Connectors
Connectors
Connectors
INTRODUCTION
TERMINOLOGY
PRINCIPLES OF CONNECTOR DESIGN
CONNECTORS
I. RIGID CONNECTORS
CAST CONNECTORS
SOLDERED CONNECTORS
WELDED CONNECTORS
LOOP CONNECTORS
ii. NON-RIGID CONNECTORS
KEY AND KEYWAY
SPLIT PONTIC]
CROSS PIN AND WING
CONNECTORS FOR
1. TEMPORARY RESTORATIONS
2. ALL METALLIC F. P. DS
3. METAL CERAMIC F.P.DS
4. ALL CERAMIC F.P.DS
5. TOOTH IMPLANT SUPPORTED PROSTHESIS
6. SPECIAL SITUATIONS
PIER ABUTMENTS
TILTED MOLARS
CANTILEVERED BRIDGES
CONNECTOR FAILURES AND REMEDIES
CONCLUSION
REFERENCES
INTRODUCTION
Connectors basically link different parts of fixed partial dentures (i.e. pontic and
retainers). Thus constitute and important part of F.P.D. Their designing determines in fate of
periodontal ligament under F.P.D. They may be either rigid / non-rigid type of connectors.
TERMINOLOGY
1. Connector the portion of fixed partial denture that unites the retainers and pontics.
2. Rigid connector:- a cast, soldered / fused union between the retainers and pontic.
3. Non-rigid connector:- a connector that permits limited movement between otherwise
independent members of a fixed partial denture.
4. Internal connector:- a non-rigid connector of varying geometric designs using a
matrix to unite the members of a F.P.D.
5. Sub occlusal connectors:- an interproximal non-rigid connector positioned apical to
and not in communication with the occlusal plane.
6. Soldering:- to unite, bring into / restore to a firm union, the act of uniting two pieces
of metal by the proper alloy of metals.
PRINCIPLES OF CONNECTOR DESIGN
The connector design determines the success of F.P.D to a certain extent. The factors
to be observed while fabricating a connector are: Type of connector
Rigid connector
Non-rigid connector.
Size of connector
Shape of connector
Type of connectors :
1.
Rigid connector they are the ideal choice of connectors for F.P.Ds. they
provide maximum rigidity and accurately transfer occlusal forces to abutment
teeth.
2.
Non-rigid connector- they are usually used for pier abutments due to
differences in physiologic tooth movement and difference in arch position of
abutment. It provides a scope for flexing of mandible during opening and
closing movements but it is technically sensitive.
Size of connector :
The size of connector is important in maintaining the periodontal health of the
abutment teeth. The recommended occusogingival height of connector is, ideally 3-4 mm. it
should be sufficiently large to prevent distortion / fracture during function. It should not be
too large which interfere with effective plaque control. Pulp size and crown height (young
teeth) may be a problem in designing non-rigid connector.
Shape of connector :
Connectors should have a concave shape mesiodistally (appear as meniscus) and
Convex buccolingually4. In cross section it appears as ellipse. For effective
functioning the long axis of ellipse should be parallel to direction of force, this leads to
encroachment of gingival embrasure, so usually the long axis of ellipse is placed
perpendicular to long axis of force. It should be highly polished.
For anterior teeth connector should be placed lingual and use of large
connector/inappropriately shaped connector result in display of metal leading to esthetic
failure of F.P.D.
CLASSIFICATION OF CONNECTORS
Connectors are basically classified as :1. Rigid connectors.
Cast connectors
Soldered connectors
Welded connectors
Loop connectors
Hong So Yang et al (1999):- studied the stress levels in the teeth and supporting
structures of F.P.D. and alteration stress with addition of multiple abutments (finite element
analysis study)
They found that
1. Increased number of abutments did not solve the mechanical problems of long span
F.P.D.
2. High stress concentration was found at connector (215.8-298.9 kg/cm2).
3. The connector material should nave high yield strength and rigidity.
4. Connectors in long span F.P.D.s should be of greater dimensions.
Dental solders :
They are intermediate filler alloy used to join parent metal parts.
Requirements of dental solders :
1. Corrosion resistance (minimum 580 fineness)
2. Lower fusion temperature than alloy (600 less).
3. Non-pitting (pitting occur due to over heating which cause vaporization of
components).
4. Strength should be similar to parent metal.
5. It should have free flow.
Silver increases flow
Copper decreases flow
High fusion solder show high flow
Low fusing solder sho0w decreased flow
6. It should have same color as parent metal.
Commonly used dental solders are :
1. Gold solders :
Composition : Gold 49-73% corrosion resistance
Silver 17.5-9% flow
Copper 23-12.5%
Tin 4.5-2.5%
Zinc 6.0-3.0%
Fineness 490,585,615,650, 730.
