COMO FAZER UMA MONTAGEM E CEROPLASTIA DE PT (PRÓTESE TOTAL) SUPERIOR

Introduction

This tutorial will guide you through the process of creating a total upper prosthesis (prótese total) using montages and ceroplasty techniques. This is particularly relevant for dental professionals and students who want to enhance their skills in prosthetic dentistry. By following these steps, you will learn how to effectively design and implement a total upper denture.

Step 1: Preparation of Materials

Before starting the montage and ceroplasty, gather all necessary materials and tools.

• Materials Needed:
  • Dental plaster
  • Wax for modeling
  • Ceroplastic materials
  • Measurement tools (calipers, gauges)
  • Mixing bowl and spatula
• Tools Required:
  • Denture base plates
  • Heat source for wax
  • Sculpting tools

Practical Tips

• Ensure all materials are clean and ready for use.
• Check that tools are in good working condition to avoid interruptions.

Step 2: Taking Measurements

Accurate measurements are crucial for a well-fitting prosthesis.

• Steps to Take Measurements:
  1. Use calipers to measure the width of the arch.
  2. Measure the height of the gums.
  3. Note the position of the remaining teeth, if any.
  4. Record the patient’s bite relation.

Common Pitfalls to Avoid

• Failing to account for the patient's individual anatomy can lead to discomfort.
• Double-check measurements for accuracy to ensure a proper fit.

Step 3: Creating the Wax Model

The wax model serves as the foundation for the final prosthesis.

• Steps to Create the Wax Model:
  1. Heat the wax until malleable.
  2. Shape the wax according to the measurements taken.
  3. Ensure even thickness and aesthetic appearance.

Practical Tips

• Use sculpting tools for finer details.
• Regularly compare with your measurements to maintain accuracy.

Step 4: Ceroplasty Process

Ceroplasty involves applying ceroplastic materials to the wax model.

• Steps for Ceroplasty:
  1. Prepare the ceroplastic mixture according to the manufacturer's instructions.
  2. Apply the mixture over the wax model, ensuring smoothness and coverage.
  3. Allow it to set as per the recommended time.

Common Pitfalls to Avoid

• Avoid excessive heat which can distort the wax model.
• Ensure that the ceroplastic mixture is well-mixed for a consistent application.

Step 5: Final Adjustments

Once the ceroplasty has cured, make necessary adjustments for fit and comfort.

• Adjustment Steps:
  1. Test the fit on the patient.
  2. Make any necessary adjustments to improve comfort.
  3. Finalize the aesthetic details such as color and texture.

Practical Tips

• Use a light hand when polishing to avoid damaging the prosthesis.
• Consult the patient to ensure their satisfaction with the final product.

Conclusion

In this tutorial, we covered the essential steps for creating a total upper prosthesis using montages and ceroplasty techniques. Key points include preparation of materials, precise measurements, the wax modeling process, application of ceroplastic materials, and making final adjustments for comfort. Following these steps will enhance your prosthetic skills and ensure successful outcomes for your patients. Next, consider practicing these techniques with different patient cases to refine your expertise.