Key Points
In this part, we will discuss
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Surveyor attachments
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Guide surfaces
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Paths of insertion and displacement
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Surveying sequence
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Indications for tilting a cast
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Positioning retentive clasps
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Recording the orientation of a cast
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Abstract
This article describes the clinical objectives and procedures for surveying a dental cast prior to designing an RPD
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Main
Analysing rod
Graphite marker
Undercut gauge
Trimming knife
Before discussing the functions of a surveyor in more detail it is necessary to explain the following terms:
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Guide surfaces.
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Path of insertion.
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Path of displacement.
Guide surfaces (or guide planes)
Path of insertion
The path followed by the denture from its first contact with the teeth until it is fully seated. This path coincides with the path of withdrawal and may or may not coincide with the path of displacement (Fig. 15). There may be a single path or multiple paths of insertion.
Path of displacement
Surveying procedure
This may be divided into the following distinct phases:
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Preliminary visual assessment of the study cast.
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Initial survey.
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Analysis.
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Final survey.
Preliminary visual assessment of the study cast
This stage has been described as 'eyeballing' the cast and is a useful preliminary to the surveying procedure proper. The cast is held in the hand and inspected from above. The general form and arrangement of the teeth and ridge can be observed, any obvious problems noted and an idea obtained as to whether or not a tilted survey should be employed.
Figs 16 and 17 – Assessment of the study cast
Initial survey
Analysis
An RPD can be designed on a cast which has been surveyed with the occlusal plane horizontal (ie so that the path of insertion equals the path of displacement). However, there are occasions when tilting of the cast is indicated so that the paths of insertion and displacement differ.
Before deciding if the cast should be tilted for the final survey the graphite marker in the surveyor is changed for an analysing rod so that various positions of the cast can be examined without marking the teeth.
The analysis of the cast continues with the occlusal plane horizontal and the following aspects, one or more of which might necessitate a final survey with the cast tilted, are considered:
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Appearance.
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Interference.
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Retention.
Appearance
Interference
Retention
The choice of tilt for the final survey of the study cast will usually be a compromise as the requirements of different parts of the denture may conflict. This might be the case, for example, where the appearance of a maxillary anterior saddle needs to take precedence over the optimum positioning of molar clasps. Thus a posterior (heels down) tilt would be selected for the final survey which favours appearance at the expense of clasp retention. It is of course possible to create more favourable uncercuts on the molars by tooth preparation (A Clinical Guide to Removable Partial Dentures, Chapter 15)
Final Survey
The aims for optimum retention should be to provide:
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Resistance along the path of displacement.
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Resistance along the path of withdrawal.
When the denture does not contact guide surfaces on the clasped tooth the clasp will have to resist movement of the denture along both the path of withdrawal and the path of displacement. The clasp will thus need to be positioned in the correct depth of undercut relative to both survey lines. The clasp will then provide the necessary retention without being permanently deformed either by insertion and removal of the denture along the planned path, or by inadvertent displacement of the denture during function. Ways of achieving this are shown in Figures 30 and 31.
If the cast has been tilted for the final survey, the degree of tilt must be recorded so that the position of the cast can be reproduced in the laboratory. There are two methods of recording the degree of tilt.
Summary of the clinical objectives of surveying
Surveying is undertaken to obtain information that will allow decisions to be made concerning the following:
(1)The optimum path of insertion of the denture. The choice of a path of insertion will be influenced by:
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the need to use guiding surfaces to achieve a pleasing appearance.
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the need to avoid interference by the teeth or ridges with correct positioning of denture components.
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the need to use guide surfaces for retention.
(2) The design, material and position of clasps.
Decisions on these aspects of clasps can be arrived at from measurement of the horizontal extent of undercut on abutment teeth and the identification of sites on the teeth to provide reciprocation either from guiding surfaces or from cross-arch reciprocation (Part 7 in this series).
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Davenport, J., Basker, R., Heath, J. et al. Surveying. Br Dent J 189, 532–542 (2000). https://doi.org/10.1038/sj.bdj.4800821
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DOI: https://doi.org/10.1038/sj.bdj.4800821
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