Jaw records for the edentulous patient made easier

Jaw records for the edentulous patient made easier

BERTE. BRANDT, AND THE BAKER JOURNAL OF PROSTl~ETIC DENTISTRY 2. Meiers JC, Jensen ME, Mayclin ‘I’. Effect of surface treatments on the bond s...

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BERTE.

BRANDT,

AND

THE

BAKER

JOURNAL

OF PROSTl~ETIC

DENTISTRY

2. Meiers JC, Jensen ME, Mayclin ‘I’. Effect of surface treatments on the bond strength of etched metal resin-bonded retainers. J PROWHII:‘~

7. Rinse the casting in distilled or deionized water and shake off the excess water. 8. Place the casting in 3 % hydrogen peroxide (HzOz) for 60 to 90 seconds. This will produce a light gray color (t,in oxide) after drying. 9. Rinse again in distilled or deionized water. 10. Dry with oil-free air or allow to bench dry for 5 minutes. Do not touch, rub, or contaminate the oxide surfaces. 11. The restoration is now ready to use. Silane (Jeneric Pentron, Inc., Wallingford, Conn.) bridging agent can now be applied to achieve a maximum attachment. Follow the manufacturer’s recommendations for silane application. 12. Cement the veneer with a resin cement according to manufacturer’s instructions.

DENT 1985;53:185-90.

3. Van der Veen JH, Bronsdijk AE, Krajenbrink ‘TG. Bond strength of resins to tin-electroplated precious metals [Abstract]. .I Dent Res 1986;65:552. 4. Van der Veen JH, Krajenbrink GT. In vitro studs of chemical resin to metal bonding [Abstract]. J Dent Res 1986;65:776. 5. Van der Veen JH, Krajenbrink TG, Bronskijk AE, Van de Poe1A. Resin bonding of tin electroplated precious metal fixed partial dentures. Quintessence Int 1986;17:299-301. 6. Eden G, Bert& J, Kaciez J. Dicer metal substrate (DMSI. Crowns and bridges-equivalent to PFM restorations. .I Den7 Res 1988;19,1189. Reprint requests to. DR. JOSEPH J. BEHT~ UNIVERSITY OF FLOHWA COLLEGE OF DENTISTIO DEPARTMENT OF PROSTHODONTICS, Box Ald5, HW GAIYESVILW FL 32610

REFERENCES 1. Huggins JL, Moon PC, Knap F.d. Particle-roughened resin-bonded retainers. ‘1 PISOSTHET DENT 1985;53:471-6.

Jaw records

for the edentulous

patient

Toby R. Talbot, BSD, MSD,a and Ken W. Hemmings, Eastman Dental Hospital, London, England

made easier

BSD, MSc”

With complete denture trial base, there are often difficulties in securing a stable relationship of the mandibular base to the supporting tissues while obtaining jaw records are. It is customary to seat the trial mandibular prosthesis with digital pressure over the premolar regions just before encouraging the patient to relax the surrounding muscula-

ture and close into the retruded mandibular position. The recording medium often necessitates moving one’s fingers to the buccal aspects of the mandibular prosthesis. In the presence of prominent buccal flanges this poses no problem. In the absence of such buccal flanges (Fig l), the addition of buccal wings, which act as finger rests, may considerably facilitate making jaw records.

YSenior Registrar, Department of Restorative Dentistry.

PROCEDURE: Two small amounts of impression compound are softened in a water temperature bath set at 58” F, passed through a flame, and the “sticky” end adapted to the buc-

J PROSTHET

DENT

1993;69:349-50.

Copyright ‘d 1993 by The Editorial Council of PROSTHETIC 0022-3913/93/$1.00

THE

JOURNAL

OF

DENTISTRY. + .lO.

10/4/37416

Fig 1. Processed mandibular prosthesis with small buccal flanges.

MARCH

1993

Fig 2. Impression compound buccal wings added to prosthesis.

349

THE

JOURNAL

OF PROSTHETIC

DENTISTRY

TALBOT

AND

HEMMINGS

The jaw-recording medium of choice may now be placed on the posterior occlusal surfaces of the mandibular prosthesis. The prosthesis is seated with the index fingers on the compound finger rests and the patient is encouraged to close into centric relation (Fig. 3). The finger rests are useful where there has been considerable ridge resorption. The technique is also used at the insertion of the processed prosthesis when centric relation is recorded and for remounting the dentures on an articulator. In the presence of a small mouth with a tight lower lip, it is essential to remove the fingers immediately before tooth contact because any stretching of the lower lip may result in posterior displacement of the mandibular base. Reprint requests to:

Fig

3. Mandibular prosthesis seated with fingers on rests.

MR. TOBY R. TALBOT DEPARTMENT OF RESTORATIVE DENTISTRY EASTMAN DENTAL HOSPITAL LONDON WC1 8LD ENGLAND

cal spects of the premolar/molar root regions of the trial mandibular prosthesis. Shaping is carried out between finger and thumb to provide shelves to act as finger rests. The compound is allowed to air harden once the desired shape has been established (Fig. 2).

350

VOLUME

69

NUMBER

3