Fixed-Removable Combination Treatment - Dr. Chikunov.pdf

Combination Fixed & Removable Treatment Igor Chikunov DDS Diagnostic Considerations Comprehensive examination • FMS • Caries detection • Perio charting • Edentulous ridge • Diagnostic casts mounted Appointment 1 Appointment 2 Preliminary Impressions 2 maxillary & 2 mandibular Interocclusal rec...

Combination Fixed & Removable Treatment Igor Chikunov DDS Diagnostic Considerations Comprehensive examination • FMS • Caries detection • Perio charting • Edentulous ridge • Diagnostic casts mounted Appointment 1 Appointment 2 Preliminary Impressions 2 maxillary & 2 mandibular Interocclusal records Evaluation of abutment teeth for RPD • Consider crown:root ratio, vital v nonvital, periodontal support etc. Diagnosis/Treatment plan/Consent Diagnostic casts, Fabricate record bases and wax rims Articulate Diagnostic Casts Survey the diagnostic cast 1. 2. 3. 4. Antero-posterior tilt Mediolateral tilt Determination of the path of insertion & needed guide planes Determination of tissue (hard and soft) undercuts Submit for design approval… Draw approved design on 2nd cast with survey lines and wax up survey crowns to ideal outline. • • • Appointment 3 Appointment 4 Prepare and provisionalise the abutment teeth requiring survey crowns Make final impressions for fix survey crown Interocclusal records Shade selection Abutment teeth to be prepared for survey crowns Abutment teeth to be modified (with no coverage) Major connector etc Final impression to lab for pouring Fabricate record base on master cast if needed • Record bases made on diagnostic casts are not acceptable • If opposing ridge is completely edentulous, must have denture tooth arrangement at acceptable plane of occlusion completed Master cast mounted in the laboratory after cast pindexing Rx to laboratory • Detailed communication with lab regarding survey lines, rest seats, guide planes etc. Appointment 5 Try in and cementation of fixed components Verification of final restorations (impression and survey) Fabricate custom tray/s for RPD impression Appointment 6 Abutment teeth preparations (rest seats, guideplanes etc.) Border molding and final impression for RPD Try in framework Add wax rims and obtain interocclusal records Select shade and mold of denture teeth Tooth arrangement try in Occlusal verification Deliver RPD Follow up and recall Final impression to lab for boxing and pouring Survey master cast, mark undercuts and tripod Rx for framework fabrication Mount master cast/s on articulator Rx for artificial tooth arrangement Appointment 7 Appointment 8 Appointment 9 Appointment 10 Rx for processing RPD Appointment 1 Appointment 2 Preliminary Impressions 2 maxillary & 2 mandibular Interocclusal records Evaluation of abutment teeth for RPD • Consider crown:root ratio, vital v nonvital, periodontal support etc. Diagnosis/Treatment plan/Consent Diagnostic casts, Fabricate record bases and wax rims Articulate Diagnostic Casts Survey the diagnostic cast 1. 2. 3. 4. Antero-posterior tilt Mediolateral tilt Determination of the path of insertion & needed guide planes Determination of tissue (hard and soft) undercuts Submit for design approval… Draw approved design on 2nd cast with survey lines and wax up survey crowns to ideal outline. • • • Appointment 3 Appointment 4 Prepare and provisionalise the abutment teeth requiring survey crowns Make final impressions for fix survey crown Interocclusal records Shade selection Abutment teeth to be prepared for survey crowns Abutment teeth to be modified (with no coverage) Major connector etc Final impression to lab for pouring Fabricate record base on master cast if needed • Record bases made on diagnostic casts are not acceptable • If opposing ridge is completely edentulous, must have denture tooth arrangement at acceptable plane of occlusion completed Master cast mounted in the laboratory after cast pindexing Rx to laboratory • Detailed communication with lab regarding survey lines, rest seats, guide planes etc. Appointment 5 Try in and cementation of fixed components Verification of final restorations (impression and survey) Fabricate custom tray/s for RPD impression Appointment 6 Abutment teeth preparations (rest seats, guideplanes etc.) Border molding and final impression for RPD Try in framework Add wax rims and obtain interocclusal records Select shade and mold of denture teeth Tooth arrangement try in Occlusal verification Deliver RPD Follow up and recall Final impression to lab for boxing and pouring Survey master cast, mark undercuts and tripod Rx for framework fabrication Mount master cast/s on articulator Rx for artificial tooth arrangement Appointment 7 Appointment 8 Appointment 9 Appointment 10 Rx for processing RPD Appointment 1 Appointment 2 Preliminary Impressions 2 maxillary & 2 mandibular Interocclusal records Evaluation of abutment teeth for RPD • Consider crown:root ratio, vital v nonvital, periodontal support etc. Diagnosis/Treatment plan/Consent Diagnostic casts, Fabricate record bases and wax rims Articulate Diagnostic Casts Survey the diagnostic cast 1. 