Today

AMSeminar3157

GetCastsfromMarjorie
SurveyClassI&IICasts(nopreps)
TripodCasts
GetHeads&MountsreadyforPM

PMClinic
PrepareguidingplanesonClassI&IITypodonts
(lastsheetCourseSched)
Formative
Markingsheets
DiagnosticCastsMarkSheetsHandin

Surveying,PathofInsertion,
GuidingPlanes

Definitions
Heightofcontour
Undercut=Infrabulge

Suprabulge

Definitions
Heightofcontour
Undercut=Infrabulge

Suprabulge

Rule:Retentivetipshouldusuallybe
designedtobeplacedinthegingival1/3

PathofInsertion

Paththattheprosthesisis
Placed/removed
Usuallyasinglepath

AdvantagesofaSinglePathof
Insertion
Equalizesretention

AdvantagesofaSinglePathof
Insertion
BracingandCrossarchStabilization

AdvantagesofaSinglePathof
Insertion

Minimizestorqueonabutments

AdvantagesofaSinglePathof
Insertion
Allowsremovalwithoutencountering
interferences

AdvantagesofaSinglePathof
Insertion
Directsforcesalonglongaxesofteeth

AdvantagesofaSinglePathof
Insertion

Providesfrictionalretention

SelectingaSinglePathofInsertion
Useadentalsurveyorto
Selectpath
Prepareguidingplanes

GuidingPlanePreparation
Whererigidcomponentscontactabutments
ProximalPlates
BracingArms
RigidportionsofRetentiveArms

OtherUsesofaSurveyor
Blockingoutundesirableundercuts
Ensurestheframeworkisnotcastinan
undercut

PartsofaSurveyor

SurveyingTable

PartsofaSurveyor

SurveyingArm

PartsofaSurveyor
SurveyingTools
AnalyzingRod

PartsofaSurveyor
SurveyingTools
CarbonMarkers

PartsofaSurveyor
SurveyingTools
UndercutGauges

.01

.02

.03

UndercutGauges

PartsofaSurveyor
SurveyingTools
WaxTrimmer

SelectingaPathofInsertion
Orientcastrelatively
horizontal
Finaltiltrarelymorethan
10fromhorizontal

SelectingaPathofInsertion
Placeanalyzingrodagainst
abutments
ContactpointisHeightofContour
Belowisinfrabulge
Aboveissuprabulge

SelectingaPathofInsertion
Tiltcasttoobtain
maximumparallelism
Heightsofcontourareat
relativelysameposition
occlusogingivally
Equalamountsof
undercut

AlteringPathofInsertion
Proximalsurfacessimilar
undercuts
Retentiveareassimilar
undercuts

SelectingaPathofInsertion
Modifytiltifnecessary
Softtissueinterferences

SelectingaPathofInsertion
Modifytiltifnecessary
Esthetics

OncePathSelected
Instructor:

Approvespath
Demo:

Markheightsofcontourwith
carbonmarker
Tripod

SelectingaPathofInsertion
Lockcastposition&tripod

Tripoding

OptimalPathofInsertion
Retentiveundercuts
equalized
Retentivearmhasa
differentpathof
escapementthan
guidingplane,soitmust
flexduringremoval

OptimalPathofInsertion
Retentiveundercutsequalized
Ideally,retentivearmsshould
opposeeachotheronopposite
sidesofthearch

OptimalPathofInsertion
Minimizeseveretooth&soft
tissueinterferences

OptimalPathofInsertion
Esthetics
Minimizedisplay
ofclasps,metal
components

OptimalPathofInsertion
PrepareGuidingPlanes
Flatsurfacesparalleltopathof
insertion
Control&limitmovementofRPD
InitialcontactsforRPD

GuidingPlanes
Stabilization

EffectivenessofGuideplanes
Mosteffectivewhen:
Paralleltoeachother
Morethanonecommonaxial
surface

EffectivenessofGuideplanes
Mosteffectivewhen:
Directlyopposingeachother

EffectivenessofGuideplanes
Mosteffective
when:
Preparedon
severalteeth
Coveralarge
surfacearea

AssessingGuidingPlanes
Proximal
View

Carbon
Markings
Ideal
Ideal

Facial
View

Acceptable
Acceptable

Too
Too
Divergent
Divergent

Too
Too
Short
Short

PreparingGuidingPlanes
Selectpathofinsertion
DesignPartialDenture*
Selectnumber&positionof
guidingplanes
Prepareguidingplanes

UseSurveyortoAlignBur
Intraorally

FINGERREST!

Burs
Long
Cylindrical
Carbideor
Diamond
(8837K014)

8837K014

GuidingPlaneDimensions

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

Round
Round
Axial
Axial Line
Line
Angles
Angles

AxialSurfaceAlreadyParallelto
PathofInsertion

NOPreparation!

PolishPreparedSurfaces

Rubberwheelsorpoints

PrepareGuidingPlanesFirst

EffectsofGuidingPlanesOn
Retention&Stability

Maintains
Retention

EffectsofGuidingPlanesOn
Retention&Stability

MinimizesNeedforRetention

EffectsofGuidingPlanesOn
Retention&Stability

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

OtherAlterationsofAxialContours
LoweringHeightsof
Contour
Rigidelementscontacting
abutments
Improveesthetics
Prepareguidingplanes
mostefficientmethodto
lower

OtherAlterationsofAxialContours
RaisingHeightsofContour
Insufficientretentionin
gingival1/3(atleast1mm
fromgingiva)
Prepareundercut
Addresinabovetocreate
undercut

PreparingRetention
Axialsurfacemustbecloseto
parallelthepathofinsertion
X

RetentivePreparationShape
Followsthepathofdesigned
retentivetip

CreatingUndercutswithBonded
Resins
Axialsurfacemustbecloseto
parallelthepathofinsertion
X

SummaryofAbutment
Modifications

AfterRPDDesigned
Guideplanes
Lowerheightsofcontourtoeliminateinterferences&
improveesthetics
Createundercutsifabsolutelynecessary(raising
heightsofcontour)
Restseatpreparation