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Prosthodontics

Lab(1)…………………………………………….…..….Dr.maher

Instruments required for the


Prosthodontics laboratory
instrument: a tool or implement, especially one used for delicate work or for artistic or scienti c purposes.

Laboratory instruments

1. Wax knife

2. Le Cron wax carve

3. Hot plate (paint scraper -approx. 10cm wide

4. Rubber bowl (large

5. Metal plaster spatul

6. Plaster knife

7. Arti cial teeth (size 32 ..shade A2) lower and upper anterior and lower and upper
posterior

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8. Cold cure acrylic (powder + liquid )

9. Acrylic burs

A-Large pear-shape

B-Thin ssure

C-Medium round

D- Sandpaper mandel

10- Brush ame / micro torch

11- Dental cast stone type 4

12- Dental Plaster

13- Surgical scalpel

14- Towel

15-Articulator (non adjustable type)

16- Pottery cup or glass

17- Bite Rim wax

18- Sheet wax

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The Clinical and Laboratory Steps


of Complete Denture Fabricatio
CONSTRUCTION COMPLETE DENTURE SHOULD FOLLOW PROCEDURES OF TWO MAIN PHASES
WHICH ARE THE CLINICAL PHASE AND THE LABORATORY PHASE.

Clinical Laboratory
1.History, examination 2.1.Primary cast
2.Primary impressions 3.1.Fabrication of special trays
3.Outlining of the special tray on the 4.1.Fabrication of the secondary cast and
primary cast occlusal rims
4.Functioning of the special tray, 5.1.Mounting of articulator, setting up
Secondary impressions teeth
5.Determination of centric relation 6.1.Finishing of the denture
6.Try in procedure
7.Insertion
8.Short term control
9.Long term control

1st visit / Patient communication Step 1 Pouring study casts & Special tray

Primary Impression

2nd visit / Final impression

Step 2 Working cast,Record base , occlusion Rim


3rd visit / Occlusal jaws registration

Step 3 Articulation & Setting arti cial teeth Wax contouring

4th visit / Try-in

Step 4 Denture processing and Finishing

5th visit / Delivery, adjustment and instructions.

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Primary Impression
A positive likeness of the part (s) of the oral cavity for the
purpose of study, treatment planning, and/or fabrication of
final impression trays.
It plays a vital role in the planning and construction of
complete denture for the following important
considerations:
1-It is used to prepare the study casts by pour the
impression with plaster of Paris.
2- The study casts are important to make the record
base of occlusion relationship.
3-The study casts are used to establish the special
tray to use it in making the nal impression.
4- The construct of special trays for nal impression
are made on the study cast.
So that the primary impression should be consider as
exact copy of the oral tissues.

Types of impression trays


Special tray Stock tray

• which is almost made of auto polymerized Uses for primary impression


acrylic resin or some times could be made it is made of either stainless steel, aluminum,
of heat cure acrylic resin by using heat or plastic .
pressure machine with special technique. 
 This type of tray have more than shape ,it is
oval in case of complete denture and box or
• Each type of tray provides a speci c types square in shape in partial denture.
of impression materials in respect to the It may be perforated or non- perforated or may
whether it is partial or complete or xed be in a rim-lock form for the purpose of
denture. 
 providing retention to the impression in order
to not separate from the tray during removing
• fabricated with space and stoppers or the impression from the patient mouth.
close t to the tissue without space.

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Support Stability Retention


the resistance to vertical the resistance to the resistance to removal in
components of a direction opposite that of
mastication and to
horizontal movement. insertion.
occlusal forces applied to
the basal seat.

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FIXED COMPLETE DENTURE REMOVABLE COMPLETE MAXILLOFACIAL PROSTHESIS


DENTURE
cement retained tissue supported auricular

screw retained tooth (implant) and tissue supported cranial


(removable complete overdenture)

FIXED PARTIAL DENTURE REMOVABLE PARTIAL nasal


DENTURE
cement retained tooth (implant) and tissue supported obturator
(removable partial denture)
screw retained tooth (implant) and tissue supported ocular
(removable partial overdenture)

orbital

palatal augmentation/speech
aid
palatal lift

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