24 Tooth Mods, Border Molding, Final Impression Appointment

Tooth Modifications, Border Molding, & Final Impression

Clinical Steps

1. Tooth Modifications

FACULTY CHECK

2. Border Molding

• Required for Class I, II, or long-span Class III Kennedy classifications!
• Prepare Materials
  • Set water bath to 122 – 124° F and ensure that there is enough alcohol in the torch (can get more from the 4th floor Prosthodontics lab if needed)
  • Prepare #11 blade and place in safe location

• Complete border molding of edentulous regions in sections, ensuring smooth transition between segments

FACULTY CHECK

(while waiting for faculty check, place adhesive on custom trays to prepare for PVS impression) 

3. Final PVS Impression 

• Trim green wax from the inside of the tray using #11 blade
• Place Light Body PVS (blue) over guide planes, rest seats, and abutment teeth
• Fill custom tray with  Medium Body PVS (green), seat, and allow setting for 5 minutes
• Evaluate impression
  • Captured all rest seats?
  • No voids on abutment teeth?
  • If not –> re-impress

Axium Information

1. 1. Codes

   • • S5004: Tooth Preparations
     • S5002.1: Border Molding
     • S5005: Impression for Framework

   2. Template Note

   Prob: Patient presents to continue removable partial dentures (tooth modifications, border molding, and final impression of maxilla / mandible).

   CC: “____”

   HS: No changes to medical history, allergies, or medications. BP = ___/___

   Findings and Treatment:

   Tooth modifications completed on teeth #____. Tooth #__ was prepared with a mesial guide plane and distal occlusal rest. Tooth #___…. Verified positive seat on all tooth preparations.

   Custom tray tried in the patient’s mouth to ensure adequate fit and extension. Border molding of the maxilla / mandible completed with green stick compound.

   Final impression taken using Light Body Extrude (on guide planes and rest seats) and Medium Body Extrude PVS material in the remainder of the tray.

   Post-Op Instructions / Limitations: __

   Evaluation: Patient was cooperative and tolerated treatment well.

   Next Visit: Maxillomandibular jaw relations appointment in PROS.

   Assistant: ____

   Faculty: ____

   Personnel Present in Operatory: Patient, Provider Name, Dr. ___ (Faculty)

    

    

Laboratory Steps

1. Box & Pour Final Impressions

• Utilize rope wax and boxing wax to create a water-tight seal around the final impression
• Pour impressions with Type III stone
• Boxing Master Impressions & Trimming Definitive Casts – PDF

2. Send to Laboratory for Framework Fabrication