If solder is indicated as
585 fine fineness of solder
180 carat to be used with 18 carat parent metal
Pre-ceramic soldering.
Fusion temperature of gold solders 780-8300c
They are commonly used with gold alloys.
2. Silver solder :
Composition Silver
Copper
Zinc and cadmium decreased the fusion temperature.
4. Stone 0.055
5. Sticky wax 0.088
6. Acrylic resin 0.052
After wax pattern is prepared and casted, they are finished properly, the temporary
restoration is removed and the parts of F.P.D. are checked in mouth for individual fit and
occlusion is corrected. Then using pop as index material index is prepared.
Indexing :
A two piece casting can be used to fabricate a fixed partial denture with a solid
pontic; such as a hygienic. The technique described is used for soldering three unit posterior
fixed partial dentures. The pontic is cast with the smaller retainer. Then the retainer pontic
unit is soldered to the large retainer, utilizing an index of the relationship of the fixed partial
denture components in the patients mouth. This provides for the most accurate relationship
between the retainers and between each retainer and its abutment tooth. The index must
accurately maintain that relationship until the parts of the fixed partial denture have been
embedded in soldering investment. Numerous materials have been described for transferring
the relationship of the fixed partial denture components from mouth to laboratory bench;
plaster, sticky wax, auto polymerizing acrylic resin (duralay); 4-META adhesive resin and
zinc oxide-Eugenol, which has been shown to be a highly accurate material for indexing. If
plaster is used, the most accurate and consistent results will be obtained if the castings are
not removed form the index prior to investing. Resin indices are as accurate as those made
of plaster if the components are separated from and reseated in the plaster. However excess
bulk of a resin index will diminish accuracy because of additional polymerization shrinkage.
Procedure :
Remove the provisional restoration from the patients mouth and make certain that
there are no traces of temporary cement left on the tooth preparations. Try in the single
retainer first and then the retainer pontic combination. On the first try in for each, do not
leave the other unit in place. Verify the marginal fit of each retainer first. Make sure that
there is a small gap between the pontic and the retainer to which it has not yet been soldered.
Adjust the occlusion with green stones or other appropriate abrasives. Perform preliminary
finishing procedures on the retainer margins, if they are accessible. Smooth off the occlusal
surface with a rubber sulci disc. The rough surface left on the casting by greenstone index.
Into polish the castings at this pint, since polishing rouge is iron oxide a specific anti-flux for
soldering. Mix a small amount of fast setting impression plaster. Place it on a plastic index
tray or a thoroughly wet tongue depressor. Arrange the index material on the carrier so that
sharp ridge of material runs the length of the depressor or tray. This ridge facilities getting
index material into the central grooves of the casting. Carefully position the index on the
occlusal surface of the castings, vibrating gently as you seat it. When the material has set
remove the index. If the casings come out with it so much the better. A plaster index is most
accurate when the crowns stay in it. Carefully trim it with a laboratory knife with a no. 25
blade so that all margins are exposed by at least 1.0 mm. the index should extend at least 3
mm easily and distally past the crowns being soldered. This guarantees a symmetric
Uniform bulk of investment surrounding the units to be soldered and should minimize
distortion. The plaster index should be approximately 6mm thick.
If the crowns separate from the index when it is removed from the cast, trim off
excess that might prevent the casting from seating completely back into the imprints. Trim
the area around the imprints enough so that a substantial part of the axial walls will be
covered by investment. Then clean the index thoroughly with compressed air. The slightest
bit of debris between thoroughly with compressed air. The slightest bit of debris between the
index and crown will keep the crown from seating in the index and will make the
relationship inaccurate. Scrub the occlusal surface of the crowns and clean them in the
ultrasonic cleaner before repositioning them in the index. Place the index on the bench and
carefully try the castings in their respective imprints. If the castings touch there is a
likelihood of increased distortion. For this reason, it has been suggested that there be a gap
of at least .005 inch between the pontic and the retainer. A conflict arises in determining the
proper gap dimension for a solder joint. The wider the solder joint gap, the stronger the joint
apparently because there is less porosity in the joint. Therefore a gap width of .012 inch is
recommended for strength.
In another study, however it was determined that increased gap width produced an
increase in distortion. A gap width .006 inch is recommended for some greatest accuracy.
