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Molding Border Technique
Molding

Molding

Border

Technique

1

Preparing the Tray & Final Impressions Part 2 2
Preparing the Tray
&
Final Impressions
Part 2
2

Border Molding Technique

Instruments and materials:

3
3

Dental compound

Kingsley scraper

Slow speed handpiece

Acrylic bur

#7 wax spatula

Indelible marking sticks

Red handled knife

Custom impression trays

Alcohol torch

Water bath

CustomCustom ImpressionImpression TrayTray Design:Design:

!!WWeellll aaddaapptteedd ttoo ttiissssuueess wwiitthh oonnllyy sslliigghhtt wwaaxx bblloocckkoouutt ooff uunnddeerrccuuttss ttoo aallllooww ffoorr ccoonnssiisstteenntt aanndd rreeppeeaattaabbllee sseeaattiinngg

!!22--33mmmm tthhiicckknneessss

!!BBoorrddeerr eexxtteennssiioonnss sshhoouulldd bbee 22--33mmmm sshhoorrtt ooff tthhee ddeepptthh ooff tthhee vveessttiibbuullee wwhheenn tthhee ttiissssuueess aarree aatt rreesstt

!!HHaannddllee ddeessiiggnn sshhoouulldd nnoott iimmppiinnggee oonn tthhee vveessttiibbuullee nnoorr ddiissttoorrtt tthhee lliippss

!!FFiinnggeerr rreessttss iinn tthhee 11 sstt mmoollaarr aanndd 22 nndd pprreemmoollaarr rreeggiioonn ssoo tthhee ffiinnggeerrss ddoo nnoott ddiissttoorrtt tthhee vveessttiibbuullee wwhheenn bboorrddeerr mmoollddiinngg aanndd mmaakkiinngg tthhee mmaannddiibbuullaarr mmaasstteerr iimmpprreessssiioonn

t t h h e e m m a a n n d d i i
t t h h e e m m a a n n d d i i
3 2 1
3
2
1

5

6

6

7
3 1 2 3
3
1
2
3
9
9
9
Area of support during molding procedures 10
Area of support during molding procedures 10
Area of support during molding procedures 10

Area of support during molding procedures

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Border Molding Technique

Border Molding Technique A A d d j j u u s s t t t
Border Molding Technique A A d d j j u u s s t t t

AAddjjuusstt ttrraayy eexxtteennssiioonn

22-3mm-3mm shortshort ofof thethe depthdepth ofof thethe vestibulevestibule

VerifyVerify borderborder extensionextension intraorallyintraorally andand furtherfurther adjustadjust ifif necessarynecessary

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Border Molding Technique

Adjust any sharp areas prior to try-in. Try impression tray in the patients mouth. Adjust if it is over extended. 1.5-2.0 mm short of the vestibule for border molding All frenum should be free of contacting the tray.

over extended. 1.5-2.0 mm short of the vestibule for border molding All frenum should be free
over extended. 1.5-2.0 mm short of the vestibule for border molding All frenum should be free

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Border Molding Technique

Check the labial flange extension

Border Molding Technique Check the labial flange extension Check frenum clearance MAXILLARY ARCH Check extension along
Border Molding Technique Check the labial flange extension Check frenum clearance MAXILLARY ARCH Check extension along
Border Molding Technique Check the labial flange extension Check frenum clearance MAXILLARY ARCH Check extension along

Check frenum clearance

MAXILLARY ARCH

Check the labial flange extension Check frenum clearance MAXILLARY ARCH Check extension along the buccal vestibule
Check the labial flange extension Check frenum clearance MAXILLARY ARCH Check extension along the buccal vestibule

Check extension along the buccal vestibule

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Border Molding Technique

Have a mental picture of the anatomical landmarks:

Posterior palatal seal area

Incisive papilla

Buccal and labial vestibule

Hamular notch

landmarks: • Posterior palatal seal area • Incisive papilla • Buccal and labial vestibule • Hamular

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Border Molding Technique

MMAAXXIILLLLAARRYY AARRCCHH

PosteriorPosterior PalatalPalatal ExtensionExtension

IIddeennttiiffyy tthhee hhaammuullaarr nnoottcchh EExxtteenndd tthhee ttrraayy 22 mmmm bbeeyyoonndd tthhee vviibbrraattiinngg lliinnee

VViibbrraattiinngg lliinnee

n n e e V V i i b b r r a a t t
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16

