Putting Metal Into RPDs Flashcards

1
Q

what is the lost wax process?

A

Duplicating casts

  • Mould made in investment material
  • Wax burnt out or melted
  • Filled with melted alloy

Similar to how jewellery made

Precise, useful and accurate technique

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2
Q

why is it important to be skilled when making CoCr?

A

Different methods

Many stages
- Many variables

Timely

Trained individuals
Can waste time and money if done poorly
- Work is allocated to the whole lab – not so heavy on one team, spread workload

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3
Q

lost wax steps

A

whereby a wax shape made,

a mould is made to surround the shape,

the wax is removed from the mould by melting the wax and the shape is filled with molten metal (burn out wax)

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4
Q

what is the difference between lost wax technique for metal framework compared to other castings

A

This type of casting is different for producing other dental castings since this method involves a refractory model whereas other casings (crowns, bridges or implant bars) are waxed on a definitive cast and cast indirectly from the cast itself.

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5
Q

refractory model is made in….

A

in phosphate-bonded investment material.

It is vitally important that the investment is mixed according to the manufacturers instructions regarding powder/liquid ration and mixing time.

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6
Q

important stage to remember when made the phosphate bonded refractory model

A

Although phosphate-bonded investments are stronger than gypsum-bonded investments on heating they are subject to surface wear and must be treated by hardening the surface of the model.

Wear easily – chip and break
Use surface hardening to strengthen refractory cast

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7
Q

3 materials used to harden refractory material

A

Beeswax – the model is heated and dipped into hot wax

Resin – the model is heated and dipped into cold resin
- Most common

Aerosol – the Cold model is sprayed

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8
Q

how is the refractory model hardened?

A

The model is heated to 200°C for 45 minutes and then dipped for 10 seconds in the model hardener

The hardener is absorbed into the model – no dimensional change takes place
- Want no dimensional change in the model
Good for precision framework made on top of so accurate

The model is allowed to cool (15-20 minutes)

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9
Q

what is placed on the cooled refractory model?

A

The wax pattern can be placed directly onto the model surface, once fully cooled

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10
Q

what are wax patterns

A

Profiled wax of different patterns
- Like self-assemble CoCr building box

Stippled wax for upper base plates
Different clasps
Lingual bars

Can use these components or make your own

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11
Q

2 stages in making maxillary plate in wax on the refractory model

A

Stage one - to fill the space made by the preparation wax for the internal finishing line.
- Fill the space made from the preparation of wax finishing lines
- Add a little bit extra wax in those areas
Occlusal plane – not as supported as base plate

Stage 2 – Although the plate will be 0.5mm a sheet of 0.2mm is adapted over the centre of the plate to provide strength and resistance to flexure

  • Middle of palate has a deep vault – melt wax and add 2mm of wax
  • Prevent alloy warping – need extra wax for support and strength
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12
Q

width of wax sheet used on palate

A

0.5mm

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13
Q

where is the second sheet of wax placed

A

The second wax sheet is placed overlapping the first sheet and using a fine blade the knife is drawn down the junction and the two pieces fitted together, iii.
- Separate the wax down the centre of deep vault to avoid thinning of wax
Ensures better guaranteed thickness

The two halves are adapted and lightly burnished to remove any visible junction, iv.
- Burnish down junction before - casting

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14
Q

what is a wax retention used on refractory model

A

A wax retention pattern is chosen and attached closed to the major connector and joined using joining wax

  • 5 or 6 different types, can also design own
  • Grid to hold acrylic
  • Join at bottom

For anterior teeth or single teeth it is advisable to use posts as retention as space in this area is limited for acrylic retention
Advisable
Space can be hard when setting acrylic teeth
May alter shade if having to reduce it so then metal visible

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15
Q

how is wax retention finished

A

An external finishing line is added using round profile wax smoothed against the connector
- Round profile wax – smooth against the connector acrylic will be finished once dentures put on

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16
Q

Clasps placement on wax model

A

The appropriate wax pattern is selected and positioned on the prepared ledge
- Block out the model
- Make ledge in wax where occlusal rests and occlusal approaching casts have a ledge
Allow you to position exactly where you want them

Note: the mesh has been filled to the clasp attachment to join with the major connector, this ensures the clasp is fed from the thickest part of the casting and not from the mesh which is thinner than the clasp which might result in a miscast

  • Cast is spread from thickest part (not the thinner mesh)
  • Cast molten alloy would travel through mesh can cool too fast so clasp is incorrectly casted
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17
Q

important technique to use in clasp attachment

A

Note: the mesh has been filled to the clasp attachment to join with the major connector, this ensures the clasp is fed from the thickest part of the casting and not from the mesh which is thinner than the clasp which might result in a miscast

