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Record bases & occlusion rims

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<strong>Record</strong> <strong>bases</strong> &<br />

<strong>occlusion</strong> <strong>rims</strong>


<strong>Record</strong> <strong>bases</strong><br />

• Definition :<br />

• A record base or base plate is a temporary form<br />

representing the base of a denture. It is used in<br />

recording maxillomandibular relations and in the<br />

arrangement of the teeth.<br />

• Requirements :<br />

• should be rigid.<br />

• should be accurate.<br />

• should be stable.<br />

• the borders should be round & smooth as the borders of<br />

finished dentures.<br />

• should be thin at the crest ,labial & buccal slopes to<br />

provide space for tooth arrangement.


Objectives:<br />

• To retain the recording medium or device<br />

used for recording maxillomandibular<br />

relations.<br />

• To aid in transfer of accurate jaw relation<br />

ships to an articulator.<br />

• To enable the setting of artificial teeth for<br />

the trial denture.


Materials & methods :<br />

• It is generally agreed that<br />

maxillomandibular relations are difficult to<br />

record accurately on poorly fitting <strong>bases</strong><br />

fabricated from bulky material and from<br />

material that is subject to distortion and<br />

dimensional change. record <strong>bases</strong> are<br />

made of several different materials.


Types<br />

• Temporary record <strong>bases</strong>:<br />

They are discarded and replaced by denture base material,<br />

once their role in establishing jaw relation, teeth<br />

arrangement and try in is complete.<br />

Types of temporary record <strong>bases</strong>:<br />

• Shellac base plate<br />

• Reinforced shellac base plate<br />

• Cold cure acrylic resin<br />

• Visible light cure acrylic resin<br />

• Vacuum formed vinyl and polystyrene<br />

• Base plate wax


• Permanent record <strong>bases</strong>:<br />

They are not discarded and become part of the actual base<br />

of the finished complete denture.<br />

Types of permanent record <strong>bases</strong>:<br />

• Heat cure acrylic resin<br />

• Gold<br />

• Chromium-cobalt alloy<br />

• Chromium-nickel alloy


Shellac base plate<br />

Advantages:<br />

• They will adapt to intimate contact with the master cast.<br />

• Require short time for construction.<br />

• Inexpensive.<br />

• Can be corrected easily by reheating and readapting to<br />

the master cast.<br />

• Uniform thickness.


Disadvantages : Although shellac record <strong>bases</strong> are<br />

easily and quickly adapted, they are not<br />

considered satisfactory.<br />

• They warp, do not fit accurately, distort easily,<br />

lack rigidity, become brittle and break, and will<br />

not permit polishing of the borders


Shellac<br />

• Any undercuts are relieved, and separating medium is<br />

applied to the cast.<br />

• The shellac record base forms are manufactured in the<br />

shapes of the maxillary and mandibular arches.


• The forms are softened with an open flame and molded to<br />

the cast with an instrument or the fingers.<br />

• While the material is in a softened state, the excess is<br />

removed with scissors.<br />

• After hardening, the borders are smoothed but as a rule<br />

will not take a polish.


Reinforced shellac<br />

• Any undercuts are relieved,<br />

and separating medium is<br />

applied to the cast.<br />

• the manufactured form of<br />

shellac is softened with an<br />

open flame.<br />

• A flattened wire is contoured and adapted across the posterior palatal<br />

seal area of the maxillary record base and adapted to the lingual flange<br />

of the mandibular record base and incorporated in the base.<br />

• A thin layer of zinc oxide<br />

eugenol impression paste<br />

is spread over the tissue<br />

side of the base and<br />

seated on the cast in the<br />

manner of making<br />

impression.<br />

• The excess flash is<br />

removed and the borders<br />

are smoothed.


• Disadvantages : Although this procedure<br />

results in abase that is more rigid and<br />

stable than shellac but its still subject to<br />

distortion and breakage. It is bulky, the<br />

odor and taste of the paste are<br />

objectionable to some patients, and it is<br />

unsuitable for arrangement of teeth in<br />

cases of limited inter arch space.


Cold cure acrylic resin<br />

Advantages:<br />

• Good strength no need for reinforcement<br />

• Good dimensional stability<br />

• Does not wrap during manipulation<br />

• Closely fit to the master cast


Disadvantages:<br />

• Require more time in fabrication<br />

• Difficult to control the thickness<br />

• Residual monomer can cause irritation to<br />

oral tissues


Methods<br />

• Sprinkle on method<br />

• Finger adapted dough method<br />

• Flasking method<br />

• Stone mold method *<br />

• Wax-confined method *


Sprinkle on method<br />

• Any undercuts are relieved,<br />

and separating medium is<br />

applied to the cast.<br />

• Using an eye dropper apply<br />

the monomer to the cast,<br />

carefully add the polymer (salt<br />

and pepper technique) until a<br />

sufficient thickness is gained<br />

over the entire surface of the<br />

cast.<br />

• The processed base is<br />

removed from the cast,<br />

smoothed, and polished at the<br />

borders.


Finger adapted dough method<br />

• Any undercuts are relieved, and separating medium is applied to the<br />

cast.<br />

• The self curing resin is mixed according to manufacturer instructions<br />

• When it reach the dough stage, it is molded to the cast with<br />

instrument or fingers.<br />

• It is allowed to polymerized completely.<br />

• The processed base is removed from the cast, smoothed, and<br />

polished at the borders.


