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Chairside - Glidewell Dental Labs

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Figure 5: This view shows the space created for incisal reduction as<br />

the patient closes to centric occlusion. 1.5 mm of space is needed in all<br />

functional movements.<br />

Figure 6: Retraction cords in place on the facial and lingual surfaces prior<br />

to the registration of the master impression<br />

Figure 7: Facial view of the gingival retraction cords in place<br />

Figure 8: The #00 cord is left in place after removal of the #1 cord, leaving<br />

an obvious sulcus prior to injection of the light-bodied impression material.<br />

clearance is checked in protrusive and lateral excursions<br />

as well, to make sure adequate space has been provided.<br />

The preparation is polished with a round-ended 30 micron<br />

finishing diamond, followed by rubber polishing abrasives<br />

to smooth the cut metal substructure and porcelain.<br />

Next, a retraction cord (UltraPak ® [Ultradent; South Jordan,<br />

Utah]) is placed on the facial and lingual marginal<br />

areas of the preparation (Figs. 6, 7). A two-cord technique<br />

is used, first placing a #00 cord, then a #1 on top of it.<br />

After a few minutes, the top cord is removed leaving<br />

the #00 in the sulcus (Fig. 8). The master impression is<br />

then made using a syringeable light-bodied and heavybodied<br />

vinyl polysiloxane impression material (Honigum<br />

[DMG America; Englewood, N.J.]) (Fig. 9).<br />

Figure 9: The impression is made using a polyvinyl siloxane impression<br />

material. Note the margin is captured, as well as approximately 0.5 mm<br />

of tooth or root surface apical to the prepared margin. This will ensure an<br />

accurate fit of the saddle crown.<br />

Repair, Don’t Replace – Part 229

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