You are on page 1of 38

FABRICATION OF

RECORD BASE
AND
BITE BLOCK
 Record bases :

A record base is a temporary form which


represents the base of a denture
Objectives:
1. To retain the recording medium
or device used for recording
maxillomandibular relations.
2. To aid in transfer of accurate jaw
relations to an articulator
3. To enable the setting of artificial
teeth for the trial denture.
Types :

1. Temporary record base : It is discarded and


replaced by denture base material, when its
role is completed.
2. Permanent record base : It is not discarded
and becomes part of the finished denture.
Requirements of TDB
It should be –
 Well adapted to the final cast.
 Stable and retentive in the mouth
 Rigid and dimensionally stable
 Smooth and not irritate to the oral tissue
 1 mm thick in the crest and facial slopes
 2 mm thick in the palate and lingual flange region for
rigidity.
 Border should be smooth, rounded and reproduce the
refection of the final cast
USES

As a base –

To fabricate wax occlusal rim

For trial denture


DIAGONOSTIC FUNCTIONS
To determine the accuracy of the
impression procedure.
To check the retention, stability and
border extension of the record base.
To see if a gag reflex is present
To observe the flow of saliva.
MATERIALS ( TEMPORARY )
 Auto polymerizing acrylic resin (cold- cured acrylic resin )
 Visible light-cured acrylic resin
 Heat-cured acrylic resin
 Shellac base plate
 Hard base plate wax ( reinforced with wire )
 Vacuum form vinyl and polystyrene
MATERIALS ( PERMANENT )

Processed acrylic resin


Gold
Chromium-cobalt alloy
 Chromium-nickel alloy
METHOD
 Autoplymarizing and light-cured resin TDBs are
commonly and extensively used method

Sprinkle on method
 Any undercuts are relieved, and separating medium is
applied to the cast.
 Using an eye dropper apply the monomer to the cast,
carefully add the polymer (salt and pepper technique) until
a sufficient thickness is gained over the entire surface of the
cast.
 The processed base is removed from the cast, smoothed,
and polished at the borders.
Visible Light cured acrylic resin

 Any undercuts are relieved, and separating medium is


applied to the cast.
 Adapt a sheet of pink base plate material to the cast by
fingers and prevent trapping of air.
 Extend the material to the depth of vestibule.
 Cure the record base for 4 minutes in the light cure unit.
Carefully removed from the cast, invert and cure the tissue
surface for 4 minutes.
 The processed base is removed from the cast, smoothed,
and polished at the borders
Finger adapted dough method

 Any undercuts are relieved, and separating medium is


applied to the cast.
 The self curing resin is mixed according to manufacturer
instructions
 When it reach the dough stage, it is molded to the cast
with instrument or fingers.
 It is allowed to polymerized completely.
 The processed base is removed from the cast, smoothed,
and polished at the borders.
Cold cure acrylic resin
Advantages:

Good strength no need for reinforcement


Good dimensional stability
Does not wrap during manipulation
Closely fit to the master cast
Cold cure acrylic resin
Disadvantages:
 Require more time in fabrication
 Difficult to control the thickness
 Residual monomer can cause irritation
to oral tissues
BITE BLOCK / RECORD BLOCK

Denture Base + Occlusion rim


Blueprint for planned denture
OCCLUSION RIM
Occlusion rims are occluding surfaces
constructed on the record bases or
permanent denture bases to be used in
recording jaw relations and for
arranging artificial teeth.
REQUIREMENTS OF OCCLUSION RIM

 The position should be in the anticipated position of


the artificial teeth.
 It must be securely attached to the base
 The occlusion surface must be smooth and flat
 It should be contoured to support the lips and the
cheeks accurately.
 All the surfaces should be smooth.
OCCLUSION RIMS
Uses
1. To determine the natural zone or Arch form
2. To establish the level of the occlusal plane
3. To make preliminary maxillomandibular relation records
4. To arrange artificial tooth

Helps to determine

1. Length and width of teeth


2. Midline
3. Proper lip support
4. Cuspid eminences
FABRI CATION OF OCCLUSION RIMS

Four basic factors for fabrication of occlusion rim


1. The relationship of occlusal rim to the
edentulous ridge / Arch
2. The relationship of natural teeth to the
alveolar bone
3. The fabrication technique and dimensions
4. The clinical guidelines for customization
The relationship of occlusal rim
to the edentulous ridge / Arch
The neutral zone ,or arch form, occupies a
position of equilibrium among the groups of
tongue, cheek, and lip muscles that contribute to
the mouth’s functional role. So it’s a great
challenge to the prosthodontists to determine the
neutral zone or arch form by reconciling intraoral
anatomical land marks with a clinical assessment
of lingual and circumoral activity, which is first
established in the wax occlusal rims.
Neutral Zone
Neutral Zone is a potential area which occupies a position of equilibrium
among the groups of tongue, cheek, and lip muscles, which is bounded

