Individual spoons. Prosthetics in case of increased edema Technology of individual spoons, 1 ball

Entry

For an optimal valve lock, it is necessary to display as clearly as possible the neutral zone of the function on the model. Depending on the current trends in orthopedic dentistry, the growth can only be made with the help of an individual spoon, which is prepared according to an anatomical model, and at the same time, there may be three heightens. For exact conformity between the spoons of the cordons of the prosthetic field, carry out the provisions. Tse є the first step of the zyattya functional viewer... Once you have completed all the steps, it is possible to restore the patient on the success of the patient's prosthetics.

Individual spoons. Method for preparing an individual spoon. Clean and technical features for preparing individual spoons

Vimogi to the individual box

  • Tovschina edge of the spoon is guilty of buty not less than 1.5 mm
  • The edges of the spoon are guilty of curling up the prosthetic bed, do not flap the compressions of the okremikh dilyanok
  • Between individual spoons:
  • From the vestibular side on the upper and lower slits between the spoon, do not reach the transitional fold by 2-3 mm, bypassing the mucous strands and vortexes .
  • Distal border on upper slit twisting the upper slit humps and go behind line "A" by 2-3 mm.
  • · On the lower slit, the distal border pass behind the lower slit mucus hillocks and go into the pid'yazic area, overturning the linea mylohyoidea and bypassing the vortex of the tongue, not reaching the lower line of the pid'yazic space by 2-3 mm.

Method for preparing an individual spoon

  • Prepared with self-hardening acrylic plastic models
  • Compression method
  • · Method of littєviy presuvannya
  • Vacuum pressing method
  • Preparation of standard light-cured polymers

Method of preparing an individual spoon from self-hardening acrylic plastic on a model

Self-hardening plastics

Compression method

The formability of the material helps the form and the counterstamp is squeezed:

The stage of preparing an individual spoon by the method of compression pressing


Shortcomings in the method of compression pressing

  • · Significant vitrati for the hour and great vitrata of materials.
  • · Writing the end of the form on the base material, which is in the form, the vice cannot be repaired. This does not seem to be possible to damage the plastic, to reduce shrinkage in the period of polymerization and release viniknennya pir.
  • Pid hour to close stampі counterstamps of excess material are removed between them і cross-stamps іх іх іткнення, setting the grt. So, for example, when plastering prostheses in a cuvette, produce up to bite envy so yak piece teeth To be found in a counter-stamp, figuratively it seems, not to turn to a large amount of rhyvn, but to get lost in a bit of a grain.
  • For reasons clasps vyavlyayutsya revenge, Yaksho stench boules when stamping translated into a counterstamp.

The method of literary pre-bathing


The step of removing the functional bits, fitting an individual hard spoon.
Functional video beats for the first time proponated by Schrott (in 1864). Metal spoons were prepared for both slits. Springs were soldered to the spoons, which fixed them on the prosthetic field. At the tray they applied rosіgrіtu guta-percha and patients 15 - 20 min. ripples riffs slit, collapsed lips, cheeks and my own.

Mott (1897) wearing prostheses using anatomical wedges. Applying a ball of guta-percha and giving the patients 1 - 2 days to cure.

Method for preparing individual spoons.

Making an individual spoon from self-hardening plastics (Karboplast, Protacryl, Redont) to be stored in a prepared plastic dough, shaped plates of the singing form and production and overprinting with them in a gypsum model, in front of them with an insulating varnish in the Isokol lacquer, I will hand over For polymerization of plastic (10-15 minutes), the spoon is known from the model and cut with cutters and carborundum heads, stitching behind the trimmed edges. The thickness of the edge of the spoon is to blame for not less than 1.5 mm, so if the edge is thinner, it is important to seek a sufficient amount of widbit.

If you transfer the knowledge of a functional malignancy with gips, for example, with a thin, atrophic mucus, or on the alveolar ridge, you should be able to put a spoon overlaid, then go to the so-called other ball. For this purpose, a wax reproduction of an individual spoon is crimped and molded, it is covered with vaseline and squeezed with another ball of wax, which is cured with plastic.

The first ball serves for the opening of the space between the mucous prosthetic bed and with a spoon, in which the malignant mass grows, so that the ball can crack. In recent times, the technique has lost its significance, there is a great number of video materials (strength, tidy, tinkering), as not to be confused, and allow you to remove the amount of information that is necessary in every way Step by step є fitting an individual spoon. The spoon is placed on the upper toothless slot behind such a plan.

With a handful of zvіlnyayuyut a little lip, bichnі heavy, flashing for them vіїmki along the edge of the spoon. Then we twist the cordon behind the alveolar hillocks, which are attached to the upper slit of the crotch-like folds at the same time, as it is not guilty to twist with a spoon. Suddenly, the "A" appears and the topography of the blind openings, for whom they remain more often a cheeky olivist, and put a spoon on the stench to appear. Slide means that when Herbst is specified between the spoons on the upper slit, it does not often get stuck.

