Festoon Processing

94
Complete Denture Processing Luther A. Ison, CDT Festooning and preparation for processing • Flasking • Boilout procedures Packing acrylic Recover and divesting

Transcript of Festoon Processing

Page 1: Festoon Processing

Complete Denture ProcessingLuther A. Ison, CDT

• Festooning and preparation for processing• Flasking• Boilout procedures• Packing acrylic• Recover and divesting

Page 2: Festoon Processing
Page 3: Festoon Processing
Page 4: Festoon Processing
Page 5: Festoon Processing
Page 6: Festoon Processing
Page 7: Festoon Processing
Page 8: Festoon Processing
Page 9: Festoon Processing
Page 10: Festoon Processing
Page 11: Festoon Processing
Page 12: Festoon Processing
Page 13: Festoon Processing
Page 14: Festoon Processing
Page 15: Festoon Processing

Cut wax at an obtuse angle leaving a shelf of wax at CEJ

Page 16: Festoon Processing

Reduce shelf to 2 mm in width and carve root prominences.

Page 17: Festoon Processing
Page 18: Festoon Processing
Page 19: Festoon Processing
Page 20: Festoon Processing
Page 21: Festoon Processing
Page 22: Festoon Processing
Page 23: Festoon Processing

Remove baseplate from cast, and then remove palate with 170L bur as close to teeth as possible.

Page 24: Festoon Processing

Double check occlusion and V.D.O. after palate removal and seal baseplate to cast.

Page 25: Festoon Processing

Add wax to edges of baseplate to create “dish pan” and thin coat to palate to thicken palatal form and help it adhere.

Page 26: Festoon Processing
Page 27: Festoon Processing
Page 28: Festoon Processing

Preformed palatal pattern or one thickness baseplate wax.

Page 29: Festoon Processing
Page 30: Festoon Processing

Smooth transition from teeth to palate.

Page 31: Festoon Processing
Page 32: Festoon Processing

Sealed and filled peripheries.

Page 33: Festoon Processing

Complete Denture Processing

*FlaskingBoiloutPacking

Recovery

Page 34: Festoon Processing

Triple check occlusion and V.D.O. Watch for posterior interferences.

Page 35: Festoon Processing

Soak casts and mounts to facilitate removal.

Page 36: Festoon Processing

Dentures almost ready for processing!

Page 37: Festoon Processing

Check out flasks from dispensing when you’re ready to flask.Record flask numbers.Note differences in upper and lower flasks.

Page 38: Festoon Processing
Page 39: Festoon Processing
Page 40: Festoon Processing

Trim casts to fit flasks without trimming bottom (indexed) portion.Casts must be remounted after processing.

Page 41: Festoon Processing

Cast properly trimmed for flasking.

Page 42: Festoon Processing

Whoops! I wish I’d trimmed the cast right before I mounted it in the articulator!

Page 43: Festoon Processing

Vaseline the stone, especially the indexes. Not the wax pattern!

Page 44: Festoon Processing

Add stone to flask first. Seat cast completely to bottom of flask

Page 45: Festoon Processing

Notice that there is no stone on surface of flask, preventing seating of next (middle part) of flask.

Page 46: Festoon Processing

Smooth, sanded, no undercuts. Stone removed from cast surface. Placing your initials on stone for your own identification would be a good idea!.

Page 47: Festoon Processing

Watch out for undercuts here!

Page 48: Festoon Processing

Smooth, NO UNDERCUTS, and lubricated. Don’t forget the vaseline!!!

Page 49: Festoon Processing

Vacuum mixed stone. Rub stone around teeth to prevent bubbles. You’ll regret it if you don’t!

Page 50: Festoon Processing

Cover cast and teeth with vacuum mixed stone, barely covering teeth.Don’t bury the teeth.

Page 51: Festoon Processing

If you run short of stone, mix some more. Don’t leave teeth exposed to chipping during deflasking.

Page 52: Festoon Processing

Vaseline second pour to facilitate deflasking.

Page 53: Festoon Processing

Clean flasks, ready for boilout/wax removal.

Page 54: Festoon Processing

Complete Denture Processing

Flasking*BoiloutPacking

Recovery

Page 55: Festoon Processing

Boilout controls located under the boilout units.Turn back to pilot and add water when finished!

