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1 TURBYFILL DENTURES--- -MATERIAL LIST REMOVABLE PARTIAL DENTURES (RPD’S) IMPRESSIONS(PRELIMINARY) 1. Alginate---------------------any good quality brand--------------------------dealer 2. Dentate stock trays---------any good brand-----------------------------------dealer 3. Periphery Wax for border molding----------Surgident--------------------dealer 4. Bee’s wax for tray stops------any brand---------------------------------------dealer 5. Alginate adhesive-------------Getz---------------------------------------------dealer 6. Alginator mechanical alginate mixer----------------------------------------dealer 7. Large Monojet syringes--------Monojet-------------------------------------dealer CASTS These preliminary impressions are poured in a good quality dental buff stone. These casts are used for case planning on the Surveyor and for making custom Trays to take the final master impression 1. Ney Surveyor------All dentists of my generation had to buy a surveyor in dental school. As a young dentist I knew little about partial denture design. Over the years I have learned about RPD design. Sometime I require a consultation with the technician. Dentists who are serious about removable pros should go this route. CUSTOM IMPRESSION TRAY 1. Ivolan---------------Ivoclar------------this is a self cure acrylic to make custom Impression trays. This self cure acrylic must be made 24 hours before use or boiled for 15 minutes before use. I have been told that this is because of dementional stability. I have used Triad for a quick ready to use tray. 2. Red utility base plate wax for block out on casts prior to tray construction FINAL IMPRESSIONS FOR PARTIAL DENTURES. 1. ACCUDENT System 2----------------------------------------------------Ivoclar This alginate comes in a body and syringe consistency. It is really accurate and some would consider the fact that it must be poured soon

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TURBYFILL DENTURES---

-MATERIAL LIST

REMOVABLE PARTIAL DENTURES

(RPD’S)

IMPRESSIONS(PRELIMINARY)

1. Alginate---------------------any good quality brand--------------------------dealer

2. Dentate stock trays---------any good brand-----------------------------------dealer

3. Periphery Wax for border molding----------Surgident--------------------dealer

4. Bee’s wax for tray stops------any brand---------------------------------------dealer

5. Alginate adhesive-------------Getz---------------------------------------------dealer

6. Alginator mechanical alginate mixer----------------------------------------dealer

7. Large Monojet syringes--------Monojet-------------------------------------dealer

CASTS

These preliminary impressions are poured in a good quality dental buff stone.

These casts are used for case planning on the Surveyor and for making custom

Trays to take the final master impression

1. Ney Surveyor------All dentists of my generation had to buy a surveyor in

dental school. As a young dentist I knew little about partial denture design.

Over the years I have learned about RPD design. Sometime I require a

consultation with the technician. Dentists who are serious about removable

pros should go this route.

CUSTOM IMPRESSION TRAY

1. Ivolan---------------Ivoclar------------this is a self cure acrylic to make custom

Impression trays. This self cure acrylic must be made 24 hours before use or

boiled for 15 minutes before use. I have been told that this is because of

dementional stability. I have used Triad for a quick ready to use tray.

2. Red utility base plate wax for block out on casts prior to tray construction

FINAL IMPRESSIONS FOR PARTIAL DENTURES.

1. ACCUDENT System 2----------------------------------------------------Ivoclar

This alginate comes in a body and syringe consistency. It is really

accurate and some would consider the fact that it must be poured soon

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after removal from the mouth as a disadvantage. You can’t be good at

removable pros without doing some lab work. Dr. Pound use to say

thatlots of dentists want to be good at removable but want to go

through life with a cold spatula.

Polyvinyl is widely used in dentistry because it does not require the

dentist to pour immediately.

I do not like polyvinyl. If alginate distorts it will tear---polyvinyl

distorts and you never know it until the prosthesis does not fit.

2. Hold Alginate Adhesive----------------Getz------------------------------dealer

POLYVINLE SOLOXINE

ABOUT THE ONLY TIME TO USE RUBBER IMPRESSION MATERIAL IS

WHERE THERE ARE CEMENTED CROWNS WITH ATTACHMENTS. When

alginate distorts it will tear. Rubber impression material can distort and will not tear.