When fitting the tray on the upper slit, go to the bottom, but the interface of the prosthesis from the vestibular side is guilty of curling the pliable mucous membrane, the sponges are hinged 1-2 mm below the mucous membrane of the vestibular fold, the contact of the mucosa from the vestibular over the top. With such a configuration, the edge of the prosthesis will make the cheek fit more smoothly, and the fixation will be more beautiful, as well as a better fit after the prosthesis.

More important for the fixation of the prosthesis is the positioning of the wedge along the line "A" Win in the whole mission is guilty of ending on a soft palate, changing to a new one by 1-2 mm. M'yake the sky is going to be in the elevated position. If this condition is not taken into account, the display will be recognized when the sky is down.

The prosthesis in a wide range of problems will be rotten for a long time, so that it’s easy to wear and miss the prosthesis. In order to make sure that, if you know the beater, you can see it when it’s okay, put a thin layer of thermoplastic oil on the bottom edge of the spoon, you can wax with a width of 4-5 mm and a thickness of 2-3 mm. However, she is not guilty of overlapping on the edge of the spoon in the same way that the crystal fold is removed, so that the alveolar humps are guilty of being vilny. We put a spoon into the mouth and press it to the sky when the mouth is closed. If the mass is harder, take a spoonful from the empty company.

Attaching an individual spoon to the lower slit can also be repaired from the mouth of the mouth and mouth, as well as the family's strands to the edge of the prosthesis. The price can be made with a vuz'k f_ssurny bur, discs, wheel-shaped head. The mucous humps (tuberculum mucosum) serve as an organizer for the design of the distal border. The stench is covered with a spoon, or more often, in the presence of the form, localization, consistency, manifestation, or the appearance of ailments on palpation. At the same time, there is no single thought and every single one of them. From the tongue side in the bichnyh viddilah, the spoon is guilty of twisting the inner braid with a line, as it’s a rounded shape and comes to it when state form Ale zadneyazichny edge її obov'yazkovo guilty is known in the bezmishechny trikutnik. With the presence of exostoses in the anterior opening of the alveolar ridge, the spoon is crooked, overlapping the vivid ducts of the alveolar lobes.

On the lower slit, make prostheses from the boundaries, as if zapovnyayut obsyag transitional zone. If you can, the stench is guilty to curl up the retro-molar and lower space. If it’s not possible to reach the functional resilience of the prosthesis, then the expansion between є is true, so that at once the grip on one area of ​​the prosthetic bed will change. The expansion zone can be expanded by an offensive rank. Please ask the patient not to tighten the lips and trim the lower slit in the calm camp. Then put the last finger in the middle of the lower lip and in the middle, and thumb- call and ask the patient to squeeze lips. The area of ​​the smallest tension appears to be such a palpation, so you can make an oval shape, with a vertical size in the center of 1.5-2.0 mm, and step by step it sounds to end up with the teeth and the first premolars, and then start to melt. The lower border of the dilyanka is 0.5 mm in the chin-labial fold, and the upper one is 2-3 mm lower than the red lip. The described zone is no-risky, it is rotated in young people, due to the tone of the podboriddia, the circular mass of the rota and the atrophy of the alveolar ridge. Such a rank, widening (potovschuvati) basis with a larger world is necessary in case of significant atrophy of the alveolar outgrowth and weak tone of the named mucosa.



Zovnishny viglyad Individual spoon for upper and lower slots.

ETAPI to get functional video bits


Assessment of anatomical and topographic features of the prosthetic bed

Removing the front viewer and models for making an individual hard spoon

Preparing the front model, preparing an individual spoon


Disclaimer of a functional video beat

Topic # 5: Probe Herbst
Hit Herbst. Neutral zone, between, їх values.
Probe Herbst with the knowledge of the functional viewer is required for the design of large edges and the visualization of the valve zone. Tests are carried out at the registration of the edges of the functional test with a silikon main mass, polyvinylsiloxane mass, wax or thermomass.

probi Herbst


Functional probes

ZONY COREKTSI

LOWER SLIP:

1. Kovtannya and wider company.

The edge is away from the back of the hump to

slit-pid'yazicovaya line.

The edge of the hump to the city, de bude

stand another molar.


2. Carry out my money on chervon_y

oblivion of the lower lip.


The edge where you are

pіd'yazikoї lіnії.


3. Touch the tongue tip to

cheeks with a closed mouth.


The edge of the peasant region on

1 cm from the middle line.


4. Visunuti language right up to

nose tip.


The edge of the tongue bridle.

5. active hands mіmіchnoї

musculature, lip vitality

forward.


The edge of the city and in the region

buccal-gingival bands.


UPPER SLIP:

1. The company is wide open.

The edge from the hillock to the buccal

ash strands.


