The Dent-Liner
Volume 6 Issue 3
Summer 2002
A BULLETIN DEALING WITH ISSUES FOR DENTAL HEALTH
PROFESSIONALS
Outstanding
Bonding with the Silano Pen
The
Silano-Pen is not only a “mini silicoater” it is also a true innovation
in the field of bonding systems. Simple application and handling render
it suitable for both laboratory and clinical use. The bonding strength
values for almost all alloys and composites that can be achieved with
the pen are as good as the ones that can be obtained with conventional
procedures. The current initial results of the pen indicate that it
permits the use of an adhesive technique for both ceramic and composite
restorations without the necessity of performing complicated
pre-treatment. The Silano-Pen is a gas burner which is the size of an
ink pen. A special gas which is enriched with silanes is filled into
the pen. When ignited the flame gives off small elements which
subsequently deposit as a silicate-like glassy layer on the surface to
be veneered. A very interesting and useful aspect of the pen is the
fact that almost all types of materials can be bonded. New research
results of the bonding strength and the areas of usage of the
Silano-Pen are published in issue No. 3 / 2001 “Quintessenz fur
Zahntechnik” carried out by Zentrum fur Zahnmedeizin, Charite / Berlin
under the guidance of Prof. Dr. H.J.Tiller and Prof. Dr.J.F.Roulet.
For a free copy of the research or further
information on the Silano-Pen, contact us at Dent-Line of Canada Inc
via e-mail at info@dent-line.com
or call us at 1-800-250-5111 .
Retrievable Bridges with Tap
and Screw
In cases were we want to retrieve a bridge in the future, the Bridge
Sectioning Attachment can be utilized. This attachment can be used
mesially or distally to an abutment. The bridge sectioning attachment
is a cylindrical vertical tube which is manufactured from extruded
plastic and burns out in the furnace. It can be also adjusted to fit
the gingival. Using the paralleling mandrel, place the attachment to
the abutment. After casting the surface; the section connecting the
attachment is milled smooth with a 0 degree cutter and then polished.
The Bredent Drill and Tap Tool Kit contains ten components. This
includes 2 taps, 4 drills, a screw driver, a tap holder and two
titanium screws. Select the center drill and create the entrance point
on the lingual of the attachment. This is to start the next drill and
prevent traveling. Take the multi-drill (1.2 x 5mm) from the tool set
and using the point of entry already created, drill a hole 2 mm into
the attachment. Applying Bredent milling oil prevents the drill from
over heating and breaking. Next select the stop drill (1.2 x 2 mm) to
drill further into the hole precisely to the required depth. This fool
proof method allows room for the threaded screw. After this procedure
the counter-sinking drill is used to widen the existing hole to 1.4 mm
to accommodate the threaded screw and provide space for the tapered
screw head. In the next stage the first tap (1.4 mm) is fixed to the
tap holder. The tapping procedure is slow and methodical. Initially
place milling oil into the existing hole. The tap is placed into the
hole and slowly twisted a few times to the right. Then it is reversed
slowly moving out the shards of cut metal. This procedure continues
until the tap has threaded the hole completely. The initial thread is a
coarse cut. Replace the first tap with the second tap and repeat the
procedure again. This last tap will refine the threads so as to match
up with the machined titanium screws provided with the tool kit. The
titanium screw has a deep hexagonal head that facilitates the screw
driver to secure the screw firmly to the attachment; the screw should
fit into the attachment by two to three mm. The screw head will be
exposed and should extend out lingually about 2.5 mm. The screw has
been designed to withstand shear forces up to 1550 Newton's. The
implant abutment will utilize the Security Lock System which will also
ensure that the entire bridge will be retrievable. The secondary
structure can be started at this stage. The best way to tackle the next
step is to lubricate the external area of the screw and the bridge
sectioning attachment. Then start to apply a modeling resin (Bredent
Pi-Ku-Plast) around the whole area integrating the screw into the
pattern. The rest of the bridge is waxed including pontics and the
implant abutments. The complete waxed bridge should also include the
modeling resin pattern as well. Using the screw driver from the kit
remove the titanium screw from the attachment and safely secure it for
later. The bridge is sprued, invested, cast and then fitted. The
abutment crown and the rest of the bridge are trimmed to receive
porcelain. After the porcelain has been baked and before glazing, the
titanium screw should be fitted into the restoration. At this stage the
head of the screw and the porcelain can be blended together to complete
the lingual anatomy. Finish the final glaze and polish the restoration.
The minimal dimensions and lingual application provide pleasant
aesthetics for all screw retained restorations. Source:
Peter T. Pontsa RDT
Comparing Effective Reline
Procedures
Generally
speaking a reline is the resurfacing of the gingival area of a denture
with a new base material in order to increase retention. The reline can
address a number of problems that can exist simultaneously. An example
of this is tooth wear that is exhibiting progressive over closure
involving the patient’s vertical dimension as well as an indication of
ridge resorption. To remedy this, the practitioner modifies the denture
by grinding out all the tissue surfaces, undercuts and reducing the
flanges about 2 mm. A new impression of the arch is taken using the old
denture, as a custom tray. It is then processed in the laboratory.
There are a number of acceptable procedures on relining a denture such
as the flask or jig method. Both procedures can have multiple time
consuming steps. This author will concentrate on improving steps on the
jig method of relining. The standards of practice is to box and pour
the impression using conventional beading and boxing wax. After the
master model is poured and set (45 min. to 1 hr.), the model is shaped
on a model trimmer and the base grooved (5 min). Next shape a plaster
patty on the bottom half of the standard two nut jig. Press the
occlusal surfaces and incisal edges into the mix and let set (30 min).
Afterward use sticky wax to attach the teeth down to the index. Mix the
plaster and attach the master model to the upper member of the jig and
allow the plaster to set (45 min). Disassemble the jig and gently
separate the denture from the model. On the master model cut a
posterior palatal seal. Paint an acrylic separating medium onto the
model. Remove the impression material from the denture base and create
a butt joint at the dentures peripheral margins. Apply a monomer to the
tissue surface of the denture. Mix and apply acrylic to the denture and
to the model’s undercuts. Reassemble the jig. Mold the acrylic around
the borders and cure in a pressure pot. Recover, trim and polish the
reline. Although this is the standard procedure, it can be
improved
upon. I would recommend starting out with a Renfert Reline Unit since
it is designed with three guidance bolts to prevent tilting. It also
prevents raising bites and transferring any errors because of its
sturdy mounting plates. All components are rust proofed and a PTFE
special coating prevents plaster sticking. This will save time in
cleaning and applying Vaseline coating. To increase efficiency the
model and index can be produced in one working step. The impression is
taken and a mixture of 50/50 plaster and stone is placed on the bottom
of the reline unit plate about 2 in (5 cm) high ensuring the mix is
very stiff. Next the mixture is vibrated into the denture. It is placed
on the plaster/stone mixture, teeth side facing upward. The plaster
mixture is gently placed on the occlusal surface and built up. The
upper mounting plate is placed and secured with the nuts. Extra mix is
applied over top of the plate to keep the index secure. This one step
method will save more than one hour of setting time over the
conventional jig method discussed above. The flask method will take
even longer time. Source: Peter T. Pontsa RDT. For
further information, call Dent-Line of Canada Inc. at 1-800-250-5111
or e-mail us at info@dent-line.com
Vario Stud
VKS-SG Castable Housings
We would like to remind all users of the SG attachment from Bredent
that a castible housing is available in both 2.2 mm and 1.7 mm ball
sizes. The housing is CAD/CAD designed and is manufactured from
extruded plastic which burns out in the furnace. You can sprue and cast
in the alloy of your choice. It can be soldered onto chrome partial or
it can be incorporated into acrylic since it has an extended tag for
retention. This housing gives the user more control over the outcome if
the chrome casting is not made in your laboratory. The housing can be
utilized for new cases or old cases that may require a repair or
rebuild. For further details contact us at Dent-Line of Canada Inc.,
toll free, at 1-800-250-5111.
Trade News:
Dentist Most Ethical / Future of Dentistry Report.
Dentists placed eighth on the list of the most trusted professionals.
This according to the Gallup Organisations annual public opinion poll
on honesty and ethics in U.S. professions. Fifty-eight percent of the
poll's respondents rated honesty and ethical standards of dentist's as
“very high” or “high”. According to the poll, the top 10 most trusted
are: 1, nurses;
2, pharmacists; 3, veterinarians; 4, medical doctors; 5, grade and high
school teachers; 6, clergy; 7, college teachers;
8, dentists; 9, Engineers; and 10, policemen. The ADA Future of
Dentistry Report is now available on line at www.ada.org. Three years
in the making, the report describes the status of the dental
profession, observes recent trends, and envisions challenges dentist
will face in the next five to 15 years and makes recommendations. Source:
LMT To-Day, Jan. 2002 Vol. 18, No. 4.
Announcements: Mr.
Bernie Mullen, RDT
Dent-Line
of Canada Inc. is pleased to announce that Bernie Mullen, RDT is the
recipient of the first annual Dent-Line Achievement Award. On February
27th, at George Brown College, Mr. Bernie Mullen, RDT was recognized
for his contributions to education and the profession in general. On
behalf of Dent-Line of Canada, Peter T. Pontsa, RDT presented the
award.
Announcements:
George Brown College
Dent-Line
of Canada Inc. is pleased to announce that on February 8th, 2002,
Peter T. Pontsa, RDT met with the George Brown Third Year Dental
Technology Program students. Mr. Pontsa introduced them to milling
techniques and explained attachment placement as well as the theory
behind the stress breaking arm and how it prevents loading. Many of
these enthusiastic students tried their hand at milling while being
offered guidance and encouragement.
The Dent-liner; Vol. 6, No. 3
Publisher: Peter T. Pontsa RDT
Editor: A. Van Breemen BA
E-Mail: info@dent-line.com
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