HHaammuullaarr nnoottcchh

i b b r r a a t t i i n n g g l
i b b r r a a t t i i n n g g l

Border Molding Technique

RECOMMENDEDRECOMMENDED SEQUENCESEQUENCE OFOF MAXILLARYMAXILLARY BORDERBORDER MOLDINGMOLDING

Technique RECOMMENDED RECOMMENDED SEQUENCE SEQUENCE OF OF MAXILLARY MAXILLARY BORDER BORDER MOLDING MOLDING 17

Border Molding Technique

Resistant Peripheral Areas

A
A

Border Molding Technique

Resistant Peripheral Areas

Border Molding Technique Resistant Peripheral Areas 19

Border Molding Technique

Border Molding Technique • • H H e e a a t t t t h

HHeeaatt tthhee mmooddeelliinngg ccoommppoouunndd oovveerr aa ffllaammee

Border Molding Technique

Border Molding Technique • • S S l l o o w w l l y

SSlloowwllyy ssoofftteenn tthhee vveerryy eenndd ooff tthhee ccoommppoouunndd

Border Molding Technique

•• DryDry thethe tray,tray, thenthen addadd thethe ccompoundompound toto sectionsection ““AA””
•• DryDry thethe tray,tray, thenthen addadd thethe
ccompoundompound toto sectionsection ““AA””

1 Place initial compound

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Border Molding Technique

Border Molding Technique 2 Temper 3 Form 23

2 Temper

Border Molding Technique 2 Temper 3 Form 23

3 Form

Border Molding Technique

Border Molding Technique 4 Chill 5 Dry 24

4 Chill

Border Molding Technique 4 Chill 5 Dry 24

5 Dry

Border Molding Technique

Border Molding Technique 6 Soften 7 Temper 25

6 Soften

Border Molding Technique 6 Soften 7 Temper 25

7 Temper

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Border Molding Technique

Border Molding Technique 8 Insert Posteriorly, the buccal flange is border molded by extending the cheek

8 Insert

Posteriorly, the buccal flange is border molded by extending the cheek outward, downward, and inward. The patient is asked to open wide and move the mandible from side to side pucker, and smile.

Compound Sequence

1. Place material

2. Temper

3. Form to approximate tissue contour

4. Chill

5. Dry

6. Soften

7. Temper

8. Insert

Border Molding Technique

Border Molding Technique • • T T h h e e c c o o m

TThhee ccoommppoouunndd mmuusstt bbee tthhoorroouugghhllyy ccoooolleedd bbeeffoorree yyoouu bbeeggiinn ttrriimmmmiinngg,, ootthheerrwwiissee tthhee ccoommppoouunndd wwiillll bbee eeaassiillyy ddiissttoorrtteedd

EExxcceessss ccoommppoouunndd oonn tthhee eexxtteerrnnaall ssuurrffaacceess iiss bbeesstt rreemmoovveedd wwiitthh tthhee rreedd hhaannddlleedd kknniiffee wwiitthh aa ffrreesshh,, sshhaarrpp ssccaallppeell bbllaaddee.

Border Molding Technique

Border Molding Technique T T R R I I M M M M I I N

TTRRIIMMMMIINNGG TTHHEE CCOOMMPPOOUUNNDD

UUssee aa rreedd hhaannddlleedd kknniiffee oorr aa sshhaarrpp ##77 wwaaxx ssppaattuullaa ttoo rreemmoovvee tthhee ccoommppoouunndd tthhaatt fflloowweedd iinnttoo tthhee iinnssiiddee ooff tthhee ttrraayy

i n n s s i i d d e e o o f f t
i n n s s i i d d e e o o f f t
i n n s s i i d d e e o o f f t

CCaarreeffuullllyy ttrriimm aawwaayy tthhee ccoommppoouunndd tthhaatt hhaass fflloowweedd iinnttoo tthhee iinnnneerr

ssuurrffaaccee ooff tthhee ttrraayy

tthhaatt ddiissppllaacceess ttiissssuueess iinnaapppprroopprriiaatteellyy

FFaaiilluurree ttoo ddoo ssoo wwiillll rreessuulltt iinn aann iimmpprreessssiioonn

Border Molding Technique

BBOORRDDEERR MMOOLLDDIINNGG OOVVEERREEXXTTEENNSSIIOONN::

AA

O O V V E E R R E E X X T T E E

AArreeaa AAiiss eexxcceessssiivveellyy tthhiicckk TThhiiss iiss aa ccoommmmoonn aarreeaa ooff oovveerreexxtteennssiioonn TThhiiss aarreeaa nneeeeddss ttoo bbee ffuurrtthheerr rreemmoollddeedd

