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  • Altered Cast

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    Aamir Bugti
    6 views17 pages
    The altered cast technique involves modifying the existing denture cast to improve fit. This includes adding wax to the denture framework and using it to make a new impression, capturing soft tissue details not in the original. The new impression is used to create an altered cast with improved ridge adaptation and stress distribution to minimize movement. It is especially useful for mandibular distal extensions, extensive edentulous spans, or cases where the periphery is distorted. Potential problems can occur if the framework is not fully seated for the impression or pouring.

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    presentation

    Original Title

    14. Altered Cast

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    The altered cast technique involves modifying the existing denture cast to improve fit. This includes adding wax to the denture framework and using it to make a new impression, capturing soft tissue details not in the original. The new impression is used to create an altered cast with improved ridge adaptation and stress distribution to minimize movement. It is especially useful for mandibular distal extensions, extensive edentulous spans, or cases where the periphery is distorted. Potential problems can occur if the framework is not fully seated for the impression or pouring.

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    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
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    6 views17 pages

    Altered Cast

    Uploaded by

    Aamir Bugti
    The altered cast technique involves modifying the existing denture cast to improve fit. This includes adding wax to the denture framework and using it to make a new impression, capturing soft tissue details not in the original. The new impression is used to create an altered cast with improved ridge adaptation and stress distribution to minimize movement. It is especially useful for mandibular distal extensions, extensive edentulous spans, or cases where the periphery is distorted. Potential problems can occur if the framework is not fully seated for the impression or pouring.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
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    of 17

    AlteredCastTechnique

    AlteredCastTechnique
    CorrectedCast
    ModifiedCast
    DestroyedCast

    AlteredCastImpressions
    Impressionofsofttissueifnot
    capturedinframeworkimpression

    Purpose
    Improveadaptationofthedenturebasetothe
    ridgetominimizemovementduringfunction
    Equalizestressbetweenridgeandabutments
    Improvecontoursofperipheries

    WhenNeeded
    Mandibulardistalextensions(ClassI&II)
    Extensiveedentulousspans
    Anycasewhereperipheryisdistorted&
    needscorrection
    Lessnecessaryinmaxilladuetomajor
    connectorcontactwithpalate

    ImpressionTechnique
    Frameworkmustfitintraorally
    Addtraytoframework
    1mmwaxrelief
    Heatandfullyseatframeworkintowax

    CheckSeatingonCastandinMouth
    Aftertrayadded
    Restsmustbefullyseated
    Tissuestopcontactscast
    Noresistanceasframework
    seated

    CheckPeripheries
    23mmshortofvestibular
    Nodisplacementwhen:
    Pulloncheeks,lips
    Patientactivatestongue

    BorderMold
    Sameasadenture

    AlteredCastImpression
    Removewaxspacer
    Coattraywithadhesive

    AlteredCastImpression
    Polyvinylsiloxane
    Carefullyloadtray
    nomaterialunderrests,
    guideplanes,major
    connector
    SeatwithpressureONLY
    overrests

    NoPressureOverTray
    Willcausetissuecompression

    pressure

    spring-back

    Remove&InspectImpression
    Fullyseated
    Nomaterialunderrestsor
    minorconnectors

    SendtoLaboratory
    LabSteps
    Sectioncast
    Placeretentivegroovesincast
    Ensurenocontactbetween
    impressionmaterial&cast
    Stickywaxframeworkinplace

    LabSteps
    Boximpression
    Sealretainer,major&minor
    connectorborders
    Pournewridgeareasin
    differentcolorstone

    PotentialProblemswiththe
    AlteredCastTechnique
    Frameworknotseatedeitherduring
    impression(materialunderrest,gp)or
    whenbeingpouredwillresultinanRPD
    thatwontfitproperlyonteeth/tissues
    Stoneleakingoverteethduringpouring
    makesarticulationimpossible

    NextStep
    Labaddsrecordbaseand
    occlusionrimtoframework
    forjawrelationrecords

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