external surface form, interim restoration Flashcards

1
Q

what tray do you use to make an external surface form

A

Quadrant tray

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2
Q

What is used to create an external surface form

A

A vacuum-formed Matrix

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3
Q

How should the vacuum formed matrix be trimmed

A

4-5mm from the gingival margin

Mesial of 6 to mid of 1

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4
Q

Biologic requirements of interim restorations

A
Protect pulp
Maintian periodontal health
Occlusal compatibility
Maintain tooth position
Protect against fracture
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5
Q

Mech requirement of interim restoratiosn

A

Resists functional loads
Resist removal forces
Maintain interabutment alignment

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6
Q

Esthetic requirement of interim restorations

A

Easy to contour
Color compatibility
Color stability
Translucency

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7
Q

3 requirements for interim restorations

A

Easthetic
MEchanical
Biologic

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8
Q

What are the dental tubules after a crown prep

A

Open to the pulp so now sensitive

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9
Q

how to isolate the dentin from the oral environment

A

Use a provisional

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10
Q

What must be done to ensure that provisionals protect periodontal health

A

Magins must be done well

Correct contour

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11
Q

what happens to perio if too much contour

A

Inflammation and irritation

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12
Q

why does the provisional need to be in correct occlusion

A

Keep opposing tooth from supper erruption

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13
Q

How removable should a provisional be

A

Needs to be centered with a good fit

But also needs to be adjusted without fracture

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14
Q

what is the external surface form

A

The mold

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15
Q

What is the tissue surface form

A

The preped tooth

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16
Q

Types of external surface forms

A

Custom

PReformed

17
Q

How is a custom external form made

A

use a polypropylane shell from a suck down on an impression

18
Q

What are the types of preformed external surface forms

A

Resin: polycarb, Cellulose acetate
Metal: aluminum (plain), aluminum (anatomic), tin-silver, Nickel-chromium

19
Q

Pros and cons of using a suckdown

A

Thin so good reproduction

Can also break

20
Q

Pros and cons of putty for external form

A

Flexible

But can’t see how acrylic is forming

21
Q

Why use wax for external form

A

If you’re cheap

22
Q

How to chose a preformed polycarbonate provisional

A

measure space
Select crown
Try on patient
adapt

23
Q

what is the finish margin for an aluminum preformed crown

A

Resin is the finish, not the metal

24
Q

MEthods of Fabrication of Provisional restorations

A

Indirect
Direct
Indirect-Direct

25
Q

Advantages of Direct provisional restorations

A

pateints preped teeth and gingival tissues directly provide the TSF
no intermediate steps of the indirect technique

26
Q

when are direct provisional restorations convenient

A

When office laboratory facilties are inadequate for efficiently producing an indirect restoration

27
Q

Disadvantage of Direct provisional

A

Potential tissue trauma from the polymerizing resin and inherently poorer marginal fit

28
Q

Ideal properties of interim fixed restorations

A

Convenient handling: adequate owrking time, easy molding, rapid setting
Biocompatibility (non-toxic, non allergic)
Dimensional stability during solidification
Ease of contouring and polishing
Adequate strength and abrasion resistance
Good appearance
Good acceptability to patient: nonirritating, odorless
Ease of adding to or repairing
Chemical compatibility with interim luting agents

29
Q

What must be done if External surface form is hard to remove

A

Might need to block out undercuts

30
Q

Why pump the ESF 2mm

A

While it is setting at a rubber stage to preventing lockin in and overheating the teeth

31
Q

Sequence of Polishing

A
Acytlic bur
Moore disks
Burlow wheels on the margins and axial
Diamond on the occlusal
Rubber points on occlusal if needed
32
Q

Criteria for an interim restoration

A
Proximal contacts
Occclusion
Margins
Axial Contours
Finish