2. 3. 4. Antero-posterior tilt Mediolateral tilt Determination of the path of insertion & needed guide planes Determination of tissue (hard and soft) undercuts Submit for design approval… Draw approved design on 2nd cast with survey lines and wax up survey crowns to ideal outline. • • • Appointment 3 Appointment 4 Prepare and provisionalise the abutment teeth requiring survey crowns Make final impressions for fix survey crown Interocclusal records Shade selection Abutment teeth to be prepared for survey crowns Abutment teeth to be modified (with no coverage) Major connector etc Final impression to lab for pouring Fabricate record base on master cast if needed • Record bases made on diagnostic casts are not acceptable • If opposing ridge is completely edentulous, must have denture tooth arrangement at acceptable plane of occlusion completed Master cast mounted in the laboratory after cast pindexing Rx to laboratory • Detailed communication with lab regarding survey lines, rest seats, guide planes etc. Appointment 5 Try in and cementation of fixed components Verification of final restorations (impression and survey) Fabricate custom tray/s for RPD impression Appointment 6 Abutment teeth preparations (rest seats, guideplanes etc.) Border molding and final impression for RPD Try in framework Add wax rims and obtain interocclusal records Select shade and mold of denture teeth Tooth arrangement try in Occlusal verification Deliver RPD Follow up and recall Final impression to lab for boxing and pouring Survey master cast, mark undercuts and tripod Rx for framework fabrication Mount master cast/s on articulator Rx for artificial tooth arrangement Appointment 7 Appointment 8 Appointment 9 Appointment 10 Rx for processing RPD Appointment 1 Appointment 2 Preliminary Impressions 2 maxillary & 2 mandibular Interocclusal records Evaluation of abutment teeth for RPD • Consider crown:root ratio, vital v nonvital, periodontal support etc. Diagnosis/Treatment plan/Consent Diagnostic casts, Fabricate record bases and wax rims Articulate Diagnostic Casts Survey the diagnostic cast 1. 2. 3. 4. Antero-posterior tilt Mediolateral tilt Determination of the path of insertion & needed guide planes Determination of tissue (hard and soft) undercuts Submit for design approval… Draw approved design on 2nd cast with survey lines and wax up survey crowns to ideal outline. • • • Appointment 3 Appointment 4 Prepare and provisionalise the abutment teeth requiring survey crowns Make final impressions for fix survey crown Interocclusal records Shade selection Abutment teeth to be prepared for survey crowns Abutment teeth to be modified (with no coverage) Major connector etc Final impression to lab for pouring Fabricate record base on master cast if needed • Record bases made on diagnostic casts are not acceptable • If opposing ridge is completely edentulous, must have denture tooth arrangement at acceptable plane of occlusion completed Master cast mounted in the laboratory after cast pindexing Rx to laboratory • Detailed communication with lab regarding survey lines, rest seats, guide planes etc. Appointment 5 Try in and cementation of fixed components Verification of final restorations (impression and survey) Fabricate custom tray/s for RPD impression Appointment 6 Abutment teeth preparations (rest seats, guideplanes etc.) Border molding and final impression for RPD Try in framework Add wax rims and obtain interocclusal records Select shade and mold of denture teeth Tooth arrangement try in Occlusal verification Deliver RPD Follow up and recall Final impression to lab for boxing and pouring Survey master cast, mark undercuts and tripod Rx for framework fabrication Mount master cast/s on articulator Rx for artificial tooth arrangement Appointment 7 Appointment 8 Appointment 9 Appointment 10 Rx for processing RPD Appointment 1 Appointment 2 Preliminary Impressions 2 maxillary & 2 mandibular Interocclusal records Evaluation of abutment teeth for RPD • Consider crown:root ratio, vital v nonvital, periodontal support etc. Diagnosis/Treatment plan/Consent Diagnostic casts, Fabricate record bases and wax rims Articulate Diagnostic Casts Survey the diagnostic cast 1. 2. 3. 4. Antero-posterior tilt Mediolateral tilt Determination of the path of insertion & needed guide planes Determination of tissue (hard and soft) undercuts Submit for design approval… Draw approved design on 2nd cast with survey lines and wax up survey crowns to ideal outline. • • • Appointment 3 Appointment 4 Prepare and provisionalise the abutment teeth requiring survey crowns Make final impressions for fix survey crown Interocclusal records Shade selection Abutment teeth to be prepared for survey crowns Abutment teeth to be modified (with no coverage) Major connector etc Final impression to lab for pouring Fabricate record base on master cast if needed • Record bases made on diagnostic casts are not acceptable • If opposing ridge is completely edentulous, must have denture tooth arrangement