MASTER CASTS FOR RPD FRAME CASTINGS

A mix of 1/2 buff stone and 1/2 die stone. All die stone is too brittle and all buff

stone is too soft. This combination works well. Use 1/2 distilled water and 1/2 die stone

hardener (STALITE) liquid and use manufacturers ratio suggestions.

If you have the frame cast at one laboratory and the acrylic work done by another

laboratory you should ask that they make a processing cast.

ATTACHMENTS Over the years I have used all of the crazy complicated systems. They give

nothing but trouble. One time at the Restorative Academy one of the speakers told the

group that he was going to tell them about an attachment that would never ever give the

dentist, lab tech or the patient not one minutes problem. Everybody got out note pads and

pens. This attachment the speaker said was the one that you leave in the lab drawer.

For me the attachment must be 1. Patient friendly 2. Technician friendly 3. not

cost an arm and leg and 4. Redneck simple.

I have a plastic box that is called the attachment grave yard. The graveyard

containes all these attachments like Dalbos, D 2.7, Compass, ERA’s and many more than

I can’t recall.

I have stopped using Locators. Like so many others I was like monkey

see monkey do. Nothing but trouble---too loose or too tight----several root

fractures when used on post copings----older patients can’t find the insertion

pattern—this thing of 40% divergance is a myth.

My use of attachments has over the years has become very simple---my

favorite is the simple magic mushrooms. I use some Bredents and some of

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the Rhein83. I feel that the Hader Bar with the little clips is a fairly good

attachment.

FREE END SADDLE RELINE.

1. Hydrocast----powder and liquid---------------------------dealer

2. Microseal----get manufacturer-----------------------------dealer

From a mechanical perspective using a functional impression material in a free end

saddle is not possible because Hydrocast will displace under pressure and will not

rebound. This is the nature of a functional impression material. Products such as Coe

Comfort are tissue conditioners but not functional impression materials. These tissue

conditioners will never set and stays soft but will not mold and give to muscle pull like a

functional impression material.

In order to make the functional impression for the free end saddle work a brick must be

placed onto the retromolar pad that will not give. Several things can be used for the brick

3. Stay-Soft-----------for the brick----------Bosworth------------dealer

4. Self cure acrylic-------for the brick--------Holmes quick set self cure acrylic

CERAMAGE----LABORATORY LIGHT CURE COMPOSITE THIS IS A SHOFU PRODUCT. It is made with zirconia. The Vickers hardness

according to the product description is 726. I don’t really understand Vickers hardness

and what it means as far a being brittle. I have been using Ceramage and wouls not want

to give it up. This could be the break that dentistry has been thinking about for 100 years,

a substitute for God made enamel.

TISSUE TREATMENT AND FUNCTIONAL PATIENT

GENERATED IMPRESSION MATERIAL

Hydrocast powder and liquid

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This is the material that is used in the treatment diagnostic

dentures to generate final impressions. Made for years by Mr.

Clark Smith at Kay-See Dental company. Dr. Clark Smith, Mr.

Smith’s son, merged the company with Sultan Chemists company.

Sold through dealers like Shein and Patterson.

SOFT LINERS

I like to use soft liners. There are cases where I use lab processed soft liners and

there are many uses for self-cure soft liners.

NOVUS Years ago this product was marketed by Hygienic Company. It fell by the

wayside and just recently it has come back. This time it is a product of LANG DENTAL

I can’t remember what it was that did not appeal to me but I am going to use it again. It

seems that I thought it was too stiff. If this is the case then it will be perfect for use with

mushroom retention.

MOLLAPLAST-B AND LUCI-SOFT

Dr. Gordan Christensen said one time that the Mollaplast would out last the

denture. I am sure he would say the same for Lucisoft. I have one denture that Mollaplast

has been in for 34 years. The patient likes red wine and also smokes. It is all stained up

but still works.

Basically soft liners are used in lower dentures where the bone loss has resulted in the denture base resting on basal bone. These patients are generally up in years and with the thin friable tissue the soft liner makes life better.

I have been using Luci-soft lately. Some one told me that Mollaplast had been improved and is softer. I think I’ll go back to Mollaplast.

