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• ‫سالم‬‫على‬‫الحميد‬‫عبد‬‫السيد‬‫هللا‬‫منه‬
• ‫شعبان‬ ‫السيد‬‫غريب‬‫عوني‬‫علياء‬
• ‫المرسى‬ ‫الدين‬‫عماد‬‫محمد‬‫مصطفى‬
• ‫صبح‬ ‫ايد‬‫ز‬‫احمد‬‫الدين‬‫عماد‬‫عمر‬
• ‫علوش‬‫احمد‬‫سيد‬‫حسن‬‫اشرف‬‫محمد‬
Presented by
processing of complete denture
dr/nourhan ragheb
Steps of processing of
complete denture
(1)FLASKING PROCEDURE
Theprocedure of investingthe cast with
the waxed denture in a flask to create a
sectional mould for the acrylicresin
denture foundation is known as
flasking. It is sometimesreferredto as
investing.
Flask:
It’s a metal tube used in investing procedures, in which a
mold is made of artificial stone or plaster of Paris for the
purpose of Processing denture or other resinous
restorations.
Components of flask:
(1) the upper half
(2) the lower half
(3) the cover(lid)
Techniques of flasking
(1) compression technique
(2) Injectiontechnique
(3) Microwavetechnique
Techniques of flasking
(1) compression technique
(2) Injectiontechnique
(3) Microwavetechnique
FLASKING(INVESTING)PROCEDURE
(1) Flaskmust close fully accuratelywithout
resistance.If it failsto do this, distortionor
excess increasein verticaldimensionsmay
occur
(2) TheInner surfaceof the flask iscoatedwith
Vaseline,while the baseof the castis painted
withseparatingmedium(cold mold seal)
(3) Thinmixtureof plaster of Paris pouredin the base
of the flask,place the model, teeth should be vertical.
(4) All the partsof the model should be coveredwith
POP andall the wax andteeth must be uncovered.
(5) POP should be coveredby thin layer of Vaseline
afteritssetting
(6)A mixture of gypsum should be prepared, then
put the mid part in its place and pour the gypsum
without covering occlusal surfaces.
(7)After setting this layer, cover it with Vaseline or
cold mold seal
(8)Another layer of gypsum should be filled in the
flask, it should cover it, put the flask under mild
pressure and then wait for complete setting
Wax Elimination
The flask is placed in boiling water for 4 to 6 minutes. Then it is
removed from the water and opened. Then the Wax iswashed away
with boiling water. After that the mold is washed with Boiling water
containingdetergent, then finally washingit with clean Boiling water.
After the stone of the flaskis dry, the inner side of the mold and the
cast are Painted with a separatingmedium. The separatingmedium
must not come in contact with the teeth becausewax residue on the
teeth is contaminant and causesadhesion failurewith the denture
resin
PACKING AND CURING
ACRYLIC PACKING PROCEDURE:
1. Isolate the gypsum of the flasking by using one of these systems of isolation:
 Physical separator or isolator: tin foil.
 Chemical isolator: solution of alginate (cold mold seal). It reacts with the
calcium of the gypsum to form a film of insoluble calcium alginate.
2. Use the brush, move it in one direction to spread the cold mold seal.
3. The cold mold seal should be thin and even on all the parts of the
mold except the teeth which should not be separated. If the teeth covered by cold mold
seal, they will not adhere to the denture base.
4. Mixing
Acrylic resin is a resinous plastic material of various esters of acrylic acid. It is used as a
denture base material. It is formed of a powder and liquid.Powder: polymethyl
methacrylate PMMA (polymer) + Benzoyl peroxide (initiator) +pigments.
Liquid: methyl methacrylate (monomer) + hydroquinone (inhibitor)Powder and liquid
are mixed in a ratio of 3 to 1 by volume for an average sized denture.
STAGES OFACRYLIC MIXING:
1. A sandy stage: where a fluid mass occurs due to
the settling of the polymer into the monomer.
2. A stringy or fibrous stage: where the monomer
starts to attack the polymer. In this stage the mix
is tacky, sticky and adheres to the sides of the
mixing jar.
3. Smooth dough like stage: where the monomer
diffuses into the polymer.
4. Rubber like stage: further penetration of the
monomer into the polymer. In this stage the acrylic
resin cannot be packed or molded being too stiff.
Stiff stage: hard
5. Packing of acrylic
 It is the procedure of application of acrylic resin
into the mold and pressing the flask by using
sufficient pressure to compensate for the contraction
of the acrylic after polymerization to
prevent shrinkage and porosity.
