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Lab Techniques for Flexible Partial Dentures. Introduction to Flexible Partials Simple solution to...

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Lab Techniques for Flexible Partial Dentures
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Page 1: Lab Techniques for Flexible Partial Dentures. Introduction to Flexible Partials Simple solution to provide a removable restoration No tooth preparation.

Lab Techniques for

Flexible Partial Dentures

Page 2: Lab Techniques for Flexible Partial Dentures. Introduction to Flexible Partials Simple solution to provide a removable restoration No tooth preparation.

Introduction to Flexible Partials

• Simple solution to provide a removable restoration

• No tooth preparation needed• No metal frame needed• Finished partial with one trip through the

laboratory• Injection Technique• Valplast Partials are repairable and relinable• Guaranteed not to break

Page 3: Lab Techniques for Flexible Partial Dentures. Introduction to Flexible Partials Simple solution to provide a removable restoration No tooth preparation.

Type of Material

• Valplast is a type of Nylon Thermoplastic• Injection Molded• Denser than acrylic• Lower Water Absorption than PMMA• Flexural modulus around 470MPa at body

temperature (making it both flexible and sturdy)

• In use since 1953

Page 4: Lab Techniques for Flexible Partial Dentures. Introduction to Flexible Partials Simple solution to provide a removable restoration No tooth preparation.

Lab Procedure - Overview

• Design, block and relieve master model• Duplicate stone model• Try-in (if required) or Set-up on Master• Transfer set-up to duplicate model• Wax with prefabricated patterns• Invest, Sprue, Wax Elimination• Process with Manual Injector• Finish and Polish

Page 5: Lab Techniques for Flexible Partial Dentures. Introduction to Flexible Partials Simple solution to provide a removable restoration No tooth preparation.
Page 6: Lab Techniques for Flexible Partial Dentures. Introduction to Flexible Partials Simple solution to provide a removable restoration No tooth preparation.

Visually Survey Model

• Visualize design• Aesthetics• Path of Insertion• Comfort• Accuracy of Model

Remove Discrepancies

Page 7: Lab Techniques for Flexible Partial Dentures. Introduction to Flexible Partials Simple solution to provide a removable restoration No tooth preparation.

Wrap-Around Clasp• Most Common

Clasp• Hugs Tissue• Minimal Coverage of

Tooth• Stability against

vertical and rotational movement

Design is made with Red Pencil

Page 8: Lab Techniques for Flexible Partial Dentures. Introduction to Flexible Partials Simple solution to provide a removable restoration No tooth preparation.

Split Wrap-Around

• Clasp Separated from Flange

• Similar to “Roach” Clasp

• Flexibility along Horizontal and Vertical Axes

Page 9: Lab Techniques for Flexible Partial Dentures. Introduction to Flexible Partials Simple solution to provide a removable restoration No tooth preparation.

Spur

Page 10: Lab Techniques for Flexible Partial Dentures. Introduction to Flexible Partials Simple solution to provide a removable restoration No tooth preparation.

Anchor

Page 11: Lab Techniques for Flexible Partial Dentures. Introduction to Flexible Partials Simple solution to provide a removable restoration No tooth preparation.

Maxillary Wax Relief

• Relief Wax placed along Buccal Periphery

• Necessary on All Maxillary Cases

Use Hot Wax for Relief

Page 12: Lab Techniques for Flexible Partial Dentures. Introduction to Flexible Partials Simple solution to provide a removable restoration No tooth preparation.

Mandibular Wax Relief

• Junction of clasp with saddle is more rigid area.

• Undercut toward periphery must be relieved

Page 13: Lab Techniques for Flexible Partial Dentures. Introduction to Flexible Partials Simple solution to provide a removable restoration No tooth preparation.

Blocking and Relieving

• Lingual Undercuts Relieved

• Interproximal Spaces Closed

• Obstructive Undercuts Removed

Page 14: Lab Techniques for Flexible Partial Dentures. Introduction to Flexible Partials Simple solution to provide a removable restoration No tooth preparation.

Final Preparation

• Beading Post Dam• Etching Design

Page 15: Lab Techniques for Flexible Partial Dentures. Introduction to Flexible Partials Simple solution to provide a removable restoration No tooth preparation.

Duplication

• Soak Model• Prepare Flask• Pour Gel• Let set 15 minutes

in air…• …and 15 minutes

in water

Page 16: Lab Techniques for Flexible Partial Dentures. Introduction to Flexible Partials Simple solution to provide a removable restoration No tooth preparation.

Waxing After Setup

• Use of Prefabricated Forms is Recommended to Insure Proper Thickness and Uniformity

Page 17: Lab Techniques for Flexible Partial Dentures. Introduction to Flexible Partials Simple solution to provide a removable restoration No tooth preparation.

Palatal Waxing

• Soften Palate

• Press to Position

• Seal all Borders

Page 18: Lab Techniques for Flexible Partial Dentures. Introduction to Flexible Partials Simple solution to provide a removable restoration No tooth preparation.

Buccal Waxing

Using Prefabricated Form:

• Cut Form to Size

• Press to Model

• Seal all Borders

Page 19: Lab Techniques for Flexible Partial Dentures. Introduction to Flexible Partials Simple solution to provide a removable restoration No tooth preparation.

