PREAT Precision Attachments

wpe1E.jpg (6629 bytes)

Female in the post coping

Technique for incorporating the Retention Cap

Benefits:

The acrylic retention cap may be easily removed (use heat) from the prosthesis and replaced or repositioned if necessary.
Clinical/Intra-oral: the acrylic retention cap is easily connected to a cast frame in the mouth
Clinical/Intra-oral: the acrylic retention cap may be easily picked up in the mouth

Direct Method--Acrylic Retention


694 AKS2	RE 0095

1 wpe131.jpg (16518 bytes)

2 wpe132.jpg (20765 bytes)

3 wpe133.jpg (14500 bytes)

The small space maintainer must always be used, whether for resilient (tissue supported) or rigid (abutment supported) prosthesis (FIG 1). Thread the spring pin into the acrylic retention cap with the A1 or RE H5 tool (FIG 2). For a resilient prosthesis, use the large tin spacer. Without the large tin spacer, the prosthesis is rigid. The exposed areas of the post coping should be covered with plaster, stone, or other blockout materal (FIG 3).

Important: Use the big tin spacer

The tin spacer is used over the crown--or coping--during processing to block out excess acrylic from locking in the attachment female. However, the main reason for using the big spacer can be understood by viewing figures A and B.

Figure A is a Ceka overdenture case fabricated without the large spacer. This eliminates all movement of the prosthesis--it is a rigid attachment. As you can see, the denture base is in direct contact with the post coping (arrow). Forces are directed to the post coping abutment.

Figure B is the same overdenture case, only this time the large spacer was used. Using the large spacer allows for movement of the prosthesis--it is now a resilient attachment. During processing, the large spacer creates a free space between the prosthesis and the post coping to allow this free movement, and direct forces to the tissue. The greater the area the forces are spread over, the less force that is generated on the abutment.

5 wpe134.jpg (25908 bytes)

Place self curing resin in the prosthesis (FIG 4). Seat the denture. Do not have the patient bite. Use finger pressure over the attachment area. The male is accurately positioned in the prosthesis. The spring pin is easily adjusted or replaced (FIG 5).

Indirect Method--Acrylic Retention

1 wpe136.jpg (15887 bytes)

2 wpe132.jpg (20765 bytes)

3 wpe137.jpg (16903 bytes)

The small space maintainer must always be used, whether for resilient (tissue supported) or rigid (abutment supported) prosthesis (FIG 1). Thread the spring pin into the acrylic retention cap with the A1 or H5 tool (FIG 2). For a resilient prosthesis, use the large tin spacer. Without the large tin spacer, the prosthesis is rigid. Prepare the master model for duplication (FIG 3).

4 wpe138.jpg (13331 bytes)

5 wpe139.jpg (24524 bytes)

6 wpe13A.jpg (13437 bytes)

The duplicate stone processing model (FIG 4). The male may be picked up with self curing acrylic resin either on the master model, or in the patient's mouth (FIG 5). Whether picking up the male from the master model or the patient's mouth, be sure to use the small space maintainer (FIG 6).

7 wpe12D.jpg (20290 bytes)

8 wpe134.jpg (25908 bytes)

Processing on the duplicate model (FIG 7). The male is accurately positioned in the prosthesis (FIG 8).

Chrome framework--Acrylic Technique

2 wpe145.jpg (8293 bytes)

3 wpe146.jpg (7748 bytes)

The acrylic retention cap ( FIG 1). An alternative to bonding would be to directly process the male in to the acrylic resin (FIG 2-3). Seat the small space maintainer on the female. Seat the framework. Thread the spring pin into the acrylic retention cap and seat in female, over framework. Process acrylic. Remove spacer.

Chrome framework--Bonding Technique


694 AR	RE 0085

1 wpe13C.jpg (6984 bytes)

2 wpe13D.jpg (11143 bytes)

3 wpe13E.jpg (11411 bytes)

Prepare an accurate refractory model (FIG 1). Wax a hood, or cover, a minimum of 0.4mm over the attachment (FIG 2). Complete and finish the casting (FIG 3).

4 wpe13F.jpg (12965 bytes)

5 wpe140.jpg (5390 bytes)

6 wpe141.jpg (11134 bytes)

Blast the internal surface with 110u aluminum oxide prior to bonding (FIG 4). Mix equal parts Ceka Site base and catalyst (FIG 5). Apply to casting (FIG 6). Note that you will need to prepare a fresh batch of Ceka Site for each unit.

7 wpe142.jpg (8953 bytes)

8 wpe143.jpg (9919 bytes)

9 wpe144.jpg (11899 bytes)

The spring pin is threaded into the spacer retention part and seated over the small space maintainer on the female (FIG 7). Seat the cast frame, with Ceka Site, over the attachment and allow to seat for a full 10 minutes. Note that you will need to prepare a fresh batch of Ceka Site for each unit. It is easy to remove the excess Ceka Site from the polished post coping, as Ceka Site is an anaerobic bonding agent, thus material exposed to air will not set (FIG 8). The bonded male is resistant to the heat of acrylic resin processing (FIG 9).

T0030.REV.00