path of insertion
for removable partial dentures March 2014 Indian Journal of Dental Research 25(2):260-262
DOI:10.4103/0970-9290.135939 PubMed
87.
Lee et al.in 2017 utilized the implant impression coping and implant analog for tripoding . He selected the
posterior aspect of the cast to prepare an upright groove by a tungsten carbide bur. Dimensions of the groove
were made to be 10 mm deep and 20 mm long. He then connected the implant analog to a short and direct
impression coping employing a long retaining screw. This retaining screw entered the vertical arm after the
traditional surveying. The implant analog fit in the groove was stabilized in place using a thermoplastic
adhesive (sticky wax) in a heat gun . The duplication of the cast was also simplified by simply replacing the
direct transfer impression coping with the indirect transfer coping. This duplication was carried out using
polyvinyl siloxane duplicating material after the reseating of the coping analog. This was then poured in a die
stone (type IV gypsum). The reseating of the coping will transfers the cast orientation. The retaining screw
goes in the surveyor's arm hence reproducing the cast tilt. This is the clearest and most straightforward of all
the approaches.
Kawade RA, Sathe S, Apte A, Bhoyar A, Jaiswal T, Dubey SA. A Systematic Review of Tripoding: A Step
Towards Successful Rehabilitation. Cureus. 2022 Nov 4;14(11):e31095. doi: 10.7759/cureus.31095. PMID:
36475130; PMCID: PMC9719731.
88.
Gali et al.in 2019 built a "three-point contacting device" out of triangular metal plates with a 3 mm thickness
and a 5 mm diameter center aperture . A detachable Allen screw fit in this aperture. These plates were
classified into sizes of the sides of the triangle 25 mm, 30 mm, 35 mm, 40 mm, and 45 mm. These
measurements are based on averages of distances measured between the incisal edges and cusp points on
several casts. This enabled the accommodation of arches of various sizes. The corners of the plate will
correspond to the posterior and anterior reference points, and the plate itself will form the reference plane. A
lead marker marked these points on the cast. For re-registration of the tilt, the cast had to be adjusted till the
three points contacted the triangle plate. Even if the construction of the device could prove to be a task, the
plus points embodied in the device are noteworthy.
Gali shiva ranjani and hima bindu lanka .A reproducible 3-point contact device for tripoding a definitive cast
•July 2019 Journal of Prosthetic Dentistry 123(3) DOI:10.1016/j.prosdent.2019.03.008
89.
CONCLUSION
-In sequence, fullymastering the activities of surveying and designing the framework, as well as the
planning and execution of the alterations in the support system, results in a rapid and easy, but also
sophisticated, construction of RPDs.
-This will result in malting esthetically pleasing and stable RPDs that will significantly contribute to the
health of the stomatognathic system.
89
90.
REFERENCES
-Rodney D phoenix.Stewart’s clinical removable prosthodontics.3rd
edition. Quintescnce.
-Alan B. Carr, David T. Brown, McCracken’s Removable Partial prosthodontics.13th
edition. St. Louis,Missouri;2016
-Miller EL, Grasso JE. Removable partial prosthodontics. 2nd ed. Baltimore:Williams & Wilkins; 1981. p. 103-17.
-O. L. Bezzon, M. G. C. Mattos, a and R. F. Ribero. Surveying removable partial dentures: the importance of
guiding planes and path of insertion for stability.J Prosthet Dent 1997;78:412-18.
-J. C. Davenport, R. M. Basker, J. R. Heath, J. P. Ralph, P-O. Glantz. Surveying. British Dental Journal 2000; 189:
532–541.
90
91.
-Kamble and ParkhedkarReorientation simplified: A device for recording and reproducing the path of
insertion for removable partial dentures March 2014 Indian Journal of Dental Research 25(2):260-262
DOI:10.4103/0970-9290.135939 PubMed
-Kawade RA, Sathe S, Apte A, Bhoyar A, Jaiswal T, Dubey SA. A Systematic Review of Tripoding: A Step
Towards Successful Rehabilitation. Cureus. 2022 Nov 4;14(11):e31095. doi: 10.7759/cureus.31095.
PMID: 36475130; PMCID: PMC9719731.
-Gali shiva ranjani and hima bindu lanka .A reproducible 3-point contact device for tripoding a definitive
cast
•July 2019 Journal of Prosthetic Dentistry 123(3) DOI:10.1016/j.prosdent.2019.03.008
#4 Surveying and designing are important steps towards achieving a successful restoration.
When performing oral rehabilitation with removable partial dentures (RPDs), the objective of the dentist should be to make a prosthesis that the patient can easily seat and remove from the mouth and yet, when seated, the prosthesis will resist the dislodgment potential caused by masticatory function, especially mastication of sticky foods. The problem involves an interaction of engineering and biologic elements, so a biomechanical approach should be used for its solution. On this basis, it is imperative that diagnostic casts for all RPDs be analyzed with a dental parallelometer (surveyor),the instrument that permits accurate planning of each structural detail of the prosthesis.
#5 surveying first step after diagnostic cast preparation
#6 syn, PARALLELOMETER
First introduced in 1918 by Dr. A.J. Fortunati.
However The Ney’s surveyor was the first commercial ones introduced in 1923 and remains the widely used.
#16 Gimbal-Support that permits rotation of an object about an axis
#18 -A recently designed dental surveyor exposes undercut areas by projecting a beam of laser light
-multi-jointed arm design, allowing the user to effortlessly switch between the primary milling, drilling arm and the secondary tapping, surveying arm.