2. Vmoktuvannya shik.

The edge in the area of ​​cheek-ash

heavy


3. Vityaguvannya lips.

Edge in the front view.

valve zone - mucous membrane ruchomies, which take part in the fixation of the valve hitch along the edge of the prosthesis.
NEUTRAL ZONE- a passive rukhoma (kindly pliable) mucous membrane, yak widen at the viglyadi of swamp of irregular width along the vestibular surface of the upper and lower slit, along the movable surface of the lower slit and along the line "A".

Z Hema of the topography of the mucous membrane.

a - the fold of the front empty of the company is crossed;

6 - neutral zone;

c - nerve mucous membrane of the alveolar outgrowth.

The fold is crossed when the teeth are open (diagram)

1 - active mucous membrane ruchoma;

2 - passive ruchoma (neutral zone);

3 - nerdy.

CORDONA NEUTRAL ZONE
On one side, the place of the transition of the active-ruchomia of the mucous membrane into the passive-rukhoma, tobto crossing fold, Which will show the points of attachment of the small and juvenile muscles to the slit;

From the side - the place of the transition of the passive-ruhomoy mucous into the unruly.

In such a rank, the fold is crossed and the neutral zone is transformed into anatomical approval. It is also not possible to zmіshuvati zzoni to understand the "valve zone".

Neutral zone width:

In the area of ​​the vortex, lips and tongue, cheek-ash and crustacean folds and infantile fossae I do not change 1-3 mm,

At intervals between tsimi approved reach 4-7 mm.

Slime shell in the neutral zone with good fabrics, In yakiy nemaє meat fibers. You can wiggle horizontally and vertically, crawl into folds, albeit all the rucks are passive, win over with a flowing callous force (you can get a grub alien tilo).
VALUE BETWEEN NEUTRAL ZONE
The neutral zone is easy to start when the lips are open, and when the lips are open, the upper (lower to the lower slit) border is clearly visible, and when the mucous membrane is open, the cordon with the nerve is clearly visible. It is more important to start between the neutral zone along the line "A", so that, and the nerve mucus of the hard baby smoothly passes into the slime of the soft baby. The guides for the designation of the central zone are to serve as an infinitesimal hole and a line, which is located at the bottom of the alveolar humps of the upper slit.

The anterior border of the neutral zone passes through the center of the point and of the fossa, and in the gaps between them it looks anteriorly, 2-5 mm along the course of a weakly swiveling sound of the transverse vuzkoy groove, as well as the projection of the transverse ridge of the small bones.

The distal border is over-curved underneath the fossa by 1.5 - 2 mm.

The neutral zone in all cich dlyankas is crooked with the base of the prosthesis.

Topic # 6: Gruntuvannya Vibor of cereal material for otrimannya

functional characteristics
Classification of video beats according to V.I. Gavrilov.

Technique of rejection of functional views.
SCHEME: CLASSIFICATION VIDBITKIV ON E. І. Gavrilov "

functional views
A functional video bit is called a video bit, which displays the tissue of the prosthetic bed before the hour of the function. Functional video beats can be: compressor, obsessed with a finger grip or a grip on the bite of a sick person; decompression(Razvantazhvalnymi), such as to be cleaned without a vice on the fabric of the prosthetic bed; differentiated, to ensure that the selection is made on the periphery of the prosthetic bed in the presence of the functional vitrification.

Compression video beats Slid zastosovuvati in the main on the lower slit, since the diagnosis of a maladaptive, thin mucous membrane. Compressor wedges allow you to trim the relief to the base of the prosthesis, so that you can transfer the jaw vise on a large area kistkovo basis prosthetic bed. This is a positive factor, which helps to preserve the cyst base and to overhaul the atrophy knitted fabric from the overworldly jaw-dropping grip. Ale, with the presence of a mallet with a malleable mucous membrane, it plays the role of a stisle spring, which throws off the prosthesis when the rota is raised and opened. It is also the case that the compression beads are stuck with fluffy and pliable layers of obolonts, if it is important to accurately represent the prosthetic bed.

For a compression beat, it is good to go with low fluidity, with an altogether high degree of viscosity and plasticity of the material (thermoplastic, silikonovy mass and a low degree of slip).

Compression video beats are known when finger vice, with dosed hardware vise and vise bite, If on one of the slit there are few teeth saved.
Decompression(Razvanazhuyut) wedbeats are shown when pliable, fluffy and mucous mucous membrane. At the same time, the basis of the prosthesis is a relieve of an uncompressed mucous membrane, it is positively indicated on the fixation of the prosthesis before the hour of the function of moving and resting. This kind of basis of prostheses is shown to people whose robot is tightly tied with a wash. For the cycle of furnishings, it is important to vrahuvati, but the gripping grip will be unevenly distributed, since the macrorelief of the mucous membrane, the base of the prosthesis will not be based on the relief of the cyst base. Otzhe, zhuvalniy grip, squeezing the mensh of the malleable mucous membrane, will be transferred to the alveolar cyst in the vicinity of the mucous membrane, which is brought up to re-entanglement, as inherited, before the atrophy.