Put acrylic in the mold, press in a clamp, do curing immediately
Note:
Too early– (Stage II) – acrylic resin has too low viscosity to densely fill the mold. Results in
porosity in the final prosthesis.
Too late– (Stage IV) – inability to close the flask, loss of detail and increase in vertical
dimension of occlusion in final prosthesis, as well as, movement and/or fracture of teeth.
• Acrylic placed into mold cavity and covered with cellophane for trial pack
 Flask pressed until excess acrylic squeezes out around edges.
 Acrylic flash to be trimmed away, small amount of acrylic to be added where needed. Take
note of the wrinkles from cellophane.
 The mold is full when the acrylic is pressed smooth and dense. A small amount will be added at
wrinkles.
• Close the upper and lower parts of the flask together.
The packed mold is heated (cured) in an oven or in water bath. Temperature and time should be controlled.
Two water bath heating techniques may be used:
a) Heating the flask in a special bath of water, beginning from the room temperature until reaching 72°C for 16
hours.
b) Heating the flask in an ordinary water bath beginning from the room temperature, until reaching 72°C, lasting
for 2 hours, then the temperature is raised to boiling for another 1 hour.
This technique takes shorter time but there is a likelihood to be distorted during de-flasking. Also, the free monomer is
more.
CURING OFACRYLIC:
COOLING OF THE FLASK / BENCH COOLING:
After curing, the flask is to be cooled slowly on the bench in its water bath.
The slow cooling will permit the relief of the internal stresses caused by the difference in
contraction between the acrylic and the mold material.
DEFLASKING
DEFLASKING:
It is the procedure of opening the flask after curing
of acrylic resin. It should be done carefully to
prevent the breakage of the denture.
It includes the following steps:
1. Remove the flask from the clamp.
2. Remove the upper and lower lids.
3- Separate the 2 parts of the flask with
attention using the plaster knife.
4-Liberate the denture with its model, then try
to remove the model carefully. If there is
undercut, split the model into 2 or 3 parts to
remove them easily.
Finishing and Polishing
FINISHING:
 Each denture is hand finished
using special burs to remove
any excess acrylic around the
edges and palatal area .The
articulation is adjusted if
necessary.
Polishing:
• Finally the denture is polished
and smoothed with polishing
mops and paste to create a
natural looking luster.
- A tooth brush can be used to remove the
remaining plaster and pumice.
After polishing, the denture should be
thoroughly washed in soap water.
ً
‫شكر‬
‫ا‬

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Processing complete dentures step by step

  • 1. • ‫سالم‬‫على‬‫الحميد‬‫عبد‬‫السيد‬‫هللا‬‫منه‬ • ‫شعبان‬ ‫السيد‬‫غريب‬‫عوني‬‫علياء‬ • ‫المرسى‬ ‫الدين‬‫عماد‬‫محمد‬‫مصطفى‬ • ‫صبح‬ ‫ايد‬‫ز‬‫احمد‬‫الدين‬‫عماد‬‫عمر‬ • ‫علوش‬‫احمد‬‫سيد‬‫حسن‬‫اشرف‬‫محمد‬ Presented by processing of complete denture dr/nourhan ragheb
  • 2. Steps of processing of complete denture
  • 3. (1)FLASKING PROCEDURE Theprocedure of investingthe cast with the waxed denture in a flask to create a sectional mould for the acrylicresin denture foundation is known as flasking. It is sometimesreferredto as investing.
  • 4. Flask: It’s a metal tube used in investing procedures, in which a mold is made of artificial stone or plaster of Paris for the purpose of Processing denture or other resinous restorations. Components of flask: (1) the upper half (2) the lower half (3) the cover(lid)
  • 5. Techniques of flasking (1) compression technique (2) Injectiontechnique (3) Microwavetechnique
  • 6. Techniques of flasking (1) compression technique
  • 9. FLASKING(INVESTING)PROCEDURE (1) Flaskmust close fully accuratelywithout resistance.If it failsto do this, distortionor excess increasein verticaldimensionsmay occur (2) TheInner surfaceof the flask iscoatedwith Vaseline,while the baseof the castis painted withseparatingmedium(cold mold seal)
  • 10. (3) Thinmixtureof plaster of Paris pouredin the base of the flask,place the model, teeth should be vertical. (4) All the partsof the model should be coveredwith POP andall the wax andteeth must be uncovered. (5) POP should be coveredby thin layer of Vaseline afteritssetting
  • 11. (6)A mixture of gypsum should be prepared, then put the mid part in its place and pour the gypsum without covering occlusal surfaces. (7)After setting this layer, cover it with Vaseline or cold mold seal (8)Another layer of gypsum should be filled in the flask, it should cover it, put the flask under mild pressure and then wait for complete setting
  • 13. The flask is placed in boiling water for 4 to 6 minutes. Then it is removed from the water and opened. Then the Wax iswashed away with boiling water. After that the mold is washed with Boiling water containingdetergent, then finally washingit with clean Boiling water. After the stone of the flaskis dry, the inner side of the mold and the cast are Painted with a separatingmedium. The separatingmedium must not come in contact with the teeth becausewax residue on the teeth is contaminant and causesadhesion failurewith the denture resin
  • 15. ACRYLIC PACKING PROCEDURE: 1. Isolate the gypsum of the flasking by using one of these systems of isolation:  Physical separator or isolator: tin foil.  Chemical isolator: solution of alginate (cold mold seal). It reacts with the calcium of the gypsum to form a film of insoluble calcium alginate. 2. Use the brush, move it in one direction to spread the cold mold seal.
