MODEL KERJA

DAN
TATALAKSANA PENGIRIMAN
KE LAB TEKNIK

Dr. Nike Hendrijantini.,drg.,MKes., Sp.Pros(K)

Departemen Prostodensia
Fakultas Kedokteran Gigi Universitas Airlangga
April 2020
 Communication Between
Dentist and Dental Technician

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 Metz J.M.et al, Implementation of a
Laboratory Quality Assurance Program:
The Louisville Experience
Journal of Dental Education February 2014.

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 Clinical success is always
the result of detailed and
careful procedures

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 Working Cast
with Die Systems

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 Working cast with removable dies
Class IV plasters

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 To allow accurate internal or fitting surface

Working cast:
Replica of the prepared teeth, ridges area,
and other parts of the dental arch

Die:
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 Requirements of good working cast:

1. It must reproduce both prepared and unprepared tooth surface

2. Unprepared teeth adjacent to the preparation must be free of voids
3. Surfaces of teeth involved anterior guidance and the occlusal
surfaces of all unprepared teeth must allow for precise articulation of
the opposing casts
4. All relevant soft tissues should be reproduced in the working cast
(edentulous spaces and residual ridge contours that will be involved
in the fixed partial dentures)

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 Requirements of good working dies:
1. It must reproduce the prepared tooth exactly
2. All surfaces must be accurately duplicated, and
no bubles or voids can be accepted
3. The unprepared tooth structure cervical to the
finish line should be easily discernible on the die
(0,5 – 1 mm)
4. Adequate access to the margin is imperative

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 Working cast with removable die:

1. The dies must return to their exact original positions

2. The dies must remain stable
3. The cast containing the dies must be easily mounted on the
articulator

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 Bite Registration

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 A bite registration should be easily and
precisely transferred to stone models without
rocking or flexing in order to reproduce an
accurate, and stable upper and lower jaw
relationship
→ Managing a bite relationship is one of
the most critical aspects of any
restorative dental procedure.

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 BITE REGISTRATION
MATERIAL CHOICE

• Wax
• Polyvinyl siloxane

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 Typical wax bite wafer Obvious distortion of the wax bite registration

Wax are easily distorted on removal from the mouth, in transit to the lab, or with
temperature changes
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 BITE REGISTRATION TECHNIQUE
1. Open bite technique - occlusal bite registration
2. Closed bite technique - buccal bite registration

Closed (buccal) bite registration

Open (occlusal) bite registration

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 Put the bite registration material onto the
prepared teeth only and have the patient close
onto it while you check the teeth on the
contralateral side.

Trim away any area where the registration was

in contact with soft tissue, or in contact with
anything other than tooth preparation or
opposing tooth

The trimmed bite registration should only cover

the occlusal or the incisal half of the prepared
tooth and the occlusal or incisal half of the
opposing tooth.

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 By taking the bite registration prior to the
impression, calipers can be used to
measure the amount of occlusal reduction

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 Step-by-step procedure

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 Proper bite registration

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 Untrimmed excess
materials introduces
mounting errors

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 Articulator or
Occludator?

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 Premature
contacts on
fabricated
restorations
between the
distal
mandibular
inclines and the
mesial maxillary
inclines of
posterior teeth

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 Planning the Shade Prescription

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 The shade guide consists of five groups of tabs organized by hue.

Groups:
100 = White
200 = Yellow
300 = Orange
400 = Gray
500 = Brown

The tabs are further organized by a numbering system to distinguish chroma and value.

10 = Least Chromatic, Highest Value

40 = Most chromatic, Lowest Value

Chromascop
shade guide

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It consists of 16 shade tabs arranged according to hue alphabetically:
A - Orange
B - Yellow
C - Yellow/Gray
D - Orange/Gray (Brown)

The tabs are further organized by value and chroma designated by a number that
suffixes the letter.
1 - Lease Chromatic, Highest Value
4 - Most Chromatic, Lowest Value

For example, A1 has a an orange Hue, a low Chroma and a High Value. Please see
the picture below for the complete shade tab arrangement

Vita classical
shade guide
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 Color Matching

Die shade selection

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 Work Authorization
A signed written order provided by the dentist to
the dental laboratory detailing the work to be
performed and specifying the materials to be used

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 A work authorization form:

1. Patient: Name, Age, Gender

2. Date Of The Request
3. Detailed Description: ex Margin Design, Pontic
Design, Retainer Design Etc
4. Specific Materials: ex Type Of Alloy
5. Shade
6. Occlusal Scheme

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 Paper-based Communication

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 Diagnostic Wax-Up

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