PROLASTIC There are times when we need a really soft material. There is a heat cured

soft liner called Prolastic. The last time I called they still had the material. There is a denture technique called Multicup dentures that was promoted by an old prosthodontist named Art Jermine. You may have seen his picture with him in a lab coat with a device attached to his upper denture that looks like a tuning fork and he is pulling down to show the retention. I never used it as it was intended but it is the softest heat cured liner that I have been able to find. It will not last more than five or six years but it is a lifesaver for some old patients. It is sold by Pollard Dental Products, Westlake Village, CA 1-805-495-5220

SELF CURE SOFT LINERS There are many of these materials on the market and come in mixing

guns. The one that I like is Versa-Soft from Sultan Chemists. I did the

directions for its use. They are great for the very old patient to make them

5

comfortable. You will get about one year of service but they are so easy to

reapply

MATERIAL LIST-TEETH

Dentsply no longer sell porcelain teeth through dealers like Patterson or Henry Shein. I

feel that sooner or later there will be no porcelain teeth available from Dentsply.

Vita no longer has porcelain denture teeth.

Ivoclar has a great posterior porcelain tooth in the Vivapearl. I bought a whole drawer

full. They were great. Not quite 33 degree but super for the older patient. I still have a

few but know, for a fact, that when the present stock is depleted there will be no more.

The large tooth manufacturers in this country have stopped the manufacturing of

porcelain denture teeth. Dentsply, I feel, will soon follow suite. It is not a good idea to

make a denture for a patient with teeth that would not be available if they should need

some replacements.

It is estimated that there are two million artificial denture teeth manufactured in this

country every week. Does this tell you something about the future of removable

prosthodontics?

WHERE I GET MY TEETH---THESE ARE GOOD PRODUCTS---I HAVE USED

THEM BEFORE RECOMMENDING THEM TO OTHERS

CANDULAR

www.candulor.com—1-323-254-1430 or 800-436-3827 `Ted [email protected] helpful

THIS MATERIAL LIST IS INTERUPTED FOR A

SPECIAL ANNOUNCEMENT-----CANDULOR IS NOW

A PART OF IVOCLAR---I HOPE THAT THEY WILL

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CONTINUE TO HAVE PORCELAIN DENTURE

TEETH.

Ivoclar at one time had a porcelain tooth called

Vivapearl-----This was in the early days

Anterior teeth---13 maxillary anterior tapering molds 9 maxillary anterior ovoid mods 8 maxillary anterior square molds Eight mandibular anterior molds are available along with charts to Match upper and lower anterior molds. My students must remember during our seminar I discussed how tooth manufacturers come up Matching lower anterior molds to upper anterior molds. The molds are matched so that when the upper mold is set in a class I manner, the lower mold that is chosen will end up being in a class I cuspid relationship. Building exceptional full dentures require that if a patient had a class II jaw relation, their denture must be set to a Class II relationship. Dentists should know how to select molds. CANDULOR, continued Candulor has thought of everything. There are custom esthetic resin and porcelain so that the dentist or technician can customize the teeth whether they are acrylic or porcelain. The Candulor Shade guide is excellent. There are resin teeth available. You know that I am not wild about acrylic teeth but we all know we must use them at times. There are several types of plastic teeth with additives to make them more wear resistant. Remember that for long term health of the bone these plastic teeth might better serve the patient with custom gold or other metal occlusal chewing surfaces. CANDULAR---POSTERIOR PORCELAIN TEETH BONARTIC CT Porcelain--------four molds upper and lower----according to the size of the arch. CONDYLOFORM CT PORCELAIN TEETH—this is a great tooth with one very nice feature. The first bicuspid occlusion features the lower buccal cusp into the upper central fossa. At times using the 33 degree upper and the 20 degree lower the upper first bicuspid had an unsightly emergence profile in order to keep the upper lingual cusp down. This tooth is great for class I and class II set-ups. I really never liked it for cross bite, however the company supplies instructions on how to use this tooth in cross-bite. TED WILL SEND YOU ALL SORTS OF LITERATURE ON THE USE OF THESE TEETH---TAKE ADVANTAGE OF THIS FREE EDUCATIONAL LITERATURE.