at acceptable plane of occlusion completed Master cast mounted in the laboratory after cast pindexing Rx to laboratory • Detailed communication with lab regarding survey lines, rest seats, guide planes etc. Appointment 5 Try in and cementation of fixed components Verification of final restorations (impression and survey) Fabricate custom tray/s for RPD impression Appointment 6 Abutment teeth preparations (rest seats, guideplanes etc.) Border molding and final impression for RPD Try in framework Add wax rims and obtain interocclusal records Select shade and mold of denture teeth Tooth arrangement try in Occlusal verification Deliver RPD Follow up and recall Final impression to lab for boxing and pouring Survey master cast, mark undercuts and tripod Rx for framework fabrication Mount master cast/s on articulator Rx for artificial tooth arrangement Appointment 7 Appointment 8 Appointment 9 Appointment 10 Rx for processing RPD Appointment 1 Appointment 2 Preliminary Impressions 2 maxillary & 2 mandibular Interocclusal records Evaluation of abutment teeth for RPD • Consider crown:root ratio, vital v nonvital, periodontal support etc. Diagnosis/Treatment plan/Consent Diagnostic casts, Fabricate record bases and wax rims Articulate Diagnostic Casts Survey the diagnostic cast 1. 2. 3. 4. Antero-posterior tilt Mediolateral tilt Determination of the path of insertion & needed guide planes Determination of tissue (hard and soft) undercuts Submit for design approval… Draw approved design on 2nd cast with survey lines and wax up survey crowns to ideal outline. • • • Appointment 3 Appointment 4 Prepare and provisionalise the abutment teeth requiring survey crowns Make final impressions for fix survey crown Interocclusal records Shade selection Abutment teeth to be prepared for survey crowns Abutment teeth to be modified (with no coverage) Major connector etc Final impression to lab for pouring Fabricate record base on master cast if needed • Record bases made on diagnostic casts are not acceptable • If opposing ridge is completely edentulous, must have denture tooth arrangement at acceptable plane of occlusion completed Master cast mounted in the laboratory after cast pindexing Rx to laboratory • Detailed communication with lab regarding survey lines, rest seats, guide planes etc. Appointment 5 Try in and cementation of fixed components Verification of final restorations (impression and survey) Fabricate custom tray/s for RPD impression Appointment 6 Abutment teeth preparations (rest seats, guideplanes etc.) Border molding and final impression for RPD Try in framework Add wax rims and obtain interocclusal records Select shade and mold of denture teeth Tooth arrangement try in Occlusal verification Deliver RPD Follow up and recall Final impression to lab for boxing and pouring Survey master cast, mark undercuts and tripod Rx for framework fabrication Mount master cast/s on articulator Rx for artificial tooth arrangement Appointment 7 Appointment 8 Appointment 9 Appointment 10 Rx for processing RPD Appointment 1 Appointment 2 Preliminary Impressions 2 maxillary & 2 mandibular Interocclusal records Evaluation of abutment teeth for RPD • Consider crown:root ratio, vital v nonvital, periodontal support etc. Diagnosis/Treatment plan/Consent Diagnostic casts, Fabricate record bases and wax rims Articulate Diagnostic Casts Survey the diagnostic cast 1. 2. 3. 4. Antero-posterior tilt Mediolateral tilt Determination of the path of insertion & needed guide planes Determination of tissue (hard and soft) undercuts Submit for design approval… Draw approved design on 2nd cast with survey lines and wax up survey crowns to ideal outline. • • • Appointment 3 Appointment 4 Prepare and provisionalise the abutment teeth requiring survey crowns Make final impressions for fix survey crown Interocclusal records Shade selection Abutment teeth to be prepared for survey crowns Abutment teeth to be modified (with no coverage) Major connector etc Final impression to lab for pouring Fabricate record base on master cast if needed • Record bases made on diagnostic casts are not acceptable • If opposing ridge is completely edentulous, must have denture tooth arrangement at acceptable plane of occlusion completed Master cast mounted in the laboratory after cast pindexing Rx to laboratory • Detailed communication with lab regarding survey lines, rest seats, guide planes etc. Appointment 5 Try in and cementation of fixed components Verification of final restorations (impression and survey) Fabricate custom tray/s for RPD impression Appointment 6 Abutment teeth preparations (rest seats, guideplanes etc.) Border molding and final impression for RPD Try in framework Add wax rims and obtain interocclusal records Select shade and mold of denture teeth Tooth arrangement try in Occlusal verification Deliver RPD Follow up and recall Final impression to lab for boxing and pouring Survey master cast, mark undercuts and tripod Rx for framework fabrication Mount master cast/s on articulator Rx for artificial tooth arrangement Appointment 7 Appointment 8 Appointment 9 Appointment 10 Rx for processing RPD Appointment 1 Appointment 2 Preliminary Impressions 2 maxillary & 2 mandibular Interocclusal records Evaluation of abutment teeth for RPD • Consider crown:root ratio, vital v nonvital, periodontal support etc. Diagnosis/Treatment plan/Consent Diagnostic casts, Fabricate record bases and wax rims Articulate Diagnostic Casts Survey the diagnostic cast 1. 