Obviously there is a need for some compromise. A gap width of .008 inch would appear to
be optimum since it is intermediate between the narrow in distorted joint and the wide string
joint. Indeed some investigators have used this distance as a standard. Furthermore, it can be
determined easily by inserting a business card into the gap, since the average business card
is 0.008 inch thick.
The opposing surfaces of the retainer and pontic on either side of the solder joint
should parallel and each other. If these surfaces diverge; the resulting wedge shape of the
solder joint may produce distortion. In addition wherever there is contact, there will be
harder to solder will be more likely to stick to one surface or the other, instead of filing the
gap and adhering to both surfaces.
Investing :
Pontics and retainers that have come off the index should be luted back on the index
with sticky wax. It is often necessary to use a no.8 bur to cut small well on the facial and
lingual edges of each imprint in the index. This permits space for a bulk of sticky wax
without forcing it over the margins. Separate the tongue depressor from the index if they
have not already come apart. Use a cast trimmer to remove excess from the edge of the
index, leaving approximately 3.0mm all around the perimeter. Allow the index to dry, and
apply sticky wax to cover occlusal margins (if any) on the facial surfaces. Flow utility wax
into the joint with a PKT no.2 instrument to prevent the joint area from being filled with
investment. The waxed area should be slightly larger than the solder joint will be. Any
margin covered by wax at this point will not be covered by soldering investment. This could
cause the margin to melt when heated by the bow pipe during soldering. Run a triangularshaped extension of utility wax from the lingual side of the solder joint are a of the index.
There should be a slightly smaller one on the facial. These wax wedges will be narrow in the
solder joint area than at the edge of the index. Check again to make sure that the castings are
completely seated.
A separating medium (Super-sep, err dental manufacturing co, Romulus, MI) may be
painted over the index outside the castings to insure easy separation late. Place boxing wax
around the index. There should be 3.0mm of space between the castings and the boxing wax.
Mix a small amount of soldering investment. Paint into the castings and carefully vibrate it
into the castings and carefully vibrate it into the boxed are. Hold the index so that there is a
finger between it and the vibrator. Overzealous vibrating could jar one of the castings loose.
Allow the investment to set for 1 hr and then remove the boxing wax. Run hot water
over the investment and index to soften the sticky wax. Separate the index and the
investment with a heavy laboratory knife. Inspect the block of investment containing the
fixed partial denture castings. The investment should measure 2.5 cm top to bottom. If it is
more, trim off the excess from the bottom on a cast trimmer. Use of laboratory knife with
ano .25 blade to cut a v-shaped notch buccal and lingual to the solder joint.
The wax extension placed on the lingual earlier will facilitate this step. The lingual
notch is larger than the facial, because the solder will be fed into the joint area from the
lingual. The facial notch is necessary to gain access for heating the casting during soldering.
If either of these notches is not placed, an incomplete solder joint is likely to result. Flush
out the remaining wax with boiling water from a boil-out tank. Use a nop.2 pencil to draw
heavy line across the marginal ridges adjacent to the solder joint area. This will act as an
antiflux and will prevent solder form flowing onto the occlusal surface. While the castings
are still warm, add flux paste with an explorer. It will melt, and capillary action will draw it
through the entire solder joint. If flux is applied alter when the castings are hot, it will
bubble up and stick where it is applied rather than flowing into the joint where it is needed.
Also, surface oxidation may occur before the protective flux is applied.
Soldering :
The invested castings should be preheated to insure even heating. If the castings are
not preheated, the uneven heat distribution that will occur when the blowpipe is applied to a
cold block may produce distortion of the finished joint. The investment block can be placed
in an oven and brought from room temperature to 8150c. In an alternative method of
preheating the invested castings, they are set on a tripod and screen over a fisher burner.
Continue to preheat the castings for 10-15 min.
Begin heating with the blowpipe, and brush the flame over the entire investment
block repeatedly until it is so hot that the castings glow red when the flame is held on
throughout this process. Wedge two or three pieces of solder 2*3 mm, covered with flux,
into the lingual embrasure of the joint area. They will be milted by the heat of the castings,
and not by the blowpipe. If too much solder is used, it may run onto the occlusal surface,
and a larger bulk of solder is more likely to produce distortion.
If the blowpipe is used melt the solder directly the following difficulties can be
expected; the solder will ball up and not flow at all, or it will not flow through the entire
joint.
Aim the blowpipe obliquely at the investment, since an obliquely directed flame
results in more even heating and less distortion. Concentrate the tip of the blue cone on the
buccal side of the block near the open space between retainer and pontic. The solder on the
lingual side of the casting will flow toward the source of heat on the facial. When the solder
starts to flow, direct the torch into the buccal notch and keep it there while the solder flows
through the joint. Leave the flame there a few seconds longer while the solder shimmers and
appears to roll in the joint. Turn off the flame.
