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Department of Prosthodontics Director: Prof. Dr. Peter Hermann Dr. Mercedes Linninger Department of Prosthodontics Fabrication of wax pattern for fixed applience - gnathological aspects - Odontotechnology 03.03.2020.

Department of Prosthodontics - Semmelweis

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Page 1: Department of Prosthodontics - Semmelweis

Department of Prosthodontics

Director: Prof. Dr. Peter Hermann

Dr. Mercedes Linninger

Department of Prosthodontics

Fabrication of wax pattern for

fixed applience

- gnathological aspects -

Odontotechnology

03.03.2020.

Page 2: Department of Prosthodontics - Semmelweis

Fabrication of wax pattern for fixed

applience

- gnathological aspects

Dr. Mercedes Linninger

Page 3: Department of Prosthodontics - Semmelweis

Fabrication of wax pattern for fixed

applience

- gnathological aspects

Dr. Mercedes Linninger

Waxed surfaces

All images from Renfert Issue

Page 4: Department of Prosthodontics - Semmelweis

Fabrication of wax pattern for fixed

applience

- gnathological aspects

Dr. Mercedes Linninger

Steps of constructing a fixed dental

applience:

Tooth preparation

Impression taking

From prepared teeth

Antagonistic arch

Key impression

Construction of casts

Mounting toarticulator(programming)

Waxing up

Page 5: Department of Prosthodontics - Semmelweis

Fabrication of wax pattern for fixed

applience

- gnathological aspects

Dr. Mercedes Linninger

Why we need the bite registration?

Maxillo-mandibular relation

In intercuspal position

During mandibular movements

Page 6: Department of Prosthodontics - Semmelweis

Fabrication of wax pattern for fixed

applience

- gnathological aspects

Dr. Mercedes Linninger

Construction of FPD

Clinical and Laboratory steps

Diagnosis(History, TMJ evaluation, Intra/extraoral examination, Diagnostic casts Full mouthradiographs)

Treatment Plan → Abutment Preparation → Temporary FPD → Impressions→ Registry of Occlusion

Try in and shade selection

Try in and cementation

Recall

Casts placed in an articulator →

→ Investing → Burnout → Casting → Deflasking → Blasting → Finishing

Veneering

Wax patternfabrication

Page 7: Department of Prosthodontics - Semmelweis

Fabrication of wax pattern for fixed

applience

- gnathological aspects

Dr. Mercedes Linninger

Making a wax pattern:

Page 8: Department of Prosthodontics - Semmelweis

Fabrication of wax pattern for fixed

applience

- gnathological aspects

Dr. Mercedes Linninger

WAX PATTERN FABRICATION

➢ First step: making retainer’s caps

➢ After it: building the surfaces of the full-metal crowns or the metal framework of theveneered crowns (occlusal, vestibular, oral, mesial, distal) with wax added technique

Page 9: Department of Prosthodontics - Semmelweis

Fabrication of wax pattern for fixed

applience

- gnathological aspects

Dr. Mercedes Linninger

Making crown caps

Wax dipping technique Adapta technique

Images from Bego Virtual Academy

Page 10: Department of Prosthodontics - Semmelweis

Fabrication of wax pattern for fixed

applience

- gnathological aspects

Dr. Mercedes Linninger

Making a wax pattern:

Page 11: Department of Prosthodontics - Semmelweis

Fabrication of wax pattern for fixed

applience

- gnathological aspects

Dr. Mercedes Linninger

Adapta deep drawing system

Inexpensive and long-proven system using special plastic films.

The alternative to wax dipping; simple, fast deep

drawing of crown caps. Crown caps made with Adapta film with their high stability.

The thin film, transparent or red, systematically provides the necessary space for luting cement

Page 12: Department of Prosthodontics - Semmelweis

Fabrication of wax pattern for fixed

applience

- gnathological aspects

Dr. Mercedes Linninger

ADAPTA DEEP DRAWING SYSTEM

•crown foil has a thickness of approx. 0.3 - 0.35 mm

Images from Bego Virtual Academy

Page 13: Department of Prosthodontics - Semmelweis

Fabrication of wax pattern for fixed

applience

- gnathological aspects

Dr. Mercedes Linninger

•Adapta foil is shortened about 1 mm above thepreparation border

•marginal area is completed with a cervical wax.

