Fluida Resina Acrílica

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A permanent-base denture technique using fluid resin

James D. Browning, D.M.D., lieutenant Colonel, USAF (DC)*


Lowry AFB, Denver, Cola.

A ccurate registration
a key step in construction
of centric relation
of well-fitting
and vertical dimension
complete
of occlwion
dentures, and ~uany technique\
‘i

have been devised for obtaining these registrations. All of them. however: depend
upon fabrication of a stable base, and this afTords a major possibility for irltradul -
tion of error. One approach to this problem is the use of the trial base a~ a pel-
manent part of the denture. Such bases provide maximum stability on movable.
tissues, because the technique eliminates the necessity for blocking out undercuts
or duplicating the master cast.
The technique has been used with various nlaterials, including waged or cas\
metal.’ vulcanite alone or in combination \vith acrylic resin,’ and heat-cruw!
acrylic resin.“, ’ However, in each technique, limitations inherent in the mtteriais
ha1.e prevented ideal results. Now, the flllid acrylic- resins make it wla~i\.ply t’a~:
to produce a denture incorporating a pernlanclrt trial 1x1~.

PROCEDURE
The trial base

I. Make the final impressions in the usual manner’


2. Pour the casts in dental stone. Lea\,c ;I land arca slightly wider than usuai
beyond the impression.
3. Wax a pattern directly on the master Ixst. ‘I’llis should reflect the thicknesc
of the borders and configuration of the palatal arcas to be included in the fin:~i
denture.
1. \Vas a finish line at right angles to the tissue line xound the border of thf:
cast. On the mandibular cast, place this finish linr war the border so that it wili
have the thickness of the final denture. 011 the maxillary cast, wax the finish lirw
just lingual to the crest of the ridgr and around all the buccal and labial borders
(Fig. 1 I.
5. Soak the lvased master cast in tepid \val(,r for :I few minutes.
6. Flask the cast in hydrocolloid material, ;IJI~ allo\\ it to set (Fig. :!
7. Remove the rnastcr cast from the hydrocoiloid mold.

*Chief, Area Dental Laboratory

468
Volume 30 Permanent-base dentures using resin 469
Number 4, Part 1

Fig. 1. Wax patterns for the permanent bases are designed with borders that are the thick-
ness desired in the final denture. The palate is waxed as is done for the final denture, with a
finish line for the second pour of resin just lingual to the crest of the ridge.
Fig. 2. The cast is flasked in reversible hydrocolloid.
Fig. 3. Sprue holes are cut in the hydrocolloid.
Fig. 4. The permanent base is sealed to the mounting cast. The wider-than-usual land area
is necessary to support the mounting cast with the permanent base in the hydrocolloid mold
during the second pouring of fluid resin.
Fig. 5. The wax pattern is flasked in reversible hydrocolloid. Note the additional bulk in
tuberosity regions of sprue attachments.
Fig. 6. The mold is filled with fluid acrylic resin.
470 Browning

8. Clean the wax from the cast with boiling water.


9. Cut sprue holes into the hydrocolloid mold (Fig. 3 j
10. Replace the cleansed master cast into the hydrocolloid mold.
11. Pour fluid acrylic resin into the hydrocolloid mold.
12. Cure the resin in water under air pressure.’
13. Kemove the processed base from the mold and master cast.
14. Cut off the sprues. and slightly polish the borders.

Completing the denture

I. Block out the undercuts in the finished resin bases.


2. Pour stone mounting casts into the permanent bases. Leave ;i land aria
somewhat wider than usual on the finished mounting cast.
3. Make all the necessary interocclusal records on the permanent acryiic resiri
bases.
4. Mount the casts in an articulator by means of these records.
5. Arrange the teeth as usual for esthetics and occlusion.
6. Complete the final wax-up and festooning around the teeth on the acryht
resin base.
7. Seal the permanent resin base to the mounting cast (Fig. 4j
8. Invest the wax denture pattern in hydrocolloid. Additional wax should bra
placed in the tuberosity regions of the maxillary dentures and over the retromolar
pad regions of the mandibular dentures to provide more bulk where the sprues art
attached (Fig. 5)
9. Separate the mold, and flush out the was with boiling water.
10. Reassemble the mold, cut sprue holes, and fill the mold with fluid arqlif
resin (Fig. 6).

DISCUSSION

In my experience with tllis method, I have found that processirig errors SI-
minimal when compared to the other methods using heat-cured acrylic resins. ‘I%~
is due to the physical properties of the materials. In the permanent base technique.
less bulk of acrylic resin is cured at each step so that the curing shrinkage is 1~s::
at each step;’ and the shrinkage that occurs in processing the base is compensateti
for in waxing the final denture. This, in addition to the superior fit of the base tc,
the tissue, results in a denture that is more accurate dimensionally than is possiblr
when heat-cured acrylic is processed in its full bulk at one stage.” Dentures processctl
in this rnanner require very little finishing. The junction between the pcrmanrtl:
base and the second pour of acrylic resin is practically undetectable. Coloration c):
thth base for individual characterization ma)- be done in the hydrocolloid mold w
is done when flasking in stone. The esthetic. appearance of dentures iabricatec
using this technique compares favorably 1yitI-i that of dentures made with hea!,-
cured acrylic resins flasked in stone.
Several writers have reported a problem in infraocclusion using the fluid reslr;
materials.“. 7 This problem 11~s been evident on occasion ivhen using this technique
however. it has been minimal in most dentures and is usually traced to some error
in technique. When manufacturers’ recommendations are closely followed. both in
Volumr 30 Permanent-base dentures using resin 471
Nnmbrt- 4. Part I

use of the reversible hydrocolloid for the mold and the fluid resin materials, the
result has been dentures very similar dimensionally to the waxed dentures.

SUMMARY

A method for fabricating trial bases for use in construction of complete dentures
directly on the master cast, without blocking out undercuts, has been described.
The trial base becomes a permanent part of the finished denture through use of the
fluid resin materials. Fabrication methods are simplified and the resultant bases
adapt closely over the entire coverage area. This facilitates the making of registra-
tions for complete denture construction. Since less bulk of acrylic resin is processed
at one time, greater dimensional accuracy results. It is possible to make better-
fitting dentures by this simplified technique.

References

1 Craddock, F. W.: Prosthetic Dentistry; a Clinical Outline, ed. 2, St. Louis, 1951, The C.
V. Mosby Company, pp. 107-108.
2. Payne, S. H.: Combined Vulcanite and Acrylic Denture, J. PROSTWET. DENT. 3: 323-
32.5, 1953.
3 Brewer, A. A.: Prosthodontic Research in Progess at the School of Aerospace Medicine,
J. PKOSTHET. DENT. 13: 49.69, 1963.
4. Jones, J. P., Reiner, P. R., and Rudd, K. D.: Acrylic Resin Permanent Denture Base,
Tex. Dent. J., 1963.
5 Smith, D. E., Lord, J. L., and Bolender, C. L.: Complete Denture Relines With Auto-
polymerizing Acrylic Resin Processed in Water Under Air Pressure, J. PROSTHET. DENT.
18: 103-115, 1967.
6. Winkler, S.: The Current Status of Pour Resins, J. PROSTHET. DENT. 28: 580-584, 1972.
7. Shepard, W. L.: Denture Bases Processed From a Fluid Resin, J. PROSTHET. DEXI,. 19:
561-572, 1968.

1460 S. OAKLAND ST.


.',URORA, &LO. 80012

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