Remove the investment block from the tripod with casting tongs and place it
someplace where there is no chance or someone picking it up and getting burned. The
bottom of a casting will is good for this purpose. If you must place it on a bench top, select
an area where there is little traffic and be sure the surface is heat resistant. Leave a
conspicuous sign to earn off lab lizards who wander around picking up other peoples
work. Do not quench immediately. Quenching shortly after soldering will produce thermal
stresses that will result in distortion.
On the other hand, allowing the investment block to cool slowly to room temperature
may produce excessively recrystallization and grain growth. The resulting solder joint will
be weaker. If the invested fixed partial denture is allowed to bench cool for 5 minutes and is
then quenched, distortion should be minimized. This allows time for the gold and solder to
respond to an ordering heat treatment, which will increase hardness and strength while
reducing elongation. Place the invested block in water and remove the investment. That
which does not flake off should be picked off with a sharp instrument and an old toothbrush.
Examine the solder joint to make sure that it is pit free. Evaluate the size. If it is too bulky, it
can be trimmed down with a carborundum disc. Inadequate bulk or the presence of pits
requires reinvestment and resoldering. Air abrade the castings with 50m aluminum oxide.
The fixed partial denture is ready to be finished and tried in the patients mouth.
Soldering metal ceramic alloys :
Although an effort is made to fabricate metal ceramic fixed partial dentures as a
single unit. It is sometimes necessary to solder the units together. This may occur is: 1) there
is distortion in a single piece fixed partial denture castings: 2) one retainer has inadequate
margins and must be redone: 3) the fixed partial denture length is too great for an accurate
single piece casting: or 4) type III partial veneer retainers are used in an other wise metal
ceramic fixed partial denture.
If all units of the fixed partial denture requiring soldering are of a metal- ceramic
alloy, the fixed partial denture may be assembled in one of two ways. Pre-veneer soldering
uses a high-fusing solder that is melted by torch before porcelain is added. Pre-ceramic
pontic soldering allows a diagonal joint through the middle of a pontic, which produces
stronger joints than soldering in the interproximal connector area, and it is technically easier.
In post-veneer soldering, a low fusing solder is molted in the oven after porcelain has been
baked on the fixed partial denture. Post ceramic soldering compensates for any tooth
movement in the mouth between final impression and restoration and it eliminates the
significance of any distortion that might occur during porcelain firing.
If the fixed partial denture includes a type III gold alloy retainer, it can be assembled
only by post veneer soldering. The high temperatures reached during the porcelain firing
cycle would melt the type III gold alloy if it were soldered to the fixed partial denture before
the porcelain and been added.
For many years, soldering was done with a gas- air blowpipe. With the development
metal ceramic restorations, a need for oven soldering developed. Oven soldered postveneer solder joints are at least as strong as torch soldered pre-veneer solder joints, and
several investigators found that post-veneer joints to be stronger. Certainly, post veneer
soldering does present special problems. Soldering investment, flux, and solder just be kept
from contacting the porcelain to prevent discoloration or fracture of the porcelain.
In recent years a third method of soldering has been developed that utilized as
infrared soldering machine. The device focuses a concentrated beam of infrared energy from
a tungsten iodine lamp that operates at 3,4000c in a closed chamber in porosity and strength
have been found between torch-soldered and infrared-soldered joints1although infrared
soldering has been found to require more time than torch soldering.
Pre-veneer metal-ceramic alloy soldering :
Although some investigators have found post-veneer to be stronger than pre-veneer
solder joints. Pre-veneer soldering remains more popular with ceramists. This is because
post-veneer soldering takes more time, skill and attention to detail to keep the investment,
flux and so9lder from touching porcelain, which in turn can require the reapplication of
porcelain and resoldering. The apparent superiority of the post-veneer solder joints also may
be offset by the fact that unlike the standardized joint size in the laboratory studies clinical
post-veneer joints frequently are smaller because of the ceramists fear of causing damage to
the ceramic by contacting it with solder.
The example demonstrated her is of a six-unit metal ceramic fixed partial denture
with two retainers at one end, fabricated as a five-unit FPDs (canine to lateral incisor) with
the second retainer, a canine, made separately to facilitate margination of the proximal
surfaces of the contiguous retainers. These restorations should be fabricated so that there
will be parallel surface in the solder joint area, with adequate separation for a solder joint
with optimum strength and minimum distortion.
