Preclinical Prosthetic Dentistry · MU Plovdiv

63. Bridge restoration according to “Adapta” system.

Inside: 5 sections · 1 labelled picture · 13 flashcards · 3 min

Topic 63 of 96 in the MU Plovdiv syllabus for Preclinical Prosthetic Dentistry (Dental Medicine, Year 2). The free AceMed note covers it in 5 sections, about 366 words (3 min of reading), with 13 flashcards.

In this note

  1. Introduction
  2. Before the laboratory
  3. The Adapta foil coping
  4. Building the bridge
  5. Spruing and casting

Introduction

Modern laboratory systems standardize bridge-making so that copings have even walls, cement space is built in, and the whole framework is cast in one piece. Students learn the "Adapta" system (deep-drawn foil copings), combined with prefabricated wax sprues and ringless casting.

Before the laboratory

  • Diagnostic casts, mounted with a facebow on a semi-adjustable articulator with check bites, show the space, the occlusion and the path of insertion.
  • Abutments are prepared parallel to each other; a precise impression and a cast with removable dies are made (topic 32).

The Adapta foil coping

Two polypropylene discs are used together: a 0.6 mm carrier (base) foil and a 0.1 mm spacer foil on top. Drawing roughly halves their thickness.

  1. Place both foils in the holder, spacer on top.
  2. Heat evenly and slowly over the flame until the foils turn transparent and soft.
  3. Press the die into the silicone moulding material through the foils; hold about 10 seconds until cool.
  4. Open the holder, pull die and foils out of the mould, cut the foil, and remove the coping from the die.
  5. Trim the coping about 1 mm short of the finish line, and the spacer shorter still (by about a third of the coping height).
  6. Seat the spacer on the separated die, then the coping over it; fill the margin with cervical wax.

Overheated foil gives copings that are too thin; underheated foil gives thick, distorted ones.

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