  • Cast is spread from thickest part (not the thinner mesh)
  • Cast molten alloy would travel through mesh can cool too fast so clasp is incorrectly casted
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18
Q

function of a sprue

A

conducts the molten metal into the mould

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19
Q

where is the sprue attached

A

The sprue is attached to the thickest area and closest to the ingress of metal

The casting should progressively cool from the exterior to the centre of the metal inflow
- Leave to bench cool
This should prevent cooling shrinkage producing voids in the casting
- Go from red hot to black

The placement and number of sprues is also important to prevent air turbulence or air being trapped which would
- Number and technique is different depending on technician but needs to be done

20
Q

ingress

A

area/where the metal is getting cast

21
Q

why is CoCr cast left to bench cool

A

This should prevent cooling shrinkage producing voids in the casting

22
Q

where is the sprue attached

A

to the external finishing line which is the thickest and closest to the metal ingress (although some parts are closer they are thinner and therefore do not support sprue requirements).

The sprue is attached to a plastic cone which will be aligned in the casting machine.
- Cone is mould for metal to be poured into later

The other wax attached to the cone is simply to stabilise the cone.

23
Q

technique technicians use to stabilise cast

A

Many technicians use auxiliary sprues e.g. 2, 3, 4

24
Q

technicality of placement of sprue and cone

A

the cone and sprue attachment must be higher than any part of the wax pattern

25
Q

investing

A

A mould is prepared around the refractory cast using the same investment as the refractory. (same material as the modell)

Note: the height of the sprue former is higher than any part of the casting and the casting increases in thickness from pattern to sprue to button (cone)

26
Q

mould (muffle) components

A

A mould (muffle) former consists of a base and ring shape to hold the investment.

27
Q

difference with phosphate bonded investments

A

Phosphate bonded investments do not require a supporting metal ring.

28
Q

how long does the mould need to cool after investing

A

One hour after setting the mould can be placed into a furnace.
Allow investment material to cool (exothermic reaction)

29
Q

temperatures of furnace for CoCr casts

A

increased from 0oC to around 1100 oC in approximately 3-3.5 hours

The mould is held at the pre-casting temperature to ‘heat-soak’ for 30 minutes to ensure even the thinnest section of the mould is hot
- Failure to ensure this will mean the metal freezes on contact and the mould is not filled.

The mould must be hot to receive the molten metal or the mould will expand and crack or explode.
- CoCr can miscast

30
Q

what temperature does CoCr alloy melt at

A

around 1400 oC

31
Q

high frequency induction casting machines

A

use pressure and high temperatures to cast precious, semi-precious and base metals into specific shapes, such as a frame for a crown or bridge, or for a cobalt chrome partial denture.

These machines are designed to make casting precise parts for dental restorations as simple and repeatable as possible, and some automate much of the process including melting the metal.

Other casting machines are less complex and require the metal to be melted before it is added to the chamber. Whether automatic or manually operated, these machines then use centrifugal force to cast the liquid metal.

32
Q

advantages of high frequency induction casting machines

A

Safe, easy, automated, reliable outcomes

  • Melts the alloy
  • Cast CoCr using centrifugal force
  • Less chance of miscast
33
Q

what happens when the casting in completed

A

it is allowed to cool

34
Q

how is the casting cleaned when cooled

A

sandblasting with aluminium oxide for 30-40mins

35
Q

what do you need to be careful of when sandblasting the cast

A

delicate phase can break of part fo the cast if get too thin

36
Q

what to inspect the cast for

A

Air bubbles on the surface of the cast caused by possible non-appropriate mixing time or vacuum mixing being used when making the refractory cast

Don’t have oxides on fitting surface

jagged edges

Should be removed by technician – fine stone or sandblaster

37
Q

how to remove air bubbles/oxides on cast surface

A

Should be removed by technician – fine stone or sandblaster

38
Q

when would the cast need refined

A

Any abrasion of the cast must be attended to by the technician.

Cast marked – need to reduce as may not fit patient
- Check the model to identify areas

39
Q

what instrument should not be used to modify the cast

A

pliers

40
Q

what should be used to reduce the alloy cast

A

stone or tunsen burs

41
Q

what should be checked in regards to occlusal rests

A

any spaces - problem

tell tale sign = rocking
warped, moved in process

42
Q

2 ways to alter the cast to fit the model

A

sand blast the CoCr with aluminium oxide

electropolish

43
Q

process of electro-polishing

A

Anode and cathode and electrical current through

  • Strip surface layer of alloy
  • Easy to polish

Reduce thickness slightly
- Place wax on to stop thinning in electro-polisher

can wait till after this to fit to cast as alter dimension

44
Q

final appearance of electropolished CoCr

A

luster

highly polished

45
Q

problem with polishing retention

A

can shine through acrylic

rougher for acrylic to bond to