TThhee ccoommppoouunndd iiss rreehheeaatteedd wwiitthh tthhee aallccoohhooll ttoorrcchh,, rree--tteemmppeerreedd iinn tthhee wwaatteerr bbaatthh aanndd ffuurrtthheerr rreeffiinneedd iinnttrraaoorraallllyy

Border Molding Technique

AA
AA

AArreeaa AAhhaass bbeeeenn rreeffiinneedd

tthhiiss aarreeaa iiss tthhiinnnneerr aanndd ffllaatttteerr

NNooww tthhee ddeennttuurree eexxtteennssiioonn iinn

CoronoidCoronoid ProcessProcess

Border Molding Technique

BBeeffoorree

Border Molding Technique B B e e f f o o r r e e N

NNOOTTEE TTHHEE DDIIFFFFEERREENNCCEE

AAfftteerr

B B e e f f o o r r e e N N O O

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Border Molding Technique

Border Molding Technique I I n n s s e e r r t t t
Border Molding Technique I I n n s s e e r r t t t
Border Molding Technique I I n n s s e e r r t t t

IInnsseerrtt tthhee ttrraayy wwiitthh ccoommppoouunndd bbeeiinngg ccaarreeffuull ttoo rreettrraacctt tthhee cchheeeekk wwiitthh aa mmoouutthh mmiirrrroorr oorr yyoouurr iinnddeexx ffiinnggeerr AArreeaa BBiiss mmoollddeedd bbyy iinnssttrruuccttiinngg tthhee ppaattiieenntt ttoo ppuucckkeerr aanndd ssmmiillee

Border Molding Technique

Border Molding Technique In the region of the buccal frenum, the cheek is elevated and then
Border Molding Technique In the region of the buccal frenum, the cheek is elevated and then
Border Molding Technique In the region of the buccal frenum, the cheek is elevated and then

In the region of the buccal frenum, the cheek is elevated and then pulled outward, downward, and inward and moved backward and forward to simulate movement of the frenum.

Border Molding Technique

BORDER MOLDING THE LABIAL FLANGE-AREA “C”

Technique BORDER MOLDING THE LABIAL FLANGE-AREA “C” The anterior area is molded by the following: !
Technique BORDER MOLDING THE LABIAL FLANGE-AREA “C” The anterior area is molded by the following: !
Technique BORDER MOLDING THE LABIAL FLANGE-AREA “C” The anterior area is molded by the following: !

The anterior area is molded by the following:

! Massage the upper lip with a lateral motion

! Instruct the patient to pucker and smile

! Check the flange thickness for proper lip support

! Elevate and extend the lip out, downward, and inward

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Border Molding Technique

MMOOLLDDIINNGG--CCUUTT BBAACCKK

M M O O L L D D I I N N G G - -
M M O O L L D D I I N N G G - -

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The average denture border rarely exceeds a peripheral roll thickness of 4 mm. (usually is between 2 to 4 mm)

A C C K K 36 The average denture border rarely exceeds a peripheral roll thickness

Border Molding Technique

MMOOLLDDIINNGG--CCUUTT BBAACCKK

With the edge of your knife blade scrape away a thin layer of compound from the

border molded periphery.

avoid excessive tissue displacement.

This will create space for your impression material and

This will create space for your impression material and T T h h e e a
This will create space for your impression material and T T h h e e a
This will create space for your impression material and T T h h e e a
This will create space for your impression material and T T h h e e a

TThhee aarreeaass ooff tthhee ppeerriipphheerryy oovveerrllyyiinngg tthhee ffrreennaaee sshhoouulldd bbee rreelliieevveedd mmoorree aaggggrreessssiivveellyy

Border Molding Technique

VVEENNTT HHOOLLEESS

Border Molding Technique V V E E N N T T H H O O L

CCaauuttiioonn:: DDoo nnoott ddrriillll tthhee ppaallaattaall rreelliieeff hhoollee((ss)) iinn tthhee mmaaxxiillllaarryy ttrraayy uunnttiill tthhee bboorrddeerrss hhaavvee bbeeeenn mmoollddeedd aanndd ppeerriipphheerraall sseeaall ddeemmoonnssttrraatteedd

#8

round

d d e e m m o o n n s s t t r r

Purpose of the Vent Hole

1) TToo ppeerrmmiitt pprrooppeerr sseeaattiinngg ooff tthhee llooaaddeedd mmaasstteerr iimmpprreessssiioonn ttrraayy

