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From web
Completely edentoulous elderly
patient
From web
• GERONTOLOGY
• GEROSTOMATOLOGY
• GEROPROSTHETIC
From web
MEDICAL AND DENTAL HISTORY
• Main complaint
• Medical history
• Dental History
• Clinical examination
- extraoral
- intraoral (stomato-oncologic
examination!)
Dr. Károlyházy
From web
IMPRESSION (IN GENERAL):
An imprint of the teeth an adjacent surfaces, structures
PRIMARY IMPRESSION:
negative likeness of the denture bearing tissues
From web
- overextended
- static
- taken by a stock-tray
STOCK TRAY
Requirements:
- rigid
- size and shape
- border extension
- retain its shape
PARTS OF THE TRAY
floor
flanges
handle
From A. Abusallamah
TYPES I.: STOCK TRAY
Material:
-Metallic (aluminum, stainless steel)
-Non metallic:
- Plastic tray (can be sterilized)
- Plastic tray (disposable)
From web
TYPES II.: STOCK TRAY
• Perforated
• Non-perforated
From web
TYPES III.: STOCK TRAY
• size
• form
• edentulous
From web
TRAY SELECTION
TRAY SELECTION I.:
From web
TRAY SELECTION II.:
• 3-5 mm of clearance with
soft tissues
• Differencies in impression
materials
From: Basker et al.: Prosthetic treatment of the edentulous patient and from web
TRAY SELECTION III.:
From web
TRAY MODIFICATION:
From web
IMPRESSION MATERIALS FOR PRIMARY
IMPRESSION
IMPRESSION MATERIALS FOR PRIMARY
IMPRESSION:
• Alginate – irreversible hydrocolloid
• Impression compound
• Elastomer impression materials
• Impression plaster
From web
ALGINATE
• Inexpensive
• Easy to manipulate and secure
• Requires no special equipment
• Good viscosity – high viscosity type is the best
• Dimension stability between circumstances
Usually found in a box or In a bag basically presented as
powder & we mix it with water with
a measure cup
WORKING TIME AND SETTING TIME
• Working time:
Regular set: 2-3 minutes
Fast-set: 1.25-2 minutes
• Setting time:
Regular set: 2-5 minutes
Fast set (by adding materials by the factory): 1-2 minutes
From web
INFLUENCE THE WORKING AND SETTING
TIME:
• water temperature
• Powder : Liquid
From web
TROUBLESHOOTING ALGINATE IMPRESSION
• Premature set (hot water)
• Slow set (cold water)
• Voids (air bubbles with the mixing)
• Distortion (not accurate as may be we remove the impression while it still liquid)
• Excess alginate at back of tray(may be more alginate is placed)
From web
PREPARATION OF THE MOUTH:
1. Before dentures are made
Conditions involving the oral mucosa:
- denture stomatitis
- inflammatory papillary hyperplasia of the palate
- angular cheilitis
Conditions involving the bone:
- Sharp and irregular bone
- Undercat ridges
- Tori
- Pathology within the bone
From: Basker et al.: Prosthetic treatment of the edentulous patient and web
PATIENT PREPARATION BEFORE THE
IMPRESSION:
From web
PRIMARY IMPRESSION:
• Find the correct position of the dental chair and patient
• Support the tray during setting - do not leave the patient
• Movement causes distortion
From web
ALGINATE SYRINGE TECHNIQUE:
• Retromylohyoid area
• Hamular notches
• Retrozygomal area
From web
PRIMARY IMPRESSIONS – FINAL STEPS:
Evaluate impression - Criteria for acceptable alginate impression:
- All anatomical landmarks and relevant soft tissue recorded
- No large voids
- Free of debris
- No distortion