Bottom Half Investing

Page 20: Lab Techniques for Flexible Partial Dentures. Introduction to Flexible Partials Simple solution to provide a removable restoration No tooth preparation.

Spruing

Page 21: Lab Techniques for Flexible Partial Dentures. Introduction to Flexible Partials Simple solution to provide a removable restoration No tooth preparation.

Top Half Investing

Page 22: Lab Techniques for Flexible Partial Dentures. Introduction to Flexible Partials Simple solution to provide a removable restoration No tooth preparation.

Top Half Investing

Page 23: Lab Techniques for Flexible Partial Dentures. Introduction to Flexible Partials Simple solution to provide a removable restoration No tooth preparation.

Teeth Prepared for Retention

Page 24: Lab Techniques for Flexible Partial Dentures. Introduction to Flexible Partials Simple solution to provide a removable restoration No tooth preparation.

Processing

Page 25: Lab Techniques for Flexible Partial Dentures. Introduction to Flexible Partials Simple solution to provide a removable restoration No tooth preparation.

Melting - 11 Minutes

Page 26: Lab Techniques for Flexible Partial Dentures. Introduction to Flexible Partials Simple solution to provide a removable restoration No tooth preparation.

Injecting

Page 27: Lab Techniques for Flexible Partial Dentures. Introduction to Flexible Partials Simple solution to provide a removable restoration No tooth preparation.

Let’s See That Again...

Page 28: Lab Techniques for Flexible Partial Dentures. Introduction to Flexible Partials Simple solution to provide a removable restoration No tooth preparation.

After Processing

Page 29: Lab Techniques for Flexible Partial Dentures. Introduction to Flexible Partials Simple solution to provide a removable restoration No tooth preparation.

Pre-Finishing

Econo-Cutter

Trimmer

Dark Grinding Wheels

Page 30: Lab Techniques for Flexible Partial Dentures. Introduction to Flexible Partials Simple solution to provide a removable restoration No tooth preparation.

Fitting and Rubberizing

Brown Rubber Wheels

Vulcanite Burs

Page 31: Lab Techniques for Flexible Partial Dentures. Introduction to Flexible Partials Simple solution to provide a removable restoration No tooth preparation.

Polishing

Page 32: Lab Techniques for Flexible Partial Dentures. Introduction to Flexible Partials Simple solution to provide a removable restoration No tooth preparation.

Polishing Motion is Important

Page 33: Lab Techniques for Flexible Partial Dentures. Introduction to Flexible Partials Simple solution to provide a removable restoration No tooth preparation.

Advising Clinician on Insertion and Adjustment

• Partial must be placed in very hot water (150°F or more) for a minute prior to insertion and allowed to cool to a tolerable temperature.• This process makes the partial as flexible as it

would be at body temperature. This minimizes adjustments

Page 34: Lab Techniques for Flexible Partial Dentures. Introduction to Flexible Partials Simple solution to provide a removable restoration No tooth preparation.

Adjustments

• Minor clasp tightening or loosening can be done by heating the clasp again in very hot water and bending it severely in the needed direction. This will purposely warp the area enough to change its position

• Grinding should be done as a last resort.• Use a Standard Green Mounted Stone (used

usually for porcelain) to adjust Valplast. 20K to 30K rotation and constant motion

Page 35: Lab Techniques for Flexible Partial Dentures. Introduction to Flexible Partials Simple solution to provide a removable restoration No tooth preparation.

Small Additions - Welding

• Using hot air welder and welding rod, build up a boxing in the addition site to secure a new tooth

• Select a matching acrylic tooth.• Break a porcelain tooth to obtain pins• Heat each of two pins in flame to cherry red and

embed in the partial half way (pin head protruding)

• Cure scooped stock tooth over pins using tooth-shade or pink acrylic.

Page 36: Lab Techniques for Flexible Partial Dentures. Introduction to Flexible Partials Simple solution to provide a removable restoration No tooth preparation.

Large Additions – Injection

• Wax new section on duplicate model to original partial

• Invest, Sprue, Wash out wax• Prepare bonding site with acid etch

solution (Val-Fuse Repair Liquid)• Inject, finish, and polish

Page 37: Lab Techniques for Flexible Partial Dentures. Introduction to Flexible Partials Simple solution to provide a removable restoration No tooth preparation.

Relines

• Take Putty Matrix to record tooth position• Strip teeth from partial (in blocks) while

duplicating the model.• Rewax new base using matrix to position

teeth• Invest and process using repair technique

to bond top-half exposed Valplast to new base.

• Finish and Polish

Page 38: Lab Techniques for Flexible Partial Dentures. Introduction to Flexible Partials Simple solution to provide a removable restoration No tooth preparation.

Clinical Prep for Tooth Addition

• Clinician should take overall alginate impression to lift out case

• Counter-model for bite• Before pouring the model, any deposits or

adhesives should be removed from surface or the process will lead to an unintended reline.

Page 39: Lab Techniques for Flexible Partial Dentures. Introduction to Flexible Partials Simple solution to provide a removable restoration No tooth preparation.

Clinical Prep for Reline

• Closed-mouth rubber-base reline impression.

• Pick-up overall alginate impression.• Counter not necessary

Page 40: Lab Techniques for Flexible Partial Dentures. Introduction to Flexible Partials Simple solution to provide a removable restoration No tooth preparation.

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