For
molding, I use a silicone based lab putty by Coultene (FIG.
22). It is faster and cheaper than a silicone casting material.
Coultene's
Lab Putty comes in two parts, a putty and a paste (FIG.
23). I have always eyeballed the mixing ratios and have
never had any problems. This is some really neat stuff.
As I understand it, the folks over at Cinnovation thin this
down to a pouring consistency and use it in various applications.
After
mixing together (FIG. 24), you have about 5 minutes of working
time before the stuff starts to set.
It
can seem a little tricky and it may need some getting used
to. Press the putty over the front of the cast with your
sculpt and wrap it around over the top and onto the back
(FIG. 25). Make sure to encompass the entire wax (or clay)
sculpt.
FIG.
26 shows the putty negative mold after it has been carefully
removed. Lab Putty doesn't have a lot of elasticity to it
and will tear if not careful, especially if you have any significant
undercuts.
With
an exacto blade, cut through the midline (FIG. 27). I also
will cut away any excess putty leaving one tooth on each
side of the cap. Make sure you go two teeth back from the
cap if you are using a lingual clasp on the 1st bicuspid.
With
a wax sculpt, I can remove the wax easily from the cast
with a little boiling water (FIG. 28).
There
are quite a lot of dental stone separators out there. I
got this small sample from JBC and I love it (FIG. 30).
I go with two coats and this stuff works great! It won't
bead up on wax, so if you used wax to block out any undercuts
or imperfection in your cast, you won't have to worry about
digging wax out of your acrylic casting.
FIG.
31 illustrates mixing the body acrylic monomer and polymer.
Monomer is very bad to breathe so make sure that you have
ample circulation and WEAR A RESPIRATOR! For this case we
are using A-4. Again, I usually eyeball it. If you tend
to mix a bit to thin, that's OK. You can wait a moment for
it to start to kick.
In
FIG. 32 you can see how thick I like to mix my body acrylic.
A thicker mix will not only stay put but it will help to
displace any air that otherwise could become trapped in
the mold.
First,
using a metal spatula or other small utensil, flow some
body acrylic around the canine, in the interproximal areas
and especially near the gum line (FIG. 33). This will help
reduce the chance for air getting trapped in your casting.
Then spatulate some body acrylic into the putty negative.
Work quickly here as the mix will begin to set up. Make
sure you fill the mold with more acrylic than you will need.
Quickly
push the negative putty mold down over the stone model positive
(FIG. 35). You will know when the mold is seated by looking
at where the putty meets the stone. Hold in this position
for about 7 minutes.
Place
the model into a bowl of cold water and let it set for half
an hour (FIG. 36). This will give you a denser casting than
if you let it bench set.
After
carefully removing the putty negative, we are ready to make
our incisal cutback. This is where the 'magic' happens.
In FIG. 37, the red area is ground completely off, The violet
area is ground back at a tapering angle (FIG. 38).
FIG.
39 After mixing the incisal acrylic, pouring it into the
negative, etc., This is what we've got, ready for de-flashing
and polishing. FIG.
40 shows the translucency of the incisal cutback.
Using
a plaster knife, CAREFULLY remove any flashing around the
cap and lingual wing (FIG. 41).
FIG. 42 shows the cap, front and back, after it has been
removed from the stone model. The
fang cap on the left side had an undercut that went undetected
which caused it to break upon removal (FIG. 43).
In
FIG. 44, the area in red is where the undercut was, in relation
to the lingual wing. If I had designed this cap WITHOUT
the wing I would have probably been OK. The arrows in FIG.
45 illustrate where the draw was undercut. As a solution,
I ground off the area of the lingual clasp shown in red
if FIG. 46. This allowed the cap to draw properly, plus
I still had a bit of clasp for stability. Note the incisal
translucency in FIG. 46.
To
fix the broken cap, I ground back both broken edges about
3 mm, placed them onto the model, mixed up some body acrylic,
flowed in into the gap and let it set in cold water. Later
I dremeled down the excess so that the new acrylic blended
in with the original.
Polishing
is done in two parts. First, we start with pumice on a rag
wheel. Pumice comes in powder form and is used mixed with
water. You do not want to breathe
this stuff, so wear a good dust mask! FIG. 48
shows the consistency I like to work with.
You
really need a variable speed dremel tool to do this right.
Ideally, a two-speed bench lathe is the way to go. Too high
a speed will melt your acrylic and can eat away at your
incisal edge, especially the cusp tip. The key here is to
let the pumice do the work and not the rag wheel, so keep
the cap covered with pumice.
After
the primary polish with pumice, we move to acrylic polish,
which will really make the caps shine. You want to use a
separate rag wheel here. And remember, a low speed is the
key here. I use a brand of acrylic polish made by Buffalo.
As
with the pumice, you want the polish to do the work and
not the rag wheel. The speed here can be slightly more than
with the pumice, but be careful and go slow.
After
cleaning with a mild detergent and a soft tooth brush, the
caps are complete. Usually I will go over the caps with
a coat of Lang's Jet Seal which is an acrylic glaze.
FIG.
53 Here they are on the cast ready for delivery.