To accurately transfer the segments to be jointed to the laboratory bench, tack them
together with an auto polymerizing acrylic resin index. Place monomer and polymer in
separate dappen dishes or medicine cups. Make sure that the segments of the fpd are
completely seated and stable in the mouth, if one is not stable; hold it down with a finger.
Dry the area with compressed air and isolate it with cotton rolls. Use a disposable brush to
apply a few drops of monomer between the two retainers. The dip the brush in polymer and
apply a small amount of powder to the joint. Continue alternating small quantities of liquid
and powder, making sure that the material between the retainers is always wet. Build the
index as that it extends onto adjacent surfaces of the two retainers.
Make a backup plaster index on a tongue depressor. Mix quick setting plaster and
place it on wet depressor, creating a ridge of plaster that extends the length of the tongue
depressor. Apply it to the teeth while plaster is still fluid. If any cracks appear in the plaster,
remove the material, wash the FPD thoroughly, and remake the index. Hold the index until
the plaster is completely set. If left untended, it could shift or slip, necessitating a remake.
Remove the index along the path of insertion of the abutment preparations. Examine it
thoroughly to see if the components are securely embedded.
Carve the surface of the index surrounding the fpd exposing the pontics and
retainers. Very carefully expose each pontic and retainer. Cut around, but do not disturb the
resin. If the components are still firmly embedded in the plaster, they can be left there and
invested from the plaster index using the technique previously described. The resin will
serve as filler in the solder joint.
Those who are more experienced at soldering may prefer to lift the components from
the plaster. If the resin remains intact, mix some investment and gently vibrate it into the
retainers. Use your fingers as a cushion between the vibrator and the fpd components. Place
a quantity of investment large enough to contain the fpd on a ceramic or hard resin tile.
Invert the framework, whose retainers and filled with investment, and place it into
the top of the soft mound of the investment. With light finger pressure, partially submerge
the castings (approximately) should protrude from the investment. Add a little investment
over the units that will not be directly involved in soldering. Allow the investment to set
hard. When it does, trim the periphery to produce a near-even bulk of investment around the
castings. Preheat the invested castings in a burnout furnace at 650-815 0c. When the invested
block has reached the desired temperature, use casting tongs to transfer it to the mesh or
some other area that will not be damaged by flame. Several 2*3 mm pieces of solder in a
hemostat can be fed into the embrasure after it gets hot. The solder used should have melting
range within 1,050-1,1500c. Brush the investment with a gas oxygen flame until the block
glows if the flame is held in one spot for a few seconds. Hold the flame on the lingual
surface of the block of investment. Then direct the torch into the lingual notch, as solder is
red into the facial notch. Heat will draw the solder through joint area.
Remove the soldered FPD from the tripod and place it in a casting well or some
other safe place where someone will not be able to touch it and be burned, when it has
cooled to room temperature, break the investment by pickling it up with casting tongs and
tapping it on the bottom of the casting well or a heat resistant bench top. Retrieve the fpd
from among the bits of soldering investment and clean it up. Air abrade the surface 50 m
aluminum oxide.
When the restoration is tried in all margins should be closed without any special
force needing to be applied anywhere. Check for any encroachment on the interdental
papilla on the facial or especially on the lingual; aspect. If there is any, remove the
restoration from the mouth and relieve the affected area.
Post-veneer Metal-Ceramic Alloy Soldering :
The technique that follows is for the soldering of a gold-palladium alloy. All phases
of the porcelain addition, including glazing, must be completed before the soldering process.
The solder has a melting range of 710-7400c and it is used with flux.
Try the units in the mouth and make whatever adjustments are necessary. This
technique is often employed without prior intent; i.e. a fixed partial denture is carried to
completion in expectation of cementing it without any type of try-in, only to find that it does
not seat. The best joint esthetically, strength wise, or both, is selected for separation, using a
very thin (0.009 in or 0.23 mm) disk.
Remove the fpd from the mouth, cut the joint using the disk on a lathe. This allows
the use of both hands to hold the fpd, and the disks are very easily broken. After separation
of the two parts of the prosthesis, try the retainers in the mouth to see if they fit individually.
If they do, continue with the soldering procedure. A soldering index can be made of quicksetting impression plaster, resin, or zinc oxide-Eugenol bite registration paste as previously
described.
Finish those areas of the crown that are to be soldered with extra-fine sandpaper
discs. Use no rouge or polishing compounds. Outline the area to be soldered with ano.2
pencil, which will serve as an antiflux, reseat the components of the fixed partial denture in
the mouth. With the two parts of the fpd firmly seated, pour monomer and polymer into
separate containers. Dry the area with compressed air and isolate it with cotton rolls. Use a
disposable brush to apply monomer between the retainer and the pontic.