2. 3. 4. Antero-posterior tilt Mediolateral tilt Determination of the path of insertion & needed guide planes Determination of tissue (hard and soft) undercuts Submit for design approval… Draw approved design on 2nd cast with survey lines and wax up survey crowns to ideal outline. • • • Appointment 3 Appointment 4 Prepare and provisionalise the abutment teeth requiring survey crowns Make final impressions for fix survey crown Interocclusal records Shade selection Abutment teeth to be prepared for survey crowns Abutment teeth to be modified (with no coverage) Major connector etc Final impression to lab for pouring Fabricate record base on master cast if needed • Record bases made on diagnostic casts are not acceptable • If opposing ridge is completely edentulous, must have denture tooth arrangement at acceptable plane of occlusion completed Master cast mounted in the laboratory after cast pindexing Rx to laboratory • Detailed communication with lab regarding survey lines, rest seats, guide planes etc. Appointment 5 Try in and cementation of fixed components Verification of final restorations (impression and survey) Fabricate custom tray/s for RPD impression Appointment 6 Abutment teeth preparations (rest seats, guideplanes etc.) Border molding and final impression for RPD Try in framework Add wax rims and obtain interocclusal records Select shade and mold of denture teeth Tooth arrangement try in Occlusal verification Deliver RPD Follow up and recall Final impression to lab for boxing and pouring Survey master cast, mark undercuts and tripod Rx for framework fabrication Mount master cast/s on articulator Rx for artificial tooth arrangement Appointment 7 Appointment 8 Appointment 9 Appointment 10 Rx for processing RPD Appointment 1 Appointment 2 Preliminary Impressions 2 maxillary & 2 mandibular Interocclusal records Evaluation of abutment teeth for RPD • Consider crown:root ratio, vital v nonvital, periodontal support etc. Diagnosis/Treatment plan/Consent Diagnostic casts, Fabricate record bases and wax rims Articulate Diagnostic Casts Survey the diagnostic cast 1. 2. 3. 4. Antero-posterior tilt Mediolateral tilt Determination of the path of insertion & needed guide planes Determination of tissue (hard and soft) undercuts Submit for design approval… Draw approved design on 2nd cast with survey lines and wax up survey crowns to ideal outline. • • • Appointment 3 Appointment 4 Prepare and provisionalise the abutment teeth requiring survey crowns Make final impressions for fix survey crown Interocclusal records Shade selection Abutment teeth to be prepared for survey crowns Abutment teeth to be modified (with no coverage) Major connector etc Final impression to lab for pouring Fabricate record base on master cast if needed • Record bases made on diagnostic casts are not acceptable • If opposing ridge is completely edentulous, must have denture tooth arrangement at acceptable plane of occlusion completed Master cast mounted in the laboratory after cast pindexing Rx to laboratory • Detailed communication with lab regarding survey lines, rest seats, guide planes etc. Appointment 5 Try in and cementation of fixed components Verification of final restorations (impression and survey) Fabricate custom tray/s for RPD impression Appointment 6 Abutment teeth preparations (rest seats, guideplanes etc.) Border molding and final impression for RPD Try in framework Add wax rims and obtain interocclusal records Select shade and mold of denture teeth Tooth arrangement try in Occlusal verification Deliver RPD Follow up and recall Final impression to lab for boxing and pouring Survey master cast, mark undercuts and tripod Rx for framework fabrication Mount master cast/s on articulator Rx for artificial tooth arrangement Appointment 7 Appointment 8 Appointment 9 Appointment 10 Rx for processing RPD Appointment 1 Appointment 2 Preliminary Impressions 2 maxillary & 2 mandibular Interocclusal records Evaluation of abutment teeth for RPD • Consider crown:root ratio, vital v nonvital, periodontal support etc. Diagnosis/Treatment plan/Consent Diagnostic casts, Fabricate record bases and wax rims Articulate Diagnostic Casts Survey the diagnostic cast 1. 2. 3. 