For rozvanazhuє vіdbitka vikorystovuyutsya vіdbitkovі masi with a high degree of plineness. Most acceptable, non-additive polyvinylsiloxane and condensation silikonovy and intermixed - zinc-eugenol and titanium mass.
differentiated for the combination of the building grips is malleable and does not overwhelm the maladjustment of the mucous membrane of the prosthetic bed. With such a mind, the basis of the prosthesis does not slip away for an hour, the function of the move and good cooperation. hard fabrics of the prosthetic bed, making sure that the rіvnomіrny rozpodіl zhuvalnogo vise is secured.

In other words, when a functional screen is removed from a toothless upper slit, a thin layer of a slimy shell with a good rotated vertical performance, it is recommended to use a thin, atrophied, thin layer of a thin layer. Otzhe, check the beat of the need to trim for help two new materials, in small steps plinnost. Technique of rejection of differentiated bits to complete rejection, but the basis of rejection of the necessary form, the basis of the prosthesis is to blame for the rejection of power beats or two-ball alginate mass. The principle of rejecting the beat bit from the surface of the individual spoons in the areas of the mucous membranes with the first low-flowing ball of the impression material, far mechanically visible from the surface of the individual spoons, in the areas of the current zones, yielding to the other thick
For bіlsh chіtkogo vіdobrazhennya relєfu prosthetic field i Institution to mіnіmumu pomilok tehnіchnih etapіv suchasnі dosyagnennya stomatologії in Povny znіmnomu protezuvannі diktuyut neobhіdnіst znyattya dvoh i navіt bіlshe funktsіonalnih vіdbitkіv, Kozeny times vigotovlyayuchi іndivіdualnu spoon bіlsh chіtko pіdhodit to prosthetic box.

SCHEME of the basic basis

Individual vidbit spoons can be made using two methods: direct and indirect.

The method is called direct, in which an impression spoon is drawn from the wax for the bases at the same time without the need for the front on the slit of the sick person.

Such a method is indirectly called, when there is a gap in a sick person in front of him, he knows an anatomical anatomical malignancy from a hips for an additional standard metal spoon. The model is taken from the model, and according to the model in the laboratory, they make a spoon from plastic or some solid material.

However, individual spoons, prepared from anatomical ditches, do not give an accurate representation of crumbly soft tissues, so that a prosthetic base can be developed.

The standard metal spoon is larger than the slot; zzznіlо, hо znіshnі edge of such a spoon, as well as surplus of a bit of mass and wry m'yak_ fabric and do not render their functional status. An individual spoon, prepared for such a slide, anyway, the necessary corrections of the regions. It is necessary to say that such a correction of an individual spoon takes more than an hour from an orthopedic doctor for an hour, but at the same time prepares an individual spoon with wax without a median, on the slit of the sick person.

The method of preparing an individualized spoon with wax was broken by GB Brakhman at the Central Institute of Traumatology and Orthopedics. The technique is awkward, ale vimagaє vminnya i dosvidu.

In the middle, 10 to 15 chilines are used to make such a spoon. Slid vrahuvati, I want a hard whisk for the whole family, all the same, the possibility of deformation of the spoon is not enabled for the hour of heat. Deyakі lykarі, to overcome the deformation of the spoon before the hour of zeal, I recommend gluing the metal powder into the upper spoon or to coat the surface with gypsum. It is recommended to form a wax roller on the lower tray in the center of the alveolar ridge. The spoon is ready for use, as if you don't have to wry your hands with Russia, you do well to settle down on the cracks.

Unimportant to those who have a spoonful of wax, a number of perevag, won’t and suttuvi are half-hearted, who were forced to go to the modification.

Incomplete wax individual spoons fall in the offensive:

  • 1) the temperature rise at 37-38 ° C, depending on the empty temperature of the company; sometimes it is uncomfortable for a doctor, maybe the deformation of the spoon;
  • 2) in the presence of anatomical retention on the gap, it is often more common to see a breakage of a gypsum mallet when the company is empty, since it does not fit correctly into the deformed wax spoon.

I will look at the meaning of the shortcomings of the individual wax spoon, B. R. Vainshtein proponated to make such a spoon from a large amount of hard material, for which the wax spoon is put in a cuvette and replaced with plastic (Fig. 24).

Before the beat, or even with the toothless slit, there are a number of such options:

  • 1) the culprit is guilty, but it is clean, without slime or slime, but it is not porous, it is not guilty but it was pressed until the spoon was drilled;
  • 2) the moment of the transition of a solid day in the middle (line A), it is clearly displayed on the picture; tse kontrolyuyut otrimannyam vidbitka two-point dimming, which is located at the boundary of the transition of solid pidnebinnya in the beetle;
  • 3) the edge of the blame is due to good crumbling, smooth and blame repeat the contours of the transition fold (neutral zone);
  • 4) the evil is guilty of butti vivedeniy z rota tsilim; If a small shmotochka is seen at the edge of the grain, it is not important, but if there is a large breakage, it is not suitable.

