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Today AM – Need Ney Surveyor PM - Clinic
Get Casts, Typodonts & Marking Sheets at front Presentations and Videos Survey Class I & II Casts (‘TYPO’)(w/o preps) Tripod Casts Get Mannikin Heads & Mounts ready for PM PM - Clinic Prepare guiding planes on Class I & II Typodonts (last sheet Course Sched) Formative Marking sheets
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Surveying, Path of Insertion, Guiding Planes
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Definitions Height of contour Suprabulge Undercut = Infrabulge
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Rule: Retentive tip should usually be designed to be placed in the gingival 1/3
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Path of Insertion Path that the prosthesis is Placed/removed
Usually a single path
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Advantages of a Single Path of Insertion
Equalizes retention
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Advantages of a Single Path of Insertion
Bracing and Cross-arch Stabilization
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Advantages of a Single Path of Insertion
Minimizes torque on abutments
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Advantages of a Single Path of Insertion
Allows removal without encountering interferences
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Advantages of a Single Path of Insertion
Directs forces along long axes of teeth
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Advantages of a Single Path of Insertion
Provides frictional retention
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Selecting a Single Path of Insertion
Use a dental surveyor to Select path Prepare guiding planes
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Parts of a Surveyor Surveying
VIDEOS: Parts of a Surveyor Surveying
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Guiding Plane Preparation
Where rigid components contact abutments Proximal Plates Bracing Arms Rigid portions of Retentive Arms
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Altering Path of Insertion
Proximal surfaces similar undercuts Retentive areas similar undercuts
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Selecting a Path of Insertion
Modify tilt if necessary Soft tissue interferences
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Selecting a Path of Insertion
Modify tilt if necessary Esthetics
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Once Path Selected Instructor: Approves path Demo:
Mark heights of contour - carbon marker Tripod
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Optimal Path of Insertion
Retentive undercuts equalized Retentive arm has a different path of escapement than guiding plane, so it must flex during removal
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Optimal Path of Insertion
Retentive undercuts equalized Ideally, retentive arms should oppose each other on opposite sides of the arch
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Optimal Path of Insertion
Minimize severe tooth & soft tissue interferences
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Optimal Path of Insertion
Esthetics Minimize display of clasps, metal components
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Optimal Path of Insertion
Prepare Guiding Planes Flat surfaces parallel to path of insertion Control & limit movement of RPD Initial contacts for RPD
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Effectiveness of Guideplanes
Most effective when: Parallel to each other More than one common axial surface
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Effectiveness of Guideplanes
Most effective when: Directly opposing each other
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Effectiveness of Guideplanes
Most effective when: Prepared on several teeth Cover a large surface area
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Videos: Preparing Guiding Planes Assessing Guide Planes
Operator Positioning RPD Preps (view yourself)
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Assessing Guiding Planes
Proximal View Carbon Markings Facial View
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Preparing Guiding Planes
Select path of insertion Design Partial Denture * Select number & position of guiding planes Prepare guiding planes
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Use Surveyor to Align Bur Intraorally
When Preparing Guide Planes Cast should be on Surveyor Close to Operator to Compare Orientation of Analyzing Rod and Bur to the Tooth
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FINGER REST!
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Burs 8837K-014 Long Cylindrical Carbide or Diamond (8837K 014)
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Guiding Plane Dimensions
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Axial Surface Already Parallel to Path of Insertion
NO Preparation !
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Polish Prepared Surfaces
Rubber wheels or points
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Prepare Guiding Planes First
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Effects of Guiding Planes On Retention & Stability
Maintains Retention
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Effects of Guiding Planes On Retention & Stability
Minimizes Need for Retention
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Effects of Guiding Planes On Retention & Stability
Stabilizing Teeth
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Marking Sheets
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