Introduction to lab procedures for cast partial dentures including various techniques.
Highlights the significance of lab techniques and addresses common errors in RPD fabrication.
Steps for taking impressions and the necessary work authorization details for denture processes.
Methods for surveying master casts, ensuring proper design mimics the diagnostic cast.
Different blockout methods for clear denture bases including arbitrary, parallel, and shaped blockouts.
Discussion on procedures involved in duplicating casts and materials used for duplication.
Types of investment materials including gypsum, phosphate, and silica bonded investments.
Detailed methods for investing and associated procedures for preparing the mold.
Steps in waxing the framework for maxillary and mandibular partial dentures.
Processes related to spruing, cutting off sprues, and finishing ornate details on partial dentures.Discusses the casting process and considerations including alloy ductility and reactions.
Surface preparation methods like sand blasting and pickling after casting.
Techniques and steps for creating corrected cast impressions for denture frameworks.
Information on the arrangement and setting of artificial teeth in dentures.
Details on determining occlusal schemes for different classes of removable partial dentures.
Overview of the steps in processing following artificial teeth arrangement.
Recent advancements in the fabrication of removable partial dentures utilizing new technology.
Comprehensive listing of references used in the presentation for detailed procedure documentation.
Why lab procedureis important?
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Introduction
“ G o o d t e c h n i q u e p a y s o f f.”
T h e s e w o r d s a r e n o t m e r e l y a m o t t o
t o h a n g o n t h e w a l l i n t h e l a b o ra t o r y
b u t w o r d s o f w i s d o m
5.
Possible errors inRPD
Everyone who participates in any step of the
fabrication of a removable partial denture must
share in the success or failure of the restoration.
Some seemingly innocuous deviations can be
accumulative and cause serious problems, so
everyone should review the procedures that they
use on a regular
basis.
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Rudd and Rudd. A review of 243 errors possible during the fabrication of a removable
partial denture: Part I J Prosthet Dent 2001;86:251-61
Impressions with workauthorization forms
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Bomberg TJ, Hatch RA, Hoffman W. impression material thickness in stock and custom tray. J
Prosthet Dent. 1985;54(August).
8.
(1) The signatureand license number of
the dentist
(2) The date the authorization was signed
(3) The name and address of the patient
(4) A description of the service
or material ordered.
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9.
Requisites for casts
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voidsor nodules
hard dense
denture support.
3 to 4 mm deep
peripheral roll
Vertical side walls
15 mm thick
•Dental laboratory procedures vol 3;Rudd KD 2nd edition.
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Stewart’s clinicalremovable partial prosthodontics. Rodney D. phoenix.4th edition.
Agar : complex polysacharide extracted from
sea weed
Primarily consists of 15% colloidal
suspension of agar in water
Borates- 0.2-0.5%
Potassium sulphate- 1-2%
Wax- 1%
Thixotrophic material 0.5%
Water- around 84%
Gypsum bonded
• mixedwith water
• composed of a mixture of silica (SiO2) and calcium sulphate
hemihydrates (gypsum product)
• Three types of gypsum bonded investments can be identified
as follows:
-Type 1 thermal expansion type; for casting inlays and
crowns.
-Type 2 hygroscopic expansion type; for casting inlays and
crowns.
-Type 3 casting complete and partial dentures.
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Robert G. Craig & John M. Powers : Restorative dental materials (Tenth edition)
28.
Phosphate bonded
• powdercontains silica, magnesium oxide and ammonium
phosphate
• Can be mixed with water or colloidal silica
• Two types of phosphate-bonded investment can be identified
as follows:
-Type 1- for inlays, crowns and other fixed restorations.
-Type 2- for partial dentures and other casts.
removable restorations
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Robert G. Craig & John M. Powers : Restorative dental materials (Tenth edition)
29.
Silica bonded
• consistof powdered quartz or cristobalite which is bonded
together with silica gel.
• On heating, the silica gel turns into silica so that the
completed mould is a tightly packed mass of silica particles.
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Robert G. Craig & John M. Powers : Restorative dental materials (Tenth edition)
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Dental laboratory proceduresvol 3;Rudd KD 2nd edition.
Hamda et all. Investigation of the effect of three sprue design on the porosity and the completeness of
titanium cast removable partial denture frameworks. J Prosthet Dent. 1999;82(1):15–21
52.
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Hamdi et all.Button versus buttonless castings
for removable partial denture framework. J
Prosthet Dent. 1994;72(4):433–44.
