Today

Today

AM - Seminar - 3157 AM - Seminar - 3157

Get Casts at front; Surveyors & colour pencils Get Casts at front; Surveyors & colour pencils

Presentations and Videos Presentations and Videos

Survey Class I & II Casts (no preps) Survey Class I & II Casts (no preps)

Tripod Casts Tripod Casts

Get Heads & Mounts ready for PM Get Heads & Mounts ready for PM

PM - Clinic PM - Clinic

Prepare guiding planes on Class I & II Typodonts Prepare guiding planes on Class I & II Typodonts
(last sheet Course Sched) (last sheet Course Sched)

Formative Formative

Marking sheets Marking sheets

Diagnostic Casts Mark Sheets - Hand in Diagnostic Casts Mark Sheets - Hand in
Surveying, Path of Insertion,
Surveying, Path of Insertion,
Guiding Planes
Guiding Planes
Rule: Retentive tip should usually be
Rule: Retentive tip should usually be
designed to be placed in the gingival 1/3
designed to be placed in the gingival 1/3
Path of Insertion
Path of Insertion

Path that the prosthesis is

Path that the prosthesis is

Placed/removed
Placed/removed

Usually a single path

Usually a single path
Advantages of a Single Path of
Advantages of a Single Path of
Insertion
Insertion

Equalizes retention
Equalizes retention
Advantages of a Single Path of
Advantages of a Single Path of
Insertion
Insertion

Bracing and Cross-arch Stabilization

Bracing and Cross-arch Stabilization
Advantages of a Single Path of
Advantages of a Single Path of
Insertion
Insertion

Minimizes torque on abutments

Minimizes torque on abutments
Advantages of a Single Path of
Advantages of a Single Path of
Insertion
Insertion

Allows removal without encountering

Allows removal without encountering
interferences
interferences
Advantages of a Single Path of
Advantages of a Single Path of
Insertion
Insertion

Directs forces along long axes of teeth

Directs forces along long axes of teeth
Advantages of a Single Path of
Advantages of a Single Path of
Insertion
Insertion

Provides frictional retention

Provides frictional retention
Selecting a Single Path of Insertion
Selecting a Single Path of Insertion

Use a dental surveyor to

Use a dental surveyor to

Select path
Select path
Prepare guiding planes
Prepare guiding planes
Guiding Plane Preparation
Guiding Plane Preparation

Where rigid components contact abutments

Where rigid components contact abutments

Proximal Plates Proximal Plates

Bracing Arms Bracing Arms

Rigid portions of Retentive Arms Rigid portions of Retentive Arms

Altering Path of Insertion
Altering Path of Insertion

Proximal surfaces similar

Proximal surfaces similar
undercuts
undercuts

Retentive areas similar

Retentive areas similar
undercuts
undercuts
Selecting a Path of Insertion
Selecting a Path of Insertion

Modify tilt if necessary

Modify tilt if necessary

Soft tissue interferences Soft tissue interferences

Selecting a Path of Insertion
Selecting a Path of Insertion

Modify tilt if necessary

Modify tilt if necessary

Esthetics
Esthetics
Once Path Selected
Once Path Selected

Instructor:
Instructor:

Approves path
Approves path

Demo:
Demo:
-
Mark heights of contour with Mark heights of contour with
carbon marker carbon marker
-
Tripod Tripod
Optimal Path of Insertion
Optimal Path of Insertion

Retentive undercuts
Retentive undercuts
equalized
equalized

Retentive arm has a

Retentive arm has a
different path of
different path of
escapement than
escapement than
guiding plane, so it
guiding plane, so it
must flex during
must flex during
removal
removal
Optimal Path of Insertion
Optimal Path of Insertion

Retentive undercuts equalized

Retentive undercuts equalized

Ideally, retentive arms should Ideally, retentive arms should

oppose each other on opposite oppose each other on opposite
sides of the arch sides of the arch
Optimal Path of Insertion
Optimal Path of Insertion

Minimize severe tooth & soft

Minimize severe tooth & soft
tissue interferences
tissue interferences
Optimal Path of Insertion
Optimal Path of Insertion