4. Antero-posterior tilt Mediolateral tilt Determination of the path of insertion & needed guide planes Determination of tissue (hard and soft) undercuts Submit for design approval… Draw approved design on 2nd cast with survey lines and wax up survey crowns to ideal outline. • • • Appointment 3 Appointment 4 Prepare and provisionalise the abutment teeth requiring survey crowns Make final impressions for fix survey crown Interocclusal records Shade selection Abutment teeth to be prepared for survey crowns Abutment teeth to be modified (with no coverage) Major connector etc Final impression to lab for pouring Fabricate record base on master cast if needed • Record bases made on diagnostic casts are not acceptable • If opposing ridge is completely edentulous, must have denture tooth arrangement at acceptable plane of occlusion completed Master cast mounted in the laboratory after cast pindexing Rx to laboratory • Detailed communication with lab regarding survey lines, rest seats, guide planes etc. Appointment 5 Try in and cementation of fixed components Verification of final restorations (impression and survey) Fabricate custom tray/s for RPD impression Appointment 6 Abutment teeth preparations (rest seats, guideplanes etc.) Border molding and final impression for RPD Try in framework Add wax rims and obtain interocclusal records Select shade and mold of denture teeth Tooth arrangement try in Occlusal verification Deliver RPD Follow up and recall Final impression to lab for boxing and pouring Survey master cast, mark undercuts and tripod Rx for framework fabrication Mount master cast/s on articulator Rx for artificial tooth arrangement Appointment 7 Appointment 8 Appointment 9 Appointment 10 Rx for processing RPD Appointment 1 Appointment 2 Preliminary Impressions 2 maxillary & 2 mandibular Interocclusal records Evaluation of abutment teeth for RPD • Consider crown:root ratio, vital v nonvital, periodontal support etc. Diagnosis/Treatment plan/Consent Diagnostic casts, Fabricate record bases and wax rims Articulate Diagnostic Casts Survey the diagnostic cast 1. 2. 3. 4. Antero-posterior tilt Mediolateral tilt Determination of the path of insertion & needed guide planes Determination of tissue (hard and soft) undercuts Submit for design approval… Draw approved design on 2nd cast with survey lines and wax up survey crowns to ideal outline. • • • Appointment 3 Appointment 4 Prepare and provisionalise the abutment teeth requiring survey crowns Make final impressions for fix survey crown Interocclusal records Shade selection Abutment teeth to be prepared for survey crowns Abutment teeth to be modified (with no coverage) Major connector etc Final impression to lab for pouring Fabricate record base on master cast if needed • Record bases made on diagnostic casts are not acceptable • If opposing ridge is completely edentulous, must have denture tooth arrangement at acceptable plane of occlusion completed Master cast mounted in the laboratory after cast pindexing Rx to laboratory • Detailed communication with lab regarding survey lines, rest seats, guide planes etc. Appointment 5 Try in and cementation of fixed components Verification of final restorations (impression and survey) Fabricate custom tray/s for RPD impression Appointment 6 Abutment teeth preparations (rest seats, guideplanes etc.) Border molding and final impression for RPD Try in framework Add wax rims and obtain interocclusal records Select shade and mold of denture teeth Tooth arrangement try in Occlusal verification Deliver RPD Follow up and recall Final impression to lab for boxing and pouring Survey master cast, mark undercuts and tripod Rx for framework fabrication Mount master cast/s on articulator Rx for artificial tooth arrangement Appointment 7 Appointment 8 Appointment 9 Appointment 10 Rx for processing RPD Appointment 1 Appointment 2 Preliminary Impressions 2 maxillary & 2 mandibular Interocclusal records Evaluation of abutment teeth for RPD • Consider crown:root ratio, vital v nonvital, periodontal support etc. Diagnosis/Treatment plan/Consent Diagnostic casts, Fabricate record bases and wax rims Articulate Diagnostic Casts Survey the diagnostic cast 1. 2. 3. 4. Antero-posterior tilt Mediolateral tilt Determination of the path of insertion & needed guide planes Determination of tissue (hard and soft) undercuts Submit for design approval… Draw approved design on 2nd cast with survey lines and wax up survey crowns to ideal outline. • • • Appointment 3 Appointment 4 Prepare and provisionalise the abutment teeth requiring survey crowns Make final impressions for fix survey crown Interocclusal records Shade selection Abutment teeth to be prepared for survey crowns Abutment teeth to be modified (with no coverage) Major connector etc Final impression to lab for pouring Fabricate record base on master cast if needed • Record bases made on diagnostic casts are not acceptable • If opposing ridge is completely edentulous, must have denture tooth arrangement at acceptable plane of occlusion completed Master cast mounted in the laboratory after cast pindexing Rx to laboratory • Detailed communication with lab regarding survey lines, rest seats, guide planes etc. Appointment 5 Try in and cementation of fixed components Verification of final restorations (impression and survey) Fabricate custom tray/s for RPD impression Appointment 6 Abutment teeth preparations (rest seats, guideplanes etc.) Border molding and final