présentation1 (2)
TRANSCRIPT
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Biofunctional
Prosthetic
System
BPS®
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Selection of preformed traysThe Accudent System
Herbert Frick ICDE
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Try in of selected trays
Herbert Frick ICDE
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Application of Accu-Gel
Herbert Frick ICDE
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Placing of the maxilliary impression tray in the oral cavity of the patient
Herbert Frick ICDE
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Removing the maxillary impression
Herbert Frick ICDE
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Injecting the Accu-Gel into the gingivo-buccal fold in the mandible
Herbert Frick ICDE
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Placing the mandibular tray in its final position
Herbert Frick ICDE
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Removing the mandibular impression
Herbert Frick ICDE
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Finished maxilliary and mandibular impressions
Herbert Frick ICDE
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The Centric Tray SystemMaintaining the maxillo-mandibualar relation
Herbert Frick ICDE
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Determining the vertical demension
Herbert Frick ICDE
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Placing the centric tray with the mixed alginate or putty material
Herbert Frick ICDE
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Centric tray with the maxillary and mandibular relation contacts
Herbert Frick ICDE
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Laboratory procedure
Herbert Frick ICDE
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Model transfer to the Stratos 200 using the
Average Value Assortement
Herbert Frick ICDE
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Herbert Frick ICDE
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Horizontal guide mounted on the mandibular model
• Lateral view
• Front view
Herbert Frick ICDE
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Herbert Frick ICDE
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Herbert Frick ICDE
2nd Impression including the Intraoral registration
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Mounting of Gnathometer M
Herbert Frick ICDE
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Schematic diagram of the occlusal plane of the dentulous and edentulous
mandible
Herbert Frick ICDE
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Individualized funcional record bite base with complete registration assembly
Herbert Frick ICDE
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Positioning the mandibular funcional record bite base
Herbert Frick ICDE
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Positioning the maxillary functional record bite base
Herbert Frick ICDE
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Checking the record bite bases in the oral cavity
Herbert Frick ICDE
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The individual functional impression taking
Designing the functional margins
Herbert Frick ICDE
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• Carrying functional movements while applying slight masticatory movements
• Maxillary wash record
Herbert Frick ICDE
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Carrying out of functional movements Succing on a straw
Herbert Frick ICDE
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Carrying functional movements while applying slight masticatory pressure
Herbert Frick ICDE
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Maxillary wash impression record
Herbert Frick ICDE
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Designing the functional mandibular margin
By carrying out tongue movements
Herbert Frick ICDE
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Designed functional mandibular margin
Herbert Frick ICDE
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Carrying out functional movements while applying slight masticatory pressure
Herbert Frick ICDE
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Upper and lower functional impressions with perfectly occluding bite blocks
Herbert Frick ICDE
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Funcional maxillary and mandibular records
Herbert Frick ICDE
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Extra-oral registration using the UTS transferbow
Herbert Frick ICDE
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Lateral view with UTS adapter
Herbert Frick ICDE
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Connecting the UTS registration joint with the Gnathometer M adapter
Herbert Frick ICDE
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UTS mounted on the patient
Herbert Frick ICDE
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UTS mounted on the patient
Herbert Frick ICDE
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Needle point tracing with the Gnathometer M
Herbert Frick ICDE
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• Mandibular record metal base with hight-adjustable registration pin
• Applying the registration dye
Herbert Frick ICDE
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Preparation of the interoral registration
Mounting the mandibular and maxillary record metal bases
Herbert Frick ICDE
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Preparation of the interoral registration
Removing the mandibular and maxillary bite rims
Herbert Frick ICDE
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Maxillary and mandibular record bite bases in the oral cavity
Herbert Frick ICDE
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Needle point registration with Gnathometer M
1. Lateral movements right and left
2. Protrusion movements
3. Retrusion movements
movement left sidemovement right side
Herbert Frick ICDE
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Checking the needle point record in the oral cavity
Herbert Frick ICDE
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Evaluation of the Gothic arch tracing(According to Prof. Gerber)
• Classical pointe form– The symmetry indicates
an undisturbed movement sequence in the joint and uniform muscle guidance
Herbert Frick ICDE
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• Classical flat shape– This figure indicates pronounced lateral motion of condyles
in the joint
Herbert Frick ICDE
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• Asymmetrical shape – this figure indicates a
pronounced impediment in the protrusive excursion of the left mandibular joint
Herbert Frick ICDE
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• Arrow point is non-existant– This figure indicates weak to
slack movement, particularly of retrusive excursion components; registration must be repeated and more concise motion are requested
Herbert Frick ICDE
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• The vertical line extends over the arrow point– This tracing was created
by either forcefully pulling or pushing back the mandible
– The figure may also been traced with a protruding mandible
Herbert Frick ICDE
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• A miniature arrow– This figure indicates cramped movements, poorly placed
and painful registration plates, long-term absence of teeth with obstructed movements in the joints, defective prosthesis, etc.