Esthetics
Esthetics

Minimize display
Minimize display
of clasps, metal
of clasps, metal
components
components
Optimal Path of Insertion
Optimal Path of Insertion

Prepare Guiding Planes

Prepare Guiding Planes

Flat surfaces parallel to path of

Flat surfaces parallel to path of
insertion
insertion

Control & limit movement of

Control & limit movement of
RPD
RPD

Initial contacts for RPD

Initial contacts for RPD
Effectiveness of Guideplanes
Effectiveness of Guideplanes

Most effective
Most effective
when:
when:

Prepared on
Prepared on
several teeth
several teeth

Cover a
Cover a
large surface
large surface
area
area
Assessing Guiding Planes
Assessing Guiding Planes
Proximal
View
Facial
View
Carbon
Markings
Ideal
Ideal
Acceptable
Acceptable
Too
Divergent
Too
Divergent
Too
Short
Too
Short
Ideal
Ideal
Acceptable
Acceptable
Too
Divergent
Too
Divergent
Too
Short
Too
Short
Ideal
Ideal
Acceptable
Acceptable
Too
Divergent
Too
Divergent
Too
Short
Too
Short
Ideal
Ideal
Acceptable
Acceptable
Too
Divergent
Too
Divergent
Too
Short
Too
Short
Preparing Guiding Planes
Preparing Guiding Planes

Select path of insertion

Select path of insertion

Design Partial Denture

Design Partial Denture
*
*

Select number & position of

Select number & position of
guiding planes
guiding planes

Prepare guiding planes

Prepare guiding planes
Use Surveyor to Align Bur
Use Surveyor to Align Bur
Intraorally
Intraorally
FINGER REST!
FINGER REST!
Burs
Burs

Long
Long
Cylindrical
Cylindrical
Carbide or
Carbide or
Diamond
Diamond
(8837K 014)
(8837K 014)
8837K-014 8837K-014
Guiding Plane Dimensions
Guiding Plane Dimensions
Round

Axial Line

Angles
Round
Axial Line
Angles
2-4 mm
1/2-1/3

height
2-4 mm
1/2-1/3
height
Axial Surface Already Parallel to
Axial Surface Already Parallel to
Path of Insertion
Path of Insertion

NO
NO
Preparation
Preparation
!
!
Polish Prepared Surfaces
Polish Prepared Surfaces

Rubber wheels or points

Rubber wheels or points
Prepare Guiding Planes First
Prepare Guiding Planes First
Effects of Guiding Planes On
Effects of Guiding Planes On
Retention & Stability
Retention & Stability

Maintains
Maintains
Retention
Retention
Effects of Guiding Planes On
Effects of Guiding Planes On
Retention & Stability
Retention & Stability

Minimizes Need for Retention

Minimizes Need for Retention
Effects of Guiding Planes On
Effects of Guiding Planes On
Retention & Stability
Retention & Stability

Stabilizing
Stabilizing
Teeth
Teeth
Use short guideplanes on Class I & II
Use long guideplanes on Class III & IV
Use short guideplanes on Class I & II
Use long guideplanes on Class III & IV
Other Alterations of Axial Contours
Other Alterations of Axial Contours

Lowering Heights of
Lowering Heights of
Contour
Contour

Rigid elements contacting Rigid elements contacting

abutments abutments

Improve esthetics Improve esthetics

Prepare guiding planes - Prepare guiding planes -

most efficient method to most efficient method to
lower lower
Other Alterations of Axial Contours
Other Alterations of Axial Contours

Raising Heights of Contour Raising Heights of Contour

Insufficient retention in Insufficient retention in

gingival 1/3 (at least 1mm gingival 1/3 (at least 1mm
from gingiva) from gingiva)

Prepare undercut Prepare undercut

Add resin Add resin above to create above to create

undercut undercut
Summary of Abutment
Summary of Abutment
Modifications
Modifications

After RPD Designed

After RPD Designed

Guideplanes Guideplanes

Lower heights of contour to Lower heights of contour to

eliminate interferences & eliminate interferences &
improve esthetics improve esthetics

Create undercuts if absolutely Create undercuts if absolutely

necessary (raising heights of necessary (raising heights of
contour) contour)

Rest seat preparation Rest seat preparation