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    Altered Cast

    Uploaded by

    Krupali Jain
    The altered cast technique involves modifying the existing cast by adding new stone in areas where the tissue needs correction. An impression is made with the framework in place to capture these corrections. The framework must be fully seated during the impression. The corrected cast is then used to fabricate the denture with improved fit at the tissue surfaces.

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    © All Rights Reserved
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    Altered Cast

    Uploaded by

    Krupali Jain
    162 views17 pages
    The altered cast technique involves modifying the existing cast by adding new stone in areas where the tissue needs correction. An impression is made with the framework in place to capture these corrections. The framework must be fully seated during the impression. The corrected cast is then used to fabricate the denture with improved fit at the tissue surfaces.

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    poi

    Original Title

    14. Altered Cast

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    The altered cast technique involves modifying the existing cast by adding new stone in areas where the tissue needs correction. An impression is made with the framework in place to capture these corrections. The framework must be fully seated during the impression. The corrected cast is then used to fabricate the denture with improved fit at the tissue surfaces.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    162 views17 pages

    Altered Cast

    Uploaded by

    Krupali Jain
    The altered cast technique involves modifying the existing cast by adding new stone in areas where the tissue needs correction. An impression is made with the framework in place to capture these corrections. The framework must be fully seated during the impression. The corrected cast is then used to fabricate the denture with improved fit at the tissue surfaces.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    of 17

    Altered Cast Technique

    Altered Cast Technique
    Altered Cast Technique
    Altered Cast Technique

    •• Corrected Cast
    Corrected Cast
    •• Modified Cast
    Modified Cast
    •• Destroyed Cast
    Destroyed Cast
    Altered Cast Impressions
    Altered Cast Impressions
    •• Impression of soft tissue if not 
    Impression of soft tissue if not 
    captured in framework impression
    captured in framework impression
    Purpose
    Purpose

    •• Improve adaptation of the denture base to the 
    Improve adaptation of the denture base to the 
    ridge to minimize movement during function
    ridge to minimize movement during function
    •• Equalize stress between ridge and abutments
    Equalize stress between ridge and abutments
    •• Improve contours of peripheries
    Improve contours of peripheries
    When Needed
    When Needed

    •• Mandibular distal extensions (Class I & II)
    Mandibular distal extensions (Class I & II)
    •• Extensive edentulous spans
    Extensive edentulous spans
    •• Any case where periphery is distorted & 
    Any case where periphery is distorted & 
    needs correction
    needs correction
    •• Less necessary in maxilla due to major 
    Less necessary in maxilla due to major 
    connector contact with palate
    connector contact with palate
    Impression Technique
    Impression Technique
    •• Framework must fit intraorally
    Framework must fit intraorally
    •• Add tray to framework
    Add tray to framework
    –– 1 mm wax relief  
    1 mm wax relief  
    –– Heat and fully seat  framework into wax 
    Heat and fully seat  framework into wax 
    Check Seating on Cast and in Mouth
    Check Seating on Cast and in Mouth
    •• After tray added
    After tray added
    –– Rests must be fully seated
    Rests must be fully seated
    –– Tissue stop contacts cast
    Tissue stop contacts cast
    –– No resistance as framework 
    No resistance as framework 
    seated
    seated
    Check Peripheries
    Check Peripheries

    •• 2­3 mm short of vestibular
    2­3 mm short of vestibular
    •• No displacement when: 
    No displacement when: 
    ––Pull on cheeks, lips
    Pull on cheeks, lips
    ––Patient activates tongue
    Patient activates tongue
    Border Mold
    Border Mold

    •• Same as a denture
    Same as a denture
    Altered Cast Impression
    Altered Cast Impression

    •• Remove wax spacer
    Remove wax spacer
    •• Coat tray with adhesive
    Coat tray with adhesive
    Altered Cast Impression
    Altered Cast Impression

    •• Polyvinyl siloxane
    Polyvinyl siloxane
    •• Carefully load tray
    Carefully load tray
    ­no material under rests, 
    ­no material under rests, 
    guideplanes, major 
    guideplanes, major 
    connector
    connector
    •• Seat with pressure ONLY
    Seat with pressure ONLY
    over rests
    over rests
    No Pressure Over Tray
    No Pressure Over Tray

    •• Will cause tissue compression
    Will cause tissue compression

    pressure spring-back
    Remove & Inspect Impression
    Remove & Inspect Impression

    •• Fully seated
    Fully seated
    •• No material under rests or 
    No material under rests or 
    minor connectors
    minor connectors
    Send to Laboratory
    Send to Laboratory

    •• Lab Steps
    Lab Steps
    –– Section cast
    Section cast
    –– Place retentive grooves in cast
    Place retentive grooves in cast
    –– Ensure no contact between 
    Ensure no contact between 
    impression material & cast
    impression material & cast
    –– Sticky wax framework in place
    Sticky wax framework in place
    Lab Steps
    Lab Steps
    –– Box impression
    Box impression
    –– Seal retainer, major & minor 
    Seal retainer, major & minor 
    connector borders
    connector borders
    –– Pour new ridge areas in 
    Pour new ridge areas in 
    different color stone
    different color stone
    Potential Problems with the 
    Potential Problems with the 
    Altered Cast Technique
    Altered Cast Technique
    •• Framework not seated either during 
    Framework not seated either during 
    impression (material under rest, gp) or 
    impression (material under rest, gp) or 
    when being poured will result in an RPD 
    when being poured will result in an RPD 
    that won’t fit properly on teeth/tissues
    that won’t fit properly on teeth/tissues
    •• Stone leaking over teeth during pouring 
    Stone leaking over teeth during pouring 
    makes articulation impossible
    makes articulation impossible
    Next Step
    Next Step

    •• Lab adds record base and 
    Lab adds record base and 
    occlusion rim to framework 
    occlusion rim to framework 
    for jaw relation records
    for jaw relation records

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