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Acrylic resin jigs as an aid to parallel

guiding plane preparation


Tom Canning, BDentSc, MFD (RCSI),a and Michael O’Sullivan,
BDentSc, MSc, PhDb
Dublin Dental School and Hospital, Dublin, Ireland

Guiding planes are defined as ver- of the proximal surface. When occlu- fixed within a modelling plastic index
tically parallel surfaces on abutment sal pressure is exerted on the artificial fabricated on the surveyor is also of
teeth and/or dental implant abut- teeth, the proximal plate moves tis- use in transferring this information.8
ments orientated to contribute to the sue-ward without torquing the abut- This article describes a method for
direction of the path of placement ment tooth. accurately transferring guiding planes
and removal of a removable dental When a retentive arm flexes over from a diagnostic cast to the mouth,
prosthesis.1 The functions of guid- the height of contour, a horizon- thus ensuring relative parallelism for
ing planes include2: (1) providing 1 tal force is placed on the abutment a given path of insertion. At the treat-
path of placement/removal of a pros- tooth.5,6 The length of the guiding ment planning stage, jigs are made on
thesis, thereby eliminating excessive plane required to balance this force the diagnostic casts, and the selected
stress upon either the restoration or has been shown to vary with the de- path of insertion is indicated on them.
the abutment teeth; (2) ensuring the gree of undercut used,7 and its loca- These jigs are then used clinically to
intended action of various reciprocat- tion should diametrically oppose the ensure the relative parallelism of guid-
ing, stabilizing, and retentive com- retentive element if it also has a recip- ing plane preparation for a selected
ponents; (3) aiding with retention rocating function. Ideally, the guid- path of insertion. In the patient sce-
against dislodging forces other than ing plane should extend one third the nario presented, guiding planes were
those acting parallel to a given path buccolingual width of the tooth, and prepared on the mesial surface of the
of insertion and stabilizing against its vertical extension should be from mandibular right second molar, the
horizontally directed forces, and (4) the marginal ridge to the junction of distal surface of the mandibular right
eliminating troublesome food traps. the middle and gingival thirds.2 first premolar, and the distal surface
Miller3 stated that flat surfaces Different techniques have been of the mandibular left first premolar.
eliminate horizontal forces upon the described to facilitate the transfer of
abutment tooth as the guiding plate the orientation of the guiding planes PROCEDURE
or minor connector moves past it. from the surveying instrument in-
This will not occur when the prosthesis traorally. One technique involves pre- 1. Make mounted diagnostic casts
contacts a convex surface. Such con- paring the surfaces and making an in type V stone (Jade Stone; Whip Mix
tact would tend to deflect the tooth impression which is poured into quick Corp, Louisville, Ky) from preliminary
within its alveolar housing, and over a setting plaster. The resultant cast can impressions.
period of time, this repeated trauma be verified for parallelism on the sur- 2. Complete the final design of
may be detrimental to the abutment veyor prior to making definitive im- the removable partial denture using a
tooth. The RPI system described by pressions.2 An alternative method is surveyor (Ney; Dentsply Intl, York, Pa)
Krol4 attempts to manage the inevi- to trial prepare the guiding planes on and plan the position of the guiding
table tissue-ward displacement of a diagnostic casts and then highlight planes.
distal extension base under occlusal this area in colored pencil. This can 3. Fabricate autopolymerizing
loading. The distal guide plane is inte- then be brought chairside and used as acrylic resin jigs (Snap; Parkell Inc,
gral to its function. The guiding plane an aid in tooth preparation.3 A bur set Edgewood, NY). Lightly coat the cast
is positioned in the occlusal one third parallel to the path of insertion and with petroleum jelly (Vaseline; Unilev-

Postgraduate prosthodontic student, Division of Restorative Dentistry and Periodontology.


a

Senior Lecturer, Consultant, Restorative Dentistry (Special Needs), Division of Restorative Dentistry and Periodontology.
b

(J Prosthet Dent 2008;99:162-164)


