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Partially or fully edentulous patients comprise nearly half

of the aging patient population, and this age group is


projected to triple by the year 2005. While the fabrication
of dentures that provide a secure fit and function is
critical, maintaining a natural-looking appearance remains
a priority for today's esthetic-conscious patients. Since its
introduction in the 1950s, Valplast has been fulfilling the
demands of both the clinician and the patient as a more
attractive and fully functional alternative to traditional
metal partial dentures.

Valplast is a flexible base resin ideal for partial dentures or


unilateral restorations. The biocompatible nylon and
thermoplastic resin of Valplast provide the perfect degree
of flexibility and stability when processed and finished to
the recommended thickness. The color, shape, and design
of Valplast partials blend seamlessly with the natural
appearance of the gingival tissues, making the prosthetic
virtually invisible. The strong, durable plastic snaps
securely and comfortably into place around the existing
natural dentition and gingiva. The strength of the
nonallergenic plastic eliminates the metallic taste and
enables the partial to be fabricated thinly enough with
nonmetal clasps to avoid the bulky feeling often
encountered with ugly, bulky traditional metal partials.

FastTrack Valplast
If you currently prescribe Valplast or are considering
incorporating it into your restorative treatments, the
following key components will enable our technicians to
fabricate your Valplast case efficiently and accurately.

Patient evaluation

The Valplast fabrication process begins with a thorough


evaluation of the patient's restorative requirements. Both
the clinician and the patient should actively discuss the
treatment options that will meet the patient's needs (fig.1).

We use a cast sub-frame to provide support to the


material, especially on cases with large edentulous areas.
The frame is placed on the lingual with the facial clasps set
into the Valplast material for added esthetics (fig. 2).

For best results, allow adequate occlusal clearance. Unlike


traditional acrylic partials that utilize a chemical bond
between the teeth and the base, Valplast relies on
mechanical retention. If there is not enough room to place
retention holes in the teeth, they can become displaced
(fig. 3).
Fig. 1 – Valplast partial denture

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Fig. 2 – Valplast with Vitallium® subframe

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Fig. 3 – Good occlusal clearance

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Impressions

There is little or no tooth preparation needed to fabricate a


Valplast partial. Our laboratory requires an upper and
lower impression (or models and bite registration or bite
blocks) along with the desired shade. Alginate is the ideal
impression material for most Valplast cases (fig. 4).
However, polyvinyl siloxane (PVS) also is acceptable.

With this exact replica, a counter model, and a proper bite


registration, technicians can focus on the survey and
design for clasp positioning. This procedure also highlights
the patient's existing undercuts and soft-tissue ridge
condition for proper block-out.
Choose an adequate impression tray (Border-Lock®) or a
custom tray that is rigid. Our technicians can fabricate a
custom tray, which fits the individual patient's mouth.
Clinicians should be advised that this additional step will
require several patient visits (fig. 5).

Fig. 4 – Alginate impression

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Fig. 5 – Border Lock tray by Accu-liner Products

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Wax bite

Trident Dental Laboratories can provide a standard wax


bite rim to facilitate the bite registration, or clinicians may
provide their own. For distal extension cases, a wax bite
rim is essential to the proper fabrication of the Valplast
partial (figs. 6-7).

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Figs. 6 & 7 – Upper and lower bite blocks

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Shade selection

The desired shade selection and preferred teeth (e.g.


Portrait IPN) should be noted on the prescription form.
Valplast partials are available in several basic shade
categories including light pink, medium pink, and meharry
(ethnic), that blend seamlessly with the natural
appearance of the gingival tissues. Generally, acrylic teeth
are used with the Valplast partial. However, choosing
Portrait IPN teeth will provide patients with superior
dentures — superb for esthetics, and they wear like natural
teeth. Portrait IPN teeth have excellent mamelon
development and natural, lifelike contours. They are
available in the 16 popular Vita® Classic colors as well as
enhanced Bioform® Base 8 shades (figs 8-9).
Fig. 8 – Portrait IPN shade guide by Dentsply Trubyte

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Fig. 9 – Shade match using Portrait IPN shade guide

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Wax setup/try-in

We prefer to do a wax setup/try-in to establish the correct


bite and allow for custom arrangements or adjustments to
the teeth prior to processing. The wax setup/try-in stage is
an important step in the fabrication process and enables
the clinician to double-check the shade accuracy and the
setup arrangement — midline, vertical dimension, and
centric occlusion (figs. 10-11, see page 58).

Fig. 10 – Wax set-up/try-in of duplicate model, front view

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