Anteriorly by the modiolus which is the meeting point of eight muscles


 Orbicularis oris
 Zygomaticus major
 Quadratus labi superior
 Caninus
 Risorius
 Platysma
 Traingularis
 Quadratus labi inferior
Neutral Zone
Posteriorly – Pterycomandibular raphe and it’s
over lining tissues.
Laterally – Cheek muscles specially buccinator .
Medially – The tongue
NEUTRAL ZONE OR ARCH FORM DESIGN
Mandibular Arch – Bone resorption occurs-

 Labial side in the anterior region

 Buccal and lingual sides in the premolar region

 Lingual side in the moler region

Determining technique in the lower jaw - One line is drawn from the
lingual side of the ratromolar pad and extended anteriorly to a point just
lingual to the crest of the ridge in the premolar region. This line aids in
positioning the lingual surfaces of the posterior teeth and establishes the
lingual extent of the occlusion rim. The curvatures of the occlusal rims
should follow the curvatures of the mandibular arch when see from
above.
NEUTRAL ZONE OR ARCH FORM DESIGN

Maxillary Arch – Bone resorption occurs-


 Labial side in the anterior region
 Buccal and lingual sides in the premolar region
 Buccal side in the moler region
 Anteriors - Slightly inclined forward to the residul ridge to support
upper lip – 8 to 10 mm anterior to the center of the incisive papilla.
 Premolers - Vertical to the ridge.
 Molers – Slightly buccal to the ridge.
Fabrication technique and dimension

Technique:
 A bead of sticky wax applied to the recording base
A sheet of base plate(modeling) wax party heated and
rolled – repeat till the end of wax sheet.
The roll is adapted to the recording base
A heated broad blade putty knife or plaster spatula is used
to shape the labial surface.
A hot wax spatula is used for lingual surface.
Completed Maxillary Bite block
Maxillary Wax Rim Check List
Mandibular Wax Rim
Fabrication technique and dimension

Dimension:
Height of maxillary rim Height of Mandibular rim
From the reflection of the cast
20-22 mm at the canine area 16-18 mm at the canine area
16-18mm at the molar region 2/3 of the ht of retromolar pad
From the crest of the alveolar ridge
10-12 mm at the canine area 6-8 mm at the anterior region
6-8 mm at the molar region 4-6 mm at the molar region

Width:
4-6 mm in anterior area 4-6 mm in anterior area
8-10 in the posterior area 8-10 in the posterior area
Clinical guideline for customizing
These basic dimension are subject to final chair side
changes, since the rim is used to determine

 Facial asupport
The proper vertical dimension
Occlusal plane
Midline of the arch
Length and width of the anterior teeth
Cuspid eminence
The smiling lip line
The speaking lip line
Clinical guideline for customizing
When proper lip support has been established Nasolabial sulcus,
Mentolabial sulcus, philtrum, Commissure of the mouth will
exhibit distinct, normal appearance

Without proper support –


 Deepening of n/l, m/l folds
 Loss of definition of philtrum
 Lowering or drooping the corner of the mouth

Excessive development –
 Produces stretched look
 n/l, m/l, philtrum become shallow
 The corner of the mouth streched laterally
Clinical guideline for customizing

Length /Vt dimension of maxillary OR:


 Anterior – 1-2 mm below the lower edge of upper lip
Posterior – one quarter inch below the stensen’s duct

Occlusal plane:
 Anterior – parallel to interpupillary line
Posterior- parallel to Camper’s line / ala-tragus line
Cuspid eminence – marked by placed line at the corner of
the mouth
Midline is marked by guiding the labial freni of both jaws
Conclusion
 Bite blocks are used as the provisional substitutes
for the planned complete dentures and implant
supported prostheses and to record first the arch
form or neutral zone then the jaw relations, so
preliminary success of complete dentures prosthesis
depends on proper and accurate bite blocks
fabrication.
THANK YOU
FOR YOUR NICE ATTENTION