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Biofunctional
Prosthetic
System
BPS®
Selection of preformed traysThe Accudent System
Herbert Frick ICDE
Try in of selected trays
Herbert Frick ICDE
Application of Accu-Gel
Herbert Frick ICDE
Placing of the maxilliary impression tray in the oral cavity of the patient
Herbert Frick ICDE
Removing the maxillary impression
Herbert Frick ICDE
Injecting the Accu-Gel into the gingivo-buccal fold in the mandible
Herbert Frick ICDE
Placing the mandibular tray in its final position
Herbert Frick ICDE
Removing the mandibular impression
Herbert Frick ICDE
Finished maxilliary and mandibular impressions
Herbert Frick ICDE
The Centric Tray SystemMaintaining the maxillo-mandibualar relation
Herbert Frick ICDE
Determining the vertical demension
Herbert Frick ICDE
Placing the centric tray with the mixed alginate or putty material
Herbert Frick ICDE
Centric tray with the maxillary and mandibular relation contacts
Herbert Frick ICDE
Laboratory procedure
Herbert Frick ICDE
Model transfer to the Stratos 200 using the
Average Value Assortement
Herbert Frick ICDE
Herbert Frick ICDE
Horizontal guide mounted on the mandibular model
• Lateral view
• Front view
Herbert Frick ICDE
Herbert Frick ICDE
Herbert Frick ICDE
2nd Impression including the Intraoral registration
Mounting of Gnathometer M
Herbert Frick ICDE
Schematic diagram of the occlusal plane of the dentulous and edentulous
mandible
Herbert Frick ICDE
Individualized funcional record bite base with complete registration assembly
Herbert Frick ICDE
Positioning the mandibular funcional record bite base
Herbert Frick ICDE
Positioning the maxillary functional record bite base
Herbert Frick ICDE
Checking the record bite bases in the oral cavity
Herbert Frick ICDE
The individual functional impression taking
Designing the functional margins
Herbert Frick ICDE
• Carrying functional movements while applying slight masticatory movements
• Maxillary wash record
Herbert Frick ICDE
Carrying out of functional movements Succing on a straw
Herbert Frick ICDE
Carrying functional movements while applying slight masticatory pressure
Herbert Frick ICDE
Maxillary wash impression record
Herbert Frick ICDE
Designing the functional mandibular margin
By carrying out tongue movements
Herbert Frick ICDE
Designed functional mandibular margin
Herbert Frick ICDE
Carrying out functional movements while applying slight masticatory pressure
Herbert Frick ICDE
Upper and lower functional impressions with perfectly occluding bite blocks
Herbert Frick ICDE
Funcional maxillary and mandibular records
Herbert Frick ICDE
Extra-oral registration using the UTS transferbow
Herbert Frick ICDE
Lateral view with UTS adapter
Herbert Frick ICDE
Connecting the UTS registration joint with the Gnathometer M adapter
Herbert Frick ICDE
UTS mounted on the patient
Herbert Frick ICDE
UTS mounted on the patient
Herbert Frick ICDE
Needle point tracing with the Gnathometer M
Herbert Frick ICDE
• Mandibular record metal base with hight-adjustable registration pin
• Applying the registration dye
Herbert Frick ICDE
Preparation of the interoral registration
Mounting the mandibular and maxillary record metal bases
Herbert Frick ICDE
Preparation of the interoral registration
Removing the mandibular and maxillary bite rims
Herbert Frick ICDE
Maxillary and mandibular record bite bases in the oral cavity
Herbert Frick ICDE
Needle point registration with Gnathometer M
1. Lateral movements right and left
2. Protrusion movements
3. Retrusion movements
movement left sidemovement right side
Herbert Frick ICDE
Checking the needle point record in the oral cavity
Herbert Frick ICDE
Evaluation of the Gothic arch tracing(According to Prof. Gerber)
• Classical pointe form– The symmetry indicates
an undisturbed movement sequence in the joint and uniform muscle guidance
Herbert Frick ICDE
• Classical flat shape– This figure indicates pronounced lateral motion of condyles
in the joint
Herbert Frick ICDE
• Asymmetrical shape – this figure indicates a
pronounced impediment in the protrusive excursion of the left mandibular joint
Herbert Frick ICDE
• Arrow point is non-existant– This figure indicates weak to
slack movement, particularly of retrusive excursion components; registration must be repeated and more concise motion are requested
Herbert Frick ICDE
• The vertical line extends over the arrow point– This tracing was created
by either forcefully pulling or pushing back the mandible
– The figure may also been traced with a protruding mandible
Herbert Frick ICDE
• A miniature arrow– This figure indicates cramped movements, poorly placed
and painful registration plates, long-term absence of teeth with obstructed movements in the joints, defective prosthesis, etc.
Herbert Frick ICDE
Herbert Frick ICDE
Fixation of the centric occlusion
• Checking the centric with secured record bite basis
• Aligning the funnel-shaped opening of the fixing plate with the needle point
Herbert Frick ICDE
• Fabricating the key with fast setting plaster or hard silicone
• Marking the central line
Herbert Frick ICDE
Checking the secured maxillo-mandibular functional records
Herbert Frick ICDE
Alternative to the needle-point registration:
Functional bite rims fabricated of wax
Herbert Frick ICDE
Selecting the teeth
• Living tooth mould chart • Shade guide• Pictures of the patient
Herbert Frick ICDE
Colour selection with the Chromascop shade guide
Herbert Frick ICDE
Fabricating the master models in the Dental laboratory
Herbert Frick ICDE
Individualized model transfer using the UTS Transfer Bow
Herbert Frick ICDE
Close-up view of the registration joint holder in the UTS
Herbert Frick ICDE
Model transfer to the Statos 200 using the registration joint holder
Herbert Frick ICDE
Mounting the mandibular model
Herbert Frick ICDE
Maxillo- mandibular models mounted in the Stratos 200
Herbert Frick ICDE
Herbert Frick ICDE
Herbert Frick ICDE
Herbert Frick ICDE
Set-up of the posterior teeth in the mandible
Selection criteria for posterior teeth
A bite analysis indicates two the dentist and dental technician which type of posterior tooth is best for the respective patient
Herbert Frick ICDE
Three different cusp angulationsDr. Strack
Herbert Frick ICDE
Herbert Frick ICDE
Combination(Lingualized)
Semi-anatomicNon-anatomic
Semi-anatomic Non-anatomic(Curve)
Non-anatomic
(Flat)Anatomic
Combination(L ingualized)
Semi-anatomicNon-anatomic
Semi-anatomic
Non-anatomic(Curve)
Non-anatomic(Flat)
Anatomic
Herbert Frick ICDE
Herbert Frick ICDE
Herbert Frick ICDE
Herbert Frick ICDE
Movements
• Laterotrusion (right side) • Mediotrusion (left side)
Herbert Frick ICDE
Movements
• Laterotrusion (left side) • Mediotrusion (right side)
Herbert Frick ICDE
Herbert Frick ICDE
Anterior tooth relations
Herbert Frick ICDE
Front and lateral view of the complete Wax-up
Herbert Frick ICDE
Wax try - in
Checking the:•stability•centric•aesthetics•phonetics•smile line•buccal freeway space
Herbert Frick ICDE
Wax try-in in the oral cavity of the patient
Herbert Frick ICDE
Check by the patient with the help of a mirror
Herbert Frick ICDE
Pictures of the patient
before afterHerbert Frick ICDE