Preclinics of Dental Prosthetics · MU Sofia

51. Contemporary technologies for fixed bridge restorations. “Adapta” system.

Explains the Adapta system for fixed bridges, starting with laboratory preparation of diagnostic casts and abutments. It then walks through making deep-drawn polypropylene foil copings, with the carrier and spacer foils, heating and trimming steps, and how overheated or underheated foil changes the result. Wax-up differs for lower all-metal bridges and upper veneered esthetic bridges, followed by prefabricated wax sprues and ringless one-piece casting. A step-by-step picture summarises the whole sequence.

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

Topic 51 of 75 in the MU Sofia syllabus for Preclinics of Dental Prosthetics (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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