You are on page 1of 58

Today

AM - Seminar - 3157
Get Casts from Marjorie Survey Class I & II Casts (no preps) Tripod Casts Get Heads & Mounts ready for PM

PM - Clinic
Prepare guiding planes on Class I & II Typodonts (last sheet Course Sched) Formative Marking sheets Diagnostic Casts Mark Sheets - Hand in

Surveying, Path of Insertion, Guiding Planes

Definitions
Height of contour Undercut = Infrabulge

Suprabulge

Definitions
Height of contour Undercut = Infrabulge

Suprabulge

Rule: Retentive tip should usually be designed to be placed in the gingival 1/3

Path of Insertion

Path that the prosthesis is


Placed/removed Usually a single path

Advantages of a Single Path of Insertion Equalizes retention

Advantages of a Single Path of Insertion Bracing and Cross-arch Stabilization

Advantages of a Single Path of Insertion

Minimizes torque on abutments

Advantages of a Single Path of Insertion Allows removal without encountering interferences

Advantages of a Single Path of Insertion Directs forces along long axes of teeth

Advantages of a Single Path of Insertion

Provides frictional retention

Selecting a Single Path of Insertion Use a dental surveyor to


Select path Prepare guiding planes

Guiding Plane Preparation


Where rigid components contact abutments
Proximal Plates Bracing Arms Rigid portions of Retentive Arms

Other Uses of a Surveyor


Blocking out undesirable undercuts
Ensures the framework is not cast in an undercut

Parts of a Surveyor

Surveying Table

Parts of a Surveyor

Surveying Arm

Parts of a Surveyor
Surveying Tools
Analyzing Rod

Parts of a Surveyor
Surveying Tools
Carbon Markers

Parts of a Surveyor
Surveying Tools
Undercut Gauges
. 01 . 02 . 03

Undercut Gauges

Parts of a Surveyor
Surveying Tools
Wax Trimmer

Selecting a Path of Insertion


Orient cast relatively horizontal
Final tilt rarely more than 10 from horizontal

Selecting a Path of Insertion


Place analyzing rod against abutments
Contact point is Height of Contour
- Below is infrabulge - Above is suprabulge

Selecting a Path of Insertion


Tilt cast to obtain maximum parallelism
Heights of contour are at relatively same position occluso-gingivally Equal amounts of undercut

Altering Path of Insertion

Proximal surfaces similar undercuts Retentive areas similar undercuts

Selecting a Path of Insertion


Modify tilt if necessary
Soft tissue interferences

Selecting a Path of Insertion


Modify tilt if necessary
Esthetics

Once Path Selected


Instructor:
Approves path Demo:
- Mark heights of contour with carbon marker - Tripod

Selecting a Path of Insertion


Lock cast position & tripod

Tripoding

Optimal Path of Insertion


Retentive undercuts equalized
Retentive arm has a different path of escapement than guiding plane, so it must flex during removal

Optimal Path of Insertion


Retentive undercuts equalized
Ideally, retentive arms should oppose each other on opposite sides of the arch

Optimal Path of Insertion


Minimize severe tooth & soft tissue interferences

Optimal Path of Insertion


Esthetics
Minimize display of clasps, metal components

Optimal Path of Insertion


Prepare Guiding Planes
Flat surfaces parallel to path of insertion Control & limit movement of RPD Initial contacts for RPD

Guiding Planes
Stabilization

Effectiveness of Guideplanes

Most effective when:


Parallel to each other More than one common axial surface

Effectiveness of Guideplanes
Most effective when:
Directly opposing each other

Effectiveness of Guideplanes
Most effective when:
Prepared on several teeth Cover a large surface area

Assessing Guiding Planes


Proximal View

Carbon Markings

Facial View

Preparing Guiding Planes


Select path of insertion Design Partial Denture * Select number & position of guiding planes Prepare guiding planes

Use Surveyor to Align Bur Intraorally

FINGER REST!

Burs
8837K-014

Long Cylindrical Carbide or Diamond (8837K 014)

Guiding Plane Dimensions

2-4 2-4 mm mm 1/2-1/3 1/2-1/3 height height

Round Round Axial Axial Line Line Angles Angles

Axial Surface Already Parallel to Path of Insertion

NO Preparation !

Polish Prepared Surfaces

Rubber wheels or points

Prepare Guiding Planes First

Effects of Guiding Planes On Retention & Stability

Maintains Retention

Effects of Guiding Planes On Retention & Stability

Minimizes Need for Retention

Effects of Guiding Planes On Retention & Stability

Stabilizing Teeth
Use Use short short guideplanes guideplanes on on Class Class II & & II II Use Use long long guideplanes guideplanes on on Class Class III III & & IV IV

Other Alterations of Axial Contours


Lowering Heights of Contour
Rigid elements contacting abutments Improve esthetics Prepare guiding planes most efficient method to lower

Other Alterations of Axial Contours

Raising Heights of Contour


Insufficient retention in gingival 1/3 (at least 1mm from gingiva) Prepare undercut Add resin above to create undercut

Preparing Retention
Axial surface must be close to parallel the path of insertion
X

Retentive Preparation Shape


Follows the path of designed retentive tip

Creating Undercuts with Bonded Resins


Axial surface must be close to parallel the path of insertion

Summary of Abutment Modifications


After RPD Designed
Guideplanes Lower heights of contour to eliminate interferences & improve esthetics Create undercuts if absolutely necessary (raising heights of contour) Rest seat preparation

Related Interests