Showing posts with label Prosthodontics. Show all posts
Showing posts with label Prosthodontics. Show all posts

Feb 19, 2012

Temporary crown

How to make a temporary crown? What we need to do before the milling is what we call the silicone key. What we can see on the next picture is the negative of our preparation. There is two molars that are already milled for the last practice. This time we are going to do two premolars.  


After this key we are ready to do the milling. The mechanical requirements are: retention (vertical forces) and stability with horizontal or oblique forces. Retention involves parallel walls with at least 3 grades.
  • Parallelism
  • Conicity
  • Narrow shaft of input/output
  • Height
  • Surface
  • Auxiliary retention 
This picture shows the best form. If we chose too conicity, like the B, the crown will easily peel off. So what we want to do is to reduce the shaft of the input/output.


Next picture shows how parallel has to be our preparation. We prefer 3ยบ at least. If it's more there is going to increase the shaft of the input/output. Otherwise if we make inverse, the crown will impossible not go inside.  



The problem comes when is a molar very small. If we don't put a retention the crown will turn around like in the case A. So if we mark some retentions we are going to reduce the shaft of the input/output, there is going to be an unique form to put and output the crown. 

We have to keep the anatomy of the teeth but reducing the preparation. We also have to think about the marginal  adaptation and the biologic space.  



The chamfer is very important. Is the end of the preparation at the marginal level.  


The first day we put our teeth in the plaster and we did the milling of two molars. 
The second day we did the key and the milling of two premolars. 




After this we put the material of the crown inside the silicone key and we introduce the milling. We have to wait 1 minute.   


Finally what we have to do is to polish the crowns and cementing in our preparation. 


Nov 18, 2011

Complete Denture

It's been a while without writing in my blog, I've been busy with classes but here is my new post. 

What is a complete Denture? is a prosthetic device that replace all the missing teeth and supported by soft and hard tissues. How do we do this denture?

First we have to take measures with alginate and zinquenolic.So we obtain thte models in plaster. Then we have to take the measure of the Fox plante to obtain the inclination of the mouth plus the intermaxilar measure with the facial arch. After all the measures we mount in the articulator with the deasirable measures. Second, with optosil, a yellow silicone or another kind of material, we take the Vertical Dimension of the patient, the height that we want. 




Once we finish with this, we prepare the occlusion rim for the next preparation. 


Final work before flasking: