DENTAL SURVEYOR The tool for perfect planning of Removable Partial Denture Dalhousie continual education McCracken’s Removable Prosthodontics, 11th Edition 1 Lecture Outline Description of Dental Surveyor Purposes of Surveyor Discussing some related terms Factors That Determine Path of Placement and Removal Guiding Planes Retentive Areas Interference Esthetics Step-by-Step Procedures in Surveying Diagnostic Cast Recording Relation of Cast to Surveyor 2 Definition An instrument used to determine the relative parallelism of two or more surfaces of the teeth or other parts of the cast of a dental arch. * 3 Purposes of Surveying the Diagnostic Cast 1. To determine the most desirable path of placement that will eliminate or minimize interference to placement and removal 2. To identify proximal tooth surfaces that are, or need to be, made parallel so that they act as guiding planes during placement and removal. 3. To locate and measure areas of the teeth that may be used for retention. Purposes of Surveying the Diagnostic Cast 4. To determine whether tooth and bony areas of interference will need to be eliminated surgically or by selecting a different path of placement. 5. To determine the most suitable path of placemen that will permit locating retainers and artificial teeth to the best esthetic advantage. 6. To permit an accurate charting of the mouth preparation to be made Purposes of Surveying the Diagnostic Cast 7. To delineate the height of contour on abutment teeth and to locate areas of undesirable tooth undercut that are to be avoided, eliminated, or blocked out. 8. To record the cast position in relation to the selected path of placement for future reference. Some Important Terms 7 Height of Contour & Undercut Height of Contour (HOC) A line encircling a tooth, designating its greatest circumference at a selected position determined by a dental surveyor. Height of contour •Suprabulge • Undercut = • Infrabulge Any areas cervical to HOC used for placement of retentive clasp components Areas occlusal to the HOC used for the placement of nonretentive, stabilizing, or reciprocating components. * Non-undercut Area 12 Types of undercuts Tooth Undercuts * Soft Tissues or bony Undercuts(on lingual side of ridge) # 13 Angle of Cervical Convergence An angle viewed between a vertical rod contacting an abutment tooth and the axial surface of the abutment cervical to the height of contour. Direct Retainers Buccal Retention Composed of: rest retentive element reciprocal (bracing) element minor connector Lingual Rule: Retentive tip should usually be designed to be placed in the gingival 1/3 Path of Insertion & Removal Path of Insertion Path that the prosthesis is Placed/removed Usually a single path Path of Insertion (P.I) The Direction in Which a Restoration/ Prosthesis Moves From the Point of Initial Contact With the Supporting Teeth to the Terminal Resting Position Where the Occlusal Rests Are Seated and the Denture Base Is in Contact With the Tissue Path of Removal (P.R) Reverse of the Path of Insertion * 19 Advantages of a Single Path of Insertion Equalizes retention Advantages of a Single Path of Insertion Bracing and Cross-arch Stabilization Advantages of a Single Path of Insertion Minimizes torque on abutments Advantages of a Single Path of Insertion Allows removal without encountering interferences Advantages of a Single Path of Insertion Directs forces along long axes of teeth Advantages of a Single Path of Insertion Provides retention frictional Factors Determining Path of Insertion & Removal Guiding planes Retentive areas Interference Esthetics Guiding Planes Two or more vertically parallel flat surfaces of abutment teeth shaped to direct a prosthesis during placement and removal * Guiding Planes Where rigid components contact abutments • Proximal Plates • Bracing Arms • Rigid portions of Retentive Arms * Effects of Guiding Planes on Retention & Stability Maintains Retention Effects of Guiding Planes On Retention & Stability Minimizes Retention Need for Guiding Planes Functions to ensure passage of the rigid parts of prosthesis past existing areas of interference. # to control & limit directions of movement of RPD as it is being inserted, removed or while in function. to ensure predictable clasp assembly function, including retention and stabilization * Effectiveness of Guideplanes Most effective when: Prepared on several teeth Cover a large surface area (proximal & lingual) Prep. Of Guiding Planes Prepare Guiding Planes First * Use Finger Rest Burs Long Cylindrical Carbide or Diamond (8837K 014) 8837K-014 Guiding Plane Dimensions * 2-4 2-4 mm mm 1/2-1/3 1/2-1/3 height height Round Round Axial Axial Line Line Angles Angles Guiding Plane Dimensions * Use Use short short guideplanes guideplanes on on Class Class II & & II II Use Use long long guideplanes guideplanes on on Class Class III III & & IV IV Polish Prepared Surfaces Rubber wheels or points If Axial Surface Already Parallel to Path of Insertion? NO Preparation ! Retentive Areas 42 Retentive Areas Retentive arm should have a different path of escapement than guiding plane (path of removal), so retentive arm must be forced to flex over a convex surface during placement and removal (retention) * Optimal Path of Insertion Retentive undercuts equalized Ideally, retentive arms should oppose each other on opposite sides of the arch with fairly even retention * Retentive Areas To obtain fairly even retention: --change the path of placement to increase or decrease the angle of cervical convergence of opposing retentive surfaces of abutment teeth. OR --alter flexibility of retentive clasp arm Optimal Path of Insertion (Interference) * Prosthesis must be designed so that it may be placed and removed without encountering tooth or soft tissue interference Interference Bony prominences and lingually inclined premolar teeth are the most common causes of interference to a lingual bar connector * Interference If the interference is bilateral, surgery or recontouring of lingual tooth surfaces, or both, may be unavoidable. If it is only unilateral, a change in the lateral tilt may prevent an area of tooth or tissue interference. Interference Bony undercuts to remove them surgically; to change the path of placement at the expense of modifying or restoring teeth to achieve guiding planes and retention; to design denture bases to prevent such undercut areas. Interference Generally, interference that cannot be eliminated for one reason or another will take precedence over the factors of retention and guiding planes. Optimal Path of Insertion (Esthetics) Esthetics Minimize display of clasps, metal components * Esthetics Esthetics dictates the choice of path selected only when missing anterior teeth must be replaced with RPD * Parts of a Dental Surveyor B-Vertical Upright Column C-Cross Arm with Spindle Housing D-The Vertical Spindle With Tool Holder E- Screw To Lock The Spindle F- Tool adaptor Holder G- Surveying tool holder J- Model Clamp K- Model table lock nut L- Model rotating ball & socket M- Ball rotating ring N- Tool Rack O- Storage Compartment P- Model lock nut 53 Parts of a Surveyor Surveying Table Parts of a Surveyor Surveying Arm Surveying Tools 1- Analyzing Rods 2- Carbon Marker 3- Undercut Gauge 4- Wax Trimmer 56 Parts of a Surveyor Surveying Tools Analyzing Rod Analyzing Rod 58 Surveying Tools 1- Analyzing Rods 2- Carbon Marker 3- Undercut Gauge 4- Wax Trimmer 59 Parts of a Surveyor Surveying Tools Carbon Markers Carbon Marker 61 Parts of a Surveyor Surveying Tools Undercut Gauges . 01” . 02” . 03” Undercut Gauge 63 Undercut Gauges 64 Undercut Gauges Undercut Gauge 66 Parts of a Surveyor Surveying Wax Tools Trimmer Wax Trimmer 68 Dental Surveyor Ney Surveyor Prof. Dr. S.Venugopal. Jelenko Surveyor 69 PROCEDURES of SURVEYING DIAGNOSTIC CAST 1- Placement of the Cast 2- Altering the Cast Position Anteroposteriorly To Provide Parallel Proximal Surfaces That May Act As Guiding Planes 3- Tilt the Cast Laterally Until Equal Retentive Areas Exist on the Principal Abutments 4- Eliminate Areas of Interference 5- Permits a More Esthetic Placement of Clasp Arms Than the Other. 70 The Location of the Undercut Area Can Be Changed by Changing the Tilting 74 B Cast at zero tilt. Creation of undercut by tilting cast D Without guiding planes, Clasps designed are ineffective when restoration is subject to dislodging forces in occlusal direction. 75 4- Eliminate Areas of Interference by Reshaping Tooth Surfaces, Surgery, Block-out, Restoration, or Change in lateral Tilt if Unilateral Interference 5- Permits a More Esthetic Placement of Clasp Arms Than the Other. A Cast in a Tilted Relationship Represents a Path of Placement Toward the Side of the Cast That Is Tilted Upward 78 FINAL PATH OF PLACEMENT The anteroposterior and lateral position of the cast, in relation to the vertical arm of the surveyor that best satisfies all four factors: guiding planes, retention, interference, and esthetics. * Recording Relation of Cast to Surveyor * Tripoding is Performed While Cast is Still Mounted on the Survey Table Without Changing the Tilt to Preserve the Established Cast Tilt 80 Tripoding the Cast * 81 All proposed mouth changes (prep. of proximal surfaces, reduction of buccal & lingual surfaces, & prep. of rest seats) should be indicated on the diagnostic cast in red pencil, with the exception of restorations to be done. * References McCracken’s Removable Prosthodontics, 11th Edition 2005 by McGivney GP, Carr AB. Chapter 11 (Surveying) Dalhousie continual education