B.D.S IV year CONTENT Definition Types Parts of surveyor Uses of surveyor Survey lines Classification of survey lines DEFINITION The dental surveyor is a paralleling instrument used in construction of a prosthesis to locate and delineate the contours and relative positions of abutment teeth and associated structures. TYPES Ney surveyor: Horizontal arm is fixed.
Jelenko (Wills) surveyor: Horizontal arm can
swivel.
Williams surveyor: Horizontal arm is split and
jointed. PARTS OF SURVEYOR Surveying platform: It is a metal base parallel to the floor onto which a cast holder and vertical arm are attached.
Surveying table: This consist of a base and cast holder.
The base sites on the platform and cast holder is attached to it. The holder is attached to the base with a ball and socket joint that permits the cast to be oriented in various horizontal planes so that the axial surfaces of the teeth and soft tissue areas of the cast can be analysed in relation to the vertical plane.
Vertical arm: This is attached to the platform and
supports the horizontal arm.
Horizontal arm: This extends at right angles to the
vertical arm and the surveying arm is attached to it . The Ney, Jelenko and Williams surveyors differ in this aspect as mentioned. Surveying arm: It drops vertically from the free end of the horizontal arm . It can be moved vertically up and down. The Mandrel, which holds the surveying tools, is attached to its lower end. This arm is spring loaded in Jelenko surveyor, while it is passive in the Ney surveyor. Surveying tools: These are held by the mandrel at tached to surveying arm. The tools are analysing rod, carbon marker, undercut gauges and wax trimmer. USES OF SURVEYOR Surveying the diagnostic and primary casts.
Tripoding the cast.
Transferring the tripod marks to another cast
Surveying the master cast.
Contouring crowns and cast restorations
Placing internal attachments and rests
Surveying the master cast.
Surveying ceramic veneers before final glazing.
SURVEY LINES A survey line can also be define as “A line produced on a cast of a tooth by a surveyor or scriber marking the greatest height of contour in relation to the chosen path of insertion of a planned restoration.
The survey line marks the height of contour of the
tooth. The height of contour is defined as “A line encircling a tooth of contour is define as circumference at a selected position” CLASSIFICATION OF SURVEY LINES High survey line:- High survey line passes from the occlusal third in the near zone to the occlusal third in the far zone When a high survey line is present, the undercut will be deep and hence a wrought wire clasp which is more flexible should be used. It is commonly found in inclined teeth and in teeth with a larger occlusal diameter compared to its diameter at the cemento-enamel junction. Medium survey line:- It passes from the occlusal third in the near zone to the middle third in the far zone. Either Aker's or Reach clasp is used for teeth with a medium survey line.
Low survey line:- This survey line is closer to the
cervical third of the tooth in both near and far zone.
Diagonal survey line:- This survey line runs from
the occlusal third of the near zone to the cervical third of the far zone, Here, a reverse circlet clasp is used Set Up for Surveying:- Setup for surveying includes mounting me primary cast on a cast holder, locking it in position with "zero" degree tilt.
Mounting the cast:- The primary cast should be
mounted on the surveying table. The cast can be fixed tightly to the clamps on the surveying table. The cast should be mounted such that the occlusal surfaces of the remaining teeth are parallel to the base. Positioning the surveying arm:- After mounting the cast, the horizontal arm is positioned in the surveyor. The horizontal arm should be vertically adjusted such that the surveying arm can contact atleast three different spaced out points on the cast. Once the proper position of the horizontal arm is determined, it is locked to the vertical arm with the help of a thumbscrew. Analyzing the cast:- The analysing rod is the first surveying tool that
should be used during any survey procedure. It
should be attached to mandrel of the surveying arm.
The cast is rotated against the analysing rod to
analyse the presence of undercuts (favourable and unfavourable). At this stage, the operator will develop a mental picture about a design that would best suit the clinical condition. Favourable undercuts should be present on the abutment teeth to place the retentive components of a clasp. Unfavourable undercuts (soft tissue, bony undercuts) should be eliminated.