For gypsum modeling, mold a spoon with wax, model a small (up to 1 cm) handle with wax in the area of ​​the front teeth, pour the model with a wax spoon into the cuvette, melt the whisk, replace it with plastic, polymerize, do not water, scarlet.

You can make a spoon from self-hardening plastics (Protacryl, Carbodent, Redont) by the method of molding and polymerization in a vise in water at room temperature. Prepare plastic material using the previously described method, like on polyethylene plates, use a thin stick to a thickness of 4 mm. Using a spatula, use a spatula to apply a shape similar to the shape of the upper or lower toothless slit. I will place the plate on the model with an insulating ball "Izokol". і mold.

The hardening of the plastic and the supernatant is subject to an exothermic reaction, as the amount of plastic test required from the gypsum model along the peripheral edge of the spoon is not large. At the moment, it is necessary to re-wrinkle the edge of the spoon. It is recommended to carry out polymerization in the water of room temperature with a grip to remove the deformation of the spoon.

An individual spoon can be trimmed from a standard AKR-P plate, hot waterі crimp by model. Once before the hardening of non-moldings, the plate of the plate will be re-pressed and re-pressed according to the model. The surplus of the plate is cut with knives according to the value of cordons. from surplus

Small. 181. Individual cereal spoon.

a -Zovnishnya surface; b- internal surface; “- the moment of rewiring the spoons.

Rys. 182. Functional flakes, edged with wax

a - blind man from the lower slit; b - malignant from the upper slit.

the plates are to rotate the handle behind the help of a strongly rosy spatula. With polystyrene plates with a thickness of up to 3 mm, it is possible to trim an individual impression tray without the middle on a gypsum model in a pneumatic press with a heating (PPS-1) and polymerizer dry 1) (PS-1) (PS-1).

The individual wedge spoons puts the liquor into the empty company of the sick person, cutting the edge and shape of the thermoplastic mass, vicoristyuchi for the whole of the functional probes of Herbst.

02. When putting in a spoonful of liquor, it is deposited because of the elasticity and crumbling of the mucous membrane of the prosthetic bed.

Pislya otrimannya tsіnnogo funktsionalnogo zalіpka gіpsom and go to edging. The edging is necessary to preserve the volume of the edge of the prosthesis, to prevent the closure of the valve before the hour of the function. The edging is carried out by the offensive rank. A cheeky olivist, having stepped in 2-3 mm from the last edge of the grain, means a line, according to which wax melted in front of the blanks is applied to the edging roller with 2-3 mm wax (Fig. 182).

When the model is rendered off, it will be necessary to secure the neutral zone cordon, which is necessary for the valve zone. The edging helps the dental technician to save from the breakdown of the cordon of the neutral zone with the rosette of the gypsum model, seen for the functional problem, such as the license after having taken the additional functional samples.

functional video beat It was taken to name the video, which shows the tissue of the prosthetic bed for an hour, whether it was lips, shchik, mov. Forward, the method of yogo otrimannya Bula was broken by Schrott in 1864

Classification of video beats.

Most popular Classification of video beats by V.I. Gavrilov... The following basic principles are laid down in the foundation.

1. The principle of the consistency of laboratory and clinical trials in the preparation of prostheses. At the first stage of production, the display bits are displayed in front of the front (original) and residual. The front wedges are marked with a standard spoon. Behind it, diagnostic models of the slit are seen, which allow the vivification of the teeth between the dentition, alveolar ridges toothless, Relief of the hard palate and іnshі specialties, which may be meaningful for the establishment of diagnosis, folding the preparation plan of the empty company to the prosthetics and the very plan of the prosthetics. Qia f the technique allows for a value of approximately i vigotity individual spoon ... I see the model for the residual cdits.

2. The way of registration of the edges of the video, allowing the prosthesis of the mother to lock the circular valve, which will prevent the steps of the fix. Depending on the anatomy functional video beats .

For the method of registration of territories Є.І. Gavrilov podіlyaє functional video beats , Issued for help:

A) passive rukhiv;

B) chewing and іnshih rukhiv;

B) functional tests.

Mіzh anatomical and functional video beats it is impossible to draw a clear line. By the way, purely anatomical views are dumb. Otrimuyuchi vіdbitok standard spoon, when the edge is formed, it is necessary to corrode with functional (though not sufficiently primed) samples. From the side, functional video presenting a negative image of anatomical statements (alveolar cushion, alveolar tubercle, transverse inferior folds, etc.) That is quite natural, well functional video there are signs of anatomical, and navpaki.

3. The steps of the vice or the steps of the mucous membrane.

Behind the step її її ї ї ї і ї і і ї і і ї і ї і ї ї ї ї ї ї і ї і і ї і і ї і і і і і і і і і і і і і і і і і і і і і

1) Compressor or otrimanі pіd in a vice, as it can be dovіlny, zhuvalnyh, dosed;

2) differentiation (combination);

Individual spoons.

With any kind of key minds from a toothless slit, there is a sign of only functional video individual spoon.

