fixed pros Flashcards
what are 3 principles of tooth preparation?
Biologic, health of oral tissues
Mechanical, integrity and durability
esthetic, appearance
considerations affecting future biological health
axial reduction
margins
occlusal considerations
preventing fractures
mechanical 1
resistance form
magnitude and direction of dislodging forces
geometry of tooth prep
physical properties of luting agent
mechanical 2
retention form
magnitude of dislodging forces geometry of tooth prep roughness of fitting surface of restoration materials being cemented film thickness of luting agent
mechanical 3
Preventing deformation of the restoration
a. Alloy selection
b. Adequate tooth reduction
c. Margin design
CVC Indications
- Extensive coronal destruction.
- Short clinical crowns 3.Endodontically treated teeth.
- Maximum retention and resistance are needed.
- Correction of axial contours
CVC contraindications
1.Wherever an intact buccal or lingual wall exists.
2. If less than maximum retention
and resistance are needed.
3.If objectives can be met with a more conservative restoration
Pros of CVC
Because all axial surfaces of the tooth are included
in the preparation, the complete cast crown has
greater retention than a more conservative restoration.
Has greater resistance form than a partial coverage
restoration on the same tooth.
A complete cast crown allows the operator to
modify axial tooth contour as well as occlusal modification
Cons CVC
Removal of tooth structure is extensive and can have adverse effects on the pulp and periodontium
Because of the proximity of the margin to the gingiva, it is not uncommon to see inflammation of gingival tissues.
After cementation, it is no longer feasible perform electric vitality testing of an abutment tooth.
Patients may object to the display of metal associated
with complete cast crowns.
Functional cusp bevel
A wide bevel placed on the FUNCTIONAL cusp
.8mm depth
buccal cusp in mandibular arch
lingual cusp in the maxillary arch
Ensures that correct contours of the final restoration can be re-established while providing adequate thickness of restorative materials.
Chamfer: a finish line design for toothpreparation in which the gingival aspect meets the externalaxial surface at an obtuse angle
ADVANTAGE :Distinct margin, adequate bulk, easier to control
DISADVANTAGE : Care needed to avoid unsupported lip of enamel
Resistance form
The characteristics of a tooth preparation which tend to prevent dislodgement by forces directed in an oblique or apical direction.