Next dip the brush in polymer and apply a small amount to the joint. Continue
alternating small quantities of liquid and powder, making sure that the material between the
retainer and the pontic is always wet. Build the index so that it extends onto adjacent
surfaces of the two castings.
Fabricate a secondary plaster index on a tongue depressor. Arrange quick-setting
plaster on a wet depressor, making a ridge of plaster that extends the length of the length of
the tongue depressor. Apply it to the teeth while the plaster is fluid. Stabilize the index until
the plaster is completely set. Remove the index along the path of insertion of the abutment
preparations.
Carve the surface of the index around the fpd components, creating a flat surface
with shallow imprints. Rearrange the parts of the fpd on the plaster index. If the resin index
has come loose, make sure that it is back in place between segments of the fpd, without any
spaces. Squeeze a cyanoacrylate liquid resin in and around the joint while holding the parts
securely. Then spray the zapit accelerator over the joint. Zapit is the material of choice when
indexing on a cast in the laboratory, but it should not be used in oral cavity because its
safety has not been proven. Duralay is the material of choice for use in the mouth.
To prevent investment from contaminating the ceramic veneer covering mush of the
fixed partial denture, place a 1.0mm thick layer of ivory wax over the gingival one half to
two-thirds of the facial surfaces of the retainers and pontic. The wax for this step and those
following should overlap the metal by 1.0mm. Turn the restoration over and apply a coat of
wax to the gingival and lingual aspects of the pontic. Be sure to apply wax to any exposed
ceramic that is part of a porcelain shoulder, add wax to the joint area to insure access for the
solder after the restoration has been invested.
Mix a small amount of soldering investment and carefully vibrate it into the crowns
are filled completely with investment. Since this is the major support for the crowns in the
block, avoid vibrating the castings directly to prevent the crown from being loosened. Build
a mound of investment on a flat surface and set the inverted margins first, into the
investment. Push up a ridge of investment with a spatula to cover most of the lingual
surfaces of the retainers and pontic.
When the investment has set, trim it to within 30.mm of the castings. Create a wide
bevel around the entire periphery of the invested block with a laboratory knife equipped
with a no.25 blade. Then carve a shaped notch on the lingual aspect to insure adequate
access to the solder joint. Flush out the wax with boiling water. When the fps was embedded
in investment, the wax prevented contact between investment and porcelain. After the wax
has been removed, there is a space surrounding the porcelain, including any all-porcelain
shoulders.
Place the invested castings in front of a porcelain oven to warm slowly for 10
minutes. Open the muffle of the oven and warm the castings for 5/ or more minutes.
Add a couple of 2*3mm pieces of fluxed solder to the solder joint, making surface
that they contact only the metal framework of the fixed partial denture. Place the castings in
the oven, turn on the vaccum, and raise the temperature to 8150C at the rate of 420c/min.
check the castings for completion of soldering. If the solder has not yet fused, continue
raising the temperature in the oven until it reaches 8700c. The final temperature used will
vary with different solders. Be sure to use the solder recommended by the manufactures for
the specific ally being used.
Break the vaccum and remove the invested fixed partial denture from the oven.
Allow the casting to cool to room temperature. The castings cannot be quenched, as the
porcelain may fracture. When the fixed partial denture has cooled, remove the investment.
Cover the porcelain with masking tape and air abrade the fpd.
Soldering can be done on abase metal fixed partial denture with gold solder n a
manned similar to that used for gold-palladium metal-ceramic alloys. While restorations of
base metal alloys can be soldered, they tend to be quite technique sensitive, with variable
results. Overheating of the metal substrate and excessive flux have been faults, while others
have blamed surface oxides. Closed vacuum furnaces were suggested as a solution for this
problem and testing by lima verds and stein confirmed that soldering under vacuum resulted
in mean tensile strengths that were as much as 40% greater than those soldered in air. High
and low-temperature solders are capable of producing joints with adequate tensile strength
that will not lose that strength in a corrosive environment. Gold solder use with high
resistance nickel-chromium alloy presents corrosion. While silver solder use on the same
alloy permits corrosion. Sliver solder joints become porous from corrosion along the
interface between the solder and the nickel-chromium substrate. This does not occur with
gold solder.
Welded connector
In 1967 orange memorial hospital was started at Florida, 1970 Gordon 1 st
demonstrated use of laser welding form fpds, using neodymium lasers. They found that the
results were satisfactory.