Individual spoons can be prepared from:

1) metal (steel, aluminum) by stamping method;

2) plastics:

A) basic (Ftorax, Etakrila, Yarokrom) by the polymerization method;

B) shvidkotverdіyuchoї (Redont, Protacryl) by the method of vіlnoї molding;

c) standard plastic plates AKR-P;

D) Light-cured plastics;

3) gel-cured materials are polymerized in special chambers, for example, in the form of gel-tubes;

4) thermoplastic slabs (Stens);

5) wax.

individual spoons vigotovlyayut laboratory path or bezposeredno with ailing.


Making an individual spoon with a plastic laboratory trail.

In general, with a standard spoon, anatomical problems are known and a new model is displayed. On the model dental technician is the plant of mezhi maybutny individual spoons.

On the upper slit between the spoon, pass from the vestibular side along the transition fold, not reaching the most important point of the crypt by 1-2 mm. On the distal side of the von, the upper slit humps are curved and pass along the line "A" 1-2 mm behind the inferior fossae.

On the lower slit between the spoon, pass from the vestibular side along the transitional fold, not reaching 1-2 mm to the most important point of the crypt, bypassing when there is a lot of weight and the lip of the lip. In the retromolar area, the mucous hump grows behind the mucous hump, twisting it by 1-2 mm.

On the tongue side of the spoon, it overturns the dilyanka, which resembles the retroalveolar region (bezel-less tricycle), not reaching the most important space of the lazyk space by 1-2 mm and firing at the tongue end.

It can be seen from the foretelling that і on the upper, і on the lower slit border of individual spoons pass 2-3 mm less than the prosthesis cordons. Cement in order to waste a place for malignant material. Vitish the bad material with the help of the edge of the board. I, navpaki, distal to the cordon of the spoon are guilty of being larger than the cordon of the prosthesis in order to make the anatomical approval, such as the arrangement of the distal edge of the prosthesis, kindly carved with the knowledge of the wedge.

The painting is applied between the teeth technique, the model is covered with an insulating varnish "Izokol" and an attack before preparing an individual spoon from shvidkotverdіyuchoї abo basic plastics.

for preparing an individual spoon From the hard plastic plastics, I will need to reduce the amount of material to the same stage and to use the plate for the shape of the upper or lower slit, as it is squeezed on the model by the hardening of the cord. Use small pieces of plastic "dough" to grind the handle perpendicular to the surface of the spoon, and not nagging forward. Such a handle does not fit in the decoration of the edges of the vidbit. If on the lower slit the alveolar part is markedly atrophied and the spoon has gone into the upper part, then the handle is made of a larger width, smaller to the premolar: with such a hand, the finger of the doctor will not deform the edge of the crack, if

For hardening of plastic (10-15 minutes), the spoon is known from the model and cut with cutters and carborundum heads ( individual spoon DO NOT polish), the stitches behind the timbers, the edges of the spoon were like the cordons, we mean on the model. The edge of the spoon is to blame for not less than 1.5 mm, for that, with a larger thin edge, it is important to trim the edge of the bead.

individual spoon it is possible to vigotoviti with basic plastic by the polymerization method. For a full rosіgrіtu plate of wax is squeezed according to the model, inflating the form of the impression spoon, the excess wax is drawn with a spatula according to the values ​​of cordons. Put the wax-shaped spoon into a cuvette in a rotary way and replace it with plastic.

When prepared spoons from plastic AKR-P, the standard plates are crimped in hot water and crimped according to the model. The surplus is cut with knives for the production of a type of dish. The handle is made from the material and glued to the spoon with a hot spatula (plastic is from heat to melt and burn).

Individual spoons made of plastic go to hard spoons. The stench can be boozy, so it is like spoons of thermoplastic masses, for the sake of compression grains.

Perevagi and shortcomings of individual plastic spoon spoons... Plastic spoons are hard, do not deform in an empty company, ale, like or be-like spoons, prepared with a laboratory path (in two steps), to make a subtle correction in an empty company. In addition, spoons, prepared in such a rank, give a change to the image of soft fabrics, so that the stench of pressure and stretching for an hour to remove the anatomical malignancy.

Wax individual spoons on the upper and lower slot

Individual spoons with wax It is possible to prepare it as a laboratory way, so it is without the middle in an empty company. The wax spoons for the CITO method are drawn in one single window without the middle on the slit of the prosthesis. Such spoons are more accurate, lower than individual, and are prepared for anatomical malignancy, so that the stench seems to represent the soft tissue of the prosthetic bed in a quiet place. There are not enough such spoons - those that have a soft whisk deform for an hour when they are put in an empty company and if they know the winder (do not show the grip), then with a wax spoon you can only know the decompression of the winder. individual spoons Necessarily due to the fact that by some method і from what material the stench of the boule was taken out, guilty, but it was stored in the empty company. The spoon is correctly fitted and soak until it cracks and does not appear when lips collapse or cheeks. Our land has a wide expansion of Nabula method of attaching individual spoons from vikorystannyam functional tests of Herbst.