impression for RPD Try in framework Add wax rims and obtain interocclusal records Select shade and mold of denture teeth Tooth arrangement try in Occlusal verification Deliver RPD Follow up and recall Final impression to lab for boxing and pouring Survey master cast, mark undercuts and tripod Rx for framework fabrication Mount master cast/s on articulator Rx for artificial tooth arrangement Appointment 7 Appointment 8 Appointment 9 Appointment 10 Rx for processing RPD Appointment 1 Appointment 2 Preliminary Impressions 2 maxillary & 2 mandibular Interocclusal records Evaluation of abutment teeth for RPD • Consider crown:root ratio, vital v nonvital, periodontal support etc. Diagnosis/Treatment plan/Consent Diagnostic casts, Fabricate record bases and wax rims Articulate Diagnostic Casts Survey the diagnostic cast 1. 2. 3. 4. Antero-posterior tilt Mediolateral tilt Determination of the path of insertion & needed guide planes Determination of tissue (hard and soft) undercuts Submit for design approval… Draw approved design on 2nd cast with survey lines and wax up survey crowns to ideal outline. • • • Appointment 3 Appointment 4 Prepare and provisionalise the abutment teeth requiring survey crowns Make final impressions for fix survey crown Interocclusal records Shade selection Abutment teeth to be prepared for survey crowns Abutment teeth to be modified (with no coverage) Major connector etc Final impression to lab for pouring Fabricate record base on master cast if needed • Record bases made on diagnostic casts are not acceptable • If opposing ridge is completely edentulous, must have denture tooth arrangement at acceptable plane of occlusion completed Master cast mounted in the laboratory after cast pindexing Rx to laboratory • Detailed communication with lab regarding survey lines, rest seats, guide planes etc. Appointment 5 Try in and cementation of fixed components Verification of final restorations (impression and survey) Fabricate custom tray/s for RPD impression Appointment 6 Abutment teeth preparations (rest seats, guideplanes etc.) Border molding and final impression for RPD Try in framework Add wax rims and obtain interocclusal records Select shade and mold of denture teeth Tooth arrangement try in Occlusal verification Deliver RPD Follow up and recall Final impression to lab for boxing and pouring Survey master cast, mark undercuts and tripod Rx for framework fabrication Mount master cast/s on articulator Rx for artificial tooth arrangement Appointment 7 Appointment 8 Appointment 9 Appointment 10 Rx for processing RPD Appointment 1 Appointment 2 Preliminary Impressions 2 maxillary & 2 mandibular Interocclusal records Evaluation of abutment teeth for RPD • Consider crown:root ratio, vital v nonvital, periodontal support etc. Diagnosis/Treatment plan/Consent Diagnostic casts, Fabricate record bases and wax rims Articulate Diagnostic Casts Survey the diagnostic cast 1. 2. 3. 4. Antero-posterior tilt Mediolateral tilt Determination of the path of insertion & needed guide planes Determination of tissue (hard and soft) undercuts Submit for design approval… Draw approved design on 2nd cast with survey lines and wax up survey crowns to ideal outline. • • • Appointment 3 Appointment 4 Prepare and provisionalise the abutment teeth requiring survey crowns Make final impressions for fix survey crown Interocclusal records Shade selection Abutment teeth to be prepared for survey crowns Abutment teeth to be modified (with no coverage) Major connector etc Final impression to lab for pouring Fabricate record base on master cast if needed • Record bases made on diagnostic casts are not acceptable • If opposing ridge is completely edentulous, must have denture tooth arrangement at acceptable plane of occlusion completed Master cast mounted in the laboratory after cast pindexing Rx to laboratory • Detailed communication with lab regarding survey lines, rest seats, guide planes etc. Appointment 5 Try in and cementation of fixed components Verification of final restorations (impression and survey) Fabricate custom tray/s for RPD impression Appointment 6 Abutment teeth preparations (rest seats, guideplanes etc.) Border molding and final impression for RPD Try in framework Add wax rims and obtain interocclusal records Select shade and mold of denture teeth Tooth arrangement try in Occlusal verification Deliver RPD Follow up and recall Final impression to lab for boxing and pouring Survey master cast, mark undercuts and tripod Rx for framework fabrication Mount master cast/s on articulator Rx for artificial tooth arrangement Appointment 7 Appointment 8 Appointment 9 Appointment 10 Rx for processing RPD Appointment 1 Appointment 2 Preliminary Impressions 2 maxillary & 2 mandibular Interocclusal records Evaluation of abutment teeth for RPD • Consider crown:root ratio, vital v nonvital, periodontal support etc. Diagnosis/Treatment plan/Consent Diagnostic casts, Fabricate record bases and wax rims Articulate Diagnostic Casts Survey the diagnostic cast 1. 2. 3. 