22))

33))

wwhhiillee mmaakkiinngg tthhee ffiinnaall iimmpprreessssiioonn TToo rreelliieevvee tthhee pprreessssuurree oovveerr tthhee iinncciissiivvee ppaappiillllaa aanndd tthhee rruuggaaee TToo pprreevveenntt eennttrraappmmeenntt ooff aaiirr bbuubbbblleess iinn tthhee iimmpprreessssiioonn

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Border Molding Technique

Have a mental picture of the mandibular anatomical landmarks

Retromolar pad

Retromylohyoid space

Buccal shelf Vestibules

of the mandibular anatomical landmarks • Retromolar pad • Retromylohyoid space • Buccal shelf • Vestibules

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Border Molding Technique

MANDIBULAR ARCH

Try in the tray The extension should be 2-3 mm short of the frenum and the depth of the vestibules.

MANDIBULAR ARCH Try in the tray The extension should be 2-3 mm short of the frenum
MANDIBULAR ARCH Try in the tray The extension should be 2-3 mm short of the frenum
MANDIBULAR ARCH Try in the tray The extension should be 2-3 mm short of the frenum
MANDIBULAR ARCH Try in the tray The extension should be 2-3 mm short of the frenum

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Border Molding Technique

Border Molding Technique MANDIBULAR ARCH a) Outline the retromolar pad with an indelible pencil stick. b)

MANDIBULAR ARCH

Border Molding Technique MANDIBULAR ARCH a) Outline the retromolar pad with an indelible pencil stick. b)

a) Outline the retromolar pad with an indelible pencil stick.

b) Check to ensure that the tray properly extends onto the pad and does not impinge upon the masseter groove.

Checking mandibular tray border extension is more difficult to achieve on the

lingual flange where direct observation of the relationship is blocked by the tongue.

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Border Molding Technique

MANDIBULAR ARCH

Note the difference in the denture extensions

ARCH Note the difference in the denture extensions Our objective is to maximize the extensions of

Our objective is to maximize the extensions of the new denture.

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Border Molding Technique

SEQUENCE OF MANDIBULAR BORDER MOLDING

Border Molding Technique SEQUENCE OF MANDIBULAR BORDER MOLDING 43
Border Molding Technique SEQUENCE OF MANDIBULAR BORDER MOLDING 43

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Border Molding Technique

Border Molding Technique Dry the tray. Slowly heat the compound and apply to area “A” on
Border Molding Technique Dry the tray. Slowly heat the compound and apply to area “A” on
Border Molding Technique Dry the tray. Slowly heat the compound and apply to area “A” on

Dry the tray. Slowly heat the compound and apply to area “A” on one side of the tray.

Border Molding Technique Dry the tray. Slowly heat the compound and apply to area “A” on

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Border Molding Technique

Always temper the compound in the water bath for a few seconds before placing the heated compound in the mouth. The water bath should be set at 130° when using green compound.

before placing the heated compound in the mouth. The water bath should be set at 130°

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Border Molding Technique

Border Molding Technique Seat the tray evenly. Define the tray extension by molding the lateral border
Border Molding Technique Seat the tray evenly. Define the tray extension by molding the lateral border
Border Molding Technique Seat the tray evenly. Define the tray extension by molding the lateral border

Seat the tray evenly. Define the tray extension by molding the lateral border “A” by massaging the cheek and having the patient pucker and smile.

The cheek is lifted outward, upward, inward, backward, and forward to activate movement of the frenum.

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Border Molding Technique

Border Molding Technique Remove tray from the mouth and chill the compound . Trim the excess
Border Molding Technique Remove tray from the mouth and chill the compound . Trim the excess
Border Molding Technique Remove tray from the mouth and chill the compound . Trim the excess

Remove tray from the mouth and chill the compound.

Trim the excess compound that has flowed onto the tissue surface or the external surfaces using a red handled knife.

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Border Molding Technique

Border Molding Technique Section “A” on one side is complete. This defines the proper tray extension

Section “A” on one side is complete. This defines the proper tray extension for this area.

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Border Molding Technique

Add compound to area “B” (masseter groove region and the posterior border associated with the retromolar pad).

the posterior border associated with the retromolar pad). Temper, carefully rotate the tray into the mouth,
the posterior border associated with the retromolar pad). Temper, carefully rotate the tray into the mouth,
the posterior border associated with the retromolar pad). Temper, carefully rotate the tray into the mouth,

Temper, carefully rotate the tray into the mouth, and ask the patient to close while holding the tray in position, resisting the closure with your forefingers on the finger rests.