CPTI:- Forms an o2 layer at higher temperature. So soldering is ineffective. Laser
welding has low thermal influence on parts and is effective. High power neodymium laser
with very high power is used.
Parts:Glove-hax-laser tip
Argon gas source.
Stereomicroscope with lens cross hairs for precise alignment of laser beam.
They have a maximum penetration depth of 2.5mm. They do not cause damaged to
ceramic / polymer material.
NON RIGID CONNECTORS
There are several situations when rigid connectors are not suitable. Then non-rigid
connectors are to be used. They are mainly indicated when two abutments cannot be
prepared for common path of insertion, for 5-unit fpd with a pier abutment and if one of
designated abutment has good gold cast restoration and key and can be used. But are mainly
contraindicated when the abutment both show significant mobility.
Douglas Clark et al (1989)15 advised the use of non-rigid connectors following
periodontal therapy. The loss of attachment increase crown: root ratio and tooth mobility due
to bone loss. Anterior teeth show increase movement in buccolingual movement than
mesiodistal direction. Maxillary canine have shown good prognosis after periodontal
treatment. And can be use as abutment using non-rigid connectors.
Goodkind r j et al (1973)17: mandibular flexure in opening and closing movements.
Studied the amount of mandibular flexural that occurs during mandibular movement.
It was found that mandible width decreased during wide opening movements. The mean
amount of flexure was 0.0768mm in 2nd molar region and 0.0316 mm in 1st bicuspid region.
This defines the need to use non-rigid connector in FPD connecting anterior and posterior
mandibular segments.
There are different types of non-rigid connectors:1. Key and keyway-precision attachement.
- Semi-precious attachment.
2. Split pontic.
3. Cross pin and wing.
Key and keyway
Disadvantage-the opening of key and key-way, the porcelain metal junction are
positioned on tissue surface of pontic with tissue-containing pontics the sprue between the
key and the keyway is an area for plaque retention and resultant tissue irritation. This can be
avoided b use non tissue-contacting pontic.
Pier abutments:Moulding M.B et al (1988)8:- photo elastic analysis of supporting alveolar bone as
modified by non-rigid connector
The study was done to qualitively compare the stress induced in periodontium of
abutment teeth of 5-unit pier abutment fps with non-rigid connector on stress pattern loading
conditions.
The rigid fpd distributed stress vertically and evenly. The non-rigid distal on canines
and non-rigid mesial of molar designs distributed stress almost similar to rigid fpd. They
also resisted rotational movements and resultant horizontal stress better than other non-rigid
designed. The non-rigid connector at pier abutment showed greater apical and horizontal
stress especially with 1-point loading on the pier.
The pattern of non-rigid connector orientation at distal aspect of pier abutment has
no effect on stress pattern. The placement of non-rigid connector on least desirable on mesial
aspect of pier abutment.
Split pontic
This is an attachment that in placed entirely within the pontic. It is particularly useful
in tilted abutment cases, where the use of a conventional dovetail would necessitate the
preparation of a very drastic box in the distal aspect of the pier abutment. The wax pattern of
the anterior three-unit segment (mesial retainer-pontic pier retainer) is fabricated first, with
a distal arm attached to the tissue-contacting area of a pontic. A surveyor is used to position
either the key or the keyway segment of fpd pattern, pointing occlusally. This segment must
align with the distal abutment preparation.
Invest, burnout and cast the mesial three-and-a-half- unit segment. After preliminary
finishing, seat the cast segment on the working cast. Place the plastic pattern down into it (if
the keyway is in the casting), or down onto it (if the key way left facing upward on the
pontic base). Wax the distal retainer and the disto-occlusal two-thirds of the pontic pattern.
The pontic can be meta-ceramic, periphery of the ceramic section. Try it on the prepared
teeth I the mouth, making adjustments as necessary. Cement the mesial segment first,
followed immediately by the distal segment. No cement should be placed between the two
segments of the pontic.
Cross-pin and wing
The cross pin and wing are the working elements of a two-piece pontic ksystem that
allows two segments to be rigidly fixed after the retainers nave been cemented on their
respective abutment preparations. The design will find use primarily in accommodating
abutment teeth with disparate long axes. The path of insertion of each tooth preparation is
made to parallel the long axis of that tooth.
Attach a vertical wing, cut out of a piece of base plate wax, to the mesial surface of
the distal retainer wax pattern. The wing should parallel the path of insertion of the mesial
abutment preparation, extend out 3.0mm short of the occlusal surface, and have an
undersurface that follows the intended contour of the underside of the pontic.