• Mechanical mixingunder vacuum removes air
bubbles created during mixing and evacuates
any potentially harmful gases produced by the
chemical reaction of the high-heat investments.
Investing
Vacuum Mixing
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55.
• For gypsumbonded investments, temperature can be either
4680 for the hygroscopic technique or 6500C for the thermal
expansion technique.
• With phosphate bonded investments,
the maximum temperature setting may
range from 7000C to 8700C, depending
upon the alloy selected..
Wax elimination and heating
Monika nemet. Laboratory fabrication procedures of a metal partial denture framework. acta stomatol crot 2003;37:95-98.5523-01-2015
56.
• It isalso advisable to begin the burn out procedure while the
mold is still wet.
• This process is facilitated by placing the ring with the sprue
hole down over a slot in a ceramic tray in the burnout furnace.
Shah SA. Influence of time of placement of investments for burnout and the type of rings being used on the casting
accuracy. J Indian Prosthodont Soc.2014 Mar;14(1):67-71.
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57.
Casting
•Monika nemet. Laboratoryfabrication procedures of a metal partial denture framework. acta stomatol crot 2003;37:95-98.5723-01-2015
co-cr alloy isa commonly used investment material for casting
of partial dentures.this metal doesnot have adequate ductility
for adjustment purposes but are light in weight, strong and
corrosion resistant. superheating the alloy before casting can
increase the ductility of the alloy.
superheating the alloy can cause the metal to react with the
mold and a close adhering green scale is formed. this green
scale is very hard to be removed and requires a lot of
machining.
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Allan FC, Asgar K, Alligato RDE, Cobalt FDE, Con EC. Reaction of Cobalt-Chromium Casting Alloy with Investment.
J Dent Res. 1966;45(5):1516–28.
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Stewart’s clinicalremovable partial prosthodontics. Rodney D. phoenix.4th edition.
The unit pictured in is the
Ti-Lectro Polisher (CMP Industries).
The polishing occurs in a bath of
85% orthophosphoric acid, which is
heated t o 49 ° C to 60 °C.
The anode is attached to the cast
and the cast is immersed in the
solution. Each square inch of metal
surface area requires 2 amperes of
current for 6 minutes. The average
setting is 6 amperes f o r 6 mins.
69.
• A functionalimpression is generally made
by adding an impression base to the
removable partial denture framework.
• Functional impressions may be made by a
variety of impression materials.
Stewart’s clinical removable partial prosthodontics. Rodney D. phoenix.4th edition
Joanne N. Walton The corrected cast impression: An alternative technique. Quintessence Int 1993;24:779-781.6923-01-2015
Corrected cast impressions
70.
Techniques for pouringcorrected cast
impressions are boxing with a
• 1)Plaster pumice mix and wax,
• 2)Beading and boxing with wax,
• 3)Beading with wax and the two stage pour.
Stewart’s clinical removable partial prosthodontics. Rodney D. phoenix.4th edition
Joanne N. Walton The corrected cast impression: An alternative technique. Quintessence Int 1993;24:779-781.
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71.
• 1. Arubber base corrected
cast impression is received
in the laboratory.
• 2. Outline the master cast
for removal of the ridge
areas
•Stewart’s clinical removable partial prosthodontics. Rodney D. phoenix.4th edition
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72.
• 3. Removethe
residual ridge
areas from the
master cast
• cut retention
areas into the cast
Stewart’s clinical removable partial prosthodontics. Rodney D. phoenix.4th edition 7223-01-2015
73.
• 4. Placethe
framework with its
impression on the
master cast and
lute it
Stewart’s clinical removable partial prosthodontics. Rodney D. phoenix.4th edition
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74.
• 5. Soak-the cast and
framework in clear slurry
water, and place it into
plaster/pumice mixture.
•Stewart’s clinical removable partial prosthodontics. Rodney D. phoenix.4th edition
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75.
• 6. Afterthe plaster/pumice
mixture has set, shape it to the
outline of the cast.
• 7. Use a strip of boxing wax to
complete the boxing of the
impression and is seal with a
wax spatula
•Stewart’s clinical removable partial prosthodontics. Rodney D. phoenix.4th edition
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76.
8. Soak theboxed
impression in clear slurry
water for 5 minutes in
preparation for pouring
9. Pour the boxed
impression in improved
stone
•Stewart’s clinical removable partial prosthodontics. Rodney D. phoenix.4th edition
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Determining occlusal schemes
1.Class III removable partial denture
a. The occlusal morphology of the artificial teeth is selected to
match that of the opposing teeth or surfaces.
b. If the existing occlusion is physiologically healthy, the
patient is restored to the existing occlusal scheme, which
may be group function or mutually protected.
c. A group function articulation is recommended if the
patient’s natural canine is missing or periodontally
compromised.
d. A balanced articulation is recommended if the restoration is
to oppose a complete denture. Some clinicians believe that
balanced articulation is not desirable or clinically
obtainable and select a monoplane or lingualized occlusion.