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IN 2014 CANDULOR WAS MERGED WITH IVOCLAR----THESE ARE GREAT PRODUCTS---ANTERIOR AND POSTERIOR PORCELAIN TEETH----AS THINGS ARE GOING THIS MIGHT BE THE LAST SUPPLIER OF PORCELAIN DENTURE TEETH

UHLER DENTAL SUPPLY

UHLER DENTAL SUPPLY,INC.---5749 W. LAWRENCE AVE---CHICAGO, IL 60630---773-283-8300------OR-----800-937-3753--- [email protected] www.uhlerdental.com THE TOOTH EXPERT TO TALK TO IS HEATHER- she knows the products and will help CERAFORM PORCELAIN TEETH They have a great selection of anterior molds—upper and lower—in all the popular shades including the rage today of “bleach shades”. CALL AND ASK FOR HEATHER AND SHE WILL SEND YOU NICE LITERATURE..

LINCOLN DENTAL SUPPLY

LINCOLN DENTAL SUPPLY—800-289-6678- Ask for Sherry or BETTER call Sherry direct at 1-800-294-9341--www.lincolndental.com. Sherry is a really

8

nice lady and is based in Atlanta so she is a southern gal. I almost overlooked the fact that Lincoln will direct you to salespersons according to where you live. When you call the company line and ask for the denture tooth department they will ask you where you are calling from and direct you to your nearest representative. Maybe you best call Sherry direct----tell her I sent you---she knows me well—knows I send her customers----you will get brochures and shade guides sent to you. Nice people and nice products.

LINCOLN CARRIES V.F.HARMONIQUE PORCELAIN TEETH I HAVE STOPPED BUYING HARMOMIQUE TEETH FROM LINCOLN---THE MOLD INFO ON THE BACK OF THE TEETH MAKE IT ALMOST IMPOSSIBLE TO DECIPHER THE MOLD NUMBERS

THE HARMONIQUE POSTERIOR TEETH------WORTH LOOKING INTO

DENTURE TEETH Porcelain denture teeth are always indicated in full denture

prosthodontics. There are times when acrylic denture teeth are

indicated. The limited use of these acrylic teeth and why will be

discussed at the end of this section concerning denture teeth.

NEWS FLASH!!!!!!!

Yesterday---August 4th

, 2014-----John Zarb sent me a picture

of a case that looks like some sort of maxillary implant

overdenture. Phonaries posterior teeth show little if no wear. I’ll

have to find out with what it occludes. Everyone knows how I feel

about Ivoclar(a great company)----In fact I have an upper implant

case supported by four implants, a bar and four Rhein

attachments. The patient has been a friend and a patient for 40

years. I have told Jack, the patient, that these teeth are on watch

for possible gold or E-max occlusals in the future.

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ANTERIOR PORCELAIN TEETH-

MAXILLARY:

Selection of anterior teeth is an extremely interesting subject. I

feel that the selection is always influenced by the likes of the

person making the selection. Personally I like tapered and square

TAPERED Teeth and an occasional square OR AN OVOID mold. The

ovoid teeth in my tooth cabinet are gathering dust.

Dr. Pound used the facial measurements described by Milas House

in 1933. Dr. House measured the width of the patients face from a

point one inch behind the canthus of the eye. He measured the

length of the patients face from the hairline to the lower border of

the chin. If the hairline is receded then the facial length is

measured from the top brow wrinkle. Dr. House said that 1/16th

of

these measurements gave you the actual size of the patients natural

teeth.

Years ago Kay-See dental made facial devices for Dr. Pound that

were already calibrated to 1/16th

. Dentsply picked up on the work

OF Dr. House and they still today make all of the mold forms that

House described. Dentsply still makes a tooth selector from the

work of Dr House. The clear plastic tooth selector with the red

knobs an a hole for the patients nose and eye slits will give you

exact tooth size of the 1/16th

as used by Dr. House and Dr. Pound.