1mm

Page 14: Department of Prosthodontics - Semmelweis

Fabrication of wax pattern for fixed

applience

- gnathological aspects

Dr. Mercedes Linninger

Parts of the Adapta - system

Page 15: Department of Prosthodontics - Semmelweis

Fabrication of wax pattern for fixed

applience

- gnathological aspects

Dr. Mercedes Linninger

Isolation in water

Page 16: Department of Prosthodontics - Semmelweis

Fabrication of wax pattern for fixed

applience

- gnathological aspects

Dr. Mercedes Linninger

HEATING THE FOIL – UNTIL IT IS

FULLY TRANSPARENT

Page 17: Department of Prosthodontics - Semmelweis

Fabrication of wax pattern for fixed

applience

- gnathological aspects

Dr. Mercedes Linninger

Page 18: Department of Prosthodontics - Semmelweis

Fabrication of wax pattern for fixed

applience

- gnathological aspects

Dr. Mercedes Linninger

The cap and the foil excess

Page 19: Department of Prosthodontics - Semmelweis

Fabrication of wax pattern for fixed

applience

- gnathological aspects

Dr. Mercedes Linninger

Cut up the foil and remove it from the die

Page 20: Department of Prosthodontics - Semmelweis

Fabrication of wax pattern for fixed

applience

- gnathological aspects

Dr. Mercedes Linninger

CUT AROUND THE CAP

Page 21: Department of Prosthodontics - Semmelweis

Fabrication of wax pattern for fixed

applience

- gnathological aspects

Dr. Mercedes Linninger

THE CAP AND THE DIE

Page 22: Department of Prosthodontics - Semmelweis

Fabrication of wax pattern for fixed

applience

- gnathological aspects

Dr. Mercedes Linninger

DETERMINE THE FINISHING LINE WITH

A PENCIL AND SHORTEN THE CAP

EVERYWHERE WITH 1 MM

1mm

Page 23: Department of Prosthodontics - Semmelweis

Fabrication of wax pattern for fixed

applience

- gnathological aspects

Dr. Mercedes Linninger

USING CERVICAL WAX…

Page 24: Department of Prosthodontics - Semmelweis

Fabrication of wax pattern for fixed

applience

- gnathological aspects

Dr. Mercedes Linninger

…WE COMPLETE THE CAP TO THE

FINISHING LINE

Page 25: Department of Prosthodontics - Semmelweis

Fabrication of wax pattern for fixed

applience

- gnathological aspects

Dr. Mercedes Linninger

REMOVAL OF THE EXCESS OF THE

WAX

Page 26: Department of Prosthodontics - Semmelweis

Fabrication of wax pattern for fixed

applience

- gnathological aspects

Dr. Mercedes Linninger

THE CAP IS READY FOR…

Page 27: Department of Prosthodontics - Semmelweis

Fabrication of wax pattern for fixed

applience

- gnathological aspects

Dr. Mercedes Linninger

…THE WAX ADDING TECHNIQUE

Page 28: Department of Prosthodontics - Semmelweis

Fabrication of wax pattern for fixed

applience

- gnathological aspects

Dr. Mercedes Linninger

Making a wax pattern:

Page 29: Department of Prosthodontics - Semmelweis

Fabrication of wax pattern for fixed

applience

- gnathological aspects

Dr. Mercedes Linninger

Occlusal anatomy:

Page 30: Department of Prosthodontics - Semmelweis

Fabrication of wax pattern for fixed

applience

- gnathological aspects

Dr. Mercedes Linninger

Waxing up the occlusal surface:

Page 31: Department of Prosthodontics - Semmelweis

Fabrication of wax pattern for fixed

applience

- gnathological aspects

Dr. Mercedes Linninger

Waxing up the occlusal surface:

