P. 1
Preliminary Step

Preliminary Step

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Publicado porAnubhav Vashishtha

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Published by: Anubhav Vashishtha on Sep 07, 2010
Direitos Autorais:Attribution Non-commercial


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Preliminary step:-1-seat the patient in a dental chair.

With the back rest extending to slightly below the scapula. the patient head should in an upright position with the headrest supporting the occipital. 2-locate 3 axis points by measuring 13mm interior to the middle of the tragus of the ear on line drawn from the outer canthus of eye to the middle of the tragus of the year record the points on the skin or on adhesive tape placed in the area. 3-contour the maxillary occlusion rim,stablish the occlusion plain,place the guidelines for arranging of teeth on labial section and a mounting index on the occlusion surface in the region of 1st molar. make the index by placing transversely a step that is approximately 2mm deep anteriorly tapering distally nothing 4-apply a thin layer of petroleum jelly to the occlusion rims to facilitate separating from the wax on bite fork. 5-reduce the mandibular occlusion rim to allow adequate inter occlusion distance from the fork and attach wax 6-adjust the condyle rods to the face for centering the bow by placing the ends over the condyle points so that the ends lightly touch the skin or tape.secure either the right or left condyle rod,lock and remove the bow from the face. FACE BOW RECORD 1-soften a sheet of low fusing baseplate wax and rolled together in the shape of a horseshoe 2-imbed the prongs of the bite fork in the softened wax,fold the wax over the margins to secure it to the fork.the thickness of the wax should be 6mm 3-place the prongs of the bite fork with the attached soft wax between the occluding surfaces of the occlusion rims 4-instruct the patient to close the jaws until both occlusion rims are imbedded in the soft wax to depth that ensure stable seat. 5-slide the stem of the fork through the opening in the clamp of the bow and adjust the condyle rods to the arbitrary excess points. 6-adjust the widths of the condyle rods equidistant bilaterally and secure the clamp of the bow to the stem of the bite fork 7-slide the condyle rods from the skin extend the condyle rod back to the excess points to check against displacement that may have occurred when the clamp was secured when the infraorbital notch is used as the interior point of reference,the pointer should be placed in the clamp provided for it on the bow.palpate the infraorbital notch and mark it -place the point on the pointer over the mark and secure the clamp to the pointer -remove the assembly from the face and allow the wax to set hand and positioned in the articulator to transfer the record.when it is desirable mount the maxillary cast at this time. FACE BOW MOUNTING 1-set the sliding condylar rods symmetrically on both side until the bow gently springs over the articulator condylar shaft. 2-raise on the lower face bow to adjust for vertical position until the lower lipline,recorded on the labial surface occlusion rims on level with a groove marked

The maxillary cast is related to the opening excess in the articulator in the same interior posterior and horizontal position as the maxilla in skull are related to the arbitrarily located opening excess in temporal mandibular joint.To insure adhesion of the plaster to the stone 5-Open the maxillary bow of articulator and apply a creamy mix of dental plaster to the top of articulator until the incisal guide pin is stopped on the guide table.around the incisal pin.and the mounting plate on the maxillary bow is imbedded in the plaster. .If an infraorbital pointer is used adjust the pointer to touch the pointer plate attached to the maxillary bow of the articulator. 3-support the facebow securely in apposition with facebow support 4-soak the maxillary cast in water.

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