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Biofunctional
Prosthetic
System
Selection of preformed trays
The Accudent System

Herbert Frick ICDE
Try in of selected trays

Herbert Frick ICDE
Application of Accu-Gel

Herbert Frick ICDE
Placing of the maxilliary impression tray
in the oral cavity of the patient

Herbert Frick ICDE
Removing the maxillary impression

Herbert Frick ICDE
Injecting the Accu-Gel into the gingivobuccal fold in the mandible

Herbert Frick ICDE
Placing the mandibular tray in its final
position

Herbert Frick ICDE
Removing the mandibular impression

Herbert Frick ICDE
Finished maxilliary and mandibular
impressions

Herbert Frick ICDE
The Centric Tray System
Maintaining the maxillo-mandibualar relation

Herbert Frick ICDE
Determining the vertical demension

Herbert Frick ICDE
Placing the centric tray with the mixed
alginate or putty material

Herbert Frick ICDE
Centric tray with the maxillary and
mandibular relation contacts

Herbert Frick ICDE
Laboratory procedure

Herbert Frick ICDE
Model transfer to the Stratos 200 using
the
Average Value Assortement

Herbert Frick ICDE
Herbert Frick ICDE
Horizontal guide mounted on the
mandibular model
• Lateral view

• Front view

Herbert Frick ICDE
Herbert Frick ICDE
2nd Impression including the Intraoral registration

Herbert Frick ICDE
Mounting of Gnathometer M

Herbert Frick ICDE
Schematic diagram of the occlusal plane
of the dentulous and edentulous
mandible

Herbert Frick ICDE
Individualized funcional record bite base
with complete registration assembly

Herbert Frick ICDE
Positioning the mandibular funcional
record bite base

Herbert Frick ICDE
Positioning the maxillary functional
record bite base

Herbert Frick ICDE
Checking the record bite bases in the
oral cavity

Herbert Frick ICDE
The individual functional impression
taking
Designing the functional margins

Herbert Frick ICDE
• Carrying functional
movements while applying
slight masticatory
movements

• Maxillary wash record

Herbert Frick ICDE
Carrying out of functional movements
Succing on a straw

Herbert Frick ICDE
Carrying functional movements while
applying slight masticatory pressure

Herbert Frick ICDE
Maxillary wash impression record

Herbert Frick ICDE
Designing the functional mandibular
margin
By carrying out tongue movements

Herbert Frick ICDE
Designed functional mandibular margin

Herbert Frick ICDE
Carrying out functional movements while
applying slight masticatory pressure

Herbert Frick ICDE
Upper and lower functional impressions
with perfectly occluding bite blocks

Herbert Frick ICDE
Funcional maxillary and mandibular
records

Herbert Frick ICDE
Extra-oral registration using the UTS
transferbow

Herbert Frick ICDE
Lateral view with UTS adapter

Herbert Frick ICDE
Connecting the UTS registration joint
with the Gnathometer M adapter

Herbert Frick ICDE
UTS mounted on the patient

Herbert Frick ICDE
UTS mounted on the patient

Herbert Frick ICDE
Needle point tracing with the
Gnathometer M

Herbert Frick ICDE
• Mandibular record metal
base with hight-adjustable
registration pin

• Applying the registration dye

Herbert Frick ICDE
Preparation of the interoral registration

Mounting the mandibular and maxillary record metal bases

Herbert Frick ICDE
Preparation of the interoral registration

Removing the mandibular and maxillary bite rims

Herbert Frick ICDE
Maxillary and mandibular record bite
bases in the oral cavity

Herbert Frick ICDE
Needle point registration with
Gnathometer M

movement right
side

movement left
side

1. Lateral movements right and left
2. Protrusion movements
3. Retrusion movements
Herbert Frick ICDE
Checking the needle point record in the
oral cavity

Herbert Frick ICDE
Evaluation of the Gothic arch tracing
(According to Prof. Gerber)
• Classical pointe form
– The symmetry indicates
an undisturbed
movement sequence in
the joint and uniform
muscle guidance

Herbert Frick ICDE
• Classical flat shape
– This figure indicates
pronounced lateral
motion of condyles in the
joint

Herbert Frick ICDE
• Asymmetrical shape
– this figure indicates a
pronounced impediment in
the protrusive excursion of
the left mandibular joint

Herbert Frick ICDE
• Arrow point is non-existant
– This figure indicates weak to
slack movement, particularly
of retrusive excursion
components; registration
must be repeated and more
concise motion are
requested

Herbert Frick ICDE
• The vertical line extends
over the arrow point
– This tracing was created
by either forcefully pulling
or pushing back the
mandible
– The figure may also been
traced with a protruding
mandible

Herbert Frick ICDE
• A miniature arrow
– This figure indicates
cramped movements,
poorly placed and painful
registration plates, longterm absence of teeth
with obstructed
movements in the joints,
defective prosthesis, etc.

Herbert Frick ICDE
Herbert Frick ICDE
Fixation of the centric occlusion
• Aligning the funnel-shaped
opening of the fixing plate
with the needle point

• Checking the centric with
secured record bite basis
Herbert Frick ICDE
• Fabricating the key with fast
setting plaster or hard
silicone

• Marking the central line
Herbert Frick ICDE
Checking the secured maxillomandibular functional records

Herbert Frick ICDE
Alternative to the needle-point
registration:
Functional bite rims fabricated of
wax

Herbert Frick ICDE
Selecting the teeth

• Living tooth mould chart
• Shade guide
• Pictures of the patient

Herbert Frick ICDE
Colour selection with the Chromascop
shade guide

Herbert Frick ICDE
Fabricating the master models in the
Dental laboratory

Herbert Frick ICDE
Individualized model transfer using the
UTS Transfer Bow

Herbert Frick ICDE
Close-up view of the registration joint
holder in the UTS

Herbert Frick ICDE
Model transfer to the Statos 200 using
the registration joint holder

Herbert Frick ICDE
Mounting the mandibular model

Herbert Frick ICDE
Maxillo- mandibular models mounted in
the Stratos 200

Herbert Frick ICDE
Herbert Frick ICDE
Herbert Frick ICDE
Herbert Frick ICDE
Set-up of the posterior teeth in the
mandible

Selection criteria for posterior teeth
A bite analysis indicates two the dentist and
dental technician which type of posterior tooth is
best for the respective patient

Herbert Frick ICDE
Three different cusp angulations
Dr. Strack

Herbert Frick ICDE
Combination
Combination
(Lingualized)
(Lingualized)

Semi-anatomic
Semi-anatomic

Non-anatomic
Non-anatomic

Semianatomic
Semi-anatomic

Nonanatomic
Non-anatomic
(Curve)
(Curve)

Nonanatomic
(Flat)

Anatomic

Nonanatomic
(Flat)

Anatomic
Herbert Frick ICDE
Herbert Frick ICDE
Herbert Frick ICDE
Herbert Frick ICDE
Herbert Frick ICDE
Movements

• Laterotrusion (right side)

Herbert Frick ICDE

• Mediotrusion (left side)
Movements

• Laterotrusion (left side)

Herbert Frick ICDE

• Mediotrusion (right side)
Herbert Frick ICDE
Anterior tooth relations

Herbert Frick ICDE
Front and lateral view of the complete
Wax-up

Herbert Frick ICDE
Wax try - in
Checking the:
•stability
•centric
•aesthetics
•phonetics
•smile line
•buccal freeway space

Herbert Frick ICDE
Wax try-in in the oral cavity of the patient

Herbert Frick ICDE
Check by the patient with the help of a
mirror

Herbert Frick ICDE
Pictures of the patient

before
Herbert Frick ICDE

after

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