Page 32: Department of Prosthodontics - Semmelweis

Fabrication of wax pattern for fixed

applience

- gnathological aspects

Dr. Mercedes Linninger

Waxing up the occlusal surface:

Page 33: Department of Prosthodontics - Semmelweis

Fabrication of wax pattern for fixed

applience

- gnathological aspects

Dr. Mercedes Linninger

Waxing up the occlusal surface:

Page 34: Department of Prosthodontics - Semmelweis

Fabrication of wax pattern for fixed

applience

- gnathological aspects

Dr. Mercedes Linninger

Waxing up the occlusal surface:

orientational cones

Page 35: Department of Prosthodontics - Semmelweis

Fabrication of wax pattern for fixed

applience

- gnathological aspects

Dr. Mercedes Linninger

Waxing up the occlusal surface:

Page 36: Department of Prosthodontics - Semmelweis

Fabrication of wax pattern for fixed

applience

- gnathological aspects

Dr. Mercedes Linninger

Waxing up the occlusal surface:

Page 37: Department of Prosthodontics - Semmelweis

Fabrication of wax pattern for fixed

applience

- gnathological aspects

Dr. Mercedes Linninger

Waxing up the occlusal surface:

triangular ridges

Page 38: Department of Prosthodontics - Semmelweis

Fabrication of wax pattern for fixed

applience

- gnathological aspects

Dr. Mercedes Linninger

Waxing up the occlusal surface:

Page 39: Department of Prosthodontics - Semmelweis

Fabrication of wax pattern for fixed

applience

- gnathological aspects

Dr. Mercedes Linninger

Waxing up the occlusal surface:

mesial and distal ridges

Page 40: Department of Prosthodontics - Semmelweis

Fabrication of wax pattern for fixed

applience

- gnathological aspects

Dr. Mercedes Linninger

Waxing up the occlusal surface:

Page 41: Department of Prosthodontics - Semmelweis

Fabrication of wax pattern for fixed

applience

- gnathological aspects

Dr. Mercedes Linninger

Waxing up the occlusal surface:

Page 42: Department of Prosthodontics - Semmelweis

Fabrication of wax pattern for fixed

applience

- gnathological aspects

Dr. Mercedes Linninger

Waxing up the occlusal surface:

Page 43: Department of Prosthodontics - Semmelweis

Fabrication of wax pattern for fixed

applience

- gnathological aspects

Dr. Mercedes Linninger

Waxing up the occlusal surface:

marginal ridges

Page 44: Department of Prosthodontics - Semmelweis

Fabrication of wax pattern for fixed

applience

- gnathological aspects

Dr. Mercedes Linninger

Waxing up the occlusal surface:

Page 45: Department of Prosthodontics - Semmelweis

Fabrication of wax pattern for fixed

applience

- gnathological aspects

Dr. Mercedes Linninger

Waxing up the occlusal surface:

Page 46: Department of Prosthodontics - Semmelweis

Fabrication of wax pattern for fixed

applience

- gnathological aspects

Dr. Mercedes Linninger

Waxing up the occlusal surface:

Page 47: Department of Prosthodontics - Semmelweis

Fabrication of wax pattern for fixed

applience

- gnathological aspects

Dr. Mercedes Linninger

Waxing up the occlusal surface:

Page 48: Department of Prosthodontics - Semmelweis

Fabrication of wax pattern for fixed

applience

- gnathological aspects

Dr. Mercedes Linninger

Waxing up the occlusal surface:

Page 49: Department of Prosthodontics - Semmelweis

Fabrication of wax pattern for fixed

applience

- gnathological aspects

Dr. Mercedes Linninger

Waxing up occlusal surface step by

step:

Page 50: Department of Prosthodontics - Semmelweis

Fabrication of wax pattern for fixed

applience

- gnathological aspects

Dr. Mercedes Linninger

Page 51: Department of Prosthodontics - Semmelweis

Fabrication of wax pattern for fixed

applience

- gnathological aspects

Dr. Mercedes Linninger

Thank You for Your attention!