Soft tissue undercuts revealed during analyzing
should be removed. The removal of soft tissue undercuts is done during preprosthetic mouth preparation. If there is a deep unilateral soft tissue undercut, the cast can be tilted so that the prosthesis can be placed using a different path of insertion without interference. Surveying the primary cast includes:- 1. Analyzing the cast. 2. Surveying the teeth. 3. Surveying the soft tissue contours on the cast. Surveying the teeth:- The teeth are surveyed for the following reasons:
A. To determine the height of contour.
B. To determine the depth of the undercut.
C. To determine the location of undesirable undercuts
D. To determine the parallelism of the abutments
E. To determine the path of insertion of the denture.
Determining the height of contour:- Teeth are surveyed to determine their height of contour. The height of contour is marked using the flat surface of a carbon marker attached to the mandrel of the surveying arm. This forms the survey line. If there is no height or contour and there is no undercut to place the flexible part of the clasp, in such cases a small depression (undercut) can be created to engage the flexible part of the clasp. Determining the depth of the undercut:- This is done using undercut gauges. One should remember that the depth of the undercut is not always measured at the level of the gingival crevice, instead it is measured as a level where the operator plans to place the retentive terminal of the retentive arm. A more flexible material should be used to engage a deeper undercut. Hence, the alloy for the partial denture is chosen based on this measurement during this procedure. Determining the location of undesirable undercuts:- Undesirable undercuts should be blocked out (filled) to avoid interference. Block out is done using wax or block out material. Usually block out is done in the master cast before duplicating it to form the refractory cast. Undesirable undercuts should be filled till the height of contour for that path of insertion. The excess blockout material is trimmed flush to the height of contour using a surveying wax knife. Determining the parallelism of the abutment teeth:- The parallelism of the abutment teeth to one another should also be determined. The path of insertion of a RPD is usually parallel to the long axis of the abutment teeth. Parallelism is essential for easy insertion and removal of the prosthesis. Determining the path of insertion of the denture:- While surveying to check for the parallelism of the abutment teeth, the cast is tilted till the long axis of the abutment tooth is parallel to the Vertical axis. Is tilt gives the angle of path of insertion of the denture. Tilting can be done in anterior, posterior, right or left directions. Surveying the Soft Tissue Contour:- Soft tissues to be covered by the prosthesis or the soft tissues that support the prosthesis should be surveyed for unfavourable undercuts. If any form of surgery is needed to eliminate these undercuts, they are added to the treatment plan.
Tripoding the Primary Cast: The angle of path of
insertion is maintained by maintaining the tilt determined for the primary cast. To achieve this degree of the master cast, tripoding the primary cast is done. Tripoding is a very simple procedure, wherein three different widely spaced out points of a single plane are marked on the cast. These tripod points are reference points and should not be altered till the end of treatment. Procedure:- Tripoding is done after surveying the primary cast. The primary cast is mounted according to the determined tilt on the surveying table. A carbon marker trimmed to an angle of 45 is fixed to the mandrel of the surveying arm. The height of the horizontal arm is adjusted such that the carbon marker touches the tissue lingual to the teeth on the cast. The horizontal arm is locked in that position. The surveying arm is moved freely. Since the horizontal arm is locked to the vertical arm the tip of the carbon market will lie in a single plane irrespective of the position to which the surveying arm is moved. As the surveying arm is moved, two additional points in the cast that come in contact with the carbon marker, are marked. Since carbon marker is in the same horizontal plane all the three points marked using it will also lie in the same plane. Transferring the Tripod Marks:- This procedure is done to orient the master cast using the same angulation of the primary cast. After tripoding the primary cast, three additional reference points are marked on the cast using the same procedure described to mark the first three tripod marks. The commonly used additional reference points are:
1. Distal marginal ridge of the first premolar.
2. Incisal edge of lateral incisor. 3. Lingual cusp tip of the first premolar on the opposite site After marking the reference points, the primary cast is removed and the master cast is placed on the surveying table.
The master cast is adjusted in the surveying table
such that the carbon marker in the surveying arm contacts the additional reference points in the same manner as it did with the primary cast Surveying the Master Cast:- The master cast is fabricated after prosthetic mouth preparation. It is surveyed to check whether the desired results have been obtained in mouth preparation. All the objectives for sureveying the diagnostic cast hold good here too. Additionally, the following factors are checked during survey of the master cast: Parallelism of the guiding plane:- It is measured using the paralleling tools like surveyor blade and diagnostic stylus. It is checked by tilting the cast laterally and antero-posteriorly.
Depth of undercuts and retention:- It is measured
using undercut gauges mounted onto the surveying arm.
Height of contour:- It is the widest circumference and
is marked using a carbon marker. CONCLUSION Surveying is the procedure of locating, delineating and appraising the contour and position of the teeth and associated structures before any removable or fixed partial denture is designed. Thus surveyor is a diagnostic tool which should be used by every practicing prosthodontist in order to establish a treatment plan that will be biomechanically sound while fulfilling functional and esthetic requirements. REFERENCES TextBook Of Prosthodontics