The selection of anterior denture teeth is something that is difficult

for me to describe. We use facial measurements and facial form to

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help. I am bound by these criteria only to get the general size and

shape. After the general size the way I select these teeth is from

what I call heart and imagination. For example if I have a male

patient that is a very robust out going person I would select a teeth

that shows more incisal wear with shallow incisal embrasures. If I

have another male patient who is sort of reserved and shy I would

select the same size tooth but one that shows a little less incisal

wear and more rounded incisal embrasures. If I have a female

patient who is very delicate one mold might be selected and with

the same size female face of a person who is very athletic and

robust will get another shaped tooth. I have studied my tooth

selection and some of the selections of dentist friends and I am

sure that the mold of tooth that is selected is also influenced by

what the dentist likes. The fact is that I do not like ovoid teeth and

over the years the teeth that I select are tapered, square and a few

square tapered denture teeth. The ovoid teeth in my cabinet have

collected dust.

MANDIBULAR ANTERIOR TEETH: NOW THIS IS AN INTERESTING SUBJECT. IF YOU ARE USING A DENTSPLY

MOLD CHART AND SELECT A 45H MAXILLARY MOLD THE CHART WILL

HAVE LISTED THE MANDIBULAR MOLD AS SAY A “P” MOLD. I RARELY USE

THE RECOMMENDED LOWER MOLD SO THAT IS WHY I DON’T HAVE THEM

MEMORIZED.

THE MOLD THAT THEY RECOMMEND IS OF A SIZE THAT WHEN

THE MAXILLARY MOLD IS SET ON A CURVE AND THE

MANDIBUAR MOLD IS SET IN A CLASS I RELATIONSHIP THE

CUSPIDS WILL ALIGN IN A CLASS1 RELATIONSHIP.

I HAVE ALWAYS SAID THAT MORE ORTHODONTICS IS DONE IN

A DENTURE LAB BECAUSE WHEN YOU VISIT THE AVERAGE LAB

ALL DENTURE CASES ARE SET TO A CLASS I RELATIONSHIP.

IF YOU ARE GOING TO BE SUCESSFUL IN DENTURE WORK THE

TEETH MUST BE ARRANGED ACCORDING TO THE ANATOMY OF

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THE JAWS. THE ANTERIOR TEETH ARE SET TO BE IN

ANATOMICAL CORRECT POSITION WHETHER IT IS CLASS 1,

CLASS 2 OR CLASS 3. ONCE THE MAXILLARY TEETH ARE

POSITIONED AND A CENTRIC BITE REGISTRATION REGISTERED

THE PROPER SIZE LOW ANTERIOR TOOTH IS SELECTED SO THAT

THE TRANSITION FROM ANTERIOR TO POSTERIOR (FROM

DISTAL OF UPPER AND LOWER) SO THAT THE FIRST BICUSPIDS

COME INTO GOOD OCCLUSION.

POSTERIOR PORCELAIN TEETH

The lingualized form of occlusion that I have used for forty-five

years requires a maxillary posterior teeth have sharp buccal and

lingual cusps. The cusp angle is 30 degree to 33-degree sharp

cusps. The lower posterior tooth that is used is like a functional or

20 degree tooth. As the sharp maxillary cusps occlude into the

mandibular central fossa it works sort of like a mortar and pestle

function. In the case of a cross bite the maxillary buccal cusps will

function into the lower fossa.

There are no teeth being manufactured that is made for lingualized

occlusion. This is not a bad thing at all because it gives me the

opportunity to adjust the mandibular fossae as it relates to each

maxillary cusp.

TEETH TO BE USED (posterior)

1. For years I used only two molds and I would say that I could

restore every edentulous mouth in the world with these molds

DENTSPLY

FOR LARGE ARCH FORM- MAX----34-S MAND---33-S

FOR SMALLER ARCH FORM-MAX. 32-S MAND 31S

THESE TEETH COME IN SHORT, MEDIUM AND LONG SIZES. I WILL

DO THE TREATMENT DENTURE USING SHORT MOLDS. WHEN THE FINAL

DENTURES ARE FABRICATED A MOLD LENGTH IS USED SO AS TO AVOID

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ANY STEP DOWN OF THE GINGIVAL LEVELS FROM ANTERIOR TO

POSTERIOR

FOR YEARS I USED THESE MOLDS BUT NO LONGER BECAUSE

AMERICAN TOOTH MANUFACTURERS ARE IN THE PORCESS OF STOPPING

ALL PROCELAIN TEETH.

