The Dent-Liner
Volume 4 Issue 2
Spring 2000
A BULLETIN DEALING WITH ISSUES FOR DENTAL HEALTH
PROFESSIONALS
Vario Soft 3 Attachments
The
Vario soft 3 extra-coronal precision attachments are primarily selected
when the retaining abutments are relatively small and intra coronal
attachments would create over contouring. The VS3 also requires less
tooth reduction and is designed to be a passive insertion rather than
snap into place. It is ideal for patients who have limited manual
dexterity, or the prosthesis has a difficult path of insertion and
removal. Traditionally extra coronal attachments are easier for
patients to insert and remove. Another criteria is that when a patient
does not always wear the removable denture as in intra coronal females
on the retaining crown, food debris will accumulate thus making seating
of the removable denture difficult at best. The Vario Soft 3 extra
coronal precision attachments are resilient due to the duroplast
retention sleeves. This allows free movement of the prosthesis, to
distribute potentially destructive forces or loads away from abutments
to support tissue and bone. The fewer abutments remaining and the
weaker the abutments are, the greater the need for resiliency or free
movement to direct the forces away from the abutments, to the
supportive bone and gingiva through the base of the removable denture.
The Vario Soft 3 is very cost effective and has been proven for
many
years in thousands of cases, and guarantees success with every
restoration for both mandible and maxillary bilateral removable partial
dentures. In the case of uni-lateral free end removable partial
dentures, they should be cross check stabilised. The dentist and
patient benefit form the Vario Soft 3 as a low cost attachment that is
resilient with a passive fit, and three retention choices. The
duroplast female retention sleeve absorbs negative movements to protect
weak abutments and provide patient comfort. The VS3 only need a full
coverage abutment preparation and provides the patient with easy
insertion and removal. The only service requirement is the quick and
easy retention sleeve replacement at chairside. The dental lab benefits
with the Vario Soft 3 since it features time saving and simple routine
techniques, and requires no additional tools or instruments. The
plastic male component burns out cleanly and it may be cast in any
alloy to eliminate soldering and dissimilar alloys. The extra coronal
design provides for a properly contoured abutment that will enhance
aesthetics of the restoration. The Laboratory procedure can include
either single or double abutments. After preparing the master model and
dies, determine the path of insertion, then wax full coverage crown
patterns. Place the males in a surveyor or paralleling instrument and
position them on the model adjacent to the wax patterns. Males must be
vertically parallel and should be positioned over the crest of the
gingival ridge. The adjoining area of the attachment is concave, thus
allowing the male to be placed in close proximity to the wax pattern,
thus reducing the amount of leverage exerted on the attachment. A
milled in lingual rest will act as a stress breaker. The male pattern
has no sharp edges and can be adapted to the ridge, respectively it can
be shortened up to 40% in cases with limited inter occlusal space. Once
the male is fitted just cut off the parallel mandrel and cast the
retaining crowns. Then finish the cast crown and male attachment. It is
important to obtain a smooth surface without reducing the size and
shape of the male. Caution must be exercised to prevent alterations to
the dimensions of the male during finishing. Seat the finished casting
on the master model and also the yellow female sleeve over the male
adjusting it to conform to the dimensions of the male. The yellow
female sleeve must be used when duplicating as this ensures that the
interior dimensions of the housing sleeve are correct. Prepare the
model for the casting. A wax housing sleeve is included in the VS3
assortment. Place it on the refractory model over the sleeve. The wax
pattern guarantees that the housing is of uniform thickness, when cast
in chrome. This prefabricated wax component is quickly fitted to the
investment model. Fill the area contracting the ridge with wax so as to
reproduce it fully in chrome cobalt. Next design and wax up the chrome
cobalt casting according to the standards of practice. Place Bredent
retention crystals over the attachment in order to provide the
necessary mechanical retention for the acrylic. Trim and polish the
chrome cobalt casting. Do not touch the inner surface of the cast
housing, as this could adversely affect its fit over the female.
Process the partial denture to the standards of practice, taking care
to keep acrylic from getting into the housing for the female retentive
sleeve. Insert the desired female using the insertion pin; red
indicates high friction, yellow normal, and green, reduced friction.
For easy insertion by the patient the occlusal of the male should be
slightly beveled or rounded. To service and rebase the VS3, the female
retention sleeve can be easily removed using a pointed instrument to
slide it from the housing. The replacement retention sleeve be it high
or reduced friction and can be inserted effortlessly with the special
insertion pin provided in the kit. The relining is done using standards
of practice and should be done routinely since failure to reline will
place excessive loads upon the attachment and abutments causing
potential fracture and failure. So a periodical recalls program is
important. For more information on the Bredent attachments, contact us
at info@dent-line.com.
Introducing Turbo-Diagen
 |
Diamond Instruments for porcelain,
procera, in-ceram, empress and metals.
The 5 piece assortment consists of three barrel
shapes and two wheels. Knife edge and hollow cones are also available.
|
Recently
at a Las Vegas Porcelain Training Session, a few Canadian dental
technicians were impressed with a diamond grinder. The porcelain
instructor was using. The Bredent Diagen Turbo are a diamond grinding
instrument system with exceptional grinding performance. The Diagens
are made using selected natural diamonds, in high concentrations, that
are bonded to a Ceramic bonding material. This bonding process enables
the diagen to grind porcelains without contaminating it while it is
well suited for reducing wide areas of materials quickly. Ideally
suited for all types of castible ceramics and porcelains, it can
also
be used on composites, alloys and chrome. To achieve high grinding
performance and abrasion on porcelain or metal you grind gently without
exerting pressure. A 5 piece assortment consists of three barrel
shapes and two wheels. Knife edge and hollow cones are also available.
The prolonged service life in comparison to conventional bonded
systems, provides for a wide range of applications and high efficiency.
For information sheets on the Diagen, contact Dent-Line of Canada at
1-800-250-5111.
The Dent-liner; Vol. 4, No. 2
Publisher: Peter T. Pontsa RDT
Editor: A. Van Breemen BA
E-Mail: info@dent-line.com
|