Page 56: Festoon Processing

When in doubt, find some instructions and follow them. (You’re supposed to be in doubt!) Don’t ask your neighbor. He’s in doubt, too!

Page 57: Festoon Processing

Flask compress used to place and remove flasks in boiloutand keep flasks closed during curing.

Page 58: Festoon Processing

Place dentures in left boilout. (The other left!) Keep right boilout clean for rinse water.

Page 59: Festoon Processing

Boil 6 minutes to soften the wax.Shortened boilout results in pulling teeth from second pour.

Page 60: Festoon Processing

Remove flasks from boilout and gently pry open flask from anterior.Most undercuts will be in posterior. If it doesn’t come apart easily,

there were undercuts in the first pour, or not enough vaseline.

Page 61: Festoon Processing

Opened flasks after six minute boilout. Remove palatal form and baseplates and discard. Watch for loose teeth. Teeth should have stayed in middle part of flasks.

Page 62: Festoon Processing

Discard baseplates and preformed palatal rugae.

Page 63: Festoon Processing
Page 64: Festoon Processing

Remove stone from metal surface to allow metal to metal contactduring closure.

Page 65: Festoon Processing

Place flasks in pan and hold over dirty boilout tank (left tank) while boiling off and removing all wax.

Page 66: Festoon Processing

Rinse with clean, boiling water.

Page 67: Festoon Processing

Scrub with denture brush to remove small stone particles, wax, and remaining impression material. Re-rinse with clean water.

Page 68: Festoon Processing

Clean, HOT flasks, ready for separator application.

Page 69: Festoon Processing

Separator, Tin-Foil substitute, Coe Sep, sodium alginate. It’s all the same.None of it works very well!

Page 70: Festoon Processing

Paint separator on thick and when flasks are very hot.Keep sep out of diatoric holes in porcelain teeth.

Page 71: Festoon Processing

Stand up flasks and allow excess separator to drain and evaporate.Don’t allow your dentures to get mixed up with someone else’s!

Page 72: Festoon Processing

Complete Denture Processing

FlaskingBoilout

*Packing acrylicRecovery

Page 73: Festoon Processing

When separator has dried, additional retention can be added by drilling diatorics in acrylic teeth with #4 round bur. Aim for cusps to avoid drilling all the way through the teeth. Remove shavings with air.

Page 74: Festoon Processing
Page 75: Festoon Processing

Add 1.5 scoops Lucitone polymer to 13 ml monomer PER DENTURE(26 ml liquid to 3 scoops powder for both average sized dentures.Cover and let set to doughy state (10 - 15 min).While waiting, scrub teeth with monomer to remove Coe sep.

Page 76: Festoon Processing

Check acrylic for proper consistency. Acrylic has lost it’s shine, is doughy, and does not stick to your fingers.

Page 77: Festoon Processing

Knead acrylic to finalize mix. If acrylic “snaps” discard and mix new batch. It’s too set to extrude excess.

Page 78: Festoon Processing

Divide acrylic in half and place in tooth portion of flasks. To trial pack, cover with plastic sheet before closing flasks so flasks can be re-opened to add acrylic, remove flash or insert names.

Page 79: Festoon Processing

Place flasks together and press to remove excess acrylic.

Page 80: Festoon Processing

If trial packing, separate flasks and check for acrylic flash. If none present, add additional acrylic.

Page 81: Festoon Processing
Page 82: Festoon Processing

Excess acrylic used when eliminating trial packing procedure.Plastic sheet not present. Flask ready for curing. **Remove excess acrylic especially in chisel slots.

Page 83: Festoon Processing

Final closure of flask. Plastic sheet has been removed.

Page 84: Festoon Processing

Transfer flasks to compress and tighten completely. If processing only one denture, use an empty flask.

Page 85: Festoon Processing

Heat cure dentures at 165 degrees F for 9 hours (overnight).

Page 86: Festoon Processing

Complete Denture Processing

FlaskingBoilout

Packing acrylic*Recovery

Page 87: Festoon Processing

Cured dentures ready for ejection from flasks using flask ejector.

Page 88: Festoon Processing
Page 89: Festoon Processing

Pry off the cover first.

Page 90: Festoon Processing
Page 91: Festoon Processing
Page 92: Festoon Processing
Page 93: Festoon Processing
Page 94: Festoon Processing

Store processed dentures in water!!!