SO WE GO TO DIFFERENT TOOTH SOURCE

CANDULAR---NOW MERGED WITH IVOCLAR!!! POSTERIOR

BONARTIC---05 upper and lower----------for 32 size arches

06 upper and lower-----------for 34 size arches

CONDYLOFORM---THIS IS A NICE PORCELAIN TOOTH THAT IS

MADE FOR CLASS I CASES—I suggest you look into this product.

HARMONIQUE POSTERIOR

30M upper--------20m lower----------------for 32 size arches

30l upper-----------20xx lower--------------for 34 size arches

UHLER POSTERIOR

30M upper and 30m lower

UHLER carries the Ceraform anterior porcelain teeth, which are one of my

favorite anterior denture teeth. This 30m mold is the only sharp cusp tooth that

they carry. All others are 20-degree teeth, which is not sharp enough. This 30m

is a nice tooth and I keep it is stock.

NEW--------PLASTIC DENTURE TOOTH THAT IS

VENEERED WITH COMPOSITE PLEASE UNDERSTAND THAT JUST BECAUSE A PRODUCT APPEARS IN

THIS MATERIAL LIST DOES IN NO WAY MEAN THAT I USE AND ENDORSE A

PRODUCT. I THINK THAT FROM NOW ON WHEN I ADD TO THE MATERIAL

LIST IT WILL BE DESIGNATED AS RED NECK RESEARCH (RNR)

13

YAMAHACHI DENTAL PRODUCTS USA Inc.

160 PARK AVENUE

NUTLEY,NJ 07110

PHONE 1-973-320-2909

FAX 1-973-320-2995

1-877-320-2909

www.ydp-usa.com

IN MARCH OF 2015 I BECAME AWARE OF A

NEW LINE OF DENTURE TEETH I AM SURE THAT THERE ARE MANY ARTIFICIAL DENTURE TEETH ON

THE MARKET THAT I AM NOT FAMILIAR. I HAVE SAID FOR MANY

YEARS THAT COMPANIES THAT PRODUCE DENTURE TEETH HAVE

BEEN LOOKING FOR A MATERIAL TO CREAT ARTIFICIAL TEETH

THAT WOULD BE A PERFECT MATCH FOR ENAMEL. LIKE I ALWAYS

SAY—“GOD HAS A MONOPOLY ON ENAMEL. THE COMPANY IS

LISTED ABOVE----YAMAHACHI

ONE MORE WORD ABOUT

POSTERIOR DENTURE TEETH

Manufactures have for years tried to make artificial teeth that would be

compatible with natural teeth. They are better but still they will wear as they

occlude with natural teeth. You could place porcelain denture teeth against

natural teeth but they will destroy natural teeth. It seems that God has a monopoly

on human enamel.

On a side note, I will place porcelain denture teeth on a partial that occludes with

natural teeth as long as the occlusion is self protective which means there is

incisal guidance that discludes the back teeth as the mandible moves from centric

contact.

14

We are always looking –Ivoclar has a tooth called PHONARES that is supposed

to function against natural teeth without undue wear. I like Ivoclar so much that I

have several upper dentures functioning against lower natural teeth just to see---

will let you know the results of the REDNECK research.

OH---ANOTHER WORD—Shofu has a new laboratory light

cured composite that is made with zirconia. Brace yourself--

-the Vicker’s hardness is----726----that’s right 726. I have

been placing stops of this material in plastic teeth that are

occluding with natural teeth or porcelain denture teeth. For

years I have been placing gold custom occlusals on the

plastic teeth that function against porcelain teeth. It is very

easy and saves the patient a lot of money. This product may

prove to be invaluable.

