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A technique for developing a master cast with previously made dies.

This article describes a technique for preparing final working casts to be used in the laboratory phase of restorative treatment. The goal is to produce accurate working casts that have stable dies which are easily removed from the base and reliably replaced. Most casts with removable dies are made from a single master impression. However, individual dies are sometimes made previously from individual tooth (preparation) impressions. In such cases, transfer copings are required to relate the dies and produce the final working cast. Hollow plastic casting sprues are used as temporary dowels in this technique until a transfer coping pickup impression has been made. After the dies are seated and secured in the transfer coping pickup impression, the plastic casting sprues are replaced with conventional brass dowel pins. This technique ensures well-placed dowel pins that will facilitate easy and accurate withdrawal and replacement of the dies.

Dental Casting Technique↗

A comparison of the accuracy of two removable die systems with intact working casts.

This study evaluated the reproducibility of die position using two removable die systems and two die stones. Poly(vinyl siloxane) impressions were made of a stainless steel, U-shaped arch with four evenly spaced abutments. Six groups were evaluated: Zeiser system/Fuji Rock; Zeiser system/Die Keen; solid cast/Fuji Rock; solid cast/Die Keen; Fuji Rock/Pindex; and Die Keen/Pindex. An optical comparator was used to measure the height of each abutment, the distance between the anterior abutments, and the distance between the posterior abutments. The Zeiser system with either Fuji Rock or Die Keen yielded the greatest accuracy. Die Keen exhibited more linear expansion than Fuji Rock, and solid casts had less distortion than the Pindex system.

Analysis of Variance↗

The fracture resistance of all-ceramic crowns on supporting structures with different elastic moduli.

This in vitro study evaluated the fracture resistance of all-ceramic crowns as a function of the elastic modulus of the supporting die. All-ceramic crowns were made for dies with three different elastic moduli and two different crown lengths. The occlusal surface was loaded in compression with a 12.7-mm steel ball. The fracture load increased markedly with the increase in elastic modulus. The largest increase was seen when only the occlusal surface of the crown was covered. The characteristic fracture load of the complete-crown restorations was more than double that of the occlusal-cover restorations in the dies with the lowest modulus of elasticity, while for the dies with the highest modulus of elasticity the difference in the characteristic fracture load for the two configurations was not significant.

Chemical Phenomena↗

Prosthodontic solutions for compromised implant placement.

The various clinical and laboratory procedures for use of auxiliary prefabricated metal screw retention, castable plastic telescopic, and custom laboratory-fabricated systems are presented as adjuncts to implant-supported restorative procedures. These devices aid in the fabrication of predictable and retrievable screw-retained, fixed-detachable implant-supported prostheses for various conditions and combinations of support. Ancillary screw systems are also useful in solving cosmetic problems when implant placement compromises this goal.

Blade Implantation↗

Locating angulated abutments: a technical note.

A simple laboratory-made acrylic resin guide offers rapid location of angulated abutments after the healing abutments are removed. An impression recording the relation of the implants to the dental arch enables the choice of abutments to be made in the laboratory. The precise position and angulation of each abutment can be transferred to the mouth.

Acrylic Resins↗

The template-VLC provisional restoration system.

The removal of tooth structure during preparation results in varying degrees of pulpal hyperemia. The ability of the pulpal tissue to respond either by recovery or degeneration depends in part upon the adequacy and fit of the provisional restoration. The response of the gingival tissue also depends on a large degree on the success of the temporary coverage. Provisional restorations are commonly given less attention and importance thereby biologic, mechanical, and esthetic considerations are not adequately met. Since a provisional restoration must be made or improvised during the same appointment in which the abutment teeth are prepared, costly chairside time most often leads to an unacceptable restoration. Failures such as color instability, color incompatibility, inappropriate anatomic contours, fractures, occlusal disharmony, changes in tooth position, gingival inflammation, and unhealthy periodontal conditions are usually encountered. A technique of fabricating an exacting provisional restoration with compliance to optimum quality is presented.

Composite Resins↗