Rinse thoroughly with water and spray with disinfectant to coat all surfaces,
Hold in water
From web
THE RESULT:
From web
LABORATORY STEPS
CAST:
The cast is a positive likeness of the denture bearing tissues
PRIMARY CAST:
Made according to a primary impression. Special tray is constructed onto it (after
outlining the borders of the special tray at the dental office)
Dr. Károlyházy
POURING A CAST
From web
POURING A CAST
• Casts should be a minimum of 12 mm in thinnest part
• Separate the alginate impression from the stone cast after
45 minutes
From web
TRIMMING CASTS
From web
OUTLINE
Dr. Kivovics
From: Basker et al.: Prosthetic treatment of the edentulous patient and from web
ANATOMICAL LANDMARKS OF THE
EDENTULOUS MAXILLA AND MANDIBLE
From web
Mucous membrane
ANATOMICAL LANDMARKS AND
THEIR CLINICAL SIGNIFICANCE IN
EDENTULOUS MAXILLARY ARCH
MAXILLA – LABIAL FRENULUM, BUCCAL
FRENULUM
From web
LABIAL AND BUCCAL VESTIBULE
From web
DISTO-BUCCAL AREA
CORONO-MAXILLARY SPACE
HAMULAR NOTCH
From web
ANATOMICAL LANDMARKS AND
THEIR CLINICAL SIGNIFICANCE IN
EDENTULOUS MANDIBULAR ARCH
From web
MANDIBLE – LABIAL FRENULUM, BUCCAL
FRENULUM, LINGUAL FRENULUM
From web
RETROMOLAR PAD
From web
BUCCAL EXTENSION
From web
LINGUAL POUCH
From web
SPECIAL TRAY
- Clinical applications
- Parts
- Types
- Laboratory steps
Clinical application:
SPECIAL TRAY:
Completely edentulous patient
Subtotal edentulous patient
Removable partial denture
Special anatomical situations
Implantology
Reconstruction prosthesis
PURPOSE OF SPECIAL TRAY:
Minimize:
Impression material distortion
Uniform thickness
Rigid tray
Tisssue distortion
Less viscous material
Accurately adapted tray
Intraoral Extraoral
From web
Types:
TYPES OF SPECIAL TRAYS:
1. Close fitting
Used with very low viscosity impression materials, since it provide a thin
layer after setting:
- Zn-eugenol paste
- very low viscosity elastomers
2. Spaced
Used with high viscous impression material (3mm)
- alginate
- medium or high viscosity elastomers
From web
CLOSE FITTING TRAY:
From web
SPACED TRAY:
From web
SPECIAL/CUSTOM TRAY
Materials:
Resins:
- Visible light curing resins
- Self curing resins
- Heat curing resins
Thermoplastic materials
- sellak
From web
RESINS:
Precision
SELLAK SPECIAL TRAY:
SELLAK SPECIAL TRAY:
SELLAK SPECIAL TRAY:
SELLAK SPECIAL TRAY:
SELLAK SPECIAL TRAY:
FÉNYREKÖTŐ AKRILÁT EGYÉNI KANÁL
KÉSZÍTÉSÉNEK LÉPÉSEI:
Special tray:
Precision
VISIBLE LIGHT CURING RESIN SPECIAL TRAY:
VISIBLE LIGHT CURING RESIN SPECIAL TRAY:
VISIBLE LIGHT CURING RESIN SPECIAL TRAY:
VISIBLE LIGHT CURING RESIN SPECIAL TRAY:
Special tray:
Precision
SELF-CURING RESIN (CLEAR) SPECIAL TRAY:
SELF-CURING RESIN (CLEAR) SPECIAL TRAY:
SELF-CURING RESIN (CLEAR) SPECIAL TRAY:
SELF-CURING RESIN (CLEAR) SPECIAL TRAY:
SELF-CURING RESIN (CLEAR) SPECIAL TRAY:
SELF-CURING RESIN (CLEAR) SPECIAL TRAY:
SELF-CURING RESIN (CLEAR) SPECIAL TRAY:
Molding process:
3-6 Bar
40°C
20-30 minute
SELF-CURING RESIN (CLEAR) SPECIAL TRAY:
Special tray:
Precision
HEAT-CURING RESIN (CLEAR) SPECIAL TRAY:
HEAT-CURING RESIN (CLEAR) SPECIAL TRAY:
HEAT-CURING RESIN (CLEAR) SPELIAL TRAY:
100-105°C
60-90 minutes
HEAT-CURING RESIN (CLEAR) SPECIAL TRAY:
CONCLUSION:
The best:
Heat-curing resin (clear) special tray
OLD DENTURE - USE AS A SPECIAL TRAY!
RELINE
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