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Flexibility is our Strength

Purpose

Background and
Theory of Valplast
Flexible Partials
Case Histories and
Special
Applications
Planning
Successful
Valplast
Restorations

Why Valplast
Flexible Partials?
In late 1940s, people became more
conscious of appearance.
Patients demanded more aesthetic
dental restorations

Prevailing Dental
Materials

Metal and Acrylic


became standard
but only for about
10 years.
Metal frame
design became
more scientific
and standardized.

Limitations of
Materials

Metal Frames
display the clasps
The partial
requires routine
patient
maintenance and
modification to
remain stable.

Downward Force

As space opens under


saddle, rocking motion
distorts clasps and
enhances hinging effect.

Where the Research


Ends
Throughout the 1910s, 20s and
30s, researchers acknowledged the
damaging effects of rigid partials.
The research in removable
prosthetics is replaced by research
in new, more aesthetic, and more
stable fixed prosthetic techniques.
New direction still leaves gap in
economical and simple solutions.

Some Functional
Issues
The Distal Extension
partial is our greatest
challenge, so we will
focus on this

Free-End Design

The Distal Extension or Free-End


Saddle restoration poses a greater
challenge because it is partly
supported by the tooth and partly
by the residual ridge

The Forces

Fulcrum Line Axis

Longitudinal Axis

Lateral Force

The Goals of Partial


Design

The goal of framework design is:

Retain the Partial


Support the partial

The challenge of Conventional RPD


design is to balance the requirements of
retention and support while minimizing
damage to natural dentition and the
supporting ridge.

One of our Better Options

Mesial Driving Force


with RPI Clasp

Drawbacks
Requires precise guideplane prep
Very accurate surveying required
Modified or Altered Cast Impression
recommended
Requires routine maintenance and
reline
Fails easily with improper
preparation

Where Valplast Comes


In

Valplast came into


development during
this time
Improvements are
intended to address
process, functional and
aesthetic limitations
Simple, safe and
effective.

Thinking Beyond
Design

The Valplast
approach is to
address the
requirement of
retention and
support by
leveraging flexible
base properties
with simple
designs.

Advantages of
Valplast
Aesthetics are obvious. The metal
clasp is eliminated entirely
The natural translucency blends in
with the gum tissue.

Functional
Solution
Flexibility acts a stressbreaker to disengage
forces on individual
saddles.

Balanced distribution
of forces over the
edentulous areas

Elimination of
unnecessary stresses
on remaining natural
teeth

Long Term
Function

Tissue Conditioning: The Flexibility of the


resin allows the partial to create a gentle
stimulation of the gum improving
circulation and tissue vitality.
Stress Relief: The Flexibility of the resin
eliminates the fulcrum effects that
produces a network of damaging stresses
throughout a conventional rigid partial.
Wolffs Law: Under normal physiological
stress, bone mass stabilizes at normal
levels. Under excessive stress, mass
increases, and under low stress, bone
resorbs.

Why no Vertical
Stops?
The stop or rest is useful only in a rigid
or semi-rigid frame as part of the
support and balance structure.
The flexibility of the Valplast eliminates
the need to balance stresses against
tooth surfaces.
The flexible base is self-balancing.

Case Histories
All theories mean something only if
they really work in practice. The
following case histories illustrate a
small sample of the practical results.

Case 1: 12 Year
Partial

Photos provided by
Dr. J.F. Warriner, Oklahoma
City

Note the healthy mucosa


over the tuberosities

Patient received
Valplast Maxillary
partial in
December, 1985.
Partial last
adjusted in March,
1986.
Photos taken May,
1997.

Case 2: 7 Year Partial

Mandibular
Valplast Partial
inserted in
1990.

Note gingival health


and excellent color.

1989, Immediately
prior to extraction

1997, After partial


worn 7 years
Dense horizontal bone is
apparent at same level
as before extraction

Case 3: 4 Year Partial

Partial inserted in
1992.

These flanges are very


comfortable and esthetic

Note gingival health


on labial and palatal
sides of abutment tooth.