The Journal of Prosthetic Dentistry Canning and O’Sullivan
February 2008 163
er Home and Personal Care, Kingston
Upon Thames, UK). Mix the acrylic
resin and mold it to fit the edentulous
spaces as shown in Figure 1, A. Ob-
tain support for the jig primarily from
the occlusal aspect of the adjacent
teeth on each side of the edentulous
space and from the edentulous ridge
in distal extension situations.
4. Relieve the acrylic resin from
the buccal surface of the jig so that
the area to be reduced on the tooth is
clearly accessible with the jig in place.
5. Remove and replace the jig
while still at a rubbery consistency to
prevent it from becoming locked into
areas of undercut. A
6. When the resin has complete-
ly polymerized, trim and polish to
achieve a flat surface parallel to the
path of insertion using an acrylic
resin bur (#95; Harry J. Bosworth Co,
Skokie, Ill).
7. With the cast still in the survey-
or, place a permanent mark as close to
the area to be reduced as feasible (Fig.
1, A) using an alcohol pen (Staedtler;
Mars GmbH & Co, Nuremberg, Ger-
many). Use an analyzing rod for this
purpose. B
8. Evaluate the jig intraorally at the
tooth preparation visit. Dry the teeth
and carefully draw a line on the tooth
parallel to the adjacent line on the jig
using a sterile surgical marking pen
(Surgiscribe; Fabco, New London,
Conn). Draw a series of dots on the
tooth surface and join these to obtain
a more reliable parallel line (Fig. 1, B
and C).
9. Using these lines as a guide,
prepare the guiding planes with a
parallel-sided diamond rotary cutting C
instrument (FG575; KerrHawe, Biog- 1 A, Acrylic resin jig molded to edentulous area and supported by adjacent
gio, Switzerland) and polish with a occlusal surfaces. B, Transfer of path of insertion to abutment tooth. C, Line
straight-sided finishing bur (FG4205L; completed indicating chosen path of insertion on abutment tooth.
KerrHawe).
10. Pour a cast of the prepared
surfaces and confirm that these are
parallel to the chosen path of inser-
tion (Fig. 2).

Canning and O’Sullivan


164 Volume 99 Issue 2
1971;25:21-43.
6. Cecconi BT, Asgar K, Dootz E. The effect
of partial denture clasp design on abut-
ment tooth movement. J Prosthet Dent
1971;25:44-56.
7. Stern WJ. Guiding planes in clasp recip-
rocation and retention. J Prosthet Dent
1975:34:408-14.
8. Krikos AA. Preparing guide planes for
removable partial dentures. J Prosthet Dent
1975;34:152-5.

Corresponding author:
Dr Tom Canning
Division of Restorative Dentistry and Peri-
odontology
Dublin Dental Hospital
Lincoln Place
Dublin 2
2 Guiding plane prepared parallel to path of insertion. IRELAND
Fax: 003-531-6127297
E-mail: tom.canning@dental.tcd.ie
REFERENCES 3. Miller EL. Removable partial prosthodon-
tics. 2nd ed. Baltimore/London: Williams Contributing author:
1. The glossary of prosthodontic terms. J and Wilkins; 1981. p. 132. W.E. McDevitt, BDS, PhD, Professor Emeritus,
Prosthet Dent 2005;94:42. 4. Krol AJ. RPI (rest, proximal plate, I bar) Division of Restorative Dentistry and Peri-
2. Carr AB, McGivney GP, Brown DT. Mc- clasp retainer and its modifications. Dent odontology, Dublin Dental Hospital.
Cracken’s removable partial prosthodon- Clin North Am 1973;17:631-49.
tics. 11th ed. St. Louis: Elsevier; 2005. p. 5. Clayton JA, Jaslow C. A measurement
Copyright © 2008 by the Editorial Council for
155, 256. of clasp forces on teeth. J Prosthet Dent
The Journal of Prosthetic Dentistry.

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The Journal of Prosthetic Dentistry Canning and O’Sullivan

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