Herbert Frick ICDE
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Herbert Frick ICDE
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Fixation of the centric occlusion
• Checking the centric with secured record bite basis
• Aligning the funnel-shaped opening of the fixing plate with the needle point
Herbert Frick ICDE
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• Fabricating the key with fast setting plaster or hard silicone
• Marking the central line
Herbert Frick ICDE
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Checking the secured maxillo-mandibular functional records
Herbert Frick ICDE
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Alternative to the needle-point registration:
Functional bite rims fabricated of wax
Herbert Frick ICDE
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Selecting the teeth
• Living tooth mould chart • Shade guide• Pictures of the patient
Herbert Frick ICDE
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Colour selection with the Chromascop shade guide
Herbert Frick ICDE
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Fabricating the master models in the Dental laboratory
Herbert Frick ICDE
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Individualized model transfer using the UTS Transfer Bow
Herbert Frick ICDE
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Close-up view of the registration joint holder in the UTS
Herbert Frick ICDE
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Model transfer to the Statos 200 using the registration joint holder
Herbert Frick ICDE
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Mounting the mandibular model
Herbert Frick ICDE
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Maxillo- mandibular models mounted in the Stratos 200
Herbert Frick ICDE
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Herbert Frick ICDE
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Herbert Frick ICDE
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Herbert Frick ICDE
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Set-up of the posterior teeth in the mandible
Selection criteria for posterior teeth
A bite analysis indicates two the dentist and dental technician which type of posterior tooth is best for the respective patient
Herbert Frick ICDE
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Three different cusp angulationsDr. Strack
Herbert Frick ICDE
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Herbert Frick ICDE
Combination(Lingualized)
Semi-anatomicNon-anatomic
Semi-anatomic Non-anatomic(Curve)
Non-anatomic
(Flat)Anatomic
Combination(L ingualized)
Semi-anatomicNon-anatomic
Semi-anatomic
Non-anatomic(Curve)
Non-anatomic(Flat)
Anatomic
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Herbert Frick ICDE
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Herbert Frick ICDE
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Herbert Frick ICDE
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Herbert Frick ICDE
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Movements
• Laterotrusion (right side) • Mediotrusion (left side)
Herbert Frick ICDE
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Movements
• Laterotrusion (left side) • Mediotrusion (right side)
Herbert Frick ICDE
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Herbert Frick ICDE
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Anterior tooth relations
Herbert Frick ICDE
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Front and lateral view of the complete Wax-up
Herbert Frick ICDE
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Wax try - in
Checking the:•stability•centric•aesthetics•phonetics•smile line•buccal freeway space
Herbert Frick ICDE
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Wax try-in in the oral cavity of the patient
Herbert Frick ICDE
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Check by the patient with the help of a mirror
Herbert Frick ICDE
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Pictures of the patient
before afterHerbert Frick ICDE