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Ivanhoe JR, Plummer KD. Removable partial denture occlusion. Dent Clin N Am.
2004;48:667–83
81.
2. Class IIremovable partial denture
The recommendations given for class III are
appropriate, with the following exceptions:
a. Group function articulation should be avoided when
there are no remaining premolars. A canine-protected
articulation reduces the destructive lateral forces that
are generated on the distal extension during function.
b. Except when opposing a complete denture, a balanced
articulation should be avoided to prevent nonworking
contacts on natural teeth.
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Ivanhoe JR, Plummer KD. Removable partial denture occlusion. Dent Clin N Am.
2004;48:667–83
82.
3. Class Iremovable partial denture
The recommendations given for classes II and III
are appropriate with the following exception:
a. Balanced articulation is recommended for
patients for whom canine-protected
articulation is not possible to provide bilateral
occlusal contacts for increased denture
stability.
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Ivanhoe JR, Plummer KD. Removable partial denture occlusion. Dent Clin N Am.
2004;48:667–83
83.
4. Class IVremovable partial denture
a. During excursive movements the anterior
artificial teeth should either disocclude or have
passive occlusal contact.
b. A balanced articulation is recommended if the
restoration is to oppose a complete denture.
Some clinicians believe that balanced articulation
is not desirable or clinically obtainable and select
a monoplane or lingualized articulation with no
anterior tooth contact in function
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Ivanhoe JR, Plummer KD. Removable partial denture occlusion. Dent Clin N Am.
2004;48:667–83
84.
Processing
After the teetharrangement has been
completed the flasking, processing, deflasking
and finishing steps are followed.
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85.
Advancements In CastPartial Denture
Fabrication
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3 D computer models
Valplast RPD
Milling of RPD
86.
References
1. Nasser KSGA.Cast partial denture : Laboratory step by step. J Indian Prosthodont Soc. 2006;6(4):170–4.
2. Knezoviê-zlatariê D. Laboratory Fabrication Procedures of a Metal Partial Denture Framework. Acta
Stomatol Croat. 2003;37:95–8.
3. Bomberg TJ, Hatch RA, Hoffman W. impression material thickness in stock and custom tray. J Prosthet
Dent. 1985;54(August).
4. Howard S, Rudd KD, Dc U, Morrow RM, Powell JM. Comparision of effects of tap water and slurry water on
gypsum casts. J Prosth Dent. 1970;24(5):563–9.
5. Hasaballa M. THE FEASIBILITY OF INDIRECT CASTING OF MAXILLARY REMOVABLE PARTIAL DENTURE. Saudi
Dent J. 1993;5(3):114–20.
6. Hamda et all. Investigation of the effect of three sprue design on the porosity and the completeness of
titanium cast removable partial denture frameworks. J Prosthet Dent. 1999;82(1):15–21.
7. Brudvik JS, Lee S, Croshaw SN, Reimers DL. Laser Welding of Removable Partial Denture Frameworks. Int J
Prosthodont. 2008;21(4):285–92.
8. Allan FC, Asgar K, Alligato RDE, Cobalt FDE, Con EC. Reaction of Cobalt-Chromium Casting Alloy with
Investment. J Dent Res. 1966;45(5):1516–28.
9. Hamdi et all. Button versus buttonless castings for removable partial denture framework. J Prosthet Dent.
1994;72(4):433–44.
10. Walton JN. The corrected cast impression : An alternative technique Prosthodontics. Quintessence Int
(Berl). 1993;24(11):779–81.
11. Ivanhoe JR, Plummer KD. Removable partial denture occlusion. Dent Clin N Am. 2004;48:667–83.
12. Williams RJ, Bibb R, Rafik T. A technique for fabricating patterns for removable partial denture
frameworks using digitized casts and electronic surveying. J Prosthet Dent. 2004;91(1):85–8.
23-01-2015 86
87.
13. Textbook ofclinical removable partial prosthodontics by Stewart, Rudd, Kuebker 2nd edition.
14. Stewart’s clinical removable partial prosthodontics. Rodney D. phoenix.4th edition.
15. Dental laboratory procedures vol 3;Rudd KD 2nd edition.
16. Mc Cracken’s removable partial prosthodontics, ninth edition
17. Joanne N. Walton The corrected cast impression: An alternative technique. Quintessence Int
1993;24:779-781.