Five samples are taken on the lower slit:

1) company і wider opening of the company;

2) move the roach to the side along the reddish lumps of the upper and lower lips;

3) touch the tongue tip to the cheek when the mouth is closed;

4) fold the tip of the tongue forward behind the lips at right angles to the tip of the nose;

5) vityaguvannya lips forward.

On the upper slit, there are three probes:

1) wider opening of the company;

2) wetting the cheeks;

3) changing the lips forward (vityaguvannya).


Otrimannya funktsionalnogo vidbitka.

After putting in an individual spoon, proceed to the removal of the functional video beat.

Otrimannya vidbitka is stored from the onset of stages:

1) fitting an individual spoon;

2) applying the impression mass to the spoon;

3) the introduction of a spoon with a mass into the empty company;

4) the formulation of the edges of the screen and the carrying out of functional tests;

5) Vvedennya vidbitka and yogo assessment.

Maє buti is accepted as a rule, scho functional video In order to preserve a good fixation of the prosthesis, it is possible to correct only in the same way, as on the anatomical image of the image of all the structures of the prosthetic field and the function of the functional features of the tissues that make up the prosthesis bed. When rejected functional viewer stink only to be specified.

Decompression and compression video beats.

Estimate the value of the compression abrasion, the wedge is tied with the fixation of the prosthesis and injected onto the mucous membrane of the prosthetic bed. However, the value of this technique is to start the prosthesis injected to interrupt the process of atrophy of the alveolar outgrowth.

Decompression (decompression) video beats otrimuyut without a grip, or with the minimum grip of a bit of mass on the fabric of the prosthetic bed.

In a short time, the vandalization of the bead is not enough for the buffer zone and the hard palate to be squeezed, and all the grip of the prosthesis is transferred to the alveolar outgrowth, due to its atrophy.

When the decompression winch is rejected, the malignant material is guilty without causing the skin detail of the mucous membrane of the empty mouth, so that the microrelief of the base of the prosthesis exactly matches the structures of the surface of the prosthetic bed. To that, such video beats can be rejected for the help of others, but they will not be very smart and not for the nobility of the great Zusillian. To such masses, silikonovy mouths of low viscosity are introduced: ekzaflex, xanthoprene, alfazil, and also zinkoxidevgenol mouth. The beat-up, which is taken off during the vicarious hypothesis (according to Brahman), will make sure that the relief of the surface of the tissues of the prosthetic bed is not provided. If you authorize it, if you have drilled a hole in the bit hole for overflowing the excess material, then you yourself can change the grip of the impression paste on the mucous membrane.

Seemingly, the fixation of prostheses, in preparation for decompression beat-ups, is weak, even the stench may be victorious with the presence of singing indications.

Prior to such indications, follow:

1) signifies abnormal atrophy of alveolar outgrowths and mucous membranes;

2) the sensitivity of the mucous membrane is adjusted;

3) the mucous membrane of the prosthetic bed is pivotally compliant.

Compression video beats insured against the viscous compliance of the mucous membrane, which is known in a great vice, which will prevent the squeezing of the buffer zones. If we talk about the compression wedge, then in the first place, there will be a lot of pressure on the court of the prosthetic bed. The change in the amount of fabric, її vertical pliability is found in the straight fallowness along the steps of the riverbed. Stagnation of compression bits is recommended if there is a fluffy mucous membrane, as it has good performance.

A prosthesis, prepared using a compression wedge, does not nest the alveolar ridge; zhuvannya vіn pose spiraling only on the fabric of the buffer zones, yak on the pillows. When the jaw grips pour in, the buffer zones drain out of the blood, the prosthesis sits down and transfers the grip not only to the buffer zone, but to the alveolar part. In such a rank, the alveolar outgrowth grows out, and the atrophy does not occur.

The prosthesis, made using a compression wedge, has a good fixation, so the mucous membrane of the valve zone is malleable and is in greater contact with the edges of the prosthesis.

Compressor video beat without interruption I will make sure that the sudinum of the mucous membrane of the hard palate is healthy and spilled. To reject such a beat, it is necessary to take the singing minds:

1) a spoon is required;

2) zyattya vidbitka can be carried out for an additional mass with low plinth or thermoplastic mass;

3) the compression is guilty of being without interruption, if they are pinched only because of the fact that the mass is hardened. Bezperervn_st is possible to preserve the hands of the zusilli (more vise). If you do not correctly and correctly know the compression beat from the jaw grip of the jaws, you will not be able to use the lower slit, so that by the grip of the bite, as if the patient himself is allowed bed and jaw muscles.

for rejection of the functional video beat to corrode with thermoplastic masses, such as yak dentofol, adolescent, orthoplast і ін.

