Free Access II Cheek and Lip Retractor

By Jeffrey C. Hoos, DMD, FAGD

J. Morita's FREE ACCESS II Cheek and Lip Retractor offers the clinician increased visibility and access to intraoral work areas, helps guide patients into maximum intercuspation (MI) and decreases working time in hard to reach areas. Hands free and easy to use, Free Access II features unique extensions to retract powerful buccinator muscles. Safe for autoclave, and dry heat sterilization.

"Using FREE ACCESS II Cheek and Lip Retractor I can achieve a combination of patient comfort and working area accessibility. The device is automatically held in place so I do not require a dental assistant, which gives me more flexibility during clinical procedures. This is a "low tech" device that helps me maintain the balance between the art, science and business of dentistry."

Jeffrey C. Hoos D.M.D., F.A.G.D.

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H&H (Hydraulic / Hydrophobic) Cordless Impression Technique

1. Place FREE ACCESS II Cheek and Lip Retractor to visualize the field.
2. Apply PERFECTIM 30 SECOND BLUE VELVET (J. Morita USA) on the mandibular occlusal table (due to the thixotropic characteristics, this material can be stacked as much as necessary).
3. With the cheek retractor remaining in place, ask the patient to close. This will aid the patient to close in centric occlusion.
4. While closed in centric, remove the cheek retractor and the patient's tongue and cheek will now form the flanges of a facsimile tray (THIS METHOD IS FOR SINGLE TOOTH IMPRESSIONS).
5. Hold the maxillary portion of the impression in place and ask the patient to open. Because we are doing a mandibular impression of a molar, leave the impression to rest on the maxilla. (KEEP THE IM- PRESSION ON THE OPPOSITE ARCH OF THE PREPARED TOOTH).
6. Without changing the position of the maxillary impression, air dry both the mandibular impression and the preparation, then place a small amount of 30 SECOND FLEXI VELVET directly into the prep- ration of the primary impression (DO NOT APPLY 30 SECOND FLEXI VELVET TO THE PRE- PARED TOOTH).
7. Now ask the patient to close firmly, making sure they are fully closed. To insure the patient bites during the setting process, hold the mandible with light pressure.
8. With the specific PERFECTIM IMPRESSION MATERIALS described above, remove the impression after (1) minute.

A sideless triple tray should be used for multiple tooth impressions. Apply the BLUE VELVET ( 3 working and setting times available) on the mandibular and fix the tray in place. Check for possible interference due to the tray then apply the material on top of the tray. Ask the patient to close. Now follow the procedure as stated above with the 30 SECOND FLEXI VELVET or material of your choice. One of the differences with this technique is that the material is positioned with full vision as opposed to a loaded tray with no vision.

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