4. Antero-posterior tilt Mediolateral tilt Determination of the path of insertion & needed guide planes Determination of tissue (hard and soft) undercuts Submit for design approval… Draw approved design on 2nd cast with survey lines and wax up survey crowns to ideal outline. • • • Appointment 3 Appointment 4 Prepare and provisionalise the abutment teeth requiring survey crowns Make final impressions for fix survey crown Interocclusal records Shade selection Abutment teeth to be prepared for survey crowns Abutment teeth to be modified (with no coverage) Major connector etc Final impression to lab for pouring Fabricate record base on master cast if needed • Record bases made on diagnostic casts are not acceptable • If opposing ridge is completely edentulous, must have denture tooth arrangement at acceptable plane of occlusion completed Master cast mounted in the laboratory after cast pindexing Rx to laboratory • Detailed communication with lab regarding survey lines, rest seats, guide planes etc. Appointment 5 Try in and cementation of fixed components Verification of final restorations (impression and survey) Fabricate custom tray/s for RPD impression Appointment 6 Abutment teeth preparations (rest seats, guideplanes etc.) Border molding and final impression for RPD Try in framework Add wax rims and obtain interocclusal records Select shade and mold of denture teeth Tooth arrangement try in Occlusal verification Deliver RPD Follow up and recall Final impression to lab for boxing and pouring Survey master cast, mark undercuts and tripod Rx for framework fabrication Mount master cast/s on articulator Rx for artificial tooth arrangement Appointment 7 Appointment 8 Appointment 9 Appointment 10 Rx for processing RPD Appointment 1 Appointment 2 Preliminary Impressions 2 maxillary & 2 mandibular Interocclusal records Evaluation of abutment teeth for RPD • Consider crown:root ratio, vital v nonvital, periodontal support etc. Diagnosis/Treatment plan/Consent Diagnostic casts, Fabricate record bases and wax rims Articulate Diagnostic Casts Survey the diagnostic cast 1. 2. 3. 4. Antero-posterior tilt Mediolateral tilt Determination of the path of insertion & needed guide planes Determination of tissue (hard and soft) undercuts Submit for design approval… Draw approved design on 2nd cast with survey lines and wax up survey crowns to ideal outline. • • • Appointment 3 Appointment 4 Prepare and provisionalise the abutment teeth requiring survey crowns Make final impressions for fix survey crown Interocclusal records Shade selection Abutment teeth to be prepared for survey crowns Abutment teeth to be modified (with no coverage) Major connector etc Final impression to lab for pouring Fabricate record base on master cast if needed • Record bases made on diagnostic casts are not acceptable • If opposing ridge is completely edentulous, must have denture tooth arrangement at acceptable plane of occlusion completed Master cast mounted in the laboratory after cast pindexing Rx to laboratory • Detailed communication with lab regarding survey lines, rest seats, guide planes etc. Appointment 5 Try in and cementation of fixed components Verification of final restorations (impression and survey) Fabricate custom tray/s for RPD impression Appointment 6 Abutment teeth preparations (rest seats, guideplanes etc.) Border molding and final impression for RPD Try in framework Add wax rims and obtain interocclusal records Select shade and mold of denture teeth Tooth arrangement try in Occlusal verification Deliver RPD Follow up and recall Final impression to lab for boxing and pouring Survey master cast, mark undercuts and tripod Rx for framework fabrication Mount master cast/s on articulator Rx for artificial tooth arrangement Appointment 7 Appointment 8 Appointment 9 Appointment 10 Rx for processing RPD Appointment 1 Appointment 2 Preliminary Impressions 2 maxillary & 2 mandibular Interocclusal records Evaluation of abutment teeth for RPD • Consider crown:root ratio, vital v nonvital, periodontal support etc. Diagnosis/Treatment plan/Consent Diagnostic casts, Fabricate record bases and wax rims Articulate Diagnostic Casts Survey the diagnostic cast 1. 2. 3. 4. Antero-posterior tilt Mediolateral tilt Determination of the path of insertion & needed guide planes Determination of tissue (hard and soft) undercuts Submit for design approval… Draw approved design on 2nd cast with survey lines and wax up survey crowns to ideal outline. • • • Appointment 3 Appointment 4 Prepare and provisionalise the abutment teeth requiring survey crowns Make final impressions for fix survey crown Interocclusal records Shade selection Abutment teeth to be prepared for survey crowns Abutment teeth to be modified (with no coverage) Major connector etc Final impression to lab for pouring Fabricate record base on master cast if needed • Record bases made on diagnostic casts are not acceptable • If opposing ridge is completely edentulous, must have denture tooth arrangement at acceptable plane of occlusion completed Master cast mounted in the laboratory