I first posted this “article” on Dentaltown back in 2007. A friend just reminded me about it, so I thought I’d re-post it here.
We all know what a pain this can be – fitting a new crown to an existing partial denture. I learned this technique from the Parkell advertorial “magazine” they send out. I changed it up a bit. I’ve been using it for years, and it works very well in my hands. Unfortunately, I didn’t take any photos of the clinical aspect of making the special impression for the clasp duplication. But, I’ll try to describe…
Prep the tooth.
Make the normal impression for the crown.
THEN… Squirt a blob of Blu Mousse over the prepped tooth and seat the partial denture. Quickly, with your finger, wipe away the excess Blu Mousse such that you can see the occlusal rest and clasps shining through the Blu Mousse. Let the BM set.
Remove the partial (BM comes with it). Carefully trim away any excess BM with a bard parker blade and tease the impression out from under the RPD. Set this BM impression of the clasps and rest aside, and send your case to the lab to pour the models. Have them return the models and this is where the photos below pick up
I have colored in the clasp and rest areas with a pen for easier viewing
I blocked out the saw cut area with some paper towel.
Then I used Luxatemp and flowed a blob over the index previously cut in the edentulous area as our “base.” Then flowed it up the distal guide plane, onto the occlusal rest, and into the clasp areas.
Note that it is a bit “over-built,” to strengthen the “clasps.” Luxatemp is a bit brittle. We’re primarily interested in the internal aspect of the clasps and rest for the purposes of building up the crown contours.
I sent these photos to the lab to make sure they understood what to do with this silly piece of plastic.
The index groove in the edentulous area makes precise orientation and placement of the “jig” easy.
Send case back to lab.
Final result. I didn’t touch the crown. I didn’t touch the clasps.
This is how it came back from the lab.
Not a bad fit, eh?Copyright protected by Digiprove © 2014 The Dental Warrior®
I just scan the tooth with my Omnicam before I prep 🙂
Worth every bit of $140,000! 😛
Lol…being married to a board certified radiologist and nuclear medicine doctor has its advantages. I am not the bread winner and can put everything back into my practice.
Great. That crown was quite technically fitted.
Instead of using a finger to wipe the excess blue-mousse and expose the clasps and rest, maybe there would be more control if one used a cotton applicator or cotton roll??