Typical Cases

Mandibular Partial
Denture

Excellent
esthetics

Teeth #21-25
are retained

Note the flanges


are almost invisible

Maxillary Partial Denture

Mandibular Partial
Denture

Instead of a metal clasp, Valplast


partial dentures utilize a flexible
nylon extension.

Special Applications

Oral Carcinoma

These thin Valplast flanges are less bulky and


more comfortable than conventional acrylic.

Full Denture for Boney


Tuberosity

The flexible flanges are excellent in cases


which have inoperable or large undercuts.

Aesthetic
Correction

Flange provides gingival architecture,


restores speech and improves
mastication efficiency.

Special Needs
Valplast Partials are ideal for
people in high-risk situations

Athletes
Police and Firefighters
Military Personnel
Prisoners and Prison Officers
Any person who might be exposed to
harm or injury

Perfection?
Does Valplast solve all the problems of partial
restoration?
We believe that no product can solve all the
problems of partial restoration. The key is to solve
as many as possible in a simple way that is
affordable for the patient. We have focussed on
improvements over conventional partials in
Aesthetics, Function, Durability, and Longevity.

How Long Do They


Last(Really)?

For realas long as the mouth


undergoes slow, healthy, gradual
change, the partial will remain functional.
Patient comfort is a good guide of
function.
Only drastic or abnormal changes in the
mouth require addition, rebase, or a new
partial.
Valplast resin is created so that material
failure does not become a factor in
causing appliance failure

Indications
Valplast partials can be offered
whenever a conventional partial is
considered.
Additionally, Valplast can be used in
most cases where metal and/or acrylic
is not usable or preferable.
We have not encountered any limits to
restoration with Valplast not solved by
an experienced technician.

Indications

Numbers that Mean


Something

Valplast has a flexural modulus of 475


MPa at Body Temperature
This is the appropriate degree of
flexibility for the partial to function in a
predictable way WHEN DESIGNED AND
FABRICATED CORRECTLY
Other flexible type resins have drastically
different flexural properties and may not
be usable in this application

Recap of Advantages
Aesthetics
Confidence
Durability
Simplicity
Reliable Lab Processes
Clinically non-invasive
Lab-Manufacturer Cooperation

Clinical Procedures
Submission Guidelines
Perfect Alginate Impression
Bite Registration
Try-In
Insertion
Adjustment
Patient Care Instructions

Impression Technique
Alginate

impression material
minimizes compression of
alveolar mucosa and muscle
formations
Mucostatic Impression
Required

Insertion Procedure
Partial

must be immersed
in hot water prior to
insertion
Slight increase in flexibility
minimizes the patients
reaction to the first
unfamiliar sensation

Adjustment Abrasives
Valplast partials are pink. But thats all they
have in common with acrylic. If grinding needs
to take place, carbide burs and acrylic
instruments should not be used. Instead, using
a rapid, light shaving motion, use:
Vulcanite Burs
Green and Pink
mounted stones

Stain Resistance

Valplast is Denser than


Acrylic
Translucency will show
surface deposits more
easily
Polishing technique is
critical to long term stain
resistance.
Brown Tripoli must be used
to smooth the surface
properly.

Cleaning
We recommend the use of ValClean because it works better than
anything available in drug stores.
Eventually, drug store cleaners will
leave a film, and a dull, lifeless
surface.
Consistent use of Val-Clean will
preserve and even restore the
intended appearance of the partial.

Repairs, Relines: Myth


and Reality
Teeth can be added either by
welding or injecting to Valplast
partials
Valplast partials can be relined or
rebased: both are laboratory
procedures
Relines are less frequent with allValplast partials than with metal
and acrylic or metal and Valplast
combos.

Tooth Additions
Alginate impression with case in
place
Remove any deposits, pastes, or
lubricants before pouring model.
Counter model and bite
Forward to laboratory for processing

Small welded additions can be made at


the clinical lab with simple equipment
and proper training

Reline/Rebase
Rubber Base reline impression,
closed mouth
Pick-up overall alginate impression
Pour model and forward to
laboratory

Making Millions Smile