Flasking method<br />

• a wax pattern is constructed over the cast with a<br />

thickness and contour desired for complete<br />

denture.<br />

• The cast and pattern are flasked, the wax is<br />

eliminated, acrylic resin is packed and allowed<br />

to set under the pressure of clamps or press.<br />

• The processed base is removed from the cast,<br />

smoothed, and polished at the borders.


Visible Light cured acrylic resin<br />

• Any undercuts are relieved, and<br />

separating medium is applied to the cast.<br />

• Adapt a sheet of pink base plate material<br />

to the cast by fingers and prevent trapping<br />

of air.


• Extend the material to the<br />

depth of vestibule.<br />

• Cure the record base for<br />

4 minutes in the light cure<br />

unit. Carefully removed<br />

from the cast, invert and<br />

cure the tissue surface for<br />

4 minutes.<br />

• The processed base is<br />

removed from the cast,<br />

smoothed, and polished<br />

at the borders


Vacuum formed vinyl and polystyrene<br />

• Any undercuts are relieved, and<br />

separating medium is applied to the<br />

cast.<br />

• A sheet of base plate material placed<br />

over the cast and inserted in the<br />

vaccum chamber.<br />

• Electric heater switched to heat the<br />

sheet.<br />

• Turn on the vacuum. The sheet will<br />

adapt closely to the cast.<br />

• Switch of the heater and allow the<br />

record base to cool.<br />

• Remove the record base and cut the<br />

excess material.


Advantages<br />

• Easy to fabricate<br />

• Uniform thickness<br />

• Accurate adaptation<br />

to the master cast<br />

• Good rigidity<br />

Disadvantages<br />

• Expensive<br />

• Difficult to form smooth<br />

rounded borders


Base plate wax<br />

• Wet the cast<br />

• Soften the base plate wax over the<br />

flame and adapt it to master cast<br />

• Remove the excess wax and make<br />

the borders round and smooth.


Advantages<br />

• Easy and rapid<br />

method<br />

• Inexpensive<br />

available<br />

and<br />

Disadvantages<br />

• It lacks rigidity<br />

• It lacks dimensional<br />

stability


Heat processed acrylic resin<br />

• a wax pattern is constructed over the cast with a<br />

thickness and contour desired for complete denture.<br />

• The cast and pattern are flasked, the wax is eliminated,<br />

acrylic resin is packed and heat processed.<br />

• The processed base is removed from the cast,<br />

smoothed, and polished at the borders.


• Advantages : they are rigid, accurate,<br />

stable, not subject to distortion, and<br />

suitable for arrangement of teeth.<br />

• Disadvantages : require considerable time,<br />

more expensive.


Occlusion <strong>rims</strong><br />

• Definition : <strong>occlusion</strong> <strong>rims</strong> are occluding surfaces<br />

constructed on record <strong>bases</strong> or permanent denture<br />

<strong>bases</strong> to be used in recording jaw relations and for<br />

arranging teeth.<br />

• Requirements :<br />

• the position should be in the anticipated position of the<br />

artificial teeth.<br />

• it must be securely attached to the base.<br />

• the occlusal surface must be smooth and flat.<br />

• it should be contoured to support the lip and cheeks<br />

accurately.<br />

• all the surfaces should be smooth.


Uses :<br />

The <strong>occlusion</strong> <strong>rims</strong> are used :<br />

• to establish the level of the occlusal plane.<br />

• to establish the arch form.<br />

• to record the maxillary mandibular<br />

relations.<br />

• for arrangement of the teeth.


Wax Rim<br />

• Wax <strong>rims</strong> are smooth<br />

and have a flat occlusal<br />

surface. They are about<br />

as wide buccolingually<br />

as denture teeth – wider<br />

in the posterior, narrower<br />

in the anterior<br />

• The occlusal rim must be<br />

centered buccallingually<br />

over and parallel to the<br />

residual ridge crest.<br />

• The anterior portion of<br />

the maxillary occlusal rim<br />

is labially oriented


Maxillary arch<br />

• The anterior wax rim height is 20-22mm<br />

• The posterior wax rim height is 16-18mm.<br />

• The width of the anterior rim is approximately 3- 5mm.<br />

• The width of the occlusal rim in the posterior region is approximately<br />

8- 10mm.<br />

• The occlusal rim is properly sealed to the baseplate without any<br />

voids.<br />

• The posteriors of the <strong>occlusion</strong> <strong>rims</strong> are cut at a 30º angle to the<br />

occlusal plane


Mandibular arch<br />

• The anterior wax rim height is 16-17mm<br />

• The posterior wax rim height covers 2/3 of the retromolar pad.<br />

• The width of the anterior rim is approximately 3- 5mm.<br />

• The width of the occlusal rim in the posterior region is approximately<br />

8- 10mm.<br />

• The occlusal rim is properly sealed to the baseplate without any<br />

voids.


Materials & methods<br />

wax


eady made <strong>occlusion</strong> rim<br />

• its supplied as a horse shoe<br />

shaped rim, adapt it in the<br />

proper position on the record<br />

base.<br />

• Softened it slightly, sealed it<br />

with the record base by the aid<br />

of a wax knife.<br />

• Smooth all the surfaces


Hand made <strong>occlusion</strong> rim<br />

• Half a sheet of paraffin wax is softened and<br />

folded upon itself to produce a rectangular<br />

rim, approximately the length of the<br />

alveolar ridge.<br />

• Softened it slightly, sealed it with the record<br />

base by the aid of a wax knife.<br />

• Smooth all the surfaces


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