after cast pindexing Rx to laboratory • Detailed communication with lab regarding survey lines, rest seats, guide planes etc. Appointment 5 Try in and cementation of fixed components Verification of final restorations (impression and survey) Fabricate custom tray/s for RPD impression Appointment 6 Abutment teeth preparations (rest seats, guideplanes etc.) Border molding and final impression for RPD Try in framework Add wax rims and obtain interocclusal records Select shade and mold of denture teeth Tooth arrangement try in Occlusal verification Deliver RPD Follow up and recall Final impression to lab for boxing and pouring Survey master cast, mark undercuts and tripod Rx for framework fabrication Mount master cast/s on articulator Rx for artificial tooth arrangement Appointment 7 Appointment 8 Appointment 9 Appointment 10 Rx for processing RPD Appointment 1 Appointment 2 Preliminary Impressions 2 maxillary & 2 mandibular Interocclusal records Evaluation of abutment teeth for RPD • Consider crown:root ratio, vital v nonvital, periodontal support etc. Diagnosis/Treatment plan/Consent Diagnostic casts, Fabricate record bases and wax rims Articulate Diagnostic Casts Survey the diagnostic cast 1. 2. 3. 4. Antero-posterior tilt Mediolateral tilt Determination of the path of insertion & needed guide planes Determination of tissue (hard and soft) undercuts Submit for design approval… Draw approved design on 2nd cast with survey lines and wax up survey crowns to ideal outline. • • • Appointment 3 Appointment 4 Prepare and provisionalise the abutment teeth requiring survey crowns Make final impressions for fix survey crown Interocclusal records Shade selection Abutment teeth to be prepared for survey crowns Abutment teeth to be modified (with no coverage) Major connector etc Final impression to lab for pouring Fabricate record base on master cast if needed • Record bases made on diagnostic casts are not acceptable • If opposing ridge is completely edentulous, must have denture tooth arrangement at acceptable plane of occlusion completed Master cast mounted in the laboratory after cast pindexing Rx to laboratory • Detailed communication with lab regarding survey lines, rest seats, guide planes etc. Appointment 5 Try in and cementation of fixed components Verification of final restorations (impression and survey) Fabricate custom tray/s for RPD impression Appointment 6 Abutment teeth preparations (rest seats, guideplanes etc.) Border molding and final impression for RPD Try in framework Add wax rims and obtain interocclusal records Select shade and mold of denture teeth Tooth arrangement try in Occlusal verification Deliver RPD Follow up and recall Final impression to lab for boxing and pouring Survey master cast, mark undercuts and tripod Rx for framework fabrication Mount master cast/s on articulator Rx for artificial tooth arrangement Appointment 7 Appointment 8 Appointment 9 Appointment 10 Rx for processing RPD Appointment 1 Appointment 2 Preliminary Impressions 2 maxillary & 2 mandibular Interocclusal records Evaluation of abutment teeth for RPD • Consider crown:root ratio, vital v nonvital, periodontal support etc. Diagnosis/Treatment plan/Consent Diagnostic casts, Fabricate record bases and wax rims Articulate Diagnostic Casts Survey the diagnostic cast 1. 2. 3. 4. Antero-posterior tilt Mediolateral tilt Determination of the path of insertion & needed guide planes Determination of tissue (hard and soft) undercuts Submit for design approval… Draw approved design on 2nd cast with survey lines and wax up survey crowns to ideal outline. • • • Appointment 3 Appointment 4 Prepare and provisionalise the abutment teeth requiring survey crowns Make final impressions for fix survey crown Interocclusal records Shade selection Abutment teeth to be prepared for survey crowns Abutment teeth to be modified (with no coverage) Major connector etc Final impression to lab for pouring Fabricate record base on master cast if needed • Record bases made on diagnostic casts are not acceptable • If opposing ridge is completely edentulous, must have denture tooth arrangement at acceptable plane of occlusion completed Master cast mounted in the laboratory after cast pindexing Rx to laboratory • Detailed communication with lab regarding survey lines, rest seats, guide planes etc. Appointment 5 Try in and cementation of fixed components Verification of final restorations (impression and survey) Fabricate custom tray/s for RPD impression Appointment 6 Abutment teeth preparations (rest seats, guideplanes etc.) Border molding and final impression for RPD Try in framework Add wax rims and obtain interocclusal records Select shade and mold of denture teeth Tooth arrangement try in Occlusal verification Deliver RPD Follow up and recall Final impression to lab for boxing and pouring Survey master cast, mark undercuts and tripod Rx for framework fabrication Mount master cast/s on articulator Rx for artificial tooth arrangement Appointment 7 Appointment 8 Appointment 9 Appointment 10 Rx for processing RPD