18. Knapp J.G Technique for recording the cast surveyer. J. Prosthet Dent 1979; 41:352-354.
19. Yilmaz. G Optical surveying of casts for removable partial dentures J. Prosthet Dent.1975;
34:292-296
20. Richard E Coy. Survey and design of diagnostic casts for removable partial dentures J. Prosthet
Dent.1974; 32:103
21. Sergio Reinaldo De Fiori. Transferring the path of insertion from the diagnostic cast to multiple
master casts. J. Prosthet Dent.1983; 50:733.
22. Arthur M La Vere. A simplified procedure for survey and design of diagnostic casts. J. Prosthet
Dent.1977; 37:680.
23. Robert G. Craig & John M. Powers : Restorative dental materials (Tenth edition)
24. Kenneth J. Anusavice : Philips’science of dental materials (eleventh edition)
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Editor's Notes
#5 Good technique demands that everyone involved give adequate attention to all details
required for safe and efficient operations. This means that good dentistry depends on the integrity, knowledge,
and skills possessed by the entire dental team, which includes the dentist, dental nurse, dental assistant,
office manager, and dental technician
#7 Communication with technitian
Must understand the lab procedures
#8 Dental clinic and laboratory will not be in one place
Sometimes in different cities
Thus work authorization form acts as a medium of communication
#11 the clinician determines a specific path of insertion and removal for the partial denture. This path is recorded by placing
tripod marks on the diagnostic cast. In turn, the clinician prepares both hard and soft tissues of the mouth
in harmony with this path. The technician must ensure that all framework fabrication steps are based upon
this path of insertion and removal.
#12 Using carbon marker mark survey lines on master cast that will be contacted by metal
#13 Metallic outline drawn in brown
Rest, tripod, undercut cross lines, terminal end of the clasp in red
Finish lines in blue
#14 treated with a surface sealer. The sealer is a mixture of acetone, diethyl phthalate, and cellulose acetate.
Impermeable seal that protects the drawn design
multiple layer should not be applied
Dry for 5 mins and block out
#15 .5mm deep and becomes less distinct at gingival margins
Prevents food particles from entering and creating discomfort
Snugg fit against the palate
#16 Done to prevent encroachment of metal on the soft tissues
To withdraw block out cast from duplicating material
#17 contoured in a predetermined relation to the prescribed path of insertion
All tooth-supported removable partial dentures should be blocked out parallel to the path of insertion.
Tooth-tissue-supported removable partial dentures may be blocked out in a similar manner, or they
may be given a tapered blockout to allow increased freedom of movement in function
Metallic block out instrument
#18 Buccal or lingual surface to faciliate accurate placement of plastic or wax pattern
It must be trimmed flush with the survey line
If stone is trimmed off the final frame will not fit in the mouth
#19 Relief is given in edentulous areas for adaptation of denture base and to form internal finish line
Generally not needed except for unhealed ridges. The dentist should specify if relief is needed
Advantages if relief is not used- eliminates one step and chances of error, no need for conventional internal finish line
#20 Practically 1mm relief should be there for acrylic to flow
A properly formed internal finish line permits formation of a butt joint between the framework and the acrylic resin denture base.
This allows a smooth transition from metal to resin and minimizes the likelihood of trauma to the adjacent soft tissues.
One thickness of baseplate wax makes an ideal relief pad
#22 Cast is placed on the base of the duplicating flask. ¼ inch clearence in all direction
Use modelling clay to fix the cast and close the body of the flask.
Secure the junction between the base and body of the flask
#23 Agar –basic constituent
Borates- improves strength, also retards the setting of stone poured into the finished impression-disadvantage
Potassium sulphate-counters retarding effect of borates
Wax- filler
Thixotropic-plasticizer
Water-dispersion medium
Coloring and flavour agent
#24 Double boiler or storage unit
A breakdown temperature of 100 °C and a working temperature of 63 ° C are suitable
Pour the agar in a stream not more that one pencil size diameter
#25 Run cool water at the base of the flask. Colloid cooling at the base alone will cause shrinkage in only that direction making it to adapt more closely to the cast
45 mins to 1 hr
#26 The two wax knifes are used at the modelling wax depression area To loosen the cast blow air in between the colloid and cast
The refractory cast is placed in oven at 93 C for 30-60 mins
The dry refractory cast is dipped into beeswax at 1 3 8 ° C to 1 4 9 °C for 15 seconds. Once dipped, the
cast is positioned on its end to allow excess wax to run off
#27 Blockout philosophies and techniques are similar regardless of the chosen alloy.
