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Clinical & laboratorial stages of swaged-soldered bridges making

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Presentation on theme: "Clinical & laboratorial stages of swaged-soldered bridges making"— Presentation transcript:

1 Indications, clinical and laboratory stages of manufacturing of swaged-soldered dental bridges

2 Clinical & laboratorial stages of swaged-soldered bridges making
Clinical stages Laboratorial stages І. Patient examination. Diagnostics. Making of treatment plan. Preparation of abutment teeth. Taking impressions. І. Making of supporting crowns (swaging). ІІ. Fitting & trying on of supporting crowns. Taking of occlusal impression. ІІ. Modeling of intermediate (pontic) part of dental bridge. Molding of intermediate (pontic) part of dental bridge. Soldering of dental bridge parts. ІІІ. Fitting & trying on dental bridge framework. Choosing of veneer (facing) color. ІІІ. Modeling of veneers (facing) with dental wax. Replacement of dental wax to acrylic resin. Polishing of dental bridge. ІV. Dental bridge fixation.

3 Preparation of abutment teeth for swaged artificial crowns.
Мал-1

4 Preparation of incisal edge
Мал-3

5 Preparation of vestibular & oral surfaces
Мал-9

6 Stages of teeth preparation
Мал-5

7 Stages of teeth preparation
Мал-6

8 Stages of teeth preparation
Мал-7

9 Preparation of occlusal surface
Мал-8

10 Separation Мал-10

11 Marking of clinical neck with ink pencil.
Мал-11(а,б)

12 Modeling of anatomical shape of abutment crown.
Мал-11(б,в)

13 Sizes of modeled crown are smaller on - 0,25-0,3 мм
Мал-12,а

14 Thickness of metal of swaged crown is- 0,25-0,3мм
Мал-12,б

15 Cutting of part of dental model with abutment tooth.
Мал-12,1

16 Мал-12,2

17 Marking of gypsum stamp.
мал. 13

18 Methods of gypsum stamp marking

19 Making copy of gypsum stamp in low temperature molding alloy
Мал-14

20 Molding of alloy stamp with MELOT
Мал-15

21 For a lot of crowns gypsum blocks are used.
Мал-16

22 Calibration of standard shells with Samson devise
Мал-17

23 Previous swaging Мал-18

24 Parker devise for external swaging(pressing) of artificial crowns
Мал-19

25 Press for external swaging(pressing) of artificial crowns
Мал-20

26 Stage of fitting & trying on of supporting crowns.
б а а – checking of marginal adaptation with dental probe; б- visual examination with dental mirror.

27 Occlusal impression taking with gypsum.
Applying gypsum Fixing of central occlusion Removing of occlusal impression Estimation of impression

28 Gypsum models are fixed to occludator than modeling of intermediate (pontic) part of dental bridge.

29 Fitting of dental bridge framework.

30 Determination of shade of veneer (facing)

31 Final fitting of swaged-soldered bridge.
Dental bridge after fixation.

32 Clinical & laboratorial stages of all metalic casted (molded) bridges making
Clinical stages Laboratorial stages І. Patient examination. Diagnostics. Making of diagnostic models. Making of treatment plan. Preparation of abutment teeth. Taking impressions. 1. Making of dividable model. Fixing of main & additional model into articulator. Modeling of wax composition of casted dental bridge. Molding of bridge. ІІ. Fitting & trying on casted dental bridge. ІІ. Polishing of dental bridge. ІІІ. . Dental bridge fixation.

33 Form is compromised in the lesser visible half.
Fig When replacing a posterior tooth (A), dupli­cate the dimension of the more visible mesial half of the ad­jacent tooth. Narrow (B) and wide (C) pontic spaces. (Redrawnfrom Blancheri RL: Rev Asoc Dent Mex 8:103, 1950.)

34 Fig. 3-38. A, Eight-unit FPD with porcelain facings
Fig A, Eight-unit FPD with porcelain facings. B and C, This three-unit posterior FPD has been fabricated by postceramic soldering of a metal-ceramic facing to conventional gold. D, Metal-ceramic FPD with a modified ridge lap pontic (canine) appears to emerge from the gingiva.

35 Fig. 3-39 Waxing armamentarium

36 Prefabricated wax pontics.
Fig. 3-40

37 Fig. 3-41. Luting the pontic to the retainers.

38 Complete contour wax patterns.
Fig Complete contour wax patterns.

39 Fig. 3-42. Cut-back procedure for a three-unit anterior FPD
Fig Cut-back procedure for a three-unit anterior FPD. A, Delineating the porcelain-metal junction. B, The central incisor has already been cut back, and the pontic has been troughed. The canine is still at anatomic contour. C, A ribbon saw is used to section the connector.

40 Fig. 3-43. Metal substructure ready for airborne particle abrasion and oxidation.

41 Failure of unsupported gingival porcelain.
Fig Failure of unsupported gingival porcelain.

42 Fig. 3-45. Armamentarium for porcelain application.

43 Fig Porcelain application. A, Substructure ready for opaquing. B, Opaque application. C, Body porcelain application. D, A piece of moistened tissue paper (arrow) on the edentulous ridge. E, The porcelain after the first firing.

44 Fig. 3-47. Metal-ceramic pontic replacing a lateral incisor.

45 Fig. 3-48. All-metal, three-unit FPDs.


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