Invest, burnout, and cast the distal retainer, with wing. Seat the retainer on the cast,
and drill a 0.7mm diameter pencil lead through the hole and build the wax pattern around the
lead and the wing. Remove the lead, with draw the retainer-pontic wax pattern, and replace
the 0.7mm lead in the pontic pattern to maintain the patency of the hole during investing and
casting.
Assemble the two parts of the fixed partial denture on the working cast. Use a
tapered 8/0 machinist reamer to ream a smooth, tapered hole through pontic and wing,
following he pilot hole produced by the 0.7 mm pencil lead. Fabricate a pin of the same
alloy used for the fixed partial denture casting. A mold can be made by drilling a hole in
apiece of aluminum with the machinist reamer and filling the hole with auto polymerizing
resin. An impression of the reamer can be made with polyvinysiloxane impression material
and filled with resin or molten wax. Invest, burnout, and cast it. It must be long enout to
extend all the way through the pontic wing assembly. Try the pin for fit in the components
on the cast. Cement the retainer with the wing first followed by the retainer-pontic segment.
Seat the pin in the hole with a punch and mallet. Remove excess length from the pin both
facially and lingually. If it is ever necessary to remove part of this fixed partial denture, the
pin can be taped out and the parts dealt with separately. This technique requires no special
patterns and does allow for a completely rigid prosthesis when completed.
Connector for provisional restorations:The connector for provisional restorations should be carefully fabricated due to the
low strength of the material usually used. They should be slightly overcontoured for
increasing strengthening. Decrease the sharpness at the junction this relieves the stress
concentration which may lead to fatigue of restoration. Use high strength materials such cast
metals, heat-processed resin fiber reinforced.
Connector for all ceramic fpds:Failure of all ceramic fpds was analyzed on model (1995) 12 it was found that the
fracture commonly occurred at core veneer interface (70-78%). This is mainly due to
Hertzian stress state, which is the propagation of localized contact damage crack system.
Kamposiora P. et al (1996)11 studied the stress concentration of all ceramic posterior
fpds maximum stress found was
Material
Diameter of connector
Maximum stress
Gold
3 mm
20.5
4 mm
12.7
Dicor
3 mm
19.4
4 mm
12.5
Inceram
3 mm
12.5
4 mm
7.0
It was found that stress concentration was found more in region of force applied and
at connector region. And stress levels were higher in 3.0 mm than in 4.mm at connector.
Higher stress was found in the apical region of connector and least in middle part of
connector. So they advised to increase the height of connector to increase the bulk and have
good stress distribution, and have smooth geometry as compared to angulated geometry in
short connectors. It was recommended to use 4*4mm connector size for ceramic 2*3mm for
metal.
Connectors for metal certamic:Berger Robert (1989)16 described the esthetic and physiologic consideration in metal
framework design.
The amount of beam distortion
1
L2 * D3
There should be no beam distortion to prevent porcelain fracture. So for long span
fpds connectors size should be increased. The interproximal zone should have adequate
span for porcelain and connector placed lingually.
Connector for cantilever bridges:Hong so yand et al (1996)13:- stress analysis of a contilevered fps with normal and
reduced bone support.
Studied the mechanical behavior of a cantilever fpd with normal and reduced bone
support. They found high stress concentrations were found around the connector of fpd.
Design of fpd should be such that occlusal forces are limited to the connectors ability to
accept them. Greatest stress was seen in distal cantilevered prosthesis and stress was seen
distal to the most distal retainer and fracture may occur at this location. Cantilevered fpds
should limit to replacement single tooth only and also use splinting of abutments.
Connectors for tooth implant supported fpds:Mahamoud H. et al (2000)7 performed a 14 yr comparison of connected and nonconnected tooth-implant fpds. the difference in mobility of tooth (50-200m) and implant
(10m). this difference can lead to intrusion of abutment, fracture of abutment teeth, fracture
of implant component, increased marginal bone loss of Osseo integration.
Rangert et al (1997) stated that implant connected to tooth will act as cantilever.
Cohen S R et al (1994) advocate use of non-rigid connection between teeth and
implants. To limit cantilever forces and direct occlusal loads axially to the implant.
Modifications of implant system to combat mobility difference:1) Imz implants- intra-mobile zylender of polyoxymethelene.
2) Complaint keeper systems with silicon o ring.
The study resulted in a finding with no difference between rigid and non-rigid
connection with respect to long-term outcome.
Benefits of connecting teeth to implant:1) Some occlusal support and relief of the tooth load on the teeth.