In contrast, duplication materials and techniques are alloy specific.
refractory cast expansion determines the ultimate fit of the framework
#29 The use of colloidal solution of silica instead of water for mixing with the powder has the dual effect of increasing the setting expansion and strengthening the set material.
On heating the investment prior to casting, mould enlargement occurs by both thermal expansion and inversion of the silica. Thermal expansion
is greater for the colloidal silica-mixed materials than for the water-mixed materials.
#32 Add powder to water. Mechanical mixing 60 sec and vaccum mixing 30 sec
#33 Add in increments. Use small portions for teeth that are to be clasped.
#34 This mold is over filled and the investment touching the casts may be distorted because of restricted expansion
#36 Place the cast in dry oven for at 200 farenheit for 2-3 hrs. Treating the cast with spray or bees wax. Make it less abrasive
#39 26 gauge major connector
14 gauge for outer strud, 18guage for cross struds
#40 Blue casting wax into the beading. 2-3 mm wide.
Reinfirments of wax added in the palate
Tacky liquid applied on the cast for close adaptation of the pattern was to cast
Spoon or roach carver is used to seal the wax and cast borbers
#46 18 guage for lingual bar and onto anterior teeth
#47 An opening to remove wax and introduce molten metal in sprue
Also acts as a reservior
#48 Vulcanite bur. In the center. The hole is bigger at the bottom. Use a bp blade
#49 ticonium sprue cones. About 10 mm outside. Seal them
#51 10 guage for sprue lead
Auxilllary leads 16 guage
#52 Tree, circular and ball
The results of this study indicated that the ball-sprue design produced better castings than the tree and circular sprues,
#54 Surface tension reduing agent is applied before investing
#55 After investing the pattern, it is allowed to set for an appropriate period- approximately 1 hour for most gypsum and phosphate bonded investment.
excessive vibration should be avaoided as heavy particles will get accumulated at the bottom and free water accumulation adjacent o wax pattern may occur
Allowed to set for 1 hr
#56 During burnout, some of the melted wax is absorbed by the investment and residual carbon produced by the ignition of the liquid wax become trapped in the pores investment
If burnout is not done immediately place the invested ring in 100 %humidity (humidor)
#57 Water trapped in the pores of the investment reduces the absorption of wax and as the water vaporizes, it flushes wax from the mold
#58 Centrifugal force machine. Too less force will cause freezing of metal before it reaches the ends. Too much force will cause turbulance and air entrapment
#61 Wet and dry
Wet provides dust free and slight shine
250microns
#62 Co cr castings are not pickled. Gold must always be pickled in acid pickling solution
Removes the base metal deposits, oxidation and other contaminants
If not removed can cause tarnish and corrosion
#63 Sprue seperating disk
As close as possible without nicking the frame work
#65 Barrel shaped mouted stone, fine tappered mounting stone or carbide bur to remove flash from clasp arms, minor connectors, rest and indirect retainers
#67 Rubber abrasives are used for fine finishing
Small felt wheels with tripoli to remove traces of marks left by rubber wheel
Polish with cloth wheel and tripoli
#68 Chloroform can be used to remove traces of tripoli
Check for fit
To remove blockout wax from cast soak in warm water for 5 mins 49 celcius
Then hot slurry water 95b celcius
#69 Electrolytic polishing is a kind of electrolytic striping
Atoms from the rough projections from the frame work fall into the solution before the atoms in smooth area
#70 1. Usually, the functional impression is made for a distal extension base, whereas the master cast is adequate for most tooth-supported edentulous areas.
#71 The laboratory procedure involves making a corrected. or altered, cast. Ridge area that were recorded in the functional impression arc removed from the cast. The framework is seated on the cast, and new ridge areas are poured in dental stone.
#72 1. Use a sharp knife to trim away the excess impression material
#76 6. Paint the plaster/pumice area with a stone separating medium
#78 10.Remove the boxing wax and plaster/pumice mixture from the cast.Remove the framework and impression from the cast.The corrected cast is complete
#79 The dentist will generally specify the teeth.
Trimming is needed in the ridge lap area, articulating paper can be used to detect where the trimming is needed
#86 Sacrificial patterns
Virtual patterns were then created for fabrication of frame work
Flexible nulone poluamide denture base resin with conventional heat cure resin combinations is used