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RPD Manual 11 - Removable Prosthodontics - Dalhousie University

RPD Manual 11 - Removable Prosthodontics - Dalhousie University

RPD Manual 11 - Removable Prosthodontics - Dalhousie University

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Surveying, Path of Insertion, Guiding Planes - 20<br />

Selection and Preparation of Guiding Planes:<br />

a. A path of insertion is selected.<br />

b. The number and position of guiding planes is selected.<br />

c. With the diagnostic cast as a guide, parallel surfaces are prepared intraorally with straight<br />

cylindrical burs (#<strong>11</strong>56 or #557L or equivalent cylindrical bur). The surveyed cast should<br />

be nearby for comparison, so that the bur can be placed in the same relationship to the<br />

tooth as the analyzing rod makes with the diagnostic cast.<br />

The bur should be placed at the same<br />

angulation as the surveying rod. The<br />

triangular space below the height of<br />

contour should appear to be the same.<br />

d. Guiding planes should be at least 1/2 to 1/3 of the axial height of the tooth (generally a<br />

minimum of 2 mm in height). Use a light sweeping stroke continuing past the bucco- and<br />

the linguo proximal line angles. Reduction should follow the bucco-lingual curvature of<br />

the tooth, rather than slicing straight across the tooth. Guide planes for distal-extension<br />

cases should be slightly shorter to avoid torquing of the abutment teeth. Lingual guiding<br />

planes for bracing or reciprocal arms should be 2-4 mm and ideally be located in the<br />

middle third of the crown, occluso-gingivally. Use a good finger rest to establish parallel<br />

planes.<br />

e. If tooth surfaces selected for guiding planes are already parallel to the path of insertion,<br />

little if any tooth modification may be necessary.<br />

f. The prepared surfaces are polished rubber wheels or points.<br />

g. Guiding planes are the first features prepared intraorally. If occlusal rest seats are prepared<br />

initially, placement of a proximal guiding plane will remove some of the rest seat<br />

preparation, and result in a narrowed rest with a sharp occluso-proximal angle.

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