LEEMARK DENTAL PRODUCTS---1-

866-533-6275 DIRECT 1-918-241-6683--

--TALK TO KELLIE ALEXANDER

leemarkdental.com

COBLE BALANCERS----central bearing point

Extra plastic and aluminum disposable plates

RIM FORMER PADDLES Used to melt the maxillary wax rim to 10X20

FOX OCCLUSAL PLANE Checking incisal planes and Camper’s line

ALMA GAUGE Determining the position of the maxillary anterior teeth and also wax rim to check

The 10X20

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THOMPSON INDELIBLE MARKING STICKS Indelible pencils are available from office supply stores

LANG DENTURE DUPLICATOR FLASKS Making spare duplicate dentures

PRESSURE INDICATOR PASTE For locating pressure points on the tissue bearing are of dentures

ARTICULATOR

Denture work must always be done on a semi-adjustable instrument. Well this is

the way it should be done if you want good results. Because all accurate jaw bite relations

in the edentulous mouth are taken at an open vertical a face-bow is necessary because

you want the arc of closure the same on the articulator as in the patients jaw. Think about

it,if the base plate hits on one side the bite record is incorrect. Think about wax bites---if

the wax is harder on one side then the record may be distorted. The most difficult thing

that we do is to have all the contacting tooth surfaces contacting evenly as the mandible

closes with the condyles in the bone braced seated position.

I am a pack rat so in my office after practicing for 53 years I have lots if stuff. I

have Hanau, Denar, Panadent and a variety of unidentifiable instruments. For my denture

work I like an instrument that does not fall apart like the Arcon type articulators. Arcon

articulators are great for occlusal analysis to see what anterior coupling will result when

the posterior teeth are equilibrated or restored. The Hanau H-2 high post with an

adjustable incisal pin works for me. The vertical dimension of the instrument can be

opened or closed and the pin stays in the center of the incisal table. Also, lately I have

been using the Kois screw less face bow. If you have the maxillary anterior teeth set in

the mouth with the midline and incisal plane correct you really do not have to take a face

bow at all. Just line the baseplate onto the Kois mounting jig just as it is in the mouth and

mount the maxillary cast. The Kois face-bow positions the central incisors 100 mm from

the hinge axis. I have been doings a little “redneck research” and have marked my

condylar rod face bows to show how close this comes to the 100mm mark. It is uncanny

but most regular face bow registrations are so close to the Kois 100mm mark that doing a

regular face bow may be by passed. Probably, it is best to do a condylar rod face bow

when ever convenient.

Now this brings us to look at what a face bow does for us. You can use infra

orbital pointers and levelers but a face bow merely places the central incisors the same

distance from the hinge axis in the instrument as in the patients mouth. If you do a

condylar rod face bow and both rods are at the same reading and it is placed into the

16

articulator with the same reading on both sides you will find that the patients midline and

the articulators midline are not the same. The reason for this is that all patient’s facial

width is different from side to side. Since most technicians like to have the casts mounted

into the center of the articulator both vertical and horizontal the face bow mounting is

adjusted to the instrument to be in the center vertically and horizontally. Remember that

the purpose of the face bow is to place the maxillary cast into the instrument the same

distance from the articulator’s axis as the patient axis. Nothing more—nothing less.

I have a Kois mounting jig for the Panadent as well as jigs to use the Kois face

bow on a Denar and Hanau. I think that most companies have a mounting jig for the

KOIS face bow for their instruments.

PROCESSING The final processing of the final denture must be completed with precision

equipment. It does not make any sense to go to the trouble to make a perfect functional

impression and then use press-packed processing.

For many years I did all my own laboratory processing because I could not find a

lab that would do things my way. Over the years I have had about five of the old

precision processing system, Hydrocast water pressure system made by Clark Smith.

They were magnificent. Those dentures fit so good that if I had a patient that had

claustrophobia; they suffered because they had trouble getting their upper denture out.

Well, OK I might be exaggerating a bit here.

Tom Lantz who has a removable lab in Toledo, Ohio obtained a copy of Mr.

Smiths design plans for the old Hydrocast system. Tom with the help of some engineers

made a modern version of the old Hydrocast processing system. Tom said that we could

have these built for about twenty thousand-----but we would have to make twenty of

them. He only needs nineteen more orders----At the age of 80 I will buy the first one.

THE PROCESSING SYSTEM THAT, I FEEL, IS THE BEST IS THE IVOCAP

SYSTEM BY IVOCLAR. IT IS THE BEST THAT WE HAVE AND I AM

COMFORTABLE WITH MY TECHNICIAN USING IT.