The success of the consumption of thermoplastic masses is explained by the coming authorities:

1) the stench may podvizhen the phase of plasticity, so that it allows to carry out functional tests, which are necessary for the removal of the correct video beat;

2) for an hour they have one and the same consistency;

3) the stench doesn’t come out in the sleepless;

4) smoothly release the vice;

5) allow the multiple insertion of a video beat into the empty company and carry out a correction, so that new parts of the mass get angry with the old parts, as they do not deform the video beat.

However, thermoplastic masses are volodyytny incomplete. To them, the following should be mentioned: inaccurate display during a period of low plineness; deformation in the presence of retention points. When cooled by water, the stench is unevenly hard and may deform when the company is empty.

It should be seen that in case of vicarious overhaul of the methods of rejecting the vidbit in the row of vipadks it will not be possible to secure the complete functional imaging of the prosthetic field. The tissues of the prosthetic field and the feeling of active muses are not the same in terms of the relief, common communication, physiological status before the hour of pregnancy, and also dob with a stretch. The great influx into the camp of the prosthetic bed and the sensual muses of the people is also the physical and emotional camp of the people. Yaky bi method of knowledge of the denture is not a problem, it is necessary to further attach the base of the prosthesis to the tissues of the prosthetic field, to improve the dentition and force of the jaw grip, as well as to adapt the prosthesis to the prosthesis.

There is a great deal of development of key minds for prosthetics and the need for a differentiated viewer. A slid of vikhoditi from the out-of-the-box position about those who are not the only method shown in all types of people. In connection with the cym of ways of attracting the beats into a specific skin type, it is necessary to select from the urahuvannya of the sick, constitutional and individual features of the tissue, so that in all types of cases the necessary differentiation is required. In quiet cases, if the tissues of the prosthetic bed on the small dalyankas are not the same in terms of their profile and budova, then the biophysical power of the skin from the elements of the prosthetic bed. When the fabric is removed from the fabric, it’s not the fault of the overpowering, at that time it’s the fabric of the fabricated areas (in the area of ​​the torus, the incisal papilla, etc.).

Vibrating grip on loose tissue in the presence of anatomical and functional features and biophysical powers can be meaningful in connection with the need to prevent early atrophy of soft tissue

Otzhe, in the presence of anatomical and physiological features of the prosthetic bed, it is possible to remove the visualization of the mucous membrane in different functional mills. At the same time, it is recommended to remove malignancies in case of thin, atrophic and superficially malleable ("bumping" comb) slimy obolonts. Compressive cereals are indicated for fluffy, kindly pliable mucous membranes. It is possible to achieve a short effect, only stagnant differentiation of cereals, eliminated with a small step of compression of the mucous membrane, with urahuvannya ї ї pliability in the small dylyankas of the prosthetic bed.


Vimogi to a functional viewer:

1) hard-to-read and clear display of the surface of the mucous membrane of the prosthetic bed without the slitting of the plates for an hour;

2) mother to the edge and ball of the base material by assigning spoons;

3) mothers more accurately represent the line "A" and the dimples;

4) the edge of the bend is smooth and rounded;

5) when the company is empty, the beater is guilty of being driven completely.

Forks of robotic models.

To make a copy of the video beat, proceed to its assessment: to reverse, if not the pressures of the material in any kind of dilenks, a kindly decorated edge, such as a space. Do not allow the appearance of feasts. We'll help you visually start up the force of the video beat. In order to insert the shot into the empty company, press down to the prosthetic bed and use the handle of the spoon to wrap up and out of the bed. If you try to force yourself, then it means that the fix is ​​good. At the same time, as long as all of them are dotrimans, the video beats are transferred to the laboratory for further robotics.

To reduce the damage of the valve zone on the model before the opening hour, the edging of the edges is required. Її to spend at such a way. On the 3-5 mm lower edge of the bead, the wax is scoured with a thickness of 2-3 mm and a width of 5 mm. Write the model in a very special way. Dental technician, forming the model, saw excess gips only in the fringing boundaries, they themselves do not destroy the mucous membrane of the transition fold, in which the edge of the wedge is placed. When the model is removed, the check is tidied up, and along the edge of the model there is a check, the border is functionally framed and the valve zone is extensively added. In the event of a damaged transitional fold, the modeling of the edge of the prosthesis, as far as the valve zone, becomes uncomfortable, so that the edge lags the valve due to the defect, which leads to the failure of the prosthesis fixation.

The preparation of gypsum models of toothless slots of the trocha is seen from the preparation of such models for important prostheses in case of partial defects in the dentition. Models with toothless slits are used for special engraving.

Use a spatula to clean the visible humps and build-ups with a spatula. The stench comes from the presence of small bulbs on the surface of the grain. For a spilnoy reversal, the model of the upper slit is prepared to the leaflet of the peripheral valve on the patient's surface.

With a spatula, in the area of ​​the transition of a solid bottom in the meat, a small ball of gypsum 0.5-1.0 mm in size and width is played. Similarly, the model is gravitated before being installed on the cordon of the prosthesis before it is worn, as it is covered in pliable tissue. The release of soft tissues on the valve zone leads to the stem of the patient's valve for the prosthesis on the upper slit.