• Also featuring a Motor/Module designed to facilitating simultaneous horizontal and vertical milling and enhanced stent drilling capability.
• Unit includes high torque variable speed motor, six collets accepting assorted burs (friction grip, handpiece, 3mm and Ferraro burs), sample; milling fluid, milling wax, metal and wax milling burs. Its dual milling mode allows traditional milling on the master model or on an analogue (transfer) model.
-Additional features included a surveyor style platform that facilitates analogue model milling as well as traditional surveying.
#22 Undercuts electronically identified on surveyed cast
#23 A MANDREL, WHICH HOLDS VARIOUS SURVEYING TOOLS
#42 The objective in the surveying procedure is to reveal to the designer those physical characteristics of the mouth which favor the design of a successful prosthesis, as well as those which will be deterrents to the most favorable result.
#44 A diagnostic cast should be surveyed for three major reasons: (1) determination of the path of insertion to obtain efficient and esthetically pleasing retentive clasps; (2) tracing the survey line to enable positioning of the rigid parts of the prosthesis, so they will seat without interference; this procedure provides information about the need to recontour the abutments and other teeth and to improve the functioning of rigid parts and the esthetic aspects related to it; and (3) analysis of the con-tour of soft tissues to prevent the occurrence of lesions that result from seating the prosthesis.
-The use of a dental surveyor permits the dentist to plan, study, and design an RPD that will provide adequate retention, support, stability, and esthetic appearance.
#52 Thus the necessity for accuracy in measuring the depth of the undercut is apparent.
#61 This unsightly gap can be avoided by giving the cast a posterior (heels
down) tilt so that the analysing rod is parallel with the mesiolabial
surface of the abutment tooth.
#65 To determine the path of insertion, the diagnostic cast should first be positioned on the cast-holding table, which in turn should be inclined in such a way that the occlusal plane of the cast will be parallel to the table of the surveyor.
#66 Cast Tilting
If each abutment tooth on the cast is marked with a line with the graphite scriber around its greatest diameter, and the table is then tilted so that the cast is in a different horizontal plane after which each tooth is again marked, it is apparent that the position of the survey line on the crown can be thus modified. Altering the position of the cast in space by manipulating
the cast table, or "tilting" as it is termed, changes the long axis of each tooth relative to the horizontal plane. The import of this to the designer is the fact that it changes the position of the survey line in relation to the horizontal plane and this, of course, changes the location of the undercut and non-undercut areas on each tooth. This might appear to provide an
opportunity to create undercuts on areas of the tooth where no undercut existed prior to tilting the cast. Unfortunately,
this is not precisely the case, however.
The Value of Cast Tilting. Is tilting of the cast, then, a totally illusory exercise?
The answer is that under certain circumstances tilting can be employed to advantage.
There are instances when it may be used to correlate the path of insertion with the axial walls of an anterior space, in order to make possible a more esthetic positioning of a replacement tooth orteeth. It can sometimes be used to advantage when a labial flange must be employed and the labial alveolar plate is severely undercut. The tilting technique may provide the resourceful designer withthe means of discovering a compromise path of insertion that will allow the prosthesis to go smoothly into place, after which it is snugly resistant to dislodgment. Experimental tilting will disclose the varying effects of different paths of insertion and may point the way to the best possible compromise path from all standpoints. However, it should be borne in mind that undercut areas on a tooth, to be retentive, must resist escapement of
#68 The Delusion of Creating a Retentive Undercut by Cast Tilting. It is delusive to consider an undercut created by tilting the cast on the surveyor as genuinely retentive because, unless an undercut is retentive relative to all paths of removal of the prosthesis, it will not provide the resistance to the clasp tip which enables it to resist the pull of a dislodging force.
These four sketches illustrate the fallacy of attempting to create retentive undercuts by tilting
the cast on the surveyor. In A there is no usable retentive undercut on the buccal surface of the molar abutment
with the cast in an essentially horizontal plane. At B the cast has been tilted posteriorly, which alters
the survey line and creates a more substantial infrabulge area on the abutment tooth. If a clasp tip is designed
to engage this undercut, as shown at C, and the denture is placed in the mouth, it becomes apparent
at D that during mastication the retention created by cast tilting was in reality "false retention." A caramel
candy, for example, exerts a dislodging force on the prosthesis that is in a direction essentially perpendicular
to the occlusal plane, and since the false retention is not operant in this plane, the prosthesis is dislodged.
#71 -The vertical arm of the surveyor is adjusted to permit contact between the head of the undercut gauge and the cast. The practitioner should ensure that the undercut gauge contacts the cast at three easily identifiable locations on the lingual surface of the cast.
-The vertical arm of the surveyor is locked into position. This ensures that the tip of the undercut gauge defines a single horizontal plane.
-The surveying table is moved to bring the cast into contact with the undercut gauge at three widely separated points. At each location, contact between the undercut gauge and the cast should produce a shallow groove
(arrow).
-A red pencil is used to indicate the position of each horizontal groove. Each red line should be approximately 4 mm
#73 The surveyor blade is used as a wax carver during this phase of mouth preparation so that the proposed path of placement may be maintained throughout the preparation of cast restorations for abutment teeth.
Guiding planes on all proximal surfaces of wax patterns adjacent to edentulous areas should be made parallel to the previously determined path of placement.
Similarly, all other tooth contours that will be contacted by rigid components should be made parallel.
#89 -Many RPDs are made without essential elements for correct functioning, with the excuse of producing a better esthetic appearance.
-Often these prostheses are esthetic but lack stability. Furthermore, unstable prostheses may significantly impair the prognosis of treatment because of the irritation they provoke in the support system.