8/28: Diagnosis & Treatment Planning for Single Fixed Restorations Flashcards
- Treatment planning for a single tooth restoration begins with what?
a. Analysis of each individual tooth AND the patient as a whole
- With tx planning, where should 1st start?
a. Complete dental and medical history
- With tx planning, what should you do after med history?
a. Gather further data about tooth such as radiographs and perio charting
- With tx planning, what should you do after gathering further data?
a. Analyze what might be needed to restore
- If you have isthmus destruction greater than 1⁄2 intercuspal width, you should do
a. Crown or onlay
- If you have more than 50% of tooth structure gone and loss of cuspal support, you should do
a. Crown and core-build up
- If you have combination of central and peripheral destruction, you should do
a. Core build-up and crown
b. Possible RCT/post/crown
- What are the pros for Gold crowns?
a. Longest lasting restoration
b. Easily polished
c. Gentle of gingiva
d. Low wear on opposing teeth
- What are the cons for gold?
a. Esthetics
b. Labor intensive
- What are the pros for ceramic crowns?
a. Tooth colored
b. Stronger than enamel X2
c. Most realistic and beautiful of materials
- What are the cons of ceramic crowns?
a. Must use resin cements 90% of the time
b. Care pt selection for molar crowns
c. Require thicker margins
d. Fracture risk
- What are the pros for zirconia crowns?
a. Tooth colored
b. 4x as strong as enamel
c. Easy for lab tech
- What are the cons for zirconia crowns?
a. Not all the same
b. Hard to add material to establish contacts
c. Fracture risk
- What are the pros of porcelain fused to zirconia?
a. Tooth colored
b. 4x as strong as enamel
c. No dark material like PFM
- What are the cons of porcelain fused to zirconia?
a. Not all the same
b. Hard to add material to establish contacts