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Border Molding Technique

Border Molding Technique Posteriorly, the cheek is pulled buccally to ensure that it is not trapped
Border Molding Technique Posteriorly, the cheek is pulled buccally to ensure that it is not trapped
Border Molding Technique Posteriorly, the cheek is pulled buccally to ensure that it is not trapped

Posteriorly, the cheek is pulled buccally to ensure that it is not trapped under the tray, and then the cheek is moved upward and inward.

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Border Molding Technique

Border Molding Technique The effect of the masseter muscle on the border of the impression is

The effect of the masseter muscle on the border of the impression is recorded by asking the patient to exert a closing force while the dentist exerts a downward pressure on the tray.

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Border Molding Technique

Border Molding Technique Area “A” and area “B” have been completed and trimmed. Avoid displacing the
Border Molding Technique Area “A” and area “B” have been completed and trimmed. Avoid displacing the
Border Molding Technique Area “A” and area “B” have been completed and trimmed. Avoid displacing the
Border Molding Technique Area “A” and area “B” have been completed and trimmed. Avoid displacing the
Border Molding Technique Area “A” and area “B” have been completed and trimmed. Avoid displacing the
Border Molding Technique Area “A” and area “B” have been completed and trimmed. Avoid displacing the

Area “A” and area “B” have been completed and trimmed. Avoid displacing the tissues associated with the retromolar pad.

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Border Molding Technique

Border Molding Technique Apply compound to area “C”. Temper, insert and gently massage the lower lip.
Border Molding Technique Apply compound to area “C”. Temper, insert and gently massage the lower lip.
Border Molding Technique Apply compound to area “C”. Temper, insert and gently massage the lower lip.

Apply compound to area “C”. Temper, insert and gently massage the lower lip. Simulate muscular activity by

slightly lifting the lower lip outward, upward, and inward.

massage the lower lip. Simulate muscular activity by slightly lifting the lower lip outward, upward, and

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Border Molding Technique

Border Molding Technique Add compound to area “D”. The anterior lingual flange is molded by asking
Border Molding Technique Add compound to area “D”. The anterior lingual flange is molded by asking

Add compound to area “D”.

The anterior lingual flange is molded by asking the patient to protrude the tongue and then to push the tongue against the front part of the palate.

Protruding the tongue determines the length of the lingual flange of the tray in this region, whereas pushing the tongue against the anterior part of the palate causes the base of the tongue to spread out and develop the thickness of the anterior part of the flange.

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Border Molding Technique

You can also instruct the patient to push their tongue against your thumb placed in the lower incisor area.

tongue against your thumb placed in the lower incisor area. Proper extension into area “D” will

Proper extension into area “D” will create seal for the mandibular denture in selected patients with favorable tongue position and floor of mouth posture.

create seal for the mandibular denture in selected patients with favorable tongue position and floor of
create seal for the mandibular denture in selected patients with favorable tongue position and floor of

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Border Molding Technique

Add compound to area “E”.

Border Molding Technique Add compound to area “E”. Temper, insert and mold area “E” by instructing
Border Molding Technique Add compound to area “E”. Temper, insert and mold area “E” by instructing
Border Molding Technique Add compound to area “E”. Temper, insert and mold area “E” by instructing

Temper, insert and mold area “E” by instructing the patient to push their tongue against your thumb placed in the lower incisor area and to swallow. It may take several applications to properly define the length and contour of the denture border in this area.

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Border Molding Technique

Border Molding Technique Inspect the border molding carefully to ensure that the extensions are well defined.

Inspect the border molding carefully to ensure that the extensions are well defined. The borders should be smooth and rounded.

are well defined. The borders should be smooth and rounded . Note the varying thickness of
are well defined. The borders should be smooth and rounded . Note the varying thickness of

Note the varying thickness of the lingual flange. The thinnest border extends into the retromylohyoid space.

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Border Molding Technique

Border Molding Technique Scrape a thin layer from the compound border to provide space for the
Border Molding Technique Scrape a thin layer from the compound border to provide space for the
Border Molding Technique Scrape a thin layer from the compound border to provide space for the

Scrape a thin layer from the compound border to provide space for the impression material.

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Border Molding Technique

Border Molding Technique NEXT TASK - Impressions 59

NEXT TASK -

Border Molding Technique NEXT TASK - Impressions 59

Impressions

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