Steps to deliver dental prosthesis

Transcription

1 Prosthodontic المرحله الثالثه 2 nd lecture Steps to deliver dental prosthesis The steps to constrict dental prosthesis should divided clinical & lab steps. 1- Encounter the patient to know his/her chief complain and taking full history ( medical /dental ). (Clinical 2- Diagnosis the case and explain the treatment options. Explain the advantage & disadvantage for each option. (Clinical 3- Taking primary impression (for the affected arch and the opposing arch) to making a study cast (clinical 4- Surveying the study cast by using the dental surveyor (laboratory 1

2 5- Put the design of the removable partial denture on the surveyed study cast, and determination the type of the major connector and rests number and location (laboratory 6- Preparation of abutment teeth, reshaping, occlusal rest seat, restoration, crowning (clinical 7- Special tray fabrication using the study model to used it in taking secondary impression (laboratory 2

3 8- Making the final impression with special tray (clinical 9- Resurveying the master cast (laboratory 11- Block out and relief the master cast (laboratory 12- Duplicate the master cast by tertiary impression by agar to produce a refractory cast from investment material (laboratory 13- Dipping the refractory cast in Bees wax and drying in oven, to make the cast surface smooth and dense, and to facilitate the adhesion of wax and plastic patterns to the refractory cast (laboratory 14- Form the wax pattern on the duplicated and cast according to the establish design, wax and plastic pattern (readymade) are used to form the pattern of the removable partial denture framework; these patterns are available in a variety of shape, size, and thickness (laboratory 15- Sprung of the wax framework, to provide an entrance or channels to the mold space and to serve as a reservoir of metal during casting procedure, and to allow the gases to escape out of the mold cavity to avoid porosity of the framework (laboratory 3

4 16- Investing the refractory cast with its wax framework in the ring and pouring of investment material in the casting ring to form a mold (laboratory 17- Wax elimination by burn out the refractory cast with its wax framework in high temperature oven (laboratory 18- Melting the metal in the centrifuge, and casting the metal to occupy the space left from the wax elimination (laboratory Casting: it is a process of producing an object in a mold, heat was applied to melt the metal, then the molten metal was injected into the mold cavity by using force, this force may be either centrifuged or air pressure. 19- Cooling of the ring and opening of the mold to obtain the metal framework (laboratory 20- Finishing and polishing of the framework (laboratory 21- Checking of the metal framework on the master cast (laboratory 22- Checking the metal framework inside the patient mouth (clinical 23- Registration of centric jaw relation from the patient and teeth selection (clinical 4

5 24- Mounting the casts on the articulator, setting of teeth and waxing (laboratory 25- Try in stage in the patient mouth (clinical 26- Flasking, wax elimination, packing, and curing (laboratory 27- Deflasking, finishing, and polishing (laboratory 28- Insertion in the patient mouth and give post insertion instructions (clinical Best wishes 5