LET ME TELL YOU ABOUT IVOCLAR------GREAT COMPANY AND

GOOD NEWS FOR OUR PROFESSION. IN 2011 I DID A FOUR-DAY SEMINAR

AT THE PANKEY INSTITUTE AND MADE A DENTURE FOR A PATIENT. I

THINK IT REALLY WENT OVER GOOD. WHAT HAPPENS IS A DENTIST

LEARNS THE TECHNIQUE HE HAS NO TECHNICIAN WHO KNOWS THE

PROCESS. SO THIS YEAR WE WILL DO A FIVE-DAY SEMINAR THAT WILL BE

FOR DENTISTS AND TECHNICIANS. NOW WE HAVE A PROBLEM, WE DON’T

HAVE A PROCESSING SYSTEM AT PANKEY TO TEACH THE TECHNIQUES. I

CALLED PAT TAYLOR----A REALLY NICE GUY, AN IVOCLAR REP AND AN

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OLD FRIEND. I ASKED WHAT WOULD BE THE CHANCE THAT IVOCLAR

WOULD SELL US A SYSTEM FOR THE INSTITUTE AT A REDUCED PRICE.

PAT SAID TO WRITE MY REQUEST TO CERTAIN KEY PEOPLE AT IVOCLAR.

HE SUGGESTED THAT I DO A LITTLE BS-ING LIKE A LITTLE BROWN

NOSING.

I DECIDED NOT TO DO ANY “BULL” AND JUST ASK. IN LESS THAN

TWENTY-FOUR HOURS THEY AGREED TO PLACE A MACHINE AT THE

PANKEY INSTITUTE.

WHAT ABOUT THAT FOR A CLASS ACT. I WILL

ALWAYS APPRECIATE IVOCLAR. TREATMENT DENTURE AND FINAL DENTURE PROCESSING;

The treatment denture can be processed any way that is fast and convenient,

However split cast mounting should be done to correct processing errors of the trial

denture. We can process the diagnostic denture in self-cure acrylic for speed and reduced

costs. PROCESSING OF THE FINAL DENTURE IS ALWAYS DONE IN THE

IVOCAP PRECISION SYSTEM.

LANG DENTURE DUPLICATOR LANG-JET THE DENTURE DUPLICATOR

Lang Dental Mfg. Co. Inc.

175 Messner Drive,

Wheeling, IL 60090 USA

The Lang Denture Dup flask is used to make duplicate dentures so that the

patient can have a spare denture. This is reaaly a simple way to make a spare and hardly

no cost. It is amaging how nice you can make a spare denture when a patient’s denture is

out for repair or a reline----or just an emergency spare.

PREAT CORPORATION www.Preat.com 1-800-232-7732

I ordered a catalog afer I saw an interesting add in a dental journal. They had my

name on file so I must have ordered from them in the past. This catalog is an education

on it’s own. They have all sorts of implant parts made for all the major implant

companies. All sorts of attachments for conventional partial dentures. Any dentist who

does removable whether conventional if implant supported needs this catalog.

METAL BONDING AGENT

The material is called UBAR. You can sand blast a metal surface-----wet the

surface with this Ubar and paint on self cure acrylic. After the acrylic is set you can’t

breakit off. This is great to use when you are picking up attachment housings to retain

dentures or partials. If you still use the LOCATOR---sand blast the metal housing for the

plastic “tooth extractor” and wet with the UBAR and then apply the self cure acrylic----it

will never pull out of the denture base.

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UBAR ACRYLIC SOLDER IS AVAILABLE FROM-----

PRO TECH 1-800-872-8898 OR 1-561-493-9818

My staff gets denture cleaners for the patients and several other items from

PRO TECH----CHECK IT OUT

IT SEEMS THAT EVERY MONTH I THINK OF SOMETHING THAT NEEDS TO BE

PLACED IN THE MATERIAL LIST. ANY QUESTIONS 1-803-79404472 OR E-

MAIL [email protected]

.

Walter F. Turbyfill “JACK”

115 Medical Circle

West Columbia, SC 29169

[email protected] 1-803-794-4472