  • 16. 3. The cold mold seal should be thin and even on all the parts of the mold except the teeth which should not be separated. If the teeth covered by cold mold seal, they will not adhere to the denture base. 4. Mixing Acrylic resin is a resinous plastic material of various esters of acrylic acid. It is used as a denture base material. It is formed of a powder and liquid.Powder: polymethyl methacrylate PMMA (polymer) + Benzoyl peroxide (initiator) +pigments. Liquid: methyl methacrylate (monomer) + hydroquinone (inhibitor)Powder and liquid are mixed in a ratio of 3 to 1 by volume for an average sized denture.
  • 17. STAGES OFACRYLIC MIXING: 1. A sandy stage: where a fluid mass occurs due to the settling of the polymer into the monomer. 2. A stringy or fibrous stage: where the monomer starts to attack the polymer. In this stage the mix is tacky, sticky and adheres to the sides of the mixing jar.
  • 18. 3. Smooth dough like stage: where the monomer diffuses into the polymer. 4. Rubber like stage: further penetration of the monomer into the polymer. In this stage the acrylic resin cannot be packed or molded being too stiff. Stiff stage: hard
  • 19. 5. Packing of acrylic  It is the procedure of application of acrylic resin into the mold and pressing the flask by using sufficient pressure to compensate for the contraction of the acrylic after polymerization to prevent shrinkage and porosity. Put acrylic in the mold, press in a clamp, do curing immediately
  • 20. Note: Too early– (Stage II) – acrylic resin has too low viscosity to densely fill the mold. Results in porosity in the final prosthesis. Too late– (Stage IV) – inability to close the flask, loss of detail and increase in vertical dimension of occlusion in final prosthesis, as well as, movement and/or fracture of teeth.
  • 21. • Acrylic placed into mold cavity and covered with cellophane for trial pack  Flask pressed until excess acrylic squeezes out around edges.
  • 22.  Acrylic flash to be trimmed away, small amount of acrylic to be added where needed. Take note of the wrinkles from cellophane.  The mold is full when the acrylic is pressed smooth and dense. A small amount will be added at wrinkles.
  • 23. • Close the upper and lower parts of the flask together.
  • 24. The packed mold is heated (cured) in an oven or in water bath. Temperature and time should be controlled. Two water bath heating techniques may be used: a) Heating the flask in a special bath of water, beginning from the room temperature until reaching 72°C for 16 hours. b) Heating the flask in an ordinary water bath beginning from the room temperature, until reaching 72°C, lasting for 2 hours, then the temperature is raised to boiling for another 1 hour. This technique takes shorter time but there is a likelihood to be distorted during de-flasking. Also, the free monomer is more. CURING OFACRYLIC:
  • 25. COOLING OF THE FLASK / BENCH COOLING: After curing, the flask is to be cooled slowly on the bench in its water bath. The slow cooling will permit the relief of the internal stresses caused by the difference in contraction between the acrylic and the mold material.
  • 27. DEFLASKING: It is the procedure of opening the flask after curing of acrylic resin. It should be done carefully to prevent the breakage of the denture. It includes the following steps: 1. Remove the flask from the clamp. 2. Remove the upper and lower lids.
  • 28. 3- Separate the 2 parts of the flask with attention using the plaster knife. 4-Liberate the denture with its model, then try to remove the model carefully. If there is undercut, split the model into 2 or 3 parts to remove them easily.
  • 30. FINISHING:  Each denture is hand finished using special burs to remove any excess acrylic around the edges and palatal area .The articulation is adjusted if necessary.
  • 31. Polishing: • Finally the denture is polished and smoothed with polishing mops and paste to create a natural looking luster.
  • 32. - A tooth brush can be used to remove the remaining plaster and pumice. After polishing, the denture should be thoroughly washed in soap water.