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Biomedical subjects

H Ludwigs

Publications and source records attributed to H Ludwigs.

11 recordsLinked to original sources

[Original method for total edentulous rehabilitation based on Ludwigs technique. 3. Final impression and functional record of intermaxillary relations].

In the technique described, the search for the peripheral joint and the final impressions are really functional and rely on adapted silicone impression materials. The vertical dimension is investigated physiologically (speech/swallowing). The recording of the centric relation is confirmed graphically with a centric pin. Thus, the patient transcribes his "occlusal signature" and provides both the practitioner and the dental technician with precise data for the mounting of denture teeth.

Dental Impression Materials

[An original rehabilitation method for the totally edentulous based on Ludwig's technique. 4. Articulator transfer. Mounting of artificial teeth].

Balanced occlusion is the occlusal concept used in full dentures. In this article, which describes the technique for mounting teeth according to LUDWIGS, the authors present a very typical equipment (guide punch, tooth guide, positioning and mounting plates...). This provides the dental technician with all the possibilities to create occlusal curves which are individualised for each case in order to achieve a balanced and rational mounting of artificial teeth.

Dental Articulators

[Original method for total edentulous rehabilitation based on the Ludwig technique. 2. The "Lutemat" and construction of custom impression trays (C.I.T.)].

Regardless of the schools or work habits in total prosthesis, the laboratory technician must, following the clinical session of primary imprints, prepare the latter and make models in hard plaster, on which he will develop the individual imprint constructions (IIC). By virtue of a special device developed by the author (the "Lutemat"), the IIC is equipped with two personalized occlusal rings adapted to the particular clinical case, adjusted as of the outset according to the intermaxillary relationships pre-established at the various levels. The final anatomophysiological imprint can be carried out under optimal conditions. Lutemat can be used with most current articulators. It has three principal uses: to permit the spatial orientation of maxillary and mandibular models and to pre-determine the height of the occlusal plan due to adjustable orientation points; to ensure the development of occlusal rings to a predetermined dimension and according to a privilege clinical situation on the occlusal plan, due to a "pocket" instrument; to permit the mounting, on an articulator, of models deriving from terminal anatomophysiological imprints. Following casting of the models and preparing the IIC base, the practitioner places and orients the mandibular model on the Lutemat base. The mandibular occlusal ring is shaped and modeled according to the individual criteria of the patient. The maxillary ring is then made depending on the intermaxillar relationships which were pre-established at the clinical session devoted to the primary imprints. The IIC's obtained using this technique are truly personalized and the later sessions of terminal imprints and recording of occlusion can take place with great ease and comfort.

Dental Articulators

[An original rehabilitation method for the totally edentulous. 1. Primary impressions].

Primary impressions in full dentures are too frequently considered of lesser importance. The method described in this article gives much credence to the precision of these impressions, the quality of which is largely guaranteed by the final success of the denture construction. Several steps are required: anatomical investigation of the area using a heavy silicone; making of personalized impression (PEP) with correction depending on the area and the clinical observation; primary impressions including impression of the physiological borders with an adapted silicone material; furthermore, pre-estimation of the intermaxillary relationships and recording of the lip line with a material designed for this purpose. Once this stage has been completed, the practitioner already has at his/her disposal particularly valuable information; the primary impressions with borders registration; approximative occlusal relationships; volume of the future denture and the lip line. Now, an individual tray can be made by the dental technician, which will be really adapted to the clinical case.

Dental Impression Technique